187563 07/08/2010 CITY OF CARMEL, INDIANA VENDOR: 359715 Page 1 of 1
ONE CIVIC SQUARE EAGLE RIDGE CIVIL ENG SVS LLC CHECK AMOUNT: $593.77
CARMEL, INDIANA 46032 1321 LAUREL OAK DR
AVON IN 46123 CHECK NUMBER: 187563
CHECK DATE: 7/8/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462200 027 -08 31.05 SIDEWALK IMPROVEMENTS
211 R4462200 19821 027 -08 562.72 AUMAN /NEWARK IMRPO ST
Invoice
Date Invoice
IFIALCG 11 IF, RI ]E>
CT'\7T7-, TE.T%TC,1W'F. 6/26/2010 027-08
1321 Laurel Oak Drive
Avon, IN 46123
Project
Bill To:
City of Carmel 027 Auman Newark Neighbrhd ]mprvmnts
David Littlejohn
Dept. of Community Services
One Civic Square P.O. No. Terms
Carmel, IN 46032
19921 Net 60
Item Description Quantity Unit Rate Markup Amount
Engineering Services Brock Ridgway, P.E. 1,5 Hours 105.00 157.50
CADD Services Robert Allen 0 Hours 55.00 0.00
Survey Services Topo Survey Topographic Surve 0 LumpSum 20,475.00 0.00
Project Mileage Project Mileage 120 Miles 0.50 60.00
Project Misc. Expenses Printing of Bid Sets I Direct Cost 364,72 364.72
Reimbursable Expense Permits Permit Fees 0 100.00 0.00
Project Misc. Expenses UPS Shipping I Direct Cost 11.55 11.55
1
Total $593.77
INVOICING SUMMARY: Sub Witted by:
Previously Invoiced: Total To Date:
$40,763.78 $41,357.55 Br R- gway, Manager
Invoice
Date Invoice
8103 East US Highway 36
Avon IN 46123 5117/2010 30382
317 272 -4798 or 317 -272 -4300
FAX 317 -272 -4388
managerCa a vonreprographics. com
www. theupsstorelocaL com /4266
Eagle Ridge Civil Eng Serv. LLC.
1321 Laurel Oak Drive
Avon IN 46123
P.O. No. Terms Order By
NOW OFFERING LARGE FORMAT
COLOR SCANNING Carmel Spec Printing Net 30 Brock Ridgeway
Quantity Description Rate Amount
532 1 IX17 Copies 19 28 sets 0.11 58.52
4,880 4889 copies 0.05 244.00
225 Colored Paper 0.04 9.00
19 Comb Binding/ 19 combs 2.80 53.20
oz�
Thank you for your Business UPS Reprographics Center
To tal $364.72
Signator represents that the reproduction of the above described material does not violate any copyright laws
and the signator agrees to indemnify and hold THE UPS STORE REPROGRAPHICS CENTER harmless against all
claims for any alleged copyright infrigement. UPS Store is not responsible for consequential damages
Signature
Late Charges of 1.5% per month, equal to 18% annual on unpaid balances after 30 days. In the event that
legal action is required to collect an unpaid balance that is due, all court costs and reasonable attorney fees will
apply. The UPS Store Staff
Delivery Service Invoice
O Invoice date June 19, 2010
Invoice number 0000132F33250
T. Shipper number 132F33
Page 3 of 3
Outbound
UPS Shipping Document
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
06 /17 1 Z132F333710002240 2nd Day Air Commercial 46032 202 3 10.50
Fuel Surcharge 1.05
Total 1 1.55
1st ref: 1503 -027
Sender BROCK RIDGWAY Receiver: DAVID LITTLE JOHN
EAGLE RIDGE CIVIL EN CITY OF CARMEL DEPT
INDIANAPOLIS IN 4626$ CARMEL IN 46032
Total UPS Shipping Document 1 Package(s) 11.55
Total Outbound 1 Package(s) 11.55
1
ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE
06 11 -2010_
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
USAA INSURANCE AGENCY INC /PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
812846 P:(888)242-1430 F (8 7 7) 9 0 5 04 5 7 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO BOX 33015
SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Hart f Ord Casualty Ins Co
EAGLE RIDGE CIVIL ENGINEERING INSURER B: Hartford Ins Co of the Midwest
SERVICES, LLC INSURER C:
1321 LAUREL OAK DR INSURER D:
AVON IN 46123 INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
P AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA CLAIM ICY LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMFDD/YYE I P DATE IMM /OD/YYN LIMITS 1
GENERAL LIABILITY EACH OCCURRENCE S2
A n COlvl(CiERCIAL cE aEr AL LIABILITY 65 SBM RZ2256 0 7 12 10 07/12/11 FIRE DAMAGE (Any ane Ive) I $300,000
CLAIMS MADE I X I OCCUR VIED EXP (Any one person) 0 U
U
X General Liab PERSONAL ADV INJURY 52 000 0
GENERAL AGGREGATE $4 0 0 0, 0 0 0
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMPIOP AGG I s4 ,000,0001
POLICY F I PRO ECT X LOG J
AUTOMOBILE LIABILITY
A ANY AUTO 65 SBM RZ2256 07/12/10 07/12/11I COMBINEDSINGLELIMI7 000, 000
(Ea accidentl
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY
X NON -OWNED AUTOS
(Per accidentl
PROPERTY DAMAGE
(Per accidenO
GARAGE LIABILITY AUTO ONLY EA ACCIDENT
ANY AUTO OTHER THAN EA ACC
AUTO ONLY: AGG
EXCESS LIABILITY EACH OCCURRENCE $1, 0 0 0 00 0
A X I OCCUR a CLAIMSMADE 65 SBM RZ2256 07/12/10 07/12/11 AGGREGATE $1, 000, 000
DEDUCTIBLE
X RETENTION $10, 000
TDRY LIMITS ER
WORKERS COMPENSATION AND X WC D
IMIT
B EMPLOYERS' LIABILITY 65 WEC RT2 5 8 2 0 01/02/11 E.L. EACH ACCIDENT $500,000
E.L. DISEASE EA EMPLOYEE $5 0 0 000
E.L. DISEASE PO LIMIT s500 0 0 0
OTHER
DESCRIPTION OF OPERATIONS ILOCATIONSIVEH ICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
Those usual to the Insured's Operations. City Carmel, Indiana is an Additional
Insured per the Business Liability Coverage form SS0008, attached to this
CERTIFICATE HOLDER X I ADDITIONAL INSURED INSURER LETTER: CANCELLATION
SHOULD ANY OF THE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE (10 DAYS FOR NON PAYMENT) TO THE CERTIFICATE
City f Carmel, Indiana HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
y OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
1 Civic Sq. REPRESENTATIVES.
Carmel, IN 46032
AUTHORI D RE S�TIVE
ACORD 25 -S 171971 C ACORD CORPORATION 1988
USAA INSURANCE AGENCY INC /PHS
PO BOX 33015
SAN ANTONIO TX, 76265
12024
EAGLE RIDGE CIVIL ENGINEERING
SERVICES, LLC.
1321 LAUREL OAK DR
AVON IN 46123
m
N
a
E
m
ACORD 25 -S (7197)
Prescribed by State Board of Accounts City Farm No. 201 (Rev. 1995
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
Eagle Ridge Civil Engineering Services, LLC
Purchase Order No.
1321 Laurel Oak Drive
Terms
Avon, IN 46123
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/26/10 027 -08 Auman Newark Neighbrhd Improvements $593.77
I W 59 2 7 7-
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Eagle Ridge Civil Engineering Service I IN SUM OF
1321 Laurel Oak Drive
Avon, IN 46123
$593.77
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PQ# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
LZ 20
�r
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund