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160876 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 110000 Page 1 of 1 ONE CIVIC SQUARE GOVERNMENT FINANCE OFFICERS ASS 203 N LASALLE ST #2700 �IiECK AMOUNT: $550.00 CARMEL, INDIANA 46032 CHICAGO IL 60601 CHECK NUMBER: 160876 CHECK DATE: 6/25/2008 DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION =1701 4340300 550.00 ACCOUNTING FEES f Print Form i al CERTIFICATE OF ACHIEVEMENT FOR EXCELLENCE IN FINANCIAL REPORTING PROGRAM Participant Application (Please type or print) Section I: Government Information: r Three copies of this completed application, three copies (whether a hard copy or an electronic version on CD) of the government's comprehensive annual financial report (CAFR) and the appropriate fee should be sent (postmarked or e- mailed) to GFOA within six months of the government's fiscal year end (if that date falls on a weekend or holiday the deadline is extended until the next business day), unless you are requesting that we review a document that you have posted at your website. In addition, if the CAFR was submitted to the program in the immediate prior year, please include three copies of the government's responses to the comments and suggestions for improvement and any other correspondence that may assist the program with the current year's review. This information will be sent to Special Review Committee (SRC) members to assist them in their review. The official requesting the review will receive the results upon completion of the review process. Note: The results sent to a program participant include a copy of this application that includes preprinted information for questions 1 through 6. If that application is sent with your next submission simply update the information on the preprinted application, as necessary, and complete all of the other information for Sections I through VII of the application. Alternatively, you may complete a new application for each submission to the program (visit the "award Programs" area of GFOA's website, www.gfoa.org, to download a copy). If you have any questions contact us at: cafrprogram @gfoa.org or call the Technical Services Center at (312) 977 -9700. 1. Name of Government City of Carmel, Indiana (as it appears on the report cover and will appear on the Certificate of Achievement plaque, if awarded) 2. Fiscal Year Ended (month, day, year) December 31, 2007 3. Is the government a previous participant in the Certificate of Achievement Program? YesE) No❑ If yes, what was the most recent fiscal year? 2006 4. Official Requesting Review (receives notification of results, detailed comments and suggestions for improvement, the Award for Financial Reporting Achievement (AFRA), a press release, information regarding presentation by a GFOA State Representative and the Certificate of Achievement plaque). Name: Diana L. Cordray Title: Clerk- Treasurer Street Address (required): 1 Civic Square P.O. Box (if applicable): E -mail: (require(j) dcordray @carmel.in.gov City: Carmel State: IN Zip Code: 46032 Phone: 317 571 -2430 Fax: 317 571 -2410 5. If the government is awarded a Certificate of Achievement for Excellence in Financial Reporting, the Award of Financial Reporting Achievement (AFRA) will be prepared for the individual or department noted below as being primarily responsible for the unit's success in earning the certificate. Individual's or Department's Name: Diana L. Cordray Individual's Title: Clerk- Treasurer, IAMC 6. If the submission qualifies for the Certificate of Achievement for Excellence in Financial Reporting, whom (mayor, board chair, etc.) should GFOA send a formal announcement of the award and a related press release. Name: Diana L. Cordray Title: Clerk- Treasurer Street Address (required): 1 Civic Square P.O. Box (if applicable): E -mail: dcordray @carmel.in.gov City: Carmel State: IN Zip Code: 46032 7. For municipalities (e.g., cities, townships, villages) and counties, please provide your population figure. For school districts, please provide your total student enrollment figure. 68,677 L ForGFOA Office Use (MY Check Amount: Pas, oS 6 i -der, v Section I: Government Information (Continued): 8. To support the GFOA's recommended practice titled Using Websites to Improve Access to Budget Documents and Financial Reports`, the GFOA will provide a link to CAFRs that are available on a government's website. Does your entity follow this recommendation and publish its CAFR on its website? ❑x Yes No If yes, please provide the hyperlink address directly to the CAFR or to a financial information area: http: /www. This link will be on the list of award winners of the Certificate of Achievement for Excellence in Financial Reporting that can be found in the "Awards program" area of GFOA's website, www.gfoa.org. Section II: Audit Information: Agency or Firm Name: Indiana State Board of Acounts Contact name (optional): Street Address: 302 W. Washington Street Phone: 317- 232 -2513 E -mail: (required) City: Indianapolis State: IN Zip Code: 46204 Section III: Fee Calculation: Please add the amounts from the following financial statements, if applicable: Total revenues from the governmental funds Statement of revenues, expenditures and changes in fund balances (exclude other financing sources) 146,242,091 Total expenses (include both operating and nonoperating expenses) from the proprietary funds (the total for both enterprise and internal service funds) Statement of revenues, expenses and changes in net assets /fund equity 22,852,775 Total additions for pension (and other employee benefit), investment, and private purpose trust funds (do not include any amounts for agency funds) from the fiduciary funds Statement of changes in fiduciary net assets (if total additions are negative, use the total amount of contributions from all sources) 1,401,254 Program revenues of only discretely presented component units from the government -wide Statement of Activities (do not include any information for the primary government) If applicable, total revenues reported for discretely presented component units and not- for profit organizations reported on a separate operating statement(s) or statement(s) of activity (NOTE: this item is only applicable in situations where a organization that appropriately follows other than GASB standards is included as part of the financial reporting entity) TOTAL 170,496,120 If you have not already paid for this review, please include a check payable to the GFOA with this application form or provide the following information if you wish to pay by credit card: Credit card type: Account number: Expiration date (mandatory): Signature (mandatory): Use the following schedule to determine the appropriate fee based on the TOTAL calculated above. Member rates apply if a government joins GFOA at the time of their submission (in this case indicate below that the government is a GFOA member). TOTAL GFOA Member Nonmember Under $1 million $275 $550 $1 -10 million $350 $700 $10 -50 million $415 $830 $50 -100 million $480 $960 $100 -250 million $550 $1,100 $250 -500 million $690 $1,380 $500 -750 million $825 $1,650 $750 million $1 billion $965 $1,930 Over $1 billion $1,045 $2,090 GFOA Member? Yes 0 No If yes, please provide the exact name of the government as it is used for membership purposes: What is your government's GFOA membership number (please note that this is not your state GFOA membership number)? 36543001 Page 2 of 6 Please refer to the recommended practices area of the GFOA's website, www.gfoa.org for the full text of the recommendation including the suggested guidelines a government should follow when it presents its CAFR on its website. t Name of government: City of Carmel, Indiana (as a reference for SRC reviewers) Section IV: Fund Information: Indicate below how many individual funds of each generic fund type for which the primary government reports operations :I and /or balances (including the funds of blended component units and component units that are fiduciary in nature) and how many discretely presented component units the government -wide statements report at year end. Also, indicate the number of individual funds of each generic fund type with legally adopted annual budgets. NOTE: The information provided below should be based on the funds it reports in the CAFR and not the number of funds that are included in the government's accounting system. Number of Funds and Number of Funds with Discretely Presented Legally Adopted Fund Type Component Units Annual Budgets Primary Government: General 1 1 Special Revenue 23 2 Debt Service 5 2 Capital Project 3 Permanent -0- -0- Enterprise 2 -0- Internal Service 1 -0- Pension Trust 2 -0- Investment Trust -0- -0- Private- purpose Trust -0- -0- Agency 1 1 Discretely Presented Component Units: Governmental entities -0- N/A Other (e.g., nongovernmental entities following the commercial or not for -profit model) -0- N/A Section V: Pension and Other Postemployent Benefits Information: Indicate below the individual pension and otherpostemployment benefit plans (benefit plans) in which the government participates or with which it is otherwise connected (e.g., contributions made on behalf of employees by another government) and indicate the type of plan (see GASB Statement 27, Para. 8, 19, 25, and 28 for guidance and GASB Statement 45, Para. 11, 22, 29, and 32 Also, indicate by answering yes or no, whether the government includes a pension (and other employee benefit) trust fund in its CAFR to report individual benefit plans. For the separate report of a Public Employee Benefit System list the individual benefit plans reported by the system. Reported as Multiple Special a pension Employer Defined Single Funding (and other Benefit Plans Employer Situations employee Cost Defined Defined (GASBS 27, benefit) Benefit Plan Sharin Agent Benefit Plans Contribution Paraeraph 28) Trust Fund? a Public Employee Retirement Fund x No b) 1925 Police Offiers' x Yes c 1937 Firefighters' x Yes d) 1977 Police Officers' and Firefighters' x No e) 0 g) h) i) J) Page 3 of 6 Section VI: Displav and Disclosure Questions: Please answer each of the following questions. Your answers will assist the SRC in determining whether the item addressed by the question is properly displayed or disclosed in the CAFR. Comments and suggestions for improvement will be issued to your government unit if discrepancies are noted between the information presented in the CAFR and the answers to these questions. (Note: The following questions are in order by when a question relating to the topic first appears on the General i Purpose Checklist). All Questions are Applicable to Material Items Only Yes No N/A 1. Has an obligating event occurred (e.g., the government is in violation of a pollution related permit or license or the government is named, or has evidence that indicates that it will be named, by a regulator as a responsible party or potentially responsible party for pollution remediation) that requires the government to attempt to accrue a pollution remediation obligation? x 2. Does the government unit have any debt that is being repaid by special assessments? If yes: x a. Is the government unit obligated in some manner for all or a portion of the debt? x b. is the government unit not obligated in any manner for the debt? x 3. Did the government unit engage in securities lending transactions during the year? x 4. During the year, did the primary government unit engage in any refunding(s) x of debt that resulted in the defeasance or redemption of debt? If yes, a. Did the transaction(s) take place in a fund that uses governmental fund accounting? x b. Did the transaction(s) take place in a fund that uses proprietary fund accounting? x 5. Is the government retaining risk (i.e., "self-insurance")? x 6. Does the government unit own or operate a municipal solid waste landfill where it is required by federal, state, or local law or regulation to incur closure and postclosure care costs? x 7. Is the government unit included in the reporting entity of another governmental unit (e.g., as a department, enterprise fund, fiduciary fund, or component unit)? If so: a. Is this government unit reported in one or more separate funds within the primary x government b. Is this government unit reported as a discretely presented component unit in the primary x government's CAFR? 8. As of the end of the fiscal period, did the government have uninsured deposits that were 1) uncollateralized, 2) collateralized with securities held by the pledging financial institution, or 3) collateralized with securities held by the pledging financial institution's trust department or x agent but not in the depositor government's name? 9. As of the end of the fiscal period, did the government have investments evidenced by securities that were neither insured nor registered and that were held by either 1) the counterparty, x 2) the counterparty's trust department or agent but not in the government's name? 10. As of the end of the fiscal period, is the government party to a derivative that is not reported x at fair value on the face of the financial statements? 11. Did any significant subsequent events occur after the balance sheet date (e.g., debt issuances x or settlements of litigation)? 12. Has the government unit violated any finance- related legal or contractual provisions? x 13. is the government unit a lessee in an operating lease? If so, x a. Are any of the agreements noncancelable? x b. Do any of the agreements have scheduled rent increases? x 14. Is the government unit a lessor in an operating lease? If so, x a. Are any of the agreements noncancelable? x b. Do any of the agreements have scheduled rent increases? x Page 4 of'6 Section VI: Display and biselosure Questions (Continued): Yes No N/A 15. Does the government unit have any construction commitments outstanding at year end? x 16. Did the government engage in short -term debt activity during the year (e.g., anticipation notes, use of lines of credit), even if no short-term debt was outstanding at the beginning or x end of the year? x 17. Did the government unit engage in transactions with any related parties? x 18. Is the government unit a participant in one or more joint ventures? If yes: a. does this government unit have an equity interest in the joint venture that it reports in: x 1. Governmental funds? 2. Proprietary funds? x 19. Does the government unit pay all or a portion of the cost of postemployment benefits other than x pension benefits (OPEB) for employees? If yes: x a. Are the OPEB provided through a pension plan? If yes: b. Are any OPEB healthcare benefits provided through a pension plan that is reported as a x pension trust fund by this government? 20. Has another entity made on- behalf payments for fringe benefits and salaries (e.g., pension contributions, health and life insurance premiums, Medicare Part D payments from the Federal government for prescription drug coverage, and salary supplements) to a third party recipient x for the government unit's employees? If yes, x a. Were any of the on- behalf payments for salaries? b. Were any of the on- behalf payments for fringe benefits? If yes, please indicate the type of fringe benefits: N/A 21. Has the government issued debt in its name for which it is not liable in any manner (i.e., conduit or x no commitment debt) and where the debt is not reported as a liability in the financial statements? 22. Does the government report amounts relating to an obligation for termination benefits that it x incurred as a result of either voluntary or involuntary terminations? If so, x a. Did the government incur an obligation during the current period? b. Did the government report a liability at the end of the current period for an obligation that it x incurred during a previous period? 23. Does the government report outstanding debt that it secures by a pledge of revenues? If yes: x a. Do the pledged revenues directly collateralize or secure debt of the pledging government? x b. Do the pledged revenues directly /indirectly collateralize or secure debt of a component unit? x 24. During the fiscal year did the government enter into a transaction that qualifies as a sale of a x future revenue stream? 25. If blended component units are included in the financial reporting entity, has the government unit reported the fund(s) of the blended component unit separate from the funds of the primary government (i.e., has the government unit refrained from including any fund(s) of the blended x component unit in a fund with activities of the primary government)? Page 5 of 6 n Section VI: Dispiav andbisclosure Questions (Continued): Yes No N/A 26. Describe, in detail, your government unit's legal level of budgetary control (generally, this is the level at which the government unit's management may not reallocate appropriations without the approval of the governing body). Include examples of the legal level, as necessary, to provide clarification (e.g., departments include finance, police, fire, etc. or the object of expenditures level is salaries, supplies, etc.). The legal level of budgetary control is by object or department within the fund for the General Fund, and by object within the fund for all other budgeted funds. The County's management cannot transfer budgeted appropriations between object classifications of a budget without approval of the County Council. Any revisions to the appropriations for any fund or any department of the General Fund must be approved by the County Council and, in some instances, by the Indiana Department of Local Government Finance. a. If the government unit does not demonstrate compliance at the legal level of budgetary control within the CAFR, is a separate report issued that does so? If yes, one copy of that report must be included as part of the submission packet. Please note that the annual budget document itself is not adequate for this purpose as it does not demonstrate compliance. x Section VII: Authorization: With this application form we are officially requesting that the Certificate of Achievement for Excellence in Financial Reportin ram review our CAFR. We agree to comply with the policies and procedures of the program. 7;a cc, (Signature of official requesting revie (Date) The following list is provided to he t e government ensure the completeness of its submission: Qx Did you include three copies of the application? n Did you include three copies of the CAFR (either a hard copies or on CDs), unless you are requesting that we review a document posted at your website? ❑x Did you include three copies of responses to prior year comments (applies only if the CAFR was submitted to the program and eligible for the award in the immediate prior year)? Did you provide payment (e.g., by a check or credit card) for the amount of the appropriate fee? Qx If applicable, did you include a copy of the separately issued budget report that demonstrates legal compliance at the legal level of budgetary control (See Section VI, questions 26 and 26a)? ❑x If not postmarked or e- mailed within six months of the government unit's fiscal year end (if that date falls on a weekend or holiday the deadline is extended until the next business day), was an extension requested and approved? Mail all necessary items to: Government Finance Officers Association Certificate of Achievement Program 203 North LaSalle Street, Suite 2700 Chicago, IL 60601 Page 6 of 6 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Iti 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 r7 r, A Z IN SUM OF �o 5 jj U Sal s� 70 i IL ON ACCOUNT OF APPROPRIATION FOR 7 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 20 Ci i ture- Title Cost distribution ledger classification if claim paid motor vehicle highway fund