Michael S. Walsh Prof. Corp.Mili-e Walsh
116th Street'Project
1999
/c: oco, q q
AGREEMENT FOR PROFESSIONAL SERVICES
THIS AGREEMENT FOR PROFESSIONAL SERVICES ("Agreement"), is hereby made and
entered into by and between the City of Carmel, India acting by and hrough its Board of Public Works
and Safbty (hereinat~er "City"), and Michael S. Wals~TAdttt~or~ey a5 ~-,a/'/W (~hereinafter "Professional").
RECITALS
WHEREAS, City owns and is responsible for its public works, which responsibility includes, by
way of illustration and not by way of limitation, the planning, design, construction, operation and
maintenance of the City' s infrastructure system; and
WHEREAS, from time to time, City needs specialized legal services to assist it in effectively and
efficiently fulfilling its foregoing responsibilities; and
WHEREAS, Professional is experienced in providing such professional legal services as are
covered by this Agreement; and
WHEREAS, City desires to engage Professional on an "as needed" basis as an independent
contractor, for the purpose of providing to City legal counsel and services regarding the City's "116th
Street Project" and certain other projects; and
WHEREAS, Professional is qualified and desires to provide City with such professional services.
NOW, THEREFORE, in consideration of the foregoing recitals and the covenants and conditions
set forth herein, City and Professional mutually agree as follows:
SECTION 1.
INCORPORATION OF RECITALS.
The foregoing recitals are hereby incorporated into this Agreement and made a part
hereof.
SECTION 2.
SCOPE OF SERVICES.
2.1
City desires to engage Professional as an independent contractor for the provision of professional
services ("Services") for the City's 116th Street Project and certain other projects, as needed.
Professional desires to provide the Services to City.
2.2
Professional acknowledges that it has read and understands this Agreement, and that Professional's
acceptance and/or provision of any Services hereunder shall constitute Professional's acceptance of
this Agreement and of all its terms and conditions.
[eb:mswordt:XmYdocumentsXProfsen'ices\Professionalservices\walsh. dc~t21/99]
M~'ke V~alsh
116th Street 'Project
1999
2.3
Professional understands and agrees that City may, from time to time, request Professional, on a
non-exclusive basis, to provide additional professional services to assist City in the planning,
design, construction, operation and/or maintenance of its infrastructure system. The scope of such
additional services to be provided by Professional to City shall be as requested and defined by the
Mayor or his duly authorized representative. When City desires additional services from
Professional, the Mayor or his duly authorized representative shall notify Professional and set forth
the scope of such additional services desired, as well as the time flame in which such services are to
be rendered. Professional shall then provide, at no cost to City, an estimated cost for such
additional services, as well as the date by which such additional services will be provided. Only
after City has approved Professional's time and cost estimate for the provision of such additional
services shall Professional be authorized to commence same, the description of which additional
services shall be set forth in documents which shall be numbered and attached hereto in the order
approved.
2.4
Professional understands and agrees that City reserves the right, at any time, to direct changes, or
cause Professional to make changes, in the Services and/or additional services provided, or to
otherwise change the scope of the work covered by this Agreement, and Professional agrees to
promptly make such changes. Any difference in price or time of performance resulting from such
changes shall be equitably adjusted by City and Professional after receipt of documentation from
Professional in such form and detail as City may require.
2.5 Time is of the essence of this Agreement.
SECTION 3.
CITY'S RESPONSIBILITIES
3.1
Upon City's request of Professional for a time and cost estimate for the Services and/or additional
services to be provided hereunder, City shall provide such criteria and information with respect to
same as are reasonably necessary for Professional to understand the Services and/or additional
services requested and to provide a time and cost estimate thereon.
3.2
Once City has accepted Professional's time and cost estimate for the Services and/or additional
services, City shall:
3.2.1 Furnish to Professional, upon request, such studies, reports and other available data in City's
possession as City considers reasonably pertinent to the Services and/or additional services to be
provided, and which Professional shall be entitled to rely upon in performing the Services and/or
additional services, unless, in its review of same, Professional determines that such information is
not consistent and fails to promptly so notify City; and
3.2.2 Arrange and make all provisions for Professional to enter upon public and private property
as reasonably required for Professional to perform the Services and/or additional services; and
3.2.3 Make reasonably available to Professional for consultation, as needed, such individuals as
are necessary for Professional to provide the Services and/or additional services to City.
[eb:msword,':~mydocumentsXprofservices'xorofessionalservices\walsh.dc~21/99] 52
Mike X~alsh
116th Street i~roject
1999
3.3
City shall designate the Mayor or his duly authorized representative to act on City's behalf on all
matters regarding the Services and/or additional services.
SECTION 4.
PROFESSIONAL'S RESPONSIBILITIES
4.1
Professional shall provide to City, within five (5) business days after City requests same, a time and
cost estimate for the Services and/or additional services requested by City to be performed by
Professional.
4.2
Once City has accepted Professional's time and cost estimate for the Services and/or additional
services, such Services and/or additional services shall be performed pursuant to the terms of this
Agreement, within such time and cost estimate, and pursuant to any other terms and conditions set
forth or referenced herein or attached hereto.
4.3
Professional shall coordinate its performance, in the form of physical meetings and/or status
reports, with the Mayor or his duly authorized representative, pursuant to a mutually agreeable
schedule and/or as circumstances dictate.
4.4
Professional shall provide the Services and/or additional services by following and applying at all
times the highest professional and technical guidelines and standards.
SECTION 5.
COMPENSATION
5.1
As full and complete compensation for the Services and/or additional services performed by
Professional hereunder, and subject to the terms and conditions contained in this Agreement,
including, but not limited to, the termination provisions set forth in paragraph 7.1 hereinbelow, City
shall pay Professional the fee of One Hundred Twenty Dollars ($120.00) per hour.
5.2
Professional shall submit an invoice to City no more than once every thirty (30) days for Services
and/or additional services provided City during the time period encompassed by such invoice.
Invoices shall be submitted on a form containing the same information as that contained on the
Professional Services Invoice attached hereto as Exhibit A, which is incorporated herein by this
reference. City shall pay Professional for all undisputed Services and/or additional services rendered
and stated on such invoice within thirty (30) days after the date of City' s receipt of same. If the
undisputed portion of an invoice amount is not paid within thirty (30) days of its receipt by City,
Professional shall so notify City. If such undisputed portion of the invoice amount is not thereafter
paid within five (5) business days after City's receipt of such notice, then a late charge in a sum
equal to one percent (1%) of such unpaid and undisputed invoice amount shall accrue and be
immediately due and payable by City to Professional as a separate debt for each month same
remains unpaid.
5.3
In the event an invoice amount is disputed, City shall so notify Professional. If such dispute is not
resolved to City's satisfaction within ten (1 O) business days ai%r notice of such dispute is sent by
City to Professional, City shall pay such amount, under protest, into the City Court of Carmel,
which Court shall hold same until notified of a resolution signed by both parties hereto or the entry
of a final judgment thereon.
[eb:msword~:~ydocumentsXprofsefvicesXpfofessionals~'vices\walskdai/21/99]3
Mike V~alsh
116th Street i~roj ect
1999
5.4
City, in its sole discretion, may agree to pre-pay all or any portion of the compensation to be paid
Professional as a result of its provision of the Services and/or additional services hereunder, which
pre-payment shall be expressly contingent upon and subject to an accounting and reconciliation by
and between the parties at such time as such Services and/or additional services are fully
performed, this Agreement is terminated and/or upon City's request. Professional agrees to
immediately disgorge to City any prepayment amount it has received from City for Services and/or
additional services that are disputed by City and/or which constitutes an overpayment for same.
5.5
If additional professional services are required and Professional wishes to hire an outside source for
the performance of same, Professional shall so notify City, in advance of the engagement of such
outside source, with an explanation of the need and qualifications of same. If City consents to such
outside source, upon such terms and conditions as the City may demand, City shall reimburse
Professional for the actual cost of same, which reimbursement sum shall be subtracted from the
amount of compensation due Professional from City hereunder. Professional understands and
agrees that any and all outside sources so hired shall be employees or contractors of Professional
only.
SECTION 6.
TER1VI
Subject to the termination provisions set forth in Section 7.1 hereinbelow, this Agreement shall be
in effect from the Effective Date through December 31, 1999, and shall thereaPter, on the first day
of January in each subsequent year, automatically renew for a period of one ( 1 ) year, unless earlier
terminated in accordance with the terms and conditions hereof.
SECTION 7.
MISCELLANEOUS
7.1 Termination.
7.1.1
The obligation to provide all or any portion of the Services and/or additional services under
this Agreement may be terminated by City or Professional without cause upon thirty (30)
days notice to the other party, subject to the Rules of Professional Conduct applicable to
Professional.
7.1.2
The obligation to provide all or any portion of the Services and/or additional services under
this Agreement may be terminated by City for cause, or upon City's failure to appropriate
monies sufficient to pay for same, immediately upon Professional's receipt of City's
"Notice To Cease Services."
7.1.3
In the event of full or partial Agreement termination, and as full and complete
compensation hereunder, Professional shall be paid for all such Services and/or additional
services rendered and expenses incurred as of the date of termination of same that are not
in dispute. Disputed compensation amounts shall be resolved as set forth in paragraph 5.3
hereinabove.
[eb:mswordc:~mydocuments~profstrvices\professionalservices\walsh. dct/21/99]4
Mike Walsh,
116tn Street Project
1999
7.2 Binding Effect.
City and Professional, and their respective officers, officials, agents, partners, successors,
executors, administrators, assigns and legal representatives are bound to the other and to its
officers, agents, partners, successors, executors, administrators, assigns and legal representatives,
in all respects as to all covenants, agreements and obligations of this Agreement.
7.3 No Third Party Beneficiaries.
Nothing contained herein shall be construed to give any rights or benefits hereunder to anyone
other than City and/or Professional.
7.4 Relationship.
The relationship of the parties hereto shall be as provided for in this Agreement, and neither
Professional nor any of its agents, employees, contractors, subcontractors and outside sources are
or shall become employees of City. Furthermore, Professional shall have the sole responsibility to
pay to or for its agents, employees, contractors, subcontractors and outside sources all statutory,
contractual and other benefits and/or obligations as they become due, and City shall not be
responsible for same. Rather, the compensation to be paid hereunder by City to Professional shall
be the full and maximum amount of compensation and monies required of City to be paid to
Professional hereunder. Professional hereby warrants and indemnifies City for and from any and all
costs, fees, expenses and/or damages incurred by City as a direct or indirect result of any statutory,
contractual or other claim for wages, benefits or otherwise by any agent, employee, outside source,
contractor or subcontractor of Professional regarding or related to the subject matter of this
Agreement. This indemnification obligation shall survive the termination of this Agreement.
7.5 Insurance.
Professional shall procure and maintain, with an insurer licensed to do business in the State of
Indiana and reasonably acceptable to City, Professional Responsibility Insurance and such other
insurance as is necessary for the protection of City and Professional from any and all claims for
damages or otherwise under workers' compensation, occupational disease and/or unemployment
compensation acts, because of errors and omissions, because of bodily injury, including, but not
limited to, personal injury, sickness, disease or death of any and all of Professional's employees,
agents, contractors, subcontractors or outside sources, and/or because of 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 on attached Exhibit B. Professional shall,
upon request, provide City with copies of all such policies, and shall provide that such policies will
not be canoeled without thirty (30) days prior notice to City.
[eb:msword~e:XmydocumentsXprofservice~Xprofe~sionalservicesXwalsh. dc~/21/99]5
Mi~ V~alsh
116th Street Project
1999
7.6 Liens.
Professional shall not cause or permit the filing of any lien on any of City's property. In the event
such a lien is filed of record and Professional fails to remove it within ten (10) days after the date of
filing thereof, by payment or bonding, City shall have the fight to pay such lien or obtain such bond,
all at Professional' s sole cost and expense. Professional shall indemnify and hold harmless City from
and against any and all liabilities, losses, claims, costs, attorney fees, expenses and/or damages
incurred by City in connection with any such lien or the removal thereof. This indemnification
obligation shall survive the termination of this Agreement.
7.7 Default.
In the event Professional: (a) repudiates, breaches or defaults under any of the terms or conditions
of this Agreement, including Professional's warranties; (b) fails to perform the Services and/or
additional services as specified; (c) fails to make progress so as to endanger timely and proper
completion of the Services and/or additional 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, files, or has filed against it, a petition in bankruptcy, for receivership or other insolvency
proceeding, makes a general assignment for the benefit of creditors or, if Professional is a
partnership or corporation, dissolves, each such event constituting an event of default hereunder,
City shall have the right to, among other things: (1) terminate all or any part of this Agreement,
without liability to Professional; (2) perform or obtain, upon such terms and in such manner as it
deems appropriate in its sole discretion, the Services and/or additional services which were to be
provided by Professional and Professional shall be liable to City for any excess costs to City in
performing or obtaining same; and/or (3) exercise any other right or remedy available to City at law
or in equity.
7.8 Setoff.
In addition to any right of setoff provided by law, all amounts due Professional shall be considered
net of indebtedness of Professional to City; and City may deduct any amounts due or to become
due from Professional to City from any sums due or to become due from City to Professional
hereunder.
7.9 Government Compliance.
Professional agrees to comply with all present and future federal, state and local laws, executive
orders, rules, regulations, codes and ordinances which may be applicable to Professional's
performance of its obligations under this Agreement, and all relevant provisions thereof are
incorporated herein by this reference. Professional agrees to indemni& and hold harmless City
from any and all losses, damages, costs, attorney fees and/or liabilities resulting from any violation
of such law, order, rule, regulation, code or ordinance. This indemnification obligation shall survive
the termination of this Agreement.
[eb:msword,':Xmydocuments\profservices\profes8ionalservices\walsh. dctt21/99] 6
Mik-e V&alsh
116th Street Project
1999
7.10 Indemnification.
Professional shall indemnify and hold harmless City and its officers, officials, employees, agents,
assigns and legal representatives from any and all losses, liabilities, claims, judgments and liens,
including, but not limited to, all damages, costs, expenses and attorney fees arising out of any
intentional or negligent act or omission of Professional and/or any of its employees, agents, outside
sources, contractors or subcontractors in the performance of this Agreement, or otherwise. The
failure to do so shall constitute a material breach of this Agreement. This indemnification obligation
shall survive the termination of this Agreement.
7.11 Discrimination Prohibition.
Professional represents and warrants that it and each of its employees, agents, contractors,
subcontractors and outside sources shall comply with all existing and future laws of the United
States, the State of Indiana and City prohibiting discrimination against any employee, applicant for
employment and/or other person in the subcontracting of work and/or in the performance of any
Services and/or additional services contemplated by this Agreement with respect to hire, tenure,
terms, conditions or privileges of employment or any matter directly or indirectly related to
employment, subcontracting or work performance hereunder because of race, religion, color, sex,
handicap, national origin, ancestry, age, disabled veteran status or Vietnam era veteran status. City
reserves the right to collect a penalty as provided in IC 5-16-6-1 for any person so discriminated
against. This indemnification obligation shall survive the termination of this Agreement.
7.12 Severability.
If any provision or portion of this Agreement is held to be invalid, illegal or unenforceable by a
court of competent jurisdiction, that provision or portion thereof shall be stricken, and all other
provisions of this Agreement which can operate independently of such stricken provision shall
continue in full force and effect.
7.13 Notice.
Any notice, invoice, order or other correspondence required or allowed to be sent pursuant to this
Agreement shall be written and either hand-delivered or sent by prepaid U.S. certified mail, return
receipt requested, addressed to the parties as follows:
CITY:
City of Carmel
One Civic Square
Carmel, IN 46032
ATTN:
(with a copy to the City Attorney,
Department of Law, same address)
PROFESSIONAL:
Michael S. Walsh, Esquire
11350 Noah Meridian Street
Suite 420
Carmel, Indiana 46032
[eb:mswofd}e:XmydocumentsXprofservices\professionalservices\walsh. dc~J21/99]7
Mike ~alsh
116th Street i~roj ect
1999
Notwithstanding the above, City may orally provide to Professional any notice required or permitted by
this Agreement, provided that such notice shall also then be sent as required by this paragraph within five
(5) business days from the date of such oral notice.
7.14 Effective Date.
The effective date ("Effective Date") of this Agreement shall be the date on which the last of the
parties hereto executes same.
7.15 Governing Law; Lawsuits.
This Agreement shall be governed by and construed in accordance with the laws of the State of
Indiana, except for its conflict of laws provisions, as well as by all ordinances and codes of the City
of Carmel, Indiana. The parties further agree that, in the event a lawsuit is filed hereunder, they
waive any rights to a jury trial they may have, 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.
7.16 Waiver.
Any delay or inaction on the part of either party in exercising or pursuing its rights and/or remedies
hereunder or under law shall not operate to waive any such rights and/or remedies nor in any way
affect the rights of such party to require such performance at any time thereafter.
7.17 Non-Assignment.
Professional 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
consent.
7.18 Entire A~reement.
This Agreement contains the entire agreement of and between the parties hereto with respect to the
subject matter hereof, and no prior agreement, understanding or representation pertaining to such
subject matter, written or oral, shall be effective for any purpose. No provision of this Agreement
may be amended, added to or subtracted from except by an agreement in writing signed by both
parties hereto and/or their respective successors in interest. To the extent any provision contained
in this Agreement conflicts with any provision contained in any exhibit attached hereto, the
provision contained in this Agreement shall prevail.
7.19 Representation and Warranties.
Each party hereto represents and warrants that it is authorized to enter into this Agreement and that
any person or entity executing this Agreement on behalf of such party has the authority to bind such
party or the party which they represent, as the case may be.
[~:msword":xmYdocumentsXProfsen4ces\Professionalservice~\walsh,dctt21j99] 8
Mi$ie Walsh
116tn Street Project
1999
7.20 Headings.
All headings 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.
7.2 1 Advice of Counsel
The parties warrant that they have read this Agreement and understand it, are fully aware of their
respective rights, have had the opportunity for the advice and assistance of an attorney throughout
the negotiation of this Agreement, and enter into this Agreement freely, voluntarily, and without
any duress, undue influence, coercion or promise of benefit, except as expressly set forth herein.
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:
fl, q 6 /' C
MICHAEL S. WALSH, Esq.
Attorney No.:
ATTEST?-,
[eb:msword=:~nydocume~tsxprofservices~professionalservicesXwalsh. dc~t21/99]9
EXHIBIT A
Name of Company:
Address & Zip:
Telephone No.:
Fax No.:
Professional Services Invoice
Date:
Project Name:
Invoice No:
Person Service
Performing Date
Service
Services Provided Hourly
(Describe in detail in one-Rate
tenth hour units)
Hours
Worked
Total
GRAND TOTAL
Signature
Printed Name
[e~:msword:c:',tny documeruXprohervices'~n'ofessionalservices\walshexhibits.doc:9/21/99]
10-06-1999 09:IlqM FROM MICHAELSWALSH0000000 TO 5?12484 P.O1
HICHAEL S WALSH, PROFESSIONAL CORPORATIONi
i13~0 NOrth Meridian Street,
Carmel, Indiana
(317) S7~-~7o0 / Facsimile
TO:'
FAX #:
:. FACSIMILE TRANSMITTaL SHEET
. i Doug Haneyi Esq.
i571-2484
FROM: ! MICHAEL S ~ , WALSH
RE: : Insurance
MESSAGE/R~S: Per your October 1, 1999 request~ here iS a
copy of my workmen's compensation and my lawyer's'~
professional liability insurance declarations. If you n~ed
anything else, please give me a call.
MSW/rds . i .
DATE: 10 -6-99 TIME: I p.m.
TOTAL PAGES SENT (INCLUDING TRANSMITTAL .SHEET):
F YOU DO NOT ~CEI~ ~L PAGES, PLEASE ~LL (317) 575~5700 I~DIATELY. '
,,, ** , ,
The infoma~ion contained In this facsimile ~ssage iG in=ended onry for the use
of the ind~vidu~l~ or en~i~ n~ed above. If the reader or recipient o[ this
message is not ~e lntende~ r ci lent or an employee or agent of ~the intended
reci ~ent who is ~s~onsible ~or ~li sting it to t~e intended reci~ient, ou .are
here~y notified .~at any dissemination, die~ributio or copy{inS o[ ~his
co~unication is Stri~lx ~rohibited- If you ha e received this Co~unication
in error, please =,i~ediatel~ notif~ us b tele hone (collect and return *the
b an one other than the intended recipient is not a waiver of any attor~ey-
c~ien~ or work-product privile]e. v v :'
10-06-1999 09: 33AM FROM MICHAELSWALSH0000000 TO 5?12484
STAR ]INSURANCE COMPANY
: 26600 Telegraph Road ~
, Southfield, MI 48034 ~
LAVVYERS' PROFESSIONAL LIABILITY INSURANCE
RENEWAL NUMBER: LPOlOQ311-03
POLICY NUMBER: LPO 10051 11 -(:)4
,,
IMPORTANT NOTICE:
DECLARATIONS
P. 02
" ' THIS COVERAGE IS LIMITED TO LIABIL TY FOR ONLiY THOSE
THE ~OLICY IS IN FORCE', P~SE R~D AND RENEW ~E INSU~CE CAREFULLY AID DISCUSS
~E COVE~GE ~ Y~R AGENT. ~ ~
Named Insured and Address
(Number, Street, Town or City,
County, Zip Code)
MICHAEL. S. WALSH, P.C,
11350 NORTH MERIDIAN STREET
SUITE 420
CARMEL, IN 46032
And Those Individuals Listed in th~ Application.
Each Claim
A~gregate
Limit of liability .
S1.000.000
$2,0PO.O00
Deductible
$10.OO0 Per Claim
Producer Name
Policy Period
From (mo-dayyr)
Premium
SL181 No. of Lawyers 1
FORM(S) MADE A PART OF THIS POLICY AT ISSUE.
0143PL 06 93, 0501PL 08 ~7, 0571PL 06 93
RITMAN & ASSOCIATES, I C.
I
] 2/15/98
To (mo-day-yr) 12/15/99
Retroactive Date FULL PRIOR ACTS '
12:01 A.M Standard Time at your mailing
address as shown above.
Form of Named lnsured's Business is:
D Individual L"l Partnership
F1 Corporation ~Other PRO6. CORP.
~ emd. Mm 480~ ' : i
0260PL 08 98, 1042PL 08 9,8, 3124PL 08 98, 2219N0 06 98,
2518PL 12 94, O035PL 12 94, O036PL 12 94, O046PL 12 94
By acceptance of this policy the In~ured agrees that the statements in the Declarations and the Application and any'.
attachments hereto are the Insure~l's agreements and representations and that this policy embodies all agreements~ existing
between the Insured and the ComiCany or any of its representatives relating to this insurance.
Countersigned:
12/16/98/DET
(Date)
'i,'rtj, ,)
By:
Ol 43 PL 06/93
(Authorizlr>d RepresentatWe) - - ..............' .' --,
3. COvERAS~ ' ; ' ' "
- A. WORKERS .COMPENSATION INSURAN~ ,E; PART ONE OF THE !:~."LICY :APPLIES TO THE WORKERS COMPENSATt0N LAW OF THE
. STATES 'LISTED HERE: Z N :! : : J :
./HE' LIMITS OF OUR LIABILITY UNDEI ,PART TWO ARE: ': ' ' BODH:¥-.4NJURY !)V-OtSEAS~. ........ 'H343, OOO: EACH EMPLOYE~E ""
BODILY INJURY BY DISEASE 5OO, OOO: POLICY LIMIT .
C, ALL OTHER STATES INSURANCE PART THREE OF THE POUCY APPLIES TO THE STATES IF ANY LISTED HERE: : .
ALL 5TATI:'S EXCEPT NEVAO/~, NORTH DAKOTA, OHIO, WASHINGTON, WEST VIRGINIA, M/YOMZNG, AND ST~i~ES
LISTED ]N ITEM 3A ABOVE.!
, .:
4 PREMIUM '
THE PREMIUM FOR THiS POLICY WIdL BE 0ETERMINED BY 0:UR:MANUALS OF RULES, CLASSIFICATIONS, RATES AND RATinG PLANS. ALL !NFORMATION
REQUIRED BELOW IS SUBJECT TO VE RIFICATION AND CHANG~ BY AUDIT. I "'
MINIMUM PREMIUM: $ 237 3IN: TOTAL ESTIMAI~ED PREMIUM: 2tji~ 00
..
ENDORSEMENTS ATTACklED;
WCCK)OOOOA ( 0492 )
WC000404 ( 0484 )
1L7201 (0392)
WC000414 (0'/90)
WC & EL ~NS POLICY
PI:,NDING RATE CHANGE ENDORSEMEN
COMPANY dOMMON POL CONDITIONS
NOT/F~CAiION OF CHNGE IN O
WC 00 00 01A (0588)
GREAT LAKES RI:,GZON
(91673)
COMPAN~ USE ONLY
INSURED COPY
PREPARED ti-2G-98
C-tR-26-J}A}:LM001-00S2 -00OIi-O
10-06-1999 09: 34AM FROM M ! CHAELSWALSH0000000 TO 5?12484
STAR INSURANCE COMPANY
26600 Telegrapl~ Road
Southfield. MI 48034
LAWYERS' PROFESSIONAL LIABILITY INSURANCE
DECLARATIONS
RENEWAL NUMBER: LPO1003~1-03
POLICY NUMBER: LP01003]~1-04
IMPORTANT NOTICE:
THIS IS. A CLAIMS MADE POLICY. THIS COVERAGE IS LIMITED TO LIABILITY FOR ONLY
P. 83
tHOSE
CLAIMS WHICH ARE FIRST MADE AGAINST THE INSURED AND REPORTED ~0 THE COMPANY WHILE
THE POLICY IS IN FORCE..PLEASE READ AND REVIEW THE INSURANCE CAREFULLY AND DISCUSS
THE COVERAGE WITH YOUR AGENT. ;
Named Insured and Address :
(Number, Street, Town or City,
County, Zip Code)
MICHAEL S. WALSH, P.C.
11350 NORTH MERIDIAN STREET
SUITE 420
CARMEL, IN 46032
.:
'And Those Individuals Listed in the!Application.
Each Claim
Aggregate
Limit' of liability
$1.O00.O00
$2,000.000
Producer Name RITMAN & ASS
Policy Period
From (mo-day-yr) : 12/15/98
To (mo-day-yd .12/15/99
Retroactive Date :FULL PRIOR
Deductible
$10.000 Per Claim
Premium
S1,181 No. of Lawyers
FORM(S) MADE A PART OF THIS POLICY AT 'ISSUE.
O143PL 06 93, 0501PL 08 97, 0571PL 06 93
0260PL 08 98, 1042PL 08 9~, 3124PL 08 98, 2219N0 06 98,
2518PL 12 94, O035PL 12 9:4, O036PL 12 94, O046PL 12 94
OCIATES, IN, C.
:TS
12:01 A.M. Standard Time at your mailing
address as shown above.
Form of Named Insu~ed's Business is
1"1 Individual ["i Partnership
D Corporation ' []Other PROF, CORP.
I It~ WHA ~M ~~ le~ns D~
'1~dtoo Tiph Roa~, Sure 300 ' ~ ; ,
PLEASE FORWARD Wen'rE. NOTRE c ' ' "" TO
By acceptance of this policy the InSured agrees tl~at the statements in the Declarations and the Applicetion and any !
attachments hereto are the Insured's agreements and !representations and that this policy embodies all agreements! existing
between the Insured and the ComPany or any of its representatives relating to this insurance. i 'i '
Countersigned: ~ By:
12/I6/98/DET
01 43 PL 06/93
(Date)
(Authoriztkl Representative) ............ .' · --~ ',
10-06-1999 OS: 34AM
FROM M ] CHAELSWALSH00000BO TO 5?12484
INDIANAPOLIS, INDIANA
STANDARD! WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
NAMED MICHAEL S. WALSH, P.C.
INSURED 11350 N MERIDIAN ST STE 420
AND CARMEn IN 46032
MAILING '
ADDRESS
FORM OF BUSINESS: CORPORATION
INFORMATION pAGE
RENEWAL EXTENSION CERTIFICATE
POLICY NUMBER 0 1 -WC - 7 4 6 ~ 5 5 - 5 0
RENEWAL OF '01-WC-746655-40 :.
P. 04
FEDERAL tO NUMBER: 351727151
OTHER WORKPLACES, IF ANY, ARE SHOWN ON ATTACHED SCHEDULE. AGENT
2-POLICY FROM 01-15-99 T6 01-15-00 12:o~ AM NAME
AND
PERIOD STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE ADDRESS
HERMAN E SCHMI
SUITE #212
8455 KEYSTONE
INDIANAPOLIS,
13-94730
THE ANNUAL DEPOSIT PREMIUM DUE IS: $246.00
YOU WILL BE BILLED THROUGH YOUR CUSTOMER ACCOUNT #000+
THIS POLICY IS SUBJECT TO A FINAL AUDIT. :
3. COVE~GE
A WOR~RS ~MPEN~TION INSURANqE: PART ONE OF THE POLICY APPLIES TO THE WORKERS COMPEN~TION LAW OF THE
STATES LISTED HERE: IN
I
TT INS AGY
}ROESING
[N 46
I (317)1259-8119
0299-329-01.
. pi RT ., . ;
,B,. EMPLOYERS LIABILITY' INSURANCE: ,p. TWO OF THE' POLIC;,Y:' APPLIES TO WORK IN EACH STATE LISTED IN ITEM 3A.
THE LIMITS OF OUR LIABILITY UNDER PART TWO ARE: " BODILY INJURY BY ACCIDENT 100, OOO i EACH ACCIDEN~
.... : .......................... ~ ...... BODILY INJURY g,.Y...l)k.~-.ASE ~lO0-;-e~.e,--EACH .EMPLOYEE ...................
BODILY INJURY BY DISEASE 500.000( POLICY LIMIT
C. ALL OTHER STATES INSURANCE PART~ THREE OF THE POLICY .APPLIES TO THE STATES IF ANY LISTED HERE: ~ :
ALL STATES EXCEPT NEVADAi. NORTH DAKOTA. OHIO. WASHINGTON, VEST VII~G]:NIA, k/YOMZNG, AND STATES
LISTED 1N ITEM 3A ABOVE .~ ! ::
4. PREMIUM
THE PREMIUM FOR THIS POLICY WlL~ BE DETERMINED BY OUR MANUALS OF RULES, CLASSIFICATIONS, RATES AND RATIN;G PLANS. ALL INPORMATION
REQUIRED BELOW IS SUBJECT TO VERIFICATION AND CHANGE:BY AUDIT.
MINIMUM PREMIUM: $ 237 IN: TOTAL ESTIMATED PREMIUM: ~ 246 O0
ENDORSEMENTSATTACHED:
wCoooOooa (0492)
wcOoo404 (0484)
ZL7201 (0392)
WC000414 (0790)
WC & EL X~S POLZCY
PENOZNG RATE CHANGE ENDOR:SEMEN
COMPANY COMMON POL CONDZT~ONS
NOTZFZCATEON OF CHNGE =N O
WC O0 O0 01A (0588)
GREAT LAKES REGION 25 (91673)
COMPANY USE ONLY
INSURED COPY
PREPARED 11-26-98
TOTnL P.04
Ci yofCarme'_
October 13, 1999
Michael S. Walsh, Esquire'
Suite 420
11350 North Meridian St.
Carmel, IN 46032
Dear Mr. Walsh:
On October 6, 1999, the Board of Public Works and Safety approved a contract to do business
with your company. Enclosed is a copy of the signed agreement for your records.
Please review the enclosed sample invoice (Exhibit A of your contract). You do not need to use
this specific form, but we do require you to submit all information requested on the sample in a
similar layout. This format replaces any other form previously used by the City and was effective
upon approval of your contract.
Please call Clerk-Treasurer Diana Cordray at 571-2414 if you have any questions.
Sincerely,
Robin L. Butler
Deputy Clerk
Enclosure
pc:
Douglas C. Haney, City Attomey
ONE CIVIC SQUARE CARMEL, INDIANA 46032 317/571-2400