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179247 11/11/2009
CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1 ONE CIVIC SQUARE HYLANT GROUP CARMEL, INDIANA 46032 P O sox 40925 CHECK AMOUNT: $228.00 INDIANAPOLIS IN 46082 -4910 CHECK NUMBER: 179247 CHECK DATE: 11/11/2009 DEPARTMENT ACCOUNT P NUMBER INV OICE NUMBER AMOUNT DESCRIPTION 1205 4347500 707337 27.00 GENERAL INSURANCE '1205 4347500 707341 201.00 GENERAL INSURANCE r IV J www.hylant.com Q GROUP 301 Pennsylvania Parkway, Suite 201 P.O. Box 40925 Indianapolis, IN 46280 -0925 1- 800 678 -0361 Local: 317 -817 -5000 Fax: 317 -817 -5151 October 28, 2009 Steve Engelking City of Carmel One Civic Square Carmel, IN 46032 Re: Package Policy #GP09313908 Dear Steve: Enclosed please find endorsements which amend the above captioned policy as follows: Endorsement effective 9/23/09: Increases Misc. Scheduled Equipment Limit to $759,989 for the addition of a 1990 Century Industries Showmaster Stage Trailer valued at $40,000. This endorsement resulted in an additional premium of $27.00. Allocate to CRC. Endorsement effective 10/1/09: Increases Misc. Scheduled Equipment Limit to $1,079,737 for the addition of various Golf Course Equipment valued at $319,748. This endorsement resulted in an additional premium of $201.00. Allocate to Golf Course. Should you have any questions, please do not hesitate 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 Risk Management !nsurance 40 I4YLANT P.O. Box 40925 Indianapolis, IN 46280 -0925 4 GROUP Local: 317 -817 -5000 INVOICE 707337 Pa-e,. 1 ACGOUNT_NO ��w.na_• «_,._CSR ,D>,TF CARME80 79 10/28/09 PROD UCER_ -',Y W. Michael Wells DALANCE.DUEON— .:..:._.:1,.'. I s_.;-... __..��..ti.....,.._......._..ka- 09/23/09 Ar,10UNT PAU)„,._.__ 27.00 City of Carmel Steve Engelking One Civic Square Carmel, IN 46032 Policy Descnptlon Amount Eff Date Trn Type INVOICE 707337 01/01/09 +EN PCKG GP09313908 INC MISC SCI-1 EQUIP Travelers Insurance Companies 27.00 ADD 1990 CENTURY INDUSTRIES SHOWMASTER STATE TRAILER TO MISC. SCHEDULE EQUIP. ALLOCATE PREMIUM TO CRC Invoice Balance: 27.00 E N OV0 9 2009 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 N N O o DELIVERY INVOICE meStPaul U U Company: ST. PAUL MERCURY INSURANCE COMPANY 0 1 CITY OF CARMEL; CARMEL CLAY PARKS Policy Inception /Effective Date: 09/23/09 N BUILDING CORPORATION; CARMEL CLAY Agency Number: 1307412 o o S BOARD OF PARKS RECREATION; CARMEL U REDEVELOPMENT COMMISSION; CARMEL CITY Transaction Type: R ONE CIVIC SQUARE ENDORSEMENT OF POLICY o E CARMEL IN 46032 Transaction number: 017 D Processing date: 10/14/09 20:41 Policy Number: GP09313908 0) m A HYLANT GROUP INC o G P.O. BOX 40925 m E INDIANAPOLIS IN 46280 -0925 N o T a o Policy Description Amount Surtax/ o Number Surcharge U N GP09313908 ENDORSEMENT PREMIUM $27.00 40724 Ed. 12-90 Printed in U.S.A. Page 1 INSURED COPY rn N N 0 o POLICY CHANGE ENDORSEMENT meStP U This endorsement summarizes the changes to your policy. All other terms of your policy not affected by these changes remain the same. o How Your Policy Is Changed INLAND MARINE 0 0 0 42038 02/1983 PROTECTION FOR MISCELLANEOUS PROPERTY LIMITS ARE AMENDED AS FOLLOWS: N O MISCELLANEOUS SCHEDULED PROPERTY: 759,989 TOTAL LIMIT: $3,880,890 ALL OTHER LIMITS REMAIN AS IS. r o THE FOLLOWING ITEM IS ADDED TO THE SCHEDULE ON FILE: m C') m 1990 CENTURY INDUSTRIES SHOWMASTER STAGE TRAILER ID #lXCS40387L3000837 0 TRAILER: $25,000 0 GRAPHICS: $10,000 o IMPROVEMENTS: 5,000 N TOTAL: $40,000 Premium Change Which Is Due Now Additional premium $27 Returned Premium If issued after the date your policy Policy issued to begins, these spaces must be completed CITY OF CARMEL; CARMEL CLAY PARKS and our representative must sign below. ®R Authorized representative Endorsement takes effect Policy Number 09/23/09 GP09313908 Processing Date: 10/14/09 20:41 017 40704 Ed.5 -84 Printed in U.S.A. Endorsement ©St.Paul Fire and Marine Insurance Co.1984 All Rights Reserved Page 1 N Ln 0 0 0 O PROTECTION FOR MISCELLANEOUS PROPERTY TRAVELERS U V We've designed this agreement to protect listed property against all risks of direct loss or damage with some limitations. 0 0 Coverage Summary O Description of property Limit of Coverage N 0 Miscellaneous Scheduled Equipment 759,989 As Per Schedule on file with the company m Lo Miscellaneous Unscheduled Equipment $3,120,901 r Maximum Limit Any One Item: $5,000 OD 0 G) m CT) M O a C7 N O O U N Total $3,880,890 0 Your deductible. You'll be responsible for the first $1,000 of each loss. We'll pay the rest of your covered loss up to the limits of coverage that apply. Who We'll Pay For Loss We'll pay you and: What This Agreement Covers Property with limited coverage. The following property is covered only to the extent This agreement protects against all risks of explained below. direct physical loss or damage to property you own or have in your care. To be Pais and sets. One or more parts of a covered, the property must be listed above pair or set may be lost or damaged. If this and the loss or damage must take place happens, we'll consider the importance of while this agreement is in effect. the lost or damage part to the set in determining the amount we'll pay. We'll be Of course, there are some limitations to fair and reasonable, but we won't pay for your coverage which will be explained later the whole set. in this agreement. Name of Insured Policy Number GP09313908 Effective Date 09/23/09 CITY OF CARMEL; CARMEL CLAY PARKS Processing Date 10/14/09 20:41 017 42038 Rev. 2 -83 Insuring Agreement 20. 1983 The Travelers Companies, Inc. All rights reserved. Page 1 of 3 Machinery. If a part of a machine or other insured property is left in or on an item made up of several parts is lost or unattended and unlocked vehicle, motorcycle damaged, we'll pay only for that part. or trailer (other than a public means of transportation). But we'll pay for property Labels. If only the labels on your goods stolen from a locked vehicle or luggage are damaged, we'll pay for new labels and compartment when there are visible marks the cost of putting them on. of forced entry. Where We Cover Dishonest acts. We won't cover losses resulting from any dishonest or illegal act committed by you or your employees or We'll cover losses that occur in the agents. Nor will we cover dishonest acts continental United States, Alaska, Hawaii and by anyone else you've entrusted your in Canada. We'll also cover losses that property to other than transportation carriers occur in transit between these places. you hire. Exclusions Losses We Won't Cover Disappearance inventory loss. We won't cover loss of property that just disappears When we use the word loss in this section or that you find missing when you take we also mean damage. inventory. Wear deterioration pests. We won't cover Nuclear activity. We won't cover any loss loss resulting from any of the following caused by nuclear reaction, nuclear radiation, causes: or radioactive contamination. And we don't wear and tear; intend these causes of loss to be considered fire, smoke, explosion, or any inherent nature of the property; other insured peril. But we will cover direct gradual deterioration; loss by fire resulting from nuclear reaction, nuclear radiation or radioactive insect or animal pests like termites or contamination if the loss would otherwise mice; be covered under this agreement. atmospheric or climatic changes; or extremes of temperature. War and government seizure. We won't cover any loss, damage or injury caused by: War Work. We won't cover loss or damage (declared or undeclared). Invasion. caused by any process. Nor will we cover Insurrection. Rebellion. Revolution. Civil war. loss or damage that occurs while the Or seizure of power. Or anything done to property is actually being worked on and hinder or defend against these actions. We results from such work. won't cover seizure or destruction of your property under quarantine or Customs regulations, or confiscation by any Marring or scratching. We won't cover loss government or public authority. Nor will we caused by leakage, denting, marring or cover illegal transportation or trade. scratching. We will, however, cover such loss if it's the direct result of fire, lightning or windstorm or from the collision, upset or What We'll Pay overturning of the transporting vehicle. We'll pay either the cost of repairing or Water transport. We won't cover loss to replacing the property with similar kind and covered property while it's being transported quality or the actual cash value of the by water. We will, however, cover loss property at the time of loss, whichever is caused by fire aboard a water transport. less. The limit of coverage that applies as shown in the Coverage Summary is the most Mechanical breakdown. We won't cover loss we'll pay for all loss from any one event caused by mechanical breakdown or no matter how many protected persons, electrical damage to electrical appliances or property owners or financial interests are devices, including wiring, unless it is caused involved. by lightning. But, if fire results, we'll pay for losses caused directly by the fire itself. Insuring to value. The premium for this coverage is based on your promise to insure Unattended property. We won't cover loss by pr Pee time of 0os we'll actual ubtract h value. theft or pilferage that occurs while the deductible from the loss to get your net 42038 Rev. 2 -83 Page 2 of 3 1983 The Travelers Companies, Inc. All rights reserved. 0 0 0 0 loss. Then we'll figure what we'll pay using Preserving Your Rights the following formula: You must do all you can to preserve any amount of amount rights you have to recover your loss from insurance x net loss we'll others. If you do anything to impair these n actual cash pay rights, we won't pay for your loss. o value However, before a loss occurs, you can give others a written release from any o If you're insured to value, we'll pay 100% of responsibility for losses to property. You o your covered net loss. However, if you're can also accept ordinary bills of lading from not insured to value, you'll have to share in a shipper, even if they limit the carrier's the loss. For example: liability for losses. N O You have a $2,000 loss to property insured Expenses For Reducing Loss for $2,500. But at the time of loss, the actual cash value of property is $5,000. if When a covered loss occurs, you must do LO your deductible is $100, we subtract that everything possible to protect the property amount from your loss to get you net loss from further damage. Keep a record of your T of $1,900. Using these figures we apply expenses. We'll pay our share of reasonable 0 the formula. and necessary expenses incurred to reduce m the loss or protect covered property from Cl) $2,500 1 further damage. We'll figure our share and a $5,000 2 or 50% x $1,900 $950 your share of these expenses in the same proportion as each of us will benefit from o From this example, you can see that it's them. o important to insure property for 100% of N its value. Insurance For Your Benefit Other insurance. Other insurance may be This insurance is for your benefit. No third available to cover a loss. If so, we'll pay party having temporary possession of the the amount of loss that's left after the other property, such as a transportation company, insurance has been used up. But we won't can benefit directly or indirectly from it. pay more than the limit of coverage that applies under this agreement. 42038 Rev. 2 -83 Insuring Agreement 20. 1983 The Travelers Companies, Inc. All rights reserved. Page 3 of 3 HYLANT P.O. Box 40925 Indianapolis, IN 46280 -0925 d GROUP Local: 317-817 -5000 INVOICE 707341 page., t ad, ACCOUNT.NO „,t -n,CSR DATE,., CARME80 79 10/28/09 PRODUCER;`�'t" ,�..�s��:..� v.•<. W. Michael Wells U N e�BALANCE" D 10/01/09 NT PA ID a,.»- AhIOUNT DUE 201.00 City of Carmel Steve Engelking One Civic Square 2�5 Carmel, IN 46032 �Eff Date Trn�Type Policy b >tiDescnption no A unt INVOICE 707341 01/01/09 +EN PCKG GP09313908 INC MISC SCH EQUIP Travelers Insurance Companies 201.00 ADD $319,748 VARIOUS GOLF COURSE EQUIPMENT ALLOCATE TO GOLF COURSE Invoice Balance: 201.00 E V 0 9 2009 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 Brookshire Golf Course Equipment 3500 -D Greenmaster 2008 Toro Lawnmower Sideinder 280001063 38,396 2008 Toro Fairway Lawnmower 5410 Toro Reelmaster 2800001005 51,327 2008 Toro Fairway Lawnmower 5410 Toro Reelmaster 280001181 51,327 2008 IToro Bedknife Grinder 672 9006720115 16,784 290001918, Toro Lawnmower will 290001917, 2008 Blade Cutting Unit 3150 Greenmaster 290001919 32,327 290001916, Toro Lawnmower w/11 290001915, 2009 Blade Cutting Unit 3150 Greenmaster 290001920 32,327 290000742, 290000743, 2009 IToro 8 Blade Cutting Units 290000739 7,200 2009 Toro Rough Mower 4500 -D Greenmaster 290000105 61,738 2009 Toro Rake 5040 Sand Pro 290000520 21,838 2009 Toro Rollers Toro 300 US 11276 6,484 Total 319,748 m Ln LO o o DELIVERY INVOICE 7 heStpaul U U Company: ST. PAUL MERCURY INSURANCE COMPANY 0 1 CITY OF CARMEL; CARMEL CLAY PARKS Policy Inception /Effective Date: 10/01/09 N BUILDING CORPORATION; CARMEL CLAY Agency Number: 1307412 0 0 0 S BOARD OF PARKS RECREATION; CARMEL U REDEVELOPMENT COMMISSION; CARMEL CITY Transaction Type: R ONE CIVIC SQUARE ENDORSEMENT OF POLICY o E CARMEL IN 46032 Transaction number: 018 D Processing date: 10/16/09 10:57 Policy Number: GP09313908 v co A HYLANT GROUP INC o G P.O. BOX 40925 E INDIANAPOLIS IN 46280 0925 N M T a o Policy Description Amount Surtax/ o Number Surcharge U GP09313908 ENDORSEMENT PREMIUM $201.00 40724 Ed. 12 Printed in U.S.A. Page 1 INSURED COPY m Lo N 0 o POLICY CHANGE ENDORSEMENT The=hu' This endorsement summarizes the changes to P 0 your policy. All other terms of your policy not affected by these changes remain the same. o How Your Policy Is Changed Form 42038 is amended to increase the Scheduled limit from $759,989. to $1,079,737. O O per schedule of equipment on file with the company. N O m v co N co O rn m m m O Q- 0 O AdffAk U U iE Premium Change Which Is Due Now Additional premium $201.00 Returned Premium If issued after the date your policy Policy issued to begins, these spaces must be completed CITY OF CARMEL; CARMEL CLAY PARKS and our representative must sign below. Authorized representative Endorsement takes effect Policy Number 10/01/09 GP09313908 Processing Date: 10/16/09 10:57 018 40704 Ed.5 -84 Printed in U.S.A. Endorsement ©St.Paul Fire and Marine Insurance Co. 1984 All Rights Reserved Page 1 m :LO LO 0 0 0 PROTECTION FOR MISCELLANEOUS PROPERTY TRAVELERS U U e; We've designed this agreement to protect 0 listed property against all risks of direct loss or damage with some limitations. 0 0 Coverage Summary 0 Description of property Limit of Coverage N 0 Miscellaneous Scheduled Equipment As Per Schedule on file with the company $1,079,737 Miscellaneous Unscheduled Equipment N Maximum Limit Any One Item: $5,000 $3,120,901 It co Ln co 0 m m m m 0 a C7 N 0 0 U Total $4,200,638 0 Your deductible. You'll be responsible for the first $1,000 of each loss. We'll pay the rest of your covered loss up to the limits of coverage that apply. Who We'll Pay For Loss We'll pay you and: What This Agreement Covers Property with limited coverage. The following property is covered only to the extent This agreement protects against all risks of explained below. direct physical loss or damage to property you own or have in your care. To be Pairs and sets. One or more parts of a covered, the property must be listed above pair or set may be lost or damaged. If this and the loss or damage must take place happens, we'll consider the importance of while this agreement is in effect. the lost or damage part to the set in determining the amount we'll pay. We'll be Of course, there are some limitations to fair and reasonable, but we won't pay for your coverage which will be explained later the whole set. in this agreement. Name of Insured Policy Number GP09313908 Effective Date 10/01/09 CITY OF CARMEL; CARMEL CLAY PARKS Processing Date 10/16/09 10:57 018 42038 Rev. 2 -83 Insuring Agreement 20. 1983 The Travelers Companies, Inc. All rights reserved. Page 1 of 3 Machinery, If a part of a machine or other insured property is left in or on an item made up of several parts is lost or unattended and unlocked vehicle, motorcycle damaged, we'll pay only for that part. or trailer (other than a public means of transportation). But we'll pay for property Labels. If only the labels on your goods stolen from a locked vehicle or luggage are damaged, we'll pay for new labels and compartment when there are visible marks the cost of putting them on. of forced entry. Where We Cover Dishonest acts. We won't cover losses resulting from any dishonest or illegal act committed by you or your employees or We'll cover losses that occur in the agents. Nor will we cover dishonest acts continental United States, Alaska, Hawaii and by anyone else you've entrusted your in Canada. We'll also cover losses that property to other than transportation carriers occur in transit between these places. you hire. Exclusions Losses We Won't Cover Disappearance inventory loss. We won't cover loss of property that just disappears When we use the word loss in this section or that you find missing when you take we also mean damage. inventory. Wear deterioration pests. We won't cover Nuclear activity. We won't cover any loss loss resulting from any of the following caused by nuclear reaction, nuclear radiation, causes: or radioactive contamination. And we don't intend these causes of loss to be •wear and tear; considered fire, smoke, explosion, or any inherent nature of the property; other insured peril. But we will cover direct gradual deterioration; loss by fire resulting from nuclear reaction, insect or animal pests like termites or nuclear radiation or radioactive contamination if the loss would otherwise mice; be covered under this agreement. atmospheric or climatic changes; or extremes of temperature. War and government seizure. We won't cover any loss, damage or injury caused by: War Work. We won't cover loss or damage (declared or undeclared). Invasion. caused by any process. Nor will we cover Insurrection. Rebellion. Revolution. Civil war. loss or damage that occurs while the Or seizure of power. Or anything done to property is actually being worked on and hinder or defend against these actions. We results from such work. won't cover seizure or destruction of your property under quarantine or Customs regulations, or confiscation by any Marring or scratching. We won't cover loss government or public authority. Nor will we caused by leakage, denting, marring or cover illegal transportation or trade. scratching. We will, however, cover such loss if it's the direct result of fire, lightning or windstorm or from the collision, upset or What We'll Pay overturning of the transporting vehicle. We'll pay either the cost of repairing or Water transport. We won't cover loss to replacing the property with similar kind and covered property while it's being transported quality or the actual cash value of the by water. We will, however, cover loss property at the time of loss, whichever is caused by fire aboard a water transport. less. The limit of coverage that applies as shown in the Coverage Summary is the most Mechanical breakdown. We won't cover loss we'll pay for all loss from any one event caused by mechanical breakdown or no matter how many protected persons, electrical damage to electrical appliances or property owners or financial interests are devices, including wiring, unless it is caused involved. by lightning. But, if fire results, we'll pay for losses caused directly by the fire itself. Insuring to value. The premium for this coverage is based on your promise to insure Unattended property. We won't cover loss by A op ert time of 0os we'll actual ubtract you value. theft or pilferage that occurs while the deductible from the loss to get your net 42038 Rev. 2 -83 Page 2 of 3 1983 The Travelers Companies, Inc. All rights reserved. m Ln 0 O 0 0 loss. Then we'll figure what we'll pay using Preserving Your Rights 0 the following formula: You must do all you can to preserve any amount of amount rights you have to recover your loss from insurance x net loss we'll others. If you do anything to impair these co actual cash pay rights, we won't pay for your loss. 0 value However, before a loss occurs, you can give others a written release from any o If you're insured to value, we'll pay 100% of responsibility for losses to property. You o your covered net loss. However, if you're can also accept ordinary bills of lading from not insured to value, you'll have to share in a shipper, even if they limit the carrier's the loss. For example: liability for losses. N O You have a $2,000 loss to property insured Expenses For Reducing Loss for $2,500. But at the time of loss, the actual cash value of property is $5,000. if When a covered loss occurs, you must do your deductible is $100, we subtract that everything possible to protect the property co amount from your loss to get you net loss from further damage. Keep a record of your T of $1,900. Using these figures we apply expenses. We'll pay our share of reasonable 0 the formula: and necessary expenses incurred to reduce the loss or protect covered property from $2,500 1 further damage. We'll figure our share and $5,000 2 or 50% x $1,900 $950 your share of these expenses in the same c� proportion as each of us will benefit from Cq o From this example, you can see that it's them. o important to insure property for 100% of U its value. Insurance For Your Benefit Other insurance. Other insurance may be This insurance is for your benefit. No third available to cover a loss. If so, we'll pay party having temporary possession of the the amount of loss that's left after the other property, such as a transportation company, insurance has been used up. But we won't can benefit directly or indirectly from it. pay more than the limit of coverage that applies under this agreement. 42038 Rev. 2 -83 Insuring Agreement 20. 1983 The Travelers Companies, Inc. All rights reserved. Page 3 of 3 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. 1 Payee \c-n o u Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or 1v J 33 C'5 lL 1 l (7 J� ivti Scci G" c LAX Z7. Total �z� 00 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 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1 Z ,3 S bill(s) is (are) true and correct and that the 1Z -5 `702341 q75 a,�l oo materials or services itemized thereon for which charge is made were ordered and received except 20 Sig at Title Cost distribution ledger classification if claim paid motor vehicle highway fund