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Home My WebLink About329291 08/27/18 +pr_Cgq� J`� CITY OF CARMEL, INDIANA VENDOR: 00352999 ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $*****1,585.00* 9� �,r' CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 329291 M,��oN.�. CINCINNATI OH 45263-8720 CHECK DATE: 08/27/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4347500 190743 1,029.00 GENERAL INSURANCE 1205 4347500 190745 556.00 GENERAL INSURANCE VOUCHER NO. WARRANT NO. Prescribed by state Hoard of Accounts City Form No.201(Rev.1995) Vendor# 00352999 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HYLANT GROUP IN SUM OF$ CITY OF CARMEL PO BOX 638720 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. CINCINNATI, OH 45263-8720 Payee $1,585.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR General Administration 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 190743 43-475.00 $1,029.00 1 hereby certify that the attached invoice(s),or 8/16/18 190743 $1,029.00 1205 101 1205 101 190745 43-475.00 $556.00 bill(s)is(are)true and correct and that the 8/16/18 190745 $556.00 1205 1 1 101 1 materials or services itemized thereon for 1205 1 101 which charge is made were ordered and received except Monday,August 20,2018 Crider,James Administration 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 Please Return Top with Remittance To: PO Box 638720,Cincinnati,OH 45263-8720 Item# Trans Eff DaterDue Date Trans Description Amount Package-Commercial Policy# 630581M4076 Effective: 1/1/18 - 1/1/19 Issuing Company Travelers Prop Cas Co of Amer 1498452 5/16/2018 8/31/2018 ENDT Add(2)Sculptures to Fine Arts Schedule 1,029.00 Total Invoice Balance: $1,029.00 Sabi-a-fyted To AUG 202018 Cled.c. Tg easur r HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290 F8/16/2018 City of Carmel Loan# Invoice#190743 FARWE1 Page 1 of 1 CHANGE EFFECTIVE DATE:05-16-18 �j CHANGE ENDORSEMENT NUMBER:0012 TRAVELERS J One Tower Square, Hartford,Connecticut 06183 CHANGE ENDORSEMENT Named Insured: CITY OF CARMEL Policy Number: H-630-581M4076-TIL-18 Policy Effective Date: 01/01/18 Issue Date: 08/15/18 Additional Premium $ 1,029 INSURING COMPANY: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Effective from 05/16/18 at the time of day the policy becomes effective. THIS INSURANCE IS AMENDED AS FOLLOWS: THE COMMERCIAL INLAND MARINE COVERAGE PART IS AMENDED AS FOLLOWS: AMENDING CONTRACTORS EQUIPMENT AS FOLLOWS: AMENDING FINE ARTS LIMIT OF INSURANCE TO $1,903,075. AMENDING "FLOOD LIMIT OF INSURANCE" $1,903,075. AMENDING "FLOOD ANNUAL AGGREGATE LIMIT OF INSURANCE TO $1,903,075. AMENDING "EARTH MOVEMENT LIMIT OF INSURANCE TO $1,903,075. AMENDING "EARTH MOVEMENT ANNUAL AGGREGATE LIMIT OF INSURANCE TO $1,903,075. AMENDING CM TO 29 08 96 - IM PAK COV SCHEDULED PROPERTY SCHEDULE AS PER ATTACHED. *** AMENDING FINE ARTS SCHEDULE TO ADD: LOVE AT FIRST RIDE WIKTOR SZOSTALO SCULPTURE $40,000 JAZZ TRIO J. SEWARD JOHNSTON SCULPTURE $213,500.*** NAME AND ADDRESS OF AGENT OR BROKER: COUNTERSIGNED BY: HYLANT GROUP INC (G8433) 10401 N MERIDIAN ST STE 200 INDIANAPOLIS, IN 46280 Authorized Representative DATE: IL TO 07 09 87 PAGE 1 OF 1 OFFICE: SAN ANTONIO-EAST CHANGE EFFECTIVE DATE:05-16-18 CHANGE ENDORSEMENT NUMBER:0012 TRAVELERSJ� POLICY NUMBER: H-630-581M4076-TIL-18 EFFECTIVE DATE: 01-01-18 ISSUE DATE: 08-15-18 LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS BY LINE OF BUSINESS. IL TO 07 09 87 CHANGE ENDORSEMENT IL T8 01 10 93 FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS INLAND MARINE CM TO 29 08 96 IM PAK COV SCHEDULED PROPERTY SCHEDULE IL T8 01 10 93 PAGE: 1 OF 1 COMMERCIAL INLAND MARINE k `' .................. •':siiE:'::;::iri�iric .........:........ \:CiJiii i:it•:�i�v i>.:..... r ' COMMERCIAL INLAND MARINE IX .. .. M.1 Y.1 :tip\: TRAVELERS J One Tower Square, Hartford,Connecticut 06183 IM PAK' COVERAGE POLICY NUMBER: H-630-581M4076-TIL-18 "SCHEDULED PROPERTY" ISSUE DATE: 08-15-18 SCHEDULE "Scheduled Items" ITEM DESCRIPTION OF ITEM LIMIT OF INSURANCE 001 SCHEDULED PROPERTY ITEMS & LIMITS OF 4,792,797 INSURANCE SHOWN IN THE SCHEDULE ON FILE WITH US, RECEIVED 09-28-2016 TOTAL "SCHEDULED ITEMS" LIMIT OF INSURANCE FOR ALL COVERED ITEMS$ 4,792,797 "Fine Arts" ITEM DESCRIPTION OF ITEM LIMIT OF INSURANCE 001 FINE ARTS $1,903,075 TOTAL "FINE ARTS" LIMIT OF INSURANCE FOR ALL COVERED ITEMS $ 1,903,075 CM TO 29 08 96 Page 1 (END) Please Return Top with Remittance To: PO Box 638720,Cincinnati,OH 45263-8720 tem# TransEff Date Due Date Trans Description, ;Amount Builder's Risklinstallation-Commercial Policy# 418721 Effective: 7/20117 - 8131/18 Issuing Company Federal Insurance Company 1498455 7/20/2018 8/31/2018 ENDT Extend Expiration for Midtown South Garage 556.00 Total Invoice Balance: $556.00 Subnn -ted To AUG 202018 HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290 8/16/2018 City of Carmel Loan# Invoice#190745 FARWEI Page �ofl