HomeMy WebLinkAboutMidwest Constructors; P.O. 31785 $203,890 Sponsors: Councilor Finkam
Councilor Rider
Councilor Snyder
RESOLUTION CC-09-15-14-01
A RESOLUTION OF THE COMMON COUNCIL OF THE CITY OF CARMEL,
INDIANA,APPROVING CARMEL REDEVELOPMENT COMMISSION GOODS AND
SERVICES CONTRACT WITH MIDWEST CONSTRUCTORS, LLC
WHEREAS, THE City of Carmel Common Council ("Council") created by ordinance
the Carmel Redevelopment Commission("CRC"); and
WHEREAS, by subsequent ordinance, the Council requires the CRC to seeks its
approval, by simple majority vote, of all professional services contracts that exceed Twenty-Five
Thousand Dollars ($25,000.00) in a calendar year(the"Threshold Amount"); and
WHEREAS, the CRC now desires to enter into the goods and services contract with
Midwest Constructors, LLC the same being attached hereto as Exhibit A, which contract (the
"Goods midi'Services Contract") is in an amount that exceeds the Threshold Amount; and
WHEREAS, the CRC has presented the Goods and Services Contract to the Council and
has requested approval of the same.
NtiOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of
Carmel, Indiana, as follows:
Section 1. The foregoing Recitals are incorporated herein by this reference.
Section 2. The Contract should be and the same is hereby APPROVED by the Common
Council of the City of Carmel, Indiana.
SO RESOLVED by the Common Council of the City of Cannel, Indiana, this
day of ■ 014, by a vote of I ayes and 95 nays.
This Resolution was prepared by Douglas C.Haney, Carmel City Attorney, on 9/5/14 at 11:30 a.m. No subsequent
revision to this Resolution has been reviewed by Mr.Haney for legal sufficiency or otherwise.
Sponsors: Councilor Finkam
Councilor Rider
Councilor Snyder
COMMON COUNCIL FOR THE CIT OF CARMEL OPIPP
Pr ding Officer ' evin D. Rider
(1 ,`-.1 a I it
W. Eric Seidert ticker, Presid , ` ro Tempore Carol Schlei
7 Ar. ../// ( ' /:-...‘#. f
R•,.: ■ E. Carter Richard,. Sharp
A... 41IL All 1 if 1_ d. 4--A
' - �'rnkam/ Juci - I er - 0
ATT _'
4
Diana L. Cordray, IAMC, Clerk-Tree er
Presented by me to the Mayor of the City of Carmel, Indiana this I day of
2014, at 9 • fZ ' .M.
,k-'4 Z6'
Diana L. Cordray, IAMC, C1er - reasurer
Approved by me, the Mayor of the City of Carmel, Indiana, this 1 5+day of
2014, at IZ V .M.
J es Brainard, Mayor
ATTEST:
At,--,:y4 6; ,/ A
Diana L. Cordray, IAMC, Cle r -asurer
Resolution No. CC-09-15-14-01
Page Two of Two Pages
This Resolution was prepared by Douglas C.Haney, Carmel City Attorney,on 9/5/14 at 11:30 a.m. No subsequent
revision to this Resolution has been reviewed by Mr.Haney for legal sufficiency or otherwise.
Midwest Constructors,LLC
CRC-2014
Appropriation#902-4460954; P.O.#31785
Contract Not To Exceed$203,890.000
CO
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 Redevelopment Commission ("CRC"),
and, Midwest Constructors, LLC, an entity duly authorized to do business in the State of Indiana
("Vendor").
TERMS AND CONDITIONS
1. 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:
CRC agrees to purchase the goods and/or services (the "Goods and Services") from Vendor using CRC
budget appropriation number 902-4460954 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.
3. PRICE AND PAYMENT TERMS:
3.1 Vendor estimates that the total price for the Goods and Services to be provided to CRC hereunder
shall be no more than Two Hundred Three Thousand, Eight Hundred Ninety Dollars ($203,890.00)
(the "Estimate"). Vendor shall submit an invoice to CRC no more than once every thirty (30) days
detailing the Goods and Services provided to CRC within such time period. CRC shall pay Vendor
for such Goods and Services within thirty five (35) days after the date of CRC'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 CRC that would cause the total cost of the
Goods and Services provided by Vendor to CRC hereunder to exceed the Estimate, unless CRC 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 CRC and/or by Vendor to and accepted by CRC pursuant to or as part of that certain City
of Carmel Redevelopment Department Bid Proposal Package for "Nash Building Streetscape"
received by the City of Carmel Redevelopment Commission on or about September 3, 2014, 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 CRC's intended use and expressly warrants that the Goods and Services provided to
CRC pursuant to this Agreement have been selected by Vendor based upon CRC's stated use and
are fit and sufficient for their particular purpose.
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Midwest Constructors,LLC
CRC-2014
Appropriation#902-4460954; P.O.#31785
Contract Not To Exceed$203,890.000
5. 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 CRC,Vendor shall promptly furnish to CRC,in such form and detail as CRC 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 CRC 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.
7. LIENS:
Vendor shall not cause or permit the filing of any lien on any property of CRC or the City of Carmel, Indiana
("City"). 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, CRC 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 CRC 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, CRC 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 CRC 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 CRC,the
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 CRC and City as additional insureds on all such insurance policies,shall promptly
provide CRC and 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 CRC and City. Vendor shall indemnify
and hold harmless CRC and 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 CRC or City property.
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Midwest Constructors,LLC
CRC-2014
Appropriation#902-4460954; P.O.#31785
Contract Not To Exceed$203,890.000
Vendor further agrees to indemnify, defend and hold harmless CRC and City, and their respective 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.
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
CRC 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 CRC 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 CRC 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 CRC 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 CRC's prior written consent.
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1
Midwest Constructors,LLC
CRC-2014
Appropriation#902-4460954; P.O.#31785
Contract Not To Exceed$203,890.000
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 CRC.The contract price
set forth herein shall be the full and maximum compensation and monies required of CRC to be paid to
Vendor under or pursuant to this Agreement.
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 CRC: Carmel Redevelopment Commission AND Douglas C.Haney, City Attorney
30 West Main St.,Ste.220 Department of Law
Carmel, Indiana 46032 One Civic Square
ATTENTION:Corrie Meyer Carmel, Indiana 46032
If to Vendor: Midwest Constructors,LLC
2916 Bluff Road,Suite D
Indianapolis, IN 46225
Telephone:317-784-6400
E-Mail:
ATTENTION: Jim Streeter
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, CRC may, upon notice to
Vendor, immediately terminate this Agreement for cause, in the event of a default hereunder by
Vendor andlor 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.
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Midwest Constructors,LLC
CRC-2014
Appropriation#902-4460954; P.O.#31785
Contract Not To Exceed$203,890.000
19.2 CRC 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 CRC may terminate this Agreement pursuant to Paragraph 11 hereof,as appropriate.
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 CRC may, from time to time, request Vendor to provide additional
goods and services to CRC. When CRC desires additional goods and services from Vendor,the CRC 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 CRC 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 CRC. A copy of the CRC'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 CRC.
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 31,20_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. THIRD PARTY BENEFICIARIES
Except as provided in paragraphs 7 and 9 hereof, this Agreement gives no rights or benefits to anyone other
than CRC 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.
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Midwest Constructors,LLC
CRC-2014
Appropriation#902-4460954; P.O.#31785
Contract Not To Exceed$203,890.000
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. ENTIRE AGREEMENT:
This Agreement, together with any exhibits attached hereto or referenced herein, constitutes the entire
agreement between Vendor and CRC 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.
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:
CARMEL REDEVELOPMENT Midwest Constructors,LLC
COMMISSION
BY: :16
William Hammer,President u orized Signature
Date: 'rinted
Title: ge_x-6,i9A-417-
FID/TIN: 70 —3 3 o°7
Last Four of SSN if Sole Proprietor:
Date: -e,7149It `y`� 2)/
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BID PROPOSAL SUMMARY PAGE
Complete the following information and place as the cover page to
your bid packet. Insert all documents into an envelope with project
name and your company name clearly marked on the outside. Seal
the envelope.
Company:
Midwest Constructors LLC
Project Name: Nash Building Streetscape
Date Submitted: 7/28/2014
Base Bid 183,847.00
Amount:
Alternate 1 Bid 51,969
Amount:
Alternate 2 Bid 48,687
Amount:
Alternate 3 Bid 20,043
Amount:
. EXHIBIT A
tor
PART3
CONTRACT ITEMS AND UNIT PRICES
cry ofCancel ilwo� u Cateace Parcel 73-Huh
sb..a4,p.
ITEM
NO. DESCRIPTION UNIT QUAY UNIT TOTAL
PIECE
1 PAVEMENT REMOVAL SYS 270 i 55.87 $ 12.24017(])
2 CURD.CONCRETE.REMOVE LFT 57 i 3092 S 1256 61 O
S AIRS AND GUTTER.SAWCUT LFT _ 206 1 13.74 5 2.11077 0
4 EXCAVATION.COMMON CYS 500 s 83.09 s 31.14772 O
5 DROP N MET PROTECTION EA 4 i 422.51 5 1990.0:1
8 IMLLLNO.ASPHALT.LAP JOIN SYS 15 5 56.82 5 732.36 D
7 SIGN.RELOCATE EA 1 5 1.690.113 s 193.03
O LIGHT POLE.RELOCATE(ALLOWANCE) LS 1 3 2918.72 S 2.81572
,
O FIRE HYDRANT.RE1nCATE(JLLLOWANCE) LS I $ 11.416.99 $ 11.41818
10 HIM•HOT NIX AEPI4LLT SYS 244 5 124.78 i 25.5608
11 SfDEWALN.CONCRETE,410 SYS 365 5 18.42 5 25.971.83
12 SDEWALK.COCRETE(PAYER BASE) SYS 329 $ • 5
13 CURBRAAV's,TYPE(ALL) EA 2 5 677.83 5 1.75536
14 STRAGHT CONCRETE CURB LFT 273 5 13.03 $ 3902.67/6
16 TRENCH EXCAVATION AND BACLFRL LFT 504 5 33.60 i 17.03523 Q
10 CABLE NTERDUCT LFT 294 8 1890 1 3.968.70)
17 (NM PVC CONDUIT LFT 210 i 13.41 s 291832 0
10 HANDHOLE EA 3 5 2.816.72 5 0.450.10
19 WATER ESN 2 $ 818.01 5 1.35203
20 SEEDING SYS 200 $ 3.10 6 819.68')
21 ISIS.UT LITYAWILSTNENTS CONRICTS(AUAWANCE) LS 1 S 9.61025 5 997855
22 WINTENANCE OF TRAFFIC(ALLOINANCE) LS 1 5 4.34000 S 4.34020
23 LNE,PANT.SOLID.WHITE.4 LV LFT 72 $ 1017 5 73236•)
24 lANDSCAPE(MLONIANCE) LS 1 1 7.8668 5 7.66862
25 T135SO0. CYS 33 5 07.30 5 3211.08 0
ALTERNATE NO.1
I ISIOEWALIL CLAY PAVERS LS L 1 L5 519820315 51.969.001
ALTERNATE RO.2
1 IsIGEWALIC CONCRETE PAYERS LS 1 1 III 46957.001 i - 45.667.001
ALIERNATE NO.3
1 ISIDE1JALIL.COICRETE.4 R.COLOREOS1AMPED LS I 1 I s 20.043WI i ,Kazoo
EXHIBIT A
2 c L(
• PART 2
BID PROPOSAL
2.1 Base Bid
The undersigned Bidder proposes to furnish all necessary labor, machinery, tools,
apparatus,materials,equipment,service and other necessary supplies,and to perform and
fulfill all obligations incident thereto in strict accordance with and within the time(s)
provided by the terms and conditions of the Contract Documents for the above described
Work and Project,including any and all addenda thereto,for the Unit Prices applicable to
the Contract Items as stated in Part 3 hereof, which Unit Prices, when multiplied by
estimated unit quantities for such Contract Items,total One Hundred eighty-three thousand
eight hundred fourty-seven Dollars ($ 183,847.00 ). The
Bidder acknowledges that evaluation of the lowest Bid shall be based on such price and
further acknowledges that the unit quantities listed in Part 3 of this Proposal are estimates
solely for the purpose of Bid evaluation and Contract award, and are not to be construed
as exact or binding. The Bidder further understands that all Work which may result on
the Contract shall be compensated for on a Unit Price basis and that the OWNER and
ENGINEER cannot and do not guarantee the amount or quantity of any item of Work to
be performed or furnished under the Contract.
2.2 Alternate Proposals
.1 Alternate proposals are requested under Alternates of the Bidding Documents.
.2 The alternate proposal shall indicate the amount to be added to or deducted from
the Base Bid if the alternate proposal is accepted by the Owner.
.3 The alternate proposal shall include all costs necessary for the complete
installation of the materials or items indicated for the alternate proposal,including
materials, labor, equipment, administration, overhead, profit, and taxes (as
applicable).
.4 The alternate proposal shall also include all costs for changes in the work
(including work of other Separate Contracts) that will be made necessary by
acceptance of the alternate proposal.
.5 The Bidder shall submit prices for all the alternates listed below in the manner
indicated. Cross out (Add) or (Deduct) as applicable. If there is no change in
price to the Base Bid,write in"No Change".
Alternate No. l State the amount to add to or deduct from the base bid to construct
clay pavers atop the base bid concrete walk as shown on sheet
C200 of the construction plans, dated June 30, 2014. Clay pavers
style, color, pattern etc. shall be approved by Owner prior to
construction. Pattern to be similar to pavers along Rangeline,
south of City Center Drive, see photo below.
(Add)(Deduct)Add Fifty one thousand nine hundred sixty-nine Dollars $ 51,969
(written amount) (numerals)
EXHIBIT A
B1D-3
Alternate No.2 State the amount to add to or deduct from the base bid to construct
concrete pavers atop the base bid concrete walk as shown on sheet
C200 of the construction plans, dated June 30, 2014. Concrete
pavers style, color,pattern, etc. shall be approved by Owner prior
to construction. Pattern to be similar to pavers along Rangeline,
south of City Center Drive, see photo below.
(Add)(Deduct)Add Fourty-eight thousand six hundred eighty-seven Dollars $48,687
(written amount) (numerals)
Alternate No. 3 State the amount to add to or deduct from the base bid to construct
integrally colored/stamped concrete walk in lieu of standard
concrete walk as shown on sheet C200 of the construction plans,
dated June 30, 2014. Concrete stamp style and pattern, color, etc.
shall be approved by Owner prior to construction. Pattern to be
similar to pavers along Rangeline, south of City Center Drive, see
photo below.
(Add)(Deduct) Add Twenty thousand fourty-thee Dollars $ 20,043
(written amount) (numerals)
r ,,..,
y__ es
•l
// _
EXHIBIT 44
t/ c)-(1(
BID-4
l - -
EXHIBIT B
Invoice
Date:
Name of Company:
Address &Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
Goods Services
Person Providing Date Goods/Services Provided Cost Per Hourly Total
Goods/Services Goods/ (Describe each good/service Item Rate/
Service separately and in detail) Hours
Provided Worked
GRAND TOTAL
Signature
Printed Name
EXHIBIT C
INSURANCE COVERAGES
Worker's Compensation&Disability Statutory Limits
Employer's Liability:
Bodily Injury by Accident/Disease: $100,000 each employee
Bodily Injury by Accident/Disease: $250,000 each accident
Bodily Injury by Accident/Disease: $500,000 policy limit
Property damage,contractual liability,
products-completed operations:
General Aggregate Limit(other than
Products/Completed Operations): $500,000
Products/Completed Operations: $500,000
Personal&Advertising Injury
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: $500,000 each accident
Injury and property damage: $500,000 each accident
Policy Limit: $500,000
Umbrella Excess Liability
Each occurrence and aggregate: $500,000
Maximum deductible: $ 10,000
5810812014 1:00 3175712484 CARMEL LAW DEPARTMET PAGE 12/12
EDIT D
• AIWIDAVIT
a.r.. r• being i<urst duly sworn,deposes and says that
he/she is familiar with and has personal knowledge of the facts herein and,if called as a witness in this
matter,could testify as ibllows:
1. I am over eighteen 18)years of age and am competent to testify to the facts contained
herein.
2. I am now and at all times relevant herein have been employed by
NI .�' .5.• t i .. (the"Employee")
in the position of w , rl.
.
3. I am familiar with the employment policies,practices,and procedures of the Employer and
have the authority to ant on behalf of the Employer,
4. The Employer is enrolled and participates in the federal E-Veiny program and has
provided documentation of such enrollment and participation to the City of Carmel,
Indiana. •
5. The Company does not knowingly employ any unauthorized aliens.
FURTHER AFFIANT SAYETH NOT. IN P
�Q �INDIAN t� �•.
EXECUTED on the day of 20 . * SEAL *
Johnson County
_ .,` Expires 02-1 21
/Pr ted; J h �/ A .4fiA
1 certify under the penalties far perjury under the laws of the United States of America and the State of
Indiana that the foregoing factual statements and represen : •n true and correct
„of 4
ted: rte- .- a
EXHIBIT
Ioc' z
, .,„
g-e-,E-Verify Employment Eligibility Verification Exit . , N
3
Company Information � � �
C� I� ,�� ' � � �.3 .� � ems— r . j 4.J`�..� J
Company Name: Midwest Form Constructors LLC
:._View:/.;Edit
;
Doing Business As(DBA) Name: Midwest Constructors LLC
DUNS Number:
Physical Location: Mailing Address:
Address 1: 2916 Bluff Road Address 1:
Address 2: Suite D Address 2:
City: Indianapolis City:
State: IN State:
Tip Code: 46225 Tip Code:
County: MARION
Additional Information:
Employer Identification Number: 203303507
Total Number of Employees: 100 to 499
Parent Organization:
Administrator:
How did you hear about E-Verify?
Other Marketing Channel:
Organization Designation:
Employer Category: None of these categories apply
NAICS Code: 236- CONSTRUCTION OF BUILDINGS (236) View;/ Edit
Hiring Sites: .View./:Edit
;:
INDIANA 1
E-Verify Users: View/ Edit,
Last First M.I. Phone E-mail
Name Name
Vasi Kim (317)784-6400 kvasi @midwestconstructorslIc.com MOU Signatory ONLY
Vasi Kim (317)784- 6400kvasi @midwestconstructorslIc.com
I•certify that the information provided for this registration is correct. I am aware that Federal
law provides for imprisonment and/or fines for knowing false statements or other fraudulent EXHIBIT"
conduct in connection with this registration. I am aware that providing any false information
may be grounds for terminating participation in E-Verify.
2 of
® I agree
i
City ®f Carmel INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT I-7 h
�
35-60000972 ( /(J"
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/F
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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO, VENDOR NO. DESCRIPTION
•VENDOR /11 J Y0,4 1,0nj 4"r'U thrf SHIP C R C
2916 Bfk-f-f Road,$ ;fe D TO 30 I4/. Ain 51 ,Sri/e 220
Indlq?dpolL!, 14' 4622,5 ear'mei I, '‘03Z
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
I Nh5) 5/71e !y 4203, e90."or lc
r t ,' - .
,eit,
9 4
I,`',- ,, ..ti,.cI? ....-_`.
t s� yw` � i
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Send Invoice To: G R ( wJ F ,,, � r ��[
SuiTe n
t&1-mel,IA/ 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT
u'l // AMOUNT
50z ii i4 b 09 5i PAYMENT
• NP 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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS PROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL /
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I _ LA 1 A L_ •iP '
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. .
CLERK-TREASURER
DOCUMENT CONTROL NO. 317 8 5 VENDOR COPY