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HomeMy WebLinkAboutClark Dietz, Inc/Eng/97,847/Adl Serv #3/Small Structure Replacement Under Jumper Lane South of 106th StreetClark Dietz, Inc. Enbineering Department.- 2GI6 Appropriation AsA #3, #94: 650.04, 2016,Storm Water Bond;; P.O.. #33994: Contract Not To. Exceed $97,347.00 ue p ADDITIONAL SERVICES AMENDMENT TO AGREEMENT FOR PROFESSIONAL SERVICES THIS -AMENDMENT TO THE PROFESSIONAL -SERVICESAGREEMENT ("Agreement") entered irito-by and between the City of Carmel and Clark Dietz; Inc. (the: `Professional"). as City Contract. dated Maya 4, 201'6 shall; amend the terms of -the Agreement by adding the additional services to be provided 'by Professional ;consistent; with the Scope of Work::attachedhereto and incorporated herein as Exhibit_'W', Furthermorei the terms of'the Agreement shall be amended: to- include -;the °E -verify requirement as stated in Indiaria Code § 22 - et seq.,.whch 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 --does notengage 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 executedthis-Amendment as follows: CITY OF CARMEL, INDIANA by and through its, Boardof Public Works and -Safety By: -No+ James Brainard; Presiding Officer Date: Mary An Date: _ Lori S. Date: Clark.Dietz; Inc. By: Authorized Signature / �Gihs J. /",ei�rsch . Printed Name Se-- VJGe fires ��enT' Title FID/TIN: 37-1,21,205J Last Four of SSN if Sole Proprietor: A ST. � Date: �� O �' oZ0/� pristine Pa le ,fie -Treasurer Date: IS:'Ux Zn 0Fn,rS+ & C-1, Di"... 1— ASA 03 A,ut SI.. MIC.,1307-_2012 with E2-Yaily I:mnugcA,w:G?r:01G I1:2i Aaq rk Di June 6, 2016 PROJECT DESCRIPTION: Small Structure Replacement under Jumper Lane 0.15 miles south of 106`h St. in City of Carmel, Hamilton County, Indiana SCOPE: The scope for this project is the design of a small structure replacement project in the City of Carmel. The project is located on an un -named tributary (UNT) of Williams Creek, located west of Williams Creek on Jumper Lane, 0.15 miles south of 106th St. The anticipated project schedule includes a preliminary field check in Fall 2016 with design being completed Summer 2017. Construction is anticipated for Fall 2017. Our scope will include the following services for the project: 1. Design — Small Structure Replacement and Scour Protection 2. Contract Documents and Bidding Assistance 3. Utility Coordination 4. Permit Applications (ACOE 404, IDEM 401) 5. R/W Engineering (Legal Description and Parcel Plat) 6. Meetings & Coordination with Laurelwood HOA 7. Geotechnical Investigation 8. Topographical Survey 9. Waters of the U.S. Report / Wetland Delineation EX 3 I"' . A 1 ® Clark Dietz, Inc. 8900 Keystone Crossing, Suite 900 Indianapolis, Indiana 46240 T: 317.844.8900 F: 317.844.9158 Fee Summary UNT Williams Creek Structure Replacement 106th St. & Jumper Lane City of Carmel FEE SUMMARY kit 2017 construction Jumper Lane Culvert Total = $97,847 Assumptions 1) Local Project - CE Documentation not required M 2) Wetland Mitigation not anticipated 3) Archeaological Field Recon. not anticipated 4) Section 4(f) not anticipated 5) IDEM Rule 5 Permit not anticipated CIO 6) DNR Construction in Floodway Permit not required (drainage area <1 sq. mi) 7) City Standards to be utilized for pavement section 8) Anticipated 3 parcels for land acquisition. 9) Jumper Lane anticipated for construction in 2017. 10) hourly item for utility coordination (hourly rates: $130 for PM / Project Engineer and $115 for senior technician). 11) hourly item for meetings / coordination with HOA included for 106th St. culvert (hourly rates: $167 for Roadway Group Lead and $130 for PM / Project Engineer). P.\C0330110_Camd -106th Culvert\ProjMgt\FeeData\106th St Culvert Design\106th St Culvet Design MH -Fee Justification.xlsc 6/6/2016 1of7 Task Description Fee y d S Desi Small Structure Replacement) (LSUM) $35,900 Contract Documents & Bidding Assistance (LSUM) $8,200 V Utility Coordination OT TO EXCEED) $8,900 A Permit Applications (COE 404, IDEM 401) (LSUM) $8,800 x R/W Engineering - Legal Description & Parcel Plat ($3,233 /parcel) $9,700 w U Hourly for meetings & coordination with Laurelwood HOA (NOT TO EXCEED) $5,000 a Geotechnical Investigation (Earth Exploration) (UNIT PRICES) $4,330 Title Search (USI) (based on 3 parcels per project site, $450 /parcel) $1,350 a S Field Survey (USI) (LSUM) $12,009 aR/W Staking - not included per City request n/a Waters of the US Report / Wetland Delineation Green3) (LSUM) $3,658 Right -of -Way Acquisition (City of Carmel to oomplde Total = $97,847 Assumptions 1) Local Project - CE Documentation not required M 2) Wetland Mitigation not anticipated 3) Archeaological Field Recon. not anticipated 4) Section 4(f) not anticipated 5) IDEM Rule 5 Permit not anticipated CIO 6) DNR Construction in Floodway Permit not required (drainage area <1 sq. mi) 7) City Standards to be utilized for pavement section 8) Anticipated 3 parcels for land acquisition. 9) Jumper Lane anticipated for construction in 2017. 10) hourly item for utility coordination (hourly rates: $130 for PM / Project Engineer and $115 for senior technician). 11) hourly item for meetings / coordination with HOA included for 106th St. culvert (hourly rates: $167 for Roadway Group Lead and $130 for PM / Project Engineer). P.\C0330110_Camd -106th Culvert\ProjMgt\FeeData\106th St Culvert Design\106th St Culvet Design MH -Fee Justification.xlsc 6/6/2016 1of7 Clark Dietz, Inc. Engineering Department - 2016 Appropriation: ASA #3, #94-650.04, 2016 Storm Water Bond; P.O. #33994 Contract Not To Exceed $97,847.00 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. [S:\Coo1rac1s\Prof.Svcs & Goads Svcs\Enginecring\2016\C1ark Dim Ina ASA #3 Add? Svcs Am nd 3-27-2012 xilh E -Verify Iangaege.dac:6A2016 11:25 AM[ Clark Dietz, Inc. Engineering Department - 2016. Appropriation: ASA. #3; #94-650:04, 2016 Storm Water Bond; P.O. #33994 Contract Not To Exceed $97;$47:00 Exhibit "C' E -Verify Affidavit Ath s �]_. ! e f�rsa r�, , beingfirst duly sworn, deposes and -says drat he/she is familiar with=and has persorial_knowledge of the facts laeieinand, if called..as a witness. ihthis matter, could testify as follows: 1. I am over eighteen (18) years of age and am competent toz testify to the factscontained Herein. 2. f am, now, and 1t all times relevant herein. have been employed b- G , r 1,14C . the "Company") in the ppsrtioi of 15'r. VrCP / r� Si o�G ti 3. I aril familiar with the employment policies, practices; -Ind procedures: of:thee 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 documeritatiori of such enrollment and participation. to the ity Cof Carmel, iridiana.. 5: The Company :does not knowingly ernplgy any unauthorized aliens: FURTHE-R AI'FIANT SAYETH NOT. 'EXECU.TED 'oil the V. clay :of 7t4in e. Printed : AAl s�% . f t' f t meso *n I certify under- the penalties for perjury under the laws of the United States of America and the State of Indiana that the loregoirig factual statements and representations are true and correct. Printed: 9ahS V / e/C/ 510h IS:lemuom-o,rnuScc>& r,-!, Dieu_ hie. ASA P: A&I7 S, Aino,d 3-27-012-11, U -V nfy {: 1125 ANC, Company ID Number. 436844 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 Clark Dietz, Inc ;Jon Howvaniec 'Name (Please Type or Printf ( Title ElectronicallySlgned._ j ,0810212011 :Signature Date i Department of Homeland Security— Verification Division ''SCIS Verification DiAsIon _ 'Name (Please Type or Print) ` Tllie ;Electronically S[gned S 08!0212011 :Signature Dale r InformatiOn Required for the E -Verify Program .Information relating to,your Company_ _ l i Company Name,',Clark Dietz, Inc i • Company Facility Address "118 S. Clinton St. 'Suite 700 } .. ... Chicago, IL 60618 Company Alternate Address: i Coullty or Parish:. ?COOK i i Employer identification Number: .:3712`12061 Page 12 of 131E Verify MQU for Employer I Revision Dale 09/01/00 www.dhs.gov/E-Verify Company ID Number: 436844 North American Industry Classification Systems i Code: d41 Administrator; Number of Employees, .100 to 499 Number of Sites Verified for: -Are you verifying for more than t site? If yes, please provide the number of sates verliled for ju each State: o WISCONSIN 3 sites) 0 ILLINOIS 2 sites) INDIANA 2 siic(s) Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Name; Jon B1101yanice Telephone Number: (312) 648 .9900 ext. 259 Fax Number: E-mail Address: jon.bowanicc a@clark diemcurn Name: Joanna Cabal Telephone Number: (312) 648 -9900 Pax Number; E-mail Address: joanna.cabalQclaelr-dietz.com Page 13 of 131 E -Verify MOU for Employer I Revision Data 09/01/09 VVWW.dhs.gov1E Verify Received 06-07-16A09:00 RCVD City of Carmel Department of Law LETTER OF TRANSMITTAL Date: June 6, 2016 To: Doug Haney Department of Law From: Jeremy Kashman64'� Department of Engineering RE: Clark Dietz, Inc. Additional Service Amendment One additional service amendment is needed for Clark Dietz for the June 15th BPW meeting, please. Attached please find the work proposal and purchase order. Contract Information: Project Name: ASA 3 Small Structure Replacement under Street - Design Vendor: Clark Dietz, Inc. Amount: $97,847.00 Appropriation: PO 33994; 2016 Storm Water Bond Signature: James Loew, P.E. Address: 8900 Keystone Crossing, Suite 900 Indianapolis, IN 46240 Phone: 317/808-9158 Email: iim.loew(a�clarkdietz.com Jumper Lane 0.15 Miles South of 106th June 6, 2016 Mr. James Loew, P.E. Clark Dietz, Inc. 8900 Keystone Crossing, Suite 900 Indianapolis, IN 46240 ,JAMES BRAINARD, MAYOR RE: Additional Service Amendment #3, PO #33994 Dear Mr. Loew: As we discussed, the City of Carmel has a need for additional professional services and pursuant to our current contract with Clark Dietz, Inc., dated May 4, 2016, I have requested and received from you the proposed scope of services and fee estimates for the following work task: Additional Service Amendment #3— Small Structure Replacement under Jumper Lane 0.15 Miles South of 106th Street Not to Exceed: $97,847.00 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, Jef y Kshman, P.E. City Engineer R ie ed and approved by: 1. 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 /f (� (( ityo Carmel INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 Page 1 of 1 PURCHASE ORDER NUMBER \ / JL FEDERAL EXCISE TAX EXEMPT 33994 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES, AJP 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 I REQUISITION NO. VENDOR NO. DESCRIPTION 6/6/2016 060650 Project 16 -SW -79; Contract Date 05.04.16 CLARK DIETZ, INC City Engineering's Office VENDOR 8900 KEYSTONE CROSSING #900 SHIP 1 Civic Square TO Carmel, IN 46032 - INDIANAPOLIS, IN 46240 - Kate Lustig PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 5379 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION Department: 2200 Account: 94-650.04 Fund: 0 2016 Storm Water Bond 1 Each ASA 3 - Small Structure Replacement under Jumper Lane $97,847.00 $97,847.00 0.15 Miles South of 106th Street Sub Total $97,847.00 Send Invoice To: Jill Newport CrossRoad Engineers, P.C. 3417 Sherman Drive Beech Grove, IN 46107 G.O./Storm Water Bonds -- PLEASE INVOICE IN DUPLICATE DEPARTMENT IACCOUNT SHIPPING INSTRUCTIONS 'SHIP PREPAID. 'C.O.D. SHIPMENT CANNOT BE ACCEPTED. '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. 33994 CLERK -TREASURER PROJECT i PROJECT ACCOUNT AMOUNT PAYMENT $97,847.00 AIP 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 AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.