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Home My WebLink AboutTRAVELERS- 003247- 10/18/2012 CARMEL REDEVELOPMENT COMMISSION 003247 Travelers Check: 3247 13607 Collections Center Drive Date: 10/18/2012 Chicago, IL 60693 Vendor: TRAVELE1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 4187000 1,344.00 1,344.00 0.00 0.00 1,344.00 Crider VS Hagerman claim 1,344.00 1,344.00 0.00 0.00 1,344.00 • • • • KEYATODOCUMLATCScCURNYEAEATtiSql1VATEDITHUMB_P RIN7 ADOTIONA( SECURITNEATURES INCEUDEDu S EE BACKFOR s 4.11. 4,. CarmelRedev l pmen Commission O O O 2 7 S REGIONS PKE� o Main xD-faxi/iaD r Suite 220 "'ameI�i y o, Carmel, IN 46032 • STA 3247 DATE AMOUNT 10/18/2012 ***********1 344.00 PAY . THE SUM OF ONE THOUSAND THREE HUNDRED FORTY FOUR DOLLARS AND NO CENTS******** TO 7HE ORDER - OF . Travelers 13607 Collections Center Drive Chicago, IL 60693 ♦ A •0032470 1:0740 &42 & 31: 00875041 / 1u' CARMEL REDEVELOPMENT COMMISSION 003247 Travelers Check: 3247 13607 Collections Center Drive Date: 10/18/2012 Chicago, IL 60693 Vendor: TRAVELE1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 4187000 1,344.00 1,344.00 0.00 0.00 1,344.00 Crider VS Hagerman claim 1,344.00 1,344.00 D.00 0.00 1,344,00 • • • '-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 T.71771 • � �JI TRAVELERS) PAGE 1 DEDUCTIBLE / SELF- INSURED INVOICE P OLICY NUMBER0 3ACCOUNT,NUMBER."?°BILLIlDATE ,V BILL NUMBER'a ".gPAYMENt;DUE% ;:o V;;;;I 1-ziaizs;5TOTAL4DUE GP09315757 5216%7087 08/31/2012 000418700 09/15/2012 2,506.70 MAIL PAYMENT TO: PAYER: TRAVELERS CITY OF CARMEL, CARMEL CLAY PARKS BUILD 13607 COLLECTIONS CENTER DRIVE ONE CIVIC SQUARE CHICAGO, IL 60693 CARMEL IN 46032 RETURN THIS PORTION WITH YOUR CHECK MADE PAYABLE TO TRAVELERS. PLEASE WRITE THE POLICY & ACCOUNT NUMBER ON YOUR CHECK. Amok TRAVELERS J PAGE 1 THE TOTAL DUE INCLUDES PAST DUE CHARGES. PLEASE REVIEW YOUR ACCOUNT IMMEDIATELY. POLICY-NUMBER-=ACCOUNT,NUMBER rr BILL:41ATE e,,v BILL=NUMBER L -4 PAYMENT DUE"-S ayt F4 •• + rTOTAL DUE GP09315757 5216X7087 08/31/2012 000418700 09/15/2012 2.506.70 n c2 CURRENT CLAIM#: CES9583 DATE OF LOSS: 10/17/2011 DESCRIPTION: C - CRIDER & CRIDER INC. V HAGERMAN CONST, CITY OF CARMEL, REDEVELOPME CLAIMANT: CRIDER AND CRIDER / EXPENSE 1,344.00 I )��'1cR_ CLAIM TOTAL 1,344.00 CLAIM#: EPS2377 C DATE OF LOSS: 02/19/2011 DESCRIPTION: C-PARK,GREG VS CITY OF CARMEL POLICE MERIT BOARD. COMPLAINT FILED AGAI CLAIMANT: GREG PARK /'� EXPENSE 514.50 7 J l) 'I-'c CLAIM TOTAL 514.50 CLAIM#: EQR4757 1 DATE OF LOSS: 06/13/2011 DESCRIPTION: C - MYERS, TERRY ALLEGATION OF DISCRIMINATION DUE TO AGE. EEOC COMPLAI CLAIMANT: TERRY D MYERS EXPENSE 84.60 CLAIM TOTAL 84.60 CURRENT CHARGES $1,943. 10 n\Y TRAVELERS J PAGE 2 DEDUCTIBLE / SELF- INSURED INVOICE POLICYQNUMBER4 3AC000NTaNUMBER"< BILL DATEi' .ri BILL NUMBER: ;A PAYMENT :DUES > , : :,r .,"::“'TOTAL-DUE 0P09315757 5216%70E7 08/31/2012 000418700 09/15/2012 2,506.70 ACCOUNT SUMMARY CURRENT CHARGES 1 ,943 10 INSURED NAME: CITY CE CARMEL,CARMEL CLAY PARKS BUILOIN PAST DUE CHARGES 563.60 AGENT NAME: HYLANT GROUP INC UNAPPLIED PAYMENTS 0.00 AGENT PHONE: (317) B17-5000 TOTAL DUE 2.,506.70 DISPUTED ITEMS 0.00 ACCOUNT BALANCE 2,506.70 CONTACT YOUR AGENT LISTED ABOVE IF YOU HAVE QUESTIONS RELATED TO YOUR POLICY OR COVERAGE. FOR BILLING QUESTIONS, PLEASE EMAIL DEDUCTIBLE-HELPDESK @TRAVELERS.COM OR CONTACT THE FOLLOWING ACCOUNTING SPECIALIST AT 1-B00-35B-4098 EXT. 08900: ANTONIO CONTRERAS Cleveland, Don H From: Spelbring, James P- HR Sent: Tuesday, September 11, 2012 10:27 AM To: Cleveland, Don H Subject: FW: General Insurance Billing Don, See below. Original Message From: Lori Hood [mailto:Lori.Hood(OHylant.com] Sent: Tuesday, September 11, 2012 10:26 AM To: Spelbring, James P - HR Subject: RE: General Insurance Billing This claim expense is arising from the Crider & Crider loss involving the building of Performing Arts Center. This coverage line has a $25,000 deductible so as expenses are paid for the defense of the City the City will be billed up to that amount. To date there has been 3 payments issued by Travelers totaling $5812.00 Lori Hood - Senior Claims Specialist 301 Pennsylvania Parkway #201, Indianapolis, IN 46280-0925 P 317-817-5153 1 F 317-817-5151 E mailto:lori.hcod(E1hylant.com 1 www.hylant.com 1 www.hylant.com/risk practices/claims .htm Nozsecure For all the latest information on Health Care Reform, please visit our website at www.hylant.com For the convenience of our clients, Hylant offers a direct claim reporting option. To directly report your claim to your insurance carrier, visit http://www.hylant.com/claims Original Message From: Spelbring, James P - HR [mailto:ipspelbringt&carmel.in.Rov] Sent: Tuesday, September 11, 2012 9:56 AM To: Lori Hood Subject: RE: General Insurance Billing CES9583 Original Message From: Lori Hood [mailto:Lori.Hood0Hvlant.com] Sent: Tuesday, September 11, 2012 9:25 AM To: Spelbring, James P - HR Subject: RE: General Insurance Billing 1 Jim, ask him what particular claim he is referring to? Lori Hood - Senior Claims Specialist 301 Pennsylvania Parkway #201, Indianapolis, IN 46280-0925 P 317-817-5153 I F 317-817-5151 E mailto:lori.hood'hylant.com I www.hylant.com I www.hylant.com/risk practices/claims.htm Nozsecure For all the latest information on Health Care Reform, please visit our website at www.hylant.com For the convenience of our clients, Hylant offers a direct claim reporting option. To directly report your claim to your insurance carrier, visit http://www.hylant.com/claims Original Message From: Spelbring, James P - HR [mailto:ipspelbrinacarmel.in.gov] Sent: Tuesday, September 11, 2012 8:31 AM To: Lori Hood Subject: FW: General Insurance Billing Can you help me answer Don's question below. Original Message From: Cleveland, Don H Sent: Tuesday, September 11, 2012 8:28 AM To: Spelbring, James P - HR; Kostrzewa, Audrey B Cc: Lee, Mike E Subject: RE: General Insurance Billing We paid a bill for this claim earlier in the amount of $784.00. We paid this in May. Why are we being billed more? Original Message From: Spelbring, James P - HR Sent: Monday, September 10, 2012 1:57 PM To: Cleveland, Don H; Kostrzewa, Audrey B Subject: General Insurance Billing Attached is the Travelers General Insurance billing for September. Please process your departments marked claim with your next claims run. Thanks, Jim Spelbring Office Administrator City of Carmel - Human Resources Department One Civic Square Carmel, IN 46032 ipspelbring(carmel.in.gov 0: 317-571-2465 F: 317-571-2409 2 Notice: The contents of this communication are privileged and confidential. If you are not the intended recipient of this transmission, you are hereby notified that distributing, copying, or disclosing this communication, or reliance on the contents thereof, are strictly prohibited. If you have received this communication in error, please notify the sender immediately, then destroy the original and all copies thereof. Notice: The contents of this communication are privileged and confidential. If you are not the intended recipient of this transmission, you are hereby notified that distributing, copying, or disclosing this communication, or reliance on the contents thereof, are strictly prohibited. If you have received this communication in error, please notify the sender immediately, then destroy the original and all copies thereof. 3 Presca lbed by Stgt Beard of Accounts ACCOUNTS PAYABLE VOUCHER City � FaNO.2o„ae .,ees, 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 Trgv to./11,'i Purchase Order No. 136a % Ore Terms 0ir490 IL 60693 Date Due Invoice ✓ Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3.13/h 2 lith' 7O0 Cricfir v1 /'t4risn•rn G14,-/!X5 62,0a:'y. ,35(*..C2O Total /, 3VY I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor,__ dance with IC 5-11-10-1.6. e 2012—. -Treasurer