316740 9/29/2017 a,
CITY OF CARMEL, INDIANA VENDOR: 355371
E ONE CIVIC SQUARE OTT EQUIPMENT SERVICE INC CHECK AMOUNT: $*******324.75*
CARMEL, INDIANA 46032 517 HERRIMAN CT CHECK NUMBER: 316740
NOBLESVILLE IN 46060 CHECK DATE: 09/29/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 35173 324.75 BUILDING REPAIRS & MA
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Invoice
&It 5171lerriman Court
EouIPMENT Noblesville, IN 46060 DATE INVOICE#
sEwvIcK wc.
9/20/2017 35173
BILL TO SHIP TO
Carmel Street Department Attn: Jim Bentley
3400 W 131st Street 733-2001 or 691-6725
Carmel, IN 46074
P.O.NO. TERMS REP
Due on receipt BCS
QTY ITEM DESCRIPTION RATE AMOUNT
1 Truck Charge Truck Charge 40.00 40.00
1.75 Serv-Brady Service Labor-Brady 85.00 148.75
1 FA299-15 Air Cylinder 136.00 136.00T
perform lift inspections
Replaced rear lock cylinder on R70Q-120. Rear
axle frame has corroded to the point where concrete
is showing. Recommend replacement of rear frame.
FW pit is half full of water. Recommend
installation of permanent in pit sump pump.
Total $324.75
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.
Ott Equipment Service, Inc. Work Order
517Herriman Court
EOUIPMr
SUMMM Noblesville, IN 46060 Date W.O.No.
9/19/2017 JS919B-CSD
Name/Address Ship To
Carmel Street Department Attn:Jim Bentley
3400 W 131st Street 733-2001 or 691-6725
Carmel,IN 46074
P.O. No. Project
Item Description Ordered
Serv-Brady Service Labor-Brady
Contact-Jim Bentley 317-733-2001
perform lift inspections
Sales Tax
9-20-17 1:00-2:00
travel .75
truck$40.00
performed annual lift i ispections...replaced rear lock cylinder on R70Q-120.
1-FA299-15$171.00 j kP...rear axle frame has corroded to the point where concrete
is showing...recommed replacement of rear frame...FMP pit is half full of water.
recommend installatic n of permanent in pit sump pump.
parts$136.00
truck$40.00
labor$148.75
total $324.75
Multi-Point Lift Inspection
-atCS'�r�� 4mn
Date /� 1
Location Name �V✓1-e 5�' oe 0 1 Bay# + Authorized
Installer
Lift Serial# T0'3 C�i rj Model# � -
S
urface
Lift Type Hi Parallelogram
MOD 30
: H4fi**0 Mobile Column Q Fore&Aft
Capacity S� Pass Needed Accessibility of owners manuals,safe Pass Needed
Capacity Decal Located On Lift Y safety
y instructions&lifting int information
Common Inspection Points All LiftsAa„
rrl� Needed Fall N/A
Accessibility and readability of safety warning labels on lift a
Confirm adequacy of clearances around lift /
Examine structural components including welds for signs of fatigue,overloading,misuse ® a
v`
Inspect lift controls for proper operation(including limit switches,timing belts,encoders,potentiometers)
Check fluid levels and contamination(including proper PSI settings) -T
Examine electrical components&wiring(including emergency cut-offs&function of disconnects)
Check all points requiring lubrication
Lu =:
Check for proper installation and condition of spotting dish r.
On lifts employing adapters,check condition and proper operation jW
Are extended height adapters available
Check all accessories for construction,labeling and proper operation _117
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 cablesAir O
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 8 Sheaves
Inspect sheaves for proper alignment and cracks(ensure sheave shields are in place)
Inspect all cables and/or chains for frays,stretching,corrosion,cracking and proper adjustment
Check the tracking and routing of hoses,cables and chains
Lifts using swing arms,runways or platforms
On lifts using swing arms,check telescoping stops i .
EZ
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
i._
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
Check integrity of tamper resistant seals on relief valves l r Q
Inspect plungers for signs of rust,corrosion or damage(run full stroke to observe operation)C--c r""""
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 s�__Wd bo of travel
Lift Inspector Signature Use of this lift is"Not Recommended"until repairs are made
Multi-Point Lift Inspection
Date Cl —do—IT ;
Location Name Cew S I rp, l gay# 1 Authorized
Installer
Lift Serial# 3X(Jc&L& v`Z
Model# S &1p 314)
Surface 2Ptlst4Post; Gissor. I�i",}ase Hinge/Parallelogram MOD 30
Lift Type
Inground TtNitt host. HfgltP r Mobile Column F Fore&Aft 0
\) Pass Needed Accessibility of owners manuals,safe Pass—_Needed
Capacity P� Capacity Decal Located On Lift instructions&lifting point information
Common Inspection Points All Lifts Pass NeAttn eded Fail NIA
Accessibility and readability of safety warning labels on lift
Ej
Confirm adequacy of clearances around lift 77
Examine structural components including welds for signs of fatigue,overloading,misuse Wz
Inspect lift controls for proper operation(including limit switches,timing belts,encoders,potentiometers)
Check fluid levels and contamination(including proper PSI settings) 0
Examine electrical components&wiring(including emergency cut-offs&function of disconnects) F'
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 IL
Check all accessories for construction,labeling and proper operation
Check all fastening devices for tightness including anchor bolts(follow manufactures torque specs) 0
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 ._' Q
On lifts incorporating secondary latch devices,check operation and condition " Q
Hoses,Piping,Tubing&Hydraulic Cylinders
Check all accessible piping,tubing,hose,valves,fittings for visible leaks&proper routing JW
Check hydraulic cylinders for smooth operation and leaks
Cables,Chains&Sheaves
Inspect sheaves for proper alignment and cracks(ensure sheave shields are in place) IT—!
Inspect all cables and/or chains for frays,stretching,corrosion,cracking and proper adjustment
Check the tracking and routing of hoses,cables and chains ellEl
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 ` LZ
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 i
On lifts which incorporate trench covers,verify proper operation and abnormal deformation
Check integrity of tamper resistant seals on relief valves I
Inspect plungers for signs of rust,corrosion or damage(run full stroke to observe operation) ED
Confirm single point operation of multiple powered posts ED
Hydraulic Portable Lifts
Check screw drive systems for wear,operation and lubricatioudi wear nut or screw brake)
Check mobility of individual units
t---
Run lift through full cycle and verify pr ut o top bottom ravel
Lift Inspector Signature / Use of this lift is"Not Recommended"until repairs are made