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Home My WebLink AboutFire Joinder Carmel/Clay Twp ORIGINAL 2006 CONTRACT FOR FIRE PROTECTION PAGE I CONTRACT FOR FIRE PROTECTION BETWEEN THE CITY OF CARMEL, INDIANA, AND CLAY TOWNSHIP OF HAMILTON COUNTY 2006 THIS AGREEMENT, made and entered into by and between the City of Carmel, Hamilton County, Indiana, hereinafter called the "City" and Clay Township, Hamilton County, Indiana, hereinafter called the "Township" as of the I" day of January, 2006; WITNESSETH: WHEREAS, the City and Township have heretofore entered into contracts for fire protection of the Township; and WHEREAS, the City and Township have agreed to continue fire protection arrangements for the additional period of one (I) year beginning as of January I, 2006, and continuing through December 31,2006; and WHEREAS, the City and Township have agreed that fire protection shall not be discontinued until the 2007 Contract is negotiated and ratified between the parties or until the Township has retained alternate fire protection. NOW, THEREFORE, it is mutually agreed by and between the parties hereto as follows: 1. The City agrees to furnish fire protection service to the residents of the Township outside the limits of the City, including basic and advanced life support emergency service ("life support"), the Communication Center Service, and administer the "911 emergency service" (all the 2006 CONTRACT FOR FIRE PROTECTION PAGE 2 foregoing collectively "Fire Protection"). 2. The Township hereby agrees to leave all of its fire fighting equipment, trucks and accessories, and life support emergency vehicles at the disposal of the City throughout the term of this Agreement. 3. The City will continue to operate the six (6) stations now in use and to operate advanced life support vehicles out of each station. 4. The only monetary liability of the Township for Fire Protection to the City will be to pay the contract payments as hereinafter set forth. The proportionate share of the Township for the 2006 Fire Department budget shall be the ratio based upon the Township's 2005 (pay 2006) assessed valuation outside the corporate limits compared to the City's 2005(pay 2006) assessed valuation as they relate to the total of the two. The proportionate share of the Township for the 2006 Communication Center's budget shall be one-half (]/2) of the Communication Center's budget multiplied by the ratio based upon the Township's 2005 (pay 2006) assessed valuation outside the corporate limits compared to the City's 2005 (pay 2006) assessed valuation as they relate to the total of the two. The 2005 (pay 2006) assessed valuation of the Township outside the corporate limits is certified as $],473,544,566 or 20.74% of the total assessed valuation of the Township. The 2005 (pay 2006) assessed valuation of the City is certified as $5,632,]] 0,240 or 79.26% of the total assessed valuation. These certified values and percentages are subject to change by the Hamilton County Auditor and the Department of Local Government Finance. 5. The City agrees to maintain a minimum of one hundred forty four (]44) full time, sworn firefighters at all times during the continuation of this agreement, including a full-time, paid 2006 CONTRACT FOR FIRE PROTECTION PAGE 3 Fire Chief, a minimum offorty (40) of said firefighters to be assigned to each of three (3) shifts at all times. In the event that firefighters terminate employment during the year, the City will continue to be in compliance with this paragraph so long as it hires replacement firefighters within a reasonable time of the termination. The City further agrees to maintain the Communication Center and administer Emergency "911" services and make the same available to all Township residents. The Fire Chiefwill be appointed by the Mayor, after consultation with the Township Trustee and the Township Board. 6. The City agrees to purchase all materials and supplies, to pay all compensation to personnel and firemen, pay the costs of the operation of the Fire Department and the Communication Center, to carry all necessary insurance on firefighters/personnel and on all buildings and equipment of the City and Township, except the building known as Fire Station No. 45, and to save the Township, the Township Trustee and the Township Board harmless from any and all liability, except as to Fire Station No. 45. A copy of the Declaration Page of the Liability Insurance Policy carried by the City on the Fire Department and the Communication Center is attached hereto as Exhibit "c" and a Certificate of Additional Insured is attached hereto as Exhibit "D", naming the Township, the Township Trustee and the Township Board as additional insureds. A copy of the Declaration Page of the Casualty and Premises Liability Policy carried by the Township on Fire Station No. 45 is attached hereto as Exhibit "E" and a Certificate of Additional Insured naming the City as additional insured on Fire Station No. 45 is attached hereto as Exhibit "F", 7. The City shall provide to the Township a complete inventory of all Fire Department 2006 CONTRACT FOR FIRE PROTECTION PAGE 4 apparatus and equipment each year. 8. The City agrees to furnish quarterly statements of all operating expenses on or before the tenth (10'h) day following the end of each calendar quarter. All 2006 Budgeted Amounts appropriately encumbered by the City in 2006 and expended in 2007 shall be separately accounted for and treated as 2006 operating expense for purposes of this Contract. On or before February 15, 2007, the City further agrees to furnish statements of all 2006 Budgetary items, expenditures and encumbrances in a format which can be reconciled to the contract amounts. The City shall repay to the Township its share of unspent monies contributed for Fire Protection no later than February 15, 2007, with regard to 2006 unspent monies. In the event that the State Board of Accounts Audit of the City of Carmel requires an adjustment of the above computations, the Township or the City will remit any amounts due as a result of the audit within thirty (30) days of receipt of the Audit Report. 9. The entire budget for the Fire Department of the City and of the Township in 2006 has been fixed at $16,425,583. A copy of said Budget is attached hereto as Exhibit "A2". Of that amount, it is mutually agreed that the share of the Township should be $3,406,666 (20.74% of the Fire Department Budget). In the event the expenditures in 2006 are less than $16,425,583, the Township's pro rata share of the money unspent shall be refunded as set forth in Paragraph 8 above. 10. The entire budget for the Communications Center of the City and of the Township in 2006 has been fixed at $1,990,900. A copy of said Budget is attached hereto as Exhibit "B2". Of that amount it is mutually agreed that the share of the Township shall be $206,457 (20.74% of 2006 CONTRACT FOR FIRE PROTECTION PAGE 5 50% of the Communications Center Budget). In the event the expenditures in 2006 are less than $1,990,900, the Township's pro rata share of the money unspent shall be refunded as set forth in Paragraph 8 above. I I. In order to pay its share of the above expenses for the year 2006 in the total amount of$3,613,123, the Township appropriated and will seek Dept. of Local Government Finance approval ofan appropriation in its Fire Fighting Fund of$3,613, 123. By this agreement the Township agrees to pay the entire appropriation of $3,613, 123 to the City as payment of its share of the total costs of Fire Protection. 12. The Township further agrees to take all action necessary to seek authorization to borrow funds, if necessary, to enable it to complete the payment of the total amount due and payable for its share of the costs of Fire Protection required pursuant to this Agreement. 13. For and in consideration of the promises and agreements herein and subject to the approval of all necessary state agencies the Township does hereby agree to pay the City the total sum of$3,406,666 (2006 Fire Department Budget) and $206,457 (2006 Communication Center) in the following manner: $103,228.50 (Conununication Center) on or before July 15, 2006, or within one (I) business day of the Township's receipt of its tax draw from Hamilton County, whichever is later. $1,703,333(Fire Department) and $1,703,333 (Fire Department) on or before December 3 I, 2006, or within one (1) business day of the 2006 CONTRACT FOR FIRE PROTECTION PAGE 6 and Township's receipt ofits tax draw from Hamilton County, whichever is later. $103,228.50 (Communication Center) Notwithstanding the foregoing scheduled payments, the Township may, at its option, and in lieu of the payments due on December 31st, pay an amount which will: (a) cause the total payments made by the Township pursuant to this Section to equal ninety-five percent (95%) of the scheduled payments for the year; or (b) equal the total percentage of budget actually spent by the Fire Department and Communication Center for the year, if received in writing from the City no later than December 30, whichever amount is greater. In the event the foregoing payments shall be less than the pro rata share of the actual expenditures by the City for the Fire Department and the Communication Center, the Township shall pay to the City an amount necessary to reconcile the actual payment due no later than February 15, 2007, for 2006 costs. 14. In the event that the City, based upon actual expenditures, determines that the funds budgeted for Fire Protection will not be sufficient to provide adequate Fire Protection for the year 2006, the City shall notifY the Township in writing no later than thirty (30) days prior to the need of additional funding. The City shall provide to the Township actual year-to-date expenditures compared to budgeted expenditures per budget line item. Both the City and the Township shall review these figures to determine whether savings are possible within the total budget or whether an additional appropriation for the year is necessary. If an additional appropriation is mutually found to be necessary, the Township shall, if funds are available, appropriate sufficient funds to pay for its share pursuant to paragraph 4 above 2006 CONTRACT FOR FIRE PROTECTION PAGE 7 within thirty (30) days. In the event that the Township does not have sufficient funds available in the current year's budget, and the Township is unable to obtain an emergency loan, despite its best efforts, the Township shall include the additional funds needed in the subsequent year's budget and shall promptly pay when funds are then available. The Township shall be entitled to a refund of its pro rata share of any unspent additional funds contributed to the City pursuant to Paragraph 14 in the form of a cash refund as set forth in paragraph 8 above. 15. In anticipation of a Contract for Fire Protection between the City and the Township in 2007 and to assist the Township in its budgeting process, the City agrees to include the Township in its 2007 budget discussions and send to the Township copies of completed budgets as proposed by the Mayor for the Fire Department and the Communication Center by the later of July 1, 2006, or at least seven (7) days before the joint budget meetings, and the final budgets as approved by the Department of Local Government Finance by February 28, 2007, or within thirty (30) days after receipt offinal budget approval. All budget meetings shall take place at a location mutually agreeable to the parties. 16. The parties acknowledge that in consideration of the Communication Center providing back-up 911 emergency service for the County, Hamilton County has agreed to pay a portion of the salary of the Communication Center's director for the year 2006 in the amount of Forty-Five Thousand Dollars ($45,000.00) per year ("County's Salary Supplement"). The City agrees to submit claims to the County for the County's Salary Supplement on or before December 31, 2006. The County's Salary Supplement for the year 2006 shall be applied to reduce the total 2006 CONTRACT FOR FIRE PROTECTION PAGE 8 operating expense for the Communications Center under Paragraph 10 of this Contract. 17. The parties agree that all requests for payments and/or adjustments to payments pursuant to this Fire Contract shall be placed upon a form approved by the Indiana State Board of Accounts and certified according to Indiana Statute with respect to the amount contained therein. 18. This agreement shall be in full force and effect as of the l't day ofJanuary 2006, and continue through the 31" day of December, 2006, provided, however, that the City shall continue to provide the fire protection services set forth above until the next contract for 2007 is negotiated and ratified between the City and Township or until the Township has retained alternate fire protection. In the event this Agreement is terminated, all jointly owned fire apparatus and equipment shall be divided between the parties in a mutually agreed upon manner and in proportions equal to the average share of monies contributed by each party in the 5 prior calendar years immediately preceding the year of contract termination. In the event that the City has provided Fire Protection in 2007 and a mutually acceptable contract is not reached between the City and the Township for 2007, the Township shall reimburse the City based upon the same formula utilized in this agreement based upon 2005 (pay 2006) assessed valuation. 2006 CONTRACT FOR FIRE PROTECTION PAGE 9 City of Carmel Hamilton County, Indiana J':':rai!ar~ ~ayor' ~ Date: 1-;< tJ - 0 t Sandra M. Johnson, Deputy Clerk for Approved Date: ~ ;)..S: :\.ooc. CLAY TOWNSHIP BOARD - Paul . Bolin, Member CLAY TOWNSHIP Hamilton County, Indiana ~ . -~ ~. J,rl /-. ~ Ju Ith . Hagan, Trustee \ Date: ~ J... ~oo(,o . EXHIBIT A FIRE DEPARTMENT BUDGET 2006 FOLLOWS THIS PAGE 1120-FIRE DEPARTMENT 2006 ACCOUNT -- - - - TITLE - -- -- 4110000 FULL TIME REGULAR 4111000 PART-TIME 4112000 OVERTIME 4112002 UNSCHEDULED OVERTIME 4112003 SHEDULED OVERTIME 4112004 CIVILIAN OVERTIME 4120000 DEFERRED COMPENSATION 4121000 CITY'S SHARE OF FICA 4122000 CITY'S SHARE OF H-INS 4122100 DISABILITY INSURANCE 4122200 LIFE INSURANCE CONTRIBUTI 4123001 UNIFORMED PERF 4123002 CIVILIAN PERF 4124000 CITY'S SHARE OF MEDICARE 4126000 RETIREMENT-FULL TIME 4127000 RETIREE HEALTH INSURANCE 4230100 STATIONARY & PRNTD MATERL 4230200 OFFICE SUPPLIES 4231100 BOTTLED GAS 4231300 DIESEL FUEL 4231400 GASOLINE 4231500 OIL 4232000 TIRES & TUBES 4232100 GARAGE & MOTOR SUPPlES 4235000 BUILDING MATERIAL 4236300 BITUMINOUS MATERIALS 4236400 PAINT 4236500 SALT & CALCIUM 4237000 REPAIR PARTS 4238000 SMALL TOOLS & MINOR EQUIP 4238900 OTHER MAl NT SUPPLIES 4239001 LINENS & BLANKETS 4239002 REFERENCE MANUALS 4239010 AMMUNITIONS & ACCESSORIES 4239011 SPECIAL DEPT SUPPLIES 4239012 SAFETY SUPPLIES 4239013 ELECTRONICS 4239020 FIRE PREVENTION SUPPLIES BUDGET 9,218,965.00 30,000.00 707,431.00 0.00 0.00 0.00 300,000.00 779,900.00 1,776,869.00 1,320.00 13,34500 1,690,574.00 28,059.00 0.00 123,000.00 234,674.00 3,550.00 10,000.00 9,450.00 35,000.00 25,00000 500.00 100.00 1,000.00 5,000.00 0.00 600.00 2,000.00 39,000.00 2,90000 12,366.00 . 3,600.00 500.00 1,500.00 1,800.00 2,245.00 600.00 12,500.00 4239099 OTHER MISCELLANOUS 4340000 LEGAL FEES 4340400 CONSULTING FEES 4340701 MEDICAL EXAM FEES 4340702 SHOTS & INOCULATIONS 4340703 MENTAL HEALTH COUNSELING 4340799 OTHER MEDICAL FEES 4341901 FILM DEVELOPMENT 4341903 SOFTWARE SUPPORT FEES 4341910 PROMOTIONAL TESTING FEES 4341954 INTERPRETER FEES 4341999 OTHER PROFESSIONAL FEES 4342100 POSTAGE 4343001 TRAVEL FEES & EXPENSES 4343002 EXTERNAL TRAINING TRAVEL 4343003 TRAVEL & LODGING 4343004 TRAVEL PER DIEMS 4344000 TELEPHONE LINE CHARGES 4344100 CELLULAR PHONE FEES 4344500 FAX LINE CHARGES 4345001 INTERNAL MATERIALS 4345002 PROMOTIONAL PRINTING 4346000 CLASSIFIED ADVERTISING 4347000 WORKMEN'S COMPENSATION 4347500 GENERAL INSURANCE 4348000 ELECTRICITY 4348500 WATER & SEWER 4349000 GAS 4350000 EQUIPMENT REPAIRS & MAINT 4350070 COMPUTER REPAIRS/MAINT 4350100 BUILDING REPAIRS & MAINT 4350101 TRASH COLLECTION 4350400 GROUNDS MAINTENANCE 4350500 RADIO MAINTENANCE 4350600 CLEANING SERVICES 4350900 OTHER CO NT SERVICES 4351000 AUTO REPAIR & MAINTENANCE 4351501 EQUIPMENT MAINT CONTRACTS 4351502 SOFTWARE MAINT CONTRACTS 4352500 BLDG MORTGAGE-CIVIC SQ 4353003 POSTAGE METER 4353099 OTHER RENTAL & LEASES 4355200 SUBSCRIPTIONS 8,450.00 0.00 2,000.00 91,320.00 1,600.00 3,000.00 500.00 500.00 2,000.00 0.00 0.00 0.00 6,000.00 0.00 20,050.00 2,000.00 850.00 34,750.00 36,000.00 0.00 1,500.00 2,000.00 3,000.00 205,000.00 88,500.00 67,000.00 15,888.00 51,500.00 4,50000 1,500.00 104,860.00 4,800.00 5,750.00 5,00000 . 26,250.00 76,955.00 90,000.00 24,500.00 34,000.00 6,000.00 700.00 14,680.00 4,505.00 4355300 ORGANIZATION & MEMBER DUE 4356001 UNIFORMS 4356002 UNIFORM ACCESSORIES 4356003 SAFETY ACCESSORIES 4357001 INTERNAL TRAINING FEES 4357002 EXTERNAL TRAINING FEES 4357003 INTERNAL INSTRUCT FEES 4357004 EXTERNAL INSTRUCT FEES 4358300 OTHER FEES & LICENSES 4359000 SPECIAL PROJECTS 4463000 FURNITURE & FIXTURES 4463100 COMMUNICATION EQUIPMENT 4463200 COMPUTER EQUIPMENT 4463201 HARDWARE 4463202 SOFTWARE 4463203 INTERNET HARDWARE 4463204 MOBILE DATA COMPUTER/CPO 4463300 APPLIANCES 4463500 GROUNDS MAINT EQUIPMENT 4464000 OFFICE EQUIPMENT 4467002 WATER RESCUE EQUIPMENT 4467003 FIREARMS 4467004 HAZARDOUS MATERIALS 4467005 CONFINED SPACE RESCUE 4467006 EMS EQUIP 4467007 TRAINING EQUIPMENT 4467099 OTHER EQUIPMENT 4469000 LIBRARY REF MATERIALS 2,595.00 75,450.00 2,000.00 141,262.00 11,225.00 0.00 35,000.00 . 27,19500 100.00 10,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 TOTAL FIRE DEPARTMENT 16,425,583.00 EXHIBIT B COMMUNICATION CENTER BUDGET 2006 FOLLOWS THIS PAGE. 1115-COMMUNICA TIONS CENTER 2006 ACCOUNT -- - -- TITLE -- -- - 4110000 FULL TIME REGULAR 4111000 PART-TIME 4112000 OVERTIME 4120000 DEFERRED COMPENSATION 4121000 CITY'S SHARE OF FICA 4122000 CITY'S SHARE OF H-INS 4122100 DISABILITY INSURANCE 4122200 LIFE INSURANCE CONTRIBUTI 4123002 CIVILIAN PERF 4124000 CITY'S SHARE OF MEDICARE 4127000 RETIREE HEALTH INSURANCE 4230000 OFFICIAL FORMS 4230100 STATIONARY & PRNTD MATERL . 4230200 OFFICE SUPPLIES 4231100 BOTTLED GAS 4231300 DIESEL FUEL 4231400 GASOLINE 4231500 OIL 4232000 TIRES & TUBES 4232100 GARAGE & MOTOR SUPPlES 4237000 REPAIR PARTS 4238000 SMALL TOOLS & MINOR EQUIP 4238900 OTHER MAINT SUPPLIES 4239002 REFERENCE MANUALS 4239012 SAFETY SUPPLIES 4239013 ELECTRONICS 4239099 OTHER MISCELLANOUS 4340400 CONSULTING FEES 4340701 MEDICAL EXAM FEES 4341903 SOFTWARE SUPPORT FEES 4341999 OTHER PROFESSIONAL FEES 4342100 POSTAGE 4343002 EXTERNAL TRAINING TRAVEL 4343004 TRAVEL PER DIEMS 4344000 TELEPHONE LINE CHARGES 4344100 CELLULAR PHONE FEES 4344200 INTERNET LINE CHARGES 4345001 INTERNAL MATERIALS BUDGET 1,018,000.00 15,000.00 97,000.00 15,000.00 70,000.00 161,000.00 4,300.00 2,000.00 97,000.00 16,500.00 2,00000 300.00 500.00 4,50000 0.00 700.00 3,500.00 300.00 500.00 500.00 17,500.00 1,500.00 700.00 1,200.00 300.00 700.00 2,500.00 2,500.00 300.00 0.00 2,00000 1,000.00 5,000.00 2,000.00 29,500.00 2,500.00 14,000.00 300.00 4346000 CLASSIFIED ADVERTISING 4347000 WORKMEN'S COMPENSATION 4347500 GENERAL INSURANCE 4348000 ELECTRICITY 4348500 W..;..TER & SEWER 4349000 GAS 4350000 EQUIPMENT REPAIRS & MAl NT 4350100 BUILDING REPAIRS & MAl NT 4350101 TRASH COLLECTION 4350500 RADIO MAINTENANCE 4350600 CLEANING SERVICES 4350900 OTHER CONT SERVICES 4351000 AUTO REPAIR & MAINTENANCE 4351100 CAR CLEANING 4351501 EQUIPMENT MAINT CONTRACTS 4351502 SOFTWARE MAINT CONTRACTS 4352600 AUTOMOBILE LEASE 4352700 RIGHT-OF-WAY LEASE 4353099 OTHER RENTAL & LEASES 4355100 PROMOTIONAL FUNDS 4355200 SUBSCRIPTIONS 4355300 ORGANIZATION & MEMBER DUE 4355500 USER FEES 4356002 UNIFORM ACCESSORIES 4357001 INTERNAL TRAINING FEES 4357004 EXTERNAL INSTRUCT FEES 4358200 SPECIAL INVESTIGATION FEE 4358400 REFUNDS AWARDS & INDEMITY 4359000 SPECIAL PROJECTS 4460100 TREES & SHRUBS 4461002 COMM CENTER RENOVATIONS 4463000 FURNITURE & FIXTURES 4463100 COMMUNICATION EQUIPMENT 4463200 COMPUTER EQUIPMENT 4463201 HARDWARE 4463202 SOFTWARE 4463203 INTERNET HARDWARE 4464000 OFFICE EQUIPMENT 4465001 CARS & TRUCKS 4467099 OTHER EQUIPMENT 4469000 LIBRARY REF MATERIALS 600.00 1,790.00 17,110.00 10,000.00 1,500.00 3,000.00 18,000.00 25,000.00 1,000.00 20,000.00 8,80000 18,000.00 0.00 100.00 57,000.00 27,000.00 15,000.00 3,000.00 76,000.00 1,000.00 200.00 600.00 15,900.00 0.00 3,000.00 12,000.00 500.00 0.00 1,000.00 0.00 0.00 3,500.00 20,000.00 0.00 15,000.00 9,000.00 0.00 2,000.00 0.00 12,000.00 200.00 TOTAL COMMUNICATIONS CENTER 1,990,900.00 EXHIBIT C DECLARATION PAGE OF CITY'S LIABILITY INSURANCE POLICY ~ ~ !!!!!!!!l! - === ~ !!!!!!!1!!5! ~ -== iiiiiiiiii """""" !!!!I!!i!II!!I iiiEiiiiiiii - E ~ ~ ~ .- ~ ~ - ~ ~ ~ -- ~ ~ ~ Cl 8 PUBLIC ENTITY liBIIERAL LIABILITY PROTECTION COVERAGE SUMMARY lboStRIIJI u u o o This Coverage Summary shows the limits of coveraga that apply to your Public Entity General Liability Protection. It also lists those endorsements. If any. that must have certain information shown for them to apply. IMPORTANT NOTE: Your agreement may contain an endorsement that reduces certain coverage limits shown below for damages subject to state statutory caps. .. >- o o o Um ilS Of Coverage IlIpDrtanl NDte: Only endorsements that must have certain Information shown for them to apply are named In this table. The required information follows the name of each such endorsement. Other endorsements may apply too. If so, they're listed on the Policy Forms List, Professional Services Endorsement - Described Professions: NURSES PARAHEDICS/EMT'S PSS Sexual Abuse Limitation Endt - With General Total Sublimit Sexual Abuse Total Limit $250,000 Sexual Abuse Each Person Limit $ 50,000 PSS Described Person Or Organization Endt - Add! Protected Persons Described Person or Organization CLAY TOWNSHIP TRUSTEES AS RESPECTS FIRE PROTECTION, COMMUNICATIONS CENTER, AND OPERATIONS OF PARKS DEPARTMENT AFFORDED BY CITY OF CARMEL. Described Person or Organization CARMEL CLAY SCHOOLS WITH REGARD TO PARKS DEPARTMENT DAY CAMP. Name Df Insured CITY OF CARMEL PDllcy Number GP09311918 EffecUve Dale 01/01/06 PrDcessing Date 01/19/06 09:48 001 G0208 Ed.10-97 Printed In U.S.A. Coverage Summary eSI.Paul Fire and Marine Insurance Co.1997 All Rights Reserved Page EXHIBIT D CITY'S CERTIFICATE OF TOWNSHIP NAMED AS ADDITIONAL INSURED ACORD_ CERTIFICATE OF LIABILITY INSURANCE OPIC ~4 DATE IMMlOOlYYY'YI CMMEBO 06/05/06 PRODuCER THIS CERTIACATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bylant of Indianapolis 1 LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 501 Congressional Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Indianapolis IN 46032 Phone: BOO-678-0361 Fax: 317-817-5151 INSURERS AFFORDING COVERAGE NAlCt INSURED INSURER A: I~. hill Fi~' K:Ir1n. In.. Co 24767 INSURER 8: Ci fa of Carmel INSURER C: At : Steve Engelking One Civic Smra INSURER D: Carme~ IN 4 32 tNSURER E: COVERAGES THE POUClES OF INSURANCE U51'ID BELOW HAVE BEEN ISStJED TO THE INSURED NAAAeO AOOVe FOR THE POLICY PERIOD Itt:I>>CATEO. NOTWITHSTANDING AJot'( RECUIREMENT, raw OR COPOTlONOF ANYCX1NTRACT OR OTHER oaCUUENT WITH RESPECT TO WHlCH THIS CERTIFICATE W,VBa ~EOOA MAY PERTAIN. THE INSURANCEAFFOROeD BY THE POUOES OESCRlBEO HEREIN IS SUBJECT 10 AlL THEiERMS.. exa.USIONS AND CONOlTIONSOF SUCH POLICES. AGlJREGATE L.1WT9 SHOWN flMY HAVE BEEN Rl!DIJCa) BY PAID ClAIMS. I~ .... TYPE OF INSURANCE POLICY NUMBER OATiHuUlDD ~ L.IMITS ~NERAL UABlllTV EACH OCCURREHCI; . 2 000 000 A X .!. 13....'00'" GENERAL UABlUTY GP093U918 01/01/06 01/01/07 PREUJSES rEa ~.l . 50 000 _ ClAIUS MADE ~ OCCUR MED EXP (Ally on. pen.on) . 0 PERSONAL & MN INJURY . 2 000 000 . GENERAl AGGREGATE . 2 000 000 - 2,000 000 ~l AGGREGATEUMfT nPER: PRODUCTS . (::()a,P~p AGG . ,n""o. POUCY JEeT we ~OMOBILE UA8IJTY COMBINED SINGLE UMIT S (ea'cciclelll) - _ AUTO - All OWNED AUTOS BODL Y INJURV . (Pwpvrson) I- SCHEDUlED AUTOS -- HIREOAUTOS BOOLY INJURY . (PetIl.CddenlJ I- NON~WNEO AUTOS I- PROPeRTY ON.lI\GE . (Per.ocllJenl) RRAGE .....LITY AlIfOONLY. EA I\CClOENT . _""TO OTHER THAN ",.-cc . AUTO ONLY: AGG . EXCESSAJt.tBR8UA llABlLlTY EACI< OCOJRRENCE . tJ OCCUR 0 C""NS """" AGGREGATE . . R DEDUCTIBlE $ RETENTION . . WORKeRS COMPENSATION AND I TORl~,~}j!,; I I v... EMPUOYERS'UASUJTY EL EACH ACCIDENT . ANY PRDPRIETORlPARTNERlEXfCUTM! EL OISEASE. EA eMPlOYEE S OFACE~EMBER EXCLUDeD? g~~~VI~NSb"OW E.L DISEASE. POLICY LIJ.lIT . .0,"", DESCRJPTlON OF OPERATtOHS' LOCATIONS 1 VEHICleS 1 exCLUSIONS ADDED BY ENDORSEMENT 1 SPECW. PROVlSJONS Certificate Holder is an Add! tional Insured as respeots to firQ protecti.on' provided by the Ci.ty of Carmel Fire Dep.tlrtment CERTIFICATE HOLDER CLAYT-2 CANCELLATION SHOULD APN OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPiRATlON DATE THEREOF, THE: ISSUING INSURER WILL ENDEAVOR TO ...AIL ~ DAYS WRnTEN HOTlCE TO -mE CERTIFICATE HOLDER NAUeo TO TIt! LEFT, BUT FAILURE TO DO so SHALL IMPOSe NO OBLlOA.TION OR UABn.1TY OF AHV KIND UPON THI!' INSUReR, ITS AGf!HTS OR . C~ay Township Trustee 10701 N. College Indianapolis IN 46280 RO CORPORATION 19B8 ACORO 25 (200110B) ACORI). EVIDENCE OF COMMERCIAL PROPERTY INSURANCE OPW 5 06 THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED,IS IN FORCE. AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY, PROOUCERN~e, ACT 800-678-0361 P8tS0N AND ACDRf$S H7-817-515i COMPANY NAME AND ADDRESS HAle NO: AOORE$S: Hylant of Indianapolis, 501 Congressional Blvd Indiana olis IN 46032 cooe MER 10 f': CA.lUI5:B 8 0 NAMED "'SUREO AND ADDRESS LLC St. Paul Fire & Marine Ins. Attnz Stephanie Tomczyk 540 Lake Cook Road, Ste 400 Deerfield IL 60015 Co sua CO~ IF MUL llPLE COMPANIES, COMPLETE SEPARATE FOfW FOR EACH LOAH NUMBER City of Carmel Due Civic Square Carmel IN 46032 AOOlTlONAL h'AMfD INSUREDIBJ EFFECTIVE DATE CONTlHUEO UNTIL TERMlHAtEO IF CI1ECKED PROPERTY INFORMATION (Use additional sheets If more space Is required) lOCATIOHtDESCRlP1lC>>I ......ra "<a"",on*,,,J.-. 001 3610 Ne~~ ~~~i~ Street COVERAGE INFORMATION CAUSE OF LOBS FORN I I BASe I IIIROAO I X I s..cw. I I OTl<ER COtoWERCIAL PROPSrrf COVERAGE AMClC..NT OF LNSUAAHCE: . 2.673.689 om, 5,000 YES NO 8I.J.SN:8S INCOME J RENTAl VAlUE 'YEs. l....rr: I , Acfuoll.ou Sustained .ol~ BlANKET COVERAGE '~ "YES.~~lfJf~onptq)eflalcleAlll!odabow: $ TERRORfS"'C~ ~~~~~~N~a/~C IS COVERAGE PROVIOEO FOR ""'1:;t'C IIt"II:UAcrs" ONt Y? <YES. SUBLMl: oeD; IS COVERAGE A ST,l,tt,D A.L.OHE POlICY7 . YES, UMrr: om DOES COVERAGE INClUDE. OONESTIC TERRORISM? 'YES, SUBUWIT: om COVERAGE FOR MOlD JfYES, UMlT: OECk MOlD EXCLUSlOHOf~. ~~llon'sfarmulCd) RER..ACEIoENT COST AGREED AIilOUN'T COINSlJRAHCE -va .. ECXlLPUENT BREAKDOwN (If A.ppigble) "YES. LIMIT: DeCk LAW AND ORDINANCE . Cowetage krlau 10 LI~ portion dbullcllng .va LWIT: DED: -DelD;AUanCo.sIs -- LINrT: OED: -Irr;;r. C05l d Ca\IlNdion -- lij,llT: om, EARThQUAKE Of ~cabI.) If YES, lIWT: OED: FLOOD (H ,I,p~jc:abl8l 'YES, LIMIT: OED: WIIC)IHAll(lf~PoICyI afyES. LiMIT: OED' PERMSSlON TO WANE SU8ROGA.11QH MIOR TO LOSS REMARKS . Including SpecJaI Conditions (Use sddltlonal sheets If mOnll Splice I.s required) I CA><CELLATlON THE POLICY lS SUB.Ja;T' TO lliE PREMIUMS. FORMS, AND RUleS IN ~ECT FOR EACH POUCY PERJOD. SHOULD THE POUCV B!! TERMINATED, THE COllPANYWllL GlVl!THEADDf1'1ONAL INTEREST IOENTIfED SlILOw 30 DAYS WRITTEN NOTICE" ANDWtLl6END NOTFICAnoN OF ANY CHANGES TO THE POUCYTHAT 'WOU1.D NTECT THAT INTEREST,IN ~CORDAHCe WITH TljE POUC'fPROVlSIONS DRAS REQUIRED BY LAW. ADD ITIONAL INTEREST ~~ AAD ADDRESS I N !NT N.AAE AND AOtlReSS C1ay Township Trustee 10701 N. College Indianapolis IN 46280 WORTGAGEE lOSS PAYEE ACORD 28 (2003110) ENTf, A . ACORD. EVIDENCE OF COMMERCIAL PROPERTY INSURANCE Of' 10 5~ DATE (WNODrl'YYY) 06/05/2006 THIS IS EVIDENCE THAT INSURANCE AS IDENTlAEO BELOW HAS BEEN ISSUEO,IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. PROOUcm NAME, CONTACT ~..., 800-678-0361 COWANY NAME AND ADDR~ I NAl(; NO, P~N AND ADl:lReS5 ""'No" . 317-817-5151 St. Paul Fire & Marine rna. Co I~: Attn: Stephanie Tomczyk Rylant of Indianapol~s, LLC 540 Lake Cook Road. St.. 400 501 Congressional Blvd Deerfie1d IL 60015 Indianapolis IN 46032 = I BUS cooe: CUSTOMER 10 t':: CAlllIll8 C If IMUL TlPLE COMPAJrIe.S,. COMPurre sePARATE FORM FOR EACH trjA.l,lED UoOSUREO AND ADDRESS Lo.AN HUMBER !IPOUCY NUMBER Ci ty of Carmel GP09311918 One Civic Square EFFECTIVE DATE ~RATION DATE. Carmel IN 46032 In CONTNlJED ""'. 01/01/06 01/01/07 TERNlHATEO IF OECl<EO AOOmONAI.. NANEO IHlMJ~SI THlS REPl.AC~ . DAreD, -- PROPERTY INFORMATION (Use additiONlI sheets if more space Iii ruquired) LOCATIONIDESCRlPTlON nre ~<.a","on -tr-'1'- 001 540 West 136th Street IN 46032' COVERAGE INFORMATION """"" OF LOSS FORIl I IIlASIC 1 lOR""" .1 xl SPECIAL I I OllER COMMERCIAL PROPERTY COVERAGe AMOUNT OF HSURANCE: . 2.673.689 oeD: 5,000 YES NO BUSINESS INCOME 'RENTAl VAlUE II YES, LIMIT: I I AcIulIIlUM SuRilned .olmlO_ BlANKET COVERAGE If YEs. IndQIe IPlOI.Il'll 0/ irlll.nnat on ~.. ldenUled a&Nwe:: $ TEAAOR1SM COVERAGE NblI1l slgled Dildoa... NoiOllI DEe IS COVERAGE PROYIOEO FOR "CERTFJEDACTS" ONl. Y'? . . YES. SlI8 UIoIIT: OED: IS COVERAGe A STAN) ALONE POUCY't '''''s. LIMIT: oeD< DCES COVERA<* INCt.UOE 00MESTlC TERRORJSM7 .ves. SU8LIMIT: OED: COVERAGE FOR UOI.O lives. LIMIT: OED: ~LO EXCLUSION (l'''YES''.~frDrglll1_lIt1r1''.rormu:sed) REPlACEMENT COST AGREED AMOUNT COlNSURAN(::E 'YES. .. eoUlPJ.CENT BREAKDOWN {If A,pplil;able} ,YES. l.JNIT: OED: LAW AND ORDINANCE . Cowel1llpl! ftr Iou IlIlndamaged por1lon or bUldinll lrves. LIMIT: 060, .00000001ionCostl .ves. ur"IT: DB> . Ina. eo. or ConslNclion II YES. Lu.uT: oeo, EARTHQUAKE (If ~catJl4I) !rYES. LIMIT: DEI> FLOOD (It ,6,pphcable) II YES. LIMIT: DED: WWO I HAl\.. [If SepatPle POicv) If YES. LIMIT: OED: PEFUUSSION TO WAIVE SUBROGATION PRIOR TO lOSS REMARKS. Including Special Conditions (Use additk>nal..hvet& "more apace Is required) I CANCELLATION Tl-E POUCY IS SUBJECTTO lliE PREIIUM8, FORMS./WD RULES aN EFfECT FOR EACH POUCY PERIOD. SHOULD TH!! F'OUCY I5l!! TeRMINATED, THE COUf'AN('Mu. GIVE THENJDmONALiNTERE!3T ~ BELOW 30 DAYSWRITTBJ NOTICE, N4DWILL SENOHOTFICATiON OF AHYCMANGES TO TliE POUC'Y THAT WOULD AFFECT THAT 1NTERE5T. ~ ACCORtwlIC! WITH THe POUCY p~ OR AS REQUIRED BY l.I\W. ADDITIONAL' INTEREST NAME AHD ADDRESS LENDER SER\IIClHO AGENT NAME ADDRESS Clay Township Trustee 10701 N. College Indianapolis IN 46280 MORTGAGEE LOSS PAYEE ACORD 28 (2003/10) E~fr A . EXHIBIT E DECLARATION PAGES OF TOWNSHIP CASUAL TY AND PREMISES LIABILITY POLICY ON STATION #45 EIGHTEEN WEATHER WARNING SIRENS PERSONAL PROPERTY & TOWERS STATION #42 & 46 THE CINCINNATI INSURANCE COMPANY P.O. BOX 145496, CINCINNATI, OHIO 45250-5496 (513) 870-2000 A Stock Insurance Company CPP 071 29 91 Previous. Policy No. COMMON POLICY DECLARATIONS DECLARATIONS POLICY NUMBER CPP 091 68 81 NAMED INSURED CLAY CIVIL TOWNSHIP & CLAY TOWNSHIP REGIONAL WASTE DISTRICT ATIMA ADDRESS 10701 NORTH COLLEGE AVE (Number & Street, INDIANAPOLIS IN 46280 Town, County, State & Zip No.) Policy Period: Al 12:01 A.M.; STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE All coverages except Automobile and/or Garage Policy number: CPP 091 68 81 FROM: 01-12-2005 TO: 01-12-2008 Automobile and/or Garage Policy number: . FROM: TO: A~ency FEARRIN INSURANCE AGENCY 13-784 City CARMEL. IN Legal Entity/Business Description GOVERNMENTAL ENTITY IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. FORMS APPLICABLE TO ALL COVERAGE PARTS (show numbers) . REFER TO IA901 RENEWAL SKD WS5 02-09-2005 Countersigned rv1MG( 11.0 LGcS (Date) By d., (, i , . J (\~~ 1\'~l~L'," ( Authorized R resentative) IN WITNESS WHEREOF, this policy has been signed by our President and Secretary iri the City of Fairfield, Ohio, but this policy shall not be binding upon us unless countersigned by an authorized representative of ours. This provision does not apply in Arizona, Virginia and Wisconsin. . &/ ./1 v ~ N J9iift> ,17 Secretary President ORIGINAL IA 501 02 01 Page 1 of 2 THE CINCINNATI INSURANCE COMPANY COMMERCIAL PROPERTY COVERAGE PART DECLARATIONS Attached to and forming part of POLICY NUMBER: CPP 091 68 81 Effective Date: 01-12-2005 Named Insured: IS THE SAME AS IT APPEARS ON THE COMMON POLICY DECLARATION 11em T ocatlon (address\ REFER TO IA904 OPTIONAL COVERAGES COVERAGE PROVIDED Applicable only when an entry is made l1em Coverage Limits Coin- Covered Business Income surance Cause Indemnitv of Loss I A A A N E E G F P P A L L L I E A A A N E T C C C 0 I E E L 0 M M V N E E S A N N T L G T T 0 U U C E A C C K A 0 0 0 s S T T ('Yo) (x) (X) (X) Monlhly Ma.>cimum E.o:leMIIKl Limit P;~od P...,oa ll'ilICtJon (0.", 1-1 BUILDING 3.000.000 90% SPECIAL X EQ 1-1 BUSINESS PERSONAL 400.000 90% SPECIAL X PROPERTY EQ 1-2 BUILDING 11,400 90% SPECIAL X EQ 1-3 BUILDING 26,000 90% SPECIAL X EQ 1-4 BUILDING 25,000 90% SPECIAl X EQ 1-5 BUSINESS PERSONAL 5,150 90% SPECIAL X PROPERTY EQ CONTINUED ON FM401 DEDUCTIBLE: $25000 unless otherwise stated $ 500 EARTHQUAKE DEDUCTIBLE 5% MORTGAGE HOLDER Item: FORMS AND/OR ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART. . . FM401 08/94 FA4S0 01/98 FM101 01/98 FA499IN 06/99 FA237 01/98 FA240 01/98 FA244 03/99 FA216 10/01 . FM 501 0694 THE CINCINNATI INSURANCE COMPANY A Stock Insurance Company CONTRACTORS' EQUIPMENT COVERAGE PART DECLARA TIONS Attached to and forming part of POLICY NUMBER: CPP 091 68 81 Effective Date: 01-12-2005 Named Insured: IS THE SAME AS IT APPEARS ON THE COMMON POLICV.DECLARATION TYPE OF COVERAGE 0 Broad 00 Special COVERAGE PROVISIONS Descrition (Year Built~ Limit of Insurance Identi ying Marks and umbers l. SRNT OUTDOOR SIREN 18 a 5.436 UNIT 97.848 2. DEFCTH SIREN CONTROL 18 a 3.960 UNIT 71.280 3. TR TRANSFORMER RECTIFIER 18 a 1,089 19,764 4. VAGI 1 VAGI ATENNA W/CABLE VHF 18 a 144 2,592 5. SS1000-STATUS ENCODER 2,160 6. SSP575 PRINTER FOR SS1000 360 Total $ 194,004 Leased or Rented Property $ RATES AND PREMIUM Rate $ INCL Premium$ INCL DEDUCTIBLE The Deductible amount is $250 unless otherwise stated $ 500 FORMS ANDIOR ENDORSEMENTS APPLICABLE TO CONTRACTORS' EQUIPMENT MA135 11/99 MA 108 02/91 SPECIAL PROVISIONS (if any) MA 508 01 97 Page 1 of 2 NATIONAL FIRE & CASUALTY CO. PROPERTY COVERAGE PART SUPPLEMENTAL DECLARATIONS Coverage Part Number: NFC02 4 7 3 PR 473 Agent# DESCRIPTION OF PREMISES: Premo Bldg, No No. 002 001 002 002 Location, Fire Protection/Construction and Occupancy 3610 WEST 106TH STREET CARMEL, IN FIRE STATION CONTENTS PC 04 NON-COMBUSTIBLE 3610 WEST 106TH STREET CARMEL, IN COMMUNICATIONS TOWER PC 04 NON-COMBUSTIBLE COVERAGES PROVIDED: Insurance at the described premises applies only for coverages lor which a limit 01 liability is shown or for which an entry is made. Pram Bldg. Coverage Limitol Causes 01(1) Coinsurance(2) Ded No. No. Liability Loss Form 002 001 YOUR PERSONAL PROPERTY 72,100 SPECIAL 100% 250 002 002 BUILDING 23,175 SPECIAL 100% 250 OPTIONAL COVERAGES: Premo . Bldg. No, No. Coverage Agreed Value Amount Expiration Date Replacemen1 Cost tncl. Stock Inilation Guard 002 002 001 002 YOUR PERSONAL PROPERTY BUILDING (X) (XI Pram No Bldg. No. Agreed Value Dale Agreed Value Amount Monthly Limit of Indemnity (Fraction) Maximum Period of Indemnity Extended Period at Indemnity (Days) MORTGAGE HOLDERS: Refer To Mortgagee/Loss Payee Schedule. Deductible Exceptions: (1) EO (;1 shown) =Earthquake (2) Coinsurance %, Extra Expense %, Limits on Loss Payment or Value Reporting Form Symbol. MAE F01 S014 10/98 NATIONAL FIRE & CASUAL TV CO. . . PROPERTY. COVERAGE PART SUPPLEMENTAL DECLARATIONS Coverage Part Number: NFC02473PR 473 . Agent# DESCRIPTION OF PREMISES: . Premo Bldg. No. No. Location, Fire Protection/Construction and Occupancy 001 001 540 WEST 136TH STREET CARMEL, IN FIRE STATION CONTENTS PC 04 NON-COMBUSTIBLE 001 002 540 WEST 136TH STREET CARMEL, IN COMMUNICATIONS TOWER PC 04 NON-COMBUSTIBLE COVERAGES PROVIDED: Insurance al the described premises applies only for coverages lor which a limit 01 liability is shown or jor which an entry is'made. Premo Bldg. Coverage Limite! Causes 01(1), Coinsurance(2). Oed No No. liability Loss Form 001 001 YOUR PERSONAL PROPERTY 72,100 SPECIAL 100% 250 001 002 BUILDING 15,450 SPECIAL 100% 250 OPTIONAL COVERAGES: Premo Bldg. No. No. Coverage Agreed Value Amount Expiration Date Replac:"ement Cost Incl..Slock Inflation Guard 001 001 001 002 YOUR PERSONAL PROPERTY BUILDING (x) (X) Premo No Bldg. No: ' Agreed Value Date Agreed Value Amount Monthly Umit of Indemnity (Fraction) Maximum Perioo of . Indemnity Extended Period oi Indemnity (Days) MORTGAGE HOLDERS: ReIer To Mortgagee/Loss Payee Schedule. D.eductible EXceptions: (1) EO (iI shown) =Earthquake (2) Coinsurance %, Extra Expense %, limits on.Loss .payment or Value Reporting Form Symbol. MAB F01 S014 10/98 [GIEI,~ GOVERNMENTAL INTERINSURANCE EXCHANGE Bloomington, Illinois A Reciorocallnsurer hereinafter called the :'Coffioanv" COMMON POLICY DECLARA TIONS GIE00943 Policv Number . GIE00771 Prior Policv Number I. The Named Insured and its Mailing Address The Named Insured is a: (No. Street, Town or City, County, State, Zip Code) . CLAY TOWNSHIP [X ] Public Agency . 10701 NORTH COLLEGE AVENUE [ ] Public Agency conso0ium, . INDIANAPOLIS, HAMILTON CO. , IN 46280 partnership, or joint venture. . II, The Policy Period is From: JANUARY 12, 2006 ] at 12:01 A. M. standard time at To: JANUARY 12, 2007 your mailing address shown above. III, Only those Coverage Parts for and opposite which an estimated premium or "INCLUDED" is entered in the following schedule are included in this Policv. The estimated premium lS sub'ect to adjustment. COVERAGE PARTS , ESTlMA TED PREMIUM PUBLIC AGENCY MULTI-CLASS LIABILITy.... ......... ....... $ 1,854 "DESIGNATED WRONGFUL EMPLOYMENT PRACTICES" LIABILITY. ....... ............ ............. ...... $ "EMPLOYEE BENEFITS ERRORS OR OMISSIONS" LIABILITY ........ .................. ........ . $ .. AUTO. ............... ......... $ PROPERTY... .............. ....... ................. ........... $ INLAND.MARlNE . ...... ... .". . . . . . . . . . . . . ..... ......... ............... "..... $ . POLICY TOT AL $ 1,854 . IV. These Common Policy Declarations together with the Common Policy Form, those Coverage Partes) designated above (and forms and endorsements designated in the specific Coverage Part Declarations), and the following listed forms and endorsements, if any. complete the above numbered Policy. . L99U100(9/97) L99S103(9/97) L99UI09(02/03) GDK MOC(9/97) ; I I I I V, This Policv shall not be effective unless sioned below bv an authorized agent of the Comnanv. ThiS Policy!s executed as of the first day of the Policy Period set forth above. Named Insured's Agent and ,Representative BLISS MC~NIGHT OF INDIANA, INC. Authonzed Agent of Company b)' --T ~ rP e,Jt- , ~... -'- <- .~~ Signature of Company's AutHorized Agent FEARRIN INSURANCE AGENCY by. Signature of Named "Insured's Agent 12/28/05 MEG/KC GDK COM 01/98 Copynght@ 1996, 1997 BlissMcKnight Concepts, [nc.. used with permission. ~orm Number Includes copyrigh1ed material of Insurance Services Office. Inc. used with permission Poge.1 of, .- GOVERNMENTAL INTERINSURANCE EXCHANGE PUBLIC AGENCY MULTI-CLASS LIABILITY - OCCURRENCE BASIS' COVERAGE PART AND DECLARATIONS \amed Insured: CLAY TOWNSHIP Coverage Part Number: . GIE00943ML Prior Number: GIE00771ML L . COVERAGE, COVERAGE FORMS, AND OTHER FORMS' IN COVERAGE PART i The Public Agency Multi-Class Liability coverageafforded is only those coverages described in this Public Agency Multi-Class Liability Coverage Part to this Policy. - Unless otherwise provided by Endorsement to this Coverage Part, the Public Agency Multi-Class Liability Coverage Part includes only the Public.Agency Multi-Class Liability Coverage Form which is attached hereto and made a part hereof and the other forms and endorsements that are listed in paragraph II. B., below. II. '\IUL TI-CLASS LIABILITY DECLARA nONS A. Limits of Liability The Company's Limit of Liability for all sueh coverage is: 1. Coverage Part Aggregate: $ 1, 000 , 000 : ,- 2. General Liability Per Occurrence: $ 1, 000 , 000 3. Fire Damage Per Occurrence: $ 50, 000 subject to all the terms and conditions of this Policy having reference hereto. B. Form numbers of fomls, endorsements and schedules forming a part of this Coverage Pan al Its inception: - . -. L17U200(01/98) L17U2b8(9/97) L17U219(9/97) LPE206a(2/86) , I I I . i I. , " j i, - c. Deductible: The indicated Deductible is applicable to coverages for which a Deductible amount ,s entered opposite the coverage in the following list of coverages. Absence of an entry means no deductible applies to that coverage: Amount of Deductible 'Bodily Injury Liability" $ -0- 'Property Damage Liability" $ - 0- "Personal Inju,ry" and "Advertising Injury" Liability $ -0- "Errors Or Omissions" Liability $ 2 , 5 0 0 Civil Ri~hts Liability $' 2,500 D. E. Premium: $ 1,854 This is an estimated Listing of Consortia, Partnerships and Joint Ventures (see Section II - Who Is An Insured) . ' "/: .//_ 1;.11: 1'/1;' ('//. (:";i~ r,'//;. f' I:. {- f 'IJ, 'Ii: '//. "/f, (,'// t,,;/;, ('://; r'l( (:/f:' {'II:' r./,; .{,' "If '-',If:;' ('//:' {'if:' ('II:' f:/!:, (', f', r,' t, ,'. ( '//._ '1/:' 'I/~, 'I" '1/:. ",'t. 'If.. (:"t. (''1/:. <'j/:- (fl:' ("/1:' 'Il (, ('11. (Ii' <:'i/. r,/..i '.1, 'J, 1;", (;1, ,. '/, , " r'Jf , '';t' , , , , I/l: , '// , '/< /I' '/1;' '/1,' 'I:' / ,,. , "/' I /, "/i , /, I. , I, ./ .. I, ./, GOK MOC 9/97 - .. , , Co~X~!,~~~ '~?~'?~hl~_:Yp~.~~"I'\;'Sr~~~~~~~t~~~i~~~~\~i~!~~'~ ~J;;~ '.~p~th n~;:'~}i;~ion. Piigc'] or I EXHIBIT F TOWNSHIP'S CERTIFICATE OF CITY NAMED. AS ADDITIONAL INSURED ON STATION #45 ACORD. CERTIFICATE 0FRt:LIABILlTY INSURANCE CSRTM I o.n'.....'llQIV'Y'Y'rl , ~ . - CLAYC-2 05131106 .QOO"'U OO~@~OW~fTII THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Fearrin Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE III N, Rangeline Road 1--' ) HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND DR .I~ P.O. Box 126 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Carmel IN 46082 ) UN ~. 0 006 I NAIC # .1 i. Phone: 317-846-4275 Fax: 317-848-4246 INSURERS AFFORDING COVERAGE ,~S~~(O '''SURER'' Cincinnati In~uranco Co. r 10677 'NSURERG I Clay Civil Township , Clay "'SlJRERC I Township Regional Waste Distr. 10701 North College Avenue 'HSUREAO I Indianapolis IN 46280 I .. 'N5\,IRl;RE ". .--... .... -- , .. COVERAGES . ~. ., '. '~f f'OI.iClU 01 'NSUIU.><CE LISTED IoEI.OW....ve ICE" 'SSUED TO THe !"SURED NAAlEO .oJlOV'l! 'OR THE "CIlley PERIllO ONO<C,UEO NOTW'THST....O..,G .... REOlJ'Arr..E..,. TEA.. ()Ol COf<DITION 01'....1 CONTItt.CT 011 on.EA OOCIIWENT WIT" REsPECT TOW"oo. THIS CERTIJICATE.....1 SE ISSUED Oft ..~,- ""A'_',~ '..I ...S~"""'CE ....'OOIColo.o ro.f POI.I<;JlU oncll'IlO....RE'.. ,S SU......CT TO .LL f>tIE TEll..,. UCus.o..s OHO co..OOflQr<S at- SUCH OQ,c,es ..a.G,,~(;.o.r. ,,"'I, SHOW" .... H.VE BUN "'E[}UCEO" "..,OCL..lIl,lS ." ". C:~ I ry"lO,...UIlAHCI ",I.ICl..UWIIllI lI'OI.OClH'ECTlVt O."'IYWDlll'1Y1 ~,;;r;=:~l~: .~ A ~ X , ~IULC'''BlLlry I X I CO....EllOAlGE..[!W.UABll'ry ! I ICL..lI"s,,>.O~ ~OCCUR tJ CPP0916aal 01/12/05 01/12/08 UC..OCCUIIIII.NCE C........ClEfOR[HTEC ""'E""SfSIE'<>GCU'OtaI Ii 1,000,000 i 500,00 I 10,000 11,000,000 II 2,000,000 ,2,000,000 . ..EOE."I.......,....._I I'ER~'OQ>I'...,URT GEHE.......GGIlEGATl I ClEmAOQREGdEL,..,f.""lIESPEIl n~,c' -h::6 n,OC "",ooucn.GQO.oPOOPAOO i .UTO"Olll..E,W1I..m ----; . : I ""'o.u'O ~"'-"OWHEOo.uTOS DSC"EOUCED"'JTos W""'[;l.UTOS : j HON.OWNEO.UTOS ii Ii ~ GQO.o~Nl.DIiIHGUU"1' . 'E._, SOOl",,,,UR. I. IPorPl"_1 J~"'''''' I. .. (.......-..,'1 I; .. PlIlOf'(IlTVO.......GE 1...._1 ....".OONL..U..cCIOlHf I. on.EIlT....... ,,~, I. AUTOao.,. ~, I. UCHOCCUAJlEHCE I. .OOREI;O...[ I. . . . l,.....csuru. I lOT". I 'OIl' "..'TS .. H.UC....cClOl1..' I. El,DlSEASE UEUII\O"liE I. EL.O,SE"SE I'OI.'C~ W.." I. I GAAAGIUAfI....,rr R~"'" I UCUS/U..UEl..........""I... DOCCUR DCLA~$"'ADE 1 , OoeCUCT'alE I I'tETEHTIQN ....OR.ERICO..'l..s.'IO......C if..'..OHRS.......'c,r. , .....""OPR'nOAA>-O,/lT..EIlIE.ECUTIVE ::">ct_E..uIlE.C.UDEO' !,.....o.au<leunoo, :W[C,"'-....U..S.o..~_ 'OTHlR OUC..",no.. Of ~Ul.ro.<l' 'oc.no...'.I..OClUII.JIClU6lO...ADCItilIYIHOOIlIt..E..T'.',C..... "'(W~ It ~s agreed and understood that the City ot Carmel iB listed as an additional insured on Fire Station '45. REVISION CERTIFICATE HOLDER CANCELLATION CITYO-l IMOULD....lO'fNI....OVI OUCII..O ",lOCllIN CAHCll~IOIlUOIU! THE UI"lItA1'ION O.T'(....lllf:Of.....EINUING'..IUR!Il....'lll..OU\o>ORTOWAA. 30 l).tTSw~'m.. HOTlCITOn<lCU!TIl'OC.T'(H(lLOl!Il.......EDTO...I..En.Iif!....UII1TOOOilO5t<Al. CITY OF CARMEL CIVIC CENTER, 1 CITY SQUARE CARMEL IN 46032 ""'I'ClII ~O OIlIGAno.. OR ~"",lLlT\' O,....~ ~'NO U_ ....llN.UII[R.ITI.o.GEI<n OR RVllflV<f.rrvu ACORD 2512001108) ~ @A RD CORPORATION 1988