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Home My WebLink AboutAmerican Structurepoint/Eng/24,960/Adl Serv #6/96th Street and Keystone Parkway Plan Review American Structurepoint,Inc. Engineering Department-2016 Appropriation:ASA#6;#94-650.04;COIT Bond;P.O.#33933 Contract Not To Exceed$24,960.00 ADDITIONAL SERVICES AMENDMENT TO JA9;: AGREEMENT FOR PROFESSIONAL SERVICES THIS AMENDMENT TO THE AGREEMENT FOR PROFESSIONAL SERVICES ("Agreement") entered into by and between the City of Carmel and American Structurepoint, Inc. (the "Professional"), as City Contract dated April 6, 2016 shall amend the terms of the Agreement by adding the additional services to be provided by Professional consistent with the Scope of Work attached hereto and incorporated herein 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 document, it doesnot engage in investment activities within the Country of Iran. The terms and conditions of the" Agreement shall not otherwise be affected by this Additional Services Amendment and shall remain in full force and effect. IN WITNESS WHEREOF,the parties hereto have made and executed this Amendment as follows: CITY OF CARMEL, INDIANA American.Structurepoint, Inc. by and through its Board of Public Works and Safety By: By: / ---z_./ mes Brainard, Presidin ffi Authorized Signature D : 6 - Z4fA E. 4 cWJ Printed Name Mary nn B ke, embef /% n Date: // /tom V.ze --i�c�cs;le NO+ Pe€ n + / Title Lori S.Watson, Member FID/TIN: 35-- //273/7 Date: Last Four,of SSN if Sole Proprietor EST•" �--.. Date: /41 l-r- Z/6 Christine r (I). te I/ISACoatr rsTrofS,,,,&Good,SI zlengblacingg''2I116VAmclican Sirudizermm.6r_ASA 1i&Add'I Svcs Auocn!3-27-2012 ait6 C-Vcrif)Lmguogu!oc:5/I7/2016 I:15 PSII • March 23, 2016 Mr. Jeremy Kashman Cannel City Engineer One Civic Square Carmel, IN 46032 Re: 966 Street and Keystone Parkway Plan Review Dear Mr. Kashman, On behalf of American Structurepoint, Inc., I am pleased to submit this proposal for plan review services. The professional services will include plan review services for the intersection of 96th Street and Keystone Parkway. Upon receiving notice to proceed from the City of Carmel, American Structurepoint will commence with the above professional services for plan review for a total lump-sum fee of $24,960. Invoices will be forwarded to the City of Carmel on a monthly basis in accordance with our contract. We look forward to working with the City of Cannel on this project. If you should have any questions,please do not hesitate to contact me at(317)547-5580. Very truly yours, American Structurepoint, Inc. Michael Maurovich Project Manager MJM:mek Attachment cc: Mike McBride 201502101 I Exhibit A City of Carmel Program Management Scope Items Plan Review Services A. Engineer shall provide plan review comments for the following project: 1. 96th Street and Keystone Parkway B. Plan review shall consist of one (1)submittal to American Structurepoint by the design firm. C. Plan comments will be provided based on plan submittal. D. American Structurepoint will review the engineer's responses to comments and offer feedback and advice to the City of Carmel for proposed resolutions. ..,a<! •4E3a T Ofe___ March 23,2016 201502101 American Structurepoint,Inc. Engineering Department-2016 Appropriation:ASA#6;#94-650.04;2016 COIT Bond;P.O.#3393 • Contract Not To Exceed$24,960.00 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. [5:\Contracts\ProfSva&Goods Svcs\Enghteering\2016\Amcicnn Shucturcpoint,Inc.ASA#6 Add'1 Sva Amend 3-27-2012 with E-Verity langeege.doc:5/162016 2:14 PM] American Structurepoint,Inc. Engineering Department-2016. Appropriation:ASA#6;#94=650.04;2016 COIT Bond;P.O.#3393 Contract Not To Exceed$24,960.00° Exhibit"C" E-Verify Affidavit tier. 6rau vl ,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 AMerr'cn0, raripre pviHi,"hoc. (the "Company") in the position of Vice- frn s,,-r 3. I am familiar with the employment policies,practices, and procedures of the Company and have the authority to act on behalf of the.Company. 4. The Employer is enrolled and participates in the federal E-Verify program and has provided documentation of such enrollment and participation to the City of Cannel, Indiana. 5. The,Company does not knowingly employ any unauthorized,aliens. FURTHER AFFIANT SAYETH NOT: / EXECUTED on the l,cfc day.of //A Al ;20 4.-32 A Printed: pa--'se- certify under the penalties for per jury 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. /2/04714v7— OTZ, ®ifr ''� Printed: Ma�-�} -ef �'- 4.. .,6... ......... r3 / NOTARY ..Wi &* SEAL ,I c7 %,,i 11ae a 3 tj;'yE 4Pires SeQ.o'10. 0 \ \\' .\.tea rrr�r>lard�O ,OF 1��\�"\\\\ ike &-Gn, Sac.0f;neutec:iuc\?0161Mtuicnn Stnoancpoin,,itrc,.ASA116 hddl Six.Amend i.7-2012 with E-Y>i(y Ianpa;e.do S/16420162:14 Mij wy 4 �T IFF�� aTTOIWIAZ It-VERI/T TE slow,.or DM Company ID Number.254011 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 American Structurepolnt,Inc. Chelsea Shumaker Name(Please ._. .--.. ..,. ... ,....... Type or Print}. - 7Ftle _._ ,::. Electronically Signed 09/1712009 Signature.: Date Department of Homeland Security—Verification Division USCIS Verification Division Name(Please Type or Print) Title Electronically Signed 09/17/2009 Signature plate. • Page 11 of 131E Verify MOU for EmployerlRevision Date 10129108 IMARAI.dh.3. 0,11E-Verify uG \\441y, F-Ve1Fy - - n-Vann to A ftnVI.or uiu Company ID Number.254011 information Required for the E ferify Program Information relating to your Company: Company Name:Americav Structurepoint,Inc. Company Facility Address:7260 Shadeland Station Indianapolis,IN 46256 Company Alternate Address: County or Parish: MARiOh! Employer Identification Number: 351127317 . North American Industry . Classification Systems Code: 541 Parent Company: Number of Employees: 100 to 499 Number of Sites Verified for: 2 Are you verifying for more than 1 site?if yes,please provide the number of sites verified for In each State: OHIO 1 site(s) Page 12 of 131E-Verify MOU for EmployerjRevisio i Date 10/29/08 www.dl'3s.govltE-Verify y _ ..L`.- � R-VSR1T1 13 A S3RUICA Or DNS• 1116 Company ID Number.254011 ® INDIANA . :. 1 site(s) r . information relating to the Program Administrators)for your Company on policy questions or operational problems: Name, Chelsea Shumaker_ Telephone Number: (317)647-6680 Fax Number. (317)643-0270 E-mail Address cshumakergstructurepoint.com Page 13 of 13IE-Verify MOU(or EmployerlRevisian Date 10/29/08 rovinv.citis.gov/E-Verify i , N.M di'B a ®gyp 8:Mal,' ats F`- A CITY O 'MEL May 16, 2016 JAMES BRAINARD, MAYOR Mr.Willis R. Conner, PE, SE Mr. Gregory L.Henneke,PE Mr. Cash E. Canfield,PE American Structurepoint, Inc. 7260 Shadeland Station Indianapolis,IN 46256-3957 RE: Additional Service Amendment#5,P.O.#33931 Additional Service Amendment#6,P.O.#33933 Additional Service Amendment#7,P.O.#33750 Dear Mssrs. Conner and Henneke: As we discussed, the City of Carmel has a need for additional professional services and pursuant to our current contract with American Structurepoint, dated April 6,2016.I have requested and received from you the proposed scope of services and fee estimates for the following work tasks: Additional Service Amendment#5— 16-ENG-70—Rangeline Road from 116th Street to 4th Street SE Engineering Services Not to Exceed: $207,750.00 6Additional_Service Amendment#6 96th Street and Keystone Parkway Plan Review Not to Exceed: $24,960.00 Additional Service Amendment#7— Corridor Survey Services—96th Street, Gray Road,Rangeline Road Not to Exceed: $226,531.00 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, Jere M. ashman,P.E. Ci Engineer Reviewed and approved by: , DEPARTMENT OF ENGINEERING S. C Engelkmg ONE CIVIC SQUARE, CARMEL, IN 46032 OFFICE 317.571.2441 FAx 317.571D3al ,tor of Administration EMAIL engineering@carmel.in.gov 1 INDIANA RETAIL TAX EXEMPT Page 1 of 1 C iiCity of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 33933 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP CARMEL, INDIANA 46032 2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 5/15/2016 00350562 Contract Date 04.06.16 AMERICAN STRUCTURE POINT, INC City Engineering's Office VENDOR 7260 SHADELAND STATION SHIP 1 Civic Square TO Carmel, IN 46032- INDIANAPOLIS, IN 46256--3957 Kate Lustig PURCHASE ID I BLANKET I CONTRACT I PAYMENT TERMS I FREIGHT 4841 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 2200 Account: 94-650.04 Fund: 0 COIT Bond Fund 1 Each ASA 6-96th Street and Keystone Plan Review $24,960.00 $24,960.00 Sub Total $24,960.00 ,,,.r `tea"",• f y 0Y K}} t y . N. X +ti-.R. S,i 1 / ' -, 4 Send Invoice To: �4 s, ' �_ ;' 1. r x Skip Tennancour .,, ,/ 8425 Wicklow Way N. n; ,,,,,,,r, -.. . Brownsburg, IN 46112 41'i lA41.- i^' k-'j """ ff ._..: . 2016 COIT Bond PLEASE INVOICE IN DUPLICATE DEPARTMENT ' ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT PAYMENT $24,960.00 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. 33933 CLERK-TREASURER