HomeMy WebLinkAboutCentury Industries, LLC/Comm Rel/149,765/StageCentury Industries, LLC
Community Relations Department - 2018 �`
Appropriation # 1203 43-590.03; P.O. #102061 s
Contract Not To Exceed $149,765.00 ` j[�
AGREEMENT FOR PURCHASE OF GOODS AND SERVICES $0
THIS AGREEMENT FOR PURCHASE OF GOODS AND SERVICES ("Agreement") is hereby entered into by
and between the City of Carmel, Indiana, acting by and through its Board of Public Works and Safety ("City"), and
Century Industries, LLC, an entity duly authorized to do business in the State of Indiana ("Vendor').
TERMS AND CONDITIONS
ACKNOWLEDGMENT, ACCEPTANCE:
Vendor acknowledges that it has read and understands this Agreement, and agrees that its execution of
same constitutes its acceptance of all of the Agreement's terms and conditions.
2. PERFORMANCE:
City agrees to purchase the goods and/or services (the "Goods and Services") from Vendor using City
budget appropriation number 1203 43-590.03 funds. Vendor agrees to provide the Goods and Services and
to otherwise perform the requirements of this Agreement by applying at all times the highest technical and
industry standards.
3. PRICE AND PAYMENT TERMS:
3.1 Vendor estimates that the total price for the Goods and Services to be provided to City hereunder
shall be no more than One Hundred Forty Nine Thousand Seven Hundred Sixty Five Dollars
($149,765.00) (the "Estimate"). Vendor shall submit an invoice to City no more than once every thirty
(30) days detailing the Goods and Services provided to City within such time period. City shall pay
Vendor for such Goods and Services within thirty-five (35) days after the date of City's receipt of
Vendor's invoice detailing same, so long as and to the extent such Goods and Services are not
disputed, are in conformance with the specifications set forth in Exhibit A, are submitted on an
invoice that contains the information contained on attached Exhibit B, and Vendor has otherwise
performed and satisfied all the terms and conditions of this Agreement.
3.2 Vendor agrees not to provide any Goods and Services to City that would cause the total cost of the
Goods and Services provided by Vendor to City hereunder to exceed the Estimate, unless City has
previously agreed, in writing, to pay an amount in excess thereof.
4. WARRANTY:
Vendor expressly warrants that the Goods and Services covered by this Agreement will conform to those
certain specifications, descriptions and/or quotations regarding same as were provided to Vendor by City
and/or by Vendor to and accepted by City, all of which documents are incorporated herein by reference, and
that the Goods and Services will be delivered in a timely, good and workmanlike manner and free from
defect. Vendor acknowledges that it knows of City's intended use and expressly warrants that the Goods and
Services provided to City pursuant to this Agreement have been selected by Vendor based upon City's
stated use and are fit and sufficient for their particular purpose.
5. TIME AND PERFORMANCE:
This Agreement shall become effective as of the last date on which a party hereto executes same ("Effective
Date"), and both parties shall thereafter perform their obligations hereunder in a timely manner. Time is of the
essence of this Agreement.
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Century Industries, LLC
Community Relations Department - 2018
Appropriation # 1203 43-590.03; P.O. #102061
Contract Not To Exceed $149,765.00
DISCLOSURE AND WARNINGS:
If requested by City, Vendor shall promptly furnish to City, in such form and detail as City may direct, a list of
all chemicals, materials, substances and items used in or during the provision of the Goods and Services
provided hereunder, including the quantity, quality and concentration thereof and any other information
relating thereto. At the time of the delivery of the Goods and Services provided hereunder, Vendor agrees to
furnish to City sufficient written warning and notice (including appropriate labels on containers and packing)
of any hazardous material utilized in or that is a part of the Goods and Services.
7. LIENS:
Vendor shall not cause or permit the filing of any lien on any of City's property. In the event any such lien is
filed and Vendor fails to remove such lien within ten (10) days after the filing thereof, by payment or bonding,
City shall have the right to pay such lien or obtain such bond, all at Vendor's sole cost and expense.
8. DEFAULT:
In the event Vendor: (a) repudiates, breaches or defaults under any of the terms or conditions of this
Agreement, including Vendor's warranties; (b) fails to provide the Goods and Services as specified herein;
(c) fails to make progress so as to endanger timely and proper provision of the Goods and Services and does
not correct such failure or breach within five (5) business days (or such shorter period of time as is
commercially reasonable under the circumstances) after receipt of notice from City specifying such failure or
breach; or (d) becomes insolvent, is placed into receivership, makes a general assignment for the benefit of
creditors or dissolves, each such event constituting an event of default hereunder, City shall have the right to
(1) terminate all or any parts of this Agreement, without liability to Vendor; and (2) exercise all other rights
and remedies available to City at law and/or in equity.
9. INSURANCE AND INDEMNIFICATION:
Vendor shall procure and maintain in full force and effect during the term of this Agreement, with an insurer
licensed to do business in the State of Indiana, such insurance as is necessary for the protection of City and
Vendor from all claims for damages under any workers' compensation, occupational disease and/or
unemployment compensation act; for bodily injuries including, but not limited to, personal injury, sickness,
disease or death of or to any of Vendor's agents, officers, employees, contractors and subcontractors; and,
for any injury to or destruction of property, including, but not limited to, any loss of use resulting therefrom.
The coverage amounts shall be no less than those amounts set forth in attached Exhibit C. Vendor shall
cause its insurers to name City as an additional insured on all such insurance policies, shall promptly provide
City, upon request, with copies of all such policies, and shall provide that such insurance policies shall not be
canceled without thirty (30) days prior notice to City. Vendor shall indemnify and hold harmless City from and
against any and all liabilities, claims, demands or expenses (including, but not limited to, reasonable attorney
fees) for injury, death and/or damages to any person or property arising from or in connection with Vendor's
provision of Goods and Services pursuant to or under this Agreement or Vendor's use of City property.
Vendor further agrees to indemnify, defend and hold harmless City and its officers, officials, agents and
employees from all claims and suits of whatever type, including, but not limited to, all court costs, attorney
fees, and other expenses, caused by any act or omission of Vendor and/or of any of Vendor's agents,
officers, employees, contractors or subcontractors in the performance of this Agreement. These
indemnification obligations shall survive the termination of this Agreement.
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Century Industries, LLC
Community Relations Department - 2018
Appropriation # 1203 43-590.03; Y.U. #102061
Contract Not To Exceed $149,765.00
10. GOVERNMENT COMPLIANCE:
Vendor agrees to comply with all federal, state and local laws, executive orders, rules, regulations and codes
which may be applicable to Vendor's performance of its obligations under this Agreement, and all relevant
provisions thereof are incorporated herein by this reference. Vendor agrees to indemnify and hold harmless
City from any loss, damage and/or liability resulting from any such violation of such laws, orders, rules,
regulations and codes. This indemnification obligation shall survive the termination of this Agreement.
11. NONDISCRIMINATION:
Vendor represents and warrants that it and all of its officers, employees, agents, contractors and
subcontractors shall comply with all laws of the United States, the State of Indiana and City prohibiting
discrimination against any employee, applicant for employment or other person in the provision of any Goods
and Services provided by this Agreement with respect to their hire, tenure, terms, conditions and privileges of
employment and any other matter related to their employment or subcontracting, because of race, religion,
color, sex, handicap, national origin, ancestry, age, disabled veteran status and/or Vietnam era veteran
status.
12. E -VERIFY:
Pursuant to I.C. § 22-5-1.7 et seq., as the same may be amended from time to time, and as is incorporated
herein by this reference (the "Indiana E -Verify Law"), Vendor is required to enroll in and verify the work
eligibility status of its newly -hired employees using the E -Verify program, and to execute the Affidavit
attached herein as Exhibit D, affirming that it is enrolled and participating in the E -verify program and does
not knowingly employ unauthorized aliens. In support of the Affidavit, Vendor shall provide the City with
documentation indicating that it has enrolled and is participating in the E -Verify program. Should
Vendor subcontract for the performance of any work under and pursuant to this Agreement, it shall fully
comply with the Indiana E -Verity Law as regards each such subcontractor. Should the Vendor or any
subcontractor violate the Indiana E -Verify law, the City may require a cure of such violation and thereafter, if
no timely cure is performed, terminate this Agreement in accordance with either the provisions hereof or
those set forth in the Indiana E -Verify Law. The requirements of this paragraph shall not apply should the E -
Verify program cease to exist.
13. NO IMPLIED WAIVER:
The failure of either party to require performance by the other of any provision of this Agreement shall not
affect the right of such party to require such performance at any time thereafter, nor shall the waiver by any
party of a breach of any provision of this Agreement constitute a waiver of any succeeding breach of the
same or any other provision hereof.
14. NON -ASSIGNMENT:
Vendor shall not assign or pledge this Agreement, whether as collateral for a loan or otherwise, and shall not
delegate its obligations under this Agreement without City's prior written consent.
15. RELATIONSHIP OF PARTIES:
The relationship of the parties hereto shall be as provided for in this Agreement, and neither Vendor nor any
of its officers, employees, contractors, subcontractors and agents are employees of City. The contract price
set forth herein shall be the full and maximum compensation and monies required of City to be paid to
Vendor under or pursuant to this Agreement
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Century industries, LLC
Community Relations Department - 2018
Appropriation # 1203 43-590.03; Y.O. # 102061
Contract Not To Exceed $149,765.00
16. GOVERNING LAW; LAWSUITS:
This Agreement is to be construed in accordance with and governed by the laws of the State of Indiana,
except for its conflict of laws provisions. The parties agree that, in the event a lawsuit is filed hereunder, they
waive their right to a jury trial, agree to file any such lawsuit in an appropriate court in Hamilton County,
Indiana only, and agree that such court is the appropriate venue for and has jurisdiction over same.
17. SEVERABILITY:
If any term of this Agreement is invalid or unenforceable under any statute, regulation, ordinance, executive
order or other rule of law, such term shall be deemed reformed or deleted, but only to the extent necessary to
comply with same, and the remaining provisions of this Agreement shall remain in full force and effect.
18. NOTICE:
Any notice provided for in this Agreement will be sufficient if it is in writing and is delivered by postage
prepaid U.S. certified mail, return receipt requested, to the party to be notified at the address specified
herein:
If to City: City of Carmel
One Civic Square
Carmel, Indiana 46032
If to Vendor: Century Industries, LLC
299 Prather Lane
PO Box C
Sellersburg, IN 47172
AND Douglas C. Haney,
Corporation Counsel
Department of Law
One Civic Square
Carmel, Indiana 46032
Notwithstanding the above, notice of termination under paragraph 19 hereinbelow shall be effective if given
orally, as long as written notice is then provided as set forth hereinabove within five (5) business days from
the date of such oral notice.
19. TERMINATION:
19.1 Notwithstanding anything to the contrary contained in this Agreement, City may, upon notice to
Vendor, immediately terminate this Agreement for cause, in the event of a default hereunder by
Vendor and/or if sufficient funds are not appropriated or encumbered to pay for the Goods and
Services to be provided hereunder. In the event of such termination, Vendor shall be entitled to
receive only payment for the undisputed invoice amount representing conforming Goods and
Services delivered as of the date of termination, except that such payment amount shall not exceed
the Estimate amount in effect at the time of termination, unless the parties have previously agreed in
writing to a greater amount.
19.2 City may terminate this Agreement at any time upon thirty (30) days prior notice to Vendor. In the
event of such termination, Vendor shall be entitled to receive only payment for the undisputed
invoice amount of conforming Goods and Services delivered as of the date of termination, except
that such payment amount shall not exceed the Estimate amount in effect at the time of termination,
unless the parties have previously agreed in writing to a greater amount.
19.3 The City may terminate this Agreement pursuant to Paragraph 11 hereof, as appropriate.
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4
Century Industries, LLC
Community Relations Department - 2018
Appropriation # 1203 43-590.03; P.O. #102061
Contract Not To Exceed $149,765.00
20. REPRESENTATIONS AND WARRANTIES
The parties represent and warrant that they are authorized to enter into this Agreement and that the persons
executing this Agreement have the authority to bind the party which they represent.
21. ADDITIONAL GOODS AND SERVICES
Vendor understands and agrees that City may, from time to time, request Vendor to provide additional goods
and services to City. When City desires additional goods and services from Vendor, the City shall notify
Vendor of such additional goods and services desired, as well as the time frame in which same are to be
provided. Only after City has approved Vendor's time and cost estimate for the provision of such additional
goods and services, has encumbered sufficient monies to pay for same, and has authorized Vendor, in
writing, to provide such additional goods and services, shall such goods and services be provided by Vendor
to City. A copy of the City's authorization documents for the purchase of additional goods and services shall
be numbered and attached hereto in the order in which they are approved by City.
22. TERM
Unless otherwise terminated in accordance with the termination provisions set forth in Paragraph 19
hereinabove, this Agreement shall be in effect from the Effective Date through December 31, 2018 and shall,
on the first day of each January thereafter, automatically renew for a period of one (1) calendar year, unless
otherwise agreed by the parties hereto.
23. HEADINGS
All heading and sections of this Agreement are inserted for convenience only and do not form a part of this
Agreement nor limit, expand or otherwise alter the meaning of any provision hereof.
24. BINDING EFFECT
The parties, and their respective officers, officials, agents, partners, successors, assigns and legal
representatives, are bound to the other with respect to all of the covenants, terms, warranties and obligations
set forth in Agreement.
25. NO THIRD PARTY BENEFICIARIES
This Agreement gives no rights or benefits to anyone other than City and Vendor.
26. DEBARMENT AND SUSPENSION
26.1 The Vendor certifies by entering into this Agreement that neither it nor its principals nor any of its
subcontractors are presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily
excluded from entering into this Agreement by any federal agency or by any department, agency or political
subdivision of the State of Indiana. The term "principal" for purposes of this Agreement means an officer,
director, owner, partner, key employee or other person with primary management or supervisory
responsibilities, or a person who has a critical influence on or substantive control over the operations of the
Vendor.
26.2 The Vendor certifies that it has verified the state and federal suspension and debarment status for all
subcontractors receiving funds under this Agreement and shall be solely responsible for any recoupment,
penalties or costs that might arise from use of a suspended or debarred subcontractor. The Vendor shall
immediately notify the City if any subcontractor becomes debarred or suspended, and shall, at the City's
request, take all steps required by the City to terminate its contractual relationship with the subcontractor for
work to be performed under this Agreement.
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Century Industries, LLC
Community Relations Department - 2018
Appropriation # 1203 43-590.03; 1'.O. # 102061
Contract Not To Exceed $149,765.00
27. ADVICE OF COUNSEL:
The parties warrant that they have read this Agreement and understand it, have had the opportunity to obtain
legal advice and assistance of counsel throughout the negotiation of this Agreement, and enter into same
freely, voluntarily, and without any duress, undue influence or coercion.
28. ENTIRE AGREEMENT:
This Agreement, together with any exhibits attached hereto or referenced herein, constitutes the entire
agreement between Vendor and City with respect to the subject matter hereof, and supersedes all prior oral
or written representations and agreements regarding same. Notwithstanding any other term or condition set
forth herein, but subject to paragraph 16 hereof, to the extent any term or condition contained in any exhibit
attached to this Agreement or in any document referenced herein conflicts with any term or condition
contained in this Agreement, the term or condition contained in this Agreement shall govern and prevail.
This Agreement may only be modified by written amendment executed by both parties hereto, or their
successors in interest.
IN WITNESS WHEREOF, the parties hereto have made and executed this Agreement as follows:
CITY OF CARMEL, INDIANA
by and through its Board of Public
Works and Safety
By: r�
&�� P G 1
James Brainard, Presiding Officer
ES
/
T;L
Christine S. Pauley, Cle��rrey
Date: / o
t\I.J.— Wok So}s 4.51 P%11
6
�W651UE"T` -
By:
Authorized Signature
Printed Name
S! 7"
Title
FID/TIN: E5 'c�ba 53�c
Last Four of SSN if Sole Proprietor:
Date:/&/,C/
�t �yCenturY In ustries
299 Prather Lane
PO Box C
Seltersburg, IN 47172
Phone 812-246-3371 Fax 812-246-5446
surnit(cDcenturyindustries com
Megan McVicker
Project Manager
City of Carmel
Community Relations & Economic Development
Michelle McRae EXPIRATION DATE 90 DAYS
MSM2400 "ShowMaster" 2000 SERIES
M long enclosed stage body
18" deep steel channel mainframe
60,000 lb. capacity pintle towing coupler
26,000 Ib capacity crank tongue jack
Tandem axle suspension with (4) high flotation tires, electric brakes
(4) 17,500 lb capacity corner leveling jacks
Frame mounted level gauges
Rugged, all-weather FRP sound shell enclosure
24ft fold -down stage deck with skid resistant surface pattern, leveling legs, 1251b. live load capacity, hydraulic operation
Stage canopy extends beyond main stage for maximum protection, hydraulic operation with secondary safety locks.
Self-contained 121'DC hydraulic system with remote operation pendant
Curbside frame -mounted locking compartments for hydraulic and electrical systems
(2) diamond plate steel stairs with enclosed risers and hand rails
Highway lighting package with DOT marker and signal lights
AC electric system with power cable, breaker panel, receptacles, and (2) rows of dual tube fluorescent stage lighting
Neatural medium gray stage deck color to reduce heat build-up from the sun
Neatural medium gray stage interior for reduced glare and enhanced neutral appearance
Gelcoat exterior for U1' protection and vandal resistance
QUOTE "A"
October 24, 2018
MSM2400 - BASE UNIT ($US) = $81,400
Item #
Qty-/Pgk.
ACCESSORIES
UNIT PRICE
LINE TOTAL
20524
1
Premium Anti -Corrosion Package Upgrade
$
1,760
$
1,760
10207
2
Premium Stair Upgrade, (Qty.2)
$
650
$
1,100
90650
1
Adjustable Acoustic Wall Panels
$
6,820
$
6,820
90636
1
Stage Deck Support Truss
$
946
$
946
90550
1
Hydraulic Leveling/Support System
$
9,086
$
9,086
84444
1
Hydraulic Hitch Jack
$
2,112
$
2,112
90551
1
Wireless Remote Control
$
2,079
$
2,079
51005
1
8,000 Watt Encosed Generator - Diesel
$
11,600
$
11,600
42101
2
LED Light Support Bars, (2 Pair)
$
1,172
$
2,344
42201
1
Electrical Stage Upgrade Package 41
$
3,164
$
3,164
40028
3
Exterior Flood Light, (Qty.3)
$
193
$
679
Exhibit A
40029
2
Compartment Light, (Qty.2)
$
176
$
352
20202
4
4' x 8' Ext. Sections
$
1,133
$
4,532
56060
1
Decorative Stage Skirt, 16 ft., @ $37/1,F•
$
597
$
597
91102
1
Banner Hardware Pkg.
$
1,543
$
1,543
90919
1
Folding Canopy Marquee (Graphics Not Included)
$
3,074
$
3,074
10209
1
Handicapped ADA Lift
$
8,800
$
8,800
56060
1
Decorative Stage Skirt, 52 ft. Main Stage Dec
$
2,368
$
2,368
11003
6
Deck Tie -Downs, Six (6)
$
114
$
684
10235
1
60" Equipment Storage Locker
$
1,212
$
1,212
10139
1
Personnel Door
$
1,958
$
1,958
TIR2002
1
Mounted - Spare Tire
$
495
$
495
99999
1
(1 Day) On -Site Staff Training
$
800
$
800
SUBTOTAL
$
68,005
SUBTOTAL
(121 Miles) FOB DELIVERY - Carmel IN
TOTALI
$149,405
$360
$149,766
LIMITED WARRANTY AND REMEDY: Century warrants to the original Purchaser that those products manufactured by Century and used in the
manner for which they are intended shall be free from defects in materials and workmanship for a period of one (1) year after delivery.
Notwithstanding the foregoing, purchaser is responsible for return shipping for service. Items manufactured by others are subject to their
respective manufacturer's warranty, if any. Century does not make any other representations or warranties, express or implied, and
disclaims all other warranties including, but not limited to, any implied warranty of merchantability and warranty of fitness for a particular
purpose. Purchaser agrees that Century is not liable for incidental, consequential, or special damages of any kind.
EXCLUSIVE VENUE/ APPLICABLE LAW: Purchaser agrees to the exclusive venue and jurisdiction of the State and Federal Courts located in Clark
County, Indiana for any action involving this Agreement or the goods which are the subject matter of the same. This Agreement shall be
construed according to the laws of the State of Indiana. The parties hereto each knowingly and voluntarily agree to waive any right to a
trial by jury with respect to any action involving this Agreement or its subject matter, including without limitation any manufactured
goods.
*TERMS:
Net 30 Days
Approximate production lead time 90-120 days ARO
Price Does Not include any applicable Federal, State or local taxes
Price quote good 90 days
PURCHASER AGREES that a 1 Y,% per month service charge or the maximum legal rate, whichever is less, shall be added to unpaid invoices
from the due date thereof, plus reasonable collection and attorneys' fees if placed for collection. Upon default by Purchaser, Century shall be
entitled to retain any Deposit and enforce all remedies available to it as a seller under I.C. 26-1-2-703. Purchaser acknowledges that the
goods manufactured by Century constitute specially manufactured goods and are not suitable for sale to others in the ordinary course of
business. Purchaser agrees to maintain these goods in a safe condition and to operate the same in a safe manner. Purchaser agrees to
indemnify and hold harmless Century and its officers, directors, employees, agents or subcontractors from and against any and all claims,
demands and causes of action asserted by any other person or entity, and all resulting damages, liabilities, costs, losses and expenses of any
kind (including reasonable attorney's fees), arising directly or indirectly from any acts by the purchaser or any of its employees, agents, or
customers in connection with the purchase, ownership or use of the subject matter of this Agreement. All estimates for production time are
estimates only and Century makes no warranty or representation concerning production times. Purchaser agrees receipt and use of
manufactured product(s) constitutes agreement to these terms. This represents the entire agreement of the parties; any changes,
amendments, modifications, additions or alterations made by Purchaser without the express written acceptance of Century are rejected.
Exhibit
—A-
2 d,Z�
EXHIBIT B
Invoice
Date:
Name of Contpany:
Address & Zip: Century e Industries
Telephone No.: 299 Prather lane, PO Box c, Sellersburg, IN 47172 USA
Phone: 812/246-3371 Fax: 812/246-5446
Fax No.: www.centuryindustries.com
Project Name:
Invoice No.�30��
Purchase Order No:
PmE
Goods
Services
Person Providing
Goods/Services
Date
Goods/
Service
Goods/Services Provided
(Describe each good/service
separately and in detail)
Cost Per
Item
Hourly
Rate/
Hours
Total
Provided
Worked
1
GRAND TOTAL
--
WON
EXHIBIT C
INSURANCE COVERAGES
Worker's Compensation & Disability Statutory Limits
Employer's Liability:
Bodily Injury by Accident/Disease:
$100,000 each employee
Bodily Injury by Accident/Disease:
$250,000 each accident
Bodily Injury by Accident/Disease:
$500,000 policy limit
Property damage, contractual liability,
products -completed operations:
General Aggregate Limit (other than
Products/Completed Operations): $500,000
Products/Completed Operations: $500,000
Personal & Advertising Injury
Policy Limit: $500,000
Each Occurrence Limit: $250,000
Fire Damage (any one fire): $250,000
Medical Expense Limit (any one person): $ 50,000
Comprehensive Auto Liability (owned, hired and non -owned)
Bodily Single Limit:
Injury and property damage:
Policy Lirnit:
Umbrella Excess Liability
Each occurrence and aggregate:
Maximum deductible:
$500,000 each accident
$500,000 each accident
$500,000
$500,000
$ 10,000
EXHIBIT D
AFFIDAVIT
&e-1 E6 -r a,& , being first duly sworn, deposes and says that
he/his 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. I am ?e=A
w and at all imes relevant herein have been employed by
(the "Employer")
in the position of L wrs A 1 �
I am familiar with the employment policies, practices, and procedures of the Employer and
have the authority to act on behalf of the Employer.
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 C C& day of /I/,)V , 20-4e."
VA F401-
/�L/. - 1 o //_
""�-,
I certify under the penalties for perjury under the laws f the United States of America and the State of
Indiana that the foregoing factual statements and representations ar true and correct.'
-� V ! i
Printed:�-
}� ®� Ca���
C
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 0020
Page 1 of 1
PURCHASE ORDER NUMBER
Jj JL
FEDERAL EXCISE TAX EXEMPT
102061
ONE CIVIC SQUARE
35-6000972
THIS NUMBER MUST APPEAR ON INVOICES, AIP
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR
CITY OF CARMEL - 1997
VOUCHER DELIVERY MEMO, PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
I DESCRIPTION
11/5/2018
372902
STAGE
CENTURY INDUSTRIES LLC
Community Relations
VENDOR 299 PRATHER LANE
SHIP 1 Civic Square
PO BOX C
TO Carmel, IN 46032-
SELLERSBURG, IN 47172 -
PURCHASE ID BLANKET
CONTRACT
PAYMENT TERMS FREIGHT
30623
QUANTITY UNIT OF MEASURE
DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-590.03
1 Each STAGE
Send Invoice To.
Community Relations
1 Civic Square
Carmel, IN 46032 -
DEPARTMENT
G � of C,qR
t*
$149,765.00 $149,765.00
Sub Total $149,765.00
�p
PLEASE INVOICE IN DUPLICATE
ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $149,765.00
SHIPPING INSTRUCTIONS
-AM VOUCHERCANNOTBEAPPROVEDFORPAYMENTUNLESSTHEP.O. NUMBER ISMADEA
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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TITLE
CONTROL NO. 102061 CLERK -TREASURER
Nancy Heck
Director
James Crider
Administration