HomeMy WebLinkAbout12-18-19-01/Republic Services LP/31,572.00/Trash Collection RESOLUTION NO.BPW 12-18-19-01
RESOLUTION OF THE CITY OF CARMEL BOARD OF PUBLIC WORKS AND SAFETY
ACKNOWLEDGING RECEIPT OF CONTRACT
WHEREAS, pursuant to Indiana Code 36-1-4-7, the City of Carmel, Indiana ("City"), is authorized to
enter into contracts;and
WHEREAS,pursuant to Indiana Code 36-4-5-3,the City's mayor may enter into contracts on behalf of the
City;and
WHEREAS, pursuant to his authority under Indiana law, the City's mayor, the Honorable James C.
Brainard,has caused to be signed the City contract attached hereto as Exhibit A(the"Contract");and
WHEREAS, Mayor Brainard now wishes to present the contract to the City's Board of Public Works and
Safety for it to be publicly acknowledged,filed in the Clerk-Treasurer's Office,and made available to the public for
review.
NOW, THEREFORE, BE IT RESOLVED by the City of Carmel Board of Public Works and Safety as
follows:
1.The foregoing Recitals are incorporated herein by this reference.
2.The receipt of the Contract is hereby acknowledged.
3.The Contract shall be promptly filed in the office of the Clerk-Treasurer and thereafter made available to
the public for review.
SO RESOLVED this ) U day of J-e(R wi V , 2019.
CITY OF CARMEL,INDIANA
By and through its Board of Public Works and Safety
BY:1/1 9 / i `�p
vi+
James Brainard,Presiding Officer
s ate:
PIMA ,
M. Burke, - • e
at/
Date: • ' •
Lori S.W.tson, -m r
Date: /a- l87/
ATTEST:
/&aUn1 a A 11) 4.4(_r
o /Y� Christine Pauley,Cl k-T easurer
Date: /02pe�y
SAE Bass\My Documents\BPW-Resolutions\2019\Acknowledge Republic Services of Indiana,LP.docxl2/9/2019 9:01 AM
Republic Services of Indiana,LP
Department of Administration-2019
Appropriation#01-6360-03;01-6360-06;43-501.00;01.7362.06 Funds;P.O.#34612;W10060; 103224; 103262; 103234;
103244; 103223;S20259
Contract Not To Exceed$31,572.00 �RQ
h
AGREEMENT FOR PURCHASE OF GOODS AND SERVICES
FAO
THIS AGREEMENT FOR PURCHASE OF GOODS AND SERVICES ("Agreement") is hereby entered into by
and between the City of Carmel, Indiana, acting by and through its Board of Public Works and Safety("City"),
and Republic Services of Indiana, LP, an entity duly authorized to do business in the State of Indiana
("Vendor").
TERMS AND CONDITIONS
1. ACKNOWLEDGMENT, ACCEPTANCE:
Vendor acknowledges that it has read and understands this Agreement, and agrees that its execution of
same constitutes its acceptance of all of the Agreement's terms and conditions.
2. PERFORMANCE:
City agrees to purchase the goods and/or services (the "Goods and Services") from Vendor using City
budget appropriation number 01-6360-03; 01-6360-06; 43-501.00; 01.7362.06 funds. Vendor agrees to
provide the Goods and Services and to otherwise perform the requirements of this Agreement by applying at
all times the highest technical and industry standards.
3. PRICE AND PAYMENT TERMS:
3.1 Vendor estimates that the total price for the Goods and Services to be provided to City hereunder
shall be no more than Thirty One Thousand Five Hundred Seventy Two Dollars ($31,572.00) (the
"Estimate"). Vendor shall submit an invoice to City no more than once every thirty(30) days detailing
the Goods and Services provided to City within such time period. City shall pay Vendor for such
Goods and Services within thirty-five (35) days after the date of City's receipt of Vendor's invoice
detailing same, so long as and to the extent such Goods and Services are not disputed, are in
conformance with the specifications set forth in Exhibit A, are submitted on an invoice that contains
the information contained on attached Exhibit B, and Vendor has otherwise performed and satisfied
all the terms and conditions of this Agreement.
3.2 Vendor agrees not to provide any Goods and Services to City that would cause the total cost of the
Goods and Services provided by Vendor to City hereunder to exceed the Estimate, unless City has
previously agreed, in writing, to pay an amount in excess thereof.
4. WARRANTY:
Vendor expressly warrants that the Goods and Services covered by this Agreement will conform to those
certain specifications, descriptions and/or quotations regarding same as were provided to Vendor by City
and/or by Vendor to and accepted by City, all of which documents are incorporated herein by reference, and
that the Goods and Services will be delivered in a timely, good and workmanlike manner and free from
defect. Vendor acknowledges that it knows of City's intended use and expressly warrants that the Goods and
Services provided to City pursuant to this Agreement have been selected by Vendor based upon City's
stated use and are fit and sufficient for their particular purpose.
5. TIME AND PERFORMANCE:
This Agreement shall become effective as of the last date on which a party hereto executes same ("Effective
Date"), and both parties shall thereafter perform their obligations hereunder in a timely manner. Time is of the
essence of this Agreement.
(S:Cootr ls'Prof.Sva&Goods Svcs Wdmmistratron\Republic Services,Inc.Goods and Services.doc:12/32019 10:02 AM]
1
Republic Services of Indiana,LP
Department of Administration-2019
Appropriation#01-6360-03;01-6360-06;43-501.00;01.7362.06 Funds;P.O.#34612;W10060; 103224; 103262; 103234;
103244; 103223;S20259
Contract Not To Exceed$31,572.00
6. DISCLOSURE AND WARNINGS:
If requested by City, Vendor shall promptly furnish to City, in such form and detail as City may direct, a list of
all chemicals, materials, substances and items used in or during the provision of the Goods and Services
provided hereunder, including the quantity, quality and concentration thereof and any other information
relating thereto. At the time of the delivery of the Goods and Services provided hereunder, Vendor agrees to
furnish to City sufficient written warning and notice (including appropriate labels on containers and packing)
of any hazardous material utilized in or that is a part of the Goods and Services.
7. LIENS:
Vendor shall not cause or permit the filing of any lien on any of City's property. In the event any such lien is
filed and Vendor fails to remove such lien within ten (10) days after the filing thereof, by payment or bonding,
City shall have the right to pay such lien or obtain such bond, all at Vendor's sole cost and expense.
8. DEFAULT:
In the event Vendor: (a) repudiates, breaches or defaults under any of the terms or conditions of this
Agreement, including Vendor's warranties; (b) fails to provide the Goods and Services as specified herein;
(c)fails to make progress so as to endanger timely and proper provision of the Goods and Services and does
not correct such failure or breach within five (5) business days (or such shorter period of time as is
commercially reasonable under the circumstances) after receipt of notice from City specifying such failure or
breach; or (d) becomes insolvent, is placed into receivership, makes a general assignment for the benefit of
creditors or dissolves, each such event constituting an event of default hereunder, City shall have the right to
(1) terminate all or any parts of this Agreement, without liability to Vendor; and (2) exercise all other rights
and remedies available to City at law and/or in equity.
9. INSURANCE AND INDEMNIFICATION:
Vendor shall procure and maintain in full force and effect during the term of this Agreement, with an insurer
licensed to do business in the State of Indiana, such insurance as is necessary for the protection of City and
Vendor from all claims for damages under any workers' compensation, occupational disease and/or
unemployment compensation act; for bodily injuries including, but not limited to, personal injury, sickness,
disease or death of or to any of Vendor's agents, officers, employees, contractors and subcontractors; and,
for any injury to or destruction of property, including, but not limited to, any loss of use resulting therefrom.
The coverage amounts shall be no less than those amounts set forth in attached Exhibit C. Vendor shall
cause its insurers to name City as an additional insured on all such insurance policies, shall promptly provide
City, upon request, with copies of all such policies, and shall provide that such insurance policies shall not be
canceled without thirty (30) days prior notice to City. Vendor shall indemnify and hold harmless City from and
against any and all liabilities, claims, demands or expenses (including, but not limited to, reasonable attorney
fees) for injury, death and/or damages to any person or property arising from or in connection with Vendor's
provision of Goods and Services pursuant to or under this Agreement or Vendor's use of City property.
Vendor further agrees to indemnify, defend and hold harmless City and its officers, officials, agents and
employees from all claims and suits of whatever type, including, but not limited to, all court costs, attorney
fees, and other expenses, caused by any act or omission of Vendor and/or of any of Vendor's agents,
officers, employees, contractors or subcontractors in the performance of this Agreement. These
indemnification obligations shall survive the termination of this Agreement.
[SAContracts\ProtSvc&Goods Svcs Wdministratio ARpublic Services,Inc.Goods end Services.doc:12/3/2019 10.02 AM]
2
Republic Services of Indiana,LP
Department of Administration- 2019
Appropriation#01-6360-03;01-6360-06;43-501.00;01.7362.06 Funds;P.O.#34612;W10060; 103224; 103262; 103234;
103244; 103223;S20259
Contract Not To Exceed$31,572.00
10. GOVERNMENT COMPLIANCE:
Vendor agrees to comply with all federal, state and local laws, executive orders, rules, regulations and codes
which may be applicable to Vendor's performance of its obligations under this Agreement, and all relevant
provisions thereof are incorporated herein by this reference. Vendor agrees to indemnify and hold harmless
City from any loss, damage and/or liability resulting from any such violation of such laws, orders, rules,
regulations and codes. This indemnification obligation shall survive the termination of this Agreement.
11. NONDISCRIMINATION:
Vendor represents and warrants that it and all of its officers, employees, agents, contractors and
subcontractors shall comply with all laws of the United States, the State of Indiana and City prohibiting
discrimination against any employee, applicant for employment or other person in the provision of any Goods
and Services provided by this Agreement with respect to their hire, tenure, terms, conditions and privileges of
employment and any other matter related to their employment or subcontracting, because of race, religion,
color, sex, handicap, national origin, ancestry, age, disabled veteran status and/or Vietnam era veteran
status.
12. E-VERIFY:
Pursuant to I.C. § 22-5-1.7 et seq., as the same may be amended from time to time, and as is incorporated
herein by this reference (the "Indiana E-Verify Law"), Vendor is required to enroll in and verify the work
eligibility status of its newly-hired employees using the E-Verify program, and to execute the Affidavit
attached herein as Exhibit D, affirming that it is enrolled and participating in the E-verify program and does
not knowingly employ unauthorized aliens. In support of the Affidavit, Vendor shall provide the City with
documentation indicating that it has enrolled and is participating in the E-Verify program. Should
Vendor subcontract for the performance of any work under and pursuant to this Agreement, it shall fully
comply with the Indiana E-Verify Law as regards each such subcontractor. Should the Vendor or any
subcontractor violate the Indiana E-Verify law, the City may require a cure of such violation and thereafter, if
no timely cure is performed, terminate this Agreement in accordance with either the provisions hereof or
those set forth in the Indiana E-Verify Law. The requirements of this paragraph shall not apply should the E-
Verify program cease to exist.
13. NO IMPLIED WAIVER:
The failure of either party to require performance by the other of any provision of this Agreement shall not
affect the right of such party to require such performance at any time thereafter, nor shall the waiver by any
party of a breach of any provision of this Agreement constitute a waiver of any succeeding breach of the
same or any other provision hereof.
14. NON-ASSIGNMENT:
' Vendor shall not assign or pledge this Agreement, whether as collateral for a loan or otherwise, and shall not
delegate its obligations under this Agreement without City's prior written consent.
15. RELATIONSHIP OF PARTIES:
The relationship of the parties hereto shall be as provided for in this Agreement, and neither Vendor nor any
of its officers, employees, contractors, subcontractors and agents are employees of City. The contract price
set forth herein shall be the full and maximum compensation and monies required of City to be paid to
Vendor under or pursuant to this Agreement
[S:.utracts\Prof.Sva&Goods Svcs Wdmm stration\Republic Services,Inc.Cmi,and Services.dm:12/32019 10.02 AM)
3
Republic Services of Indiana,LP
Department of Administration-2019
Appropriation#01-6360-03;01-6360-06;43-501.00;01.7362.06 Funds;P.O.#34612;W10060; 103224; 103262; 103234;
103244; 103223;S20259
Contract Not To Exceed$31,572.00
16. GOVERNING LAW; LAWSUITS:
This Agreement is to be construed in accordance with and governed by the laws of the State of Indiana,
except for its conflict of laws provisions. The parties agree that, in the event a lawsuit is filed hereunder, they
waive their right to a jury trial, agree to file any such lawsuit in an appropriate court in Hamilton County,
Indiana only, and agree that such court is the appropriate venue for and has jurisdiction over same.
17. SEVERABILITY:
If any term of this Agreement is invalid or unenforceable under any statute, regulation, ordinance, executive
order or other rule of law, such term shall be deemed reformed or deleted, but only to the extent necessary to
comply with same, and the remaining provisions of this Agreement shall remain in full force and effect.
18. NOTICE:
Any notice provided for in this Agreement will be sufficient if it is in writing and is delivered by postage
prepaid U.S. certified mail, return receipt requested, to the party to be notified at the address specified
herein:
If to City: City of Carmel AND Douglas C. Haney,
Department of Administration Corporation Counsel
One Civic Square Department of Law
Carmel, Indiana 46032 One Civic Square
Carmel, Indiana 46032
If to Vendor: Republic Services of Indiana, LP
PO Box 9001099
Louisville, Kentucky 40290-1099
Notwithstanding the above, notice of termination under paragraph 19 hereinbelow shall be effective if given
orally, as long as written notice is then provided as set forth hereinabove within five (5) business days from
the date of such oral notice.
19. TERMINATION:
19.1 Notwithstanding anything to the contrary contained in this Agreement, City may, upon notice to
Vendor, immediately terminate this Agreement for cause, in the event of a default hereunder by
Vendor and/or if sufficient funds are not appropriated or encumbered to pay for the Goods and
Services to be provided hereunder. In the event of such termination, Vendor shall be entitled to
receive only payment for the undisputed invoice amount representing conforming Goods and
Services delivered as of the date of termination, except that such payment amount shall not exceed
the Estimate amount in effect at the time of termination, unless the parties have previously agreed in
writing to a greater amount.
19.2 City may terminate this Agreement at any time upon thirty (30) days prior notice to Vendor. In the
event of such termination, Vendor shall be entitled to receive only payment for the undisputed
invoice amount of conforming Goods and Services delivered as of the date of termination, except
that such payment amount shall not exceed the Estimate amount in effect at the time of termination,
unless the parties have previously agreed in writing to a greater amount.
19.3 The City may terminate this Agreement pursuant to Paragraph 11 hereof, as appropriate.
IS:Conrcacrs\Pro[.Sos&Goods SvcoWdmmisva.00\Ropohh Scry o.Inc.G od and Sor oo.do 12/3/'_019 10:0'ASq
4
Republic Services of Indiana,LP
Department of Administration-2019
Appropriation#01-6360-03;01-6360-06;43-501.00;01.7362.06 Funds;P.O.#34612;W10060; 103224; 103262; 103234;
103244; 103223;S20259
Contract Not To Exceed$31,572.00
20. REPRESENTATIONS AND WARRANTIES
The parties represent and warrant that they are authorized to enter into this Agreement and that the persons
executing this Agreement have the authority to bind the party which they represent.
21. ADDITIONAL GOODS AND SERVICES
Vendor understands and agrees that City may, from time to time, request Vendor to provide additional goods
and services to City. When City desires additional goods and services from Vendor, the City shall notify
Vendor of such additional goods and services desired, as well as the time frame in which same are to be
provided. Only after City has approved Vendor's time and cost estimate for the provision of such additional
goods and services, has encumbered sufficient monies to pay for same, and has authorized Vendor, in
writing, to provide such additional goods and services, shall such goods and services be provided by Vendor
to City. A copy of the City's authorization documents for the purchase of additional goods and services shall
be numbered and attached hereto in the order in which they are approved by City.
22. TERM
Unless otherwise terminated in accordance with the termination provisions set forth in Paragraph 19
hereinabove, this Agreement shall be in effect from the Effective Date through December 31, 2020 and shall,
on the first day of each January thereafter, automatically renew for a period of one (1) calendar year, unless
otherwise agreed by the parties hereto.
23. HEADINGS
All heading and sections of this Agreement are inserted for convenience only and do not form a part of this
Agreement nor limit, expand or otherwise alter the meaning of any provision hereof.
24. BINDING EFFECT
The parties, and their respective officers, officials, agents, partners, successors, assigns and legal
representatives, are bound to the other with respect to all of the covenants, terms, warranties and obligations
set forth in Agreement.
25. NO THIRD PARTY BENEFICIARIES
This Agreement gives no rights or benefits to anyone other than City and Vendor.
26. DEBARMENT AND SUSPENSION
26.1 The Vendor certifies by entering into this Agreement that neither it nor its principals nor any of its
subcontractors are presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily
excluded from entering into this Agreement by any federal agency or by any department, agency or political
subdivision of the State of Indiana. The term "principal" for purposes of this Agreement means an officer,
director, owner, partner, key employee or other person with primary management or supervisory
responsibilities, or a person who has a critical influence on or substantive control over the operations of the
Vendor.
26.2 The Vendor certifies that it has verified the state and federal suspension and debarment status for all
subcontractors receiving funds under this Agreement and shall be solely responsible for any recoupment,
penalties or costs that might arise from use of a suspended or debarred subcontractor. The Vendor shall
immediately notify the City if any subcontractor becomes debarred or suspended, and shall, at the City's
request, take all steps required by the City to terminate its contractual relationship with the subcontractor for
work to be performed under this Agreement.
[S:\Contracts\Prof.Svcs&C.nvk SvcsWdnunistrationutepublic Services.Inc.C.c.'s and Services.doc:12/32019 10:02 AMI
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Republic Services of Indiana.LP
Ihpanment of Administration-2019
Appropriation#01-6360-03;01-6360-06;43-501.(0;01.7362.06 Funds;P.O.#31612;\Y10060; 103224; 103262;103234;
103244; 103223:S20259
Contract Not To Exceed$31,572.00
27. ADVICE OF COUNSEL:
The parties warrant that they have read this Agreement and understand it,have had the opportunity to obtain
legal advice and assistance of counsel throughout the negotiation of this Agreement, and enter into same
freely,voluntarily,and without any duress,undue influence or coercion.
28. ENTIRE AGREEMENT:
This Agreement, together with any exhibits attached hereto or referenced herein, constitutes the entire
agreement between Vendor and City with respect to the subject matter hereof, and supersedes all prior oral
or written representations and agreements regarding same. Notwithstanding any other term or condition set
forth herein, but subject to paragraph 16 hereof,to the extent any term or condition contained in any exhibit
attached to this Agreement or in any document referenced herein conflicts with any term or condition
contained in this Agreement, the term or condition contained in this Agreement shall govern and prevail.
This Agreement may only be modified by written amendment executed by both parties hereto, or their
successors in interest.
IN WITNESS WHEREOF,the parties hereto have made and executed this Agreement as follows:
CITY OF CARMEL,INDIANA Republic Services of Indiana,LP
by and through its Board of Public
Works and Safety
By:�� By:
/•
arms Brainard,Presiding Officer Authorized Signature
Date: s' /J ,��6,�- .2c/i
Printed Name
Mary Ann Burke,Member
Date: DS M
Title
Lori S.Watson,Member FID/TIN:
Date:
Last Four of SSN if Sole Proprietor:
ATTEST:
Date: 12— 5•—k
Christine S.Pauley,Clerk-Treasurer
Date:
�S t'..u..l:h.4S•..A u..a.S..A%3 ••tr..X .tl�5.'••.. t. l:•.M..l Sw....1�.1:.31ri•••1•C A�4
6
4 T CarmelSITE LOCATION.
NUST AME MER SITE NAME Muni Comm `. _o REPUBLIC
ADDRESS V ATTN. SERVICES. INC.
ADDRESS CITY/STATE Customer Service Agreement
ZIP CODE AGREEMENT2039444
CITY/STATE TEL.NO. FAX NO.
ACCOUNT NUMBER SITE NUMBER
ZIP CODE AUTRORIZED BY TITLE 1
TEL.NO. FAX NO SERVICE CONTACT TITLE
t-MAIL
MOIL StTE•1.CRPN TYPE•'aim C ow erm nMAE CO ..S9 O.' 1!LS; Z �-, UCD SEFMCE • FDE 1CIRV UFAM aA
Dt1NT leE t vw � W
7 fRW ' ALIFT
' --ECTR ., 'creel- -SB 10EDAYS - tmc&r
A194838596
A194838560
— A194839098
A194838966
A194838917
A194838881
A194838832
A194838725
A194838673
~— A194838831
A194839287
A194839350
A194839245
A194839149
RseMlnp: Fuel Surcharge&Environmental Fees Fluctuate Administration Fee-
F.aa Conditional: - ColairarMaamaantFaaa:I Delivery,Exchange,Relocate,Removal- AddtBe SrvkeReK ,•I Extra Yardage- I Dry Run- N/A I Extra Tonnage- N/A
The undersigned individual signing this agreement on behalf of Customer acknowledges that he or she had read and understands
`REPUBUC SERVICES,INC.FORT WAYNE,INDIANA the terms and conditions of this Agreement and that he or she had the authority to sign the Agreement on behalf of Customer
HEREINAFTER REFERRED TO AS THE'COMPANY'
BY: X TITLE
(AUTHORIZED SIGNATURE)
BY: TITLE:
(REPUBLIC SERVICES SIGNATURE) X
CUSTOMER NAME PLEASE PRINT) DATE OF AGREEMENT
COMMENTS ;;: TERMS AND CONDITIONS'..
No more than a 3%increase for the 2nd and 3rd year SERVICES. Customer grants to Company the exclusive right to collect and dispose of all of Customer's non-
hazardous solid waste materials(including recyclables)(collectively,"Waste Materials"),and Company agrees to
furnish such services.
Rate based on tons/load
Rate based on Ibs/yard THE INITIAL TERM OF THIS AGREEMENT SHALL START ON THE DATE OF THIE AGREEMENT AND
FOR_OFFICE USEONLY .. ;,; _ ,„_ _ :____-,::: CONTINUE FOR 36 MONTHS THEREAFTER.THIS AGREEMENT SHALL AUTOMATICALLY RENEW FOR
A
DOES FACILITY HAVE A HAZARDOUS WASTE GENERATOR I.D.NUMBER? SUCCESSIVE 36 MONTH TERMS UNLESS EITHER PARTY GIVES WRITTEN NOTICE OF TERMINATION TO
I.D. _ THE OTHER AT LEAST 60 DAYS BEFORE THE END OF THE THEN CURRENT TERM.ANY NOTICE OF
NUMBER Hill
I I I _YES _NO TERmMAIL,,IANTION UNDER THIS AGREEMNT BY RETURN RECEIPT REQUESTED,AND ACTUALLY R RECEIVEDSH BY COMPANY
UNLESSALL BE VOID SENT VIA CERTIFIED
rri NATIONALACCOUNTNUMBER.:.:,_:.,.::...�TOMFRCATEG:ASHTOLERANC SUSP CREDITANYLASt3,_,.„,„
WASTE MATERIALS. The Waste Materials shall not contain any hazardous materials,wastes or substances;toxic
substances,wastes or pollutants;contaminants;pollutants;infectious wastes;medical wastes;or radioactive wastes
NUMBER a _ �� c °,,,PI ' . . PURCHASE ORDER NUMBER-- S.I.0 (collectively,"Excluded Waste"),each as defined by applicable federal,state or local laws or regulations(collectively.
fl'". Applicable" Laws"). Customer shall indemnify,defend and hold harmless Company from and against any and all
......,), Territory SALES REPRESENTATIVE TAX TAX PEAK NIIB ER • TRANS. REAsoN cooE coMPETITOR claims,damages,suits,penalties,fines,remediation costs,and liabilities(including court costs and reasonable
CODE, cooE attorneys'fees)("collectively,"Losses")resulting from the inclusion of Excluded Waste in the Waste Materials.
RENEW IN4i i CREDITAAP„�01IAL .._ CREDI _. ._ ._. ._ -.�.. _._ _... ..
-� ' �F� ki T LIMIT CONTRACT APPROVN. ENTERED BY ._..DATES .
�` TITLE. Company shall acquire title to Waste Materials when they are loaded into Company's truck. Title to and
Y N Y N liability for any Excluded Waste shall remain with Customer and shall at no time pass to Company.
9/23/2019 2:27 PM
PAYMENT. Customer shall pay Company for the services and equipment furnished by Company at the rates provided in this Agreement. Customer shall pay all taxes,fees and other governmental charges
assessed against or passed through to Company(other than income or real property taxes). Customer shall pay such fees as the Company may impose from time to time by notice to Customer(including,
by way of example only,late payment fees,administrative fees and environmental fees),with Company to determine the amounts of such fees in its discretion up to the maximum amount allowed by
Applicable Law. Without limiting the foregoing,Customer shall pay Company: (a)a fee of$50(which Company may increase from time to time by notice to Customer)for each check submitted by Customer
that is an insufficient funds check or is returned or dishonored:and(b)a fuel/environmental recovery fee in the amount shown on each of Company's invoices,which amount Company may increase or
decrease from time to time by showing the amount on the invoice. Customer shall pay Company within 20 days after the date of Company's invoice. At any time after Company becomes concerned about
Customer's creditworthiness or after Customer has made any late payment,Company may request,and if requested Customer shall pay,a deposit in an amount equal to one month's charges under this
Agreement.
RATE ADJUSTMENTS . Company may,from time to time by notice to Customer,increase the rates provided in this Agreement to adjust for any increase in: (a)disposal costs;(b)transportation costs
due to a change in location of Customer or the disposal facility used by Company;(c)the Consumer Price Index for all Urban Consumers;(d)the average weight per cubic yard of Customer's Waste
Materials above the number of pounds per cubic yard upon which the rates provided in this Agreement are based as indicated on the cover page of this Agreement;or(e)Company's costs due to changes
in Applicable Laws. Company may increase rates for reasons other than those set forth above with Customer's consent,which may be evidenced verbally,in writing or by the parties'actions and practices.
SERVICE CHANGES. The parties may change the type,size or amount of equipment,the type or frequency of service,and correspondingly the rates by agreement of the parties,which may be evidenced
verbally,in writing or by the parties'actions and practices. This Agreement shall apply to any change of location of Customer within the area in which Company provides collection and disposal services.
RESPONSIBILITY FOR EQUIPMENT;ACCESS. Any equipment Company furnishes shall remain Company's property. Customer shall be liable for all loss or damage to such equipment(except for
normal wear and tear and for loss or damage resulting from Company's handling of the equipment). Customer shall use the equipment only for its proper and intended purpose and shall not overload(by
weight or volume),move or alter the equipment. Customer shall indemnify,defend and hold harmless Company from and against all Losses arising from any injury or death to persons or loss or damage
to property(including the equipment)arising out of Customer's use,operation or possession of the equipment. Customer shall provide safe,unobstructed access to the equipment on the scheduled
collection day. Company may charge an additional fee for any additional collection service required by Customer's faiure to provide access.
DAMAGE TO PAVEMENT. Company shall not be responsible for any damages to Customer's pavement,curbing or other driving surfaces resulting from Company's providing service at Customer's
location.
SUSPENSION. If any amount due from Customer is not paid within 60 days after the date of Company's invoice,Company may,without notice and without terminating this Agreement,suspend collecting
and disposing of Waste Materials until Customer has paid such amount to Company. If Company suspends service,Customer shall pay Company a service interruption fee in an amount determined by
Company in its discretion up to the maximum amount allowed by Applicable Law.
TERMINATION. In addition to its above suspension rights,Company may terminate this Agreement immediately by written notice to Customer if(a)any of the information contained in any credit application
submitted to Company in connection with this Agreement is untrue or(b)Customer breaches this Agreement and fails to cure such breach within 10 days after Company gives Customer written notice of
the breach. Company's failure to suspend service or terminate this Agreement when Customer fails to timely pay or otherwise breaches this Agreement shall not constitute a waiver of Company's right to
suspend service or terminate this Agreement for any future failure to pay or other breach.
PAYMENT UPON TERMINATION. If Customer terminates this Agreement before its expiration other than as a result of a breach by Company,or if Company terminates this Agreement as a result of a
breach by Customer(including nonpayment),Customer shall pay Company an amount equal to the most recent month's monthly charges multiplied by the lesser of(a)six months or(b)the number of
months remaining in the term. Customer acknowledges that in the event of such a termination,actual damages to Company would be uncertain and difficult to ascertain,such amount is the best,reasonable
and objective estimate of the actual damages to Company,such amount does not constitute a penalty,and such amount is reasonable under the circumstances. Any amount payable under this paragraph
shall be in addition to amounts already owing under this Agreement.
ASSIGNMENT. Customer shall not assign this Agreement without Company's prior written consent,which Company shall not unreasonably withhold. Company may assign this Agreement without
Customer's consent.
EXCUSED PERFORMANCE. Except for Customer's obligation to pay amounts due to Company,any failure or delay in performance due to contingencies beyond a parry's reasonable control,including
strikes,riots,terrorist acts,compliance with Applicable Laws or governmental orders,fires and acts of God,shall not constitute a breach of this Agreement.
ATTORNEYS'FEES. If any litigation is commenced under this Agreement,the successful party shall be entitled to recover,in addition to such other relief as the court may award,its reasonable attorneys'
fees,expert witness fees,litigation related expenses,and court or other costs incurred in such litigation or proceeding.
MISCELLANEOUS. This Agreement sets forth the entire agreement of the parties and supersedes all prior agreements,whether written or oral,that exist between the parties regarding the subject matter
of this Agreement. Company shall have no confidentiality obligation with respect to any Waste Materials. This Agreement shall be binding upon and inure solely to the benefit of the parties and their
permitted assigns. If any provision of this Agreement shall be invalid,illegal or unenforceable,it shall be modified so as to be valid,legal and enforceable but so as most nearly to retain the intent of the
parties. If such modification is not possible,such provision shall be severed from this Agreement. In either case,the validity,legality and enforceability of the remaining provisions of this Agreement shall
not in any way be affected thereby. Customer and Company agree that an electronically stored copy of this Agreement constitutes proof of the contents of this Agreement,as though it were original.
X X
CUSTOMERS INITIALS DATE
T1
\ v
9/23/2019 2:27 PM
R PROPOSAL
Vi REPUBLIC
d.4 SERVICES
9/23/2019
Sue Neff
POLICE FIRING RANGE
9609 HAZEL DELL PKWY
CARMEL, IN 46032
Quote:A194838596
CITY OF CARMEL POLICE:
Below is our proposal of recommended services, customized for your business needs identified during our discussions. If you
ever need additional services, or just need an extra pickup, please give us a call at 317-917-7300. It's that easy.
•
Service Details
SMALL CONTAINERS
Price Adjustment
Equipment Qty/Type/Size: 1 -8.0 yard Container Base Rate: $100.00 per month
Frequency: 1/week
Material Type: Solid Waste
Estimated Monthly Amoght
Small Container Base Rates $100.00
Total Estimated Amount $100.00
Eric Bushue
Republic Services
317-716-0671
ebushue@republicservices.com
www.republicservices.com
The Total Estimated Amount is merely an estimate of your typical monthly invoice amount without one-time start-up charges(e.g.,delivery). It does not inch.
any applicable taxes or local fees,which would be additional charges on your invoice.
"FRF,ERF&ADMIN:The Fuel Recovery Fee(FRF)is a variable charge that changes monthly. For more information on the FRF,Environmental Recovery
Fee(ERF)and Administrative Fee,please visit the links available on the Bill Pay page of our website,www.republicsgrvices.com. The proposed rates above
valid for 60 days. This proposal is not a contract or agreement or an offer to enter into a contract or agreement- The purpose of this proposal is to set forth th
proposed framework of service offerings and rates and fees for those offerings. Any transaction based upon this proposal is subject to and conditioned upon I
execution by both parties of Republic Services'Customer Service Agreement.
Exhibit A
R PROPOSAL
TP REPUBLIC
d.44 SERVICES
9/23/2019
Sue Neff
POLICE FIRING RANGE
9609 HAZEL DELL PKWY
CARMEL, IN 46032
Quote: A194838560
CITY OF CARMEL POLICE:
Below is our proposal of recommended services, customized for your business needs identified during our discussions. If you
ever need additional services, or just need an extra pickup, please give us a call at 317-917-7300. It's that easy.
Service Details
SMALL CONTAINERS
Price Adjustment
Equipment Qty/Type/Size: 1 -8.0 yard Container Base Rate: $100.00 per month
Frequency: 1/week
Material Type: Solid Waste
Eitimated Monthly Amount
Small Container Base Rates $100.00
Total Estimated Amount $100.00
Eric Bushue
Republic Services
317-716-0671
ebushue@republicservices.com
www.republicservices.com
▪The Total Estimated Amount is merely an estimate of your typical monthly invoice amount without one-time start-up charges(e.g.,delivery). It does not inclL
any applicable taxes or local fees,which would be additional charges on your invoice.
• FRF,ERF&ADMIN:The Fuel Recovery Fee(FRF)is a variable charge that changes monthly. For more information on the FRF,Environmental Recovery
Fee(ERF)and Administrative Fee,please visit the links available on the Bill Pay page of our website,www.republicservices.com. The proposed rates above
valid for 60 days. This proposal is not a contract or agreement or an offer to enter into a contract or agreement. The purpose of this proposal is to set forth th
proposed framework of service offerings and rates and fees for those offerings. Any transaction based upon this proposal is subject to and conditioned upon t
execution by both parties of Republic Services'Customer Service Agreement.
Exhibit A
R PROPOSAL
REPUBLIC
d,4 SERVICES
9/23/2019
Sue Neff
CARMEL CITY HALL
1 CIVIC SQ
CARMEL, IN 46032
Quote:A194839098
CITY OF CARMEL:
Below is our proposal of recommended services, customized for your business needs identified during our discussions. If you
ever need additional services, or just need an extra pickup, please give us a call at 317-917-7300. It's that easy.
Service Details .
SMALL CONTAINERS
Price Adjustment
Equipment Qty/Type/Size: 1 -6.0 yard Container Base Rate: $160.00 per month
Frequency: 2/week
Material Type: Solid Waste
Price Adjustment
Equipment Qty/Type/Size: 1 -96 gallon Container Base Rate: $0.00 per month
Frequency: 1/week
Material Type: All in One-Single stream
Estimated Monthly Amount*
Small Container Base Rates $160.00
Total Estimated Amount $160.00
Eric Bushue
Republic Services
317-716-0671
ebushue@republicservices.com
www.republicservices.com
*The Total Estimated Amount is merely an estimate of your typical monthly invoice amount without one-time start-up charges(e.g.,delivery). It does not inch
any applicable taxes or local fees,which would be additional charges on your invoice.
FRF,ERF&ADMIN:The Fuel Recovery Fee(FRF)is a variable charge that changes monthly. For more information on the FRF,Environmental Recovery
Fee(ERF)and Administrative Fee,please visit the links available on the Bill Pay page of our website,www.republicservices.com. The proposed rates above
valid for 60 days. This proposal is not a contract or agreement or an offer to enter into a contract or agreement. The purpose of this proposal is to set forth th
proposed framework of service offerings and rates and fees for those offerings. Any transaction based upon this proposal is subject to and conditioned upon I
execution by both parties of Republic Services'Customer Service Agreement.
Exhibit
n /
l
R PROPOSAL
in REPUBLIC
SERVICES
9/23/2019
Sue Neff
FIRE STATION 46
540 W 136TH ST
CARMEL, IN 46032
Quote: A194838966
CITY OF CARMEL FIRE DEPT:
Below is our proposal of recommended services, customized for your business needs identified during our discussions. If you
ever need additional services, or just need an extra pickup, please give us a call at 317-917-7300. It's that easy.
Service Details
SMALL CONTAINERS
Price Adjustment
Equipment Qty/Type/Size: 1 - 3.0 yard Container Base Rate: $40.00 per month
Frequency: 1/week
Material Type: Solid Waste
Estimated Monthly Amount-* --•
Small Container Base Rates $40.00
Total Estimated Amount $40.00
Eric Bushue
Republic Services
317-716-0671
ebushue@republicservices.com
www.republicservices.com
•The Total Estimated Amount is merely an estimate of your typical monthly invoice amount without one-time start-up charges(e.g.,delivery). It does not inck.
any applicable taxes or local fees,which would be additional charges on your invoice.
"FRF,ERF&ADMIN:The Fuel Recovery Fee(FRF)is a variable charge that changes monthly. For more information on the FRF,Environmental Recovery
Fee(ERF)and Administrative Fee,please visit the links available on the Bill Pay page of our website,www.republicservices.com. The proposed rates above
valid for 60 days. This proposal is not a contract or agreement or an offer to enter into a contract or agreement. The purpose of this proposal is to set forth th
proposed framework of service offerings and rates and fees for those offerings. Any transaction based upon this proposal is subject to and conditioned upon I
execution by both parties of Republic Services'Customer Service Agreement.
Exhibit__ ___
R PROPOSAL
7; REPUBLIC
d.4 SERVICES
9/23/2019
Sue Neff
FIRE STATION 44
5032 E 131 ST ST
CARMEL, IN 46033
Quote:A194838917
CITY OF CARMEL FIRE DEPT:
Below is our proposal of recommended services, customized for your business needs identified during our discussions. If you
ever need additional services, or just need an extra pickup, please give us a call at 317-917-7300. It's that easy.
Service-Details
SMALL CONTAINERS
Price Adjustment
Equipment Qty/Type/Size: 1 -4.0 yard Container Base Rate: $65.00 per month
Frequency: 1/week
Material Type: Solid Waste
Estimated Monthly Amount
Small Container Base Rates $65.00
Total Estimated Amount $65.00
Eric Bushue
Republic Services
317-716-0671
ebushue@republicservices.com
www.republicservices.com
'The Total Estimated Amount is merely an estimate of your typical monthly invoice amount without one-time start-up charges(e.g.,delivery). It does not inch.
any applicable taxes or local fees,which would be additional charges on your invoice.
FRF,ERF&ADMIN:The Fuel Recovery Fee(FRF)is a variable charge that changes monthly. For more information on the FRF,Environmental Recovery
Fee(ERF)and Administrative Fee,please visit the links available on the Bill Pay page of our website,www.republicservices.com. The proposed rates above
valid for 60 days. This proposal is not a contract or agreement or an offer to enter into a contract or agreement. The purpose of this proposal is to set forth th•
proposed framework of service offerings and rates and fees for those offerings. Any transaction based upon this proposal is subject to and conditioned upon I
execution by both parties of Republic Services'Customer Service Agreement.
Exhi
bit /'l
- G�l
A PROPOSAL
Vi 7) REPUBLIC
SERVICES
9/23/2019
Sue Neff
FIRE STATION 43
3242 E 106TH ST
CARMEL, IN 46033
Quote: A194838881
CITY OF CARMEL FIRE DEPT:
Below is our proposal of recommended services, customized for your business needs identified during our discussions. If you
ever need additional services, or just need an extra pickup, please give us a call at 317-917-7300. It's that easy.
Service.Details _ l _ = ham
SMALL CONTAINERS
Price Adjustment
Equipment Qty/Type/Size: 1 -2.0 yard Container Base Rate: $30.00 per month
Frequency: 1/week
Material Type: Solid Waste
- - -Estimated-MonthIyAmQu-n Y
. .
_
Small Container Base Rates $30.00
Total Estimated Amount $30.00
Eric Bushue
Republic Services
317-716-0671
ebushue@republicservices.com
www.republicservices.com
`The Total Estimated Amount is merely an estimate of your typical monthly invoice amount without one-time start-up charges(e.g.,delivery). It does not inch.
any applicable taxes or local fees,which would be additional charges on your invoice.
FRF,ERF&ADMIN:The Fuel Recovery Fee(FRF)is a variable charge that changes monthly. For more information on the FRF,Environmental Recovery
Fee(ERF)and Administrative Fee,please visit the links available on the Bill Pay page of our website,www.republicservices.com. The proposed rates above
valid for 60 days. This proposal is not a contract or agreement or an offer to enter into a contract or agreement. The purpose of this proposal is to set forth th
proposed framework of service offerings and rates and fees for those offerings. Any transaction based upon this proposal is subject to and conditioned upon I
execution by both parties of Republic Services'Customer Service Agreement.
Exhibit A
R PROPOSAL
Air
73 REPUBLIC
d.4 SERVICES
9/23/2019 -
Sue Neff
FIRE STATION 42
3610 W 106TH ST
CARMEL, IN 46032
Quote: A194838832
CITY OF CARMEL FIRE DEPT:
Below is our proposal of recommended services, customized for your business needs identified during our discussions. If you
ever need additional services, or just need an extra pickup, please give us a call at 317-917-7300. It's that easy.
Service Details
SMALL CONTAINERS
Price Adjustment
Equipment Qty/Type/Size: 1 -2.0 yard Container Base Rate: $70.00 per month
Frequency: 2/week
Material Type: Solid Waste
Estimated Monthly. Amount*
Small Container Base Rates $70.00
Total Estimated Amount $70.00
Eric Bushue
Republic Services
317-716-0671
ebushue@republicservices.corn
www.republicservices.com
"The Total Estimated Amount is merely an estimate of your typical monthly invoice amount without one-time start-up charges(e.g.,delivery). It does not inch
any applicable taxes or local fees,which would be additional charges on your invoice.
FRF,ERF&ADMIN:The Fuel Recovery Fee(FRF)is a variable charge that changes monthly. For more information on the FRF,Environmental Recovery
Fee(ERF)and Administrative Fee,please visit the links available on the Bill Pay page of our website,www.republicservices.com. The proposed rates above
valid for 60 days. This proposal is not a contract or agreement or an offer to enter into a contract or agreement. The purpose of this proposal is to set forth th
proposed framework of service offerings and rates and fees for those offerings. Any transaction based upon this proposal is subject to and conditioned upon I
execution by both parties of Republic Services'Customer Service Agreement.
Exhibit A
R PROPOSAL
REPUBLIC
SERVICES
9/23/2019
Sue Neff
FIRE STATION 41
2 CIVIC SQ
CARMEL, IN 46032
Quote: A194838725
CITY OF CARMEL FIRE DEPT:
Below is our proposal of recommended services,customized for your business needs identified during our discussions. If you
ever need additional services, or just need an extra pickup, please give us a call at 317-917-7300. It's that easy.
Service Details
SMALL CONTAINERS
Price Adjustment
Equipment Qty/Type/Size: 1 -8.0 yard Container Base Rate: $200.00 per month
Frequency: 2/week
Material Type: Solid Waste
Estimated Monthly Amount* I
Small Container Base Rates $200.00
Total Estimated Amount $200.00
Eric Bushue
Republic Services
317-716-0671
ebushue@republicservices.com
www.republicservices.com
'The Total Estimated Amount is merely an estimate of your typical monthly invoice amount without one-time start-up charges(e.g.,delivery). It does not inch.
any applicable taxes or local fees,which would be additional charges on your invoice.
"FRF,ERF&ADMIN:The Fuel Recovery Fee(FRF)is a variable charge that changes monthly. For more information on the FRF,Environmental Recovery
Fee(ERF)and Administrative Fee,please visit the links available on the Bill Pay page of our website,www.republicservices.com. The proposed rates above
valid for 60 days. This proposal is not a contract or agreement or an offer to enter into a contract or agreement. The purpose of this proposal is to set forth th
proposed framework of service offerings and rates and fees for those offerings. Any transaction based upon this proposal is subject to and conditioned upon i
execution by both parties of Republic Services'Customer Service Agreement.
Exhibit
110 oft('
R► PROPOSAL
REPUBLIC
SERVICES
9/23/2019
Sue Neff
CITY OF CARMEL UTILITIES
5484 E 126TH ST
CARMEL, IN 46033
Quote: A194838673
CITY OF CARMEL UTILITIES:
Below is our proposal of recommended services, customized for your business needs identified during our discussions. If you
ever need additional services, or just need an extra pickup, please give us a call at 317-917-7300. It's that easy.
Service Details
SMALL CONTAINERS
Price Adjustment
Equipment QtylType/Size: 1 -6.0 yard Container Base Rate: $80.00 per month
Frequency: 1/week
Material Type: Solid Waste
Estimated Monthly Amount* • .
Small Container Base Rates $80.00
Total Estimated Amount $80.00
Eric Bushue
Republic Services
317-716-0671
ebushue@republicservices.com
www.republicservices.com
'The Total Estimated Amount is merely an estimate of your typical monthly invoice amount without one-time start-up charges(e.g.,delivery). It does not inch.
any applicable taxes or local fees,which would be additional charges on your invoice.
"FRF,ERF&ADMIN:The Fuel Recovery Fee(FRF)is a variable charge that changes monthly. For more information on the FRF,Environmental Recovery
Fee(ERF)and Administrative Fee,please visit the links available on the Bill Pay page of our website,www.republicservices.com. The proposed rates above
valid for 60 days. This proposal is not a contract or agreement or an offer to enter into a contract or agreement. The purpose of this proposal is to set forth th
proposed framework of service offerings and rates and fees for those offerings. Any transaction based upon this proposal is subject to and conditioned upon t
execution by both parties of Republic Services'Customer Service Agreement.
Exhibit
1fg
R PROPOSAL
' REPUBLIC
#1.4 SERVICES
9/23/2019
Sue Neff
WATER DISTRICT PLANT
3450 W 131ST ST
CARMEL, IN 46074
Quote: A194838631
CITY OF CARMEL UTILITIES:
Below is our proposal of recommended services, customized for your business needs identified during our discussions. If you
ever need additional services, or just need an extra pickup, please give us a call at 317-917-7300. It's that easy.
Service Details. .
SMALL CONTAINERS
Price Adjustment
Equipment Qty/Type/Size: 1 -6.0 yard Container Base Rate: $80.00 per month
Frequency: 1/week
Material Type: Solid Waste
Estimated Monthly Amount* e `' t ` `
Small Container Base Rates $80.00
Total Estimated Amount $80.00
Eric Bushue
Republic Services
317-716-0671
ebushue@republicservices.com
www.republicservices.com
The Total Estimated Amount is merely an estimate of your typical monthly invoice amount without one-time start-up charges(e.g.,delivery). It does not inch
any applicable taxes or local fees,which would be additional charges on your invoice.
FRF,ERF&ADMIN:The Fuel Recovery Fee(FRF)is a variable charge that changes monthly. For more information on the FRF,Environmental Recovery
Fee(ERF)and Administrative Fee,please visit the links available on the Bill Pay page of our website,www.republicservices.com. The proposed rates above
valid for 60 days. This proposal is not a contract or agreement or an offer to enter into a contract or agreement. The purpose of this proposal is to set forth th
proposed framework of service offerings and rates and fees for those offerings. Any transaction based upon this proposal is subject to and conditioned upon I
execution by both parties of Republic Services'Customer Service Agreement.
Exhibit A
R PROPOSAL
7) REPUBLIC
dp4 SERVICES
9/23/2019
Sue Neff
CARMEL UTILITIES WWTP
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280
Quote: A194839287
CARMEL UTILITIES WWTP:
Below is our proposal of recommended services, customized for your business needs identified during our discussions. If you
ever need additional services,or just need an extra pickup, please give us a call at 317-917-7300. It's that easy.
Service Details
LARGE CONTAINERS
Price Adjustment
Equipment Qty/Type/Size: 1 -Open Top 20.00 Yd(s) Haul Rate: $500.00 per haul
Frequency: On-Call Disposal Rate: $0.00 per ton
Material Type: Solid Waste
Hauls/month: 2.0
Estimated Monthly Amount
Large Container Haul Charge $1,000.00
Total Estimated Amount $1,000.00
Eric Bushue
Republic Services
317-716-0671
ebushue@republicservices.com
www.repuhlicservices.com
"The Total Estimated Amount is merely an estimate of your typical monthly invoice amount without one-time start-up charges(e.g.,delivery). It does not inclL
any applicable taxes or local fees,which would be additional charges on your invoice.
""FRF,ERF&ADMIN:The Fuel Recovery Fee(FRF)is a variable charge that changes monthly. For more information on the FRF,Environmental Recovery
Fee(ERF)and Administrative Fee,please visit the links available on the Bill Pay page of our website,www.republicservlces.com. The proposed rates above
valid for 60 days. This proposal is not a contract or agreement or an offer to enter into a contract or agreement. The purpose of this proposal is to set forth th.
proposed framework of service offerings and rates and fees for those offerings. Any transaction based upon this proposal is subject to and conditioned upon 1
execution by both parties of Republic Services'Customer Service Agreement.
Exhibit A
R PROPOSAL
7; REPUBLIC
41.4 SERVICES
9/23/2019
Sue Neff
BROOKSHIRE GOLF COURSE RO/FL
12120 BROOKSHIRE PKWY
CARMEL, IN 46033
Quote: A194839350
CITY OF CARMEL BROOKSHIRE GOLF:
Below is our proposal of recommended services, customized for your business needs identified during our discussions. If you
ever need additional services, or just need an extra pickup, please give us a call at 317-917-7300. It's that easy.
Service Details
SMALL CONTAINERS
Price Adjustment
Equipment Qty/Type/Size: 1 -8.0 yard Container Base Rate: $200.00 per month
Frequency: 2/week
Material Type: Solid Waste
Estimated Monthly Amount*
Small Container Base Rates $200.00
Total Estimated Amount $200.00
Eric Bushue
Republic Services
317-716-0671
ebushue@republicservices.com
www.republicservices.com
•The Total Estimated Amount is merely an estimate of your typical monthly invoice amount without one-time start-up charges(e.g.,delivery). It does not inch.
any applicable taxes or local fees,which would be additional charges on your invoice.
**FRF,ERF 8 ADMIN:The Fuel Recovery Fee(FRF)is a variable charge that changes monthly. For more information on the FRF,Environmental Recovery
Fee(ERF)and Administrative Fee,please visit the links available on the Bill Pay page of our website,www.republicservices.com. The proposed rates above
valid for 60 days. This proposal is not a contract or agreement or an offer to enter into a contract or agreement. The purpose of this proposal is to set forth th
proposed framework of service offerings and rates and fees for those offerings. Any transaction based upon this proposal is subject to and conditioned upon t
execution by both parties of Republic Services'Customer Service Agreement.
Exhibit
PROPOSAL
�► ? REPUBLIC
ks.46 SERVICES
9/23/2019
Sue Neff
COMMUNICATIONS DEPARTMENT
31 1ST AVE NW
CARMEL, IN 46032
Quote: A194839245
YITY OF CARMEL:
Below is our proposal of recommended services, customized for your business needs identified during our discussions. If you
ever need additional services,or just need an extra pickup, please give us a call at 317-917-7300. It's that easy.
Service Details
SMALL CONTAINERS
Price Adjustment
Equipment Qty/Type/Size: 1 -4.0 yard Container Base Rate: $65.00 per month
Frequency: 1/week
Material Type: Solid Waste
Estimated Monthly Amount*
,
Small Container Base Rates $65.00
Total Estimated Amount $65.00
Eric Bushue
Republic Services
317-716-0671
ebushue@republicservices.com
www.republicservices.com
The Total Estimated Amount is merely an estimate of your typical monthly invoice amount without one-time start-up charges(e.g.,delivery). It does not inclL
any applicable taxes or local fees,which would be additional charges on your invoice.
FRF,ERF&ADMIN:The Fuel Recovery Fee(FRF)is a variable charge that changes monthly. For more information on the FRF,Environmental Recovery
Fee(ERF)and Administrative Fee,please visit the links available on the Bill Pay page of our website,www.republicservices.com. The proposed rates above
valid for 60 days. This proposal is not a contract or agreement or an offer to enter into a contract or agreement. The purpose of this proposal is to set forth th
proposed framework of service offerings and rates and fees for those offerings. Any transaction based upon this proposal is subject to and conditioned upon t
execution by both parties of Republic Services'Customer Service Agreement.
Exhibit A
R PROPOSAL
W REPUBLIC
d.4 SERVICES
9/23/2019
Sue Neff
STREET DEPARTMENT
3400 W 131ST ST
CARMEL, IN 46074
Quote: A194839149
CITY OF CARMEL STREET DEPT:
Below is our proposal of recommended services, customized for your business needs identified during our discussions. If you
ever need additional services, or just need an extra pickup, please give us a call at 317-917-7300. It's that easy.
Service Details
SMALL CONTAINERS
Price Adjustment
Equipment Qty/Type/Size: 2- 4.0 yard Containers Base Rate: $110.00 per month
Frequency: 2/week
Material Type: Solid Waste
Estimated Monthly Amount"' •
.
Small Container Base Rates $110.00
Total Estimated Amount $110.00
Eric Bushue
Republic Services
317-716-0671
ebushue@republicservices.com
www.republicservices.com
`The Total Estimated Amount is merely an estimate of your typical monthly invoice amount without one-time start-up charges(e.g.,delivery). It does not inch.
any applicable taxes or local fees,which would be additional charges on your invoice.
FRF,ERF&ADMIN:The Fuel Recovery Fee(FRF)is a variable charge that changes monthly. For more information on the FRF,Environmental Recovery
Fee(ERF)and Administrative Fee,please visit the links available on the Bill Pay page of our website,www.republicservices.com. The proposed rates above
valid for 60 days. This proposal is not a contract or agreement or an offer to enter into a contract or agreement. The purpose of this proposal is to set forth th.
proposed framework of service offerings and rates and fees for those offerings. Any transaction based upon this proposal is subject to and conditioned upon I
execution by both parties of Republic Services'Customer Service Agreement.
Exhibit
EXHIBIT B
Invoice
Date:
Name of Company:
Address &Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
Goods Services
Person Providing Date Goods/Services Provided Cost Per Hourly Total
Goods/Services Goods/ (Describe each good/service Item Rate/
Service separately and in detail) Hours
Provided Worked
GRAND TOTAL
Signature
Printed Name Exhibit
EXHIBIT C
INSURANCE COVERAGES
Worker's Compensation&Disability Statutory Limits
Employer's Liability:
Bodily Injury by Accident/Disease: $100,000 each employee
Bodily Injury by Accident/Disease: $250,000 each accident
Bodily Injury by Accident/Disease: $500,000 policy limit
Property damage, contractual liability,
products-completed operations:
General Aggregate Limit(other than
Products/Completed Operations): $500,000
Products/Completed Operations: $500,000
Personal &Advertising Injury
Policy Limit: $500,000
Each Occurrence Limit: $250,000
Fire Damage(any one fire): $250,000
Medical Expense Limit(any one person): $ 50,000
Comprehensive Auto Liability(owned,hired and non-owned)
Bodily Single Limit: $500,000 each accident
Injury and property damage: $500,000 each accident
Policy Limit: $500,000
Umbrella Excess Liability
Each occurrence and aggregate: $500,000
Maximum deductible: $ 10,000
EXI-IIBIT D
AFFIDAVIT
;.\.V\ <vi% 'SCe-5
being first duly sworn,deposes and says that
he/she is familiar with and has personal knowledge of the facts herein and, if culled as a witness in this
matter,could testify as follows:
1. l am over eighteen(18)years of age and am competent to testify to the facts contained
herein.
2. I am now and at all times relevant herein have been employed by
P 1,,l'C S AC (the"Employer")
in the position of DS/A
• 3. I am familiar with the employment policies,practices,and procedures of the Employer and
have the authority to act on behalf of the Employer.
4. The Employer is enrolled and participates in the federal E-Verify program and has
provided documentation of such enrollment and participation to the City of Carmel,
Indiana.
5. The Company does not knowingly employ any unauthorized aliens.
FURTI IER AFFIANT SAYETI I NOT.
EXECUTED on the clay of CCQ 'O -& ,2011.
Printed: WI, L1u6‘1/A Or; '
I certify under the penalties for perjury under the laws of the United States of America and the State of
Indiana that the foregoing factual statements and representations are true and correct.
Printed:
11n4/2019 Purchase Orders Page ,
CARMEL WASTE WATER TREATMENT PLANT
9609 HAZEL DELL PARKWAY Purchasing Center CARMEL PC
PO No, S20259
INDIANAPOLIS IN 46280 Release No. 0
USA
Telephone No. 317-571-2634 Order Date 11/14/2019
Ext. Request Status ORDERED/SCHUDLED
Fax 317-571-2636 Revision No. 0.00
VENDOR 358593 SHIP TO CARMEL WASTE WATER TREATMENT PLANT
REPUBLIC SERVICES
832 Langsdale Ave ATTN:DUANE JARVIS
9609 HAZEL DELL PARKWAY
Indianapolis IN 46202 INDIANAPOLIS IN 46280
USA USA
Contact
Telephone No. (317)917-7300 Telephone No. 317.571.2634 ext 1 640
Ext.
Fax
INVOICE TO CARMEL WASTEWATER UTILITIES CONFIRM TO CARMEL WASTE WATER TREATMENT PLANT
ATTN:PAUL ARNONE ATTN:RECEIVING
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
U.S.A. USA
Freight Terms Payment Terms
Ship Via
Freight Carrier Shipping Terms
Qty Item NoJService Code Vendor's Item No. Receive To ID
Item Unit Cost Center Description
Due Date Account Code Specifications Unit Cost $ Total Cost $
24.00 NS20259 OUTSIDE SERVICE
1
EACH OUTSIDE SERVICE 20 Yard dumpster Rental&Disposal Fees 500.00 12,000.00
11/14/2019 01.7362.06
Subtotal $ 12,000.00
Tax Charge $ 0.00
Shipping $ 0.00
Misc. $ 0.00
Approval Date Order Total $ 12,000.00
20 yard dumpster rental and disposal fees
Twice monthly disposal for WWTP facility
-------- - PAGE
INDIANA RETAIL TAX EXEMPTCity of C leans l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT S12/6/oL
35-60000972
ONE CIVIC SQUARE
CARMEL,INDIANA 46032-2584 THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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CONFIRMATION BLANKED CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To: /
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DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
/az-6 7 y3 • A/PMEN VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP PREPAID. 0 n
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ',(\�
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. n
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE L J c-e C .C� Q 4441/1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3461. 2
City of Carmel INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 FEDERAL EXCISE TAX EXEMPT W10060
THIS NUMBER MUST APPEAR ON INVOICES,A/P
35-6000972 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO VENDOR NO. DESCRIPTION
11/14/2019 358593
REPUBLIC SERVICES #761 CARMEL WATER OPERATIONS
VENDOR PO BOX 9001099 SHIP 3450 W 131st STREET
LOUISVILLE KY 40290-1099 TO CARMEL, IN 46074
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
12.00 ea Quote A194838673 80 . 00 960.00
01-6360-03
12.00 Each Quote A194838631 80. 00 960.00
01-6360-06
PLEASE INVOICE IN DUPLICATE Credit 0.00
Department Account Project Project Account AMOUNT
PAYMENT 1, 920 .00
SHIPPING INSTRUCTIONS 'A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O
•SHIP PREPAID NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED VOUCHER HAS THE PROPER SWORN AFFADAVIT ATTACHED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL 'I HEREBY CERTIFY THAT THERE IS AN OBLIGATED BALANCE IN
SHIPPING LABELS THIS APPROPRIATION SUFFICIENT TO PAY FOR HE ABOVE ORDER.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TITLE
DOCUMENT CONTROL NO. W10060 CLERK-TREASURER
INDIANA RETAIL TAX EXEMPT Page 1 of 1
ci:City of C a.rici CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103224
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL,INDIANA 46032-2584 VOUCHER DELIVERY MEMO,PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/12/2019 358593
REPUBLIC WASTE SERVICES OF INDIANA Street Department
VENDOR PO BOX 9001099 SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
LOUISVILLE,KY 40290--1099 (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
41435
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-501.00
1 Each Trash Service $1,320.00 $1,320.00
Sub Total $1,320.00
Send Invoice To:
Street Department
3400 W.131st Street
Carmel, IN 46074-
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $1,320.00
SHIPPING INSTRUCTIONS 'AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN
•C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
"THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 7,L ����/_���:t
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY "�" ir7r
Dave Huffman
TITLE Director
CONTROL NO. 103224 CLERK-TREASURER
INDIANA RETAIL TAX EXEMPT Page 1 of 1
IiIiity. of CIIrrnieI' CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
Jl FEDERAL EXCISE TAX EXEMPT 103262
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AR
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/18/2019 358593 2020 Trash Service
REPUBLIC WASTE SERVICES OF INDIANA Carmel Fire Department
VENDOR PO BOX 9001099 SHIP 2 Civic Square
TO Carmel,IN 46032-
LOUISVILLE, KY 40290--1099
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
41610
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-501.01
12 Each Trash Removal-Sta.41 $200.00 $2,400.00
12 Each Trash Removal-Sta.42 $70.00 $840.00
12 Each Trash Removal -Sta.43 $30.00 $360.00
12 Each Trash Removal-Sta.44 $65.00 $780.00
12 Each Trash Removal-Sta.46 $40.00 $480.00
12 Each Trash Removal and Recycling -CTC $91.00 $1,092.00
Sub Total $5,952.00
7{N t °F—C- A ii4,
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Send Invoice To: ' f
Carmel Fire Department /J
2 Civic Square ��O 1
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT _I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $5,952.00
SHIPPING INSTRUCTIONS A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS ThE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE •
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 �----.." -
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder
TITLE Accreditation Budget Administrator
CONTROL NO. 103262 CLERK-TREASURER
o INDIANA RETAIL TAX EXEMPT Page 1 of 1
CI-1y of cI12tjjflr-] .ce1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103234
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL,INDIANA 46032-2584 VOUCHER.DELIVERY MEMO,PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. I DESCRIPTION
11/14/2019 358593
REPUBLIC WASTE SERVICES OF INDIANA Carmel Police Department
VENDOR PO BOX 9001099 SHIP 3 Civic Square
TO Carmel, IN 46032-
LOUISVILLE,KY 40290--1099 Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
41524
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-501.01
12 Each 4 yard container-SID/CID $65.00 $780.00
12 Each 8 yard container-CPD $100.00 $1,200.00
12 Each 8 yard container-range $100.00 $1,200.00
Sub Total $3,180.00
.,, 4,94,,
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, ,(---------
i
F
Send Invoice To: __
Carmel Police Department
Accounts Payable _
3 Civic Square �` jj''�� '" /
Carmel, IN 46032- 4►
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 1 PROJECT ACCOUNT I AMOUNT
PAYMENT $3,180.00
SHIPPING INSTRUCTIONS •NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jrm Barlow
TITLE Chief
CONTROL NO. 1 03234 CLERK-TREASURER
INDIANA RETAIL TAX EXEMPT Page 1 of 1
CityCari'flel
Jjo CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103244 •
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,ANP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/14/2019 358593
REPUBLIC WASTE SERVICES OF INDIANA General Administration
VENDOR PO BOX 9001099 SHIP 1 Civic Square
TO Carmel, IN 46032-
LOUISVILLE, KY 40290--1099
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
41552 I
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Department: 1205 Fund: 101 General Fund
Account. 43-501.01
1 Each Trash Collection $1,920.00 $1,920.00
Sub Total $1,920.00
L.
Send Invoice To.
Dept of Administration
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT j AMOUNT•
PAYMENT $1,920.00 •
SHIPPING INSTRUCTIONSAIPVOUCHERCANNOTBEAPPROVEDFORPAYMENTUNLESSTHEP.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN '
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE
'THIS ORDER ISSUED IN COMPUANCE WITH CHAPTER 99,ACTS 194
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY rilt"--e10
TITLE
CONTROL NO. 103244 CLERK-TREASURER
0 INDIANA RETAIL TAX EXEMPT Page 1 of 1
C]lit)T of ( .irirriell.. CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103223
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/12/2019 358593 2020 new contract
REPUBLIC WASTE SERVICES OF INDIANA ICS
VENDOR PO BOX 9001099 SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
LOUISVILLE, KY 40290--1099 Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
41409 L
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION I
Department: 1115 Fund: 101 General Fund
Account: 43-501.01
12 Each Trash collection $65.00 $780.00
Sub Total $780.00
7 Act.<4, 0 II— CAR*
/7 -
ial
1.0 q a 8 III IE
;-' 'ire
Send Invoice To:
ICS
Timothy Renick
31 1st Avenue N.W. ��' "`
Carmel,IN 46032- ND I A
0),--f"
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $780.00
SHIPPING INSTRUCTIONS 'AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL -----
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 '�9
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick
TITLE Director
CONTROL NO. 1 03223 CLERK-TREASURER