HomeMy WebLinkAbout170699 04/14/2009 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP
CARMEL, INDIANA 46032 P o BOX 1910 CHECK AMOUNT: $100,117.00
CARMEL IN 46082
CHECK NUMBER: 170699
CHECK DATE: 4/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
=1046 4347500 680659 18,525.00 GENERAL INSURANCE
1047 4347500 680659 56,823.00 GENERAL INSURANCE
1125 4347500 680659 24,769.00 GENERAL INSURANCE
H YLANT P.O. Box 1910
Carmel, IN 46082
Local: 317 -817 -5000 INVOICE 680659 eml
4 GROUP
a•.YCCOUIVT;NO ..�..a�..>.�:,CSR DATE .......a
CARME80 8Y 01/26/09
DUCER
W. Michael Wells
01/26/09
100,117.00
City of Carmel
Steve Engelking
One Civic Square
Carmel, IN 46032
Eff Date Trn Typed Policy,# r �Descnption,� 7� Amount��„
A
INVOICE 680659
01/01/09 MEM PCKG GP09313908 09 -10 Pckg. Policy -Parks DepTravelers Insurance Companies 100,117.00
Invoice Balance: 100,117.00
Purchase
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Payment is due upon receipt of invoice or by the effective
date, whichever is later. Please pay from this invoice.
HYLANT GROUP www.hylant.com
501 Congressional Blvd Suite 300 PO. Box 1910 Carmel, IN 46032 Local: 317 817 -5000 Fax: 317- 817 -5151
CARMEL CLAY PARKS
Insurance Cost Allocation Summary
Overall Parks Allocation is $100,117 r
NON Auto Premium is $92,819 (Bldgs, Liability, Crime, Equip Bkdown, Umbrella Liability, etc)
Auto Premium is $7,298
TOTAL $100,117
Property is 38% of NON Auto Premium $35,271
Liability is 62% of NON Auto Premium $57,548
Property Liabilit Auto
TOTAL PREMIUMS 35,271 57,548 7,298 TOTAL
Allocation between 3 Units ALLOCATION
MONON CTR 33,000 96% 23,020 40% 803 11% 2 vehicles 56,823
ALL OTHER 1,411 4% 17,264 30% 6,094 83.50% 16 vehicles trailers 24,769
AFTER SCHOOL PROGRAMS 860 incr 17,264 30% 401 5.50% 1 vehicle 18,525
100,117
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
352999 Hylant Group Terms
P.O. Box 1910 Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/26/09 680659 General insurance 24,769.00
1/26/09 680659 General insurance 18,525.00
1/26/09 680659 JGeneral insurance 56,823.00
Total 100,117.00
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
i
Voucher No. Warrant No.
352999 Hylant Group Allowed 20
P.O. Box 1910
Carmel, IN 46032
In Sum of
100,117.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund Program Fund
PO# or INVOICE NO. CCT #/TITLI AMOUNT Board Members
Dept
1125 680659 4347500 24,769.00 1 hereby certify that the attached invoice(s), or
1046 680659 4347500 18,525.00 bill(s) is (are) true and correct and that the
1047 680659 4347500 56,823.00 materials or services itemized thereon for
which charge is made were ordered and
received except
9 -Apr 2009
Signature
100,117.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund