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Home My WebLink AboutMunicipal & Contractors Sealing Products/Eng/595.175/Adl Serv #1/Small Structure Pipe Lining; Culverts 65, 92, 122, 128 and Storm Sewer Locations A, C, DMunicipal & Contractors Sealing Products Engineering Department- 2016 Appropriation T#94-650.04 2016 Storm Water Bond: P.O. #34292 e Contract Not To Exceed 5595,175.00 ADDITIONAL SERVICES AMENDMENT TO AGREEMENT FOR PURCHASE OF GOODS AND SERVICES THIS AMENDMENT -.TO THE GOODS AND SERVICES AGREEMENT ("Agreement") entered into by and .between 'the .City of Carmel and. Municipal & Contractors Sealing Products (the "Vendor"), as City Contract dated November 4, 2015 shall amend the terms of the Agreement by adding the additional services to be provided by Vendor 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 § 22-54.7 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, Vendor shall certify that in signing this document,. it does not 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. rJ IN WITNESS WHEREOF, the parties hereto have made and executed this Amendment as follows: 0 CITY OF CARMEL, INDIANA Municipal & Contractors Sealing Products by and through its Board of Public Works and Safety By: / ames Brainard; Pr l ing Off' r Mary An lurke, MeV/j Date: 7 1-11.0 0 By: ?A0Z___ Authorized Signature -�- C br Printed Name PrI -C Title FID/TIN: -N -- (.( —Ci i G1 Last Four of SS((N if Sole Proprietor: Date: j�: Cnd... .`Tad.S•.� A.:Bind.S�:aS'.r:,nw�utiC�tti`tlmaitp3»Gaua:var Rca;inF,PryJn.i: a.Wl S..� Ama�d i•E2--.01E —1, Y\11 BIDDER'S ITEMIZED PROPOSAL AND DECLARATIONS City of -Carmel :Instructions To Bidders: This form shall be utilized,by all Bidders. Except as otherwise specifically provided., all Parts shall be fully and accurately filled in and completed,and notarized. Project: Small Structure: Pipe Lifting of Culverts 65, 92, 122, & 128 and Storm Sewer Locations, A, C, & D. Project Nufnber. 16-$W-08 Proposal,For Construe tion of;:. The, poe- lining: of the existing small, structure Culvert -65 on West Main Street. The'pipe lining of the existing -small structure Culvert 92;:on Keystone,Avenue. The pipe lining of the exWing.small structure Culvert 122 on.Beech Drive. The pipe lining of thq existing small structure Culvert 12$ on; Beechtree Circle The pipe lining of the existing storm sewer at Location.A on: Cool Creek Drive. Thepipe=lining�of the existing storm sewer'atLoeation C n..LakeviewDrive Vie pipe lining of the exi Vog storm sewer at Location D on Whispering Trail Date: S 3 . c L..c, To; City of Carmel, Indiana, Board of Public Works and, Safety EXH601T. 1CJ7 PART .2 BED PROPOSAL 41 Base Bid The, undersigned Bidder proposes to furnish all necessary labor, tuachinerYj tools; apparatus, rnatdri a I Is, oquippent, sot -vice and other necessary sup perform plies, and to p b and fulfill all obligations incident thereto in strict. accordance. with and within the t rneW provided by the terms -and conditions of the Contract Do.currients for, the :above: described Work, and Project, including any and all addenda thereto- for the Unit Prices applicable to, the lie C6nttaQt Item ,as stated. ig Paitl hereof, which. Unit Prices, who'll multiplied by estittated unit.qugntities for such Contralet"Items', total, Base Bid: .FtYhLr6reA Dollars: 92.2 General The Bidder a6knoWledges that evaluation of the lowest B10. shall be based on the total of the Base and `selected Alternate Bids if applicable-. gh -o The -Bidder. acknowledges that the Owner.reserves. the 6 mawafd.theContractfor the. Base 'Bid alone, for the Base Bidlus selected Alternate P e Bids if applicable The Bidder ftirther a:ckno-YV edgqs that the unit quantities listed in .Part 3 of 0!!s. Proposal are estimates . qQ16 for -i and Contract award, and arc not to y, , le pqrp ose of Did. evaluatioi ntra v a n r be consttued as exact, or binding. The: Bidder further understands that all :Work which may result on the Contract s114.11 be cQmpensated for on. a Unit Price basis and that the OWNER and ENGINEER cannot and d formed or: not guarantee the amount or quantity of any item of Work, to be perforn 'furnished under the Contract. EXHUT -A 2 e,�3 53 Itemized Proposal Project 16 -SW -08 Small -Structure Pipe Uni . ng of Culverts 8, 92,.122,_& 118 'and Storm Sewer Locations A. C, & D Itein ff Jtem Quan ity Unit unit Cost Total -Cost. 27 lvlaintaining Traffic, Culvert 128 Subtotal 3101 Location A 29 N150 Lining, [type], Location A, 37"x33" LF 200 29_ Perpetuation,Ekisting Pipe EA 2 t560 30 Pipe End Scbtidn EA 2 Oc 3.1 Riprilp TON 20 56R5 32 Geotextiles 8 Y -D.' 31 OZI 33 Dewatering; Location -:A ts. I 34 Backfill CYS 35 Mobilization and Demobilization -LS 36, RestofAti6n./.Erb,§iO,ri, Control, LocationA LS I '3 7 Video. Insinction, Location A 1:8. 1 3 Maintaining Traffic, Location: A LS I Subtotal" E5, Location C '3 9. Pipe Linin ; (type), Location C 12" LF 78- W- 0�4. 40,_ Pi )e Lining; [typej, Location C,.24" Lr. 61 44 _ Pipe Lining;Lining;[typ6], L66atidlIC, 33" LF 353 J O's M 42� Pipe, RCP, tri 77 43; Backfill CY& 61 44 Peroetdation, Existing Pie EA. 4 45 Dewaterhig, Location C;... L .. S 40 Mobiliz,iti6n.aiid,Demobilizafion LS 1. 03cp RGL 01"F�" 4 .7 Restorad6hffirdsion Control, Location C LS 1 300-d� -I= 48: Video Inspection,: Location C LS 1 a 0 497-1—MaintiffiffigRaffic-, Locatibn C LS I Uchdon D -50,_ Pipe Lining; [typel, Location D; 15" LF 180. go Q)OP4 51 Fired End Section, tF EA I C)OL �52:. ��giprap TON 6 0" 53 Geotextiles SYD 16 54 Dewatering, Lobation. D. LS I 55 MobflizaloiI. and Deniobilization CDC 56: Rcsiorafion/Erosion:.Canirol, Location D LS EXHIOT Municipal & Contractors Sealing Products Engineering Department - 2016 Appropriation #94-650.04 2016 Storm Water Bond; P.O. #34292 Contract Not To Exceed $595,175.00 EXHMIT `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. [SXonicacts\Prof.Sv s & Good SvcstEngincaua' tg@0161Municipa1 & Conirnctors SG ling Products AM Svc An -0-27-2012 with E -Verify Iangunge.doc:8B2016 4:21 PK Municipal ,& Coti(ractors Scaling Products Engineerin(iDepartment -2016 Appropriatiod 7#94-650.04 201 G.St.orm Water Bond: P.U. #I34292 Contract Not To Exceed .S595.1-75.00 Exhibit "C° Q6v-+ E-Verify Affidavit d , Conn or , being first duly sworn, deposes and says that he/slid is familiar with and has personal -knowledge of the facts herein and, if called as a witness in this matter, couldtestify as follows; 1. I ant over .eighteen (18) years of age and am competent to testify to the facts contained herein. 2. I aril now and - at all times relevant herein have been employed by 166& R CAVATGOWS Se&tno, Qmducl (the "Company") in the position of Ce.5cCiPnt 3. I am familiar %with the employment policies, practices, and procedures of the Company and Have the authority to act oil 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 tate City of Carmel, Indiana. 5. The Company does not knowingly employ any unauthorized aliens. FURTHER AFFIANT SAYETH NOT. EXECUTED on the �1' day of U 'l 2C I(O: 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. i Printed:t(Ti" Y1 CSt IS:+C.ma nd3•nd.5s..kGa.laSr:.t1:.�nce:cvfl:Ulitltu:ii:ipxtw G`n+.+-':`+a 5eslinF i:�•:n::..\eWl ti.•. ,Lau:N� :i-Z:q'_nnl:f:-\'ai(y Un�u;,:.:Nti;4E?u1�i=::1PM1 tie ✓ .r �,<.+.5+ � 'Cryr ll�lii rX Company ID Number: 74219 Client Company ID Number: 631319 Company Facility Address:7740 Reinhold Drive Cincinnati, OH 45237 County or Parish: HAMILTON Employer Identification Number: 311692549 North American Industry Classification Systems Code: 221 Administrator. Number of Employees: 10 to 19 Page 15 of 151 E -Verify MOU for Employer (Client) using a E -Verify Employer Agent I Revision Date 09/01/09 www.d hs.gov/E-Verify Company ID Plumber: 74219 Client Company ID Number: 631319 The individuals whose signatures appear below represent that they are authorized to enter into this MOU on behalf of the Employer, the E -Verify Employer Agent and DHS respectively. If you have any questions, contact E -Verify at 1-888-464-4218. Approved by: Employer Municipal & Contractors Sealing Products. Name (mease Type or Print) Title Signature Date E. Verify Employer Agent Selection Management Systems Inc. Melissa Fleming SEO Specialist Mama tPlease Type or Print) TWO Electronically Signed 03/1012013 Signatarc Dam Department of Homeland Security —Verification Division Name (Please Type or Print) Title 919nature3 Date Information RQquired For the E -Verify E -Verify Employer -Agent Orb gratie .Information relating to your Company: Company Name:Munlcipal & Contractors Sealing Products Page 14 of 151 E -Verity MOU for Employer (Client) using a E -Verify Employer Agent I Revision Dale 09/01/09 www.dhs.g ov1E-Verify City®� cfj� ��'jn I'CERTIFICATE INDIANA RETAIL TAX EXEMPT NO. 003120155 002 0 Page 1 of 1 PURCHASE ORDER NUMBER (� JLJjJl JLFEDERAL EXCISE TAX EXEMPT 34292 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ONINVOICES, 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 N0. VENDOR NO- DESCRIPTION 8/4/2016 357217 Project 16 -SW -08; Contract Date 11.04.15 MUNICIPAL & CONTRACTORS SEALING PRO City Engineering's Office VENDOR 7740 REINHOLD DRIVE SHIP 1 Civic Square TO Carmel, IN 46032 - CINCINNATI, OH 45237 - Kate Lustig PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 7192 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 2200 Fund.- 0 2016 Storm Water Bond Account: 94-650.04 1 Each ASA 1 -Small Structure Pipe Lining; Culverts 65, 92, 122, 128 $595,175.00 $595,175.00 and Storm Sewer Locations A, C, D Sub Total $595,175.00 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 i ACCOUNT PROJECT PROJECTACCOUNT AMOUNT PAYMENT $595,175.00 SHIPPING INSTRUCTIONS ' IVP 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 UNOBUGATED 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 f AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY TITLE CONTROL NO. 34292 CLERK -TREASURER