HomeMy WebLinkAbout302687 08/31/16 or.4Aq
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CITY OF CARMEL, INDIANA VENDOR: 00353046
ONE CIVIC SQUARE SIMPLEXGRINNELL LP CHECK AMOUNT: $*******717.00*
CARMEL, INDIANA 46032 DEPT CH 10320 CHECK NUMBER: 302687
9y.TON�o PALATINE IL 60055-0320 CHECK DATE: 08/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 82809076 717.00 OTHER EXPENSES
VOUCHER # 162511 WARRANT# ALLOWED
287350 IN SUM OF $
SIMPLEX GRINNELL
DEPT CH 10320
PALATINE, IL 60055-0320
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
82809076 01-6360-06 717.00 j
Voucher Total 717.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
287350
SIMPLEX GRINNELL Purchase Order No.
DEPT CH 10320 Terms
PALATINE, IL 60055-0320 Due Date 8/26/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/26/2016 82809076 717.00
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
DATE PO NUMBER
f.yCO ,INVOICE NO IIWOICE
Simp/exGrinne// 82809076 1. 08-12-16
D-U-N-S 09-4738007
FED. ID 58-2608861
SERVICE .;, 1-11
VICE REQ;; NATIONAL ACCOUNT NUMBER
District # 331 RE HEST#'; REATEDllezo Pendleton Pike36645334 -16
INDIANAPOLIS,IN 46236-3979
317-826-2130
Billing Questions, Contact = PAYMENT TERMS
331-01725554 Due upon receipt
Carmel Water Operations 331-01725554
3450 W 131ST ST
CARMEL IN 46074-8267 Carmel Water Operations
3450 W 131ST ST
CARMEL IN 46074-8267
"Let us know how we are doing"
www.simplexgrinnell.com
,Service Requested By L-Requestors Phone Number: :
Scope of work for service performed on your Dry Sprinkler Labor $607. 00
System is not covered by your service agreement
Material
Description of work
Service Call
Other $110. 00
Fitter reset the dry system.
Service is complete Invoice Amount
$717 .00
Thank you for your business!
Taxes $0. 00
Total Invoice Amount $717 . 00
Payment Received $0. 00
V
Total Amount Due $717. 00
TERMS AND CONDITIONS OF SALE
1. Acknowledgement.Customer acknowledges and agrees that equipment or services provided pursuant to this invoice shall
be provided pursuant to the terms and conditions hereof,unless otherwise provided pursuant to an executed agreement between
the parties.
2. Payment.Payment shall be made in accordance with the terms designated on this invoice. In the event payment is not
received when due,Company may,at its discretion,assess late fees at the rate of 1.5%per month or the maximum rate allowed
by law.Customer agrees to pay all costs of collection,including without limitation costs,fees,and attorneys'fees.
3. Security Interest.Customer grants to SimplexGrinnell LP(Company)and Company retains a security interest in all
equipment shipped pursuant to this invoice and proceeds thereof until Customer shall have made full payment. In the event of
Customer's failure to make payment of any amount when due,the entire balance shall become due and payable immediately. In
case of default, Company shall have the right to take possession of the equipment immediately,wherever it may be found,and
remove it with or without process of law and may retain all money paid hereunder as liquidated damages and rental for said
equipment.Customer shall not sell(except in the ordinary course of business),mortgage,pledge or lease said equipment
without prior permission of Company.
4. Limited Warranty.COMPANY WARRANTS THAT ITS WORKMANSHIP AND MATERIAL FURNISHED UNDER THIS
AGREEMENT WILL BE FREE FROM DEFECTS FOR A PERIOD OF NINETY(90)DAYS FROM THE DATE OF FURNISHING.
Company's liability shall be limited to repair or replacement of equipment that Company's inspection discloses is
defective.Where Company provides product or equipment of others,Company will warrant the product or equipment
only to the extent warranted by such third party.EXCEPT AS EXPRESSLY SET FORTH HEREIN,COMPANY DISCLAIMS
ALL WARRANTIES,EXPRESS OR IMPLIED,INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTIES OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WITH RESPECT TO THE SERVICES PERFORMED OR
THE PRODUCTS,SYSTEMS OR EQUIPMENT,IF ANY,SUPPORTED HEREUNDER.IN NO EVENT SHALL COMPANY BE
LIABLE FOR SPECIAL,INCIDENTAL OR CONSEQUENTIAL DAMAGES OF ANY KIND WHATSOEVER.This warranty
does not apply to equipment that has been subjected to abuse,mishandling,improper use or installation by any third
party.
5. No Acceptance. Issuance of this invoice shall not be construed as an acceptance of the terms or conditions of any
Customer purchase order or like document,or any certification of any kind by Company
6. Taxes.Customer shall pay any tax,however designated,levied or based.
7. Indemnity.Customer agrees to indemnify,hold harmless and defend Company against any and all losses,damages,costs,
including expert fees and costs,and expenses including reasonable defense costs,arising from any and all third party claims for
personal injury,death,property damage or economic loss,including specifically any damages resulting from the exposure of
workers to Hazardous Conditions whether or not Customer notifies Company in advance of the existence of said hazardous
conditions,arising in any way from any act or omission of Customer or Company relating in any way to this Agreement,including
but not limited to the Services under this Agreement,whether such claims are based upon contract,warranty,tort(including but
not limited to active or passive negligence),strict liability or otherwise.Company reserves the right to select counsel to represent
it in any such action.
8. Liability.Company shall not be liable for loss or damage of any kind resulting from delay or inability to deliver on account of
acts of god,labor troubles,accident,acts of civil or military authorities,fuel,labor or material shortages,or any other condition
beyond Company's control.
9. General. If any provision of this invoice is held by any court or other competent authority to be void or unenforceable in whole
or in part,this invoice will continue to be valid as to the other provisions and the remainder of the affected provision. It is agreed
that no suit,or cause of action or other proceeding shall be brought-against either party more than one(1)year after the accrual
of the cause of action or one(1)year after the claim arises,whichever is shorter,whether known or unknown when the claim
arises or whether based on tort,contract,or any other legal theory.The laws of Massachusetts shall govern the validity,
enforceability,and interpretation of this invoice.
tqCO District # 331
Simp/exGrinnell 11820 Pendleton Pike rNdoicENo F .
INDIANAPOLIS, IN 46236-3979 82809076
Billing Questions: 317-826-2130
DATE OF INVOICE
08-12-16
INVOICE SERVICE DETAIL
SERVICE DATE OF PRODUCT777
REQ #. TASK ;# ITEMIZATION OR
. ,CHAR Eq"
UOM AAlOUNT
36645334 52763501 11-AUG-16 MECHANICAL AND SUPPRESSION REGULAR LABOR MECH/SUPP RG 3 HR $405.00
MECHANICAL AND SUPPRESSION OVERTIME LABOR MECH/SUPP OT 1 HR $202.00
36645334 52763501 12-AUG-16 TRUCK CHARGE TRUCK CHARGE 1 EA $110.00
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1880-SL-Service-M997 .,
SERVICE REQUEST.
t[�CO FORWARD TO YOUR ACCOUNTS.-PAYABLE DEPARTMENT
Simp/exGrinne// 11820 Pen�et°n PI a
r f i IndianapoN ,IN 43235
TASK 2 , C P 317-697 7116
Safer.Smarter.Tyco."" �
SR# 7 1Gy r / i� F 317.626-2140
LICENSE# SYSTEM LEFT IN SERVICE [9•�( ❑N
FIRE DEPT NOTIFIED ❑Y ❑N �D, �NAME PERMIT ❑Y ❑N Z l /�A C /�.iPERMIT#
ADDRESS(OR ATTENTION OD LABOR-REG. LABOR-OT LABOR-DT
ADDRESS / TRAVEL-REG. TRAVEL-OT TRAVEL-DT MILES
CITYrr / STATE f / ZIPV
% ARRIVAL ■ ® ■
TR ARRIVArL DATE CUSTOMER PURCHASE ORDER SST. I
O I r161 1 M DEPART
E 56923
NAME(BILL TO)
ADDRESS ■, ■
CITY STATE ZIP
I authorize SimplexGrinnell to proceed with the work as agreed to and outlined below:
Customer signature Date
PAYMENT TERMS IMMEDIATE❑ COD❑ NET 10❑
❑Time and Material ❑Price Not to Exceed$ ❑Fixed Price of$
DEPOSIT$ BALANCE DUE$ ❑BILLABLE ❑NON-BILLABLE
SCOPE OF WORK/PROBLEM CODE
WORK PERFORMED/RESOLUTION CODE ) < /�,�!'
JFI,��G� 1 f .%a �✓ `'G�/a5 �u !/ i a1);o i�� F �✓� .if i�'f ` c•� '
17—
WE STRONGLY RECOMMEND IMMEDIATE
✓�r f�� �✓ors� /1� � �r
CORRECTIONIDENTIFIED.REQUESTED -
FORTH BELOW IN"WORK PERFORMED".ADDITIONAL REPAIRS OR COMPLETE INSPECTION MAY BE REQUIRED.WE URGEYOUTO NOTIFYTHE
AND YOUR
considerationSimplexGrinnell,for and in and/or . .
,subject
to the terms and conditions . . .
MATERIAL QTY. UOM PRICE EXPENSE QTY. UOM PRICE
IMPORTANT NOTICE TO CUSTOMER -
Customer acknowledges and agrees to the terms and conditions on the reverse side of this Service Request,agrees that the services have been completed to Customer's satisfaction and that the system is in good working order
and repair,'unless services performed were of a temporary nature,in which case Customer acknowledges that part of customer's system may have been bypassed or is otherwise inoperable until service can be completed.
CUSTOMER'S ATTENTION IS DIRECTED TO THE LIMITATION OF LIABILITY,WARRANTY,INDEMNITY AND OTHER CONDITIONS ON THE REVERSE SIDE.
CUSTOMS ACCEPTANCE SIMPLEXGRINNELL LP- 0 SimplexGrLnnell LP 2013
l v All rights reserved
' '"�''��"� Service Request Form
(Customer Acce tance) - (SimRtdxGAnell Representative)
(Print Name) (Print Name) License#
r1IQTRIY1T SG0793SPK 3/14
TERMS-AND CONDITIONS
1, Limitation Of Liability; Limitations Of Remedy. It is understood 3.Indervinity.Customer agrees to irldemnify,hold harmless and deferid
and agreed by the Custorner that Company is not an insurer and that Company against,any and all losses. damiages,costs, 4-icluding expert
insurance coverage, if any, shall be obtained by the Customer and fees arid costs, and expenses including reasonable defense costs,
that amounts payable to Company hereunder are based upon the arising frorn any and all third party cIaimis for peisonaf-injury, death,
value of the services and the scope of liability set forth in this property damage or economic loss,including specifically any damages
Servicc, Request and are unrelated to the value of the Customer's resulting froyn the exposure,of workers to Hazardous Conditions whether
property-and the property of others located on the premises. or not Customer pre-notifies Company of the existence of said
Customer agrees to took exclusively to the Customer's insurer to hazardous conditions,arising in any way from any act Or ornission,of
recover for injuries or damage in the event of any loss or injury and Custorner Or Company relating in any ijay to'his Agreement,including
that Customer releases and waives all right of recovery against but not limited to the Services under this Agreement, whether such
Company arising by way of subrogation. Company makes no claims are based upon contract.warranty,tart,(including but no'I limited
guaranty or Warranty, including any implied warranty of to active or passive negligence), strict liability or Otherwise. Company
merchantability or fitness for a piarticular purpose that equipment reserves the right to select counsel to represent it in any such action,
or services supplied by Company will detect or overt occurrences
4, Hazardous Materials, Customer represents that, except to the
or the consequences therefrom that the equipment or service was extent that Company has been given written notice of the following
designed to detect or avert. hazards prior to the execution of this Service Request,to the best
It is impractical and extremely difficult to fix the actual damages,if of Customer's knowledge there is no:
any, which may proximately result from failure on the part of 0 --pemnit confined space."as defined by OSHA,
Company to perform any of its obligations under this Service
Request, Accordingly, Customer agrees that, Company shall be e risik at infectious disease,
exempt from liability for any loss,damage or injury arising directly need for air monitoring,respiratory protection,or other medical risk,
or indirectly from occurrences, or the consequences therefrom.
which the equipment or service was designed to detect or avert. asbestos, asbestos-containing material, formaldehyde or of ser
Should Company be found liable for any loss, damage or injury potentially toxic or otherwise hazardous material contained in or on
arising from a failure of the equipment or service in any respect, the SUrfaCe of the floors,vvalls,ceilings,insulation or other structural
Company's liability shall be limited to an amount equal to the cornpolients of the area of any building v�there work is required to be
Service Request price(as increased by the price for any additional performed under this Service Request,
work) or where the time and material 'payment term is selected,
Customer's time and material payments to Company. Where this Ali of the above are hereinafter referred to as-Hazardous Conditions".
Service Request covers multiple sites,liability shall be limited to the Company shall have the right to rely on the representations listed above.
amount of the payments ailocable to the site where the incident if hazardous conditions are encountered by Company during the course
occurred. Such sum shall be complete and exclusive. If Customer of Company's work,the discovery of such conditions shall constitute an
desires Company to assume greater liability,-the parties shall amend event beyond Company's control and Co.mpany shall have no Obligation
this Service Request by attaching a rider setting forth the arnount to further perform in the area,where the hazardous conditions exist until
of additional liability and the additional amount payable by the the area has been made safe by Customer as certified in writing by an
Customer for the assumption by Company of such greater liability. independent testing agency, and Customer shall pay disruption
provided however that such rider shall in no way be interpreted to expenses and re-mobilization expenses as determined by Company.
hold-Company as an insurer. IN NO EVENT SHALL COMPANY BE This Service Request does not provide for the cast of capture,
LIABLE FOR ANY DAMAGE,LOSS,INJURY.OR ANY OTHER CLAIM
containment or disposal of any hazardous waste materials,or hazardOLIS
ARISING FROM ANY SERVICING,ALTERATIONS,MODIFICATIONS., materials, encountered in any of the Covered System(s)and/or during
CHANGES, OR MOVEMENTS OF THE COVERED SYSTEM(S) OR
ANY OF ITS COMPONENT PARTS BY THE CUSTOP41ER OR ANY Derfortnance of the Services.Said materials shall pit all times remain the
responsibility and property of Customer, Company shall not be
THIRD PARTY. COMPANY SHALL NOT BE LIABLE FOR INDIRECT,
responsible for !he testing-, removal or disposal of such'hazirdous
INCIDENTAL OR CONSEQUENTIAL DAMAGES OF ANY KIND,
INCLUDING BUT NOT LIMITED TO DAMAGES ARISING FROM THE rnalenafs.
USE, LOSS OF THE USE, PERFORMANCE, OR FAILURE OF THE 5, Equipment Disconnections.This represents Company's notice to
COVERED SYSTEM(S)TO PERFORM.The limitations of liability set you that the system(s)/device( I listed on the face of this Service
forth in this Service Request shall inure to the benefit of all parents, Request is temporarily or permanently disconnected are,no longer in
subsidiaries and affiliates of Company,whether direct or indirect, service and.thus,cant-to,detect,perform and/or report occurrences or
Comp-,any's employees,agents,officers and directors. transmit signals.
2._ Limited Warranty. COMPANY WARRANTS THAT ITS 6.General.Unless otherwise specified,work shall be done betweenthe
WORKMANSHIP AND MATERIAL FURNISHED UNDER THIS hours of 8:00 ANI and 5:00 PM, exclusive Of Saturdays,iays, Sundays and
SERVICE REQUEST WILL BE FREE FROM DEFECTS FOR A PERIOD Company holidays. All ,vork is subiect to review and rebilling in
OF NINETY (90) DAYS FROM THE DATE OF FURNISHING.Where accordance with the terms and conditions of Customer's
Company provides product or equipment of others, Company will agreenieniViaontract with Company,if One is in effect.Company shall not
warrant the product or equipment only to the extent warranted by be responsible far failure to render services due to causes beyond its
such third party. EXCEPT AS EXPRESSLY SET FORTH HEREIN, control,inciuding but not limited to material shortages,work stoppages,
COMPANY DISCLAIMS ALL WARRANTIES,EXPRESS OR IMPLIED, fires,civil disobedience or unrest,severe weather,fire-orartyother cause
INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTIES OF beyond the control of Company.Customerisaware that the Limitation
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE of Liability and other provisions set forth in any existing
WITH RESPECT TO THE SERVICES PERFORMED- OR THE agreernent/contradl. if one is in effect, or set forth above, apply to
PRODUCTS, SYSTEMS OR EQUIPMENT, IF ANY, SUPPORTED services performed and materials supplied.The terms of this Service
HEREUNDER. COMPANY MAKES NO WARRANTY OR Request shall gavern, notwithstanding any inconsistent or additional
REPRESENTATION, AND UNDERTAKES NO OBLIGATION TO terms and conditions in any Purchase order or other document
ENSURE BY THE SERVICES PERFORMED UNDER THIS SERVICE submitted by Customer.
REQUEST,THAT COMPANY'S PRODUCTS OR THE SYSTEMS OR
EQUIPMENT OF THE CUSTOMER WILL CORRECTLY HANDLE THE
PROCESSING OF CALENDAR DATES BEFORE OR AFTER
DECEMBER 31,1999.
S120733SPK iJr n S;rnplexGrtnnelUP 2CO-1
A"!rFohc's rwv,vcv,
sen'i"a Requos,Form