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HomeMy WebLinkAboutWhite River Alliance/Eng/10,000/Regional MS4 Public Education ProgramWhite River Alliance Engineering Department - 2016 Appropriation #44-628.38; P.O. #33461 Contract Not To Exceed $10,000.00 AGREEMENT FOR PURCHASE OF GOODS AND SERVICES Sao THIS AGREEMENT FOR PURCHASE OF GOODS AND SERVICES ("Agreement") is hereby entered into by and between the City. of Carmel, Indiana, acting by and through its Board of Public Works and Safety ("City"), and White River Alliance an entity duly authorized to do business in the State of Indiana ("Vendor"). TERMS AND CONDITIONS ACKNOWLEDGMENT, ACCEPTANCE: Vendor acknowledges that it has read and understands this Agreement, and agrees that its execution of same constitutes its acceptance of all of the Agreement's terms and conditions. 2. PERFORMANCE: City agrees to purchase the goods and/or services (the "Goods and Services") from Vendor using City budget appropriation number 44-628.38 funds. Vendor agrees to provide the Goods and Services and to otherwise perform the requirements of this Agreement by applying at all times the highest technical and industry standards. 3. PRICE AND PAYMENT TERMS: 3.1 Vendor estimates that the total price for the Goods and Services to be provided to City hereunder shall be no more than Ten Thousand Dollars ($10,000.00) (the "Estimate"). Vendor shall submit an invoice to City no .more than once every thirty (30) days detailing the Goods and Services provided J to City within such time period. City shall pay Vendor for such Goods and Services within sixty (60) days after the date of City's receipt of Vendor's invoice detailing same, so long as and to the extent such Goods and Services are not disputed, are in conformance with the specifications set forth in Exhibit A, are submitted on an invoice that contains the information contained on attached Exhibit B, and Vendor has otherwise performed and satisfied all the terms and conditions of this Agreement. 3.2 Vendor agrees not to provide any Goods and Services to City that would cause the total cost of the Goods and Services provided by Vendor to City hereunder to exceed the Estimate, unless City has previously agreed, in writing, to pay an amount in excess thereof. 4. WARRANTY: Vendor expressly warrants that the Goods and Services covered by this Agreement will conform to those certain specifications, descriptions and/or quotations regarding same as were provided to Vendor by City and/or by Vendor to and accepted by City, all of which documents are incorporated herein by reference, and that the Goods and Services will be delivered in a timely, good and workmanlike manner and free from defect. Vendor acknowledges that it knows of City's intended use and expressly warrants that the Goods and Services provided to City pursuant to this Agreement have been selected by Vendor based upon City's stated use and are fit and sufficient for their particular purpose. [SAContnctstProLSves & Goods Sves\Enginccring12016\White River AM— Goods & Services FORM.doc:1252016 2:05 Ptvp White River Alliance Engineering Department - 2016 Appropriation #44-628.38; P.O. •#33461 Contract Not To Exceed $10,000.00 5. TIME AND PERFORMANCE: This Agreement shall become effective as of the last date on which a party hereto executes same ("Effective Date"), and both parties shall thereafter perform their obligations hereunder in a timely manner. Time is of the essence of this Agreement. DISCLOSURE AND WARNINGS: If requested by City, Vendor shall promptly furnish to City, in such form and detail as City may direct, a list of all chemicals, materials, substances and items used in or during the provision of the Goods and Services provided hereunder, including the quantity, quality and concentration thereof and any other information relating thereto. At the time of the delivery of the Goods and Services provided hereunder, Vendor agrees to furnish to City sufficient written warning and notice (including appropriate labels on containers and packing) of any hazardous material utilized in or that is a part of the Goods and Services. 7. LIENS: Vendor shall not cause or permit the filing of any lien on any of City's property. In the event any such lien is filed and Vendor fails to remove such lien within ten (10) days after the filing thereof, by payment or bonding, City shall have the right to pay such lien or obtain such bond, all at Vendor's sole cost and expense. 8. DEFAULT: In the event Vendor: (a) repudiates, breaches or defaults under any of the terms or conditions of this Agreement, including Vendor's warranties; (b) fails to provide the Goods and Services as specified herein; (c) fails to make progress so as to endanger timely and proper provision of the Goods.and Services and does not correct such failure or breach within five (5) business days (or such shorter period of time as is commercially reasonable under the circumstances) after receipt of notice from City specifying such failure or breach; or (d) becomes insolvent, is placed into 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 (1) terminate all or any parts of this Agreement, without liability to Vendor; and (2) exercise all other rights and remedies available to City at law and/or in equity. INSURANCE AND INDEMNIFICATION: Vendor shall procure and maintain in full force and effect during the term of this Agreement, with an insurer licensed to do business in the State of Indiana, such insurance as is necessary for the protection of City and Vendor from all claims for damages under any workers' compensation, occupational disease and/or unemployment compensation act; for bodily injuries including, but not limited to, personal injury, sickness, disease or death of or to any of Vendor's agents, officers, employees, contractors and subcontractors; and, for 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 in attached Exhibit C. Vendor shall cause its insurers to name City as an additional insured on all such insurance policies, shall promptly provide City, upon request, with copies of all such policies, and shall provide that such insurance policies shall not be canceled without thirty (30) days prior notice to City. Vendor shall indemnify and hold harmless City from and against any and all liabilities, claims, demands or'expenses (including, but not limited to, reasonable attorney fees) for injury, death and/or damages to any person or property arising from or in connection with Vendor's provision of Goods and Services pursuant to or under this Agreement or Vendor's use of City property. Vendor further agrees to indemnify, defend and hold harmless City and its officers, officials, agents and employees from all claims and suits of whatever type, including, but not limited to,, all court costs, attorney fees, and other expenses, caused by any act or omission of Vendor and/or of any.of Vendor's agents, officers, employees, contractors or subcontractors in the performance of this Agreement. These indemnification obligations shall survive the termination of this Agreement. [S:\Connacls\Prof.Svcs & Goods Svcs\Englnecring\2016\Whi1e River Alliance, Goods & Services FORMA -1/252016 2:05 PM] White River Alliance Engineering Department - 2016 Appropriation #44-628.38; P.O. #33461 Contract Not To Exceed $10,000.00 10. GOVERNMENT COMPLIANCE: Vendor agrees to comply with all federal, state and local laws, executive orders, rules, regulations and codes which may be applicable to Vendor's performance of its obligations under this Agreement, and all relevant provisions thereof are. incorporated herein by this reference. Vendor agrees to indemnify and hold harmless City from any loss, damage and/or liability resulting from any such violation of such laws, orders, rules, regulations and codes. This indemnification obligation shall survive the termination of this Agreement., 11. NONDISCRIMINATION: Vendor represents and warrants that it and all of its officers, employees, agents, contractors and subcontractors shall comply with all laws of the United States, the State of Indiana and City prohibiting discrimination against any employee, applicant for employment or other person in the provision of any Goods and Services provided by this Agreement with respect to their hire, tenure, terms, conditions and privileges of employment and any other matter related to their employment or subcontracting, because of race, religion, color, sex, handicap, national origin, ancestry, age, disabled veteran status and/or Vietnam era veteran status. 12. E -VERIFY Pursuant to I.C. § 22-5-1.7 et seq., as the same may be amended from time to time, and as is incorporated herein by this reference (the "Indiana E -Verify Law"), Vendor is required to enroll in and verify the work eligibility status of its newly -hired employees using the E -Verify program, and to execute the Affidavit attached herein as Exhibit D, affirming that it is enrolled and participating in the E -verify program and does not knowingly employ unauthorized aliens. In support of the Affidavit, Vendor Shall provide the City with documentation indicating that it has enrolled and is participating in the E -Verify program. Should Vendor subcontract for the performance of any work under and pursuant to this Agreement, it shall fully comply with the Indiana E -Verify Law as regards each such subcontractor. Should the Vendor or any subcontractor violate the Indiana E -Verify law, the City may require a cure of such violation and thereafter, if no timely cure is performed, terminate this Agreement in accordance with either the provisions hereof or those set forth in the Indiana E -Verify Law. The requirements of this paragraph shall not apply should the E - Verify program cease to exist. 13. NO IMPLIED WAIVER: The failure of either party to require performance by the other of any provision of this Agreement shall not affect the right of such party to require such performance at any time thereafter, nor shall the waiver by any party of a breach of any provision of this Agreement constitute a waiver of any succeeding breach of the same or any other provision hereof. 14. NON -ASSIGNMENT: Vendor shall not assign or pledge this Agreement, whether as collateral for a loan or otherwise, and shall not delegate its obligations under this Agreement without City's prior written consent. 15. RELATIONSHIP OF PARTIES: The relationship of the parties hereto shall be as provided for in this Agreement, and neither Vendor nor any of its officers, employees, contractors, subcontractors and agents are employees of City. The contract price set forth herein shall be the full and maximum compensation and monies required of City to be paid to Vendor under or pursuant to this Agreement. [S:\ContraCls\ProfSv & Goods Svcs\Engh­ring\2016\Whitt Rivcr AM— Goods& Serviccs FORMA— 12520162:05 PK White River Alliance Engineering Department - 2016 Appropriation #44-628.38; P.O. #33461 Contract Not To Exceed $10,000.00 16. GOVERNING LAW; LAWSUITS: This Agreement is to be construed in accordance with and governed by the laws of the State of Indiana, except for its conflict of laws provisions. The parties agree that, in the event a lawsuit is filed hereunder, -they waive their right to a jury trial, agree to file any such lawsuit in an appropriate court in Hamilton County, Indiana only, and agree that such court is the appropriate venue for and has jurisdiction over same. 17. SEVERABILITY: If any term of this Agreement is invalid or unenforceable under any. statute, regulation, ordinance, executive order or other rule of law, such term shall be deemed reformed or deleted, but only to the extent necessary to comply with same, and the remaining provisions of this Agreement shall remain in full force and effect. 18 19. NOTICE: Any notice provided for in this Agreement will be sufficient if it is in writing and is delivered by postage prepaid_ U.S. certified mail, return receipt requested, to the party to be notified at the address specified herein: If to City: City of Carmel One Civic Square Carmel, Indiana 46032 If to Vendor: White River Alliance 1052 Woodlawn Avenue Indianapolis, Indiana 46203 ATTENTION: Alex Umlauf AND Douglas C. Haney, Corporation Counsel Department of Law One Civic Square Carmel, Indiana 46032 Notwithstanding the above, notice of termination under paragraph 19 hereinbelow shall be effective if given orally, as long as written notice is then provided as set forth hereinabove within five (5) business days from the date of such oral notice. TERMINATION: 19.1 Notwithstanding anything to the contrary contained in this Agreement, City may, upon notice to Vendor, immediately terminate this Agreement for cause, in the event of a default hereunder by Vendor and/or if sufficient funds are not appropriated or encumbered to pay for the Goods and Services to be provided hereunder. In the event of such termination, Vendor shall be entitled to receive only payment for the undisputed invoice amount representing conforming Goods and Services delivered as of the date of termination, except that such payment amount shall not exceed the Estimate amount in effect at the time of termination, unless the parties have previously agreed in writing to a greater amount. 19.2 City may terminate this Agreement at any time upon thirty (30) days prior notice to Vendor. In the event of such termination, Vendor shall be entitled to receive only payment for the undisputed invoice amount of conforming Goods and Services delivered as of the date of termination, except that such payment amount shall not exceed the Estimate amount in effect at the time of termination, unless the parties have previously agreed in writing to a greater amount. 19.3 The City may terminate this Agreement pursuant to Paragraph.11 hereof, as appropriate. [S:\ContractsTrof.Sv & Goods Sv \Engincering\2016\Whitt Riva Alliance Goals & Services FORMA= 1/2512016 2:05 PK White River Alliance Engineering Department - 2016 Appropriation #44-628.38; P.O. #33461 Contract Not To Exceed $10,000.00 20. REPRESENTATIONS AND WARRANTIES The parties represent and warrant that they are authorized to enter into this Agreement and that the persons executing this Agreement have the authority to bind the party which they represent. 21. ADDITIONAL GOODS AND SERVICES Vendor understands and agrees that City may, from time to time, request Vendor to provide additional goods and services to City. When City desires additional goods and services from Vendor, the City shall notify Vendor of. such additional goods and services desired, as well as the time frame in which same are to be provided. Only after City has approved Vendor's time and cost estimate for the provision of such additional goods and services, has encumbered sufficient monies to pay for same, and has authorized Vendor, in writing, to provide such additional goods and services, shall such goods and services be provided by Vendor to City. A copy of the City's authorization documents for the purchase of additional goods and services shall be numbered and attached hereto in the order in which they are approved by City. 22. TERM, otherwise terminated in accordance with the termination provisions set forth in Paragraph 19 hereinabove, 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. 23. HEADINGS All heading 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. 24. BINDING EFFECT The parties, and their respective officers, officials, agents, partners, successors, assigns and legal representatives, are bound to the other with respect to all of the covenants, terms, warranties and obligations set forth in Agreement. 25. NO THIRD PARTY BENEFICIARIES This Agreement gives no rights or benefits to anyone other than City and Vendor. 26. IRAN CERTIFICATION: Pursuant to I.C. § 5-22-16.5, the Vendor shall certify that, in signing this document, it does not engage in investment activities within the Country of Iran. 27. ADVICE OF COUNSEL: The parties warrant that they have read this Agreement and understand it, have had the opportunity to obtain legal advice and assistance of counsel throughout the negotiation of .this Agreement, and enter into same freely, voluntarily, and without any duress, undue influence or coercion. 28. ENTIRE AGREEMENT: This Agreement, together with any exhibits attached hereto or referenced herein, constitutes the entire agreement between Vendor and'City with respect to the subject matter hereof, and supersedes all prior oral or written representations and agreements regarding same. Notwithstanding any other term or condition set forth herein, but subject to paragraph .16 hereof, to the extent any term or condition contained in any exhibit attached to this Agreement or in any document referenced herein conflicts with any term or condition contained in this Agreement, the term or condition contained in this Agreement shall govern and prevail. This Agreement may only be modified by written amendment executed by both parties hereto, or their successor's in interest. [S:\ContrnclslProf.Svrs & Goods Sves\Enginccring@016\Whi1e River Alliance Goals & Services FORMA -1252016 2:05 Pmq White River Alliance En.gineerin5 Department - 2016 Appropriation #44-623.35; P.O. #33461 Contract Not To Exceed $10,000.00 IN WITNESS WHEREOF, the parties hereto have made and executed this Agreement as follows: CITY OF CARMEL, INDIANA by and through its Board of Public Works and Safety By: ,fifies Brainard, Presiding Officer ate: — C A/1� /'Q -L -j 6�4— aBurlce„�lem�et,`/� Date: of / Lori S. ra!��mbejDate: dZ ATTEST: r 9/z�xv Aa Ch ' ine S. Pa Imo, lerkJreasureU Date: ! �✓ JS:K'+vuutlJ!ndSn .�'Cnn.kSr.,+F p;ieming\:OIfi1UT-�� Rnet .Vlo-na G.v+ly h Scrric. FOA1i,4�� I,�crYlJfi!.Yty P�iJ WHITE RIVER ALLIANCE By: /fir uth d,SigndW. a Printed Name r. Title FUrIN: SCJ— 2&a (n 14 9 Last Four of 8SN if Sole Proprietor: . Date:°1 1 WHITE RIVER White River Alliance 1052 Woodlawn Avenue ALLIANCE Indianapolis, IN 46203 www.thewhiteriveralliance.org Professional Services Letter Agreement January 5, 2016 John Thomas City of Carmel One Civic Square Carmel, IN 46032 RE: Regional MS4 Public Education and Public Involvement Program Dear Mr. Thomas, This Professional Services Letter will serve as a written understanding of the services to be provided by the White River Alliance (herein referred to as the Alliance) to the City of Carmel in support of the City of Carmel's MS4 permit requirements for Minimum Control Measures (MCMs) 1 and 2, Public Education and Public Involvement (in accordance with 327 IAC 15-13 (Rule 13)). Services provided by the Alliance are not intended to and do not substitute for the City of Carmel's responsibility to meet its applicable permit requirements for these MCMs. However, the Alliance's services are intended to greatly benefit the City of Carmel in meeting these requirements. Services will supplement your local program and help leverage other participating MS4 resources for implementation of a complementary regional program. Services will be performed by the Alliance's contracted professionals. Most, if not all services should be performed by Alliance -contracted professionals under this agreement unless otherwise specifically committed to within subsequent committee meetings. This Agreement will terminate on December 31, 2016. If available funds within each category have not been fully utilized by this date, the funds will be forwarded to the next year and a subsequent agreement will be negotiated among the participating MS4s as to how the money should be allocated. If the participating MS4 opts out of the program for any reason, funds will be forfeited to the Alliance. Fees will not be prorated within the calendar year or refundable. Participating MS4s have a right to use products for as long as they have an active agreement with the Alliance or the funds from a previous agreement are spent. The Agreement can be renewed with amended deliverables througout the year and in subsequent years. At the time of this letter, the regional program is expected to garner financial commitments and revenue totaling $73,575. This amount includes program fees from participating MS4s and anticipated registration fees and sponsorships for the Trained Individual worskhop. A few other key sponsorship requests are pending that if secured would add additional deliverables to the annual program. As other MS4s join this regional effort over the course of the year, their funds will also be used to help increase services and/or products or expand the reach of program delivery into other MS4 jurisdictions. Decisions and recommendations regarding the development of materials, messaging, and overall EXHIBIT A program direction will be led by a committee of participating MS4 representatives (including the City of Carmel) and other at -large Alliance members as appropriate. This committee will meet as needed throughout 2016, but no less than quarterly. The 2016 Program may evolve based on the advancement of partnerships and complementary programs, such as the Clear Choices Clean Water Sponsorship program. As the Alliance's MS4 Public Education and Involvement Program evolves throughout the year, adjustments to the exact allocation of funds spent on individual tasks may need to shift. Any adjustments will require future discussion with committee members. Decisions about adjustments (shifts of funds between outlined tasks) will be made by a simple majority of members present at the appropriate Education Committee meeting. At least 30 days' notice will be provided to members of any meetings that involve budget adjustment discussions. At a minimum, the Alliance's 2016 program will provide the following within the designated timeframe: DEVELOPMENT OF `TRAINED INDIVIDUAL' CERTIFICATION PROGRAM Budget for Item 1: $12,475 Activities include the final material preparations and expenses for the 2016 workshop as well as workshop promotion, exam processing, certification issuance and associated database entry, sponsorship recruitment, etc. Initial planning for the 2017 workshop, including early Advance Track program planning, will also occur. Delivery: by March 31, 2016 DEVELOPMENT OF LANDSCAPE MANAGERS WORKSHOP Budget for Item 2: $13,500 Activities include the material development, workshop preparation, and expenses for the 2016 workshop as well as workshop promotion, CUE coordination, sponsorship recruitment, etc. Delivery: by October 31, 2016 ADVANCEMENTS TO CLEAR CHOICES CLEAN WATER PROGRAM Budget for Item 3: $3,600 Activities will include updating all lawn fertilizer pledge materials to reflect a modified message regarding less fertilizer use (in addition to current no -phosphorus fertilizer messaging), as well as formalizing the Adopt -A -Storm Drain element of the Service pledge. Delivery: May 2016. GRASSROOTS ENGAGEMENT Budget for Item 4: $30,735 Activities include delivering presentation and programs to professional organization, scouts, and HOAs. Materials targeted to HOAs will be developed to complement HOA outreach. A new rain gardens outreach initiative will be conducted over a concentrated timeframe (including program promotion, homeowner workshops, technical assistance, and a large-scale coordinated native plant order). Coordination with the Boy Scouts and STEM Scouts will results in a pilot service project linked to the Clear Choices Clean Water Adopt -A -Storm Drain pledge program. Cultivation, training, and oversight of volunteers who are assisting with program delivery will continue. Small updates will also be made to the table top storm drain model used in outreach programming. EXHIBIT 2 U Exploratory planning will be conducted for a potential dog walk/run event. Pending the outcome of this exploration, an event will be planned, coordinated, and promoted with the help of existing veterinary and pet store partners. Additional financial support from sponsors and/or participating MS4s .will be required for this event to occur. A final decision about the event will be made by the Education Committee after the exploratory phase. Delivery: Ongoing throughout 2016. SOCIAL MEDIA Budget for Item 5: $4,320 This item includes regular posting to various social media outlets, as well as collection and development of updated photography and short video for use in posts. Assistance to individual MS4s to embed Clear Choices social media feeds into their websites as needed. Delivery: Regular posting to social media sites —weekly. Ongoing throughout 2016. ADMINSTRATIVE SERVICES Budget for Item 6: $8,945 Activities include coordinating monthly committee meetings, managing the MS4 budget, year-end planning, providing an annual report of activities, and staffing the Clear Choices Clean Water booth at the annual MS4 conference. Delivery: Meetings and budget — ongoing 2016. Annual conference — May 2016. Year-end planning and annual report — November/December 2016. ADDITIONAL SERVICES INCLUDED AS PART OF ALLIANCE MEMBERSHIP Budget for Items 7-11: No fee since items funded via dues Item 7: Promotion of local events to larger audiences via the Alliance's various communication mechanisms. Items 8: Grant writing and sponsorship/partnership development; including use of not-for-profit status for grants. Item 9: Materials, tools, studies, and resources developed as part of grants, committee work, and activities or research with partners: Item 10: MS4s will be provided notice and opportunities to coordinate their local efforts with the White River Festival. Item 11: MS4s will have the opportunity to request assistance from coordination staff in the purchase of additional products and services a la carte (via separate agreement), to include area -specific walkable maps, table top storm drain model, and event staffing. EXEial E3 IT � -3 0 The City of Carmel, having paid the fees outlined below in Table 1 of this letter to compensate for time and material resources associated with the above listed Items, therefore maintains active membership in the White River Alliance through payment of Alliance dues. Table 1: Coordinated MS4 Program Fees - Year 8120161 The White River Alliance continues to strive to deliver a comprehensive, nationally recognized public education program. To do so, we must expand upon our existing accomplishments: avail ourselves of promising but underutilized local outreach opportunities, continue to develop and build support for the 'Trained Individual' program, refresh our understanding of our stakeholders via an updated stakeholder survey, and capitalize on newly developed pledge campaigns by identifying partner organizations and new target audiences through whom we can extend our Clear Choices pledge messages. As we do so, we will look to our local partners such as the City of Carmel to help us understand the needs of their specific local audiences, and will rely on them to ensure local implementation of the program's projects. Thank you for your vision and collaboration as we work to make notable strides in water quality in central Indiana through planning, education and awareness! We look forward to delivering a great program and growing our partnership with the City of Carmel and other key White River Watershed stakeholders. Sincerely, Alex Umlauf, Treasurer White River Alliance Signature of Participating MS4 Title Printed Name Date E `HIBIT MCM 1 & 2 Program Fee (pop. based) Cost of UWRWA Membership Total Financial Commitment Population 5.000 1000 $500 $1,500 Population 5,000 - 15,000 3000 $1,000 $4,000 Po•,puulation 15 001 - 50,00© 6000 $1,000 $7,000 Population 50,001 In] tia® 0©0 9,000 15,000 $1,000 $10,000 $2,000 $17,000 Popula�ion250MW 00iI 5000,00 40,000 $5,000 $45,000 Po ula,ion> 000+0 55,000 1 $5,000 1 $60,000 The White River Alliance continues to strive to deliver a comprehensive, nationally recognized public education program. To do so, we must expand upon our existing accomplishments: avail ourselves of promising but underutilized local outreach opportunities, continue to develop and build support for the 'Trained Individual' program, refresh our understanding of our stakeholders via an updated stakeholder survey, and capitalize on newly developed pledge campaigns by identifying partner organizations and new target audiences through whom we can extend our Clear Choices pledge messages. As we do so, we will look to our local partners such as the City of Carmel to help us understand the needs of their specific local audiences, and will rely on them to ensure local implementation of the program's projects. Thank you for your vision and collaboration as we work to make notable strides in water quality in central Indiana through planning, education and awareness! We look forward to delivering a great program and growing our partnership with the City of Carmel and other key White River Watershed stakeholders. Sincerely, Alex Umlauf, Treasurer White River Alliance Signature of Participating MS4 Title Printed Name Date E `HIBIT WHITE RIVER ALLIANCE ����� '.�`:WAiERSHED�ALLIANCE WHITE RIVER Iosz 17Voodlawn Ave Indianapolis, IN"46203 A L L i H N C 1317) 672=7577 ; thewhiti riveralliance.or: Bill To: John Thomas City of Carmel One Civic Square Carmel, IN 46032 INVOICE Date Invoice # 1/5/2016 WRA2016_MS4_001 Terms Due Date Upon Receipt Total Billed to Description Value Date Due 2016 Upper White Membership Dues 2016 Regional MS4 Program Dues $1,000.00 $9,000.00 CURRENT TOTAL $10,000.00 PREVIOUS BALANCE TOTAL BALANCE DUE $10,000.00 TKANKYOR EXHIBIT B Invoice Name of Company: Address & Zip: Telephone No.: Fax No.: Project Name: Invoice No. Purchase Order No: Date: Signature Printed Name Goods Services Person Providing Goods/Services Date Goods/ Service Provided Goods/Services Provided (Describe each good/service separately and in detail) Cost Per Item Hourly Rate/ Hours Worked Total GRAND TOTAL Signature Printed Name EXHIBIT C INSURANCE COVERAGES Worker's Compensation & Disability Employer's Liability: Bodily Injury by Accident/Disease: Bodily Injury by'Accident/Disease: Bodily Injury by Accident/Disease: Property damage, contractual liability, products -completed operations: General Aggregate Limit (other than Products/Completed Operations): Products/Completed Operations: Personal & Advertising Injury Statutory Limits $100,000 each employee $250,000 each accident $500,000 policy limit $500,000 $500,000 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: Injury and property damage: Policy Limit: Umbrella Excess Liability Each occurrence and aggregate: Maximum deductible: $500,000 each accident $500,000 each accident $500,000 $500,000 $ 10,000 EXHIBIT D 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: I am over eighteen (IS) years of age and am competent to testify to the facts contained herein. 2. I am now an at all times relevant herein have been employed by (the "Employer') in the position ofe� -01 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 docs not currently employ any unauthorized aliens. 7. FURTHER AFFIANT SAYETH NOT. EXECUTED on the day of u 201�. Printed: cj r i K� 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: �K�"" 11201"', eri 'a? i�f�lll fv Company ID Number: 877912 Approved by: Employer Upper -White River Alliance, Inc. Name (Please Type or Print) Title Jill Hoffmann Signature Date Electronically Signed `05/13/2015 Department of HomelandSecurity- Verification Division Name (Please Type or Print) Title F. Signature . Date Page 13 of 17 E -Verify MOU for Employers I Revision Date 06/01/13 ran irs mw:uoea• Company ID Number: 877912 Information Required for the E -Verify Program Information relating to your Company: Company Name Upper White River Alliance, Inc. Company Facility Address, . 1052 Woodlawn Ave. Indianapolis, IN 46203 CompanyAlternate Address County or -Parish MARION Employer Identification Number 352076148 North American Industry Classification Systems -Code $13 Parent Company Number of Employees 1 to 4. Number of Sites Verified for 1 Page 14 of 17 E -Verify MOU for Employers I Revision Date 06/01/13 �6. �Yn4A Company ID Number: 877912 Are you verifying for more than 1 site? If yes, please provide the number of sites verified for in each State: INDIANA 1 site(s) Page 15 of 17 E -Verify MOU for Employers I Revision Date 06/01/13 oil EK-VerifV xa�v, nri- 'N aav r� Company ID Number: 877912 Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Name Heather C Bacher Phone Number (317) 672 - 7577 Fax Number Email Address heather@thewhiteriveralliance.org Name Lisa Bihl Phone Number (317) 672 - 7577 Fax Number Email Address lisa@thewhiteriveralliance.org Name Jill E Hoffmann Phone Number (317) 672 - 7577 Fax Number Email Address jill@thewhiteriveralliance.org 0 Page 16 of 17 E -Verify MOU for Employers I Revision Date 06/01/13 sem y .7 rl V N)sTxr Company ID'Number: 877912 Page intentionally left, blank Page 17 of 17 E -Verify MOU for Employers I Revision Date 06/01/13 Received 01-25-1b P12:58 IN City of Carmel Department of Law 02—J2-1 b x`09:54 I rmel of Ca LETTER OF TRANSMITTAL City Department ofCaofe Date: January 22, 2016 To: Doug Haney Department of Law From: Jeremy Kashman lMK Department of Engineering RE: 2016 Upper White River Alliance Membership and Regional MS4 Program Dues Attached for legal review is subject Agreement. This Agreement is needed for the February 3rd BPW meeting. Thank you. o INDIANA RETAIL TAX EXEMPT (� }' o j- Carmel CERTIFICATE NO. 003120155 002 0\�/JL FEDERAL EXCISE TAX EXEMPT ONE CIVIC SQUARE 35-6000972 CARMEL, INDIANA 46032-2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 Page 1 of 1 PURCHASE ORDER NUMBER 33461 _ THIS NUMBER MUST APPEAR ON INVOICES, AIP VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 1 /22/2016 369149 WHITE RIVER ALLIANCE Engineering VENDOR 1052 WOODLAWN AVENUE SHIP 1 Civic Square TO Carmel, IN 46032 - INDIANAPOLIS, IN 46203 - Kate Lustig CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 2200 Account: 44-628.38 Fund: 211 CUM Cap Development 1 Each Regional MS4 Program Dues and Upper White River $10,000.00 Membership Sub Total Send Invoice To: Engineering Kate Lustig 1 Civic Square Carmel, IN 46032 - PLEASE INVOICE IN DUPLICATE $10,000.00 $10,000.00 i DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $10,000.00 SHIPPING INSTRUCTIONS ' AIP 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 'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN 'C.O.D. SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. 'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 ORDERED BY AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE( Y`( �w btAiC e - CONTROL No. 33461 CLERK -TREASURER