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HomeMy WebLinkAbout254068 02/05/16 �>.s ,• CITY OF CARMEL, INDIANA VENDOR: 027850 ® ONE CIVIC SQUARE JAMES BRAINARD CHECK AMOUNT: $*****2,282.95* :� ��� CARMEL, INDIANA 46032 CHECK NUMBER: 254068 °M�„oN�O` CHECK DATE: 02/05/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4343001 EXPENSERPT 768.65 TRAVEL FEES & EXPENSE 1160 4343003 EXPENSERPT 961.80 TRAVEL & LODGING 1160 4343004 EXPENSERPT 552.50 TRAVEL PER DIEMS of CA CITY OF CARMEL.Expense Report (required for all travel expenses) •No,ANa EXHIBIT A EMPLOYEE NAME: James Brainard DEPARTURE DATE: 1/19/2016 TIME: 11 : 2.5 AM PM DEPARTMENT: Mayor RETURN DATE: 1/30/2016 TIME: 11 : 00 A M 1) USCM Winter Conference 1 Washington D.C. REASON FOR TRAVEL: 21 Innovation Summit DESTINATION CITY: 2j- Salt Lake 6ity, UT EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT X TRAVEL PER DIEM X. Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem y $-0.00 1/19/16 $171.10 $22.80 $65.00 $258.90 1/20/16 $65.00 .$65.00 1/21/16 $65.00 $65.00 1/22/16 $961.80 $65.00 $1,026.80 1/23/16 $280.10 $65.00 $345.10 1/27/16 $2.50 i $32.50 $35.00 . 1/28/16 $65.00 $65.00 1/29/16 $65.00 $65.00 1/30/16 $170.98 $41.17 $65.00 $277.95 1/30/16 $80.00 $80.00 .$0.00 $0.00- 0;00 0.000.00 $0:00 $0.00 $0.00 $0.00 $0.00 $0.00 $0:00 01 Total $622.18 " $0.001 $146.471 $0.00 $961:80 - $0.00 . $0.00 1, $0.001 $0.00 '$552.501 $0.00 DIRECTOR'S STATEMENT: by affirm that all.expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: 2/5/2016 City of Carmel Form#ER06 Revision Date 2/5/2016 Page 1 For advance payments, claim form must be submitted ten (10) business days in advance of travel. Claim will not be processed without the following documentation: 1) Conference or course registration form, if applicable 2) Travel itinerary or car rental agreement, if applicable 3) Original itemized receipts for all expenses(or affidavits if appropriate), except for meal per diems (which require hotel receipt) Prorated meal allowance: For travel that commences before 1:00 p.m. (flight departure time, if traveling by air), $50 for in-state travel and$65 for out-of-state travel For travel that commences after 1:00 p.m. (flight departure time, if traveling by air), $25 for in-state travel and $32.50 for out-of-state travel For travel that ends before 1:00 p.m. (flight arrival time, if traveling by air), $25 for in-state travel and $32.50 for out-of-state travel For travel that ends after 1:00 p.m. (flight arrival time, if traveling by air), $50 for in-state travel and $65 for out-of-state travel EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of$ , such funds being advanced to me by the City of Carmel solely for the purpose of purchasing meals while traveling to participate in official business for the City. I accept responsibility for these funds and agree to repay them if lost or stolen. I understand that within ten (10) business days of my return (as stated on opposite side), I am responsible to: 1) Submit original itemized receipts to the office of the Clerk-Treasurer documenting all meal expenditures; and 2) Return all unused funds to the office of the Clerk-Treasurer I further understand that failure to provide the required documentation shall result in the total amount of the advance being deducted from the first paycheck issued more than 30 days after the date of my return. Failure to return unused funds will result in the amount of the unused funds (total advance minus documented expenditures) being deducted from the first paycheck issued more than 30 days after the date of my return. Employee Signature: Date: City of Carmel Form#ER06 Revision Date 2/5/2016 Page 2 ° Page 1 of 1 Transaction Details Prepared for rmewow James C Brainard owaEss Account Number XXXX-XXXXXX-37009 'DATE DESCRIPTION CARD MEMBER AMOUNT U�82016 EXPEDIA INC BELLEVUE WA JAMES C BRAINARD $171.10 Doing business as: Flight Details AMERICAN AIRLINES ` 7645 E 63RD ST INDIANAPOLIS,INDI I ! WASHINGTON NATION STE 600 TULSA _ OK P 74133-1275 Ticket Number:00177423760791 UNITED STATES OF AMERICA(THE) Date of Departure:01/19 Additional Information;AMERICAN AIRLINES INC Passenger Name:BRAINARD/JAMES CLUDE Reference:320160090469356633 Document Type:PASSENGER TICKET Category:Travel-Airline https:Honline.americanexpress.com/myea/shared/summary/estatement/print_doc2016-Rl.html 2/3/2016 Itinerary: Washington Page 1 of 1 Access your itinerary anywhere. Download the free Expedia mobile app. G. Expedia- Itinerary # Washington 1124963247453 Jan 19,2016-Jan 19,2016 1 Itinerary#1124963247453 This page can be used as an E-Ticket. Itinerary#1124963247453 Before travelling,print a copy of your itinerary and take it with youl Indianapolis(IND)—>Washington (DCA) COMPLETED Jan 19,2016-Jan 19,2016, 1 one way ticket American Airlines PAFRDG We hope you had a great trip.Thank you for choosing Expedia for your travel reservations. Price Summary Traveler Information Traveler 1:Adult $171.10 James Clude Brainard E-Ticket#0017742376079 Flight $146.05 Adult Taxes&Fees $25.05 ..............................................................................................................................................................I............ _ t Seat assignments,special meals,frequent flyer point awards and special assistance requests should be confirmed directly with the airline. Total:$1 71.1 0 Jan 19,2016-Departure Nonstop Total travel time:1 h 30 m All prices quoted in Us dollars. ` Indianapolis Washington Additional Flight Services IND 11:25am DCA 12:55pm 1 h 30 m Terminal C American Airlines 4531 Operated by REPUBLIC AIRLINES AS AMERICAN EAGLE The airiine may charge additional fees for Confirm seats with the airliner checked baggage or other optional services. Airline Rules&Regulations • We understand that sometimes plans change.We do not charge a cancel or change fee.When the airiine charges such fees in accordance with its own policies,the cost will be passed on to you. • Tickets are nonrefundable,nontransferable and name changes are not allowed. • Please read the.complete penalty rules for changes and cancellations applicable to this fare. • Please read important information regarding airline liability limitations Visit our Customer Support page. https://www.expedia.com/trips/1124963247453 2/3/2016 Page 1 of 1 Transaction Details Prepared for piYtF IR James C Brainard owAccount Number XXXX-XXXXXX-37009 DATE DESCRIPTION CARD MEMBER AMOUNT JAN192016 ALEXANDRIA TAXI CAB Washington DC JAMES C BRAINARD $22.80 Doing business as: i ALEXANDRIA TAXI CAB CO. 6914 ASHBURY DR SPRINGFIELD I VA 22152 UNITED STATES OF AMERICA(THE) Additional Information:TEP55K squareup.com/receipts squareup.com/receipts Reference:320160190627485109 Category:Transportation-.Taxis&Coach https://online.americanexpress.com/myca/shared/summary/estatement/print_doc20l 6-R1.html 2/2/2016 Page 1 of 1 Transaction Details Prepared for Ea�„ James C Brainard owsress Account Number XXXX-XXXXXX-37009 '_ ---—---- DATE DESCRIPTION CARD MEMBER AMOUNT i IJAN232016 HILTON CAPITAL WASHINGTON DC JAMES C BRAINARD $1,087.60 Doing business as: Itinerary Details THE CAPITAL HILTON j 1001 16TH STREET NW Arrival � WASHINGTON i ' —___--------..-----__.._.,_- ------------------I I Dc 01/19/16 ' 20036 UNITED STATES OF AMERICA(THE) Departure Additional Information:00013033 LODGING I 01/22/16 Reference:320160240706637284 l Category:Travel-Lodging r LODGING https://online.americanexpress.com/myca/shared/summary/estatement/print_doc2016-R1.html 2/2/2016 1001 16TH STREET NW WASHINGTON,DC 20036 Hilton United States of America TELEPHONE 202-393-1000 *FAX 202-639-5784 HOTELS&RESORTS Reservations www.hilton.com or 1 800 HILTONS BRAINARD,JAMES Room No: 461/K1 RRC Arrival Date: 1/19/2016 1:25:00 PM 1 CIVIC SQUARE Departure Date: 1/22/201611:21:00 AM Adult/Child: 1/0 CARMEL IN 46032 Cashier ID: LQUEEN/LATISHA UNITED STATES OF AMERICA Room Rate: 280.00 AL: HH# 928398206 SILVER VAT# Folio No/Che 1303385 A Confirmation Number:3208515401 THE CAPITAL HILTON 2/5/2016 9:39:00 AM DATE IDESCRIPTION ID REF NO CHARGES CREDIT BALANCE 1/19/2016 GUEST ROOM KRYANI 7240508 $280.00 1/19/2016 ROOM TAX KRYANI 7240508 $40.60 1/20/2016 GUEST ROOM IKOL 7241744 $280.00 1/20/2016 ROOM TAX IKOL 7241744 $40.60 1/21/2016 GUEST ROOM KRYANI 7242901 $280.00 1/21/2016 ROOM TAX KRYANI 7242901 $40.60 1�21i-2616 E)UN Pj:FR 7243287 $49.39- 1/22/2816 RfGR16661P�TR 724363-7 ��nn 1/22/2016 AX*7009 FPOKUI 7243683 ($1,087.60) **BALANCE** $0.00 THANK YOU FOR STAYING WITH US AT THE CAPITAL HILTON. CREDIT CARD DETAIL APPR CODE 580363 MERCHANT ID 4410109011 CARD NUMBER AX*7009 EXP DATE 10/20 TRANSACTION ID 7243683 TRANS TYPE Sale THE UNITED STATES CONFERENCE OF MAYORS • THWINTER MEETING — January 20-22,2o16 in Washington,DC �: y UNITEDTHE CONFERENCE , MAYORS [CONFIRMATION . Your Confirmation Number: 16Winter64061 James Brainard Mayor City of Carmel 1 Civic Square Carmel, IN 46032 3175712401 jbrainard@carmel.in.gov cmartin@carmel.in.gov (Registration Information Registration Date/Time: 10/28/2015 3:58:16 PM Registration Type: MayorMember Badge Name: Jim Newly Elected?:No First Time?: No Special Needs?: No �\OvA Payment Amo .5eitCard ��( cq%n Payment Method: p r Paid?: Yes otel Information The Capital Hilton 16th&K Streets,NW, Washington, DC 20036 (202) 393-1000 Room: Single/Double ($280 per night) Arrival Date: 1/19/2016 Departure Date: 1/22/2016 Card Type: AMEX Expiration Date: 10/20 King Bed: Yes dditional Information Click here to request changes to your registration or hotel reservation. You may also submit your changes in writing to the USCM Meetings Department by e-mail at a og rman@usma o�g or by fax at 202-223-9540. 1 Kibbe, Sharon From: Brainard,James C Sent: Wednesday,October 28,2015 4:20 PM To: Kibbe,Sharon Subject: Fwd:Order Confirmation For reimbursement Sent from my iPhone Begin forwarded message: From: "meetingsnusmayors.org" <meetings@usma. o�g> Date: October 28,2015 at 4:02:05 PM EDT To: "Brainard,James C" <JBrainardncarmel.in.gov> Subject: Order Confirmation Reply-To: "meeting`na.usma, o�g" <meetingsausmayors.org> Merchant:U.S. Conference of Mayors Order ID:AS3AD9BDF021 Invoice: 16 W inter64061 Order Placed: Wednesday,October 28,2015 01:02:03 PM PDT Amount of Transaction: $650.00 Payment Type:American Express BILL TO James Brainard 1 Civic Square Carmel IN 46032 I USA 3175712401 ibrainard@carmel.in.gov ORDER DESCRIPTION: ---------------------------------------- 84th Winter Meeting ---------------------------------------- i Page 1 of 1 Transaction Details Prepared for c JamesCBrainard Account Number XXXX-XXXXXX-37009 ATE DESCRIPTION CARD MEMBER AMOUNT JAN92016 DELTA AIR LINES ATLANTA JAMES C BRAINARD $280.10 Doing business as Flight Details DELTA AIR LINES DELTA.COM ` ATLANTA AIRPORT BALTIMORE WASHINGT F} I SALT LAKE CITY ATLANTA GA j 30344 UNITED STATES OF AMERICA(THE) Ticket Number:00623312795291 Additional Information:DELTA AIR LINES Date of Departure:01/23 Reference:320160090477335907 Passenger Name:BRAINARDMAMES CLAUDE Category:Travel-Airline Document Type:PASSENGER TICKET https:Honline.americanexpress.com/myca/shared/summary/estatement/print_doc2016-Rl.html 2/3/2016 Delta E-Boarding Pass Page 1 of 2 . DELTA ti PASSENGER ZONE SEAT JAMES CLAU... BRAINARD 3 23D BOARD GATE 3.51 PM TERMINAL B Gate and terminal may change- Check Monitors FLIGHT DL832 DEPARTS 4:31 pm WASH INGTON-REAGAN NATIONAL, DC, US (DCA) FRI, JAN 22, 2016 ARRIVES 7:24pm SALT LAKE CITY, UT, US (SLC) FRI, JAN 22, 2016 SKYMILES# 2016335578 CLASS E http://ebp.delta.com/mobiqa/wap/session/FopkV-cl 503K1DQ0TxMeWBkE0Hs./16517b 14... 2/3/2016 Delta E-Boarding Pass Page 2 of 2 OPERATED BY DELTA AIR LINES CONF.# H6RU2Q TICKET# 0062163605276 REVIEW MOBILE CHECK-IN STEPS> http://ebp.delta.com/mobiga/wap/session/FopkV-c l 503KIDQOTxMeWBkEOHs./16517b 14... 2/3/2016 Page 1 of 1 F7111111111111111111 Transaction Details Prepared for ntNewwv James C Brainard Account Number XXXX-XXXXXX-37009 DATE DESCRIPTION CARD MEMBER AMOUNT :JAN272016 UTA-FRONTRUNNER TVM SALT LAKE CITY UT JAMES C BRAINARD $2.50 Doing business as: Transaction Details UTAH TRANSIT AUTHORITY Description Price 700 WEST 3600 SOUTH COMMUTER TRANSPORTA $2.50 SALT LAKE CTY UT 84119 UNITED STATES OF AMERICA(THE) Additional Information:0020002010 8778820200 8778820200 Reference:320160280771417294 Category'.Transportation-Rail Services III I 01/27/ UTA no own station—text TUM 204300 CREDIT CARD SALE CARD:XXXXXXXXXXXX7009 AUTH # : 606769 BANK REF#: 8275 PAID AMT : 52 .60 Trans . no . : 978511 AMEX FULL Salt LakeCil" Utah, UT https://online.ainericanexpress.com/myca/shared/summary/estatement/print—doc2O16-Rl.html 2/2/2016 Page 1 of 1 ZTransaction Details Prepared for James C Brainard Account Number XXXX-XXXXXX-37009 DATE DESCRIPTION CARD MEMBER AMOUNT I AN11 2016 SW AIR DALLAS TX JAMES C BRAINARD $170.98 Doing business as: -- Flight Details SOUTHWEST AIRLINES LAPT� PO BOX 36611 I SALT LAKE CITY DENVER INT �_ —_- DALLAS �JI TX 75235 DENVER I.-APT INDIANAPOLIS,IND] /// UNITED STATES OF AMERICA(THE) Additional Information:SOUTHWEST AIRLINES(MASTE Reference:320160120513149551 Tickef Number:5262172985914 Category:Travel-Airline Date of Departure:01/30 Passenger Name: N MES C Document Type:PASSASSENGERGER TTICKET I https:Honline.americanexpress.com/myca/shared/summary/estatement/print_doc20l 6-R1.html 2/3/2016 Page 1 of 3 You're all set for your Indianapolis trip! 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Happy travels and thanks for choosing Southwest& CHECK INS Let us take care sof _ ® Air itineraryache o �br y*c�u Air confirmation Passenger(s) RMCHEF JAMES C BRAINARD Date Flight Departure/Arrival Save • to 34 Sat Jan 30 2161 Depart Salt Lake City(SLC)on Southwest Airlines at 04:15 PM Arrive in Denver(DEN)at 05:40 PM Plus earn up to 2,400 Rapid Rewards@ p*im 3809 Change planes to Southwest Airlines in Denver(DEN)at 06:40 PM Arrive in Indianapolis(IND)at 11:00 PM O30 minutes before departure: We encourage you to arrive in the gate area PgBud! no later than 30 minutes prior to your flight's scheduled departure as we may begin boarding as early as 30 minutes before.your flight. 10 minutes before departure: You must obtain your boarding pass(es)and be in the gate area for boarding at least 10 minutes prior to your flight's 2 D3 11(0)1 C(�, scheduled departure time. If not, Southwest may cancel your reserved space and you will not be eligible for denied boarding compensation. —J1 g2, 0 If you do not plan to travel on your flight: In accordance with Southwest's No Show Policy, you must notify Southwest at least 10 minutes prior to your Learn more flight's scheduled departure if you do not plan to travel on the flight. If not, Southwest will cancel your reservation and all funds will be forfeited. ISI Checked baggage information: First and second checked bags fly free. Weight and size limits apply. One small bag and one personal item are permitted as carryon items, free of charge.Visit TSA's web site for a list of prohibited items. https://mail.aol.com/webmail-std/en-us/suite 2/3/2016 Page 2 of 3 Bags must be checked no later than 45 minutes prior to your flight's scheduled departure time. If your bags are delayed due to a late checkin,you will be responsible for retrieving them and/or paying applicable delivery charges. 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Great discounts I No cancellation fees 1100,000+hotels View All Hotels in Indianapolis Useful Tools Know Before You Go Specific Travel Needs Check-In Online In the Airport Traveling with Children Early Bird Check-In Baggage Policies Traveling with Pets View/Share Itinerary Suggested Airport Arrival Times Unaccompanied Minors Change Air Reservation Security Procedures Baby on Board Cancel Air Reservation Customers of Size Customers with Disabilities Check Flight Status In the Air Flight Status Notification Purchasing and Refunds Book a Car Book a Hotel Legal Policies & Helpful Information Privacy Policy Customer Service Commitment Contact Us Notice of Incorporated Terms FAQs Book Air I Book Hotel I Book Car I Book Vacation Packages I See Special Offers I Manage My Account This is a post-only mailing from Southwest Airlines.Please do not attempt to respond to this message.Your privacy is important to us,Please read our Privacy Policy. 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Copyright 2016 Southwest Airlines Co.All Rights Reserved. https://mail.aol.com/webmail-std/en-us/suite 2/3/2016 Page 1 of 1 Transaction Details Prepared for nwieaww James C Brainard ' O�A[55 Account Number XXXX-XXXXXX-37009 DATE DESCRIPTION CARD MEMBER AMOUNT L302016 UBER UBER 866-576-1039 CA JAMES C BRAINARD $41.17 Doing business as: UBER View Details on Merchant Website 182 HOWARD ST SAN FRANCISCO CA 941C15-1611 UNITED STATES OF AMERICA(THE) Reference:320160310813277428 Category:Transportation-Taxis&Coach https://online.americanexpress.com/myca/shared/summary/estatement/print_doc20l.6-R1.html 2/2/2016 Kibbe, Sharon From: brainardjc@aol.com Sent: Saturday,January 30,2016 3:05 PM To: Kibbe, Sharon Subject: Fwd:Your Saturday morning trip with Uber Sent from my iPhone Begin forwarded message: From: Uber Receipts<receipts.salt.lake.cityguber.com> Date: January 30, 2016 at 1:03:45 PM MST To: Brainardjcna,aol.com Subject: Your Saturday morning trip with Uber -- ------- JANUARY 30,2016 $41.17 Thanks for choosing Uber, .lamf - i• �91� _Bountiful �i IiY 65` FARE BREAKDOWN ke City" Westf4_ Valley Ctty p; Base Fare 1.0( ,West.Jordan.`. �_ • Alta Sandy A Distance 32.0 u j Twin Peaks -r �md o a• - es\{, 89 =Map data©2016 Google 12:28pm Time 5.5. 4381-4435 Little Cottonwood Canyon Rd, Sandy,UT 01:03pm Subtotal $38.5' 2224-3798 N Terminal Dr,Salt Lake City, LPT Safe Rides Fee(?) 1.5! CAR MILES TRIP TIME SLC Airport Surcharge(?) 1.0! uberX 25.62 00:34:42 1 CHARGED $41.11 EPI`'ersonal ••••6001 YOU'VE EARNED 2X POINTS MEMBERSHIP REWARDS® RATE YOUR IDRfVER 0 You rode with WILLIAM _ Uber Support Contact us With questions about pour trig. � Give $15, Get$15 I:eave something behind"Track it down. _ Shure code:8gdjh 2 State Wide Cab open A Hours Call iIZ Hour In Advance - Phone:(317)281-3604 DATE: �• S ©"2 O� � s AMOUNT: � • � � it � ^ 'i �! 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[ra s z ti d s J ti r - y t ! s .Y's.,.. { 1 fi r C i' r J. -� j.p��-'--;--��!'-'q' .�.�S . - -1 'F - • - ."-' 1N--N�;-��"'��' i���--.��7�.�.f,,�.�,��)-,.,�'���.��� '-, '�';�'� �� -'.' iC�UAT ;'-.--'-"'-",-' , Yr 10N .SUM: 7. ,"l- , K MIT 2016 . � k 1 I aY �, ""t om, x a ttcIIR hOj-� �^ i- ,-'.'-,� � .ry4 .y t a9', y.. i } �-, �' "i �'w.t+ _ � . . . � , . . . . I - I �,: �-�: t yt w' .ter_ x L�,_,.�, - `r.,+ ✓. . . . - z'': :i "- -, ,r ,. � .. ,-'i - , '� - -, i'�: v ----� , __-51'-I-- .� -- n. - "'] - . _ ,Y �" i HAT WORK K . - --;5z -'� �.y t� t s < a s � �4�� I` E. } �O. L:J _ I 11 w �I - 9 Po �, c 4ti/ �Vi . y�' { - T i. :I'J _ - t, -� - . t - . . b , 4 J u t �' , j =� k T 3`; .*/ #Innovati®nSumn-Imit KriDGS ? �Y'�����("`��,��`��J��\lf�n JN^1��`J°�a�LCiL4JIJ `•-""`w� 's fi I 5:00PM Official Sundance Festival Film Screening Broadway Theater=111 Broadway Tom. KPJR Films"Resilience:The Biology of Stress and the Science of Welcome Hope"-Directed byJames Redford Mayor Ben McAdams . This one hour documentary that delves into the science of Adverse Sarah Pearce,Managing Director;Sundance Ins its[' I Childhood Experiences(ACEs)and the birth of a new movement to treat and prevent toxic stress.Now understood to be one of the Post film Q&A with James Redford,Director and leading causes of everything from heart disease and cancer to substance abuse and depression,extremely stressful experiences Please note: RSVPS ARE REQUIRED in childhood can alter,brain development and have lifelong effects , sb on health and behavior.The original research was controversial, but the findings revealed the most important public health s findings of a generation. 7:30PM Cocktail Reception Janet Quinney Lawson Capitol Theatre 50 West 200 South •j 7:45AM NACO Healthy Counties Breakfast Salt Palace Convention Center-Room 15OG Beginning of the Outcomes Forum-The Outcomes Forum is held in conjunction with the Innovation Summit co-sponsored by the White House,Salt Lake County,and The University of Utah's David Eccles School of Business. 8:OOAM Breakfast&Registration North Ballroom Foyer g:OOAM Welcome&Plenary Sessions MAIN STAGE S Mayor Ben McAdams Commissioner Sallie.Clark, David Wilkinson A Challenge to Investors:Unlock Human Potential through Early J.B.Pritzker Childhood Development { What are the most impactful investments in early childhood development that can help children improve their academic and life trajectories?Philanthropist J.B.Pritzker will highlight a new paper that provides actionable opportunities that generate significant economic and social returns for families,our communities&the nation. 10:30AM BREAKOUT SESSIONS Sait.Palace Convention Center The Emerging Opportunities for Public_Health through Social Room i Impact Financing:This panel will explore new ways to fund and Ruth Ann Norton,John Colmers,Executive Dow Constantine support critical public health initiatives using private philanthropy, Amanda Saul health insurance,and federal resources.Learn about the critical role healthy homes plays in community health&social outcomes. Pay for Success 2.0:Building on the momentum of Pay For Success Room 250DE projects worldwide,this panel will discuss what's next.Hear about Dr.Emily Gustafsson-Wright,Jeremy Keele;Lara Metcalf, lessons learned and the latest iterations in PFS project design from the Antony Ross,Claire H.Topp,Caroline Whistler US,the UK and developing nations. Funding&Facilitating Government Transformations: Room 250CF As citizen's expectations about the transparency and accountability of Dr.Mark Funkhouser,Beth Blauer,Linda Gibbs,Michele jolin, government changes,so must leaders.This panel will ask those on the Deputy Mayor Kate Joncas front end of government reform how they are incorporating 21 st century principles of governance into their leadership. Ggg J-ffc54 o FRIUL �sLIGNJGYz un,RM LSI (�CCC���iGl1C�IL�i�} MAIN STAGE 11:45AM Remarks Governor Gary Herbert Keynote:Unleashing the Power of Data Dr,DJ Patil. End of the Outcomes Forum it 12:30PM A Dialogue on Impact Investing MAIN STAGE Jim Sorenson,Andrea Phillips f 1:00PM Leading a 21st Century Government-Salt Lake County Mayor Ben MAIN STAGE I McAdams is at the forefront of moving countygovernment funding toward Mayor Ben McAdams,Jacob Allen,Executive Dow what works.Join the Mayor for a roundtable discussion about what it takes Constantine,Mayor Andy Berke,Mayor Jim Brainard to lead a government that works for-the people. 2:OOPM offsite Tours:Innovation lin Action Board buses or walk to Zions Bank Building.All buses return-to Hilton. Visit a High=Quality Pre-K Classroom funded-through Pay for Success: Salt Lake County is the site of the nation's first pay for Success project focused on early childhood education.Visit one of Granite School District's classrooms while in session. Limited to 30 participants. Department of Veterans Affairs Tour:Find out about Utah's innovative partnerships between community agencies and the Department of Veterans Affairs,and how they are helping older veterans connect to VA Benefits and community resources.Hosted by:the VA and NACo. Louisville CityStat Demonstration:Learn about'LouieStaf and how 'Louisville,Kentucky's Office of Performance Improvement&.Innovation helps departments and agencies evaluate how well they are doing on meeting their mission goals,as well as supports managers in making more informed,data-driven decisions to continually deliver higher-quality city services to Louisvillians.HostedbyZion's Bank. Innovation Funders Convening by Invitation Room 150ABC 2:15PM Day Adjourns Cocktail Reception for NACo Members Hilton Hotel Salt Lake City Center 5:30PM `4 Film Screening and Dessert Reception- The Clark Planetarium-110 S 400 West i 7:OOPM VICE Special Report:Fixing the.System takes.an in-depth look at America's Buses load at Hilton at 6:30pm broken criminal justice system and the dire impacts it is having on millions of.Americans today.Fixing the System features President Obama's historic 'Q&A with Roy Austin,Jr.and Michael Smith visit to FCI,EI Reno in Oklahoma,the first time a sitting President has toured a federal:prison.The documentary is a humanizing look at what's become a �e major civil rights issue in America. I i North Ballroom Foyer �:®I�Ailfd Networking Breakfast&Registration MAIN STAGE Welcome commissioner Joan Garner Plenary Session Jennifer Pahlka and Haley Van Dyck Digital First:Connecting Government to Citizens Speaker Greg Hughes Remarks Scott Budnick BREAKOUT SESSIONS Social and Criminal Justice Reform-The revolving door in and out Room 250AB of jail is costly and ineffective for offenders,and for our communities. Scottdni k,hael Thompson Laurie R. ue,Lynn Panelists will share recent research and how it is being used to develop innovative programs that address the root causes of incarceration and recidivism. Room The Social Returns of Investing in Housing-Research shows that housing and place matter.Stable,affordable,high quality,housingin Maya Brennan,Mary Cunningham,ham,Mike Lohr,Jamie Taylor a good neighborhood offer families a platform for greater opportunities in education,health,child well-being,and more. This panel of experts will examine how housing matters,the return on investment in housing,and how the fast rise of housing costs puts families'at great risk. Room Early Childhood Development-Early childhood is a critical time in Kenneth 0CF e,Justin Milner,Andrea Philli s,Jeff the development of human beings.Research Sugg g suggests that children p Schoenberg from disadvantaged backgrounds face a host of challenges from an g early age that often result in negative outcomes over the life of the individual.Research also suggests that targeted,high-quality interventions can close some of those achievement and opportunity gaps.This panel will discuss some of the innovative work being done around the country to invest more resources more thoughtfully in underprivileged children through models like pay for success and other research-based interventions. Room 150G NACo Breakout:Supporting the Behavioral Health and Well Commissioner Joan Garner,Sandy Markwood Being of Older Adults-As a national dialogue continues on behavioral health,it is important that the needs of older adults be included in the conversation. This session will focus on the intersection of behavioral health,older adults and ounty services systems.Join this discussion to explore the behavioral health needs of this population and hear about-bestpracticefor counties to meet those needs in their communities. i - --- -- I I U`'ff, E4.i'i 12:30PM Federal Support of Innovation MAIN STAGE Senator Orrin Hatch(video) Investing in Innovation Jim Sorenson Why and How Foundations Fund Innovation: _ Patrick Mullen,Jim Sorenson,Suzanne Barnard, I Public and private partners are essential to successfully-;'6&j Anne Miigram l more responsive and accountable democracy.Le government and social reform will discuss why, t y .choose to invest fn innovation i 1:45PM Data-Driven Government:CrassingS"rtostoMAIN STAGE5a'Fe#yiteduroe Incarceration and Improve Outcomes As leadersacross tire' John Chisholm,Nick Macchiorie,Lynn Overmans, country focus efforts on criminal-justice refo micounrs.are Claudia Williams,Sheriff Jim Winder I using:innovative approaches to tackle-key challenges at the front end I of the system.BY.using clata.to identifyhigh-neetl people who cycle through multiple systems and linkingthe with services rn the; community,counties across the country ares ng tznproved.,numan outcomes,generating.cost saysrrgs;anq keeping xheir comixiunities safe, 2:30PF,j Closing.Remarks - Mayor BenMcAdams 2:-15PM- NACo Healthy Counties Initiative Boar) etrag Ski Cit Social 15th Street Gallery-1519 South 1500 East 6:00PM y RSVPS ARE REQUIRED l 8:30AM Buses depart from Hilton to Snowbird Mountain'Resort y 9:30AM Winter Sports Snowbird Mountain Resort RSVPS ARE REQUIRED I 12:OOPM Mountain Accord Luncheons Balancing Growth with Conservation, Laynee Jones,Andy Beerman,Carl Fisher,Alan Recreation and Transportation Matheson,Nathan Rafferty Mountain Accord is an effort to plan and take action to preserve the environmental,watershed and recreational values of the Central RSVPS ARE REQUIRED Wasatch Mountains.An unprecedented coalition of public,private, environmental,business,and transportation officials signed an 18- page accord in August 2015 that outlines how the balance will be 4 achieved.Come find out how the group did it and hear the perspectives of participants on how they won consensus on this complicated issue.Lunch is sponsored by the Snowbird Mountain Resort. f SPEAKERS MUNC0LMEM n° EQ ANOV BEERMt-.N Park City,Utah Andy is a long time Park City resident and currently serves on the Park City Council.He is a native of Columbus, -� Ohio,but moved West in 1991 to instruct for the National Outdoor Leadership School(VOLS), Soon after,he set L o- a permanent basecamp in Utah and transitioned into small business management. In 1998,Andy and his wife Th t, began acquiring and renovating properties within an aging property called the Treasure Mountain Inn. A decade ' later they had successfully transformed TMI into a modern and eco-friendly hotel. Andy is a lifelong environmen I advocate and was recipient of the 2010 Park City Environmental Hero. He also served as President of the Historic Park City Business Alliance,where he became interested in local politics and successfully ran for City Council in 2( He recently won re-election to Council and will start his second term in January 2016. MQY®Q ANOV °'ERKE City of Chattanooga,Tennessee K Andy Berke is an American attorney and Tennessee politician.He is the current Mayor of Chattanooga, Tennessee.He is a member of the Democratic Party and was inaugurated in 2013.immediately following his inauguration,Mayor Berke streamlined government with a top to bottom reorganization that eliminating three departments and saved taxpayer dollars in the process.Since the reorganization,the Berke Administration has relentlessly focused on making Chattanooga streets safer,.families stronger,growing middle class jobs,and usir taxpayer dollars efficiently.During the Mayor's tenure,Chattanooga has seen a number of improvements in ref quality of life.Through a coordinated approach with the US attorney,the District Attorney,and law enforcemen agencies,the Ci tyhas seen a decrease in both property Yand violent crime.Since March of 2013,unemployment i r=< has dropped more than 2%and over 6,157 new jobs have came to the Chattanooga region. °'F H B L?t U ER Executive Director,Johns Hopkins Center for Government Excellence Beth Blauer is one of the nation's leading experts on government performance programs.in March 2015, .- she was tapped to lead the Center for Government Excellence(GovEx)at)ohns Hopkins University.As GovEx's first Executive Director,Blauer and her team help governments make decisions and create policies r rooted in evidence,transparent accountability,and citizen engagement.Prior to joining GovEx,Blauer led the development software tools at Socrata Inc.,which help governments across the globe make connections between their data and performance.Blauer previously served as the Director of Maryland's award winning rY g P StateStat initiative.During her tenure,StateStat was credited with important reforms that cut across all agencies and brought positive results to the State's most critical issues,including Chesapeake Bay k; restoration,crime reduction,improved social service delivery,and better educational outcomes for children. t - = QVQ Q fflO NA DO City of Carmel,Indiana Mayor Jim Brainard is Carmel's first five-term mayor.Under his tenure,Carmel has experienced tremendous j= growth and prosperity.it is considered one of the fastest growing cities in the United States.The population E has grown from 25,000 to almost 84,000 in the last 12 years.Park land,greenspace,and trails have increased` from 40 acres to more than 800.The creation of a new downtown and the Arts&Design District has -, breathed new life into forgotten areas of the city.All of these improvements have given the citizens of Carmel u ' increased opportunities for recreation and cultural activities.Carmel has been honored with many awards b, r for its high quality of life and environment initiatives. k I .$ AYA B.RMNN,%N VP of Housing,Terwiliger Center for Housing,Urban Land Institute t Maya Brennan is Vice President of Housing at the Urban Land Institute's Terwilliger Center for Housing.Ms. Brennan Dined ULI in 2014 and engages in research and strategic efforts to fac%litate the use of housin to �. 1 _ g l address social outcomes.She is the managing editor of How HousingMatters org an online resource for the most rigorous research and practical information on haw a qualityrstable affordabte Koine in a vibrant; ti r - community contributes to individual and community success Previously Ms Brennan was a researcher atthe National Housing Conference's Center for Housing Policy where her work ranged from state and;local housing policies to housing's connection with education hb6kh aging,and economic self sufficiency s_ e E_ _ OF C4A,H 6 MRT\Pl<SIj�� CITY OF CARMEL Expense Report (required for all travel expenses) 4 �NDIANQ EXHIBIT A EMPLOYEE NAME: James Brainard DEPARTURE DATE:-1/19/2016 TIME: 11 : 25 AM PM DEPARTMENT: Mayor RETURN DATE: 1/30/2016 TIME: 11 : 00 A M 1) USCM Winter Conference 1 Washington DC. REASON FOR TRAVEL: 21 Innovation Summit . DESTINATION CITY: 2 Salt Lake bit. UT EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT X TRAVEL PER DIEM X Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem j $0:00 1/19/16 $171.10 $22!;80 $65.00 - $258.90 1/20/16 $65.00 $65.00 1/21/16 $65.00 $65.00 1/22/16 $961.80 $65.00 $1,026.80 1/23/16 $280.10 f $65.00 $345:10 1/27/16 $2:50 $32.50 $35.00 1/28/16 $65.00 $65.00 1/29116 l $65.00 $65.00 1/30/16 $170.98 $41!17 $65.00 $277.15 1/30/16 $80.00 $80.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total $622.18' $0.00 $146:47 $0.00 $961.80 $0.00 $0,00 $0.00 $9.001 $552.50 $0.00 DIRECTOR'S STATEMENT: I ereby affirm the all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: '" Date: 2/5/2016 City of Carmel Form#ER06 Revision Date 2/5/2016 Page 1 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 service rendered,by whom, rates per day, number of hours, rate per hour, number of units, price per unit,etc. Payee Purchase Order No. Terms Date Due Invoice Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 02/05/16 EXPENSE $552.50 REPORT 1160 101 02/05/16 EXPENSE $961.80 REPORT 1160 101 02/05/16 EXPENSE $768.65 REPORT 1160 101 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. JAMES BRAINARD ALLOWED 20 IN SUM OF$ $2,282.95 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member EXPENSE I REPORT 1430.04 I $552.50 1 hereby certify that the attached invoice(s), or 11so 101 bill(s) is (are)true and correct and that the EXPENSE 43-430.03 $961.80 1160 REPORT 101 materials or services itemized thereon for EXPENSE 43-430.01 $768.65 which charge is made were ordered and REPORT 1160 101 received except Friday, February 05, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund