HomeMy WebLinkAboutSJCA Engineers & Surveyors/Eng/96,875/Roundabout at Carey Road and Hawthorne DriveSJCA Engineers & Surveyors
Engineering - 2016
Appropriation # 2016 COIT Bond; P.O. # 33694 QRp�
Contract Not To Exceed $96,875.00 �4
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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 SJCA Engineers & Surveyors (hereinafter "Professional")
RECITALS
WHEREAS City owns and is responsible for the operation and maintenance of its property, personnel, public
works and infrastructure; and
.ie
WHEREAS, from time to time, City needs professional assistance in fulfilling its foregoing responsibilities;
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. Professional will not perform any of the Services detailed in
Exhibit A prior to obtaining a written Notice to Proceed from the City. Upon receiving, a Notice to Proceed,
the Professional shall perform only those Services specifically detailed in the Notice. If the Professional
desires clarification of the scope of any Notice to Proceed, the Professional shall obtain such clarification
from the City in writing, prior to performing the service set forth in the Notice to Proceed. Any services
performed without the City's prior express written authorization will not be compensated.
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
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SJCA Engineers & Surveyors
Engineering - 2016
Appropriation # 2016 COIT Bond; P.O. # 33694
Contract Not To Exceed $96,875.00
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.
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 2016 COIT Bond 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 Ninety Six Thousand Eight Hundred Seventy Five Dollars ($96,875.00) (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.
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SJCA Engineers & Surveyors .
Engineering - 2016
Appropriation # 2016 COPT Bond; P.O. # 33694
Contract Not To Exceed $96,875.00
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.
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SJCA Engineers & Surveyors
Engineering - 2016
Appropriation # 2016 COIT Bond; P.O. # 33694
Contract Not To Exceed $96,875.00
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.
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SJCA Engineers & Surveyors
Engineering - 2016
Appropriation # 2016 COPT Bond; P.O. # 33694
Contract Not To Exceed $96,875.00
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.
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SJCA Engineers & Surveyors
Engineering - 2016
Appropriation # 2016 COIT Bond; P.O. # 33694
Contract Not To Exceed $96,875.00
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
Department of Engineering
One Civic Square
Carmel, Indiana 46032
ATTENTION: Jeremy Kashman
PROFESSIONAL:
SJCA Engineers & Surveyors
9102 North Meridian Street, Suite 200
Indianapolis, IN 46260
ATTENTION: Rajiv K. Huria, CEO
Douglas C. Haney
Corporation Counsel
One Civic Square
Carmel,,lndiana 46032
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 Governinq 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 appropriate venue for and has jurisdiction over same.
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.
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SJCA Engineers & Surveyors
Engineering - 2016
Appropriation # 2016 COIT Bond; P.O. # 33694
Contract Not To Exceed $96,875.00
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.
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SJCA Engineers & Surveyors
Engineering - 2016
Appropriation # 2016 COIT Bond; P.O. # 33694
Contract Not To Exceed $96,875.00
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 not 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 sec., as
amended.
(remainder of page intentionally left blank)
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SJCA Engineers & Surveyors
Enginecring - 2016
Appropriation # 2016 CO1T Bond, P.O. # 33694
Contract Not To Exceed $96,875.,00
IN WITNESS WHEREOF, the Parties hereto have made and executed this Agreement as follows:
CITY OF CARMEL, INDIANA SJCA Engineers &:Surveyors
by and through its Board of Public
Works and Safety
BY:
mes Brainard, Presiding 'Off'icer Author.. ed Signature
Date: _ :3 —�S' a .� o% 2S
Printed Name: 'i.✓ :i<.. ►-1'u r �' o`_
Title:
Mary An, Burke,'Mem- e
Date: - 3-�f�16 FID/TIN:.�
Last Four of SSN if Sole Proprietor:
Lori S. atso emb r Date: 3 %::.
Date:
ATTEST
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Mr. Jeremy Kashman, P.E.
Carmel City Engineer
One Civic Square
Carmel, Indiana 46032
February 29, 2016
RE: Roundabout at Carey Road and Hawthorne Drive, Carmel, Indiana
Engineering Design Proposal
Dear Jeremy,
Thank you for the opportunity to submit our fee proposal for the design and right of way
engineering for this project. The proposed project will consist of a roundabout intersection
improvement designed in accordance with City of Carmel Standards and Indiana Department of
Transportation guidelines. The project is at the intersection of Carey Road and Hawthorne
Drive. A summary of our proposed fees is as follows:
Topographic Survey
$14,310.00
LSUM
Roundabout Design
$65,300.00
LSUM
Right of Way Engineering
$12,265.00
NTE
Construction Phase Services
$ 5,000.00
NTE
Total Not to Exceed
$96,875.00
NTE
Per our meeting, the City of Carmel will provide the Right of Way Services and Management
items through an on-call contract. Geotechnical services are not anticipated for this project.
Our proposed project schedule in calendar days is as follows:
Topographic Survey 45 days from Notice to Proceed (NTP)
Geometric Submittal 30 days from completion of survey
Stage 1 60 days from approval of Geometric Submittal
Final Plans/Tracings 45 days from approval of Stage 1 Submittal
Right of Way Engineering 28 days from approval of Geometric Submittal
Hourly justifications for the above fees is included as an attachment to this letter. Please contact
me at (317) 566-0629 should you have any questions or desire additional information.
Sincerely,
SJCA P.C.
Matthew S. Larrabee, P.E.
Senior Project Manager EXHIt
BIT
9102 North Meridian Street - Suite 200 - Indianapolis, IN 462601 ���
Office 317.566.0629 Fax 317.566.0633 Ernail sjca@sjcassoc.coin
HOURLY JUSTIFICATION, TOPOGRAPHIC SURVEY
CITY OF CARMEL
CAREY ROAD & HAWTHORNE DRIVE ROUNDABOUT
PAGE 1 OF 1
WORK ELEMENT
ESTIMATED HOURS
Land Project Party
Surveyor Manager Chief
Survey
Technician
Total
Hours
SURVEY
Research
3
3
6
Send Survey Notices
1
1
Interview Land Owners
3
3
6
Set Aerial Control Panels
0
Field Locate Section & Property Corners
5
5
10
GPS Horizontal Control
5
5
10
Project Horizontal Control
2
2
4
Run Level Circuit
2
2
4
Topographic Survey
12
12
24
Detail Bridges
0
Sewer Structures
6
6
12
Download & Draft Topography
12
12
Determine Alignment Location
4
4
Determine Property Lines & Corners
10
10
Set & Reference Alignment
4
4
8
Set & Reference Section Corners
0
Complete Field Book
8
8
Prepare Location Control Route Survey
16
16
Travel Time
3
3
6
Supervision
4
4
TOTAL HOURS
46 9 45
45
145
HOURLY BILLING RATE
$140.00 $94.00 $81.00
$72.00
TOTAL FEE FOR LABOR
$6,440.00 1 $846.00 $3,645.00
$3,240.00
$14,171.00
OTHER DIRECT COSTS
MILEAGE
6 trips @ 18 miles x $0.36 per mile
$38.88
COPIES
105 copies @ $1.00/copy
$105.00
MOTEL
0 nights for 2 persons @ $89.00/night
$0.00
PER DIEM
0 days for 2 persons @ $26.00/day
$0.00
RECORD LCRSP
$0.00
Total Direct Cost
$143.88
Total Lump Sum Fee
$14,314.88
PROPOSED LUMP SUM FEE
$14,310.00
2��
HOURLY JUSTIFICATION, DESIGN SERVICES
CITY OF CARMEL
CAREY ROAD & HAWTHORNE DRIVE ROUNDABOUT
PAGE 1 OF 2
WORK ELEMENT
ESTIMATED HOURS
Principal Senior Civil Engineer
Engineer
Designer
Total Hours
GEOMETRIC SUBMITTAL
Field reconnaissance and assessment
4
4
8
Evaluation of Survey Information
4
8
12
Obtain Turning Movement Counts
4
4
Develop Title Sheet and Index
4
4
Geometric Layout of Roundabout Alternatives
12
12
24
Analysis of Turning Movements & Geometry
4
4
8
16
Fastest Path Evaluation of Alternatives
2
4
8
14
Impact Evaluation of Alternatives
4
4
8
Submittal & Recommendation Preparation
4
4
8
Coordination & Meetings w/ City of Carmel
4 8
12
QC.
4
4
STAGE 1
Update Geometrics per Comments & Reviews
4
4
8
16
Develop Typical Cross Sections
2
4
8
14
Develop Preliminary Vertical Profiles
2
6
8
Develop Preliminary MOT & Detour Route
4
6
10
Utility Coordination
17
4
5
26
Develop Preliminary Plan & Profiles
4
8
12
Preliminary Storm Sewer Evaluation
4
4
8
Develop Preliminary Construction Details
4
8
8
20
Develop Preliminary Median Details
2
4
6
Develop Preliminary Geometric Details
2
4
6
Check All Sight Distance
4
8
12
Right of Way Evaluation & Determination
2
2
4
Develop Preliminary Spot Elevation Diagram
4
4
8
Develop Preliminary Landscape Plan
2
2
4
Develop Preliminary Lighting Plan
2
2
4
Develop Erosion Control Plan & SWPPP
2
2
4
Develop Prelim. Signing and Pvmt Mrkg Plan
4
4
8
Develop Preliminary Summaries
2
4
6
Develop Preliminary Cross Sections
6
6
On -Site Field Check Meeting
4
4
8
Field Check Summary Preparation
2
2
4
Coordination & Meetings w/ City of Carmel
8
8
Design Computations
4
8
12
Quantity Calculations
6
6
12
Preliminary Cost Estimate
4
4
Prepare Submittal
4
4
8
QC
4
4
HOURLY JUSTIFICATION, DESIGN SERVICES
CITY OF CARMEL
CAREY ROAD & HAWTHORNE DRIVE ROUNDABOUT
PAGE 2OF2
WORK ELEMENT
ESTIMATED HOURS
Principal Senior Civil Engineer
Engineer
Designer
Total Hours
FINAL PLANS/ TRACINGS
Update Plans per Comments & Reviews
8
16
24
Finalize Typical Cross Sections
4
4
8
Finalize Storm Sewer Connections
4
8
12
Finalize Maintenance of Traffic
4
4
8
Finalize Plan & Profile Sheets
4
8
12
Finalize Construction Details
4
8
12
Finalize Geometric & Spot Elevation Details
4
4
8
16
Finalize Right of Way
4
4
8
Finalize Summaries
8
4
12
Finalize Cross Sections
4
8
12
Finalize Landscape and Lighting Details
6
4
10
Finalize Signage and Pavement Markings
4
4
8
Finalize Erosion Control Plans
4
8
12
Finalize Cross Sections
4
12
16
Utility Coordination
14
2
16
Final Quantity Calculations
8
4
12
Final Cost Estimate
6
6
Prepare Contract Documents, Specs & SP
16
4
20
Coordination & Meeting w/ City of Carmel
2 8
10
Prepare. Submittal Package
4
4
8
Attend Bid Opening
2
2
Prepare.Bid Tabs & Recommendation Letter
4
4
QC
8
8
WORK ELEMENT
ESTIMATED HOURS
Principal Senior Civil Engineer
Engineer
Designer
Total Hours
TOTAL HOURS
22 187
144
259
612
NEG. BILLING RATE
$174.00 $135.00
$91.00
$89.00
TOTAL LABOR
$3,828.00 $25,245.00
$13,104.00
$23,051.00
$65,228.00
OTHER DIRECT COSTS
Mileage
100 miles @ $0.36/mile
$40.00
SUBTOTAL HOURLY FEES
$65,300.00
TOTAL ESTIMATED HOURLY FEES
$65,300.00
Notes:
EXHIBIT
HOURLY JUSTIFICATION, RJW SERVICES
CITY OF CARMEL
CAREY ROAD & HAWTHORNE DRIVE ROUNDABOUT
By: GMQ PAGE 1 OF 1
2/29/2016
WORK ELEMENT
ESTIMATED HOURS
Prof.
Survey Survev
Total
R/W ENGINEERING
Surveyor
Project Manager Technician
Hours
Parcel Review/Research/Report
3
2
5
Coordinate Geometry/Calculations
2
3
5
Prepare Transfer Docs & Descriptions
3
3
Prepare Exhibit "B" Parcel Plats
1 3
4
Prepare Forms/Comp. Sheet/Plans
1 1
2
Prepare Parcel Packages
0
0 0
0
TOTAL HOURS
5
10 4
19
HOURLY RATE
$140.00
$94.00 $72.00
Total Fee for Labor PER PARCEL
$700.00
$940.00 $288.00
$1,928.00
Fee for Temp -Only PER PARCEL
$928.00
TOTAL EST. RNV ENG. FEE
4 Fee,
1 Temp
$8,640.00
OTHER DIRECT COSTS
T&E Reports rates are per state parcel ID
1
$225 Tem
$225.00
T&E Reports rates are per state parcel ID
4 @
$400 Fee and Fee+Temp
$1,600.00
R/W Staking/Parcel
4
$325
$1,300.00
Title Updates rates are per state parcel ID
4 A,
$125 Tem
$500.00
Copies
Included
$0.00
TOTAL OTHER DIRECT COSTS
$3 625.00
PROPOSED FEE
$12,265.00
EXHIBIT A
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 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:
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
90L,1±1 K . ytA-.r i , being first duly sworn, deposes and says that
he/sh 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 and at all times relevant herein have been employed by
5 5G. A ?. G : (the "Employer")
in the position of Gl::i e f E x e c >t c�iyc: 0 12 _g
I am familiar with the employment policies,practices, and procedures of the Employer and
have the authority to act on behalf .ofthe Employer,
4. The Employer is enrolled and participates in the federal E-Ve i -1y program and has
provided documentation of such enrollment and participation to the City of Carmel,
Indiana.
5. The Company does not knowingly eritploy'any .unauthorized aliens.
FURTHER AFFIANT SAYETH NOT.
EXECUTED on the _tL
day of 6- , 20
Printed: t_y
1 certify under the. penalties for perjury under the laws of theUnited States of America and the State of
Indiana that the foregoing factual statements and representations are true and correct.
•� 4
Printed: V a• t'v k, H u r :i o.;-:
Company ID Number:
THE E -VERIFY
MEMORANDUM OF UNDERSTANDING
FOR EMPLOYERS
ARTICLE I
PURPOSE AND AUTHORITY
.s: 'b�11i11�•ex
The partles.to t 's agreement are the Department of Homeland Security (DHS) and -the
Q.•C.•
.(Employer). The purpose-of'this agreement into set°forth terms
and, conditions which the Employer will follow while participating in E -Verify.
&Verify is a program that electronically confirms an employee's eligibility to work in the United States
after completion of Form 1-9, Employment -Eligibility Verification (Form 1=9). This Memorandum of
Understanding. (MOU) explains certain features of the E -Verify program and describes specific
responsibilities of the Employer, the Social Security Administration (SSA), and DHS.
Authority for the E -Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and
Immigrant Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C.
1324a note). The Federal Acquisition Regulation (FAR) Subpart 22:18, "Employment.Eligibility
Verification" and Executive Order 12989, as amended, provide authority for Federal contractors and
subcontractors'(Federal contractor), to use IE -Verify to verify the. employment:eligibility of certain
employees working on Federal contracts.
ARTICLE II
RESPONSIBILITIES
A. RESPONSIBILITIES OF THE EMPLOYER
1.. The Employer agrees to display the following notices.. supplied by DHS in,a prominent place that is
clearly visible to prospective employees and. all employees who are to be verified through the system:
a. Notice of E -Verify Participation
b. Notice of Right to Work
2. The Employer agrees to provide to the SSA and DHS the names, titles, addresses, and telephone
numbers of the Employerrepresentatives to be contacted about E -Verify. The Employer -also agrees to
keep such information current by providing updated information to SSA and DHS-wheneyer the
representatives' contact- information changes.
3. The Employer agrees to grant E=Verify access only to current employees who need E -Verify access.
Employers must promptly.terminate an employee's E -Verify_ access if the employer is :separated from
the company or no longer needs access to &Verify.
Page 1 of 17 E -Verify MOU for Employers I Revision Date 06/01/13
Company ID Number
Approved by:
Employer
<
Narne'e
(Pleas Ty or nt)' itle
Sli!,riaturp
J,ce
V4
Page 11of WJ&Verify MOlf forEinployers I'kevislon bate 06l0i/b
V r,f
Company ID Number
lnf.6rmatidn-Required for the E -Verify Program
Information relating to your Company:
Company Name
Company, Facility Address-
r14,
Of �'Oc>
46 _60
Company A.Iternatle Address
County.dr Parish'
MoxI OA
Effioloyer Identification Number
North Arh6r'i ' than IndUitty
Classification.Systems SyttdM�; Code-
Parent Company.
Number of Employe es
Number of-, S.ites'VeriflOd for
Page U of 17
7 E -Verify MOU for Ernplbyem I Revision Date 06/01/13