Loading...
HomeMy WebLinkAbout184152 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00350714 Page 1 of 1 ONE CIVIC SQUARE AIRWORX CORP CHECK AMOUNT: $200.00 CARMEL, INDIANA 46032 BOX 7842 RELIABLE PARKWAY CHICAGO IL 60686 -0078 CHECK NUMBER: 184152 CHECK DATE: 4/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350900 215681 -0001 200.00 OTHER CONT SERVICES Page 1 cnrastructian erlu,prneret s,rpply Renllt TO P&: .BOX 70:42 INDIANAPOLIS IN 46207. 704:2 501 W. RAYMOND ST. INDIANAPOLIS, IN 46225 317 471 -1272 B311 <To.> CARMEL FIRE DEPT WORK ORDER INVOICE 2 CIVIC SQUARE ATTN:'RCK MARTIN CA IN 46032 Invo ce# 2 :Date;. 4 /Ql /10 Cu s tome r'' 1 113 2 job: 1077H AND COLLEGE, CAR': Jab Site :107TH AND COLLEGE,. CARMEL Job<?No._.. 1 CARMEL FIRE DEPT CARMEL FIRE:. DEPT P O s „107TH? AIuD: C OhLEGE "Au th'orized GARY BRANDY ATTN ;RICK MARTIN Received;: on 3/?3/10 CARMEL, IN 46032 Finished; on 4 01 10< 8'.l 8 3.4 0 0 La 1132 st con /cus,, Meter Equip Make Model Serial. Descript� oz� 1454 WORKFORCE CAT 23 1454 CUSTOMER OWNED EQUIP Work Order Description: LIFTING ISSUES LABOR DESCRIPTION: Troubleshot. Found charger had a bad 20 amp fuse. Replaced fuse. Tested operati ns- all ok. PARTS: Qty Part Number Description U/M Price Extended ELECTRICAL SYSTEMS 1 FUEL CHARGE 2 FUEL CHARGE 2 EA 40.000 40.00 Section Total: 40.00 LABOR: Mechanic Hours Work Rate Extended 108 2.00 ELECTRICAL SYSTEMS 80.00 160.00 Total Parts Materials 40.00 Total Labor ALL WORK ORDER INVOICES 160.00 Total Amount ARE DUE WITHIN 30 DAYS 200.00 OF INVOICE DATE s s a r Dealer agrees to waive certain damages and loss claims against Customer, which are provided for on the reverse side of this contract, in consideration of the following: A. Customer shall pay a fee 10% of gross rental charges. B. A valid certificate of insurance is provided Dealer prior to the hire of equipment, whereby Dealer is named an additional insured on an insurance policy, covering the ri of loss by damage, death or otherwise, of the subject equipment, and said insurance being primary coverage as against any other insurance which may be provided by Dealer. DAMAGE WAIVER DECLINED I HAVE READ AND I AGREE TO THE CONTRACT TERMS ON THE BACK OF THIS DOCUMENT. THOSE TERMS CONSIST OF OUR ENTIRE AGREEMENT. NO ONE HAS ANY ORAL OR OTHER WRITTEN REPRESENTATIONS OR PROMISES NOT INCLUDED iN THIS CONTRACT. I HEREBY ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT. CUSTOMER SIGNATURE DATE NAME PRINTED DELIVERED BY DATE YOU ARE CHARGED FOR THE TIME EQUIPMENT IS IN YOUR POSSESSION, NOT TIME IT IS USED. AND CONDITION OF EQUIPMENT DESCRIBED ABOVE IS IN GOOD WORKING ORDER. TERMS AND CONDITIONS Airworx Construction Equipment Supplies LLC hereby rents /sells to the Customer, identified on the reverse page of this contract, the personal property described on the reverse page of this contract, subject to all of the terms and conditions on each page of this contract, the Customer in consideration thereof, acknowledges and agrees as follows. 1. That Renter has this date at this time specified received from Lessor the personal property listed and identified in this contract. 2. That this product(s) is to be used by the Renter at the designated address for the stated period and solely for the purposes for which said equipment was manufactured and intended and he will not misuse any such equipment. 3. That the product(s) will not be removed from the designated address without the written consent of Lessor, except to return it to the designated Lessor location. 4. That Renter will pay Lessor the cost of replacement or repair of the rented product(s) if lost, stolen or damaged by any cause whatsoever. 5. That Lessor may at its own discretion, revert all charges to a daily rate if monthly statements or invoices are not paid on due dates. 6. That Renter will immediately discontinue use of the poXsongl property phould it at any time, foll oing the exec wution of this agreement or any subsequent agreement, become unsa e or 1 a s ate o disrepair. Furthermor e Renter y✓ill immediately notify L ssor that the eq ipment is unsafe and in disrepair and untifsuch time as Lesso has regainedpossession the Renter agrees to take all steps reasonably necessary to prevent injuries to any person and all property rom the rented equipment or product. 7. The Renter hereby agrees to pay all reasonable collection fees, attorney's fees, court costs or any other expenses incurred by the Lessor to enforce the terms and conditions of this contract. 8. IN��jjEMNIFICATION: Lessee assumes lia ility for and, shall indemni defend and hold harmless les or, its agents, employees, offi�ers, directors, successors, an as$igns from and namst any and alVfiabilities, obligations, losses, demands, damags injuries (mc uding but npt limited to, bo ily mIury death), claims, pe altres, suits, actions, costs, and expenses, me udmg attorn ys Tee of whatsoever kind ana natur illness an e, relapin to or arising out of the.use, condo n (including, but not limited to, latent and otVier det and whether pr igot discoverabl by essee or lessor), operation, ownership, selection, delivery, leasing, or return of the equipment, regardless o w ere, how, and y whom operated, or any failure on the part of lessee to perform or comply with the conditions o this lease. Without limiting the generality of the foregoing, lessee shall at its own cost and expense, defend lessor against all claims suits or proceed ngs commenced by anyone in which less p is named as a, pgrty for which less r is all g d to be liable or responsible s a result of or arising out of the equipment, orpny al�eseP act or omission by lessor and lessee s a�l be liable and resvonsible for all costs, expenses and attorney' incurre in the e ense and /or settlement, judgment, or of er res?lutionthereo In the event b n such action is commenced namin lessor as party lessor m y in its sole discretion elect to eend said action on its own ehialf with ounsel of its choice, and lessee shal�6e liable for an� reimburse lessor for all costs, expenses, and attorney's fees incurred by Yessor in such defense. The indemnities and assumptions of liabilities and obligations herein provided for shall continue in full force and effect notwithstanding the expiration or other termination o lease. Purpose of this Clause: It is understood and a reed by the parties that the purpose of this clause is to o pletely s ift the risk of all claims relgting to or arisin out of the lease ofthe equipment to lessee hereunder. It is the intention o t i e parties t at this clause be mterprete broadly and in avor of lessor. 9. Damage waiver, or sales tax are not included in our rental rates. They are extra! Should Renter option to take damage waiver please refer to and sign off on separate page containing the "damage waiver provisions." 10. USAGE CHARGE 8 hours 1 day Equipment used in excess of 8 hours /1 day will be prorated to reflect extra hours. You will be charged for time out NOT time uused. A week is 5 days. A month is 28 days. 11. FUEL All equipment requiring fuel are full when they leave the yard. You will be billed on the first invoice, only, for fuel. 12. INSURANCE Once e8uipment leave- s,our,yard,-the Renter is responsible for it until it is returned and payment received during normal business hours.' insurance oes not cover equipment while in customer's possession. 13. OPERATING INSTRUCTIONS If you have any questions as to proper and safe operation of Rented Equipment, please ask for further instructions. 14. PROBLEMS If you experience a problem call our store immediately. A 24 -hour answering service will take your call. 15. REPLACEMENT Customer will be charged retail cost of any and all equipment or accessories not returned. 16. CLEANING Equipment is to be returned as clean as when it was rented. A charge of S40.00 /hour will be charged for cleanup. %FA- 'Y"�"` ..rr u ♦C J ti, e ...r m-.. ..A a --i L_ri- ".er..�4-a ^v -'r-"" r •'r. r-,, t�+�= '�D`' 7:- ..n1r..1 u WORK REPAIR ORDER WORK ORDER NO. TECH. SIGNATURE IdT� DATE TIME IN TIME OUT TECH Customer Owned Shop cods7rucfian egnipma6f supply fl' Customer Owned Field Planned Maitenance Indianapolis Cincinnati Warsaw Fleet Maintenance 317.471 -1273 553.467 -9982 574. 268 -9664 AME JOB SITE ADDRESS Mml ll BILLING ADDRESS CITY,' P.O. NO. CITY PHONE JOB SITE CONTACT PHONE 6A y g/fl Y8 o WARR. REPAIR NO. MAKE y^ MODEL PERSON CALLING PHONE �APr K pnfCs CAT FLEET NO. SERIAL NO. EQUIP. HR: METER TIRE SIZE ENGINE MODEL NO. ENGINE SERIAL NO. NATURE OF TROUBLE QTY RPM PARTS NO. PARTS DESCRIPTION AMOUNT DESCRIPTION OF WORK BY TASK LABOR CODE f SS CUSTOMER REPAIR ONLY PICK -UP &r DELIVER TERMS AND CONDITIDNS Y TOTAL PARTS DISCLAIMER OF WARRANTIES; WAIVER OF.DAMANGES,: LIABILIX_ FO R DAMAGE TO PERSONS AND PROPERTY: airWDrx makes no warranties, expressed or implied, as to the equipments andfor repair's TOTAL LABOR HR merchantability for any particular purpose. Customers sole remedy for any failure of or defeat In the equipment shall be limited to the value charged for7epair, parts, and equipment. MILEAGE airJJorx shall non be responsible for any loss, damage, or injury to customer's property including incidental, special, or consequential damages in any way connected with the operations of, use of, defect in, or failure of equipment. Customer shall indemnify and hold FREIGHT SHIPPIN airWorx harmless from any claims of third parties for loss, injury, and damage to their persons and property arising out of customer posession, use maintenance or return of equipment, SALES TAX including legal costs incurred in defense of such claims. Customer shall furnish airWorx with .r a complete report involving equipment, parts, and or repair including names and addresses of all persons involved and all witnesses. TOTAL airWorx is not responsible for goods left 30 days, not for loss by fire or theft. I hereby authorize airWorx to perform the necessary services and grant permission to airWorx My signature below constitutes acceptance of above work as being satisfactory and to operate equipment described above and to repair if necessary I further understand that that equipment has been left in good condition. any estimated charges charges fluctuate 10% Customer MECHANIC Customer PLEASE PRINT PLEASE PRINT Customer DATE END DATE Customer DATE f SIGNATURE J SI fth� RE VOUCHER NO. WARRANT NO. ALLOWED 20 AirWorx IN SUM OF -7o qZ Box �42- Reliable Parkway Ckiicae, I e -0078 1/+4 $200.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO Dept, INVOICE NO. ACCT #MTLE AMOUNT Board Members 1120 215681 -0001 43- 509.00 $200.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except APR 1 2 2 010 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1 ,995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 215681 -0001 $200.00 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer