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Paperless Packet 121615 optimized
Board of Public Works and Safety Meeting AGENDA Wednesday, December 16, 2015 — 10:00 a.m. Council Chambers City Hall One Civic Square MEETING CALLED To ORDER 1. MINUTES a. Minutes from the December 2, 2015, Regular Meeting 2. BID/QUOTE OPENINGS AND AWARDS a. Reject Quotes for Miscellaneous Small Storm Structures Lining and Repair; Jeremy Kashman, City Engineer b. Bid Award for the 2016 Utility Salt Award; Compass Minerals; ($104.00/ton); John Duffy, Director of the Department of Utilities c. Bid Opening for Auman and Newark Neighborhood Improvements;; Jeremy Kashman, City Engineer d. Bid Opening 2016 Police Vehicles; Chief Tim Green, Cannel Police Department e. Quote Opening for City Hall Brick Paver Sidewalks; Dave Huffman, Street Commissioner f. Quote Opening for Carmel Annuals—2016; Dave Huffman, Street Commissioner g. Quote Opening for Hanging Baskets—2016; Dave Huffman, Street Commissioner h. Quote Opening for Palladium Annuals—2016; Dave Huffman, Street Commissioner i. Quote Opening for Spring Landscape Plantings—2016; Dave Huffman, Street Commissioner j. Quote Opening for Rangeline Road Sidewalk Improvements; Dave Huffman, Street Commissioner 3. PERFORMANCE RELEASES a. Resolution BPW-12-16-15-01; Pilgrim Lutheran Church; Storm Water Protection; Chris Konow, Pilgrim Lutheran b. Resolution BPW-12-16-15-02; Park Grenshire; ROW Improvements; Jeffrey Gren, Park Grenshire c. Resolution BPW-12-16-15-04; Long Ridge Estates Section 2 & 3A; Builder and Interior Sidewalks; Tim Berry, Platinum Properties 4. CONTRACTS a. Request for Purchase of Goods and Services; Target Solutions; ($14,435.00); Annual Maintenance Fee; Chief Dave Haboush, Carmel Fire Department b. Request for Purchase of Goods and Services; Neopost; Lease Agreement; Mike Hollibaugh, Director of the Department of Community Services c. Request for Purchase of Goods and Services; Meg & Associates; Additional Services #2; ($2,600.00); Event planning; Nancy Heck, Director of Community Relations d. Request for Purchase of Goods and Services; Water Resource Investigations; ($4,470.00); US Department of Interior; Jeremy Kashman, City Engineer e. Request for Purchase of Goods and Services; Provider Services Agreement and Business Associate Agreement; Barb Lamb, Director of Human Resource f. Request for Purchase of Goods and Services; Engle's Quality Tree Moving; ($44,000.00); Snow Removal City Center; Dave Huffman, Street Commissioner g. Request for Purchase of Goods and Services; Yardberry; Change Order#3; Shared Use Path 136th Street; Jeremy Kashman, City Engineer h. Request for Purchase of Goods and Services; Yardberry; Change Order#4; ($4,620.00); Shared Use Path 136th Street; Jeremy Kashman, City Engineer 5. REQUEST TO USE CITY STREETS/PROPERTY a. Request to Use Caucus Room; Meeting; Various dates; Carmel Clay Historical Society 6. OTHER a. Request for Transfer and Presentation of Pistol and Badge; Luckie Carey; Chief Tim Green, Carmel Police Department b. Request for Property Transfer; From Carmel Police Department to Alexandria,Indiana; Chief Tim Green, Carmel Police Department c. Request for Stormwater Technical Manual Variance; Garrison Parking Structure; Jeremy Kashman, City Engineer d. Request for Lane Restriction/Sidewalk Cut/Closure; 1830 Hamilton Lane; Joe Hutcherson, Pulte Homes e. Request for Lane Restriction/Open Pavement Cut; 136th and Oakridge Road; Steven Krebs,AT&T 7. ADJOURNMENT BOARD OF PUBLIC WORKS & SAFETY MEETING MINUTES WEDNESDAY,DECEMBER 2,2015—10:00 A.M. COUNCIL CHAMBERS/CITY HALL/ONE CIVIC SQUARE MEETING CALLED TO ORDER Board Member Burke called the meeting to order at 10:00 a.m. MEMBERS PRESENT Board Member;Lori Watson and Mary Ann Burke, Deputy Clerk; Sandy Johnson MINUTES Minutes for the November 18, 2015 Regular meeting were approved 2-0. BID-QUOTE OPENING/AWARDS Quote Opening for Small Storm Structure Lining and Repair,Board Member Burke opened and read the quotes aloud; Company Amount Layne Inliner $451,761.00 Insituform $450,043.00 Calumet $498,338.00 Quotes were given to the Engineering Department for review and recommendation. Bid Opening for Small Structure Replacements of Culverts 86 & 102,Board Member Burke opened and read the quotes aloud; Company Amount Atlas Excavating $497,525.00 Trisler Construction $540,328.70 RA Myers $535,368.30 Morphey Construction $485,358.00 Bids were given to the Engineering Department for review and recommendation. PERFORMANCE RELEASES Resolution BPW-12-02-15-01;Long Ridge Estates, Section 3B; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. CONTRACTS Request for Purchase of Goods and Services; Change Order#5; OLCO, ($0.00); Shared Use Path Main Street;Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Purchase of Goods and Services;Mutual Aid Agreement;Indianapolis Fire Department; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Purchase of Goods and Services;Duke Energy;License Agreement;Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Purchase of Goods and Services; Lenco Armored Vehicle; ($185,300.00);Armored Vehicle;Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Purchase of Goods and Services;Additional Services#11;American Structurepoint; ($35,000.00); On Call Engineering; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Purchase of Goods and Services; VS Engineering; ($29,200.00);Jordan Woods Storm Water Improvement;Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Purchase of Goods and Services; Wilkinson Brothers;Additional Services; ($20,000.00); Carmel Art and Design Districts Web Site; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Purchase of Goods and Services; Vive Exterior Design; ($42,900.00); Snow Removal Art and Design Sidewalks, Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Purchase of Goods and Services; Vive Exterior Design; ($38,500.00); Snow Removal Palladium/Tarkington; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. REQUEST TO USE CITY STREETS/PROPERTY Request to Use City Streets; Tolley Stop;December 5, 2015 and December 19, 2015; ; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request to Use Gazebo and Common Area; Summer Concert Series; Various Dates; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. OTHER Request for Property Transfer; Vehicle; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Final Plat;Jackson's Grant on Williams Creek; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Grant of Perpetual Storm Water Quality Easement; Point Blank Gun Range Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Dedication of Right of Way;Pennsylvania Way; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Variance; 14000 Twin Lakes Circle; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Variance; 352 Gradle Drive;Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Variance; 483 Tulip Poplar Crest; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Variance;443 Chimney Rock Drive; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Variance; 437 Chimney Rock Drive; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Variance;449 Chimney Rock Drive; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Consent to Encroach; 14000 Twin Lakes Circle; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Consent to Encroach; 352 Gradle Drive; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Consent to Encroach; 483 Tulip Poplar Crest;Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Consent to Encroach;443 Chimney Rock Drive; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Consent to Encroach; 437 Chimney Rock Drive; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Consent to Encroach;449 Chimney Rock Drive;Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Lane Restriction Open Pavement Cut/Sidewalk Closure; Various Location;Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Curb Cut/Curb Cut Vacation; 660 2nd Avenue NE; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. Request for Additional Curb Cut; 2259 Steffee; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. ADJOURNMENT Board Member Burke adjourned the meeting at 10:06 a.m. Diana L. Cordray, IAMC— Clerk-Treasurer Approved Mayor James Brainard ATTEST: Diana L. Cordray, IAMC- Clerk-Treasurer I 1m a lel IMO . , Malt rll ' C 'Ty OF CAL ECJ Deee rn k a r 8, a 015 JAMES BRAIN AII 11, MA" ClIt laard al Public' VI arl9 and 9alet}I ane CiNiia St tiara firma!, Indiana 46017 RE: RECILI EST TCI Rill IE(I71 QUOTES—PROJIECT 15-14:MISCEL LANilIOLJ S SMS LI STORM STRLJ CIURE9 IMING ANA REPAIR Dear Board Memt ers: F a Angine a ring DI pa ri ment ra qua sis that the quotes for Project 15-14: r lice Ila n eous Irn all Itorm 9truatureslining and FepairtFatwere opened atIheDeco mho r2, JIIi 3 Board ofRitlicWorksNEetin® I a raja ate d. It was ell and ti at the project aos1 would F a aonaiclerat ly Iesl tl an tl e q Lata9 received. F a Anginee ring Depament would life to reevaluate the project an( attain new bic 9 at a late r date. Sincerely, Jeremy Kashman, N.9. Cit�l engineer Wi ME f1J OF Ei a�nEe�za^ic ONE Civic SQU. Cr vIFI„ IN 4603] Chula J17.111.2441 Jinx 311.57I.1zHH9 IIM.9IL enriniaringgaa,rI I.in.Fa� Johnsc n, Sancy M From: I cim r a, L Sent: 11-ursday, Decemker0 , 2071E 11:3E HM To: _Ice n c n, Sz ncy N 5Iu k jest: sail bic awarc Sancy, can}c i plea!ci pt.t on the ne/1 B[IW aE einda 1:1/16/15 th€i salt award for utilities.The r ks. Lisa Kemp a C a rine! Utilities E 0 West Main 9t., Ste 220 , 1_797.11-3443 NOTICE TO BIDDERS City of Carmel,Indiana Notice is hereby given that the Board of Public Works and Safety for the City of Cannel,Hamilton County,Indiana ("City")will receive sealed Bids for the City's Auman and Newark Neighborhood Improvements("Project") at the office of the Clerk-Treasurer, City Hall, One Civic Square, Carmel, Indiana, until 10:00 a.m. (local time) and in the Council Chambers at the same address until 10:00 a.m. (local time) on December 16,2015,at which time the timely received Bids will be publicly opened and read aloud. Any bid(s)received later than the above time will be returned unopened. DESCRIPTION OF WORK: This is to be a unit price bid project and involves the construction of approximately 877 square yards of new concrete sidewalk,956' of new concrete curb,and 1,908' of new reinforced concrete storm sewer ranging in size from 12"up to 24"with inlets and manholes.Work includes replacement of drives with concrete,miscellaneous ramp work,rough and finish grading and sodding. Maintenance of traffic and other incidental work is also included. CONTRACTOR will relocate water meters and services.CONTRACTOR will televise and replace sanitary sewer laterals where found to be in conflict with proposed work.This work shall be coordinated with and inspected by the City of Cannel Utility Department.Privately owned utilities will perform their own relocation work,but this must also be coordinated by the CONTRACTOR. BIDDING DOCUMENTS: Bidding Documents are available for examination at: City of Cannel, Department of Engineering(1s`Floor),One Civic Square,Cannel,IN 46032(317)571-2441. The Contract Documents may be obtained from Eagle Ridge Civil Engineering Services LLC.Eagle Ridge shall be contacted by calling Michael Tanis at 317-439-8144 or mtanis@eagleridgecivil.com. The plans are in 11"x17" format as the full-sized sheets. Plan distribution shall be by emailed PDF versions of the Plans and Project Manual. There is no charge for these digital documents,but in order to receive future Addenda,requesters must register their contact information with Eagle Ridge including Company Name, Company Contact Name, Address, Phone, and Email Address. Bids shall be properly and completely executed on Bid forms contained in the Contract Documents.Each Bid shall be accompanied by a completely filled out State Form No. 96 (including non-collusion affidavit), acceptable bid security, and wage stipulation affidavit. Any Bid not accompanied by the aforementioned required items shall be deemed a non-responsive Bid. The Bid envelope must be sealed and be labeled with the words "BID—AUMAN AND NEWARK NEIGHBORHOOD IMPROVEMENTS". No bidder("Bidder')may withdraw its proposal within a period of 30 days following the date set for the receiving of Bids. The City reserves the right to retain any and all Bids for a period of not more than 60 days and said Bids shall remain in full force and effect during said time. The City further reserves the right to waive informalities and to award the Contract to any Bidder all to the advantage of the City of Carmel or to reject all Bids in accordance with IC 5-22-18-2. The Project will be funded by the federal and local funds.Wage rates for the Project shall be not less than the current prescribed scale of wages as determined by the US Department of Labor and included in the Project Manual. BID SECURITY: Each Bid shall be accompanied by an acceptable certified check made payable to the City of Cannel or an acceptable Bid bond in the amount equal to ten (10) percent of the total Bid price executed by an incorporated surety company in good standing and qualified to do business in the State of Indiana and whose name appears on the current Treasury Department Circular 570. NTB-1 BONDS: A performance bond and payment bond, each in the amount of 100 percent of the Contract price,will be required from the successful Bidder to whom the work is awarded. PRE-BID CONFERENCE: A Pre-Bid conference will be held prior to the Bid opening on Monday,December 7, 2015 at 1:00 p.m. at the City Hall, (Caucus Room — 2nd Floor), One Civic Square, Carmel, IN 46032, to familiarize Bidders with this Project. The meeting is not mandatory but is recommended. Please notify the City Engineer's Office (317) 571-2441 if special accommodations are needed by handicapped individuals intending to attend the pre-Bid conference or Bid opening at least 48 hours prior thereto. PLANHOLDERS LIST: The list of current planholders ("Planholders") will be kept by Eagle Ridge Civil Engineering LLC.Requests for a copy of the current list will be honored by email at mtanis @eagleridgecivil.com. DEFINED TERMS: Defined terms contained in this Request for Proposals and/or in any of the Contract Documents shall have the meaning set forth in Article 1 of the General Conditions,as the same may be modified in writing by the Supplemental General Conditions,unless another meaning is specifically set forth in the document at issue. Authorized By: The Carmel Board of Public Works and Safety Diana L.Cordray Clerk Treasurer Publication dates: November 19th,2015 and December 3rd,2015 NTB-2 NOTICE TO BIDDERS Notice is hereby given that the Board of Public Works and Safety for the City of Carmel, Hamilton County, Indiana, will receive sealed bids for up to 25 full-size 2016 police package vehicles (sedans and SUVs) until 10:00 a.m. local time on December 16th, 2015 at the office of: Clerk-Treasurer, City of Carmel, One Civic Square, Carmel Indiana 46032. Bids will be opened and read aloud on December 16th, 2015 at 10:00 a.m. local time Board of Public Works Meeting, in the Council Chambers at the same address. NO LATE BIDS WILL BE ACCEPTED. All bids must be accompanied by a certified check, cashier's check, or bid bond equal in amount to 10 percent of the bid. Bids must be good for 90 days. All bids must be submitted on the State Board of Accounts approved Form #96A. The bid envelope must be sealed and have the words "Police Car Bid" in the lower left-hand corner. All bidders must file a Non-Collusion Affidavit, and all exceptions or changes must be listed on a separate page. The Carmel Board of Public Works and Safety reserves the right to reject any and all bids. A copy of specifications may be obtained at: Carmel Police Department Three Civic Square Carmel, Indiana 46032 Diana L. Cordray, Clerk-Treasurer NOTICE FOR QUOTES City of Carmel, Indiana Department: Carmel Street Department 3400 W. 131st Street Carmel,IN 46074 Project: City Hall Brick Paver Sidewalks Notice is hereby given that the Board of Public Works and Safety for the City of Carmel,Hamilton County,Indiana, will receive sealed quotes,during regular business hours,up to,but not later than 10:00 AM local time December 16th,2015 at the office of the Clerk-Treasurer,One Civic Square,3rd Floor,Carmel,Indiana,46032,for the following project: City Hall Brick Paver Sidewalks All quotes are to be sealed with the words"City Hall Brick Paver Sidewalks"on the lower left hand corner of the envelope.Quotes will be opened and read aloud at 10:00 AM on December 16th,2015 at the Board of Public Works and Safety meeting on the 2"d floor of Carmel City Hall,One Civic Square,Carmel,IN. The specifications are attached and set forth in detailed documents on file at the Carmel Street Department,3400 W 131St St,Carmel,IN 46074. Questions regarding this solicitation must be written and delivered to the Carmel Street Department.All responses will be written and made available with the specifications at the Street Department.Please call the Street Department to confirm whether or not any such written questions and/or responses exist. The Board of Public Works and Safety reserves the right to reject any and all quotes. David Huffman Street Commissioner Johnson, Sandy M Flom: Edrrior c son, Crystal E Slant: Friday, 0EICEImbEu CI4, :IC11I5 1101:28 AM lc: .Icrn1cr, Sancy M Cc: F ifE1r, Flark! Subject: EIFI1h Agenda Hi Sand}, the hCC ilcLnmoregLotes1FatInElwouId like opErEIC fcIItf ElDecElml✓erl16`hEFIW ME Eli ir please. I' e listed the tii El of 1I"El prIC lEICts L E!CIA. If',CL need arythirg el'El, pIEla9E1 IElt ME know! ClanmEIArrLal! 301E1 Hamgirigl Bal kets :CI16 Fallac ium Annuals 2016 5grringl Lam±cls pEl Planting 20116 'hanks, &Oat&Imola on City c lI Cartmel StrEIE l Dew r1 mE1nt ICICI 1h. 131"51., C anmE I, IN 46014 P 311.7: .20W 8 cledmc rlc s or(i clarmal.ini.gc 1 7a : Board ail Iltblic Won) a Dal a : December UI, ]IJ and la:le t �l Ci1y a aanmel, Indiana Rena] ution No: BIW-]';-]9-15-01 &nom: CIT.! E PIGIINEER Pr ina i ll a] : PILGRIM ]I IIIHERAN CHUM FI Suns] I: CHASE BANK Board Nerd ens: I hale aanducted :I i na] i nspecl ion a i E]ILGRIM ]U1E EIRAN CHURa1I p na ject for 1 1 e fol1(Rif ncl improvement : I7&PI o f A9 HIER'I l f Ha E #I AMOUNT STORM WAT11 IfIaTECTION I]Atl 997211,1131 C ,838 .00 The above inpncvements 1alte teen comp. elacl and are aaaeptable to Iia city of Canme_ . ]I recommend acceptance al said impnurernenta, subjeel to the folia wi n91 condition : N.aintenanas Guarantee in the amount aii ]C% of t] a Benformance Guarantee amount la3 :TORN WAfHR PROTECTION 1 e be filed will the City of alarmel, sai guaranies to run favi a period of 133E (3) years. Maintenance Guarantee fa STORM WIITER PAOTEIIJ(N ELAN wi 13 k e ; 1,083.11 . Appncved: SIHfl M l II tIA11-- aity Engineers Be iI maaal\ted by 1l Ilaand of Publ :a Wanks and gaiety, City of lalima] , ]Indiana en t t i s 16" c ay of Deceml a� , 2(15, that t t e listed Penianmance Guarani ea Ilan PILGRIM i t 1HEIRAN CHURI f1 a a 1 isted at awe i a hereb'I ne]eaced and accepted by 1he aitil of Carme] , Indiana subject to the 1ialid aandition abawe . Signed: (P: esic ing Officer) (Memk er) (Memk er) I a a aic of Publi a Wanks and la£e I Pilgrim Luiheran Church 363CI W. 1C1601 Sltreeit Carmel, AN 46032 l 1"n jI cl ts,l m n ey.tag e1 h eL IuLheran c h ai r r h} N ovemk er 20, 2015 'Ilan Goer emiller Pastan Mr. ❑a\le Barne: Gloria Worth ❑epartment oil engineering Edi iaatian Di;ieatar C arms I C F a II '1 Civic Square Sa r; 1 Gran Willis ms C arms I, IN 46032 Canton lo the Cang iegatian dbarnes@carmel.in.giov Blear N r. Barnes, Jenny Rifts and Gail A owell Yatith DinaaIo.rs I am viriting on behalil al FlilgrIim Lutt eran Church to inilorm you that the work aE sociated viith our narking lot band h as teen Gzil Pemll completed. We via uld De to request a linal inspection and Diiecilon if Mti9in release oil the t and t eing held inthe ani ount al $ 10,938. The guarantee waE n novided in ti a lorrn al a mono i a rden/chea N . I fan Ci ild,ien and Youth can t e bs st re ached at chniston he i.h a now@gniail.com or by phone at (317) 4'14-6251 . R 1 Goerlerniller Pneichaa!Di iacion Elinc a rely, Donna Drew A:rsi9 Iain I la It e Tran a sunen C t nis Konow Debra Collins Flresident, Flilgrim Lutheran Church Offibi A alaogen 1Z110 pt one (117) 946-3221 /lax (317) 946-3190 /e-rn a II pilgrim@pilgriminchl.oilg To: Faand of Public trlonks nate : Cecemten ]A, 2011 and Safety a i t]I of Canme ] , Indiana He solution Ha : BPW-1:1-:I u-:1 1-a 2 Filart: CITY ENGIFIII9111 ininaipal: J]IFHRHY GREN - HARK GRENSHIRH lunety: PNA HANK 9aand Membens: I have conduatad Bina] insfleation of PAIII IAHNSHIRE Bnajeat for 111 ilaI ]awing improvements: ITEM CHASHI919'9 CHECKiI AMOFIT17 ROW ]MPROVEMNT :I:I137aA $:17 ,119 .00 STORM 1HWER9 :1 7 2 3 7 a 9 $:::i ,i a 9 .a C WA'_HB QUALITY BASIN 1:121105 :112 ,90a .00 Ila abave impronariants have been aampleted anc are accepiak ]a to the CO ] al Carmel. I in commend acleatance of said improvements, stbject to IIa fallowing aandition: Maintenance 0luaiiantee in tl a anaunt of :195 (ROW) and :I9; (9TORMWPITER) al the Performanate Guarantee anaunt for imll auei ents to le Ailed with til 4it; of Carmel , laic guarantee la i un for a H eni od of three (3) years. Maintenance guarantee fon Raw ]MPROVEMIIPI7 will be :I :1 ,1:12 .9C . Maintenance Cuarantee fan 97 ORM SEWER will be $1014 .11(1 . Maintenanae Guarantee fa] WATER QUALI71 BASIN will le ; ,200.00. Appnaead: 51;22 )1 ASHMAN C.`1 \I Hngineer He it reso]ead 1 A the Board ai Hublic Wolll9 and Safely, 0ita1 of Carmel , Indiana on 11 : s le day (II Deaiember, 10:11, that the ] fatec Ferformanae a t nantee fon IIARK GRENSHIRE al listed a baea is laneby releasad and accepted til the City ai Caramel, Indiana subject 1a iia listed cond:tian above. 9iglned: (Presiding aiia(1er) (N ember) (Nember) Board oil Hut]is Works anc Eafety Ela:nes, Dau id R Rrom: Jeffre)lJ. Grin ijyren@ind;l.rr.com> Sent: Weclnesda)l, Na\iember :i9, 2011 ]0:49 AM To: Barnes, Dauid R Stibiae : RarH Grenshire - Release Request of Rerfarrnance Guarantees Good Morning Dave, I'm writing to req nest tte release otl a luncls that were pasted as Rerfla rmanae Gila ra ntees for Earl+ Gri nshire, Ionated at 1960 811E180 VI 936t1 Street in Carmel. Tf e kinds llrovidec were in the iorrn o live Cashier's aI eck9, par le to Jeffre'l J. Gren,as ollov19: al ak No. 1O1319EI 3,800.00 Initial erasion Control al eak No. 1O93191 4,300.00Seaondar Erosion Control al eak No. 1:113104 ; 11,9OO.00Storm Severand SSD al eck No. 1:133109 ; 1],000.00 Dete ntia n/A ate r C ualit!l B asins Cl eak No. 1:131909 11],150.00 Multi-We Path an( Oa riareti Drivers ay P lease let me kn a v when a good tirr e would t e or ra e to stop t y}la ur oflice to pick up t} a 9e it a oks. Ttankria u, JeflreyJ. Gran 1080\A 136t1- Street Carni el, IN 46032 jgren@indy.rr.earn 311-989-1681 1 To: Based of Pub: is Clanks nate : Decemten 111, 20: 1 and Safety ait71 oA Carrie: , Indiana Resolution Pa : BPW-17-] 11• ]9- 09 Faiam: a ITY ENG111IIIH nnincipal: PPV, LLC/PLATINUM PROPERTIES 'la l u ne t y: BONA SAFEGUARD INS URA.I CE COMPAN] 'laded Member: : ] tate conducted ural inmpeai tan of LOt10I HINGE ESTA711 liaT➢ONS 1 0 lA paoject Ilan the follotiiing improvements : ITIIM 91BDIVISIO1 HAND AMOON1 BUILDERS SIDEWALKS ma . 2) 5011171 $91,11] .71 INTEIOR 1117EWALKS (SII: . 3J1) 5011]0 l $50,63G .11 The above inpnovements fate been aarlp]ated and ane aaaeptable 11 tta City of Janne] . 2 reaamrend acceplanae ap said imana\Ements, maltjeat to the fol ]a41i na condilian : Maintenanae Guarantee in the amount c1 10% of lie Performance Guaaantee amount tan BUILDERS SIDEWALKS SEs . 3 to be filed with the City all Carmel, said gylanantee to run bor a periac1 all three (1) years. Maintenanae Guarsniee for BUILUIBS SIDEWALKS SEG . 2 will le ; 9 ,]27.11 . Maintenance Guaranies in the amount of 10% all the Performance Guarantee ami un i dor INTERIOR SIDEWALKS :I lla . 3A to be Cued with the Oily of Carmel , maid gyarantee to sun for a peaiac of three (3) years. Maintenanae Guaaantee for INTIH]OR SIDEWALKS SEC. 3Pl wi]] be ; 5,064.110 . Approved: �I9H 'SU 0 i }I Engines i. E e it res a b e d by the Boa act al R ubli a Llan} s and Sa is i 1, city of Ca rme h , Indiana on l hi s JOSH da of Decem] ea, 2015, Hat t t e listed Pe ilia nmance auanantee fon IaNG RIDGE E]T.N]HS SECTION 7 A 31 as li: l ecl ataze is teneby released anti accepted t ±l the City ail (Ianmel, Indiana subject 10 1te hinted condilian above. Signed: _(lresiding Ofiiaen) (N ember) (N ember) Hoard of Pul ]ia Works and lalety 9rom: Tim Barry <TBarry@platinum-propertiE..com> lent: Tuasday, July 21, 2015 1:22 Riv 7a: Barnes, David R 9Lk jaal: Iangl Ridge 2 & IA Builder `,liclewalkn Rerfarnianae Bond C ave, Builder fldewall s at Icing Ridge Esta ta9 Saatian a and 3A are nov complete. Please hada 0 am inspaate c and let me knave if any repair' a ra needed. -11 an Tim Berry, P.E. ArojeatftiIriaEr (]];) au-He: (a) (1 ];) a -:055 (f) 1 liar{lel Soluiticinis Carmel Fines aqui -:Iai fl AppIrapIriaiuics❑ #z 3I-`I92.0CI; P.O.#1474 CemiInaacsl oil Tel B,ic iec I ,2 3I`1.0(I °;, AGREEMENT FIC)R PURCHASIB C)FI GCCDS AND SERVICES. THE PIG RE E IV EN11 RC R F L RCHAE E C R GCOCIE AND E ERV ICES rAgreement") is hereby entered info by and between the City cf Carmel, Indiana, acting by and Ihrc ugh its Bcard cf Fublic Wcrlka snd Sailety "City"), and llarget Solr-liorls an entity duly suthoriaed io dc business in the Stele cf Indiana ("Vended"). TERMS AINCI CC NOITIONS ACKNCI\ALEDC MENU, ACCER11ANCE: VElnccln acknlowlecgals at ii 1•as neac anc urlceratares this Agleemeni, arc agnee;l Ilial its exam lion of same wrath utEls its acclepiana€l oil all oil the Acpiclemenil's term,arc acindiiiclrs. 21. PERFORMA NCE: City agneea la pu lahase the gooc a arc/or sEIrviiEls (1t1'El "C clads anc EIElrviaEls"; llriom Vendor using City kudgei apprapniatior runitEul 43-9921.CICI flurlci. Vandal agrees to provide the -clods arc Services and ic1 ath Elrwise porton.' the riequ iremElrts cd tr ii AgrEiE1rr1Elrt Ly applying at all times the h ighest technical arc inc sl siaricands. 3. PRICE AI\D PAY MEI\11-BERMS: 3.1 VE1rc on estimates ih ai 1 El ioial prime fou tr El Goads and Services to k El pnou is EIC tm City hereunder sli all be rc1 mane ih an Fou rteElrl Th ciu sarc Rau n Hu ndrErc It it v Five Dclllans($14,z 39.CICI) 011E1 "Estimate" . Vericall shall submit an irwoicEl tc1 C Hy no mane ihar onacl every Thiry 1130) cays CEltailirig the Coacs and SElrvicles prclvidec 10 City within such time period. City shall pay Vardar kr such Goods arc SElrviiEls with in si><iy (1601 days afi en th El c ase of C iiy's raaeipi oil Ver ic cut's invoice c etailirig same, so Icing as anc 10 111 El Elxieni such C ocic 9 arc SElnJicle:l axle rat c ispuied, arEi in corlloumarcEl with the apeclifliaatians set forth in E>Ihikit A, we submitted an an irivoicEi That cartaira The inflammation contained or attaclhElc Ext.itii 13, anc Vardar has otherwise performElc arc salisliElc all the 1Elnms and clone'liars of this Acpleemenl. 3.2 Vericearl agrees not 1c1 provide any Ccicics and Services ic1 Ciiy tl ai v au lc clause 1h El total cosi o1 the -clads and Services proviced ky Vendor tc1 Ciiy bEUlauncEDI 10 e>'aeE1c tr El asiimaie, unless C iiy has pirle\iclusly agreed, in wniiing, la pay ar amount in El>CEIss ihermElcd. 4. \ARRAN TY: Verc cul e>'cplessly warlrants shat tr El -clods and Services cclverec by III is Agleem€lnl will corilorrrl to tr oats' car air specificlatians, cescmiptioris arc/cm c uciIalians rErgandincl same as v elm prim iced to Verlc all by CiIy arc/or Ly VElrlc cnl to arc aca€lplElc by City, all of whiclh dock.rn or to arEl inaorporlaiec ['mein ky rEIfEWE1n(IE1, and chat the GOO(El arc EIElrviaes will be cEllivermlc in a timely, gooc anc workmarlike marirenand frElc111nom cafElclt. Vericculaaknowlecgas that it krioins cif City's irtElrcad use and exclnesaly wannariis shat th EI C oac s and SElruiaes clnovic EIC to C iiy pu nsuarii tc1 this AgrEIElmElnt havEl beer sEllmcllElc ley Verlc cul le aged upon City's slalElc use arc ale slit and sullficliElnt fan their particular pu rpclsEI. (8:\ConlraCls\Pro1.wee&Gh«1r wcs\E rc 0 ep\@015\Tarc\I Iuuons Go Is&Services IORM-W17H E-\lost I I nn,I.m8c.duc:11/23/2011 4:14 PN 'liar€le1 5 oluil icor s Cairmu1 Fira Elat Ian man l -:ICII ApriroririallIkin#L 3-5 52.00; P.O.#:I47z'A Can had I\at Hxcaac 1114,435.00 TIME P ND PERFORMP NCE: llh is AdrEiEirr Eint sh all k Eicorr e e liectiv El as oil i h e last dale on wh it a party b Euiei a e>I Eiauies same Q"Elleclti1,El Dale";, and k cith parties shall thereafter perform th Elir obligations I Emeuric Elli in a timely merrier'. Time is al th El essence oil ibis P grieemenl. EI. DISC L CISURE AND N ARNINCIS: Ii uequestElc by City, Vendor sh all pramplly fu Irish 10 Ciiy, in such Tarim aric c Erlail as C ily rr ay c ineci, a list oil all ahemicals, malErnials, sukstances and items usEI( in an during ib El bpiovisiarl of the Gooc s anc Services arm iced hEuleuricElli, irlaluding th El quarility, quality aric concentration Ihelieol and any cilheii inrlcmmalicrri rielat irig thereto. At th El lime oI 1 h El dElli\aryl 0.1 1 h e C s arid Serviaes pliclvidElc berm rider, Venda'agrees•cr furnish 10 Cily sullfiaiErrit written warning aric naticle (irlaluding appnopiiiatEl lakels ctrl coriiairieis anc pacrkirig; of any h aaarc crus material ul iliaed in on that is a part ail th El Goocs and Services. 1 LIENS: Veric an shall riot cause or permit the filing of any liErri on any of City's property. In ih El event any such lien is filec and VElric an lails to remove such lien w iib in tElri (1(I; c Drys miter the filing lb ky payment or bonding, City shall h ave th El right to pay such lien an attain man Lonc, all ai Veric cm's sole cost anc expense. El. DEFAULT: In the ev ant VErric an: (a', repudiates, breaah as oil deilaults udder any of th El lens tui clanditians al ibis AgiElemerr, irlaluding Vendor's warlrlanilies; (k; lails la provide the C arid Services as specilliEld herein; Qc; flails to make progress so as to eric anger timely and proper'prlo%ision of•he C acids and Services arid coes riot aon ecl Ell oh Ilailu re all breach with in live 15] k u siriess c ays (oil su clh star en period of time as is aommeraially reasonak IEl undai the cliicu mstaricres; ailtEm receipt oil ricrtice tom C iiy speclily rig Si.oh lailulie or L read.; or lid) k Elaomes iniscilveni, is placed into rElaei%E nsh ip, makes a gE niElrial assignment ilor ih El LeriE lit of arE c liars cm c issoly E s, each such ev E rid cchist ii ut rig an ev E nil of c EIf au Ii h E lieu nc Eli, C ity shall h ave th E right to 111 terminal all or any parts of ibis AgrlEems nit, Niihaul Hatili) to Veric an; arid PexE'IaisE all crtdEli nights arid remedies av ailak IEI to City al law aric/till in equity. INSURANCE AND INDEMNIRICATICIN: Veric an shall praciu rE and maintain in lull ilonaE aric Effect c u ring the term cif ih is AgreemE ni, w iib an insurer IiclensE c to c cr busiriE ss in the SlalE oil Indiana, such irisu iianicE as is necessary fou i he pnatElcr icrrl oil C ily aric Veric an fiiam all alaims fcui carriages uric E r any workers' compE risal iari, oclaupai ional disease anc dor unemployment aompensaticrri aal; ion boc ily inju IiEs inch.c irig, k ut nal limited ter, pE isorial injury, siaN riess, disease or death of or 10 any al \J en cciii's agErits, clflliaelis, employEEs, caritraalans and 5LLcoriiracrlars; arid, foil any inju ry 10 oil desin.iclticlni of prioperty, iridudinig, Lut viol limited lo, any loss al use rE suiting th enehiom. Th E aov E nagE amou ilii s shall L e no less th an those arriClu tits SE I larth in at ach EIC Exh it ii C. Veric an sh all cause its irisu liens to name Ciiy as an acciliorial insulted an all such insurance paliaies, shall Kpomptly picrvic E City, upon rlequ E SI, w ith ccipies of all such policiE s, anc sh all prod ide ib al such insular'CIE pcitiaiE s sh all nal bE aaria€led with out lb irty (3(I; c a)s prior notice la C ily. Ven(or shall Inc E mriilly and hold h arimlEss City frail* aric against any and all Hat'lilies, cilairrs, dElmarics on e»plena s Qiniclucing, Lui rich IimitEc lei, reasonable attorney feE s) Ion inju r}l, c E ath and,lor carr ages to any person all property arising tom or in correct icin w iih Veric an'I provision of Gooc s aric Seniiaes pu Ilsu ant to or uric E II Ihis P gneElmerii cm Veric an's u5E oil C ily prcipen y. VE ncon fur h Em agrees io indemnify, do lent aric holt harmless Ci y arid its olliaers, officials, agents aric emplayE E s tom all alaims aric soils 01 wh ale%E n typo, inclu c irig, k ut riot limitE c 10, all court costs, aitcmney IE es, anc other expElrisE 5, car SEIC by any acct or omissicrri o1 Veric an and/tui cif any of \)E nidor's agents, olficEnis, Emplciyees, coniraatars oil subcciritiacicros in the performance of is AgnsemElrri. ThesE indemniliaatiori obligations shall survivE the terminalioni of this Agreement. Ip:\p�mvaassPru I'..' cs&GooI S�cs'Jlir.DapI\21119\lnrgcI Solu bons Urrnls&9+rviccs FOP M-PIITH E-Nerdy Lmgnnjc.drs II/I 3/i4194:14 pM1 7 Targiel Solullicins Carmel Fire Der me -�ICI1�I Apriraclriail km #4 3-_`152.04; P.O.C14 74 Can li aail Noel Tia Ba at en gl: ,z 3110C1 '10. GOVERNIN ENT CON PLIANCE: VE rlc or agrE E s io comply with all lec E tial, sialE arc local laws, exE clut ive aric Eris, 111E5, rE gL latiorls arc aodE s which may bE applicable io VErldor's performance of its citligaiicarls urlcEn this Pgrief men 1, arid all rE1(vant prclvisions IFErleoil au( irlcanporatec her(irl Ly this flak rlerlclE. VErlcor agrleEs ica indE mnily anc hold I-armless City frcam any loss, camagE anc/oil liability r'esultin'g lrom any sLch violation cif such Taws, cinders, rL1E5, regi.!at ions anc (laces. Th is inc Eirrrification obligaiican shall SLniive the termination ol this Agneemerli. '11. NON❑ISCRIMINAIIIC N: VErnccin represents and IAarr'ants that it anc all oil its dicers, E mployees, agents, ccirltracllcins anc 5Lbaontnaalors shall comply with all laws ol iFE Urlilec Slates, the State cif Ir c aria arc Ciiy prcaF'ILitirlg discmiminatiorl against any employ(E, applicant for employ merit an cath E r'pE mar in tF'E p"avision oil any Claods and Services cpiovic EIC by this A gneemeni iih nespElas io their h irEl, tElrlrlr'e, terms, ciorlc iiicanls anc piriv ilElgEls of EIrnplcaymeni and arty other matte' rEllatec io their' ElmployrrmEarli (III sLitcontracitinq, bElciausEl ol laca, mElligican, color, sex, handicap, national origin, arlcElstry, aClEl, cisabiec vElleuan stales anc/or ViElinam Euia veteran status 12. E-VERIFY Flu iisuani io I.0. el seq., as 1 F'e sarriEi may k tEl amen(E c 'loom lima to time, and as IS incouporaiec F'mein by This neilElnerlae (IF'El "Inc iana E-Veriily Law"), Vendor' is nequirElc 10 enroll in aric \Emily th El VI ark Elligitiliiy stalus cif its newly-F'ir'ed employees using the E-Veriily cpiogram, anc to execute the Ailficavit attach EIC herElin as Exh it it ❑, ailfiiimirlg that ii is erl"clllEac and par icaipating in the E-vanify program and c saes not knolnirlgly employ LnauihoriaEld aliens. In support cif ihe Affidavit, Vencor shall provide the City with coclumenitatiorl indicating that it has enrolled and isl parlicripating in the B-Verify program. Shoulc VericCm subaanir'act lot' the performance ol any worN L ricer anc pLmai.ant Ica chis Agreement, ii shall fully caomply with th El Indiana E Veriily Lave as r'egar'ds each such subclorltr'aaton. Should the VElrlccan cin any subecantnacior violal€l the Indiana E-VEuiily law, 11-e Ciiy may negr.lirEl a aura oil suclh violation anc thEuieailtEui, if rlci timely CIL 11E1 is pErrfcanmed, terminate this AgrEaElnaeni in aaaaaridanae wish eiihen the provisions hereof or those sElt forth ir the Indiana E-Veriily Lave. Th El nequ iiicimElrlts of this paragraph shall scat apply shot.lc the E- Veriily program (iEIEISEl la a>ist. 11 NC IMPLIED WAIVER: Th El lailurEl cif Elilher par y iaa nequ ilia performance by ih EI cash Eu' 01 any {piovisian oil th is A gneemeni shall nkat ai lElal the right cat such party tca near.i11E1 :IL cih Klerfcrimarice at any time 1henElafter, run Ell-all tb El waken t y any party al a t reach cal any pnov ision of th is Agr'ElElrraElnt aaanstitLile a In aiver tai any suaaeec incl breach of ihe same on any cith Els Kpiovisicar h(u'eoil. 14. NC N-ASSICINN ENT: Vendor'shall not assign or pledgEl this AgrE ElmElrll, N F'ath an as collateral for a Icaanl all otherwise, arc shall rlcit C EIIEIgatEl its cit ligations a ricer this AgrEiEIrriElrlt with CILt City's price'w niiierl ccirlserlt. 15. RELAIIIONSHIR OR PA RTIES: Th El nelai iaarlsh ip of th El parties her'ato sh all Le as piicividec fan it th is A gneElmeni, anc reit!.Eul Vencor' r ar y cli its officers, employees, cioninacions, subaontnaatons aric agerlis aro Elmpldi eEls oil City. -UF'e acantiact pike set lar F' F'mein sh all Le the fL II arc maximum caompensation arc monies nElquirElc oil C ity ica k EI paic to Venda'ancan can pursLani io this AgneElmerll. [S:\Canlraas\Prof.Ivcs&G.c 19 iics\Thrc Dcpl\2()5\Tr,+c1 9.Iniions Guorls&Scruiccs RORN-WI1H H-Vcnf;l I rr,+mgc.do:I Il2I/]0II-0:14 PN I T aIrwil 5c 1L don s Carmel Fina Depart mer.t-2(11 . A p1I iioniiia tic 2.0(1; P.O.4124114'1 C anitnact Nc t T o Hx teat 914,435.0(1 1El. GCIVERNII\G LAV\; LAV\SU111S: 1 h is Agrleemanl Is lo be cIcln;11r1.IElc in aaccIlIdanclel with arlc gov€u'nec k y th El lain s of 1he Stale o1 Inc lana, except I(I" 115 clonflicrl of Iain s pllovisiarIs. Th El parties agrEic1 11-a1, in The averll El lawsuit is Iliad Eineurc Elr', They waive Their' righl to a jury Trial, agrEla 10 file any such lawsuit in ar apprapniata cloud in Hamilton County, Inc lana only, and agrElE1 Thai such cclL r i;'tha appr'opniaie venue lop arc h as ju nisdiciion CIVEIII sarrla. 11 SEVERABILI1111: I1 any tam ol th i,l Agrleemeril is invalid cul urElrfouaeakla under any slaiuta, uegulaiicln, ardinarc'e, exaaulivEl aider or other riule of law, such Tarim shall k a c aamac rE1lorrr1Elc oil(Edalec, k Lt only 10 1he extent riElclessary to comply with ,lama, arid ill El remaining prclvisions cal th is Agraamant shall rElmain in Lull Iorc'e ant Edleci. 18. NO11IC E: Any ricdicEl prclvidec fay in this Agueemen1 will Le sullfiaiart if it is in wriling arid is caliverac by paslage puepaid U.S. car flied mail, oE'tL tin necaipi iequastac, tcl th El par y to be noiilied at th a ac c tem speailiec h mein: 11110 City: Oily cif Carnal AND Dclu glas C. Haney, City Attorney One Civic'Squara nape mant o1 Law Carnal, In('aria 4E1(132 Ona Civ ic'Squara C animal, Inc lana 4E1(132 II id Ven(oil: 11arigal Soluticln;' 489(1 West Kannedy Bclu Ievar'd, Suite 74(1 1lampa, Rlarlida 336(1(1 ATTENTION: HaririE h SkE pandas Natwilhstarlcirig t1 El abova, notice oil iar'mination under paraguaph '19 IIEu'einbelom shall be af11eclivE1 if diver) anally, a:' Icing as writtE'n notice is lharu puclvidElc es set fclrth hereirakOVEI within five 119) business days Iran' the cata oil such oval notice. 19. TERMINAI1ICIN: 19.11 Notwilhstartirg any lhirg 10 the c'orlirary contained in this Agueemeni, City may, upon ratic'e io Vent an, irr'mec lately TEIr'minaia this A gr'eemerd for causa, in the event of a deilault hEiiElunc all ky Verc cu' anc/o" it suflicierli func s arse nclt appllopriaied or encu mk Ei1ed to pay Ian th El Gooc s and Services 10 k a puovic EIC h EII'el.lrlc an. In 111 e evElrlt oil such ierminai icln, a ardor sl-all ba erliitlac 10 DecEli\a arly pay mant 'Tor the undi,'putac invoice amount raprlesElrtirlg con laming Goods and Services delivEuled as oil the tate ol tEu'mination, enerlt thal such payrrlElrt amours shall ail owed the Estimate amount in elect at tha 1imE10'1 termination, unless the parties hava praviously agr'eec in w r'itirg icI a greaten amou ni. 19.2 City may 1EilminatEl this Agreement at ary Iime upon shirty (30; cays prior notice ici Vencor. In the Eluent o'1 suah termination, Vendor shall kEl erltitlElc icl reaeivEl only pay marl ilor thEl uncisquied invoice amou ni 0'l c'onilorming C oat s anc Services c aliverad as oil th El c ata cif ier'minatiar, o cep' thal :IL ah payment Elmourt sh all rat exceed the Estimate amount ir effect at th El lime cif tEu'miratiorl, L plass II-a par'Els h aVE1 previously agr'eec in w rlitirg 10 a guealEu'amau n1. 19.3 It El C iiy may ienmiraie th it AgraamElni rlursuant to Paragraph 11 haueol, as apprclprliala. IS:\Con r cuV ro1Sncs S.Gox1a 9vcs\1Iirc D c{I\I415\Tnrpnl 9olulions Goc Is S.Scr'liacs I ORM-VAI"}I H-\Unify 1:url.unynrkx;:l I/73/2C 1:1 1:14 Pt I 4 Tlarga I kilu tior 19 C aiirnel Fire!Dcipairil mar it -2(I 1 AcIpropriatior #14.1-5_`21.00; P.O.#124-141 C ontraict Ncit 'Ila caad$14,421.C10 2(1. REPRESEN1IATIONS AND WA RRAI\TIES Th El parties) rlepliElserii and N arrant ill t th Ely aiiei au l holliaed to mien into th is Aver—Kiri E nc i h al 1 h e pEIIlSCIrrS El)ecu.lin g th is AgrElElrrrElrit hav El the E ui h arliiy 10 Lind th El party VI h iclh th Ely rlepreserli. 21. ADDITICINAL GOODS AND SERVICES Vendor aricElysian(s aric agrees Thai Ciiy may, hnom linrEl tcl lirrlEl, moues! Vendor la provide acditional gocics aric serviaes 10 City. When Ciiy c Elsirles ac c ii for ial gooc s and service's foam V endow, th El C iiy shall natilly Vendors of such EcditionEI gclads End services desired, Es Lr‘ell as the linnEl tame in vi-ah sEme ane is be hplovicEIC. Only alter City has appllavEIC VElricCIII'S timEI and Closl Elsrlimaie llorl the provision 01 such acciiional gcicics anc services, has Elriaumberec sulliCIEICIi mclrliEls to pay tor same, and has aulhoriaelc Vericclri, in in lilting, to prionisE EIL all Eddiitarsal gclacs End serviaes, shall such gams and serviccls bE prow iced ty VEncor 10 C i1y. A dopy of th EI Ci1y's auih anization c ocu,monis foil the flu.rich ase of addiiiclrial gooc s aric services sh all t El CIL mbElliEld arid E t1E ch.EIC i Eulei cl in 11.-El cinder in v,h iah th Ely E riEl appliClvElc by City. 22I. TERM Unless otherwise lerminaied in acaorc ante N iih the tE rumination piovisians set llor1 h in ParagrE ph 19 IIEireinabove, this Agreement shall to in elfElat flnam liEI EfileclivEl Date through DEloemten31, 2019 aric sliEII, on the firs) c ay oil EIE oh ,January th E neater, autclmalically rleriE vu for a hlE Iliad CIi are IN l) calendar yE E II, unless otherwise agrE EIC by the parties hereto. 23. HEA DINGS All heat irig and selcliclns cif th is A greemeni arE insertec fon cclnverniElriae drily anc do riot dorm a part oil i h is Agreement nor lirrrii, expand an clth ElrwisEi alien thEl meaning of any prim isian herEloil. 24. BINDING EFFECT Th EI parties, aric thein respelciive afilicEuls, ollfiuials, agents, par riers, suaCElssors, assigns aric legal relpreselnlEti'Es, are bor.nc 10E 011-er wish rEspeclt to all oil ihEb CCIveriarits, tE urns, walrlanliEs arid atligalians set lClrth in AgleemElnl. 25. NCI11FIFID RARTY BE I\EFIC IARI ES This Agrleemernl gives no nigh is or teriErfits 10 anyone olheil than Ciiy and Veric an. 26. IRAN CE RTIFICATICIN: Pursuant 10 I.C. g 5-2121-16.5, th El VElridoil shall aertily ihai, in signing this dooumElnl, 11 c CIE El nol engage in invE sltmElr11 Eld v ii iEls uv itll lrl the C CIL ni ry 0 Iran. 27. ADV ICE OF COUNSEL: The parties wamlanl lhal they have read th is AgrleElmeril anc a ncerstanc ii, ha%el 11E the clpportunily to obtain legal ac viCEI anc assistance o1 CCIi nsEll ih nou gh chin ihEl negotiation oil 11.-is A grleemenl, aric ElntElll into same freely, volu nlarily, and vv ith out ariy c weal, uric t El in Ilue rice or caenaicln. 28. ENTIRE A CIREENIENT: Th is Agreement, logE i hen will' any E>hit its altaclhec heroic, an belfEulenoElc Ii Erleir, cor stitu'EIS th El entire agrleemerii belweEln VE ncor arid City wish rasped) to the subject matler herElol, aric supeusec EIS all prior anal tui vl ritien bepreseniations anc agiElemElnls IIEIgarc irig same. Noiwith standing any atil EDI term o11 eclndition set north h Elrlein, but a tjElai la paragraph -16 hared, to th El exieni any term or cclnc itiori cioniained in any e)hit it attach EIC ICI th Is A glleemerll or in any doclu merit Ile lelrlenicield h E dein cionllicits vl iih any leirlm or cioric iiiorn cloniairied in it is AgneElnlernl, the 1Eium can ciori(Ilion aoriiainec iii this Agreement shall gavern arid prleuail. This AgrleEmerni may only be mcicilied ty uvriiiieri amelridmenl e)Eculec ty Loft parties hereto, or their successors in intelesi. [S:\ConlrarIFVIrof.INus R GoixI,9nos\Flirc 17.,f,\141.1\Targ.11oh I,os Goin,&Stanton 9GRN-WI1H L\Icrif'1I an,.uagc.doc 1/23/20111:14 PN J 5 Targot Solt lions Carmel Fire Depart merit-70151 Aprlrcrprialion#43.532.0CI; P.CI.#2424) Contract Nc t To E xceiee $114,4 351.00 IN IA ITN ESS WHEREOF,the parties'l'erEIlo have mace and e>ielcutac ihisl AgrElemeni as folios: CITY OF CARMEL, INDIANA Target`olutions by arc 1 hrclugr its Boauc al Rt b Iia Works and Salety By: By: James Brainlarc, P1 esic rig Officer Authorize Signatu • Dale: AiICA' DAY Pririteld Name N ary Ann Bt,rike, N emb er Dale: GENC nAG /4"AAJJ4(c& Title Lori S.Watson, Member F 2 4~ 3S27' 7 1 Dale: Lasi Four oil SSN if Sole Prciplriellar: ATTEST: Dale: Diana C clridray, IA N C,Clerk-Treasi eer Dale: vi,a,.4,retd ., aea, i. .,e„ rR,pni,.r. .d ,,,,.ui,cs.va.,.Ftrunt.wrnao v< h.ru_,� ,ao nar.^u,.einnrr Schedule A TARGET€LUTIONS - - - DATE of SUBMISSION TargietSoluiWVors1 Leannirg , LLC - 111/11E1)30151 4E 90 V1 . KE\NED) El VD,SIL ITE 7V1a LICENSE TERMS: 11/11/16- 113/311)116 TAMPA, FL 32I90S Car trawl Renew al Plnopcesal Exclu sh ely Created for: 8115441.6313-TOLL FREE Hire DElpartrr ent 89E.992I.EI8E a-DIREC1I/E 5E.4187.816:1-FA) AT11IN: Chief 8u 11 leer Account Mariner: Hannah SlkanEuedas a Civic Square Canmeel, lis 46032 Email: harinah.skaperdais@largetsalutiarus.ciom 113117)5111-3E10E1I a11IEIr@ carmEll.iri.gcev Rh one:E198-37 6-11EI118 TargetSolutions Online llnaining Rlatfcuem License ClustcemizEid WEitsile,Administration llaols,zest Applications l N Ill PRICE CUL AN 11ITY OESCIRIP11101S T07AL PER L SER (#of Users) Tanga Sclulicens Rlatfcuem: FirEifi€IhtEins 85.CIa 180 $ 141,340.Cla 'Iotail Annual InvestmEerit $ 1141,24(1.0a Ar rnual Mainiteriance Fee ; 159.CIa 1 ;1 1199.03 TCITAIL DUB ANNUALLY $ 114,41319.00 9y signing the Client agneemEerit,you zine 11 agreeing to the anicina anc teams presented in this proposal;2)agrEeeeirng y ou have mac and aiccElFlt the(flier I AgrEeeement z nid I icEerise terms z rid;?) agneeeirig yceu have rEeac th a Tz ngeetSclu titins Rlafcenm Slys1 em Requirements anc Rlatfcuem Solution Description dcecu merits listed it c etail al 1 h e following url: http://www.tangetsolilions.corniclients/client-rEisources/ h IIgEel_'celutiors A eiarr it g c or ileac t renewal prceposc A Rlricir g is Slooc for CI do ys from Date cif 1 ubmissior AistEuc aticevei. liecekd H I e T 1 ??Q IP y a la rtf il.1131 ,�C V D , 6113 Noir rnenfafLaw +LUTIONS Client Agreeirrieini 7l is Client Agreement (Ih e"FlgnEiemEint"),elected as di the date naled in the attached Schedule A(Ihe"Bflciclive Dale"), is by and beitHElen TangErlSolutions Leming, LLC. ("TSL"),a Delawane limited liabilily company, and II El undensigned client ("Client"),and governs 9h a punch ase and ongoing use oll Ihe services described in this Agneement(it a"Services"). I. Services. 11SL shall provide the following 2.1. Cllienl acknowledges it at 11SL alone (and 7HE MAXIMUM BX7BNT RBRMITl1B0 BY services: its licensors, wheilEI applicable) shall own all FIRPLICIFIBLBLFW. 1.1. Flccess. 11SL will pnovide Client anon- nights,title and intenesi in and 10 7SL's softtlane, 7. Miscellaneous. exclusive, non-Inansteinable, 'evocable, limited WEIbS11El on technology, Ihe Course content, and 7.1. Limitation on Liability. Bxce pt as it relates license to nemolely access and use the Services Ihe Services pnovided by TSL, as well as any to claims related to Section 2 on Section 7.2 ol and all suggestions, ideas, Enhancement hEneundEn and, unless pnohibiled by law, will this Agneement,(a)in no event shall ell e'party requests, feedback, recommendations on diel pnovide access to any person designated by information provided by Client, and this be liable 90 the other, whether in conlnaCl, Client("l semi"). wannanty, tort (including negligence) on Agreement does nal Convey to Client any rights oil ervlise, tion special, incidental, indirect on 1.2. Availability. TSL shall use conimencially of ownEinship 90 the same. lll e 11SL name and consequential damages (including lost profits) 'easonable effors to display its content and logo ane trademanks o1 TEL and no right o' ng arms iout o11 or in connection will this coursework Ion access and use by Client's Usens license is granted 90 Client to use them. Agarm ng ienl; and (b) 1h a total liabilily o1 eilhen tvElnty-flour (24) hours a day, seven (7) days a 4.2. Except as oil env IisEi agneiEid in wailing or to party for any and all damage's, including, week, subject to scheduled downtime born routine the extent necessary, lion Client to use the without limitation, direct damages, shall not niainlenancei, elmergeinql niainlenancE, syslercl 9envicEis in accordance with III is Agreement, exceed 91 a amount di the total lees due 90, or outages and othen outages beyond 119L's control' Cllienl sl all not: (i) copythe course contenl in already paid to, TSL fon She preceding tHelvel 1.3. H alp Desk. 11SL will assist l se's as needed whole on in part; (ii) display, nepnoduce, create (112)months. on issuEis relating l0 usage via e-mail, and a toll dEinivative works fnom, transmit, :ell, distribute, 7.0. Indemnification. TER_ shall indemnify and fneEi Help Desk five (5) days pen week all lent, leasee, sublicense, Ina nsfen or in any way hold Client harmless tom any and all claims, scheduled houns. exploit the course content in whole on in part; damages, losses and expenses, including but other .1. Client's Ohligaticiris. (iii) embed the come content into not limited to nEiasonable attorney lees, arising p'oducts; (iv) use any Inademanks, s er vice 2.1. Compliance. alien' s hall bEi nesponsible for marks,domain names,logos,on othEin identifiers out cifl cin Serviceslieson Cham any thiud party claim Iha1 of 79L on anyof its third partysuppliers; al a Ih ei on any component thereat infringes L.sells' compliance with this FIgneemen9, and use pP O on uiola9Els any intellectual properly nigh ol any commercially reasonable eflorls tci preivenl iieuense enginEier, decompile, disassemble, or access She sounca code of anyTSL softwaue. Person. unaulhonizEld accE ss to an use di the Sciaticas. 2.2. Identify L.seas.Cllien9 s hall(i)pnovide a listing 4.3. Merit hereby authorizes 11SL to share any 7.3. Assignment. N eithen party may assign or 01 its des ignated)enrolled Usens; (ii) cause each inlelleclual pncipElrty owned by Client ("User delegate its nights on obligations pursuant 90 this 01 ills L.sells to complete a profile; (iii) maintain GEne'ated Clonlen9")1h at it: Users upload to the Agneement without the pniou written consent of user database by adding and lemoning l sera as Community RSIs ounces s ed ion of 1St's webs ite Ihe oil eul, pnovided that :uch consent SI all not appncipniale. with T,IL's 3" party Customers and USE IIS that be unneaso`ably wilhleld. Notwithstanding the ale Lin aE lated to CIiE nt ("Oil I en TSL foregoing,T.IL may llreE Iy assign on Sonde r any 2.3. Rutunel Runclionality. Client agues that ii: CuslomEns"); provided that T:IL must provide an all of els nights without alien' consent to an purchases here Linden ane neilhen contingent on notice to Cllient's users during II e upload afliliale, or in connection with a merger, the delivery oil any triune functionality on feature s process it at such Use r Generated Conten) will acquis ition, corporate 'eolganizalion, on sale of nor dEipeindeinl on any public comments regarding be shaned with such Other IISL Clustome rn. all or substantially all of its assets. lulunei flunctionalily o'lea tuliES. 7A. Rona Majeure. 1ISL shaft have no liabilily 5. Term. foil anyfailu'e or delayin erfonmin an cit els 3. Rees arc Ravmeint�. P 9 11 The term of 11 is Agreement shall commEince on obligations pu'suanI t0 this Agreement duel to, 3.1. Rees. Client will pay ion it EI SEIrviCEIS in 9h a Bflec eve Date, and will neniain in lull ibnce on arising out oil, any ad not within its control, accondance with the fee schedule in Schedule A and effect foul She tenni indicaled in Schedule A including,will out limitation,ads o1 God,strikes, attached tothis AgreElmenl. ("7ernl"). Upon expinalion of the Initial Teim, lockouts, wail, riots, lightning, finer, slonnl, flood, 3..1. Ravnienls. All fees due Linden if is it is ag'eeinienl shall automalically renew ion explos ion, intennuption or delay in pciwe i supply, FIgFlerren9 must be paid in l nited Stales dollars. successive one (1) year periods (each, a compulen virus, governmental laws or :luck charges will be made in advance,acconding "Renewal lleinm"), unless notice is given by nElgulalions. tci ilhe flnequency stated in Sch edule A. IISL will either pary cif ills intent tci teiiminale the 7.5. No Waiver. N o waiver, amendment on invoice in advance, and s uch invoices ale due Agneiemeint, at least six (6a) days prior to the rciodificaiion of this Flgreemenl SI all be EIfleic eve net 3a days loom II e invoice dale. Flll fetes scheduled termination date. unless in writing and signed by the parties. collected Linden this Agreement ail i fully eianned El. Mutual Warranties and Discllauimien. when due and nanrellundable when paid. 7.E1. Sevenability. 11 any provision o1 this 6.1. Mutual REIpnElsenllatians & Wanianties. FIgnElerrient is tiund to be contrary lid law by a 3.3. Suspension o•1 Service 'ion OvEnidue Bach party nepnesents and wallranls it at it has court of conipelent junisdic ion, such pnovisicin Payments. Any 'lees unpaid fou more Ilh an len full arthonity to enter info III is Agneement and to shall be of no tone on effect; but the nemaindEn (1a)dmfs past the due dale shall bean interest at fully pen onm its obligations hElneiunden. al this Agreement shall continue in lull force and 1.5'/ pen month. With fifteen (15) days prion effect. mitten ncilice, TSL s hall h ave the right, in 6.2. ❑isclaimE A. B)ICEP1I Fla BYPREISlL Si addition to all othen nights and iclmeidies to wl ich RRO\MHO I-BREIN, N BITh RR RARTl1 7.7. Billie Agreement. This Agneement and its TSL may be entitled, to sus pend Cllieni's Users' MAH BS ANN WFIRRFNTIES OF ANY KIND, exhibits nepnesent the utile understanding and access 10 the Services until all overdue patlmEnts Wh BTh BR W RRESS, IMRLIRD, S1ATl1IORli agreement bEIty eein TSL and Client, and are paid in lull. OR OTh BRW ISO, INCLUDING AN Si supensEldeis all olherl negotiations, p'oposals, WARRAN1IBS OR MERCHANIIABILITY OR understandings and represeintaticins (written on RITN BSS ROR A RAR1ICIl LAR Pl RROSB,110 o'al)made by and betty een TSL and Client. 4. Intellectual Rropertv Rights. EI I B Y ,_ [SIGNATI RB RAGE IMMEDIATBLIi HOLLOWS] 2 L' ✓ Rev L IN W ITNEEI3 WI•BREOF,It a par ieas have eIxeIcu'leId chis Agneiemeni as of the Iasi dale sel for h below. llangelSolutions Learning, LLCI Client Name: Addness: By: By: Pninled N ame: Alex Day Frinled N ame: Tine: \sae Prelsidenll oil Opelnaticlr a Tine: Dale: 10.18142015 Dale: 1111 2 Rev L ENHIBIT E In mclic e Cate: Nance cif Company: Addrtssi & 2Iip: Tlc ilephom No.: Flax Nci.: Arojecll Name: Invciaei No. lluixchase Order Nc: Goods Services Bei son Aroviding Date Goodsi/Serviciesi Ilrovided Cost Ilei Hourly Total Good s/Ser N ices Good sul {Dlf scribe each goad/ser viae It(m Rlate/ Service separat(ly and in detail) Hours Pi avid ed Worlded G RANIDI 11071,411 ignialL ILEI Pniriled Name EXHIBIT C INS URANCE CO VIERIAGES Wlarker's Com Hem atian &Disability StalutorN Limit Bmplo}ler's LiabilitNI: E odily Injury by AciciidariUDisease: $100,000 each employae E odily Injury by AcicidenUDisease: $2_`0,000 eacil acetic ant E odily Injury by Acicidant/Diseasa: $_00,000 plolici}I limit Property c arnaaa, contracttial liability, plroc ucts-complletad operat:ians: Genera- Aggregate Limit(other ti an Broducil 3dIC am plat ed Clplarations,: $-00,000 Products IIC caplet ed Clplerati ons: $_`00,000 Personal & Advertising Injury Bo i cry Li m it: $_`00,000 Bac ill Occurrence Liimit: $2_`0,000 Pira Damage (any one fire(: $2.0,000 Mec ical Bx petnse Llimi t Ilany ane person;: $ _`0,000 C omprehens'v a Auto L at i1 i ty Owned, hirec anc non-owned) Bac ily Single Li mit: $_`00,000 anal- acid eint Injury and plroperty damage: $_`00,000 anal- ace"(c ant Policy Limit: $_`00,000 Umhraf a Bxcess Lliab'lit}I Baal ocaurrenca anc aggregate: $_`00,000 Maximum deducilib er $ 10,000 EXHIBIT Il AFFIDA'11T Sana Celaya , being first c uly s' cern, deposes and says chat he/she is ttu lilir r wirh and has ix ii ciii au knowledge cif 'he facts herein arlc, if ciaileic as a witness in this rr oilier, cat Id test ify as fc lbws: 1. 1 ani ovclr eighteen (18) years cif tigle arc an cornpeite rt to lesiilly to the facets ciantaiinelc herein. 2. I aim new and at all tines rclevtint herein Clave hem eta Flloyed t} ectaiiLeailntng Of e."En-ploycu") in acl 1)ositi l)r of StaffAcccuntant 3. 1 anti fviiiliar rvli'h he arnf 103rlent pcillcies, l,.r'ictices, ane procieidureis of I En floyeir Inc hav e 117e null'cult) Ir, acr on bel'al f of the Employer. 4. The Flriplayer is enrollee Cord raricipates in the federal E-Varify prograri. Dcicurnertailor of Ibis anrollrr tint and port icipatian is r Ittcheid anc inciorporatcid herein. 5. Tf e Erlplaycr dosis no knowingly c rlplciy any mutat'cu•iaed aliens. 6. To tia bei,'t airirformation and helie f, the Ely rlloyerCoes rclt currerIlyair loyl tiny uiin lhori2cd aliens. FURTHER AFFIANT SAN 13TH NCI"ll'. ENE(UITIED an Ili e 3C (ay of Ncvember , 2015 Printed: Sara Celaya 1 aeu'tify unc er the per aides lar peirju r} ur iter the'laws of the Ur itad Slates of Anlciriaa and the Stale of JrIIn rinl that the toregoirg fictnal statcmeiil`' arc rcprc.saiitatian' tire true and correct. PI'I11 l ee: Saila Clelaya uity ®f Lar e iINDIANA HH1E NO.TIIII 1A/1 EMRT "` .," �` N CIE IA01E13'I ilE(l l'15: O'I(I2 Q PURCIH POE ORDERS UME ER REDEI RAID RXCISEI TAX EXEI MP1I 35-E IOCIE 1o91a 24747 ONE CIVIC SQL PIREI THIS NUN BER NI ST APPEAR CIN IPIVaICES,NP CARMEL, INDIANA 4€IO32-2981 VCIUCHER, DEIIVHIRY NHINCI, PACKINCI SI IRS, SHIPPINCI LF Bit S AND AI'IY CCIRRESPCIP IDENCHI. ROFIM APF RO\9[I EIV ETPf19 EIOPIR❑OR ACCOL NTS FOR CITY OF CARMEL- 1991 PU RCH PIfIE ORDER EWE ❑FILE REQU IRE❑ FIEQ(.ISI11ION N O. \EN DOR N O. DE9CRIP111ON 111'10/2015 I �� ,,.., .\-...‘----...\ llargei 51c lutions Carmel Fire Depment VENDOR TOHIP m 2 Clarel Civic SIgL a re 4090 We 9t Menne dll Blvd., Ste.NCI Carmel, IN 46032 Tampa, AL 33609 (317)571-26221 O or!FIR MATIOPI BLANPIHIT CONTRACIT PAYN ENT TERNS IIREICIHT I QUANTITY NIT ASUPtE DESCHIR7ION UPIIIRRICE EXTENSION Account 43 1 Each Ar nual Mainl anancel Fee $199.00 $195.00 180 Each llraining gut scrigtion $F c.00 1114,340.00 Sub llotal: 1114,435.0C1 � m 8 z " s I;*, 1 3 Nay ��I ,„ , z` F eceil I(d Sank InvoiceTO: '� ' ,` " Chili of Cane! Carmel Fire Cepartment 121-03- 1 5/ 09: 08 FI C b 0 A _ Ceparrnant aflaw 21 Clarmel Clivic Square Carmel, IN 46032- PIJBASE IN VOICE IN DUI:IJICA1IE DEF AR1MEN1I ACCOUNT PROJEC1I F ROJEICT AC C OUN1 AMOUNT Carmel Flire De arlment PAYMEN11 �F p • A/P VOUCHER CIANNCIT BHI APR ROVED IIOR PAYN HINT UNLESS$F �35'' NUMBER IS N ADE A PART CIF THE VCIUCHER AND EVERY INVCIICIE AND VCIUCHER HM 1HE PRCIRMR SWCIRNAFHIIDAVITATTACHED . SHIPPIGI IN91IRUC11IC1 S • I HEREBY CER THAT THERI 19 AN UNCIBI IGA1ID BALANCE IN THIS APPRO1 ,y;, FFICIENT TCI P, ''A 1HE ABCIVE ORDER. • SHIP RERAID. • CI.CI.D.SHIPN EP ITS CIANNCIT BE ACICIEPTED. Ala d, / _ •PURCHASE CIRDER NUN BER N UST APPEAR CIN Al L ORDEREI❑En Aedmillimaimilli /Dr" SHIPPING LABEI 9. •THIS CIR DER ISSUID IN CCIN PLIANCIHI WITH CHAPTER 99,ACTS 1945 TILE AND A(I19 AN ENDA1ORY THERHICIF AND SUR MI ENENT TE ERETO. 2 4 7 4 2 CLEIRI<-11REA5 L REIR DCCIUM8Wi1 CC Is TIROL NC. VRN DOR CCP' r . s■a4� ., sc:fx.4vt Eve 110,4 company ICI N L mi:em: EI418499 THE 8-VERIFY PROGRAM FOR EMPLOYMENT'VBRIRICATION MEMCRAN DUM OF UNDERSTANDING ARTICLE I RU RROSB AND AU THC RITY This N emcirandum of Uric ersi ariding (N OL; sets foil h the points cif agneem ens between the ❑Eipartrrerii of Homeland Security 11DH SI; and RlfidVeictan Holdings Qerr ployen) regarc ing the 8mplciyer's Khirliciipation in the Err ploy merit Bligibiliiy Verification Rrograrr Th is NOU ED plains certain feati.res ail I h e 8-Verify program and enumerates specific nespcirisibilii ies oil [HSI, the Social Security Administration IISSIA), and Ire Err ployen. 8-Verify is a program that electronically Crciriflrrrs an errployeEl's eligibility to work in the United States after completion ail the 8mplciymenl 8ligibiliily Verification Form QForrr 1-9). For co%ered govennmeni contracions, 8- Verify is used to verity the Eirr ployrr ent eligibility of all newly hired employees aric all existing errployees assignee to Fedenal contracis cir to verify the eniirEi wonkforae if the aciriilracitor so ooses. P L i h cirity for i h a 8-Verify program is iloL rid in "Pie IV, SIL k l itle A, ail th e Illegal Immigration Reforrr and Immigrant Responsibility Act oil ' 996 iIlIRIR. RL b. L. 104-308, ' 10 Stat. 3009, as arr endErc (8 U.S.CI. 3214a note;. Authonity for use Cd the 8•Veniily Anagram by Flederal contracions aric subcontractors co%eyed by the tern s of SIL k part 212.18, "employ mens eligibility Verification", ail Fec eral Acquisition' Regulaiiciri AFAR) QherErinaf1er referred to in 11.is MOU as a "Federal cions nacitor with the FAR 8-Veriily claL se"; 1 o verify II h e employment eligik ility of certain err ployees work ing on Fec eral contracis is also foL rid in SIL bpart 32.18 and in exEICIL1i‘El C rc er 121989, as amended. ARTICILE II FUNCTIONS 11O 88 PERFC RMED A. RES PCNSIBILI11IES OF SEA 1. SSA agnees 10 provide iha Employen with available information that allows ihEi Employer to cionfirm the accuracy of Social SSeciL riiy Nur rr k ers provided k y all employees verified L rider' this MC arm the employ meat authonizaiicrn cif U.Sl. Critizens. 21. SSA agrees to provide to the Err ployer appropriate assisilance will- operational problems it-Eli may arise dL ring the Employer's parliciipal ion in the 8-Verify program. SSA agrees to prcr%ide the employer with names, lilies, adc resses, aric ielephcine number's of EISA reprclsentaii‘Eis to be aciriilacited during the 8-Verify pnociess. a. SEA agrees 10 safeguarc the information pnovic ed by the Err plover through the E-Verify program procedL res, aric 1cr limit access to such information, as is appropriate ky law, to indivic uals responsible tion' the veriiliciai icin of SICociial Security Number's aric iiCu' Ery aluation of the 8-Verify program or sick Crther persons or ErniiiiErs when may be authoniaErc by SSA as gcnierned Rages 1 of 13 19-Veaiuf}I MOL fou Bmpioyeu I Revision Dale 09/0'109 www.dhs.govilE-Verify � .r. s`i coo E-Ver y Coni pan ID N u m It eni: 6148499 by the Rrivacy Ad (5 L.S.C. § 552a), the Social S E ct.nilly Acrt 1142 U.S.CI. 130611a;), end SSA regi.lations 1120 CIFR Part 4C11',. 4. SSA agrees ilei plicNide a meE'ns Gail autorr ailed veriilicialicrn that is de signed (in con,jt.ncilion with Dl-S's aiicirraied system if necessary); lo provide crcrnfirmaticrri or tentative noriciclrifirrr i1icin of U.S. citizens' emplclymeri1 eligibility within 3 Rederal Government' work days coil a initial inquiry. 9. SSA agrees to provide a mean's ail secondary verification' (inch ding Lpdating SSA records as may be necessary) for Errployees who coriiest SSA 11Eriilaiive ncrriconflrmalions Ihal is designed to rincld is a final crcrnfirrr alion on ricrriconfirrr ailion of U.S. citizens' err ployrr ent eliclibililly arid EICICIL raciy of S SA reconds for both citizens and nor-citizens will!.in 10 Federal Government work c ay s of the c ate of nefenral to SSA, unlE ss SSA c eierm irnes that more It an 'ICI days may be necessary. In such cases, SSA will provide adc iilional verification' instructions. B. REEIRONSIBILITIBS CR DHSI 1. Afien SSA veriiliE s the acrclunacry of SSA records for employees 11 h rough E-Verify, DHS agrees 10 provide the Err ployen acrcress to selecrted data from DHS's database to enable the Err ployen lo condi cri, to the e)tent Eiu11f•orized by chis MOL: ▪ Autorr a11EIC veniilioaiicin clh E cik s on employ eE s l:y elecrtronicl rr eans, arc ▪ Photo erificiail ion cit ecks (Iwh ern EN ailal:le) an E rr Klloyees. 2. DES agrees to provide 110 the Brr ployen aprincrpriate assistance with openaiicrrial problems I h all rr ay arise c i ring ilial Brr ployer's parlicripallion in' the E-Verify program. DHS agrees 11c1 provide It a Err ployerr r'arr es, lilies, ac dresses, and ielephoriEi number's coil DES representatives to bE contacilErc dt.ring 11h e 8-Verify process. 3. DHS agrees to rr ake available to the Err ployen at It e B-Venifyr Web sii1E and or the 8-Verify Web browser, irisirucrtiorial m aerials on EI-VE rift' policies, clncrciE c ures and requirerr ents for bolt SSA aric DES, incluc ing resit nicrticrris or the use oil E-VE rify. DES agnE es to provide Ilmining rr aterials on B-Verify. 4. DHS agrees 11c1 Klrcr%ide ho the Employer a notice, which inc icatE s the Err ployen's parlicirlEiiicrn in the E-Verify nrrciclrarr. DHS also aclrEes lo pnonice io the Brrrlloyer anti-discrimiriaiion notices isslEIC by the Office of Special Curse! for In-miclrailion-Related Unfair' Employ wed Rractices (IOS CI;, Civil Rig tits Division, L.S. Denali merit of,ustl ice. 9. DES agrees to issi a the Err play E r a user identification rit.rr ber aric password that permits the Bm ployer io verify inform Eli ion provided by employeE El with ❑HS's database. EI. DHS agrees iici safegL arc the in'for'mation proviced lo DHS by the Err ployer', arid lo lim ii acrcress to such iriilonmatiori lo iridivic t.als responsible for I I e verification cif employees' employment' eligibility and 'torr evaluaiicrri of the 8-Verify program, on lo st.cit other persons or er'1iliEsl as nay be authorized l:y applicaf:le law. Information will be used only to ‘erifyl the acrcl�iiaci of Sociial Security Nt.rrbers and err ploymerii eliclibililly, icl eriiloncre the Immignaiicrri and Rage 2 of 13 18-%enify MOU fan 8niplayem I Revision Elate 09.'0'1409 www.dhs.ciovJE-Verify 111111 O.-M., �1 8I 1111 E-Verif y I b�'tirsro Corr pany ICI Num bar: EI4EI41919 NElicrrlality Ad IIINA) anc Feceral cniminal laws, eric lo adminisien Fedeii l contracting reqs irements. 7. 01-1E agneeis to Fpici is e E means of automated veniilici tin's that is c esigriE'd (1ir1 con,ji.ncilion will- SSA venificia lion procedunes) to provide confirrraiion or tentative noriaorillinmatiori of err loyees' employment elic ibiliily within 3 Fac eral Go%EIrrimEIrlil wonk c ays cil11-El initial irlgl iry. El. DHS agrees to e a meE ris al secondary'verification Ihincll c ing upc alirlg OHS. necionc s as may be necessary'; for employees who contest ❑H S tentative rlonconfinmations anc photo non- rr tch tentative nonacirlfirmlicirls that is desic ned to pnovic e find cicrrlllinmatiorl on nonconfinrn ation of tt a err ployees' ern ployment eligibility will-in 10 Fedenal Government wciiik c ays of tt e c ale of referral 10 DHS, unless DHS dEilenmiriEis III-all rr ore than 10 dE y s rr E y be necessary. In such cases, ❑HS will provide additional verification instructions. Cl. RESRONSIBILIIIIES CF THE EMPLOYER 1. ll'.a Err plover agrees lo display the notices sl Fipliec by ❑H S in a prominent place that is cleanly 'isible to prospective employees anc all err ploy eas who 11E1 to be veniflac tl•rough the sy stem. 2. The Hn-ployer agneesi to provide to 11-a SSA a rid OHS the names, titles, E c dresses, anc ilEileph one nurn bens of t'.a Employer nepresentailIves to be c'crrliacrted regarding E-Verity. 3. ilhe En-ploy en agrees to becicirre farn iliar wit'. E rid con-ply wits'. the most iaecierll version of Ih E' E-Verify User ME nual. 4. The Employ Eir agrieEisi t h all any Employer Repneserllative w'.o will perform err ployment verification quE ries will complE 1e t'.e R-Veniily llutorial t E alone tl-ail inc ividl al initiates any ql eries. A. 111-e Employer Ec rees Ilial all Employer' repneserliatives will take the nefreshen tlionials iec ty the E-Venify program as a condition of continuec Lee of B-Verify. B. Fails re to corn plete a nefreshen tutorial will moment the Employ er from continl ad use of the pnogrE rr. 9. Ike Ern ploy ell agraes to ccrmplywiilh cunrerit Fonm 1-9 procedlnes, with two exceptions: If E n Eirr ployee pneserits a "List B" identity dock mend, the E rr ployen agrees la only acaapi "List B" doaurrerits contain E ph pati. IIList B c ocurr ents is entitled in 8 C.F.R. § 4a.2(b)(1)(B , can be presented c urinci the Foram 1-9 Kpiciaass to astat lish identity.; Ilan err ployea ok jects to the photo requinerrerll far religious masons, the E rr ployer shcii.Id contact E-Verify at €188-464-4218. Ilan err ployee KlnE'sEinils a DHS Forrr 1-55'1 (Pere C nent Fesiderlt C ard) or Form 1-766 IhEmplciy merit Aut'.orizatiorl Doaurrerll) to complEile ill-a Forrr 1-9, the Employer agrees to make a photocopy of the doc'ume'nt and tc' netairl the photocopy wit'. the employee's Forrn 1-9. The photocopy rr ust be of sufficient quality to allow lion verification of the photo Rage 3 c f 131 9-Ve rify MOl lac r 9mpic ye' I Re visic ri Dale 09/01/09 www.dhs.gov/E-VerifiA E_ver_r Company ID Nu mti er E1418499 and written information. "[ME err toyer will use 11-a c1I olcicicipy to 14E rift' 111 a Fit oto and to assist DHS with its review of photo rion-miatcil es that are contested by employees. Note tI all employees retain the rigl1 to prseseri any List A, or List B and List C, c ocumientation to complete the Farm DHE may in tI a future desigr ale other c ocurr entEs that activallE the photo screening tool. 6. iTFe Bmployer undersiarics that participation in E-Verify toes not exempt ire Employer tom the rsesncirsibility to corr pleie, retain, and make available lion irIrIeciicin Forams I-51 Thai relate to its employees, or from of t er req iremientEs of applicable liE gulaticirs or laws, including the obligation to citta ply with 11Ie antic iscrirrinatiori regLirerrerits of section 3748 all the INA with riesFieci 10 Form 1-9 procedL rE s, except fcir tI a following miodifrec requirements.' applicable by reason of the Employer's par icipatiorl in E-Verify: (1) identity documents must hme Klf otosi, as c esicribed in paragraph 5 at me; 12) a nE butt at le presumption is esiat fished that tt a Employer Iasi rot violated section 274AIIa;II1:11A) of the In.migration arc Nationality Act (INA; wiir reapeci to le I iring of any irldividk al if ii obtains confirmation of tI e identity aric employment eligit ility all the indi‘icual in clood fain compliaricici with the terms arc conditiorsi of B•Verilly; (3) the Employer must notify DHE if it cioriliriues to employ any employee after receiving a Ilirial rlonconfirmation, and is sL t jest to a civil money penalty between $590 arid $1,100 Ilton eacih failure tui notify DHS of continues employment following a trial noncioriilinmatiorl; 114; the Employer is sukject to a let L Itable prem.mp1 ion 1 h al it has know ir gly err ployec an unaullt orized alien ir vicilatior of secitiarl 214Alja;III;IIA) if the Employer' continues to employ Ertl E rr ployee after receivirg a final nonciorflrmatior; and (I5; nci riersciri or entity participating in B-Verify is civilly or ciriminally liable under arty law for any action taken in gciod fails based or irillcirmatiorl prci%ided It rcic gh 111 a confirm at ion system. DHS reserves the night to condL cit Farm 1-9 and E-Verify Eiys.item compliance inspections di ring the course of E-Verify, as well aEs ici conducrt any tither enforcement acitivity au 111 orized by law. 7. ilhe Employer agneEsi to initiate E-Verify erificiaiion priocedLres lion rew employees witlin 3 Brr ployer bL siriess days afilen Each employee has beer hired iIt L i after 11"E Foram 1-9 has beer completed), and to ciomplellE as many (but only as marry) steps of Ire E-Verify pnciciess as are necessary according 10 the B-Verify User' Manual, on it the case of Federal mint motors with ire FAIR B-Venilly cilause, 111 a E-Verify L Ener Manual for Federal C ontracions. lie Employen is prohibited from initiating verification procedL nE s before ihe employee has been hired and 1 r e Fora- 1-9 ciorr Fileted. If the autom at ed system to be queried iEs temporarily L navailablE, 111 e 3-c ay time period is E)aeric ed L Mil it is again opE rational in order 1 o accorr rr tic ate the Employer's attErrpiing, in good faith, to rrake inquiries during tta period of uta%ailssbility. Employers rray initiate verification by notating the Form 1-9 in ciirciLmstances wdeire tie emplci €e has eippliec for a Social E.ecu rity Number (SE N' from the SSA and is waiting to reser e 1 he ESN, provic Eid that the Employer perforins an E-Verify employment versification qL E rya using the emplciy E e's SSN as soon as the SSN beciomes available. 8. llhe Employer agrees ncil 10 use E-Versify pnciciec ures for pre-err Kiloyrn ent screenirici of job aKipliciarls, in supr cirl of any unlawful employ merit priacrtice, or Ion arty other' use roil Enl lh ciriaed ty 111 is MCL. Employers m L st u Ese E-Verify for all new err ployees, 'Hess in Employer is a Federal contractors Thai qualifies for the e)ciepiicins describec in Article 11.D.1.c. Except as pided in Ariicile II.D, the Employer will rids verify selEcrtively and will riot verify employees tired before the effecitive date oil t I is MC L. It El Em player undE rstands t I at if the Elm ployer LSE Es the E-Verify Ery stem fcir any purpose other than bis au 1 I orized by this MCL, tie Brr ployer Rage 4 of 13 I MOU fon 9niployen I Revision Dale 09,10'1,109 www.dhs.clovil9-Verify El-Verify rse company ID N u m I en: 6148499 may be siubjecit ilo appropriate legal action and termination of its acaesisi to SSA anc DHS information pursuant la this MOU. 9. 11hei employer agrees to follow appriopiriate procedLies (Isee Article III. below; regarding ilenilaili‘e nonconfirimationsi, indicting noilillying err ployeesi int private of the finding anc pros iding them written notice of the findings, providing written nellennal insilnucitionsi to err ployeesi, allowing employees io ciordesit ilf a finding, and not taking adverise action against errployeesi if ley choose to contest the finding. FL riper, when employees minted a tentative nonacinflrrraiicin basiec upon a photo ricin-nail civ, the Err player is requiueic Ici take affirrratke steps (see Ari isle 111.8. below; ilei cioniacit Oh wish inlorimation necessary ici resolve the challenge. 'ICI. The Err ployeri agrees not ici take any adverse action against an err ployee based upon le employee's perceivec employment eligit ility status while SSIAI or DHS is processing th e venificiation Bequest i nless ilh a err plloyer obtains knowledge (Iasi defined in 8 C.F.R. 374a.1(I)) that the employee is not work at.thoriiaecllhe employer understands that an initial inability of the SE AI on DHS automated \erificat ion system tci verify work ail cirizat ion, a tentative rlcinconfsrmation, a case in coriiirL ante (iric icating the neec lion acditional lime for tt e gci\ernrr ent to nesoh e a case), or the finding of a photo non-match, does riot establish, and should rich be interpreted as ei\idercie, that it El err ployee is rot work authorizec. In any cif the cases listed above, the employee must be proviced a fi11 and fair oplpor1init) to contest the frric ing, arc if he or she c oes so, the e rr ployee may not be terminated cir sufileri arty adverse errplloyment acinsequencesi based t.pion the errployee'si perceived err ployrrent eligibility status i including denying, iiec ucing, or exile rdirg work h ours, de laying on plrieN4eritirig training, regi.iring an err ployee to work in plooren conditions, refi sling ilei assign the employee 10 a Fec eral contract or offer assignment, or ott erwise st,bjecting ar err ployee to arty asst,rr pli iciri It al h e or she is inat.thonizec to work; until and unless secondary \erification by EISA or OH SI has been acirr pleted and a final noricicirifirmaiiciri has beer issued. If th e emplloyee c oes rot ch oose io acintesii a tentative ronconfirmation cir a photo non-rratcih or if a seconcary erification is completed and a final nonccinfirmaiicin is issuec, then if a Employee can find the employee is riot work at.thonizec and tegminaile the employee's employ merit errployers on errplloyees wish questions about a final ronconfirmation may call B-Verify at 1-888-464-42'18 or OSC at 1-80C1- 255-8155 or 1-800-231-3515 (TOR . 11. The employer agneesi to comply with Title VII of the Civil Rights Acrt cif 1964 and section 2748 0l ilh a INAI, as applicable, by rot disicmiminating t,rilawfully against any indi%idual in hieing, firing, or reciruiiment or neleririal plgadicies beciat.se of h is or her national origin cir, in the cease of a protected indivicual as cefined ir section 2748(I013j of the INA, because all his or her citizenship sial k El. The employer urc ersii arils th at such illegal ppiacitices dart incilL de select i\El verification cir i see of B-Venilly except as pnovic ed ir part 0 below, on discharging or refs,sing to hire employees beciam se 11-Ey appears or sourc "foreign" cir h a received tentath e nonconFirrr alicins. Tt e employer furthers undeiistands 11-al any' iota iciri till th e I.nfair immigraiicin- relatec emplloyrr ent practices pro\isions in secition 374B of the INA mild subjecit th a employer to civil penalties, back ria awards, and of h er sanctions, arc 'iolations of 11i11e1 VII cot,ld Eli bject the employer to back pay awards, compensatory and punitive damages). \iolationsi of a iilh er section 3748 of the INA or Title VII may also leac ici ilhe termination of its participation in B- Verify. If it ei employer has any questions gelating to the ani i-disiarirr enation plrci\islion, it shoulc contact OSCI at 1-800-295-8159 on 1-800-237-2519 (TOD,'. Pagel 5 all 13 I E•VEIniN MOU fail Empiayem I Revision Dales 09J101 1109 www.c hs.gov/E-Verifyl h 51Q,i ,sy6 Ke,ID („ HlSTF Company ID Number: 6484N 12. The Err ployen agrees 10 necioiic the case veniiliciatiori riu rr ber on 11I•e employee's Form 1-9 oil 10 pniriil the screen containing the ciase veiiiilicE1iari number and atiEcih ii io the employee's Farm 1-9. 13. The Emplayer agrees that it will use the inforrrailion it receives from SSA or DHS puiisuaril 10 E-VerifyI and 111'is MCU only 10 confirm iihe employment eligibililly of emplayees as authorized by this MCL. The Err ployen agrees that it will sailegL and It is inform anion, arid means of accie ss 10 iii IIsL cih as BINS aric passwords) to ensu re 1h al it is riot i.sec for any ott er pL nplose and as necessary to pnatecit ills corifideniliality, including ensuriirig that it is riot dissemirlaied to any person offer than err ployees of the employer who are authorized to perform the Emplayer's responsibilities under this MCU, e)cie pil for such dissemination as n ay k e aui1 h orized in advance by SSA cir DH S for legitirr ate p.rposes. 14. The Err ployen acknowledges th at the inforrr ation whicih it receives fiiam SSA is govenrie d k y 111"a Rriv act' Act 119 L.S.C. § 952a(Ii)(1' ; arc Q;;; and the Sada! Security Act 1142 U.S.C. 1306(a)), and that any person who obtains this inilaiimatiori under' false pretenses on uses it fan any punplose othen 111 an as plro%ided for in this MCU may to sut.ject 11a criminal penalties. '15. The Err ployen agrees to coopleraile with DHS arid ESA in 111"eir compliance moriiilaring anc evaluallion of E-Verify, including by permillting OHS arid SSA, upon reasonable notice, to review Forms 1-9 and of er employ rre rill records arid to irilervlie w it aric its employees regarding le Err plover's L se of E-Verify, aric la respond in a timely and accurate manner la DHS requests for informatiari nelaiing lice thein pariiciplEtion in E-Verify. 0. RES PONS IBILI11IES OF FEDERAL CCNTRAC110RS WI11H 11HE FAR E-VERIFY CLAUSE . 111"a Employer undersiaric s that if it is a sub jecll to the employ rre rill veniiliciatiarl teams in Subpart 22.' 8 oil the FAR, ii must verify" the employment eligibililly ail any exislling employee assigned to the cioninacit and all new hires, as discussed in the Suppllerr ental Guide for Federal CIon11 nacdors. C ricie an err ployee has teen veniilied through E-'erify t y le e Err ployen, the employer may riot reveiiifyl the employee ihiiaugh 8-Veiiiily. a. Federal contracllors with the FAR 8-VenifyI clause agree to become familiar wilt and ciam plly with II"e rr os11 necieril vensions of the 8-Venify Users Manual for Federal Cord ractors and the E-Verify Supplemental Guide foil Federal Contractors. t. Federal contracioiis with the FIAF 8-Verify clause Egree 10 complete a 1100111al fon Fede ral eorill nacitors wit1" the FAR E-Verify clan se. ci. Fec eral contracll ors wilt the FAR 8-Venifyl clause not eruiolled at I1"e t im a af contracll award: An Err ployen that is not eruialled in E-Verify al the time of a contract award must eirlroll as a Federal contracllor with 111"e FAR 8-Verify clause in 8-Verify within 0 cialendan days of corn)race awand E rid, with in 90 dE ys ail eruiallment, t eigiri to use El-\d eirify to iniiiE ie venifla tithe of en-ployment eligibililly ail new h ires of the employer who are woiikirig in the Unilec States, whether on not assigned to the aonill nacit. C ricie 11 h e Err ployer t egiris v eirify irig rie w hives, such veriflcallion of new hires must be initiated within 3 business days after the caller of hire. Once enrolled in E-\d a rift' as a Fedeiial contractor with the FAR E-Verify clause, the employer rr u sit initiate verification af emplay a es assigned to t1"e contract within cICI cialendar c aye frorr the time Rage 6 of'13 1 B-Velifjl MOL far Bmpio)lei I Revision Dale 09/01,109 www.dhs.govIE-Verify Fav E_ve rg Company ICI Number: 64841:c ail ermailment in tt a sy stem and ziftler if El c ate and selecting wh ich err ployees will be venilieic in E-Verify or within 30 c ays of Ein en-K1loyee's assigrlrreirlil to the contract, wh ichever c ate is hien. d. err pioyens 1 h psi ane already enrolled in EI-Verify at the lin-El till a contract awaiid k Ll are riot enrolled in the system as a Feceral cionllraciton with the FAR B-Venily clause: Empioyens enrolled in B-Verify far 90 day s or more al l h El line of a coni ract award n- I.SEI EI-Verify 10 initiate verification of Bin-plop-rent eligibility far new hires of the Err pioyen who ane wonkirg in the United Stales, whether ar not assigned to 11-El ciant Tacit, with in 3 business c at's after I1 El t ate of hire. Employers enrolled in E-Verify as other' than a Federal contraciaii with the FAR E-Verify clause, met i pdate E-Verify1 to indicate that they are a Fedenal contractcir with the FAR B- Verify clause within 30 cays Olen assignment toff e contract. If the Employers is enrolled in B- VeriN ton 9C1 calendar c ays or less at 11 El lime all contract award, I1 El employ er rr I.sit, with in 90 days cif enrollment), egin la use e-Versify to initiate veniliciation of new hines of 111-e contractor who ail wcirHing in the Unilec States, whether on nal assignec to the contract. 5Lcih veniflciation of new hires m L st be initiated within 3 business c ays after le date of h ire. An employer eruicilled as a Federal contractor wit the FIAR E-Verify cilause in E-Verify must initiate venifrciatior of each employee assignee to le contract within 90 cale rdan days after dale of contract aware ar within 30 day s of ler assignment to the contract, wticheven is later. e. Institutions of high er educiationi, Stale, lacial and tribal governrr ents and sureties: Fedenal contractors with the FAR B-Verify clause that are institutions all h ighe r edLaaliarl (as defined al 20 U.S.C. 100'1 ljg,, State or Ideal governments, govennments til Feic erally recognized Indian tribes, or sureties perfcirm irlg i.rider a takeover agreement entered into with a Fec eral agency pursuant to a Kleirionmanciei and may cihaose 10 only verify new and e:listirlg eirrclloyees assigned 10 the Federal contract. Such Federal contracitons with the HP R e-Veniily claL Se rr cit', h oweven, elect tci venifyy all new hines, and/or all e�istirg emplciy ees hired aften N overt ber 6, 1986. "fte pnovisions of Arlicile II.D, paragnaElhsl 1.a and 1.b a1 this MCL providing timefnames lion initialing err ployrr ent venilliasiiicin cd err ployees assigne c to a ciarilnacit apply is such instiiL1iciris oft igher ec s.cation, State, locial arid tribal governments, and sly reties. 1. Venifiaation a1 all emplciyees: Upon enrollment, employers wha ane Federal contract ars with le FAR EI-VE rifyy clal,se may elect to verify employ merit eligibility al all existing err ployees wonkirlg in the United S tales wl o wene h ired glen N oven.ber 6, 198E1, irsleac of ‘erify irg only new err ployees arc those existing err ployees assigned to a covered Federal contracll. AftE r ennollrr ent, err ployens rr t.sit elect to do so cinly in 11h El manner designated by DHS and initiate B- Verify venificatiorl of all existing emplciyees wilt.in 180 days after the election. g. Farm 1-9 procedures) ion existing employees al Fedenal contractans with the FAR E- Verify ciaLse: Federal contractors with the FAR B-Verify cilause rr ay choasE tci complete rlew Horns 1-9 ion all existing emplayees eller than those 11hal arae completely exempt llriom this clnacie ss. Fec eral contractors with 1 h E FAR B-VE rifyy clat.See m asy also update pneviciusly cornplelleic Forams 1-9 to initiate EI-Venify verification of exisling err ployees mit o are not completely exempt as long as that Farm 1-g is complete (incls.cing the SSIN;, acirrKllies with Article 11.0.5, the employee's work at.ihariaation has nal expired, and the Errployen has rieviewed 11he infcirn—alicin refleciec in the Farm I-9 either it pensar an in coma uniciations wish th e employee lei eirsure shall the err ployea's stated basis in section 1 of the Fcirrr 1-9 fon wonk as ih arizallion 1-as not changed IIincluding, but not lin.iiec la, a lawful perry anent resit ent alien h a‘i ing become a naturialized U.S. citizen). If the err ployen is unable la detienm ire 1 h ssi the Fonm Flags 7 c113 I 8\i Euiifyl MOU fail 8mployen I Revision E ale 09,10'1,09 www.dhs.govAE-VErrifyI E ve r ,II�IIt� ti+sre Company ID Nun ber: 64E1419191 1-9 complies with Ariiclle II.C.5, if the employee's Iasis for work ai111-orizallion as attested in secition 1 has expinec on changed, on if the Fcirm 1-9 contains no TIN on is 01 F-erwise incomplete, the employer Ell-all ciomlrlle11e a new 1-9 consistent with Ari iaie II.C.5, oil L pdate it h e previol s 1-9 to rlro%ide the necessary) information. If section 1 of 1 h El Fonm 1-9 is otherwise %elid arid url-to- c ate and the form off erwise complies with Arlicde II.C.F, Int reflects c ocumentallion (such as a L.SI. passport on Form 1-f 51) that expinec subsegL enl1 to cicimlglell ion of the Form I-cl, the employer shall riot regLire the priodlcdicrr' of additional cocimentallion, on use the photo smearing tool descmibed in Article II.C.5, subject to any additional or superseding insinuations it-at may t el provided on 11 h is subjeicit in le e Supplemental GL ide ilon Federal Contractors. N off-ing in II"is sect ion shall be constrL ed to require a second verification' L sing E-Verify oil any assignee employee who has previol,sly teen erified as a newly hired employee uric er this MOU, on 110 SIL 1 h orize erificall ion of any existing employee I:y any Employee 11 f all is not a Rederal contractor'with the RAR 8-Verify clot se. 2. The employer Lndenstands that if it is a Federal contractor' with the FARI 8-Verify clause, its compliance with chis MOU is a fe'rlonmancie requieemeni Lrider the teams of 11f•e Rederal contract or sibcontraci, arid the employer' consents to the release crit information relating to compliance with its eriflcallion responsibilities uric er this MOU to ciorteaciting officers or ollher offtciials authorized to ne%iew the employer's compliance wit'. Federal cicirteaciting regiiremlents. ARTICLE III RBRBRRAL CF INDIVIDUALS 110 SSA AND DHE P1. REFERRAL 11C SSA 1. If 11 h e employer receives a tentative ncir'confirm all ion issued by S SA, 111-e employer must print the notice as dieecited ty the 8-Verify system aric provide it to the employee so that le employee may determine whether' he on she will cionllest le tentative noncior'firmation. The employ Ell rr us11 review the tentative ncir'confrrmalion will the err ployeei in ph ale. 2. llhe employer will refer employees to SSA fielc offices only as cireclleid ty the aLtomated system laser on a tentative nonconfirrrallion, arid only aftler the Employer records the case eniflci ficin number', reviews the input la cel1ect any transaction emicros, and ceiermines that the errployee contests the 1en11aiNe r'onconfirrnallion. The Employer will transmit the Social Security Num ber 1cr SSA ilcrr venilliclaticrri again if this review inc icates a need to do so. llhe employer will cetlern-irle whether the employee cicrntests the tentative noncicrnflrmaticrn as soon as cicrssible aftlen 1 h e err ploy ear receiN4 EIS it. 3. til 11 h e err ployee contests an S S A 11 entl ai N El ncrnconfirm at ion, th e employer will provide the em ploy ee w it h a system-generallec referral letter arid insll mat the employee to visit an SSA ofllicie within 8 Federal Government or days. SSA will elecltronioally transmit the result o1111h e referral to 11 h e employer w ill l-in 10 Federal Govennmeni work days of the referral L nless i11 deterrr ines t h at rr ore than 10 day s is necessary). Th e employ er agrees to ch eck the 8-\)eriiily system re'gulanly for ciasee uric aces. 4. 111-e Employer ac rees not to ask the employee to of taint a pninitoi 1 from the Social Security Number database (the Nurn ideni) or other wniiten verification of the Social Security Numter from 111-e SSA. Page 8 o1 13 I EI-Verify MCIL lion 9rriployer I Revision Dale C19ACI1/019 www.dtle.gov/E-\erifyi E-VeriFygiAdfti a 1573 C omp2ir y II] NL mC Ew: E1418499 B. RE FE RRAL 110 DHS 1. If the Employer riecei%e:i ei tentative noncoriilinmatiori issLec t DI-S, the Employer must print the tentative rionconfinmation notice as c irecte d k y 111 a EI-Verify system and provide it to 111.a employee sa that the employee may deterlmiriE whether he on she will aonlest the tentalli\er noriconfirm dim. The Erre ployen must rE‘iew t1-a 11E ri11a1ive nariconfirm alion with 111.a employee in pnN ale. 2. If the Err ploy er finds a photo non-m Mich far an employee who provides a docL merit fcir which the Eiutcrmialec Ely stem has 1narismiiited a photo, the employer must print the ph o11cr non-match tentative rionconfinmation nolll iclEl as c irecl Erc by the aL lomated system and pnovic e it to th e employee so that 11.e ern ployeE may c e1E rrr ine whether h E1 or :rhe will contest the finc ing. llh e Employ EII rnusll review the 11Eri11alNe nariccinfirm Eli ion wi11I the employee in rpkaie. 3. The employer Eigrees 10 refer indN iduals to 1211-1S. only when 111-a employee chooses 110 aoriiest El tentative noncranfirmaticiri received from DHS. Eiullorr lied veniilicraiian process or when the Employer iISUEs a tentative noncoriiinmatiori kased upon a Oath nori-rralch. The Ern ployen will cellen-rine wI e11-er the employee contests the tentative noncorrlinmatiorl as saon Els possikle sifter the Brr ployen receives it. 4. If 1 he employee trout ests a tentall ive noncrarifirm atiori iii ed k y ❑H S, the Em ployen will provide the employeE will- 8l nefennal !ellen and instruct the employee 10 contact DI-S. through ills toll-fnee hotline Iii fount on the refE rral letlen) within 8 Fec Eiral Govennmeni work c ays. 5. If 11-El employee conllesis a tentative noncroriilinmation bEisec upon a phollcr non-m zilch, the employer will provide the employee w ill h a referral leen to ❑I-S. DI-F. will elecitronioally 1 rarism it the nesuli of the referral to 111-e employ er within 10 FedE rill Government work days of the referral L.nless it delenmines that more than 10 days i$ r1ErcE ssEirYl. The Employer agrees ilcr checrk 1h€ 8- Verify system regularly for case L.pdates. 6. Th a employer agrees that if an employee crcrnllE sis a tentallive rlonconfirrnation based upari a photo non-match , the em ployer will send a ccipy till 11 h e employee's Farm 1-951 or Rorrr 1-766 DHS fon review by: ▪ Scanning and uploading the doaumeni, on • Sending a photocopy of the document by an expness mail account 1Ip2lid 1bn at err ployeri expense;. 7. If the employer c e11Errm ines that i h E re is a photo non-match w 1-en cram paring 11 h e photacapiec List B document describec in Article II.C1.9 wish 111-e image genenated in B-Verify, the Ern ployen musll forward 1h E employee's doaumeriiatiori to DI- L sing tate of 11 h e means dE scinibed in 1 h El prlecreding paragnaph, anc Allow DHS 10 resoKEl the case. ARTICLE IV SERVICE RROVISIONS Page cci 01 113 I E•VeMOU fcin Employer I REivia ion C ales 096101405.I www.c hs.gci /E-VElrifyl nnnr MpT. �l R 6%-Verif EVenly ....r NIST9J.,. C omparly II] Nu mk el.: E1418499 SSA anc ❑HSI will rich charger the Employer for verification services perform etc i nder tris MOU. llh e Employe!' is responsible fors Are\idinc equipment needec tics rr ake Inc uiries. To access E- Verify, an Err rlloyer will need a personal computer with Internet) access. ARIIICLE V RAIR1IIHSI A. This MOU is elective i.pon th e signature of ell parties, anc shall continue in effeicl fear as loric as the SSA and DHS ciciriduct the 8-Versify prior.ram unless modified in writing by the rr dual consent of all parties, or tern inated by any parry upon 30 c ays fplior written notice to lhei others. Any anc all system enhancements to the E-Verily rlrograrr by DHS on SSA, inciccing but not lirrilec lIci ihei 8-verify ciheicNing acainst additional c ale sources and insililLtinc new 'erificialicsn prociec ures, will be covered uncer this MCU arc will riot cause Ira neec for a supplemental MCL Thai ai cii dines these changes. DES agrees to train employer's on all changes rrac a to E- Venify through the use of mandatory refresher tutorials and uric alles 110 tl h e E-Verify User Mama!, 11-e E-Verify User Mama! for Federal Clont rachors on the E-Verify S L pplemental Guic e for FedereI Coniracitors. E%ari will-ail changers to E-Verify, ❑HSI reserves the nicht to reqs,ire employers ic' lake rr s ndatory refresher 11i 1oriE Is. An Employer 11 E l is E Feceral contractor with the FAR 8-Verify clause may terminale this MCU when The Feceral c'ontrac't that regiires its rlariiciipation in 8-Verily is terminated or completed. In mai- a ciirciirrstance, the Federal c'ontrac'tor with lhei FAR 8-Verify' clause must rlro%ide written nollicie to DHS. If n Employ er that is Feder'I contractor' with the FAR 8-Verify clause fails to provic a mai- notice, that Employer' will re rr E in a particips n1 in the 8-Verily prior.rarr, will ren s in kat.nd k y 1 h ei terns of this MOU that apply to participants that E re roll Federal ciontraators with the FAR 8-Veriily clause, and will k e requirec 10 L ser the 8-Verify procedures to verify the employ merit eligik ility of all newly hired e rr ployees. 8. N otwillhalanc ing Article V, pari A ail 11h is MOU, OHS rr ay termine le this MCU if c eemed necessary) beds Lae of the rem irerr enter of Is w on policy, on upon a c eterrr ination by SSA on MIS ih E I there has been a breach oil system integrity or seas rity k y the Employer, cin E ilailure on the flail of the Employer' 10 clam ply with established proceth res or legal reqs irements. The Employer r.nderstands that if ill is a Federal contractor with the FAR E-Verify clam, termination of this MOU by any party for any reason may negatively affect its rlerlormancie of its cionlractual responsik ilities. C. Some or ell SSA and DHS responsibilities ender this MOU may be rlerlonmed ky contra clor(s), E nd SSA and DHS may adji st verification responsibilil ies between each other E s lheiy rrey determine necessary. 8y separate agreement with DHS, SSA has agreed to perforrr its responsibilities as descriked in this MOL. D. Nothing in Il h is MOU is intendec, on shoulc be cicirlsi nuec, 110 cineE le any right on beneilit, substantli‘e on procedural, enforceable al law by any thirc party against the United Spates, its agencies, officers, or employees, or ager Inst the Employer, its agents, officers, or ern ploy eeE. E. Each party sI E II be solely responsible for c efending any claim or action against it arisirlc out of or related lo 8-Verilly on this MOU, whether cit it or criminsl, and for any liatility wherefrom, inclL c ing ilk L 1 not limited 11o; any disrh le k etWeen the Err ployer anc any other person or entity Hager'ICI oil 13 I E-Vemif}i MOU fon Emproyein I Reivinion Da1E1 09diCI14ci9 www.dlls.gov/E-V1erifyl �P secVo, EVenly y �y'ts'rs ESQ Company ID Nun ber: 648451S rete arding the z pplias biliiy of Slecilicin 40314; cis IIR IRA ICI C niy C ciicirr taken or allerc edly taken by the Err ployer. F. The Err ployer uric ersiarrc s that 11f a hest of its participation in 6-Verify is riot ciorrfideinllial informai icin and may be c isclosed as air 1 f•cirized or regt.ired by law and DHS cir SSA policy, including bLt not limited to, Clongnesisicinal ovensigll, l3-Venify put!lofty and media inquiries, c eterminations of crcirrrilianciei iiilf Fedenal clod nacitual negLirerrenta, and nespcinaea to ingt.iriess nden 11f a Freedcim of Inform anion Acrt 11FC IA;. G. The fcnergoirrg constitutes the fL II agneemerii on 111•is suk led between DHS and 111 a 6mplciyer. H. Hies indi%iduals whose signatures appear below repi€iseiriil Ihal they are aut.'orized Io enlleir into II-is N CL on be alf Cis it l•El Elmplciy err arse DI-S respectively. Flage'11 al 13 1 E-VenifyI MOU'an Errpiayen I Re‘iisian Data 09,101409 www.dhs.gov/E-1,0erifyl each 4,64 IE-Verify N=nn a Cc mFlarly ID Number: 648499 llo be accelptec as a participant in E-Verifyt, yc u sF oL Id only sigr the Emplcyer's Section of the signature page. If yc u hay e any qu estic ns, contact E-Verifyt at 888-464-4218. Employer Rt d Vf ate n Hold in gs Kara Babbitt Name(Please Type or Prinl) Title Electronically Signed 03/04/2013 Signalure Date Department c f Homeland Security—'enification Division USCI S Vt nifiaatic n Dli�lision Name(Please Type on Print) Title Electroniaally Signed 03/04/2013 Sign alune Date Iriformaticn Required for 1he 8-Verify Prlcgrem Intim matior relating 10 VOL I Corr pany: Company Name:RedVector F c lc ings Company Facility Address:4890 W. Ke nnec y Blvc A1740 Tampa, RL 35161091 C cimpanly Alltellnatel Ac c County on Parish: HIL LSBCIRCIUG Employ en !dent ifical ion Number: 593614466 Page 12 0113 I BA enifyI MOU fon 13rmployen I Revision Dales 09J01JI0g www.c I1€I.gov/E-%amity' M ss°vo El-Verify �tirsre� Company IO Number: 64E141E19 North Americer Industry Cllassillicalion SN stems Code: 61' PIC mir islrz tor: RedVector.cami Nt tuber of Employees: 1(C io 499 Number of Siie;i Veuifiec 11on: 1 Are NCU yelrifying for more than 1 site? IilNees, p1easci promidel the num Her of merifieid for in each State: • All GREE DA 1 InfOrmalieln relaiing to the Rrogram Adminisltratoirlsl) ton your Company on policy questions or ope rat iona l prol1lams: Name: Nana Babbitt Miler hor a Number: 0112)2:11-5(I19 Elam Nun ben: 11E 12)2:11-8(118 E-mail Ac Nana.babbittCredWecton.com Rage 13 oil'13 19-Verify MOL. for 9miployer I Revision Dae OEIII01/0S1 WWW.dhs.govll9-Verify 1 ret" 'id 'A`(<,Itt nep Q osu TERMS 84 CONE ITIONS j 1, I GOVERNMFIN'I PIIODUCI1 LEASE AGREEMENT ally c Char place designated by Us within thirty II3(I; days cif the date of Cur inivaicei. In this F rode et Il ease Ilth e "Lease"), the we rc s "Yau" anc 5. Deilirery anti L ecal Ion of Prado eta. The Products will "Vc tin"mean Mei lessee,which is Clyder Fcirrn the entiiythat is he delivered 10 "r1ou at the c elver) addles specified on the icentffiec as lie Custcen(u cm the Clo\lerninertPrcduet Lease Crcer 11orrn ("Delivery Address") or, if nc such locattien is Ar lre(irlerr C alder Fc rm ("Order Barna". "We," "Us" am specified, to Y1au i in voice address. Your a(ceplltance of Ili( "CIui"mean the less or, Mai lFinancei Inc. "Supplier"i efers to F radii c1 s actors up or c elivery c f th e Products 1. You shall n of a it her IN elapa;t 1:SA Inc., cr any cthelr Third party Khat 1129 rem owe tie Hroc acts fl-am the Dediweny Adcre5s unless pilau MEM factut eid,or is prom icing sen ices related km,l it el Prac nett. first g'el Our wit ter. permission 10 c a so. I. Lease cif Ilrcrduets. THIS IEASI] 1S 6. Chvneirship, Lsc1, arid MEirten anae of Products. We UN C ONIIJIT11CINA L AND NON-CANCELABLE(lexcepi as will own and have 111 le 1a the Prc ducts during l he Lease. Yau proved ed it Sleclian :4, h elcw) c wring the lull[a 1 Tenn l as agriee t ha the Prod u els ave am sli all remain On r p ersc nal dkifin ed bellow). You agree to lease from L s 'I he equipment, prc perty. Y1ou atulllet:•ize Us to reecirc (and an em d, if err beck(id software, Software, aid ether pro(ulcts llisiec on the apprepr'ate) a LCI C financing statemerll 10 pretend Our Clrccr Fan, lc gather w1•tli all ei>is1inlg anc future accesscvies, irterests, You 1eplresent that the Prc ducts will be used solely emteidced saftwa:-a programs, attachment s, rap la cements, for cc nini end ] purposes arid riot for pars arta:, fair iiy or upldates, adc itic's and repairs, (cc ill ecl.ivclly the "Products") household purpcsees. At Your own cost, Not agtlee to up on the terns slated he•eiin. Fcr the avc[dance c I I dcuitt, nmaintair the Pnocucts in accordance with the applicatle postage meters fa•use in mailing machines are excluded thou ciperaticn manuals and to keep tie Frcducis in g(iac wattling the c eflniti on c f Products. I ll e leant "Softw ai e" meanies any arc er,cadin ary wear and tear excepted. software that is sutjeict tc this Lease, other than software '. Assignment cif SuFp.ier's Weiranties. Wei hardly Alreigrams that are tube(ded in the 1 ardware. Software is assign 10 You any waralr.tiees 1 elating to the Brocucrls that We Supplier. y t e ov per y 1lie may have received frcrr the Supplietr. still'ect to IN a add t1`ar 1a1 terms as ma id ed b lu lier' Relationship cif the Parties. 'fou agree nal You, rot 21. Prc mise to Pay. Ylctu piicim'se to pay' 1c LI; the lease We, slel`eated the Prot ucits and the Supplier, acrd 1114 Aa are a payment slicwn on the Clrcer Fci-m ("Lease Payment"; in selaraalle company fricim the Suppllietl anc that lite Supplier is accordance with the play'niert saheidule sell fcnh thenecnl, plus nmol Cur agent IFYCU AREIA PARTY 10 AIN 11 POSTAGE all Giblet amclun s stated ir1 this Leaser. MI TERI RENTAL, MAINTENANCE, SIERIVICE, SUN LIES 21. Ir itial 11(rm;It nervaL CR 011E ER CC!NTIRACII WITH ANY Si.:FIFIIIER,WE ARE 3,1 FMM Lease. The Initial Terme c f ti is L ease I`C11 A PARTY THER ETC, AND SUCH C CINTIIAC'll :SI will beglir an the dale the Procucd s are is;tailed anc will NCI! PART OF 11H1SI LEASE (EVEN TECUCH WE MAY, cicmltir.ue for the nlumter of mores sllcwn or the appl''cat le AS A CCNMIENIEi"C'E TO Y1OU AND IIHE SUPPIJIERI, C rder Ham ("Initial Term";. Un less Yau hamvel opted for an BILL A1'I3 CC IJ LEC T MCN ES CIWED BY YOU TC L11O11 Lease as described in. Secticn 217, Yau mull notify Us SEM), in writing at least thirty(3q) days liefore the end of the Initial SI. I efault. Ylou will he in delault under thin Ilease if Ylou Ileum that Yciu intend to e'that (') return the Products at the fail tci glary any amount within mien (ICI) days of the due date or em cif the hit'al Term; 01 (i i)rutchas(1 thel Pnocucts urs rant fail to perfoiln i cite oh serve any other cUl.'gatian it this Lease. to Secticn 22. If Y1on I ave not opltec for an LIIOP lease aired Ifl'laul default, We may,with out notice to Ylciu, do any cine or Yau fail to €live us such malice, Then this Lease will mcre of Ihe fbllciwinll, at Clur oplticn, concurrently or aulon alica l) r(new fon consecutive periods cif one(1)month separately': (A)cancel this Lease;(B)require Y au to return the cacti Ieacih at"Menem mal Berk d The amc utit Ycu pay kr the Products pursuant to Section 12 below; (C)take)pcisslessicn of Praducti well remain unchanged dirittri each Riknewa Pericd. anc/cr render the Products urusatllel and fcr such plurpases We will act nictify You that them lIiii°Iiail Term or any Rlenewal You beret), aulhcirize Us inc Cur cesiginees tci enter Ycur Fei-oc is girding. You may terminate this Leasee at the prem ises, v illi prier reasonable rat ice or athen process of flaw; conclusion cfl al y Renewal len-lad by giving I s thirty (30' and ID) require Y1ot to pay 1c1 Uls, or demand as liquidated days plriarw"'tteri notice of'V ann Jr tent tci de sa. If You nctify damages arc fat as a penalty, an amount equal to the sum cif: Us in writing' that Non intend to termnaite the Lease, as se ((i) all Lease Il aymew is anc ether amcun s thein due arc past forth abcve, lieu shall either i-eplurn the Products pursuant 1ct due; (I'i; all remain'npl Lease Hay merits fcir tie theruct rrert Secticr l2 cIIthis Lease ar purchase 1 h prodlucts pursuant tc1 term, together w'th any tortes dine on to become duel during Slaciio:lt 2:. such term (which Yciu agllee is a reascnatile estimrsite cf Cur 3.2 LT OP Lease'. ]f yctu have cpled for an damages); and (iii) in the el ent that You failed tci promptly LTCP Lease as desciited int Section 2;1, then.Ilte term of this rennin the Products to Ls, ar amount equal I( the rerriairinag Lease will begin cm the date the liroducts arc i installed and will value oflthle Prc ducts at Ile end cf the then-current tarn, as caner'ue fir the number of months shown am the a plieshI! reasonably detamined by Us. 'ncr sha11also pay 111 Car ccsts Clrc en Fcrm (grit la] Tern . A 1 the ccnehusian ofl the :a Wail in enforcing Cum nigh s tilde] this Lease', inc iucing meus on ail he Tenn c f aro LIlO11 Lease, we shall (i) tear sfest title cif all attorneys'fees and eixplen5CIS dial We incur 10 tate passes!iea, h audv'v ares Products to Not as set f(nitE in Section 23; armd iii) skirt, rep's ir, or disk cset cif the I rod acts, as well as any.cilher Your license a use any Software Products shall continue expenses Ilial We may incur to aallecl anctnts awec to Us. without Ihe need la make any further license playmenlls tc Us. We are not recuired 'c re-lease or sell Ilhe Prado cies if A e 4. Payments. Lease llayments, and other charges pl•cvidec repossess them. These rennet nes :hall he cumulaitive and not fir herein, are playable in arrears pleric d ical ly as stated an Clioei(e]us r,e, art dl shall t o in ad dimlic n 1 o any anc ail caller Crcen Fara ("Lease Payment";. Yciu agree to maid( Lease re nec ses aiiailah le tci Us. flay merits tc Us ail tile address specified ar Cur invoices, or at Page 1eaa Meat 5ales EloveinmeniLease uenlion: Chied aovtease-(.6-13 N EOF OST USI I 1 47fl WHIEEI LEES Dr 10S A0)110 I h ILFORD,Cl 01461 1 TEL:203.3 C 1.34 0C 1 FAX:203.1 C 1,2E(C 1 1 +E' 16 neop o s� TUF MS & CONDITIONS 11(1. Fir alive]lease. Ycu agree that IIiis Lease is a "finance curly by a written ag•cement between Yau anc Us. Ary lease" as canned in Article 2A aflthc 'Uniform Cc mareircial acditional terms and aand Won s refe•enced cm any }lurch ase Ccide ("UICCI"). Tkr the extent p ermitteld E y laws, Yc u h e1 eby Clrc ar shall v oid anc ha ve no effect on this Le a ae. waivc any anc all rights and ren ecles corfcirrec uper Ycri 18. Sewall fifty. In the event any provision of this Lease under UCC Sectiiors 2IA-303 rind 2A-5I08Cum gll 2A-522, or shall be deemed to tie :invalid, illegal or unenfcrceahle, the any similar lass, vatic ity, Iegality and enforceability of thea remainirg iI I. Lass. Damage; Insurance. You shall:(i)11 ear hit nt l oft prcivisiaris shall r o1 in any wary I a affected cni impaired lass and damage tc the:'r•oCIU CO)fcr•the:Initial Term ar d any thereby. 111 e panic a agneti 1c replace any invzlid prav isicm Renew al Her]cid; and (iiF keep he Praduct(s) insured, at Your w]Ilt a valid prcnisior, which mast cllo;ely appraximaas the expense, against all risks of loss and c alinagle it an am aunt at it zinc eccnlcmic effect cIfthe invalid provision. least equal to its full replaaemer t cost. 19. Wally enorDelay. Awaivercfany default hereundera• 12. Helm all Pnoidt cts. I.nless N cu take title tci the c any term cr cc nc ilicm of this Leasee shall not be ceemec to harcware Procucils plursuar11 10 Sea 1iar 22 ar Stich ar123, then be El Cant inirirg waiver or a waivar afainy caller defkult cr ar y You are rec ui red to return the fin ducts tnser this Lease. In other Term or card'lion 1 but shall apply sole]yl to the in starce suarch Ecuiariert t tRetu end Aull t11101.12 atiorYC"BRAT; after mberefog 110 ment tar iz1 payrnent: ch clot.,. We or mc re a•densemart l marked I .pp� , EI p Y , lded Us, promptly send the !Vacua s, at Yatr expense, to any "payment in ful ," ar iilh a similar natation, IA Maui location(s) that V4 a c esiignale, in aidc itfan to payi t a Us C r:r compromising any rights under this Lease, UI en-applicable pa i essingl fee,The II roc u cis cc usi be prc p er'Iy :a. Su rvrivial of Of I igaal tans. Yaur oh ligat ions ur der this packed for shipment with the EPA nurrlbar clearly visible, Lease shall survive any extiralion ar lerininallica- cif any freight prep hid and hilly insures,anc must be redeivec in€load €lavernmert procurement can Tact that may lie related to i1. cc nditian, less n orrr al wear anc lea]. Any obligations and c tines which by, their nature externc 13. Assignment. YOU SHAUL NOD 5E114 TRANSFER, Iey,or,d the cxfire an air 1erminatian of this Lease stall ASSIGN, S UBI EA S.E, PIED GE OR CIIiHURWISE survive She expl it iat'art sir tern-tin analis of I hi s Lease. DNC UMBER (C GILL ECTIIVEII ld, �"DRA NSFER"` THE ;1. Cloct of ]Jaw; Venice; an dl Attarneiy'at bees. This PRCIDUC TIS CIR THIS LEAS.E 1N AII HIOLE CIR IN Lease shall l be cunstnued in aiccarc an ce with, anc all dis pules PA Wt. hareu'der s hall tie governed by, the laws el thea S l al el of 14. flisclaimer of IAarrantlles. WE MA ME NC Cloinrecticul,exicluding its calif icI c f law re.les. The state anc 11IEPRESHNTiATION S CRI WARRIANT IES CF ANY KIND, fedeaaI counts it Hartfcu•d County it the Slate of Car necticul OGRESS 011 1MHLIEL, REIGAREIING ANY MATTERI shall Bave the exclusive jurisdiction anc v(an e cver EI WHATSCIEVER, 11NCLLiIIITG, BUT NCT LIMITED TC, cartloversies arising art of, ci• rctaring i0, this Lease. Tie 1 THE SUITABILITY OII THE IRIC DUCTO;, ITS pruevailing partly stall be entitled 10 an award of reasonable COIN D ITICIN, ITS ME RICHA NT ABILITY, IT S HITT ESS att orneyl's fees ar d casts and the court shall 11 e auth oniaec t a FCR A IIAWLICULAR PUREE CISE, 111IS IJ'REBDCIM FROM awarc such a naunts, INFRINGIEMEN T, CR CT HER WIS H. WE PRIOV I T E THIE 221. F MsI L eases. If this Lease is ti fair market value lease, PRICIE UCTS TCI 5 CU "A S.S," "55 HEAD 11E"AN EI"WITH as indicated by, till lease rate that has I aer used by Us tci A IJL FAULT S." calculate Yciur Lease Payment then,unless Yciu ata in defdiult, 15. 111imilail ion of Half'li ty. WHI SHALL NOT]BE LIABLE Yciu may elect In l urchas e the hardware lrad ucls at thea er d of T O YC U AND YCiU SHALL NOT MAKE A CLA IMI thisi Lease cm ar "as is, wit ere is" li asis far their fair market AG AIN S11 US IIORI ANY LOSS, E AM A CIE (INCLUDING value, as nes s anah lyi c ete rn it ad ty Us, P. the ev c nt that Yau IN C IDENTA.I, CCINSEQUENTIAL CR PUNITIIVEI eleat to c a so, You must give its sixty(E0; days priar written DAMAGES:, C R EXPENSE CF ANY KIND ARISINC: nal ice cif Yciuli election tla purchase such II.educts. DIRECT L Y C R INDIIRHCIT LY HRIC iV THE E ELIIMERY, 212. LIIOP ]leases. I f this L ease is a lease tl o plurchas e, as INSITALLATi'.ICN, USE, RETURN, LOIS CE USE, irdcaled byI the Ica:a rate that has hear usec by Us to DEFECT], MALFUNCTION, CP ANY CTHERI MATTER ca cu ate Yaw Lease Aaymenis then, at the endl afihe initial RELA TING 11C TIE PRODUCTS (CC ILILECIT IVELYI, Term and after Y an liave mace all of the I ease Payments, We "I RC DL CT MAFlIERS";. NOTWITHSTANDING AN\l shall tar title tla all hardware Flracucts 1hal are sitbjeat to CITHEPI FRCVIISICN OF THIS LEASE, EIYICEFTI FCIR It is Lease 10 Yau an an"as is,where is"has is, DIRECIT DAMAGES RESULTING FRCM IIIERJSCNAL 214. llerniiriaticni. INJLIRY CR LAMA GE TCI TANC1BLE PRIMER 11Y �,INoni-A ra rrationi. CIA USED BY OUR CRCSS NEG IIICEiNCE CIR. WILLFUL 2 II " p M ISICCINDUCT, TEE MAXIMUM CUR Ll ARIL:TY 110 Si. \lou warrant ar d represer 1 that Y or inter d Y CU FC RI DAMAGES IMMUNE ER SHA LII NOT to enter into this Lc a a a for at la ast the entire Inti is 1 Tarns ai[d ENCEED THE TCITIAL CII THE AN CIUTTS PAID 110 US that Yells are dcirg sci for ani essenitia gkvernrrert purpere, HE REUNIIIHRI BYI YC U, Wu agree I hal, prior 1a the expiration of the Initial Term, you 16. Nloticii, All rotices, requests and alba:• cicunrnunicaticns shall nc ternirate this lease in order tci obtain the ;aurae ar Ile minderslial b e in m Ailing 1, anc shall be ad c rasa ec 10 Yau or similar Prcc ucls f l`orr air other v en der, Ls, as arppaicable anc shall I e can icoiled given v4heri !Ii,) h. Yau may terminate this Law e.al the end of c aliverec person ally, or ('i.: sena by cammercrial cVal sill t 'aour current fiscal year, ar at the ell:d of any stills tquentt fiscal ccrurierwills written canfiririatkin cif deliver•y. Naar, if applrapriztec funds a•e mat mai lab le to Yau fc.r the 171. Jr lege-zillion. 'I ht Lease rapresenls the fmall anc only Lease Pay irents that will be die iri the next fecal Naar. 111 thei agrleemerltbetween Ycru and Us. Thum are no unwritten(111E1event of such a non atprapriatler, then You shall prciv%de agreements between You and Us. The Lc ase cavi be ahang ed vtritter not'cciid Us tii at stales; Page 2 of 6 Dlreat Elates Clc lerinment Lease Version: Di'ectCc,iLease 06 13 bEDAOSfTISA 14?81A,HEELElSFAIRMSFOAI0 1 MILFOFII,OTBEA 61 1la:2O3.3t11.3aCI:I 1 FAX:203.3[I.26il0 f c neopos TER MS 8cCOf ®Ii I CJS con!umab]e supplies. The term afl the rental shall to equal 1c Su fli.c fent fund s have no'I beer ar d will nat the term c li the Lease anc is INCH-CANCELABLE. NII au be app rc plriatec far tri a rema'ning pay mer is agree to pay all app licabie taxes rcdaec ta Yaur acquisition, duce under the1.,easef. 11clonfirm.hatwewill pets session, and,im- use cf the Fostia a Meier indult Mg a 1 nct replace the Flroducis wilt similar property taxes or Act flostage Meter. Purtherricre, clot agree eqt ip item from any c th er party in the to play the apt'l ica d le fee to coven 0 u r ex peens es asst crated succeeding'flsca'I yefar. wth the administration, billingi a nd t•acicirg elf such charges ant taxes. INctwithsMild'11g tia fuuegairg, in her event Yau 24.a Canvcnfencel. Yau may lamina le ane taxi exempt, up cal provicinig Us a eerliflcale, 'You Niall nct Lease al .2)Itime and ie• any You or fcir in a thiss be recuired la pay any taxes clovered"t) such certificate. You ("Tlerminaticn far Clcnveniencc";; p.rcvided II at Ycu comply Lglee that you that rYciu thea dostoge t des at the et forif th in w'th the ravtisicns of ilh's p Lipase term and Yau will do:o in the mar new set forth in p paragraph JrIr the event of a ,Secticni 12 of the [lease. Funtharmcre, You afgtfee thail if ycfu Teaminatior far Convenience, You shall p,ay Us a termir al Ian fail ta retain apostage meter within'thirty(S0; drys ail:receiplt charge eqt al tc 11 a ret present vale e of the periodic paiylm ents cflthe hIFIA than You will pay a postag e meter i epllaceme nil fee remaining in the initial Term cr, if applicable,the them cu'llast of Ii,(I0(1. Renewal Term, discounted to tile press In value all an interest rate equal in six peacert(E°A)pe-ciiitm, Duchalrraunticrust 4. Flolstage Meftefn Matintersuite, IisIflections, and be sece:ived key Us with in thirty (310; c ay cf the eflective dale Laaatiur. We w if keel the Flcsilage Meter in gaud wcrldirg of tie errr in atm 11, car c itian during the term of this Rental Agt'u amen t. The 2;I. Adcitianail Postage Meter 'Berms. If ilio Prcducta Uri iled tater Ran al Se Nice regilaticfnis may requite I.Is 110 requ ire a pc sl age meter, then Yau agree that Neuf ost LEA's cooperate scall) li Us re the Pastae a Mete. Niru agree t o Postage Meter Rental Agreement shailll gcverni )our rental of lime rate) milli Us reiga:•cing such inspections. We tray, from suchposlage meter. lime to time, access rind cawmloalc infbnnaticn from Ylou:r Fosillage Meter 10 provide Us with inform at'on about Moir restage taagei anis We may share If at information with Our d is trill ul ors anc other third p a rticls anc Ycu hereby authc rize POSTAGE M F'IiER REN'IiAIJ AGREEMENT Us ta c a s o.You agree 10 pion ptly upc ale Us w h enelver the re is any change in Mot narre, ac dress, telephone number, the 1. 1lnlearpcnatiar, of C.erllain 'harms. Cusdamer 1'aersing past office,or the In cation cfthe Fest age Meter. a cb nc wlec gels that: (i; it has enterer a C av eminent I Prc c u c t 9. Postage Ad`a r ees. We da tat sell p osll age. :In the ever 1 I easeAgra errlent wl''It MailFinane Inez.(titer"Lease";;and(ii; Ylou requ re an emergency a dvance for pc s-Iage, We, all Orr if the Fired acts that are sttljeal to the Lease includes a mailing ac a discrefticn, may ad`mice Ycu money to reset the FlosIalge tract ir.e, then the Ierms of this Postage Meter Rental Meter. IIf We doprovide such an adlvarce, You agrleei Ic trey ay Agreement("Pleni al Agreetrenit"; shall Elm.eln its renal cftie Us within five (_`I) says fl•cim it a time of such advance: tri; the Postage Meier (las defir en he law] far such machine. Ar)l amcunit of the emergency acvance; enc (ii) the teen-current defined terms it the tease sl all lava the same meanings in acvmice fee. this Plknrlal Agreemend, except that "We," "Us," anc "Cur," C. Defaiiii. In the event You Fail to perform in accordance u efeirs tel Neapasil L SA Ir c., anc any referer cc tc"Procnets" wi1H the terms set Perth in this Rental Agaeemenit,cr any ether ahaI refer to the Hostage Mete r. Sectiors ]'I, 12 and 14 Agreennenl with Us or any cif Cull affiliates, Mak(Iirg, tut rot through 'l5 cfl the Lease are lierehy incarpcnatec ir.tc this lin-iited to,Maulplinancel inc.,and Mailafacfm Elin.arce,Inc.,then 'Mental Agreamcln4, except thai any reference in these sections We may, w Maui rietice: ii; repcssess the 1as1age Meter(ls); 10 the"Lease"refer ta th's Rental Agreement. Ilii) disat e the Acs'lagle Meter; Oil, immediately terminate rib's 21. Pravisicins as to Use. Ycfu acknowlecgcf that: (1) as Blenlail Agreement; anc (:Iv, pursue any remed'as availafble to l equirec b y Un itec States Pols tat Sere ice ("UHF 5") L s al law c r in equity. h urn l err ore, upcn the return of the re€lulritic rs,the postage met er(s)id call'f cid on the Oi der Farm Pc stage Meter, Moll 11ereby aulUarize Us ta afl:sel any arn au nl (tile"Paslage Meter") is ieirg rented tet Y or and that it is Our cf pcstagle remain'ng in '[lie Iest age Meter,pp•icr to ar y ref mc plsniperty; ('i; the Postage Motca• will he sr.irerldered ty Yclu 'o Yciu,against any amount dna la Us or any af Our affiliates. upon cearand by Us (iii) Yiau are respcurs.ible lc the coni Ycu strait also pay all cfl Crr ccsis in enforcing Cur right a ant use cf iia Hostage Meter; (iv; You will cc nip lier ly with all lux this' ntal Agreement) inalndingl reasonti6:e attorneys' aplic ail le laws regarc Lug Nlaanl use ar pcisses sic ii cif the fees and expenses that We .inch 11a lake plassessian, stcre, or Postage Meet; (v)the use cif The Postage Meter is subject ta repair, the flast ape Meter, an well as any ether expenses that the ecnciticns established Rom rima tc lime by the United We may inc unto collect amctnds cweld to Us. Mese remedies States Fostal Set vice; and (lvi)the astlagle Meteris 10 be used shall lie cumulaiivci and ncll exclusive, and shall he in aidc.it FlIan only far generating an indicia to evidena e Ibe p tar a)mletnt cif to any and all other remedies available tel L s. pcstaigle and to account for postal funds. It is a violation of 7. Ra levpcalas. 1 Federal law to misuse c r tamper wilt the Postage Metes and,if A. MAINTENANCE. CIF POs'[AIT. RAITEs. It is \lour sale Ycfu ca so, We may ieuminate Ihis Rental Agreeimeni upon r'espansibflit) lel ensure that aorrecl an orals are ridice toYau. app lied as payment far mai ling and ship piing Rental Flee, Term, and 'Mix es. The ittental fee far the services. IN shall nal le rasp on:Ala fbr returns for Pc stage Meter real al durir g the Initial 'Term is'ncluc ed in the de:ill eryl delays, refusals, or any other pre Elan s Lease Payment. Fc r each Renewal 'Berm, Yloru agree tel p ay c au sed ty ap plyir g the in cart eel rate I c mail or Our then-cur tent fee fcir the Past ogle Meter rental. The pacicag e s. Pcistage Merer rend al fee dues nut irieludef the cast cf Fuge 3 of 6 alnecl Sales c overnnrent Lease Venston: ClreclGovLease-0613 b ECIPOS1 USAI 142R 4i HEELE RS RIR N15. RCM I MOM'LJ,CT 064161 I TEL:2CI3.3CI:I.34C110 I FAIN:2Cl<.301.c16C10 4 ntd eo QST, TE F ME & CON EITION I. Rale Updates with Online Services, If the Clider B. You alsa acknowlecge " clu have reac the DMM Rcn•m inc icates that Ycu ara enrollec in Our C o lin a 6(14.4, Pass age Payment M etli oc s, Flostage Meters Services p•cgran, thein We will make availab la and PC Postage Frack cis (Pcstaga ENicencinig periodic upcales fon Yalta cclverec Trod ucis ald,Ior Systems) and agree to all ide b)I all rules an( Postage Meter, including up c ales to maintains rogulaiianm c el nit i its use. accurate USPS miles far tilt USPSI services teal are C. Fla ilure to cc mill) with the rulcls inc regutat ians aampatible with such Prcducts ar Icslap IVellt1. ern tabled ir the DIVM or use at the PES in any Ill a rale upldnnllas ill at areoflered'mitt Clur Onrlir c frau dule!it an unilawfill schema cii enterprise may Ser vials pr og ram are only 21%Iiilabl e Icir plraduct: re:ufl in the •avacia for of this Rental i greemenl. that are InIeglrrltedl Gaal clefiiiedl helcrvv) into Your E.Nlou further acknowleisgle that any use of this PES Ihart inaiilb'gl mi chine. Fcr tha purpases of this section, filat.dulently deprives ilia USPS ofrev eni e can came "Ir tegratec"means that the caverec hardware canna You to be subject to cavi: anc ciitriinal penalties properly apeilate ar a sl and-alcne basis and ii this appliaatla to ftauc and/ar flihe cllalimai again:1 the been ir carp wailed into the mail) machine'. Puaduat` Unitt d Stales.The nal nihis icn of a false,fictitious ail` that are riot Integrated including, but not limitec to, frau dialer t stat emtlnil cian resu hl it impuiscmn ert of urII 2111 5 afty are anc scales v ith "SI-TA," or"SE" in the mad el number will rat receive upcartec rates as part to fiv e ( ).yInar: and Ernes ci civilutat 9 penally afl (tc of Clur Or line Sleinices pragramr (lcol1ecIivielly U.S.C. 1 CI01). In ado a an, a 11oft up to "Excluc ed Products"). 915,C 0( ar d an ado ilianal atsses:m€avl cif twice the amount falsaly claimad may be iinposec 13 U.S.C. C. Rate Updates with Rite Charge Protection anc 3803). Software Ac vantage. If Ylau have ary of Clun E. Ylou further uncersIar.d that the rules and regulations Exciuced Prcidu ats, You may have electec to regarding use of th'sl PEST as documented in the USPSI purchase Fiala Change Arolecliar (r"RCP") fiam U; Domtlstic Mail IVanual may be updaltec from time lar fare 'aur hardware) pi acucls ar Saftwlaie Advantage time by ilhei US RS at d i1 is Your obi pnitiau tc comply fare Your Software. If tile Crcer I arm indicates than w itli any cutlrenl or future ru les and regi.latians You have selected RICH cu Software Advanilage, Vv regarding its use. will.Crake avaiilaIle t the fallowing updates far Your covered Fraduals or Software: Ili; upcales 10 maintain F. Ycru are resp arsihle fat immediately reperfng(within accurate ialto fair the service: offered by the USPS ss entytwo hours an less; she theft orkiss cif the anal cithat oat rim Ihaat are campalibe with Your postage meter that is suliject to this Edema covered Arc ducts or Software; and (Iii; u pc ales for Agreement. FaiItre,to cannrlly with this 11cilifiaatiar major aipl cr acme gh2inlges 1}1211 rrce crnnpal:ible wish p:•cv isior in a timely manner it ay rest It in the denial Your covered Pilocueta cu Softwlare. If any af theti refund all ft sc; remaining on 1E4 postage meter at reprogramming is required because You have moved tH e lin e of tile la s cr theft. the Prot ucli c r I clstaage Meier 10 a r ew lac at`on, nc ne afl Il het son ices descrill ec in th': Section ac var the cosi 'to co sa. If You have plot selectec RCP ar ill ecifunclslillloilant:ndsACCOUNT AGRIMM ENT Sat-Ware' Advantage, YIot agree 111a1 We n iy surd You p enicld'ic rate up dates ass needed anc You agree la 1. hi anrparation c f C enali n 'Ileums. You acknlawlecge that either: Ili; piorniptly pa) the then-current plrice fbr Ylou have evilered a Clciverninen1 Praducl Lease Agieeneat sucl update; on (ii; return the uniusec, update tai Us wilt Mai IF inane(' Ir lc. lithe "Lease") and a Aoslige Meter within ten (10) husire;i days of receiving it. Rlelnlal Agreement with Neoplosl UISA Ins. (I he "Fluilal Custartle:•s with an auIsilancing Accauraiits Receivable balance ir.ay not receive a rase update until the open AgreelmerY,, if you Have ar eli�ible postage'meter, then you balance is •ysriot receive will Nave acicer�s io a neciHunds postage funding account (for Necpast ICIC accounts) ar a Tatalruncr® postage funding S. UNITIED S.TiAT1ES ICIS TAU SERVICE acicot nil IIfor Hasler THIS nccauctr) and tris ACHIIOWIIIEDGIEMENI'D OF DEPOSIIT tie cRix s/TalalFuncs Acumin t Ag•earner.t ("Acct ant REIQIUIHIEMEN T. F y signing th is Pcrstagt Mei e• R ental Agreement") sh al: glav erre Your 1211 afl such account. Any Agreen ent, N au acknowledge and agree 11 at Ycu have read c efined ter ms ir the IJease orRenitalAgreener tshall havethe 1heLritedSlates PcslalService Acknlomlac gement cfDepcsit same meaning's it this 11eaFu/lc Is Agreement, excop1 111 at I tit e"Acknlow,ed gement") anc will cc nip lyl with it s 1 erms and "We," "Us," arc "Clur." r erfbir t o Mailman- Finance, Ir c., an cionciliarts,asi1may beanienc ec frlcurltima1cilitrle. arffil•atecif hieapctstUSA Iris. Sect ioiis 14 tl'hraugil 2( cifthe S. ADD]ITICINAIJ UNITED STATES POSITiAL Beaistl are licit by i;Ica Tiara iled into this A(lac unt Agrleemer1 S ERViICE'DEP except that any referer ce in those sections to the "Leas a" A. By signing tit is lc stage Ms tar ll en to I Agreemer t,You refers tat Ili is Account Agl•eeirient. acknowledge that ''iau are also entering into an :I. 1+Istab lisliaeni rind Aativall ion of Aeon r.I. Ylau hereby Agreemart mil a the Un.it_ec Staer Fostal Service autllathe Ls, la eslablisti an accaunl in Your name CUM"' ir accordarce with the Dam(stic Mail ("Account far funding the ptruhase cdll postage from ilhe Manual (I"DMM") 6(4.4, Restage Payment Methods, Unitec Stale Pas tat Sen icci ("USAS"; far use it the postage Los age Meters' alc RC Postage Prcducis medor. Your Accaurt may also be used to purchase supplies, Ilea lecrtiv41 , "Fostage] Evidencing S)stems" or play for the Restage Meter ren lad, and obtain certain atho• "PES"' and accept responsibility fbr cartrel and use plroducts and services from Neopasl LSA. The establishment all Ilie EIS oar tained therein. cif Your Poccur t st all ha subject to Clur approval of NI aur Page 4 oll 6 Olrec t 51a la s G over nmert Lease\a nslon: Dine(ttlovLease-06-13 NECfIOSTIISA 147fIWIIII Ell SFAFMSFOPI:I 1 ivILFORD,CT0I6461 I TEL:203,30I1,34Q(I 1 FO:?03.3[1,2E10(1 r ..„, C1e0 pa TERMS & CCINDITI®N creditworthiness. A ny us e of the A ccaunt sha l cans)kale exceeded far each transaction chat Ycni ir Wale aflar Y ct r Yaw acceptance cif all the terms and conditions at 11,is Accauit has reached the Accciunt Lin h. Such amount will he A ccaun t A gra ement and all citl'ar documents exec uledl or charged to Yciur A ccc ur I ar Ili a dale that t:ie reIev a it prcivideid ir connection with the Account, The Accaunt may transalcticin(e; cccurs. Unll9as p'ahilliiled by aplplicetle law, riot he used far plerscnal,family',cit houselicildpuplascs. Yen ag'ee to plait' the amounts set forth ir Ibis Ac count 21. Open-Ilion of Account. Each lime an err play ee ar agent Agreement, witicih may include, without limitation, the cflMau rs wiih the express,implied,or apparel1 au'lbcsrity to da amounts specified ataue, a fee for a late payment, anc a lee sci(eaci an "Aullhcrbed User")use: tale Accciurttaneceive a fur any (l'echls that are returned as a result) cf insufficient ;astage meter reset or attain ether plroc uclls or services that funds. Unlet prallitbad tly applicable law, Wk dray cliaage Necpcist USA Inc.is authoniaed tc provide,Necpcst 118 Iii e. Yciu and Ye u ag'ee tc pry Our fees Mer it effect fcresaplies oft will riot if)I Us cd the an aunt 110 h e a plpl'ed to Y aur Account Your it ar tl ly staleartents. All such fees shill be ac dec ro Yam balance. if tie Accciunt is wee tci attain postage then We Accciurt balance. wills tr a nsfer Iha requested aniciurit of postage is hie USPS on e. Cancellation a t:dl Suspensior. Wei may alanyl lite e close Mot behalf aneI Ylour Account w ill 1 e chargqd fer tie amount ar susipenc Yciur Accaunt ar lemplcirarilly neflise tci allow cif plasllage requested and any rela led fees, if applicable. You further charges is Yciur Accciunt. Yau can cancel Yaur can continue to prepay the U;AS fbr postage anc uric erstand Account ai ar y time I y nittfyitg Us in writing at Ute adduess 1 ha pre-paid p1 a site g fund s will he used firs to pay far it y provide d an Mem iii A ccc urt statement of Y aur desires to ca so. past age meter resells. You fur her tocerstand that Nei cancellation. or susplensicr wild affect Your at ligation tel reaFiincs/TctaPune s will provide additional availatle play any amounts Yau ill or awe under his Accaunil wastage funds wher Yam pre-paid account balance is neral Agreement. We will nsolify You ciftte Aoacsunt balance in the (81(i:.WHen Yau request a p asta€e meter mud, if Yciu I ave the ever t cif any termination and all clulatanding oh ligations mil funds on account with 1he U:F5, these funds autcirrlalically survive the terrlrinallicin cf this Account Agreement 1 either will be withdrawn fuist'a pay fbr II c stage,an c any adc it i anal) part). amour Is due for Iosllage and related fees will he billed 7. Default. We may declare You in default if You: ii,)have through the neoHunids�ITatlaiFuucs Accaunt ur den the terms made an) misrepresentaliars is Us; Ilii.; al any time, lime and cor diticros oil this Accau n'I Agreement. If the Accc u nl is lane on a:Iowa( arty th ingl 1i at 'radical es to L s that Mau n ay I a used tel acquire plroclu cis or sermices from ti al Neoplost USA is unable or unwilling to repay the balance of Yaur.Accoun t as aulhcirizec to provide, then Vile shall pay the applicable required under this A ccaurt Agreement; ar(iii.)are in del atilt amount to Nee past USA Ir c. anc add such amount to "deur under this Accaunt Agreement or any leas e, rental, or other Accounl balance. agreement with Us, Nec past LISA Inc., or their aff fates. If1 4. Payment'Hems. Yau w ill receiva a billin€l statement fent Yciu are in default, cr uric r. ar y c arc(]sal ions cif Your Account, each billing cycle in which Mot have any aclrvity cm Your Wel shall not lie obligated is continue to plreividei the Acaaunit Account. Payments. are due an ilhe due cafe shown on Ylaur sten ice cr exlenc further crec it under this Account Agree nlelit. billing statement. Yau ria) pay 'het eidire balance cue or at If We are required tc rake collection act icin or any Men legal pearl len of the balance, prow d th ai You pay al leas het a chart and er this Ace aunt A greement, Plot shall p ay up lar m'nninium payment amount shawls. an Your slelement. demand by Us al. cot rt and cclilectiar cosh], along with However, ifYau hauteexec(de( the Account Limit, tiler "yIou reasons hle €ittarne)I's fees, These remedies shall to must pay 11te entire amcunt of any averages, ass vi ell ass the cumulative anc licit exclusive, anc shall be in acditicn 10 any minirrtuan payment amount she wrl or Year sllelement. and all oil'41'remedies available tet Us, Wliensever there is an urpafc balance culsir.lding en. Yciur 8. Remedies. If We have declared. that Ylou are in cefault Accaunt which is ncit paid in full tly the due dater showr Cl udder 11's Account Ag cement, then) We xray: (i) declare all Your tliIlk g slat einenl, We will charge You, and You agree Ic agreement s You ]have with Us in default and due and payable pay, interest en Ilia unpaid balance cif the Account for each a1 cnce witlhcul notice or den and; (ii)refuse to make further daffy Heim the c ale the iransactior is pasted is. Your Ac cc unt ac var ces on Yeurtlehalfle reset Venn pest age meter; and (viii) until the d ate the unpaid ballar ca is paid it full, al t he Annual exercise any either right s that Vola may have. Ir a dd it ion, Yau fiercer tag e Rate(as ceflned below;. The Accor nl baler ce Iiialt agree t1:at any deflau It under this Account Agree:neral shall is subject to a firance chart a each cay w ill inalrnde cans'it to a de fault under any agreeme rat Yet may have a ith autsilendinsg I alances, mini; any peyynsarrts and credits any cif Our affliates, incluc it g, bit rat limited ila, Nedplost 1 eceivec by C Is cmc Your A cc omit that day. The Aho nal USA he.,M ai Finance Inc, Percentage Rale applicable to Ycur Acccunt will be equal to S. Ant andlmenls. We may arnenc this Aemu nit Agreen ant, the lesser of eighteen percent (I8.CM) per annum en the ar any of its pralisiora, inCh.di; g ailhcsul limitation any fees it min urn perm itted by law. Each payment will be applied 110 and charge s arddllor the Ar nual Percentage Rata,at any lune t y Ili cuce the CR'standing ba:ance of Your Accaunt ar d 1replenish au :le est thirty (3(1; cays a ritten notice to You, anc such the amount eve tat le to Ylou. We rr ay refuse to ex end fur her written r a ice it ay bo ir eluded in Your t illir 1g stalemient. Any credit ifthle an-ourt cd a requeslerd charge plus Maur existing suesh amend riesni will liecame effective cm the date stalled in t alar ce exceeds Your Acsctount Limit. 11hei 11ctice and will apply 1a any tt•arsaecrer s after such c ate,ars f. A ccc u r t Illinit and A cement Fees. Yc u agree that We vt c 11 as to arty au Islam(til g balance a can Yciur Acacruiit. will establish a credit limit ens Ycur Ac count tithe "Account 10. Notice: Any na'ice, required to het giver under this Limit"). Tile exact amount cif the Accaunt Limit will I e A ccaurt Awesemenol ty either party Iera'o shall he gliven if to indicated cni Your invaica. We may, it Clur sole cis ere'inn, Mau, at the address shows au Your Order Form, and ifllo Us allaw Ycurbalance'a exceed the'Account Limit. Intle event all F.CI.Be x 3CI1Sl3,'Ianpa,Fllaridal3316'_10-31.93, Vile des sci,Ylau agreel 10 paps Us an auric%tie nal fee ec rad to at.e 171. Miscellar esus. You ur dust anc that We may chain yercerr1 II:I/o; of the amour by which the Accciunt Lui1i1 is credit itepurs it cart rdectionwith Yalu.A ccaunt ncw anc in she Page 5 0116 Clrect Sale! Clore rinnien1 Lease 1,earsion: DrneatElouLeaie-06•:13 • I EOPOST DSII I el?El Olt BEI El S FARMS F OA1t I h ILF{fit Oil CE1461 I TI L:2Q3,301,34©t I FAX:a03.311112EIatl .,,,1 ,4/ fleQ Os TERMS & CONDITIONS future'. This Accculuil Agreement shall he €loveine( by anc anc Softwlare Aire(n ert I"CSS Agreemelnt"), except that cor sl truec in acct ltldar ae w'II he laws of tie Slate all'hart da, "VV e," "L s," a n c "C ul'," refer to Neoplosl L SA Inc. S eel iar s with(ud •efererce to its ccnflict.af-laws rules, anc any 13 th•cugh 21 of tl•e Lease arc Healy incarporal ed int( this applliciallle federal laws. The role,jlu•isdictior anc velrue for OSIS Agreemerllt, eticep t that any deference in Ihcse sections la action; relatec a the suh'lect matter 1'.creof sha:l be in a S late the"Lease"Iefet to this OSS Agreemcir 1. u Fled eral Court with'n the S tate cif Florida. 2, Liceil'_s a.C'rant an dl A d ditlon al Tern s. In en ch ang a far the lic'ense fees Ihal are inciltdec it Your'lease Haynient,We MA 1l'11ENA CE AGREEMINT hei•ehygranil tc You ancne lclusive,act trail sfe'able license ici use lie SoftwlareplrcdWAS,ill aludingrelatec cocurrlentalfiat , 1. Incargarailic'n of Centair Terms.Ilan acknowledge that descril ec c the Ord e•Farm solely for'lot:r own i se of cm Ycn have entered a Gave ninon I Prize tie' Ler se A€lrelernclnll with tile}ltcducis. Ileuwairanll and rep resent' Ilial Ycuwill. with Maillliniance Inc.(1IHe"Lease" . Any defired terms in the nest sall,transfer,c isclose or otherwise make availah a such Leave ;hzdl Have tie same meeiiinigs it It is Me'nderiance Saftwlarepl;•cduct; crccpies lhe].eat llo Ihirdpaities;plrcivided, Agreement, except that `'W e," "Us," and "Clue," refer t¢ Isciwev er,iIhail the Sc f ware prc duets may he used by lieu r T eapcst USA Tic. S eciticros 13 through 21 of tile Meese ore employees a•inc epenlc ert cortractors using the Prac ucts. Ne herety ircoipcirated info this Maintenance'Agleclutenil, exceril title or cwnership ct the Soiftware procuc's ar any pc'r'i(11 that ar y refer ence in those secl'aii tc the "Lea:e" refers icl thereof is transferred tc Yau. Mot acicnow lee ge and agree'Thal this Main lenanice Aglreerr enit, there may be adc it icnal lcrms anc ccndil:iar s that applylo Your uscl cifany Softviare prov'ded thyUs. S ucl i(nlms may '.I. Is eapast's Terms and C and itis v s fuer Mai nteuanee be pravic ed with the S Giftware,or mace mallet le at Seta ices. f the Order Hats, •en Nees flirt Mot have www.neci astusr.ccim/sciftwareterrrs and maybe Iur�chased maintenance sarv'ces, them Neepc.t US'A Inc.. or pl suplpllenenled by Us or iIhirc party licensers,fhurr tinier( or,cl cif its WIilia'ell, will Firm'idei matnilenance services far the time,ty nal ice tc You.'lot acknowledge and agree ilha11ot Brackets in accordance with Nearest USA lnc, s Ilhen-current have z'cice'ss 10 the appropiLaia versian(s)e the applicable maintenance te:•m. and pricing for the level of mainter auce to ni s pravic ec a the address above and cortlespanc ir g 10 services that Yauhave purat as ed. 'Ease sereidles will he Softwtare cescr'bed on the Crder Farm al 1'lie ime you clnlcl.• provide far tileterm entire of the Lease and are NCN- this CSS Agreetren;I. Such terms are inlcarpcialedIIereir t CANCELABLE. THe current version) c f these tern:: anc this refer epee and Ycu agree tc lie tour by such terms zs if canditiors are a'vailah le at Itey we:•el fully slate( het eir• www.neciplostisa.comlrriainlenanceagreementVOf 13. Yau 31. Use c f Webslites. Nea ost USIA Inc. arta or any ell Cull agree that Mot have access 1a such tennis and that U ey atepI Y lain incarpoiated int( this Maintenance Appel-rent 1 this affiliate's, suppliers,ircll €1,tlutnol limited tor,Mall inarlce references,an( tial You shell I e bound by such terms as if'hey Inc. inay, f.•cm lime lo time, male certalir websites available were full ,laded Hcireiini, 1'otlwilhstandiu the fcme oin tci You in crcer to plrclvide \lou wiih certain servicees y g g Wag, ("Websites'"•. If Yciu access any such Wet;liles, Yalu train ea servieles are tel available an HI] C iti<re' acltnawled ge anc agilee thatl'lour use of the Wets Ills is suk,'lect Printerer Series pncidlnets. 1c the tears of use anc/or license terms in effbcl at the lime 11011 use the Wellsiii a. St ah terms are available an III 'Wet sites for Yaur review. Yct aclknewledge aid agree that such terms may ha supplemented and macified from time •o CNIJITNE SERVICES ANEI SIC I TWA RE ACREI MEINT lime I"Smien]cindal Terms"). Yciur iso of a Wells ii e after Slugpletrlen;al 'perms have been issi ec will s igptify Y of • I. Ir corporation of Cenlain 'Eerarla.You acknowledge that acceptance of Ih(Is e terms. In aa evlenrl of a car flict between Supplemental the l 'lou have en eyed a GavemmerI P•ediet Il ease Agreement arms athis CJS AAgreementAgreementAgreementand 'he wilt MailFinarce Inc(the'"Lease",. Ary defines terms in the Tent s,rhe Sup plemelnlr'1 Tennis shall cc'Ira Lease shall have the same meauirgs in this Creine Seri'ices Page 6 oll6 Direct Hales(Icye]nment Lease'Jelision: Dili iiClavLease••06-13 t LIOPOST ISA 147€ W}EFLERS FFIFIIMSFIIWI0 I MILE ORO,CT C 6461 I TOE:203.3C11.34GO I FAX:203,3f11.2(100 ADDPNLI1 M'I C AGREIEMFN'I,I 'Ibis Adder dura Io A glreements is byl and hutween Maul ina.ncei Inc.(I"MailFimince"),Nelop asi 'USAir ci.Q"Neapast USA")anc City of Clain el ("C ustainer"; with.raferemce!la I1 e!following: A. IAailhinancc and Customer trei ente fling into a Governmen tProduct lease A gement lithe"Lease":,. pursuant taw1 ikli MailFinancc will leiase!prod ucits:lc Cu stainer: B. Ccncfinality l•erevr!ilh,Neop.oll USA and Customer are entering into an Orlinei Services and Sofivic re Agreement(the"C SIS Agreement")purse ant to which Neofos9 C SA will ntaiiie certain other services av!aih t le tc customer. C. Any defined tarn ii ac Herein shall have tl ei same n earning as in if e Lease,at it a OSISI A girt trr.ent. In cion.isid a iration.of Ile matt al deity wank contained herein, and in the Le asa,and tt e OSIS A E red ni enit,.the lathes • awe as fkllows: 1. MnilFthat ee and Clustameii agreci to amend the!Lease-as fClIcivas: a. ectiiotl 4,iitlac "Payments"•is heireIby amine in II bet hllirc sen tang( to c allele "i hirty(3(I; c ays' ane'.ret;lane it\kith"fortyi-five 05)days." eutior 21,.titllTJaw;.Men ua;arid Allcrney's Fees"is hereiby- amemc ac llo deilete the Ian81uage of ilhis section in its entirety and replace i1 with the !.."C hoic!e of Le W f nc Attorney'I Fetes.'T his I ease shall be given ec .fly and into rpretein acct rdanaeF v,ill It the laws cif 11!e State cif Inc iena. eiiccauc inpl its eanfliot of law principles. All leeir and o pleinseis shall be borne t the rattlers equally.Howat!ar,cinch fartyy.shall dear the explensci cf its own counsel,exptins,witnesses, and pt•eitlara'tiarl of proc fs.Tile prevailing party shall be entitled-td ar award oflreasenallle attorney's fees ane ac sts. 2. 1\evposi USA and Custameragiree:ic auneni the CIS SAgicement asfolic ws: a. Section 2,titlec ""iliclense Grant acid Ac ditional Terms"'is hereby, amended to add the foil[min g to the enc of this section:"Your rise af-thf Elerr loos is lin ite d to the number cif Eleicli'cut is Cerlifie!d Mail flie!ces(end ar' "eCei1")indicates gni the Cider Font II"Annual Volume Limit").In th el event Yeti exc eec 111tei A nr u e!l Vcdurne in any year,Vol agree top ay at average dangle fbr each eC ent ns ed elver-thCLLA tint al Valk ma Limit.as. outlined beck w(tli el"Or erase Chang c";.The Overage C Iharga.v41l t e c el erm in ed as a ppioc uct ofihe numhei afeCe•ts You .process in excess of the Annual Volume Ilia it mtltiZtide Ey C mac Charge mac: kited with tier fondle'excess as sct RA be lc w:" Anneal Vis�tte` 1.5(ICI $ 0,2E 9011-1,000 0.2i 1I,CICI1•:I,000 $ 0 2,001.4,000 $ 4,001-8,000 $ 0,211 81,0011-16,000 $I 0.2(1 16,001-32,000 $ 0.1.9 City of Caramel Lease Ae denduiv '11 Al//21(.'5 HPL. 2,CI011-64,000 $ a.18 64,001428,000 $ a.1-d 128,001 till me lie $ 0.116 • *Volume bane s lien(vii an nit all) 3. Tilellaidiesagreetcicel(tetheremFundaITctalFcrdsAcicjauntAgreerrieni in its er t iret)ll. The Lease, I4enriail Agreement, Maintartaniaei Agreement, CISS Agreement,and this Adcenidwn contain tile eomplleta uncle si an ding and agrees est betmeen lhei piaci ieis hereto,and supersecaal: represenialians,fin(erste ncinigs or egret men ti Euler to tile execution t}ere(f. Ary changes or ac d ition s 10 the fdregaing ngrieemen is will be Nal id orb' if they are ir writing and nigncid bi the appropriate parr ies. In the eventclanyeorflintbetWeenthetermsofllheiLease,C155IAgreeiment,me this Adoaridurri,tile term. of tile Acdentumshallcentral. Ill IE attics lave eau sac this Addendum to Agreennenls la be euceculled by their duly wit il ori cc rem mita'ives cn the dale sat fdrth h allow. C ityl aft C a rmel IVIlailFir ancie Inc. t// By: By: `. 11 Printed Name: Prir ted !e: ] .414k title: kg-t1 'Ilit]a: Date: Date: I/ 4/l5 Neo'est USA Inc. 411. Fr VI Print ed air e: c4-144 1L—L-rE 1litla: T E ata: 111 l+f') ✓� Clity all Cc nn el Lease Addendum '11/2412015 I-FL 1 Approvad and Adopteid tHis day of , 20 C]IT YI OF CARMEL, INDIIAN A Hy and through its Board of Fublic Works and Safely BY: Jlarnas Brainard, liras:iding Officer Data: Mary Ann Burke, M amber Data: lion S. Watson, Member Data: ATTHST: Diana Cordray, 11MCA, Clerk-Treasurer Data: Meir &Assacialeis Community Reil at inns Dapartnieir it -2(I1 AF prapriation#1:1(13-4 3z 195I9; P.C.#32.96 C ant ract Nat Ta Dueled$:I,(a0.0(I ADDITIC NAL SERVICES AMENDMENT TO � 11 AGREEMENT RC Fl Pl RC HAS S OR CIC C OS AND SERVIC ESI +/I THIS AMENDMIEN1111O -SHE' CIC CDS AND SERVICE'S ACIRE'EMEN11 1"AgrieElmer 1"; ElrilerElc into by anc belwElEln The Ci1y cif Canal arc Meg & PssaoialEls (The "Vendor"), yrs Ciiy Conivacd dalac Maiicih 19, 2ICI14 shall amen( 1 he terms cif 1 he A grEiEln1 Ern1 by ad(frig the ac c itiorial services tci Le prav idec L y V ardor aonsistant N ith 1 he SciopEl cif Wcuik aiiach EIC herElio aric inaorparlaied h min as Exh it ii "A". Fu rth anima, th El terms cif the AgrEIEImEInt sh all be amandec to inaludEl tf El E'-vEmify raqu iriemeni as siaied in Inc lana Code § 33-5-1.7 at seq., wh id- is aitaahec hauatci and inaanporatElc [-emir as Exhibit "B", as all as the rElquirElc E-veriily AIfidavii, allacihed hEmeia anc incariporatac herElin as Exhit iT "C". P Iso, pursuanl la I.C. § 9-22-1E1.9, Vericcin shall cElrtilly 1ha1 in signing this dociumErni, it (cies real engag€l in invas.tmeni acdiviiias Nithin th El Country of Iran. 1111E1 terms anc conc of 1he P grieemenl shall not oih erNi ise L El al1ecdElc by th is P c c itional ServicEls A mandmenl aric shall uamairi in ill lama anc elfElat. IN VA I1INESS VV HERE C F, the parties herElto have mac El aric exaciu led th is Amendmerl as follows: CI11Y OF CARMEL, INDIANA Meg 8 Assaciales by aric 1h riou gh its Boauc all Pu L Iia Works anc SalEliy By: By: ( ames Briairiaild, Priest(frig OlficEm Auih(road SigrialurEl Dale: %c" 9 : 1 Printed, Name N airy P nn Burke, Memt eri Dale: _- ` _„ . ` 1111 IEI Lori S. IA,atsan, Memteri FID/1IIN: Dale: Lai Fou a oil SSN ill Sole Puapriieiarl: /; AT1IES11: r' Data: /�i-e= � f d a� Diar Colic riay, IAMC, Clank-lliiaasumari Dale: [9:\Qomcncls\Fr 1 5 vex&Moo s I.cs\Ulonuuunhl R.clatlons\2/19V 44'11vcs A mend 1-17-2/12.dcu:11/V14111:44 PN I 1,,... 1 MEG $ Associates ElvEn1s• Rama'iurs• Maiiketirg• Hunldraisin( i "Sam ir'n gl k a,W,Gmi k i fc n you n prim' tlior a l sivaciesisi!" i 1r Al HXHIBIT A MBG& Associiallas SC CIPS OF 9BRVIC BS & RAIIE SCHEDUIIB FOR PROFESSIONAL 9BRIVCB9 FOR BVENII PLANNING Rai a 8ahac u ci Event Planning Scrims—C uarc inatian of Ball anc Vv inner Halic ay EN enil s in tH a C it of Carmel Additional Services #2—Purchase Order#132996 - g 2,6((.00 Scapa of Scrniices: 1. Developing! Sponsorships and plan nerships for events wf ere'needed. 2.Hvent aoorc inatian and set up. 21.Heaping with solidifying volt'rituals and other neec s. 4. Helping with ariN mecia or pronictic nal needs. Bxpcir.ises cicnsist of: A. Printing materials ar costs B. Postal e C. Flyers,brocf ures,any prom ati ar.na l ii ail er.'als D. Operational expenses cr computcir cixpenses(nternal) E. Any other m:isce]]armous expenses /, December 2, 201f1 MEG and A s saaiates Date 3 / Dates 98715 Lakewcicid Drive East, IrldianaEolis, IN 4628C / 3171.59C.715221 / Meg€MegPromo.aam Meg &I Associates Communily Relat'or s Depart mer t-:1CI]5 A plpliapiniaitiar #1:I 2013-434 I SIg9; P.C.#13299( Cor tract Ncit fix(iced 912,E 0(I.(ICI >;NHIBI1I"B" E-iierify r equir ement All terms defined it l.C. § 22-9-1.1 et seq. are adopted arnd incorporal eic it la 1Ihis section al tile Amen(mar I. Pursuant to I.C. § 22-`_I-1.1 el seq.,Vancar shall erroll in and Neirify the wank eligibility status cif all of its newly-Bret ampllayees using the H-Verify ptragriam, if ill has null altiaac y dana so as cif tie c ala cif this Ac dant Lm. `ler d or is fund on required to execute tte attached Afficavitl,hared referred 1a as "Exhibit C", whid is ar Afficavil affirmin€ that: 1i; Vardor's enrolled anc is participating in thaB-verify program,enc Iii)Marcia!'does ncit krawinglly employ any un au IIharizad aliens.1his Adder dum incorporalIes by reference, tint in its entirely, atilacihac "Extiliill C." In stppant cif the Ailfidavit, Vendor shall prthe City with documentation that it has enrolled and is participating in the El-Verify program. This Agreemanil stall riot Mahe affect until saic A ffidit is signet by Venc ar and delivered to tile City's autlhanizeid replresentaillive. Shat lc \lerdcm sulicar timid for the performance 01 any wank under this Accerdum, the Mandan shall require any suhcanlracitcm(s)to carilify by afficavit Oat: (i)lie subacmilnaailar does ncrt krawinglly employ an cantracil with any Lnauthorizac aliens,ar d Ilii)t-a sutcantractan as anrallad and is part ic(patingl in tha B-verify program. `ler dar stall mairtoit a copy of such cientificailicir fcir the c Lratior of ilia term cif any aubciartracit. `ler dar shall aka celiver a copy of tile certification to the City within sever ill)days cif the effeclive dale cif the subcanRracl. if`lencor, ar any sutcanlraclan cif Vencor, knawirglly employs or oar tracts with any Lnaullharizad aliens, ar reilains an emglayae or acro witt a parson dial tha Vencor or s u bcon tractor s L bsegL ar tly learns is ar ur au ti arizec alier, Vencor shall terminate the employmerI cif ar canrhiac't with the unauilhaiiizad alien within thirty (34) days 11"Cure Herioc";. Should Iter Vencor or any sub con black ar of Vencor fail 1a curse within the CLra Perioc, tile C ity hat tie r:igit Ici term nate this Agroomer t without ccrosequ er 'I he E-Varify requiremeinrls cd It is Agreemanl will net apply,shaulc the E-Verify program cieasa to exist. [9:U ontractswrocs,rs&Go44,Axcs\(I ommmiilp Rch,In-,L,01I9V 44!1 s Ani cnd-7-41112.da;:I/WIC 1,1.:44 FN I City INDIANA RETAIIJ TAN EXEMPT RPIGH ofCarmel CERTIAICIAITENO.00,1121(1199OMI0 Carmel RU FICF ADE OFIDE RI NL-N BBA FEDERAL E)ICIIEIE TA) E)IEMFT `" 5 q 1, 89-60(I005I721 or 8 CII%ICI SQUARE THIS NUN SE R MUST APPEAR CN INVC ICE S,All CARME L, INDIANA 4(1CM-2584 VC 1ICH ER, DELIVE RV N ENO, PACKIN CI SI IP. SHIPPINCI 1)BOIL S AND AMY OC RRESPC NDENCIE =ORM APRFIOVB❑EIV EITAIIB BOARD OR ACCC L I\TS ROR CITU OR CPIRMEIJ- 1 cI91 ROI-AEIE3OFIDBRDATE DPI EFOOL IAEID FIHOUIEIITION NO. VBNDOR NO. CESCIFIIFITION II; _,52._)5 M sbo=ne- CH9 c Ca{rne.0 )) .5�1I i'/ ,�O,5� j� Q Ell-IF ' cE �L1 �i ���4 VENDOR /," Lo / Aw I.J�I -beAd"� 110 pnv3Ya'1 1 Z "Irkd l' ilPTI" 17N-1 /A a 0 one- c,vic. ca.,,eA , -4.-4-4"7---itt: c -3 2_ INFIN MATIOrI BLAND IE T CIC NTRACIT PAN MENT TERMS FREIGHT CIL IANTITY UNIT CF N E ASURE C EIS CRIPTIC N UNIT PRICE! BXTENSIC N 19--dddmird S6crizies Ane,r71-141944,74 442 $ - .,c, -/D prAc5) ,E, t tit 4 . -' Tyr F4/1 .4*Kle:tY "t0t, ., ,e4" it/ 'ii/'f,',,t,' '"‘ •;,.. - I\ '1 f'-,--0,11_,,,, Gi meNt,/r41, k1,4„,::::4 \,,A ,,\*-.', °ms s 141 J ,-, .; ti I P kA ;� oaf =a 4� � ' ^ -7 .e _., • 4,0\\t enic IrlvoicIEI To: '' - r� -r t 1201"41314 I 6 q 2( co00 0.....--- PLEASE INVOICE IN DUPLICATE DERAR1MEN1 ACCOUNT r-- PROJEC11 RRC JBCT ACCOUNT AMOUNT PAMMEN11 • MI VCUCIf ER CIAMNC T BE APPRC VED NOR PAY%HNT UNLESS THE P.C. NUN EE ER IS lv ADE A F AFT OF THE VC UCHER AND EVERN IMVCICIEANCI VOUCHER HAS THE PRC PER SWC AM AFFICIAVIT ATTAC IN EC. SHIPPING INSTRUCTIONS • I HEF EBV CERTIFY THAT THERE IS AN UNC BLICIATECI BALI NCIE IN SHIP REPAID. TH IS APPROPRIATION UFFI IENT TC PAY FCR THE ABOVE C RDER. C D.SHIP%HNTS CAN NCT BE ACICHFITHD. PURCHASE C ROER NUN BER N UST APPEAR C N Al L ORDERED BV SHIPPINCILiElElS. /J/) / THIS C RC ER ISSUE IN CC MPLIANCE WITH C IHAPTER 99,ACTS 1941 MIME k^,n".'j� ! 1 r � ,i • , V- 47/1 • AND ACTS AN ENOATC A V THERE(F AND SUPPLEMENT THERETO. ®® 1r1 II Amrtrr rnll•-•r1.-,1 .10+ 3 L" q R CLERK-TRE PISURER Mug&Associate: C ammurui'ly Rol ail ions Eleclavtmeinl - 21015 ArIFIrcprial ian#12(13-z 341900; P.0.#3]_`I96 C aniracl Not 'Ila Eaceiad 312,640.0(1 Ext•ibil "C" E-uenily Aliida%it L` ./it i , be ing first duly sworn, de poses and says that he/she is familiar with and has personal knowledge of the facts herein and, if c'alle'd as a witness in this matter, cloulc tastily as follows: 1. I am over e:i ghtc'e'n 1118) Nears of age' and am competent to t elst if y to the' fads contained herein. 2. I am now and at all timle's relevant herein have been employed by - et_CL (ihc' "Company") in qui position of C. 3. I am familiar with the' emlpllayme'r.lt pol:iaies, prac'tice's, and procedures of the' CamlplanN and have the' authority to act on behalf of the CamurianN. 4. The Employer is enrolle'c and rlartic:ipales in the federal E-\llarify program and has prouice'd documentation of such enrollment and participation to the' Crit of Carmel, Indiana. . The Company ccie's not knowingly employ any unauthorized al:ie'ns. HUMBER AHIIIIANT SAY ETH NOT. EIXECUITELI onl the S cluN of d& 66(12 a , 21( 1S T e) Printcic:. v C /' G 1i1. I ) I ae'rtify ur.lcc'r tha panaltiie'9 fbr perjury uncc'r the laws of the United State's of America and the State' of Indiana that the'f ore going factual stall aments and re'prese'ntations are'true and correct. IS:\Canlmcl\roClvas&Gx Is 9 nes\C.mnnmf M elalunis\2011\Addl 9'icv Amend 3-21-1012.dce:I:/120113:44 IMI „.,”6.4 '3, 1111111 Campary ID Numdan: 639a48 11HE E-VERIFY PROGRAM F OR ENIPLOYMENIIVERIFICIATION MEMCIRAIIN WM OF IIIN DE RSIIANDIN CI ARTICLE I PURPOSE AND AIUTHORITll1 llh.is Memorandum of Lndenslaricing 111X)OU) sets forth the Klcrirrls of agreement betwleer tires Departmerrl of Homeland Securfily IICHS; and Mcig & Asociiatfis (Employen) negariding 111-EI Emplayen's partiairlatiors in III-EI Employ merit Eligibility Venificalliari Program (E-Verify;. This MCIL explains ciertain lleatures of the E-Veisify priognam aric ersumeraies speaific nesponsibilillies of DHS, the Social Security Adrninistnatiori IISSP;, and the Employ Ell!. E-Venify is a Klliciduam that efecllnor'ically ciorfinms an employee's eligibility io wonk in le United Slates after crompletion of 11I-e Employ merit Eligibility Venificalliari Form (Fonm 1-91. Fon aavened government ciciriiracllons, E- VEuiiily is used to verify the enrllcy ment eligit ility of all newly hined employees and all exislirlg employees assigrec .Ia Fedenal aaritracis or to verify the entire workilonce if the contnacitor scr ci-noses. Puihonity for the E-Verify program is hound in Utile IV, SubtilllEl A, of the Illegal Immigration Refcuim aric Immiguarii Responsibility Ad of 199E1 IIIIRIRP;, Put. L. 104-208, '114 Silai. 3CICIg, as americec (8 U.S.C. 13;II a note:. Ault-014 fan use crit the E-Verify clrsaclnam by FEICENE11 corillnacllans arid subcontnacitors aoverec by the terms of Subpart ;I;1.18, "Employmerill Eligibility Veiiilliciation", of the Fedenal Aaqu fsfifar IRegu lElliari (FART) (1l-erseiraften refEuused Ila in ft is MOL as a "Fedenal aontracitor willl- the FAR E-Verify clause") io verify le emplayrnenll eligitililly of certain' employees wanking on Federal ciariiracils is alsa fat.ric in Su L part;I2.'18 and in Executiv El Orden 1;1989, as amended. ARTICLE II FUNCTIONS XI BE PE RFORM E D A. RES IPONSIBILI11IESI OF SISTA 1. SSA agrees ilcr pravicEl the Employer wil11- available iriilonmaiiar chat allows the Emplcryen to confirm ft e acau nacy all Social Seat.niiy Nu mL Ems provided by all employees versified uric Ell' this IV OU arc ft e Elmplaymeril1 aull I-cinfaatior of U.S. citiaers. 2. SSA agrees to Kluciv is e to tile Employer appna Ilialle assistance wish crperall'anal ducat lems d r at may arise during the Employ Em's participation in the E-VEusify program. SSA agnees to provide the Emplayer with names, titles, adc Kisses, arid telephone numbers cif SSA represElriatives to Le carilaatec du rsirid th e E-V Eusify clrsocess. 3. SSA agrsees 10 sallegu and 11l EI information pro\ided L y 111 El Employ ens 1l r nau cl h tN e E-Verify grsogrsam prcieEIC u lies, aric 11a limit access Ia su ah information, Ess is arlrInopniaie by law, to inc iv is t.als resclarisible fon tile v eniiliaation of Soaial Security Numbers arid for ex Eilualion of the E-VEusify clrsaclrsam ar such other pensions or Elriities whcl may Le authclIu Elc ty SSA as goverriec Page 1 of 13 I E-Venify MOU lion 9mployer I Revision Date 09/11109 www.c hs.gov.IE-V(iffy AI A•`i Ccimpaniy ID Numlen: 6139(1418 by til e Pri%aciy Act 115 U.S.C. § 552a), t r e Sociial Secu ri'ly Act 11421 U.S.0. 'I:ICIEI1Ia;;, arc SSA regulations (I2a CFR Part 4CI1;. 4. SSA agrees to pinovide a means cif at.lomat€ic verification that is designed ilinl ciorijt.notion with DH S's at.iorna'lec system if necessary) tc pro\ice conlfinmalicirl or ierltatk,a rlanlcicinlilinmation of U.S. citiaensi' employment digit ility with in ::I Rec eral C civ enrlment work days of th e initial inquiry. 5. SSA agrees to pro,is e a means cif secondary 'erlificalion Ilincdu c frig t.pc alling SSA recicnic s as may be neves s any) lon employees who cicirliesil SSA 1leritath EI rlorlclonfirmatiorls that is c EIE igriec 'Ici pucNidE final cicirlfinmaiiarl tui ntirlclonfirmatiorl cif U.S. citizens' emplay ment eligik ility aric acct.iiaay oil SSA recarc s far t cath ailizerls and rion-cilliaeris with in 1a Federal Government work days of the e da1Ee of rellenral to SSA, unless SSA c eIlenmines til ail mone than 'ICI days may t e necessary. In such cases, SSA will rlrlovide additional verification insinuctians. B. RBSPONSIBILIIIIBS OF OHS 'I. Afien ESA 'eriifies the acct.racy of SEA recants far employees th rough E-Verify, DES, agrees 'Ici riicNice the Emrllcyen access 'I CI selected dale lrom DES's caiatase 'la enable the Employer a conduct, to the extent authorized ty this MCIL: •Automated E iiiilica'I ion checks on em1llciy E E s by els citncinicr means, anc • Photo 'erlificaIliori checks Iwhen available) an employees. 2. OHS agneas to provide to the Employen appraprialle ass istance with ciperallianal mat lems that may aril EI curing the Employer's particifaiicin in the E-Verify pnognam. OHS agrees to pro%ice the Emplcyen names, 'titles, ac c resses, anc telephone numbers oil 01-S representatives 'Ici be con'laated c L ring the E-Verify process. 3. OHS agnees ler make al)ailable to the Employers at the E-Verify Wet site arid on the E-VEuiify Wet bnowser, irisluucltional matenials on E-Verify policies, rpiocedures aric requirements for tcith SCA anc OHS, inalucing nestniations on the use cif E-Verify. DHC agrees to pnovide training materials on E-Verify. 4. DI-S agrees to rircN is El to the Employer a native, wr icrr indicates the Employer's participation in the E-Verify program. DI-S also agrees 'ICI rlilovide to the Employer anti-discriminla'lionl ratites issued by the OffitlE ail Special C cru nsel ilcm Immigration-Relatec U dein Employment Practices QOSC), Civil Rights Division, U.E. Department all .t.stice. 5. DHC agrees to issue the Employ en a t.sen iceritiiliaation number aric passvtichic that permits the Employer to venify information prcN is ec t y employ eE s with DH C's c allat as a. 6. DI-S apses 'la safegt.arc 'II EI information pros ided to DES t y 11r a Emrllay au, anc to limit access to st.ah information to inc ividuals responsible fciii til e larlifica'lion oil employees' employment eligit dilly anc tion evalu ation ail the E-/E Hilly program, or to sl clr oWen FlE mons or entities as may be at.thanized by arlrlliaatle law. Irlilorlmaiicirl will to used only to enify the acicu racy of Social Secit.pity I\u mbers anc emplcrymeril eligibility, to enforce 'Ire Immigration and Page 2 of 131 E-Veuify MOU 1bn 9mployer 1 Flevision Date 09101409 www.dhs.gov/E-Veirify tr S 1111111 Cclmpany ID NumLeiu: EI39t1418 Naliorlality Ac.I QINP; arc Fec eral criminal laws, arc to administer' FEICEIraI aarllnactirlg requinemElrills. 7. DHS agrees .Icl pros ic e a means af aatomaied vanificaliarl .Thal is cesidned (uir1 carljuncliarl with SSA v officiation praciac L nes) 10 prole ice confirmation or .IEirliath a rlarlciorlfirmal iarl of emrlloyEies' employment eligik ility wi.Ih in 3 Fec Enid' C merriment work days of th e ir1111ial irlqu try. 8. OHS agrees to pros ice a meads of secondary verification (including updating OHS reams as may t necessary') faun employees who con.lest DHS tentative rlarlaarlfirmaiiarls and clhato non- match tentative rlarlaarillirlmaliarls that is cErsigrlec CI pro\ice final aarlfinmallliarl or norlconfirmation all the Ermplayees' amplaymerll eligik ility with in 10 Flederal CIo‘ernment work days of the c ate oil referral to DHS, unless ❑HSI calermiriEls that mane tarn 10 days may be necessary. In such erases, DHS will provide ac c itional v Euliiliaatiorl instil.ciboria. C. REF.PION SI6ILI1IIBS OF THE BMRL OYIEIRI 1. 1I1-EI Emplayen agues 10 ciscllay 11hE1 rloiIia€ls supplied ky OHS in a prominent plaae that is clearly visible 10 priospecilive amplayees and all employees when aIEl io ka venifiec through the system. 2. The Employer agnees io prole is EI to the SSA arc DHS .11-El dames, titles, adc neases, arc telephone rlumtens of.IhEI Employ en nerriieserllali\EIS'ICI be aantacied regarc ing E-VerifyI. 3. The Employer acIIEIEIs to k aaiome familiar' with arc aomply with the mast recierlt v erisiorl of th e E-\erify User M anual. 4. 111-a Employer agnees Ihai any Employer RepresElrllali\Ei who will pen arim employment verificaiiarl queries will camplErte the E-Verify llutorial before that inc iv ic a al initiates any gLeriiEls. A. The Emplay au agrees than all Emplay en rElclresertallivas will slake the refresher iatorials initialed by th e E-\JEurify clriogram as a condition of aarltirlt.aC use af E-VEmify�. B. nailune to aamplete a rallresher tutorial will pplieIderlt the Employ Ell! from continued use of th e cpiagram. 5. Th e Employer agnees to aamply with au intent norm 1-9 prociedL nes, with two eyceptions: • If an employee t`Irlesents a "L ist B" ic en illy c oat.ment, the Employer acmes ila only aacept "List B" doaumerlts that contain a photo. (List B docu monis is erilliiliec in 8 C.F.R. FI 274a.2(b;iI1;(IBf; can k e prieservIEIC darling th e Rcuim 1-9 process to eclat lish ic entity.) If an employEie atjeats to th e clh Clio rega iremerlt llor rleligious reasons, Ih EI Emcllcly en shoulc coal eat E- EON ai as€1-4Eq-4318. • If an employee plresents a OHS Form I E 1 (RElrmanent Resident Cand) an Farm 1-766 (Employ ment Aull h cuiiaatior Dam merit; to aomplete th El Fcuim 1-9, th El Employ EDI agrees to make a photaaapy of the docu m€Ir11 aria to rietainl the pholclaopy with fhe employee's Fcrrm 1-9. 1I1-EI photocopy must kEI of sufilicierlt gt.alily io allow torn vanificalion all the pholel Page 3 of 13 I E-Verify MOU'Ion 9mployer I Revision Date 09.10'1)109 www.dhs.gov/E-Verify et�> 1 ry �t olllllri, Clomglaniy ID Number: EI3904EI aric wnitilErrl information. The Erm1llcry Ertr will use the pt crlocopy to verify 111-El photo aric to assist DHS with ills review of photo flan-maid-es 'that ane crarltesled by employees. Nolo chat employees retain the right la present any List A, or List B aric List CI, c crcu mentaliarl 10 crcrmplerle the Fonm 1-9. 13H may in the tutu re designate ather cacrumenis llhat acrtivater the pi-a10 scrreenirlg 1(1(11. 6. lit e Employer u riderstands that particriclatiarl in E-Verify c oes not exermpt 'ther Employer from cher rlesponsibilily 11(1 complete, retain, and make available fan inspeclicrrl norms 1-9 th all relate lo Hs employees, an lrom (°then requirlemenis of applicratle negulaiians cm laws, incluc ing 'the obligation 10 aamply with the antidiscrimination requivamenilsi cd secilian 274B of the INA wish resclercrt to Rcurm 1-9 procedures, erycepi fan the lollcrwing mac ifiec requinernenIs applicable ty rErasan crf It El Employer's participation in E-Venify: (1; is enlily c(laments mu 11 have phoics, as descnit EIC in paragraph 5 abo%e; (2', a rat u ttable pnesu mcltion is eslat list EIC that the Employ Eur has rich iolatec sercrtion 274AiIa;(11)(P; of the Immigralliari aric Nationality Acl (TINA) with uespecil Ila "It e hining of any individual if ii crblains ccrnlilinmaiion crf the icenitity aric employment eligitility of )her individual in gooc faith compliance wilt the terms arid conditions of E-VerifyI; (3', Ilhe Employer must natify OHS it it continues la emplay any employee after receiving a final nonconfiumation, and is subject la a crivil maney penalty between) $590 and $1,10CI fan each failure to rlalify DHE of continued employment fallowing a final nancarillinmallion; ilk; Ill El Emplayen is subjeat to a rebuttable ores u mrltion chat ii has knowingly em1llcryErc an a nau"lt arise( alien in %iolation of sEration 274P iIa;(I1)(P; if the Employer conilinues is employ an employee after recei%ing a final rlarlcrarlfirmaliarl; ani( 1I9; no persan an entity Klartiaipating in E-Verify is Cil,illy on criminally liable uric au any law fan any acliarl taken in good Ilaith basec an infanmallian pucrvicErc ill-um. the canlfinmalion system. DHS ueserves the right to aonduat Florm I-9 anc E-Verify system cramplianae insrleations duning the course of E-Verify, as wall as 11cr Baric a ct any ott en enforcement acl i%iIy authorized t y law. 7. The Employe! agnees to initialer E-Veuilly verification procedures for new employees wain 3 Emclloyen business days aften each employee has been hired iItuI aften Ila Form 1-9 has tearl comFllelec;, and la aamplete as many Ilk anly as many; slaps of the E-Verily process as are necessary acccuic ing to 11El E-Verify Usen Manual, or in the aase of Flec eral crarltraclorls wish th e RAID E-Venify clause, the E-Versify Use! Manual Ilan Receual Conilnaalcrus. The Employer is clrohit iled from initiating verification proeec urea befane the employee has t eeni h hued aric the Ran 1-9 campleted. If It El automated system lo be au eried is temporarily a navailat le, It a 3-day time period is exilericec until ii is again operalianal in orc er Icr accrcrmmoc ale iha Emrllayen's attempting, in good faith, to make inquiries dulling the cleniac cd unavailability. EmKlloyeus may initiate verificaliarl by rlalating the Fonm 1-9 in criucrumstances where the employee has aciclliec for a S ached S EICIL rity Number (ESN) fuom 1 h e SSP am is wailing to recreN a the SE N, pros ided that the Employe° pertains an E-Verify employment verlificaIiarl query using "It a employee's SSN as soon as the SSN teclomes availatle. CI. The Employe!' aguees not 10 use E-Verify clucrciedunes fou pre-employ men sareeniric of job anrllicanlls, in strlport of any unlawful employment practice, an fcur any oil-en use not authorized ty this MOL. Employers must use E-Verilly for all new emcllcryees, unless an Emcllcryen is a Fled eral coniluaatau that qualifies fou the exeeclliorls descuibec in Article II.D.1.c. Daunt as clnovided in Article II.D, "It a Emcllcryerl will soil verify selecrti%Elly and will noel erify emplcl ees h illErc before the effeclti\El date of this N OU. llh a Emplclyer L nc eustaric s 111'a1 if I l EI Employer uses Ilhe E-Verify system for any purpose ollheu than as auihonized by this IVDU, the Emplayer Rage 4 oil'13 19-Verify MOL fare Employers 1 Revision Elate 09/01,109 www.dhs.gau/E-Verify ® Lw r —W r I ly us A OHIO rf. Company ID Number: E1319048 may t El subjElcit lo appropriates legal aaatiorl arid tcarmirlation of its acacess to SSA arlc OHS irllormatiorl pursu an11 'la th is N OU. 9. The Emplcy an agnees la follow appnopniate procaElc.res (sElEl Artiadca III. t Eilow; ragarc ing tentative nonconfirmations, anal.c ing notifying employees in private ail th El finding Eind picas is ind them wnittarl natiae of the iliac ings, pros iding written refannal irlstn.cations lo employees, allowing employees 10 contest the firlc ing, aric nal taking acvense Elation against employees if they ahoose lo cagiest the lindincl. Further, Man amplayees ciontesl a tentative nonconfinmation taxed upan a ph do rlaarl-mahlcih, tha EmployElr is naq.irec 10 take affirmative steps (see Article III.B. telciw; tat conllacit OHS with infcuimahlicirl nacaessaryl'la rescrlva thEi challargca. 10. The EmployEI agnees not to lake any adversE acition against an amplayee based upon the employee's clanaeived employment eligibility stall.s while SSRI or 0I-S is processing the verificaiiaari neq.est .riless the Employer at tains knowledge (as defined in 8 C.R.R. I IRa.1(1)) that the employee is nat work a.ihorlized. The Employer uncerstands that an initial inatililly of the SSRI or DHE autamalcac verificaiiaar system to verify) wark aulhariaalior, a teriiative ncincionfirmaticin, a cease in ccinlin.arlaaa ((inc icaatircl the riE e c for ac c illicanal lime far the gcavernmcaril lo resolve a case;, an the finding of a phcrio ricin-maiah, does nat establish, anc shoulc riot be irterpretec as evidenae, that 1h€ employee is not wank authoriaec. In any oil the cases listec at civ e, the employee mu Eli t El provided a 1L II and slain opportunity tc1 contest th e finding, and 111 h e car she c oes scl, th e employee may nal to terminated an s.ffen any acvense employmerll consequences t aced upon the emplciy aa's clanceived employment E legit Eli 1y status (irialu c ing c any ing, reducing, cal exll€arc incl work hours, delaying on prey a rltirlg training, req.irircl an employee to wank in paarEir conditions, re11.sing to assign the emcllay EIEI to a Fac anal aontraart or other assignment, on oil-an/08a sutjEaciting an employee 10 any ass.mption al he on she is u ria.thorized to wonk; until anc unless saaaarc ary v anificahlion by ESA an LIFE has been comple4Eac and a ilinal nonconfirmation has teen issued. If the employee does nat choose to contasl a lEanlative noncarillinmatiari or a photo non-match can if a secanc aryl verlificatian is complellEac and a final noriaonfirmation is issued, then the Employer can'Eric 11'El employee is not wonk authciriaEac anc tanrrlinatca the Employee's employment. Employers an employees with q.Eastions about a final rionaaaarfirmaiion may aaall E-Verify) at 1-988-4E14-<<I1EI crr OEC at 1-800- 299-8199 or 1-8C1CI-231.219()IDD). '1'1. 1TEl Emplayen aclnaas 10 aomply with llitle VII all the Civil Rights Alct ail 19E14 and seation 2148 of the INAI, as applicat le, ty not c isamiminating unlawfully aclains'i any indiv ic.al in hiving, firing, ail ram'Merl or referral pnaclicaEas because cif his or 1-Ell' riatiarial cmiclin cm, ir the cease oil a pnotecied individual as defined in secliori 214B(a)(3; of the INA, because of his or her aitizens hip status. The Employer u nderslands that sl cih illegal pracitices can include selcaartive venificaiian ar .se of E-Verify) except as pros ided in part ❑ halm, or disch arcling or ref.sing 10 hila employees tecia.se Ilhay appear car sound "iloreign" or have reciaivac tentative rcancicarfirmaiicari. The Employer further .ric ersitands chat any v icalalicar of ft e t.rfairl 117 mignatior- rlelaied employm€anl practices palaavisioris in seciiarl 2148 of thEl INA aould subjeat the Emplciyen to ciiv ii pEanallies, back clay awarc s, anc all-an sanciicans, aric violations of ilial€ VII cat.Id sl t jecll the Employer to tacik pay awares, aompensaloryl arc punitive damages. \iolations of alter seciiar 274B of 111-El INA on Tills! VII may also lead to the 'lamination of its particaipaiican in E- Verifyl. If 1h El Employer has any q.Eastions relating to the anti-discrimination prlovisiorl, it shat.Ic contaalt CIE C al 1-800-255-8155 ar 1-800-237-2515 IIl1DD;. Page 5 oil3 I E-Veuify MOU Ion E mployer I Revision Date 09/U 1A09 www.c hs.gov,IE•VEarify r �I S�+� lun E-VeriFy r *. Campary ID Numkeen: 9351C148 12. The Employer agrees to reciand lh a aase v Eiriflaation numk an on 111.a employee's Fonm 1-9 ar lid rlrlirit the scmean aontaining 11hEI aase vanificallicirl rlumkEll! and attacih it lo I-El Eimplayee's Form 1-9. 13. The Emplayen agnees ill-at it will use the iriformatiarl it recaivEis foam SSA or ❑HS pLnsuan•I tdi E-Vaiifyi and ilhis N OU only lo carifinm ilha Eimploymerill eligibility af emrllayEIEIS as autl-ariaEic by this Mali. It e Employell agneas that it will sallegL and th is irillonmaliarl, and meads of aciaess tdi ill (such as ERIN S aric passwords' lo ensure 11I-al it is nol1 used fan any other purpose arc as necessary) la pnotecit ils ciarillic Elritialityl, irialL C irig erlsL ling th al it is not disseminatec lo any person other than employees of the Employer who ma aulharlized to plElriorm the Employer's responsibilities L ric er th is N OU, excepll fan sL ca- disseminalliarl as may be aulh anise( in advaricia by SEAT or DNS for legi•limate FlL'gases. 14. The Employer aakrlowledges that the irifanrna•lion wh iclh it neaeives from S SA is gavenned by the Ftnivacy Acil (5 U.S.C. § 950alIi;ill; and (3 ; am the S ciciial Securilly Acit 11421 L.S.C. 1 cICIEIlla;), and if al any person wl-a oktains this information unden liaise pretenses or uSEis it Ilan any punpose cithen Than as rinovided lion in this MOL may be sL(lath to criminal penalties. 15. 111.e Employer agrees to cooperalla will- DNS and SSA in thein compliance mcirlillduiirlg aric evalL ation of E-V enify, inalL c ing k y permitting ❑H S and SSP, upon uaasanak le rich)idle, lo rev iew Rc ins 1-9 arid ather employ merit recorc s and tc interview it arc its employees uagarc ing the Employ en's L se cf 9-Venify, and to reshlc nc in a timely aric acidunate manna' to DHS requests for irlformaliorl relating to their) particrirlaliarl in E-Verify. O. RESIPONSIIBIL1 11ESl OF FEDEFAIL CCIN TRACTOR SI WITH 11H FAR E-VERIFY CLAUSE 1. The Employer Lneenstancs that if it is a sLbjecl to the employmElrll verification terms in S Lk part 22.1E1 oil the FAR, it must verify' •11.a emrllciy men11 Edigibilily of any EIN fisting employee assigned to Ihe conll"aat arid all new hives, as discu s9EIC in the Supplemental Guide for Fec eral Clcritractons. Clnce an employee has been venified throi gh E••Verlify by Ihe Employer, the Employell may not neverifyI IbEI employee through E-VellifyI. a. Federal conllnaatcurs with Ihe FAR E-Venify alaL se agree la keaome ilamilian with and cromply with the most recenll versions all the E-Verify Usen Manual Ion FEICEmal CIc ril1nacilaus and the E-Verify E L KlplemElrilal GL is El fc r Fee Euial Clontraators. L. Federal ciarltnacllons with Ihe FAR E-Aunify' louse agree tc completer a MLtorial Ilan Federal mini nacllCuis v%lit h Ill-El FAR E-VElrifyI alai.5E1. a. Fedenal contrladitars with Ihe FAR E-VerifyI claLse nal enrollee at the time af ciciritracil aware: An Emplcyen .11-al is not enualled in E-V unify' al the lime of a cioritracil awand mL st enroll as a Federal craritracton with the FAR E-Venify clause in 9-VenifyI within 3CI calendar' c ay all cic rilrad award and, within 90 days ell enrollment, begin to L se 9-Venify to initiate v Euiilliciation of emrllciy ment digit ility of new h roes of the Emplcyen WI1 o allE1 working in .11.e L nilec Slates, whellhen on Melt assigned lo the conlnaat. CIridlEI the Employer begins verifyIing new hives, such venificalliarl of new ['hies musl1 k e initiatec with in 3 business days aftEnl Ihe date af Hue. Orlcie enrolled in E-Verify as a Fedenal aontracilon with the FAR E-Verify alaL se, the Emplc yen must irlitiallEl veriflaalid rl cf emrllc y EIEIS assigned lc the cc retract wi•II in 90 aalElrld En days tom the lime Rage 6 a1 13 1 R-'jenify MOL foil Employlen 1 Revision lila te O9)10 i i09 www.dhs.gcivAE-Verify C omPlany ID Nu rr bar: EI3904 8 of erinallmEirll in th El system aric after the c ale arid seleciling what- employees will be v eriiliec in E-Venify on will-in 3a days of an empllayee's assignment io the cianiraci, whiaheven c ale is later. d. Employers ili-al are alneacy enrollec in E••Venify at the lime ail a ciarltraal awarc kLi are not ennollec in l i-El system as a Federal ciorltraclor with the FPR E-Verify cllau se: Employers enrolleic in E-V Euiify fan 9CI c ays an mone at the lime of a ciontracit award muni use EA Euiify( la initiate venificationi of Ermpllaymenii eligibility for new hines of the Employer wha are wanking in 11hEl United Sltalles, whell-Eul on moil assigned 'la the ciarilnacil, wiilhin 3 kusiness cat's aften IhEi c ale of hine. Emplayens ennollElc in E-VErnify as olher than a Fedenal ciorltracitor with the FAR E-Venify clause, must update E-Venifyl Va indicate Thal they ane a RElceuial corilnacilan wilt 111-Er FAR E- Verify4 clause with in 30 days after assignment 11a the ciontracit. !lithe Emplayen is ennollElc in E- VElrify fan 90 calenc an days or less at the timEl of aaril nacll awand, the Emplayen mu st, within gCI days of enirollmeniil, Legis 11a use E-Verify) to inilliaile venificallian of new hines of the con"lnaatan who are wanking in the Lrliled Slates, when-all on rio11 es:lignlec to 11hEI conlllacit. Sluclh verificaiiarl of rueiw hires must be initialElc within 3 business c aye aften 11hEr tate of hire. Pri Emplloyem enrollec as a REIc eral contractor with the FAR E-Verify clause in E-Verify) must initials eriliaation oil each employee assigned 10 II-El ciarllnacl wain 90 cialerlc ar days eau c ale) of corilllnacll award an with in 30 days after assignment to the clarltraat, whiahever is later. e. Insilitutions all higher educalian, Slate, Iciclal arc tribal governments ark sureties: Federal aarillnacilcros with the RPR E-VerifyI clause that ane irlstiluliors af hither educailian (as defined al 30 U.SLC. 1001Ia);, SllatEl or Ioaal cavennmenils, governimErnls af Fec erally 11Eicloc niaec Inc ian tribes, ar su nyties pEirformirlc under a takeover agreement entered into will- a FEic 0lE11 agency plu nsuant 10 a plElrlormarlcie bond may cih 00E1E1 to only verify new aric existing employees assic nec la the REIC era) cianiracll. Sluclh Rec eral carillnactans with the RAA EI-Venify clau slE1 may, however, Ellecil 10 veniify all new hillEls, anulon all existing employees hined after November 6, 1986. The pinovisions of Pr isle 11.D, paragraphs 1.a arc 1.b of chis N OU pro%idirg timeilnames fan initiating Ermplaymenill veniiliaation cif emplayees assigned io a contract apply Ilia such inslliiutions afi-igher ec L cation, Slate, loaal and irk al governments, arc sureties. f. Venificallion cif all employees: Upon enrollment, Employers who EuiE1 FEIC contractors with the FAR E-Verifyl clause may Edecil 11a verify employmElrlt eligik ility of all existing employees work inic in the U nlit(rc States who wene hined after' Novemk er E, '1986, insieac cif verify4irlc only new employees aric 'dl-ase e>isting empllay yes assic sec to a ciovered Rec eral contrail. A fter enrollment, Employers mu si elec11 la do sci only in the manlrlen c esiclniallEIC by ❑I-SI arid initiallEl E- Venifyl venificalli in of all Elxisting emplayees),lush in '18a days after the Edeciliarl. c . Form 1-9 pinocedunes fail Ea isting emplayees of Federal ciciriraciors with Il-e FAR E- Venifyl clause: Federal aontracitors willh the RAR E-Verify) clause may ahoose to campllele r1Elw Fonms 1-9 for all Eix isting empllay ElEis of h all than those chat ane completely exempt from 11 h is process. Federal corilll naclails with the FAR EA erify) clan SEI may also update pre%tau sly acimpleied Fculms 1-9 to initiate E-Vcmifyl veuiificationl ail existing employees wha ane moll camplleiely El)Eimpt as long as 11hal Form 1-9 is complete (ircludirc the SSN,`, complies will- P rticle I I.C.9, the employee's work au ll-cinization h as soil Ea pine c, arc 11 h€ Empllay en has rev iewec the inlfanmationl neflecllec in 11hE1 Fanm I-9 eft en in poison or in communications with the employee to Elrsune shal the employee's staled basis in seciian '1 of II-a Rolm 1-9 ian work at l h aniaation has rich changed (prick c int, k LI nal limited ta, a laws u I permanent resident alien h av inlg k Eiciame a nal u naliaElc U.S. ciiiizen). 11 11 h El Elmploy Em is u sable is determine th al the Form Rage 7 a1'13 1 B-\erify MCIL for Employers 1 Revision Elate 09101 109 www.dhs.cio%AE-Verify II A � � pilin h:'. Company ICI Numher: 6Z19Ia4El 1-9 cramplies with ArticllEl II.0.5, if the employee's Lasis for wonk authorization as allteslElc in secrtion 1 has El)clirec on crh arlclElc, ar if the Form 1-9 ccirilairls no SSN or is o11 h ElrvuisEI inaomplete, the Employ Ell! shall aamplete a new 1-9 consistent with ArticilEl II.C.9, or update the pnevious 1-9 to clnovide the necessary information. If secrtion 1 af the Form I-9 is otherwise valic aric up-io- c ale and th e farm otherwise complies will- Article II.C.9, but nElfleclls documentation (su ch as a L.S. passport an Form I-551' that exclirec su bsequ erill to cclmpletiorl af Ilh El Fonm 1-9, the Employer shall not require the clnoduation af acciliclrlal documentation, or use the ph do sareening tool c escmiL EIC in Article 11.0.9, sub.jecrt 11a any ac c illicrrlal or supersec ing irlstru ciians that may Le clnavic EIC an Otis sub.jecrt in the Su clplemerilal GIL ide fcul Rederal Contracdors. Nclihirlg in this section shall LEI aonstnuec to requine a secrarlc verificaliarl using E-Verify of any assiclrlec employee whcl has clneviausly been venified as a newly hined emcllclyElEI unden this MOL, cuI 11c1 auth orize venificaliarl of any e)isting employ ee Ly any Emplayeri that is not a Fedenal clad radon with the RA R E-Verify cdau SEI. 2. 111-e Employer u nc erstands that if it is a Fedenal cont nacrtclr with 111 El RAR E-V enify cdau sEl, its acImpliarlae with this N OU is a pert ormancie riequ inament u ricer the terms af the Fedenal crarilnaci or subconllnacrl, aric the Employ ell cclrilElrils to the nelease of information [elating la aclmpliarlcle with ills veriflcaiiarl nesclonsiL ilities a rider th is MOU to coral riactirlg officrens or 01E111 E111 ofilicials al llhariizled Ila review the Employer's compliance with Federal carilnacilirlcl nequiriements. ARTICLE! III RER®RRAL OR INCIVICUAL SI 110 .ISIA ANC DH El A. REF®RR A L TO SEA 1. If the Employer neceives a tentative rlonicarlflnmation issued by SSP, the Employe' mural print he rlcriice as directec Ly the E-Verify) system aric ciicivic€1 ii la the employee 510 that llhe employ ea may c etermirle whether h e ail she will cclrilest ih a tentative nioncorlfinmation. llh e Emplayen must review the tentative nonconfirmation with IIhEl emclloyElE1 in private. 2. The Employer will retail employees to SSP ilielc offices only as cirecded Ly the aulomallec shy atom base( on a tentative ncincrcirillirsmai icini, aric aril after the Employ Ell' recicuic 111 EI case verification number, reviews the input la c elect any tiIarisacrtion errcros, aric c elenmines Itat ilEl emclloyee cionteslls the lentallivEl noncsonfirmatiarl. The Employer will transmit the Social SElciurity N umbel to SSP for%unification again if th is IIEIviE1w inc iaates a rleec to c c1 so. The Emcllcl en will delEuimine wh ell-Ell! the emc lo)1 EIE1 contests ih e.tenilative nonconfirmation as scicirl as c assi le after the Employer rsecseives ii. 3. lithe employ ee aonlests an SSA tentative nclricarillinmalliclrl, the Employer will cluciv ice the employee with a system--clerieiiated Hallerral letter arc instruct the employee 10 visit an SSP offiae within 8 Fedenal Government wank c ay s. SSP will elecltraniaally transmit the nesuIt c111 the refenral 1a th El E me loy E111 with in 1C RE1c anal Glciversnmeni work days) of tit e riefernal unless it deieiimines that more than 10 days ii necessary. lll-El Emr lay en acIllEIEIEI la check the E-Versify system reclulanly ilor case u r c alas. 4. The Employ Ell' agues nat la ask the emc loy ee la clbiain a cpsirilout frsom th El Sacrial Secu rsity Numken database (the Numident; or ether mitten verification of the Social Security Number frsom the SSP. Rage 3 01113 I R-Verify N OL los Rmpioyes I Revisia n Date 09,10'/09 VVWW.0 11 sl.goVdE-Veinifyr v1 E-Ve r 1 ly /rilni lam` Company ID NL mber: E131904 EI 8. R EFERRAL 110 DHS 1. If the Emplcryen rE CIE ivE a a tentative nonconfirmation isat E c Ly CHS, the Emplcryen must prlint the tentative rionconfillmalion notice as c illElcited ty the E-Verify system arid pro%ice it to the Employee :ICI that 'II-El employee may determine whether hE or she will contest the tentative ncrnacrnhinmalicrn. 111-El EmhlloyEII MU Eli re%iew the lEriilative nanciarlfirmaiicrn with the Employee in hpriv ate. a. If the Emplclyer iliac s a hlh o10 non-match Lor an employee u\ih cI provides a dcrcrumenl foul whiah the auiomallEc systEm has transmitted a pholci, the employE ii mus' print the photo ricin-malate tentative nonconfirmation noliciE as cirecied by the aulcrmalEc system arc provide it to the E mplcry ae so th all the employ E El may c ellE limine wh Ether h e ciii she will crcrrllesl the finding. llhe Employer must re%iew the tentative ricrriaanilinmalion with the E mplclyee in prig ale. 3. lIbE Employe n agrees to refer inc iduals io DHE only when the Employ EE chooses to aontesi a tentative nonconfirmation rE CIE EC from CHS au lomat E C verification process or when the Employer issues a tentative nonconfirmation basEC t.pan a photo non-malclh. 11he Employer will celenmine wh€1hen the Employee cicrniesls 11bE E nonccrnfinmallicrn as soon as possible anter the Employer receives it. 4. If the employ E E ciorltests a 1E rilati‘E ncrnacrrlilinmalicin issued Ly DHC, 1E Employer will prow is E the ElmployE E with a IIE ferral letter aric instruct th E employE e to crornlacl OHS through its loll-ilree h cmllinE (as hound on the referral 1E iter; with in El RE c eta! C crvennment work days. 5. If the E mplcryEE contests a tentative nonconfirmation Lased upon a photo ncrn-malate, the Emplclyer will pimcry iC E the Employee wilt a referral letter to CHS. DHC will elE atncrnically transmit the rest.IIs of 1E E refE lural to the EmployE ii within 10 Federal C ov E nrimen I work days oil the nE ilerral u niless it C E termines th at mcumE 111-an 10 c ays is riE ciessary. The EmployE ii agrees to ah E ak the E- E system negu Iaiily foul casE updatE s. 6. The Employ en agrE es th al if an E mployee contests a tentative riancionllinmallicrn Lased u pon a pholCl non-mallcrh, the EmployE ii will send a copy cif the E mplayee's Form 1-991 or Form I-IEIEI.lo DHC fan rE\iew L y: Scanning and uploading ilh E docu ME lit, or Sending a ph olcraopy cd the c oat.merit L y an E)'pness mail acrcrou nt(paic foul at employE lI expense;. 7. lithe Emplcryen c ellenmines that 11b E IIE is a photo non-matcrh wh en aomparing the ph ollcrcropiE c List B doaument describe( in Artiale I I.0.5 wilt 11 h E image gE riE rated in E-\E nify�, 111 E Employ E r Mt.st horwarc the E mploryee's c oct.mentation to C I-S using cine of ILEI moans described in the precec ing paragraph, and allow CHS 10 rE 5CIIv E 11-E case. PIF IIIC LB IV SERVICE PROVISIONS Page 9 o113 19-Veuify ti Ot. 1br Ur ploye'I Revis ion Date 09/01409 wwv .0 II s.gov IE-VElnify� erl ' A i ., ��z � , I ., ComFany ID Number: E39CI4IElllll SSA and DHS will rlcil ch arc e 1 he Emplayen 11an verification services perlonmac u ric er this MOL. 11-e Emplciyen is nesponsible for pro%is ing equipment needed to ma ha inlquinies. To aaces s E- Verify, an Employ E n will need a rlensonal computer with Internal a craess. AIRTIICILB V PARTIES A. Ill-is MCIU is efilecili%a upon it signatu re of all panties, and s l-all crarltinue in eflbcil fern as Icing as the SMA anlc ❑HS conduct the E-Verify1 pnacnam unless modified in wrilirlc by the mutual consent of all parties, on lenmiriatac Ly any party upon 30 c ay prier wnitllE rl notice to the oil'.E HE. Any aric all sys.IE m Errt ariciErmenls to the E-Verify( program by DNS cur SISTA, inlcilu c ing t LI riot limited .Ici the E-Veuify1 checking against acciilicrrlal data sCIL naes and instituting new verificalicrnl procedures, will t E ccI%auE c under this MOU and will nail clause the nE E c fan a supplemental MOU .11-al outlines these changes. OHS agrees Ici train employers an all al-arlges made 10 E- Verify1 th rau gh the use of mandatory refresh er tutorials and updates lc! the EA enify4 User Manu al, the E-V anify1 US's!' Manual for Federal Contractors cru the E-Verify1 Supplemental Gu is a fail Fedenal C onil llaalcurs. E%en wilt-out ahanges to E-\airily, ❑HSI neserves the 'right 10 TIE CIL illE employers to to k a mandatolly nefuE s hem tutorials. P rl Employer that is a Federal aontracrtor with .I l-a FAR E-VEulify clause may terminate this MCIL when tile FadE nal craniracil that requires its particripe liar in E-Verify1 is lermiriails c or completed. In s u ah a cirau mslancre, the REIC EWE I conitnaalcnl with the FAR E-Verify1 clause must provide written riciliae ilci DHEI. If an Employer that is a Federal cont racrtor with t E RPR E-V anify cilau s a fails ilcl provide s k Ca' rlcliice, that Employer will IHEimair 2 particripalrill in .11-El E-Verify1 rinagne m, will remain Lou nc ty the terms of this IV CIU .11-al apply la participants .Il-al are rlcrl FedE nal contuacrtors with the FAR E-Verify1 clause, and will be required la use .I I-e E-\E Ili) peas c u TIE s 'ICI verify1 the employment eligibility of all newly I-iliac employees!. B. I\otwlithsIla ric ing Particle V, alert A all 111-is N OU, OHS may telimine to this MCIU iii deemElc necessary tEclause all the nequiliEments of law cur policy, cur upon a caierminaiion ty SKIP cul DHS that 1lhene I-as been a tneaah of system integrity or secrknity by the Employer', or a llailu rE on tile part cif 'I I-e Emplayer ila cramply wit'. establis'.E c p ricrcredk rtes or legal neck iiiE mentsl. -ll'.El Emplayen undersllancs il-at if it is a Federal corilnacrtcrr with the FP R E-Vanify alause, termination of this MOL by any party foul any liE as an may negatively afflErcrt its perlormanciE of its contractual res ponsibilities. C. Soma ciii all EISA enc OHS rlesporsit ilities u rc EUI th is MOU may be pertained by conlnealcmlls), arc SKIP and OHS may adjust verification nasponsibililliEs between each clllhen as tl-ey may c ellenmine recess any. By s arlamate agreernerill with DHS, SISTA '.as agrleec to perform its! respcinsiibiliiias as desciiibec in th is N OU. D. Nothing in chis MOU is intended, or Ell-ckId t Ei consilrlued, to cmeate any right an benefit, su baiantive or procedural, enfallaeat la sill law by any t'.irc party against .11-a U riitec Slates, its agenaies, officer's, or employees, or against the Employer, its agents, cifficiE IIs, or emplooyaas. E. Eacrh party shall Le solely res Elcrrs it le 11on deferic ing any alaim or e crtion against i1 arising out of chi related to E-Verify or 11-is NOU, wt.efts rl aivil an cmiminal, and fern any liability wherefrom, including QL u t not Iimillec to; arty c isflk to between 111-E Employe!' an c any oth er person an E ntity Rage 10 oil 13 1 E-Verify N OU ilor 9mployeu 1 Fievis ion Date 09,10'1409 WWV.0 11 9.govrIE-1.A61 illy HIVh: Company ID umt ell: 635ICI48 rElgarc irlg 1h El acicllicabiliiy a1 ecitior 403(Id) of IIRIIRP to any acltion taken or allegElc ly taken by the Employer. F. Tt e Employer .r c Elrstarlda dal th e fact of its FIE rticipation in E-VErrifyI i.i rat aar clic Elrliial intonation Eric may be discloses as authorized cut rE1q.irec by law r c DHS on SSP policy, including kLt not limited io, Cclrlc rElasional clvensight, E-Verify putliaiiy E nc mediE inquiries, c ellanminations ail camflliarlcEl with Fedenal conilnaatu al req.iraimenta, arlc ii isrlorses io irquinicia u nc er th e Freedom of Irlfonmaiiarl Act 1IFOIP). G. lit El fanElc cling aclrlatii.tes the full agreement on this at jaat k atween ❑H S arlc the Employer. H. Th e indivic La's wh o£Ia clic nE it,rtes appear' k elaw rapnasert I1h at I h ay ana au t b onized to entail irrla th is N OU clrl kat 2 lil of'it El Employ en arlc ❑H S n€lapecrl iv aly. Fla ge I i o1113 I E-Verify ti 0'. for Rmpioyen I Nevi:ion Date 09J01A09 WWW.0 ii 9.CIOVlll3-\.l ell ily _ve E r 11 I ,, C cimpany ID Nu rr bar: E139(1418 lo be acicepted as a parlicipant in E-Verify, you should only sign ilie Employer's Election of the signlatuliE page. If you have any cp.Eslliorls, corltacil 9•Venify at EIEIEI-41E14-4218. Employer Meg & Asaciiates I ary El len G C sbarne Name(Please hype oii Ruint) Title Electronicall Si.ned 02/02/2013 Signature Date Department cif Homeland Security—Vaiiiliciaticin Division USCIS Verification Division Name(Please Type o)Print) Title ElecillHon iaally Signed102,02,2013 Signature Date Informatian Requ iiEic far thel 8-Verify Proc.ram Information relating to your Corr pang: &AslciciZ 1E s Company IN ame.•Me i g P Company Raciliity AcdrElsl.1:9875 LEIHEIwIocic Drive Eiist i Indiarar chis, IN 4 628C Company AlierrlatEl P Pddreis.1: _ — _— CcIL y or Parial': !HAMIL 110N ElmpiloyEui IdElritifiaalion NI.m t er: 1270203559 Rage 1: o1113 19-Veiiify N OL lo)Rmp loyei 1 Re vis ion Dale 09,10'A09 www.d 1..s.g ov 1 E-uerify E Ve r stt 1111111 ComF any Ill Nu mher: 6ZI9a48 North P mellicarl Inc a s lry Clalisificaliarl Sy SI ems Ccic e: 1711 Ac ministnatan: u mbeln of employees: 1 4a 4 Number ail Siilels Ve&ri1lield fan: 1 re you veirilying far mane thaw l site? Iflyes, Oust! provide)the number of situs slelrified far in each tate): . INDIAN? II sile(s; Inllormlation relating to the Program) Pdmirlistratorlls] far your Corr pany an policy cuestiorls or operational problems: Name: Mary Ellin C CIsllorne Telephone Nun (317)590• •792 ext.2 Fax Number: E mail Address: MI g@Megpromo.comi Hage 13 0l 13 I E-Verify MOU br Hmployer I Revision Dale 09,119)109 WWV1.0 h�LgOViI -Vellllfy� Farm 51-13fIEI U.SI. Dec artmenit al the Interior Apineafrrferl#: lEIEMNIIC(C(C(5 (Apnil 2019] U.S.Geological 5,unvey Cusloman#:6a0CIoC13144 j B .taint Fu r c in@I Agreemeinll Pna�elct$1:NFOCII9S �. ' FOR TIN#:35•EIOCI105I712 Water Resouncle InvestigationsU WIGS CII.NSI#:94 928SISNE 1 Fixec Clast Agreement Y1ES( ?II j NOI I THIS AGRE9N 9D T is er tared into as cul the Co citler 1,21015, by the U.:.GEIICIUCGICAL SURVHY, Indiana- Ken'ucky V\ate' Science Center,UNITED STATES NIP AR TIV EN1I CIF THE INTEIRIC R, part' cif the first par, anc lila City cif Carmel-9nic ineering party c l the secorc part. '1. 1 he parties h erelo acre e that sutjeat Ici th a availad'lily of applrciplria ficins ar d in aaacudar CEI with It eiu neispleative aulh cirities hemei st all be rr air lainefd in caapeuatiein i ha opleralior ainc rr aintemianae al a slreairnflow gaige ail Williams Cueek at 9EIf"Since,heueir called the prclgiarrl.The USCIS legal aluthcirily is 31 L SC 3EIC;A3 USC 510, and 431 USC 51(It. 2.the IollciKinc amounts shall be aanirituteid Ici cover all oil the cosi cif the necessary fielc and arfalyiictal v directly related la this Anagram. alb ir dude In-Kird-Senfices ir It a amat rt cif$I0.(0 (ail 110 by the par y oil the first par c wins lh el period Cctcibein 1, 2C 151 tcf Sentential'30,2('1E1 (b ,47C1 by the party cifthe second part curing the pie niad October 1, :ICIiISI to 9epltemdei 30,2(11E Clcintritt lions are provided by the party of the frust part thral.glh citheu L SGS ne gIona il or national prat Han's,in ilhef amciunl 01 : C eiscriiplion ail the USGS r€rgicinaldnaftianal pnaguarr: i1d', Adc'harm I art ne(ucec amounts by each party cunirg the a tovei peuioc or succei ec in peuiocs as may be deitefrrr inlaid by mull.al ac neiemen' arid s el fart- in ar eixch ar get al le Iters be weer the parties Ile; Thepefrfonmafnceperick maytechandec tyl rruluaflacpemend ard :el Ilcirlhinaniexchange cif Idlers between Ih ei plartieis. .The rods cif this puiac ran- may be plait by either party in c anima ily with the laws and nefgulalicins ne splectively clove inirg each party. 4. 1 he fielc arid aralylical wcirk pen airing tci th is Anagram sh all bci unc er thei dinedior a sir subject tci pericidic review by an a ulhcuizec nepresertarlive crl the party al the frnsi par. 51.1 he ameas tci bei include( in the puocnaim shall de de ermined by mi tual a gree trent detweiein the par res hone a on thair authorized re pilau niatives.llhe rr ethcids err ployed in the field a rid office shall be Ihcise adopllec ty the party oil the finst part tci insure the requires standanc s cit afa(l.raacy subjeid 110 mcrdifciatior by rrutual agreerr art. 6. DL ping the ccfursef cif It is pncgram, all fielc anc analytical wank al eilhem party partaking tci this program shall U a opens to the inspeclicin cd the cr he n party,anc ill hof mini is no teirig c of nied an in an'utually sailisfaatary rnfannefn, either party maiy le urr irate this a clnee me ri L par E10 days'riller notice 10 i he al her party. 7. TI a original neccres nes'.Itirg frclrr this pros'Harr will bel cepositec in the office cit cinidin oillhuse leicclncs. Upciri request,aopies 01 the original'lean ds vill to pnavicec la the office ail the ellen pa rt'. 8.The naps,remolds oil reports resulting)fnorr lhir pincigrafm shall to made available Ici the public as peon'pity as pcissid lel.1 he maps, rec aids ai r eports normally mill d e published by the pair y cif It e fist pain. How even,the par y c I 'Ihei seaanc pair reserves the right to putllish the results cif this ppfografm arid, if areal.) lis hod by the party cit the insi part s Fl all,a pcin iequ e r t;be fit nnist ec t y the party of the first par;al cost, in ores sicirus suilaft le fon Al.r pose s c I repiuc uct ion similar lci th al fcir K high the arigir al ccipy K as pre paired.Th e maps,learn(s cin ne pans put lisheid by eiith ei pair y shall ccirlain a s aterrrenl oil the ac operative notations t elw ea n the pair res. 9. USGS Kill issue billirgs utilizing DE par merit cif the Inteiniof E ill Ian Cllclleictior(loom DI.1(4Cl). Billing cocl.me nils are tci be reinceieic aninually. Pa)lrrents oil bills area c uei IA bin 510 c ays alflleiii the billing dale. If not paid Id the due c ale, infenesl will be charged al the at nrelnl Treast.ry nasal k n each 3C daffy pericd,c n pc riic n ifenec1,tlhal the Flaymeirit is dEllayec teycinc thea duel date.C11 USC 3717; Cornilnclleii General File EI.2122212,Aug',s123, 'I c183.), Form 5I.113E1E1 U.S. Department of the Ir I clip! Ag rem er 1#:1€EMNR0(Ia0a091 lAFp it 3015: U.S.Geological SIurvEly CustomEinr•I:1100000134A Joir11 Au r d in@II Agree mallProject t:NFO(1959 FIIQIF 1 IN ft:391.110(10972 Wahl! Resource Inversli�Iati Watkins U'GS Cl N51$1:9141912815191E 1 USC S Tech r ioa l Point cal Cc ntaait Cu slomer 1 ecsh nidal Flc inst oil Clic rite cit ame: Jeffrey W ooc s N ame: Jeremy k est man St.perviisery Hy dredagist City E nginEien Addnciss: 919917 Lakeside Ellvc. Ac c re;s: Carrr el Engineering DeF!artrr ant C ne Ind ler aFlolis, IN 4E 278 Civics Sgt.ane Teleph one: 11317; SOC-2 7EI2 Cairn el,IN 411(32 Fax: 11317; 29C-3313 Telephone: (317)fI71-2441 E mail: jwcioc s@ usgs.gav . Fax: Email: jkashmant canrriel.ir.gc v USC S Billings Points cf Contact Cu:Hlomcui Billing F cririt 01 Clic meat I,a me: Chnistaphen Jc hr s an Name: Kailci L usi ig Accor nling llechnic ian C fflce Administnatcrn Aiddn(ss: 9997 La E esic e E Ivc. Ac cress: Carmel Enginecuiing Ueg lartmeint C r e Indian agolis, IN 4E1278 Civics Square Tcaelph one: 11317; EIOC-217€f Can el, IN 4 EI(321 Fax: TelephcrEe: (317)5171. 4321 E rr ail: cv1johnson@ L sgs.gc v Fa): (317 f.I71.21439 Email: kluslig@csarrrieil.in.gcv U.S.Geclogics I Survey United States (lily oil Cain el-E ngineerin g Dens rtmcirrt o1 Interim Signet'.re Signetu rev MICHAEL By CFiIFFIN �-•^ Deter NoN 213, 21015 By Dale: Name: IV icsha el Griffins Nan ia: 1 isle: Dircicitc ri Title: By Dole: NarnE: Title: By Dale: Nan e: Title: 1123/31(119 Agreement Flttac hment City of Carm(II -Engineering Attachment rot 16EMNF00 d 0005 10/1112015 to 5/30,1201( SURFACE WAITERI 9ITE NO. DIFF U9 C191 CIUST. OTHER 1'O111A1.. NUMBERI DFSCRIP11OD1' (ICDFI IJF1TS FACTOR FUND! CIA H FUND;' COSH 03351073 IVILIP MS CIREEK All 91ITII ST11EE1,INCIIArAPOLIS,IN Fi II Flange Streamtlow Station CMT 0.:41 I 54,4' !WI Total: 54,410 SW Grand Total: 51,41( 541,41110 SUIT IMARl FCIR 161 MIV F(000009 City of(lar t el•Engineer ng USCS (US1. OTHIS R 71'11)TAI WPM! fLNES CAISLI FUNF19 COSH ( SURFACE.lli/111EFI ISW) 5,1110 SA 400 (IRANII1 CITAIL 541,4170 54,4170 http:Nwdter Anr.us as.a mica i•Uniattachment.ca i?Aa neernent1D-'I8875 I(rl lien a ived ® � ® 1 3-01 - 9AI1 3SI FFlC\ a ij v d0; �o- O » CCS CilyafClain el C1 1 I OF ARMEL �epartmeni o9l aU JAM E I BRAINARD, MAYCIF U8TTBR OR TRANSIMITTAU Date: N clvE tuber 30, 2015 llo: C oug Haney CE partmenll of Law Fnomi: Aron Kashman ZI�ie- C epartment of Hrlginee ring RE: 2015-2016 U.SI. Geological SlurvEy Joint FL nc irlg Agreement for Water Resource Invlestigail is ns—Williams Creek ail 96th Situ et Attaahelc for legal ne%iE w i,i sul:jecil Agreemierlil. This PlgreIen-ent i;i neeic ed fcir the Decemben 16th 9RW mseltirlg. Thank you. DEPARTMENT OF EN CIINEHRINCI CINE CI\IICI .1c1UAItE, CAIRMHI, IN 46(1 12 OFFICIH ,11a.511.2I441 FAX '117.571.;I1. 9 Eivvin erngirueaiingClaairrlel.in.gc PROVIC ER SERVICES PIGIREEI ENT AND BUSINESS AISSOCIAITE AIGIREEMENII ,, e� ca RECI11AL S A.City cif Caiiniel 1"Elmployen") has eistablishec certain elmplayeie tlenefit programs,including me an moms of the ikillawing:a health flleixib le spending acaciunt Q"FSA") uncoil C ade Section 105;a c(Tient ent care assistance program("DCA R") under C ade Sectian 129;a health neirribursement arrangement Q"HRA") uncer Ccidei Section 105;transpcirtaticin tinge benefit plan II"Transportaticin Plan") under Coca Section I3211Ifp); Health Savings Accounts Q"HSA"; unc er Cade Section 7123,CCIEIRA ac niinistraticin anc Lifellock Identity Theft Protection.The FSA and DC AP are each offered under Coce Section 1715 calete ria plan. B. Employer has requested Benefit Planning C ansultants, Inc.("RROVIDER")to act as its agent fern the payment of certain benefits anc tci lurnisH certain ac rriinistrative services for ones cir moire oil the FSA, DCA R, HRA,Transpcirtation Rlan, Lifellock and COBRA as described in this /4[-cement laedlectivedy,the"Preignam"). In cansic eras ian oil the mutual promises ccintained in his Agreement, Employer'and RROVIDEIR agree as ibllow s. AR11IC LE I. INTROC UC111ON 1.1 Effective Dater and Term.The efllective date of this Agreement is Januar)p I, 71016 Q"Eiffective Date').The initial term stall be the Iengt h of the initial plan year;thereafter,this Agreement w ill renew autamatically for successive peniads oil twelve(12; months unless this Agreement is terminated in acacindance with the provisions cif Sectian 1.31 Scope of Undertaltirigl. Employer! has stile anc final authority to control anc manage the operaticin of the Rno€tram. RROVIDER is anc shall remain an inc ependent contractor with respect tci the services b eing perlormec hereunc er anc shall ncit fan any purpcisel be deemed an emplciyeer cif Elrriployen. Ncin shall PROVIDER anc Employer be teemed partners, einga€1ec in a jaint venture or gpvenneid by any leigall relationship atheir t han that oil inc ependein' contractor. PROVIDER c oes not assume any nespons it ility ibr the general palicy c esign oil the Rrccgram,the adequacy oil its lunc ing), an any act or omission con breach oil duty by Empla)er. Nor is RROVIDER in any wary to be teemed an insurer, underwriter or guaracntar with respect to any benefits payable uncer the Pilgrim. Rnavidein generally pray ides reimbursement services cinly and dotes ncit assumes an) financial risk ar abligaltion with respect to benefits offered or claims for benefits namable b) Elmplciyer under the Rnogram. Nathing hernein shall be deemecc tic constitutes Rrovic er as a party to the Pragrim ar tic confer upon Praviden any au'hcriit) cm control respecting mana€lerrcent cif the Rnogram,authority an respans ib ility in connection with ac ministrait ian oil the Rrogram,or nes ponsibility fcir the terms ar validity of the Rrogram.Nothing in this Alneerment shall be deemec to imposer upcin Rravicer any obligaitian to any empla)eec cif Elmplayer ar an) perscin whcc is Ranicipating in the prcigrrri I�"Panicipant";. 1.3 Definitions. "Agreement"means this Rrovic er Services Agreement, inclucing all Appendices herretcc. "COBRA"means the C ccnscdicated Clronitl us Budget Reconciliation Act oil 15185,as amends%. "Codci" means thea Internal Revenue Ccidei cd 15186,as acmenc ec. "DCAP"has the meaning given in the Recitals. "Electronic PHI" has the meaning assignee tci suct term under' HIRAA. "Eligid ilityl Rciparl!"have the meaning describec in Secticin 2.3. "Emiplayen"has thea meaning given in the Recitals. "ERISA"means the Employee Retirement !name Security Act of 15.171 ,as amendec. "Effective C ale"has the meaning glivein in Seiction 1.1. "FSA"has the meaning gliven in the Recitals. "Gnaw p Heald Plan"means a Rlan maintaincic by an Emplciyer that provic es medical cane tic emplayees an their!cependernts, c Mealy or t H rciug 1 insurance, reimtlursecmeintl or oth erwii sei. "HIPAA"means the Heialth Insurance Rortab ility and Accountability Act of I¶l9f,as amended. "HSA" has the meaning given in thei Recitals. "Namec Fiduciary"means the namec ficuciar)I as defined in ERI:IA Iecticcn 4(i211a; "Participant"has he meaninggivein in Seiction 1.2. "Plain" means the FSA, DC AR, HRA,Transportaticm Plan, or Group Heialth Rlan as applicable. "Plaine Plc miiriistnaton"means the administratcin as defined in ERISA Section 3111E)(A . "Pray iden" has the meaning given in her Recitals. "Programa" has the meaning given in the Recitals. "Qualifying Evert"means a Triggering Avant t hat causes a loss oil cciveragec unc er a C naup Health Plan. Benefit Panning Clonsultant s,Ina. I cif 15 "Transportation Plan"has the meaning)given in t he Recitals. "Triggering Uvenit"means an event that will result in a Qualifying)Event under COBRA;it also causes a lass af coverages under a Group Health F Ian. AR11ICILE II. EMPLOYER RESHONSIBILI111ES 2.1 Sole Responsibilities (a' General. Amplcryeir has the sale out harity and responsibility for the F ragiram and its operatian,incluc ing the authority anc res ponsibility for administering,construing anc int erpnet ing the prcrvisicrns af the Rnog'ram anc making'all c eiteirminat ians thereiunc eir. Employer gives Prcrvic er the authority to act on behalf oil Employer in connection w ith the Pragriam, but cinly as expressly staters in this Agreement cin as mutually agsreec in uniting by Employer' and Rrcrvicer.All final ceterminations as to a Participant's entitlement to Arcrgrarrn benefits are to be mac ei by Employer,including any dEstEriminaticrn upon appeal oil a denied claim ibr Prcrgi am benefits. Employer' is cons is Esrec the F Ian Ac rriinist rat or an N amEsd Fiduciary cif the Rriagr,am benefits fon purposes of BRISA. (41 Ekmflles. Without limiting Employer's responsibilities described herein,it shall be Bnrnployer's sole reispansiliility(as Plan Acministrnator; and duty to:ens ure compliance with C OBRA;perform require( non(isanimination testing;amend the Plans as necessary to ens urEl crngping compliances w it h applicable law;file any reiquinec tars or governmental returns Ilincluc ing Farm 55C10 returns relating to the Plans;c et ermine if and when a valic eilenat ion change has occurrec; handle Ran icipant appeals;ea acute and retain required Alan,claims and COBRA cocumentaticnn;and take all other steps nenaesssary to maintain anc operate the Plans in compliance with applicable pncrvis ions oil the Plans, ARIBA,the C oc a anc other applicable federal and state law s.Upcnn written request, Rrovic eir can act as an inc Espendent contractor to assist in priepariing said services ibr mutually agree( upon fees an as outlines in the fee schedule Appencix. 21.21 Hers ice Charges,Taxies and Hees; Hunt ins. Employer shall pay Rrcrvicer the service changes seat kin h in the A ppenc ices hereto,as c ascribe( in Article V. Employer shall promptly func an account rrnaintainec ibr the payment ail Rragrarrn benefits as described in Article IV. In adc itian,the Employer shall pay Prcnvicen any tales or fees that may be required to be paid by the Rrovic eir fan any plans or plan parr icipant pons ark by t hEl Employer. Benefit Payment 9ystesm @PT,t her company the TPA uses ibr processing'payments fors the Employer Arcrgrarrn will debit the employer's bank aacciunt 1I1.C10 fan a pre-note lee wheiner er the Bmplciyer prcivices a new bank as count an thane is a change in the bank account the Employer uses for payments under any Pragriam.The employer will be responsible ibr funding this prep-nate Ikie. 21.31 Information to Prosic err. Employer shall furnish the information requeisteic by Provider as determined neices sary to penriarm Rrovideir's functions hereunder, incluc ing information concerning the Rrcngrarrn anc the eligibility cif individuals to participate in anc receive Rrioglram benefits II"onto Hit y Report s Such infciiimation shall be provided to Frovic eir in the time and in the manner agrleeic to by EimployEir and Rrcrvicer but nci later than 3(1 c ay s from the dates cif coverage termination fern COBRA notification purposes. Rrovic eir shall have no responsibility with rcigayrc to benefit paid in moan duel to Employer's failure to timely updates such information. From time to time thereafter,but no more frequently than manthly, Rrovidenr shall provider Employer with update( Report s by electronic meciurrn unless citheirwisei agreed by the parties. Employer shall bei responsible ibr ensuring the accuracy'cif its Eligibility Reports,and beans the tureen cif pncroil in any dispute with Provider relating to the accuracy cif any Rupert. Provider shall have no liability to Employer or any Participant as a consequence cif an inaccurate Report and Prcnvicer shall not have any obligation to crecit Employer for any claims expenses or administrative skies incuurec or paic to Rrovidenr as a ccinsequcince oil Employer falilingta review Reports far accuracy. Rrovidenr shall assume that all such informal ion is ccimplast:E'and accurate and is unc er n c uty to question the completeness or accuracy cif such inibrmatian. Such Bligb ility Repcnrts shall bei cansic erred RHI anc,w herrn transmitters by or maintained in electronia media shall bei considered electronic PHI, and subject to t he privacy anc security rulers under HIRAA anc Article VI of this Agreement. 21.4 Plan Ocnciumienits. Employ eun is responsible for the Prcngnam's compliance w ith all applicable federal and state law s and regulations anc shall provide Provider with all relevant documents, including but not limited to,the Arog'ram c crcume nts and any Rrog'ram amendments. Employer will notify{Frovic er of any changes to the Rnog'ram at least sixty(60; cays beibre the effective c ate of such changes. Bmplcryer acknowledges that Frovic er is not providing tax an legal advice anc t hat Brrnploye n s hall be solely responsible fcrr determining the legal anc taro status cif the Pragriam.As described in Section 3.7, Rrcrvicer can furnish updates cocutrients anc ilcrramen(mentsatthe current applicable skies. 21.9 Liability for Claims. Employer is responsible far payment of claims made pursuant to,anc the benefits to bei provicec by, the Frogram. Amyl(er does not insure ar underwrite the liability cif Employer uncer the Prag'ram. employer is resspcnnsible fcrr proper funding of reimbursements issued by Rrovic er to participants. Bxcenpt far expenses specifically assumes by Rrovidenr in this Agreement, Employer is responsible far all expenses incic ant to the Arcrgram. Benefit Planning Qonsultanr,Ina. 2 of I5 2.51 Indemnification. E mployen shall indemnify'Rrovic er and hold it harmless 'hoar and against all loss,liability„carnage,ex pens a, attorney's fees cr ather obligations, resulting from,ar arising out oil any act or omission af E'mploye'r in connection with the Rrogram or demanc,an lawsuit by Rrogram Rarticipants anc beneficiaries against Praviden in connection vs ith benefit payments an services performeic hereunder. In ac dition, Elmplcayer shall indemnify'Rrovic er anc holt it harmless from and against any liability, expense,c emanc,or other of ligatian, resulting ilrom,or out cif any premium change,tax or similar' assessment'feic eral ar st:a ibr which the Rrcigram or Employer is liable. E mployein shall also have the indemnification cibligaltion cescribac in Section 3A. Rroviderr shall indemnify'Emplciyler anc hold it harmless frcim and against all loss, liability, damage,Expense,attorney's Ike ar tither obligations, resulting tam,or arising'ow af any act an crmissian oil Rrovic er in connect ian with perfc'rrningI its obligalticins under this Agreement. 3.7 Med iaal Rleaonds. E mployen shall, ill required by law ar regulation, notify'each Participant and pravic a each Ran icipant vv ith an opport unity to opt Brutii require( an e'btain Iron'each Rarticipant such w mitten aut harizatiein fear release of an perseinal financial retorts anc medical retorts in accorc ance with applicable states and feceiral law(including the C ramm•Leach-Elliley Act; tca permit Emplcyler anc/cur Pncaviderr to purloin-1 thein obligations unc er this Agreement. AR1IICLE III. PROVIDER HBSIPON SIIBIL ITIE SI :1.1 Sale Responsibilities. Rrovicer's sole respansibilities shall bei as cescribec in this Agreement(including the obligations listed in zany Appendix tca this Agreement. Prcavicer generally provices certain neimbursemeant and retort keeping services,as <ascribea< further bealaw. 3.2 SlarviaE' Delivery. Rrcavic er shall pravic a customer' service personnel curing normal business hour's as c eterminec b y Pravicer by telephcane and shall pravice electronic ac rninistrative 9erviceis twenty-lour 124) hcaurs per day, seven IT cap per week. Rrovic er shall not to c acirnec in default af this Agreement, nor held responsible fan,any cessation, interruptian or delay in the performance of its abligatians hereunder due to causes berycanc its reasonable control, inducing, but not limitec tea, natural disaster,act cif Gad, labor ccantrcaversy,civil disturbance, disruption of he put lic rnarkens,war car arrneic conflict,art hei inability to obtain sufficient materials or sElnriceas required in the cant uct oil its business,incluc ingl Into'met access, can an change in or thea adoption cif any law,jucglrnent ar ccicree. 3.3 Benefits Payment. Rrovic er shall, as agent af E mplcryer,caperate unc er the Express terms oil this Agreement and the' Rrogram. Rrcavicerr sHali initially determine ill persons coverec by' the Rroglram(as described in the Eligibility Reports) ane eintitlea< to benefits unc eir the Rrogram anc shall pay Pnc'girrarn benefit: in its usual and customary manner,to Rarticipants as set Ibrth in this Article III aric Article IV. Rrovic er shall have na c uty or obligaltic'n with respect tca claims incutnrec pniar to thea Effective Date' ("Rrior Reimbuniement Request ,if any, anc/ar Rroglram ac miii ist ration ar tither; services arising)prior to the Eflective Dates ("Rrior Ac ministration"), if any, negalrc less oil w hether such services were/are t o bEi peuicurmec prior to or after the Elflect iv e Date. Employer agrees that:(a; Prcaviden has no responsibility can cabligzltion with respect to Pricer Reirnbunsement Requests anc dor Prier Ac rninistratie'n; (b) emple'yler will bEi respe'nsib le far processing Rrian Reimbursement Requests(incluc ingI any nun-off claims stit mine( after the Effective Date) and maintaining)legally requinec recorc s of all Pnicar Reimbursement Requests an< Pnicar Ac rninistnatican sufficient to camply with applicable legal) le.g., IRS substantiation) requirements;anc ic) Employe' shall inc emnifyl anc hol< Pumice'' harmless for any liability relating)t o Rrior Reirnbwiseirrrent Requests andel Rniar Ac ministnai ian. 3.4 Bonding. Rrovic er has,and will maintain,a ficelity bcan< ibr all persons involved in callectingl mancp or malting claim pa'y'ments,anc all officers cif the company.phis bond covers the hanc ling tai Employe'r's and Rarticipants' mcaneiy from c ishonesty, theft,forgery car alteration,anc uneixplainec disappearance'. 3.9 Heportirigl. Rrovider shall mak('available to E mployer each month via electronic medium 'unless otherwise agreec upon by the parties)a master report showing)annual Electican,year-tca-c ate claims paid,sear-to-c ate payncall ceposits,anc account balances. Far purposes of E'mployer's ASA, E'mploy'er must provide certification that the plan document requires the Rmplayer to comply' with applicable privacy and security rules unceir HIRAAI beafcane Prcavicer will make'available the' Departs prcavided fan in this Section to Employer. Rrovic er shall ala rriaki available to Participants each quarter'via electronic medium unless otherwise agreec can by the parties a report s how ingItheir in<ivic ual pay'went hist ary and status of claims anc the amounts and transact sans in their'individual accounts. Ran purposes cif E rnployen's Health ASA, emplcayer is respansible for ensuring that any beneficiary af the Rarticipant Ian w horn a claim has been sub mittec to the Health FSA has agreed to the disclosure oil his ar hen RHI to the Rarticipant,ill nequirec by the privacy rule. 31.il C laims car C menage Appeals. Praviceir shall 'Alen to employer or its c esiglnee',ibr final ceterruination,any claim ibr be'ne'fits ar coverage that is appealed after initial rejection by Rrovic er ar an class of claims that E mplayee may specify,incluc ing la) any questican oil eligibility ar entitlement()lithe claimant liar covenage unden I he Rrogram;(b) any question w ith respect to the arnaunt due;ar(c)any ather appeal. Benefit Planning Clorsultanu',Ina. 3 cif 15 3.1 Aid d itional Doc%u orients. If E mplayer requests,anc E mplayer anc Preivic(In mutually agree upon pay,melnt oil applied lei fees, then Rrlov idem s hall lkinnish E mplayer: 1la) plan c acumeini s 1 a bei rev iew ec by E mplayer,Ian cresol ion o11 a ustamizec c oeurrlenu tion fan r hes Rroglram to d e appnavec and e>,ecuted by Emilia)er, including beard rescllutians,s ummary plan c ascriptions ilSIRDs, plan dacumeints anc plan amen(ments(cif any);anc (L)administrative lbrms needed fern Rrov idea-10 peirfanm its curies under this Agreement. Rnavidem will llurnish Ieigalll) necluireid amendment s,as needed without specific request o11 Emplayer at the rates stteid on the Prcividarl's current stancard feel!chedule. 3.8 Record hecIF irigl. Prcrvic er shall maintain,lbr the duration cif this Agreement,the usual anc customary banks, reccirids anc documents, including electranic retorts,that rielate to the Rrcigrarrl and its Rarticipants that Rriovideir! has prepared ar that have othenniise comes within its p103 session.Those backs, reccrrids,anc cacurnieinis, incluc ingl eleiciiionic ricicares,area the prapeirt) cif Ernlplo)er,anc Emplayer has the right ci1 cantinuingl access la ihelm dulling normal business hciurs at Rrovideir's(Aces with neasanablei prior ncitice. If this Agreement terminates, Pncivicen may deliver,ar al E mpiayer's neclueist,will deliver all such Looks, retort s,and c aaumants la Employer, subject tci Rnaviden's right to reit in ccipiels cif any reiccinds it deems appropriates.E mployeir shall Lei reicluired to pay Rrovic er ueasanablei changes fcir 1ranspartaticin or duplication cif such retorts. Rrovic er, however,that upcin temminalian oilihis Agieeiment, Rravicer must destroy or return tri Elmplciyer all PHI,including PHI that is in the pas seissian oil subacintiiactars cm agents all Rravic er. If it is infeasible to ren urn ar cestroy RHI receives 11rom Emplayer or the Health FH,IA,or areate( or receive( Ly Puavidem an behalf cif Employer cul the Health F5IA, Prcrviceui shall prcivice to Employe!' notification all the cant itions that make reit urn ar c est ructicin inllrlas it lei. Upon E mplayer's agneemeint that net urn cul destrualian oil RHI is infeasible, Rrovic er shall e>,tenc the protections cif this Agreement to such RHI and limit further uses anc disclosures oils uch RHI 1 a they a purpas es that make the Return or destruction infeasid le,fcui ser long)as Rrcivic er reit ins such RHI. Rrovic er shall pay all starage changes far an) such RHI far sa Icing as Piicividen retains such RHI 3.1 Standard of Carel. Rrovic er shall use reasonable care anc due diligence in the eixemcise af its pawers anc the performance af it c uties under this Agreeement:. 11 Flrcivicer makes any pa)rrlant unc er this Agreement tri an ineligible pemson, or if mcine than the acrnnect amount is past, Rnav idein s hall rnlatie a c iligenl effart tri reamer any Rom(nt mac a to or on d ehali oil an ineligid le pemson or any ovempa)ment. However, Rrovider will nat bei liable for such payment, unless Rrovic er would otherwise Le liable uncut'anather piiavisicin oil this Agreement:. 3.10 Notices to PartiaiF ants;Amicinidmer it to C amply witli Privacy Rules. Rrov ider s hall provide 1 o Empla)eir all notices Ilincluc ingl any required opt-out nal ice' reflecting its privacy policies anc practices as uequireid by states anc llor fec eral law 1lincluc ingl the Gramm-Leach-Bliley Act;. Ramie' agrlee to amend this Aglrelement al is necessary frcim lime tri time tri comply w i1 h the requirements oil the privacy rules unc er HIRAA. 3.1 1 Non-Discretionary Duties;Additional Duties. Prcivicem and Emplayer agree that the cuties to be peirfarmed heuieunc er by Rrcrviceir area nan-discretionary c utie s. Rnavidem and Employe n may agree ta acditicinal eulies in writing)as may Lei 7pelciflad in the Appendices from time 10 times. AR-rlc LE IV. BEN BRIT RROGIRAM RAI1MBNII: BMPLCINIBR'S FIU NDIN GI RB9PON 9IBIL IIIY .1 Payment of Benefits. Rmplayer authorize Paavidem ta pay Rnoglram benefit L) chectis written ilcin either draft paymein1 tui c(IL it: on a bank account east blishec and maintainec in he names(lithe Employers 1br the payment cif Rragram benefits. Each weell or at such ather interval as mutually agree c upcin,Rrovicer will not 61 Employe!' all the amount nee dad to pay approvec benefit claims anc E mployen shall pay or transfer inter the Lank account then amciunt neiecec 1br the payment cif Priaglriarn beneifits. Elmplayer s hall enten into such agreieiments anc pnav idea instruct stirs tri its b anti as are necessary tri implement 1 his Slectian 4.1. Rrov idem s hall have solei authcuiit) 1 o provic e what eve n notifications, instructions cul c inectians as may be necessary t o accomplish the cisbunsciment oil such Preignam)hinds ta cul on behalf a1 Rarticipants in payrnlen1 cif approved claims. Rrovider is merely a collection agent lbr the employer'and an) fun c s collected baking ta the emplciyer(hand not ta the Rrovider . Rrovic er shall immeu ia1 ely fcrrwiarc any amount c uei the group pcdicyhalder Ion remittance to the appropriates insurer.Rnov ider will nat pay any claims with rrsaney withdrawn 1lrorrl an account est blishec in w hich pilernliums ar charges area c epasitesd. If cebit carts nue used in conjunction w ith the Rnaglrarrl,Elmplcsyer agrees Ila;ufflcieirni ly fund the bank account anc monitor it to pneveint overdraft. 4.71 Func ing of Benefits. Func ingl fan any payment an beihalll af the Rarticipants undesn the Rrogram, incluc ingl but not limitec to, all benefit to Flan icipants in acccirdanae with the Rrogrlam, is the stiles riesponsibility af Elmplciyeir,and Employ en agrees tri accept 'lab filly 1br,anc provide sufflefk nt ilunds tri satisfjj,all payments to Rarticipants unden the Rrogram, inducing alairnis for iieimbursementlbr cavered axpenses,whole such elxpensw are incurred an c the claim is pre'eniec fcui payment dwiingIthe teuirri cif this Agreement. Benefit Plat ping Com tiltants,Ina. 4 of 15 AR71IC LE V. PROVIDER C OMPENSATION 9.1 Service C harge's.The amounts cif the monthly service changes oil Rrovider are described in the Appendices. Pravicer may change the amount cif such charges by pravic in at least thirty 13(1) days w Witten or alectrcinic notice 10 Emplayer, betlbra the annual dates of renewal oil this Agr eeiment. Rrovider may also ahange the rrianthly service charges as oil the data any, change is mace in the Prc'griarri. Requests ibr ac c itional or nein-st<nc and services may riesult in adc it ional charges. 9.2 Billing of CII argles.A II service charg es oil Aro is er,w I ether prcev'dad fan in this or any tither Section, shall be LI illEIc separately from statements fcir payment of claims s that pncipeir accounting can be mace by Employer oil the respective arriaunts paic ibr claims and far ac ministrat iv e e>t pens es. 5.3 Rays/Tent cif Chargees.All changes unc er this Article V shall be c eterminec by Rrovider and billed Firth paatively to Employer' an a nicenthlyl basis unless c'therviise agreed upon in the Appanc ices.Feces for the month shall be billet arceund the I5th oil each month. A 11 ernativ ely, ii so agneeu by the parties, Rrovic er may c ec uct payment ibr monthly service charges from the bank accciunt maintainec by Bmplceyer as ce;crib ec in Article'IV. Emplayer shall make payment to Prc'vicen within thirty 130; cays oil receipt oil notice af the amount cue,ter;uch amount will autc'matically be deducted frc'm t he bank account maintained by Employer as de'scribe'd in A nide IV. AIR11ICLE VI. HIPAA GUIDELINES F OF EMRLOYEFI AIN C PROVIC BR This Article VI is the BUSINESS ASSOC TATE AG REEME Nil II"Agreement"; by anc be'twee'n the Rlan Administrator or Emplayer("Covered 9ntity")anc the Rrovider II"Business Associate"). Business Associate anc C covered Entity arae hereafter neikrnlec ta inc ivic ually as a"Party"and 'collectively a; the"Parties". "Ilhe Ran se's recag nine 1 hat HIRAAI anc the Privacy Regulations riecluire t he im'positi'on oil certain saik'guairds notes s any to pnate'c1 the privacy oil inc ivic ually is entifiatle health infc'rmation that is areeateec or receive' by Business Assaciate in performing services 1"Servicies")far cin an behalf cd C c'verad Entity pursuant to the most recent Pravicer Services Agree'me'nt("Uncerlying Agreement"). The Parties will fully comply with all applicable Rrivacy Security Regulations IIincluding Breach 1citification regulations)anc al her applicable'laws respecting the privacy anc the security of health inilormatic'n,anc hereby agree 10 entail into this Aglraement in cerden to ccTriply with 1 he business ass c'ciate agreement nelquiremelnts ail the Health Ins urancel Ron ability and A acauntability Act ail 1519E1 IRAA") anc its implementing regulations and to ccimply with the Rrivacy anc Security Regulations,the s1 anc arcs Ilan electronic trans actions(q 5 C.F.R. Rants I CO, I E12,anc 1610 pronwlgltced or to be pronwlglted under HIFIAA,anc ta incarpanate any material required to be incorpcmate'd thereby.The Ranies ca[tend y agree as Ibllows: 41.1 Definition's. i1a; Areacil. 'Breach"shall have the same meaning as the term"broach"in 15 C FR§I E'F.1(12. (b Breach Ncitificailion Rule. "Breach N c'tificatic'n Rule"s hall mean the Sltandarc s and Implementation Specifications ibr Notification of Breaches af Unsecured Rrc'tc'ctec Health Infc'rmation unc en 45 CFR Rams I EI0 anc 1614,subparts A and U. (c; Elwiness/Isscicicite. "Business Associate"shall mean Benefit Planning Cansultants, Inc. (c) Covered Erliit}f. "Covera' Entity"shall mean Rlan Ac minist rator or Employe n. (e)' Design(mod F ecard !et. "Design(stet F ecoid!el"!Flail mec in (I)A group oil retorts maintainec by or far a health plan or Malt cane prc'vidail,that is: (i; The medical retorts and billing retorts about inc ivic uals maintainec by an ilor a covenec health care pravic er; (ii; The enrollment payment, claims adjucication,anc case an medical management neccirc sysleirres maintainec fey or for a health plan;or (iii; Us ec,in w holes cm in pan:, by ar tin the health plan or I eealth care prov idea 1 o make cecisions about inc ivic uals. (2) Nan purposes cif this definition,the term reccirc means any item,collc'etic'n, or gnauping of information s hat includes pratect 'd health inibrmatian anc is mains incid, ccillected, usec,or disseminal ec by an ilor a health plan or health care pravic en. Benefit Planning Consultants,Inc. 5 oil 15 (fl Electronic Pncitecied Health Information. "Electronic Rnotectad Heal'h Inibrmaticrn"shall have t he same meaning as t he ears "e lectnanic prated ec health informaticin"in 45 CRR §16(1.1(13. (g� Electronic Tsi nsccions Rule. "Electronic Transacticins Rule"shall mean the final regulations issuec by HHS ccrnceirning standarc transactions and coc ei sets unc er 45 CFR Rart s I E 0 anc 16:1. (h) Enforcement Rule. "Hnlorcemelnt Rule"shall mean the Hnlcircemant Rncrvisians set fart h in 15 CFR Hart 160. (i; Genetic Informamion. "Genetic Infarmation"shall have the same meanint as the term ' retic information" in 45 CFR §160.103. (lj I-IHS. "HHS"shall mean the Department cif Health and Human Services. (ill) HIFIAE Fules. "HIRAA Rules"shall mean the Rrivacy Rule,5ecunity Rule,Breach Notiflcatian Rule,anc Enforcement Rules. (1)HITBCH Act "HITEC H Act" shall mean the Heal'h Inibrmaticrn Teiehnolcrgy for Economic and Clinical Health Act enactec as part cif they American Relcovery anc Reinvestment Act of 710(19. Ism Flrivory Rule. "Rrivacy Rule"shall mean t he Rrivacy Ste nc ands anc Implementation 5 pecifrcaticrns at 45 CFR Parts 16(1 and I64,subparts A and E. Flrotectec Healtf Inforrnci ion. "Rrotectec Health Inibrmatian"shall have the same meaning as the tem"protectec health infcinmation"in 45 CRR§16(1.I(13, Iirriitec tci the infcirmation created, recall ec, maintained,or transmitted by Business Associate frcim cin an behalf cif Ccivered Entity puns uantto this Agreement. Recluined t1)1Low. "Required by Lan"shall have the same meaning as the team"requirec by law"in 45 CRR §161.1(13. (p Security Incident. "Security Incident"shall have the same meaning as the term"security incident"in 45 C FR I E4.3a1. (q Security F ule. "Securrit Rule"shall mean the!Security Stancards anc Implementation Speciflcaticins at 45 CFR Harts I 6C1 and 164, subparts A and C. (r) Subcontrcictoa "Subcontractor"shall have the same meaning as the terns "subacintractcir"in 45 CFR§16(1.103. (s) 71rainsciction. "Transaction" shall have the meaning liven the term"tnansacticrn"in 45 CFR §I6(1.I(13. ilt) Un ecunea Protea ed Health Inforrmation. "L nsecurec Rrotectec Health Infcirimation"shall have the meaning given the term "unsecunec protected health inlcrrmation"in 45 CFR 164.1a71. BenefitPlanningClorisulrants,Inc. E cif 15 6.2 Rrivacyl and Security of Protectec Health Information. (a: Permitted Uses and Disclosures. Business Asicaciate is pclnn•ritte< to use and disclase Rnatecteld Heald Inibrmatian only as set ikari I below: (i; Furictions arid Activities on Covered Entity's Behalf. Business Associate'pe'rfor'ms ane'cm mane servicers relal ing to Health Relimbunsement Arrangement Accaunts QHRA;, Health Fleocit le'Spent irg Accaunts(FSA;,ar d De'pende'nt C are Fleocitl lepent ing Accounts(DCA R;, Health Savings Accounts QHSA) and COBRA administration as c dined ir the Unc erly ing Agreement. (ii; Businiels Associate's OFleration!. Business Associate may usei Arcnectec Health Information ibr the proper management arc ac minisi natior oil the Business Associate can to aarry out t he legal! respansit flit res oil the Bus ines s Associate. Business Associate may cisalas e Prcateiatec Health Infanmation ibrthe proper management anc administration of the Business A ssociate or to carry out Business Assaaiatei s legal r'esponsibilitie's, pnovi<EIC that- QA)The'disclosure is Required by Law;or QB; Business A ssociate obtains reasonable assurance foam ary person or entity taw hich Business Assclaiate will disclose Rrotected Health Inibrmatiar that thei persor cm entity will- I) Holc the Rrotected Heali h Inibrmatian in canfic enae anc we or further' c isalose the Proteated Health Information curly fcm the purpose ibr which Business Associate disclosed Rrcnectec Health Infanmation to the person or(Intit) ar as P equired by Law;and 1.1) Rromptly not ifyl Business A ssociate'of any inst.nce oil which the pemson or entity becomes aware ir w hich the aanf'dent iality oil Rrat ectec Health Hai-nation was h neachec Qiii) Minim um N ace ssaaryl. Business Associate will,in its periarmanccl oil the functions,activities,services,ar< aperations 3pacified above, make reasonable effort s to use,to cisclase,and to request only the minimum amount oil Rrotectec Health Infanmation riasanably neceessaryta accomplish thei intended purpose oil the use,c isclasure, car request, except that Business A ssociate'w ill nat be abliglted to comply with this minimum-ne aessary limitation ill nest l er Business Associate nor Coverec Entity is requiuec to limit its we,c isclosurci,ar request to tl El minimum necessary uncer the HIRAA P rtes. Business A ssociat('anc Coverec Elnt ity acknowlecge that the phrase"minimum necessary"shall be intenprerccid in attendance with the HITECH Act anc the HIRAA Pules. 'fib; Prohidition can Unauthorized Use or Disclosure. Business Associate will neither' we nem cisalase Pnatected Health Infanmation,except as permittee cm requiuec by this Agreemert or in writings by Coverec Ertity or as Required by Law.This Ag reamer c 0E1s rot aut hcmize Busines I A s sociatel to use'cu'c is aim e Covered Entity's Protectec Health Infarmatiar in a manr er that waulc violate thei HIPAAI Rules if cane by Covarec Ent ity,except as permittee fear Business Associate's prcapcm management and admir istratian,as c ascribe( above. 11a; Information Safeguards. Ili) Privacy of Protecte d Health Information. Business A ssaciatci w ill C evelcap, implement, maintain,and use appropriate'ac ministrat ive',technical,and physical safeguarc s t a protect the privacy of Rncmtatted Heali h Inibrmatian.The' saileguards must reasonably protect Pnatcicted Heali h Information foam any intentional or unintemtianal usei ar disclosure in violation cif the Rnivacy F ulci and limit incidental uses or disclosures made puns uant to a use or disclosure of herwise permitted by this Agreement.To the eYteni the parties aglree that thei Business Associate will carry cwt c inectly onei or mane oil Coverlet Entit)i's abligtions ur col the Privacy Rule,the Business Associate will ccamply with the requirements oil the Rnivacy P ulci that apply tot he'Covera Entity in the performance oil such catligltions. (ii; Security cif Cove re d Entity's electronic Protected H ealth Inform ationi. Business Associate w ill comply w it h the Security F anc will use appropriate ac ministrative,technical,and physical safecuares that relasanabl)1 and appropriiately prcrteat t he ccanf'dent iality, int eglrity,anc availat ilit} cif Electrcinic Rriotected Healt h Inibrmatian that Business Associates creates, receives, mak tair s, or trar omits an Covered Ertity's Nehalt No Transfer of PHI Outsic c United States. Business A ssociate w ill not transler Rrotected Health Information autsic e the Unite< States without i he prior written consent of the Covered Entity. Ir this coni a>t,a"t ransikir"outside the Unitec State's occurs if Busir eiss Assaciate's worikibrce members,agFints,or sub cor tractors physically Icegatec clutskci thci Unitec States ane able to access, use,or c isclosei Rrotectec Health Infcmmation. Benefit Planning Clons ult ants,Inn. /l of 15 (c)Subefir tractors. Business Asscraiate will require each of its Sub cont naators to a€lreiei, in a rittein agreement with Business Asscraiate,to eamgly with the provisions cif the Security Rule;to appropriately safeguard Frotectec Health Inibrmaticrn aneatec, rEaeivec, maintainer,or tram mittec on behalf oilthei Business Associate,and to apply, t he same nest riictions and cant itions that apply ta the Business A s sociate w it h refs peat to such Rriotected Health Inibrmat ian. le) RroH ibitic'r on Sale af Rrote'atec Health Infarrr atiar. Efleictive as cd Efleiet ivei Date, Business Assc'ciate shall nal englge in an) sale 11as definer in the HIFAA rules; ol Rrateictec Health Information. Qf) RroH ibitiari on Use ar Disclas a re of C erotic Infarrr atiari. Effective a: ol Effective Cate, Bus ines s Associates hall not uses an cisclasei C enetic Informaticm fern uncerwnitingl purpc'ses in violation cif the HIRAA rulers. 1�g1) Renaltiers for None=pliarce. Business Associates acknowlex ges that it is subjeat to civil anc criminal enfarcement br falilure to eamgly with the HIPAAI Rules,to the extent provic ec b) the HITECH Act anc the HIRAA Rulers. 11.31 C orr plias Ice With Eleetroriici lira rsaetions Rule. Ill Business A ssociate ccinc ucts in whale or part electnanic Transactions an behalf cif C crvered Entity fern which HI-Mhos established stancands, Business Associate will comp)),and will requires any clubaantractor it invalves with the ccrnc uct oil such Transactic'ns to corripl),w ith each applicable requirement af the Electrc'nic Triansactions Rules anc cif any operating)rules ac c'pteic by HHS it h reispeat to Transactions. 11.4 Irmcivis u a I Rights. 11a) Alcciess. Business Associate will,within twenty-five 1125) calendar ca)s ibllowingl Coverele Entity's request, makes available ta Covered Entity 11ar,at Coverec Entity's written direction,ta an individual ar the individual's cosi€)nee)fan inspection and corning Prot ectec Health Marrow ion about the individual that is in a Designated Rescan d Set in Business As:crciiat e's cust ady ar control,so that C oveirec Entity may meet its aacess obligltians under 45 C FR§I E 4.524. afloat ive September 23,18I 3, ii Cavered Entity requests an electnanic capy of Rnotecteid Health Inibrmatian that is maintained electronically in a Desiglnatec Recard !let in the Business Associate's custocy or control, Business Associate will priavid(i an electronic cap) in he farm and fc'rmat specified by the Covered Entity if it is readily procucible in such ibrmat;if it is nut reac ily producible in such Ibrmat Business Ass ria iate will work with C mere( Entity tcl c etermine an alternative firm and format t hat enable Covered Entity ter meat its electronic acaess ob Iigltie'ns under 45 C FR§I E 4.524. (b] Amerc meet. Business A ssociate w ill, upon receipt af w Witten nc'tice from Ccrvereid Entity, prarrrptly amend or permit C c'vered Entity acaess to ameinc any pan ion cd an inc ivic ual's Prcrteict ec Health Infarmation t hat is in a Desiglnat ec Reicorc !let in the custoc) ar control oil he Business Associate, sa that Covered Entity ma) meet its amendment obligations uncer 45 CFP §I64.526. 11c) Cisclosure Amour ting.Tc'allow Coverec Entit) ta meet its abligltians to account far ciscic'sures af Rnotected I-ealth Inibrmat ian unc err 45 CFR§164.5281: (i; Disclosu res Su bject to Aecour ting. Eusines 3 Associates will reward the inkrrmation speciflec b claw("Drs clos ure Inibrmaticrn") kir each cisclasure af Rnatected Health Inibrmaticrn, not eaeepteid from ciscicrsLire accounting a specifiec below,that Business Associate makers to Coverec Ent it) an ta athind parry. Disclasu res Not Su h Oct ta Aecou rtirig. Business Assaciate will not be obligltec ta recorc Disclosure Information or atherwise acacrunt for c is alas ures af Rnatected Walt h Inibrmat ian if C avered Entity need nc't account fern such c isclosureis uncer the HIPAAI Rulers. Disalas ure Iriiormation.With respect tc'any ci:clasurebyBusiness AssaciateoilFrot ectec Health Infcmmation that is nc't e>canted from disclasure accounting under'the HIFAA Rules, Eusincss Associate will recorc the ibllowin€I Disclasure Information as applicable'to the types cif accciuntable disclasure made: QA) C isclos u ne Information G ererally. Except for napex itiv a disclas ureas cif Protect ec Health Infarmation as 9peicifreic Harlow,thei Diicloiurei Inlbrmation that HUIine99 Associate must recorc Ibr each acccluntalilei disclosure is Qi] them ciscIc'sure cafe, (ii; the names anc Qif knem n) ac dress cif the Ent it) to which Business Associate mace the disclosurie, (iii] a brief description oft ha Protected Health Inbrmat ion c is alas ec,and Qiv)a billet statement oil the purposes of the'cisclasure. 1113' Discloser e Infarrr a tion far Repetitiv e D isclos u re's. For repetitive c is cicrs tires af Rnatected Health Infarmation that Business Assaciatci makes for a single purpose to the same person or entity linaludingl Coverec Benefit Planning Con:inrtanti,Ina. 8 of 15 Entity),thEl Disclosure Infarmation that Business Assaciata must record is Slither thEl Disclosure Information spciaificid aHave for each acaciuntablEl disciasure,ar iii)the Disclosure Information specifiec above fon thEl first oil the neper itive accauntadle disclosures; (ii' the ilnciquency, perioc icity,or numbers cif the repetitive accountable c isclosurEis;and 11iii) thEl date oil the last af thEl repetitive accountable c iiciclsurcis. (iv; Av ailaih ility of Disc las u re Infos mation. Business As s ciciat a will maintain 1 he Dis cicls urEi Infcmmation kir at least 6 years ibllow inii 11 El date cif the accauntallle disclosure'to whiah thea Disclosure Inibrmaticin relates. Bus ins s Associates will n•iake 1 he Dis ciclsure Infarmation available la CovElnec Entity w i1 hin fifty-five 155) cakinc ar c ays followinf C ovcirec Entity's request ibr such DiscicsurEe Infcmmation la ccimply with an individual's recpest'kir c iscicisurEi accounting. (c) Restriction Agr eenants einid C cinifrdential C munic adorns. CovEmec Entity s hall notify!Business A ssociatSi cl1 any Iimite tions in 1 he notice cif privacy practices oil CovElnec E n1 ity uncElr 4 5 CFR! I f 4.53(1,to the Extent t hat such limitation may affect Business Assciaiate's use ar disclosure oil FirotectEid Heald Inibrmation.Business Assc aiate will cc mply with any nc 1 iae frc m Covenec Ent ity to 111; restrict use or c isclosurci oil flrc i ectec Health Infc rlmation pursuant tc 4 5 CFR I E 4.52311a), or(1-41) provic e fc n confidential ac mmunications c f Prc tcicl ec Health Infc rmatic n puns uant to 45 C FR I E 4.5121311b'„ provic ec that Cc vEircid entity notifies Business A ssociatEl in w niting oil die nest Did ion or confic ential a c mmunications cbligaltions shat Bus inns s Asscciate must ibllow.CovEirec Entity will Floc mplly nctif)j Business Associate in writing cit the terminal is n oil any such rest riction c II conficential cc mmuniaations rEic luirerrient anc,with respcial 1 c tcillminatic n of any such nest rid is n,roil nuct Business Assc a iate whethell any oil the Prc tcic1 ec Health Infc rmation will remain s ub ject tc the terms oil the restriction a€lreemeint. 61.9 Breaches and Security rity lniaid ants. iia) Re north Implermissihlei Use or Disclosure. Business Asscciat(i will deport tc Cove iled entity any use or disclosurle oil flrotectec Health Infcmmation nct permitilec by this Agreement not mc re than tw enty-five (75; calf nc ar c ays after Business A ssociatEi c isccvers such non-permit'ec usEI c r C litre sure. iii) Breach of Unsecwred Protected Health Information. Business AssociatEi will report is CovEirec Entity any potential Sheath oil Unsecunec Flrot€ctEd HEalth Inibrmaticn nc 1 mere than fift)I-fivE 1155)calendar days after discovE ry cf such poi ential Breach. Bus inE ss Assc ciate will 1 rc al a poi ential Brleach as IDE ing discovE rlec in accorc ancE wit h 45 C AR §I 64.41(1.Bus incls s Assc ciate will mak E 1 hE re pc rt to C c VE rE d Entity's Privacy Officer. lila c elay is request ec b y a law- E nik rcemE nt official in accc rdanae with 45 CFR§1 64A 1:1, Business Ass c clot e may c day notifyjing C c ver€d Entity fc r 1 hE applicablE t imE perioc. Business A s sociatE's r€pc rt will incluc€ a1 !East the ibllowin€1, provided that at sE n cE oil any infc rlmation will not 11 cause ibr BusinE ss AssociatE to do lay the rE pon: I1A; lc entif)I the nature cf the Breach,whiah will incluc e a drlieil cc sarliptic n of w hat happ€n€c,including the c ale oil any Breach anc the c artE cit the c iscovE r)II c 11 any BrE ach; IAB) Identifyi the types af FlnotectEid HE'a 11 h Inibrmal is n that were involve d in the Breach 11such as whether ilull name, Social SE curity number, d atE cf d in h, he rrie adc nc s s,accc unt number,d iagrlc s is, or othE ii infc nmation vere involvec); I1C k miff),who made he non-permitaec use c r ciscic sure and who neceivec the nen-p€inmittec c iicic sure; 110) IdE ntify+what corrective or investigational action Business A s sociatE 1 ook c rl w ill tak Ei tc grew ni ilurt her n on- permittEd USE Cr disclosures,to mitiglatE harmilul Ef1Ecis,and to prctEcl against any ilurth€r BrEaches; ilE Id€n1 ify{what stE ps the inc ivic uals whc w er€ subject tc a Breach should take to pre tE ci 1 hE msE Ives; (F; Floc vide such other infc nmation,including a written re pc rt anc risk ass€ssmEni unc er 5 CFR §1 64.4(12,as C cver€c Entity may reasonably rEcluE st. SEicunit) Incidents. Business Associatewill report 1a CovElnec Entity any Sleaurity Inciccintoilwhinh Busine;; Associate'tea n•ies aware. Business A ssociatc'w ill make'this rept n annually, excerpt if any suah Semcurity Incic ant rEsultec in a c isclosurE nct p€rmittec by this Agr€E rrient cr Breach oil LnsE curlec Flrote ctEd Health Inibrmaiicn, Busin€ss Asscciate will make th€ rlepert in acacrc anae with the provisions set ibrth abovE. 11E1 Mitigation. Business AssociatE shell mitigayte,to the ExtEn1 practicable,any harmful Effect known to the Bus inEss A ssociatE result inglfrcm a we or discloswie in vic lation cf this AgrcEm€nt. Benefiii Planning acnu ultanis,Inc. SI c 11 15 6.6 Term arc llermiiriatiani. (a; 'Berm.This A rieemein' shall lie eFkici ivei as oil Effective Elate. (tl) Right to Terminates far Cause. C avered Entity may terminate this Aglreement if it determines,in i1 s sale discretion, that Business A ssociate has b rfiachec any pnav is Ian oil this Agneemeint,anc after written notice 1 a Busines s A ssociate cif the breach, Business Associate has la fled to cure the treach within thirty(30; caleincan cays after receipt cif the ncitice.Any such teirminaticin will be effective immeic lately an at suah ather c ate specified in C avered Entity's ncitice oil temminaticin. (1c Treatment of Prc'Iectcic Health Information circ llerrniniationi. Return or Destruction cif Cove're'd Entity's Protected Hcialth Inform iaitioni If Feasible. Upan terminal ian of this Agreement, Bu3infis3 Associate will, if lbw ible, rercwin to Cavereid Entity or destroy all Pnateicted HE'alth Infarmatian in what ever ikinrn or medium, incluc ing all ccipies t heinecrf anc all data,compilations,anc other works denivec themeilrorr'that allciw identification til any inc ivic ual w ha is a suliject oil 1 hei Rrotected Health Inibrmat ian.This provision shall apply to Firmed ec Health Infcirmation that is in the possess ian of any Subcant[actors oil Business Assciciale. Ilurther, Business Assc'aiate shall require any such Subcontractcin la certify'1a Business Associate that it has neturnec an cast noyec all such infcirimation which could bei returined or cestrciyec. Business Assciciale will acimpletei theme cibligltions as promptly as possible, but not later than sixty (E10; calencan c ays fallowing the effective Date of the temminaticin af this Agreement. Rroaedure When Return'or Destruction Is Not Feasible. Business Assciciale will iaeintifyl any Rrotected Health Inilormatian,inclucingl any Rrotected Health Inibrmaticin that Business Associate has cisclaseid to Sulicc'ntractars, that cannot ileasitlly be returned to Covered entity ar de'stroye'd an explain why return an cest ructicin is infeasitlle. Business Associates will limit its further use or disclosure oil such inibrmation tc'those puripcises that make rieturn or destruct ian oil such infcmrnation inle'asibleI.Business Associate will cc'rrpiete theses cibligaltions as promptly as possible, but not later t han sixty Oa calendar days lcdlciw ing the Effective! Data cd the terminal ion or other conclusion til Ag re'err ant. C antinu ing Pr iv aay anc Secu rity OI Iif atic'm. Bus ineiss Associate's otl ligaltic'n to prat eict the privacy anc saileguarc the security oil Rrotected Health !Animation as specified in this Agreement w ill be cc'ntinucsus anc survive termination cir tither acinclusicrn of this Agreement. lI.1 General Rrovisions. Iia) Definition's.All teams that are used but not otherwise de'finec in this Agneemeint shall have the meaning)spe'aifred undo!! HIRAA, inducing its statutes, reglulaticrns, anc of her c'ffrcial gpve nnment giuidance. ''b; Innsplection af Internal Practices, Books,and Records. Business Assaciate will make its internal practice's,books, and retorts relating ta hs use and discloswie of Rrotecteu Health Inibrmatian availatl le to C avered Entity anc la HHS to cetermine compliance with the HIPAA Rules. plc; Red Flag Rule's. Ta the extent applicable anc upon the Effective Date,as statad by the Federal Tracer Cammission '�the "FTC and Ihereafteir, if Business Associate performs service's ibr Covered Entity with respect ta Caverec Accounts as such tom is cefined in the Identity Theft Red Flags rules put lis hec by the FTC(the"Rules Business Assc'aiate shall alsc'be teemed a"Servicer Rum idea"of Covered entity anc as to such Cavered Accaunts, Business Associate shall:''i) perform its activities uncoir the Aglneement in accardanae with reasonable policies anc proceldunes oil Business Associate cesiglnec to c etect, prevent,anc mitigate the risk oil identity theft,as necluired oil a Service Rnaviden unc er the Rules Oho"Pnagnarn"); and (iii) promptly report ta Coverlet E ntity tut in no event later t han five (5 c ays after learning of any specific Reid IIlagl Incic ants(las such term is defrnec in t he Rules) which Business A satiate c etects as to Covarec Accounts oil Covered entity pursuant to the Rroglram an res pcinc to,or reasanatl ly assist C avered Entity in res pont ing tc', such roiportec Rec Flags. Amc n'd ment to Agreement. This Agreement may be amen(et only by a written instrument signet tly the parties. In case oil a change in applicab le law,the parties agree 1 a negcitiate in gcic'd fail h to adopt such amendment s as are necessary ta comply w i1 h the change in law. ale; No llhirc-Party Be'n'eficiaries. N cnhing in this Agreement shall bei construed as creating any rights or benefits 10 any thirc parties. Benefit Planning Clonsuhants,Inc. 1(I oil 15 (f] Interpretation.Any ambiguity in thci Alinement shall be nesalvec tci p(Irrriit Coveurec Badly and Business Associate 10 comply w iii the applicatlEl requirements uncer thEI HIRAA RulEis. (g; Governing Law,Ju risdiatian,anc Venue.This Agreement shall be gpvEinnEid by the law cif Illinois,except to thEI extent preempted by feceral law. Business Associate shall comply with all applicatla IledEural,states anc local laws, rules anc regulations,incluc ruff,w ithciut Iimitaticin,the rrecluirEimEints oil HIRAAI. (h) Severability.The invalic it) an unEinlbrcEiatility cif any provisions of his Agreement shall not affect the validity or Einforcciatility cif any other priavisicin o1111 is AgreEime nt,which shall remain in dull fcirice anc Effect. (i; Construction anc Interpretation.The section headings contained in this Aglreemeint are itis reference purposes cinl) anc shall nat in any way affect the meaning or interpretation cif this Agreement.This Agreemeint has teen nEigotiatec t) the partes at arm's-le ngth and each cd them has had an apportunity to mcidif)I the language oil the AglrErement Accorc ingly,the Agreement shall be tneatec as having been drafted equally ty the parties anc the languages shall tEl construec as a vs hale and acccuiding to its slain meaning.A ny presurrrption ar principle that the language is to bei ccinstnued against any party shall not apply.Tl is Agement may Le Eixecutec in counterparts,eacl oil which shall be c eEinrec to be an cuiiginal, but all cif which, tall en tcigethEni, shall constitute cine and the same aglreerrieint. Qj Notices.All notices and cammunications rreicluired by this AgrieiEimEint shall bei in writing.Sluch notices anc cammunications shall be given in ones oil the fcillawing ibrms:(i; by elivery in person,ilii', ty a naticinally-rEicaglnizEid, next-day courier service,(iii) by frust-class, neglisterEid ar certified mail, postage prepaic;an div; ty electrcinic mail to t he ac dress t hat each part) specifies in w niting. (111) U rc est ins Agreement. Except ass pe cifrcally re cluirec t o irrrplE merit the purposes cd this Agre ement and e>'cent to the extent inccinsisteint with this Agreement,all terms of thEl Uncerlying AgreemErnt shall remain in full lance anc Eeffect. In the event oil a conflict between the terms oil the Underlying)AglnEiement and this AgIneemErnt,this AgrlErement shall control. ill) Inderr rifleation. Business Associate agrees to inc errinif)I,c eikinc,anc holt harmless C civered Entity anc its c irrectcins, ciflicEllis,affiliate's, employees,agent s,and pEirmittec successcirrs ilrorri anc against any and all claims, losses, IiatilitiEis, carriages, casts,and expenses(incluc ingl reasonable attorneys'fees) arising)cwt oil ar rresulting from or anisingl cwt oil any act ar omission oil Rusin(ss Associate in connection with pericuiraing its obligations uncoil this AglrErement ar t he UncE plying Agreeiment. Ccivered Entity agneEs to inc emnify,defend,anc hold harmless Business Associate and its directors,crfficEii affiliates,employees,agents,anc permitted successors from and against any anc all claims, lass,liability, carnage,costs,and expenses ilinclucing reasonable attorneys'fees or othan at ligation', resulting)frcrn-i,an arising out of any act ar amission oil Coverrec Bntit) in connection w ith performing its atligations unc er this Agreerrrent. ARTIC LE VII. GENERAL HROVISICINS I Severability; Headings.If any term dill is A gement is dew lare d invalid by a cciurt,the same w ill nat aflEwt the vatic it),oil any other prrovision, pncividEd that the basic Flurpcis(3 cd this Acre ement are achieved thrcwgh the remaining valid provisions.The heat lags cif Slecticrns anc subseicticins acrntainec in this Agrreement ane for rreilrnrence purposes only and shall not affect in any way the meaning or interpretation cif this Age-Eeement. 7.2 Compliance; Non-Waiver. Failure by employer cin ROM icier to insist upon strict pEiricinmance cif any provision cif this Agreement will not merdif)I such prcivisian, vender it unenicrrcEable,cin w aive any subsecluE nt bleach. No waiver' an mcrcificaticrn oil any cif the terms or prcrvisicins of this Agree rrrent sl all be valid unless in each instance the waiver or mac ificatian is acacrmplishec pursuant to the amendment provisions cif clecticin A.3. 7.3 Assignment;Amendment. Neither employer ncirr Rom ider can assign this AglrErement vsithcwt the tither party's w nitte n consent.This Agreement may lie amenc ec only by written agrreemeat oil culy authorized officers cif Employer anc Pravicer. 7.4 Audits. Each party shall lie authorized to perform auc its cif the reecrrc s oil payment tci all Rarticipants anc tither data specifically related tci performance of the parties uncer this Agreement upcin neascinatle prior written nat ice to the other.Aucits shall be perrianmerd during)normal working hcwrs.Auc it may be pe Hairnet ty an agent cif a it hen party pravic ec such agents igns an acaeptable canftdentiality agrreemEint. Each party agrees to prrovide reasonable assistance anc infcrnmation to the auc Hors. Employe n acll now lecges anc agrees that if it requests an audit, it shall reimburse Rrovic er kin Pncrviden's reasonable expenses, including copying and lator casts, in assisting employer to perfcinm the auc it. 02 ch party also aglrees to prrovide such adcitional inibrrrraticrn anc reports as the tither party shall reasonably request. Benefit Hanning Consultants,Inc. I I oil 15 71.5 Nor 1.Disclosure of Prcrplrietairy Informaitiori (c, Genera employer anc Rrov ider each acknawlelc glei that in cornea platian af entering into this Aglreemeint Banc as a result c f the contractual relations hip creat ec hEireb y),each party has revealec and c is clos ec,anc s hall continue 1 a reveal anc disclose tc the ather,inlbrmatic n which is pnoprieltary anc or cc nfic ant ial infc nmation cif such party. F3mplayer anc Roc video agrleei that each party shall; da; keep such prc pricct'ry andilor cc nfidential int rrr at ion oil the other pally in s1 niai cc nfidence; (fib) not c isclase confic ential infcnin-ation cif the other' party to any thirc parties or tc any oil its employee's not having)a legitimate neec 10 know such infarmatic n;and (c; shall nct use cc nfidential informal icn oil the cther party ibr any purpose not c irectly relate( to and necessary fc r the perlc nmancci oil its c bliglations under' this Agreiement(1unlfiss required to do so by a court cf competent jurist ic1 is n or a reglulatc r)1 t oc y having authority to require such c isclasure;. (RI) Confider Ilia/Inforrrialion Defired. Inlbrmatic n revealec c r c isdos ec by a party for any purpose not c irectly related to anc necessary lc r the performance oil such pany's crbliggltions uncer this Agreement shall not lie aansicerec confic ential information kir purpcIsf's hereoll(4) if,when,anc to the extent such infcurmation is or becomes generally available to the put Iia wit hcwt the fault or negligenae of the party receiving or cis cloy ing 1 F e'infarmaticin;an 'lb: ill i F el unuestricl ec use oil such inlbrmaiian by the party receiving or disclosing the informal ion has teen exprressly authorized in writing)and in advance Ey an authcirizec representative of the tither party. Aar purposes cif this Section,confidential inlbrmaticin is any inlcurrnation in written, human-mac able, machine-rc'acable,cin Edectranically remanded farm(land legion(e'c as acinfideniial andJar proprietary or worts af similar irr port)anc infcurrration c isclosec orally in cann('ctian with this Agrreement and icEintif'Eic as confidential anc/an pnaprietary(dor worts af similar in-pcan);anc pnaglnams, policies, practices, procedures,files, retorts and correspandEince concerning the parties' respective t usinesses ar finances.The terms anc conditicins of 1 his Secticin a.5 shall survive the'teriminaticin of 1 his Agreement. 7.l1 Mediaticir.P ny cantraversy anis ing)cwt oil ar relating to 1 his Agreement between 9mployer and Rrcrvic er, or the t neach thereon shall be subject to non-t inc ing)mediation prior to the filing cif a complaint in a caun cif law;prcivic ec, however, that such mac iat ian shall be final and binding anc may be enfcirrcec in any caun with the requisite jurisdiction ill the parties agree in ac vance,in writing,that such mec ialian shall have final, binding efileict.The meidiaticin shall tyke place in Inc lana. 7.7 Notices and Commuriicaticirs. (a)Ncitices.A11 notices provide( for herein shall to sant by confirmed flasimile,ar guaranteed avernight mail,with tracing capat ility,or by fins t class United Sums rr ail,with postage' prepaid,adc mess ec 1 a 1 he other party at their rEIs peative adc resses set fern h below cur such ather adc resses as either party may designate in writing tci the other from 1 ime tci tirrre ibr such purposes.All notice's provide( ibr herein shall to c eemec given or made when sent. (b ,Idc ress es. Employerr's ac dress farm notices as described above is: Rrovicer's adc ness far notice's as cescrib ec above is: C ity oil Carmel Benefit Rlanning Consultants, Inc. I C ivic Sc uare 711 1(I C learlake Blvd.,SuitEl 710CI Carmed, IN 463Cl2 R.O.Bax 15(ICI Champaign, IL 6 18:16-715CI(I (c) C ommuniciations. 9mplayer agriees 1 hat Rrcrvic or may ccirrn-uniaal e confic ential, protected, privileged or otherwise sensitive information to F3mplayer through a name( contact designated by Flrriployern"Named Cantact"and specifically agrees to incemnif>I Rnoviden and halt i1 harmless:(a: lbr any such communication' c irected to Employe!'1 hrciugt the Named Contact attempted via telefa i, mail,telephone,e-mail or any other media,aaknawlE'dgling the passibility that such communications may bei inadvertently misrouted or intercepted;anc 'fib; ilrorrr any claim ibr the imprapen use or c isclasure of any RHI ty Rnoviden it such information is use( in a manner cansislent with its duties and responsibilities hEireuncer. 71.81 llermination of Agreurr Fant (ci'I /Iu'omatic.This Agreement shall autamatically terminate as cif the earliest oil the fallawing; (i; the effective c ale oil any legislation which makes the Rnoglram an ilor this Agrieemen1 illegal; (iii)the c ale Err gloyem or Rrcivicer t ecorr es insolvent,or bankrupt or subject 10 liquication,receivership,or conservatorship;or(viii; the terminal ian tale oil the Rrcigram, subject tci any agreement between Employer and Rrovicer rEIgalrcing payment oil benefits after the Rrcigrarrr is terminatec. Benefit Hanning Conauitants,Inc. I af 15 (1.4j Optic nal.This Agreement may be terminated as oil the earliest cif the fallowing:di)by Riravider upon the falilunei cif Emplciyer to pay any cl arges will in thirty(3(I) business days alker they ane due and payaE le as pnovidec in Article V;(iii) by Arm ider upon the falilure oil Employer to perform its aHliglations in accordance with this Agneemient,(iii; Ey Employer upon the 1Failwie cif Provider to pemfarm its abligptians in acaardance with this Agreeiment;ar(Iiv] Ey either Emplciyer ar Provider, as af the end of the term oithis Agreement,by giving the other party thirty 1j3CI)cays written ncitice. (c)Limited Contfnuatfon A f ler Vermination. If t he Rrcrgram is terminated,Employe!!anc Rrovis en n y mutually agnee in vt rating that this Ag reement shall continue 1br the purpase cif payment of any Rragra m benefit e)ipence an claims incwined pnicir to the tate oil Rrciglnam termination.In additicin,if this Agreement is tetiminatec while the Rragnam Gant inues in effect, Emiplciyein anc Rrovic er may mutually agree in wilting tF at this Agreement shall cantinuei kin the purpose oil payment cif any claims for w hich requests for reimburse meats have been received by Pnov idem befcire the c ate cif such terminal ion.Ill this Aglreiemie ni is ccintinuec in acaarc a nce with this subsecticm Aja),Emplciyeii shall pay the monthly service charges inaurrec c uringl the peniad that t his Aglreiernent is so continued.This Agreement sha II cant in ue as provided by and subject to Secticin 3.8 if the return an cestructian oil RHI is del ermined to Ee infeasible. Id)Survival af Certain Provisions.Termination oil this A gneement shall n cit terrain ate the night s air of ligations of either party arising out of a peirioc prior tai such tenminaticin.The indemnity,confit entiality,privacy anc security prcivisions oil this Agreciment shall survtive its termination. 7.9 Ccrmpleil a Agreern ant;C eiveirn it g Ll aw.This Agreement Qincluding t F e A ppend iced is the Hull Aglreement of the parties with respect tci the 9ubjeict matter henecif and supersedeas all prior agreements and regresentatians Eetwieein the panties. • IN WITPIESS WHEREOF,Employer and Rrcivider F ave ca usec this Agreement tci be or elute( in their names by their' uncetsiglnec affrcers,the same Eeiing duly a uthcinized to do so. City oil Carmel Benefit Rlanningl Ccinsultanttl,Ina. ("Employer'] d"Rrovid er"I • Signed: Slip ed: By: By:Robert f'ikalai Paint name llitlei Title:Clirectorcif Benefit C Fieiratidins and Campliance ' Date: Clare: Aa/fS/o2O /— • • • • Benefit alaniing Consultant,Inc. 13 cif 15 • Apprcivac and Adopted ibis day of , 20 C ITYI OA CARMEL, INDI]IANA Ely and thriough ui1s Bciard cif Bubliici Works and Safety EIYI: Jamas E rain ard, Arasid:ing Officer Dlata: Mary Ann Burka, Membar Dlata: IJ ori S. Watson, Member Date: A 11TEST: Diana C cirdray, IMC A, C]erk-llraasurar Dlate: Prcivie er Service Agrec'm e nt Appenic ix A—Health RSA&DCAP Ale m iniistration Cu is clines City cll C armel C apitalizec terms usec in t I is Appendix anc not cefinec have 11 El meaning's given in the'Agreement. Initial Setu Al Fee: Alaivec Initial Docu m en't Feel: Incluc et. **Peque'sts far acc itic'nal ar non-stanc arc services may result in ac ditional change's. M cir'til ly Service C hargcis: The rr'c'nthly Hees charge( for eacl Participant e'nrc'lleu in the Walt 1 FSA & CICA Fl fan any Rao all the plan year cif the Agreement anc for 9(1 cays 1bllow ingI a pan icipants termination from the Health FSA& EICA R s hall be 113.4 5 per participant per month,with a minimum monthly feel af 15(1.Monthly fees will be Ijfilet et' BRC arounc the 15th cif E12 ch month far Rrovic er service's perlormec for the fallawing month,and ane c ue'anc payable'within 21 calendar da)1s. Interest that will not e'xee'ec the maximum allowec unc e n Illinois law will be charge( on he autstanc ing balance'beginning 301 calencar cat's after it is billed. F equests fan stop-payment an nonpayment oil any claims ex penses fou' insufficient func s an any of her reason w ill he billed al the prevailing fee charge( by bank an c et it carc cc'rr'pany at the time't he request is mace or nc'n-payment occurs. Alrinw al Ad m'in'istration Se micas: Annual New Year data sat-up anc annual c is crimination testing is included. Optieinal:IPS ibrm 55(101 preparation and filing Qif require:)will be'charged at the currant applicable'rates. Sle ry ices Incluc en: Employer is responsible lbr all legal requirements and administrative ollliggatic'ns with raglad to the Health FSA& DCAR, except lbr the fallowing'ac ministriat iv e duties into be perform:'( by RRC;: I. BRC shall make available Qby electronic medium ar paper cap))a set oil maste'n e'nrcdlrr'ent anc reimbursement farms and instructians for filing Ran icipant claims,s the employer can make eo'pies to distribute to all plan participants. Upon payment cif acditional Hees, BPC shall make available'other Health FSA &CIC AP do'cume'nts. 2. Upon receiving'instructions 1-orr' Emplc'yer with regard to a participant's change in status an tither avant that Remits an election change under' IRS regulations, BRC s hall make'the requestec change in t he Ranicipant's election as soon ai practical'le. 3. Employew shall pr'epar'e anc submit any Form 550C1 unless otherwise agreec upon by both parties in writing and fou' mutually agreed upon Hees. 4. BRC s hall assist Employer in preparing'nond iscriminatic'n tests far t he Health FSA &DC AR w hen request ec 5. BPC shall disburse any benefit payments that it c:termines to be due weekly but within no mane than ane ill rr'c'nth frc'rr' the c ay on w hich BRC receives the claim. Benefit pa)meets shall be made by check ar c irect deposit pa)able to the participant. C lairr's oll less than $;151101 may he carnet forwarc and aggregated with future claims until the tcital arnaunt is equal to c'ri greaten than $":15.(101,except that any re mainingg amount shall he paic aftE r'the enc af the' run-cwt period fou'tha Rlan Year without negairc to'tha 1l]5.C10 thrE's holt. In tha case all DC All claims,i1 the amount oil t he claim execet s the amc'unt the Rarticipant has hac withhelc to'tate, BRC will halt tha claim anc make rE'irr'bunsamen's ai manias are withheld frc'rri the participant's pay. E. 09C shall natif)I participants with reg'nd to any claims that ane denied c ue t a inadequate'substantiation or data sub mission anc provide an ac equal e perioc cd timE kir the 112 n icipant ta resubmit the claim. 139C shall follow tha requirements af EP ISA with negarc to'::inial all claims. Servic'e's Not Inch c cid: BPC is nat responsible bar any oil the fallawing: I. Employer's compliance with COBRA or compliance with HIRAA will re'garc to certificates cif cnec itable cavenage unless at herwise ag'ree'd upon by both Ran ies in writing anc 1br mutually agreec upon fee's. 2. Determining ill and when an event has occunnec unc er the IP S permitted election change regulations such that a cl ange in election is permitt'ec unce'r the Health FSA or DC AR. 3. Employers is re's pc'nsib lei for'llurnishingl Open Entiallment mate'r'ials,SPU,and Shl M s ta Rlan Rarticipants as neec ec. I] nef.t Planning Conviltant,Inc. Provider Service Agreiemer t AlF1Plendix B- COBRA Ac rr it istratian Glu idediries City of Carmel Capitalizec terms used that area not c efineid have t he meanings given in the Agree ment. Initial Serti Fi Fere:\Naivec **Requests for adc itional or non-stanc arc services may, result in acditicinal changes. Manith I) Service Rees for BPC Administrative Sleirv'iees: As all the date oil this aglneeimeint,the monthly flee ahar€1ec to retain Rrovider COBRA services shall bei$I.5(I per month per Employe ei eligibles fern benefit plans requiring C OBRA natifrcaticin,with a$(I.a(I Monthly Minimum. Monthly fees vv ill be billed by BPC arcrund the 15th of each month for the Aravicer services penicrimed kir the'ibllov,in€1 rnanth, anc are cue and payable within 21 cal(nc ar c ays. Inte'nest v,ill be chargec an the outstanding balance beginning 3(1 talent ar c ays after it is billet. In adc it ian, BPC will ke'e'p the'21%ac rninistrative Ike adcec t o the COBRA premiums paic by the emplciy er's COBRA participants. Requeuts kir stap-payment or ncinpayment cif any premiums ar e'xpense's ikir insufflcie'nt ilunc s or any other re ricin will be billet at the'prevailing fee charge( by bank or debit carc company at t he I ime the'request is mace or non- payment occurs. Optional Servicers: Oneitinie service:Mail Initial CCIBRA Notiaes to Current Employees.One-Time Fee for acimpliance if Employer' had not priovide'd Initial COBRA Ncitices tci current emplciyee's in the past.$7.715 per Employee e'nrolle'd in benefit plans subject to COBRA. Moline this service. Ale'ase initial here Annual entice: N ailing oil annual Open Enrcillme'nt Aackets fern CCIBRA participants anc Qualifiec Be'neficiarie's Ihif elected] will be charigec alt the current applicable rat es. Se'rviae will be ofle'rec each year prior to open ennallme'nt perioc. Slerv'iees Reirformec by BBC: emplciyer is rem peinsible fcrrr all legal re'quireme'nts and administnative oilligalticins with regard to C OBRA, el)ae'pt for the fallowing ac ministral ive duties Into be pe'ricrimec by BAC): 1. BAC shall supply Initial COBRA N citificat ian forms anc s hall c is b urse to Plan Rarticipants anc spouses. III City cif C arrriel cesires, employer may co mailing to Alan Parriaipants and spouse's. 7. BAC shall sem a COBRA Rlecticin Notice'via First Class Mail Unit ec States Rasta)Service to the Qualifiec Beneficiary,within 14 days af the notification llrom employer,ante BAC has been not ifreic oil the C ualifying Event. 3. BAC will prate ss all billing anc collection cif C CIE RAI premiums and fcirwarc any C CIE RA premium payments reiceivec tci I hes Emplayeir weekly. BAC will sent Premium Slhartfall at ice if necessary). 5. BAC will send ncitice o1 change in C CIBRA premium. E. BAC shall track CCIERA participation infcirmation. a. BAC will send C essatian af coveriage letters and HIRAA C ertificatei cit C rec its blei Coverages for the C CIBRA perioc. Services Performed by Rn Moyer: BBC is not re's pcinsib lei fcrrr the ibllovv ing: I. Bmplciyesr shall be respcinsible fern notifying BPC within 3(I cap,anytime an employee or employee's spciuse'elects benefits for the first time'. 2. Employer is res pions iblesilorfurnishing Open enrollment materials, acinversion naticess,SHIM, SM Ms anc ccicumenis 1a C ualified Beneficiaries and COBRA participants as nee(ec. 3. Employer shall pravide annual census file oil eligible empleiyeess I a BAC. E one fit Hanning Coniultan ts,Inc. Jingler s QuaIiily 7lraei Mauinig C at mal 5Itraat Deparilnient-2CI1` AFlprapriation#C043-50(1.0; P.O.#1313 a,32J-`'a0 Cantracit Nal Ta ENcead$Z 1,CIOCI.CIO AC RHEMENI1 ROR ALRCHASH OR GCCDIS AND SERVICHEIi L` 03 , THIS AGFIEEMUN T RC R PURCI-ASEI CR C CC DS AND SBRVICBEI ("Agreemerlil"; is hereby enterled into by and between the Cily oil Ca rrrlel, Indiana, a cuing bye nd th rough ills Bela rd cli Rublic Works and Sallety ("City"), and Engle's G t.a lity Tree Mciv ing a n entity duly a uthcrized to do bt.sirless in the Slate of Indiana ("Vendcui";. TERMS AND CCNDITICINS I. ACKNOWLEDGMENT, ACCEPTANCE: \enidor aclkriciwlcicgesi Thai i1 has mad and uncanslandsi this AgrleElmeril, arc agrees Thai ii;i El)ecution 01 sarTIEl cICIrislitulesl its acceptance of all all th El Agrleemeril's tons and clone iiions. 2. PERFC RN ANC E: C ily agrElEls 10 pu rich ase th El gooc s and/an services (the "Gooc s aric Services") from Veric an using Cily bu c gE t apprlopriaiion nu mbE H 0043-909.CI furies. Venc an agm es to pravidEl the Gooc s anc Services and lo otherwise perforlm 111 e rc au irlemenis of tis AgueemElnl by applying al all limes the highest technical arid industry slandarc s. 3. PRIC 9 AND PAYNIEINT TERMJ: 3.1 \jendor Elslimales ih al The icltal pliicle Hort the Gooc s arc Services la Le provided 10 Cily h Eineunc EDI shall be no more lhari Rciry Faun Th au saris Dollars ($44,000.00) (the "EstimalEl"]. Venc on shall suLmil an invciicle 10 City no mane Than anicEl every th irty '13(I) cays detailing the C odes arid Services pnavidec 10 City within suclh limEl period. Cily shall pay Vane on for such Goods and Services within Ty ilEI(l days akin the cate cif Ci)'s rErcleipi of VElrcor's invoice cEllailirg sarEl, sa long as arc la the ElY iEIrt suet Clocles arid Services are r101 c ispulcld, are in CI0rilormaricie w ilh RE! spElclifiaations sel tort h in it:it A, able au k milled on an invoice that cclflteirls the irif011maliorl Cionlairied on aiiaah EIC Exhibil B, aric Vercelli has otherwise performec aric salisfiElc all the terms aric cloneiliclnis oil this A grleemenl. 3.2 candor agrElEls nal 10 pHovicEl any Gooc s aric Services 10 City That would clause the latal dost of the Gooc s aric SE NICE s KIIICIvic E c Ly VE CIC Clfl 10 C ily h eneuric er 10 E xclalad the Eslimale, urilE SS City has previously acluee(, in wriling, 10 pay an amcluni in EIxaElss iheraclf. 4. WA RRA NTY: \Eiricor EIYprElssly warnariis Thal the Goocs anc Services aavElred by chis Agrleemeril will aclrifaurrrtcl ihase certain speclilicaiions, desclripliclns and/art qucliatioris ragercirig same as were prclvidec tel \Elric or k y C ily arid/an by Vendor lo aric aciclepied k y C iiy, all 01 wh iclh c ciclumE nis are incculporatElc herElir Ly Helarleria€, anc Thai The Clocks aric Sermicles will be celiverec in a timely, dock aric wollkmanlike mariner anc fuee helm delEal. Vane on acknow lee ges chat it knows of City's inlElyded USE arc o prlessly w arlrarlls 1 hal the Cams arlc Services prlo%is ed tel City nu Hsu ant la this Agraemanrl have bEEn sEladed ky Vericcin Lase( upon City's slated use and ane iii aric sullficlienit Icir11hEill particu Ian Klunlpose. �,1:\CN11rOcic\F rof.S vc &Got Is Snes0Irec!\200\]n,des am!iiy Tree Mnvio.4 axis&Services PdFN-9i ow Fc oaldw III!:120!11: 7P!F! Hngla's Quality'Brae Mci\t ing C awne]5 treat Department-2(I 1_`I Ariprapriatior #10104 3-309.0; P.O.#;I12(21,321`I'1O C or tract Nat 'Ba Ewead$z 4,(IOCI.CIO 5. TINE AND PI3RHC RNANCIE: Th is A grleemenl sh all beau a Eliflacd iv as of th El Iasi c ale on which a par y h erlelo€i ecLlles Elam(' ("Eilf'sl iv Date"), aric bolh par iEls shall th anealtEni p€lrfarlm thein at ligations emu ricer in a IirriElly manner. Time is of the assarice cif th is Agraarriant. 6. DISCLOSURE AND WARNINGS: If nec a asied t y C ily, Veric cul shall pnamptly lu nni;lh ice Oily, in such ilorm arid c'tail as City may dined, a list o1 all ohamiaals, malarials, si.t;dances aric items usad in on dulling the pinovision oil if El Ccicics anc Sarvicias PiicividElc herau ricer, inducing the c uanitiiy, giddily arid acincantnEltiori th aneoil aric any 0th art iriilormaiicin Ilalatirig tharlelci. Ai The lima oil the celivery cif the Cclods and Sarviaas pr10\icad f EuleundEul, VE1rlccln agrlEIEls 10 ilurnish is Cily sufilicieril vn liiien N inning and n olicle (including appuctpniaie labels on coniairletns and packing) cii any haaandou s malerlial Ltilizac in on th al is a part of the Goods anc Servicies. 7. LIENS: Venda'shall nol cause cul pEmmii the hiling oil any lien an any oil C prcrpery. In the event any such lien is 1ileid arc Vendors Mails lo uemova suclh lion within len 11101 days after th a ililirig iheriElcli, by pay mart srl tondirig, C iiy shall h a\e the rlighl to pay such Ilan on cit lain su oh t and, all at Vendor's sole cosi arid aY pease. 8. DEFA LILT: In the evElrll Venda': (la] rlepuciates, trleaclhes or cafaLlts uric an any cif the lens or cancilions oil ibis Agraarnarlt, inclu c ing Vancor's warrlaniias; (lb; fails 10 Irlovic a th a Gooc s aric Services as sIlacifiElc herein; Ile; Mails to make prlograss sci as 10 endarigElrl iimaly arid fIrlopEul Kpiovisicin cii th a Gooc s aric Services aric c clefs not clornaci such lailurle on broach w iihin ilius 119) k u siness c ays (for such sh artan periac of lime as is commarlcially rleasanable under th a ciillaumalancias: aller rleceigi of nolica frcrm Ciiy speciilying such ilailura or tuieacih; cin Ilc) IElclomes irisol\ant, is placiac inIcl rElcleivanship, makEls a geriEulal assignment tan the IElnielii cif drat iiors cul dissolves, each such event constiiulirg an avant al dailauli h aneundan, Ciiy shall h ave lha dight io Ill) ieriminaia all an any parts cif this Agraamant, wiihaui liatilily 10 Vendoil; anc (12; axercise all other nights anc Ilamadies availak la 1ct Oily al lain anc/or in equity. 9. INSLIRANC E AND II\IDEMNIFIICATIC N: Vandal' shall procure arid maintain in lull lcinca and aflecl dulling the lerm cii this Agraamant, with an insu nen IiaarisElc ici do LLsiriElss int the Slate of Iriciania, .ILCIh insurance as is rietcessary for th El prcilecdiori of Oily and Venda' frcrm all claims foil c arnagas undo' any workers' compensation, occLpaiicinal c iseasa and/an i.rietrriplciymeni compensation ad; lcul bodily irijuilias including, but nol limilac to, personal injury, sickriass, ciseasa or caath af ctrl lo any oil V'ndoil's agarlls, cdficeers, amplciyeas, aonlractculs aric sit ciorilrlacitculs; aric, for any iriju ry la or c ase rlucdiori cif Kploperty, inch c ing, k u t ricit limitac tct, any loss oil UEIEI ries 'ling theierfllam. Tha covarlage amounts shall ka ria lass than ihosa arriouriis see forth in attached Exhibit CI. Vendors shall causa ils insurans lo name City as an adc iiianal insurac ori all such insu Nana' pcilicias, shall prcirriplly prcivide C iiy, upon rlequ ast, w ilh copies cif all such policliea, arid shall pito\is a ihal such inisu Manta policies shall ncit be eancmEdac inThou I lhiry (130', days prior nol ice to Oily. Vendor shall indemnify arid hcilc hanmlass City ilrom and agairisl any aric all feat iliiias, claims, demands or expanses llirialudirig, kut nol limilec tct, rleasciratle atlorriay lees; ilor inju ry, daalh and/an c amagas 10 any parisciri or propar wising frcrm an in sorinaaiicin with Vendcul's pnovisicin al C clads and Services pursuaril to an under This Agreement oil Vendon's use af Oily prloparty. Venda' further agiiaes is inc amriiiy, celand arid halt harlmlass Ciiy aric ils oliicans, ci liaials, aganls and amplayees frcrm all claims and suits of whalavaii type, including, buil nol limiled 10, all court casts, attorney leas, and off an axparises, paused ky any acd cul cirnission of Venidoll anc/oil oil any cif VElrican's agarits, cifiliciers, amploy E]as, cionilracitcnls or a I Ciorhracitcllls in th El pallor arca oil this A gnaElmaril. Th ase Inc Elrrlriificalion cltligaticiris shall survive II"El lerminalicin CIf lb is Agreement. IS:\ConIr.I'JIr.Llvac 2'Gords 5„cs\Streci12C JlBn;,Icy Qmhbl 7rcc M1 ovmi Goofs&Scrxiccs F101 M-!mows crovaLdac:11/11201111:171INI 9. Hrngla's cuality, Tiieci Moving Carmen 1rae1 Elapartmeinl - 21015 ArIFIraflrialian#0043--`IC19.0; P.C.#3126,32157C1 Cat-tittle' Nol aaec $144,CI00.(ICI 10. GOV ERNN EN11 CON PLIA NCE: V E ridor agrE E s to comply will- E II fE C E rial, ;dale E ric loaf I Ia\g, a)E cu i ive orc E ns, uu IES, rE gu lotions e rid dodE s whiclh may t Eppliclable 10 Vendoli's performance of its oLligaiiciris iiricer iris AgrEEmerit Enid all rEIEvan1 provisions iherecil aiE inecirlporetec herE in Ly 111 is ue,lenenae. VE odor EgrE E s 10 inc E mnily aric hold h arimless C iiy fuom any loss, c E mE gE aric/cul hat'lily lea'ling from ar y such \ialalion ol su c111 Taws, cirldens, 'u IEs, rEguIEtions €rid codes. 111-is indemnification obligaiian shall survive the lerminaticin cif th is Agrief merit 11. NCINDISC RIMINATION: V endo' rElpuesclrits aric wainards th E 1 ii E rid all cif its officer's, E mplclyeE s, agerds, cloninactors and ELL cortracdculs shall comply Nilh all laws oil the UnilEld SiEtEI, the SietEr oil Indiana and City puohibiling ciElclrirrlinaiicin agEinsi any Employee, appliaeni Icir1 EmplaymEni or ocher person in the prlovisian cit eny Goocs aric SErvicles proviced ky this AgrE E ME rit with rE spent to thaill hive, lenurE, tE urns, caricitions aric piiivilegeEs oil Employ mEln1 aric fly cath E u metier nelaiEid tci thE i' emplci men1 or subacintuaci inlg, L ecau se oil rade, religion, cicllcirl, ElElx, haric kap, riaiional anigin, ariaesiryl, Ege, disEL1€d vel€narl siaiLs Erld/till VietriEm era VE leen star a s. 12. E-V ERIPt Pursuant la I.C. § 2121-5-1.7 at seq., as tf1El same may be arrlarided lrcirrl lime 10firm, aric as is inclorlpcmaiad hmeiri ky this 11€fE11encE 1l1he `Indiana E-VEnify LEw";, VE rc or is r Cit. lied to email in and vont the work Eligibility siaius oil its nalnly-ricrac employEas using 11-E 8-VEnify pragrlam, end 10 e)1Eclu1e the Afticavil a1tE clhe( h e nein as E)'hibii a, aflirlming that it iE1 e nrollec E r c partiaipeting in th a 8-verity anagram aric doE s not N nawingly employ Linz nth cirlizcic aliens. In support oil ih e Afilicavil, Vendor shall provide the C fly with documEmiation indicating that i1 Hoa enrolled and is participating in 111a E-VeliifyI program. Should V endo' su Lccintracd Ilor ih a pa-affiance clnmancla al any wank uric€u1 and pursuard 10 'his Agile errant, i1 shall Idly cicirrlply w ii h the Inc ie rie E-V enily Lew E s uegarc s E E c111 such su bccirotnacior. Sh cin lc the V enc o' on any su L contrE clan icdata th E Inc iana E-Verity IE w, th e Ciiy may raqu irle e. are of suah icil lion E rid lheraefier, ill rio iirrlaly crura is perfoumEc, 1€rlminetE This Agueemenl in acicoudancle with either 11E priovisicins hEuleol cm i hos€I SE I forth in the Inc ie na E-V eriily Law. llhe nequirarrlards of ihis pE nage ph shall not apply should th E E- VE rli ly prlog rE In CE ase to e)i ist. 13. NCI IN PLIED WA IVER: llhe tail'rle ol elf en party tci nequirE per onmanca Ly the otheil cif any puavisian ol ihis Agr€arnE nit shall nor atfaclt the night oil EILah par y 10 nequirE such parfolmancle Et Eny line lheraalierl, nor she 11 111 e waivan by any party cif a breech oil any npiovisicln o1 ihis AgrEEmarl corisliiuie a waives oil Eny succi€eding brEEiClh ol 'he ErEMEI or any other prcivision IIEu1€o1. 14. NCIN-A SSIGNMEN1I: V e ndor EIh Ell no assign ctrl pIE dge th is A grleamenl, wh E th Eli as aol le tculal ilor a loo n or o1I-erwise, aric sh E II not dEllegata its ok lig Icons uric r1 th is AgrE amEirii w ith out City's prion w Mien clonsent. 15. RELATIONSHIP OR PA RTIES: llhe nelaiiuriship cif tI ci parties herE10 shall La as provided ton in 01 iEl Agneemerii, and n€ithE II VEndor non any of its cdlliders, amployeea, cionivaclors, sukclonluaclors aric agerda ane €mplciyees of City. 11-E ecintrecl pride set Icer h h E nein shall k e Ill E to II aric maximum clompensE lion aric moriies r€quirlec o l C iiy is LE paic 10 Vendors aric€r1 ctrl rILnsuani Io ihis Agrleameril. 19:\Conirnct 1 roLlxcs&Goals 1vcs�Sireel\2U 15\Hnelcs Q,mlily 7rcc N o,iinGaoiI.d'lcrvlccs NORN-Sow I cr ovnl.doc:l I/I;I/I C I 112:21 AN I Eriglci's c uailit}I Tliaei Moi in8 Carmel,111rae1 DeiFiamtmeinl -2015 Ar cIranrial ian#C C43-_IC 9.0; P.CI.#1312621,325";10 Can9rac1 Noll '11c Bicaec 3144,CC10.0CI '16. GOVERNING LAW; LPV\SUITS: This AgrleElmerll is tcl tEl Clonstllued in acciorcarlcie wish and goverriElc ty 1he Taws of thEl S1atEl 01 Iriciana, ex clepi f or iia cciriflici 01 laws provisions. Th El parties agllee that, in 1h El eu Elrlt a law su ii i,l filet harm rider, 111 Ely waive thElill slight la a jury inial, aquae tci file any :IL ah lawsuit in an aprplopriaie court in Hamilton Courliy, Inc lama only, arc agllee di Ell such court is the appraprlialEl veniuEl'ar1 and has juriscicllian over)same. 17. SEVERABILITY: 11 any lerm 01 lh is AgrEIElrElrlt is inualic or LnenilaniclElatle uncer any siatule, rElgulatiorl, ollcirlancEl, Elkecuti\El orc Eu1 all clip Eu1 rule oil law, such lam shall be ceemed rte calmed ar c elated, but drily to th El ex tElrll rlecElssary is comply wish same, arlc the llemairlirlg provisions o11-is AclilElemeni shall liElmairl in full foilae and efleat. 18. NOTIC 9: Any rlaticlEl clrlovic Elc flan irl this AgrleElmerll will be sutliaienl ill ii is in whiting ant is delivellElc ty closiagEl prepaic U.S. clertifiec mail, rleiurlrl rleaeipt requElsied, la the party la bEl noiifiec al the acdress spElaifiElc heroin: 11 to Oily: C iiy oil C arlmel AND Douglas C. Haney, City Altair-ley Ora Ciu icl Squarle Department oil Law C arlmel, Inc iana 4E1032 C rte C iv is Square Carmel, Indiana 46032 Illo VElrlc an: Engles Qualify Triee N ming 24910 Ray FlalkEul Raad A Acct ia, Inc iana 4E1030 PTTENTIC N: TriampElss arlglEls Nolwithslarldirlg the at clue, noiiae cii ierminaiiarl uricEnl pallagraph 19 hElrleirrtEllaw shall LEI elfElatiue if given clrally, as long as written n clticEI is lher prow is EIC as sal ilclr h Ii Euleinlabove w ilhin alive 115) t usiness c ay;l fliclm th El dale of su ah anal rlaticlEl. 19. TERMINATION : '19.1 Nolwilhsrarrding arlyihing to thEl ccintllary corilair1Elc in this PgreElmeri, Oily may, upon noiiae to VElrlcarl, immElciatElly lerminaie this AgrElElrElril fan clause, in the Elveni o1 a cElfauli hElrleurlcer ty VElrlcarl and/cm i1 sullfiaiElnt fu ncs aro not aclprloprialec oil erlaumterElc is pay for the C clads arlc Services 10 Le pro iced herElu rider. Irl thEl Elveni cli such tEulminaiiorl, Vericcill shall tEl ElntillEld to rleaElive only payment boll the uric ispulEld irvoicia amaunl 11epresenling aorllorming Goocs arlc SEIrviCEls celivEirlec as cif t11El dale oil ierlrriiirlatiarl, ElxclElpl1 'hat suah payment amaunl shall riot exaeec th El Eslimaie amount irl elfElal al the lime of leruminaiian, a nlElss 1 h El parties h aue pilau iou sly agrElElc in writing lo a grElalEul amau rt. 19L�1 City may lerminlalE1II-is AcrleElmerll al any time upon thirty ( ICI; days pllicu noliae 10 \Elndoll. Irl the Ewell 01 such lamination, Verlcoll shall Le erltillec 10 llecElive only paymElrlt fon 11-El uricispulec irlvoiclEl arrlaurlt 01 ecirlfolimirlc Goads arc Services delivEuled as cif We dale of ierminalicin, ElxcElpll that such payment amaunl shall nlol excieec the Eslimale amaunli in EI1IEIQl al line lime oil ierlminaiiclnl, unless the parties ha\El clrleu iou sly agrElElc in writing to a grElaler amourll. '19.3 The City may 1EulnllinatEl I his Ac ueemenl pu lisuan110 Flarlac uaph '11 herleol, as apclrlopriaie. I::\Cnnlr ,Vlnif.;vcs&G«ids:'acs\I Ircc112011\En,Ic c�wlilr Trcc,oxing G, Is&9crviccs FOP M-;now Pc,ovnl.&, I IiI72A If 1717 PN1 4 Engle c ualitNl 11hiee Mo\ing Carmel Sire el Lkpavtmen1 - 3015 ArIIFIraclrial ion#(I043-`(19.0; P.0.#131:6:,3:51CI Coniirac1 1\oil 11ci Hrae ec $44,(100.(10 20. RERRES9NTAllICINS P ND WP RAP N111ES Me pariiEls lieprElsenl aric wallrlarll Ihal they arEi aulhoriaElc 10 ElritElll into this Pcpleemenl aric that th El censors e)iElauling111isPgrleemeril havail"Elauthamity 1a inc The pari ywhid" they napriesen1. 21. P DDITIONAL C CODS P ND SEM,ICES Varidor anc Emsla aids aric agrEi€ls th E1 City may, Iralrrl time 10 time, rElques1 Veric c11110 pr10\is El ac c iiiorlal gooc s aric sElrviaas to Ciiy. where Oily desii€ls ad('Banal gaoda aric services from VElricori, the City shall notify VElricor cd such accilional goats aric services cesirElc, as wall as th El time llama in which same arc to Le prcividad. Only Ellen Ciiy has appnioved \dendoll's limcl aric call eslimatEl fall iha prclvisiori all such addiliarlaI goocs arid services, has ericumkerie( suflliclienl monies 10 pay tclri same, anc has al,thcllliaec Varidor, irl wnil ing la nilavide such ac c ition al gooc s aric sarviaes, shall such gooc s a nc services Le p liovia EIC by enc cul 1a Oily. A tarty al 1 he City's au th culiaalion c aclumenis for th El pu nah ase o1 ac c itional goods anc servicEls shall be numberElc arc alta(he( herato in th El orc EI11 in wb iah 111 Ely a lie apprcivec Ly Oily. 22. 119RM brllElss otherwise larimirialac in acaarlc aricie wish thEl lerminialiorl pliavisiaris sE11 lad" Irl Paragrlaph '19 h Euleiriabov a, this A griElElmElnl shall k a in efleat frau th El Efleci ivEl Dale th Baugh Declant k Ent al,, 2015 anc sh a 11, on 1E1 li1191 day o11 each ,anuary theiaafler, automaiiclally term Ian a pEniicrc of oriE1 aalElricar yeah, unless otherwise agrElElc by the parties herElto. 23. HEP DINGS All heading arid saaiiclns (If This Aglieemeni aria insertec for aoriveriieriae only aric do riot brim a Mari of this AgrieElmerll ria i limit, Elxparic tui(1111 ElrwisEI aliElli iha moaning of any puovisian hared. 24. BINDING ERREC 11 llha parties, aric thein I1espaaiive afliaers, officials, agerils, parriers, suclaessors, assigns anc legal rE1priesanialivEls, arEl bou nc 10 t11 E1 others with rasped to all oil the coverianiIs, terms, wanianliEls a rid CIL ligations set kr h in AgiaemEinI. 25. NO 11HIRD RAPIN B9NIEFICIARIES 1111 is Pgrieameni gives no nights or LeriEllils 10 anyana other 11"ari Oily and VElricall. 26. IRP N CBRTIFICATICIN: Punisuant 10 I.C. § 5-2'2-1E1.5, 1hEl Vandal shall aertily Thal, in signing this doaumani, 11 C c1E15 riol erigaga in inivElslmElril acliviliEls With ICI th El CCIL niry of Irian. 27. A Du ICE CIH COUNSEL: 1111 El parties wamlanl 1hal They have lead this AgrieE1menI anc uriderstand ii, havEl h ac the (Ipportuniiy to obtain legal ac v ica aric assis arca all ccu nisEll i h rou gh au. 111E1 nagatia tion of 11"is P gneenier li, aric ElntElll inttl same lriealy, volu ritarily, and W ith at any c u Mess, uric 1 El 'di enc€1 or claeraiclri. 28. ENTIRE!PC REEMEN 11: This Acpieemenl, logEllhail wish an EphiL its attache( herElto ctrl lefEnienclEld 11EIIIein, constilu.EIS 111 El entire aglieemeril baiweari VElrcor and City with rasped 10111E1 subjElcrl medlar herElcd, aric su pErlisElc Els all pIriior oral CIII vi bitten laprElsenlationis anc agnomen's Hagar(ing samE1. Nolwi h sanding any ath Ell1 lerm all ciClniditiclni sat forth hElriein, but sukjaal la paragraph 16 I-wed, to th El exienl any lerm cul aclndition corilainec in any eAhiLit a teach Elc 11a this P grieElmerii oil in any doclu mEint IIetariencled herein clontliats with any Tarim or coric ilion cionlainled in This Pgriaarrlanl, the lE1rim tui aoric Ilion aorilainec in 1h is P glieemeni shall gavahri arid prevail. This AgraElmenl may only be mac die( Ly wriilien amendment execute( Ly Loth parties herElto, tui Their suaciessors in inlEuiesl. �S:\ConlrncI'i IrOi..1 vas d Goods F ncs\Slrccl\2C I.1\E.1Icx C�ahi i Trcc SI oxing Gins&lcrviccs HOF M-m ow F cnwvnl.do:I ill:till IJ I I::F F M I S Ergle's cualitN Theo Movir 9 Carmen Silrad U Ici mtmanl -2015 Appropriation#C 043-_`C 91.0; P.O.#13126'2, 3251C CciniiIi icI Noil Tla Hrcaec 3142,(I00.(ICI II\ WI-IINESS WHEREOF, 11-a par ias f arlelo cava made and axeautac 1hi,I Pgrleemerll as lollows: CITY C F CA RMEL, INDIANA Einglas Qualify TIIeie Mo\,irg t:y and tf•hough its Boarc 01 Public Worlls and Salley By: By: aC4)—) James Bnainarc, F moldingOflicEul Aut orized Signalurle Dal a: Puinicic Nama Nary Arm BurNe1, MEIITILEar1 y� Dale: CJ VVJV �X 1lltlEl Lori S. V\atson, MemLer : 1- ' 72 57° 3576/0c 6 3ov3 744 Dale: Last Fou a of SSN i1 Sole F uclprlielorl: no f 1 ATTEST: A � Data: i�0 r- 2.Z ' ,ZD 1 ` Diana Colic rnay, IAMCI, C lank-lliiElasu Hart Dale: 19:\Cnmrncls�Prol:;lvcs&Goa s 1vcs\SIree'2U 15\Englc Qm,Iil;1 1 rcc N cvm;p Goix1.s I krviccs 1IGRN-So.w Rcmoval.d,x 11/1'1/1(1.1 12:21 HM] 5 now Removal Specification fain City (elnteir The following specificiatioris are far the City Center, Indiana Delsigri Center, and the Nash sidewalks.ThE' following list of 5 piacifical ions is not exh au s1 i\El and 1N El City retains the night la change or alter the Klaciifical ions wit h C111 rioticie. The Oily Canter Clamplex i! a residential/business area anc will ha\a a zero tolenancia appinaacih. llha apipploximate sq footage af the City (Ionian area is 128,014 51 and 11.e Indiana Design Center in squame lootage is 111,11341, anc the Nash `•ci fac'lage is 6,840. One sites manage'', pinovidec ty the cant ractar,shall t a in cih ange of overseeing th El snow removal of these aneas. Th El site Managan will also serum a! thEl point all contact to 1h City of Carmel Hera-in ciallec owren. The si1E'manage"shall constantly manitor the area aric be in contact with the Street Commissiarien or Operation Managers, here- in called City Rapp'esentativa. P II 5 naw nemaval equipment that comes in cant act with any of the pavement types lacal EIC in these areas shall ha\e nu t ten cutting edges. MEll al cutting edges mayte uses on plerimetersidewalk ane2s that bonder Rangaline Rc anc City Center Dr, Rangeline Rc anc 111'A\El 51W,as well as Rangelina Rd and Vetere ns Way. Rawer brooms are also acceptable when applicable. Salt maybe used an all sidewalk areas th a1 t orc E'r Rangeline Rd and Clity Cartel! Dr, Rangeline Rd and 1191 pve SW, a! well as Rangeline Rd and Veteran! Way. Salt may only te' use's on any of the trick pavers with prian apipplaval from one of the above mentiariec City Rapinesentativas. Cllhanwise, acarian pro\ic Els non ch Ionic liquid will be used exclusively on the brick pavers.Th El pro\is EIC c E'-icen is the aril method for cleaning the sic awalks surrounding the Indiana Design Center. Cl1 h ar than the may ic Etc de-lien, no ad c itiarial equipment will b e lu nriish ad by th e Street Clapartment. A pipiliciatian cif th El licit.ic deicer will neec tote'c aria fallowing 11-El manufacturer's recammendation:, na spray riazzla5. Th El licit.ic de-icierwill to au!ac te'hind CRD 5liatian 11. It is recommended 11.at 1 he application h El c one with a system utilizing GFIS Rlow Cant rel valve anc Monitor Once 1E e snow neacih es a c e'pi1 h of 3"+i1 will neec tote h au lac ofil and stockpiled at a prec atenmined !motion ty Owner. Th rowing snow oven 1 ha south sic El(If th El City Center builc ing may t e consic erred with prion approval from a City Represental i\e. Your quote pinicie neec s 1a redlect a pier snow cal incluc ing the application al1he' liquic c eician. The break awn is a: fallow!: 11- 11-3" cif snow can be moll Ele. H2 u ling i1 away u p to the c isc uatian of the City Represental i El. 2- 3-El" of snaw will need to to h au lac away. 3- El" an mom will be basec on time and materials. The vniinninig tic will ter basec an the lowest overall "per sricrvni price" ilon riu miens 1 and :1 in a 22 event ;ieraaoni with 3 tinea of hauling)the aniaw away. The cart radar will be responsitle for repairing)neplauirif any anc all camafe Cirecrtly nelated to the snow removal. Please plravica a list cif all erquiplment that can ter used and an hauIlly irate for each piece. This will to usee far tH ei-II 6" snows ilon lime and material ccist. lri oiaes all dinning veric ar will meed to reiillect pricers separately itemizeic as nig ht-of.way areas and non- nig ht-of-way areas. ®IFj 111T 2J-C NZ i @ 4 i1 I. _ .,it. i k " TMs:" Ir t 1 , 411,41)J *. 4"-.',4","*"41', '` #''' .11r4e44;C:• cp 17"4.;11'imaiimi :flit a cri , iv 1C-4 • -Eli. .„.,., :,,, , .1,,t.i.1,,,,,,i,,,,:‘...,,41„:!i,-..., V:::::,.f. . s'' 1,-4:1; ' i' ' @ `."� . 4N "."II xy 6; 11111111 'k @Tess a x-4' 4 td- + HiiL NO �t €4 ' I W k T#dam , . ',ter w _" K 1 f x a,'*. ' N l '- ':::"':;','ir,"", - ' '1.2'.'',.iibli ) 1 ' • 1 wr A Ski . + „,,,,,,,v,,, : ,.,_— . . fc w , .--. , Fit r -willi'd"'-''' ;*'; ;41 ' '',C17.:','' ,-,':' ' ' 4i',f.7447 ' , -t . i ..: I ::I /Ell - 44, 4 .,„ I <'ri 4,1 ' pa 9 r.r..::'''r,r1,,,,,,.:.,,,,, C 4y O , a R - 1.”..— `�'k.. -, 7,. ..ate '. .' _f t�� " �wli ♦ �' wall tlR.,.} -$ fir. , 4 • Ha`� .. � _ 1 ., 7' If r t # ��gg ......rte "-_...r. y d'.”" Aix! w 1. #F e r Yt h r P i k M. y 4 I 5 0 g4 ar ^ — t,t4 ip a, M p w' u« p _ F 1 0 . ... - ii EY ___. —:,_ g:....) ff ,'f,3w ,.....e".isy714:41Md n ,-wwwn,w.,. E se r it V.Vo':9 11 f . r' yr._...i }` ..6 a..w. o_ 1 c s °' a ‘-. "`" —...... .'� _ - ,i. ,!,,,. i., , -a rrr • , V 4 " +,b r...- put M i - Q 4 � � ;g � a ':' _ _ a r +�"' �R O I S= 414"e, -4; 0 .,,Iiii' M ! , Wei VF , Y{ t >, , .k. 1, (r , .171 nil, i :,., . . ' 14111 U ♦ *x 8 a4.� F p a' 9 a1 — �+ ^—— s, *• ��"�C} ASM iv _................. v, , ,,,. , .„, 1 ,,, 41 .,.., i I II. A ..". ,r also 'i :' - o �' .e•4 s, qr - r �Mo. 1 r tt �S 1 R �.'',II.:' ,k 4k;S ;II yi Y " aw o l 4 11) fs s N ' It 1 4 .`. I .II' 4 An • iri 1111111. `- „ mak, ,. E r a o 7h5'YAy"PIC Z EXH1s,IT is i\- ,--- ,r, cc5 Hamiltor County Ma ► a, ° I ,+1��� x s muillilli '44, "' 404,4;114$1,1 44 1 / 4 . 4. s# 1 _. e .: « ti. s, F w�. y � + � i '"may. ,.. ,r 4 T n :;,==.4==,..,..,„,,,i' s. . iii .. t._ si -,- ,:,,:',. ___...4 y 4 ''�+r4- 1 "" r ; i 8 ` a ra► � ._ �,. X, ,. it E "111+ r„ " ,< a : Ne ti M ' .0 ....� °, aim° v r � NO 14 ,, , „_ , , , ,,,,,, ,, , i # . .*.. ,, ,. - . Nci�embeir 9,2019 N 'I:EIOC 0 0.005 0.01 0.02 n i + 1 1 I i 1 i • 1 I 0 0.0075 0.015 0.03 km Base map 1 fd reatla n I el e A E k• . gECT 5 5 FXIHIIBIT B �n�laiic e Dale: Name cif C ampany: Address & asp: 1k Ilephone hIA No.: P nojj ectl Name: Invoice No. P unchase Orders No: Goods Services Person Providing DalI€i Gciods/Servides Provided Clcisit Per Hourly Total Goods/Sdr vices Goods/ Weser ilk each Mood/ser vice Items R ate/ Servide separately and in detail Hours Pr amide(' Worlded C RAIND I1O'II4IJ F.icgnalL 11E1 Piiiriled Name EXHIBIT C INSURIANCE COERIAGES Worker's C ampensatian &Disability Stailutar}I Ilim�ils Employer's Iliabi1'tN: Baci y Injury by Aaaident1Diseale: 91100,000 mat amployea Bacily Injury by Aaaidarit/Diseasa: 912_`0,000 aaal. aac:ic ant Bac ily Injury by Aactidart/Di seas a: 91-`00,000 palici}I lim'1 Property c amaig a, contractual liability, prac ucrts-complet ad aparations: Ganeral Aggregate Li m't (otl or than Produals/Compaated Oparalions): 91`-100,000 Products/Complated Oparations: 91`-100,000 Personal & Advertising Injury Policy Limit: 9`_100,000 Bach; Occitirranca Limit: aI0,000 fire Damage' (ari}I one lira;: 9:I-`(1,000 Mac ical Bxpensa Limit(any one parson): $ _`(I,000 Camprehanisiva Auto Liability (ownad, hirec anc non-owrad) Bcicily Singly Limit: 9_`100,000 aaat accident lrjury and plraparty damage: $_`100,000 aaat aac:idunt Policy Limit: $_`100,000 Urrtirollai Bxaess Liab.ilit� Bach-. occiulranee arc aggregal e: $_`100,000 Mlaiimum deductible: $ 10,000 121E1115,1191 FM OneTcluch Nov 23,2015 41).FDF 1 / 1 HIB1T D :AFFIDAVIT h`'6t-Vit, &7U._- .h' irtr first duly atm°caent aitperie%.rid says that hell he is fantiliar'a'nh and hai%p�ermi nal kr onledje of the facts fenein ani.if(-tilled rig ci vrittteY in this matter.could tr.tifc as follows: I, I am ever eighteen t I ii I years of age am ant competent to loftily to the farts contained hetiin. Pam no :a I time iele,jiint herein are been employed b _... ! __ (the"Imp bp] n in the pctsitton C_ 2. I ant familiar with the erasglki o men t practicer.and paocedui es of the En ilk a man and ha%e the auihority to art on hehalf of the F.mpieyer. 4. the Ertpitoen ernolled andpaltieifwtes in the le'deral E-Verify pin glum. C oeument.tic n of thio rnrolltnent and r-aritiet1 anon is attached and incorporated herein. 5. The Employer sloes not knowingly our loy any unauthouzed b. To the he4 t of myo information and belief.the Ent duet not currently eatalllcy any unauthoriFcc aliens FURTHER rt h-FIAYT Y?IYfl llhl Nor. FM-CI-[EE on the ( _ day of L-6,4 • &to_ l'r;n tea:1: ! I eentally mender tie fenmities tor perjurt•wide) the:. Lou'.Bof the Unite( States n'f Ann-arca ane the State of Indiana that the foret oin,> larrual statement, and representation, are tai mil correct- . Pinned: ._.. .W(i � l/►—t — Paae all atout:blar k -1 BPI PINICIJV 1WF0,11A101=1,..r EJ• scis-cfev Company information --- - Company Nary En bilisqLItyree roving Anew I Edit Compr Ci Number, K2112 Doing Husireen As (11181A1) EinglE s quaint", lace moving Nettle: DUNS fa umber: ysical LJecatior Meiling A ddress:: Address 1: ,ei'. 1( Ray Pau s mc Ade rase 1: ';4 5110 Ray Peril Elll Ild Addre s 2: Ade revs 2: Cly: Alcan Ch : Arca('ta Sial : IN Sul le: Zp C ode: 4 6(1(111(11 211p Code: 4a 2(I c univ lAti ILION Ad d Ito naHInfo rmati on: ErnrilioN or Ildeiltir cation Nt rr bar: 5171'St V ml Total NI Line' of Employees: tcl 4 PEIrform veidflications flon our is,do cempen)'s ern* eels: Parent Cleganiaztion: No Ongenization Designation: Err'player Category: NI one WI these reiogonies nrib NAICS C ode; 418- SF ECJALAY TRIADE CON TRIACIICIFIS i Edit\ ita Hirins Sites: LViti4 Edtt: Total Polo e of C ontact .1 View! CONTRACT CHHCKLIST Department: CQ,' ie( Kee 6/774- I De art ment Head ar designee and cele horse no.: K //,t v� /47%,--c---- /33- et P _I P Vendor riaime, aantaiai,telepharie4fax ric mbens arid adc Hass: f�I G /PS Cu 4 7, 7", / i-eeksae--, pl y/G Kay Ade,/ �rit. Q,'e�Q/ -/' �993� 'Pa.v3ess / / c 76S- Seg 4 re A- C Request ad BPW Data: J�( Clor iHaat Tyne: a. Materials iIsc optics, eqL ipmerii, etc.) (Sally sae(coneL Itirig,twirling, atc.) 4( u(t ®G G a. PL blia Works pnojeats ER bject to llama!J bic paakagedpnoaadLHa Dale aric Initials II- ,Gi c oil. Clantracrl approved as to business terms t Department ❑ineclor and,lor cesignEre (❑epll.1!L /. a� S�s✓� $ / Dthe� Ccn�dc 11 - '�U/s ,0# r aeu e,-4.( !-k 11,,/ FI Al tik F 2. J 0 a. Line Hem aric Major Bucgel ClassificiEtiori, an Dept', t. RErgr,est Boarc A ppno%al on cor calor' precedent I hal mfiiaienl llunds are aginapniaied (fcui Service Coriinaats Only). 3. Cniginal o'l cicrritraci aric 11-is aheaklisi 10 BPW SErcrelary 4. Cortlnacii a ppnovec E s to Ilorm ty DOL 5. C animal mel t.nned to.ipansoring ❑Eipa r merit (10 at tam v endor's signatu nes, El. Signec coninacii submitted to BPW Secuielery fcui Fllaciemenr on 9PW Aclenca 71. BPW acrnsiceraiion: Apprcivec Re ,ted Disapproved 1 1 -1 2I-lh;le(14el1 I iICVQ Dal;J r'MEJI t of 1 aw 1 lJ 4' ` w; *ac '444.4.aw 4 _ q : c o tlie �;Ir s .1 •as� r 1 -c r „:44. � la . Y- - — °'- _,_., �..^" � �. {fin�.A* � i g wlii <sn i '� r s a_.'� i o' O _ * t33 , Ir^--11i%- p 0 �1� ry* i i .tt a t t* i, E 11 1 - i , f 1 :4 `., *t1AIhN, ' I1 �, 'fS+z its:! # { I; .';` ^r' ;,b .^ .,I 11 , net �If '��' a F � { Z ' . l I" -,r----/W"::::"171:4734''- ..,:,,,, ___--- �e �+" r� �r �_:I _ *__ k� 1 I n'. airImo? „, 0—0 :1: w . • of . ' r —I r— -- r... .-._1 4 taitic::,1t, . k .*s4m i C aeI , t.iC”31P k 1,1sb ', '@ i §t 440.-4*. s iY+ rW I f,t 1 w 11t xta etW i` z 1E4 1-I J I �' en a t 4 44 nil MN ' A M t '11 JJ[ if 1 irs— U ,, 1a t tt�tt rti. 1 t�s � i �* o ,R,t ICE t i, "f j . ' r a� 1, Itow, wa44 1 * ". Ikol *, 1 t , '* ` tI $4 ,v. .1[0:-. `'',,' I I Z I - ,. I'. V'it* t i t i r9 Vr, 1 a ^. 1 eti4 ,.sxt%1,4 taI I r > A-Wfi t*,Ll3.mL 3 t t ax its !MX& ' i * 1. r '4 g.1. 4 r,1 Nit .. } tri it a 4 � _ 1 ;�a , a C:ityof /jamare IN E IFIN AI RENO. 11AX E}EIMNTDQE 'lam/ CE MURICAIIE1 NO.C10311101155 flfl2l fl RURCIHPISIE ORDER N UMEIER REDERAU EUICISE TAX EIXEMPT 31292 35-8C10009721 ON B CII\ICI EIQUAFIB THIS NUN BIR MUST APPEAR CIN INVCIIC]S,A/P CARMEL, IN OIPIN A 460B2-2 584 VCIUCH]R, DELIVERY MEN O, PACKING SLIPS, SHIPR ING LABEI 9 AND ANY CCIRRESPONDENCE. RORM PIRPROVBD Bl EIIIATB BOPIRO OF IICICIOI N 11S ROR CI11Y OR CARMBL - 1997 RU RCIHPI9E C FUER DPII1E RATE REQUIRED REQU 1911ION NC. VEN DCIR N C. DE9QRIRhION 1012212(113 inii-e--eitterkwDeakin- t0 CI.-5 Dal CQX (\11°�.14lC E I meet Department VEN DOR (� SHIP 3400 W. 13191 Street j I 1 QY TO Carmel, IN 4EIC124 �1QII qtko361 1317; 733-2001 CONFIII MATiari BLANK]T CCIPITRACT RAYMENTTERMS RR]IGHT QUANTITY UNIT CIR MEASUR] DESCRIPTION UNIT PRICE EXTENSICIPI Account 0043-9C19.CICI Eaclh Contlaciec mom rElmmal $M4,9C1.CICI $74,570.00 S ub Total: $74,90.CI0 lid�E i�lqiE �1a� ��x 14. � ,r T B e3 SElrld Iry doe 1k1: I met Departrrieir111 3400 W. 131slt Street Carr Ed, IN 4E1(124- PLEASE INVC ICE IN DU PLICATE OBRFIFITMBN T+ PICCOL N 1 RROJEICT RROJEC1 ACCOL NT AMOL N T Carmel Street Der]ann.' PAYMENT $74,570.00 • A/P VCILICHER CANNOT BE APPRCIVED FCIR PAYMENT UNLESS TH]R.CI. NUN BER IS MAD]A PART CII TH]VOUCHER AND]V]RY INVCIICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHID. :IHIRRINC IN STRUCTIONS • I HERBY CE-. YTHAT THERE IS AN UNOBLIG TED BALANCE IN THIS APPRW y'.-� y•— `1CIENT 70 PATI FO TI9-E ABCIVE qRl ER. •SHIP REPAID . . •C.O.D.SHIPMENTS CAE INOT BE ACCEPTED. / y�Q--Q •PURCHA9]ORDER NUN BER NUST APPEAR ON ALI ORDERED BY SHISRID LABELS. /��✓C •THIS ORDER 199 UED IN CON RI IANCE WITH CHARTER f 9,ACTS 1<,45 TITLE AND ACTS AN IF IDATCIRY THE RECIF AND 9 UPPLEN BE IT TEIERETCI. CILEIIRN-1REIASURBR DOCUMENII CON11F OL NO. 312 E VEN DOR CC R �7 ® /�" % Q (,� r m e 11 IN DIANA REMAIL IIAX EX 151(10 "Acs t (._, ity f lam/' JI'` CERAIRICA1B N O.(1031 SI01:I9(102 0 PL RCIF E SE QROER L M9ER HHUERAL E)GISH TPU) 9XEMPIT 32970 3°I-6(I(I00E1712 ON B(IMC SQUARE' THIS NUN BER MUST APPEAR CIN INVCIICES,NP CIPIRN 8L, IN❑IPIN A 60;:12-258zVOUCHER, DELIVERY MEN a, PACKING SLIPS, SHIPPING LABEL 9 At ID ANY CCIRRESPONDENCE. FORM PIRPROVED BY 9lATH ROARCI OF PICICIOU NIS ROR C111 OR CARMEL- 1997 PLRCIF/SE GIRDER C ATE C ATE REQUIRED REQU 1£111 ION N CI. VENC OR N a. CUESORIP1 ION 111912(119 E nglei's Quality ilree Moving Street Department VEN DOR SHIP 34(1(1 W. 131st Streell 10 24910 Ray Panner Rd C�Irmel, IN 4161074 Arcac ia, IN 46030 (3171 7133.2001 CONFIAMATflI BLANME'7 CONTRACT RAYMENT TERMS RRE'IGHT QUANTITY UNIT CIR MEASURE' DESCRIRTICIN UNIT PRICE EXTENSICIII Account 0043-909.00 1 HadRighi cd Way City CEIrItEIII $12,300.C10 $1�I,30(I.00 Sub Molal: $12,30(1.00 ' o e9 a wj s � A 4 J. : imaitIN Of d1111640a1 Sa1P 10Ell o "3333,:k1'40°'°33%) afitl ,33:3V",13, er Sand Irlv aiae ici: Street Department 34(ICI W. 131st Sl releit Carmel, IN 416074- PLEA SE INVOICE IN DUPLICATE ❑BPPIRTME NT ACCOL N T RROJBCT RROJEICIl ACCOUNT PIMOL NT Clarmel Slneet Department PAYMENT 1112,300.(10 • A/P VCIUCHER CANNOT BE APPRCIVED FCIR PAYMENT UNI ESS THE PCI. NUN BER 19 NADI A PART CII THE'\ICIUCHER AND E'\IERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIRRINC INSTRI.CTIONS • I HER BE'Y CERTIF. HAT IEIERE IS AN UNCIBLIGATED BALANCE IN THIS APPROPR ^•• I i__.ICIENT 10 PAY OR THE ABC!\IE CIRDER. •SHIR REPAID. �� •C.O.D.SHIPMENTS CANNCIT BE ACCEPTED. • PURCHASE'ORDER NUMBER MUST APPEAR ON ALL ORD BRED BY SHIPfl LLABELS. 0.7)1\ THIS GIRDRD ER ISSIIED IN CON fl t LANCE WITH CHAPTER 9 9,ACTS 1945 TllLE' AND ACTS AN ENDATCIRY THERECIF AND SIIPPI RN EN1 THERETCI. CILBRk-1RBAEIL ROR DOCUME Nil CONTROL NO. "� VENDC R CC SNOW REMOVAL FORI CITs1 CENTER PACKAGE 4 . ,tiQ� do TOTAL QUOTE AMOUNT THIS IS TO BE THE FIRST PAGE OF ENTIRE QUOTE. CARMEL STREET DEPARTMENT 21015-2016 SIDEWALK SNOW REMOVAL LABC R Ha URLPY RATE q5,1 tik. EQ UIPIMENT: S4;11L S `Tgiq Lif��x j _ Tool- c- 4-7" ( o& ii ' 1L x 1 a Id {ALL c..' c/2 NBtuk c4.477-7,v6 1.06-E- E-Verify Affidavit Pursuant to Indiana C lodes 22-51.1.7-1 ]I, the Contract(r entering into a contract w itl the City is equire d to enroll in and merify the we rk eligibility status afl all its newly hired employees through the E-Verify program. The Contractors is not required tc verify the world eligibility status of all :its r ewly'hired employees through the E-`i erify program if ti e E-Verify program nc longer exists. The undersigned, or beillalf of the Contractor, being fint duly siwom deposes and states trait the Contractor dues not knowingly employ an unauthorized alien. Thu undersigned further affirms that, prior to entering into its ecantrac it with the City, the and er si fined Contralct i r will enroll in and agrees to verify tr el work eligibility status of all its newly'hired employees through the E-V erify program. (Contractor): 2 CJ;1 yl(-cs-uz, V 00 By(Written Signature): U`Y (P rintec N ame i;: . ,, cif -� .' (Title): (;t2v7j1_- llmporrla nt-Notary Signa tune and Seal&quired in the SPacii Below STATE CF —i--tick o -i c SS: COUNTY OH -{-ei iv' < )c) Subscribed and sworn to before me this day c f I /Wt./8-n' 20 ) . My comrr issi on expires: /._.? SI Si�ed) ile22e4.-•/-7 /( Residing in ( fril County., State of —//d i4 p1pRY Pp�� DAWN K.TERRY * SHAL * Aesident cf Hamiltcn Gaunt) My(lammissic n Expires:06/05/2CI18 CIITY OF CIARMEL 110: CIC11"TRAC ! CHANG]] CIRI]ER NO.: DA llE; 8115,115 FROTEC`1 NAME: Shamad Use Faith Li 11th SIreat C frit REQ. NO.: CIf11F1 PO NO.: CI>I]F PO DA➢E: I. You ane direata d to make the following changes in this Conlna cl: boa Adjusi conlraa l aompleiion da le due la lata notice io pra aced SCHEDIJ L ED ADJU 9'➢MH NT MEN AMOUNT (+) CIF (-)WIN S IIll. The following ra terenced Documents furthers da s ciibe -Ihe aha riga s a ul l fined in Pamagilaph 1, and ane lo be considemed a part of ibis Clhange Clndeti: R.F.II.: W.D.C. No.: Oihe i:_Nolice i o pra a a ed 7ha a hangs s :ia still in the folia wing adjustn cml of(la nislac1l I rice and Cla nt]ad Time: Conilra at Price prion to this Ciba nge Orden _1191,912.50 Conti a a1 Price will ba increased,dec:ie a sed by ibis Change Oradell $ 0.00 New dont ac-1 I rice including this Clhanga Order - $ 1191,912.50 Conine cl Time I rior to ibis Clhanga Clnden Days 1/1 2i115 Comply lion Dale Nei inertias'di decneas ed resulting fra rn this Change Oiide:i 19 Days Clur,ant Clontnacl Time including this Clhange Order Days 6,110/15 Clompleilion Data This Clhanga Order is for till and final settlement of all (liniect, indiuecl, impact cosi' and lime a xiens ions inn uried al a ray time iiesulling fiiom the penfa rmance of Ihe changed work. The Above Clha nga s A a The Above Changes Ara Approved: Recommended Accepted: CIHA BNGINEEF CICU mIRACIIIOR Jamas Brainard,IV a yon Union Station , itddress Addmeis Mary Aim Bui ke, Member Indianapolis ., - ` Clity/ISt2lle,Zip ClityiISiiata Zip 1 omi Wail an,I'v ambeit By: 'torn Clentry By: A]ITl]S]1: Phone:_317-103-5210 Phone: Diana (la rad a y, (Ile rk- llra a surar Dale:JI-5-11 Data: Dale: JOREM ti k AISF rVlAINJ, REI Clont'iact No:R -36889 Change Orden N a.: 003 IN DIAN A Department 017rransgorta lion Page: 1 Construction Change Oi de n and Time Exlensia n Summary Contriac•I Iniorma lion Clor tnact No.: R-3 ii a 8 9 Letting Date:08,106 IJ a 1dI Distniat:CIREEN FIEL ❑ D1STRIC1 PIE:Nienrnan, Clf ad PE,IS:Clnegg, Mid ael Status:Pendir g Change aider In•Ilonma tion Clf an g e Orders No.: 003 EVIA: N on Force Ac c : N Elate Gene'atecl: a 0/00/10000 Date Approved: a 0I0 0i10000 Reason Clade: IN CIENTIVE/❑ISIN CIEN1 , Clor trait Clorn I Deic tin tia r : Clontnact Cla rn q la tia r Elate Clore(tior Original CIa n tract Plrn a r nt $ 666,736.50 (kir-lent Change Orden/I natint $ 0.00 Pencent: 0.000 c/o 1 otal Previous Plppra ve cl CR a n g es $ 25,176.00 Pencent: 3.776 0 A total Change 1 a-Data $ 25,176.00 Pencent: 3.776 0A Modified Clontnact Ani or nt $ 691,912.50 7irne Exle rasion Inlormallion Date Initiated 001100,10000 Date Completed 00Al0A0000 Original Cla ntnact lime SS Clompletion Date 00.10010000 on SS Cala ndan1Wadc[lays 0 SP Elate 00/aaA0000 of SP Days (55 = Standard Sri eai lication, SP = Special Pnovisia n) lime Elerner t pesaription: Clr nrient 1 irna Extension 55 Days 0 SP Day9 0 SP Day9 Value $ 0.00 Pne rrioc s Tirn e PIppio'ie cl 55 Days by PIE: EICE: - SCE: ❑DCI! : SE Days E P Days Value $ Flaiised Contiaat 1 irna SE Clompletion Date 00.10010000 or E S (lalenclar/Wark Dais 0 SE Elate 00100/0000 of SP Days 0 Contrac No:R -36889 Clhange Chian N o.: 003 In CIIANP Department oil Mans portalion Page : I Conainualion Change Oiider and Time Exllenaion Summary) Review and A p Royal Information Required Approval fluff ority FIE: ❑CIE: SCIE: ' D❑CIM: ($ pen Clhanga Clndei) (- LE $ 250K-) (- lE $ 750K - ) ( -- LE $ 2M -- ) ( -- CIT $ 2M — ) (Bays per Clontract) ( 50 SS days) ( 100 SS days) ( 200 SS Days) ( CI1 900 SS days) Venbal Fig p nova! Require cl? 'T / N 11 Y, b)l Date Issued 7a to I Clhange llo-Dake>50/41 l / N lit Y , Cla p lI to Pnognam Budget N an age. Scan e/I:la ign Recommendation ' I N IIY, Re lewd to R noject Managen(PM) Required? Elate to PM Date Returned Approval Flutl anit)I Cloncurs with PN 1 l .I N If Y, Clonaurnence by Date If IN ,Resolution: Ap pnoved ❑isappiioved Resolved by Date LPAI Sig'lathes Re(lit lined? 1 / N 111 , Date ta LPA Date Returned FHWPI Sign attunes Ragluined? Y / N 111 , Date ta FNMA Date Returned Hield Engineer Recommendation (Ra(pined fon SCIE on ❑OCIM Approval) Field Engin een - Date Clomments: Conlnacl N of -36889 IN DIANA Dal e:1all 9A201: Chang e Order P o:00. Deparimenl of 1 ran spoil alion Rage: a Contrac : R -3E f 89 Proje at: State:131 116500LC3 Chang E aide! Nt r: 003 Chang E dudell DE scniption: Contract Completion Date CorrE clic n Reaian Cade: INCENTIVEIDISINCENT, Cant'act Compl CI f ACN PI fI item Code Unit Unit Priem CO Qty Comment Amount Ci anc let,.I1blue far Cl arica Order 11C1 =t TIC a on tract Completion Date lime A cljristmerrt Original Campletic a i It: 0.1130/IC 11 AljaomuIclt (1/1011015 AdjNo.ofDama 19 8: plaaatica: WI creel!,tl a Sta mien!Specifications for ttlir contract prohiidc s far si cl viorl to to Ida rine I,the fallowing ala rage ie re commended. aeneralerStandardIra ngle Order El: p!au tie a Atta i t acl is a as pi of ti e f a lice to Pra ceecl tf at indicates a n inete e n (19)dayl de is i it its isc uarce.At the tiri e of c antra ct award,tl is date was iateni If l to to exit rded in tt e Site Manager data tasa, I utthii tint was a'arlacked.At the qre-(onatructian meg tingl,ti is oLarsigl t brauglht to tl a attertion of tie Area Engineer, and it wag agri ti at this date wouk I be axtench cl I y ci ange order.Ci angel a rd(r#1 ex aided thi caatraat 32 days from tl e c riclin al(late of Aq ril 30,3015 to h la 127,1015.TI is a tangle anler ex ends tt e contract aemq latia n elate 1:1 da'Is from hia123,3015 to June 10,31111. Cha nine Ord(r E planation for 9 peciflc l hie Ile m Or.+,..,,..+,......».t........ . .... ... ........»..... ......,.�..t...�,....t...........-..., ..........ax,..*.......... it ii tiE irteatoftleparliesthat tiisalaacp order is full and ca nip Iota Grua raafanfar tiewad(des cileato%e. Monica tianand anientta tt is ahaagiearderii I vet Iaalrowledged. Contractor 1.4X, 5iglned By: al tereer e Date: NOTE: Otl er regluire'I State and HFIWA signatures w 11 be obtained electronically Il rat tl a lileflanagler s'stem. Con tnact N o:R •30 889 IN IaIANA Date:10,19)2015 Change ander N o:003 Der ar meni oil lllransporl ation Flage: 4 ttirtk***kkwHk***kM****kk**th.***k**kM******x*G#f*ia-oak-*ta***x:v:vxf'pxkt*A. *kkk*k****.**kkktia**tk*fitirtHHkkM****k**tk** AR PROVED ROR I a a AL R U81 IC AGEr la Y (9IGNATIIR 8) (TITI 8) (DAUB) (9IGNATIIRE) (UITI B) (DAUB) **********t**H************k***k*********t******A#***k*****M*-k*****************k.k*-*i*tfcti.*#**tl****k*t****tfi***i****it-k1 St IA hMITTBA FOR COr 19IDERAUION R EIS 4H*h*h*-i.hMt*t**t-**t-*tHtwat*Ir*FI****t-******k*iii***-Y******I*k**kitwt*th****kt**k*H*fi*+hurt***k***k*k*f.4wicL*i.t*+t**t**t** ARRROVED ROE INDIA NA DERARTMENU OF URANSRRA TION ?*.iiKt'4it3R _ _.. �: F'�'w'.Lrt'1'J4TIs44'_I5.'-�.0�.A:i�Z'Sf1.M�ti4,... Approu�I Le'IE I Na rn e of Appro+IE r Date Status Projeat Engineer/Sugenlisar Gentry, Thomas 00/00/0000 Action Rending Area Engineer Nierman, Chad 00100/00( ( Action Banding CIITY 011 CARMI IL TO: CICINTRACIT CIE ANGE CIRLIEPI NO: 4 DATE: 8.1.1/1 AROJECIT NAME: Shared Us a lath 13 Elth Sty eel CIIIY REFI. NO-: any ACI NCI.: Cl11Y 110 DjITH: 1. You are dire ata d to rn al e Lhc fallowing changes in this (la nti act: r.C4 In eta 1 (Rasa 1 rip nap for a none n a a ntrol at the oui lei of s true tine 9. SCIHHI]ULHD ADJUSTMENT ITEM A1V IOUN1 (41) CIR (-)DAYS 0074 Clasi 1 Rip Rail 14,620.00 11. Tha fa Rowing ra ila ziena a d Documents firth('n do scribe the al ar 1 c s outline cl in Flaragiaph I, and are I a 1 a a onsidened a pari of this Clhange Onde:i: PIM.11.: W.D.C. No.: Other: F once Aca a ut Summar) 11 a changes result in the hollowing adjustment of Clontra e I Price and Clontraa l Time: Contract Arica prion la thin Chang( Clydan 9 (Ic 1,9I 9 Contract Prlaa will ba inure a sed/deara ased by this Clhange Onde:u $ 4 (1.(1Q New Clantraat Brice including ihis Change Ordan $ 6c 6,_32.` Conti act lima Plior to this Clhange Orden flays 6iI10,119 Corr.pletion Dale Net increased,(lc cans e d re tom chis Chang(' (Loden 19 Day' Cunic nt Clontraat Time including this Chang e Orden Daya 6119/1! Clamph tion Date ibis Clhange Ordan is lion frill and final s ett lemeni oil a 1 direct, indii ect, impact a a s is and time extenlia ns incurra d at ar y time resulting flour the tl a rforn ar a e of the changed woaik. 110 Al ova Clhanges A a The Above Chan ges Aie Approved: Raaomrnfinds d CIH A " HNGINEHR 1 James Brainard, Mayor Union Stalia n _ 7 006 -7. Addi es s Addra s s c l6b Marj Am Burka,IV embers Indianapolis ClityiISialeiIZip City,19 tata/2lip lion Watson, Members Hy: 'Born Gentr! _ By: AlTEIST: Ahone:_317-_93-5250 ll a n a: Dian a Clo:udi ay, Cllark- Tra a sullen Ela ia:_9-:11-15 Date: Data: JEREMY MAIN , FUEI Clontrac No:R -36889 Cltarig( ClndenNo.: 004 Ill!TAW! Depa rime n1 of lhiansporiailion Page: 1 aonsiruciion at nge Orden and Time Ex•lansion Surnnu ryi aonluaai InIonmation ClontnactNo.: FI -36889 I. ailing Date:08/08/3014 Distnict:GF EEN FIELn DIS11RICITI /IE:N is nman, CII ad PE/S:Gnegg, M ichael Status:Pending ahange Olden Infomiaiion (II a nge Older No.: 004 EWA: on Fouce Mot: N Date Generated: 10/25/2015 Date Approved: 00/00/0000 Reason Code: EF ROF S 81 OIL ISSICIN 5, Ite n Fie late cl Description: Cllass 1 Rip F a Original Contract An ount $ 666,736.10 Current Clt angle Clnder Amount $ 4,620.aa Percent: 0.893 °A Total Previous /IF noved CII anges $ 25,116.00 Pencent: < .116 'A Total Clhangle Tb-Date $ 29,796.00 Pencent: 4.409 °k Modified Clontiaat Amount $ 696,532.910 Time Extension Inionmailion Date Initiated 00/00/0 a(10 Oat( Clomp feted 00/00/0000 Original Clontnact lime SS Clonal le tion Date 0a100/0000 or SS CalendaiWvonk Claw 0 SP Date 00/00/0000 or SP nays (SS = Sta'Wand Specification, SP = Special Provision) lime Element [lase rigflan: Diligent Time Extension SS Cays 0 SP Days 0 SP Days 1,alue $ O.Oa Pneviou: Tlirn a Apq ra ve d SS Days by/IE: DCE: SCE: I]DCM: SEI Days SP Days \alue $ Re)iised Clontrac Mime SS Clorr Date 00/00/0000 oil SS Calendar/Wonk Claw 0 SE! Date 00/00A0000 or SP Cays 0 CIc r tract N a:R -3 0 8 89 CR an c e andel No.: 004 INCIIPN/ Cellar rnan1ofTransportation Page: 2 Clonslrucliori CII ange ardenarid line Extension Summar-1i Reviewand / ppnoval Infloiirnalion Req. ire Plpprc \ral Authority AE: DOE: BICE: ❑DCIIv : (9 pen (It angeOnden) (- IE $ 25OK-) (- LE , 1 0K - ) (-- IE $ 2M -- ) (•- G11 $ 2M —) (❑a}ls p a n (la n tract) ( ala SSI da)ls ) ( 100 ;IS days) ( 7(10 9:I Days ) ( CI112OO EIS days) Verbal Appnoval Ra qt ined? 1 / N IIY, by Data Issued Total CII an g e 11d`Date>`I%? 1 / N I I Y , Clc py to Pro g nam Buck et Manage' Scopelllesic n Ffe orn rn e nclatin n 1 I N I I Y, Ra ferried to Project Manag en(Ply) Require dl Date to Ply Date Retumed Appnoval Mutt ority CldrrGuns with PM? ti / N II Y, Clonal Hence by Elate Ill N ,Resolution: Approved Disappro ve cl ReadIved t Elite PPI Sig natures Requiried? 'i 1 N I I Y, Data to LPA Data Returned HF WPI Sig ri aturies Flequiried? `r I N I I Y, Date to FH V1 A Elate Return('cl * Field Engineer Rector'me n dation (Requiried SCIE o i DDCIN Plppra%ra I) Ilield Engin eel! Date Comments: C ontiiact No:R -36889 IPI DIAD A Elate:10)12912 0 15 C f ange Oiideii N o:004 1]epartmen t o1 T iian sportai ion Rage: 3 Ca ntrE c: R -26889 H ra ject: 1383165 - State:12 8 3165081 C3 CI ange Circler Nbr: 0a�1 CI ange Circler Desariptia n: Class 1 Rip p FleE son Code: ERRCIRS& OMISSICINS, Item Related 0 L N PGP I IL N Item Code I Inst unit Price CO Qt) Cc mment I rnt Lint a!ange 11014 1343161 0014 911-01618 TON 119.100 411.000 C A me unt:1 4,61 0.00 Item Descriptio n: RIR RAP(I LASS 1 Supp lemantal Deserilltianl: Supple mental Desariptia n2: Teta!Value fcr 11.•angle Order C04=I 4,610.40 V It ereas,tide 9 tan da rc!Suet ificatic ns for this contract promk le s for s ua t wt rF tc be performed,tt e fc l!c wing ci an ge is reaomme n4 led. General or9tanclard Cl ange 0 rder Explanation Tt is aha nue crder creates tt e q a}i item for Class 1 R!p Rap to I e insta!!a d at the dcwr streari otitis t c f ai eiisting woa de n tax cull ie11 tl at was exteacted ai a flarl efttis tirojact,9triIcture No,9. Re\ietmentrip rap w<ii planed per plantograve ntemu isn a(tta outlet.T! ii pre'1aclto be of ins uffioiartsize and wswast eddowr stream.7leprioapertonrehaltsremotiliuingagluipmantamlallraiterafonta li:Iturt eel areas.TI a contractor's gra[lased q ricirgl far tl ii we rk ws i eat aura sal Is,it face 'ialua and F*lc personnel directed fame account we rk,A s ummary a f tt a Faroe aiicauntwerkis attached. CI a11ge 0 rder n fc r Spee Ilia Line Item K*k*****I It istteintentaIRA parties ti at ti ti ct;1nglearder isfull ardecmpleteaompensatianflirt! ewarkde cribf at ova. Natiflaation and conserttothis GI'anga areit!ris. tere bylackncwlexgecl. Cantraatnr: 7 ; "+ H Signed B!I: • 411> Datc *+**+****.,.***K.,,-R**,**..RR**,r NO79: Otter required State and FN1tIAsig atiire e will t eel tainad elactronlcailsl tl rout tt,i Site Man ager sylstem. Contnact N o:FII -36889 INDIAN/I Clate:10/29/2011 Change Order N o:004 Department of liransporiation RE ge: 4 H..,"a a-arp....S.**-a-a-a,..aHY.arir4.1.1.1rarar**•I****+++t*iiWr+**+i.+*+***th*ih+irL********1.++*****Hfr***+irL**************ii****.letihHil APPROVE I7 FORE OCAI PUBS IC AU E',ICY (S1GNA1URE) (111L E) (DA 1E) (SIGNATURE) (111L E) (DATE) iii***Lt.aw+fr***********i********I*+001,-**1r*********** 9 UBMIT1E D FOR a 01`1,IDEF A TION PEN ********Hi*iii***L**lrita**#*+*#*+*ii*}**********Mit****.****************.***ta+***M******61.4, ***t****Iriei ie* A APROVELI FIOR Ir IUlANA(I IAAR1h IP IT 01 TRANS HORATIQPI Hq q ra va1 1 e vel . .;,:,...-47.-.:,n�•! ,r **. . <...�.... '4*tn Name aflAlppra\Ter Oats StatL'Is Flraject Engineer/Supervisor (le rtry, Tha rr as OO/OO/( (C 0 Alctian Pending FCIRCIE/I0CIOUNT DAILY FIEI D R9CCIRD Clantract lc R36839 136tt Street Pattmia!I 111 ork Performed By: `lark err) Prime Clontrac tor Slit-Contractor Caunt!I: Hamilton Prajec Na: Route: Day: Date: CLASS OF WORK CLASS OF WORK REG. HRS Hourly Rate Totals DESCRIPTION OF I1 UTIES Laborer Lat orer ' 7.00 $65.00 $455.00 l at or taborer Laborer 7.00 $65.00 $455.00 Labor EQUIPMENT TIME USED Hourly Rata Totals REMARKS Excavator 1 $200.0 $1,400.00 Installed Rip Fla p Dump Truck 7 $110.0 $770.00 Transported Rip Rap MATERIALS USED QUANTITI' PRICE Totals REMARKS Cllass 1 Rip Rap 40 $38.90 $1,94a.00 Tatal Force llcaatint\Aonk= X4,620.90 b Tata I Clost Pe r Ta n = 14,621.90/41 la n s= 9115.9 A e r la n CITY C E CARIMEL FAC]LI TY L SIE REQL EDIT FORM n e/Clrganiz:tie n: GAN 1 1 lti G L �I �,d c I - ' Point of Clont:et: iC p/- ) is /11( di e:i<: 2 I 1 1 Si— cr GL.J, Gni-Iwt , I1,1 x-610 3 a (lit:, Itate, zip: C ,M�U t i ll 12 Hen alllilu: (3i S' 3 972-0 Gall Phone: (317) 7 10 32 1 2- Email Email Addri ss: CO„,, F:a IN umbel 017 5,•11-1 - a-YGI41 el Fol PI o(lit Oi ganization: N n-Profil Cl rgani: a tie xi: �/ lndividu: I: Ea:and Data Ileques 1(d: 2 a p Ull-+ d V !H 4,1 Of 4e 44 Mc) rrf'A ofr 7016 Time F t qt este( : - 310 a.n ,/ r tl : 7' oc a.r:l.f m {Tl is includes set-t and ChM n-1 time.) l�ehna r;Ia hate: >ll�� dime: a.m./p.m. 'Io a.m./p.m. Clity Fa(flity Requasiled: Clazal t — Flounilain Ai ea_ !Japanese Galt en Palladium Cleniler Chean 'at au: Poo (1/3)_(2,13) +/ Clouncil Chamber s Sp(Cil I F(quests: Electricity Fount:in Foes troom 011 (r v'./0-1 Fur pare: IV 1�r;G «4 Number ofIle opleF"Teo itad: I Venda]s: )1e:1 ?'a ✓ (See tem 5, (lite ( 1 (la rmel Flaeility Use Palley ail la abed) City Sliree I Closing: (Sea 11em 1, Oity of Carmel Flaeility Use Valk' at ache( ) 11:rgi an Rs(e Eluents: VN/A, ?`'1 ight (rhood Silriet C1losinl (,` lraeil(s), Addr:ss((a) Blocked) V 6 [ 1 ( Cs 1 mul Bard o'I Ilul Iia 'tl'oi ks and Safety risar'es the rim] t,in it sola dis•ciietion, t( dtn in!! Ica Hit: useiiaguafif and/ai rev(keany pia”iousfi granted uuquelt II use : Clityfaailitv1i ai any lawful uea5 on. fil(ceived This t day al 6G&/7 20,1 J . Mayor ' s Office fl( isul: 04/1(1/2011 RIESOLUTION NC. B1W+l 12-11(-15-03 A RIESOLUTICN OF THE BC ARID OF PUBIJIC WORIEIS AND SIAFET'd OF THD CITY OF CARIMEL, INDIANA, APIIRC MING THE TRIANSIFERI AND PRIESIENTA'DION OF PISTOL AND BADGE WHERIE AS, pursuant to IC _-22-22-E, the E card of Publiici Worlds and Safety of lhla City of Carmen, Indiana ("E oard"), may transfer to analrleir ceirl ain personal property; and WHEREAS, Sargeant Lluaklie A. Caray Has providad over 3_` Naars of merilariaus serviaci to the Carmcil community as a Carmel C1131 Ploliaci Officcir, and will be re1liring an lanuarN 4th, 2016; and WHEREAS, it has been a lang-standing policy and pracitiiaa of thle Carme] Policie Elapartment to present 10 eachl of its sworn officers, upon retiremiant, their badga and firaarm. NOW, THEREFORE,BF IT RIES()LVIED by thle Board, as fbllows: Secit:ian 1. The fbregoing Raciitads are incorporated herein by lhlis reference. Scicition 1. The fallowing itcims may tci transferred and presanted to Sergeant Lucldie A. Camay upon his ne1lirement, at the direction of lhci CI?ieflafPolice: Sergeant Carey's Sarvica Weapon, Gadd Model 22, 4(I Cal. Aislcil, and Carme I Poli cie D epartmicir 1 B adged lmarkled"Retired." SC RESOLMEEI. 1lhlis Rcisolulion was preparad by Jon Cbcirlander, Caramel Assiisilar.t Cii131 Attorr.iay, an 1104)11f at 10:.0 a.m. No subsequent nes isian to this Resolution has been rciviewed by Mr. Obeid ander'for legal sufficienaN or otherwise!. Approved and adopted b31 the Baarc of Public Vs/larks ainc Safaty cif the C sly of Carmel, Indiana, this day of , 20 , by a votes of ayes and nays. CITY OF CARMEL, INDIANA By and lhraugh its Board of Public Works and Safaty("Board"; By: Jamei< Brainard, Prcisidiing Off iaar Dal a: Mary Ann Bunko, Membar Data: IJarii Watson, Membeiii IJata: A 1lTES11: hliiana Cordray, ]MCA, Clerk-Treasurer Date: 1Ihi9 Resolution was flraflaiad by Jon Cbarlandar, C animal Assistant City Altornay, an 121C14)114 at 10:_`10 a.m. Na subsaquant rciviiskin to this Rcisolutiian has been raviewad by Mei. Clberlander far legal sufficicinay oii otherwise. r , Carmel Police 'D.LDs31 u-li'ILin c�!It 3 Civi:c.S41' iac. aa , r %,J•racii, Jird. iJ1nitl `I tII 0;32 Decerr.ben 3, 2015 Cilly of C armel Boarc of Public V1orkls and Safety I Civic Squaw Carmel, IN z 6(132 Dear Members: I iiespeatful:lyiequest Board approval 110 have the below ;listed mielapons cElleled fibm the Police Department inventory: Glock Model 22, 40 C al. Pistol Carmel Police P apartment Badge/marked Retired A s h as bean Ilho custom(anc practice oflthel City and Depaluncut, the weapon arc badge will be pnesentesd la Luekie A. Carey, who will lle rcllirng on January'4,2016 from the Carmel Police Department, with oven thirty-five years of service to the Camel community as a police officers. Respectful • Air AI / "-'.7 1------- Timoth .1 reen Chief of Police Carmel Policia Deparlmciril ]IJG/tka 1717) :,7 t-,', i),I) A Nalianally Accredited Law En arce mans Agency {�)‘a t .17)',71I-2612 RIESC LUITION NO. BPW 12-16-15-05 A RIESOLUT]O N OF THE CI 701 CFI C ARIME L, INDIANA BOARD C F PUBLIC WC RIKS AND SAFETY' APPROVING THE TRANSFER OF PROPERTY TY 110 THE POLICE DEPARTMENT CF THE Cl 1Y1 CP AIJENANDRIIA,INDIANA WHEREAS, tha Aalice Elapartmen1 of tha Ci1ly of Alexandria, Indiana ("AIIDI"), is in need of public safety equipment in orc ar to better prated tile haalth, safety and welfare!of its ciitiaarnIN; and WHEREAS, 111€ Clity of Clarmiel, Indiana (1"City") desires to assist APIJ by donating the surplus public safety equipment) datailed in Exrlibit A, which is attached harerto and inciorparaled by this reVfarence (the "liroperty",; and WHEREAS, tile Cit will transfer, and API] shall accept the transfar of the Property in an "as is" conditiian, with na gluaranlees or warranties as to the fitness of sama far any particular purpose or usa, ar otherwise!, and APIA shall, upon its recaipt of tile Branco y, tharaafter bei solely responsible and liable fcir the arlaration anc main1lar.iancie af same; and WHEREAS, AHD now acaapts the transfer cif the Araparty from tha City subject to the terms and conditions of 1his Rlasoluilion. WHEREASI, it is now in the public intercist to donates the liroperi N to MID. III IS THERM C RIE RIESOLVDD THAT: 1. THa foregoing Rleaitall s ara full A incorporated herain b y this refarenae. 2. Tha transfar cif tha Property by tile City to API] is Hereby appravac pursuant to and in accordance with the terms of lhlis Rasallutiori. 3. AAD shall hald harmlass tha City af Carmel, Indiana, and its respective! ofIicars, officials, amployaes, attorneys, a dent 9, sucicessars and assigns, and shall inc amnil y the same for anN and dl l liability that maN arise from or as a ras ul l of tha Arapart N or any use l hareof on and after tile dale an which this Resalution is exacuted. Rasolutian No. BAW 121-16-15-Of Paga Ona of Two Bodes 5:�'abedav fif \Cy)CanncdWlf zandrsa Foncc 0 cps PJap rill Transfer p PWH esolWien.Aorx 1211120 I 1 SO RESC LIED. CITY CF CARMEL, INDIANA By and throu€h its Board oflFlublic Worlds and Safety James Hraiinarc, Mayor E ate: M a r31 Ann Burke, Member Dote: Lori S. Wal son, Mcimibcir E ate: A'IITEST: E i a na C lordray, IAM C, Clark-1Ircia surer Reisallulion Na. HAW 112-1E-15-05 Pa ci Two (AI li wo Pages S:GoIda.aurUIIsahmonalarriaauncil\AIcxandrioPoliceocpoProp ri:i 7ran 1crBIWAcsolurim.docx12/92011 III1 al R4. a 11 MI • i li i • CIS ,ARMEEL November 25, 2011 AN ES BRAIINA1 J , MAYCIR Board al Public Works and Satiety Clne Civic Squire Carmel, Indiana 46032 RE: STOIMWATJ.RTECHMCA1 MAP UM VAR1APaE-SEC1IION50.1.(13-GAR11.10NAAAKIPGVal CTURE Dear Board N e nn t e rs: Mr. Tyler Comstoi , Project Eng ineerflarAmerica n 9trueturePoinl, Inc., tas requested a ppra\ial fora \iaria neelrorn Section 10:1.a3 oiile Carrie StorrnmialerlechniaalSlandards N anual. Section 901.03 slates, aniongatheritings, " a minimum drag ala.] Iaa1 lhrauil maul ales and inlet slnualuiies st oulcl k e pra��iclacl." TI a getitianerhasindicated tIatin arig rtomeet 1heinvert eleuaflans ai both ends oftla relaaaled slarmsysteni ancltomeet 1he10% capaaitydeniarids per ite Storni vialerlechnieaISlandards, tha 0.1' drop requirern ant in eacl 91 ri Cure cannot k e ul slice d. Gimen 1 hat issue,I he htilclraulia grad line aaIculatian9ware ieriiiecl and meet tle technical iiandards. TI a Da partmeni of Rngineering I as reviemied ite re gli asted varia nae arid nate'tt a given aondition.c relating to the project. It is noted 1 at tl a 0.1' dna p in eat sirticli re althe syslern would decrease the pipe slopes regi fired whicl could possibhl lead to mainlenanee [sues; t awever ii is noted It al a1 sense olthis 0.1' drag is nat uu ed ed 10 have a negative impact on the hTlraulias aflthe Iiipinga)Istem. \A ith the eanfirmaiion 1hal 1Ia genic'ner meats the hydraulic grade line standards per required calaulalion:i o11 he City ail Ca rmel l he Depa r re a nt is willing to Jug part this mariance. l incerely, Jeremy Kashman, P.E. City Rngineer ATTACHIv RNT1 BAIN]r 9TORMWAITERI+/IHIAINtI'GAIRRISCINPIIRKINGS1RUCTURRITORMINATERVARIIINCI.DOC DF1'A1 ia-ir'T OF E:'I1NsaaIN« Onr Cnii i 91tiA1E, CAR,MaL, IN 4601 CIFFICH 311.-1711,2,1,11 IL:i 111.571.1439 EiNViL rnginuerir; d ga i AMEfl11)111 ■ STRUCTUIREPOIN11 I I. Novemlben 10, 2015 Iv n. .1( remly Kaihman ELI 8 Ma a ning Departmenl (lily of(larmal One (livic Square (lanmlel, Indiana 46032 Ra: 0.1' Structure Dra p Variance Rag of at Garrison Earl ing Structure, Illnojecl No. 2011.011 72 Da an ly n. Kaahm an: American S ruatunepoint, Inc., a n k a hall a 1 our client, Gar is on City Canters, IILI1', :ua spectfilTh I reques ti the variance from)-he City oil(Ia rmlel Storm'ma tar llechnical Stan da nth. Wa ane ra quf sting a `iariancf from St andand 101.03, which re quires a n inim urn drop of 0.1 fa a t th1 ou81 all n anholas and inlets nuclunes. 11 a proposed pnojaa vuill consult of relocating a nniddlf lection of an fxiating norm system. In orders to meet the invert elevalians at both ends a1 thf i elocal ed ays tam and o me(t the 90°ro capaa ity dem ands pen tha S ormwa:en '.technical Standard', the 0. I fa a t di op in ea ah ,lruatui e cannot be utilizf d. HGLI calculalia na we:a vE rific d and moa the Stonmwalf rs Tf ahnical S andarda (1can be nevi('' ue d in the propoaad d1 ainage n por included in the 'IIAC aubmitla1). VLlle appreciate your' imf and a onaidenation of our n quf s 1. If you have any questions a I nead alarifiaalia n on this variance :aquas1, pleas(' tel fr('a to aontaat me al our officio (1 17) 141-5580. ry truly yours, _ Almeria a n Strucilunc pa in 1, lna. 111ylen Clon s C ak, EI NOV 31115 Pi oleo Engineer cAPPtl<t. '.C15.C1311 7280 Sig.:1034N Station IndiarraiaoIi3., IPi 46256-3957 TEL 317 547 5580 FAX 317.5i 3 0270 Pr, V,structIremint.carri lY git If llll A a • a O 1fla A AIN d III m mm m C'1'Y .�ARM ECJ DecernF en 1, 3(]19 iIANI ES BRAINARD, MAYCIR Boa rd oil Public 111 c rks and 9a fa t\l Clne Civic Squa re Carmel, Indiana 46032 RE: LA NERESTRICTICIN81SILIEWAIK(IVT/(ILCLSLIRE—JI83(I HAMILTCINLANE—JCIREANUUOCID.I .I EC711O N 6 Dear Board N e rn k a rs: Mr.Jc a tlui it ersc n, Pulle tic ries, F as requested appromaI ilor a lane restriatic n and sidewalk u1 a1 1830 Hamill on Lane (Jc rdan Woods lection 6) to aacess a r d tap ink an existing sanilar}I sewer ni an ole ilor sermice to a new house F eing aons1 ruction al 1 hat location. Ike lou a tic n al lane ii lc sure is II a 90111 1' 10 last corner of Ha ni iltorl lane with in tF a subdivisic II. (LIF it las atlaaF ad) Wort is9liFeculec tc tokeplaneonJanuary3F`h, a01A. Si(Ia alk removal and recoristruitia ii ill be required ilortill placement o111he lanilary la1eral10 1F a newsIruature. Anticipated lane restriction wu uld aonsisl oil one dol. There is no ani icipa lack street a r curb aut. TFa Deparimeni af Elnginei ring reaorm ni an cls that 1 ha Boar( appramelt-erequested lane reslrialionand sidewall cut/alosure aonl ingenl upon satin taction of the ilollowing rat uirerne nits: • TI-eprcjec1'saonlraatorshill comply will- IF a provisionsofdarrneICil}iCode6-227(1)(1), 6- a27(a)(F ) ant 6-227(k). • Signage far the lane reslrictionsiall beplaced in a c mance afltl a wort aucire aladby1he Dallarimenl of Angina('ring. • Nolillication to a j( in in g properN owners shall be nada two days prior to the clown encement aflworl and lane realrialion/sidewalk clasure. • Detour sig nagelorIFa ckcsuue of Iia sic ewalk II'all be put in place llrior10iFa clasure. /Isig n, slating"lidewalk Closed" shall F e placac an F oth sides a fl tl a alosure. • Aril damage to thea>lisling irn roia ni an Is within the rigl 1 —oil-way shill Fe rasiored to IF sal isfaal ion o11 F e Cily wl en tF a work is complete. • Work shall not Iarnnrenae belore9:00AIM and sFall lease Ieflare4:01 pN . • Work iFall en( eavorta rastrial traflia ant nottill}Iclase1heroadwa\l. Clue lane oIl1raffiaslall ke main'ained at all limes tiring lane restriction. • Aacess to all properties within the work a rea shall F a maintained at all lirnes. • TFe lit wall sha II ke restored lc IF a speaifiealion' and standards a fl tl (' Iit)lofCam'el. • Hatitionar11.all provide proololliakWily iiisuranaewith the Cily'sstanclardnliiiinruni aoverage limits. • All IraHic into and out ofJardan Woods Subdivision 'hall be maintained al allIimes. IJIFIARI !EnI, OI= ENGIi'n1RIi'G CIN1 CP'IC SW., Ct RMar, II` 'l(103J. OHIIca 317..1.2 I-11 Aix 3.11.971.1 9 Em d iICafill @carmdI.inov Fage I af 1830 Hamilton Lane Re:ilriction Deaember3, 20:11 Since re 1}l, Jaren 1l klair rnan, P.E. City Engineer �Itleef merit! S:\BP A]5\CI astm HS\:18 3 0 HAIMI I TCINLANHC1 C19 URE.DaC D2le: 12/]jI15 Re: I ane Restriction forSewier Later h as I uF, 1830 Hamilton I ane, Carmel, 41037 To: Board oil Publia Wa rl s Irom:Joe Hite.erson 1;410-1439 Ja a.Hulcha r:sa n @pull e.aa rn I a rn submiiiing1Fisleiter,IregiuE51 lorrauiewl111Fa Ela ardafHuh licwarlsilorapproval todovia rl tF at per a int to topics ga uern a cl k y 1 hit k a cly. TF a worl will FaHarmed iilagging into a man!' ale and installing the lewer Line Irom a new struature (houu ) the t via are about Ia k raal ground on. TI a lel dues not hauE a lateral,thus slay Regional agreed/I suggested that This is the k est wa}Iia tia into ti a sew( rsysIE rr . TF mach a le 1h al we will be ainginto iion1FE Irani left carnerof1Falol, locatEdaItiE edge ol1Fe paued iireel. WF E n looking into the man!'ale, ii appears ti at the main barrel sections are be)iancl 11 a aurb,thereilora a cul oil I he ii real ii any da ni age 10 iiinol anliaipaled. TI a regluesi I F al is being made viitl this letter is to seek a l A rova l is k loci off 1 raf is on this sick /area oil he street (would 1 E Zeis than 1 IanO, on 1F a day all the via rl . And to ti I a out a aE al ion oilF a puk lin via ik ii ra glace tl at due to running tl a sewer line gait 1 hal point .1a I F a manhole. Tim ing: 1 F E works a pproNimai e 1 ime bra me is January 28th All laahedisa ilatplan IF atshows 1FE NanFoleand the anliairalEdarea ofIlan nEalion. TI a you for your lime and ['lease advise if IF arc isan}Iall'erink rmalion needed.Joe FlulclEricin „t,,) t1/2i//r,- .c..,a,{ 3-r? - +u1ti.0 _ 4B-1 I �-1 _ 1� fl — _ ''ii a ” e 2 J•'y.,.s, s• r' niX/ \ --'-'----- ata S.7 'i�.�:r°Fii�i��� L•S •�F! 3FI�?. il m71N I8 a-, p 6 dpi, ` , 9 IA )1Qp &Q ti roc, g , - �+ n u n n • %Om ? :116,sel ] y s il a811 �li '1!1 x 11 tui �� 411 , .i ' ? as - , %\ .., cr . 1 ya .,_ -. yffr „e'i c At 1.51 I R ;6, a . k 91' I' 1•!I l°. gill fill 8115 ,. a ke R115 11111 !!11, ifil i ,.. \J- A i _ r i I 1 ID r 4f fjar IiIii1JiIJi c 31 u-7,,,,,,, 1-yo /i :!" ig. Ki ill ro g ; gqn �� n, !iI1I1iEI 1� �� it � � o111 Ijiill iligUIR2-1 gi'la 1 lit 11 11 al Fligfill it "iAl •a-, '1011 ge1111 11 (1!% JORDAN WOODS p��� PLAN, B F rip red Fon coar•p A 0 R LAT L 01'141-148 icon ��3 chain c 0a�] 6�®0'1�7� miat,, IN311iU04001184n c) Cal 0, ip © oi di u 0 ci cff F RC ST 303 MET MAU I-MET KNK3F TSTOWN.INDIAX4 LCIT# 148AI (888)683-26I 7 (X1)345-8949 RAM: (7661346.6882 1830 HAM€-TON I.M€ DATE;11(11116 JOB 0315-131 REV1SiONS:8CARVE-,IN46022 I cs 6. - 1 i int t Y A. -. -sem.. O Ol 051 h �4 a .,, L.i Fe;., 1 ,, , . _ _. .._..,,,. r + oilo t o • A 7.1 .t%. °n °n — 4, - -f, 1� t :-.Tc11,'w*-- ,r- _41:::V..- ;221'511''. a - ill la 11 , W - sr. wr Z r � :O .r r ro a 1lo ° to 4 • F s ti D' L.,..-__ t y'Sisp Y \-- „fir = 5. =•411' r 7 u. it '".tu #, �, . ,1r."—' i 1 ' -c t"i . + 4 a, 1 ,= L! �1r . y * r ] � �'' am ' - L .1 i _ 4 , ` tet d Q iliv.le i. w " CI • _ _s;,� iFtr4.t, • o vi - I fl - - _. ..,...._-__4..vilif ..,.. : t , rn -, a o ° c_ _ I ' t. , tyo a Mb 4....3„.. . _ _... • ::.. .. __...: : Oi_- ,a Z . _... ____ ,. ,....•..,,,... _,. ..,-., _ ,. la, . ,Z .i, • ,o - . J .c. „ NN,. ,t- _. . _ _ . , ';.,Tfir.,",.11, . ' : 40-4i:' = .1: _ -- .1T C• Coco _-� IAJ — - ---- — -- = I} ja — lir • telli • • • .a. I )01-., - .?._ , .a ,110 . ' ,M.'.;04.t,,,i';4141,000., .'41:-4-'it: . v -7,:..--..- ,„ ,' . _. _,... , 0,4:: _k � al VZ • _ — .rsj GI z -, - ` —�---=-+eta- E t 8 !, r- 0 If Ill II III fa >0 r1 Deaemk era, 1075 `MEL Board of I c t Iia Works anc Safety IAt IE I BRAINARD, MA'ICIR One(livia lc care Carmel, Indiana 41 032 RE: LANE A85TAICNOPI& OPEN AAVMMENTaU7—:I361 1STREET81 OAKRIDGEROAD ROUNDABOUT—AT&T Dear Guard N embers: Mr.Raven Krebs, Al&TaLtsida P1: nt Engineer, is reqs est ing allgra m, I fc r a lana reitriationand open pavarnent nut tc reps it AT&T condi it wF icl w.s clams@ ed cic ring tl a plaaarnant of a aanitaryl levier Wtruatc re with in tl e roadwa1l. 11 epair is racLiredto plaaenevi fiber aak le narthan OakridgeIIaad. Ti a loan tis n of work is in tF a$_or tl 1 a c nd right turning lane of Oak ridge Road int(' tF a roe tic a bot t o f 131 th Street. (Dir ibit$_ attic' ec) Apllra Arcata ly 30' of tF e 11' viide lana will reqs ire reatriatiora,said ra<triatia n being next to tF e outside cc rl line. Work is sahedc led t(' t elfin upa n app raval by t' e Baard and will tag e app raxirnatel}1 I to 4 days for no mpletion. Ti a Department of E nginaerinl Num mends t'at the D c and approve tF E reglc elite cl lane closure and open p. venient nc t canc itiouacl upa n the fa llov Ong requirements: • lheprcjea 'saoatraatariFall comply witl tie provisianaofCarmel Cit}I Cade 1 -377(a)(I),E-213(a)(8) ancl E-227(k). • lane res rici ion sl all re main in plane ntil iia rnpletian of tl a project. Restriation $signage will remain in plaaeccring tladuratiaaofthe prcjeatrep: ir. Carmel Ialila vall 1awed todireattraffic curingaattal worl ing F a L rs. • Devilcpmantafa Naintenarile oflraffia FIan canfariming to INC 01 Work lona Safet}I Manual aomerinl lame rEatriotion $_hall k e desielop ed byl the petit loner a nd ratiiawed and approNied 1 y the 0 apartment of Enginearinl priarta implameatatianattFaviark cite. • etil ii air airias to post propir lane rastria ion sigma geinacaordanaewith tiaappra%ledNairatananae if lraffia P1: n. • the D apartment of Egg ineering shall be provided a minimum 48 I ac r notifiaation cf lane restriciia n prior to canimeuaementofwork. • A ny damage to ti a enia ing improvements with in tl a rigl t of wa}l of ti a rouucla bout sh: II be re stared to tF a satis la atia n of tl a Cit'l wl an vie rk is aomplete d. • lraffia of the rat.nda Lt in all direatia ih te maintained at all times di ring iho worl . Aminim' rn10' lane iF all I e protiiidacl at all times within the work area • 7heIitywill mint tia tempera ryplaaementcfcaldpatahauertha area cfthe apea ai tin lies of the final ca Luse of asp ha It India"ted c nil a City Stanc and Street a Lt Petah detail s' auld weati or conditions dictate. 7F e petitioner shall return when weather ac nditia ns are lavorable llor pa ving in aiaordanccr witl tF a Cityl'i F ati ung F oliay and roma va tF e a old natal. by milling an ria of tl a e:riatin g pavement to I e cletermin ad b11th.e Da artmn eat if Engineering and replace with HNAacdace peril a City's paving pa lig. DIPAII ra917,-r o■ Dig INIRING Or rr OVA S'q c:Aiff, CARNIOL, IIy 460]J Clnnion 311.`11.1,1,11 F.a:r I-17.571.2439 ]I iAII. enginaerin;*�icnrniel.in.ga� Pete] of 2 AT8IT 11 NA RASTI RITION—1:61SIR 817 EI OAIIR IDG9 ROAD Devi mbe r 3, 3015 Sin ce ra ly, ereni Kart man, A.E. Cite An@inear ATIAaFIN RNT'I S:►BPW191 CI 09110 95'ATE1713lltI 9TRIUTCIABIR IDGURCIA DI Ar19A MR ICTIC]N.Da 1V--)? atsit T&1 orth M eriidian Street Indiana tie lis, IN 46204 Decamibe' 1, 2015 Dave Ela me City of Clam al IlInginee ring Off a e Re: Pear it fon Al SI'I to place and spline fit et cable. A7&T neack e miove and place t auk a Ian ita ty inlet located at 136th Street and Oakridge Aa ad in a'den to rep dr damaged conduit. The a a nduit was damaged vihen the Clity of Clarmel 1J tilitic s planet the sat itaty inlet in the round al a ut. Al&T needs to repair the ea'c uit in oder tc pia a a a fit dr backbone cable on Oakridge Re ad. 7&T vi ill have to o los e appnoxima to 1,11( feet of the 22 foo t v lids lane in tl e round about in onden to roil a in the damaged (I <t at conduit banl . Sed at ached s ke f a heI. Tile via nk will take app'oximately 2 to a ys to complete. 'l he pla cement of an arra vi t a and and polies will t a used to direct traffic during we ilk being completed. I ince rely, teven 3. Ka ebi AT&J Outside Plant Engineer TC1 CH • h y ,s " � r _. wt a ., (11 ,.. k L. *- �' " Ain r • Fµj -� -+ba%c . ' CI 0. R s° ./ o ye-T- a oo o I r �!oil." r ar i ij' a Do i !rctS 1. i 10 itl g6° a .. ° Or. :f v')M W .j •am. II! 01 CI I.'..WS*. ' .41 ah '14§51:il 3 w - �, CI f!':.. , iP '4I 13 . , is,..i 43 . _ _ F ,r_,) i}...4,' / Ii.:: LIt 1_i 4 -t I.‘ i ' � - - - - C. x Ili - �° �� litill N pcS lin 444, 1 .; r - i 51 es k C Q 4 ' r yr meq} co al E 46,1 al F �c. - • 4 Vel . 1. U cc * R W O O ,.-4 0 4 0 # k rAIt ,.,4. r dal CO 3" C vi "- may.. 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