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2013 Fire Protection City/Township
2013 Contract For Fire Protection 2013 CONTRACT FOR FIRE PROTECTION BETWEEN THE CITY OF CARMEL, INDIANA • AND CLAY TOWNSHIP OF HAMILTON COUNTY THIS AGREEMENT, made and entered into by and between the City of Carmel, Hamilton County, Indiana, hereinafter called the "City," and Clay Township, Hamilton County, Indiana, hereinafter called the "Township," as of the l' day of January, 2013. WITNESSETH: WHEREAS, the City and the Township have heretofore entered into contracts for lire protection of the Township; and WHEREAS, the City and the Township have agreed to continue fire protection arrangements for the additional period of one (1) year beginning as of January I, 2013 and continuing through December 31, 2013; mid WHEREAS, the City and the Township have agreed that lire protection shall not be discontinued until the 2013 contract is negotiated and ratified between the parties or until the Township has retained alternate fire protection. NOW, THEREFORE, it is mutually agreed by and between the parties hereto as follows: 1. The City agrees to furnish tire protection service to the residents of the Township outside the limits of the City, including basic and advanced life support emergency service ("life support"), the Communication Center Service, and administer the "911 emergency service" (all the foregoing collectively "Fire Protection"). 2. The Township hereby agrees to leave all of its fire fighting equipment, trucks and accessories, and life support emergency vehicles at the disposal of the City throughout the term of this Agreement. 3. The City will continue to operate the six (6) stations now in use and to operate advanced life support vehicles out of each station. 4. The only monetary liability of the Township for Fire Protection to the City will be . to pay the contract payments as hereinafter set forth. The proportionate share of the Township for the 2013 Fire Department budget shall be the ratio based upon the Township's 2012 (pay 1 2013 Contract For Fire Protection 2013) assessed valuation outside the corporate limits compared to the City's 2012 (pay 2013) assessed valuation as they relate to the total of the two. The proportionate share of the Township for the 2013 Communication Center's budget shall be one half (1/2) of the Communication Center's budget multiplied by the ratio based upon the Township's 2012 (pay 2013) assessed valuation outside the corporate limits compared to the City's 2012 (pay 2013) assessed valuation as they relate to the total of the two. The 2012 (pay 2013) assessed valuation of the Township outside the corporate limits is certified as $193,421,685 or 3.04% of the total assessed valuation of the Township. The 2012 (pay 2013) assessed valuation of the City is certified as $6,165,926,568 or 96.96% of the total assessed valuation. These certified values and percentages are subject to change by the Hamilton County Auditor and Department of Local Government Finance. 5. The City agrees to maintain a minimum of one hundred forty-four (144) full time, sworn firefighters at all times during the continuation of this agreement, including a full-time, paid Fire Chief, a minimum of forty (40) of said firefighters to be assigned to each of three (3) shifts at all times. In the event that firefighters terminate employment during the year, the City will continue to be in compliance with this paragraph so long as it hires replacement firefighters within a reasonable time of the termination. The City further agrees to maintain the Communication Center and administer Emergency "911" services and make the same available to all Township residents. The Fire Chief will be appointed by the Mayor, after consultation with the Township Trustee and Township Board. 6. The City agrees to purchase all materials and supplies, to pay all compensation to personnel and firemen, pay the costs of the operation of the Fire Department and the Communication Center, to carry all necessary insurance on firefighters/personnel and on all buildings and equipment of the City and the Township, except the building known as Fire Station No. 45, and to save the Township, the Township Trustee and the Township Board harmless from any and all liability, except as to Fire Station No. 45. A copy of the Declaration Page of the Liability Insurance Policy carried by the City on the Fire Department and the Communication Center is attached hereto as Exhibit "A" and a Certificate of Additional Insured is attached hereto as Exhibit "B", naming the Township, the Township Trustee and the Township Board as additional insured. A copy of the Declaration Page of the Casualty and Premises Liability Policy carried by the Township on Fire Station No. 45 is attached hereto as Exhibit "C" and a Certificate of Additional Insured naming the City as additional insured on Fire Station No. 45 is attached hereto as Exhibit "D". 7. The City shall provide to the Township a complete inventory of all Fire Department apparatus and equipment each year. 8. The City agrees to furnish quarterly statements of all operating expenses on or before the tenth (10") day following the end of each calendar quarter. All 2013 Budgeted Amounts appropriately encumbered by the City in 2013 and expended in 2014 shall be separately accounted for and treated as 2013 operating expense for purposes of this Contract. On or before February 15, 2014, the City further agrees to furnish statements of all 2013 budgetary 2 2013 Contract For Fire Protection items, expenditures and encumbrances in a format which can be reconciled to the contract amounts. The City shall repay to the Township its share of unspent monies contributed for Fire Protection no later than February 15, 2014, with regard to 2013 unspent monies. In the event that the State Board of Accounts Audit of the City of Carmel Requires an adjustment of the above computations, the Township or the City will remit any amounts due as a result of the audit within thirty (30) days of receipt of the Audit Report. 9. The entire budget for the Fire Department of the City and of the Township in 2013 has been fixed at $21,153,134.00. A copy of said Budget is attached hereto as Exhibit "E". of that amount, it is mutually agreed that the share of the Township should be $643,055.28 or 3.04% of the Fire Department Budget. In the event the expenditures in 2013 are less the $21,153,134.00 the Township's pro rata share of the money unspent shall be refunded as set forth in Paragraph 8 above. However, all of the above is subject to and conditioned upon the approval of the budgetary authorities of the City and the Township. 10. The entire budget for the Communications Center of the City and of the Township in 2013 has been fixed at $1,624,850.00. A copy of said Budget is attached hereto as Exhibit "F". Of that amount it is mutually agreed that the share of the Township shall be $24,697.72 (3.04% of 50%) of the Communications Center Budget. In the event the expenditures in 2013 are less than $1,624,850.00 the Township's pro rata share of the money unspent shall be refunded as set forth in Paragraph 8 above. However, all of the above is subject to and conditioned upon the approval of the budgetary authorities of the City and the Township. 11. In order to pay its share of the above expenses for the year 2013 in the total amount of $667,753 the Township appropriated and will seek Dept. of Local Government Finance approval of an appropriation in its Fire Fighting Fund of$667,753. By this Agreement, the Township agrees to pay the entire appropriation of $667,753 to the City as payment of its share of the total costs of Fire Protection. 12. The Township further agrees to take all action necessary to seek authorization to borrow funds, if necessary to enable it to complete the payment of the total amount due and payable for its share of the costs of Fire Protection required pursuant to this Agreement. 13. For and in consideration of the promises and agreements herein and subject to the approval of all necessary state agencies, the Township does hereby agree to pay the City the total sum of $643,055.28 (2013 Fire Department Budget) and $24,697.72 (2013 Communication Center) in the following manner: $321,527.64 (Fire Department) and $12,348.86 (Communication Center) on or before July 15, 2013, or within one (1) business day of the Township's receipt of its tax draw from Hamilton County, whichever is later, plus $321,527.64 (Fire Department) and $12,348.86 (Communication Center) on or before December 31, 2013, or within one (1) business day of the Township's receipt of its tax draw from Hamilton County, whichever is later. Notwithstanding the foregoing scheduled payments, the Township may, at its option, and in lieu of the payments due on December 31s` , pay an amount which will: (a) cause the total payments made by the Township pursuant to this Section to equal ninety —five percent 3 2013 Contract For Fire Protection (95%) of the scheduled payments for the year; or(b) equal the total percentage of budget actually spent by the Fire Department and Communication Center for the year, if received in writing from the City no later than December 30, whichever amount is greater. In the event the foregoing payments shall be less than the pro rata share of the actual expenditures by the City for the Fire Department and the Communication Center, the Township shall pay to the City an amount necessary to reconcile the actual payment due no later than February 15, 2014, for 2013 costs. In addition to the foregoing payments, on or before December 31, 2013, the township shall distribute to the City from County Option Income Taxes available to the Township, a one-time payment in the amount of$432,247, for a total 2013 payment from the Township to the City of One Million One Hundred Thousand Dollars ($1,100,000.00). 14. In the event that the City, based upon actual expenditures, determines that the funds budgeted for Fire Protection will not be sufficient to provide adequate Fire Protection for the year 2013, the City shall notify the Township in writing no later than thirty (30) days prior to the need of additional funding. The City shall provide to the Township actual year-to-date expenditures compared to budgeted expenditures per budget line item. Both the City and the Township shall review these figures to determine whether savings are possible within the total budget or whether an additional appropriation for the year is necessary. If an additional appropriation is mutually found to be necessary, the Township shall, if funds are available, appropriate sufficient funds to pay for its share pursuant to Paragraph 4 above within thirty (30) days. In the event that the Township does not have sufficient funds available in the current year's budget, and the Township is unable to obtain an emergency loan, despite its best efforts, the Township shall include the additional funds needed in the subsequent year's budget and shall promptly pay when funds are then available. The Township shall be entitled to a refund of its pro rata share of any unspent additional funds contributed to the City pursuant to Paragraph 14 in the form of a cash refund as set forth in Paragraph 8 above. 15. In anticipation of a Contract for Fire Protection between the City and the Township in 2014 and to assist the Township in its budgeting process, the City agrees to include the Township in its 2014 budget discussions and send to the Township copies of completed budgets as proposed by the Mayor for the Fire Department and Communication Center by the later of July 1, 2013, or at least seven (7) days before the joint budget meetings, and the final budgets as approved by the Department of Local Government Finance by February 28, 2014, or within thirty (30) days after receipt of final budget approval. All budget meetings shall take place at a location mutually agreeable to the parties. 16. The parties agree that all requests for payments and/or adjustments to payments pursuant to this Fire Contract shall be placed upon a form approved by the Indiana State Board of Accounts and certified according to Indiana Statute with respect to the amount contained therein. 17. This Agreement shall be in full force and effect as of the 1st day of January 2013, and continue through the 31x1 day of December 2013, provided, however, that the City shall continue to provide the fire protection services set forth above until the next contract for 2014 is 4 2013 Contract For Fire Protection negotiated and ratified between the City and the Township or until the Township has retained alternate fire protection. In the event this Agreement is terminated, all jointly owned fire apparatus and equipment shall be divided between the parties in a mutually agreed upon manner and in proportions equal to the average share of monies contributed by each party in the five (5) prior calendar year immediately preceding the year of contract termination. In the event that the City has provided Fire protection in 2014 and a mutually acceptable contract is not reached between the City and the Township for 2014, the Township shall reimburse the City based upon the same formula utilized in this Agreement based upon 2012 (pay 2013) assessed valuation. !Signatures Follow 5 2013 Contract For Fire Protection IN WI ESS WHEREOF, the parties have hereunto set their hands and seals of the 2, day oP _ , 2013. CITY OF CARMEL, INDIANA 13y and through its Board of Public Works and Safety BY: �n��t9 /te r,I 0 Brainard, Presiding Officer Date: I I Mary An Burk, Member Date: /D — -2 — 13 a , lir Lori S. on, Men ber. Date: /0/4/3 ATTES' • , ./_i/ 1_, Dana Cordray, 1MC i lerk-Treasurer Date: 6 2013 Contract For Fire Protection CLAY TOWNSHIP Hamilton County, Indiana By: Douglas Ca ahan, Clay Township Trustee Date: 9- /0 CLAY TOWN H " BOARD /41 ie. 4. atthe J. sizi lamnan Date: Paul Bolin, Secretary/C///0/3 Mary Eekard, Member Date: COf) 7 E X /-l-/ 13 Fr i /9 TRAVELERS J One Tower Square, Hartford, Connecticut 06183 Telephone: 1-800-328-2189 COMMON POLICY DECLARATIONS POLICY NUMBER: zLP-14T62033-13-PB ISSUE DATE: 01/18/13 INSURING COMPANY: The Travelers Indemnity Company SEE IL T8 00 FOR COMPLETE NAMED INSURED. 1. NAMED INSURED AND MAILING ADDRESS: CITY OF CARMEL, CARMEL CLAY PARKS BUI ONE CIVIC SQUARE CARMEL . IN 46032 2. POLICY PERIOD: From 01/01/13 to 01/01/14 12:01 A.M. Standard Time at your mailing address. 3. LOCATIONS: Premises Bldg. Address (same as Mailing Address Loc. No. No. Occupancy unless specified otherwise) 4. COVERAGE PARTS FORMING PART OF THIS POLICY AND INSURING COMPANIES: Commercial General Liability Coverage Part Declarations CG TO 01 Employee Benefits Liability Coverage Part Declarations CG TO 09 Liquor Liability Coverage Part Declarations CG TO 04 CONTINUED ON IL T8 00. 5. NUMBERS OF INTERLINE FORMS AND ENDORSEMENTS FORMING PART OF THIS POLICY: SEE IL T8 01 6 SUPPLEMENTAL POLICIES: Each of the following is a separate policy containing its complete provisions: Policy Policy No. Insuring Company 7. PREMIUM SUMMARY: Provisional Premium $See Due at Inception $Delivery Due Each $Invoice NAME AND ADDRESS OF AGENT OR BROKER COUNTERSIGNED BY: MYLANT GROUP INC 40925 Authorized Representative INDIANAPOLIS IN 46280-0925 Date: IL TO 02 1189 (Rev. 09-07) Page 1 of 2 Ex/4 /arT .,P . . A R CERTIFICATE •OF LIABILITY INSURANCE 3/20/2013 AEIMM/D ) 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). CONTACT RODUCER NAME: Marianne Uban ylant Group Inc-Indianapolis _NC PRONE F.D317-817-5136 I FAX NoI:317-817-5151 )1 Pennsylvania IN Parkway,#201 ADDRESS:marianne.uban @hVlafkCQm idianapolis IN 46280 INSURER(S)AFFORDING COVERAGE NAIL e INSURER A:Charter Oak Fire Insurance Co 25615 ISURED CARME80 INSURER B: ity of Carmel INSURER C: 'ne Civic Square INSURER D: armel, IN 46032 INSURER E: INSURER F: :OVERAGES CERTIFICATE NUMBER:295320832 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. N TYPE OF INSURANCE INSR WYO POLICY NUMBER POLICY EFF MMIJCY EXP LIMITS (MOLIC/YYFF1 IPOLIC YEXP GENERAL LIABILITY Y ZLP14T62033 1/1/2013 1/1/2014 _EACH OCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY JI—AMAGET5R P4TED PREMISES(Es occurrence) $50,000 __ CLAIMS-MADE X OCCUR MED EXP(Any one person) sEXdueed PERSONALS ADV INJURY $2,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 AT 7 POLICY PRO n LOC 3 AUTOMOBILE LIABILITY H8103036P64ACOF13 1/1/2013 1/1/2014 LOMBINEDSINGLV LIMIT X (Ea accident) 52,000,000 ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per S AUTOS AUTOS er accident) _ HIRED AUTOS NON-OWNED PROPERTY accident) AGE 5 IX Comp X Con Comp/C011 Ded $2,500 UMBRELLAuAB OCCUR EACH OCCURRENCE 3 EXCESS LIAB CLAIMS-MADE AGGREGATE S _ DED RETENTIONS 3 WORKERS COMPENSATION I TORY I MS I I0T AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? n N/A (Mandatory in NH) E.L.DISEASE•EA EMPLOYEE S I yet doarnbe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S BCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Addltlonal Remarks Schedule,II more apace Is requlmd) ODITIONAL NAMED INSUREDS:CARMEL CLAY PARKS BUILDING CORPORATION; CARMEL CLAY BOARD OF PARKS& CREATION; CARMEL REDEVELOPMENT COMMISSION; CARMEL REDEVELOPMENT AUTHORITY;CARMEL CITY CENTER )MMUNITY DEVELOPMENT CORPORATION rtificate Holder is named as an Additional Insured with respect to General Liability as required by written contract. Re: Fire Protection Drded by the City of Carmel;Operations of Parks Department afforded by the City of Carmel; and The Communications Center ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Clay Township Trustee ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Doug Callahan . 10701 N.College Ave AUTHORIZED REPRESENTATIVE Indianapolis IN 46280 A ) ) ©1988-2010 ACORD CORPORATION. All rights reserved. :ORD 25(2010/05) The ACORD name and logo are registered marks of ACORD • CARMEaO PAGE z NOTEPAD INSURED'S NAME City of Carmel OP ID:79 DATE 03/20/13 NAMED INSURED: CITY OF CARMEL CARMEL CLAY PARKS BUILDING CORPORATION CARMEL CLAY BOARD OF PARKS & RECREATION CARMEL REDEVELOPMENT COMMISSION CARMEL REDEVELOPMENT AUTHORITY CARMEL CITY CENTER COMMUNITY DEVELOPMENT CORPORATION • • • • • • • • • • • • • 1 i • THE CINCINNATI INSURANCE COMPANY P.O.BOX 145496,CINCINNATI, OHIO 45250-5496 513-870-2000 A Stock Insurance Company CPPO832871 Previous Policy Number COMMON POLICY DECLARATIONS Billing Method:AGENCY BILL POLICY NUMBER EPP 005 43 13 / EBA 005 43 13 NAMED INSURED CLAY CIVIL TOWNSHIP & CLAY TOWNSHIP REGIONAL WASTE DISTRICT 10701 N COLLEGE AVE ADDRESS INDIANAPOLIS, IN 46280-1098 (Number& Street, Town,County, State&Zip No.) Policy Period: At 12:01 A.M.,STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE All coverages except Automobile and/or Garage Policy number: EPP 005 43 13 FROM: 01-12-2011 TO: 01-12-2014 Automobile and/or Garage Policy number: EBA 005 43 13 FROM: 01-12-2011 TO: 01-12-2012 Agency FEARRIN INSURANCE AGENCY 13-784 City CARMEL, IN Legal Entity/Business Description ORGANIZATION' (ANY OTHER) IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POL- ICY,WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. FORMS APPLICABLE TO ALL COVERAGE PARTS: IA1O2A 09/08 SUMMARY OF PREMIUMS CHARGED IA904 04/04 SCHEDULE OF LOCATIONS IA4236 01/08 POLICYHOLDER NOTICE TERRORISM INSURANCE COVERAGE IP446 08/01 NOTICE TO POLICYHOLDERS MI1371IN 09/05 NOTICE TO POLICYHOLDERS IA4006 09/07 SPECIAL PER OCCURRENCE DEDUCTIBLE ENDORSEMENT IA4105IN 04/09 INDIANA CHANGES - CANCELLATION AND NONRENEWAL IA4123 11/95 NOTICE TO POLICYHOLDERS - EXCLUSION - LEAD LIABILITY IA4238 01/08 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM IA4338 01/09 SIGNATURE ENDORSEMENT IA4347IN 09/08 INDIANA CHANGES RIGHTS OF RECOVERY IL0156 07/89 INDIANA CHANGES - CONCEALMENT, MISREPRESENTATION OR FRAUD IL0158 09/08 INDIANA CHANGES IL0192 02/08 INDIANA CHANGES - POLLUTION FM502 07/08 COMMERCIAL PROPERTY COVERAGE PART DECLARATIONS GA532 07/08 COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS MA559 06/07 CONTRACTORS' EQUIPMENT (AND TOOLS) COVERAGE PART DECLARATIONS MA573 06/07 ELECTRONIC DATA PROCESSING EQUIPMENT COVERAGE FORM DECLARATIONS CA516 03/09 CRIME AND FIDELITY COVERAGE PART DECLARATIONS (COMMERCIAL ENTITIES) AA505 03/06 BUSINESS AUTO COVERAGE PART DECLARATIONS • 01-13-2011 12:52 Countersigned By (Date) (Authorized Representative) IA 509 05 09 Page 1 of 2 EPP 005 43 13 / EBA 005 43 13 • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULE OF LOCATIONS LOC. STREET ADDRESS CITY STATE ZIP CODE 1 10701 N COLLEGE AVE INDIANAPOLIS, IN 46280-1098 2 10801 N COLLEGE AVE INDIANAPOLIS, IN 46280-1049 3 COLLEGE & 107TH INDIANAPOLIS, IN 46280 4 TOWNE RD & 116TH ST CARMEL, IN 46032 v 5 5-N-MAIN ST- -URRMEDr-1 46032 225 ��- 1i IA 904 04 04 THIE CINCINNATI INSURANCE COMPANY A Stock Insurance Company COMMERCIAL PROPERTY COVERAGE PART DECLARATIONS Attached to and forming part of POLICY NUMBER: EPP 005 43 13 Named Insured is the same as it appears on the Common Policy Declarations unless otherwise stated here. Loc. {address) REFER TO IA904 OPTIONAL COVERAGES COVERAGE PROVIDED Applicable only when an entry is made _ Coin- Covered Business surance Cause Of Income Item Coverage Limits Loss Indemnity Replacer Inflation Replace- ment Cost Ageed Monthly Maximum Extended Guard ment Cost Incl.StocX Value Limit Period Period (%) (a) (x) (x) (fraction) (X) (Days) 1-1 BUILDING 4,759,200 90% SPECIAL X EQ 1-1 BUSINESS PERSONAL 424, 000 90% SPECIAL X PROPERTY EQ 1-2 FENCES AND ARBORS 11,400 90% SPECIAL X EQ 1-3 WATER OR SEWAGE 26,000 90% SPECIAL X LIFT PUMPS EQ 1-4 EMERGENCY GENERATOR 25,000 90% SPECIAL X & LIGHT POLIES: EQ METAL 2-1 BUILDING 74,079 90% SPECIAL X EQ 2-1 BUSINESS PERSONAL 21,200 90% SPECIAL X PROPERTY EQ 2-1 EXTRA EXPENSE 25,000 SPECIAL 40%-80%-100% 3-1 COMM TOWER 18,250 90% SPECIAL X EQ 3-2 EQUIPMENT WA RADIOS 1,382 90% SPECIAL X EQ 4-1 COMM TOWER 6,837 90% SPECIAL X EQ 4-2 EQUIPMENT 603 90% SPECIAL X EQ 5-1 BUILDING 5,213,745 90% SPECIAL X EQ 5-1 BUSINESS PERSONAL 64,203 90% SPECIAL X PROPERTY EQ FM 502 07 08 EPP 005 43 13 Page 1 of 2 TAE CINCINNATI INSURANCE COMPANY A Stock Insurance Company COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS Attached to and forming part of POLICY NUMBER:EPP 005 43 13 Named Insured is the same as it appears in the Common Policy Declarations LIMITS OF INSURANCE EACH OCCURRENCE LIMIT $1,000,000 GENERAL AGGREGATE LIMIT $ 2,000,000 PRODUCTS-COMPLETED OPERATIONS AGGREGATE LIMIT $2,Doo,000 PERSONAL&ADVERTISING INJURY LIMIT $ 1,Doo,00o ANY ONE PERSON OR ORGANIZATION DAMAGE TO PREMISES RENTED TO YOU LIMIT ANY ONE $100,000 limit unless otherwise indicated herein: $SEE GA210 PREMISES MEDICAL EXPENSE LIMIT $5,000 limit unless otherwise indicated herein: $SEE GA210 ANY ONE PERSON CLASSIFICATION CODE PREMIUM RATE ADVANCE PREMIUM NO. BASE A-Area Products/ All Other Products/ All Other B-Payroll Completed Completed C-Gross Sales Operations Operations D-Units E-Other LOC. 1 - IN WATER RETENTION BASIN 20400E1 EACH 23.085 23 INCL PROD AND/OR COMP OP BUILDINGS OR PREMISES 61216A26,100 27.782 725 INCL PROD AND/OR COMP OP - LOC. 2 - IN BUILDINGS OR PREMISES 61216A740 27.782 21 INCL PROD AND/OR COMP OP LOC. 5 - IN BUILDINGS OR PREMISES 61216A36,179 15.535 562 INCL PROD AND/OR COMP OP BROADENED COVERAGE 20291 2.5% 150MP BI EXCEPTIONS TO 20410 2% 50MP POLLUTANT EXCLUSION The General Liability Coverage Part is subject to an annual minimum premium. TOTAL ANNUAL PREMIUM $ 1,531 FORMS AND/OR ENDORSEMENTS APPLICABLE TO COMMERCIAL GENERAL LIABILITY COVERAGE PART: GA101 12/04 COMMERCIAL GENERAL LIABILITY COVERAGE FORM CG0123 03/97 INDIANA CHANGES - POLLUTION EXCLUSION CG2116 07/98 EXCLUSION - DESIGNATED PROFESSIONAL SERVICES CG2144 07/98 LIMITATION OF COVERAGE TO DESIGNATED PREMISES OR PROJECT CO2244 07/98 EXCLUSION - SERVICES FURNISHED BY HEALTH CARE PROVIDERS GA210 02/07 COMMERCIAL GENERAL LIABILITY BROADENED ENDORSEMENT GA303 10/01 EXCLUSION - PROFESSIONAL SERVICES - GOVERNMENTAL OPERATIONS OR COMMUNITY SERVICES GA323 10/01 EXCLUSION - LEAD LIABILITY GA4081 10/01 ADDITIONAL INSURED - STATE OR POLITICAL SUBDIVISIONS - PERMITS RELATING TO PREMISES GA 532 07 08 EPP 005 43 i3 Page 1 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITATION OF COVERAGE TO DESIGNATED PREMISES OR PROJECT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Premises: 10701 N COLLEGE AVE INDIANAPOLIS, IN 46280-1098 10801 N COLLEGE AVE INDIANAPOLIS, IN 46280-1049 COLLEGE & 107TH INDIANAPOLIS, IN 46280 TOWNE RD & 116TH ST CARMEL, IN 46032 -YIT'75-79Nrilefl ZAHMLSL, SN=fB932-2258� Project: (If no entry appears above, information required to complete this endorsement will be shown in the Declara- tions as applicable to this endorsement.) This insurance applies only to "bodily injury", "property damage", "personal and advertising injury" and medi- cal expenses arising out of: 1. The ownership, maintenance or use of the premises shown in the Schedule and operations necessary or incidental to those premises; or 2. The project shown in the Schedule. CG 21 44 07 98 Copyright, Insurance Services Office, Inc., 1997 !—^1- • - E hT � - CLAYC-2 OP ID: TM i°O RO' CERTIFICATE 'OF LIABILITY INSURANCE DATE'MM°°"YYY' 08/17/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER 317-846-4275 CONTACT ' -earrin Insurance Agency NAME: 110 N.Rangeline Road 317-848-4246 (NC.NNo.Eat): FAX No): 3.0.Box 126 E-MAIL :armel,IN 46082 ADDRESS: louse Commercial INSURER(S)AFFORDING COVERAGE NAIC/1 INSURER A:Cincinnati Insurance Co. 10677 INSURED Clay Civil Township 8 Clay INSURER B: Township Regional Waste District,ATIMA INSURER C: Township Regional Waste INSURER D: 10701 North College Avenue Indianapolis,IN 46280 INSURER E: INSURER F: ' :OVERAGES CERTIFICATE NUMBER: 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. IR TYPE OF INSURANCE ADDL SURR POLICY EFF POLICY EXP INSR WVD POLICY NUMBER IMMIDDIYYYY) IMM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 1 X COMMERCIAL GENERAL LIABILITY X EPP0054313 01/12/11 01/12/14 PREMISES(EEa occurree) $ 50,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 —1 POLICY JFCo-r X LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED — AUTOS _ AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE S DED RETENTIONS $ WORKERS COMPENSATION WCSTATU- 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 $ murmur describe under DESCRIPTIONOF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ SCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) -agreed and understood that the City of Carmel is listed as an litional Insured on Fire Station#45. :RTIFICATE HOLDER CANCELLATION CITYO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF CARMEL THE EXPIRATION DATE THEREOF, NOTICE. WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CIVIC CENTER, 1 CITY SQUARE CARMEL,IN 46032 AUTHORIZED REPRESENTATIVE 1 1 ^ - I V U ©1988-2010 ACORD CORPORATION. All rights reserved. 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