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2014 Police Lease schedule 17 pay request 8 Lease 2014 — Sch # 1.7 (Police Dept.) Payment Request # 2014-08 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 18,2014 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: Waymire A.P.S., Inc. Amount: $46,417.13 Description of Equipment Item Cost: Equipment for new Police vehicles Dated: June 16, 2014 LESSEE: City of Carmel One Civic Square Carmel,IN By: Name: Diana Cordray Title: Clerk Treasurer (Attached duplicate original of Payee's statement) PLEASE MAIL CHECK TO: Waymire A.P.S., Inc. 820 Chadwick St Indianapolis, IN 46225 PAGE I pC� CERTIFICATE OF LIABILITY INSURANCE °"TE`MM°°Y" "' 1/4.------- 4/21/2014 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 policyties)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_Ubao Hylant Group PHONE FAX 301 Pennsylvania Parkway,#201 .E�MANo,L4)317-B17-5136 (Ac NNnl:39L61.7_5151 Indianapolis IN 46280 a❑❑REssmarianne ubanQhylant corn INSURERIS)AFFORDING COVERAGE NAIL N INS❑RERA Charter_Oak.Fire.InsuranceCo 5615 INSURED CARME80 INSURERBf City of Carmel INSURER C: One Civic Square INSURER 0: Cannel, IN 46032 INSURER E: INSURER F: I COVERAGES CERTIFICATE NUMBER:970829312 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. INSR1 ADDLSUDR POLICY EFF POLICY EXP LTRI TYPE OF INSURANCE INSR WVDI POLICY NUMBER I IMMIDDIYYYYI (MMIDDIYYYYI uMITS A GENERAL LIABILITY Y IZ LP14TE2033 V112014 111/2015 EACH OCCURRENCE 1 52,000,000 POAMAGETORENTED % COMMERCIAL GENERAL LIABILITY PREMISES(Ea occunence)_ $50,000 CLAIMS-MADE X OCCUR MEDEXP(Any one person) $Excluded PERSONAL.R ADV INJURY 52,000,000 GENERAL AGGREGATE 52,000000 — GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP EGG 52,000,000 POLICY n PRO. 17 LOC I $ FCT A AUTOMOBILE LIABILITY H810303fiP64RCOF14 1)112014 11112015 Ea accltlentylNGLt LIMIT 000,000 X I ANY AUTO BODILY INJURY(Per person) 5 ALL OWNED SCHEDULED BODILY INJURY(Per eeciaem) S _AUTOS AUTOS NON-OwNEO PROPERTY DAMAGE S HIRED AUTOS AUTOS ,(Per accident) X (Comp X Coll Camp/Coll Dec! 52.500 UMBRELLA LIPS I I OCCUR EACH OCCURRENCE 5 I` EXCESS LIAR I CLAIMS-MADE AGGREGATE – I j $ DED l RETENTIONS S WORKERS COMPENSATION AT 0TH- AR0 EMPLOYERS'LIABILITY YIN _ISORwC YLLMISTU TS I FR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? u NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1 yes,desrnbe under DESCRIPTION OF OPERATIONS beI ,R E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N 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 Certificate Holder is an Additional Insured re: Various Police EquiprnentNehicles 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&Assignees ACCORDANCE WITH THE POLICY PROVISIONS. c/oAmerican Lease Insurance 654 Amherst Rd., Ste- 335 AUTHORIZED REPRESENTATIVE Sunderland MA 01375 1 ©19119-2010 ACORD CORPORATION. MI rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD LOc6-4 WAYMIRE A. P . S . , INC . d/b/a THE WAYMIRE GROUP 820 Chadwick Street, Indianapolis , IN 46225 7 TEL :e (317) 634 -4824 FAX: (317) 634 -4833 eS Warehous Tel : (317) 631- 7551 / Fax: (317) 631-7552 BUSINESS HOURS : 8 : 00-5 : 00 MON-FRI CLOSED SAT/SUN ACCOUNT if CPD50 INVOICE # 296815 DATE • 06/02/14 PO # : 31947 Stk./Re1dk : PURCHASED BY : SHIPPED/DELIVERED TO: CARMEL POLICE DEPT CARMEL CITY GARAGE 3 CIVIC SQUARE 3400 W 131st ST CARMEL, IN. 46032 WESTFIELD, IN. 46074 317 571-2546 317 571-2546 USE OF PROVIDED EQUIPMENT IN ANY VEHICLE IS THE DRIVER' S RESPONSIBILITY! DESCRIPTION: LOCAL TRUCK VEHICLE: YEAR : 2014 WC CAPACITY: WDH CAPACITY: SLS PER: FLTMKMF Tan !i MAKE : FORD GTW: N/A GTW : N/A MECH. . : MODEL: INTERCEPTOR UTIL . TW : N/A TN : N/A WRNTY #: QTY PART # ITEM DESCRIPTION MFG SRP COST EA PARTS LABOR TOTAL f SSP2000 SMART SIREN PLATINUM 1250 . 00 679 . 00 679 . 00 679 . 00 �l8 AU4: MERCURY TILT SWITCH 166 . 00 10 . 10 181 . 80 181 . 80 A7 VS3400INU T, 14 "CONSOLE INT UTILT 288 . 75 196 .35 3337 . 95 3337 . 95 17 CCUP2IA15 5 . 5"DL CUP 15DEG ANGLE 44 . 10 29 . 99 509 . 83 509 . 83 17 E840SSP1P* EQUIP BRKT (1 PC) 0 . 00 ---- 0 . 00 17 E230L3F1P* EQUIP BRKT (1 PC) 0 . 00 -- -- 0 . 00 17 FP-15* 1 . 5"FILL PLATE 0 . 00 - - - - 0 . 00 Call US for QUa- P givects & ervi Ref : W#) 112093 MERCHANDISE. . . . $ 4708 . 58 SALES TAX $ 0 . 00 RECEIVED BY C S&H/COD, ETC $ 0 . 00 Amoua'._ r: Mettoo. a Payment . . . INVOICE TOTAL $ 4708 . 58 Invoice Total Charged To Customer Account AMOUNT RCVD $ 0 . 0.0_, - BALANCE DUE . . ( $ 4708 . 5fl FOR TERM ACCOUNTS : PLEASE PAY IN FULL WITHIN 30 DAYS OF INVOICE DATE, THANK YOU! �.U'{ WAYMIRE A . P . S . , INC. r (J�(')� d/b/a THE WAYMIRE GROUP �G� T 820 Chadwick Street, Indianapolis, IN 46225 U 0 TEL: (317) 634-4824 FAX : (317) 634 -4833 Warehouse Tel : (317 ) 631-7551 / Fax: (317) 631-7552 C ?( BUSINESS HOURS : 8 : 00-5 : 00 MON-FRI CLOSED SAT/SUN ACCOUNT # CPD50 INVOICE 4 296461 DATE 05/14/14 PO 4 : 31947 Stk/Rel# : PURCHASED BY: SHIPPED/DELIVERED TO: CARMEL POLICE DEPT CARMEL CITY GARAGE 3 CIVIC SQUARE 3400 W 131st ST CARMEL, IN. 46032 WESTFIELD, IN. 46074- 317 571-2546 317 571-2546 TERMS : PAYMENT DUE IN FULL WITHIN 30 DAYS OF INVOICE DATE, THANK YOU! LOCAL NORTH / JASON OGLE VEHICLE : YEAR : 2014 WC CAPACITY : WDH CAPACITY: SLS PER: FLTMKMF Tag # : MAKE : FORD GTW: N/A GTW: N/A MECH. . : MODEL INTERCEPTOR UTILITTW : N/A TW : N/A WRNTY # : QTY PART # ITEM DESCRIPTION MFG SRP COST EA PARTS LABOR TOTAL 4 CN100 31 " CNSM8R1390422308 1160 . 00 655 . 00 2620 . 00 2620 . 00' 4 CNSM-RBK1 CN SIGMSTR MNT 11"EXPL 30 . 00 18 . 00 72 . 00 72 . 00/ 4 SSP2000 SMART SIREN PLATINUM 1250 . 00 679 . 00 2716 . 00 2716 . 00/ 6 ES100 DYNAMAX 100W SPEAKER 299 . 00 120 . 75 724 . 50 724 . 50( 6 ESB-EXP07 ES100 BKT, 11" EXPLR 33 . 00 13 . 75 82 . 50 82 . 50-/ 72 VTX609C VERTEX LED, WHITE 129 . 00 59 . 25 4266 . 00 4266 . 00✓ 4 ILSF105 ILS FRONT 1390498966 1500 . 00 803 . 95 3215 - 80 3215 . 80/ 3 B4705UNT13 UTILITY BARRIER WIRE 430 . 00 296 . 75 890 .25 890 . 25v Call US for UALITY ,k ..ucts & Service ! MERCHANDISE. . . . $14587 - 05 ;� SALES TAX $ 0 . 00 RECEIVED BY ; --iQ �i S&H/COD, ETC. . - $ 0 . 00 Amount & Met 'o of Pa -nt . . . INVOICE TOTAL $14587 . 05 Invoice Balan Charge* To Customer. Account TOTAL RECVD . . ..--r$""' 0 : 00-x, BALANCE DUE.` $14587 . 05 J Ise of provided equipment in any vehicle is the driver ' s responsibility. WAYMIRE A. P .S . , INC - d/b/a THE WAYMIRE GROUP Pc\ iv 820 Chadwick Street, Indianapolis, IN 46225 lv TEL : (317) 634-4824 FAX: (317) 634 -4833 Warehouse Tel : (317) 631-7551 / Fax: (317) 631-7552 BUSINESS HOURS : 8 : 00-5 : 00 MON-FRI CLOSED SAT/SUN ACCOUNT # CPD50 INVOICE # 296595 DATE • 05/20/14 PO # : 31974 Stk/Rel# : PURCHASED BY : SHIPPED/DELIVERED TO: CARMEL POLICE DEPT CARMEL CITY GARAGE 3 CIVIC SQUARE 3400 W 131st ST CARMEL, IN, 46032 WESTFIELD, IN - 46074 317 571-2546 317 571-2546 TERMS : PAYMENT DUE IN FULL WITHIN 30 DAYS OF INVOICE DATE, THANK YOU! DESCRIPTION: LOCAL NORTH / JASON OGLE VEHICLE: YEAR : N/A WC CAPACITY: WDH CAPACITY: SLS PER: FLTMKMF Tag # : MAKE : N/A GTW: N/A GTW: N/A MECH . - : MODEL: N/A TW : N/A TW : N/A WR77TY # : QTY PART # ITEM DESCRIPTION MFG SRP COST EA PARTS LABOR TOTAL 7 LGD103 53 "LEGEND 1367522972 3458 . 00 1325 . 00 9275 . 00 9275 . 00-' 6 LGD103 53 "LEGEND 1367522972 3458 . 00 1325 . 00 7950 - 00 7950 . 00 13 HKBFPIU13 * 13" UTILITY HOOK KIT 0 . 00 - -- - 0 . 00 13 ES100 DYNAMAX 100W SPEAKER 299 . 00 120 . 75 1569 . 75 1569 . 75 / 13 ESB-EXPO'? ES100 BKT, 11"' EXP.LR 33 . 00 13 . 75 178 . 75 178 . 75/ 12 SSP2000 SMART SIREN PLATINUM 1250 . 00 679 . 00 8148 . 00 8148 . 00✓ Call US for ALITYnPr Apots & Service ! Ref : W# 112546 MERCHANDISE. . . . $27121 . 50 � (/ i SALES TAX $ 0 . 00 RECEIVED BY .�,� S&H/COD, ETC $ 0 . 00 Amount & Method! f Paym ( . . . INVOICE T0TAL $271.2l . 50 Invoice Total Ch33rged o ustomer Account AMOUNT RCVD $ "0%.00- .,/ BALANCE DUE. (' $27121 . 50'.! Use of provided equipment in any vehicle is the driver ' s responsibility. •