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Home My WebLink AboutA & F Engineering/Eng/Adl Serv #6/12,900/126th Street Reconstruction – Rangeline Road to Keystone Parkway – Supplemental Right of Way Engineering Services A&F Engineering Co..LLC iQFtOb<<` Engineering-2016 o i Appropriation#94-650.04;ASA#6;2016 COIT Bond Fund;P.O.#34335 \JAO 1 Contract Not To Exceed$12,900.00 . ADDITIONAL SERVICES AMENDMENT TO AGREEMENT FOR PROFESSIONAL SERVICES THIS AMENDMENT TO THE AGREEMENT FOR PROFESSIONAL SERVICES ("Agreement") entered into by and between the City of Carmel and A& F Engineering Co., LLC (the"Vendor"), as City Contract dated January 6, 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 22-5-1.7 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, 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. IN WITNESS WHEREOF, the parties hereto have made and executed this Amendment as follows: CITY OF CARMEL, INDIANA A&F Engineering Co.,LLC by and through its Board of Public Works and Safety By: By: NO+ re.5cy /141/14 -- . James Br ainard, Presiding Officer Authonzed Signature • Date: 414/401, Printed Name ary A/Burke, Memb . Date: V%c-2. 't.tea s.. w,_-r } Title Lori Si.Watson,/ er • FID/TIN: 3 5 - a2-O 3 4`f 2 Dater Last Four of SSN if Sole Proprietor: • 4 : . _. Date: $ - 30 - I 6 Christine Pauley lerk / r/f.,� Date: JU : IX:1Con"ansl'r(Svcs S Goad,,SvestEngneenngt2d165A A.F Efigiirming ASA a6 Add7 Sons Amm d 3-7.740I2 mid,E.Veri[r Iong ogo doe:836:21,16 Rd 1,AUI i‘A&F :4.INEERING TRAN: ETADIESIGN GIH GHWAY DES GINS TRAFFIC ENG VEERRANNACYSES PARKING LOT DESIGN•TRANSPORTATION PLANNING STUDIES Transportation & Site Engineering CONSTRUCTION OBSERVATION•SITE ENGINEERING Creating Order Since 1966 REGISTRATION WILLIAM J.FEHRIBACH,P.E. INDIANA OF COUNCIL ILLINOIS STEVEN J.FEHRIBACH, P.E. KENTUCKY PRESIDENT MICHIGAN OHIO R.MATTHEW BROWN,P.E. MISSOURI VICE PRESIDENT TEXAS JOSEPH T.RENGEL, P.E. VICE PRESIDENT June 6, 2016 Mr. Jeremy Kashman, RE. City Engineer City of Carmel One Civic Square Carmel, Indiana 46032 Re: Supplemental Request for Right of Way Engineering Services Reconstruction of 126th Street from Rangeline Road to Keystone Dear Mr. Kashman, We have appreciated working with you and your staff on the accelerated design project on 126th Street in preparation to start construction in the fall 2016. As discussed, I have arranged for the preparation of legal descriptions and plats for the City to coordinate the right of way acquisition for this project. At this time, A&F is requesting a supplemental in order to coordinate and deliver these items. Our proposed fees are as follows: Permanent Right-of-Way Parcels 3 each at$2,200.00 = $ 6,600.00 Right of Entry Parcels 7 each at$ 900.00 = $ 6,300.00 Total $12,900.00 If you have any questions or concerns, feel free to contact me. Sincerely, .A&F Engineering Co., LLC j"le' am' 'Joseph T. Rengel, RE,, PTOE Vice President / oft - 8365 KEYSTONE CROSSING, SUITE 201 — INDIANAPOLIS, INDIANA 46240 TELEPHONE (317) 202-0864 — FACSIMILE (317) 202-0908 A&F Engineering Co.,LLC Engineering-2016 Appropriation#94-650.04;ASA#6;2016 COIT Bond Fund;P.O.#34335 Contract Not To Exceed$12,900.00 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. tX:\Contracts\ProfSvcs&Goods Svcs\Engincering12016W&F Engineering ASA fl6 Add?S\CS Amend 3-27-2012 xith E-Verify language.doc:8/30/2016 10:41 AM] A&F Engineering Co.,LLC Engineering-2016 Appropriation#94-650.04;ASA#6;2016 COIT Bond Fund;P.O.#34335 Contract Not To Exceed$12,900.00 Exhibit"C" E-Verify Affidavit �7 �0 ,being first duly sworn, deposes and says that h tshe 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 0. t L • Go. LL c (the "Company") in the position of V s,1.4.e.p& -� 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 Carmel, Indiana. 5. The Company does not knowingly employ any unauthorized aliens. FURTHER AFFIANT SAYETH NOT. EXECUTED on the 30 day of u-0,,,Lt.z4- ,20 1�, Printed:) . 4f Tf ''Xi;44,1 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. �khd . Printed: a.,4--1&& O c-c.s. \-lawayty \:iComr.:tdl'mfSvc.&Gaols SvcslErtgineeri110u16V RFEagintering ASA lb Addt Svcs Amend 347-20121,itb E-\'ciifr Lingulgvda::le3ff2a161041 Ahq Ca) INDIANA RETAIL TAX EXEMPT Page 1 of I 1tyof C4i;r1J�el CERTIFICATENO.0031201550020- PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 34335 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_._.. . 8/25/2016 003050 Project 16-ENG-04;Contract Date 01.06.15 A&F ENGINEER CO.,INC City Engineering's Office VENDOR 8365 KEYSTONE CROSSING SHIP 1 Civic Square SUITE 201 TO Carmel, IN 46032- INDIANAPOLIS, IN 46240- Kate Lustig PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 7828 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 2200 Fund: 0 COIT Bond Fund Account: 94-650.04 1 Each ASA 6-126th Street Reconstruction-Rangeline to Keystone $12,900.00 $12,900.00 Supp. ROW Engineering Svcs. Sub Total $12,900.00 1 � 1,a,, \ r° / as 1 '� r d' 4'v 4. � 41 II t" ` 3F Send Invoice To: , l' ` r =__- �. `4 j j'1i /Y Skip Tennancour L4 ', r American Structurepoint, Inc. 8425 Wicklow Way ., .. - ... '" e, Brownsburg, IN 46112 y '' Ism. /`,,,i, 2016 COLT Bond PLEASE INVOICE IN DUPLICATE r DEPARTMENT ➢ ACCOUNT i PROJECT i PROJECT ACCOUNT AMOUNT PAYMENT $12,900.00 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 r- 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 P� '" AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY TITLE r d .14 = CONTROL NO. 34335 CLERK-TREASURER • elr,' -.; .., . Company ID Number:478164 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 A&F Engineering Co LLC Lisa Pipes - Name(Please Type or Print) Me — ,Electronically Signed 12/22/2011 'Signature mate Department of Homeland Security—Verification Division USCIS Verification Division Name(Please Type or Print) 7PUe Electronically Signed 12/22/2011 Signature Date Information Required for the E-Verify Program Information relating to your Company: Company Name:A&F Engineering Co LLC Company Facility Address:8365 Keystone Crossing Suite 201 Indianapolis,IN 46240 Company Alternate Address: County or Parish; MARION Employer Identification Number; 352093442 Page 12 of 13 IE-Verify MOU for Employer I Revision Date 09/01/09 www.dhs.gov!E-Verify