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Home My WebLink AboutHYLANT GROUP - 1199 - 621.00 - 9/16/2010 CARMEL REDEVELOPMENT COMMISSION t -.. Hylant Group Check: 1199 PO Box 1910 Date: 9/16/2010 Carmel, IN 46082-1910 Vendor: HYLANT10 Prior Invoice P.O. Num Invoice Amt Balance Retention Discount Amt. Paid 736593 621.00 621.00 0.00 0.00 621 .00 Extended energy center policy 621 00 621.00 0.00 0.00 621.00 X-' --1 '50LTD ComputcxrEase Forms Division (677)577=-5791 IN8043700 17 'Iv HYi ANT r.o.Bnx 40975 Indinnapo Gs. IN 16280-0925 4 4A GROUP Local:317-817-5000 I N V O 1 C E # 736593 Page I ACi]O1INT ND -_' ` CSR - - pAYE CARMG13 79 08/31/10 Inl:irid'A1,3rine=Builders Risk POLICY _ - - 06637524 W. Michael Wells rFn crlvr _ @ V IRA'rinN 0,11116/.I1l1E Or ' Cannel R.edevelopnlentComm 10/22/10 11/30/10 10/22/10 AMOUNT PAID _ - .UIOI1N r ORF.�. Matt WOrthley s 621.00 Ill W. Main, Ste 140 Carmel, IN 46032 ' Eli Date„Trn Type Policy;# - description }s' ��` ' a - ,Amount:_ r r INVOICE.4 736593 10/22/10 +EN 13R-1 06637524 ENERGY CENTER Federal]nsurance Company $ 621.00 EX'T'END ENERGY CENTER POLICY EXPIRATION'1.0 11130/201Q Invoice Fialancc: 3 621.00 PAID SEP 1 ] 2010 Director of Redevelops. :.+ pit/iDf&7 HYLA NT GROUP • www,hvl an 1.coin 301 Pennsylvania Parkway -Suite 201 • P.O. Box 10925 • Indianapolis, IN 46280-0925 - Local:317-817-5000 • Fax: 317-817-5151 OHuss Inland Marine Insurance Premium Bill Policy Period OCTOBER 22,2007 TO NOVEMBER 30,2010 Effective Date OCTOBER 22,2010 Policy Number 0663-75-24 IND Insured CARMEL REDEVELOPMENT COMMISSION AND CONTRACTORS INTERESTS Name of Company FEDERAL INSURANCE COMP ANY Date Issued AOCIIS'P 16, 2010 Portion 61 total premiurmattributable Mr terrorism and statutory standard tiretrbere aliplirable • - - is$0.00 PLEASE SEND PAYMENT TO AC ENT OR BROKER. Policy period extended. Additional Date Payment Due Premium OCTOBER 22,20 I 0 S 621.00 TOTAL $ 621.00 WI-IEN SENDING PAYMENT, PLEASE INDICATE POLICY NUMBER ON YOUR CHECK, NOTE.: PLEASE RETtJI-tN 'AlliS Bill,WITH PAYMENT AND INCLUDE ANY ADll1TEONAt.CHANGES. Producer: 11YLANTGR[)i1P INC Si I MADISON AVEN[JE TOLEDO,OH 43024-0000 last page � +V2 Form 04-02-0541(Ed. 9-95) Premium B!!! Pagel • -`. Inland Marine Insurance CHUBS Endorsement Policy Period OCTOBER 22,2007 TO NOVEMBER 30,2010 Effective Date OCTOBER 22,2010 Policy Number 0663-75-24 IND Insured CARMEL REDEVELOPMtN• 'COMMISSION AND CONTRACTORS INTERESTS Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 16,2010 .� dnnn,nnnn t - /m „ . : ,,, d,d,IJItl- �W —,;�W,.»., ThiS Endorsement al)plies tit tlic following Forms: — - - PROJECT BUILDERS' RISK COMMON POLICY CONDITIONS SCHEDULE This policy is issued for the period 12:01 AM Standard Time at the Named lnsured's Mailing Address. Policy Period: Emin 10/22/2007 To 11/30/2010 CONDITIONS:)NS: Under Conditions,the following condition is ridded. AMENDMENT OF POLICY PERTOD The policy period of this policy,as described in the Insuring Agreement, Premium Summary, Declarations and other documents that comprise this policy is deleted and replaced with the Policy Period shown in the Schedule, above. This endorsement does not modify, limit or enlarge arty other policy provisions, nor does it reinstate any of the Limits of Insnranee. All other terms and ecntditious remain uncharged. Authorized Representative Inland Marine lnsuraose AMENDMENT OF POLICY PERIOD last page Form 04-02-0859(Ed.6-99) Endorsement Page 1 Cl-lUBe INLAND MARINE INSURANCE Schedule of Forms Policy Period OCEORf:R 22, 20(17 7O NOVLMBRR 30, 2010 Effective Date OCTOBER 22, 2010 Policy Number 0663-75-24 IND Insured CARMEL REDEVELOPMENT COMMISSION AND CONTRACTORS INTERESTS Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 16,2010 the following lsa scheCJnle.of additional twins i iclvalcd with this Form Number Form Name 04-02-0638 (Ed. 9-95) PROPERTY 011CLARATIONS 04-02-0S59 (Ed. 6-99} AMENDMENT OF POLICY PERIOD last page Form SO-02-199e{Ed. 4-94) Schedolo of Forms Page 1 I Sin l Inland Marine Insurance cr-I LOS s Declarations Chubb Group of insurance Companies 15 Mountain View Road Warren, NJ 07059 Named Insured and Mailing Address Policy Number 0663-75-24 IND CARMEI. REDEVELOPMENT COMMISSION AND CONTRACTORS INTERESTS Effective Date OCFOIIER 22, 2010 ONE CIVIC SQUARE CAIRAWL,IN 460.2 Issued by the stock insurance company indicated below, herein called the company. FEDERAL INSURANCE COMPANY Producer No. 0035144 Incorporated under the laws of INDIANA Producer FEYLANT GROUT' !NC . }I I MADISON AVENUE TOLEDO, OH 43624-0000 Policy Period From OCTOBER 22,2007 To: NOVEMBER 30,2010 12:111 A.M. standard time at the Named Insureds mailing address shown ahove, 'The Following displays the premises covered under this insurance. Premises Summary PREMISES# 1 126'I'I-I&RANGELINE RD.,CI'I'Y CENI'ER DR. CARMEL,TN 46032 IIuitding Number: I iniandMarine insurance issue care. AUGUST 14 2010 continued Farmn 04-02-0658(Fri 9-95) Uedaraiinns Pape I Inland Marine Insurance CP-JLS to Declarations Chubb Croup of Insurance Companies 15 Mountain View Road Warren, IV,/07059 Named Insured and Mailing Address Policy Number 0663-75-24 INID CARMI E REDEVELOPMENT COMMISSION AND CONTRACTORS INTERESTS Effective Date OCTOBER 22,2010 ONE CIVIC SQUARE CARMEL, IN 46032 Issued by the stock insurance company indicated below, herein called the company. FEDERAL INSURANCE COMPANY Producer No. 0035144 Incorporated under the laws of INDIANA Producer HYLANT(312001' INC 811 MADISON AVENUE TOLEDO, Oft 43624-0000 Policy Period From: OCTOl31;12 22,2007 To: NOVEMBER 30- 2010 12:01 A.M.standard time at the Named Insured's mailing address shown above, C]T.p .LlIkM :as+irmeSiRiKwY^agrY NNIIPo:y' v'�NR� -A*VVMArrSW(Hr .-4� 1 'ux14ll141H1n.,...` NtttlH' ul «- Oli3444444tNSio'X4etet"'.-` XY` -� �tP`5JU.:-,-9 Deductible: $ 10,000 The deductible shown above app!ics to all coverages,except Business Income and Extra Expense,contained within this policy unless a specific coverage.deduclihlc is shown below. The following displays the coverages provided by this policy. Coverages PREMISES# 1 I2(311l & RANG ELINERD., CITY CENTER DR. CARMlTI. IN 46032 Building Number: 1 CONTRACT WORKS DESCRIPTION ENERGY Cl3N'fER Limn'OF INSURANCE S 7,000,000 DEDUCTIBLE _ $ 10,000 SOFT COSTS DM FL OF INSURANCE $50,000 WA II PERIOD 7 DAYS Inland Marine Insurance Issue Date: AUpUST 16, 2010 continued ,.,,� r . Form 04-02-0038(Ed. 9-95) Declarations Page 3 .ra Y N Inland Marine Insurance CHILIES Declarations Effective Date OCTOBER 22, 2010 Policy Number 0663-75-24INID Premises Coverages (continued) POLLUTANT CLEAN UP OR REMOVAL LIMIT OF INSURANCE S 50,000 EXPEDITING EXPENSES LIMIT OF INSURANCE 550,000 • PREPARATION OF LASS FEES - - LIMIT OF INSURANCE S 25,000 PUBLIC SAFETY SERVICE CHARGES LIMIT OF INSURANCE S 25,000 • intend Marino Insurance Issue CMG: AUGUST 16,2010 last page ,, Form 04-02-0638(Ed.9-95) Declarations Page 5 rEi