HomeMy WebLinkAbout157591 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 359o87 Page 1 of 1
a 0 ONE CIVIC SQUARE NATIONAL EXECUTIVE SPORTS TRA P
CARMEL, INDIANA 46032 1310 S WEST ST CHECK AMOUNT: $1,481.20
INDIANAPOLIS IN 46225 CHECK NUMBER: 157591
CHECK DATE: 3/19/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1192 4343002 6605 1,481.20 EXTERNAL TRAINING TRA
1
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�r National Executive Sports Transp.
1310 S. West Street
City of Carmel
fndianapolis, IN 46225 INA INVOICE
317 610 -3150 800 -524 -91 4Q 1
(l+ax:812 876 9397)
www.TransportationAnywhere,com Dept. of CCQ1"I�ftl'11Ut11� services
tconnen @transportationanywhere
d 0 Invoice 6605
Ca o: CitydCannel
Adrienne Keeling
.1 Civic Square Date Printed: Monday, March 03, 2008
Carmel, IN 46032
Phone: 317- 5712421
Pax: 317-571-24,26
Date Vehicles Si7e From To
04/18/2008 1 23 pass Carmel City Hall Cincinnati, OH and Return
COST COMPONENTS
8 Unfts: Cost /Unit: N_ i2taL
Plat Rate 1.00 1288.00 23 pass $1,288.00
Drivcr Gratuity 1.00 193.20 $193.20
Drivers Hotel Rooms 1.00 0.00 Included in Cost $0.00
Total Cost of Move: $1481.20
BUS DETAIL
Vehicle Spot Time: Drop Off TImQ;
8:00am 8:00pm
Total Cost of Charter- 51,481.20
;Driver Oratuity is: Included in the cost or your charter Total Received to Date: $0.00
Balance Due: April 3, 2008 $1,481.20
Driver Gratuity:
Total Including Gratuity:
hinerary:
From: FAXmaker To: 1- 317 -571 -2426 Page: 111 Date: 3/14/2008 8:20:55 AM
ACORD DATE (MWODNYYY)
M CERTIFICATE OF LIABILITY INSURANCE 1 03/14/2008
PRODUCER Phone: (800) 935-2442 Fax (330) 659 -8912 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
AMERICAN HIGHWAYS INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
3250 INTERSTATE DRIVE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
RICHFIELD OH 44286 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC
INSURED INSURER A: National Interstate Insurance Company 32620
SODREL TRUCK LINES, INC. INSURER B: National Interstate Insurance Company 32620
STAR OF AMERICA, LLC INSURER C:
ONE SODREL DRIVE
JEFFERSONVILLE IN 47130 INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD 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
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSP. ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR INSRD DATE MM/DDIYY DATE MMIDDNY
GENERAL LIABILITY FES8130002 -00 10/01/07 10/01/08 EACH OCCURRENCE 5,000,000
r X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 250,000
PREMISES Ea occurence CLAIMS MADE 7 OCCUR MED EXP (Any one person) 5 000
A PERSONAL ADV INJURY 5,000,000
GENERAL AGGREGATE 5,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP /OP AGG 5,000,000
PR
X PRO- LOC
JECT
AUTOMOBILE LIABILITY FES8130002 -00 10/01/07 10/01/08 COMBINED SINGLE LIMIT
X ANY AUTO (Ea accident) 5,000,000
ALL OWNED AUTOS BODILY INJURY
(Per person)
SCHEDULED AUTOS
A X HIRED AUTOS
BODILY INJURY
X NON -OWNED AUTOS (Per accident)
PROPERTYDAMAGE
(Per accident)
GARAGE LIABILITY FES8130002 -00 10/01/07 10/01/08 AUTO ONLY EA ACCIDENT 1,000,000
A ANY AUTO OTHER THAN EA ACC
Fx Nor-Owned Autos Used AUTO ONLY AGG
EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE
OCCUR CLAIMS MADE AGGREGATE
DEDUCTIBLE
RETENTION
woRKE E,'LIA E BILITY ANO FWC8130003 -00 10/01/07 10/01/08 X TORYUMTS OTHER
EM PLOYERS' LIAILITY
113 ANY PROPRIETORIPARTNEWEXECUTIVE E L EACH ACCIDENT 1,000,000
OFFICERIMEMHER EXCLUDED? EL. DISEASE -EA EMPLOYEE 1,000,000
It yes, describe under
SPECIAL PROVISIONS below EL DISEASE POLICY LIMIT 1,000,000
OTHER: PHYSICAL DAMAGE FES8130002 -00 10/01/07 10/01/08 $0. DED SPEC PERILS /COLL
A
DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
THE ENTITY(IES) IDENTIFIED ON CERTIFICATES OF INSURANCE ON FILE WITH THE COMPANY ARE ADDITIONAL INSUREDS UNDER THIS
POLICY AS RESPECTS THE OPERATIONS OF THE NAMED INSURED, BUT ONLY WITH RESPECT TO THE NAMED INSURED'S LIABILITY ARISING
OUT OF THE OWNERSHIP, MAINTENANCE OR USE OF A "COVERED AUTO" AND COVERAGE SHALL NOT BE BROADER THAN COVERAGE
AFFORDED THE NAMED INSURED.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO
THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
CITY OF CARMEL OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES
1 CIVIC SQUARE
CARMEL, IN 46032 AUTHORIZED REPRESENTATIVE
Attention: ADRIENNE KEELING _D L. oehler
ACORD 25 (2001/08) Certificate 88898 ACORD CORPORATION 1988
Prescribed by State Board of Accounts City Form 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
i✓XQ('.L.C��V`(� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3 3 D a fa 6Q U
Total �y 8 0
1 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
T IN SUM OF
l 3 O
-5. Uko�
.ziu q6 a a 5
2.0
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# 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
�/7 20D C
Signature
.d C,s
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund