220072 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 367168 Page 1 of 1
ONE CIVIC SQUARE TONY BAVOTA
CHECK AMOUNT: $240.00
CARMEL, INDIANA 46032 45 HOWARD BLVD
WATERDOWN ONTARIO CA LOR 21-14 CHECK NUMBER: 220072
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4359000 240 . 00 ACCREDITADATION
CITY OF CARMEL
FIRE DEPARTMENT
DATE: May 20, 2013
TO: Cindy Sheeks
FROM: Matthew Hoffman, Fire Chief
Attached you will find Travel Advance Claims for the Center for Public Safety Excellence (CPSE) Peer
Assessor Team. This team will be coming to the Fire Department on June 9, 2013 to evaluate the
department for accreditation purposes. They will be here beginning June 9"' and leave on June 13`''. Per the
CPSE Contract that was signed by Chief Smith and�Mayor Brainard on November 30, 2011, our department
will need to pay for all the Peer Team Expenses. Per Indiana State Board of Accounts requirements, the
peer team will be required to turn in all receipts and any funds not used, which in turn will be returned to the
Clerk-Treasurers Office.
If you have any questions, please feel free to contact me.
Centel' for 4501 Singer Court, Suite 180
Chantilly, VA 20151
Public Safety (866)866-2324-r
® (103)961-0113 F
Excellence
www oublicsafetvexceilence.ors
LETTER OF AGREEMENT
FOR ACCREDITATION
The City of Carmel Fire Department hereby
agrees, in changing to Applicant Agency status, to conduct and complete the
self-assessment process in the pursuit of accreditation through the Center for
Public Safety Excellence, Inc. and the Commission on Fire Accreditation
International (CFAI).
I. Policies and Procedures
The Agency also agrees to abide by the policies and procedures of the
Center for Public Safety Excellence, Inc. and return to the CPSE any
and all, documentation and information pertinent to the self-
assessment and accreditation process.
II. Payment-of Fees
The Agency agrees to adhere- to and comply with.- the following
payments and costs:
A. To pay the fees associated with the accreditation process. as
outlined by the Center for Public Safety Excellence, Inc. Such
fees shall include:
1. Costs of travel for peer assessors assigned_ to the_, site
visit. All travel costs shall be paid by the Agency and shall
not be handled as a reimbursement to team members.
2. Costs of meals and expenses in_accordance with CPSE
policy. Unless such costs exceed $600_ per individual, ani
IRS-1099 form shall not be issued.
3. Costs. of lodging for peer assessors assigned to the. site
visit. All lodging shall be arranged and paid by the
Agency and shalt not be handled as a. reimbursement to
team:members.
4. _Costs of _travel for the _Team Leader or _designated
repceseritative ao attend the Commission meeting and
present the,Agency for.accreditation.,
Commission,., Commission.
Fire Accreditation Professional I Chief Fire c?f�er
International Credentialing
Letter of Agreement for Accreditation
Page 2 of 3
Such costs shall include, travel to and. from the
Commission ,meeting, lodging for twos-nights,.;and;uper,
'dierii in accofdance-with CPSE_policy:'
III. Non-Refundable fee
The Agency understands that the change to Applicant Agency status
will only be made upon receipt of the full payment of the Applicant
Agency Fee and that fee is non-refundable.
IV. Training and Participation
The Agency also agrees that it shall adhere to the following training
and participation standards:
A. An Accreditation Manager shall be required during the period
that the Agency seeks and is accredited by the Commission. The
Accreditation Manager shall, at a minimum, have taken the Self-
Assessment, Standards of Response Coverage (basic) and peer
assessor workshop offered by the Commission.
B. The Agency shall also agree to participate in the accreditation
process by registering with CFAI at least one individual for site
visits and who has taken the classes in IV (A) along with the
Peer Assessor classes.
C. The Agency agrees that it has read, understood, and will comply
with all policies and procedures as promulgated by the
Commission and its parent Corporation.
V, Receipts
The Agency shall also indicate if it desires team members to itemize
associated costs with receipts or whether it will be utilizing
reimbursement in accordance with the policies of CPSE. (Check One)
The Agency will require receipts and itemized expenses:
The Agency will NOT require receipts and itemized expenses but
instead will reimburse in accordance with CPSE policy: x
Letter of Agreement for Accreditation
Page 3 of 3
Signed:
Keith D. Smith, Fire Chief 11-30-2011
f, CEO or Uri efAdministradve Ol59cer of Agency Date
James C. Brainard. Mayor 11-30-2011
ity/County Administratur or Representative ofAuthority Har/ng Jurisdiction Date
CFAJ Program Manager,Center for Public Safety Excellence Date
4`t oc CggM�
lQI,pT\FJ( �
CITY OF CARMEL Expense Report (required for all travel expenses)
!NDIA-
E DEPARTURE DATE: TIME: AM/ PM
DEPARTMENT. RETURN DATE. '��_ �� TIME: AM / PM
REASON FOR TRAVEL: d'`�'� -� 2�c�-- °-'C�bESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE V/ TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$0.00
$0.00
6/9/13 $60.00 $60.00
6/10/13 $60.00 $60.00
6/11/13 $60.00 $60.00
6/12/13 $60.00 $60.00
6/13/13 $60.00 $60.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.001 $0.00 $0.001 $300.00 $0.00
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature:
"t 4W__
Date: AmA 0 2QQ
City of Carmel Form#ER06 Revision Date 5/20/2013 Page 1
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))
$300.00
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.
i
ALLOWED 20
Tony Bavota
L(S f*7(a -T- l �/�c�
IN SUM OF $
0.00 /0)0
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 j 43-590.00 $30 . 0 I 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
CITY OF CARMEL, INDIANA VENDOR: 367168 Page 1 of 1
ONE CIVIC SQUARE TONY BAVOTA
CHECK AMOUNT: $240.00
. CARMEL, INDIANA 46032 AS HOWARD BLVD
•�, oN.-�� WATERDOWN ONTARIO CA LOR 21-14 CHECK NUMBER: 220072
CHECK DATE: 6/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4359000 240 . 00 ACCREDITADATION
Peer Assesor Expenses for Carmel Indiana- June 9-13/ 2013
Date Item Description Amount Currency Conversion to USD
9-Jun-13 transport to airport Gem Limo 101.7 CND ✓99.99
9-Jun-13 luggage fee United 26.25 CND W5.08
10-Jun-13 Breakfast Broken Egg 12.84 USD ✓12.84
10-Jun-13 Lunch Shapiro's 11.45 USD 41.45
10-Jun-13 Dinner Granite City 17.54 USD v17.54
11-Jun-13 Breakfast Broken Egg 13.6 USD ✓13.6
11-Jun-13 Lunch Dooley O'tooles 13.36 USD ✓`13.36
12-Jun-13 Breakfast Broken Egg 13.6 USD 113.6
12-Jun-13 Dinner EddieMerlot's 51.23* USD vS1.23
13-Jun-13 Breakfast Broken Egg 12.51 USD ✓12.51
13-Jun-13 Lunch Granite City 11.94 USD ,A1.94
13-Jun-13 luggage fee United 25 USD J25
13-Jun-13 transport from airport Gem Limo 118.65 CND ✓116.66
Total Expense 424.8
Minus Per Diem 240
*bottle of wine removed from bill Outstanding (184.80) USD
1 CAD=0.9832 USD google.com 15June2013
gratuities excluded
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BRANDY P Svr;k: 7 7:16a 06/13/13
GRANITE CITY FOOD & BREWERY
' Separate checks: 4-of-4
EVERY MEAL AND BREW HANDCRAFTED 1 GRAN FRT & QUINO 8.99
Indy Airport 1 Hot Tea 2.49
Server: Stephen 06/13/2013 Sub Total: 11.48
Table 51/1 3:24 PM Tax: 1.03
Guests: 1 06/13 7:5Oa T O T A L : 12 5 1 ✓
#50054
HICKEN CHOP SALAD-AP 10.95 Thank you! Please come again! !
WATER 0.00 Another Broken Egg Cafe
9435 North Meridian
2 Items Indianapolis,IN. 46260
317-818-1700
Subtotal 10.95 Find us at facebook.com/ABECIndyNorth
Tax 0.99 I Follow us on Twitter @ABECIndyNorth
Total 11.94 j
Ba l ance Cri la t 'S - 94
FOR A CHANCE TO WIN A $100 GIFT CARD
COMPLETE A GUEST SURVEY
AT tijW4°J.GCFB.COM
JOIN US FOR SUNDAY BRUNCH LOAM - 2PM
ASK ABOUT OUR LARGE-TO-GO MENU
Another Broken Egg Cafe
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JONAS D SvrCk: 1 7:15a 06/12/13_
Eddie Merlot's Separate checks: 1-of-4
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Indianapolis ( 1 Coffee
3645 E. 96th Street 2.49
Indianapolis, IN 46250 f 1 Skinny Oml 9.99
3 SUB SIDE 0.00
Server: Kim 06/12/2013 1 SUB BREAD 0.00
Table 435/3 8:46 PM
Guests: 1 Sub Total: 12.48
#40044- Tax: 1.12
06112 7:4laTOTAL -1-3_._60
Natural New York Strip 39.00
Creamed Spinach 8.,00
Belle Glos Meiomi P' of 44:00 Thank you! Please come again!
Another Broken Egg Cafe
Complete Subtotal 91,00 i 9435 North Meridian
Indianapolis,IN. 46260
317-818-1700
Subtotal
91.00
Tax "� } 8 19 Find us at facebook.comIABECIndyNorth
Follow us on T6itter-@ABECIndyNorth
Total 99,19
Balance Due 99! _
Distinctly Dif nt ' ! '��
Thank you for jo ing us!
Napa Valley Summer Grill Starts u y 5th ! fn
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0 1 0 8 a TABLE# 24
PHILLIP G SvrCk: 8 7:17a 06/11/13
Separate checks: 3-of-4
1 Coffee 2.49
� 1 Skinny Oml 9.99
tsar & Restaurant oso Sub Total: 12.48
--- -- — Tax: 1.12✓
160 E. Carmel Dr. 06/11 7:49a-TOTAL 13 . 60
Carmel, IN 46032
(317) 843-9900 Thank you! Please come again!
120 Brandy S Another Broken Egg Cafe
9435 North Meridian
------------------------------"--------- Indianapolis,IN. 46260
Tbl E7/3 Chk 1234 Gst 1 317-818-1700
Junll'13 01:06PM Find us at facebook.com/ABECIndyNorth
----------------------------------------- Follow us on Twitter @ABECIndyNorth
1 Chk Caesar 9.75
1 Diet Pepsi 2.50
Subtotal 12.25
Tax 1 .11
Total 13 . 36 ✓
Pick-up Date: 06/13/2013 -Thursday
Pick-up Time: 17:46
ServiceType: From Airport
Passenger: Tony Bavota
Phone Number: (905) 638-0091
No. of Pass: 1
Vehicle Type: Sedan Towncar (1-3 PAX)
Primary/Billing Contact: Tony Bavota
Payment Method: Amex ** 1004
Trip Routing information: PU: — : YYZ - Lester B. Pearson International Airport/ UA - United Airlines , From/To:
Indianapolis, Term/Gate: 1, Flt# 8610, ETA/ETD: 17:46
Notes: Passengers must report to Prearrainged Limousine Booth at "Post B" and ask
that Gem Limousine be called up. If there are any difficulties please call (905) 815-9447
for assistance.
DO: -- : 45 Howard Blvd Waterdown, ON
Notes/Comments: gratuity will be paid in cash.
Charges& Fees Flat Rate
$90.00
GTAA Fee $15.00
HST 13.00% $13.65
Reservation Total: $118.65
Payments/Deposits: $0.00
Authorizations: $0.00
Total Due: $118.65
Terms&Conditions/ Toronto (YYZ) Airport Pick-up Procedures: After collecting baggage, passengers proceed
Reservation Agreement: through the airport security gate into the main terminal. Follow Signs to the "Pre-
Arranged Dispatcher" areas (Terminal 1 - Door B, Terminal 3 - Post 29), provide your
name and the name of the limousine company (Gem Limousine). The Pre-Arranged
Dispatcher will then call up your Gem Limousine from the pre-arranged compound.
Passengers experiencing any difficulties connecting with their Gem Limousine Chauffeur
should call our office at 905-815-9447 or 1-888-308-3777. Failure to call may result in a
no-show fee. "Meet and Greet" services are available upon request for an additional fee.
In extreme conditions where a plane has been diverted or stuck on the runway for the
longer than the normal clearance time, an hourly standby waiting charge will apply.
Cancellation Policy: Sedan cancellations can be made with no charge up to two hours
before the scheduled pick-up time in the Greater Toronto Area (GTA). Stretches, SUVs
and Buses have a 24 hour cancellation policy. Anything cancelled within the cancellation
period will result in a full charge. For sedan trips outside the GTA where travel time to the
pick-up location is greater than two hours, a full charge will be incurred if the vehicle has
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g88.308.3777 4430 Harvester Rd.Unit 2
Burlington,On L7L 4X2
= ' Last Modified On: 061061201117:1
~ Reservation Confirmation #16109
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Pick-up Date: 06/09/2013 - Sunday
«
Pick-up Time: 11:00
'^ ServiceType: To Airport
- '" Passenger: Tony Bavota
Phone Number: (905) 638-0091
No.of Pass: 1
Vehicle Type: Sedan Towncar (1-3 PAX)
Primary/Billing Contact: Tony Bavota
Payment Method: Amex ** 1004
Trip Routing Information: PU: 11:00 : 45 Howard Blvd Waterdown, ON
DO: -- : YYZ - Lester B. Pearson International Airport/ UA - United Airlines , From/To:
Indianapolis, Term/Gate: 1
Notes/Comments: gratuity will be paid in cash.
Charges& Fees Flat Rate
$90.00
HST 13.00% $11.70
Reservation Total: $101.70
Payments/Deposits: $0.00
Authorizations: $0.00
Total Due: $101.70
Terms&Conditions/ Toronto (YYZ) Airport Pick-up Procedures: After collecting baggage, passengers proceed
Reservation Agreement: through the airport security gate into the main terminal. Follow Signs to the "Pre-
Arranged Dispatcher" areas (Terminal 1 - Door B, Terminal 3 - Post 29), provide your
name and the name of the limousine company (Gem Limousine). The Pre-Arranged
Dispatcher will then call up your Gem Limousine from the pre-arranged compound.
Passengers experiencing any difficulties connecting with their Gem Limousine Chauffeur
should call our office at 905-815-9447 or 1-888-308-3777. Failure to call may result in a
no-show fee. "Meet and Greet" services are available upon request for an additional fee.
In extreme conditions where a plane has been diverted or stuck on the runway for the
longer than the normal clearance time, an hourly standby waiting charge will apply.
Cancellation Policy: Sedan cancellations can be made with no charge up to two hours
before the scheduled pick-up time in the Greater Toronto Area (GTA). Stretches, SUVs
and Buses have a 24 hour cancellation policy. Anything cancelled within the cancellation
period will result in a full charge. For sedan trips outside the GTA where travel time to the
pick-up location is greater than two hours, a full charge will be incurred if the vehicle has
been dispatched.
PASSENGER ITINERARY FOR AIR CANADA
BAVOTA/ANTHONYMR TORONTO
CANADA
9 JUNE 13
-` BOOKING REFERENCE -
KMS6JZ
WE ARE PLEASED TO CONFIRM THE FOLLOWING TRAVEL ARRANGEMENTS
` UNITED AIRLINES UA8113 /QK8023 H CONFIRMED -
DEPART SUN 9 JUNE 13 TORONTO PEARSON INTL 1415
ARRIVE SUN 9 JUNE 13 INDIANAPOLIS 1546
~ -
FLIGHT OPERATED BY AC EXPRESS JAll
DEPARTS FROM TERMINAL T1
UNITED AIRLINES UA8610 /QK8024 H CONFIRMED
DEPART T H U 13 JUNE 13 INDIANAPOLIS 1620 '
ARRIVE THU 13 JUNE 13 TORONTO PEARSON INTL 1746
FLIGHT OPERATED BY AC EXPRESS JAZZ -
| ARRIVES AT TERMINAL T1
� FURIM, OF PAYMENT - PASSENGER 1 AX***********1004
AIRPORT BAGGAGE FEE
NUMBER OF FEES �
FEE AMOUNT . 00CAD - 1. 25XG
GRAND TOTA UN2013/4X
1. ANTHONY B NB R - 0167191039594 `
THANK YOU FOR CHOOSING AIR CANADA
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