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HomeMy WebLinkAboutAngel Oaks Tree Service/DCS/40,000/Tree Removal and Landscape Maintenance Angel Oaks Tree Service • Department of Community Service-2016 Appropriation#43-504.00; P.O.#33654 • Contract Not To Exceed$40,000.00 �QROL- c ✓AO AGREEMENT FOR PURCHASE OF GOODS AND SERVICES 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 Angel Oaks Tree Service an entity duly authorized to do business in the State of Indiana ("Vendor"). TERMS AND CONDITIONS 1. 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 43-504.00 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 Forty Thousand Dollars ($40,000.00) (the "Estimate"). Vendor shall submit an invoice to City no more than once every thirty (30) days detailing the Goods and Services provided 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 df-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. [S:\Contracts\Prof.Svcs&Goods Svcs'DOCS12016Wngcl Oaks Trcc Service Goads&Services FORM-WITH E-Verify Lmrgnage.doc:3242016 1:00 PM[ 1 Angel Oaks Tree Service Department of Community Service-2016 Appropriation#43-504.00; P.O.#33654 Contract Not To Exceed$40,000.00 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. 6. 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. 9. 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:\Conlracts‘ProllSvcs&Goals Svcs\DOCS@016Angel Oaks Tree Service Goods&Services FORM-WITH E-Vcrify L ngnagc.doc:3242016 I:00 PM] • 7. Angel Oaks Tree Service Department of Community Service-2016 Appropriation#43-504.00; P.O.#33654 Contract Not To Exceed$40,000.00 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:\Contracts\Prof.Svcs&Goods Svcs\DOCSt20l61Angel Oaks Tree Sea ice Goods&Services FORM-WITH E-Verily Langoagc.doc:3242016 1:00 PM] 3 • Angel Oaks Tree Service Department of Community Service-2016 Appropriation#43-504.00; P.O.#33654 Contract Not To Exceed$40,000.00 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. 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 AND Douglas C. Haney, One Civic Square Corporation Counsel Carmel, Indiana 46032 Department of Law One Civic Square Carmel, Indiana 46032 If to Vendor: Angel Oaks Tree Service 6565 Coffman Road Indianapolis, Indiana 46268 ATTENTION: 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. 19. 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:1 Contracts'rofSves&Goods Svcs=CS@0I6Vvogd Oaks Trcc Service Goods&Services FORM-WITH E-Vcrify Langungc4oc:3242016 1:00 PM] 4 Angel Oaks Tree Service Department of Community Service-2016 Appropriation#43-504.00; P.O.#33654 Contract Not To Exceed$40,000.00 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 Unless 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 successors in interest. [S:\Contracts\Prof.SNers&Goods Svcs\DOCS@0I6Angel Oaks Trcc Service Goods&Services FORM-WITH E-Verify Language doc:3/24/2016 1:00 PM] 5 • Angel Oaks Tree Service Department of Community Service-2016 Appropriation It-t3-504.00: P.O.0365.1 Contract Not To Exceed 540.000.00 IN WITNESS WHEREOF, the parties hereto have made and executed this Agreement as follows: CITY OF CARMEL, INDIANA Angel Oaks Tree Service by and through its Board of Public Works and Safety James Brainard,Pre iding Officer qatlio ed gnature Date: r ^/ / `J U _ Cc"'C.J C`C'.hCC Printed Name Mary Ann urke, MemberI Date: — �� �! C r� � i C' C'1i+- Title Lori S.WatSonz4 tember FID/TIN: - (9if' j CCC) Date: -57 / Last Four of SSN if Sole Proprietor: ATTEST. -1- /All° / Date: S ,? - j A hristinc S. Pau_ Tr asurer Date: ',(',.....i,..y...nr:..i.•...:I:r[Y'+tlr:�ln,4•rl(4k,S..:I.,n.<...I•h::cr...:•I(1N\I WI IIi:�'n.l)I.n,rt•,ir.l...•r!d(!OI,I.'I I II /<•10F CAR�� �' a LL Hen it y o _- m 0 e , w.1.1 .. . .gym . �• i3 II3 l FOR.1OMOKRO% / DEPARTMENT OF COMMUNITY SERVICES \\\N„,____ : /NDIANp QUOTE FOR TREE REMOVAL AND LANDSCAPE MAINTENANCE CONTRACT NOT TO EXCEED$40,000.00 Quotes are due March 24th, 2016 at 9:00 am. Please submit to: Department of Community Services ATTN: Daren Mindham One Civic Sq Carmel, IN 46032 I.SCOPE OF SERVICES The quote is for tree removal and other landscape maintenance.The Contractor will furnish all labor, materials (unless notified), equipment and services necessary for tree removal/maintenance and clean-up of debris. II. CITY OF CARMEL REPRESENTATIVE All questions related to this quote shall be addressed to: Daren Mindham Urban Forester One Civic Sq Carmel, IN 46032 Phone:317-571-2417 Email:dmindham@carmel.in.gov III.WORK REQUIREMENTS Applicable Standards: • Contractor must adhere to American National Standards Institute (ANSI A300)and (ANSI 2133.1) current editions. Work Requirements: • All work shall be completed within 50 days after received work order from Carmel Representative. • The Contractor will schedule project work to occur between the hours of 7:00 a.m. and 6:00 p.m. Monday through Saturday,only, unless authorized by the Carmel Representative in advance. Contractor shall not work on any city holidays. • Contractor shall require authorization from the Carmel Representative for any sub-contracted work. Otherwise, all work shall be completed by employees of the Contractor. • Contractor shall call 1-800-382-5544 to have all underground utility locations marked. EXHIBIT ONE CIVIC SQUARE CARMEL,INDIANA 46032 317-571-2417 10 . Cg/ki . 1ity of Gol i i DCO RipAo % DEPARTMENT OF COMMUNITY SERVICES • Contractor shall supply all needed labor,trucks, equipment,supplies, materials,safety devices and other equipment necessary to complete the work. • Traffic control is the sole responsibility of Contractor and shall be coordinated in advance with the proper department(s) of the city. The blocking of public streets shall not be permitted unless prior approvals have been made with the appropriate city departments and the Carmel Representative has been notified. Traffic control shall be accomplished in conformance with state, county and local highway construction codes and all other applicable law.A traffic maintenance plan is required by the Carmel Engineering Department for the blocking of any lane.The handbook to use unless,otherwise directed,will be the CONCISE HANDBOOK FOR TEMPORARY TRAFFIC CONTROL, Construction, Maintenance, and Utility Operations, 2014,SP-2. • The staging of vehicles or other equipment on any public sidewalk or path is prohibited. • Any injuries, damages,expenses or loss to any person or property, public or private,as a result of or related to the project are the sole responsibility of the Contractor and shall be repaired or compensated by the Contractor to the satisfaction of both the injured party and the Owner,at no cost to the Owner. • Any alteration or modification of the work performed under the contract shall be made only by written agreement between the Contractor and Carmel Representative and shall be made prior to commencement of the altered or modified work. No claim for extra work or materials shall be allowed unless covered by such a written agreement executed by all parties hereto. • All tree debris,excess soil and mulch, metal baskets,wrapping material or other debris resulting from any tree work shall be promptly cleaned up and removed from site.The work area shall be kept safe and neat at all times until the cleanup operation is completed. Under no circumstance shall the accumulation of soil, branches, or other debris be allowed overnight upon a public or private property in such a manner as to result in a hazard. This cost shall be included in the individual pricing under'Layout of Quote'. • Stump removal shall be completed by a stump grinding machine, unless authorized by the Carmel Representative. • Contractor shall be certified and hold all required applicator's licenses from the state of Indiana.Contractor shall possess any city right-of-way permits,as necessary. Contractor must comply with all applicable environmental, chemical, and other laws when performing its obligations. EXHIBIT ONE CIVIC SQUARE CARMEL,INDIANA 46032 317-571-24173 ltv armel . Mit MIS .,tiT;mt,u DEPARTMENT OF COMMUNITY SERVICES `,�NOIAt�P/, IV.LAYOUT OF QUOTE(to the nearest fifth dollar) TREE REMOVAL: Tree removals shall be assigned by the Carmel Representative. Please provide a cost quote for removing a tree within the corresponding range.This is not based on each inch,but per range.Example:>6-12"=$200 Price per tree within 0-6" $ qs >18-24" $ y 7() >36-42" $ iqo DBH range >6-12" $ 11Q� >24-30" $ >42" $ (-ICI )�' >12-18"$ 3OS >30-36" $ C% Q STUMP REMOVAL: Stump grinding shall remove any part of the tree and roots that would affect the planting of a new 3"ball and burlap tree,unless noted by the Carmel Representative.Ground stump areas shall be leveled to grade with a minimum addition of 6"of topsoil and seeded with a lawn grass mix. Please provide a cost quote for a stump removal within the corresponding range.This is not based on each inch,but per range. Example:0-12"=$50 't�� Price per stump within 0-12., >24-30" $ >36-42" $ I7 S"$ Jll,! range measured at 3"ht >12-24" $ GS°° >30-36" $ 12059 >42" $ 7fX TREE PRUNING(Crown raising): Pruning shall be assigned by the Carmel Representative. Please provide a cost quote for pruning a tree within the corresponding range.This is not based on each inch,but per range.Example:0-12 $80 Price per tree within 0-12" $ / e—c,E) >24-30" $ 2 r�j ]el,cap >36-42" $ '-jqO DBH range >12-24" $ 205°� >30-36" $ ' �®A >42" $ Company Name' filbt°1 = Signature: Date: -17- i'e ONE CIVIC SQUARE CARMEL,INDIANA 46032 317-571-2417 EX a I B 1T -3 O 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 Aeo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 3/29/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: ROBLEY&ASSOCIATES ( / .PHONE.Extl: 317-865-0800 {AAC,No): 317-865-0898 JASON ROBLEY E-MAIL ADDRESS: 102 N MADISON AVE INSURER(S)AFFORDING COVERAGE NAIC# GREENWOOD,IN 46142 INSURER A: WEST BEND INSURED INSURER B: TRAVELERS ANGEL OAK TREE INSURER C: ANGELS TOUCH LAWN CARE,INC. INSURER D: PO BOX 478 INSURER E: CARMEL,IN 46032 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTRINSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE X OCCUR DAMAGE TO RENTED 1 OO OOO PREMISES(Ea occurrence) $ , NSG2032106 10/17/201510/17/2016 MED EXP(My one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 1j78 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (EaA ANY AUTO BODILY INJURY(Per person) $ ALL AUTOS OWNED J( SCHEDULED NSG2032106 10/17/201510/17/2016 BODILY INJURY(Per accident) $ X HIRED AUTOS X N -OWNED PROPERTY DAMAGE AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER -OTH- AND EMPLOYERS'LIABILITY X STATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 6JUB-9991 L50-1-13 10/19/201510/19/2016 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? Y N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION City of Carmel One Civic Square SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Carmel,IN 46032 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD EXHIBIT D AFFIDAVIT Tor,, Cr)c)G`GhC k ,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 and at all times relevant herein have been employed by AnT i o,1G1 (the"Employer") in the position of Oil-0 g& 6 C~JC?_1,114' 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 IS day of AT; \ , 20317 • Printed:� ?�� ��� I certify under the penalties for perjury under the laws of the United States of America and the State of Indiana that the foregoing factual statements and representations are true and correct. Printed: (`A1 G(XY'I r-A t i 1 y -f USA Company ID Number: 959475 Approved by: Employer Angel Oak Tree Care Name (Please Type or Print) Title Jon Courchaine Signature Date Electronically Signed 03/30/2016 Department of Homeland Security—Verification Division Name (Please Type or Print) Title USCIS Verification Division Signature Date Electronically Signed 03/30/2016 Page 13 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 s:VIM y M . Company ID Number: 959475 Information Required for the E-Verify Program Information relating to your Company: Angel Oak Tree Care Company Name 6565 Coffman Rd Indianapolis, IN 46268 Company Facility Address Company Alternate Address County or Parish MARION Employer Identification Number 208951200 North American Industry 115 Classification Systems Code 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 SLCL4n /u A��3 I. Company ID Number: 959475 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 EVeriIy r4 „Tv.. Company ID Number: 959475 Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Name Jon S Courchaine Phone Number (317)670-4412 Fax Number Email Address jcourch34@aol.com Page 16 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 INDIANA RETAIL TAX EXEMPT Page 1 of 1 City of CIairiririie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 33654 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 3/24/2016 363273 C iQ'D-- lowest bidder ANGEL OAKS TREE SERVICE Dept of Community Service VENDOR 6565 COFFMAN ROAD SHIP 1 Civic Square TO Carmel,IN 46032- INDIANAPOLIS, IN 46268- CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1192 Account: 43-504.00 Fund: 101 General Fund 1 Each Tree/Stump removal services $40,000.00 $40,000.00 Sub Total $40,000.00 T19 3 41, TIT r ,fic #laps 8 I[f a I MF % Send Invoice To: ' Dept of Community Service 1 Civic Square Noi Carmel,IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $40,000.00 SHIPPING INSTRUCTIONS 'AlP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A 'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN *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 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY TITLE 9 CONTROL NO. 33654 CLERK-TREASURER /