HomeMy WebLinkAbout221083 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.
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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