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HomeMy WebLinkAboutDB Engineering/Eng/30,800/Crooked Stick Drainage – Augusta Lane and Greenbrier Drive / Burning Tree Lane and Tam O’Shanter DriveDB Engineering, LLC Engineering Department - 2016 Appropriation #94-650.04 2016 Storm Water Bond; P.O. #33957 Contract Not To Exceed $30,800.00��� 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 DB Engineering, LLC (hereinafter "Professional"). RECITALS WHEREAS City owns and is responsible for the operation and maintenance of its property, personnel, public works and infrastructure; and and 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. 2.2 Professional understands and agrees that City may, from time to time, request Professional to provide additional or modified Services to City. When City desires additional Services from Professional, the City shall notify Professional of such additional Services desired, as well as the time frame in which same are to be provided. Only after City has approved Professional's time and cost estimate for the provision of such additional Services, has encumbered sufficient monies to pay for same, and has authorized Professional, in writing, to provide such additional Services, shall such Services be provided by Professional to City. A copy of the City's authorization documents for the purchase of additional Services shall be numbered and attached hereto in the order in which they are approved by City. 2.3 Time is of the essence of this Agreement. IS:\CO1,,=0P,&S- & Go & Sv \Enginccring\2016\D0 Enginccring, LLC Professional Scrvicc FORM Re junc 2012.dw:511620162:01 PMI DB Engineering, LLC Engineering Department - 2016 Appropriation #94-650.04 2016 Storm Water Bond; P.O. #33957 Contract Not To Exceed $30,800.00 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 94-650.04/2016 Storm Water 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 Thirty Thousand Eight Hundred Dollars ($30,800.00) (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. [SAConlracls\PmLSv &Good Svcs\Eugin=dug120161DB Engincccing, LLC Professional Scrvicca FORMRcvjooe2012.doc:5/16/20162:01 PM] 7 DB Engineering, LLC Engineering Department - 2016 Appropriation #94-650.04 2016 Storm Water Bond; P.O. #33957 Contract Not To Exceed $30,800.00 SECTION 6. TERM Unless otherwise terminated in accordance with the termination provisions set forth in Section 7.1 hereinbelow, this Agreement shall be in effect from the Effective Date through December 31, 2016, and shall, on the first day of each January thereafter, automatically renew for a period of one (1) calendar year, unless otherwise agreed by the parties hereto. SECTION 7. MISCELLANEOUS 7.1 Termination. 7.1.1 The obligation to provide all or any portion of the Services under this Agreement may be terminated by City or Professional, without cause, upon thirty (30) days' notice. 7.1.2 The obligation to provide all or any portion of the Services under this Agreement may be terminated by City, for cause, immediately upon Professional's receipt of City's "Notice To Cease Services." 7.1.3 In the event of full or partial Agreement termination, and as full and complete compensation hereunder, Professional shall be paid.for all such Services rendered and expenses incurred as of the date of termination that are not in dispute, except that such payment amount shall not exceed the Estimate. Disputed compensation amounts shall be resolved as allowed by law. 7.2 Binding Effect. City and Professional, and their respective officers, officials, agents, partners and successors in interest are bound to the other as to all Agreement terms, conditions and obligations. 7.3 No Third Party Beneficiaries. Nothing contained herein shall be construed to give rights or benefits to anyone other than the parties hereto. 7.4 Relationship. The relationship of the parties hereto shall be as provided for in this Agreement, and neither Professional nor any of its agents, employees or contractors are City employees. Professional shall have the sole responsibility to pay to or for its agents, employees and contractors all statutory, contractual and other benefits and/or obligations as they become due. Professional hereby warrants and indemnifies City for and from any and all costs, fees, expenses and/or damages incurred by City as a result of any claim for wages, benefits or otherwise by any agent, employee or contractor of Professional regarding or related to the subject matter of this Agreement. This indemnification obligation shall survive the termination of this Agreement. [S:%ConlrictslProf.Sv s & Goods SvcslEnginccring@016TB Enguscring, LLC Profc sionnl Scrviccs FORM Rcvjunc 2012.doc:5/162016 2:01 PM] DB Engineering, LLC Engineering Department - 2016 Appropriation #94-650.04 2016 Storm Water Bond; -P.O. #33957 Contract Not To Exceed $30,800.00 7.5 Insurance. Professional shall procure and maintain with an ,insurer licensed to do business in the State of Indiana such' insurance as is necessary for the protection of City and Professional from all claims under workers' compensation, occupational disease and/or unemployment _ compensation acts, because of errors and omissions, because of bodily injury, including, but not limited to, the personal injury, sickness, disease, or death of any of Professional's employees, agents or contractors and/or because of any injury to or destruction of property, including, but not limited to, any loss of use resulting therefrom. The coverage amounts shall be no less than those amounts set forth on attached Exhibit C. Such insurance policies shall not be canceled without thirty (30) days'. prior written notice to City. 7.6 Liens. Professional shall not cause or permit the filing of any lien on any of City's property. In the event such a lien is filed and Professional fails to remove it within ten (10) days after the date of filing, City shall have the right to pay or bond over such lien at Professional's sole cost and expense. 7.7 Default. In the event Professional: (a) repudiates, breaches or defaults under any of the terms or conditions of this Agreement, including Professional's warranties; (b) fails to perform the Services as specified; (c) fails to make progress so as to endanger timely and proper completion of the Services and does not correct such failure or breach within five (5) business days after receipt of notice from City specifying same; or (d) becomes insolvent, files, or has filed against it, a petition for receivership, makes a general assignment for the benefit of creditors or dissolves, each such event constituting an event of default hereunder, City shall have the right to terminate all or any part of this Agreement, without liability to Professional and to exercise any other rights or remedies available to it at law or in equity. 7.8 Government Compliance. Professional agrees to comply with all laws, executive orders, rules and regulations applicable. to Professional's performance of its obligations under this Agreement, all relevant provisions of which being hereby incorporated herein by this reference, to keep all of Professionals' required professional licenses and certifications valid and current, and to indemnify and hold harmless City from any and all losses, damages, costs, liabilities, damages, costs and attorney fees resulting from any failure by Professional to do so. This indemnification obligation shall survive the termination of this Agreement. 7.9 Indemnification. Professional shall indemnify and hold harmless City and its officers, officials, employees and agents from all losses, liabilities, claims, judgments_ and liens, including, but not limited to, all damages, costs, expenses and attorney fees arising out of any intentional or negligent act or omission of Professional and/or any of its employees, agents or contractors in the performance of this Agreement. This indemnification obligation shall survive the termination of this Agreement. [S-Xontrnclss\PrnLSa & Goods Svcs\Enginccring\20161DB Enoiecring, LLC Professional Scrviccs FORM Rcvjune 2012.(Im:5/162016 2:01 PM] 4 DB Engineering, LLC Engineering Department - 2016 Appropriation #94-650.04 2016 Storm Water Bond; P.O. #33957 Contract Not To Exceed $30,800.00 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. jSACon1 a 1.%\Prof.Sv S Goods SvcsTnginccring\2016\D0 Enginccmig. LLC Prof sionnl Scrviccs FORM R.v jun. 2012.,1.:5/162016 2:01 PMI DB Engineering, LLC Engineering Department - 2016 Appropriation #94-650.04 2016 Storm Water Bond; P.O. #33957 Contract Not To Exceed $30,800.00 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: DB Engineering, LLC 101 West Ohio Street, Suite 1515 Indianapolis, Indiana 46204 ATTENTION: Chad N. Kincaid, P.E. Douglas C. Haney Corporation Counsel One Civic Square Carmel, Indiana 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. [SAComractsTmf.Svcs & Goals SvcslEnginccring\2016\DB Enginccruig, LLC Profcssionnl Su ices FORM Rev j—2012Aoc:5/16/2016 2:01 PM1 DB Engineering,LLC Engineering Department - 2016 Appropriation #94-650.04 2016 Storm Water Bond; P.O. #33957 Contract Not To Exceed $30,800.00 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. 1 [SACanrn IAProLS— & Goals Svcs\Enginccring\2016\DB Enguiccring, LLC Prof sionnl Scrviccs FORM Rcv jun. 2012.doc:5/162016 2:01 PMI DB Engineering, LLC Engineering Department - 2016 Appropriation #94-650.04 2016 Storm Water Bond; P.O. #33957 Contract Not To Exceed $30,800.00 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 Prosect 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) 1S:\Ccntracts\Pmf.Sva & Goods Svas\Enginccring@016\DB Engineering, LLC Profasionnl Services FORM Rev june 2012.dm:5/1620162:01 PMI DB Engineering, LLC Engineering Department - 2016 . Appropriation- #94-650.04 2016 Storm. Water Bond; P.0.:4819.57 Contract Not To Exceed $30;800.00 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 mes Brainard, Presiding Offi r r%-4— - .. /' L / Mary Ann urke, Meob& Date: - . ©+ Lori S. Watson, Member Date: ATT . T� r Ehristine S. Paul , ale k= reasurer Dater DB Engineering, LLC BY: Authorized Signature Printed Name: /GJ e Title: (e 5 i dp- %- lnum r FIDTF RJ -3106 Itj Last Four of SSN if Sole Proprietor:. Date: Is:tcrn ardPr.ds.acscmlxs .[ns� c FznlF�ar�n�.rnF.i.4crr�ruivmScr•is'�6R�Ixr•.P�r�mi:.0 :snrnoir?:iii NMI 9 engineering May 10, 2016 Mr. Jeremy Kashman, PE City of Carmel, Department of Engineering One Civic Square Carmel, IN 46032 Re: Fee Proposal Storm Water Projects: Augusta Lane and Greenbrier Drive Burning Tree Lane and Tam O'Shanter Drive Dear Mr. Kashman: DB Engineering appreciates the opportunity to present the following proposal for Professional Civil Engineering Services for the above -referenced project. We are looking forward to working with you and the City of Carmel. Scope of Work DB Engineering understands that the scope of this proposal will be to alleviate the two current issues of ponding storm water. The work includes obtaining the survey and designing the plans that includes the proposed storm water infrastructure layout. Specifically, the scope of work will include: 1) getting a certified surveyor to complete a topography and site survey of the two areas 2) reviewing existing conditions to formulate a plan fixing the current drainage problems 3) developing a set of documents that will include layout, grading, and utility plans 4) providing a check set of 30% completed plans for your review, allowing you to review the initial design and comment on any desired changes prior to final design commencing 5) 100% set of engineered stamped plans including any needed details or specifications, including plan and profiles for storm pipes 6) opinions of probable construction costs at both the 30% and 100% deadline 101 West Ohio St., Suite 1515, Indianapolis, IN 46204 EXFIIBIT L 317.602.4765 (o) 317,602.4766 (f) b� 7) detailed review of the large (approximately 48") storm water culvert under Burning Tree Lane, the 30% and 100% plans will include the rehabilitation of the large culvert 8) pavement patching where any existing pavement will need to be removed but total pavement resurfacing is not part of this scope 9) attend coordination meetings as requested, two meetings have been accounted for in this scope 10) please note that any substantial changes to the design after the 30% plan approval may require additional fees 1 1) for the large culvert DB Engineering will be fill out and submit the IDEM Section 401 WQC Regional General Permit Notification Form 12) DB Engineering does not anticipate the need for any other state permits. IDEM does not believe they will need any permits other than the 401. According to FEMA the large storm culvert is not in the flood zone so an IDNR permit should not be required. The disturbed area should be under 1 acre so a Rule 5 permit will not be required. If any other State permits emerge as being needed they will be considered outside of this scope. Any local permits will be the responsibility of your office. We propose to furnish the services described above for the fees summarized as follows: Design Fee Survey Direct Costs (mileage and permit fees) Total Lump Sum Fee Our proposal does NOT include: 1. geotechnical services 2. Right -of -Way acquisition 3. construction inspection services 4. any contractor permits 5. public outreach 6. maintenance of traffic $23,800 $ 7,000 $ 200 $30,800 Should you have any questions or require further information, please feel free to contact our office. Most Sincerely, DB ENGINEERING, LLC e� Chad N. Kincaid, P.E. Page 2 of 3 Carmel Stormwater Description Sr. Project Project Manager Engineer Project Project CADD Admin Engineer 11 Designer TOTALHOURS Plans Grading 4 8 20 32 Storm water infrastructure 4 16 40 60 Utility Plans 2 8 16 26 Layout Plans 4 8 20 32 Large culvert rehabilitation 1 8 1 16 16 1 1 40 Construction Details 2 8 16 26 Specifications 1 8 9 Preliminary and Final Design - Submittals (2) 1 2 8 8 19 Opinion of probable cost (2) 1 2 8 11 Permits IDEM 401 1 3 4 8 Meetings ' Coordination with Carmel EngineeringStaff(2meetings) 4 4 TOTALHOURS 7 32 0 92 136 0 267 PAY RATE $ 163.87 $ 134.74 $ 106.06 $ 87.19 $ 75.51 $ 61.93 SUBTOTAL $ 1,147.09 $ 4,311.68 $ $ 8,021.48 $ 10,269.36 $ DIRECT SALARY COST i! j ! $ 23,749.61 i ------�---,—,---------_-1_ t _ 1 ,Proposed Design Fee r $ 23,800.00 j ----------- �---i--_- ---�-- r —r--- Survey ; Cost _ � -- , $ 7,000.00 _ 'Direct Costs (mileageandp_ermi_tfees) _ ;Total Lump Sum Fee 3 $200 $ 30,800.00 Page 3 of 3 Ey Ug- 111 3 X-3 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 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: 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 ��L P Vit' ,�O bCt , 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 (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 173 Eng, i hPa r i h 6f , L k 4, (the "Employer' in. the.position of pr 1 '5;'4-4 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. 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.. 4K day hday of:..... RU 20 Printed: &C//t e_1,- 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. E -Verify, Affidavit Pursuant to Indiana Code 22-5-1.7-11, the Contractor entering into a contract with the City is required to, enroll in and verify the work eligibility status of all its newly hired employees through the E -Verify program. The Contractor is not required to verify the work eligibility status of all its newly hired employees through the E -Verify program if the E -Verify program no longer exists. The undersigned, on behalf of the Contractor, being first duly sworn,. deposes and states that the Contractor does not knowingly employ an unauthorized alien. (Contractor): DB .Engineering, LLC By (Written Signature): f7'//��L• (Printed Name): Rachel A. DOba (Title): President/Founder Important - Notary, Signature and Seal Required in the Space Beloit, STATE OF. a'' COUNTY OF < j Subscribed and swum to before me this & day of. ,? f ~t- 20 Residing in'1� ill 11 . -Al T Received 05 -16 -16H, -:z4 ,- cLVU City of Carmel Department of Law LETTER OF TRANSMITTAL Date: May 10, 2016 To: Doug Haney - Department of Law From: Jeremy Kashman tMl�- Department of Engineering RE: DB Engineering, LLC Contract A Professional Services contract is needed for DB Engineering, LLC for the June 1St BPW meeting, please. Attached please find DB Engineering's scope of work and purchase order. Contract Information: Project Name: Crooked Stick Drainage: Augusta Lane and Greenbrier Drive — Burning Tree Lane and Tam O'Shanter Drive Vendor: DB Engineering, LLC Amount: $30,800.00 Appropriation: P.O. 33957; 2016 Storm Water Bond Signature: Rachel Doba Address: 101 West Ohio Street, Suite 1515 Indianapolis, IN 46204 Phone: 317/602-4765 Email: rdoba(aD-db-engineering.com r Cityo Carmel INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 Page 1 of 1 PURCHASE ORDER NUMBER JL FEDERAL EXCISE TAX EXEMPT 33957 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 ANDANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 5/10/2016 367070 Project 16 -SW -57; Contract Date 06-01-16 DB ENGINEERING, LLC City Engineering's Office VENDOR 101 WEST OHIO STREET SHIP 1 Civic Square SUITE 1515 TO Carmel, IN 46032 - INDIANAPOLIS, IN 46204 - Kate Lustig PURCHASE ID BLANKET CONTRACT PAYMENTTERMS FREIGHT 4737 QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION Department., 2200 Account: 94-650.04 Fund. 0 2016 Storm Water Bond 1 Each Crooked Stick Drainage - Augusta Lane and Greenbrier $30,800.00 $30,800.00 Drive Burning Tree Lane and Tam O'Shanter Driv Sub Total $30,800.00 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 ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $30,800.00 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 ORDERED BY AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE CONTROL NO. 33957 CLERK -TREASURER