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Home My WebLink AboutAmerican Structurepoint, Inc/Eng/Adl Serv #23/7,676/106th Street Bridge Over Keystone Parkway Damage American Structurepoint,Inc. Engineering-2016 Appropriation#44-628.69; P.O.#34319 Contract Not To Exceed$7,676.00 ,.,,.:_ 0 C II, , ADDITIONAL SERVICES AMENDMENT TO \, 11 . ' 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 American Structurepoint, Inc. (the "Vendor"), as City Contract dated April 6, 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". 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 American Structurepoint,Inc. by and through its Board of Public Works and Safety By: By: k\n-c--- Ple -ey)---1 ,Ier.. .e w ,t, James Brainard, Presiding Officer Authorized Signature / Date: David A. Day, PE -_i (1)-,--; Printed Name Ma Ann urke,'eV Date: 7 kor Senior Project Manager Title Lori SI Watson ' embe FID/TIN: 35-1127317 -Date: i -a ( 7I1G ,z-2 Last Four of SSN if Sole Proprietor: Date: November 17, 2016 i, ristine Paul le Treasurer Date: //1 /c" 1V,I aredronlrarisTru(SsO AGode S.t IEngineai412016\lnrricw Suva orcpnim:<SA*23.dr,I1/101201610-13 AM I `- INs- IO5 AMERICAN ■ STRUCTUREPOINT INC. 111 November 2,2016 Mr.Jeremy Kashman,PE Cannel City Engineer One Civic Square Cannel,Indiana 46032 Re: 106th Street over Keystone Parkway Collision Damage Dear Mr.Kashman: On behalf of American Structurepoint, Inc., I am pleased to submit this proposal for the design and engineering plans for the inspection and repair of the 106th Street bridge over Keystone Parkway. The bridge was hit by an illegal height vehicle on October 15,2016. The professional services include emergency inspection, design and plans, assistance with the bidding documents, and answering construction questions. The professional services included in the fee do not include construction inspection,utility coordination,formal contract book, or a pre-construction meeting, as our understanding is that these services will be added to the existing contract. Upon receiving notice to proceed from the City of Cannel, American Structurepoint will complete the above-described services and any necessary contract documents for the project for a lump-sum fee of $7,676. Invoices will be forwarded to the City of Cannel on a monthly basis, in accordance with our original contract. We look forward to working with the City of Cannel on this project. If you should have any questions, do not hesitate to contact me at(317) 547-5580. Very truly yours, American.Structurepoint,Inc. GC David A `Day,PE Senior Project Manager • Attachment DAD:abm 2016.00108 [ t i r.ect ,�.a.� •a t... # � °9 :." =a�aP a �' • m'w: .� °` c�° a ""�� :.+, � ,'� °.. * a . °..e,,,ice+, $i' "" 'tI g "° � .7 {0 Sh d laa tat laranapolls liana 4625 E0 7 0 7' 3 0210 - t ucturep t c "? $ * m a� y $. ` !" F ' .g ° e d °,a. ra e� �a s a ge °• y,R°° t'• ° o AMERICAN STRUCTUREPOINT,INC. MANHOUR JUSTIFICATION PROJECT:Keystone Avenue Bridge Collision Damage Scope of Work: Collision Damage Repair BRIDGE FILE NUMBER:106th Street Date: 11/2/2016 ESTIMATED TIME Project Project Staff Senior WORK CLASSIFICATION Principal Manager Engineer Engineer Technician TOTAL Project Research and Setup 1 3 Field Inspection 2 2 Repair Design(106th Street) 1 6 6 Repair Details(106th Street) 2 4 4 Preliminary Quantities 1 2 Preliminary Engineer's Estimate 1 1 Bid Documents 2 4 Construction Questions 2 TOTAL HOURS 4 18 16 2 4 Hourly Rates $ 250.00 $ 200.00 $ 145.00 $ 95.00 $ 135.00 SALARY COST $ 1,000.00 $ 3,600.00 $ 2,320.00 $ 190.00 $ 540.00 $ 7,650.00 DIRECT COSTS $26.40 TOTAL FEE $ 7,676.40 $0.44 60 $76.40 S26.00_ 0 $0.00 $26.40 Iawp.++�4 L C t E g Keystone Ave Bridge Collision 2016.00108 Received 11 -09-16A11 :48 RCVD City of Carmel Department of Law LETTER OF TRANSMITTAL Date: November 8, 2016 To: Doug Haney Corporation Counsel From: Jeremy Kashman5,w\' Department of Engineering RE: American Structurepoint Additional Service Amendment One additional service amendment is needed for American Structurepoint for the December 7th, BPW meeting, please. Attached please find the work proposal and purchase order. Contract Information: Project Name: ASA#23; 106th Street over Keystone Parkway Collision Damage - Design Vendor: American Structurepoint Amount: $7,676.00 Appropriation: PO#34319; 900-4462869 Signature: Willis R. Conner Address: 7260 Shadeland Station Indianapolis, IN 46256 Phone: 317/547-5580 Fax: 317/543-0270 Email: wconnerstructurepoint.com C INDIANA RETAIL TAX EXEMPT Page 1 of 1 I}1of II]rr11e]1 CERTIFICATE NO.003120155 002 0PURCHASE ORDER NUMBER JL \LfJ FEDERAL EXCISE TAX EXEMPT 34319 ONE CIVIC SQUARE 35-6000972 _ THIS NUMBER MUST APPEAR ON INVOICES,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 NO. VENDOR NO. DESCRIPTION 11/8/2016 00350562 Project 16-INS-105;Contract Date 04.06.16 AMERICAN STRUCTURE POINT, INC City Engineering's Office VENDOR 7260 SHADELAND STATION SHIP 1 Civic Square TO Carmel, IN 46032- INDIANAPOLIS, IN 46256--3957 Kate Lustig PURCHASE ID I BLANKET CONTRACT I PAYMENT TERMS FREIGHT 10057 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION Department: 2200 Fund: 900 Grant Fund Account: 44-628.69 1 Each ASA 23-106th Street Bridge over Keystone Parkway $7,676.00 $7,676.00 Damage-Design Sub Total $7,676.00 'fit. ' � `o ,- 1 fi 1 l �f' _,J RAJ �� ' ,gI d 1 F ; { J 3, 1 ' i t �t4 tact r ;F d�F_}S s i : ic1 �45 -pax .l.F ! 7 1 f Send Invoice To: ' °, x a 1 City Engineering's Office •, ' Kate Lustig r / 1 Civic Square 44 ` Carmel, IN 46032- ; ; fs»,, , PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT 1 PROJECT - -- PROJECT ACCOUNT AMOUNT PAYMENT $7,676.00 SHIPPING INSTRUCTIONS •A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A *SHIP PREPAID. 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 '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 / r AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY -C/`— TITLE CONTROL NO. 3431 g f 1 CDV-TOGA CI IDCO v INDIANA RETAIL TAX EXEMPT Page 1 of 1 III //1t of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 34319 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER,DEUVERY 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 11/8/2016 00350562 Project 16-INS-105;Contract Date 04.06.16 AMERICAN STRUCTURE POINT, INC City Engineering's Office VENDOR 7260 SHADELAND STATION SHIP 1 Civic Square TO Carmel, IN 46032- INDIANAPOLIS, IN 46256--3957 Kate Lustig PURCHASE ID I BLANKET CONTRACT PAYMENT TERMS 1FREIGHT 10057 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 2200 Fund: 900 Grant Fund Account: 44-628.69 1 Each ASA 23-106th Street Bridge over Keystone Parkway $7;676.00 $7,676.00 Damage-Design Sub Total $7,676.00 sty +� .:.1 �""--x._ �, � r' I \ ' I tx i'`5 i sf , i 4 i W. 3 n' - S L f ,, �� il y- r iil-g P t "i'' }a 1�i (i k 4,1 y j (q- s z Jf 2 Send Invoice To: `� `r 1 _ r s City Engineering's Office d Kate Lustig ` 3h -• � / 1 Civic Square a:� 1s1 Carmel, IN 46032- �`'",.. , e ,r PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $7,676.00 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 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 p 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY TITLE CONTROL NO. 34319 CLERK-TREASURER