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HomeMy WebLinkAbout157054 03/05/2008 c�yM� CITY OF CARMEL, INDIANA VENDOR: 090251 Page 1 of 1 ONE CIVIC SQUARE F D I C CARMEL, INDIANA 46032 PO BOX 973059 CHECK AMOUNT: $820.00 DALLAS TX 75397 CHECK NUMBER: 151054 CHECK DATE: 315/2008 DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION ,1120 4357004 820.00 REGISTARTION FEES i i pA i �p Attendee Name: �_T L o ll Phone: I Badge ID: First Name ff C JJ Last Name Titl DepartmentlCompany (Maximum 30 Characters) /_;�d a L100 s Ac c Address (To mail badge and conference inf rmation) Address 2 Country cP RV E_ y6o33 City State Zip Phone Fax E -mail (Confirmations will be sent via email, if a unique email address is given.) Rank/Title Do you read Fire Engineering? (01) Chief of Depart. (07) Firefighter /Paramedic �(01) Yes (02) No (02) Staff Chief (08) Firefighter /EMT (03) Other Officer (06) Other If yes, whose copy do you read? (04) Firefighter (please specify) 'p--ex- (01) 1 subscribe (03) 1 read a co- worker's copy (05) Training Officer Job Function (Check all that apply) How many years have you attended FDIC? (01) Management (08) Public Education I am visiting the FDIC 2008 exhibits (02) Training (09) EMS (03) Prevention (10) Haz Mat to obtain information on: (Check all that apply) -K(04) Suppression (11) Rescue (01) Apparatus (17) Helmets and Accessories (05) Investigation (13) Wildfire (02) Apparatus Accessories (18) Fans /Generators (06) Maintenance (12) Other (03) Protective Clothing (07) Communication (please specify) (04) SCBA and Supplies (19) Ropes, Chains, Safety �(05) Education /Colleges/ Belts Purchasing Responsibility Training Services and Accessories (04) Approve (02) Recommend (06) Tools (20) Personal Safety Devices/ (01) Purchase (03) Specify (07) Communications Accountability Systems (08) Nozzles, Hoses, Reels (21) Pumps /Gauges Are you a member of a purchasing committee? (19) Ambulances (22) Environmental Foams/ (1) Yes (0) No (10) Computer Services/ Extinguishing Agents Software (23) Monitors and Detectors Type of Department (11) Financial Institutions (24) Sirens, Lights, Alarms (01) Volunteer C] (04) Devices (04) Industrial (12) Haz Mat (25) Insurance �d (02) Career (05) Military c] (13) Rescue Tools and j❑ (03) Combination (06) Other Equipment E] (26) Laboratory Testing/ Product Career/Vol (please specify) C] (14) EMS Equipment Supplies Testing Services Population Served by Department (15) Confined Space 11 (27) N ewwslesle and s and N (01) Under 2,500f (04) 25,001- 75,000 (16) Diving and Water Rescue (02) 2,501- 10,000 (05) 75,001- 150,000 (03) 10,001- 25,000 (06) Over 150,000 www.FDIC.com i 5 Attendee Name: I1. s r Phone: Badge ID: o.y a a r, April 7 -12, 2008 Indiana Convention Center and RCA Dome 100 South Capital Avenue, Indianapolis, Indiana Globe family of Brands REGISTRATION H.O.T. INFORMATION Fully complete the registration form. Incomplete registration forms Register early. H.O.T. class sizes are limited. will be returned for complete information. H.O.T. Evolution participants must register and report to the 500 Placement in Hands -On Training (H.O.T.) classes is not reserved until Ballroom by 6:30 a.m. registration form is properly completed and payment is received. Full -day Workshops begin promptly at 8 a.m. Pre registration cut -off is March 31, 2008. Attendees must register 4 -hour Evolutions begin promptly at 8 a.m. and 1 p.m. on -site after March 31, 2008. Lunch is provided for all H.O.T. attendees. Payment for all Early Bird registrants must be received by February 29, 2008. Registration and payment received after There is no refund for partial -day attendance. February 29, 2008 is subject to full registration fees. Evolution Requirements Each attendee must be individually registered. Single registrations may not be separated or shared among multiple attendees. Signed liability waivers are required for all Evolutions. Visit www.fdic.com to print a liability waiver. If paying with purchase order (PO) PennWell must receive PO before Full turnout gear and /or technical rescue gear is required for registration can be confirmed. Please note that a credit card must certain Evolutions. accompany PO to guarantee a reservation. PO must be paid within 45 SCBA will be provided when necessary. days of the invoice date or the credit card will be charged. If the credit card is not valid at the time of registration, the reservation is forfeited. N0 T REGISTRATION STEP BY STEPS df ➢�s h'ew Ek ,1 SelecttheH OAT Evolutionsb and %or Wo`rkshops:you tl ii e to attend,; 2 Total the�cosuof your chosen�H O T classes and anyy atltlitional conference optionsxat the bottom oftReglstration Page 4 0 www.FDIC.com Attendee Name: E7, i Phone: Badge ID: HANDS-'ON .TRA,.I,N,IN,G'EVOLUITION1.8t�W.ORKSHOP..REGISTRATION FORM HANDS O °°p N TRAINING CLASS PRICE$ ch 4' ryH 0 w? Class 'Each 8 hr HSO T- C N4 "�y �6 hr H 0:=T Class a� _:iE�y_ yy`�. i a4 $9�'r iE��wf�'t"+t;� +�„e� R tiw'2.�i..z�`kTf"LN2��1- Evolutions $90 $180 $360 WHEN LIVES ARE Workshops $160 $320 IN THE BALANCE AND SECONDS COUNT Monday, April 7, 2008 Tuesday, April 8, 2008 4 -Hour Evolutions 8:00 a.m. —12:00 p.m. 1:00 p.m. 5:00 p.m. 4 -Hour Evolutions 8:00 a.m. 12:00 p.m. 1:00 p.m. 5:00 p.m. 1st2nd 3rd 4th 5th 1st 2nd 3rd 4th 5th Advanced Extrication Tactics Advanced Extrication Tactics Engine Company: High-Rise/Standpipe O erations 9 P Y P Q Q Engine Company: High Rise /Standpipe Operations Engine Company: Hose Loads and Deployments Engine Company: Hose Loads and Deployments Engine Company: Pump Operator /Alternative Water Supply Engine Company: Pump Operator /Alternative Water Supply Engine Company: Suppression Operations Fngine Company: Suppression Operations Flashover Simulator Flashover Simulator Thermal Imaging for the Fire Service Thermal Imaging for the Fire Service Q Truck Company: Ground Ladders Truck Company: Ground Ladders Truck Company: Impact- Resistant Glass, Burglar Bars, and Security Truck Company: Impact- Resistant Glass, Burglar Bars, and Security Shutters Shutters Truck Company: Search Procedures Truck Company: Search Procedures Truck Company: Ventilation Truck Company: Ventilation 8 -Hour Evolutions 8:00 a.m. 5:00 p.m. 8 -Hour Evolutions 8:00 a.m. 5:00 p.m. 1st2nd3rd 4th 5th 1st2nd 3rd 4th 5th Firefighter Safety and Survival Revisited Firefighter Safety and Survival Revisited First -Due Engine and Truck Tactics First -Due Engine and Truck Tactics Heavy Truck Extrication Cl Heavy Truck Extrication Cl Live Fire Instructor: Getting the Most Out of Fixed Bum Buildings Live Fire Instructor: Getting the Most Out of Fixed Burn Buildings Modern Vehicles: Techniques and Technology Modern Vehicles: Techniques and Technology Q Rapid Intervention Team Combat Drills Rapid Intervention Team Combat Drills Team Search Team Search Cl Cl Torch Operations for the Fire Service Torch Operations for the Fire Service Training for Railroad Emergencies Training for Railroad Emergencies Cl Trench /Excavation Rescue: Advanced Operations Trench /Excavation Rescue: Advanced Operations Truck Company: Aerial Ladder Operations Q Truck Company: Aerial Ladder Operations Truck Company: Forcible Entry Trick Company: Forcible Entry 8 -Hour Workshops 8:00 a.m. 5:00 p.m. 8 -Hour Workshops 8:00 a.m. 5:00 p.m. 1st 2nd 3rd 4th 5th 1st 2nd 3rd 4th 5th Aerial Apparatus Operations Apparatus Purchasing Fire Dynamics for the Fire Service Chief Officer Development Fire Officer Development Drill Development Firefighter and Fire Officer Survival: Why Things Go Right and Why Dying Inside Things Go Wrong Firefighter and Fire Officer Survival: Why Things Go Right and Why Firefighting in Multiple Dwellings Things Go Wrong Fireground Tactics Fireground Academy Five -Alarm Leadership Fireground Tactics Health and Safety Officers Academy Managing Major Fires Managing Multiple -Alarm Fires Managing the Fireground Using Technology Modern Residential Fire Tactics Modern Residential Fire Tactics Q Routine Responses? Pride and Ownership: The Love for the Job Training Programs for Small Departments Strategies and Tactics for Firefighter Survival Truck Company Operations, With or Without a Truck Ten Keys to Success as a Volunteer Chief Officer Ups, Downs, and Sideways of Automatic Sprinkler Protection Training Programs that Make a Difference Monday and Tuesday, April 7 8, 2008 16 -Hour Evolutions 8:00 a.m. 5:00 p.m. 16 -Hour Workshops 8:00 a.m. 5:00 p.m. 1st 2nd 3rd 4th 5th 1st2nd3rd 4th 5th Conducting NFPA 1403 Compliant Live -Burn Training Fireground Logic: The Rules of Engagement Fire Investigation High -Rise Operations Handling Elevator Emergencies ISFSI Instructor Development Clinic High Angle Rope Rescue in the Urban Environment Ultimate Reading Smoke Workshop Structural Collapse Rescue www.FDIC.com :i Attendee Name: 1 it Phone: Badge ID: ­CONFERENCES—: EXHIBITS REGISTRATION O' Hands -On Training Evolutions Workshops are reserved when payment is received. Class sizes are limited register early! If you are registering for H.O.T. Evolutions or Workshops, complete the entire form on the opposite page and send with your registration. Pricing from Registration Page 3 should be added to any additional conference fees and totals at the bottom of this form. CONFERENCE FEES (Please select only one of the following) PAYMENT Fully paid Fully paid All reservations must be paid in full prior to conference for on or before after admittance. 2/29/08 2/29/08 wands -On Training Full Package $435 $540 Enclosed is a check payable to FDIC. (Enclosed is a signed purchase order with credit card guarantee. ncludes general sessions, classrooms exhibits. Please include credit card number below. Allows up to 16 hours of HOT Evolutions and /or Workshops at additional costs listed on Registration pg 3. Charge my credit card: MasterCard Visa American Express Discover Two Day Hands -On Training Only $130 $160* Card number Includes general sessions and exhibits. Allows up to 16 hours of HOT Evolutions and /or Workshops Exp. date at additional costs listed on Registration pg 3. Name on card Full Conference $435 $540 Signature Includes general sessions, classrooms exhibits Mail or Fax Your Registration One Day Conference $230 $285 Mail to: Includes general session, classrooms all three days of exhibits 2008 Fire Department Instructors Conference Wed., April 9 Thurs., April 10 OR Fri., April 11 c/o FDIC /PennWell Registration P.O. Box 973059, Dallas, TX 75397 -3059 F to: Exhibit Package $65 $65 Fa +1- 888 -299 -8057 or +1- 918- 831 -9161 Includes all exhibit days, Thurs. Sat., April 10 12 Questions? Please call: One Day Exhibits Only $30 $40 +1- 888 -299 -8016 or +1-918-831-9160 Includes exhibits on selected day only. Thurs., April 10 Fri., April 11 OR Sat., April 12 Cancellation Policy Cancellations must be received in writing before Februrary 29, Spouse Exhibits Only $15 $15 2008, in order to receive a refund, minus a $75 administrative charge. After February 29, 2008, refunds are not available. Includes all exhibit days, Thurs. Sat., April 10 12 Substitutions may be made at any time by notifying the registration office in writing. Name for Spouse Badge: Fire Engineering Subscription PRICE DOES NOT INCLUDETHE COST OF t, .a�. �1 Your registration fee includes a 1 -year, $15.00 digital AYE subscription to Fire Engineering. Check here if you DO NOT �rY,f�INDIVIDUAL;H OT EVOLUTIONS /WORKSHOPSy k� wish to receive the subscription. Spouse Exhibits Only and One Day Exhibits Only are not eligible for the subscription. Conference Fee to O H.O.T. Class Price Total from Registration Page 3 Total Due: o SOURCE CODE: www.FDIC.com Attendee Name: Phone: Badge ID: ATFENDEE INFORMATION(Ente, this information a., you would lige it to appear on your badge) t l C6 C+ Cr 1 Grn, ir7e Bt First Name L Name Title C v Gc2Yrc Department/Company (Ma imum 30 Characters) I 19 44 5 1 2 RA tgiri i R� 4q v Address (To mail badge anti conference information) Address 2 i Country City j State zip (a '1 1O 0 1 Y C, (`'Is ;S cc 2(6 Ini;I 016&cc Phone Fax E -mail (Confirmations will be sent via em ai� unique email address is given.) Rank/Title Do you read Fire Engineering? (01) Chief of Depart. (07) Firefighter /Par edic (01) Yes (02) No (02) Staff Chief (08) Firefighter /EM (03) Other Officer Z.'(06) Other [3 (04) Firefighter E' If yes, whose copy do you read? g (please specify) in��� (05) Training Officer (01) I subscribe X(03) 1 read a co- worker's copy Job Function (Check all that apply) How many years have you attended FDIC? t (01) Management (08) Public Educat n C3 (02) Training (09) EMS I am visiting the FDIC 2008 exhibits (03) Prevention (10) Haz Mat to obtain information on: (Check all that apply) (04) Suppression (11) Rescue (01) Apparatus (17) Helmets and Accessories (05) Investigation (13) Wildfire (3 (06) Maintenance (12) Other (02) Apparatus Accessories p (18) Fans /Generators (07) Communicatio (please specify) (03) Protective Clothing (04) SCBA and Supplies (19) Ropes, Chains, Safety (05) Education /Colleges/ Belts Purchasing Res OI1Sibillty Training Services and Accessories (04) Approve (02) Recommen (06) Tools 0 (20) Personal Safety Devices/ (01) Purchase (03) Specify (07) Communications Accountability Systems (08) Nozzles, Hoses, Reels (21) Pumps /Gauges Are you a mem er of a purchasing c mittee? (19) Ambulances (22) Environmental Foams/ (1) Yes ,X (0) No (10) Computer Services/ Extinguishing Agents Software 0 (23) Monitors and Detectors Type of Departrent (11) Financial Institutions Sirens, Lights, Alarms (01) Volunteer (04) Industrial (12) Haz Mat Signaling Devices g (02) Career (05) Military (13) Rescue Tools and (25) Insurance (03) Combinatio (os) Other Equipment (26) Laboratory Testing/ CareeriVol 1 (please specify) (14) EMS Equipment Product j Supplies Testing Services Population Se' ed by Department (15) Confined Space (27) Publications/Trade (01) Under 2,500 (04) 25,001 -7 00 Diving and Water Rescue Newsletters and (02) 2,501- 10,000 ID (05) 75,001 -1 ,000 (03) 10,001 -25,' 00 (06) Over 150 00 I www.FDlC.com Atte Name: S c p r 1 11 Phone: Badge ID: i HANDS- WO RKSHOP R EGISTRATION F ANU$0 C c7 C x ii UT. Cl chi xhr H;U£Tk ass cli k• c U. Glass k j 4 Evolutions $90 $180 I $360 WHEN LIVES ARE Workshops $160 I $320 IN THE BALANCE AND SECONDS COUNT Monday, April 7, 2008 Tuesday, Ajpril 8, 2008 4 -Hour Evolutions 8:00 a.m. 12:00 p.m. 1:00 p.m. 5:00 p.m. 4 -Hour Evolutions .00 a.m. 12:00 p.m. 1:00 p.m. 5:00 P.M. 1st2nd3rd 4th 5th 1st2nd3rd 4th 5th Advanced Extrication Tactics 0 dvanced Extrication Tactics Engine Company: High Rise /Standpipe Operations ngine Company: Nigh Rise /Standpi a Operations Engine Company: Hose Loads and Deployments ngine Company: Hose Loads and eployments Engine Company: Pump OperatorlAlternative Water Supply >0 [3 11 ngine Company: Pump Operator /AI ernative Water Supply 13 (j Engine Company: Suppression Operations gine Company: Suppression Oper tions Flashover Simulator lashover Simulator Thermal Imaging for the Fire Service O iermal Imaging for the Fire Service Truck Company: Ground Ladders uck Company: Ground Ladders Truck Company: Impact- Resistant Glass, Burglar Bars, and Security O ❑ck Company: Impact- Resistant GI ss, Burglar Bars, and Security Shutters iutters Truck Company: Search Procedures Suck Company. Search Procedures Truck Company: Ventilation O yuck Company: Ventilation 8 -Hour Evolutions 8:00 a.m. 5:00 p.m. 8 -Hour Evolutions 8 a.m. 5:00 p.m. 1st 2nd 3rd 4th 5th 1st 2nd 3rd 4th 5th Firefighter Safety and Survival Revisited r Safety and Survival Revisi d First -Due Engine and Truck Tactics �st -Due Engine and Truck Tactics I Heavy Truck Extrication I avy Truck Extrication E3 Live Fire Instructor: Getting the Most Out of Fixed Burn Buildings [3 0 i4e Fire Instructor: Getting the Most Out of Fixed Burn Buildings Modern Vehicles: Techniques and Technology Bern Vehicles: Techniques and Te nology Rapid Intervention Team Combat Drills pid Intervention Team Combat Drill Team Search E am Search Torch Operations for the Fire Service c rch Operations for the Fire Service Training for Railroad Emergencies Cl r aining for Railroad Emergencies Trench /Excavation Rescue: Advanced Operations r nch /Excavation Rescue: Advanced Operations Truck Company: Aerial Ladder Operations O ck Company: Aerial Ladder Operas ons Truck Company: Forcible Entry 1 ck Company: Forcible Entry 8 -Hour Workshops 8:00 a.m. 5:00 p.m. 8 -Hour Workshops 8 a.m. 5:00 p.m. 1st 2nd 3rd 4th 5th 1st2nd3rd 4th 5th Aerial Apparatus Operations rat us Purchasing Fire Dynamics for the Fire Service [3 �ei' Officer Development Fire Officer Development r I Development Firefighter and Fire Officer Survival: Why Things Go Right and Why C3 y ng Inside Things Go Wrong [3 0 [3 0 r fighter and Fire Officer Survival: W� y Things Go Right and Why Firefighting in Multiple Dwellings 1 1 ngs Go Wrong Fireground Tactics F r ground Academy Five -Alarm Leadership F r ?ground Tactics [3 0 [3 Health and Safety Officers Academy El aging Major Fires El [I Managing Multiple -Alarm Fires [1 aging the Fireground Using Techn logy Modern Residential Fire Tactics O N o Jern Residential Fire Tactics Routine Responses? F ide and Ownership: The Love for the Job Training Programs for Small Departments E r tegies and Tactics for Firefighter St rvival 0 Truck Company Operations, With or Without a Truck T Keys to Success as a Volunteer Cl ief Officer Ups, Downs, and Sideways of Automatic Sprinkler Protection Cl O T ning Programs that Make a Differe ce Monday and Tuesday, April 7 8, 2008 16 -Hour Evolutions 8:00 a.m. 5:00 p.m. 16 -Hour Workshops 8 00 a.m. 5:00 p.m. 1st 2nd 3rd 4th 5th 1st 2nd 3rd 4th 5th Conducting NFPA 1403- Compliant Live -Burn Training F ground Logic: The Rules of Engageent Fire Investigation El El E3 -Rise Operations Handling Elevator Emergencies I I Instructor Development Clinic High Angle Rope Rescue in the Urban Environment U i ate Reading Smoke Workshop 1 Structural Collapse Rescue I www.FDIC.com i Attendee Name: t 8 f1 Phone: g Badge ID: CONFERENCES EXHIBITS REGISTRATION FORM I I Hands -On Training Evolutions Workshops are reserved when payment is received. Clas (sizes are limited regist r early! If you are registering for H.O.T. Evolutions or Workshops, complete the entire form on the opposite pge and send with your r glstration. I Pricing from Registration Page 3 should be added to any additional conference fees a I totals at the bottom of t is form. CONFERENCE FEES (Please select only one of the following) PAYMENT Fully paid Fully paid Ali reservation I ust be paid in full prior to conference for on or before after admittance. 2/29/08 2/29108 nclosed is check payable to FDIC. Hands -On Training Full Package $435 $540 nclosed is 31 signed purchase order with credit card guarantee. Includes general sessions, classrooms exhibits. I I Allows up to 16 hours of HOT Evolutions and /or Workshops lease incl credit card number below. at additional costs listed on Registration pg 3. Charge my Tdit card: MasterCard Visa American Express Discover X Two Day Hands -On Training Only $130 $160* Card number Includes general sessions and exhibits. Allows up to 16 hours of HOT Evolutions and /or Workshops Exp. date at additional costs listed on Registration pg 3. Name on card g Full Conference $435 $540 Si nature Includes general sessions, classrooms exhibits I........ Mail or Fax Yc Jr Registration One Day Conference $230 $285 Mail to: Includes g eneral session, classrooms all three days of exhibits 2008 Fire Del Irtment Instructors ConferE nce ❑Wed., April 9 ❑Thurs., April 10 OR ❑Fri., April 11 c/o FDIC /Pen Nell Registration P•O. Box 97311 9, Dallas, TX 75397 -3059 Exhibit Package $65 $65 Fax to: +1- 888 -299 -8 X 57 or +1-918-831-9161 Includes all exhibit days, Thurs. —Sat., April 10 12 Questions? Ple call: One Day Exhibits Only $30 $40 +1- 888 -299 -8 6 or +1-918-831-9160 Includes exhibits on selected day only. Thurs., April 10 c3 p Fri., April 11 OR Sat., April 12 Cancellation P icy .............P. Cancellations I st be received in writing before Februrary 29, Spouse Exhibits Only $15 $15 2008, in order t receive a refund, minus a $75 administrative charge. After F abruary 29, 2008, refunds a not available. Includes all exhibit days, Thurs. Sat., April 10 12 Substitutions rr 3 1 y be made at any time by otifying the registration offii in writing. Name for Spouse Badge: I I Fire Engineerir Subscription r "PRICEtDOES OTkINCLUI) HfE;COST`OF uzar74n Your registrat fee includes a 1 -year, $1 .00 digital t'- 6 `�s�INDIVIDUALH"�0'TEI/OLUTION WORKSHOPSf��'� S' subscription t4 h Fire Engineering. Check re if you DO NOT wish to receiv the subscription. Spouse Exhibits Only and One Day Exh is Only are not eligible for the subscription. Conference Fee H.O.T. Class Price Total from Registration Page 3 Total Due$ SOURCE CODE: Prescribed by Slate 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) v✓ v, R A Total 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 o p0 °o z 1 0 m m T �6 z o :3 y x o r m Q o O Z O X Q O 6 o (�D z m G cy C o O X TI O O C K tR "d (n C 3 I CD m Cn CD N Q D CD n CD 3 O ((-D j� �p F4 n V O Q CD C L C2 O CD CD A� 0 CL CL 00 p O I� p S (D O G