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HomeMy WebLinkAbout220072 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 yJ M Fri r-- :i3 (j) + C- C/) 03 I;L ZM rPD = :)r -n -. 13) C-) 0 . -10 CD C/'J CD r_n rr- C C/3 �:3- :Z, 7., rn C) ru F— ::a CD t:D v(D cn C COPY COPY COPY COPY COPY COPY COPY COPY Another Broken Egg Cafe CJ 6 Uj Xj 0110 TABLE# 24 SvrCk: 9 7:25a 06/10/13 it CD REBECCA M 00 —1 EJ checks-. 2-of-4 F" Separate 0 7i26) 2.49 CD 41 Ln T N) Ln CD Coffee 7:26) 0.00 Ln 4�, rD Water 7:26) 9.29 Ln �-O 1 veggie Delight Sub Total: 11 .78 Tax: 1 .06 C-) I 06/10 B: 12.84 12,84 C-D -0 —1 U) rn C/) Ca -0 11) --q =-0) a C X C) *� ---I (-.) 02 1. X CY 0) --h 0 '-1 t CD CC) CO 0 -1- ::3- 1 CD " CD me again' i youi Please co I Thank M; Another Broken Egg Cafe C: Cn CD 02 sv 91435 North Meridian C, 0 0) Qj I IN, 46260 :;0 W Indianapolis, Oj =5 CD CO (D 317-818-1700 CD Find US at facebook.com/ABECIndyNorth OM/ABECIndyNo rth -I--H�l C21 Follow Us on Twitter @ABECIndyNo M CD 1+ Cn CD rn N r-L(n (D C11 I TALLY AMT-TEND CHANGE f") Cr I I 3,16 12.84 . . . . .. . ; 0) 1 16.00 (-n -S� 1�0 (-n CD -j W C0 CASH - c-rl f-T] 01 CD CD C=.�Ln C n 12.84 V/ 06/10/13 8:01a i 1OF 1 SPECIAL SERVICE PASSENGER RECEIPT US TICKET 13JUN13 DA/B98A04 /INDIANAPOLIS TNT ® %)&� =IPT BAVOTA/ANTHONY � ® �EONOT VALID FOR*)K *gTRANSPORTATIONE PSGR TICKET 01671910395` vOSA/ANSNOSv ° MZJO07 OA W ID m ii Cc �uDD1 �vt =g DD DD14 iNDQ� U r 1 1ST BAG /AC CONTRACT ONLY/ 25.00 25.00 usD 11 CASH \ p ®y` �1111it1�1'�1,�1 1 vffi111 p 4 O `a 1 016 2927490641 6 USD 25.00 _ *0 Another Broken Egg Cafe O 1 10 TABLE# 40 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 0 10 1 TABLE# 24 JONAS D SvrCk: 1 7:15a 06/12/13_ Eddie Merlot's Separate checks: 1-of-4 if 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 F Another Broken Egg Cafe 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 s€n• • 1 �y r 905.815.9447 g88.308.3777 4430 Harvester Rd.Unit 2 Burlington,On L7L 4X2 = ' Last Modified On: 061061201117:1 ~ Reservation Confirmation #16109 ears to be . j of the information app ng;.. Thank You for traven'tact our office i�mmediateBe(905)1815 9447 to correct it. I any incorrect, please co r 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 ------------- ------ W-0