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Home My WebLink About220181 05/21/2013 ��. CITY OF CARMEL, INDIANA VENDOR: 367169 Page 1 of 1 ONE CIVIC SQUARE DEREK HYDE ` CARMEL, INDIANA 46032 2504 BETSY ROSS COURT CHECK AMOUNT: $240.00 .?� MOUNT JULIET TN 37122 CHECK NUMBER: 220181 CHECK DATE: 5/21/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4359000 240 . 00 PER DIEM 4�tv OF CAB�a" lQ,PT11F/(yyp� CITY OF CARMEL Expense Report (required for all travel expenses) `- NDIAN?� DEPARTURE DATE: TIME: AM / PM DEPARTMENT. RETURN DATE: 3 TIME AM / PM REASON FOR TRAVEL: 0�<<-R9--� �2��Q-O-`�DESTINATION CITY: EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Date Transportation Gas/Tolls/ Lodging Meals 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 $0.001 $0.00 $0.00 $0.001 $0.00 $0.00 $0.00 $0.001 $300.001 $0.00 e 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. r' Director Signature: %- Date: MAY 2 0 2013 City of Carmel Form#ER06 Revision Date 5/20/2013 Page 1 CITY OCARMEL 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 91h and leave on June 13`h. 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. Center fat 4501 Singer Court, Suite 180 Chantilly, VA 20151 pa Public Safety (866)866-2324 T ®� Excellence w�ww (703)961-0113 F public-�af 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, an' IRS-10.99 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 shall_ not be handled, as_a reimbursement to' team members:' 4. Costs .of travel for the:. Team Leader o_r.-designated representative to attend the Commission meeting and .—resent the Agency for aCCfeditati0n; Commission Commission. Fire Accreditation Professional Chief FireOflirer International Credentialing Letter of Agreement for Accreditation Page 2 of 3 Such costs shall include; ,travel to. and from the Comm_issiion meeting, Jod ging for two_nights, and_; Per diem in:accordanee;inrith 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. I 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 t,CEO or ChiefAdministradve Officer of Agency Date 4-t,-.t r James C. Brainard, Mayor 11-30-2011 ity/County Administrator or Representative of Authority Having Jurisdiction Date I CFAI Program Manager,Center for Public Safety Excellence Date I 4 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)) Peer Team $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. ALLOWED 20 Derek Hyde IN SUM OF $ TIJ -370;z- $30Q e & ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUf�T Board Members 1120 I I 43-590.00 I /$300.00 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 MAY 2 0 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund