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2013 Police schedule 15 pay request 28 Lease 2013 — Sch # 15 (Police Dept.) Payment Request # 2013-28 EXHIBIT A PAYMENT REQUEST FORM /ACCEPTANCE CERTIFICATE The Escrow Agent is hereby requested to pay from the Acquisition Fund established by the Escrow Agreement dated as of February 14, 2013 by and among the Escrow Agent, the Lessee and Lessor, to the person or corporation designated below as Payee, the sum set forth below in payment (of all/of a portion)of the Acquisition Costs described below. The amount shown below is due and payable under a purchase order or contract with respect to the Equipment described below and has not formed the basis of any prior request for payment. In addition,the undersigned acknowledges delivery,installation and receipt in good condition,and hereby accepts the Equipment described on the attached invoices. Payee: Sensory Technologies Amount: $14494.35 Description of Equipment Item Cost: EOC Tech upgrade Dated: April 15, 2014 LESSEE: City of Carmel One Civic Square :::11d1, IN 4 32 ies ' t _ Name: Diana Cordray Title: Clerk Treasurer (Attached duplicate original of Payee's statement) PLEASE MAIL CHECK TO: Sensory Technologies 6951 Corporate Circle Indianapolis, IN 46278 PAGE I ACORD® CERTIFICATE OF LIABILITY INSURANCE 3/25/2013 �� 3/25/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Marianne Uban Hylant Group Inc Indianapolis IA//c°,NN,Ext):317-817-5136 FAX,No317_817_5151 301 Pennsylvania Parkway,#201 E-MAIL Indianapolis IN 46280 ADDRESS:marianne.uban @hylant.com INSURER(S)AFFORDING COVERAGE I NAIC# I INSURER A:Charter Oak Fire Insurance Co 25615 INSURED CARME80 INSURER B: City of Carmel INSURER C: One Civic Square INSURER D: Carmel, IN 46032 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1271512319 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR R TYPE OF INSURANCE I INSR I WVD POLICY NUMBER I(MMIDDIYYYY ) (MM/D EXP LIMITS LT A GENERAL LIABILITY ZLP14T62033 1/1/2013 1/1/2014 EACH OCCURRENCE 52,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) 550,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) SExcluded PERSONAL&ADV INJURY $2,000,000 GENERAL AGGREGATE 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 I POLICY I I JECT I LOC 5 A AUTOMOBILE LIABILITY H8103036P64ACOF13 1/1/2013 "I/1/2014 COMBINED SINGLE LIMIT (Ea accdent) 52,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS i (Per accident) X Comp X Coll Comp/Coll Ded $2,500 UMBRELLA LIAB I OCCUR EACH OCCURRENCE $ EXCESS LIAB I CLAIMS-MADE AGGREGATE 5 I DED RETENTION$ 5 WORKERS COMPENSATION WC STATU- 0TH- ' AND EMPLOYERS'LIABILITY YIN LOSLLIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under _--- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I ' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) ADDITIONAL NAMED INSUREDS: CARMEL CLAY PARKS BUILDING CORPORATION; CARMEL CLAY BOARD OF PARKS& RECREATION; CARMEL REDEVELOPMENT COMMISSION; CARMEL REDEVELOPMENT AUTHORITY; CARMEL CITY CENTER COMMUNITY DEVELOPMENT CORPORATION Re: Various Police Equipment/Vehicles CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Huntington National Bank&its assignors and ACCORDANCE WITH THE POLICY PROVISIONS. assignees c/o American Lease Insurance 654 Amherst Rd., Ste. 335 AUTHORIZED REPRESENTATIVE Sunderland MA 01375 C-- )tetid-or-06E-)---- &41-d.4<_-.) 1 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD JD Invoice: 32979P 4/9/2014 Itc> Project Number: 25407 sensorytechnoOog es Carmel Clay Communications Center A MARKEY'S VIDEO IMAGES COMPANY EOC at CFD 41 Customer P.O.: 31374 6951 Corporate Circle Indianapolis. IN 46278 317-347-5252 Fx 317-347-5262 • Carmel Police Department Carmel Clay Communications Center Teresa Anderson Todd Luckoski 3 Civic Square 31 1st Avenue NW Carmel, IN 46032 Carmel, IN 46032 Tel: 317-571-2590 Carmel EOC at CFD41 Display& Source 55" Monitors Side Wall NECAMER-E554 2 556 LED LCD Public Display Monitor w/built in ATSC tuner, 1920x1 Chief-TS525TU 2 THIN SWING ARM (LARGE) Crestron-DM-RMC- 2 DigitalMedia 8G+ Receiver& Room Controller w/Scaler SCALER-C LIBWIRCAB-E-HDM-M- 2 MOLDED HDMI CL2 CBL 2M 02 55" Monitors Front Wall NECAMER-E554 2 556 LED LCD Public Display Monitor w/built in ATSC tuner, 1920x1 Chief-TS525TU 2 THIN SWING ARM (LARGE) Crestron-DM-RMC- 2 DigitalMedia 8G+ Receiver& Room Controller w/Scaler SCALER-C LIBWIRCAB-E-HDM-M- 2 MOLDED HDMI CL2 CBL 2M 02 Projector Draper-104305L 1 Access/E 123 16:10 MW with LVC HITACHIAM-CP- 1 WUXGA, 5000 Lumen, 18.5Ib Projector WU8450 Chief-CMS440 1 8 CEILING PLATE WITH ONE SLOT Chief-RPMAUW 1 UNIVERSAL RPMA Chief-CMS012W 1 FIXED PIPE 12 Chief-CMA472 1 ABOVE CEILING ENCLOSURE Crestron-DM-RMC- 1 DigitalMedia 8G+ Receiver& Room Controller w/Scaler SCALER-C LIBWIRCAB-E-HDM-M- 1 MOLDED HDMI CL2 CBL 2M 02 Interactive Cart(2) Sharp-PN-L702BC 2 70" Class Aquos Board Interactive Display SHARP-PN-ZB01 2 Optional Input/Output Expansion Board Crestron-DM-RMC- 2 DigitalMedia 8G+ Receiver& Room Controller w/Scaler SCALER-C LIBWIRCAB-E-HDM-M- 2 MOLDED HDMI CL2 CBL 2M 02 Sharp-PN-TPC2W7A 2 Intel Pentium 2.6 GHz Dual Core Whiteboard PC with Windows 7 Pro Sharp-PN-TPC2W7A -2 Intel Pentium 2.6 GHz Dual Core Whiteboard PC with Windows 7 Pro Sharp-PN-TPCI7W7 2 Intel core i7 quad core PC for whiteboards Middle Atlantic-RC-3 2 3 SPACE (5 1/2#) CLAMPING RACKSHELF Crestron-DM-TX-201-C 2 DigitalMedia 8GO STP Transmitter 201 Middle Atlantic-UTR1 2 HALF/THIRD RACK UNIVERSAL SHELF LIBWIRCAB-E-HDM-M- 2 MOLDED HDMI CL2 CBL 2M 02 Avteq-RPS-1000S 2 RPS-1000S Middle Atlantic-D2 2 2 SPACE (3 1/2#) RACK DRAWER, BLACK BRUSHED FINISH Liberty Wire-SENTEC- 2 3 Cat5 Plate(Network and 2 DM) WQ335314 LIBWIRCAB-E-HDM-M- 2 MOLDED HDMI CL2 CBL 2M 02 Extron-26-566-04 2 MVGA-A M-M/25 15-pin HD Male to Male Low-Profile Molded + 3.5mm Stereo Mini Plug Male to Male-25'(7.6 m) Extron-60-1371-11 2 WPB 109 HDMI, VGA A-BLACK Extron-26-566-02 2 MVGA-A M-M/6 15-pin HD Male to Male Low-Profile Molded + 3.5mm Stereo Mini Plug Male to Male-6' (1.8 m) LIBWIRCAB-E-HDM-M- 2 MOLDED HDMI CL2 CBL 2M 02 Input(front of stage)VGA/HDMI/RCA LIBWIRCAB-E-HDM-M- 1 MOLDED HDMI CL2 CBL 4M 04 Extron-26-566-04 1 MVGA-A M-M/25 15-pin HD Male to Male Low-Profile Molded + 3.5mm Stereo Mini Plug Male to Male-25'(7.6 m) Crestron-DM-TX-200-C- 1 Wall Plate DigitalMedia 8G+Transmitter 200, Black Textured; 2G-B-T inc Crestron-DMC-HD-DSP 1 HDMI Input Card w/Down-mixing for DM Switchers January, 2009] Extron-60-867-01 1 CVEQ 100 D Version Crestron-DMC-VID-BNC 1 BNC Analog Video Input Card for DM Switchers [Available April, 2009] Airmedia Crestron-AM-100 1 AirMediaO Presentation Gateway LIBWIRCAB-E-HD-DVI- 1 MOLDED HDMI-DVI CL2 2M BLK 02 Crestron-DMC-HD-DSP 1 HDMI Input Card w/Down-mixing for DM Switchers January, 2009] Direct TV(1) OFE Direct TV Box Middle Atlantic-U2 1 2 SPACE (3 1/2#) RACKSHELF LIBWIRCAB-E-HDM-M- 1 MOLDED HDMI CL2 CBL 2M 02 Crestron-DMC-HD-DSP 1 HDMI Input Card w/Down-mixing for DM Switchers January, 2009] Tuner(1) Contemporary Researc- 1 HDTV Tuner, 1 RU 232-ATSC+1 CONRESEAR-RK1 1 Single Rack Kit for ICC2-IRC/VDC LIBWIRCAB-E-HDM-M- 1 MOLDED HDMI CL2 CBL 2M 02 Crestron-DMC-HD-DSP 1 HDMI Input Card w/Down-mixing for DM Switchers January, 2009] DVD Player OFE DVD w/HDMI output Middle Atlantic-U2 1 2 SPACE (3 1/2#) RACKSHELF LIBWIRCAB-E-HDM-M- 1 MOLDED HDMI CL2 CBL 2M 02 Crestron-DMC-HD-DSP 1 HDMI Input Card w/Down-mixing for DM Switchers January, 2009] Interactive Cart Input(2) Crestron-MP-WP181-C- 2 Media Presentation Wall Plate Crestron DigitalMedia 8G+, B Black Rack PC(2) OFE PC HDMI/Displayport Output Middle Atlantic-RC-3 2 3 SPACE (5 1/2#) CLAMPING RACKSHELF LIBWIRCAB-E-DPM- 2 ADAPTER CABLE DP M TO HDMI F HDF LIBWIRCAB-E-HDM-M- 2 MOLDED HDMI CL2 CBL 2M 02 Crestron-DMC-HD-DSP 2 HDMI Input Card w/Down-mixing for DM Switchers January, 2009] USB Keyboard Switching Gefen-EXT-USB2.0-LR 1 USB 2.0 LR Extender- USB extender Poduim PC-One of the 4 outputs OFE PC HDMI/Displayport Output LIBWIRCAB-E-DPM- 1 ADAPTER CABLE DP M TO HDMI F HDF LIBWIRCAB-E-HDM-M- 2 MOLDED HDMI CL2 CBL 2M 02 Crestron-HD-DA-2 1 1-to-2 HDMI#Distribution Amplifier&Audio Converter Crestron-DM-TX-201-C 1 DigitalMedia 8GO STP Transmitter 201 Crestron-DMC-C-DSP 1 DigitalMedia 8GO STP Input Card w/Down-mixing for DMO Switchers Switcher Crestron-DM-MD16X16 1 16x16 DigitalMedia#Switcher; requires DMC series input cards DM input and output cards(Contact factory for output cards) [Available May, 2009] Crestron-DMCO-5553 1 6 DM 8G STP w/3 HDMI & 2 HDMI w/2 Stereo Analog Audio Output Car Crestron-DMCO-5000 1 2 DM 8G STP w/1 HDMI Output Card for DM-MD16X16 Extron-60-740-01 1 ASA 131 Captive Screw Plug Input and Balanced Output Output to Interactive Cart Crestron-MP-WP181-C- 2 Media Presentation Wall Plate Crestron DigitalMedia 8G+, B Black Display& Source Subtotal 61,748.00 Audio Equipment Radio Reciever OFE Middle Atlantic-U2 1 2 SPACE (3 1/2#) RACKSHELF Extron-60-804-01 1 ASA 141 RCA Inputs and Balanced/Unbalanced Output BIAMP-NEXIA TC 1 8 wide-band TrueSound#AEC inputs, 2 mic/line inputs, 4 mic/line inputs, 4 mic/line outputs& Codec interface. DSP for teleconferencing applications. Extron-60-850-01 1 XPA 2001-70V Power Amplifier Extron-60-190-01 1 PRO,RACK SHELF, UNIV,1U 6 Ceiling Speakers OFE Audio Equipment Subtotal 2,848.00 Processing & Control Liberty Wire-SENTEC- 2 Custom TP Plates W Q335315 TP can be plugged in at two locations Crestron-AV3 1 3-Series Control System Just Released Crestron-TSW-750-B-S 1 7 Touch Screen, Black Smooth Crestron-TSW-750-TTK- 1 TableTop Kit for TSW-750, Black Smooth B-S Netgear-FS116PNA 1 ProSafe FS116P 16 Port 10/100 Desktop Switch with 8 Port PoE Crestron-DM-PSU-8 1 8-Port PoDM Power Supply for DM« Switchers Middle Atlantic-UTR1 1 HALF/THIRD RACK UNIVERSAL SHELF Programming & Software Development Processing & Control Subtotal 12,652.00 Rack & Casework Middle Atlantic-ERK- 2 44 SPACE (77#), 25#DEEP STAND ALONE RACK WITH 4425 REAR DOOR, BLACK REAR DOOR, BLACK FINISH Middle Atlantic-ERK- 2 44 SPACE (77#) ERK REAR RAIL KIT RR44 Middle Atlantic-LVFD-44 2 VENTED FRONT DOOR, 64% OPEN AREA, FITS 44 SPACE ERK, MRK, WRK, V ERK, MRK, WRK, VRK SERIES RACKS, BLACK FINISH Middle Atlantic-LF 2 SET OF 4 LEVELING FEET Middle Atlantic-ERK-6FT- 2 INTEGRATED 6 FAN TOP, INCLUDES 2 FANS, 285 CFM, FITS 440CFM ANY WMRK, E FITS ANY WMRK, ERK OR SCRK, BLACK FINISH Middle Atlantic-VBK-E25 1 VENT BLOCKER KIT FOR 25 DEEP ERK Middle Atlantic-VBK-E25 1 VENT BLOCKER KIT FOR 25 DEEP ERK Middle Atlantic-PDT- 2 PD THIN,1-15A,16 OUT,CORD 1615C-NS OFE UPS Middle Atlantic-PD-915R- 4 9 OUTLET, SINGLE 15 AMP CIRCUIT, SURGE/SPIKE PL PROTECTED RACKMOUNT PROTECTED RACKMOUNT POWER DISTRIBUTION W/9' CORD, BLACK POWDERCOAT FINISH 1 IP- Installation Parts, Supplies, &Wiring Sensory-IP 1 Installation Parts SENSORY-FGT 1 Shipping & Handling Rack& Casework Subtotal 8,901.00 Equipment Subtotal 86,149.00 Installation Subtotal 21,100.00 Installation Includes: - Engineering & Design Services -Project Management Services - In-Shop Fabrication -System Installation Labor - User Training -One Year Service Agreement Total for System 107,249.00 Change Order-Fixed Mounts At the Owner's request Chief-TS525TU -2 THIN SWING ARM(LARGE) Chief-LTMU 2 LARGE, HEIGHT ADJUSTABLE, TILT MOUNT Subtotal Fixed Mount Change Order -326.00 Change Order Wireless Microphone At the Owner's request, a wireless lapel microphone will be added to the system. Shure-ULXP14/85-J1 1 Includes WL185 Microflex Cardioid Lavalier Microphone Installation Subtotal Wireless Microphone Change Order 972.00 Change Order Light Switches At the Owner's request, the Control 4 light switches will be replaced with Crestron light switches so they can be controlled. Crestron-CLW-DIMEX-E- 5 Cameo# Express Wireless In-Wall Dimmer, White, Gloss; W-S requires C Netgear-WNDAP350- 1 ProSafe Dual Band Wirelss-N Access Point 100NAS Subtotal Crestron Light Switches Change Order 751.00 Change Order Screen At the Owner's request, the current screen will be utilized. Draper-104305L -1 Access/E 123 16:10 MW with LVC Subtotal Screen Change Order -1,723.00 Project Total: $ 106,923.00 Initial Police Department EOC Project Responsibility $ 67,734.40 (PO 31374) Less Initial Payment Received(Chk#6000104940) $ 53,240.05 Police Department Remaining Balance Due $ 14,494.35