HomeMy WebLinkAbout217189 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP
CARMEL, INDIANA 46032 P 0 BOX 40925 CHECK AMOUNT: $69,019.00
INDIANAPOLIS IN 46280-5000 CHECK NUMBER: 217189
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4347500 793771 23 , 297 . 00 GENERAL INSURANCE
1125 4347500 793771 3 , 105 . 00 GENERAL INSURANCE
1091 4347500 793772 20, 032 . 00 GENERAL INSURANCE
1125 4347500 793772 2, 226 . 00 GENERAL INSURANCE
1125 4347500 793773 9, 337 . 00 GENERAL INSURANCE
1091 4347500 793774 9, 920 . 00 GENERAL INSURANCE
1125 4347500 793774 1, 102 . 00 GENERAL INSURANCE
HYLANT
4 GROUP JAN 2 3 2013
P.O. Box 40925 =Sy: INVOICE � �Page 1
Indianapolis, IN 46280-0925 AC.COUNT;# ' CSR I :DATE
Phone: 317-817-5000 CARME80 79 1/7/2013
PROD.00ER .7
W Michael Wells
To: City of Carmel EFFECTIVE EXPIR—AT I BAIANQE D,0E;0N
Attn: Steve Engelking 1/1/20131 1/1/2014 1/1/123
One Civic Square Amount Due
Carmel, IN 46032 $0.00
INVOICE,FOR: PARKS DEPT.
Invoice# Trans Policy# Description Company Invoice# Amount
793771 Ren H630581M4076TIL Property/IM Travelers , 814126 $27,640.00
793772 Ren ZLP14T62033 Genl Liab Travelers 814127 $22,258.00
793773 Ren H8103036P64ACOF Auto Travelers 814129 $9,337.00
793774 Ren XC00000115 Umbrella National Casualty Co. 814130 $11,022.00
Amount Due $70,257.00
PREMIUM ALLOCATION:
Prop./IM Genl Liab Auto Umb
Monon $ 23,697 $ 20,032 $ 9,920
School
All Other $ 3,943 $ 2,226 $ 9,337 $ 1,102
Totals $ 27,640 $ 22,258 $ 9,337 $ 11,022
Purchase
Description
P.O. PorF
G.L.#
Budget
Line Descr
Purchaser Date
Approva — Date—ZI-_40
301 Pennsylvania Parkway, Suite 201, Indianapolis, IN 46280
Toll Free: 800-678-0361 Local: 317-817-5000 Fax: 317-817-5151
D HYLANT
4 GROUP
P.O. Box 40925 INVOICE JPage 1
Indianapolis, IN 46280-0925 ACCOUNT,# CSR I DA�TE
Phone: 317-817-5000 CARME80 79 2/5/2013
PRODUCER
W. Michael Wells
To: Carmel Clay Board of Parks & Recreation EFF..ECTIVE E XPIRAT BALANCE ODEON
Attn: Michael W. Klitzing 1/1/20131 1/1/2014 1/1/2013
1411 E. 116th Street Amount Due
Carmel, IN 46032 $0.00
INVOICE FOR: Parks Department
Invoice# Trans Policy# Description Company Amount
TBD EN H630581M4076TIL Property/IM Travelers -$1,238.00
THIS IS AN ESTIMATED RETURN PREMIUM, PENDING THE ISSUANCE OF ENDORSEMENTS BY
TRAVELERS INSURANCE CO. ANY NECESSARY ADJUSTMENTS WILL BE MADE
AT THAT TIME.
Amount Due -$1,238.00
Amend Limit on Waveloch Rider to$1,200,000
Delete Pleasant Grove Park
Delete Central Park Bridge
Delete 1507 E. 116 th St.
Delete 3030 W. 116 th St.
Delete 2410 W. 116th St.
Delete Gator for$2,935.
Add Honda Generator$2,450
Delete John Deere Gator$9,414
PorF
Fudcet
Lino Descr
Purchaser __Date
Approval Date 7 �
301 Pennsylvania Parkway, Suite 201, Indianapolis, IN 46280
Toll Free: 800-678-0361 Local: 317-817-5000 Fax: 317-817-5151
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.
00352999 Hylant Group Terms
P.O. Box 40925 Date Due
Indianapolis, IN 46280-0925
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1/7/13 793771 Property/IM Insurance policy $ 3,105.00
1/7/13 793771 Property/IM Insurance policy $ 23,297.00
1/7/13 793772 General Liability insurance policy $ 2,226.00
1/7/13 793772 General Liability insurance policy $ 20,032.00
1/7/13 793773 Auto Insurance policy $ 9,337.00
1/7/13 793774 Umbrella Insurance policy $ 1,102.00
1/7/13 793774 Umbrella Insurance policy $ 9,920.00
Total $ 69,019.00
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.
00352999 Hylant Group Allowed 20
P.O. Box 40925
Indianapolis, IN 46280-0925
In Sum of$
$ 69,019.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
Dept ept# INVOICE NO. CCT#[TITLI AMOUNT
1125 793771 4347500 $ 3,105.00 1 hereby certify that the attached invoice(s), or
1091 793771 4347500 $ 23,297.00 bill(s) is (are)true and correct and that the
1125 793772 4347500 $ 2,226.00 materials or services itemized thereon for
1091 793772 4347500 $ 20,032.00 which charge is made were ordered and
1125 793773 4347500 $ 9,337.00 received except
1125 793774 4347500 $ 1,102.00
1091 793774 4347500 $ 9,920.00
8-Feb 2013
Signature
$ 69,019.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund