HomeMy WebLinkAboutFire Joinder Carmel/Clay Twp ORIGINAL
2009 CONTRACT FOR FIRE PROTECTION
2009
CONTRACT FOR FIRE PROTECTION
BETWEEN THE CITY OF CARMEL, INDIANA
AND
CLAY TOWNSHIP OF HAMILTON COUNTY
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 1 day of January, 2009
WITNESSETH
WHEREAS, the City and the Township have heretofore entered into contracts for fire protection of'
the Township, and
WHEREAS, the City and the Township have agreed to continue fire protection arrangements for the
additional penod of one (1) year beginning as of January 1, 2009 and continuing through December 31, 2009,
and
WHEREAS, the City and the Township have agreed that fire protection shall not be discontinued until
the 2010 Contract is negotiated and ratified between the parties or until the Township has retained altemate
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 sere ice (Wife support' the
Communication Center Service, and administer the `911 emergency service (all the foregoing collectively
Fire Protection')
2 The Township hereby agrees to leave all of its fire fighting equipment, trucks and accessones,
and life support emergency vehicles at the disposal of the City throughout the term of this Agreement
1
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2009 CONTRACT FOR FIRE PROTECTION
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 2009 Fire
Department budget shall be the ratio based upon the Township's 2009 (pay 2009) assessed valuation outside
the corporate limits compared to the City's 2008 (pay 2009) assessed valuation as they relate to the total of the
two The proportionate share of the Township for the 2009 Communication Center's budget shall be one -half
(1/2) of the Communication Center's budget multiplied by the ratio based upon the Township's 2009 (pay
2009) assessed valuation outside the corporate limits compared to the City's 2008 (pay 2009) assessed
valuation as they relate to the total of the two The 2008 (pay 2009) assessed valuation of the Township
outside the corporate limits is certified as $1,310,819,828 00 or 19 57 of the total assessed valuation of the
Township The 2008 (pay 2009) assessed valuation of the City is certified as $5,388,587,258 00 or 80 43% 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 (144) full time, sworn
firefighters at all times dunng the continuation of this agreement, including a full -time, paid Fire Chief a
minimum of forty (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 Chief will be appointed by the Mayor, after consultation
with the Township Trustee and the Township Board
2
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2009 CONTRACT FOR FIRE PROTECTION
6 The City agrees to purchase all matenals 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 the
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' A" and a Certificate of Additional insured is attached
hereto as Exhibit "B' 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 camed by the
Township on Fire Station No 45 is attached hereto as Exhibit "C' and a Certificate of Additional Insured
naming the City as additional insured on Fire Station No 45 is attached hereto as Exhibit 'D'
7 The City shall provide to the Township a complete inventory of all Fire Department apparatus
and equipment each year
8 The City agrees to furnish quarterly statements of all operating expenses on or before the tenth
(10 day following the end of each calendar quarter All 2009 Budgeted Amounts appropnately encumbered
by the City in 2009 and expended in 2010 shall be separately accounted for and treated as 2009 operatmg
expense for purposes of this Contract On or before February 15 2010, the City further agrees to furnish
statements of all 2009 budgetary items expenditures and encumbrances m 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, 2010, with regard to 2009 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
3
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2009 CONTRACT FOR FIRE PROTECTION
9 The entire budget for the Fire Department of the City and of the Township in 2009 has been fixed at
$19,779,578 00 A copy of' said Budget is attached hereto as Exhibit E" Of that amount, it is mutually
agreed that the share of the Township should be $3,870,863 41 or 19 57% of the Fire Department Budget in
the event the expenditures in 2009 are less than $19,779,578 00, the Township's pro rata share of the money
unspent shall be refunded as set forth in Paragraph 8 above However all of the above is subject to and
conditioned upon the approval of the budgetary authonties of the City and the Township
10 The entire budget for the Communications Center of the City and of the Township in 2009 has
been fixed at $2,880,855 00 A copy of said Budget is attached hereto as Exhibit "F" Of that amount it is
mutually agreed that the share of the Township shall be $281,891 66 (19 57% of 50 of the Communications
Center Budget In the event the expenditures in 2009 are less than $2,880,855 00 the Township's pro rata
share of the money unspent shall be refunded as set forth in Paragraph 8 above However, all of the above is
subject to and conditioned upon the approval of the budgetary authonties of the City and the Township
11 In order to pay its share of the above expenses for the year 2009 in the total amount of
$4,152,755 07 the Township appropnated and will seek Dept of Local Government Finance approval of an
appropnation in its Fire Fighting Fund of $4,152 755 07 By this Agreement, the Township agrees to pay the
entire appropnation of $4,152,755 07 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 authonzation 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 $3,870,863 41(2009
Fire Department Budget) and $281,891 66 (2009 Communication Center) in the following manner
$1,935,431 71 (Fire Department) on or before July 15, 2009, or within
one (1) business day of the Township s
and receipt of its tax draw from Hamilton County,
whichever is later
$140,945 83 (Communication Center)
4
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2009 CONTRACT FOR FIRE PROTECTION
$1,935,431 71 (Fire Department) on or before December 31, 2009, or within
one (1) business day of the Township's
and receipt of its tax draw from Hamilton County,
whichever is later
$140,945 83 (Communication Center)
Notwithstanding the foregoing scheduled payments, the Township may, at its option, and in lieu of the
payments due on December 31 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 wnting 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, 2010, for 2009 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 2009 the City shall
notify the Township in wnting no later than thirty (30) days pnor 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 appropnation for the year is necessary
If an additional appropnation is mutually found to be necessary, the Township shall, if funds are
available appropnate sufficient funds to pay for its share pursuant to Paragraph 4 above 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
5
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2009 CONTRACT FOR TIRE PROTECTION
15 In anticipation of a Contract for Fire Protection between the City and the Township in 2010 and to
assist the Township in its budgeting process, the City agrees to include the Township in its 2010 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, 2009, 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, 2010, or within thirty (30) days after receipt of final 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 2008 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, 2009 The County s Salary Supplement for the
year 2009 shall be applied to reduce the total 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 1 day of January 2009, and continue
through the 31" day of December, 2009, provided, however, that the City shall continue to provide the fire
protection services set forth above until the next contract for 2010 is negotiated and ratified between the City
and the 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
6
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2009 CONTRACT FOR FIRE PROTECTION
five (5) prior calendar years immediately preceding the year of contract termination In the event that the City
has provided Fire Protection in 2010 and a mutually acceptable contract is not reached between the City and
the Township for 2010, the Township shall reimburse the City based upon the same formula utilized in this
Agreement based upon 2008 (pay 2009) assessed valuation
IN WITNESS WHEREOF, the parties have hereunto set their hands and seals as of the day
of 2009
Y
CITY OF CARMEL HAMILTON COUNTY, INDIANA
By a d through It Board of Public Works and Safety
holies Brainard, Presiding Officer
Date O
M: ry An Burke
Date 4.
Lon S atson ber
Date .s
ATTEST
S na L Cordray, IAMC,t er Treasurer
Date 9 �dn9
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2009 CONTRACT FOR FIRE PROTECTION
CLAY TOWNSHIP
Hamilton County, Indiana
By
CaCdl �-dit
Douglas lahan, Clay Township Trustee
Date 7 -a9-o9
CLAY TOWNSHIP BOARD
A 3sran
Mary Eckard, Chairman
Date
r L ifitan
es C Dillon, Secretary
to 07/ a8/ 07
Plia
Paul K Bolm, Member
Date 7,Z8 0 9
8
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07/01/2009 WED 12 59 FAX 0004/000
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COPY
PUBLIC ENTITY GENERAL LIABILITY PROTECTION TRAVELERS
g COVERAGE SUMMARY
This Coverage Summary shows the limits of IMPORTANT NOTE Your agreement
coverage that apply to your Public Entity may contain an endorsement that
General endorsements Protection that also hats at must have reduces certain coverage limits
3 those endorsements if any th
certain information shown for them to apply shown below for damages subject
F to state statutory caps
Lints Of Coverage
General total hmtt 2 000 000
n
0
Products and completed work
2 total I1mit 2 000 000
I Personal injury
N each person limit 2 000 000
m
R Advertising injury
each person hind. 2 000 000
S
R Each event limit 2 000,000
a Failure to supply beat 1 000 000
0 Medtca/ expenses limit 0
o Premises damage limit 50,000
Sewer back -up limit 1 000,000
Named Endorsement Table
Important Note 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
c= endorsement Other endorsements may apply too If so they re listed on the Policy
a Forms List
mmmem PSS Indiana Statutory Cap Limits of Coverage Endorsement Public Entity General
samiffli Liability Includes Sexual Abuse Limitation With General Total Sublimtt
ai Sexual Abuse Each Person Limit
5—. 50,000
MEMO Sexual Abuse Total Limit
$250 000
a
PSSS Described Person or Organization Endt Addl Protected Persons
Described Person or Organization
NR Rental LLC
With regard to Ronan Trail being relocated
OREM
MEM
Described Person or Organization
t® Carmel Clay Schools
With regard to Parks Dept Day Canp
Described Person or Organization
Mai
Clay Township Trustees
With regards to Fire Protection arforded by the City of Carmel Operations of
Parks Department afford by the City of Carmel The Communications Center
Nerve of Insured Polley Meeker GP09313908 Effective Date 01/01/09
CITY OF CARMEL Processing Date 01/19/09 12 08 001
G0208 Ed 10 -97 Coverage Summary
m 1997 The Travelers Companies Inc All rights reserved Page 1
1
JUL -1 -2009 WED 12 58 TEL 3178460744 NAME CLAY TWP HAMLT CO P 4
I
07/01/2009 WED 12 59 FAX eir II i74
ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID 79 DATEIMWDDYYYY)
CAR E80 07/01/09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Hylant Group Inc Indianapolis HOLDER
THE THIS CERTIFICATE
AFFORDED ONO AMEND POLICIES BELOW
301 Pernsylvansa Parkway *201
Indianapolis IN 46280
Phone 800- 678 -0361 Fax 317- 817 -5151 INSURERS AFFORDING COVERAGE HNC ft
INSURED UISLRERA It P vL n e 3 Ha L Co
City of Carmel
Carrel Clay Park Bldg Corm NSURERJ
Carmel Clay oar of Parks7Rec
Carmel Red®velopment Comm INSURER
NSUR CR 0
INSURER
COVERAGES
THE AMC ES 0 INSJRANCE LISTED BELOW HAVE BEEN =MD TO THE INSURED NAMFO ABOVE OR THE POI ICY PERIOD INDICATED NOTWRHSTANOIAG
ANY RroJN MLNT'Efa1 ORCONDIf10N OF ANY CONTRACT OR OTHER DOCUMENT VAIN RESPECTTO WHICH THIS CERTIFICATE AMY SE ISSUED OR
MAY PERTAIN THE INSUR/ACE Ar FORD D DT THE POLICIES DESCRIBED STREW 15 SUBJECT TO ALL THE TERM EXCLUSIONS ANDCGiRRcNS OF SUCH
POUCIES. AGGREGATE UNITS SI IOWN LAY HAJE BEEN REDUCED BY PAOCLAIMM
L70. TYPE 0 1FSURAT CE 1 POLICY NUMBER DA 1 TE�MID01Yf LPYMB
GENERAL LIABILITY EACH OCCURRENCE F 2,000,000
Yr
A X X IXABAERCIALGENERAL LMBLRY GP09313908 01/01/09 01/01/10 pPEWSESIE3ACa,MCH) T 50,000
1 CLAIMS MADE fl OCCUR MED EXP (My pre petal) S
PERSO ML LAD/ INJURY S 2 000 000
GENETAL AGGREGATE 3 2 000 000
GFNLADGR GATE UM APP% IES PER PICOUCTS COMP/OPAGE' S 2 000 000
7 POLICY n p IA n we
AUTOMOBILE LIABILITY COMM SINGLE LUMT 6
(ES ACI4MIB
ANY AMC
ALL OWNED AUTOS BODILY INJURY 3
SCHEDULED AUTOS DBNMI
IIFEDAUTOS BODILY INJURY 6
rye, NptlrrlI
NON OWAEDAJTOS
PROP RTY DAMAGE 3
(Per 3LlthN)
GARAGE LIABILITY AUTO ONLY EA ACCN NT 3
R ANY AUTO AUTTORTHA LA AC'' S
AGO 5
EXCESS/UMBRELLA LIAEUTY EACH OCCURRENCE 5
OCCUR 0 CLAMS MADE AGGREGATE 3
R DEOUCOBLE 3
RETENTION S 6
AH.SIAIU um
WORNERSCCMPENSATION AND TORY LIMR6T ER
EMPLOYERS LIABILITY C L CACH ACCIDENT 6
�CEPoMCMER =WEFT, F L CISLASL FAEMPLCVEE 1
I yynes c XWI W IAMB E L DISEASE POLICY LIMIT 3
BPECML PR0/6IOV8 odes
OTHER
DESCRIPTION 0 OPERATIONS 1 LOCATORS %E% CUES/ EX CLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Clay Township Trustee so Additional Insured with regard to Gareral Liability
for the Fire Department and Communications Center
CERTIFICATE HOLDER CANCELLATION
QaYT SHOULD ANY OF THE ABOVE DESCRBED POLICIES BE CANCELED BEFORE THE EXPIRATION
DATE THEREOF THE ISSUING NEARER WLL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HO DER NAMED TO THE LEFT BUT FAILURE TO DO SO SMALL
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
Clay Township Trustee REPRESENTATIVES.
10701 N College SENTATWE
Indianapolis IN 46280 �G.��
'�G ie4Jr9c12) Y. y CdRITR:oRF�RATION 1988
ACORD 28 (2001108) ff A
JUL -1 -2009 WED 12 58 TEL 3178460744 NAME CLAY TWP HRPLT CO P 2
07/01/2009 WED 12 59 FAX 0003/004
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement
on tins certificate does not confer nghts to the certi icate holder in lieu of such endorsement(s)
If SUBROGATION IS WAIVED subject to the terms and conditions of the policy certain policies may
require an endorsement A statement on this certificate does not confer nghts to the certificate
nolder in lieu of such endosement(s)
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s) auttonzed representative or producer and the certificate holder nor does nt
affirmatively or negatively amend extend or alter the coverage afforded by the policies hsbad thereon
ACORD 25 (2001108)
7 L -1 -2009 WED 12 58 TEL 3178460744 NAME CLAY TWP HRMLT CO P 3
richthei rue*
THE CINCINNATI INSURANCE COMPANY
P 0 BOX 145496, CINCINNATI, OHIO 45250-5498
(513) 870 2000
CPP 091 68 81
A Stock Insurance Company Previous Polley No
COMMON POLICY DECLARATIONS
RENEWAL
DECLARATIONS POLICY NUMBER CPP 083 28 71
NAMED INSURED CLAY CIVIL TOWNSHIP 8 RECCIVED
CLAY TOWNSHIP REGIONAL WASTE DISTRICT
ADDRESS 10701 NORTH COLLEGE AVENUE !`'H� n f 7"
(Number Street INDIANAPOLIS IN 46280
Town County Fi: +r,r31iU INS
State rip No
Policy Period At 12 01 A M STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE
Alt coverages except Automobile and or Garage
Policy number CPP 083 28 71 FROM 01- 12-2008 TO 01 -12 -2011
Automobile and or Garage FROM TO
Policy number
Agency FEARRIN INSURANCE AGENCY 13 -784
City CARMEL IN
Legal Entity! Business Deecnpbon
GOVIRNNENTAL ENTITY THE
IN OLICY WE AGREE WITH O O PROVIDE THE INSUARANCE SUBJECT TO AS STATED N S POLICY
OF THIS
FORMS APPLICABLE TO ALL COVERAGE PARTS (show numbers)
0102 02/03 1A904 04/04 IA4105IN 04/03 1L0156 07/89
11.0158 04/05 1L0186 07/96 NI1371IN 09/05 1A4236 01/08
1114238 01/08 1P446 08/01 IA4006 04/04 F11501 08/06
6A301 10/01 CA501 01/92 NA508 03/03 11*524 09/03
SAS PT7
02 -27 -2008
Countersigned B y
(Date) (Authonzed Representative)
IN WITNESS WHEREOF this policy has been signed by our President and Secretary In the City of Fairfield
Ohio This ails binding
provision does not apply inArizo a Virginia and countersigned by an authonzed representable of
Stink s
Secretary President
AGENT'S COPY
IA 501 05 06 Page 1 of 2
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
SCHEDULE OF LOCATIONS
ja STREET ADDRESS gn STATE 71P CODE
1 10701 NORTH COLLEGE AVE
INDIANAPOLIS IN 46280
2 10801 NORTH COLLEGE AVE
INDIANAPOLIS IN 46280
3 COLLEGE 8 107TH
INDIANAPOLIS IN 46280
4 TONNE RD 8 116TH ST
CARNEL IN 46032
IA 90404 04
THE CINCINNATI INSURANCE COMPANY
COMMERCIAL PROPERTY COVERAGE PART DECLARATIONS
Attached to and forming part of POLICY NUMBER CPP 083 28 71 Effective Date 01 -12 -2008
Named Insured IS THE SANE AS IT APPEARS ON THE COMMON POLICY DECLARATIONS
bra
REFER TO IA904
OPTIONAL COVERAGES
COVERAGE PROVIDED Applicable only when an entry Is made
Rem Coverage Limits Coif Covered Business Income
eremite Cause Indemnity
O} LOee I RR A
N E E O
F PP R
L L L I E
A A A N E
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p 0 0
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1 1 BUILDING 3,180,000 902 SPECIAL X
C
1 1 BUSINESS PERSONAL 424,000 902 SPECIAL X
PROPERTY EQ
1 2 BUILDING 11,400 902 SPECIAL X
1-3 BUILDING 26,000 902 SPECIAL X
De
1 -4 BUILDING 25,000 902 SPECIAL X
wEaa
2 -1 BUILDING 66,144 902 SPECIAL X
CONTINUED ON FM401
DEDUCTIBLE $500.00 unless otherwise stated
EARTHQUAKE DEDUCTIBLE 52
'MORTGAGE HOLDER Item
FORMS AND OR ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART
P11401 08/94 FA450 11/04 FN101 04/04 FA4042 04/04
FA40 04/04 PA4052 04/06 FA216 04/0 FA244 04/04
4
FM 501 08 08
ME CINCINNATI INSURANCE COMPANY
COMMERCIAL PROPERTY COVERAGE PART
SUPPLEMENTAL DECLARATIONS
Attached to and forming part of POLICY NUMBER DPP 083 28 71 Effective Date 01- l2-2008
Named Insured IS THE SANE AS IT APPEARS ON THE CONNON POLICY DECLARATIONS
OPTIONAL COVERAGES
COVERAGE PROVIDED AvpBcabbotd" when an entry imade
Item Coverage Limits Cord Covered Business Income
Of come
110
81889 Cause low 14 E R N 0
j
P a P P C R
L U L C L L E
T R C S C S D
0 0 M N T V
14 E E C A
N N K L
T T U Mon No„n= Ea d,tl
C lint PMke P.M
0 P„tuN 00 PEW
S
T
011 CO On m
2 -1 BUSINESS PERSONAL 21,200 90% SPECIAL X
PROPERTY
2 -1 EXTRA EXPENSE 25,000 SPECIAL
40 -80 -100%
3 -1 BUILDING 18,250 9 SPECIAL X
non
3 -2 EUILDING 1,382 90% SPECIAL X
4 -1 BUILDING 6,837 90% SPECIAL X
Nun
4 -2 BUILDING 603 90% SPEIAL X
C
FM 401 09 94
THE CINCINNATI INSURANCE COMPANY
A STOCK INSURANCE COMPANY
COMMERCIAL GENERAL LIABILITY COVERAGE
PART DECLARATIONS
Attached to and forming part of POLICY NUMBER ;DP 083 28 71 Effective Date skizzasta
Named Insured IS THE SANE AS IT APPEARS ON THE COMMON POLICY DECLARATIONS
OMITS OF INSURANCE
EACH OCCURRENCE LIMIT 1.000.000
GENERAL AGGREGATE LIMIT 2.000.000_
PRODUCTS COMPLETED OPERATIONS AGGREGATE LIMIT 2.000.000
PERSONAL ADVERTISING INJURY LIMIT laIIIIILLEMIL ANY ONE PERSON OR
ORGANIZATION
DAMAGE TO PREMISES RENTED TO YOU LIMIT ANY ONE
$100 000 Iimtt unless otherwise Indicated herein BIWA TO AAZ10 PREMISES
MEDICAL EXPENSE LIMIT BMW To Oa91Q ANYONEPERSON
$5 000 limit unless otherwise indicated herein BF
CLASSIFICATION CODE PREMIUM RATE ADVANCE PREMIUM
NO 6 Area Paled Products/ Matter Products/ MUM.:
Completed
O Gro Sales Operations Operations
D Units
E Other
WATER RETENTION BASIN 20400 E 1 EACH 16 166 16
INCL PROD AND/OR COMP OP
IN CL PREMISES 61216
OP
�p pp pp A ft6100 II Hi zP
BI E7m pMT EXCWSIOtt 20410 50 MP
POLLUT
B ROADENED COVERAGE 20291 150 MP
HIRED AND NON-OWNED AUTO 33
The General Liability Coverage Part is subject to an
annual minimum premium TOTAL ANNUAL PREMIUM 1$ 1,003
FORMS AND 1 OR ENDORSEMENTS APPUCABLE TO THIS COVERAGE PART
0A101 12/04 GA207 12/04 GA4142 10/01 0A210 02/07
GA303 10/01 GA4081 10/01 GA4240 01/06 0A4260 11/05
C00 02 C00123 2116 07/98 002144 07/98 C82244 07/98
C
GA5011001
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ R CAREFULLY
ADDITIONAL INSURED STATE OR POLITICAL
SUBDIVISIONS PERMITS RELATING TO PREMISES
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SECTION I1 WHO 15 AN INSURED Is amended damage or personal and advertising any nun/ ions
division shown an the Schedule subject political the sub o ul flheadd�onl sole su d or its employe misconduct
employees
lowing additional provision SECTION IV COMMERCIAL GENERAL LE
This insurance
hazards suance applies s only strespectppouoU the ABILITY C to N��S 5 Other Insurance is
subdmsion has Issued a permit in connection with al Any insurance provided by this endorsement shall
this Insurance a
premises you
own, be pnmary to other Insurance available to the ad
applies rent, or control and to which atonal insured except
1 The existence maintenance repair construe a As otherwise provided in SECTION IV
a on erectio cellar entrances or removal of advertising signs, ees COMMERCIAL GENERAL LIABILITY CON
hole canopies manholes marquees se( DITIONS 5 Other Insurance or
holes dmrewayys man
loaf
banners o
y r i p e nin g s side end similar expo street b For any other valid and collectible insurance
available to the addltonal insured as an addi
sures or tonal insured by attachment of an endorse
2 The construction erection or removal of ele ment to another insurance policy that Is wnt
vators or ten on an excess basis In such case the
coverage provided under this endorsement
3 The ownership maintenance or use of any shall also be excess
elevators covered by this Insurance
The insurance provided to the additional in
sured(s) does not apply to bodily injury property
SCHEDULE
State or Political Subdivision
CITY OF CARREL
CIVIC CENTER 1 CITY SQUARE
CARREL IN 46032
Includes copynghthd material of
GA 4081 10 01 Services Office Inc with Its permission
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
LIMITATION OF COVERAGE TO DESIGNATED PREMISES OR
PROJECT
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Promotes
10701 NORTH COLLEGE AVE
INDIANAPOLIS IN 46280
10801 NORTH COLLEGE AVE
INDIANAPOLIS IN 46280
COLLEGE 8 107TH
INDIANAPOLIS IN 46280
TOWNE RD 116Th ST
CAMEL IN 46032
Project
(If no entry appears above Information required to complete this endorsement will be shown in the Dec lare
'Ions as applicable to this endorsement
This Insurance applies only to bodily injury property damage personal and adverbsing injury and meth
cal expenses ansmg out of
1 The ownership maintenance or use of the premises shown in the Schedule and operations necessary or
incidental to those premises or
2 The project shown In the Schedule
CG 21 44 07 98 Copynght Insurance Services Office Inc 1997
THE CINCINNATI INSURANCE COMPANY
CINCINNATI, OHIO
A Stock Insurance Company
CRIME COVERAGE PART DECLARATIONS
Attached to and forming part of POLICY NUMBER Cr, 083 28 71 Effective Date 01 -12 -2008
Named Insured
Item Location (address?
REFER TO 1A904
Coverage is provided only for the Crime Coverage for which a Limit of Insurance is shown below
Limit of Deductible
Coverage Forms Forming Part of This Coverage Part Insurance Amount
Employee Dishonesty Coverage Form A 810,000 $NONE
Forgery or Alteration Coverage Form B
Theft Disappearance and Destruction Coverage Fomi C
Loss Inside the Premises 8
Loss Outside the Premises
Robbery and Safe Burglary Coverage Form D 8
Loss Inside the Premises
Loss Outside the Premises
Safe Burglary
Premises Burglary Coverage Form E
Other
FORMS AND/OR ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART
CA401 01/86 CR1000 10/90 CR0001 01/86
Cancellation of Pnor Insurance, By acceptance of this Coverage Part you give us notice canceling pnor to
policy or bond No
CPP 091 68 81
the cancellation to be effective at the time this Coverage Part becomes effective
CA 501 01 92
THE CINCINNATI INSURANCE COMPANY
A Stock Insurance Company
CONTRACTORS' EQUIPMENT (AND TOOLS) COVERAGE PART
DECLARATIONS
Attached to and forming part of POLICY NUMBER CPP 083 28 71 Effecbve Date 01 12 2008
Named Insured IS THE SAME AS IT APPEARS ON THE COMMON POLICY DECLARATIONS
Covered Property (check one) Scheduled Equipment X) Schedule on File
Descripbon of Covered Property Valuation Limit of Insurance
(Make Model Year Built Sena! Number Etc) (ACV or FRC)
REFER TO NA957
Limits
Total Scheduled Equipment 194,004
Addibonal Debns Removal Expense 10,000
Employee -Owned Tools Any One Tool 250
Employee -Owned Tools Any One Occurrence 1,000
25,000 or 30Y of the total
Newly Purchased Equipment Scheduled Equipment Limit,
whichever is greater
Newly Purchased Equipment Number of Days 60
Pollutant cleanup and Removal 10.000
Equipment Leased or Rented from Others 25,000
Loss of Use of Equipment Leased or Rented from Others 1,000
Equipment Borrowed from Others 5.000
Rental Reimbursement Per Day 500
Rental Reimbursement Per Year 5,000
Rental Reimbursement Waiting Perad 24 Hours
Spare Parts and Fuel 3,000
Your Tools Any One Tool 250
Your Tools Any One Occurrence 1,000
MA SOS 0305 Page 1of2
RATES AND PREMIUM
for Scheduled Equipment
Rate INCL Premium INCL
DEDUCTIBLE
(check one)
(X Flat Deductible Amount ($500 unless otherwlse stated)
Percentage Deductible 9'e
Maximum Deductible Amount
Minimum Deductible Amount
COINSURANCE
(check one)
(X) 80% 90% 100% )Other
REPORTING CONDITIONS
(check if applicable)
Equipment Leased or Rented from Others
Reporting Rate
Deposit Premium
Minimum Premium
FORMS AND OR ENDORSEMENTS APPLICABLE TO CONTRACTORS'
EQUIPMENT AND TOOLS)
NA957 03/05 NA108 03/05 NA135 11/99 NA400S 03/05
SPECIAL PROVISIONS Of any)
MA 508 03 05 Page 2 of 2
CONTRACTORS' EQUIPMENT (AND TOOLS) COVERAGE PART
SUPPLEMENTAL DECLARATIONS
EQUIPMENT SCHEDULE
Description of Covered Property Valuation Limit of Insurance
(Make Model Year Built Serial Number Etc) (ACV or FRC)
SRNT OUTDOOR SIREN ACV 97,848
1885,436/UNIT
DCFCTH SIREN CONROL ACV 71,280
1833,960/UNIT
TR TRANFORNERRECTIFIER ACV 19,764
1881,089
VAN 1 YAW ANTENNAE /CABLE VHF ACV 2,592
188144
8S1000- STATUSENCODER ACV 2,160
SSP578 PRINTER F0RSS1000 ACV 360
MA 957 09 05
THE CINCINNATI INSURANCE COMPANY
A Stock Insurance Company
ELECTRONIC DATA PROCESSING EQUIPMENT COVERAGE
FORM DECLARATIONS
NOTICE INSURANCE COVERAGE UNDER ANY PARTICULAR COVERAGE INCLUDED WITHIN THIS
TIONS HAS EEN FORCE UTEDSS THE CORRESPONDING SECTION OF THESE DECLARA
Attached to and forming a part of POLICY NUMBER CPP 083 28 71 Effective Date 01 -12 -2008
Named Insured Is the same as it appears in the Common Policy Declarations unless another entry is made
here
COVERAGE PROVISIONS (Only those Items marked by anti, where so Indicated, are applicable)
Limits of Insurance
Limit of Insurance
Blanket
Coverage A Eleotronlo Data Processing Property
See Scheduled
Premises
Endorsement
Coverage A Coverage Extensions
Limit of Insurance Unless Otherwise Stated
a Debris Removal $54.444
b Duplicate and Backup Electronic Media and
Records $14.004
OB Premises 20% of the Coverage A Limit of
Insurance subject to a maximum of $54.444 9,976
d Pollutant Clean Up and Removal $14.444
e Recharge or HefiN of a Fire Protection
Device X44
f Third Party Host SAM
Limit of Insurance
Blanket
Coverage B Business Income and Extra Expense S
See Scheduled
Premises
Endorsement
Ili Coverage C Additional Coverages Limit of Insurance Unless Otherwise Stated
1 Denial of Service 310.000
2 Loss Establishment Expenses $5.440
3 Malicious Code 310.000
4 Unauthorized Use 810.000
Note The maximum aggregate Llmd of Insurance for any Additional Coverage n any one coverage
term is three times the Limit of Insurance stated here
Deductibles
Deductible
Coverage A
Basic 500
Specified Losses 1,�
Coverage B (Hours) 24
FORMS AND OR ENDORSEMENTS APPLICABLE TO THIS COVERAGE FORM
NAl23 09/05 NA135 11/99 NA497 09/05
LOSS PAYEE
MA 524 09 05
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
SCHEDULED PREMISES ENDORSEMENT
This endorsement modifies insurance provided under the following
ELECTRONIC DATA PROCESSING EQUIPMENT COVERAGE PART
Schedule
Premises Number 1
Address Lund of Insurance
10701 NORTH COLLEGE AVE Coverage A 29.880
INDIANAPOLIS IN 46280 Coverage B 10,000
Premises Number
Address Limit of Insurance
Coverage A
Coverage B
Premises Number
Address Limit of insurance
Coverage A
Coverage B
Premises Plumber
Address Limit of Insurance
Coverage A
Coverage B
Blanket insurance
Premises (Addresses) Limd of insurance
Coverage A
Coverage B
Newly Acquired Property
Limit of insurance $250,000 Unless Otherwise Stated
II Section I Coverages is amended as follows
Section I Coverages, Coverage A Electronic Data Processing Property Paragraph 5 Coverage
Extensions is amended to include the following
Newly Acquired Property
(1) endorsemeent any one mi occurrence for o loss to newly acquired Property Schedule
C stated in the overed Property due to a Coy
ered Cause of Loss
Includes copyrighted matenal of ISO
MA 4970905 Properties Inc with its permission Page 1 of 2
is 240
Lc he /er
ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID TN muomowY"T
CLAYC -2 06/30/09
AMMO THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION
Fearrin Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
110 N Pangolins Road HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
P 0 Box 126 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Carmel IK 46082
Phone 317 846 -4275 Fax 317 848 -4246 INSURERS AFFORDING COVERAGE NAIC8
Ina MYRENA Cincinnati Insurance Co 10677
INSURER
Clay Civil Township 6 Clay
Township Regional Waste Dints 11RERC
10701 North College Avenue MwAe
Indianapolis IN 46280
KAMM
COVERAGES
WE PO ®O OM RANGE ISM IaMNef MEIM aalala TM 0 IMIMMON FOR M IWe RAW POCA1m. IOPallSWMMO
PAY IMEEen TENT MTOItlroI OF MYTOTRALT AOaanoGoaDItvmx NYNIC/ TOOCI TmMTTEICAN MAY MTN®M
ILO I TS M NaPMM:MwtlDEY THE ME000EGaEaSI6 I8 WIG 0 N TEE TOM 6a61maEMmaMIRIa EYENaI
POGO= MEKGIE LACE NUMI MAY INN E}EI MEDICO IN YM CMG
NY VNL PmNY MUTTS NMIGP EVMTW
LEI MM NOUN nOA NOUN S ALCM UR I MN PMT•NT 0 NNr Dim METE
•usv%LMMm EM OGOJRNEXE P 1 000 000
OMMEE A X X ra•mis omma man CPP0832871 01/12/08 01/12/11 rlmuEn L 500 00
1 GLAND MDR EGGER EIESWMwMSaO 1 10 000
PEMNMI MY•MY 1 000 000
WARM Mwum 2 000 000
OEAMENEMm LINT APPLES Mt ro P LCTS MAW AGO 2 000 000
n n LOG
.MINroMO MAMT TYOIma.
NCI /WO
ALLOWEMMIM Na MAI
ro®MEDMTM
HMO MOAN NARY
NmIOMMTMTM
PROPORY
(PfloskAO
OAMM GAME NM OILY MA0.1a. T 5
R MAO MCC 5
TEAR THAN
AUTO MY AGO I
ePevMNNMLU OCIIPmIGE P
R MecN El CLAY M/DE ATE 5
R amuelsE
REImlEN L
M m lO I I OIM
iaa9GPM EATON MO TEw.M1E el
E RMYEIEMNY/Y
4 FNMN.Yiml}
AX Waa LUDECO IM
Oq 'AMIaOI EOlM3 EL D00l.IM MlM1LOY@ P
11 Os eab.me DISEASE MOO UST
5_ dab. me W F1 O
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mawTWW MMATba LOMTaa /NMIE =MOON AO ®YENMPaM.5 MOIL P00•10mm.10
It is agreed and understood that the City of Carmel is listed as an
additional insured on Fire Station 845
CERTIFICATE HOLDER CANCELLATION
CITY0-1 WMMY MINE ANNE nPeMEO PaNSM GANUUm PMMME MPaAIIMM
n TOMS OEMMMM EINM TELL mNRTO 30 M wan.
IMMO MEXIMEMm HOLIER WILD TO ME LOT •N ALE em N• MIL
CITY OF CAPNEL MAINM M•Mro M WANTED MN MIND UPON O manna now
CIVIC CENTER 1 CITY SQUARE
CAWOLL IN 46032 WOW T TII•• n. n
MPIIlMTIM
ACORD 25 (2001108) ACORD CORPORATION 1988
THE CINCINNATI INSURANCE COMPANY
GENERAL CHANGE ENDORSEMENT
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
Attached to and forming part of Policy No CPP 0832871
Issued to CLAY CIVIL TOWNSHIP 8 CLAY TOWNSHIP REGIONAL WASTE
DISTRICT
Effective Date of Endorsement 12/01/2008
Agency FEARRIN INSURANCE AGENCY 13 784
Additional Premium Due at Endorsement Effective Date $357
Subsequent Annual Installments Increased by $3 108
Revised Installment Payment $15 003
Not including Auto Premiums
AMENDING ITEM 1 1 BUILDING TO $4 759 200
AMENDING EQUIPMENT BREAKDOWN COVERAGE PER REVISED PREMIUMS
r tr- i '_o
)A1n 4
User ID SSCHWA2 t ;t3` IP It 3
Activity Date 01/19/2009 Ratebook 12/01/2008 (IN) Quote Number 910107
ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED
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