HomeMy WebLinkAboutDB Engineering/Eng/Adl Serv #1/27,500/Crooked Stick Drainage Improvements – Construction InspectionDB Engineering, LLC"
Engineering Department - 2016
Appropriation #94=650.04,.2016 Stonn Water Bond; :P.O. #34334 i{
C611tekt Not To Exceed $27,'500.00 AO.
-ADDITIONAL SERVICES AMENDMENT TO
AGREEMENT FOR PROFESSIONAL SERVICES
THIS AMENDMENT TO THEAGREEMENT FOR PROFESSIONAL SERVICES ("Agreement") entered into
by: and between the :City of Carmel and DB Engineering, LLC (the "Professional"), as City Contract dated June 1
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 "K.. Furthermore, the terms of.
the Agreement shall be amended to include the &verify requirement as stated ir1 Indiana Code §:2275-1.7 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 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 _ DB_ ENGINEERING, LLC
by and through 'its :Board of Public
Works and Safety
By:
By: .. ...
es Brainard, Presiding-Officer . Authorized Signature
Date: /' /6
Printed Name
Mary Ahn.Alurke, e. .. r .
Date:
Fres, e:
Title
Lori S. Watson, . 'tuber FID/TIN: oaG ' 3 `l
Date:.....
E:
Last Four of SSN if Sole-Proprietor:
_.. t
.: Dae: Oi
hr:istine Paul ey� C Jreg§ger . .
Date:
-' f�lComn. 9Rn[.S<sS Goals S<slF.nginc<ringDB Eninccdng.iLC Addl Secs Anrcnd 3.27.1u 11 with E-Vcrif� Ipnguige.da:;91873U1G 1;11 PMS ' " " " "'
�B
engineering
08.29.16
RE: Crooked Stick Construction Inspection Proposal
City of Carmel - Engineering
Carmel City Hall
One Civic Square
Carmel IN 46032
Mr: Ogg,
Per our conversations.[ have put together a fee proposal for Crooked Stick Stormwater Inspection. I
shave assumed that work will commence on or around September 1ST and carry.tNroagh until the
end of the31� December . ear
y (December ). This is based upon your assumption that NTP will occur around
9/22 and that final completion will occur around 12/1/16 (based upon'a substantial completion: of
engineering
Below is a rate chart. I anticipate most hours falling under our inspector II Classification. All rates
are below our INDOT Approved 2.99 Multiplier `
Classification
Rate 2016
Rate 2017
Senior Project PE/PS
$115.00
$115.00
Inspector I
$93.6.0
$94.68
Inspector II
$80.00..
$82.40
ADMIN
55.00
57.0071
DB Engineering, LLC
Engineering Department - 2016
Appropriation #94-650.04, 2016 Storm Water Bond; P.O. #34334
Contract Not To Exceed $27,500.00
EXHIBIT `B"
E -verify requirement
All terms defined in I.C. § 22-5-1.7 et seq. are adopted and incorporated intoAhis 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.
[SdConhnctslPmr.Sves & Goods SvesTuginecringM Engineering, LLC Add? Sv Amend 3-27-2012 with EAcrlfy language.doe:9122016 12:17 PK
DB Engineering, LLC
Engineering Department - 2016
Appropriation #94-650.04,2.01.6 Storm Water,Bond; P.O: #34334
Contract Not To Exceed, $27,500.00
Exhibit "C"
E -Verify Affidavit
being first duly sworn, deposes and says that
he/she is familiar with and has.personal knowledge. of the facts herein and;:if called as a witness :in this
nnattet, could testify as :follows:
1. I am over eighteen (18) years of age and am competent to testify to the facts contained
. ......
herein,
2. 1 am now and at'' all times . relevant herein .: have been . employed eerlm 0. tC.
he "Company") in
1
mp t_e posit on
of ; Pre-
3.
re3. Lam familiar with the employment policies, practices; aiid procedures of the Company and
have the authority :to _act. on behalf of the -Company..
4.
The Eiiiployeris enrolled and :participates in: the :federal E -Verify program and has -
provided documentation of such enrollment and participation to the City. of Carmel,
Indiana. .
5. The Company does not knowingly employ any utlautliorh ed aliens.
FURTHER AFFIANT SAYETH NOT.
EXECUTED ijn the da of 20A.
Printed:... r/h fi b
I certify udder the penalties for perjury under the- la the United --States of America_ and the State of
Indiana that the foregoing factual statements and representations: are true and'correct.:
printed
J
!S'CimuxuV�mC$vea .l• Ga Srsi -gin rhkg1DD EnginLLC e nc1 A&I S 12:17 PMi - . .
E -Verify Affidavit
Pursuant to Indiana Code 22-5-1.7-11, the Contractor entering into a contract with the City is
required to enroll in and verify the work eligibility status of all its newly hired employees through
the E -Verify program. The Contractor is not required to verify the work eligibility status of all its
newly hired employees through the E -Verify program if the E -Verify program no longer exists.
The undersigned, on behalf of the Contractor, being first duly sworn, deposes and states that the
Contractor does not knowingly employ an unauthorized alien.
(Contractor): ®IB Engineering, LLC
By (Written Signature):
(Printed Name):
Rachel A. ®oba
(Title): President/Founder
Important - Nolary Signature and Seal Required in the Space Below
STATE OF OA i4l ft r
SS:
COUNTY OF ` 1
Subscribed and sworn to before me this day of
24
My commission expires:(, oC 1 (Signe-S �*
Residing in'C'l County, State of ,,�Ad&�A..j
^� INDIANA RETAIL TAX EXEMPT
T Page 1 of 1
m
City®� ������
CERTIFICATE NO. 003120155 002 0
T PURCHASE�gORDER,9NUMBER
FEDERAL EXCISE TAX EXEMPT
3�B 33�{•
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`
9/1/2016
367070
Project 1.6 -SW -57; Contract Date 06.01.16
DB ENGINEERING, LLC
City Engineering's Office
VENDOR 101 WEST OHIO STREET
SHIP 1 Civic Square
SUITE 1515
TO Carmel, IN 46032 -
INDIANAPOLIS, IN 46204 -
Kate Lustig
PURCHASEID
BLANKET
CONTRACT
PAYMENTTERMS
FREIGHT
8015
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE EXTENSION
Department: 2200 Fund: 0 2016 Storm Water Bond
Account 94-650.04
1 Each ASA 1 - Crooked Stick Drainage Improvements - $27,500.00 $27,500.00
Construction Inspection _
Sub Total $27,500.00
Send Invoice To:
City Engineering's Office,
Kate-I.usug- J i 1 N wpow
Cr0 S S R-OGL ok
- 3 414 71 1 MGt Y\ r n a� e}K j icY'
-B-eec.1., cz o ve , (rJ 4-("
_ PLEASE INVOICE IN DUPLICATE _
L --DEPARTMENT ACCOUNT PROJECT PR04ECTACCOUNT ` . AMOUNT
PAYMENT $27,500.00
SHIPPING INSTRUCTIONS ' A1P 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 c
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY — -- --
TITLE
CONTROL NO. 34334 CLERK -TREASURER