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HomeMy WebLinkAboutOLCO, Inc/Eng/Adl Serv/73,836.27/Crooked Stick Drainage Improvements - ConstructionOLCO, Inc. Engineering - 2016 ��' Appropriation #2016 Storm Water Bond; P.O. #34299 Z JV<,��, Contract Not To Exceed $73,836.27 Fd �Ij l 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 OLCO, Inc. (the "Vendor"), as City Contract dated September 21, 2016 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 by and through its Board of Public Works and Safety By: aures Brainard, Presiding Officer Date: 9'—A l6 Mary Ann urce, iUber Date: 7, r Lori S. W tson, M " nber Date: !, I AT� C ristine Paul . rk- reasurer Date: / 1X:iCmnruntP.f.s,a 3 Gcc& S,z,Euetami.eZU16A10C AM Sm,%.dz' &,-�-Y91Nlln 3:9; P11I OLCO, Inc. By: i -34 Authorized Signature W .«.i r.w. �3C£tit11, c Printed Name Title FIDITIN:����`c� Last Four of SSN if Sole Proprietor: Date: 6i i 3 (o BID PROPOSAL SUMMARY PAGE Complete the following information and place as the cover page to your bid packet. Insert all documents into an envelope with project name.and your company name clearly marked on the outside. ,Seal "the envelope. Company: 09' j�- Lto 53 Jc R m,a A ( Project Name: Date Submitted: T9 OU Base Bid Amount: Local Preference Law lam claiming Local Preference (Circle One) YES (All required documentation will be required in a post -bid submittal) 7XHIBIT A (ofZ Crooked Stick Drainage September 7, 2016 DLCO, Inc. Lme Item 1, "Quantity `'IlJmt Total Bid Total PncejUrnt . t <. 001- Mobilization/Demobilization 1 LS' $ 15,579.40 $ 15,579.40 002 -Construction Engineering 1 15 $ 1,220.00 $ 1,220:00 003 - Maintenance of Traffic 1 LS' $ 10,9.80.00 $. 10,980.00 004 - Sidewalk Removal - 72 SYS $ 792.72 $ 11.01 005 - Curb & Gutter Removal 270 LFT $ 3,477.60 $ 12.88 006 -Grass Removal 58 SYS $ 213A4 $ 3.68 007 - Common Excavation 104 CYS $ 3,599.44 $ 34.61 008 - Inlet, J-16 2 EA $ 078.50 $ 2,089.25 009 - Reinforced Concrete Pipe,. Class ll, 12 IN. 326 LFT $ 7;661:00 $ 23.50 010. -Structural Backfill, Type1 100 CYS $ 2,074.00 $ 20.74 011 -Sidewalk, Concrete, 4IN. 71 SYS $ '3,638.04 $ 51.24 012 - Curb Ramp, Concrete 21 SYS $ 4,227.30 $ 201.30 013.- Concrete Roll Curb and Gutter 152 LFT $ 3,894.24 $ 25.62 014 - HMA Surface, Type B,13 8::1 mm. 13 TON $ 1,903.20 $ 146.40 015 - HMA Base, Type B, 63.5 -mm 22 TON $ 2,415.60 $ 109.80 016 -Compacted Aggregate.Bas'e, No. 53 94 TON $ 3;721:46 $ 39.59 017 =Thermoplastic, White Stop Bar, 24" 32 LFT $ 1,4:40.00 $ 45.00 01.8 -Temp .clary Inlet.ProWction 3 EA $ 292.80 $ 97.60 019 = Temporary Silt Fence 222 LFT $ 701.52 $ 3.16 020 -Sodding 87 SYS $ 731.6.7 $ 8.41 021 --Temporary. Seeding. 87 SYS $ 636:84 $ 7.32: 022 - Core. Drill Existing Inlet 2 EA $ 274.50 $ 137.25 023 - Concrete Washout. 1 EA $ 183.00 $ 183.00 $ 73,836.27 r—UBIT A 2 -� DLCO, Inc. Engineering - 2016 Appropriation #2016 Storm Water Bond; P.O. #34299 Contract Not To Exceed $73,836.27 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 Vendoror 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. ]VAsbmedlContatslProf.Svcs&Goods SvcslEngincering12016V01.00 Add?Ss Atnmd.doc:9/M162:23 PM] DLCO. Inc. Engineerina - 2016 Appropriation #2016 Storm Water Bond: P.O. #34299 Contract Not To Exceed $73,836.27 Exhibit "C" E -Verify Affidavit 1l+L �,CLo�tiri(1.�1 , 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. 1 am now and at all times relevant herein have been employed by [)LCo:,,, (the "Company") in the position of 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. JAL, EXECUTED on the day of Le���r"r , 20 . ;t_ .1dow"Z,. l Printed: -1111"44 ��� e,,,,,4d 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. Printed: f siti �\':\.nx..M:,wrnu�l4.d.5�r.±.C• 1b,.6 Svc.+FnEm, �u,cV` 716`ULOC.{,y(� 5,., .lnwic4c A913�I�.:�t Pll{ City ®f CarmelCERTIFICATE INDIANA RETAIL TAX EXEMPT NO.003120155 002 0 Page 1 of 1 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 34299 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES, AIP CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SUPS, 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 9/9/2016 371108 Project 16 -SW -57; Contract Date 09.21.15 OLCO INC City Engineering's Office VENDOR 24053 SHIP 1 Civic Square Jill Newport TO Carmel, IN 46032- BATESVILLE, IN 47006 - Kate Lustig PURCHASE ID BLANKET CONTRACT PAYMENTTERMS FREIGHT 8269 6 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department 2200 Fund: 0 Account: 94-650.04 1 Each 2016 Storm Water Bond ASA 1 - Crooked Stick Drainage $73,836.27 $73,836.27 Sub Total $73,836.27 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 ACTSAMENDATORYTHEREOF AND SUPPLEMENT THERETO. ORDERED BY TITLE CONTROL No. 34299 CLERK -TREASURER ' /VP 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 UNOBUGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. x 1 'ti r Send invoice To: t Ix Jill Newport 11-\ CrossRoad Engineers, P.C. 3417 Sherman Drive Beech Grove,IN 46107 �i1 6 G.O./Storm Water Bonds PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT PAYMENT $73,836.27 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 ACTSAMENDATORYTHEREOF AND SUPPLEMENT THERETO. ORDERED BY TITLE CONTROL No. 34299 CLERK -TREASURER ' /VP 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 UNOBUGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. x 1