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Home My WebLink About33412 Crossroad Engineersof 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 331-I 12 THIS NUMBER MUST APPEAR ON INVOICES, AP VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 12/101 Is VENDOR Cr os s{�OGca Ensslr+eC-r.+, Pc. 3'-I I-1 s cr r-ncLn DTC Bee On Grove. 11%1 LI ln'OR SHIP TO De -pt. ON E r--591r-Thee-y. ins CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Send Invoice To: COr+trClC-1 AsP .T 22 2015 Or- Cc11I JIn@er-m3 0,r -C1 I n.speC O" Servs CPS NTE X25. COO E+ gL e PLEASE INVOICE IN DUPLICATE 4 cI,c0S. Q)CI 2I-y3Sog0O �151o0O 7 1 1- 1-41,4-101 00 Oit qa. (oa 2 02 - 1"I350g OQ 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 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY TITLE CLERK -TREASURER PAYMENT • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO. NUMBER I5 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPR ATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. - .71/;\ //lit& ^\ DOCUMENT CONTROL NO. 33412 A.P.V. COPY - SIGN AND RETURN TO CLERK'S OFFICE December 10, 2015 Mr. Chip Charles, P.E. Mr.Trent Newport, P.E. CrossRoad Engineers, P.C. 3417 South Sherman Drive Beech Grove, IN 46107 JAMES BRAIN.ARD, MAYOR RE: Additional Service Amendment #22, P.O. #33412 Dear Chip and Trent: As we discussed, the City of Carmel has a need for additional professional services and pursuant to our current contract with CrossRoad Engineers, dated May 1 2013, I have requested and received from you the proposed scope of services and fee estimates for the following work task: Additional Service Amendment #22 — 2015 On -Call Engineering and Inspection Services Not to Exceed: S25,000.00 Per our contract procedural requirements, I hereby approve these Additional Professional Services estimates, and request that the Board of Public Works ratify the above referenced Contract Amendment. PLEASE NOTE Please be advised that "Additional Services" performed on City contracts must be billed separately from the original contract and other additional services. More importantly, the invoice must reference the appropriate Additional Service # and P.O. # shown above. Invoices received without the Additional Service # referenced will be returned for proper identification. Thank you for your continued assistance in providing the City of Carmel with your professional quality services. If you should have any questions, please give me a call. Sincerely, J - y M. as man, P.E. City Engineer Reviewed and approved by: S. C. Engelkinh Director of Administration DEPARTMENT OF ENGINEERING ONE CIVIC SQUARE, CARMEL, IN 46032 OFFICE 317571.2441 FAN 317.571.2439 EMAIL en gineertngwcarmel.in_g n CrossRoad Engineers, P.C. Department of Engineering - 2015 Appropriation: ASA #22: P.O. 33412; 59.508.39 21 I-4350900: 515.000. 211-4340100: 5491.61 202-4350900 Contract Not To Exceed $25.000.00 ADDITIONAL SERVICES AMENDMENT TO AGREEMENT FOR PURCHASE OF GOODS AND SERVICES THIS AMENDMENT TO THE GOODS AND SERVICES AGREEMENT ("Agreement") entered into by and between the City of Carmel and CrossRoad Engineers, P.C. (the "Vendor"), as City Contract dated May 1, 2013 shall amend the terms of the Agreement by adding the additional services to be provided by Vendor consistent with the Scope of Work attached hereto and incorporated herein as Exhibit "A". Furthermore, the terms of the Agreement shall be amended to include the E -verify requirement as stated in Indiana Code § 22-5-1.7 et seq., which is attached hereto and incorporated herein as Exhibit "B", as well as the required E -verify Affidavit, attached hereto and incorporated herein as Exhibit "C". Also, pursuant to I.C. § 5-22-16.5, Vendor shall certify that in signing this document, it does not engage in investment activities within the Country of Iran. The terms and conditions of the Agreement shall not otherwise be affected by this Additional Services Amendment and shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have made and executed this Amendment as follows: CITY OF CARMEL, INDIANA CrossRoad Engineers, P.C. by and through its Board of Public Works and Safety By: By: James Brainard, Presiding Officer Authorized Signature Date: Mary Ann Burke, Member Date: Lori S. Watson, Member Date: ATTEST: Diana Cordray, IAMC, Clerk -Treasurer Date: IS S\..,tC14.k AtiEnL:InFriiiFl111]'Cnka4m.1Engiocen V`2.l$A A.I.II Sra .- c,,.li �' 12/11201` Printed Name Title FID/TIN: Last Four of SSN if Sole Proprietor: Date: December 9, 2015 Mr. Jeremy Kashman, P.E. City Engineer City of Carmel 1 Civic Square Carmel, IN 46032 RE: On -Call Engineering and Inspection Services (fka On -Call Consulting) Funds Request Dear Jeremy: As we discussed, we have prepared this proposal to continue providing professional services for the City of Carmel. Crossroad Engineers, P.C. will provided these services as an extension of the City's Engineer's staff on an hourly basis. The specific services which we expect to provide include survey, design, inspection, and management services on various miscellaneous projects as your office requests. All work tasks will be completed at the direction of the City Engineer. Attached arc our 2015Hourly Billing Rates which we were used for this work. Per our communication with your office, we would suggest establishing a S25,000 contract ceiling against which we would invoice. We value the City's confidence in our ability to provide engineering services and appreciate the opportunity to continue our involvement in the City's improvements. If you should have any questions or need further assistance, please do not hesitate to call me at 780-1555 ext. 114. Sincerely, CrossRoad Engineers, PC Trent E. Newport, P. E., L. Vice -President Mr. Jeremy Kashman, P.E. City of Carmel December 9, 2015 Page 1 of2 EXHIBIT (oft HOURLY BILLING RATES PERSONNEL CLASSIFICATION HOURLY RATE DESIGN Principal $ 150.00 Director 140,00 Senior Project Manager 125,00 Project Manager 110.00 Project Engineer 95.00 Assistant Project Engineer 80.00 R/W Manager 90.00 CADD Manager 95.00 CADD Technician 80.00 INSPECTION Director $ 140.00 Resident Project Representative 110.00 Asst Resident Project Representative 100.00 Project Inspector 90.00 Assistant Project Inspector 70.00 SURVEY Survey Manager $ 115.00 Assistant Survey Manager 85.00 Survey Crew —1 Man 105.00 Crew Chief 85.00 Field Man 65.00 Researcher 80.00 Survey Technician 80.00 MISCELLANEOUS Mileage (per mile) Other Direct Costs $ 0.52 at cost +15% CrossRoad Engineers, PC 3417 Sherman Drive Beech Grove, Indiana 46107 Rates Effective through December, 2015 EXHiBiT / I 2 {'2 CrossRoad Engineers. P.C. Department of Engineering - 2015 Appropriation: ASA #22; P.O. 33412: $9508.39 211-4350900: 515.000. 211-4340100: $491.61 202-4350900 Contract Not To Exceed $25.000.00 EXHIBIT "13" E -verify requirement All terns defined in I.C. § 22-5-1.7 et seq. are adopted and incorporated into this section of the Amendment. Pursuant to LC, § 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 clone 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 -verify 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 doeumenta tion 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 contractwith any unauthorized ;diens, 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 tern of any subcontract. Vendor shall also deliver a copy of the certification to the City within seven (7) days of the effective elate 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 any 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. , A_S,.'& CAssIsS' 'F.' MCC,,i. 021/ Cr.' Rn lE, ciimm axaa n,Lns. CrossRoad Engineers. P.C. Department of Engineering - 2015 Appropriation: ASA #22: P.O. 33412: $9.505.39 211-4350900: $15.000. 211-4340100: $491.61 202-4350900 Connracr Not To Exceed S25.000.00 Exhibit "C" E -Verify Affidavit . being first duty sworn, deposes and says that lie/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: I am over eighteen (18) years of age and am competent to testify to the facts contained herein. I an) now and at all times relevant herein have been employed by (the "Company') in the position 3. I am familiar with the employment policies. practices, and procedures of the Company and have the authority to act on behalf of the Company. 4. 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: 1 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. ISro,, MProf S. ,42 I Eno Printed: YHR➢L 9'221')11 Company ID Number: 440231 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 CrossRoad Engineers, PC Jill Newport Name (Please Type or Print) Electronically Signed Signature Title 08/15/2011 Dale .. Department of Homeland Security — Verification Division USCIS Verification Division Name (Please Type or Print) Electronically Signed 6ianalure Title i 08/15/2011 Dale Information Required for the E -Verify Program Information relating to your Company: Company Name.,,CrossRoad Engineers, PC Company Facility Address',3417 Sherman Drive Beech Grove, IN 46107 Company Alternate Address: ''`?417 Sherman Drive Beech Grove, IN 46107 County or Parish., MARION Employer Identification Number: 351963331 Page 12 of 131 E-Venfy MOU for Employer E Rev sion Date 09/01/09 wv,mr.dhs.gov/E-Verify Company ID Number: 440231 North American Industry Classification Systems Code: 541 Administrator: Number of Employees Number of Sites Verified for: 20 to 99 `1 Are you verifying for more than 1 sitel If yes, please provide the number of sites verified for in each State: INDIANA 1 site(s) Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Name: Telephone Number: E-mail Address: Name: Telephone Number: E-mail Address: Jill A Newport (317) 780 - 1555 ext. 120 jam porl(u crussrou de ngi nee rscnm Walter E Charles (317)780 - 1555 ext. 115 ccha rle n crossrundengincerscom Fax Number. (317) 780 - 6525 Fax Number:. (317) 780 - 6525 Page 13 of 13 t E -Verify MOL/ for Employer I Revision Date D9/01/09 vrvw.dhs.yov/E-Verify LETTER OF TRANSMITTAL Date: December 10, 2015 To: Doug Haney Department of Law From: Jeremy Kashman Department of Engineering RE: CrossRoad Engineers Additional Service Amendment An additional service amendment is needed for Crossroad Engineers for the January 6th BPW meeting, please. Attached please find CrossRoad's scope of work and purchase order. Contract Information: Project Name: Vendor: Amount: Appropriation: Signature: Address: Phone: Fax: Email: ASA #22 — 2015 On -Call Engineering and Inspection CrossRoad Engineers, P.C. $25,000 P.O. 33412 — 202, 211 Chip Charles 3417 South Sherman Drive Beech Grove, IN 46107 317/780-1555 317/780-6525 ccharles@crossroadengineers.com