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2015 Police schedule 24 pay request 25 102715 Lease 2015 — Sch # 24 (Police Dept.) Payment Request # 25 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 5, 2015 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: Bell Techlogix Inc Amount: $3,250.45 Description of Equipment Item Cost: Computer equipment Dated: 10/26/15 LESSEE: City of Carmel One Civic Square Carmel,IN 46032 By: - Q+ Name: iana Cordray Title: Clerk Treasurer (Attached duplicate original of Payee's statement) Make check payable to: Bell Techlogix Inc PO Box 823342 Philadelphia,PA 19182-3342 TechIogix PAGE:1 INVOICE:BI 391605 REMIT TO: INVOICE DATE: 10/16/15 BELL TECHLOGIX INC DUE DATE: 11/15/15 P.O. BOX 823342 PHILADELPHIA PA 19182-3342 TERMS:Net 30 317-333-7777 Net 30 Days 866-782-2355 y' SHIP TO: BILL TO: 1201825 Carmel Police Dept CITY OF CARMEL 3 Civic Square ONE CIVIC SQUARE T. Crockett PO #33185 ATTN: ACCOUNTS PAYABLE Carmel IN 46032 CARMEL IN 46032 USA ORDER: 727933 ORDER DATE: 10/09/15 CUSTOMER PO: 33185 CARRIER: FREIGHT TERMS: METHOD: TRANSPORTATION ID: SALESPERSON: JUANA YOUNCE CURRENCY: United States Dollars ITEMS v LINE ' ' UNIT PRICE t �cNET AMOUNT i� s IPTION DESCRL • • k _ '4T.• s Rte ,�^ , _.., 'mi .' �,". '�.. _'°.7 �`, Carmel Police Dept Terry Crockett 317-571-2567 tcrockett@carmel . in.gov Cust PO Num: 33185 Contact name: Terry Crockett Phone: 3175712567x Email : tcrockett@carmel . in.gov Prices are based on State of Indiana QP PA contract pricing or better. city of carmel include PO number in the e shipping line BELL SO 727933 - 20117881 2 NQ576AT 2 EA 34 . 60 HP LCD SPEAKER BAR 17 . 30 EA SPEAKER 4 BE750G 2 EA 189. 66 BACK-UPS ES 750VA 10 OUTLET 94 . 83 EA 120 VOLT MASTER CONTROL **************************************** PAST DUE ACCOUNTS CARRY INTEREST AT THE LESSER OF 1 . 5% PER MONTH OR THE MAXIMUM LEGAL RATE IN THE JURISDICTION IN WHICH THE CUSTOMER' S PRINCIPAL PLACE OF BUSINESS IS LOCATED **************************************** ALL DELIVERY TERMS ARE F.O.B. ORIGIN **************************************** TO REQUEST A STATEMENT OF ACCOUNT PLEASE CONTACT 866-782-2355 EXT 7787 **************************************** FEDERAL TAX ID# 26-3683994 **************************************** FREIGHT CHARGE: GROSS AMOUNT: INVOICE DISCOUNT: NET AMOUNT: TAX AMOUNT: DOWN PAYMENT: NET AMOUNT DUE: Techiogix PAGE:2 INVOICE:BI 391605 REMIT TO: INVOICE DATE: 10/16/15 BELL TECHLOGIX INC DUE DATE: 11/15/15 P.O. BOX 823342 PHILADELPHIA PA 19182-3342 TERMS:Net 30 317-333-7777 Net 30 Days 866-782-2355 SHIP TO: BILL TO: 1201825 Carmel Police Dept CITY OF CARMEL 3 Civic Square ONE CIVIC SQUARE T.Crockett PO #33185 ATTN: ACCOUNTS PAYABLE Carmel IN 46032 CARMEL IN 46032 USA ORDER: 727933 ORDER DATE: 10/09/15 CUSTOMER PO: 33185 CARRIER: FREIGHT TERMS: METHOD: TRANSPORTATION ID: SALESPERSON: JUANA YOUNCE CURRENCY: United States Dollars -•' ITEM_= s fiat 9k �a _ , d A3ce , LINE r ' QUANTITY ,ftr UNIT PRICE#* INET AMOUNT � � DESCRIPTION ;_, s ; �a� xrF • n i.". »5c,-' .. __ r..�s��� '''' '�` s��....., 5` ��.�Y._. :�#9 FOR SERVICE CALL 1-800-999-9813 FREIGHT CHARGE: 0 . 00 GROSS AMOUNT: 224 . 26 INVOICE DISCOUNT: 0 . 00 NET AMOUNT: 224 . 26 TAX AMOUNT: 0 . 00 DOWN PAYMENT: 0 . 00 NET AMOUNT DUE: 224 . 26 [ TechIogix PAGE:1 INVOICE:B I 391382 REMIT TO: INVOICE DATE: 10/13/15 BELL TECHLOGIX INC DUE DATE: 11/12/15 P.O. BOX 823342 PHILADELPHIA PA 19182-3342 TERMS:Net 30 317-333-7777 Net 30 Days 866-782-2355 SHIP TO: BILL TO: 1201825 Carmel Police Dept CITY OF CARMEL 3 Civic Square ONE CIVIC SQUARE T. Crockett PO #33185 ATTN: ACCOUNTS PAYABLE Carmel IN 46032 CARMEL IN 46032 USA ORDER: 727933 ORDER DATE: 10/09/15 CUSTOMER PO: 33185 CARRIER: FREIGHT TERMS: METHOD: TRANSPORTATION ID: SALESPERSON: JUANA YOUNCE CURRENCY: United States Dollars LINE fi UNIT PRICE. ,NET AMOUNT. DESCRIPTION Carmel Police Dept Terry Crockett 317-571-2567 tcrockett@carmel . in.gov Cust PO Num: 33185 Contact name: Terry Crockett Phone: 3175712567x Email : tcrockett@carmel . in.gov Prices are based on State of Indiana QP PA contract pricing or better. city of carmel include PO number in the e shipping line BELL SO 727933 - 20117881 1 F9Z10A8#ABA 2 EA 376 . 00 ELITEDISPLAY E231I LED MONITOR 188 . 00 EA 23IN a3CQ5281QNK 3 U0J12E 2 EA 67. 56 ELECTRONIC HP CARE PACK NBD 33 . 78 EA **************************************** PAST DUE ACCOUNTS CARRY INTEREST AT THE LESSER OF 1 . 5% PER MONTH OR THE MAXIMUM LEGAL RATE IN THE JURISDICTION IN WHICH THE CUSTOMER' S PRINCIPAL PLACE OF BUSINESS IS LOCATED **************************************** ALL DELIVERY TERMS ARE F.O.B. ORIGIN **************************************** TO REQUEST A STATEMENT OF ACCOUNT PLEASE CONTACT 866-782-2355 EXT 7787 **************************************** FEDERAL TAX ID# 26-3683994 **************************************** FREIGHT CHARGE: GROSS AMOUNT: INVOICE DISCOUNT: NET AMOUNT: TAX AMOUNT: DOWN PAYMENT: NET AMOUNT DUE: Tedilogix PAGE:2 INVOICE:BI 391382 REMIT TO: INVOICE DATE: 10/13/15 BELL TECHLOGIX INC DUE DATE: 11/12/15 P.O. BOX 823342 PHILADELPHIA PA 19182-3342 TERMS:Net 30 317-333-7777 Net 30 Days 866-782-2355 SHIP TO: BILL TO: 1201825 Carmel Police Dept CITY OF CARMEL 3 Civic Square ONE CIVIC SQUARE T. Crockett PO #33185 ATTN: ACCOUNTS PAYABLE Carmel IN 46032 CARMEL IN 46032 USA ORDER: 727933 ORDER DATE: 10/09/15 CUSTOMER PO: 33185 CARRIER: FREIGHT TERMS: METHOD: TRANSPORTATION ID: SALESPERSON: JUANA YOUNCE CURRENCY: United States Dollars ITEM: _ q QUANTITYr:;: ,.: x� n . LINE,. UNIT PRICE NET AMOUNT DESCRIPTION FOR SERVICE CALL 1-800-999-9813 * * * * BACKORDER SUMMARY * * * * 2 NQ576AT 2 HP LCD SPEAKER BAR 4 BE750G 2 BACK-UPS ES 750VA 10 OUTLET FREIGHT CHARGE: 0 . 00 GROSS AMOUNT: 443 . 56 INVOICE DISCOUNT: 0 . 00 NET AMOUNT: 443 . 56 TAX AMOUNT: 0 . 00 DOWN PAYMENT: 0 . 00 NET AMOUNT DUE: 443 . 56 EINE Techiogix PAGE:1 INVOICE:BI 391604 REMIT TO: INVOICE DATE: 10/16/15 BELL TECHLOGIX INC DUE DATE: 11/15/15 P.O. BOX 823342 PHILADELPHIA PA 19182-3342 TERMS:Net 30 317-333-7777 Net 30 Days 866-782-2355 y' SHIP TO: BILL TO: 1201825 Carmel Police Dept CITY OF CARMEL 3 Civic Square ONE CIVIC SQUARE T. Crockett PO #33186 ATTN: ACCOUNTS PAYABLE Carmel IN 46032 CARMEL IN 46032 USA ORDER: 727932 ORDER DATE: 10/09/15 CUSTOMER PO: 33186 CARRIER: FREIGHT TERMS: METHOD: TRANSPORTATION ID: SALESPERSON: JUANA YOUNCE CURRENCY: United States Dollars # r r¢{QUANTITY ' Z.; y '"xz* t LI NE UNIT PRICE g� NM ET AOUNT " t��aDESCRIPTION a v rx Carmel Police Dept Terry Crockett 317-571-2567 tcrockett@carmel . in.gov Cust PO Num: 33186 Contact name: Terry Crockett Phone: 3175712567x Email : tcrockett@carmel . in.gov Prices are based on State of Indiana QP PA contract pricing or better. city of carmel include PO623 in the shi ipping line BELL SO 727932 - 20117883 3 NQ576AT 2 EA 34 . 60 HP LCD SPEAKER BAR 17 . 30 EA SPEAKER 4 BE750G 2 EA 189. 66 BACK-UPS ES 750VA 10 OUTLET 94 . 83 EA 120 VOLT MASTER CONTROL **************************************** PAST DUE ACCOUNTS CARRY INTEREST AT THE LESSER OF 1 . 56 PER MONTH OR THE MAXIMUM LEGAL RATE IN THE JURISDICTION IN WHICH THE CUSTOMER' S PRINCIPAL PLACE OF BUSINESS IS LOCATED **************************************** ALL DELIVERY TERMS ARE F.O.B. ORIGIN **************************************** TO REQUEST A STATEMENT OF ACCOUNT PLEASE CONTACT 866-782-2355 EXT 7787 **************************************** FEDERAL TAX ID# 26-3683994 **************************************** FREIGHT CHARGE: GROSS AMOUNT: INVOICE DISCOUNT: NET AMOUNT: TAX AMOUNT: DOWN PAYMENT: NET AMOUNT DUE: @-110 Techiogix PAGE:2 INVOICE:BI 391604 REMIT TO: INVOICE DATE: 10/16/15 BELL TECHLOGIX INC DUE DATE: 11/15/15 P.O. BOX 823342 PHILADELPHIA PA 19182-3342 TERMS:Net 30 317-333-7777 Net 30 Days 866-782-2355 SHIP TO: BILL TO: 1201825 Carmel Police Dept CITY OF CARMEL 3 Civic Square ONE CIVIC SQUARE T. Crockett PO #33186 ATTN: ACCOUNTS PAYABLE Carmel IN 46032 CARMEL IN 46032 USA ORDER: 727932 ORDER DATE: 10/09/15 CUSTOMER PO: 33186 CARRIER: FREIGHT TERMS: METHOD: TRANSPORTATION ID: SALESPERSON: JUANA YOUNCE CURRENCY: United States Dollars say �sr it wF 4 ¢ zu Kfoi �ITEM, r �,"� � QUANTITY *� �� 3 � 4 :LINE r F UNIT PRICES $ s� INET AMOUNT ' r''�� - ^r, aro t `cs r' i 'F DESCRIPTION ... K .,.. 33 5°.• _ Y _ FOR SERVICE CALL 1-800-999-9813 FREIGHT CHARGE: 0 . 00 GROSS AMOUNT: 224 . 26 INVOICE DISCOUNT: 0 . 00 NET AMOUNT: 224 . 26 TAX AMOUNT: 0 . 00 DOWN PAYMENT: 0 . 00 NET AMOUNT DUE: 224 . 26 Techiogix PAGE:1 INVOICE:BI 391381 INVOICE DATE: 10/13/15 REMIT TO: DUE DATE: 11/12/1 BELL TECHLOGIX INC5 P.O. BOX 823342 PHILADELPHIA PA 19182-3342 TERMS:Net 30 317-333-7777 Net 30 Days 866-782-2355 SHIP TO: BILL TO: 1201825 Carmel Police Dept CITY OF CARMEL 3 Civic Square ONE CIVIC SQUARE T. Crockett PO #33186 ATTN: ACCOUNTS PAYABLE Carmel IN 46032 CARMEL IN 46032 USA ORDER: 727932 ORDER DATE: 10/0 9/15 CUSTOMER PO: 33186 CARRIER: FREIGHT TERMS: METHOD: TRANSPORTATION ID: SALESPERSON: JUANA YOUNCE CURRENCY: United States Dollars ITEM re =`QUANTITY y � r .i LINE UNIT PRICE NET AMOUNT DESCRIPTION �_... Carmel Police Dept Terry Crockett 317-571-2567 tcrockett@carmel . in.gov Cust PO Num: 33186 Contact name: Terry Crockett Phone: 3175712567x Email: tcrockett@carmel . in.gov Prices are based on State of Indiana QP PA contract pricing or better. city of carmel include PO%23 in the shi ipping line BELL SO 727932 - 20117883 1 F9Z10A8#ABA 4 EA 752 . 00 ELITEDISPLAY E231I LED MONITOR 188 . 00 EA 23IN a3CQ5281QN1 a3CQ5281QMH a3CQ5281QMR a3CQ5281QN3 2 U0J12E 4 EA 135 .12 ELECTRONIC HP CARE PACK NBD 33 . 78 EA **************************************** PAST DUE ACCOUNTS CARRY INTEREST AT THE LESSER OF 1. 5% PER MONTH OR THE MAXIMUM LEGAL RATE IN THE JURISDICTION IN WHICH THE CUSTOMER'S PRINCIPAL PLACE OF BUSINESS IS LOCATED **************************************** ALL DELIVERY TERMS ARE F.O.B. ORIGIN **************************************** TO REQUEST A STATEMENT OF ACCOUNT PLEASE CONTACT 866-782-2355 EXT 7787 FREIGHT CHARGE: GROSS AMOUNT: INVOICE DISCOUNT: NET AMOUNT: TAX AMOUNT: DOWN PAYMENT: NET AMOUNT DUE: Techiogix PAGE:2 INVOICE:BI 391381 REMIT TO: INVOICE DATE: 10/13/15 BELL TECHLOGIX INC DUE DATE: 11/12/15 P.O. BOX 823342 PHILADELPHIA PA 19182-3342 TERMS:Net 30 317-333-7777 Net 30 Days 866-782-2355 y SHIP TO: BILL TO: 1201825 Carmel Police Dept CITY OF CARMEL 3 Civic Square ONE CIVIC SQUARE T. Crockett PO #33186 ATTN: ACCOUNTS PAYABLE Carmel IN 46032 CARMEL IN 46032 USA ORDER: 727932 ORDER DATE: 10/09/15 CUSTOMER PO: 33186 CARRIER: FREIGHT TERMS: METHOD: TRANSPORTATION ID: SALESPERSON: JUANA YOUNCE CURRENCY: United States Dollars ITEM QUANTITY LINE UNIT PRIDE NET AMOUNT t_n DESCRIPTION p.. **************************************** FEDERAL TAX ID# 26-3683994 **************************************** FOR SERVICE CALL 1-800-999-9813 * * * * BACKORDER SUMMARY * * * * 3 NQ576AT 2 HP LCD SPEAKER BAR 4 BE750G 2 BACK—UPS ES 750VA 10 OUTLET FREIGHT CHARGE: 0 . 00 GROSS AMOUNT: 887 . 12 INVOICE DISCOUNT: 0 . 00 NET AMOUNT: 887 . 12 TAX AMOUNT: 0 . 00 DOWN PAYMENT: 0 . 00 NET AMOUNT DUE: 887 . 12 2110 TechIogix PAGE:1 INVOICE:BI 391606 REMIT TO: INVOICE DATE: 10/16/15 BELL TECHLOGIX INC DUE DATE: 11/15/15 P.O. BOX 823342 PHILADELPHIA PA 19182-3342 TERMS:Net 30 317-333-7777 Net 30 Days 866-782-2355 SHIP TO: BILL TO: 1201825 Carmel Police Dept CITY OF CARMEL 3 Civic Square ONE CIVIC SQUARE T. Crockett PO #33187 ATTN: ACCOUNTS PAYABLE Carmel IN 46032 CARMEL IN 46032 USA ORDER: 727934 ORDER DATE: 10/09/15 CUSTOMER PO: 33187 CARRIER: FREIGHT TERMS: METHOD: TRANSPORTATION ID: SALESPERSON: JUANA YOUNCE CURRENCY: United States Dollars q - ,�'� '+w.. '` 'c a f •, i i ., .r-' • •...Y' G,# '• 3}'s`+$ 9(' •.: ;aT`y "'°' j t' ITEM` • QUANTITY xp • LINE_ t. UNIT PRICE NET AMOUNT DESCRIPTION Carmel Police Dept Terry Crockett 317-571-2567 tcrockett@carmel . in.gov Cust PO Num: 33187 Contact name: Terry Crockett Phone: 3175712567x Email : tcrockett@carmel . in.gov Prices are based on State of Indiana QP PA contract pricing or better. city of carmel include PO%23 in the shi ipping line BELL SO 727934 - 20117880 2 NQ576AT 5 EA 86.50 HP LCD SPEAKER BAR 17 . 30 EA SPEAKER 4 BE750G 5 EA 474 . 15 BACK-UPS ES 750VA 10 OUTLET 94 . 83 EA 120 VOLT MASTER CONTROL **************************************** PAST DUE ACCOUNTS CARRY INTEREST AT THE LESSER OF 1 . 5% PER MONTH OR THE MAXIMUM LEGAL RATE IN THE JURISDICTION IN WHICH THE CUSTOMER' S PRINCIPAL PLACE OF BUSINESS IS LOCATED **************************************** ALL DELIVERY TERMS ARE F.O.B. ORIGIN **************************************** TO REQUEST A STATEMENT OF ACCOUNT PLEASE CONTACT 866-782-2355 EXT 7787 **************************************** FEDERAL TAX ID# 26-3683994 **************************************** FREIGHT CHARGE: GROSS AMOUNT: INVOICE DISCOUNT: NET AMOUNT: TAX AMOUNT: DOWN PAYMENT: NET AMOUNT DUE: Ogg TechIogix PAGE:2 INVOICE:BI 391606 REMIT TO: INVOICE DATE: 10/16/15 BELL TECHLOGIX INC DUE DATE: 11/15/15 P.O. BOX 823342 PHILADELPHIA PA 19182-3342 TERMS:Net 30 317-333-7777 Net 30 Days 866-782-2355 SHIP TO: BILL TO: 1201825 Carmel Police Dept CITY OF CARMEL 3 Civic Square ONE CIVIC SQUARE T. Crockett PO #33187 ATTN: ACCOUNTS PAYABLE Carmel IN 46032 CARMEL IN 46032 USA ORDER: 727934 ORDER DATE: 10/09/15 CUSTOMER PO: 33187 CARRIER: FREIGHT TERMS: METHOD: TRANSPORTATION ID: SALESPERSON: JUANA YOUNCE CURRENCY: United States Dollars x:l > .ITEM .z- 'QUANTITY,- LINE, UNIT PRICE NET AMOUNT DESCRIPTIONS t; x ' FOR SERVICE CALL 1-800-999-9813 FREIGHT CHARGE: 0 . 00 GROSS AMOUNT: 560 . 65 INVOICE DISCOUNT: 0 . 00 NET AMOUNT: 560 . 65 TAX AMOUNT: 0 . 00 DOWN PAYMENT: 0 . 00 NET AMOUNT DUE: 560 . 65 Egg Techiogix PAGE:1 INVOICE:BI 391383 REMIT TO: INVOICE DATE: 10/13/15 BELL TECHLOGIX INC DUE DATE: 11/12/15 P.O. BOX 823342 PHILADELPHIA PA 19182-3342 TERMS:Net 30 317-333-7777 Net 30 Days 866-782-2355 SHIP TO: BILL TO: 1201825 Carmel Police Dept CITY OF CARMEL 3 Civic Square ONE CIVIC SQUARE T.Crockett PO #33187 ATTN: ACCOUNTS PAYABLE Carmel IN 46032 CARMEL IN 46032 USA ORDER: 727934 ORDER DATE: 10/09/15 CUSTOMER PO: 33187 CARRIER: FREIGHT TERMS: METHOD: TRANSPORTATION ID: SALESPERSON: JUANA YOUNCE CURRENCY: United States Dollars ITEM' ' QUANTITY r LINE UNIT PRICE NET AMOUNT ,DESCRIPTION - , Carmel Police Dept Terry Crockett 317-571-2567 tcrockett@carmel . in.gov Cust PO Num: 33187 Contact name: Terry Crockett Phone: 3175712567x Email : tcrockett@carmel . in.gov Prices are based on State of Indiana QP PA contract pricing or better. city of carmel include POo23 in the shi ipping line BELL SO 727934 - 20117880 1 C9V73A8#ABA 5 EA 785 . 00 ELITEDISPLAY E201 LED MONITOR 157 . 00 EA 20IN 1600 X 900 a6CM5300PJN a6CM5300NTT a6CM5300PJQ a6CM530ONVO a6CM5300NV9 3 U0J10E 5 EA 125 . 60 CARE PACK NBD 4 YEARS 25 . 12 EA EXTENDED SERVICE AGREEMENT **************************************** PAST DUE ACCOUNTS CARRY INTEREST AT THE LESSER OF 1. 5% PER MONTH OR THE MAXIMUM LEGAL RATE IN THE JURISDICTION IN WHICH THE CUSTOMER'S PRINCIPAL PLACE OF BUSINESS IS LOCATED **************************************** ALL DELIVERY TERMS ARE F.O.B. ORIGIN **************************************** FREIGHT CHARGE: GROSS AMOUNT: INVOICE DISCOUNT: NET AMOUNT: TAX AMOUNT: DOWN PAYMENT: NET AMOUNT DUE: Techiogix PAGE:2 INVOICE:BI 391383 REMIT TO: INVOICE DATE: 10/13/15 BELL TECHLOGIX INC DUE DATE: 11/12/15 P.O. BOX 823342 PHILADELPHIA PA 19182-3342 TERMS:Net 30 317-333-7777 Net 30 Days 866-782-2355 SHIP TO: BILL TO: 1201825 Carmel Police Dept CITY OF CARMEL 3 Civic Square ONE CIVIC SQUARE T. Crockett PO #33187 ATTN: ACCOUNTS PAYABLE Carmel IN 46032 CARMEL IN 46032 USA ORDER: 727934 ORDER DATE: 10/09/15 CUSTOMER PO: 33187 CARRIER: FREIGHT TERMS: METHOD: TRANSPORTATION ID: SALESPERSON: JUANA YOUNCE CURRENCY: United States Dollars =ry ITEMr QUANTITY k LINE UNIT PRICE - NET AMOUNT DESCRIPTION ` - f TO REQUEST A STATEMENT OF ACCOUNT PLEASE CONTACT 866-782-2355 EXT 7787 **************************************** FEDERAL TAX ID# 26-3683994 **************************************** FOR SERVICE CALL 1-800-999-9813 * * * * BACKORDER SUMMARY * * * * 2 NQ576AT 5 HP LCD SPEAKER BAR 4 BE750G 5 BACK-UPS ES 750VA 10 OUTLET FREIGHT CHARGE: 0 . 0 0 GROSS AMOUNT: 910 . 60 INVOICE DISCOUNT: 0 . 00 NET AMOUNT: 910 . 60 TAX AMOUNT: 0 . 00 DOWN PAYMENT: 0 . 00 NET AMOUNT DUE: 910 . 60 DATE(MWD ACCPREP® CERTIFICATE OF LIABILITY INSURANCE 1/13/2015 Drcvvv) 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). NTAPRODUCER NAME: Marianne Uban Hylant Group PHONE /CCCN o.Ext):317-817-5136 FAX No):317 817 5151 301 Pennsylvania Parkway,#201 E-MAIL :marianne.ubanCc�h lant.com Indianapolis IN 46280 Y INSURER(S)AFFORDING COVERAGE NAIC/1 INSURERA: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:682333440 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP WM/ LIMITS LTR INSR VD POLICY NUMBER (MDD/YYYY) (MM/DD/YYYY) A GENERAL LIABILITY Y ZLP14T62033 1/1/2015 1/1/2016 EACH OCCURRENCE $2,000,000 X DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $50,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $0 PERSONAL&ADV INJURY $2,000,000 GENERAL AGGREGATE _ $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- CTLOC $ A AUTOMOBILE LIABILITY H8103036P64ACOF15 1/1/2015 1/1/2016 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) X Comp X Coll Comp/Coll Ded $2,500 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/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 Certificate Holder is an Additional Insured 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& It's Assignors&Assignees ACCORDANCE WITH THE POLICY PROVISIONS. do American Lease Insurance 654 Amherst Rd., Ste. 335 AUTHORIZED REPRESENTATIVE Sunderland MA 01375 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD