234209 07/01/14 ``/r CAA~R!
CITY OF CARMEL, INDIANA VENDOR: 00350714
® t{ ONE CIVIC SQUARE AIRWORX CORP CHECK AMOUNT: $**.....217.02*
,. r CARMEL, INDIANA 46032 PO BOX 7042 CHECK NUMBER: 234209
M_rON�, INDIANAPOLIS IN 46207 CHECK DATE: 07/01/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 275811-0001 217.02 OTHER EXPENSES
f Page: 1
construction equipment Remit To:
airwomcorp,corn PO BOX 7042
Indianapolis Cincinnati Warsaw Fort Wayne INDIANAPOLIS, " IN 46207-7042
317-471-1272 513-407-9902 574-268-9664 260-247.2816
5 0.1 W. "RAYMOND ST. MON FRI :::,7 : 0 0 5 : 0 0
INDIANAPOLIS, IN 46225 317-471-1272 SATURDAY CLOSED
Customer: IN CARMEL .WASTEWATER SUNDAY : CLOSED
CARMEL: WASTEWATER UTILITIES SALES INVOICE
ATTN: ; PAUL ARNONE
9609:. HAZEL DELL PARKWAY
INDIANAPOLIS, IN 46280 Invoice;:::#. . . 275811-0001
to e. 1
F#::_ _ Sys m dot 6/2"0/ 4
Invoice :date 6/20/14 12 :34 PM
Job Site: Job Loc SAME
CARMEL
":WASTEWATER UTILITIES Job No. : . . . .
ATTN ::PAUL ARNONE
P.O. "# S14065
9609.:;HAZEL..DELL PARKWAY
Ordered'-By. -
INDIANAPOLIS
rdered By. .INDIANAPOLIS, IN 46280
Sales Rep. . . DEANR ICKENBACH
C#• 317-571-263.4 .J#• 317-571-2634
Written "by. . AA00:1DR
Qty Item number Unit" Bin: Loc Price Amount
4 . 00 THRUST WASHER EA 22 . 980 91 . 92
54776
4 . 00 RETAINER EA 4 . 530 18 . 12
55402
2 . 00 BOLT EA 3 . 380 6 . 76
BOW30106
2 . 00 BEARING EA OBH3 32 . 750 65 . 50
81368-40-40
2 . 00 BUSHING
41
3 45
DELIVERY::>::INSTRUCTIONS`: "
I
SHIP: Carmel Waste Ga" ter Treat' e" nt P]ant
AT"TN: Blaine Mllaber sub-total : 217 . 02
.9: 0::9 Hazel Del ; Parkwa Total : 217 . 02
**
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2� 7 02ATTENTION:::. mount:-:utol:lecte
PAYMENT HISTORY
DATE TYPE AMOUNT
6/20/14 Uncollected - Short-Term 217 . 02
Dealer agrees to waive certain damages and loss claims against Customer,which are provided for on the reverse side of this contract,in consideration of the following:A.Customer shall pay a fee of
10%of gross rental charges.B.A valid certificate of insurance is provided Dealer prior to the hire of equipment,whereby Dealer is named an additional insured on an insurance policy,covering the risk
of loss by damage,death or otherwise,of the subject equipment,and said insurance being primary coverage as against any other insurance which may be provided by Dealer.
DAMAGE WAIVER DECLINED "
I HAVE READ AND 1 AGREE TO THE CONTRACT TERMS ON THE BACK OF THIS DOCUMENT.THOSE TERMS CONSIST OF OUR-ENTIRE-AGREEMENT—NO ONE-HAS ANY ORAL-OR-OTHER --
WRITTEN REPRESENTATIONS OR PROMISES NOT INCLUDED IN THIS CONTRACT. I HEREBY ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT.
CUSTOMER SIGNATURE DATE NAME PRINTED DELIVERED BY DATE
YOU ARE CHARGED FOR THE TIME EQUIPMENT IS IN YOUR POSSESSION,NOT TIME IT IS USED,AND CONDITION OF EQUIPMENT DESCRIBED ABOVE IS IN GOOD WORKING ORDER.
TERMS AND CONDITIONS (EQUIPMENT RENTAL)
Airworx Construction Equipment & Supply LLC ("Airworx") hereby rents to lessee identified on the reverse page of this rental agreement ("lessee"), the
personal property described on the reverse page of this agreement, subject to all of the terms and conditions on each page of this agreement. Lessee in
consideration thereof, acknowledges and agrees as follows:
1. Lessee has at this date and at this time specified, received under this rental agreement from Airworx the item(s) of personal property listed and
identified on the reverse page(collectively, the "Equipment").
2. Lessee shall soley use the Equipment only at the designated address for the stated period and soley for the puposes for which the Equipment was
manufactured and intended. Lessee further agrees that the Equipment will not be removed from the designated address without the written consent
of Airworx, except to return it to the designated Airworx location. LESSEE AGREES AND ACKNOWLEDGES THAT AIRWORX IS NOT THE
MANUFACTURER OF THE EQUIPMENT HEREIN RENTED, NOR THE AGENT OF THE MANUFACTURER OF THE EQUIPMENT AND THAT AIRWORX
GIVES NO WARRANTY AGAINST PATENT OR LATENT DEFECTS IN MATERIAL, WORKMANSHIP OR CAPACITY. AIRWORX HEREBY DISCLAIMS
ANY WARRANTY, IMPLIED OR EXPRESSED , OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
3. Lessee will immediately discontinue use of the Equipment should it at any time, following the execution of this agreement or any subsequent
agreement, become unsafe or in a state of disrepair. Furthermore the Lessee will immediately notify Airworx that the Equipment is unsafe or in
disrepair and until such time that Airworx has regained possession of the Equipment, the Lessee agrees to take all steps reasonably necessary and
forseeable to prevent injuries to any person and all property from the Equipment.
4. Payment Terms.
a. Lessee will pay the amount or amounts due to Airworx under this agreement within 30 days from the date of invoice.
b. On all invoices not paid net 30 days, Lessee agrees to pay finance charge of 1.5% per month, 18% per annum, or the maximun
allowed by law.
c. In the event that a deliquent account is placed in the hands of a collector or an attorney for collection, or suit is instituted on this delinquent
account, Lessee will be responsible for all costs of collection including court costs, collector's and/or attorney's fees; in addition to the
amount delinquent and any finance chares that may have accrued. Upon failure to pay any invoice, rental contract, or any other breach of
contract, Airworx may terminate this contract and take possession of and remove the goods from wherever they may be. Lessee agrees that
Airworx shall not be liable for any claims for damages or trespassing arising from the removal of the goods from the Lessee's premises.
d. All returned checks (NSF) will incur a service charge of $ 35.00.
5. Security Interest and Collateral assignment: Lessees hereby assigns and grants a security intest to Airworx in all of Lessee's rights, title and interest
in any proceeds to be paid to Lessee for Lessee's work on any job where the Equipment is used, with full power to litigate for, collect and discharge,
or sell and assign the same. This assignment is made and given as collateral security for payment in full of all amounts due to Airworx under this
agreement. Buyer hereby grants Airworx a limited power of attorney to make any filings necessary to perfect and maintain its security interests.
6. INDEMNIFICATION: Lessee assumes liability for and shall indemnify, defend and hold harmless Airxorx, its agents, employees, officers, directors,
successors, and assigns from and against any and all liabilities, obligations, losses, demands, damages, iniuries (including but not limited to, bodily
injury, illness and death), claims, penalties, suits, actions, cost, and expenses, including attorneys fees, of whatsoever kind of nature, relating to or
arising out of the use, condititon (including, but not limited to, latent and other defects and whether or not discoverable by Airworx or Lessee),
operation, ownership, selection, delivery, leasing or return of the Equipment regardless of where, how, and by whom operated,or any failure on the
part of Airworx to perform or comply with the conditions of this lease. Without limiting the gererality of the foregoing, Lessee shall at its own cost
and expense, defend Airworx against all claims, suits or preceedings commenced by anyone in which Lessee is named as a party for which Lessee
is alleged to be liable or responsible as a result of or arising out of the equipment, or any alleged act or omission by Lessee, and Lessee shall be
liable and responsible for all costs, expenses, and attorney s, incurred in the defense and/or settlement, judgment, or other resolution thereof. In the
event any such action is commenced naming Airworx as a party, Airworx may, in its sole discretion, elect to defend said action on its own behalf
with counsel of its choice, and the Lessee shall be liable for and reimburse Airworx for all cost, expenses, and attorney's fees incurred by Airworx in
such defense. The indemnities and assumptions of liablitites and obligations herein provided for shall continue in full force and effect
notwithstanding the expiration or other termination of this agreement.
Purpose of this Clause:It is understood and agreed by the parties that the purpose of this clause is to shift in its entirety the risk of all the claims
relating to or arising out of the lease of the Equipment to Lessee hereunder. It is the intention of the parties that this clause to be interpreted broadly
and in favor of Airworx.
7. DEFAULT: The following events shall constitute defaults hereunder on the parts of the Lessee: (a) the failure of Lessee to pay any rental payment,
including supplemental rent, within (30) days after the date on which payment shall become due; (b) any breach or failure of Lessee to duly observe
or perform any term, condition or other obligation hereunder; (c) Lessee ceases doing business as a going concern or circumstances occur resulting
in the dissolution, termination of existence, discontinuance of Lessee's business, insolvency, business failure, or appointment of a receiver of any
part of the property of, or an assignment of the benefit of creditors by Lessee or the commencement of any proceedings under any backruptcy,
reorganization or arrangements, laws by or against Lessee; (d) Lessee attempts to sell or transfer or encumber in any way or sublet or part with
possession of the Equipment of any part thereof other than in accordance with the terms of this agreement; (e) any warranty, representation or
statement made or furnished to Airworx, by or on behalf by Lessee, proves to have been false in any material respect when made or furnished; (f)
the occurrence or loss, theft, damage, destruction or the attempted sale or encumbrance by Lessee of any of the Equipment, or the making of any
levy, seizure or attachment thereof or thereon; or (g) Lessee shall default in performance of any other obligation to Airworx.
Upon the occurrence of an event or default, or if Airworx deems any item of the Equipment or any of its rights under this agreement to be
insecure, Airworx may, at its sole option (i) terminate this agreement; (ii) immediately retake possession of the Equipment, and for such purpose,
Airworx may enter upon any premises where the Equipment may be and remove the same therefrom with or without notice, without being liable to
any action, suit, claim or damage-by or to Lessee whatsoever; or (iii)exercise any or all other rights and remedies`that are available to Airworx at
law, in equity or otherwise.
8. Damage waiver is and sales tax are not included in our rental rates. Should Lessee option to take damage waiver please refer to and sign off on
seperate page containing the "damage waiver provisions."
9. Rental and Freight Charges:Rental starts when the Equipment leaves Airworx' rental yard and stops when it is returned. All rental rates
exclude freight and delivery charges to and from the Lessee designated site. Lessee shall be responsible for all freight and delivery charges as billed
by Airworx.
10. USAGE CHARGE and Rental Rates:
a. 8 hours = 1 day
b. Equipment used in excess of 8 hours/1 day will be prorated to reflect extra hours.
c. Lessee will be charged for time out, NOT time used. A week is 5 days. A month is 28 days.
d. Airworx at its own discretion, may revert all charges to a daily rate if monthly statement or invoices are not paid on due dates.
11. FUEL: All equipment requiring fuel is full when leaving the Airworx rental yard. Lessee will be billed for fuel used, upon return of the Equipment.
12. Insurance Against Damages and Loss of the Equipment:Once equipment leaves the Airworx rental yard, Lessee is responsible until equipment
is returned and payment received during normal business hours. Lessee agrees to provide public insurance protecting Airworx from all losses,
damages, occasioned by fire, theft, flood, explosion, accident, acts of God, or any other cause that may occur during the life of the rental. Lessee
will protect the Equipment with public liability insurance for coverage to the limits of the State laws in which the equipment rented is being used.
Lessee agrees to name Airworx as an additional insured and waive any right of contribution or indemnification against Airworx.
13. Dama es Losses to Rental Pro ert Lessee agrees to pay Airworx for all losses and damages to the Equipment that may occur from the time leased
until such property as een returned to Airworx and accepted by it. Lessee and Airworx agree that in order to determine the loss, damage or injury
to the property, the replacement value shall be used as a basis for the adjustment. In making such an adjustment, it is agreed that no rentals paid or
due, shall apply to the payment of such loss or damage. The Lessee shall be responsible for an additional rental charge, for loss of rental income by
Airworx, during the time needed to repair or replace the damaged rental property.
14. REPLACEMENT and CLEANING: Lessee will be charged retail cost of any and all Equipment, including accessories, not returned. Equipment is to
e returned as clean as when it was rented. Charges of $40.00/hour will be charged for cleanup.
15. OPERATING INSTRUCTIONS: Lessee warrants to Airworx that Lessee knows how to use the Equipment according to manufacturer specifications
an7lessee assumes a' risks of any nature, incurred while the Equipment in Lessee's custody and control, commencing immediately when the
Equipment is rented and ending when the Equipment is returned.
16. PROBLEMS: If Lessee experiences a problem call Airworx immediately. A 24-hour answering service will take your call.
17. This agreement cannot be assigned without the written consent of Airworx. The Equipment rented shall not be sub-let without the written consent
of Airworx.
18. Severabilit The provisions of this agreement shall be severable so that the invalidity, unenforceability or waiver of any of the provisions
s a not a ect the remaining provisions.
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00350714
AIRWORX CORP Purchase Order No.
PO BOX 7042 Terms
INDIANAPOLIS, IN 46207-7042 Due Date 6/25/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/25/2014 275811-0001 $217.02
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 138291 WARRANT # ALLOWED
00350714 IN SUM OF $
AIRWORX CORP
PO BOX 7042
INDIANAPOLIS, IN 46207-7042
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
275811-0001 01-7202-06 $217.02
Voucher Total $217.02
Cost distribution ledger classification if
claim paid under vehicle highway fund