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HomeMy WebLinkAbout86-0811 Old Main Payout gre-o%1c RESOLUTION APPROVING PAYOUT FROM THE OLD MAIN RESTORATION ESCROWI ACCOUNT WHEREAS, the City of Elgin is the owner of certain real property upon which is a structure commonly known as Old Main; and WHEREAS, the City of Elgin and the Elgin Area Historical Society have entered into an agreement wherein Old Main is to be renovated and occupied by the Historical Society as a historical museum; and WHEREAS, pursuant to said agreement the plans and contract documents of such renovation are subject to the prior approval of the City of Elgin; and WHEREAS, on January 13, 1986 the City Council of the City of Elgin approved certain plans and contract documents prepared by Burnidge, Cassell and Associates dated December 27, 1985 entitled "Phase I of the Museum Interior Restoration for Old Main" subject to certain conditions including the condition that a fully funded escrow account be established to pay for such renovation costs; and WHEREAS, on April 15, 1986 the City of Elgin, the Elgin Area Historical Society and the First National Bank of Elgin (escrowee) entered into an escrow agreement which established the Old Main Restoration Account and authorized the escrowee to make payments from said account on the written direction of the City of Elgin and the Historical Society; and WHEREAS, renovation work has been continuing and application has row been made for the payment of $27,192.00 from the escrow account; and WHEREAS, the project architect has reviewed said application for payment and has found it to be complete and the construction to be in compliance with the construction documents. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN, ILLINOIS, that the First National Bank of Elgin is authorized and directed to make payment from the Old Main Restoration Account in the amount of $27,192.00 to the general contractor P.B. Verdico, Inc. per its application dated July I I , 1986, a copy of which is attached hereto and made a part hereof by reference. s/ Richard L. Verbic Richard L. Verbic, Mayor Presented: August II, 1986 Adopted: August 11, 1986 Vote: Yeas 5 Nays 1 Recorded: Attest: s/ Marie Yearman Marie Yearman, City Clerk l ) ) APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 (Instructions on reverse side) PAGE ONE OF PAGES -. TO (OWNER): City of Elgin PROJECT: Phase one of the Museum APPLICATION NO: 2 Distribution to: 150 Dexter Court interior restoration for ❑ OWNER Elgin, IL 60120 Old Main PERIOD TO: ❑ARCHITECT ❑ CONTRACTOR FROM (CONTRACTOR): P.B. Verdico, Inc. VIA (ARCHITECT): Burnidge, Cassell and ARCHITECT'S ❑ 236 E. Irving Park Road Associates PROJECT NO: 8435A ❑ Wood Dale, IL 60191 1750 Grandstand Place CONTRACT FOR: General Contractor Elgin, IL 60120 CONTRACT DATE: 4/7/86 ApplCONTRACTOR'S APPLICATION FOR PAYMENT Continuation Shet,for Payment, as AlA Document G703,liss attachew, in connection with the Contract. CHANGE ORDER SUMMARY 1. ORIGINAL CONTRACT SUM $ 213,463.00 Change Orders approved in ADDITIONS DEDUCTIONS 2. Net change by Change Orders $ —0— previous months by Owner 3. CONTRACT SUM TO DATE (Line 1 -'2) $ 213,463.00 TOTAL 4. TOTAL COMPLETED & STORED TO DATE $ 101,459.30 Approved this Month (Column G on G703) Number Date Approved 5. RETAINAGE: a. 10 ,,, of Completed Work $ 10, 145. 90 (Column D+E on G703) b. ____ % of Stored Material $ —0— (Column F on G703) Total Retainage (Line 5a+5b or TOTALS Total in Column I of G703) $ 10, 145.90 Net change by Change Orders 6. TOTAL EARNED LESS RETAINAGE $ 91.313.40 The undersigned Contractor certifies that to the best of the Contractor's knowledge, (Line 4 less Line 5 Total) information and belief the Work covered by this Application for Payment has been 7. LESS PREVIOUS CERTIFICATES FOR completed in accordance with the Contract Documents, that all amounts have been PAYMENT (Line 6 from prior Certificate) $ 64, 121 .40 paid by the Contractor for Work for which previous Certificates for Payment were 8. CURRENT PAYMENT DUE $ 27,1_9_2.00 issued and payments received from the Owner, and that current payment shown 9. BALANCE TO FINISH, PLUS RETAINAGE $ t 221«9.En` herein is now due. (Line 3 less Line 6) CONTRACT : - State of:\ County of:�w�v✓ o --- ), Subscribed ands rn to before me this // day of '� ,1y f G w Notary Public: e,.. By: • Date: ` My Commission expires:illat.at /7 /9 7 • ARCHITECT'S CERTIFICATE FOR PAYMENT ,d AMOUNT CERTIFIED $ 2-; 192.00`_ (Attach explanation if amount certified differs from the amount applied for.) In accordance gwith hthe Cntract Documents, based a on-site observations Ow do h ando the ARCHI b✓ 444/4-d9/€--data comprising the above application,the Architect certifies to the Owner that tothe /� �'6best of the Architect's knowledge,information and belief the Work has progressed as By Date: indicated,the quality of the Work is in accordance with the Contract Documents,and This Certificate is not negotiable. The AM NT CERTIFIE s pay le only to the the Contractor is entitled to payment of the AMOUNT CERTIFIED. Contractor named herein. Issuance,payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. MA DOCUMENT G702•APPLICATION AND CERTIFICATE FOR PAYMENT •MAY 1911{EDITION•AIA" • c 1983 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006 G702-1983 SWORN STATEMENT FOR CONTRACTOR AND SUBCONTRACTOR TOOWNER state of Illinois1 1 Page_of_Papel ss. County of DuPage Peter Verdico ��Jt affiant, Peter first duly sworn,on oath deposes (Name) end says that he is President (Position) of P. B. Verdico, Inc., 236 E. Irving park Rd., Wood Dale, IL 601191 860-1360 that_has (Firm Name.Address and Phone Number) contract With Elgin Area Historical Society, Elgin, Illinois ,owner_for General Work (Kind of Work) ' on the following described premises in said County,to-wit: "Old Main" Restoration That, for the purpose of said contract,the following persons have been contracted with,and have furnished,orre furnishing and preparing materials for,and have done or are doing labor on said improvement. That there is due and to become due them,respectively,the amount set opposite their names for materials or labor as stated. That this statement is a full,true and complete statement of all such persons,the amounts paid and the amounts due or to become due to each. I 2 3 4 $ i 7 ot Name and Address Kind of Work Amount Retention Previously Net Amount Balance To Contract (Incl.Current) Paid This Payment Complete VICKERS MASONRY, INC. _ Masonry Palos Hills. IL $ 12.350.00 1,235.00 11.115.00 -0- 1.235.00 NORTHWEST MILL & OEM__ MiJLWQLk Carpentersville, IL 9,560.00 -0- -0- -0- 9,560.00 JIM MICHEL BLDG. SPEC. Hollow Metal Milwaukee, Wisconsin & Hardware 6,860.00 610.00 1,395.00 4,095.00 1,370.00 MACE IRON WORKS _ t,.uc_tural S_tl. Frankfort, IL 6 Stl. STair 12,400.00 100.00 900.00 -0- 11,500.00 KIRSCHMANNL INC. Stripping & Roscoe, IL Plumbing 9.870.00 650.00 5,850.00 -0- 4,020.00 FIRE ALARM CO., INC. Fire Alarm Elgin, Illinois Work 1,300.00 -0- -0- -0- 1.300.00 R. ROOD & SONS Drywall Schaumburg, Illinois 13,150.00 495.00 -0- 4,455.00 8,695.00 R. D. ROMAN, INC: Ceramic Tile Rockford, IL 759.00 -0- -0- 'i -0- 759.00 ACTIVE GLASS Glass & Elk Grove Village, IL Glaz ig 524.00 -0- -0- -0- 524.00 NELSON/CARLSON Sprinkler_ Rockford, IL Work 9.290.00. -0- -0-_ -0- 9,290.00 MIELKE-LAUDERDALE Electrical Elgin, Illinois 26.077.00 1.275.00 4,050.00 7.475.00 14,607 00 R. L. WAGNER HVAC & St. Charles, Illinois Plumbing 25,480.00 1.431.10 9.900.'(00 2,980.00 12,600.00 P. B. VERDICO, INC. Carpentry Wood Dale, IL 27.377.00 800.00 4,500.100 2,700.00 70,177.00 P. B. VERDICO, INC. _ Demolition Wood Dale, Illinois 16,760.00 1,676.00 14.400.00 684.00 1,676.00 P. B. VERDICO, INC. Bond & Wood Dale, IL Insurance 4,446,00 444.60 4,001.140 -0- 444.60 FLOORS, INC. Wood Flooring_ Wood Stock, IL 7,500.00 90.00 -0- 1 810_on 6,690-00 P.B. VERDICO, INC. Gen. Cond. Wood Dale, IL 0.H. & Fee 29,760.00 1,339.20 8,010.00 4,041.00 17,707 00 TOTAL $213,463.0010,145.90 64,121.40 27,192.00, $122,149.60 C AMOUNT OF ORIGINAL CONTRACT $213,463.00 WORK COMPLETED TO DATE $ L01,459.30— EXTRASTO CONTRACT $ —0— LESS 10 %RETAINED $ 10.145.90 TOTAL CONTRACT AND EXTRAS $ 213,463.00 NET AMOUNT EARNED $ 91,313.40 CREDITS TO CONTRACT $ —0— NET PREVIOUSLY PAID $ 64,121.40 ADJUSTED TOTAL CONTRACT $ 213,463.00 NET AMOUNT OF THIS PAYMENT $ 27,192,00 BALANCE TO BECOME DUE 11Inc.Retention) S 122,_149.60_ It is understood that the total amount paid to date plus the amount requested in this application shall %of the cost of work completed to date. I agree to furnish Waivers of Lien for all materials under my contract when deme Signed I Thomas Robinson Vice-President 'r�,x7r��� QQ (Position) Subscribed and sworn to before me this U day of L-//,( '� t/�") 19�40 IIS �I 2't P- L(/QLKr Notary Public The above sworn statement should be obtained by the owner before each and every o6vment. F.3619 R.5/01 BURNIDGE, CASSELL AND ASSOCIATES, P.C. ARCHITECTS AND LAND PLANNERS 1750 GRANDSTAND PLACE ELGIN, ILLINOIS 60120 312-695-5840 DATE: 17-yo e'(o TO: J[y 44c 4V-,4/ PROJECT:,0 , at" c` 4/ p/4. 7-5 " /'S ,9 Ore it Gda R T friii4�t4 - /A/T�,ear / e-4-4%N /E - , /2) /-'7z,2177eiN oma. $.0 �,�i,,,• NO OF / COPIES DESCRIPTION ACTION �o b'f„,.'?2 X6-777 ��i°G iC9 Tio ns/ e -,,t/d4t7iir u71-1- , 'A' -'- /e04--- /0. 6 14720/-6e /A/d girl r Vere er✓,S ACTION: A-APPROVED B-APPROVED AS NOTED C-APPROVED AS NOTED-RESUBMIT D-DISAPPROVED-REVISE AND RESUBMIT E-SEE ENGINEERS REVIEW REMARKS: /d � ��o SCJ ,Divi-"Alar-Air- e, iv}Jsl `r- e, L4 - tbi'U " . BURNIDGE, CA SELL AND ASSOCIATES BY: /4 ! - BURNIDGE,CASSELL AND ASSOCIATES, P.C. ARCHITECTS AND LAND PLANNERS 1750 GRANDSTAND PLACE ELGIN, ILLINOIS 60120 312-695-5840 Charles H. Burnidge Charles W.Cassell Gerald K. Bunting Ronald E. Dalluege Chris W. Morecraft Charles M. Hanlon Steve M. Vacherlon Augusto L. Leonardo Richard C. McCarthy July 10, 1986 First National Bank of Elgin Fountain Square Plaza Elgin, IL 60120 RE: Old Main Restoration Account Pay Request #2 To when it may concern: The attached resolutions give written direction to the First National Bank of Elgin to release funds to the General Contractor frau the Old Main Restoration escrow account. The architect, Burridge Cassell and Associates, ha reviewed the General Contractor pay request and found it to be complete ande construction to be in compliance with the construction documents. IA copy of the pay request and the support waivers are included. Payment in the amount of $27,192.00 is payable to the General Contractor, P.B. Verdico, Inc. , 236 E. Irving Park Road, Wood Dale, IL 60191, for pay request number two. As per the escrow agreement, the City of Elgin and the Elgin Area Historical Society attach the resolutions of the Elgin City Council and the Society Board of Directors granting the direction. Sincerely, BURNIDGE, CASSPLL AND ASSOCIATES Charles H. Burnidge ci/ Enclosures mn ) -) APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 (Instructions on reverse side) PAGE ONE OF PAGES TO (OWNER): City of Elgin PROJECT: Phase one of the Museum APPLICATION NO: 2 Distribution to: 150 Dexter Court interior restoration for ❑ OWNER Elgin, IL 60120 Old Main PERIOD TO: ❑ ARCHITECT ❑ CONTRACTOR FROM (CONTRACTOR): P.B. Verdico, Inc. VIA (ARCHITECT): Burnidge, Cassell and ARCHITECT'S ❑ 236 E. Irving Park Road Associates PROJECT NO: 8435A ❑ -toted--Ddl-e I-L----6-019-1 -- -- --- -- 17-5-0 Gr-and-standPlace - CONTRACT FOR: General Contractor Elgin, IL 60120 CONTRACT DATE: 4/7/86 ApplicatCONTRACTOR'S APPLICATION FOR PAYMENT Continuation Shet,fAIA Document G703,or Payment, as 1iss att ched w, in connection with the Contract. CHANGE ORDER SUMMARY 1. ORIGINAL CONTRACT SUM $ 213,463.00 Change Orders approved in ADDITIONS DEDUCTIONS 2. Net change by Change Orders $ —0— previous months by Owner 3. CONTRACT SUM TO DATE (Line 1 -4-2) $ 213,463.00 TOTAL 4. TOTAL COMPLETED & STORED TO DATE $ 101,459.30 Approved this Month (Column G on G703) 5. RETAINAGE: Number Date Approved a. IQ_ % of Completed Work $ 10, 145.90 (Column D+E on G703) b. % of Stored Material $ —0— (Column F on G703) Total Retainage (Line 5a+5b or TOTALS Total in Column I of G703) $ 10,145. 90 Net change by Change Orders 6. TOTAL EARNED LESS RETAINAGE $ 91,313.40 The undersigned Contractor certifies that to the best of the Contractor's knowledge, (Line 4 less Line 5 Total) information and belief the Work covered by this Application for Payment has been 7. LESS PREVIOUS CERTIFICATES FOR completed in accordance with the Contract Documents, that all amounts have been PAYMENT (Line 6 from prior Certificate) $ 64, 121.40 paid by the Contractor for Work for which previous Certificates for Payment were 8. CURRENT PAYMENT DUE $ 27, Jj2,00 issued and payments received from the Owner, and that current payment shown 9. BALANCE TO FINISH, PLUS RETAINAGE $ 122,149. 60 herein is now due. (Line 3 less Line 6) CONTRACT State of:\ County of4<cin-,✓ ) Subscribed ands rn to before me this /1 day of p 1 %,-44.11:1_ ,19 51 G Notary Public`�� Q'./C• U By: ` Date: it My Commission expires: 7YJ0t.tclL /7 /9j'7 _ AMOUNT CERTIFIED $ 275/92.00 ARCHITECT'S CERTIFICATE FOR PAYMENT d for.) (Attach explanation if amount certified differs from the amount applied for.) Iaccordance gwith hthe Coatract p is Documents, based t on on-site observations and the ARCH .GGsr' 4-1/1/U-dg2Z--datacomprising the above application,the Architect certifies to the Owner that to the - // ,Q6best of the Architect's knowledge,information and belief the Work has progressed as By `f' Date: v indicated,the quality of the Work is in accordance with the Contract Documents,and This Certificate is not negotiable. The AMCJNT CERTIFIE s pay le only to the - the Contractor is entitled to payment of the AMOUNT CERTIFIED. Contractor named herein. Issuance,payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G702•APPLICATION AND CERTIFICATE FOR PAYMENT•MAY 1983 EDITION•AIA" •,c 1983 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORE. AVENUE, N.W., WASHINGTON, D.C. 20006 G702-1983 P SWORN STATEMENT FOR CONTRACTOR AND SUBCONTRACTOR TO OWNER Mate of Illinois Page 1 of 1 Pages }ss. County of DuPage • . Int affiant, Peter Verdico being first duly sworn,on oath deposes (Name) nd says that he is President (Position) f P. B. Verdico, Inc. , 236 E. Irving park Rd. , Wood Dale, IL 60191 860-1360 that has (Firm Name,Address and Phone Number) 'ontract with Elgin Area Historical Society, Elgin, Illinois ,owner_for General Work (Kind of Work) )n the following described premises in said County, to-wit: "Old Main" Restoration That, for the purpose of said contract, the following persons have been contracted with, and have furnished, or are furnishing and preparing materials for,and 'lave done or are doing labor on said improvement. That there is due and to become due them,respectively,the amounts set opposite their names for materials or labor Is stated. That this statement is a full, true and complete statement of all such persons, the amounts paid and the amounts due or to become due to each. 1 2 3 4 5 6 7 et Name and Address Kind of Work Amount Retention Previously Net Amount Balance To Contract (Incl.Current) Paid This Payment Complete VICKERS MASONRY, INC. Masonry Palos Hills. IL $ 12.350.00 1,235.00 11.115.00 -0- 1,235.00 NORTHWEST MILL & SUPPLY MillwQr.k Carpentersville, IL 9,560.00 -0- -0- -0- 9,560.00 JIM MICHEL BLDG. SPEC. Hollow Metal Milwaukee, Wisconsin & Hardware 6,860.00 610.00 1,395.00 4,095.00 1,370.00 MACE IRON WORKS St. Qc_tural StI, Frankfort, IL & Stl. STair 12,400.00 100.00 900.00 -0- 11,500.00 _ KIRSCHMANNL INC. Str _p_ping_ & Roscoe, IL Plumbing 9.870.00 650.00 5,850.00 -0- 4,020.00 FIRE ALARM CO. , INC. - Fire Alarm Elgin, Illinois Work 1,300.00 -0- -0- -0- 1.300.00 R. ROOD & SONS Drywall Schaumburg, Illinois 13,150.00 495.00 -0- 4,455.00 8,695.00 R. D. ROMAN, INC: Ceramic Tile __ Rockford, IL 759.00 -0- -0- -0- 759.00 ACTIVE GLASS Glass & - Elk Grove Village, IL Glazing 524.00 -0- -0- -0- 524.00 NELSON/CARLSON Sprinkler Rockford, IL Work _ 9,290.00 -0- -0-.. -0- 9..290.00 MIELKE-LAUDERDALE Electrical Elgin, Illinois 26.077.00 1,275.00 4.050.00 7,425.00 14,602.00 R. L. WAGNER HVAC & St. Charles, Illinois Plumbing 25,480.00 1,431.10 9,900.00 2,980.00 12,600.00 P. B. VERDICO, INC. Carpentry Wood Dale, IL 27.377.00 800.00 4,500.00 2,700.00 70,177.0.0 P. B. VERDICO, INC. Demolition Wood Dale, Illinois 16,760.00 1,676.00 14.400.00 684.00 1,676.00 P. B. VERDICO, INC. Bond & Wood Dale, IL r Insurance 4,446.00 444.60 4.001.40 -0- 444.60 FLOORS, INC. Wood• Flooring_ Wood Stock, IL 7.500.00 90.00 -0- 810.00 E1,690-00 P.B. VERDICO, INC. Gen. Cond. Wood Dale, IL 0.H. & Fee 29,760.00 1,339.20 8,010.00 4,043.00 17,707.00 TOTAL $213,463.0010,145.90; 64,121. 40 27,192.00 $122,149.60 AMOUNT OF ORIGINAL CONTRACT $213,463.00 WORK COMPLETED TO DATE $ 101,459.30— EXTRAS TO CONTRACT $ -0- LESS 10 % RETAINED $ 10.145.90 TOTAL CONTRACT AND EXTRAS $ 213,463.00 NET AMOUNT EARNED $ 91,313.40 CREDITS TO CONTRACT $ -0- NET PREVIOUSLY PAID $ 64,121.40- ADJUSTED TOTAL CONTRACT $ 213,463.00 NET AMOUNT OF THIS PAYMENT $ 27,192.00 BALANCE TO BECOME DUE (Inc. Retention) $ 122,149.60_ /t is understood that the total amount paid to date plus the amount requested in this application shall %of the cost of work_completed to date. I agree to furnish Waivers of Lien for all materials under my contract when deme Signed 1 Thomas Robinson Vice-President SetSubscribed and sworn to before me this et day of �{,e 19 1(c, ;a ?diae4.,Z ti---' Notary Public The above sworn statement should be obtained by the owner before each and every pQyment. F.3619 R.5/81 - " -,-,------ ------7-7-... ","•7' :...,-.,-.P.«...7.77. 7..7.:.'":"T-7 ,77-.' ' ' " -',.'L 7,: ._,",. ..;,:.. .;::.,4,,;:.:•;,..•,.;•,,;;;-.4.,r - ,, .,.. .• iN .`1 •--.„,„',' • -.P''.'.•:•:;''7,:.'t:;.4:-°::•le 'fr'.:*.,,i0. .:',.• _. : • •s, At • . , . ' .r‘ •!•-.: :.--....;1'..,.;r0,.,t-.,..z.:gvx0:1p72.! ' - • ' PAY OUT ORDER . , • . _- - :-•--:-4'4:41?.:109"-*. 14: ,,1,:'' ' . .. . .• ' . '-;Z,4?ify-.1,- t, .. . . ' • ''. .* .: • ''•I' ' ':•4`;''..*:;'''f.--,4 19 3: .; f,4,-..-,?..--. , (Nome of paying agent) . • . . . • '' '''•,,,:::`-',"•:,••-'•4•:.i'. ".1'''.:."• . , $ approved Loan# . • This is to certify that whose'address is • . . • . contractor for the '-.. •, .i'-i-. ' on the building at ' , .,„..• ,• ' : , ,.. _ -..i :•.- -, is entitled to a payment of $ —Dollars', : . . ., . ' . . Statement of Account Contractor : . . . • . . . . . . .. . . Origin'al contract Owner's approval . •' . . . „ . Approved additions_ . - . • „-- , " . - Approved deductions Net contract . _ • Inspector . - ' Previous payments • , . ,,, , . , This payment Received payment in bill . Balance , ,... . ' . _•. -' • • . -. • . — - • , iWAIVER .0 F,,, II ErN ...30,DATE., , ..- ... „' .. . . STATE OF ILLINOIS 1 • ' - - SS f t.ti,"9.T3 t 40 Irritlt...:-:-.,•::: -'.:'' %.• ( ,•:. : io,:-;.(i.ett., ‘,..•:*',.;. ,.:. .• • . --.i..;t4f$:::‘,:-:•,---.,,.:."-''' ,I, ...: Loan * . :d.:_':- ''.:': • ;AA:,)•,-,%)...r J et14.4. 1 k 1•4,S404#FV4-•,-- ,`-• : . ' : '' . .'•••-: ''' ''-•-•1•4''',.•; "' " ! -••'-. • ,,, , , f-31'1..,, :'),...ni 31 ,r11.047i* (044. !",klieJt1 $34,14i Jb44.J14-0,',:: _ . :. 7;,,..;;Si5"::":-I'-'::';'.:-- :•Li-' TO WHOM IT MAY CONCERN: • . - ,,-,,,•;,.....,-•-•;• , , . . :—..... : _ i't t -•• ' t•-•-'•vkr-,•----."0""---",--V7r#,7-.{' ' : . WHEREAS the undersigned has been employed bElgin Area Historical Society - • , ,..''..-,z*," ,,, -c•••.1 .1',-*'!, to general work furnish • ,-- -•-•-•••••,- ! --t,,.-4. ,....!----,;-,.-;. '':--..-1 -:f.:''.'',,' ......, ' . for the premises known Old Main Building Museum Restoration, Elgin,''Iiiin*Oisk.`:.4'' ''-:::k-1 as of,which Elgin Area Historical Society :, , ,,1:.(-).i r?, )!:q.11 ! .,blif,.:,-.,11J 'i•i:1 1 ‘1_• :(-1; 4;-...-“,. ''''''i •,i. ' a the owner., .: , .,, '' ' ... 1 r • — . ,,.. r-! ;` 1 " ,i- • ''..'- ' `I •' ? ''''" ' 1 ''' ;it`'''.--• 4)••'''.';`:7 --f:. .THE undersigned,for and inconsideration of' Twenty Seven Thousgnd'One Hundred'Nine ty Two 4.- „ -:- , ,, I,,:;,,,i ,.'•i t A, N -,t,}:Al,s1..14,t 1,..; ;•,k,,a.,„%inek;•!,TA.,,..2, ,t 17:1'2... . .. - and 00/100--- - ($27;192.00 )Dollars,and other good,andivaluebleconsiderations„the recseipt •t -,:-:_ whereof is hereby acknowledged,do(es) hereby waive and release any and all lien or claim of,'or right to,lierk,„Ver the .1 •:,4,,..:, -statutes of the State of Illinois,relating to mechanics'liens,with respect to and on said above-clescribedpremises,.ancLthe -.Til improvements thereon, and-on the material, fixtures; apparatus oç machinery furnished, and on1sToneys, funds or ..other considerations due or.to,becomedue from,the owner,on labol,)e.rvicei,.,,materaiall fixt9.re!tigpar..tt.4.91'1, '! ..,•:,-, ,, _ .machinery,furnished to this date by.the undersigned for the above-described premises . - - :-,-,=. ' . : ' ,i'-', : '.:.', : :,,..•,..f,:- -, " i -wa,-.T!---• -.....2, ••-• ""'-'7":":7"t7'''''''t:' ,,• 22-:-.'r, ' ., . ,..._ • . . , Given under my - hand ' and seal this ' .. - i - •• ....-,.. - .. - ,ff"- .. %. re•-------;" - - 8th ' day of July ., .. _ . j• - i. 1 . 191g2---!„.. : .,.._• ..„ /: ,,'''-'' .-. 41' i7 ,..,.:-7.-,' ::1:.0, itoiki N- re,-T- -.,i -,':' •-', .1 :-:i ;"- -. . . • , : , .' ..,, . , :,:il, 1,. . • : "-,1f)r) ... : , , ",, .):11-ft. gA. . - . ' • en:• Wainwright' \ "7. ,-,,,,.:41',..t. , .,..) Corp. Secretafy-s. : ,72,..--,,...?,,,•'. • ...:,s,..,0......r.. ...v,:o,.::',.-4 ...-'• • •*14 , '', r • V.;.r--.'''-' ' ' •._ z a w.:,,n,t.“.2.,, - - = NOTE: All waivers must be for the full amount paid. If waiver is for a corporation:corporate..niMe sb-oulskttlused, E corporate seal affixed and title of officer signing waiver should be set forth; if-waiver is for a partnershYi , die.15artner4F`g;: ship name should be used, partner should sign and designate himself as partner. s-•'% ' . • '----',>''..,>•*:.-t. ,.1 '$‘'''.:.,:-.:,•:. : •- .-,„„., -, . - , -NZ.",,,..c,..„ 4.,;,,,,,,,,, , ",, : ,,....(SEE OVER) ,) ,. , . '',,,H•t-',:::: "-- . .... __ , Foata.un R,3/76 ___,. ., , - • ••-;.•..... Zr.-:.:*7:''':2-. • __. _ r 7-- —,--,- '-`7 ' ``-`— 7:744-- `7" - - . ...;: r14:4 'Cluirim trtiv,:rtj 1:5, li.in.,..i14 . 1 .'4,,I, ' •i '•-,t.5.i,' ...,.....,- -.. . . -.... , 5.5. — 7. 11 '...)., -.-,_.-.: •- ------..- - , __. _ ____:_ ....L..__.,..._ _________ ,, .1.Alti y;:i.ii.t*-01 ei. aid.r - ?: ' `,..",44 -,• . , S. • _....,........_ ....... , ____..._ .,.. , ; t . . - •• '. . •• - , . a, II1Ignal.,10; , 3 . ,. ... 1 3 . . IEPia,0 , ___ZZO1liti4r., 1,,Iti.ikikqqA ; • .. . • . ...... __ .._._.1-.4.0,41,;.Y... ;,-.,14 ; . . 1 _ _.. ..............._ „ . ........... ..;..s,ty,.,.-tv,-; z.I.A.tt.,;:r.x: Isr,rn.,ix. ';frr- 1 • • . . _ ...,......... ....... ._..._...._. . _ ._..... . -.. . . .. ., . . ..._ .......... _ . . CONTRACTOR'S' AFFIDAVIT . ,. , .. STATE OF ILLINOIS ? •- ,; COUNTY OF - ' ) ....;....:-lolf. • . .. TO WHOM IT MAY CONCERN: ' . THE undersigned, being duly sworn, deposes and says that he is of the ., ‘(../.,c , ":'; i/0'r'-il 6."..7/7r _ ' who is the contractor for,the • , •:"' a ":" --' .• ' ' •' ... _:. woricon.:the building located at .:4.--. ,'' '.:',..f.',:=.: - ..'' i . . • • ' ' ., 7 ' • , : Iv ' ' „7;'-i :,r t) owned by . - •p'.-. • - ,-•'That:the '-' •' - ,t total amount of the contract including extras is $____ on which he has received.,payment $ . . .. ....... prior to this payment."Thar all waivers are-true,-correct-and genuine-and-deliverecFuncon--'''4 ditionally,and that there is no claim either_legal or equitable to defeat the validity of said waivers That the following are the names of all'parties who have'furnished material or labor;or'both;for said"work and'Iall'parties'having' ontracts "''' , ,-_,_ -„,1 or sub contracts for specific portions of said work or for material entering,ipto tbe construction thereof and the amount clue.,or to become clueto each, and that the' items mentioned include all laborandmaterial required- o-complete l-wórk1;” . . . .,.-1 ' ., ! . , J. ., ,, -:.,;:;vi ,,i3iwi f,. ..,,,,!;:i .i.)7.1:1.1.', ..T-.71.3R. 1"fit,..::.!.; zi*I-0-:Avalw, according to plans and specifications: , ....,.. . .i. ...;.CONTRACTA :AMOUNT! -,THIS , ..;BALANCE,-: „,.. ' NAMES WHAT FOR' ' " PRICE PAID PAYMENT ' DUE - .. . . . : . . : . '', .'; ':!-':,,,:f.::'• ‘;•,I :, :..:1?' . 5 ,.,. ' • - '" ' ''• ` ''' .-.{.:-.:, ,z*'t., --I, • ••--,t.".„': -2F h,'A ?;'.. ' - -5 , .. . '. . TOTAL LABOR AND MATERIAL TO COMPLETE Ttiat'llere'are,noother contracts for said work outstanding, and that there is nothing due or.to become due*,to any person (ot:mqerial, labor or other work;of any kind done or to be done upon or in connection with said work other than above„?tated:-... . ... . . :.' , - \''...S..,, i g II"et.cr.t,h,i s --- day of , 19_ .1 ,z, 4 ,'? ;,.:,:',,, •:-,., . ;I.,. ,,i i .. •tt 101 7.:: ..`,-II:I1 ....:!,,A.L...I.- "A :ITO:X. - ' -7- ...,• .. . ..t !c,.3,; •an..,,A,-,-,-,.. i.c.. v,%., Lii,..z,, L,;.1:1).1 `,.;,-,.--11 !:-.4 'Subscribed and sworn to before me thisday of ; 19 . . , ''t..............• (.:'I V,) t - • . PAY OUT ORDER 19 (Name of paying agent) $ approved Loan# This is to certify that whose address is contractor for the on the building at • is entitled to a payment of $ _Dollars ` ` `*' Statement of Account Contractor . Original contract Approved additions Owner's approval Approved deductions Net contract Inspector Previous payments This payment Received payment in full Balance WAIVER OF LIEN TO DATE• STATE OF ILLINOIS )SS COUNTY OF Kane Gty # a S Loan # TO WHOM IT MAY CONCERN: WHEREAS the undersigned has been employed by P.B. Verdico, Inc. • to furnish Plumbing, heating, ventilation for the premises known as Old Main Museum of which is the owner. ` THE undersigned, for and in consideration of Two thousand nine hundred eighty and',no/100 ($ 2,980.00 )Dollars,and other good and valuable considerations,the receipt whereof is hereby acknowledged, do(es) hereby waive and release any and all lien or claim of,or right to,lien,under the statutes of the State of Illinois,relating to mechanics'liens,with respect to and on said above-described premises,and the improvements thereon, and on the material, fixtures, apparatus or machinery furnished, and on the moneys, fundsor other considerations due or to become due from the owner,on account of labor,services,material,,fixtures,apparatus.,or_ machinery,furnished to this date by the undersigned for the above-described premises. : :. Given under hand and seal this ""_'"".,` —30-th---..third--—.Tune ___.— --,1Q R.L. WAGNE INC.__. _ '''* ,.. • SEAI. ' John L. Wagner :_, •{ NOTE: All waivers must be for the full amount paid. If waiver is for a corporation, corporatelname should be used, corporate seal affixed and title of officer signing waiver should be set forth; if waiver is for a partnership, the pattrlert shi ame s ould bei used, partner should sign and designate himself as partner. ``+,,,,,, a (SEE OVER) ..•....ii,H. J11,4 •,r•.; FORM 17 R 3 !6StS2Et1((t:.pa'i'r,.,. ...._«...,,.� - • • CONTRACTOR'S AFFIDAVIT STATE OF ILLINOIS ?SS " "`` • ' Kane COUNTY OF TO WHOM IT MAY CONCERN: THE undersigned, being duly sworn, deposes and says that he is Senior Vice President of the firm, R.L. Wagner & Sons, Inc. who is the contractor for the Plumbing, heating, and ventilation work;on•the building located at Old Main Museum owned by That the total amount of the contract including extras is $25,480.00 on which he has received payment of $ 9,900.00 prior to this payment. That all waivers are true, correct and genuine and delivered uncon- ditionally and that there is no claim either legal or equitable to defeat the validity of said waivers. That the following are the names of all parties who have furnished material or labor, or both, for said work and all parties having contracts or sub contracts for specific portions of said work or for material entering into the construction thereof and the amount due or to become due to each, and that the items mentioned include all labor and material required to complete said work according to plans and specifications: NAMES WHAT FOR CONTRACT AMOUNT THIS ;BALANCE PRICE PAID PAYMENT DUE Bryant Furnaces & A/C 2,089.00 2,089.00 Vesco Grilles 1,564.00 400.00 1,164.00 R.L. Wagner & Sons, Inc. Plumbing & HVAC 21,827.00 8,911.00 2,911.00 10,005.00 TOTAL 40eAND MATERIAL TO COMPLETE 25,480.00 11,000.0) 3,311.00 11,169.00 That there ar.nd iiihrr contract for said work outstanding, and that there is nothing due or to become due to any person for material, labor or other\ ork of any kind done or to be done upon or in connection with said work other than above stated. Signed this 30th day of June , 19 86 Li JOhn L. W" aGner Subscribed and sworn to before me this 30th day of e 1g '• "OF 11Al SEAL' z ; PARTIAL WAIVER OF LIEN • To All Whom It May Concern: WHEREAS,the undersigned has been employed by(A) R. L. Wagner to furnishlidaralg�r}]f B) Ventilation Equipment work, under a contract(C) - -:..for.the improvementof-the premises described as(D), . Old Main Museum in the City (City-Village)of Elgin ,County of • Kane , State of Illinois of which is the owner. - • NOW,THEREFORE,this 23rd day of July , 19,...i ,, . for and in consideration of the sum of(E)FOUR HUNDRED & 00/100' s Dollars paid simultaneously herewith,the receipt whereof is hereby acknowledged by the undersigned;the under--„:i2-2:-.-cr. signed does hereby waive and release to the extent only of the aforesaid amount,any lien rights to,or claim of lien with respect to and on said above-described premises,and the improvements thereon,and on the monies or other =y considerations due or to become due from the owner, by virtue of said contract, on account of labor, services, materials, fixtures, apparatus or machinery furnished by the undersigned to or for the above-described premises,'•=` �t, but only to the extent of the payment aforesaid. � " • •_ ' (F) Vesco VEntilation 'Equipment Sales( L, Inc (Name of sole ownership,corporation or partnership) R"CU}.j701 •w'. i✓1"p - • ,, i,.,. M.f�.:�+..,%r,.'a*tYWi3 'a:�" 'y ' tie.+aiq«• WelPtIPSROPIRge '., • ;ail here) .- ->C��� _ (SEAL)EAL)) - -� (Signature) - TITLE: Vice President INSTRUCTIONS FOR PARTIAL WAIVER u • . `;=.. :�:;:.•;, IA) Name person or firm with whom you agreed to furnish either labor,or services,or materials,or both. IBI Fill in nature and extent of work:strike the word labor or the word materials if not in your contract. _ .. IC)If you have more than one contract on the same premises,describe the contract by number if available,date and extent of work. ID)Furnish an accurate enough description of the improvement and location of the premises so that it can be distinguished from any other - IE)Amount shown should be the amount actually received on that date. - , '?.• , IFI If waiver is for a corporation,corporate name should be used,corporate seal affixed and title of officer signing waiver should be set forth;if waiver is for a partnership,the partnership neme,should be used, partner should sign and designate himself as partner. • • .. Designed By The ' ,x Construction Industry Affairs Committee(CIRC) ''_ TOPS 3459 LITHO IN U.S.A. ©COPYRIGHT 1973,TOPS BUSINESS FORMS.CHICAGO,ILL. PAY OUT ORDER 19 (Name of paying agent) approved Loan# This is to certify that whose address is contractor for the on the building at is entitled to a payment of $ _. Dollars Statement of Account Contractor Original contract Owner's approval Approved additions Approved deductions Net contract Inspector Previous payments This payment Received payment in full Balance WAIVER OF LIEN TO DATE STATE OF ILLINOIS COUNTY OF SS Gty # Loan # TO WHOM IT MAY CONCERN: • WHEREAS the undersigned has been employed by P.B. VERDICO, INC. to furnish Hollow Metal Doors , Finish Hardware for the premises known as Phase I — "Old Main" The Museum Interior Restoration. Elgin,I? City of Elgin of which _ is the owner. The undersigned,for and in consideration of Four Thousand Ninty Five and no/100 _ ($ 4,095.00 ) Dollars,and other good and valuable considerations,the receipt whereof is hereby acknowledged, do(es) hereby waive and release any and all lien or claim of,or right to,lien,under the statutes of the State of Illinois,relating to mechanics'liens,with respect to and on said above-described premises,and the improvements thereon, and on the material, fixtures, apparatus or machinery furnished, and on the moneys, funds or other considerations due or to become due from the owner, on account of labor, services,material, fixtures,apparatus or machinery furnished to this date by the undersigned for the above-described premises. • • Given under my hand , and seal _ _ ` this 2nd day of __ July , 1986. JIM MICHEL BUILDING SPECIALTIES, INC. ,(SEAL) '+ . (-me J. Mic — President NOTE: IAII waivers must be for the full amount paid. If waiver is for a corporation, corporate name should be used, corporate seal affixed and title of officer signing waiver should be set forth; if waiyer is for a partnership, the partner- ihip name should,be;used, partner should sign and designate himself as partner. _ (SEE OVER) FORM 17¢2-R 3/76 - CONTRACTOR'S AFFIDAVIT STATE OF ILLINOIS SS COUNTY COUNTY OF TO WHOM IT MAY CONCERN: THE undersigned, being duly sworn, deposes and says that he is James J. Michel President _of the Jim Michel Building Specialties, Inc,. who is the contractor for the Hollow Metal Doors , Finsih Hardware work on the building located at 350 Park Street, Elgin, Illinois 1. owned by r u Cityiiof Elgin - That the total amount of the contract including extras is $ 6,860.00 on-which he has received payment of $ 1 .395.00 prior to this payment. That all waivers are true, correct and genuine and delivered uncon- ditionally and that ithere is no claim either legal or equitable to defeat the validity of said waivers. That the following are the names of all parties who have furnished material or labor, or both, for said work and all parties having contracts or sub contracts for specific portions of said work or for material entering into the.construction thereof and the amount due or to become due to each, and that the items mentioned include all labor and material required to complete said work according to plans and specifications: NAMES WHAT FOR CONTRACT AMOUNT THIS BALANCE PRICE PAID PAYMENT DUE Jim Michel Bldg. Spec,.Inc. Hollow Metal g: 6740.00 1395_00 _4095.00 1250.00 5265 N. 124th Street Fi ui sh Hardware Milwaukee, Wi . i3225 Coat Fc Hatrank 120_00 .00 .00 120.00 TOTAL LABOR AND MATERIAL TO COMPLETE 6860.00 1395.00 4095.00 1370.00 That there are no other contracts for said work outstanding, and that there is nothing•due or to become due to any person for material, labor or other work of any kind done or to be done upon or in connection with said work other than above stated. Signed this 2nd day of July , 19 86 :He-. J. Mi — PreBi-,ent' - Subscribed and sworn to before me this 2nd y of Ju '• - 0- PAY OUT ORDER 19 (Name of paying agent) $ approved Loan# This is to certify that whose address is _contractor for the on the building at is entitled to a payment of $ _Dollars Statement of Account Contractor Original contract Owner's approval Approved additions Approved deductions Net contract Inspector Previous payments This payment Received payment in full Balance WAIVER OF LIEN TO DATE STATE OF ILLINOIS COUNTY OF COOK SSS Gty # Loan # TO WHOM IT MAY CONCERN: WHEREAS the undersigned has been employed by P . B• V e rd i co , Inc. to furnish drywall work for the premises known as Old Main, 350 Park Street, Elgin, Illinois City of Elgin - of lgin _of which is-the-owner. THE undersigned, for and in consideration of Four thousand, four hundred fifty—five and 00/100 4,455.00 ($ )Dollars,and other good and valuable considerations, the receipt whereof is hereby acknowledged, do(es) hereby waive and release any and all lien or claim of,or right to,lien,under the statutes of the State of Illinois,relating to mechanics'liens,with respect to and on said above-described premises,and the improvements thereon, and on the material, fixtures, apparatus or machinery furnished, and on the moneys, funds or other considerations due or to become due from the owner, on account of labor,services,material,fixtures,apparatus or machinery, furnished to this date-by the undersigned for the above-described premises. Given under • our hand and seal this Second day of July 1986 R. Rood & Sons SEAL J n D. Rood, Partner NOTE: All waivers must be for the full amount paid. If waiver is for a corporation, corporate name should be used, corporate seal affixed and title of officer signing waiver should be set forth; if waiver is for a partnership, the partner- ship name should be used, partner should sign and designate himself as partner. (SEE OVER) FORM 1722 R 3/76 • • CONTRACTOR'S AFFIDAVIT STATE OF ILLINOIS 1SS COUNTY OFCOOK J TO WHOM IT MAY CONCERN: THE undersigned, being duly sworn, deposes and says that he is Jon D . Rood Partner _of the R. Rood & Sons who is the contractor for the drywall work on the building located at 350 Park Street, Elgin, Illinois City of Elgin owned by , That the 13 ,150.00 on which he has received payment of " total amount of the contract includingextras is a $ —0— prior to this payment. That all waivers are true, correct and genuine and delivered uncon• ditionally and that there is no claim either legal or equitable to defeat the validity of said waivers. That the following are the names of all parties who have furnished material or labor, or both, for said work and all parties having contracts or sub contracts for specific portions of said work or for material entering into the constructionjhereof and the amount due or to become due to each, and that the items mentioned include all labor and material required to complete said work according to plans and specifications: NAMES WHAT FOR CONTRACT AMOUNT THIS BALANCE PRICE PAID PAYMENT DUE R. Rood & Sons labor & mat' l 13150 .00 —0— 4455.00 8695 .00 All material taken trrtl teary paia stOc1c and d'aliverea to the jobsite via our own trucks. All labor fully paid. TOTAL LABOR AND MATERIAL TO COMPLETE 13150.00' —0— 4455.00 8695.00 That there are no other contracts for said work outstanding, and that there is nothing due or to become due to any person for material, labor or other work of any kind done or to be done upon or in connection with said work other than above stated. Signed this Second day of July , 1986 Subscribed and sworn to before me this Second day o July — , 19_ 86 c-.4=w0;011. 1� t•••. OUT ORDER 19 (Name of paying agent) S approved Loan H This is to certify that whose address is contractor for the on the building at • is entitled to a payment of$ Dollars Statement of Account Contractor Original contract Approved additions Owner's approval Approved deductions Net contract Inspector Previous payments This payment Received payment in full Balance WAIVER OF LIEN TO DATE STATE OF ILLINOIS i COUNTY OF Kane f SS Gty H Loan b • TO WHOM IT MAY CONCERN: WHEREAS the undersigned has been employed by P•B.Ver digo,Inc. to furnish the electrical work - • for the premises known as Old Main- Interior Restoration of which the City of Elgin is the owner. THE undersigned,for and in consideration of Seven Thousand Four Hundred Twenty-Five and no/100 (S 7425.00 )Dollars,and other good and valuable considerations,the receipt whereof is hereby acknowledged,do(es)hereby waive and release any and all lien or claim or right of lien under the Statutes of the State of Illinois,relating to Mechanic's liens,on the above described premises and improvements thereon,and on the monies or other considerations due or to become due from the owner,on account-of labor or services,material,fixtures or - apparatus heretofore furnished to this date by the undersigned for the above described premises. _ „e .rF ,,f�• Yom... Given under m y hand and seal thin' 'rh - 8o day of LA e.. , 19 CZ . SEAL - ./ NOTE: All waivers must be for the full amount paid. If waiver is for a corporation, corporate name should be used, corporate seal affixed and title of officer signing waiver should be set forth; if waiver is for a partnership, the partnership name should be used,partner should sign and designate himself as partner. (SEE OVER) • • CONTRACTOR'S AFFIDAVIT STATE OF ILLINOIS J J SS COUNTY OF Kane TO WHOM IT MAY CONCERN: THE undersigned,being duly sworn,deposes and says that he is Merrill Lauderdale President of the Mielke-Lauderdale Elec. who is the contractor for the electrical work on the building located at 350 Park Street,Elgin,IL. 60120 , - . owned by the City of Elgin - .That the total amount of the contract including extras is$ 26,077.00 on which he has received payment of $ 4050.00 prior to this payment.That all waivers are true,correct and genuine and delivered uncon- ditionally and that there is no claim either legal or equitable to defeat the validity of said waivers.That the following are the names of all parties who have furnished material or labor, or both, for said work and all parties having contracts or sub contracts for specific portions of said work or for material entering into the construction thereof and the amount due or to become due to each,and that the items mentioned include all labor and material required to complete said work according to plans and specifications: NAMES WHAT FOR CONTRACT AMOUNT THIS BALANCE PRICE PAID PAYMENT DUE Mielke-Lauderdale Elec. Labor & Materials from fully paid stock 2553. 5605. Crescent. Elec.Supply Co. Misc. Materials 1497. 1820. ` TOTAL LABOR AND MATERIAL TO COMPLETE 26077.00 4050. 7425. 14.602.00 -r 'That there are no other contracts for said work outstanding,and that there is nothing due or to become due to any person i`-for material, labor or other work of any kind done or to be done upon or in connection with said work other than above stated. Signed this 3o day of u n e , 19 S'� Nom. J Subscribed and sworn to before me this _ 3 D y of (:) , PARTIAL WAIVER OF LIEN STATE OF Illinois COUNTY OF Kane July 3 19 86 TO ALL WHOM IT MAY CONCERN: Whereas, we the undersigned ELECTRIC SUPPLY CORPORATION, subsidiary of CRESCENT ELECTRIC SUPPLY COMPANY have been employed by Mel ke-Lauderdale El ectri Elgin, IL 60120 to furnish Misc Electrical Materials for the building known as Old Mai n 360 Park St. in the City of Elgin and State of Illinois Now, therefore, in consideration of the sum of One Thousand Fight Hundred Twenty and 00/100 Dollars ($ 1820.00 ) , in hand paid upon said contract,and other goods valuable considerations, receipt whereof is hereby acknowledged, said ELECTRIC SUPPLY CORPORATION, subsidiary of CRESCENT ELEC- TRIC SUPPLY COMPANY do hereby waive and release lien or claim or right of lien on the above described building and premises, to the extent of the above cash payment which has been received on account of labor or materials or both furnished upon said premises. WITNESS our hands and seals this 3rd day of July 19 86 Invoices: 110887, 120457, 121379, 121177, 120383, 120384 ELECTRIC SUPPLY CORPORATION Subsidiary of CRESCENT ELECTRIC SUPPLY COMPANY (1727 - - /// - (Seal) Form#112-85 M. Hoff : , Secretary • PAY OUT ORDER 19 (Name of paying agent) $ approved Loan# This is to certify that FLOORS, INCORPORATED whose address is P. O. BOX 646, WOODSTOCK, IL 60098 contractor for the MAPLE FLOORING WORK on the building at OLD MAIN MUSEUM ELGIN, IL is entitled to a payment of $ EIGHT HUNDRED TEN AND 00/100 Dollars Statement of Account Contractor Original contract 7, 550 . 00 5 Owner's approval Approved additions Approved deductions —0— Net contract 7, 550 . 00 Inspector Previous payments — This payment 810 . 00 Received payment in full Balance 6, 740 . 00 • WAIVER OF LIEN TO DATE STATE OF ILLINOIS COUNTY OF SS Gty # MC HENRY Loan # • TO WHOM IT MAY CONCERN: WHEREAS the undersigned has been employed by _ P• B . VERDI CO. INC . to furnish LABOR AND MATERIALS FOR WOOD FLOORING WORK for the premises known as OLD MAIN MUSEUM, ELGIN, ILLINOIS of which ELGIN AREA HISTORICAL SOCIETY is the owner. THE undersigned, for and in consideration of EIGHT HUNDRED TEN AND 00/100 ——— ($ 810„ 00 ) Dollars, and other good and valuable considerations,the receipt whereof is hereby acknowledged, do(es) hereby waive and release any and all lien or claim of,or right to,lien,under the statutes of the State of Illinois,relating to mechanics'liens,with respect to and on said above-described premises,and the improvements thereon, and on the material, fixtures, apparatus or machinery furnished, and on the moneys, funds or other considerations due or to become due from the owner,on account of labor,services,material,fixtures,apparatus or machinery,furnished to this date by the undersigned for the above-described premises. Given under . M Y hand and seal this• �- 30TH day of JUNE , 19 86. SEA .II/ NOTE: All waivers must be for the full amount paid. If waiver is for a corporation, corporate name should be used, corporate seal affixed and title of officer signing waiver should be set forth;•if.waivgj is.for a partnership, the partner- ship name should be used, partner should sign and designate hinisq.as partner. ' .:/ • - (SEE OVER) ' - FORM 1722 R 3/76 = ✓'. .. • / -- • • • • • • • CONTRACTOR'S 'AFFIDAVIT STATE OF ILLINOIS 1 COUNTY OF SS • MC HENRY TO WHOM IT MAY CONCERN: THE undersigned, being duly sworn, deposes and sa.s that he is JN . BYRNES_ _ _ PRESIDENTof the FLOORS, INCORPORATED who is the contractor for the WOOD FLOORING work on the building located at OLD MAIN MUSEUM, 350 PARK ST. , 'ELGIN, ILLINOIS ' owned by ELGIN AREA HISTORICAL 'SOCIETY ,.That the total amount of the contract including extras is $77/ 550 . 00 on which he has.received payment of $ —0— prior to this payment. That all waivers are true, correct and genuine and delivered uncon- ditionally and that there is no claim either legal or equitable to defeat the validity of said waivers. That the following are the names of all parties who have furnished material or labor, or both, for said work and all parties having contracts or sub contracts for specific portions of said work or for material entering into the,construction thereof and the amount due or to become due to each, and that the items mentioned include all labor and material required to complete said work according to plans and specifications: ' NAMES WHAT FOR CONTRACT AMOUNT THIS BALANCE, PRICE PAID PAYMENT '" DUE ' • AGA CORP. FLRG MATERIAL 2, 150 . 2, 150 FLOORS, INC. - MTL—PD STOCK 350 . —0— --0— -. ' 50 . FLOORS, - INC . LABOR 5, 050 . —0— 810 . 4,240 . TOTAL LABOR AND MATERIAL TO COMPLETE 7, 550 . —0— SIU . 6 . 71+0 . That there are no other contracts,for said work outstanding, and that there is nothing due or to become due to any person for material, labor or other work of any kind done or to be done upon or in connection with said work other than above stated. Signed this 30TH day of JUNE ft 8 if Subscribed and sworn to before me thisy 9TH 5of J UN Err , 19 86 v vh. L .. ELGIN AREA HISTORICAL SOCIETY � ��-'' 0 P.O. BOX 1027 ELGIN, ILLINOIS 60120 � ,Yo Ft$' July 14, 1986 r First rational Bane. of Elgin Fountain Square Plaza Elgin, Illinois 60120 To Whom It May Concern: Be it resolved the First National Bank of Elgin as Escrow is hereby authorized to release funds from the Lid Fain Escrow Account in the amount of $27,192.00 payable to P. B. Verdico, Inc. 236 E. Irving Park Road, 'Rood Dale, IL 60191. W/I.Sit \#•• , \ i,Ail . resident secretary