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HomeMy WebLinkAbout253941 01/26/16 �ut._5nH'N v`� 4°� CITY OF CARMEL, INDIANA VENDOR: 370258 ONE CIVIC SQUARE NORTH INDY FENCE DECK & RAIL CHECK AMOUNT: $*****2,800.00* ,� CARMEL, INDIANA 46032 10330 PLEASANT ST.,STE 400 CHECK NUMBER: 253941 'M«oN�o. NOBLESVILLE IN 46060 CHECK DATE: 01/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4347500 1287 2,800.00 GENERAL INSURANCE North Indy Fence, Deck, and Rail North Indy Fence Deck&Rail Invoice 10330 Pleasant Street Suite 400 © _ Noblesville,IN 46o6o 01/15/2016 1287 (317)848-8814 rlmlnmm®. info@northindyfence.com http://www.northindyfence.com Due on receipt 02/01/2ol6 ° a: : Kingdon Offenbacker Echo Supply doll W.116th St. Carmel,IN 46032 e - -° $2,800.00 Please detach top portion and return with your payment_ -------------------------------------------- --- - - --------- >-c-------------------------------------------- e ° :4 �. as, 4 .M, •Turn off and disconnect system from damaged gate,remove damaged gate. 1 2,800.00 2,800.00 Straighten hinge side gate frame,and lower frame rail.(1"bow in entire gate frame) Remove damaged interior gate frame. Replace interior gate frame with 2x2xl4ga DOM tubing and create custom bevel at top Paint as necessary Install gate,adjust.fit,and connect operator Align operator and arm Turn on system,adjust open/close limits,set close force,and 10 minimum cycles to insure proper operation. All loops,detectors,eye,key pad,and operators in working order Remaining balance due upon completion.if not received within 5 business days for tals To $2.8 t W.1, residential and for commercial protects 3o days if deposit received,upon completion if no deposit made.Late penalties will be assessed.Any permits necessary are the customers responsibility.Credit Card transactions are subject to a 3.55%processing fee. INDIANA OFFICER'S STANDARD CRASH REPORT Page 1 of 3 Electronic Version 902602175 Local ID ime -.0120150082965 Date of Crash Day of Week Actual Local Time County Township #Motor #Injured #Dead #Commercial I#Deer Vehicles Vehicles 12/27/2015 Sun 3:01 AM HAMILTON CLAY 1 0 0 0 0 Road Crash Occurred On Nearest/Intersecting Road/MileMarker/lnterchange If not an Intersection, Direction Road Classification 1011 W 116TH ST number of feet from OTHER Inside Corporate Limits? Cityrrown or Nearest City/rown Property? Crash Latitude Crash Longitude YES CARMEL PRIVATE I - Driver#1 Driver#2 Driver#3 Driver#4 PLUMER,CHARLES,J J J J Area Information z d d d d a d d d d a > > > > a > > > > Hit and Run NO Driver Contributing Circumstances Vehicle Contributing Circumstances Alcoholic Beverages Engine Failure or Defective School Zane NO Illegal Drugs Accelerator Failure or Defective Prescription Drugs Brake Failure or Defective Rumble Strips NO Driver Asleep or Fatigued Tire Failure or Defective Ddver Illness Headlight(s)Defective or Not On Locality Unsafe Speed Other Lights Defective URBAN Failure to Yield Steering Failure Light Condition Disregard Signal WindowiVindshield Defective DAYLIGHT Left of Center OversizelOverweight Load Improper Passing Insecure/Leaky Load Weather Conditions Improper TurningHH Tow Hitch Failure RAIN Improper Lane Usage Other Surface Condition Following Too Closely H None WET ✓ ✓ Unsafe Backing Environment Contributing Circumstances Type of Median Overcorrecting Glare Ran off Road Roadway Surface Type of Roadway Junction Wrong Way on One Way Holes/Ruts in Surface NO JUNCTION INVOLVED Pedestrian's ActionShoulder Defective Road Character Passenger Distraction Road Under Construction STRAIGHT/LEVEL Restriction Violation Severe Crosswinds Jackknifing Obstruction Not Marked Roadway Surface Cell Phone Usage Lane Marking Obscured ASPHALT Other Telematics View Obstructed Construction If Yes,Construction Type Driver Distracted Animal/Object in Roadway NO Speed/Weather Conditions Traffic CII Inop1missingl00scure Traffic Control Devices Unsafe Lane Movement Utility Work NONE Other Other tjNone ✓ None Traffic Control Device Operational? NA Total Estimate of all damage in the Crash: $2501 TO$5000 Was this crash the result of aggressive driving? NO Other Property Damage(1) State Property Owner's Name and Address FENCE NO KINGDON OFFENBACKER 1011 W 116TH ST Other Property Damage(2). State Property Owners Name and Address Witness/Other Participant - Non-Motorist Witness # Name (Last Name,First Name,MI) Other Participant Address etc. Non-Motorist Type Non-Motorist Action Phone# Location at Time of Crash Apparent Physical Condition Witness # Name Cited? Direction Other Participant Address etc. Street/Highway Phone# Location at Time of Crash Traffic Control? If yes,was traffic control operational? 902602175 Page 2 of 3 1Local ID 20150082965 Type of Crash OTHER-EXPLAIN IN NARRATIVE Time Notified Time Arrived Other Location of investigation 3:01 AM 3:06 AM JATSCENE ONLY Assisting Officer ID No. Agency Investigation Complete? Photos Taken? YES NO Assisting Officer ID No. Agency Date of Report 12/27/2015 Investigating Officer ID No. Agency Reviewing Officer ROEMKE,B 14024 ICARMELPD Narrative The driver of vehicle 1 was backing the fire truck down the driveway to exit onto W 116th St. As vehicle 1 was backing down the drive it struck the open gate causing minor damage to the rear passenger bumper and to the west side gate. l UNIT INFORMATION Local ID 902602175 Page 3 of 3 20150082965 Driver's Name(Last,First,MI) Safety Equipment Used 1 PLUMER,CHARLES,J LAP+HARNESS Address(Street,City,State,Zip) Safety Equipment Effective? 2 CIVIC SQ YES EjectionlTrapped CARMEL IN 46032 NOT EJECTED OR TRAPPED Date of Birth Age Gender EMS No. Immed Attn Driver Injury Status 08/19/1965 50 MALE Driver's License# Lic TypeCDL Class LIc State Nature of Most Severe Injury 8903538748 OP IN Apparent Physical Status Restrictions Location of Most Severe Injury ❑✓ Normal ❑ Glasses/Contact Lenses❑ Employer's Vehicle Only Had Been Drinking Outside Rearview MinorState-Owned Vehicles If Cited? IC Codes Handicapped Daylight Driving ❑ PP Chauffeurs Taxi Only ❑ ❑ Infraction III Automatic Transmission Power Steering AsleeplFatigued ❑ Special Controls ❑ Special Restrictions © Misdemeanor ❑ DrugsiMedicadon ❑ Employment Only ❑ Probation DWI ❑ Felony Unknown Motorcycle Only Probation HTO ❑ To/From Employment ❑✓ None Test Given Type Given NONE Blood F1 Urine M Breath M SFST F1 PBT Alcohol Results Certified Drug Results PBT Test ❑ Pending e o ora is Is ea Make Model a Initial Impact Area 1 RED 1897 KME MFD FT ❑ Undercarriage ❑ ❑ ❑✓ #Occupants LIc Year ILicense# License State ❑ Trailer LL ❑ ❑ ❑ 4 2016 112418 IN ❑ None ❑ ❑ ❑ #Axles Speed Limit Insured By Phone Number ❑ Unknown 2 1 00 CHARTER OAK FIRE INS CO 8006780361 Vehicle Idenfificafion# Areas Damaged(Multiples) 1K9AF4285VN058491 ❑ Undercarriage ❑ ❑ ❑✓ Registered Owner's Name(Last,First,MI) LJ Same as Driver ❑ Trailer LL ❑ ❑ ❑ CARMEL FIRE DEPARTMENT ❑ None Address(Street,City,State,Zip) ❑ ❑ ❑ 2 CIVIC SQUARE ❑ Unknown CARMEL IN 46032 Vehicle Use Towed? To Due to Disabling Damage FIRE NO By Emergency Run? Fire? LIc State Lic Year.Registered Owner's Name(Last,First,MI)❑ Same as Driver NO NO License# Address(Street,City,State,Zip) Vehicle Type TRUCK(SINGLE 2 AXLE,6 TIRES) Veh Year Make Pre-Crash Vehicle Action Lic State Lic Year Registered Owners Name(Last,First,MI)❑ Same as Driver BACKING Direction of Travel License# Address(Street,City,State,Zip) NORTH Veh Year Make Type of PrImary/Secondary Roadway Commercial. Carriers Name an Morass [:] One way Road ❑ Two Lanes-Two Way ❑ One Lane=One Way ❑ Multi-Lane Divided(3 or more)-Two Way ❑�Two Lanes-One Way ❑ Multi-Lane Undivided Two Way Left Tum ❑ Multi-Lanes(3 or more)-One way ❑ Multi-Lane Undivided(3 or more)-Two Way ❑ Multi-Lane w/Grass Median Only ❑ Multi-Lane wl Concrete Barrier HAZMAT Proper Shipping Name: State DOT# ❑ Multi-Lane wl Center Tum Lane ❑ Multi-Lane w/Metal Guardrail Median US DOT# ICC# CMV Inspection If Yes ❑ Multi-Lane w/Curb Raised Median ❑✓ Private Drive ❑ Alley ❑ Multi-Lane wl Cable Barrier ❑ Ramp Gross Vehicle Weight Rating Cargo Body Type Event Collision With 1.FENCE HAZMAT Placard HAZMAT Release of Cargo HAZMAT 4-Digit ID# Hazzard Class# W 116th St Q C�. d T N Driveway for 1011 W 116th St NOT TO S'GA Unit 1 escribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by hom, rates per day, number of hours, rate per hour, number of units, price per unit,etc. Payee Purchase Order No. Terms Date Due nvoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 1287 Repair Fence Damaged by Plumer $2,800.00 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance vith IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 North Indy Fence Deck & Rail IN SUM OF $ 10330 Pleasant Street, Ste. 400 Noblesville, IN 46060 1` $2,800.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 1287 43-475.00 $2,800.00 1 hereby certify that the attached invoice(s), or bill(s) is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except JAN 2- -5 9016 AI -7�' VA Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund