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HomeMy WebLinkAbout33401 Clark Dietzof Carmel ONE CIVIC SQUARE • CARMEL, INDIANA 46032-2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT 35-60000972 PAGE PURCHASE ORDER NUMBER 33,401 THIS NUMBER MUST APPEAR ON INVOICES, NP VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 12 fq 115 VENDOR C I pr 1.. D te-1 Ci 00 t<eys-one CrOsfiene SLAI lt c10CD Incl anc.po 1' , 1NJ 14,2`1O SHIP TO Iic1�A, pV EI -,SI,-, ee.' CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Send Invoice To: PLEASE INVOICE IN DUPLICATE C o.na rc, c+ Dc,+e : 1,) 1091 t5 Conn Oc+ : 1 a ,OcI, Is. o l Projec4 15-1q 10(541' 5i- -ee-+ rnt_, l+, - �1se Foct,-,clan or, EvCt ua-I"Ion a Oes13En au N -TE. 12O,(n70- 20z - 435oq 00 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT SHIPPING INSTRUCTIONS • SHIP REPAID. • C.O.D. SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. • THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1995 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY TITLE PAYMENT • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. • HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. 0;1 /t,_ f 33401 CLERK -TREASURER DOCUMENT CONTROL NO. A.P.V. COPY - SIGN AND RETURN TO CLERK'S OFFICE Clark Dietz. Inc. Eneineerine — 2015 Appropriation #202-1350900; P.O. #33401 Project 15-19 Contract Not To Exceed $20.620.000 ADDITIONAL SERVICES AMENDMENT TO AGREEMENT FOR PURCHASE OF GOODS AND SERVICES THIS AMENDMENT TO THE GOODS AND SERVICES AGREEMENT ("Agreement") entered into by and between the City of Carmel and Clark Dietz, Inc. (the "Vendor"), as City Contract dated January 19, 2011 shall amend the terms of the Agreement by adding the additional services to be provided by Vendor consistent with the Scope of Work attached hereto and incorporated herein as Exhibit "A". Furthermore, the terms of the Agreement shall be amended to include the E -verify requirement as stated in Indiana Code § 22-5-1.7 et seq., which is attached hereto and incorporated herein as Exhibit "B". as well as the required E -verify Affidavit, attached hereto and incorporated herein as Exhibit "C". Also, pursuant to I.C. § 5-22-16.5, Vendor shall certify that in signing this document, it does not engage in investment activities within the Country of Iran. The terms and conditions of the Agreement shall not otherwise be affected by this Additional Services Amendment and shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have made and executed this Amendment as follows: CITY OF CARMEL, INDIANA Clark Dietz, Inc. by and through its Board of Public Works and Safety By: By: James Brainard, Presiding Officer Authorized Signature Date: Mary Ann Burke, Member Date: Lori S. Watson, Member Date: ATTEST: Diana Cordray, IAMC, Clerk -Treasurer Date: It ¢'.min.uPmrs., x c...i, s. P 1 Printed Name Title FID/TIN: Last Four of SSN if Sole Proprietor: Date: ENGINEERS November 12, 2015 Mr. Jeremy Kashman, PE City Engineer Carmel City Hall One Civic Square Carmel, IN 46032 REFERENCE: 1061h Street Multi -Use Path From existing trail East of Ditch Rd. to proposed trail West of Illinois St. in Carmel, Hamilton County, Indiana Des. No. 1006027 Contract R-36021 Subject: Proposal for Foundation Evaluation & Design Dear Mr. Kashman, We previously submitted a proposal to perform a feasibility study to evaluate options for the foundation of the pedestrian bridge. The feasibility study will be performed for a lump sum fee of $4,800. See the letter dated October 23, 2015 for the specifics of the feasibility study. In addition to this study we propose to re -design the foundation of the selected option chosen from the feasibility study. More specifically, we propose to do the following I. Perform design calculations for the support of the abutments of the pedestrian bridge. Design calculations will be performed by a P.E. and checked by a P.E. 2. Revise the abutment details so the contractor will be able to build the abutments. 3. Prepare an addendum to the geotechnical report that provides the necessary bearing pressure or pile loading information needed to design the revised abutments. We propose to provide the above services for a total lump sum fee of $15,820. The breakdown of the fee is as follows: • Design & Detail new abutments: • Geotechnical Addendum: $13,820.00 82,000.00 515,820.00 After the preferred foundation alternate is determined, we will work with the City and HIS to provide details within 30 to 45 days. Please contact us if you have any questions. We look forward to working with you on this. Sincerely, Janes A. Loew. P.E. Project Manager Copy: David Littlejohn, AICP, Alternate Transportation Coordinator, City of Carmel C.Iark 3 EXHIBIT Inc S90u Keystone Crossing, Suite 90) Indianapolis, Indiana 4624(1 'I:317.S44.S900 I': 317544.9155 Clark Dietz. Inc. Engineering — 2015 Appropriation #202-4350900: P.O. #33401: Project 15-19 Contract Not To Exceed $20.620.000 EXHIBIT "Ii" E-vcrif:r requirement All terms defined in I.C. § 225-1.7 et seq. are adopted and incorporated into this section of the Amendment. Pursuant to I.C. § 22-5-1.7 et seq., Vendor shall enroll in and verify the work eligibility status of all of its newly -hired employees using the E -Verify program, if it has not already done so as of the date of this Addendum. Vendor is further required to execute the attached Affidavit, herein referred to as `Exhibit C. which is an Affidavit affirming that (i) Vendor is enrolled and is participating in the E -verily program, and (ii) Vendor does not knowingly employ any unauthorized aliens. This Addendum incorporates by reference, and in its entirety, attached "Exhibit C. In support of the Affidavit, Vendor shall provide the City with documentation that it has enrolled and is participating in the E -Verify program. This Agreement shall not take effect until said Affidavit is signed by Vendor and delivered to the City's authorized representative. Should Vendor subcontract for the performance of any work under this Addendum. the Vendor shall require any subcontractor(s) to certify by affidavit that: (i) the subcontractor does not knowingly employ or contract with any unauthorized aliens. and (ii) the subcontractor has enrolled and is participating: in the E -verify program. Vendor shall maintain a copy of such certification for the duration of the term of any subcontract. Vendor shall also deliver a copy of the certification to the City within seven (7) days of the effective date of the subcontract. If Vendor. or any subcontractor of Vendor. knowingly employs or contracts with any unauthorized aliens. or retains an employee or contract with a person that the Vendor or subcontractor subsequently learns is an unauthorized alien. Vendor shall terminate the employment of or contract with the unauthorized alien within thirty (30) days ("Cure Period.). Should the Vendor or anv subcontractor of Vendor fail to cure within the Cure Period, the City has the right to terminate this Agreement without consequence. The E -Verify requirements of this Agreement will not apply. should the E -Verify program cease to exist. voisa.n nim. ii.: n,i.n $na .4nimd.dn: imam_ est iaq Clark Dietz, Inc. Engineering — 2015 Appropriation #202-4350900; P.O. #33401; Project 15-19 Contract Not To Exceed $20.620.000 Exhibit "C° E -Verify Affidavit being first duly sworn, deposes and says that he/she is familiar with and has personal knowledge of the facts herein and, if called as a witness in this matter, could testify as follows: 1 ani over eighteen (18) years of age and am competent to testify to the facts contained herein. I am now and at all times relevant herein have been employed by (the "Company") in the position of I am familiar with the employment policies, practices, and procedures of the Company and have the authority to act on behalf of the Company. The Employer is enrolled and participates in the federal E -Verify program and has provided documentation of such enrollment and participation to the City of Carmel, Indiana. �. The Company does not knowingly employ any unauthorized aliens. FURTHER AFFIANT SAYETH NOT. EXECUTED on the day of . 20 Printed: I certify under the penalties for perjury under the laws of the United States of America and the State of Indiana that the foregoing factual statements and representations are true and correct. Printed: (-3, ,s,.,Co Company ID Number: 436844 To be accepted as a participant in E -Verify, you should only sign the Employer's Section of the signature page. If you have any questions, contact E -Verify at 888-464-4218. Employer Clark Dietz, Inc Jon Howaniec Name(Please Type or Pr Electronically Signed , ._...._ ._.... ... _. .. ._ ._..__.._.tSlgnature Date Department of Homeland Security — Verification Division 08/02/2011 USCIS Verification Division Name (Please Type or Print) Electronically Signed 'Signature I 08/02/2011 j Date Information Required for the E -Verify Program Information relating to your Company: Company Name;;Clark Dletz, Inc Company Facility Address 1118 S. Clinton St. Suite 700 Chicago, IL 60618 Company Alternate Address. County or Parish: 'COOK Employer Identification Number 71 21 2 0 51 Page 12 of 13 I E -Verify MOU far Employer 'Revision Dale 09101/09 www.dhs.govf E -Verify Company ID Number: 436844 North American Industry Classification Systems Code 541 Administrator: Number of Employees: 100 to 499 Number of Sites Verified for Are you verifying for more than 1 site? If yes, please provide the number of sites verified for n each State: . WISCONSIN • ILLINOIS • INDIANA 3 site(s) 2 site(s) 2 site(s) Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Narnc: Telephone Number: E-mail Address: Name: Telephone Number: E-mail Address: Jon n flownniee (312) 648 - 9900 ext. 259 j a n.l r o w a n i c c ©c l a rk- d ie t z. c v in Joanna Cabal (312) 648 - 9900 joanna.cabaf &clark-dictz.com Fax Number: Fax Number: Page 13 of 13 e Vedfy MOU far Employer I Revision Dale 09/01/09 www.dhs.gov/E-Verify JAMES l3RAINARD, MAYOR LETTER OF TRANSMITTAL Date: December 9, 2015 To: Doug Haney Department of Law From: Jeremy Kashman •L Department of Engineering RE: Clark Dietz, Inc. Contract A Professional Services contract is needed Clark Dietz, Inc. for the January 6th BPW meeting, please. Attached please find the proposal letter and estimate. Contract Information: Project Name Vendor: Amount: Appropriation. Signature: Address: Phone: Fax: Email: #15-19; 106th Street Multi -Use Path Foundation Evaluation and Design Clark Dietz, Inc. $20,620.00 P.O. 33401; 202-509 James Loew, P.E. 8900 Keystone Crossing, Suite 900 Indianapolis, IN 46240 317/808-9158 317/844-9158 jim.loew@clarkdietz.com Received 12-14-15P12:02 RCVD City of Carmel Department of taw DEPARTMENT Or ENGINEERING ONE CIVIC SQUARE, CARYIEL, 1N 46032 OFFICE 3/75712441 FAx 317.571.2139 }',MAIL e ng i necri ngr@ca rmel. in_gnv October 23, 2015 Mr. Jeremy Kashman, PE City Engineer Carmel City Hall One Civic Square Carmel, IN 46032 REFERENCE: 106th Street Multi -Use Path From existing trail East of Ditch Rd. to proposed trail West of Illinois St. in Carmel, Hamilton County, Indiana Des. No. 1006027 Contract R-36021 Subject: Proposal for Foundation Evaluation Dear Mr. Kashman, We understand that the 20" water line owned by Citizen's Water Company that is currently in conflict with the proposed pedestrian bridge over Williams Creek cannot be relocated until the adjacent l061h Street roadway bridge is rehabilitated, The water line will be hung from the rehabilitated roadway bridge, which is scheduled for letting and construction in 2016. However, per Citizen's Water, the water main cannot be relocated to the new bridge structure until after October 1, 2016. The City of Cannel has committed to finishing the MU Path project including construction of the pedestrian bridge by October 2016. Therefore, the City would like to investigate foundation alternatives that will minimize impacts to the existing 20" water line so it can remain in service until the new water line is built, and also allow the MU Path project including pedestrian bridge to be completed by October 2016. Per your request, we propose to perform a feasibility study to evaluate options for the foundation of the pedestrian bridge. More specifically, we propose to do the following: 1. Evaluate foundation options for minimizing impacts to the 20" water line. Evaluation will include coordination with Citizen's Water to determine the most desirable option. The Study will include, but not necessarily be limited to, the evaluation of: a. Spread Footings. b. Revised Pile Footings to minimize vibration loads on water line. 2. Prepare a cost estimate for any proposed options using unit prices of the pay items from the contract bid and average unit prices for new pay items that may be needed. (.lark Dietz, Inc. 5900 Ken, Inc Cross ng Suite'00 Indianapolis. Indiana 46240 T: 317 844 8600 0: 317.541.9158 Jeremy Kashman Page 2 We propose to provide the above services for a lump sum fee of $4,800. The study will be completed within 30 days after notice to proceed. Enclosed for your review is a Professional Services Agreement to provide the previously described services. If acceptable, please sign and return a copy to us. We will begin immediately upon receipt of the signed agreement. Please contact us if you have any questions. We look forward to working with you on this. Sincerely, J4fnes A. Loew. P.E. Project Manager Copy: David Littlejohn, AICP, Alternate Transportation Coordinator, City of Cannel