HomeMy WebLinkAbout05-15-19-03/Acknowledging Receipt of Contract; The Prestwick Group, Inc; ($44,468.10); Brookshire Golf Club – Club House, Bath House, Pool RESOLUTION NO. BPW 05-15-19-03
RESOLUTION OF THE CITY OF CARMEL BOARD OF PUBLIC WORKS AND SAFETY
ACKNOWLEDGING RECEIPT OF CONTRACT
WHEREAS, pursuant to Indiana Code 36-1-4-7, the City of Carmel, Indiana ("City"), is authorized to
enter into contracts; and
WHEREAS,pursuant to Indiana Code 36-4-5-3,the City's mayor may enter into contracts on behalf of the
City; and
WHEREAS, pursuant to his authority under Indiana law, the City's mayor, the Honorable James C.
Brainard,has caused to be signed the City contract attached hereto as Exhibit A(the"Contract"); and
WHEREAS, Mayor Brainard now wishes to present the contract to the City's Board of Public Works and
Safety for it to be publicly acknowledged,filed in the Clerk-Treasurer's Office,and made available to the public for
review.
NOW, THEREFORE, BE IT RESOLVED by the City of Cannel Board of Public Works and Safety as
follows:
1.The foregoing Recitals are incorporated herein by this reference.
2.The receipt of the Contract is hereby acknowledged.
3.The Contract shall be promptly filed in the office of the Clerk-Treasurer and thereafter made available to
the public for review.
SO RESOLVED this e day of /if/ ,2019.
CITY OF CARMEL,INDIANA
By and through its Board of Public Works and Safety
BY: 41-41-t4{ 4--
James Brainard,Presiding Officer
Date:
Mait urke Mem r
Date: S l
Lori S.Wats n, er
Date: s7,5/6q
ATTEST.
Christine auley, Clerk-T easurer
Date: ,�'J/
S:\E Bass My Documents\BPW-Resolutions\2019 Acknowledge The Prestwick Group,Inc..docx5/8l2019 11:30 AM
The Prestwick Group,Inc.
Department of Engineering-2019 NlikO`�
Appropriation#2017 LOIT Bond Fund;P.O.#102859 sia
Contract Not To Exceed$44,468.10
AGREEMENT FOR PURCHASE OF GOODS AND SERVICES
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 The Prestwick Group, Inc., an entity duly authorized to do business in the State of Indiana("Vendor").
TERMS AND CONDITIONS
1. 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 2017 COIT Bond Fund 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 Forty Four Thousand Four Hundred Sixty Eight Dollars and Ten Cents
($44,468.10) (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.
[S:`Coutracts\Prof.Svo&Goods Svcs\Engmeering\2019\The Prestwick Group,Inc.Goods and Savice.doc:513R019 2:34 PWp
1
The Prestwick Group,Inc.
Department of Engineering-2019
Appropriation#2017 LOIT Bond Fund;P.O.#102859
Contract Not To Exceed$44,468.10
6. 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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2
The Prestwick Group,Inc.
Department of Engineering-2019
Appropriation#2017 LOIT Bond Fund;P.O.#102859
Contract Not To Exceed$44,468.10
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-Verify 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
IS:\Contracts\ProCSva&Goods Svcs\Engiueertng\2019\The Prestwick Group,Inc.Goods and Servica.doc:5/3/2019 2:34 PM]
3
The Prestwick Group,Inc.
Department of Engineering-2019
Appropriation#2017 LOIT Bond Fund;P.O.#102859
Contract Not To Exceed$44,468.10
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 AND Douglas C. Haney,
One Civic Square Corporation Counsel
Carmel, IN 46032 Department of Law
One Civic Square
Carmel, Indiana 46032
If to Vendor: The Prestwick Group, Inc.
W248 N5499 Executive Dr
Sussex, WI 53089
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.
[SAContracts\Prof.Svcs&Goods Svcs\Engmeermg\2019\The Prestwick Group,Inc.Goods and Services.doc5/32019 2:34 PM]
4
The Prestwick Group,Inc.
Department of Engineering-2019
Appropriation#2017 LOIT Bond Fund;P.O.#102859
Contract Not To Exceed$44,468.10
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, 2019 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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5
The Prestwick Group,Inc.
Department of Engineering-2019
Appropriation#2017 LOIT Bond Fund;P.O.N 102859
Contract Not To Exceed$44,468.10
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 The Prestwick Group,Inc.
by and through its Board of Public
Works and Safety
By: By: 64,4 f _ _sj
,Ymes Brainxd,Presiding Officer Authorized Signature
7/Date: J 7 •- /
Printed Name
Mary Ann Burke,Member T
Date:
Title 2
Lori S.Watson,Member FID/TIN: J r 8 8 3
Date:
Last Four of SSN if Sole Proprietor:
ATTEST:
Date: •- _ aot ck
Christine S.Pauley,Clerk-Treasurer
Date:
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6
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9
PRESTWICK
GOLF GROUP
Estimate Information
Account Name Brookshire Golf Club-IN Created Date 4/10/2019
Contact Name Brian Ballard Quote Number 00024509
Phone (317)846-7431 Created By Mack Wallace
Email brianbllyd@yahoo.com SM-REF-TAKEN MW-CUST-MW
Ship Via *Prepaid&Add
Terms PrePaid
P.O.Num EMAIL/KIM S.
Rep 3T3
Address Information
Bill To Brookshire Golf Club-IN Ship To Brookshire Golf Club-IN
12120 Brookshire Pkwy 12120 Brookshire Pkwy
Carmel, Indiana 46033 Carmel, Indiana 46033
United States United States
Quantity Product Product Description Sales Price Total Price
SH36
8.00 Special/PP SOHO SQUARE DINING TABLE 36" $910.00 $7,280.00
(GRAY)
(DS)
SH72
1.00 Special/PP SOHO RECTANGLE DINING TABLE 72" $1,230.00 $1,230.00
(GRAY)
(DS)
SHO6
38.00 Special/PP SOHO STACKING SIDE CHAIR $358.00 $13,604.00
(GRAY)
(DS)
MT65
1.00 Special/PP MONTEREY DEEP SEATING 3 SEATER SOFA $3,140.00 $3,140.00
**INCLUDES NAVY CUSHIONS**
(DS)
MT60
1.00 Special/PP MONTEREY DEEP SEATING 2 SEATER SOFA $2,350.00 $2,350.00
**INCLUDES NAVY CUSHIONS**
(DS)
MT50
MONTEREY DEEP SEATING ARMCHAIR
Exhibit
Company Address W248N5499 Executive Drive Phone (800)505-7926
Sussex,Wisconsin 53089 Fax (800)962-3455
United States
110
PRESTWICK
GOLF GROUP
10.00 Special/PP **INCLUDES NAVY CUSHIONS*" $1,495.00 $14,950.00
(DS)
2.00 P-BT25 BT25-BRITTANY ROCKER $820.00 $1,640.00
Classic Rectangular Fire Table-Dark Gray
Description:
-12"x 24"stainless steel,55,000 BTUs/hr burner.
-Dial control gas valve for flame height.
-Battery operated,push button ignition that is UL Listed.
1.00 P-MFIRE-RECT-DG -Designed for a standard 20 lb/4.5 GAL $3,150.00 $3,150.00
-Propane Tank but can be converted for natural gas with included hardware.
Accessories Included:
-5.875"high tempered glass wind guard
-Tempered glass burner cover
-Clear tempered fire glass gems
NP22SH
1.00 Special/PP NEWPORT SQUARE SIDE TABLE WITH LOWER SHELF $580.00 $580.00
(DS)
CT36
2.00 Special/PP CANTERBURY ROUND COFFEE TABLE $580.00 $1,160.00
(DS)
CT2OL
1.00 Special/PP CANTERBURY LOW ROUND SIDE TABLE $325.00 $325.00
(DS)
1.00 PGG Disc CUSTOMER DISCOUNT—CONTINGENT ON MEETING THE PAYMENT TERMS ($4,940.90) ($4,940.90)
1.00 S/H FREE S/H PER SALES DISCOUNT $0.00 $0.00
PREPAYMENT REQUIRED PRIOR TO THE START OF FINAL PRODUCTION
1.00 S/H-SPECIALPP PAYMENT TERMS:( 100%DOWN ,NEW CUSTOMERS REQUIRE $0.00 $0.00
PRE-PAYMENT—UNLESS PO IS RECEIVED FROM CITY)
PLEASE EMAIL INVOICES TO:
1.00 --- KIM STRAWBRIDGE:kstrawbridge@ratiodesign.com $0.00 $0.00
BOB HIGGINS:bhiggins@carmel.in.gov
Tax $0.00
100%PREPAY IS REQUIRED ON ALL NEW ACCOUNTS AND Grand Total $44,468.10
INTERNATIONAL ACCOUNTS.50%PREPAY IS REQUIRED ON
EXISTING ACCOUNTS OVER$3,000.
PROGRESS BILLING IS REQUIRED ON ORDERS OVER$20.000
Starting January 1, 2019, due to the new US tax law, we are required to collect sales tax in the
majority of states. If applicable, sales tax will be applied upon invoice.
Exhibit
Company Address W248N5499 Executive Drive Phone (800)505-7926
Sussex,Wisconsin 53089 Fax (800)962-3455 26
United States
EXHIBIT B
Invoice
Date:
Name of Company:
Address &Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
Goods Services
Person Providing Date Goods/Services Provided Cost Per Hourly Total
Goods/Services Goods/ (Describe each good/service Item Rate/
Service separately and in detail) Hours
Provided Worked
GRAND TOTAL
Signature
Printed Name
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: $500,000 each accident
Injury and property damage: $500,000 each accident
Policy Limit: $500,000
Umbrella Excess Liability
Each occurrence and aggregate: $500,000
Maximum deductible: $ 10,000
EXHIBIT D
AFFIDAVIT
M(,``k "!\J kkc ,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:
1. I am over eighteen(IS)years of age and ant competent to testify to the facts contained
herein.
2. 1 ant now and at all times relevant herein have been employed by
(the"Employer")
in the position of I- }i Gk & , e S
3. 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 6 day of ,20 [9.
1//,4,1tVJ%
Printed: .5/ D V l 020 ICI
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 tare and correct.
t&Gti VOG tt''`�
Printed: /)C%CGk (Aila ((a '-G
v INDIANA RETAIL TAX EXEMPT Page 1 of 1
City ®f Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102859
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER,DEUVERY 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
5/1/2019 373296 Project 18-ENG-09; Brookshire Golf Course
PRESTWICK GOLF GROUP City Engineering's Office
VENDOR W248 N5499 EXECUTIVE DR SHIP 1 Civic Square
TO Carmel, IN 46032-
SUSSEX,WI 53089- Kate Lustig
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
35883
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 0 2017 LOIT Bond Fund
Account: 44-628.71
1 Each Brookshire Golf Club-Club House, Bath House, Pool $44,468.10 $44,468.10
Sub Total $44,468.10
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Send Invoice To: \ V.
Jill Newport
CrossRoad Engineers, P.C.
3417 Sherman Drive
Beech Grove, IN 46107 .\q‘,I,V.D! AO
jv-Newpo.+ @ crass roa GI,en9i Com PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $44,468.10
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 LABE
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 1"- —O�-e-Q
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jeremy Kashman James Crider
TITLE Director Administration
CONTROL NO. 1 02859 CLERK-TREASURER