HomeMy WebLinkAbout180120 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP
CARMEL, INDIANA 46032 P O BOX 40925 CHECK AMOUNT: $2,706.00
INDIANAPOLIS IN 46082 -4910
o CHECK NUMBER: 180120
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
902 4347500 709209 2,499.00 GENERAL INSURANCE
902 4347500 709210 207.00 GENERAL INSURANCE
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HYLANT
www.hylant_com
4 GROUP
301 Pennsylvania Parkway, Suite 201
P.O. Box 40925
Indianapolis, IN 46280 -0925
800-678-0361
Local: 317- 817 -5000
Fax:. 317- 817 -5151
November 12, 2009
Matthew Worthley
Carmel Redevelopment Commission
111 W. Main St., Ste. 140
Carmel, IN 46032
Re: Energy Center Builders Risk Policy #06637524
Dear Matt:
Enclosed please find endorsements which amend the above captioned policy as follows:
Endorsement 5 Effective 10/22/09, extends the policy period to expire on 4/22/10. This
endorsement resulted in an additional premium of $2,499.00. Invoice enclosed.
Endorsement 6 Effective 10/22/09, increases building limit to $7,000,000 (for additional
chillers /boilers) and adds $200,000 Business Income /Extra Expense coverage. This endorsement
resulted in an additional premium of $207.00. Invoice enclosed.
Should you have any questions, please feel free to contact me.
Sincerely,
Marianne Uban, CIC, CISR
Senior Client Service Specialist
Direct: 317- 817 -5136
Fax: 317 817 -5151
Email: marianne.uban @hylant.com
ent e enefjts
P.O. Box 40925
4HYLANT Indianapolis, IN 46280 -09251
5000 817
317
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Loca: INVOICE 709209
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CARME13 79 11/12/09
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*'PRODUCER +;.Ii"."_,. arrrz='t.?:;, iT.:�' rt'.�..
W. Michael Wells
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.BALANCE.DO.E`ON_ �.a.z=
10/22/09
N;INIOUNTPAtD?_. si.s?",... _'AM1IOUN'r:DUE .z.rsYd. "£i
2,499.00
Carmel Redevelopment Comm
Sherry Mielke
111 W. Main, Ste 140
Carmel, IN 46032
Eff Date Trn Type' Pohcy ti Descnption F mount
3q r
INVOICE 709209
10/22/09 +EN BR-1 0663724 ENERGY CTR EXTEND Federal Insurance Company 2,499.00
EXTEND COVERAGE FROM 10/22/09 TO 4/22/10 ENERGY CENTER
Invoice Balance: 2,499.00
1�
HYLANT GROUP www.hylant.com
301 Pennsylvania Parkway Suite 201 PO. Box 40925 Indianapolis, IN 46280 -0925 Local: 317 817 -5000 Fax: 317- 817 -5151
HYLANT P.O. Box 40925
Indianapolis, IN 46280 -0925
GxQuP Local: 317- 817 -5000 Pa e
V I N V ®ICE 709210
UNTiV,O£
CARMEI3 79 11/12/09
�E..,.
;PRODUCER c:SL zr 25.. .^?.,:.��,,.�,,_..'�e�r
W. Michael Wells
�'_BALANCE:DUE ON.. _a .....,.;x "a c .�s"✓!
10/22/09
'AMOUNT PAID °9;ANIOUNT DUE „,w .'A
207.00
Carmel Redevelopment Comm
Sherry Mielke
111 W. Main, Ste 140
Carmel, IN 46032
Y d S '"4',y ST_"W. fa ^4'J✓7 F f: r., t r w n .p Tj
Date Trnt Type Policy Descriptions 3 s Amount
INVOICE 709210
10/22/09 +EN BR -I 06637524 INC LIMIT ENERGY CTR Federal Insurance Company 207.00
INCREASE BLDG LIMIT TO $7,000,000 AND ADD BI /EE $200,000
Invoice Balance: 207.00
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HYLANT GROUP www.hylant.com
301 Pennsylvania Parkway Suite 201 P.O. Box 40925 Indianapolis, IN 46280 -0925 Local: 317 817 -5000 Fax: 317 817 -5151
Prescribed 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
Purchase Order No.
4,25 Terms
117 /1';,, 5 /ti �/6 2� -0 X 25 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)) q
�P11for c�e�7 >�°�J �cv�a°'�r 2 ,L// �JQ
Flo' L,- 7 ;20
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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
f4 'd:Y
VOUCHER NO. WARRANT NO.
ALLOWED
L
IN SUM OF
-�Z/ 7 00
ON ACCOUNT OF APPROPRIATION FOR
�3y7so�
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
got 70 20) 1 1 17500 2`f99,5t� bill(s) is (are) true and correct and that the
4 �216 //33 /7So9 materials or services itemized thereon for
which charge is made were ordered and
received except
Sign re
Director of Operations
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund