Impact Networking LLC/Eng/36,000/Engineering Document Scanning ProjectImpact Networking Indiana, LLC
Engineering Department 2017
Appropriation #2200-4341999; P.O.#100737 e
Contract Not To Exceed $36,000.00
AGREEMENT FOR PURCHASE OF GOODS AND SERVICES
THIS AGREEMENT FOR PURCHASE OF GOODS AND SERVICES ("Agreement") is hereby entered into by
and between the City of Carmel, Indiana, acting by and through its Board of Public Works and Safety ("City"), and
Impact Networking Indiana, LLC, an entity duly authorized to do business in the State of Indiana ("Vendor").
TERMS AND CONDITIONS
ACKNOWLEDGMENT, ACCEPTANCE:
Vendor acknowledges that it has read and understands this Agreement, and agrees that its execution of
same constitutes its acceptance of all of the Agreement's terms and conditions.
2. PERFORMANCE:
City agrees to purchase the goods and/or services (the "Goods and Services") from Vendor using City
budget appropriation number 2200-4341999 funds. Vendor agrees to provide the Goods and Services and to
otherwise perform the requirements of this Agreement by applying at all times the highest technical and
industry standards. Vendor will not perform any of the Services detailed in Exhibit A prior to obtaining a
written Notice to Proceed from the City. Upon receiving a Notice to Proceed, the Vendor shall perform only
those Services specifically detailed in the Notice. If the Vendor desires clarification of the scope of any
Notice to Proceed, the Vendor shall obtain such clarification from the City in writing, prior to performing the
service set forth in the Notice to Proceed. Any services performed without the City's prior express written
authorization will not be compensated.
PRICE AND PAYMENT TERMS:
3.1 Vendor estimates that the total price for the Goods and Services to be provided to City hereunder
shall be no more than Thirty Six Thousand Dollars ($36,000.00) (the "Estimate"). Vendor shall
submit an invoice to City no more than once every thirty (30) days detailing the Goods and Services
provided to City within such time period. City shall pay Vendor for such Goods and Services within
thirty-five (35) days after the date of City's receipt of Vendor's invoice detailing same, so long as and
to the extent such Goods and Services are not disputed, are in conformance with the specifications
set forth in Exhibit A, are submitted on an invoice that contains the information contained on
attached Exhibit B, and Vendor has otherwise performed and satisfied all the terms and conditions of
this Agreement.
3.2 Vendor agrees not to provide any Goods and Services to City that would cause the total cost of the
Goods and Services provided by Vendor to City hereunder to exceed the Estimate, unless City has
previously agreed, in writing, to pay an amount in excess thereof.
4. WARRANTY:
Vendor expressly warrants that the Goods and Services covered by this Agreement will conform to those
certain specifications, descriptions and/or quotations regarding same as were provided to Vendor by City
and/or by Vendor to and accepted by City, all of which documents are incorporated herein by reference, and
that the Goods and Services will be delivered in a timely, good and workmanlike manner and free from
defect. Vendor acknowledges that it knows of City's intended use and expressly warrants that the Goods and
Services provided to City pursuant to this Agreement have been selected by Vendor based upon City's
stated use and are fit and sufficient for their particular purpose.
jS:%CoonclsiProf.S— & Goods Svcs\Engmeering\2017Vrnpu1 Nelw king Indians. LLC Goods and Seevices.doc:921/2017 2:36 PMI
Impact Networking Indiana, LLC
Engineering Department - 2017
Appropriation #2200-4341999; P.O.#100737
Contract Not To Exceed $36,000.00
TIME AND PERFORMANCE:
This Agreement shall become effective as of the last date on which a party hereto executes same ("Effective
Date"), and both parties shall thereafter perform their obligations hereunder in a timely manner. Time is of the
essence of this Agreement.
6. DISCLOSURE AND WARNINGS:
If requested by City, Vendor shall promptly furnish to City, in such form and detail as City may direct, a list of
all chemicals, materials, substances and items used in or during the provision of the Goods and Services
provided hereunder, including the quantity, quality and concentration thereof and any other information
relating thereto. At the time of the delivery of the Goods and Services provided hereunder, Vendor agrees to
furnish to City sufficient written warning and notice (including appropriate labels on containers and packing)
of any hazardous material utilized in or that is a part of the Goods and Services.
LIENS:
Vendor shall not cause or permit the filing of any lien on any of City's property. In the event any such lien is
filed and Vendor fails to remove such lien within ten (10) days after the filing thereof, by payment or bonding,
City shall have the right to pay such lien or obtain such bond, all at Vendor's sole cost and expense.
8. DEFAULT:
In the event Vendor: (a) repudiates, breaches or defaults under any of the terms or conditions of this
Agreement, including Vendor's warranties; (b) fails to provide the Goods and Services as specified herein;
(c) fails to make progress so as to endanger timely and proper provision of the Goods and Services and does
not correct such failure or breach within five (5) business days (or such shorter period of time as is
commercially reasonable under the circumstances) after receipt of notice from City specifying such failure or
breach; or (d) becomes insolvent, is placed into receivership, makes a general assignment for the benefit of
creditors or dissolves, each such event constituting an event of default hereunder, City shall have the right to
(1) terminate all or any parts of this Agreement, without liability to Vendor; and (2) exercise all other rights
and remedies available to City at law and/or in equity.
9. INSURANCE AND INDEMNIFICATION:
Vendor shall procure and maintain in full force and effect during the term of this Agreement, with an insurer
licensed to do business in the State of Indiana, such insurance as is necessary for the protection of City and
Vendor from all claims for damages under any workers' compensation, occupational disease and/or
unemployment compensation act; for bodily injuries including, but not limited to, personal injury, sickness,
disease or death of or to any of Vendor's agents, officers, employees, contractors and subcontractors; and,
for any injury to or destruction of property, including, but not limited to, any loss of use resulting therefrom.
The coverage amounts shall be no less than those amounts set forth in attached Exhibit C. Vendor shall
cause its insurers to name City as an additional insured on all such insurance policies, shall promptly provide
City, upon request, with copies of all such policies, and shall provide that such insurance policies shall not be
canceled without thirty (30) days prior notice to City. Vendor shall indemnify and hold harmless City from and
against any and all liabilities, claims, demands or expenses (including, but not limited to, reasonable attorney
fees) for injury, death and/or damages to any person or property arising from or in connection with Vendor's
provision of Goods and Services pursuant to or under this Agreement or Vendor's use of City property.
Vendor further agrees to indemnify, defend and hold harmless City and its officers, officials, agents and
employees from all claims and suits of whatever type, including, but not limited to, all court costs, attorney
fees, and other expenses, caused by any act or omission of Vendor and/or of any of Vendor's agents,
officers, employees, contractors or subcontractors in the performance of this Agreement. These
indemnification obligations shall survive the termination of this Agreement.
iSACoat—tdRof.Sv & Goods S—\Engi m ing\2017Utnpact NNking Indiana, LLC Goods and S—i—d-912112017 2:36 PM]
2
Impact Networking Indiana, LLC
Engineering Department - 2017
Appropriation #2200-4341999; P.O.#100737
Contract Not To Exceed $36,000.00
10. GOVERNMENT COMPLIANCE:
Vendor agrees to comply with all federal, state and local laws, executive orders, rules, regulations and codes
which may be applicable to Vendor's performance of its obligations under this Agreement, and all relevant
provisions thereof are incorporated herein by this reference. Vendor agrees to indemnify and hold harmless
City from any loss, damage and/or liability resulting from any such violation of such laws, orders, rules,
regulations and codes. This indemnification obligation shall survive the termination of this Agreement.
11. NONDISCRIMINATION:
Vendor represents and warrants that it and all of its officers, employees, agents, contractors and
subcontractors shall comply with all laws of the United States, the State of Indiana and City prohibiting
discrimination against any employee, applicant for employment or other person in the provision of any Goods
and Services provided by this Agreement with respect to their hire, tenure, terms, conditions and privileges of
employment and any other matter related to their employment or subcontracting, because of race, religion,
color, sex, handicap, national origin, ancestry, age, disabled veteran status and/or Vietnam era veteran
status.
12. E -VERIFY:
Pursuant to I.C. § 22-5-1.7 et seq., as the same may be amended from time to time, and as is incorporated
herein by this reference (the "Indiana E -Verify Law"), Vendor is required to enroll in and verify the work
eligibility status of its newly -hired employees using the E -Verify program, and to execute the Affidavit
attached herein as Exhibit D, affirming that it is enrolled and participating in the E -verify program and does
not knowingly employ unauthorized aliens. In support of the Affidavit, Vendor shall provide the City with
documentation indicating that it has enrolled and is participating in the E -Verify program. Should
Vendor subcontract for the performance of any work under and pursuant to this Agreement, it shall fully
comply with the Indiana E -Verify Law as regards each such subcontractor. Should the Vendor or any
subcontractor violate the Indiana E -Verify law, the City may require a cure of such violation and thereafter, if
no timely cure is performed, terminate this Agreement in accordance with either the provisions hereof or
those set forth in the Indiana E -Verify Law. The requirements of this paragraph shall not apply should the E -
Verify program cease to exist.
13. NO IMPLIED WAIVER:
The failure of either party to require performance by the other of any provision of this Agreement shall not
affect the right of such party to require such performance at any time thereafter, nor shall the waiver by any
party of a breach of any provision of this Agreement constitute a waiver of any succeeding breach of the
same or any other provision hereof.
14. NON -ASSIGNMENT:
Vendor shall not assign or pledge this Agreement, whether as collateral for a loan or otherwise, and shall not
delegate its obligations under this Agreement without City's prior written consent.
15. RELATIONSHIP OF PARTIES:
The relationship of the parties hereto shall be as provided for in this Agreement, and neither Vendor nor any
of its officers, employees, contractors, subcontractors and agents are employees of City. The contract price
set forth herein shall be the full and maximum compensation and monies required of City to be paid to
Vendor under or pursuant to this Agreement
(SACon0aas\Prof.Sv & Goods Sv \Englneering�2017Vmpac, Networking Indiana, LLC Goods end S—ices d -9n12017 2:36 PM)
Impact Networking Indiana, LLC
Engineering Department - 2017
Appropriation #2200-4341999; P.O.#100737
Contract Not To Exceed $36,000.00
16. GOVERNING LAW; LAWSUITS:
This Agreement is to be construed in accordance with and governed by the laws of the State of Indiana,
except for its conflict of laws provisions. The parties agree that, in the event a lawsuit is filed hereunder, they
waive their right to a jury trial, agree to file any such lawsuit in an appropriate court in Hamilton County,
Indiana only, and agree that such court is the appropriate venue for and has jurisdiction over same.
17. SEVERABILITY:
If any term of this Agreement is invalid or unenforceable under any statute, regulation, ordinance, executive
order or other rule of law, such term shall be deemed reformed or deleted, but only to the extent necessary to
comply with same, and the remaining provisions of this Agreement shall remain in full force and effect.
18. NOTICE:
Any notice provided for in this Agreement will be sufficient if it is in writing and is delivered by postage
prepaid U.S. certified mail, return receipt requested, to the party to be notified at the address specified
herein:
If to City: City of Carmel
One Civic Square
Carmel, Indiana 46032
If to Vendor: Impact Networking Indiana, LLC
8888 Keystone Crossing
Suite 350
Indianapolis, IN 46240
ATTENTION: Jonathan Voytilla
AND Douglas C. Haney,
Corporation Counsel
Department of Law
One Civic Square
Carmel, Indiana 46032
Notwithstanding the above, notice of termination under paragraph 19 hereinbelow shall be effective if given
orally, as long as written notice is then provided as set forth hereinabove within five (5) business days from
the date of such oral notice.
19. TERMINATION:
19.1 Notwithstanding anything to the contrary contained in this Agreement, City may, upon notice to
Vendor, immediately terminate this Agreement for cause, in the event of a default hereunder by
Vendor and/or if sufficient funds are not appropriated or encumbered to pay for the Goods and
Services to be provided hereunder. In the event of such termination, Vendor shall be entitled to
receive only payment for the undisputed invoice amount representing conforming Goods and
Services delivered as of the date of termination, except that such payment amount shall not exceed
the Estimate amount in effect at the time of termination, unless the parties have previously agreed in
writing to a greater amount.
19.2 City may terminate this Agreement at any time upon thirty (30) days prior notice to Vendor. In the
event of such termination, Vendor shall be entitled to receive only payment for the undisputed
invoice amount of conforming Goods and Services delivered as of the date of termination, except
that such payment amount shall not exceed the Estimate amount in effect at the time of termination,
unless the parties have previously agreed in writing to a greater amount.
19.3 The City may terminate this Agreement pursuant to Paragraph 11 hereof, as appropriate.
]S:tCwnwUWrof.Sva & Goods Svcs%EngmarmgV017Nngwt Net—king 1"ana. LLC Goods and Savic doc:9fflnOP 2:36 PM]
Impact Networking Indiana, LLC
Engineering Department - 2017
Appropriation #2200-4341999; P.O4100737
Contract Not To Exceed $36,000.00
20. REPRESENTATIONS AND WARRANTIES
The parties represent and warrant that they are authorized to enter into this Agreement and that the persons
executing this Agreement have the authority to bind the party which they represent.
21. ADDITIONAL GOODS AND SERVICES
Vendor understands and agrees that City may, from time to time, request Vendor to provide additional goods
and services to City. When City desires additional goods and services from Vendor, the City shall notify
Vendor of such additional goods and services desired, as well as the time frame in which same are to be
provided. Only after City has approved Vendor's time and cost estimate for the provision of such additional
goods and services, has encumbered sufficient monies to pay for same, and has authorized Vendor, in
writing, to provide such additional goods and services, shall such goods and services be provided by Vendor
to City. A copy of the City's authorization documents for the purchase of additional goods and services shall
be numbered and attached hereto in the order in which they are approved by City.
22. TERM
Unless otherwise terminated in accordance with the termination provisions set forth in Paragraph 19
hereinabove, this Agreement shall be in effect from the Effective Date through December 31, 2017 and shall,
on the first day of each January thereafter, automatically renew for a period of one (1) calendar year, unless
otherwise agreed by the parties hereto.
23. HEADINGS
All heading and sections of this Agreement are inserted for convenience only and do not form a part of this
Agreement nor limit, expand or otherwise alter the meaning of any provision hereof.
24. BINDING EFFECT
The parties, and their respective officers, officials, agents, partners, successors, assigns and legal
representatives, are bound to the other with respect to all of the covenants, terms, warranties and obligations
set forth in Agreement.
25. NO THIRD PARTY BENEFICIARIES
This Agreement gives no rights or benefits to anyone other than City and Vendor.
26. IRAN CERTIFICATION: Pursuant to I.C. § 5-22-16.5, the Vendor shall certify that, in signing this document,
it does not engage in investment activities within the Country of Iran.
27. ADVICE OF COUNSEL:
The parties warrant that they have read this Agreement and understand it, have had the opportunity to obtain
legal advice and assistance of counsel throughout the negotiation of this Agreement, and enter into same
freely, voluntarily, and without any duress, undue influence or coercion.
28. IC 5-16-13.
The provisions of IC 5-16-13 are hereby incorporated into this Agreement by reference.
29. ENTIRE AGREEMENT:
This Agreement, together with any exhibits attached hereto or referenced herein, constitutes the entire
agreement between Vendor and City with respect to the subject matter hereof, and supersedes all prior oral
or written representations and agreements regarding same. Notwithstanding any other term or condition set
forth herein, but subject to paragraph 16 hereof, to the extent any term or condition contained in any exhibit
attached to this Agreement or in any document referenced herein conflicts with any term or condition
contained in this Agreement, the term or condition contained in this Agreement shall govern and prevail.
IS. CminctsTrof.Svcs & G cds Svc,Tnginm ingL0171Impacl Ncl—king Indiana. LLC Gads and Smi—d-9/2112017 2'.16 PAIS
Impact Networking Indiana, LLC
Engineering Department - 2017
Appropriation #2200-4341999; P.O.#100737
Contract Not To Exceed $36,000.00
This Agreement may only be modified by written amendment executed by both parties hereto, or their
successors in interest.
IN WITNESS WHEREOF, the parties hereto have made and executed this Agreement as follows:
CITY OF CARMEL, INDIANA
by and through its Board of Public
Works and Safety
By:
James Brainard, Presiding Officer
MaN An// Wake, Myer /
Date:
Lori S.
Date:
To 'Member
PHstine
1.1
�n.MwNn�rs.ns aar E.e,�F"r�:n,w�IwlTl.p.+ �w..t urlboe,... Sr,�it'alxwtl M��, 2"rV,
6
Impact Networking Indiana, LLC
Authorized Signature
lJonA�vi Voy7���ca
Primed Name
Title
FID/TIN:
Last Four of SSN if Sole Proprietor:
Date: 0 y — a. o/ 7
Himplact
Invoice to:
Carmel Department of Engineering
COMPANY NAME
Kate Lustig
CONTACT
One Civic Square
ADDRESS
Carmel, IN 46032
CITY / STATE / ZIP
317-571-2441
PHONE FAX
klustig@carmel.in.gov
EMAIL
Impact Networking, LLC
13875 West Boulton Blvd.
Lake Forest, Illinois 60045
866.652.0082 / 847.785.2251 fax
www.impactNetworking.com
Ship to:
$36,000
COMPANY NAME
CONTACT
ADDRESS
CITY / STATE / ZIP
PHONE
FAX
EMAIL
All Purchases are 50% down, 50% upon delivery Q Purchase O Lease
Equipment Information
ProductQuantity Number1
Scan Project: 36,000 WF documents
$1 per page
$36,000
No terms or conditions, express or implied, are authorized unless they appear on "original" of this order.
This order includes the terms and conditions appearing hereon and on the reverse side hereof, and buyer
agrees to be bound thereby. No modifications or additions thereto shall be binding upon Impact unless
expressly consented to in writing by the president of Impact Networking LLC. All prices in effect for 30 days
from Impact authorized signature date.
Subtotal
Tax
Freight
Total
N/A
N/A
$36,000
Notes
Impact will pick up Carmel Department of Engineering's documents with our Impact truck and Impact driver. Impact will bring them to our
scanning facility where a team will be assigned to your project. Everything will be scanned and indexed into your system. The hard copies
will either be returned or disposed, whichever you decide.
Authorization
IMPACT AUTHORIZED SIGNATURE
PRINTED NAME
For Office Use Only
DATE
0
-Jer evy q 1< o, s h man ?_/7„t7
*Nwgmff= am
CUSTOMER NUMBER ORDER NUMBER DATE ORDERED DATE REQUIRED SHIP VIA
OEMIBff
REP A
fogy
Proposal September 19, 2017
Carmel Department of Engineering
Best Practices
Delivery/Pickup: A "No Ground" policy ensures that no
document or storage box ever hits the ground. Our
enclosed delivery dock keeps documents from being
exposed from the elements when they are delivered to
our facility.
Safety Measures: All documents are scanned and kept
at Impact Networking's state of the art facility. The
storage and scanning takes place in a clean room like
environment where no personal items, drink, or food
are allowed.
Document Preparation: According to document type
and size, we remove staples, binding, paper clips and
check for double sided documents. Good document
preparation makes for more accurate and timely
document conversions.
Scanning: Impact uses the most efficient top of the line
scanning hardware for our clients' document
conversion needs. From smaller faster desktop
scanners to large industrial scanners Impact can handle
almost any document type and size.
Indexing: Impact uses the latest technologies for a
faster and more accurate method for capturing data
including DocuWare, AutoStore, and Kofax. Our
indexing process builds data structures tailored to each
specific job requirement. Impact also utilizes other
technology such as bar coding software to automate
indexing to ensure accuracy and expedite project
completion.
'.a
Page 2
Document Conversion
Quality Control: Each document conversion project is
thoroughly checked for quality and accuracy of scans
throughout the process. Each scan is verified at the
time of the scan, during the indexing process and
before the delivery of the final product to ensure the
highest quality results.
Destruction: Impact Networking offers destruction of
scanned documents using high quality paper shredders
of various security levels.
Project Management: Each project will have a trained
lead to ensure that each job adheres to our best
practices standards and ensure accurate and timely
results.
Accessibility: All documents that are being scanned by
Impact Networking are fully accessible to our clients. If,
at any time, a client needs to view files that are in
process, simply request these files from the project
manager and they will be sent to you or made available
to you at our Lake Forest office.
Storage: Impact Networking is capable of delivering
your scanned documents in any media that you
request. Whether it is CD, DVD, Magnetic Disc or even a
portable hard drive, we have the technology to address
each client's specific needs.
'EXHIBIT '
Proposal September 19, 2017
Carmel Department of Engineering
Document Conversion Overview
Why scan? To heighten productivity. To achieve
economies of scale. To render the input and output of
paperwork readily and digitally available. Impact makes
document conversion an intelligent alternative to
business as usual. What are the steps in a process
intended to accelerate your own business processes?
Backfile Conversion:
It's never been
easier using the
advanced technology
available with
Impact. Imagine
you're a law firm
litigating a decade-
long case or a sales -
driven organization
whose customers
remain loyal because
you maintain
historical immediacy
to their accounts.
Scanning your files
to create digital
retrieval makes
sense in any
increasingly
competitive business
realm.
Page 3
Document Conversion
Maximum Security: Many documents we scan are
proprietary, off limits to only key employees.
Perpetuating that paradigm, we treat every scanning
job as though government classified.
Service On or Off Site: Scanning backfiles is step one.
Teaching a company to scan after we complete backfile
conversion is the
next step for
many clients
who, in going
forward, elect to
scan on site.
They rely on
Impact to
recommend,
tutor, serve and
---- support digital
000
Exceptional Options: Utilizing small desktop models to
wide -format scanners, Impact is prepared for the jobs
you send us. Confronting a plethora of paperwork—
from bills of lading to architectural renderings—
businesses trust Impact to scan their jobs quickly, safely
and efficiently.
Archival Indexing: Creating a way to retrieve any one
document easily, requires intuitive indexing. Impact
works with your staff to establish a logical, empirical
system.
scanners suited
' to accommodate
intrinsic, in-
house needs.
I9 Once we
�if',41111'li complete digital
document
conversion,
many customer!
no longer need
the documents we scanned. Enlisting shredders offering
various degrees of security, Impact ensures irreversible
disposal.
"EXHIBIT
3
EXHIBIT B
Invoice
Name of Company:
Address & Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
Date:
Signature
Printed Name
Goods
Services
Person Providing
Goods/Services
Date
Goods/
Service
Provided
Goods/Services Provided
(Describe each good/service
separately and in detail)
Cost Per
Item
Hourly
Rate/
Hours
Worked
Total
GRAND TOTAL
Signature
Printed Name
EXHIBIT C
INSURANCE COVERAGES
Worker's Compensation & Disability
Employer's Liability:
Bodily Injury by Accident/Disease:
Bodily Injury by Accident/Disease:
Bodily Injury by Accident/Disease:
Property damage, contractual liability,
products -completed operations:
General Aggregate Limit (other than
Products/Completed Operations):
Products/Completed Operations:
Personal & Advertising Injury
Statutory Limits
$100,000 each employee
$250,000 each accident
$500,000 policy limit
', 11 111
11 111
Policy Limit: $500,000
Each Occurrence Limit: $250,000
Fire Damage (any one fire): $250,000
Medical Expense Limit (any one person): $ 50,000
Comprehensive Auto Liability (owned, hired and non -owned)
Bodily Single Limit:
Injury and property damage:
Policy Limit:
Umbrella Excess Liability
Each occurrence and aggregate:
Maximum deductible:
$500,000 each accident
$500,000 each accident
$500,000
C 11 111
1 111
EXHIBIT D
A FFM A V TT
being first duly sworn, deposes and says that
he/she is fa niliar with and has personal knowledge of the facts herein and, if called as a witness in this
matter, could testify as follows:
I am over eighteen (18) years of age and am competent to testify to the facts contained
herein.
2. 1 am now and at all times relevant herein have been employed by
-- rr► G c f Ne fig �ti�, ,,`d `C C (the "Employer")
in the position of
3. I am familiar with the employment policies, practices, and procedures of the Employer and
have the authority to act on behalf of the Employer.
4. The Employer is enrolled and participates in the federal E -Verify program and has
provided documentation of such enrollment and participation to the City of Cannel,
Indiana.
5. The Company does not knowingly employ any unauthorized aliens.
FURTHER AFFIANT SAYETH NOT.
EXECUTED on the day of se�> Gam" , 2o -L7
Printed: ��a,fL".-� l�n' d4
I certify under the penalties for perjury under the laws of the United States of America and the State of
Indiana that the foregoing factual statements and representations are true and correct.
ci
`Primed:
City Carme
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120166 002 0
Page 1 01 1
PURCHASE ORDER NUMBER
®f
FEDERAL EXCISE TAX EXEMPT
100737
-
THIS NUMBER MUST APPEAR ON INVOICES, AR
ONE CIVIC SQUARE
- 36.6000972
CARMEL, INDIANA 46032-2584
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
9/18/2017
371912
Project 17-17; Contract Date 10.04.17
IMPACT NETWORKING
City Engineering's Office
VENDOR 8888 KEYSTONE CROSSING # 350
SHIP 1 Civic Square
TO Carmel, IN 46032 -
INDIANAPOLIS, IN 46240 -
Kate Lustig
PURCHASE ID BLANKET CONTRACT
PAYMENT TERMS FREIGHT
19128
QUANTITY UNIT OF MEASURE
DESCRIPTION UNIT PRICE EXTENSION
Department., 2200 Fund: 2200 Motor Vehicle Highway
Account: 43-419.99
1 Each Engineering Scanning Project
G� OF CA4�kt.
N
$36,000.00 $36,000.00
Sub Total $36,000.00
Send Invoice To:
City Engineering's Office
Kate Lustig
1 Civic Square
Carmel, IN 46032 -
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
- - -- - - - —
PAYMENT $36,000.00
SHIPPING INSTRUCTIONS ' AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D. SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL - Q
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 194'' `
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jeremy Kashman James Crider
TITLE Director Administration
CONTROL N0. 100737 CLERK -TREASURER