HomeMy WebLinkAboutCrossRoad Engineers/Eng/150,000/Adl Serv #6/2016 Storm Water Bond Construction Inspection ServicesCrossRoad Engineers; P.C..
Engineerings Department -.2016 :..
Appr6priation: ASA #6; #94-650.04; 2016:Storm Water Bond P:O. #33758
ContractNotTo Exceed $150,.000.00
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ADDITIONAL SERVICES AMENDMENT.TOAo
AGREEMENT FOR PROFESSIONAL SERVICES
THIS AMENDMENT TO THE ATGAEEMENT FOR PROFESSIONAL SERVICES ('Agreement").entered into
by and: between -1119 City -of Carmel and CrossRoad Engineers, P.0.'.(the 'Professional");.as-City Contract dated
March -16, 2016_ shall amend the terms of the Agreement :by adding :the additional services to be- provided by:.
Professional_: consistent- with .the: Scope; of : Work,:a#cached .:hereto and incorporated here.in-: as Exhibit "A".
.:Furthermore; the terms of the Agreement shall. be amended to include the -E --verify requirement as stated in Indiana
Code:§:22-5-1:7 et:seq., which is attached hereto.and incorporated herein as Exhibit `B", as well as the required E
verify Affidavit,. attached . hereto and* incorporated; herein; as Exhibit "C". Also,.. pursuant ,to I.C.:. § 5-22-16,5,.
Professional shall certify that' in signing this.dooument,.it does'not engage in.investment activities within the Country
of Iran._ The Germs and: conditions: of the:Agreement. shall not:otherwise :be :affected by this Additional Services
'Amendment and shall remain i0ull.force and.effect.
IN WITNESS WHEREOF; .the,parties.hereto have made and :executed.this:AmendmeM as follows:
CITY OF CARMEL, INDIANA CrossRoad. Engineers, P:C.
by and through its Board of Public
Works and Safety .
By:
By; ..
Zws
r Brain r:d, Presiding Offic r Authorized Signature
D -te: �►
Printed. Name
Mary An urkejem r.
.Date:
.
Title
d Pepe).
Lori.S. Watson, Member .
FID/`fIN:. 357-11 (.9333) .
Last -Four of SS:N if Sole Proprietor:
ATT�i
U -:Date: a5 :a7 Za/-6
-1i istine:S S.P. y, Clerk -Tres er
Date:
IS:1Cw1,n1. NdSm & Cnsrk Sit 1L-ngincningt20161CnmN.ud ASA 96 Add? S— A—d 3-27.2012 xith 8•Vai(y langi igaAo::Sl17/20I6 1,07 PMI
May 9, 2016
Mr. Jeremy Kashman, P.E.
City Engineer
City of Carmel
1 Civic Square
Carmel, IN 46032
Re: 2016 Storm Water Bond
Construction Inspection Services
Fee Proposal
Dear Jeremy:
As we discussed, we have prepared this proposal to provide various part time and full time
Construction Inspection Services for projects included in the 2016 Storm Water Bond Program
and as directed by your department. CrossRoad Engineers will provide these services as an
extension of the City Engineer's staff on an hourly basis in accordance with the attached
schedule of Hourly Billing Rates.
Services to be provided could include preconstruction meetings, part-time or full-time
inspection, contractor pay , estimates, material and shop drawing reviews and
recommendations, project status reports, progress meetings and meeting minutes, and various
other construction related services.
Based upon the number of anticipated projects in which we will be involved, we would suggest
establishing a contract ceiling of $150,000 against which we would invoice for the Construction
Inspection Services.
We would like to thank you for this opportunity to continue our involvement in enhancing the
City of Carmel and we appreciate the City's trust in our ability to provide these services. We
look forward to working closely with you to make these 2016 Storm Water Bond projects a
success!
If you should have any questions or need any further information, please do not hesitate to call
me at (317) 780-1555 ext. 114.
Sincerely,
CrossRoad Engineers, PC
Trent E. Newport, P. E. / ®�
President /
3417 Sherman Drive 0 Beech Grove, Indiana 46107 0 Tel 317.780.1555 0 Fax 317.780.6525
CrossRoad Engineers, P.C. ,
Engineering Department - 2016
Appropriation: ASA #6; #94-650.04; 2016 Storm Water Bond P.O. #33758
Contract Not To Exceed $150,000.00
EXHIBIT `B"
E -verify requirement
All terms defined in I.C. § 22-5-1.7 et seq. are adopted and incorporated into this section of the Amendment.
Pursuant to I.C. § 22-5-1.7 et seq., Vendor shall enroll in and verify the work eligibility status of all of its newly -hired
employees using the E -Verify program, if it has not already done so as of the date of this Addendum. Vendor is further
required to execute the attached Affidavit, herein referred to as "Exhibit C", which is an Affidavit affirming that: (i) Vendor is
enrolled and is participating in the E -verify program, and (ii) Vendor does not knowingly employ any unauthorized aliens. This
Addendum incorporates by reference, and in its entirety, attached "Exhibit C." In support of the Affidavit, Vendor shall
provide the City with documentation that it has enrolled and is participating in the E -Verify program. This Agreement
shall not take effect until said Affidavit is signed by Vendor and delivered to the City'.s authorized representative.
Should Vendor subcontract for the performance of any work under this Addendum, the Vendor shall require any
subcontractor(s) to certify by affidavit that: (i) the subcontractor does not knowingly employ or contract with any unauthorized
aliens, and (ii) the subcontractor has enrolled and is participating in the E -verify program. Vendor shall maintain a copy of such
certification for the duration of the term of any subcontract. Vendor shall also deliver a copy of the certification to the City
within seven (7) days of the effective date of the subcontract.
If Vendor, or any subcontractor of Vendor, knowingly employs or contracts with any unauthorized aliens, or retains
an employee or contract with a person that the Vendor or subcontractor subsequently learns is an unauthorized alien, Vendor
shall terminate the employment of or contract with the unauthorized alien within thirty (30) days ("Cure Period"). Should the
Vendor or any subcontractor of Vendor fail to cure within the Cure Period, the City has the right to terminate this Agreement
without consequence.
The E -Verify requirements of this Agreement will not apply, should the E -Verify program cease to exist.
[SAContcacts\Prof.Sves & Goads SvesEngincering\2016\CmssRoad ASA #6 Add? Svcs Amend 3-27-2012 with E -Verify Inngungc.doc:5/162016 4:30 PM1
CrossRoadEngiiieers,:P.C..
Engineering Department 2016
Appropriation: ASA #6; #94-650.04;-2016 Storm Water Bond -P.D. #33758
Contract'Not To Exceed $150,000.00
Exhibit lrGr
( E-VerifyAffidavit...
b.4ng first duly sworn; :deposes; Mid- says tliat
he/she is familiar with andaias perso al knowledge of the facts herein arid, if called.as a. witness in this .
mattet could.testify as follows:
1. I am over- eighteen (18) years of age and am competent to `testify to =the facts contained
hereiiz:.
1 am now.:' and at all, tifties relevant herein have been : employed : by
x055 o-d �K ' wre -5 L (the.`°Company") in. tile position.
o (nest �k
3. I am familiar with the employment policies, practices, and procedures- of the Company and
havethe authority to act oil: behalf of :the Coin an
P- y
4._ The: )✓mployer: is enrolled_ and .p4r cipates Jn the:_federal E:Verify piogram and has
.
provided documentation of. such enrollment and: participation to. the City. of .Carmel,:
_.
it iana.
5. The Company does not knowingly employ'any unauthorized aliens.
-FURTHER AFFIANT SAYETH NOT.
EXECUTED .on the 1-7 day of "I , 201.
] ,
./+ k e .
v
Printed:-- le�" :L Ne:•-
I certify under the penalties for perjury under: the laws. of the United States of America and. the State .of:
Indiana tat the foregoingfactual-statements.and representations:are true and correct.:.
am
r �.
Printed;: IV eu J
IS:1CunlrovlPrufSra A C-11 SNEnginccrinFL0161CrmRoad ASA 96 AM S%r Amrnd 3-V,2012 Mlh ENcrify Inng—ge.4=5/Ifd20164:30 PNTI
Company ID Number: 440231
To be accepted as a participant in E -Verify, you should only sign the Employer's Section
of the signature page. If you have any questions, contact E -Verify at 888-464-4218.
,Employer CrossRoad Enigineers, PC
fill Newport
-- ... -6ni)
--i-i..
Jame (Please Type orPTitle
108/15/2011
Flectronicallv Si
signature----qna,' Pate
Department of Homeland Security - Verification Division
USCIS Verification Division
Orne (Please Type or Print) iTiI
L
°Iectronlcally Signed o:1
5/2011
i- ---p ------- .........
,ignatui
Information Required for the E -Verify Program
Information reIat!!jg_jq,y_94r.ComPany.: ..........
. ........... .
Company Alternate
Address:
.. . ........ ......... . ...... ..... . .... . ...
County or Parish:
............ ...
Ennineers. PC
7 Sherman Drive
Bch Grove. IN 46107
17 Sherman Drive
1-.-.-1-.----,-- ............
07
Employer Identification I
Number'. 351963331
Page 12 of 131 E -Verify MOU for Employer 1 Revision Date 09101109
www.dhs.gov/E-Verify
SEMI B'�2 fy
Company ID Number: 440231
North American Industry 11
Classification Systems
...... _......._....._ — _ .Code: 1541 ............._......__.__.___. __..._._.._.._.._
......Number of Employees:.. _20 to 99.._
Number of Sites Verified i
for: i1
__.... __..... ...L..._.._____.._.._...._....___.___.._.__...._.,...._._.
►re you verifying for more than I site? If yes, please provide the number of sites verified for
o each State:
INDIANA I site(s)
Information relating to the Program Administrator(s) for your Company on policy
questions or operational problems:
Name: Sill A Newport .
Telephone Number: (317) 780 -1555 ext. 120
E-mail Address: jnewporl(a crossroudengineers.com
Name; Waller E C:hnrles
Telephone Number: (317) 780 - 1555 ext. 115
E-mail Address: celtarlesra crossroadengincers.com
Page 13 of 13 1 E -Verify MOU for Employer I Revision Date 09/01109
Fax Number; (317) 780 - 6525
Fax Numher: (317) 780 - 6525
www.dhs.gov/E-Verify
Received
05-16-16P12:25 RCVD
City of Carmel
Department of Law
LETTER OF TRANSMITTAL
Date: May 10, 2016
To: Doug Haney
Department of Law
From: Jeremy Kashman 1rw-
Department of Engineering
RE: CrossRoad Engineers Additional Service Amendment
An additional service amendment is needed for Crossroad Engineers for the June 1 st BPW meeting,
please.
Attached please find CrossRoad's scope of work and purchase order.
Contract Information:
Project Name: ASA #6 — 2016 Storm Water Bond Construction Inspection Services
Vendor:
CrossRoad Engineers, P.C.
Amount:
$150,000.00
Appropriation:
P.O. 33758; 2016 Storm Water Bond
Signature:
Chip Charles
Address:
3417 South Sherman Drive
Beech Grove, IN 46107
Phone:
317/780-1555
Fax:
317/780-6525
Email:
ccharles@crossroadengineers.com
City®f(� arme�
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
Page 1 of 1
PURCHASE ORDER NUMBER
\J
FEDERAL EXCISE TAX EXEMPT
33758
ONE CIVIC SQUARE
35-6000972
THIS NUMBER MUST APPEAR ON INVOICES, A/P
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
5/10/2016
068025
Contract Date 03.16.16
CROSSROAD ENGINEERS, PC
City Engineering's Office
VENDOR 3417 S SHERMAN DR
SHIP 1 Civic Square
TO Carmel, IN 46032 -
BEECH GROVE, IN 46107 -
Kate Lustig
PURCHASE ID
BLANKET
CONTRACT
PAYMENT TERMS FREIGHT
4714
QUANTITY
UNIT OF MEASURE
DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Account: 94-650.04 Fund: 0 2016 Storm Water Bond
1 Each ASA 6 - 2016 Storm Water Bond Construction Inspection $150,000.00 $150,000.00
Services
Sub Total $150,000.00
Send Invoice To:
Jill Newport
CrossRoad Engineers, P.C.
3417 Sherman Drive
Beech Grove, IN 46107
2016 SW Bond/G.O. Bond/
PLEASE INVOICE IN DUPLICATE
DEPARTMENT j ACCOUNT i PROJECT i PROJECT ACCOUNT IAMOUNT
PAYMENT $150,000.00
SHIPPING INSTRUCTIONS ' A/P 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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TITLE
CONTROL NO. 33758 CLERK -TREASURER
May 10, 2016
Mr. Chip Charles, P.E.
Mr.Trent Newport, P.E.
CrossRoad Engineers, P.C.
3417 South Sherman Drive
Beech Grove, IN 46107
ff,
JAMES BRAINARD, MAYOR
RE: Additional Service Amendment #6, P.O. #33758
Dear Chip and Trent:
As we discussed, the City of Carmel has a need for additional professional services and pursuant to our current
contract with CrossRoad Engineers, dated March 16, 2016, I have requested and received from you the proposed
scope of services and fee estimates for the following work task:
Additional Service Amendment #6 — 2016 Storm Water Bond Construction Inspection Services
Not to Exceed: $150,000.00
Per our contract procedural requirements, I hereby approve these Additional Professional Services estimates, and
request that the Board of Public Works ratify the above referenced Contract Amendment.
PLEASE NOTE
Please be advised that "Additional Services" performed on City contracts must be billed separately from the original
contract and other additional services. More importantly, the invoice must reference the appropriate Additional
Service # and P.O. # shown above. Invoices received without the Additional Service # referenced will be returned
for proper identification. Thank you for your continued assistance in providing the City of Carmel with your
professional quality services. If you should have any questions, please give me a call.
Sincerely,
Jeremy NjArasVan, P.E.
City Etrgineer
Reviewed and approved by:
S. C. Enge g
Director of Administration
DEPARTMENT OF ENGINEERING
ONE CIVIC SQUARE, CARMEL, IN 46032 OFFICE 317.571.2441 FAx 317.571.2439
EMAIL engineering®carmel.in.gov