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Home My WebLink About33413 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 3'Al2J 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 121 o/Is (F!{ VENDOR Cr o. Ro0.cl 3L411 Cr1lr.eerT .5 i'. er n-Tc.rr Or • + e 13eeo-. Gra, e, IN C-1 (or OR SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY 1 UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 41I, 000 P.O. 32 c-412- 2700- 21-11..,"1 ot 00 322700-{2t-1340100 2 11- L13SOF100 Send Invoice To: For J anLka .7 13 pv0 Gur•S,.1nfer CCntroc.4 oF.I-e. S/, /12 pA Yi21 2015 On- CCt11 L1. PLEASE INVOICE IN DUPLICATE Rev ew NTE 41, 25, 000 its t. 82_ 1-7. (115 2200- 0100 4I847.st, P.O. 32tc2-R' 7200-124350900 1 (A,12.q p.21 .2.200- X443 '-101 00 S y.2uLI.L13 P.a. 2 1tig13 21I -R'-1350800 2200-EI3N0r00 p. 0. 2 t< sT 4 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. II DOCUMENT CONTROL NO. 33413 ORDERED BY TITLE CLERK -TREASURER 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. • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPR hilATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. 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 BRAINARD, 1A'LVvoR RE: Additional Service Amendment #21, P.O. #33413 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, 1 have requested and received from you the proposed scope of services and fee estimates for the following work task: Additional Service Amendment #21 — 2015 On -Call Plan Review 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, Je M.ICashman, P.E. City Engineer Reviewed and approved by: S. C. Eryhelkina Director of Administration DEPARTMENT OF ENGINEERING ONE CIVIC SQUARE, CARMEL. IN 46032 OPHCE 317.5712441 FAX 31 7571.2439 E.UAII engi need ng@cannetin.gnv CrossRoad Engineers. P.C. Department of Engineering - 2015 Appropriation: ASA #21; P.O. 33+13; Y.O. 31915 5531.82 2200-R4340100: P.O. 32627 5186.56 2200-84350900; 56 278.21 2200-4340100: P.O. 26577 57.415.37 2200-R4340100; P.O. 27493 54.344.43 21I -R4350900; P.O. 32932 51.000.00 2200- R4340100:55.243.61 211-4350900 Contract Not To Exceed 52.000.00 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 "3", 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: Printed Name Title Lori S. Watson. Member FID/iIN: Date: ATTEST: Diana Cordray, IAMC, Clerk -Treasurer Date: 151, ,\Sd Alnl S..a eioam unois sv P>p Last Four of SSN if Sole Proprietor: Date: December 9, 2015 Mr. Jeremy Kashman, City Engineer City of Carmel One Civic Square Carmel, IN 46032 RE: 2014 On -Call Plan Review Updated Consultant Fee Request Dear Mr. Kashman, We have prepared this updated proposal to continue providing professional services for the City of Carmel. CrossRoad Engineers will provide these services as an extension of the City Engineer's staff on an hourly basis. The specific service we shall provide per this scope includes the technical drainage review of developer -prepared plans as your office requests in conjunction with private developer related projects. Attached are our 2015 Hourly Billing Rates that we will be using for work performed through December 31, 2015. Our November invoice of $7,116.00 has depleted all but S1.68 of the remaining balance of PO #32636. In order to continue work through the final months of 2015 and first quarter of 2016, based on the workload already performed and projected by our office, I formally request the additional amount of S25,000 be added as the contract ceiling against which we would invoice. We will continue to work as efficiently as possible to minimize the City's expenditures on these developer driven projects. Should at any time during this calendar year, the supplemental amount be depleted, we shall contact you immediately to request additional funds for these services. We appreciate the City's trust in our ability to provide these services and look forward to continue working closely with your staff and helping you keep the ever-growing list of projects moving through your office. If you should have any questions or need any further information. Please do not hesitate to call me. Sincerely, CrossRoad Engineers, P.C. Gregory 1'�. P Vice President Enc. EXHIBIT A 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 CROSSROAD EIVEINEER5,PC n EXHIBI o -r A 2 o2 CrossRoad Engineers. P.C. Department of Engineering - 2015 Appropriation: ASA #21: P.O. 33413: P.O. 31915 $531.82 2200-R4340100; P.O. 32627 186.56 2200-R4350900: $6,278.21 2200-4340100: P.O. 26577 57.415.37 2200-R4340100: Y.O. 27493 54,344.43 21 I -R4350900: Y.O. 32932 81.000.00 2200- R4340100:$5.243.61 211-4350900 Contract Not To Exceed 525,000.00 EXHIBIT `B" E -verily requirement All terms defined in I.C. § 22-5-1.7 et seq. are adopted and incorporated into this section of the Amendment. Pursuant to 1.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 -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 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 tern 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) clays ("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 wiIl not apply, should the E-Verifv program cease to exist. cgni,n+/'_OI$(nnrRmJacmccr, UI ASAA,I.1'IS,.Amend (1,12/I:CL1 152,10 P.\:I CrossRoad Engineers. P.C. Department of Engineering - 2015 Appropriation: ASA #21: P.O. 33413: P.O. 31915 5531.82 2200-R4340100; P.O. 32627 186.56 2200-R4350900: 56 278.21 2200-4340100: P.O. 26577 $7.415.37 2200-84340100; P.O. 27493 54.344.43 211-R4350900: P.O. 32932 $1.000.00 2200- R4340100: 55 243.61 211-4350900 Contract Not To Exceed $25.000.00 Exhibit "C E -Verify Affidavit being first duly sworn, deposes and says that he/she is familiar with and has personal knowledge of the Pacts herein and, if called as a witness in this matter, could testify as follows: 1 ani over eighteen (1S) years of age and am competent to testify to the facts contained herein. 2. 1 ani now and at all times relevant herein have been employed by (the "Company") in the position of 3. t 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. d. 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: Is-4evm�a.Nm1Sv¢F(.,d SPL v.! nocy0I 210 gVII [tilt yL� [til, Company ID Number: 440231 'WY 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 Tale 08115/2011 Dale Department of Homeland Security — Verification Division USCIS Verification Division Name (Please Type or Print) Title Electronically Signed Signature '08115/2011 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 a Company Alternate Address: 3417 Sherman Drive Beech Grove, IN 46107 County or Parish. MARION Employer Identification Number 351963331 Page 12 of 131E -Vent)/ MOU for Employer ; Revision Date 09/01109 www.dhs.gov/E-Verify Company ID Number: 440231 North American Industry Classification Systems Code: 541 Administrator: Number of Employees: Number of Sites Verified for: Are you verifying for more in each State: INDIANA 20 to 99 ban 1 site? If yes, please provide the number of sites verified for 1 ages) 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 jnea porlriicrussruadengineees.com Walter E Charles (317) 780 - 1555 ext. 115 cell rles(n crossrondeaginec 'tram Fax Number: (317) 780 - 6525 Fax Number: (317) 780 - 6525 Page 13 of 13 E -Verify MOU for Employer I Revision Dale 09/01/09 www.dhs.gov/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 #21 — 2015 On -Call Plan Review CrossRoad Engineers, P.C. $25,000 P.O. 33413 — 2200, 211 Chip Charles 3417 South Sherman Drive Beech Grove, IN 46107 317/780-1555 317/780-6525 ccharles@crossroadengineers.com