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HomeMy WebLinkAbout216950 01/30/2013 \,f CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1 `i ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $921,992.00 sa CARMEL, INDIANA 46032 P 0 BOX 40925 oN INDIANAPOLIS IN 46280-5000 CHECK NUMBER: 216950 CHECK DATE: 1130/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4347500 100, 000 . 00 GENERAL INSURANCE 1192 4347500 8, 000 . 00 GENERAL INSURANCE 1205 4347500 604, 937 . 50 GENERAL INSURANCE 1207 4347500 10 , 000 . 00 GENERAL INSURANCE 1205 4347500 814201 2, 290 . 00 GENERAL INSURANCE 1192 4347500 815349 50 . 00 NOTARY—MOTZ 1205 R4347500 26705 INS 27, 069. 50 INSURANCE 651 5023990 SEWER 76, 810 . 50 OTHER EXPENSES 601 5023990 WATER 92, 834 . 50 INSURANCE °�� '� ........„,sa�a.M..�_..�.�_'.__�tr«.= _ _:�::f�^-.N,... .. �"� _..4.v.� kS.,• .�mst:us'zi.«_. _. 3, _::.��.s.�-�_ ..:_ac' ..,...._ _._ si "5"�.�.:� �. INVOICE# 814201 01/01/13 RIS CR-S 1 04 86494 5 IDENTITY FRAUD Travelers Insurance Companies $ 2,290.00 ANNUAL INSTALLMENT PREMIUM ALLOCATION: CI'T'Y Invoice Balance: $ 2,290.00 D Q � JAN 2 8 2013 By 301 Pennsylvania Parkway • Suite 201 • P.O.Box 40925 • Indianapolis,IN 46280-0925 Toll Free:800-678-0361 Local: 317-817-5000 • Fax: 317-817-5151 41 Benefits D HYLANT 4 GROUP P.O. Box 40925 INVOICE Page 1 '. Indianapolis, IN 46280-0925 ACCOUNT# CSR I :DATE. Phone: 317-817-5000 CARME80 79 1/7/2013 PR' DQCERY '. W. Michael Wells To: City of Carmel EFFECTIVE EXPI'RAT1 BALPANCE DUE ON Attn: Steve Engelking 1/1/2013 1/1/2014 1/1/123 One Civic Square Amount;Due Carmel, IN 46032 $0.00 INVOICE_FOR Cl TiY r ro Invoice# Trans Policy# Description Company Invoice# Amount 793771 Ren H630581M4076TIL Property/IM Travelers 814126 $65,654.00 793772 Ren ZLP14T62033 Genl Liab Travelers 814127 $247,083.00 793773 Ren H8103036P64ACOF Auto Travelers 814129 $188,583.00 793774 Ren XC00000115 Umbrella National Casualty Co. 814130 $54,109.00 Amount Due $555,429.00 D Q JAN 2 8 2013 BY 301 Pennsylvania Parkway, Suite 201, Indianapolis, IN 46280 Toll Free: 800-678-0361 Local: 317-817-5000 Fax: 317-817-5151 9 2 HYLANT GROUP P.O. Box 40925 INVOICE JPage I'. Indianapolis, IN 46280-0925 ACCOUNT# CSR I -,DATE ' Phone: 317-817-5000 CARME80 79 1/7/2013 BRODO.CER W. Michael Wells To: City of Carmel EFFECTIVE EXPIRAT BALANCE DUE ON Attn: Steve Engelking 1/1/2013 1/1/2014 1/1/123 One Civic Square Amount Due ,; Carmel, IN 46032 $0.00 INVOICE FOR: CRC r4CDC,CGDC AND CRA - Invoice# Trans Policy# Description Company Invoice# Amount 793771 Ren H630581M4076TIL Property/IM Travelers 814126 $149,196.00 793772 Ren ZLP14T62033 Genl Liab Travelers 814127 $30,352.00 793773 Ren H8103036P64ACOF Auto Travelers 814129 793774 Ren XC00000115 Umbrella National Casualty Co. 814130 $15,030.00 Amount Due $194,578.00 PREMIUM ALLOCATION: Prop./IM Genl Liab Auto Umb D 4CDC $ 8,774 $ 3,035 $ 1,503 CGDC $ 7,899 $ 3,035 $ 1,503 JAN 2 8 2013 CRA $ 94,788 $ 12,140 $ 6,012 CRC $ 37,735 $ 12,142 $ 6,012 B Totals $ 149,196 $ 30,352 $ 15,030 y 301 Pennsylvania Parkway, Suite 201, Indianapolis, IN 46280 Toll Free: 800-678-0361 Local: 317-817-5000 Fax: 317-817-5151 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 01/07/13 814201 Prem Allocation City $2,290.00 01/07/13 01.07.13 Admin $607,227.50 01/07/13 01.07.13 Admin $27,069.50 01/07/13 01.07.13 Fire $100,000.00 01/07/13 01.07.13 DOCS $8,000.00 01/07/13 01.07.13 Brookshire $10,000.00 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 Hylant Group �J5 30 IN SUM OF $ ,?D r)0'?< q©�oZ Indianapolis, IN 46280-0925 $2K7587 00_ ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 814201 43-475.00 $2,290.00 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the S 01.07.13 43-475.00 $607,227.50 y materials or services itemized thereon for �2lP7dS 01.07.13 43-475.00 `$27,069.50 which charge is made were ordered and 120 01.07.13 43-475.00 $100,000.00_ received except 01.07.13 43-475.00 $8,000.00 )z-7 01.07.13 43-475.00 $10,000.00 Monday, January 28, 2013 Director, Ad inistration Title Cost distribution ledger classification if claim paid motor vehicle highway fund H LAI�CT Indianapolis,Bx [N 46280-09 5 Pa e 1 (� ' INVOICE # 815349 j g GRDUP Local:317-817-5000 _�CCQOSTAO:`� CARA OSR 79 01/24/13 BONi) 325390705 —„k-RE :LCss-E L'Y�! —,:�i1x�Y'9;7G=1:c:.:Y'.::F ~'Y2�i:3v .LL'{f.91.fi•�:r�2'ti�:.':N.1. .�:.1%:'ii.':.1:_�j i'1=�:.tt_.._:24_..—tf..).....-.::9..—a:'Jv'+w'.'..'y�v.. W. Michael Wells N! L i-'y�< x- f -3' ¢ �.r--'cs�i y. x.sti;.n :i:a's"_-uw`!`� W�'G,%„.,.e�.,t...,.,,.E>�1YL1Y�if?"{�I�e�3�.xvtir-o:--t:4.,B:i11t1.\�#itll'31?..OAc- x"3�a��.c�t;[e�=u.:_�^_gip;. Cihi of Carmel 01124/13 01/24/21 01/24/13 ui:a=Y :a L: :ar.; , _, :,,. ;Wars;> - ;.• 4 ±7r3•l Yl � :>x,_3 c.-w �rY- <19�(1.UM-.DWER G w yr i l':.•.:w— One Civic Square 50.00 Carmel,LNi 46032 . ........................... . . E#Date zTm Type P4I�cy# DiA' Lion Amounf s a L a INVOICE 4 815349 01/24/13 NEW BOND 325390705 Notary Bond-Lisa Metz Ohio Casualty Croup 50.00 Invoice.Balance: S 50.00 301 Pennsylvania Parkway • Suite 201 P.U. Box 40925 • Indianapolis,IN 46280-0925 Toll Free: 800-678-0361 • Local:317-817-5000 • Fax:317-817-5151 I'll Jill 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 01/24/13 815349 Notary Bond-Lisa Motz $50.00 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 Hylant Group Q IN SUM OF $ d. Lo $50.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1192 I 815349 I 43-475.00 I $50.00 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 Monday, January 28, 2013 IF for • Title Cost distribution ledger classification if claim paid motor vehicle highway fund 'HYLANT A GROUP P.O. Box 40925 INVOICE age1 , Indianapolis, IN 46280-0925 AC,COUNT,�# CSR ( QAT�E G, i ,T , Phone: 317-817-5000 CARME80 79 1/7/2013 W. Michael Wells To: City of Carmel E T VEI, PIRAT BALANCE DIJ.E ON ,w -f Attn: Steve Engelking 1/172013 1/1/2014 1/1/123 One Civic Square .,r,,_ 'yt A1110L1f1t DUe ' f ' Carmel, IN 46032 $0.00 INVOICE FOR $UTILITIES � <% ' tom}. � r' ti `'� c,£r i i" - 'r.:�$ y �tr ;'�t ..3 rs k .,y A'c a :•.. <,-.s ?; =. -zr . pz 7 a {f � d$a y�y3 rt rs trv � �" �,� `FS 1.' ��k , �;, z.✓ ag }-;s x f c� a��%.» .3• ,�C-i os�.1 '{rr"h..,m'�r� k �� s.,. �>r,�5� ._ n '�" .x., � r3�'�"".�c '`,�.'. 'r 1, ...•a t,.r d �ti: � x`.l' ,r _ s�, 'f s v,� � ,� �'�. �r�� +�'y.ey`�' 4�wk� s ,m�,S-��','�'a`� '"�x x -.r s. .et,�' ms`s� Invoice#Trans Policy# Description Company Invoice# Amount 793771 Ren H630581M4076TIL Property/IM Travelers 814126 $64,490.00 793772 Ren ZLP14T62033 Genl Liab Travelers 814127 $40,470.00 793773 Ren H8103036P64ACOF Auto Travelers 814129 $44,645.00 793774 Ren XC00000115 Umbrella National Casualty Co. 814130 $20,040.00 Amount Due $169,645.00 ,. ::°:.PREMIUM ALLOCATION -'r r _ r Prop./IM Genl Liab Auto Umb Sewer $ 28,077 $ 20,640 $ 16,553 $ 10,220 Water $ 36,413 $ 19,830 $ 25,451 $ 9,820 Utilities $ 2,641 Totals $ 64,490 1 $ 40,470 1 $ 44,645 $ 20,040 301 Pennsylvania Parkway, Suite 201, Indianapolis, IN 46280 Toll Free: 800-678-0361 Local: 317-817-5000 Fax: 317-817-5151 .: tie! . � ;t� T. �. 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 00352999 HYLANT GROUP Purchase Order No. P.O. Box 1910 Terms Carmel, IN 46082 Due Date 1/25/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/25/2013 010713 $92,834.50 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 Date Officer VOUCHER # 123435 WARRANT # ALLOWED 00352999 IN SUM OF $ HYLANT GROUP P.O. Box 1910 Carmel, IN 46082 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 010713 01-1620-00 $92,834.50 Voucher Total $92,834.50 Cost distribution ledger classification if claim paid under vehicle highway fund VN HYLANT 4 GROUP P.O. Box 40925 INVOICE — 1 Indianapolis, IN 46280-0925 ACCDONT:# CSR I `DATE Phone: 317-817-5000 CARME80 79 1/7/2013 P_,RODOCER ; W. Michael Wells To: City of Carmel EFFECTIVE. EXPIRAT BALANCE 00E ON— ; Attn: Steve Engelking 1/1/20131 1/1/2014 1/1/123 One Civic Square Amount Due Carmel, IN 46032 $0.00 INVOICE.FOR- Invoice UTILITIES o # Trans Policy# Description Company Invoice# Amount 793771 Ren H630581M4076TIL Property/IM Travelers 814126 $64,490.00 793772 Ren ZLP14T62033 Genl Liab Travelers 814127 $40,470.00 793773 Ren H8103036P64ACOF Auto Travelers 814129 $44,645.00 793774 Ren XC00000115 Umbrella National Casualty Co. 814130 $20,040.00 Amount Due $169,645.00 PREMIUM ALLOCATION: Prop./IM Genl Liab Auto Umb Sewer $ 28,077 $ 20,640 $ 16,553 $ 10,220 Water $ 36,413 $ 19,830 $ 25,451 $ 9,820 Utilities $ 2,641 Totals $ 64,490 $ 40,470 $ 44,645 $ 20,040 301 Pennsylvania Parkway, Suite 201, Indianapolis, IN 46280 Toll Free: 800-678-0361 Local: 317-817-5000 Fax: 317-817-5151 I 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 00352999 HYLANT GROUP Purchase Order No. P.O. Box 1910 Terms Carmel, IN 46082 Due Date 1/23/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/23/2013 010114 $76,810.50 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 Date Officer VOUCHER # 126567 WARRANT # ALLOWED 00352999 IN SUM OF $ HYLANT GROUP P.O. Box +1-e- Ljoga5 i^,�v 1 s Id Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 010114 01-1620-00 $76,810.50 5 � Voucher Total $76,810.50 Cost distribution ledger classification if claim paid under vehicle highway fund