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Home My WebLink About217189 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