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Home My WebLink About168520 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1 ONE CIVIC SQUARE HYLANT GROUP i �fa CARMEL, INDIANA 46032 P 0 BOX 1910 CHECK AMOUNT: $378,061.25 o� CARMEL IN 46082 CHECK NUMBER: 168520 CHECK DATE: 2/4/2009 D EPARTMENT ACCOUNT PO N UMBE R IN VOICE N UMBER AMOUNT DESCRIPTI v 302 5023990 680110 25,194.25 OTHER EXPENSES 1120 4347500 680571 58,933.00 GENERAL INSURANCE 1192 4347500 680571 6,531.00 GENERAL INSURANCE 1205 4347500 680571 153,720.00 GENERAL INSURANCE ,_1205 4347500 680572 123,700.00 GENERAL INSURANCE 1205 4347500 680573 714.00 GENERAL INSURANCE r,., p1205 4347500 680692 9,269.00 GENERAL INSURANCE Eff Date Trn Type Policy Description Amount INVOICE 680110 01/01/09 NIS WC -S WCX002730 1/1/09, 1 of WC Insts Citizens his Co of America S 14,056.75 01/01/09 NIS WC -S WCX002730 1/1/09 1 of 4 TPA Insts Citizens Ins Co of America S 11,137.50 Invoice B alanc e: S 25,194.25 HYLANT GROUP www.hylant.com 501 Congressional Blvd Suite 300 PO. Box 1910 Carmel, IN 46032 Local: 317 -817 -5000 Fax: 317 -817 -5151 2009 Dept WC Class Payroll WC Rates Annual /Yr Std Prem Premium of Prem TPA Fee Admin 9015 Bldg Main 110,770 1.53 1,695 13.9% 236 Admin 8810 Clerical 886,160 0.11 975 13.9% 135 q`�dmrn:Total ,V...... �..,v 371 0.66% 294 Bd of Works 8810 Clerical 13,375 _0 15 13.9% 2 Bd of Works Totals .w,....._ T 0.00% ,�2„ w..... _w w.. Clerk Treas 8810 Clerical 412,064 0.11 453 13.9 63 Clerk T as TT. 63 0.11 Communicatior 8810 Clerical 1,506,472 0.11 1,657 13.9% 230 Communcatons Total E59W 0.41 %u'; 183" DOCS 9410 Municipal 952,622 1.14 10,860 13.9% 1,510 DOCS 8810 Clerical 376,618 0.11 414 13.9% 58 .r., V 7. 2 79% 1;242 .hew. i� Council 8810 Clerical 118,524 0.11 130 13.9% 18 Council Total 3 X 18 0 03 14 ._......w >..a.,. .v..,�..K: M......n. .r......,...........,.,M..a.. ,:...,r.. .A ,,...a,......w,,,..... .....5_.. :..:r...m,. a Court 8810 Clerical 443,080 0.11 487 13.9% 68 Court 7725 Policeman 49,847 0.77 384 13.9% 53 iGourt TotalI Y �a 0.22 Engineering 9410 Municipal 437,542 1.14 4,988 13.9 693 Engineering 8601 Surveyor 249,233 0.28 698 13.9% 97 Engineering 8810 Clerical 88,616 0.11 97 13.9% 14 Eng inee rr ngTotal w�... w :804 1.43% 637 Fire 7699 Fireman 11,370,541 1.39 158,051 13.9% 21,969 Fire 8810 Clerical 250,340 0.11 275 13.9% 38 Fire Total 2 2,007 39.14% x .v_ Law 8820 Atty 310,156 0.07 217 13.9% 30 Law Total w r 30 0.05% X24 w a._,.I�....... Mayor 8810 Clerical 558,281 0.11 614 13.9% 85 Ma or Total_ y 85 0.15% f Parks 9102 Parks NOC w 1,772,320 1.29 22,863 13.9% 3,178 Parks 8869 Child Day Care 1,484,318 0.36 5,344 13.9% 743 Parks 9015 Bldg Main 86,616 1.53 1,325 13.9% 184 Parks 8810 Clerical 332,310 0.11 366 13.9% 51 Parks 'Too tal._ �'ry 4 156 7.39% 3 293 �„�j Police 7725 Policeman 6,967,433 0.77 53,682 13.9% 7,462 Police 8380 Auto Sery 108,555 1.16 1,259 13.9% 175 Police 8810 Clerical 592,620 0.11 652 13.9% 91 u 1....: ,.�:d�.�...,.�....__��..,.�:, ..n. .7,727 13.74% r Street 5506 St&Rd 2.193.246 3.04 60.075 12.9% 9.208 EVnent 8810 C|ohoa| 152.8S3 011 168 1119% 23 10.52% Sewer 7580 Sewage Disp 1,240,624 1.43 17,741 13.9% 2,466 Sower 9015 Bldg Main 121.847 1.53 1.864 13.9% 259 Sewer 8810 Clerical 520 011 573 139Y6 80 4.99% Water 7520 Waterworks 2,697,250 1.69 45,584 13.9% 6,336 Water 9015 Bldg Main 240.233 1.53 3.813 13.9% 530 Water 8810 C|ohoa| 537.235 011 581 13.9% 82 12.36% 37,191,330 404,510 1O0.O0% 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 Hylant Gr Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01/15/0 68 0110 Workers Comp Prem (i of 4 installments) '52 5, 1 94.2 5 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 Nn.Ing/09WARRANT NO. i up ALLOWED 20 IN SUM OF Box 1910 Carmel, IN 4sn8g $25,194.25 ON ACCOUNT OF APPROPRIATION FOR GENERALFUND 302 Fund Board Members PO# or D PT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or 302 680110 302 $25,194.25 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 Ad 4 -SicLpfature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Pali INVOICE 680692 01/01/08 AUD PCKG GP09313908 08-09 Auto Audit Travelers Insurance Companies 9,269.00 Fire Dept. $458 Police Dept. $3,426 Street Dept. $633 Water Dept $557 Sewer Dept. $594 Utility Dept. $121 Parks Dept. $226 DTF $2,989 DOCS $265 Invoice Balance: 9,269.00 HYLANT GROUP www.hylant.com 501 Congressional Blvd Suite 300 PO. Box 1910 Carmel, IN 46032 Local: 317-817-5000 Fax: 317-817-5151 L E YLANT www.hylant.com Q GROUP January 26, 2009 City of Carmel One Civic Square Carmel, IN 46032 Attn: Steve Engelking Re: Auto Policy GP09313908 1/1/08 1/1/09 Dear Steve: Enclosed is the Business Auto policy final audit that was completed by Travelers Insurance Company. This audit reflects the actual premium earned for the period of 1/1/08 through 1/1/09. The audit has been reviewed for accuracy and everything appears to be in order. The difference between the estimated and actual premium basis results in an additional premium of $9,269. This audit premium is due upon receipt. Please contact us within ten (10) days if you wish to dispute any items reflected in this audit. If you do not contact us within this timeframe it is understood that you are in agreement with this audit and the premium is due as invoiced. Sincerely, Sue Morlock Senior Client Service Specialist Enclosure 501 Congressional Boulevard, #300 P.O. Box 1910 Carmel, IN 46082 -1910 1- 800 678 -0361 Local: 317 817 -5000 Fax: 317 817 -5151 Risk ManaRerneO 40f B. Entity Name: CITY OF CARMEL Policy Period: 01/01/2008 TO 01/01/2009 Policy Number: GP09313908 Liability Coverages New Count of Powered Units 375 Old Count count from any completed endorsements 329 Difference 46 21 1 23.00 Comprehensive Coverage New Physical Damage Original Cost New $14,783,718 Old Physical Damage values from any completed endorsements $13,549;409 $0 $13,549,409 Difference $1,234,309 2 $617,155 Collision Coverage New Physical Damage Original Cost New $14,783,718 Old Physical Damage values from any completed endorsements $13,549,409 $0 1 $13,549,409 Difference $1,234,309 2 $617,155 Specified Perils New Physical Damage Original Cost New Old Physical Damage values from any completed endorsements Difference old rates multiplied by exposures equals R/P or A/P Liability: 322 x 23.00 $7,406 UM PIP �'MP x Premiums-'are x incl =wlL� ability x Comprehensive: 0.136 x $617,155 $839 Collision: 0.166 x $617,155 $1,024 SP: x N® ADDi<ENTUCi<Y OF 1 5 A ®D, V ES _�VIRGIN,I PREMIUM SURCHARGES,®F 1 0 y NO, A'DD'NEW. JERSEY`SUR;CHARGEOF175 Calculated Premium.j $9,269.00 Total Additional Premium: $9,269.00 PrescTibect by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Hylant Group Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01/26/0 680692 Bu earned for the period premium $9,269.00 Total $9,269.00 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 VOUCHER ff,., fa ,-_WARRANT NO. Hylant Group ALLOWED 20 IN SUM OF PO Box 1910 $9,269.00 ON ACCOUNT OF APPROPRIATION FOR GENERAL FUND 1205 Administration Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1205 0 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 ignature Cost distribution ledger classification if Title claim paid motor vehicle highway fund -Eff "Date{ Trn��T� Polic `w��De cs �i��tion h Amour NVOIGE 680571 01/01/09 REN PCKG GP09313908 2009 -10 Package Policy Travelers Insurance Companies 597,066.00 Invoice Balance: 597 Prompt payment of premium due is appreciated. Please return the top portion of our perforated invoice with your payme HYLANT G ROUP www.hylant.com 501 Congressional Blvd Suite 300 PO. Box 1910 Carmel, IN 46032 Local: 317- 817 -5000 Fax: 317- 817 -5151 INVOICE 680572 01/01/09 REN UM -S 065302610 2009 -10 Umbrella Policy Lexington Insurance Company 120,683.00 01/01/09 CTX UM -S 065302610 Surplus Lines Tax Lexington Insurance Company 3,017.00 Invoice Balance: 123,700.00 Prompt payment of premium due is appreciated. Please return the top portion of our perforated invoice with your payme HYLANT GROUP www.hylant.com 501 Congressional Blvd Suite 300 PO. Box 1910 Carmel, IN 46032 Local: 317- 817 -5000 Fax: 317 -817 -5151 a t Eff�Ddte Trn T e� POIIC e s u' rz+ m° YP Y Description Amount INVOICE 680573 01/01/09 REN MIC1 104864945 2009 Ident. Theft Policy Travelers Insurance Companies 714.00 Invoice Balance: 714.00 Prompt payment of premium due is appreciated. Please return the top portion of our perforated invoice with your payme HYLANT GROUP www.hylant.com 501 Congressional Blvd Suite 300 P.O. Box 1910 Carinel, IN 46032 Local: 317 -817 -5000 Fax: 317 -81.7 -5151 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 Hylant Group Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01/23/0 680571 20091ns 680572 2009 Umbrella Policy 219,184.00 9 Identity Theft Policy 0 Total 0 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 I`62) NO. y an roup ALLOWED 20 IN SUM OF PO Box 1910 C a rmel, 1I 46 982 $343,598.00 ON ACCOUNT OF APPROPRIATION FOR GENERAL FUND Board Members PO# or r� D PT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or 1205 680571 475 $153,720.00 bill(s) is (are) true and correct and that the materials or services itemized thereon for 1205 680572 475 00.00 which charge is made were ordered and 1205 6805 00 received except 1120 680 571 475 $58,933.00 .00 20 Si ture Title Cost distribution ledger classification if claim paid motor vehicle highway fund