318592 11/15/17 CITY OF CARMEL, INDIANA VENDOR: 362876
® ONE CIVIC SQUARE TRAVELERS CHECK AMOUNT: S""'"3,664.79"
f1 ?� CARMEL, INDIANA 46032 13607 COLLECTIONS CENTER DRIVE CHECK NUMBER: 318592
�M. CHICAGO IL 60693 CHECK DATE: 11/15/17 -
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 -2,079.12 GENERAL INSURANCE
1205 4347500 000523007 123.20 GENERAL INSURANCE
1205 4347500 000528968 4,665.91 GENERAL INSURANCE
1205 4347500 000529608 954.80 GENERAL INSURANCE
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TRAVELERS J , PAGE 1
DEDUCTIBLE / SELF- INSURED INVOICE
POLICY
14TG2033-ZLP 5216X7087 10/31/2017 000529608 UPON RECEIPT 2,252.99
MAIL PAYMENT TO: PAYER:
TRAVELERS CITY OF CARMEL
13607 COLLECTIONS CENTER DRIVE ONE CIVIC SQUARE
CHICAGO, IL 60693 CARMEL IN 46032
RETURN THIS PORTION WITH YOUR CHECK MADE PAYABLE TO TRAVELERS.
PLEASE WRITE THE POLICY & ACCOUNT NUMBER ON YOUR CHECK.
TRAVELERS PAGE 1
THIS ACCOUNT IS SCHEDULED TO GO TO A COLLECTION AGENCY
AS A RESULT OF UNPAID CHARGES. PLEASE REMIT PAYMENT IMMEDIATELY.
POLICY-NUMBER
14TG2033-ZLP 5216X7087 10/31/2017 000529608 UPON RECEIPT 2,252.99
CURRENT CHARGES
CLAIM#: E4E8697 DATE OF LOSS: 12/29/2013
DESCRIPTION: GLIA C-REED, ANTHONY TORT NOTICE ALLEGING THAT HIS
VEHICLE AND PERSONA
CLAIMANT: ANTHONY W REED
EXPENSE
CLAIM TOTAL 954.80 1
PAST DUE CHARGES /
CLAIM#: E4E8697 DATE OF LOSS: 12/29/2013 -7-7
DESCRIPTION: GLIA C-REED, ANTHONY TORT NOTICE ALLEGING THAT HIS 0o L)
VEHICLE AND PERSONA ��i
CLAIMANT: ANTHONY W REED
-' EXPENSE 138.60
/_I CLAIM TOTAL 138.60
CLAIM#: E7C4309 DATE OF PILOSSI: 06/16/2017 id
�J
DESCRIPTION: RAYAN,RICHARD TORT NOTICE ALLEGING THERE WAS AN
OBSTRUCTION INTHE ROAD ,wj 0oo 5; _7S
CLAIMANT: RICHARD RYAN I
LOSS 285.30
CLAIM OTAL � 285.30
CLAIM#: E7C5119 DATE OF LOSS: 07/19/2017 t qlr! /-7
DESCRIPTION: GLIA C - BELL, DARRYL EMPLOY A
BACK HOE AT THE
ub
CLAIMANT: DARRYL BELL `= (N✓ �� ����Q O
1 OSS 5b2.29
N O V 042017 CLAI,M�1 TOTAL 502.29
Cleark 11-reasurer P
/A/V 000 6:� 750 y
TRAVELERS PAGE 1
DEDUCTIBLE / SELF- INSURED INVOICE
POLICY
3036P64A-810 521GX7087 10/31/2017 000528968 11/15/2017 4,665.91
MAIL PAYMENT TO: PAYER:
TRAVELERS CITY OF CARMEL,CARMEL CLAY
13607 COLLECTIONS CENTER DRIVE ONE CIVIC SQUARE
CHICAGO, IL 60693 CARMEL IN 46032
RETURN THIS PORTION WITH YOUR CHECK MADE PAYABLE TO TRAVELERS.
PLEASE WRITE THE POLICY & ACCOUNT NUMBER ON YOUR CHECK.
TRAVELERS PAGE 1
POLICY NUMBER ACCOUNT NUMBER BILL DATE BILL NUMBER PAYMENT DUE TOTAL DUE
3036P64A-810 5216X7087 10/31/2017 000528968 11/15/2017 4,665.91
CURRENT CHARGES
CLAIM#: E9M2371 DATE OF LOSS: 09/12/2017
DESCRIPTION: C - DOWNING, MOLLY IV BACKED INTO PARKED UNOCCUPIED
CAR.
CLAIMANT: MOLLY DOWNING
LOSS 652.64
CLAIM TOTAL 652.64
CLAIM#: E9M3159 DATE OF LOSS: 09/27/2017
DESCRIPTION: BAUT INSD DRIVER PAT RIGDON WAS AT 116TH AND RANGELINE
WHEN ANOTHER VE
CLAIMANT: MATTHEW PUMPHREY
LOSS 4,013.27
CLAIM TOTAL 4,013.27
TOTAL CLAIMS) DUE ( 54,665,9
ACCOUNT SUMMARY
CURRENT CHARGES 4,665.91 INSURED NAME: CITY OF CARMEL,CARMEL CLAY
PAST DUE CHARGES 0.00 AGENT NAME: HYLANT GROUP INC
UNAPPLIED PAYMENTS 0.00 AGENT PHONE: (317) 817-5000
TOTAL DUE 4,665.91
DISPUTED ITEMS 0.00
ACCOUNT BALANCE 4,665.91
CONTACT YOUR AGENT LISTED ABOVE IF YOU HAVE QUESTIONS RELATED TO YOUR POLICY OR COVERAGE.
FOR BILLING QUESTIONS, PLEASE CONTACT YOUR ACCOW rVT
ROSA TORRES AT 1-860-277-3284 OR EMAIL RTORRES RAVELERSS.OOMm-1 e
Sub
d To
NOV )q 2017
Clerk Tr 3 =jrer
TRAVELERS PAGE 2
DEDUCTIBLE / SELF-INSURED INVOICE
• � ACCOUNT NUMBER BILL DATE BILL NUMBER PAYMENT DUE TOTAL DUE
14T62033-ZLP 5216X7087 10/31/2017 000529608 UPON RECEIPT 2,252.99
PAST DUE CHARGES CONTINUED
CLAIM#: E9T3205 DATE OF LOSS: 01/30/2017
DESCRIPTION: COMPLAINT ALLEGES A PATTER ON RACKETEERING ACTIVITY
AND HATE CRIMES BY
CLAIMANT: CAROLYN W HERZ
EXPENSE 372.00
CLAIM TOTAL 372.00
pj g1,111
TOTAL CLAIM(S) DUE $2,252.99
ACCOUNT SUMMARY
CURRENT CHARGES 954.80 INSURED NAME: CITY OF CARMEL,CARMEL CLAY PARKS BUILDIN
PAST DUE CHARGES 1,298. 19 AGENT NAME: HYLANT GROUP INC
UNAPPLIED PAYMENTS 0.00 AGENT PHONE: (317) 817-5000 /A/L/ W lv�l
TOTAL DUE 2,252.99
DISPUTED ITEMS 0.00 ��J UVU S� '`7.)
ACCOUNT BALANCE 2,252.99
CONTACT YOUR AGENT LISTED ABOVE IF YOU HAVE QUESTIONS RELATED TO YOUR POLICY OR COVERAGE.
FOR BILLING QUESTIONS, PLEASE CONTACT YOUR ACCOUNTING SPECIALIST
ROSA TORRES AT 1-860-277-3284 OR EMAIL RTORRES@TRAVELERS.COM
Non-Funded Deductible Collections & Billing System stem Page 1 of 1 f.
i
TRAVELERS
DEDUCTIBLE / SELF-INSURED INVOICE (copy)
POLICY NUMBER ACCOUNT NUMBER BILL DATE BILL NUMBER PAYMENT DUE ACCOUNT BALANCE
141`62033-ZLP 5216X7067 6PW2017 523007 DO NOT PAY ($2,140,90)
MAIL PAYMENT TO: PAYER ADDRESS:
TRAVELERS CITY OF CARMEL I
13607 COLLECTIONS CENTER DRIVE ONE CIVIC SQUARE
CHICAGO,IL 60693 CARMEL IN 46032
TRAVELERS
THIS ACCOUNT HAS A CREDIT BALANCE.
PLEASE CONTACT THE ACCOUNTING SPECIALIST LISTED BELOW.
POLICY NUMBER ACCOUNT NUMBER BILL DATE BILL NUMBER PAYMENT DUE ACCOUNT BALANCE
14TB2033-IIP 5216X7087 6/30/2017 523007 DO NOT PAY (:2,140,90) {
CURRENT CHARGES
CLAIM N:Eff697 DATE OF LOSS:12/29/2013
DESCRIPTION: GLIA C-REED,ANTHONY TORT NOTICE ALLEQNG THAT HIS VEHICLE AND PERSONA
CLAIMANT: ANTHONY W REED EXPENSE ,
CLAIM TOTAL $123.20
PAST DUE CHARGES
CLAIM#:E7DD640 DATE OF LASS:06/03/2014
DESCRIPTION: PLAINTIFF IS ALLEGING THAT THE CARMEL PD UNLAWFULLY PULLED HIM OVER AN
CLAIMANT:IASON MARAMAN EXPENSE $7.3D
CLAIM TOTAL $7.30
CLAIM 4':EM205 DATE OF LOSS:01/30/2017
DESCRIPTION: COMPLAINT ALLEGES A PATTER ON RACKETEERING ACTIVITY AND HATE CRIMES BY
CLAIMANT:CAROLYN W HERZ EXPENSE $1,643.00
CLAIM TOTAL ;1,643.00
TOTAL CLAIM(S)DUE {1,773.50
I
ACCOUNT SUMMARY i
CURRENT CHARGES $123.20 INSURED NAME: CITY OF CARMEL,CARMEL CLAY PARKS BUILDIN
PAST DUE CHARGES $1,650.30 AGENT NAME: HYLANT GROUP INC
UNAPPLIED PAYMENTS ($3,914.40)AGENT PHONE: (317)817-5000
TOTAL DUE (=2,140.90)
DISPUTED ITEMS $O.OD
ACCOUNT BALANCE ($2,140.90)
CONTACT YOUR AGENT LISTED ABOVE IF YOU HAVE QUESTIONS RELATED TO YOUR POLICY OR COVERAGE.
FOR BILLING QUESTIONS,PLEASE CONTACT YOUR ACCOUNTING SPECIALIST
GEORGIE RUSSO AT 1-860-277-9781 OR EMAIL UNKNOWN.
Su in-Ated To
1
NOV 14 2017
'Q,rk Treasurer
http://dedbiHing.prodlb.travp.net/WBDI NONFUNDEDNiewBi... 11/8/2017
amount of
amount of invoices current
Traveler's thru 9/29/17 paid check charges thru
invoice# thru 10/17/17 Invoice Date number check date 09/29/17
514060 $ 46.20 12/30/2016 307420 1/20/2017 $ 46.20
515545 $ 10,363.65 1/31/2017 308279 2/13/2017 $ 10,363.65
515546 $ 11,929.35 1/31/2017 308279 2/13/2017 $ 11,975.55
517030 $ 7,148.23 2/28/2017 309111 3/7/2017 $ 7,148.23
517031 $ (401.79) 2/28/2017 309111 3/7/2017 $ (401.79)
518521 $ 502.65 3/31/2017 310695 4/24/2017 $ 502.65
518522 $ 3,914.40 3/31/2017 310695 4/24/2017 $ 3,914.40
520012 $ 17,662.00 4/28/2017 311240 5/9/2017 $ 13,747.60
520013 $ 1,377.60 4/28/2017 311240 5/9/2017 $ 874.95
521495 $ 7,907.43 5/31/2017 312743 6/16/2017 $ 8,410.08
521496 $ (2,264.10) 5/31/2017 312743 6/16/2017 $ 1,650.30
524470 $ 4,624.55 7/31/2017 315635 8/30/2017 $ 4,501.35
524471 $ 871.81 7/31/2017 315635 8/30/2017 $ 871.81
526009 $ (3,859.02) 8/31/2017 317697 10/19/2017 $ (4,730.83)
526663 $ 5,861.14 8/31/2017 317697 10/19/2017 $ 1,236.59
527509 $ 1,298.19 9/29/2017 317697 10/19/2017 $ 61.60
Total invoices
thru 9/29/17
pd by total current claims
$ 66,982.29 10/17/17 $ 60,172.34 thur 9/29/17
66982.29 invoices pd
60172.34 current charges
amount
overpaid
-6809.95 thru
$ 4,730.83 check Travelers 10/11/17
$ (2,079.12)
-2079.12
523007 $ 123.20 $ (1,955.92)
528968 $ 4,665.91 $ 2,709.99
529608 $ 954.80 $ 3,664.79
$ 5,743.91 subtotal of invoices to be paid
$ (2,079.12) credit on account
$ 3,664.79 amount due as of 10/31/17
Travison,Linda
From: Torres,Rosa M<RTORRES@travelers.com>
Sent: Friday,November 10,2017 9:25 AM
To: Travison,Linda
Cc: Torres,Rosa M;Torres,Karen M;Contreras,Antonio
Subject: RE: Travelers -County of Carmel Payments
Hi Linda, /
We are in agreement and await receipt of your$3,300.31 payment in transit for payments of the 8/31 and 9/29 invoices.
We will also be expecting a payment of$3,664.79 for the 6/30/17 and 10/31/17 invoices.
Thank you for your time and cooperation in this matter.
Sincerely,
Rosa M.Torres I Receivable Account Manager I Loss Sensitive Receivable Management
Travelers
One Tower Square) CR-9
Hartford,CT 06183
W:860.277.3284/F: 860.277.8604
TRAVELERS
Please feel free to provide feedback on the service you've received to my manager,
,Joseph Pangia@
ipanM travelers com
From:Travison, Linda [mailto:ltravison@carmel.in.gov]
Sent:Thursday, November 09, 2017 1:34 PM
To:Torres,Rosa M<RTORRES@travelers.com>
Cc:Torres,Karen M<KTORRES@travelers.com>; Contreras,Antonio<ACONTRE2@travelers.com>
Subject: RE:Travelers-County of Carmel Payments
Hi Rosa
I am attaching an updated spreadsheet.
Thank you for the copy of the check. I spoke with our Accounts Payable Clerk and she said the check of 10/19/17 was
mailed two days ago.
According to my figures we will have a credit on the account of (2079.12) as of 09/29/17
1 plan to process the invoices dated 6/30/17 and 10/31/17 and would like to take the credit on the account.
Invoice 523007 $123.20
Invoice 528968 $4665.91
Invoice 529608 $954.80
From: Torres,Rosa M [ma iIto:RTORRES@travelers.com]
Sent:Thursday, November 09, 2017 12:26 PM
To:Travison, Linda