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Home My WebLink About221083 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 354969 Page 1 of 1 ONE CIVIC SQUARE MATTHEW HOFFMAN CARMEL, INDIANA 46032 4736 HAVEN LAKE RD#B CHECK AMOUNT: $3,126.44 INDPLS IN 46280 „o CHECK NUMBER: 221083 CHECK DATE: 6/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4349000 3 , 126 . 44 GAS U t Y F U"4 A-R,M L FIRE DEPARTMENT DATE: June 13, 2013 TO: Cindy Sheeks FROM: Matthew Hoffman, Fire Chief Attached you will find a reimbursement claim in the amount of$3,126.44 for expenses incurred while the CPSE Peer Team was at the Fire Department the week of June 9-13`h. I have also attached the contract stating the agency agrees to pay for these expenses. If you have any questions, please feel free to contact me. I 0 Md North piian :-.jr�yarrl by Marriott lr:�'Ilanapolis Carmel ln-jit;napolis In 46290 Aurnott D. 1-1yde PC , 4`_3 Rc•.-.t-.i Type. GENR N, of Guests: 1 Vj'g 00 Clerk: ''T a u Folio,Number:92992"". -Arrive:09Jun 3, time: C,,-16PM --Depart: `I�J' n13 'W"I Date 1I) scri -�',on Charges, red i ts 1e 0 9',L 1 nli For Onc�- 09,.;onI3 Occupancy sales 'ax .,4,:3 09JunI13 Cot,ntv Tax Or- 1 0, n )c:.t!1 e x 7.45 11 y Bre::,I<i;- i Foc 4� Occur- C o L),-. 121un'i I.;'Jun'i Cc; 13,1,,!ri'l 667.52 air-7 Auth: 108388 Signai, Fi.'. alancE As :, ;c-vards Member, ycw, ::,J puil-'12 taward y(.,i.!!- (Jre�;w '--*Jay. Start earning points and elit(! 13. plus enjoy exclu,si,- Enroll today at 1 r de:;;- VVO--:A y--..jr final hotel bill ."v 't'?e Front Desk! See' net on Maiii,ltt.com. COURTYARD" Courtyard by Marriott 10290 North Meridian Indianapolis Carmel Indianapolis, Iii 46290 T 317.571.1110 { . a.. P. Phillips Room-227 Room Type: GENR Number of Guests: 1 'r:a;F: $149 00 Clerk: ;Arrive:09Jun13; Time: 04:VPM. D'e'part: 13 Juril3 ime: Folio Number<: 92994::,:. :Date Descrt�tion Charges � ;..Credits 09.Jun13 Break`-.!,: For One 149.00, 09Jun13 Occupancy Sales Tax 10.43 09Jun13 County Tax 7.45 10Jun13 Breakfast For One 149.00 10Juni 3 Occupancy Sales Tax 10.43 10,1unI County :ax 7.45 11Jun1;< Breakias;For O+-e i:1; — 11jun1� Occupancy Sale -. .i 1!:1.43, 11Jun". Couny/ is i.4 , 149.00 12Jun13 Occupra ;cy Sales, ;u,K 10.43 12Jun1 Cc" 13Jun1 . , P; ;,Fi 52 ,=uth. 199501 Signal; ors FiA, Reward.,;Account#XXX,(XO';','.'. Your F'ev.,ards points/miles earn:.d on yaur eligible ea.-Zings will be credited to your accour!� Check your Rewa!-j A,.c unt Slate;rnent or your online St.;t�rnent:•`i' updated _.ctivity. As r;quested,a final copy ai I;N.vil!be ernailed to you at: PAI_!l1 !.'_lJf �;cr)�;.Jt�� L.. IVER.COM.See"Internet Privacy State rent"on Marriott.con-,. `�...��.,MI_ 'd LlgY\�LJ�•� C ijoyfa4d ny ltrt�iYist �.�,i i•.i;ah iVloddiar'. i;..,air PAN Camel Ir,.,.a iapolis, In 46290 mb� oil T. B rots Room:419 F` Room Type: GENR N Wer of Guests: 1 - .. F ,, Evan Clerk: rl;��:091 613 ,Tin.e: C,--:02 PM Depart: 13Jun1;, l'rrri':r: Foffo:Number 92993 C.•igrr,}e:>: CrecwEty. : 09sun13 Brealcf,N For One 149.0) 09nun1 3 Occupancy Sales Tax 1 09Jun'i3 County 1"a;; 7A-5 10jun'3 Ereal,'�,is; For One 1=00 10Jun13 Occupancy Sales Tax 1&W 10jinI" County WX 7 4ii Occr t:,.,. ny Sale i 1 a...- 11,'nr:- Count 1_G 5 1L. .11: 449.001 120no, 10 A3 1"'n1 13.I,;i71: .<.. . 837._`, -ufl1: 115449 Signa is Fiic' A._ f''a.+yards Member, you c,.-, rave a ;n.irts i wwb yoin : t rea: , .ioiiior; ; •1ay. Start earning points and ERn 011 W, Pus enjoy extunio. 'r:mher oJers. Erroll today at tiiF 1 des;!. VVd3 t your final hotel bill u) .:.i JLIF-'� -i"I' rte Front Desk! Se: at t''i .-.y 3lW :IW on Mai W.com. !rr-cyard by Marriott 10290 North Meridian ,C)U RTYARD 1 jndiariapolis Carmel In 46290 � u�fP10� T 17.571.1110 `;M S.Aveiy F;ncm:421 ; Type.GcNR F'a:e; $149.00 Clerk: ;r•` Arri"�e:09Juri13;'' Time- t^: SPM Depart: 13Jun13 iilrse: _ Foliii'Nurnber 92x9:1 ;,;• :; `b e s c lrl,i,OTIr" (.)latC,�@3x..4: V ,`,$'',°. 'd-'F -�.qtr„•'%�t4 09.1 ,n i 3rea'.*;' t Fo,0.., c , i S Occup��.,,v Sales 3 09:1.±m i 3 Count. -_ax 7.s 10,::m13 Break-1: For Dr. 149.U:) 10, 11111 . , 10Jun'^ Ccur",' 7.45 11Jr.n1 Brea!;'.:.r Fo ^, 4 n; 12,: nl Occ,po ,'y;;ales '<?x 10.x.3 667.52 -V7 'i;. Muth: 134700 Signa , r Fi.ic Rte%;,are..;Account#XXXX ;'i il°i',', Yc;.:r"-:•:• ;,l rd,s pointt,'triaes ear• ' nn y . .:,;hi,iule o:rni rig s will be credited to your accnur t Cnect:your Rev.a:"_ o u n t Statement or your oniine S! -r `c " : p,IElted -ctivity. As ::qi, 'sted, a final cosy will will I.;e emailed to you at: ti• ✓r:Rl'G>;:,I.al_LC:d„ IRE.OP.G. See "Internet t'rivacy Sta it"on Marriott.con;. I Center for 4501 Singer Court,Suite 180 Chantifly,VA 20151 Public Safety (8 6)866-2324 T Excellence (703)961-0113 F www.pub1icsdegexceHence.or� 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-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 shall not be handled as a reimbursement to team members. 4. Costs of travel for the Team Leader or designated representative to attend the Commission meeting and present the Agency for accreditation. Commission on Commission m Fire Accreditation Professional ! Chief Fire Officer International Credentialing I Letter of Agreement for Accreditation Page 2 of 3 Such costs shall include travel to and from the Commission meeting, lodging for two nights, and per diem in accordance 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 ChiefAdministrative Officer of Agency Date 4,;.;, g—t-c"�r James C. Brainard, Mayor 11-30-2011 149"'bunfy Adminis&vtor or Representative ofAuthority Having Jurisdiction Date CFAI Program Manager,Center for Public Safety Excellence Date 4501 Singer Court,Suite 180 ` Commission .. Chantilly,VA 20151 Fire Accreditation (866)866-2324 T International etyex elienc 13 F www.publicsafetyexcelience.org lence.org Applicant Agency Application As an Applicant Agency, you have made the decision to prepare and present your required documents within an 18 (Career)or 24(Volunteer) month time-frame. Applicant Agency fees are invoiced and adjusted to community population. In addition to this application, the agency is required to complete the baseline survey form and letter of agreement. Date 11/30/2011 Population 80,000 Organization Carmel Fire Department Type Career ISO Rating 3 Agency Head Accreditation Manager Last Name Smith Last Name Snyder Title Fire Chief "Title Budget & Accreditation Manager Initial D. Initial W. First Name Keith First Name Denise Office Number 317-571-2602 Office Number 317-571-2622 Mobile Number 317-697-5299 Mobile Number 317-428-8822 E-mail ksmith @carmel.in.gov E-mail dsnyder @cannel.in.gov Address 2 Civic Square City Carmel State Indiana J Zip 46032 Country USA (1� By checking here, I understand that submission of my documents must be in compliance with the latest released edition of the FESSAM. Commission on Fire Accreditation /otexnndoou| .—P&D Accreditation Cost | CPSE 9ogc \ of *^u* ^bo=/om[ ^oen°Acc,"u^u°" »"fe°°='o.w" al.", Technical Advisor Pron.=° oev"*="^*on*"=, u=° Agency Accreditation About Accreditation ucpw cswc"mm/"si""er" x»w' Agency Accreditation ` The Cost List of Accredited Agencies [[A| Accreditation Costs The Benefits Registered Agency Statu w"oo"pm'^�"years) The Process The nonrefundable fee.set o,the cmc Board"/Directors./"oomn for agencies"/every type and size.Fees for The Cost Registered Agencies that move m Applicant Agency status within one year are applied m the Applicant Agency status fee. Application Information Applicant Agency Status (Valid for"nmm months for career agencies and m months for agencies that are at least swpercent volunteer.with option for",m three 12'm""mextensions) Video Library The nonrefundable fee for Applicant Agencies."based""the population served within the jurisdiction(except approved mm Fire o"pa,m"""'*.using the latest u�.Census figures documented with the agency's application.This fee must o"paid prior."the agency's change"/status m applicant agency.Agencies that need"six-month extension may elect m pay one-half v/their original fee for"/z'"°"*extension.which may ue repeated",m three times. n,/"m~/""/so nonrefundable. Po,m"*"/*p"n 'n° *ee.v`o/ 0-9,999 m.00 10,00 '"9.oe o.ou 50,00 'o9,ve =$E2:S:0� 100/000'199,99 S7.250 mo/mo 499,9e S8,2m 500,00 999,999 x10,500 Over I""m= u2.000 Candidate Agency Status There/"""fee for Candidate Agency status when"department completes the""/f-asses"m""^but'"this phase"/ the process the department/"responsible for the cost"/travel and expenses for "'*"m visit and its peer assessor team leader's expenses for traveling mthe accreditation hearing./,." recommended that agencies budget approximately So,0n for the""-site visit and,1.wm'u.5vv for the team leader's travel m the commission meeting. http://publicsafetyexcelIence.org/agency-accreditation/ttie-cost.aspx 11/21/2011 Commission on Fire Accreditation International (CFAI) Accreditation Cost I CPSE Page 2 of 2 Accredited Agency Status The annual fee for Accredited Agencies is one-fifth of their Applicant Agency fee. Copvaulht(C)MIQ 411 Rights Reserved Nore:For approved,Department of Defense agencies,all fees described above are paid through contract with the Navy. Contact Us I FAQ Forms I Links I Store Site Map Terms of Use I Admin I http://publicsafetyexcel lence.org/agency-accreditation/the-cost.aspx 11/21/2011 .xa. '? 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)) Avery $667.52 Bavota $667.52 Hyde $667.52 Meals $311.15 Meals $145.21 Phillips I $667.52 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 Matt Hoffman IN SUM OF $ $3,126.44 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 43-590.00 $667.52 1 hereby certify that the attached invoice(s), or 1120 43-590.00 $667.52 bill(s) is (are)true and correct and that the 1120 I I 43-590.00 I $667.52 materials or services itemized thereon for 1120 43-590.00 $311.15 which charge is made were ordered and 1120 43-590.00 $145.21 received except 1120 I I 43-590.00 I $667.52 jUN 17 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund