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Home My WebLink About210279 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 365194 Page 1 of 1 0 ONE CIVIC SQUARE BOUNCE HOUSE GUYS CHECK AMOUNT: $200.00 CARMEL, INDIANA 46032 8206 ROCKVILLE ROAD #152 INDIANAPOLIS IN 46214 CHECK NUMBER: 210279 CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4340800 200.00 ADULT CONTRACTORS 2012 -03- 17 13:33 GET MORE JUMPS LLC 3178529897 3175717926 P 1/1 RENTAL AGREEMENT www,Boun s.com I.F,SSOR Bounce House Guys LFSSFOS /OR NAMi A' s_ /Ke� 8206 Rockville Rd #152 IJ'S,% :E:/0 G NAME /'►'ti� Z .S rndpls, Indiana 46214 ADDRESS ,S6 317- 222 -9522 Phone bouncehouseguys,com C ury _..4' ZIP Pilo b$ Pilo DELIVERY FF,E NONREFUNDABLE DEPOSIT PAID S DELIVERY DATIc/TIME Yl �JI I mo .07% SALE TAX PAID S EQUIP SUBTOT 'PICK UP DATE/TIME PA1t) IN FUL OR AMOUNT DUB: 5 6 UNITS SET _IJP ON WHAT K OF 9URFACk Payment is due upon delivery in cash oirty —Nu checks PAVEMEINT GRASS.. INDOOR E] unless it is Business, Church, or Sch+ check Power o utlet within 100 feet YES No Pu bliF Lo YES OTHER OTHER Bounce House [:IWKEND Bounce House ❑Neutral Combo B -FALL ban [Luau uan CR(.)bo Car ban ElCurious George ban ❑Strawb Short ban EJKahuna Sllda Small OhMacla (]LAr9A Obetacle EI urbo Ru6h ❑Wrecking Ball DBungee Run (JJoust E] Adult Sumo Suits C ah Machinc Shoot and Throw game F]Feat oitctl ❑Duck pond ❑High Striker []Fun Pack DAirborne Adventure Dunk Tank OGenerator �Snvrr Gone ❑Gorton GanaY HOLD HARMLESS PROVISION- CUSTOMER HEREINAFTCR LESS AGREES TO INDEMNIFY, DISCHARGEAND HOLD HARMLESS -GET MORE JUMPS, LLC DBA BOUNCE ROUSE GUYS AND OFFICERS, AGENTS, EMPLOYECS, OWNeR, AND AFFILIATES (HEREINAFTER, LESSOR) FROM ANY AND ALL CLAIMS, DEMANDS, ACTIONS, SUITS, PROCEEDING COSTS, EXPENSES, DAMAGES, AND LIABILITIES INCLUDING REASONABLE ATTORNEY FEES ARISING BY REASON OF INJURY DISABILITY OR DEATH TO PERSONS, DAMAGE OF PROPERTY OR THEFT, IN CONNECTION WITH OR RESULTING frKOM THE USE OR SET UP OF THE EQUIPMENT INCLUDING BUT NOT LIMITED TO THE MANIIFACTIIROR, SELECTION DELIVrRY, POSSESSION, USE OPERATION, OR RETURN OF THE EQUIPMENT, LESSEE HEREBY RELEASES AND HOLDS HARMLESS LESSOR FROM INJURIES OR DAMAGES INCURRED AS A RESULT OF THE USE OF SAID EQUIPMENT UNLESS LESSOR 15 DEEMED BY A COURT OF LAW TO BE NEGLIGENT IN ITS ACTIONS, LESSOR CANNOT UNDER ANY CIRCUMSTANCES BE HELD LIABLE FOR INJURIES AS A RESULT OF ACTS OF GOD, NATURE, OR OTHER CONDITIONS BEYOND ITS CONTROL OR KNOWLEDGE. DUTY TO MITIGATIE- IN THE EVENT OF INJURY, DAMAGE OR LOSS DI-IF TO LFSSOR'S NEGLIGENCE, LESSOk AGREES AND ASSUMES THE DUTY TO MITIGATE ALL COSTS RESULTING FROM SAID INJI1kV, IIAMAW; OP LOSS. DISCLAIMER OF CONSEQUENTIAL DAMAGES- BY SIGNING THIS CONTRACT, LESSEE ACRuS TO FOREGO SEEKING ANY CONSEQUENTIAL DAMAGES IN THE EVENT OF ANY INJURY, DEATH, DAMAGE, DISABILITY, OR LOSS OUL TO LESSOR'S NECLIGENCF, DISCLAIMER OF WARRANTIES- LESSOR MAKES NO WARRANTIES EII'HE.R EXPRESSED OR IMPL AS TO THE CONDITION OR PERFORMANCE OF ANY EQUIPMENT AND /OR PROPERTY LEASED BY LESSEE FROM LFSSOK, SY SIGNING THIS CONTRACT, LESSEE AGREES THAT ANY WARRANTY OF MERCHANTABILITY OF FITNESS OF A PARTICULAR PIJPPOkr ARP HEREBY DISCLAIMED BY SIGNING THIS CONTRACT, LESSEE AGREES THAT NO EXPRESS WARRANTY AS TO THE CONDITION OR PERFORMANCE OF ANY EQUIPMENT AND /OR PROPERTY LEASED BY LESSEE IS HEREBY DISCLAIMED. NEGLIGENCE OR ABUSE- LESSEE AGREES TO BE RESPONSIBLE FOR ANY LOSS OF OR DAMAGE TO I.F`5nR'S EQUIPMENT AND /OR PROPERTY AND SHALL, REIMBURSE LESSOR FOR REPLACEMENTOFANY EQUIPMENT AND /OR PROPERTY LESSEE IS SOLEY RESPONSIBLE FOR ANY LOSS OR DAMAGE THAT OCCURS FOR ANY REASON W141LE THE EQUIPMENT AND /OR PROPERTY 1S IN THE POSSESSION OF LESSEE AND /OR 11NTII, INSPECTION DATE. INSPECTIONS. LF,SSh:h AGKI;ES 1 ALLOW LESSOR ONE WEEK FROM PICK -UP DATE TO INSPECT EQUIPMENT AND /OR PROPERTY FOR DAMAGES CAUShD i3V LEASEE. IF LESSOR FINDS ANY DAMAGES, LESSEE WILL BE FINANCIALLY RESPONSIBLE FOR DAMAGES. 1 understand thut this document is intended to be as broad and inclusive as permitted by the lows u the Stuce oflndiana and agree that I% any pol'tlon of tllis agreement Is invalid, the remainder will continue in full legal force and effect I am of legal age and am freely s(yning this agreement. t acknowledge ona certl/y that I had sufficient opportunity to read the rental policy and rental agreement and understand Its contents and agree to be huund by the terms. LESSEE SIGNATURE DATE Silly string is strictly prohibited at your party and /or noar units- You will be responsible for replacement cost of 1J jf any $Illy string nets on it. We do not rent to any customer who has silly string at their event NO §I LY STRING CANDY SHOES FOOD DRINK- CONFETTI BALLOONS -TAPE 1N /ON UNIT$ DO NOT USE UNIT IF WIND SPEED EXCEEDS 15 MPH AND /OR RAINING YOU ARE FULLY LIABLE/ RESPON$1PLE FQR ALL RE TED ITEMSIUNITISI UNTIL PICKUP AND /OR ANY DAMAGES CAUSED WHILE IN YOUR POSSESSION UNTIL INSPECTION DATE. A $50.00 cleaning fee will be charged If the unit at pick up time or on the ti data is excessively dirty, or trash left inside the unit. (initials here) T U V—\ I� Purchase U Description P.O. G.L. Budget Line Descr I Purchaser Approval.. Date M� Carmel Clay C Parks &Recreation CHECK REQUEST Date: Check vavable to: Name: s Address: zo 6 V i City, State, Zip Mail check to payee V Return check to requestor Check Amount: f c�l� Date Required: Check needed for: Q'y1t t-1 I To be paid from PO (if applicable) Budget account GL C cl 9 oo Budget Line Description yen C Supporting documentation or receipt(s) MUST be attached. Requested by (print): 012-Ou Q rm Requested by (signature): Approved by (signature of Division Manager): on this date �I Form revised 1 -21 -08 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. 365194 Bounce House Guys Terms 8206 Rockville Rd 152 Indianapolis, IN 46214 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 7/13/12 Contract Clay Middle School VS 7/13/12 200.00 Total 200.00 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 No. Warrant No. 365194 Bounce House Guys Allowed 20 8206 Rockville Rd 152 Indianapolis, IN 46214 In Sum of 200.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1082 -1 Contract 4340800 200.00 1 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 28 -Jun 2012 Z Signature 200.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund