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HomeMy WebLinkAboutAmerican Structurepoint/Eng/54,400/106th Street Bridge Repair American Structurepoint,Inc. Engineering Department-2016 Appropriation#920-R4470299; P.O.#33458 (140 . Contract Not To Exceed$54,400.00 0 AGREEMENT FOR PROFESSIONAL SERVICES THIS AGREEMENT FOR PROFESSIONAL SERVICES ("Agreement') is hereby made and entered into by and between the City of.Carmel, Indiana, acting by and through its Board of Public Works and Safety (hereinafter "City"), and American Structurepoint (hereinafter"Professional"). • RECITALS WHEREAS City owns and is responsible for the operation and maintenance of its property, personnel, public works and infrastructure; and WHEREAS, from time to time, City needs professional assistance in fulfilling its foregoing responsibilities; and WHEREAS, Professional is experienced in providing and desires to provide to City the professional services ("Services") referenced herein; and WHEREAS, City desires to engage Professional as an independent contractor for the purpose of providing to City the Services referenced herein; NOW, THEREFORE, in consideration of the foregoing recitals and the covenants and conditions set forth herein, City and Professional mutually agree as follows: SECTION 1. INCORPORATION OF RECITALS The foregoing Recitals are hereby incorporated into this Agreement and made a part hereof. SECTION 2. SCOPE OF SERVICES 2.1 City desires to engage Professional as an independent contractor for the Services set forth in attached Exhibit A, incorporated herein by this reference. 2.2 Professional understands and•agrees that City may, from time to time, request Professional to provide additional or modified Services to City. When City desires additional Services from Professional, the City shall notify Professional of such additional Services desired, as well as the time frame in which same are to be provided. Only after City has approved Professional's time and cost estimate for the provision of such additional Services, has encumbered sufficient monies to pay for same, and has authorized Professional, in writing, to provide such additional Services, shall such Services be provided by Professional to City. A copy of the City's authorization documents for the purchase of additional Services shall be numbered and attached hereto in the order in which they are approved by City. IS:\Contracts\Prof.Svcs&Goods Svcs\Eogineering\2016\American Structurepoint,Inc.Professional Services FORM Revjunc 20 I2.doc:2/420162:52 PM] 1 American Structurepoint,Inc. Engineering Department-2016 Appropriation#920-R4470299; P.O.#33458 Contract Not To Exceed$54,400.00 2.3 Time is of the essence of this Agreement. • • SECTION 3. CITY'S RESPONSIBILITIES 3.1 City shall provide such information as is reasonably necessary for Professional to understand the Services requested. 3.2 City shall provide all data required for provision of Services. Professional may assume that all data so provided is correct and complete. 3.3. City shall arrange for Professional to enter upon public and private property as reasonably required for Professional to perform the Services. • 3.4 City shall'designate payment of the Services from City budget appropriation number 920-R4470299 funds. 3.5 City.shall designate the Mayor or his duly authorized representative to act on City's behalf on all matters • regarding the Services. SECTION 4. PROFESSIONAL'S RESPONSIBILITIES 4.1 Professional shall perform the Services pursuant to the terms of this Agreement and within any applicable time and cost estimate. • 4.2 Professional shall coordinate with City its performance of the Services. 4.3 Professional shall provide the Services by following and applying at all times reasonable and lawful standards as accepted in the industry. • SECTION 5. COMPENSATION • 5.1 Professional estimates that the total price for the Services to be provided to City hereunder shall be no more than Fifty Four Thousand Four Hundred Dollars ($54,400.00) (the "Estimate"). Professional shall submit an invoice to City no more than once every thirty (30) days for Services provided City during the time period . encompassed by such invoice. Invoices shall be submitted on a form containing the same information as that contained on the Professional Services Invoice attached hereto as Exhibit B, incorporated herein by this reference. City shall pay Professional for all undisputed Services rendered and stated on such invoice within thirty five (35) days from the date of City's receipt of same. 5.2 Professional agrees not to provide any Services to City that,would cause the total cost of same to exceed the • Estimate, without City's prior written consent. • • [S:\Contracts\Prof.Svc&Goods Svcs\Enginccring\2016American Slruclurcpoinl,Inc.Professional Services FORM Rcvjunc 2012.doc:2/42016 2:52 PM] 2 American Structurepoint,Inc. • Engineering Department-2016 Appropriation#920-R4470299; P.O.#33458 Contract Not To Exceed$54,400.00 SECTION 6. TERM Unless otherwise terminated in accordance with the termination provisions set forth in Section 7.1 hereinbelow, this Agreement shall be in effect from the Effective Date through,December 31, 2016, and shall, on the first day.of each January thereafter, automatically renew for a period of one (1) calendar year, unless otherwise agreed by the parties hereto. SECTION 7. MISCELLANEOUS 7.1 Termination. 7.1.1 The obligation to provide all or any portion of the Services under this Agreement may be terminated by City or Professional,without cause, upon thirty(30)days' notice. 7.1.2 The obligation to provide all or any portion of the Services under this Agreement may be terminated • by City, for cause, immediately upon Professional's receipt of City's"Notice To Cease Services." 7.1.3 In the event of full or partial Agreement termination, and as full and complete compensation hereunder, Professional shall be paid for all such Services rendered and expenses incurred as of the date of termination that are not,in dispute, except that such payment amount shall not exceed the Estimate. Disputed compensation amounts shall be resolved as allowed by law. 7.2 Binding Effect. City and Professional, and their respective officers, officials, agents, partners and successors in interest are bound to the other as to all Agreement terms, conditions and obligations. 7.3 No Third Party Beneficiaries. • Nothing contained herein shall be construed to give rights or benefits to anyone other than the parties hereto. 7.4 Relationship. The relationship of the parties hereto shall be as provided for in this Agreement, and neither Professional nor any of its agents, employees or contractors are City employees. Professional shall have the sole • responsibility to pay to or for its agents, employees and contractors all statutory, contractual and other benefits and/or obligations as they become due. Professional hereby warrants and indemnifies City for and from any and all costs, fees, expenses and/or damages incurred by City as a result of any claim for wages, • benefits or otherwise by any agent, employee or contractor of Professional regarding or related to the subject matter of this Agreement. This indemnification obligation shall survive the termination of this Agreement. • [S:\Conlrncls\ProfSvcs&Goal.Svcs\Engi.eering\2016Wmcrican Slruclurcpoinl,Inc.Profcssionnl Scrviccs FORM Rcv junc 2012.doc:2/42016 2:52 PM] 3 American Structurepoint,Inc. Engineering Department-2016 Appropriation#920-R4470299; P.O.#33458 Contract Not To Exceed$54,400.00 7.5 Insurance. • Professional shall procure and maintain with an insurer licensed to do business in the State of Indiana such insurance as is necessary for the protection of City and Professional from all claims under workers' compensation, occupational disease and/or unemployment compensation acts, because of errors and omissions, because of bodily injury, including, but not limited to,•the personal injury, sickness, disease, or death of any of Professional's employees, agents or contractors' and/or because of any injury to or destruction of property, including, but not limited to, any loss of use resulting therefrom. The coverage amounts shall be no less than those amounts set forth on attached Exhibit C. Such insurance policies shall not be canceled without thirty(30) days' prior written notice to City. 7.6 Liens. • Professional shall not cause or permit the filing of any lien on any of City's property. In the event such a lien . is filed and Professional fails to remove it within ten (10) days after the date of filing', City shall have the right to pay or bond over such lien at Professional's sole cost and expense. 7.7 Default. • In the event Professional: (a) repudiates, breaches or defaults under any of the terms or conditions of this Agreement, including Professional's warranties; (b) fails to perform the Services as specified; (c) fails to make progress so as to endanger timely and proper completion of the Services and does not correct such failure or breach within five (5).business days after receipt of notice from City specifying same; or (d) becomes insolvent, files, or has filed against it, a petition for receivership, makes a general assignment for the benefit of creditors or dissolves, each such event constituting an event of default hereunder, City shall have the right to terminate all or any part of this Agreement, without liability to Professional and to exercise any other rights or remedies available to it at law or in equity. 7.8 Government Compliance. Professional agrees to comply with all laws, executive orders, rules and regulations applicable to Professional's performance of its obligations under this Agreement, all relevant provisions of which being hereby incorporated herein by this reference,to keep all of Professionals' required professional licenses and certifications valid and current, and to indemnify and hold harmless City from any and all losses, damages, costs, liabilities, damages, costs and attorney fees resulting from any failure by Professional to do so. This indemnification obligation shall survive the termination of this Agreement. 7.9 Indemnification. Professional shall indemnify and hold harmless City and its officers, officials, employees and agents from all losses, liabilities, claims,judgments and liens, including, but not limited to, all damages,,costs, expenses and attorney fees arising out of any intentional or.negligent act or omission of Professional and/or any,of its employees, agents or contractors in the performance of this Agreement. This indemnification obligation shall . survive the termination of this Agreement. [S:\Contracts\Prof.Svcs&Goods Svcs\Enginecring12016Wrncrican Structurcpoint,Inc Professional Services FORM Rcv June 2012.doc:2142016 2:52 PM] 4 American Structurepoint,Inc. Engineering Department-2016 Appropriation#920-R4470299; P.O.#33458 Contract Not To Exceed$54,400.00 C 7.10 Discrimination Prohibition. Professional represents and warrants that it and each of its employees, agents and contractors shall comply with all existing and future laws prohibiting discrimination against any employee, applicant for employment and/or other person in the subcontracting of work and/or in the performance of any Services contemplated by this Agreement with respect to hire, tenure, terms, conditions or privileges of employment or any matter directly or indirectly related to employment, subcontracting or work performance hereunder because of race, religion, color, sex, handicap, national origin, ancestry, age, disabled veteran status or Vietnam era veteran status. This indemnification obligation shall survive the termination of this Agreement. 7.11 E-Verify Pursuant to I.C. § 22-5-1.7 et seq., Professional 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 Agreement. Professional is further required to execute the attached Affidavit, herein referred to as Exhibit D, which is an Affidavit affirming that: (i) Professional is enrolled and is participating in the E-verify program, and (ii) Professional does not knowingly employ any unauthorized aliens. This Addendum incorporates by reference, and.in its entirety, attached Exhibit D. In support of the Affidavit, Professional 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 Professional and delivered to the City's authorized representative. Should Professional subcontract for the performance of any work under this Addendum, the Professional 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. Professional shall maintain a copy of such certification for the duration of the term of any subcontract. Professional shall also deliver a copy of the certification to the City within seven (7) days of the effective date of the subcontract. If, Professional, or any subcontractor of Professional, knowingly employs or contracts with any unauthorized aliens, or retains an employee or contract with a person that the Professional or subcontractor subsequently learns is an unauthorized alien, Professional shall terminate the employment of or contract with the unauthorized alien within thirty(30) days ("Cure Period"). Should the Professional or any subcontractor of Professional 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. 7.12 Severability. If any provision of this Agreement is held to be invalid, illegal or unenforceable by a court of competent jurisdiction, that provision shall be stricken, and all other provisions of this Agreement that can operate independently of same shall continue in full force and effect. LS:\Contracts\ProfSva&Goods Svcs\Eogincering\2016Asnericen Strncturcpout4 Inc.Professional Services FORM Revjune 2012.doc:2/42016 2:52 PM] 5 American Structurepoint,Inc.. Engineering Department-2016 Appropriation#920-R4470299; :P.O.#33458 Contract Not To Exceed$54,400.00 7:13 Notice. Any notice, invoice,order or other correspondence required or allowed to be sent pursuant to this Agreement shall be written and either hand-delivered or sent by prepaid U.S. certified mail, return receipt requested, addressed to the parties as follows: CITY: City of Carmel Douglas C.Haney - Department of Engineering Corporation Counsel One Civic Square One Civic Square Carmel,Indiana 46032 Carmel, Indiana 46032 ATTENTION:Jeremy Kashman PROFESSIONAL: American Structurepoint,Inc. 7260 Shadeland Station Indianapolis,Indiana 46256 ATTENTION:David A. Day,P.E.Willis R.`Conner Notwithstanding the above,City may orally-provide to Professional any notice required or permitted'by this Agreement,provided that such notice shall also then be sent as required by this paragraph within ten(10) • business days from the date of such oral notice. 7.14 Effective Date. The effective date ("Effective Date") of this Agreement shall be'the date on:which the last of the parties hereto.executes.same. . 7.15 Governing Law: Lawsuits. - This Agreement shall be governed by and construed in accordance with the laws of the State of Indiana, except for its conflict of laws provisions, as well as by all ordinances and codes of the City of Carmel,. • Indiana.The parties agree'.that, in the event a lawsuit is filed hereunder, they waive any right to a Jury trial they may have,agree to'file such lawsuit in an'appropriate court'in Hamilton County, Indiana only,and agree that such court is the a ro riate venue for and hasjurisdiction over same. pp P - • 7.16 Waiver. Any delay or inaction on the part of either party in exercising or pursuing its rights and/or remedies hereunder . or under law shall not operate to waive any such rights and/or remedies nor in any way affect the rights of such party to require such performance at any time thereafter. ISeroru laldS,b&GoatAinlf;miniiing Sinciu.q..nt lx Prtofu+iaid Serricv.FORM Rol pm 2012.1.2140162SP..'I .. ._ 6 American Structurepoint,Inc. Engineering Department-2016 Appropriation#920-R4470299; P.O.#33458 Contract Not To Exceed$54,400.00 7.17 Non-Assignment. Professional shall not assign or pledge this Agreement nor delegate its obligations hereunder without City's prior written consent. 7.18 Entire Agreement. This Agreement contains the entire agreement of and between the parties hereto with respect to the subject matter hereof, and no prior agreement, understanding or representation pertaining to such subject matter, written or oral, shall be effective for any purpose. No provision of this Agreement may be amended, added to or subtracted from except by an agreement in writing signed by both parties hereto and/or their respective successors in interest. To the extent any provision contained in this Agreement conflicts with any provision contained in any exhibit attached hereto, the provision contained in this Agreement shall prevail. 7.19 Representation and Warranties. Each party hereto represents and warrants that it is authorized to enter into this Agreement and that any person or entity executing this Agreement on behalf of such party has the authority to bind such party or the party which they represent, as the case may be. 7.20 Headings. All headings and sections of this Agreement are inserted for convenience only and do not form a part of this Agreement nor limit, expand or otherwise alter the meaning•of any provision hereof. 7.21 Advice of Counsel. • The parties warrant that they have read this Agreement and fully understand it, have had an opportunity to obtain the advice and assistance of counsel throughout the negotiation of same, and enter into same freely, voluntarily, and without any duress, undue influence or coercion. 7.22 Copyright. City acknowledges that various materials which may be used and/or generated by Professional in performance of Services, including forms, job description formats, comprehensive -position questionnaire, compensation and classification plan and reports are copyrighted. City agrees that all ownership rights and copyrights thereto lie with Professional, and City will use them solely for and on behalf of its own operations. City agrees that it will take appropriate action with its employees to satisfy its obligations with respect to use, copying, protection and security of Professional's property. 7.23 Personnel. • Professional represents that it has, or will secure at its own expense, all personnel required in performing the services under this agreement. Such personnel shall not be employees of or have any contractual relationship with City. All of the services required hereunder will be performed by Professional or under his supervision and all personnel engaged in the work shall be fully qualified to perform such services. [S:\ConunccIslProf.Svcs&Goals Svcs\Engineering\2016\American Strucmrcpoinl,Inc.Professional Services FORM Rev June 2012.doc:2/42016 2:52 PM] 7 American Structurepoint,Inc. Engineering Department-2016 Appropriation#920-R4470299; P.O.#33458 Contract Not To Exceed$54,400.00 7.24 Records and Inspections • • Professional shall maintain full and accurate records with respect to all matters covered under this agreement for three (3) years after the expiration or early termination of this Agreement. City shall have free access at all proper times to such records and the right.to examine and audit the same and to make transcripts there from, and to inspect all program data, documents, proceedings and activities. 7.25 Accomplishment of Project . Professional shall commence, carry on, and complete the project with all practicable dispatch, in a sound economical and efficient manner, in accordance with the provisions thereof and all applicable laws. In accomplishing the project, Professional shall take such steps as are appropriate to ensure that the work involved is properly coordinated with related work being carried on within City's organization. 7.26 IRAN CERTIFICATION. Pursuant to I.C. § 5-22-16.5, the Professional shall certify that, in signing this Agreement, it does hot engage in investment activities within the Country of Iran. 7.27 ACCESS TO PUBLIC RECORDS ACT Professional understands and agrees that any"public record", as that term is defined in Indiana Code 5-14-3- 2(m), as amended, that is related to the subject matter of this Agreement, whether the same is in the possession or control of the Professional or the City, shall be subject to release under and pursuant to the provisions of Indiana's Access to Public Records Act, as codified in Indiana Code 5-14-3-1, et seq., as amended. • • • (remainder of page intentionally left blank) • • • [S:\Commds\ProfSvcs S Goods Svcs\Enginccring2016American Structurcpoini,Inc.Professional Services FORM Rcv junc 2012.doc:2/420I62:52 PMI 8 American Structurepoint,Inc. Engineering Department-2016 Appropriation#920-R4470299; P.O.#33458 Contract Not To Exceed$54,400.00 IN WITNESS WHEREOF,the parties hereto have made and executed this Agreement as follows: CITY OF CARMEL, INDIANA AMERICAN STRUCTUREPOINT, INC. by and through its Board of Public Works and Safety BY: BY: frin James Brainard,P esiding ffi Authon�ignature Date: �// /� Printed Name: Alicfrowv r , .ea//,,6 Title: . 4 p4e. Mary An urke,fttlem r Date: pl / 7//o' FID/TIN: Last Four of SSN if Sole Proprietor.. Lori S Watso ember Date: • Date: % I C7 A ST• Christine S. P ey rk-Treasurer afe:. • IS:laotraoPrnrs<i&Coxlt Svcs\FnydncatinitV0161AinencnlSi wrq int.Inc Pmlca.ionl&Hiss FOR.0 Rev jam 20I:. 2H/2fl162:52PMI 9 0 AMERICAN STRUCTUREPOINT, INC. EXHIBIT A The Professional will provide services for City projects as described below. The information and services to be furnished by the City are as set out in Appendix 1, attached to this Agreement and made an integral part hereof. The Professional shall begin the services to be performed under this Agreement upon receipt of the written notice to proceed from the City and shall deliver the work to the City in accordance with the schedule contained in Appendix 2, attached to this Agreement and made an integral part hereof The Professional shall receive payment for the services performed under this Agreement as set forth in Appendix 3, attached to this Agreement and made an integral part hereof. 106th STREET OVER KEYSTONE PARKWAY BRIDGE COLLISION DAMAGE I. EMERGENCY FIELD INSPECTION A. The Professionals shall inspect the damage to the existing bridge structure on 106th Street over Keystone Parkway and develop an inspection summary report in the form of a memo to the City. II. BRIDGE REPAIR PLANS A. The Professional shall prepare design details, contract plans, special provisions for the specifications, and opinions of probable cost for the repair of 106th Street bridge over Keystone Parkway. B. Upon completion and final approval of the services by the City, the Professional shall deliver to the City the following: 1. One set of final approved contract plans drawn to a suitable scale on standard 22"x 34"or 11"x 17"sheets prepared on bond paper 2. Special Provisions for incorporating into the City's standard front end documents 3. An electronic (PDF) set of final approved contract plans and contract book specifications. 4. A copy of the opinion of probable construction cost C. Additional general data will be issued at the mutual agreement of the Professional and the City, and electronic files will be submitted to the City as requested. The Professional does not authorize or assume liability for any reuse of the documents or digital materials described in this section for any purpose other than this project and the specific use intended unless adapted by and approved by the Professional. • EXHIBIT Exhibit A fi 201600108 0 AMERICAN STRUCTUREPOINT, INC. D. In fulfillment of this Agreement,the Professional shall comply with the requirements of the appropriate regulations and requirements of the City and other public agencies having a legal jurisdiction over the project. III. CONSTRUCTION QUESTIONS A. The Professional shall make themselves available to answer questions in regards to the design during construction of the repairs. IV. CONSTRUCTION OBSERVATION A. If desired by the City, the Professional can provide construction observation services. This work would be completed under a separate supplemental agreement at a later time. EXHIBIT 2 0-0 Exhibit A 201600108 0 AMERICAN STRUCTUREPOINT, INC. APPENDIX 1 INFORMATION AND SERVICES TO BE FURNISHED BY CITY The City shall furnish the Professional with the following, as appropriate: 1. A City's representative with decision-making authority on all inquiries 2. Assistance to the Professional by placing at its disposal all available information pertinent to the project, including but not limited to, property owner information, deeds, plans of adjacent developments, and section corner information 3. Specifications and standard drawings applicable to the project 4. All written reviews pertinent to the project that are received by the City 5. Guarantee of access to enter upon public and private lands, as required for the Professional under this Agreement 6. All legal services, as may be required for development of the project EXHIBIT A 3 cf7 Appendix 1 201600108 0 AMERICAN STRUCTUREPOINT, INC. APPENDIX 2 SCHEDULE The Professional will complete the services described in this Agreement using the following schedule: REPAIR DESIGNS A. Final Plans and Specifications to be completed within 30 days of receipt of written Notice to Proceed EXHIBIT A �.� crf� Appendix 2 2016.00108 AMERICAN STRUCTUREPOINT, INC. APPENDIX 3 COMPENSATION A. Amount of Payment The Professional will receive payment for the work performed under this Agreement as follows,unless a modification of the Agreement is approved in writing by the City. 1. Bridge Repair Plans, Survey&Construction Questions (lump-sum) $54,400 B. Method of Payment 1. Payment for lump-sum items will be made monthly to the Professional on a percent- complete basis upon submission to the City of an invoice. EXHiBIT A cr7 Appendix 3. 201600108 a • AMERICAN STRUCTUREPOLNT,INC. 106th Str• eet Bridge over Keystone Ave MANHOUR JUSTIFICATION • • 106th Street Bridge over Keystone Ave January 26,2016 DESCRIPTION: Field Survey • ' ESTIMATED TIME. Land Party Instrument Property Senior 3 WORK CLASSIFICATION Surveyor thief Man Research - Technician TOTAL • RESEARCH 1 I I 'Assessor/Auditor Maps 0.5 ! I !Owners Names&Addresses 0.5 Deeds 1 !Section Corner Ties 0.5 ! Recorded Surveys I 0.5 • !Utility Maps I 0.5 I • lUTILITY COORDINATION 1 I Utility Call In ! 0.5 I Onsite Meeting I 1 I 1 I I I • SURVEY CONTROL - I 1 f Set&Reference 5 Control Points ! 3 3 ) I GPS Locate 5 Control Points I I 3 I 3 Recover 4 Section Corners I 2 I 2 . GPS Locate 4 Section Corners I 2 ! 2 I I 1 'Bench Circuit 2 2 ! I I TOPOGRAPHIC SURVEY l 2 j 106th Street Bridge and limited survey of Keystone Ave ! 12 _ 12 j UTILITIES,SEWERS&DRAIN PIPES ! 2 1 ! 106th Street Bridge and limited survey of Keystone Ave L. 2 2 1 I COMPUTATIONS r Property&Right of Way Line Computations 8 •Plot Survey Data I B SKELETON FIELD BOOK 1 1 1 I I ?TOTAL HOURS 161 281 281 4 81 'HOURLY RATE $ 110.00 I$ 82.50 I$ 82.50 $. 80.00 $ 95.00 I 1SUBTOTAL • $ 1,760.00 1$ 2,310.00 1,$ 2,310.00 $ 320.00 $ 760,001.$ 7,460.00 jj I DIRECT COST I ! 1 I$ 67.20 jTOTAL FEE I I 1 1 1$ 7,527.20. Direct Costs Hotel 2 rooms x 0 nights x$90/night= $0.00 Per Diem 2 men x 0 days x$30/day= S0.00 Travel Time 3 trips x 40 miles x 0.561mile= .. . .$67:20 $- 67.20 • EXHIBIT Sheet 1 6 201600108 AMERICAN STRUCTUREPOINT,INC. MANHOUR JUSTIFICATION PROJECT:106th Street over Keystone Parkway Bridge Collision Damage Scope of Work: Collision Damage Repair BRIDGE FILE NUMBER:106th Street Date: 1/26/2016 ESTIMATED TIME I Project 1 Project Staff 1 Senior WORK CLASSIFICATION Principal Manager ! Engineer Engineer ' Technician Technician TOTAL 1 I 1 Project Research and Setup 2 81 1 i Field Inspection 2 1 • Summary Memo 2 ,, 1 Preliminary Quantities { 41 2 4 Preliminary Engineers Estimate ( ) 21 2 - I Title Sheet • I { 11 1 1 41 Index Sheet { I 1 21 Maintenance of Traffic I 1{ 4 41 12 241 General Plan .. f j 41 I 8 16 • Removal Details ' • { 1 I 41 4 .16i 24 Railing Details { { 41 4 81 16 Slab Details { I 41 4 81 16, Sidewalk Details I. I .4 4 81 161 Beam Replacement Details • I 11 2 2 21 101 Beam Repair Details I 1 41 4 8I 241 !Final Quantities I 1 2 4! 8 Bridge Summary ! . 11 11 21 Final Engineer's Estimate I 2 4 I Bid Documents 1 8 81 Construction Questions I 8 81 8 • — TOTAL HOURS . i • 5! 70 461 20 801 154 Hourly Rates 1 $ 230.00 1 $ 195.00 $ 130.00 1-$ 90.00 $ 130.00 1$ 90.00 SALARY COST 1 $ 1;150.00 1 $ 13,650.00 $ 5,980.00 .$ 1,800.00 $ 10,400.00 $ 13,860.00 1$ 46,840.00 DIRECT COSTS ! (• I • I $44.00 TOTAL FEE ! �� 1 1 1 $ 46,884.00 Direct Costs Unit Cost Quantity Cost Mileage $0.44 . 100 . . $44.00 Meals $26.00 0 • $0.00 • Total . • $44.00 • • • EXHIBIT 70cl 201600108 EXHIBIT B Invoice Date: Name of Company: Address &Zip: Telephone No.: Fax No.: Project Name: Invoice No. Purchase Order No: Goods Services Person Providing Date Goods/Services Provided Cost Per Hourly Total Goods/Services Goods/ (Describe each good/service Item Rate/ Service separately and in detail) Hours Provided Worked GRAND TOTAL Signature Printed Name EXHIBIT C INSURANCE COVERAGES Worker's Compensation &Disability Statutory Limits Employer's Liability: Bodily Injury by Accident/Disease: $100,000 each employee Bodily Injury by Accident/Disease: $250,000 each accident Bodily Injury by Accident/Disease: $500,000 policy limit Property damage, contractual liability, products-completed operations: General Aggregate Limit (other than Products/Completed Operations): $500,000 Products/Completed Operations: $500,000 Personal &Advertising Injury Policy Limit: $500,000 Each Occurrence Limit: $250,000 Fire Damage (any one fire): $250,000 Medical Expense Limit(any one person): $ 50,000 Comprehensive Auto Liability(owned, hired and non-owned) Bodily Single Limit: $500,000 each accident Injury and property damage: $500,000 each accident Policy Limit: $500,000 Umbrella Excess Liability Each occurrence and aggregate: $500,000 Maximum deductible: $ 10,000 EXHIBIT D AFFIDAVIT /✓,'`v —' ,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. I am over eighteen(18)years of age and am competent to testify to the facts contained herein. 2. I am now nd at all times relevant herein have been employed by eit&b,Lr Sncri .��.,..�- - i•,,c.. - - (the"Employer") in the position of vice 3. I am familiar with the employment policies,practices,and procedures of the Employer and have the authority to act on behalf of the Employer. 4. The Employer is enrolled and participates in the federal E-Verify program.Documentation of this enrollment and participation is attached and incorporated herein. 5. The Employer does not knowingly employ any unauthorized aliens. 6. To the best of my information and belief,the Employer does not currently employ any unauthorized aliens. 7. FURTHER AFFIANT SAYETH NOT. EXECUTED on the / day of ,20 I le 41'" A)6--) Printed: / :, A *•.., 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 repre ations are true and correct. Printed: 47—) ,,43.sago e e t USA r Iy a-Y[AIR I8 A96RY7 GC 11or ON9 Company ID Number:254011 information Required for the E-Verify Program Information relating to your Company: Company Name:American Structurepoint,Inc. Company Facility Address:-7260 Shadoland Station Indianapolis,IN 46266 Company Alternate Address: . County or Parish: M ARION Employer Identification - Number: 351127317 North American Industry Classification Systems Code:541 Parent Company: Number of Employees: 100 to 499 • Number of Sites Verified for: 2 Are you verifying for more than 1 site?If yes,please provide the number of sites verified for in each State: • OHIO 1 site(s) Page 12 of 131E Verify MOU for Employerpievision Date 10/29/08 .dbs.gov/E-Verify "v‘ _ d e- . , en1- I � a .f �tsTnr .a&. __ y El=NIT/IS A SSAVICC OF DNS Company ID Number.254011 • INDIANA • 1 site(s) Information relating,to the Program Administrators)for your Company on policy,.questions or operational problems: - _ • Name: Chelsea Shumaker Telephone Number: (317)647-6680 = Fax Number. (317)643-0270 E-mail Address: cshumakentnstructurepoIntcom • • • • • Page 13 of 131E-Verify MOU for EmployerlReviaion Date 10129;08 wst.dhs.govl -Verify w ,� x erly Y-YBRlff iB A EBAYlii Of DMZ Company ID Number.254011 • 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 American Structurepolnt,Inc. Chelsea Shumaker Name(Please Type or Print) This Electronically Signed 09/17/2009 Signature Department of Homeland Security—Verification Division USCIS Verification Division Name(Please Type or Rini) Title Electronically Signed 09/1712009 Signature Date • Page 11 of 131E Verify MOU for EmployerlRevision Date 10/29/08 .dhs.gov/E«Verify