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Home My WebLink About302227 08/22/16 01" CITY OF CARMEL, INDIANA VENDOR: 355371ONE CIVIC SQUARE OTT EQUIPMENT SERVICE INCCHECK AMOUNT: $•"""""380.00•CARMEL, INDIANA 46032 517 HERRIMAN CT CHECK NUMBER: 302227 NOBLESVILLE IN 46060 CHECK DATE: 08/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350900 33046 210.00 OTHER CONT SERVICES 2201 4350900 33066 170.00 OTHER CONT SERVICES Prescribed by State Board of Accounts City Form No.201 (Rev.1995) VOUCHER NO. WARRANT NO. OTT EQUIPMENT SERVICE INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 517 HERRIMAN CT IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service NOBLESVI LLE, IN 46060 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $380.00 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 33046 43-509.00 $210.00 1 hereby certify that the attached invoice(s),or 8/3/16 33046 $210.00 2201 201 2201 201 33066 43-509.00 $170.00 bill(s)is(are)true and correct and that the 8/9/16 33,066 $170.00 2201 1 1 201 1materials or services itemized thereon for 2201 201 - - -- which charge is made were ordered and received except Monday,August 15,2016 Dave Huffman Director 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer &Zt 517Herriman Court Invoice EQuipMEw Noblesville,IN 46060 DATE INVOICE# 8ER'ncE°1C' 317-773-8941 8/3/2016 33046 BILL TO SHIP TO Carmel Street Department Attn: Jim Bentley 3400 W 131st Street 733-2001 or 691-6725 Westfield,IN 46074 P.O.NO. TERMS REP Due on receipt RMH QTY ITEM DESCRIPTION RATE AMOUNT 1 Truck Charge Truck Charge 40.00 40.00 2 Sery-Russ Service Labor-Russ 85.00 170.00 their big lift(R70)is not locking at all Jim Bentley 691-6725 Looked at the locks and greased and oiled all moving parts.also added air tool oil to the lock cylinders.All locks are working.Also noticed that the front piston was bouncing.I had to bleed air from the bleeder plug and that took care of it. Total $210.00 A 1.5% Service Charge will be assessed on amounts over 30 days past due. We will accept credit card payments (MCNisa); however, all credit card charges in excess of$1,500.00 will be subject to a 3%convenience charge. f� 517Herriman Court Invoice EwipmENfT Noblesville, IN 46060 DATE INVOICE# 8E''"cE°NC' 317-773-8941 8/9/2016 33066 BILL TO SHIP TO Carmel Street Department Attn: Jim Bentley 3400 W 131st Street 733-2001 or 691-6725 Westfield,IN 46074 P.O.NO. TERMS REP Due on receipt QTY ITEM DESCRIPTION RATE AMOUNT 2 Sery-Russ Service Labor-Russ 85_.00 170.00 annual inspections Jim Bentley 691-6725 Inspected both lifts.no issues found at this time.next inspection scheduled for 8/9/2017 Total $170.00 A 1.5% Service Charge will be assessed on amounts over 30 days past due. We will accept credit card payments (MCNisa); however, all credit card charges in excess of$1,500.00 will be subject to a 3% convenience charge. Multi-Point Lift Inspection QM Date ��• - P(� Location Name CaSMc�� s 7�0� Bay 2- r_ AUthDrized -- t Installer Lift Serial# aC L 03T-0001 Model# :5(V\01,23— i o -Surface - ZPnst 4"Post, 5'cissor :Lbw/Mid.Rise jHinge%Pa�allelograrri ., MOD3.0 Lift Type In round Sin # host Twin'Post f: �'Hlgh Rre§sure. 0 i Mo6ile.Cohi'inn• ;•Fore&Aft Capacity Pass Needed Accessibility of owners manuals,safety Pass Needed � .Z , O�� Capacity Decal Located On Lift -1 - instructions&lifting point information Common Inspection Points All Lifts: Attn- .Pass Fait :, `:NIA Needed Accessibility and readability of safety warning labels on lift Confirm adequacy of clearances around lift Examine structural components including welds for signs of fatigue,overloading,misuse Inspect lift controls for proper operation(including limit switches,timing belts, encoders,potentiometers) Check fluid levels and contamination(including proper PSI settings) a Examine electrical components&wiring(including emergency cut-offs&function of disconnects) r' Check all points requiring lubrication '•s Check for proper installation and condition of spotting dish On lifts employing adapters,check condition and proper operation Are extended height adapters available Check all accessories for construction, labeling and proper operation t�00 Z Check all fastening devices for tightness including anchor bolts(follow manufactures torque specs) On lifts incorporating overhead structures,verify the safety shutoff operates properly Operate the lift and check the operation of the lift locks, including latch cables ®3 On lifts incorporating secondary latch devices,check operation and condition v Hoses,Piping',-Tubing&Hydraulic Cylinders Check all accessible piping,tubing,hose,valves,fittings for visible leaks&proper routing , 0 Check hydraulic cylinders for smooth operation and leaks 1Z Ej Cables,Chains&Sheaves Inspect sheaves for proper alignment and cracks(ensure sheave shields are in place)- Inspect lace)Inspect all cables and/or chains for frays,stretching,corrosion, cracking and proper adjustment Check the tracking and routing of hoses,cables and chainsEl Lifts using swing armsi runways or platforms On lifts using swing arms,check telescoping stops On lifts requiring swing arm restraints,check for proper function and abnormal wear On lifts using runways,check to ensure proper operation of all features On lifts equipped with platforms,railings or stairways,check to ensure proper operation of all features Inground Lifts Report fluid accumulation and/or debris in sub-floor pits or enclosures On air-oil lifts check for low oil control Inspect locking legs/struts for proper attachment,function or damage and housings are free from debris On lifts which incorporate trench covers,verify proper operation and abnormal deformation EQ Check integrity of tamper resistant seals on relief valves ED Inspect plungers for signs of rust,corrosion or damage(run full stroke to observe operation) ; Confirm single point operation of multiple powered posts Hydraulic Portable Lifts Check screw drive systems for wear,operation and lubrication(including wear nut or screw brake) Check mobility of individual units Run lift through full cycle and verify proper shut off at top and bottom of travel Lift Inspector Signature Use of this lift is"Not Recommended"until repairs are made INSPECTION CERTIFICATE Lift owner or employer City, State C 5,- C ivwj L/V Phone # Qualified inspector name :RV-SS-01 uy✓e� Qualified inspector company �� div 1(2 a2e,-L nrr FnuiPMENT SE.RUICE INC 517 Iferriman Ct Lift manufacturer �� Nublesvilie IN 46060 Lift Model /I/ly l7.3 I a Lift Serial-Number �TcL_ o3.- c�OxJ 1 Certification Serial Number AL w (1 E532 Lift Capacity Lift Type Inspection Points: Attach checklist furnished by manufacturer or checklist from ANSI/ALI ALOIM:2008 indicating the observations and-findings-of all points of inspection--recommended by the manufacturer, any adjustments made and parts replaced. I certify that I meet the requirements of ANSI/ALI ALOIM:2008 paragraph 5.2 for qualified lift inspector and that I have successfully completed the training for qualified lift inspector as described in ANSI/ALI ALOIM:2008 paragraph 5.3. Inspector Signature: / Date: This inspection is not intended as a guarantee against failure of malfunction. Its purpose is to verify that the lift has been maintained in a reasonable and safe manner and that the supporting documents supplied by the manufacturer are accessible to the operator to assist in the safe operation of the lift and to call attention to repairs that may be needed to correct existing or potential malfunctions where)-uch can be deter ined by visual and ordinary examination methods. No liability fort use, oiler ion, anagement or control of this lift is assumed by the inspector or thE it Spector's any. Owner/Employer Signature: Date: Maintain this inspection certificate on or near the lift, or together with other printed material or records pertaining to the lift. Date Multi-Point Lift Inspection �j � �� ' I(.J thorized Location Name cwl ►��-F. Bay# Z \A/ AIn taller Lift Serial# V(BS d 3c- [-,n 1 C Model# D — !Z 3 Surface 2 Post - 4.Post Scissor Low/Mid.,P,ise HingelParallelogram MOD 3D 0 Lift Type Inground .Sinnle Post 0- Twirl Post 0 Hlgh.:Press'ure . Mobile Column E:] Fore&Aft Capacity QOO Capacity Decal Located On Lift Pass Needed Accessibility of owners manuals,safety Pass Needed `�Qs +� instructions&liking point information Common Inspection Points All Lifts = Pass Attn Fail NIA Needed— Accessibility eeded—Accessibility and readability of safety warning labels on lift Confirm adequacy of clearances around lift Examine structural components including welds for signs of fatigue,overloading, misuse Inspect lift controls for proper operation(including limit switches,timing belts, encoders,potentiometers) Check-fluid levels and contamination(including proper PSI settings) x Examine electrical components&wiring(including emergency cut-offs&function of disconnects) . Check all points requiring lubrication Check for proper installation and condition of spotting dish On lifts employing adapters,check condition and proper operation Are extended height adapters available Check all accessories for construction,labeling and proper operation Check all fastening devices for tightness including anchor bolts(follow manufactures torque specs) f' On lifts incorporating overhead structures,verify the safety shutoff operates properly Operate the lift and check the operation of the lift locks, including latch cables On lifts incorporating secondary latch devices,check operation and condition Hoses, Piping,Tubing&Hydraulic Cylinders Check all accessible piping,tubing, hose,valves,fittings for visible leaks&proper routing Check hydraulic cylinders for smooth operation and leaks Cables,Chains&Sheaves Inspect sheaves for proper alignment and cracks(ensure sheave shields are in place) Inspect all cables and/o ains for frays)stretching,corrosion, cracking and proper adjustment C�G�r� Check the tracking and routing of hoses, cables and chains ® 0 Lifts using swing arms, runways or platforms On lifts using swing arms,check telescoping stops On lifts requiring swing arm restraints,check for proper function and abnormal wear On lifts using runways,check to ensure proper operation of all features On lifts equipped with platforms,railings or stairways,check to ensure proper operation of all features Inground Lifts Report fluid accumulation and/or debris in sub-floor pits or enclosures On air-oil lifts check for low oil control Inspect locking legs/struts for proper attachment,function or damage and housings are free from debris [M On lifts-which incorporate trench covers,verify proper operation and abnormal deformation ® 0 Check integrity of tamper resistant seals on relief valves sz10 Inspect plungers for signs of rust,corrosion or damage(run full stroke to observe operation) y Confirm single point operation of multiple powered posts ® 0 Hydraulic Portable Lifts Check screw drive systems for wear,operation and lubrication(including wear nut or screw brake) ED Check mobility of individual units Run lift through full cycle and verify proper shut off at to and bottom of travel Lift Inspector Signature Use of this lift is"Not Recommended"until repairs are made Sm ' r IllTSPECTION CERTIFICATE Lift owner or employer CC"'r rVXX'( .54, 22p-�- City, State Phone # Qualified inspector name Qualified inspector company Y 1 SFRVfiG`EK'G 517 Herriman Ct Rublesvill 4606 WO Lift manufacturer crW_ Lift Model ]Z7O a —l Z3 Lift Serial Number 03 C_00 i C® Certification Serial Number ,/V �/� Lift Capacity Lift Type �ar e wfi Inspection Points: Attach checklist furnished by manufacturer or checklist from ANSI/ALI ALOIM:2008 indicating the observations and findings of all points of inspection recommended by the manufacturer, any adjustments made and parts replaced. I certify that I meet the requirements of ANSI/ALI ALOIM:2008 paragraph 5.2 for qualified lift inspector and that I have successfully completed the training for qualified lift inspector as described in ANSI/ALI ALOIM:2 aragraph 5.3. i Inspector Signature: Date: This inspection is not intended as a guarantee against failure of malfunction. Its purpose is to verify that the lift has been maintained in a reasonable and safe manner and that the supporting documents supplied by the manufacturer are accessible to the operator to assist in the safe operation of the lift and to call attention to repairs that may be needed to correct existing or potential malfunctions whereUtermined by visual and ordinary examination methods. No liability for ton, management or control of this lift is assumed by the inspector or theompany. Owner/Employer Signature: Date: Maintain this inspection certificate on or near the lift, or together with other printed material or records pertaining to the lift.