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HomeMy WebLinkAboutHarding Asphalt, LLC dba Harding Group/ENG/$2,264,960.80/Mill and Resurface Various City StreetsHarding Asphalt, LLCd/b/aHardingGroup Carmel StreetDepartment/Carmel Engineering Department - 2021 Appropriation #220143-502.00; P.O. #105031 CzKpoPcfsmboefsbu6; 39qn-Nbs16-3132 Contract NotToExceed $2,264,960.80 AGREEMENTFORPURCHASEOFGOODSANDSERVICES THISAGREEMENT FORPURCHASEOFGOODSANDSERVICES (“ Agreement”) isherebyenteredintoby andbetweentheCityofCarmel, Indiana, acting byandthroughitsBoardofPublicWorksandSafety (“City”), and Harding Asphalt, LLCd/b/aHardingGroup, anentitydulyauthorizedtodobusinessintheStateofIndiana Vendor”). TERMS AND CONDITIONS 1. ACKNOWLEDGMENT, ACCEPTANCE: Vendor acknowledges thatithasreadandunderstands thisAgreement, andagreesthatitsexecutionof same constitutes itsacceptanceofalloftheAgreement’stermsandconditions. 2. PERFORMANCE: Cityagreestopurchasethegoodsand/orservices (the “Goods andServices”) fromVendorusingCity budget appropriation number 2201 43-502.00funds. Vendor agrees toprovidetheGoodsandServicesand tootherwiseperformtherequirements ofthisAgreement byapplyingatalltimesthehighesttechnicaland industry standards. 3. PRICEANDPAYMENTTERMS: 3.1 Vendor estimates thatthetotalpricefortheGoodsandServicestobeprovidedtoCityhereunder shallbenomorethanTwoMillionTwoHundredSixtyFourThousandNineHundredSixtyDollars andEightyCents ($2,264,960.80) (the “Estimate”). VendorshallsubmitaninvoicetoCitynomore thanonceeverythirty (30) daysdetailingtheGoodsandServicesprovidedtoCitywithinsuchtime period. CityshallpayVendorforsuchGoodsandServiceswithinthirty-five (35) daysafterthedate ofCity’sreceiptofVendor'sinvoicedetailingsame, solongasandtotheextentsuchGoodsand Services arenotdisputed, areinconformance withthespecifications setforthinExhibitA, are submitted onaninvoicethatcontainstheinformation contained onattachedExhibitB, andVendor hasotherwiseperformed andsatisfiedallthetermsandconditionsofthisAgreement. 3.2 Vendor agreesnottoprovideanyGoodsandServicestoCitythatwouldcausethetotalcostofthe Goods andServicesprovidedbyVendortoCityhereundertoexceedtheEstimate, unless Cityhas previously agreed, inwriting, topayanamountinexcessthereof. 4. WARRANTY: Vendor expressly warrants thattheGoodsandServicescoveredbythisAgreementwillconformto those certain specifications, descriptions and/orquotations regarding sameaswereprovidedto Vendor byCityand/orbyVendortoandacceptedbyCitypursuanttooraspartofthatcertainCityof Carmel StreetDepartmentBidProposalPackagefor “Project No. 21-01MillandResurfaceVarious CityStreets – 2020CommunityCrossingGrant” receivedbytheCityofCarmelBoardofPublic Works andSafetyonoraboutMarch3, 2021, allofwhichdocuments areincorporated herein by reference, andthattheGoodsandServiceswillbedeliveredinatimely, goodandworkmanlike manner andfreefromdefect. Vendor acknowledges thatitknowsofCity’sintendeduseand expressly warrants thattheGoodsandServicesprovidedtoCitypursuanttothisAgreement have beenselectedbyVendorbaseduponCity’sstateduseandarefitandsufficientfortheirparticular purpose. S:\\joberlander\\ Contracts\\ Harding Asphalt Goods and Services Engineering Project 21-01.doc:3/4/2021 4:30 PM\] 1 DocuSign Envelope ID: FC5D7196-8786-4D11-9FAA-BE2110A95754 Harding Asphalt, LLCd/b/aHardingGroup Carmel StreetDepartment/Carmel Engineering Department - 2021 Appropriation #220143-502.00; P.O. #105031 Contract NotToExceed $2,264,960.80 5. TIMEANDPERFORMANCE: ThisAgreement shall become effective asofthelastdateonwhichapartyheretoexecutessame (“Effective Date”), andbothpartiesshallthereafterperformtheirobligationshereunderinatimelymanner. Time isofthe essence ofthisAgreement. 6. DISCLOSURE ANDWARNINGS: IfrequestedbyCity, Vendor shallpromptlyfurnishtoCity, insuchformanddetailasCitymaydirect, alistof allchemicals, materials, substances anditemsusedinorduringtheprovisionoftheGoodsandServices provided hereunder, including thequantity, quality andconcentration thereof andanyotherinformation relating thereto. AtthetimeofthedeliveryoftheGoodsandServicesprovidedhereunder, Vendor agrees to furnish toCitysufficientwrittenwarningandnotice (including appropriate labelsoncontainersandpacking) ofanyhazardousmaterialutilizedinorthatisapartoftheGoodsandServices. 7. LIENS: Vendor shallnotcauseorpermitthefilingofanylienonanyofCity’sproperty. Intheeventanysuchlienis filedandVendorfailstoremovesuchlienwithinten (10) daysafterthefilingthereof, bypaymentorbonding, Cityshallhavetherighttopaysuchlienorobtainsuchbond, allatVendor’ssolecostandexpense. 8. DEFAULT: IntheeventVendor: (a) repudiates, breaches ordefaultsunderanyofthetermsorconditionsofthis Agreement, including Vendor’swarranties; (b) failstoprovidetheGoodsandServices asspecifiedherein; c) failstomakeprogresssoastoendanger timely andproperprovisionoftheGoodsandServicesanddoes notcorrectsuchfailureorbreachwithinfive (5) business days (orsuchshorterperiodoftimeasis commercially reasonable under thecircumstances) after receipt ofnoticefromCityspecifyingsuchfailureor breach; or (d) becomes insolvent, isplacedintoreceivership, makesageneralassignment forthebenefitof creditors ordissolves, eachsucheventconstitutinganeventofdefaulthereunder, Cityshallhavetherightto 1) terminate alloranypartsofthisAgreement, without liability toVendor; and (2) exercise allotherrights andremediesavailabletoCityatlawand/orinequity. 9. INSURANCE ANDINDEMNIFICATION: Vendor shall procure andmaintaininfullforceandeffectduringthetermofthisAgreement, withaninsurer licensed todobusinessintheStateofIndiana, such insurance asisnecessary fortheprotectionofCityand Vendor fromallclaimsfordamagesunderanyworkers’ compensation, occupational disease and/or unemployment compensation act; forbodilyinjuriesincluding, butnotlimitedto, personal injury, sickness, disease ordeathofortoanyofVendor’sagents, officers, employees, contractors andsubcontractors; and, foranyinjurytoordestructionofproperty, including, butnotlimitedto, anylossofuseresultingtherefrom. ThecoverageamountsshallbenolessthanthoseamountssetforthinattachedExhibitC. Vendor shall cause itsinsurerstonameCityasanadditional insured onallsuchinsurancepolicies, shallpromptlyprovide City, upon request, withcopiesofallsuchpolicies, andshallprovidethatsuchinsurancepoliciesshallnotbe canceled without thirty (30) dayspriornoticetoCity. Vendor shall indemnify andholdharmlessCityfromand against anyandallliabilities, claims, demands orexpenses (including, butnotlimitedto, reasonable attorney fees) forinjury, deathand/ordamagestoanypersonorpropertyarisingfromorinconnectionwithVendor’s provision ofGoodsandServicespursuanttoorunderthisAgreement orVendor’suseofCityproperty. Vendor further agrees toindemnify, defend andholdharmlessCityanditsofficers, officials, agents and employees fromallclaimsandsuitsofwhatevertype, including, butnotlimitedto, allcourtcosts, attorney fees, andotherexpenses, caused byanyactoromissionofVendorand/orofanyofVendor’sagents, officers, employees, contractors orsubcontractors intheperformance ofthisAgreement. These indemnification obligations shall survive theterminationofthisAgreement. S:\\joberlander\\ Contracts\\ Harding Asphalt Goods and Services Engineering Project 21-01.doc:3/4/2021 4:30 PM\] 2 DocuSign Envelope ID: FC5D7196-8786-4D11-9FAA-BE2110A95754 Harding Asphalt, LLCd/b/aHardingGroup Carmel StreetDepartment/Carmel Engineering Department - 2021 Appropriation #220143-502.00; P.O. #105031 Contract NotToExceed $2,264,960.80 10. GOVERNMENT COMPLIANCE: Vendor agrees tocomplywithallfederal, stateandlocallaws, executive orders, rules, regulations andcodes whichmaybeapplicabletoVendor’sperformance ofitsobligationsunderthisAgreement, andallrelevant provisions thereof areincorporated herein bythisreference. Vendor agrees toindemnify andholdharmless Cityfromanyloss, damage and/orliabilityresulting fromanysuchviolationofsuchlaws, orders, rules, regulations andcodes. This indemnification obligation shall survive thetermination ofthisAgreement. 11. NONDISCRIMINATION: Vendor represents andwarrantsthatitandallofitsofficers, employees, agents, contractors and subcontractors shall complywithalllawsoftheUnitedStates, theStateofIndianaandCityprohibiting discrimination against anyemployee, applicant foremployment orotherpersonintheprovisionofanyGoods andServicesprovidedbythisAgreementwithrespecttotheirhire, tenure, terms, conditions andprivilegesof employment andanyothermatterrelatedtotheiremployment orsubcontracting, becauseofrace, religion, color, sex, handicap, national origin, ancestry, age, disabled veteran status and/orVietnameraveteran status. 12. E-VERIFY: Pursuant toI.C. § 22-5-1.7etseq., asthesamemaybeamended fromtimetotime, andasisincorporated herein bythisreference (the “Indiana E-Verify Law”), Vendor isrequiredtoenrollinandverifythework eligibility statusofitsnewly-hiredemployeesusingtheE-Verify program, andtoexecutetheAffidavit attached herein asExhibitD, affirming thatitisenrolledandparticipating intheE-verify program anddoes notknowinglyemployunauthorized aliens. InsupportoftheAffidavit, Vendor shall provide theCitywith documentation indicating that ithasenrolledandisparticipating intheE-Verify program. Should Vendor subcontract fortheperformance ofanyworkunderandpursuanttothisAgreement, itshallfully comply withtheIndianaE-Verify Lawasregardseachsuchsubcontractor. ShouldtheVendororany subcontractor violate theIndianaE-Verify law, theCitymayrequireacureofsuchviolationandthereafter, if notimelycureisperformed, terminate thisAgreement inaccordance witheithertheprovisionshereofor thosesetforthintheIndianaE-VerifyLaw. Therequirements ofthisparagraphshallnotapplyshouldtheE- Verify program cease toexist. 13. NOIMPLIEDWAIVER: Thefailureofeitherpartytorequireperformance bytheotherofanyprovisionofthisAgreement shallnot affect therightofsuchpartytorequiresuchperformance atanytimethereafter, norshallthewaiverbyany partyofabreachofanyprovisionofthisAgreement constitute awaiverofanysucceeding breachofthe sameoranyotherprovisionhereof. 14. NON-ASSIGNMENT: Vendor shallnotassignorpledgethisAgreement, whether ascollateralforaloanorotherwise, andshallnot delegate itsobligations under thisAgreementwithoutCity’spriorwrittenconsent. 15. RELATIONSHIP OFPARTIES: The relationship ofthepartiesheretoshallbeasprovidedforinthisAgreement, andneitherVendornorany ofitsofficers, employees, contractors, subcontractors andagentsareemployeesofCity. Thecontractprice setforthhereinshallbethefullandmaximumcompensation andmoniesrequiredofCitytobepaidto Vendor under orpursuanttothisAgreement S:\\joberlander\\ Contracts\\ Harding Asphalt Goods and Services Engineering Project 21-01.doc:3/4/2021 4:30 PM\] 3 DocuSign Envelope ID: FC5D7196-8786-4D11-9FAA-BE2110A95754 Harding Asphalt, LLCd/b/aHardingGroup Carmel StreetDepartment/Carmel Engineering Department - 2021 Appropriation #220143-502.00; P.O. #105031 Contract NotToExceed $2,264,960.80 16. GOVERNING LAW; LAWSUITS: ThisAgreement istobeconstrued inaccordance withandgovernedbythelawsoftheStateofIndiana, except foritsconflictoflawsprovisions. Thepartiesagreethat, intheeventalawsuitisfiledhereunder, they waive theirrighttoajurytrial, agreetofileanysuchlawsuitinanappropriate court inHamiltonCounty, Indiana only, andagreethatsuchcourtistheappropriate venue forandhasjurisdictionoversame. 17. SEVERABILITY: IfanytermofthisAgreement isinvalidorunenforceable under anystatute, regulation, ordinance, executive order orotherruleoflaw, suchtermshallbedeemedreformedordeleted, butonlytotheextentnecessaryto comply withsame, andtheremainingprovisionsofthisAgreement shall remain infullforceandeffect. 18. NOTICE: AnynoticeprovidedforinthisAgreement willbesufficient ifitisinwritingandisdeliveredbypostage prepaid U.S. certified mail, return receipt requested, tothepartytobenotifiedattheaddressspecified herein: IftoCity: CityofCarmel AND JonOberlander, OneCivicSquare Assistant Corporation Counsel Carmel, Indiana 46032 Department ofLaw OneCivicSquare Carmel, Indiana 46032 IftoVendor: SeanRizer 2916KentuckyAvenue Indianapolis, IN 46221 Notwithstanding theabove, noticeofterminationunderparagraph19hereinbelow shallbeeffectiveifgiven orally, aslongaswrittennoticeisthenprovidedassetforthhereinabovewithinfive (5) business daysfrom thedateofsuchoralnotice. 19. TERMINATION: 19.1Notwithstanding anything tothecontrarycontainedinthisAgreement, Citymay, uponnoticeto Vendor, immediately terminate thisAgreement forcause, intheeventofadefaulthereunderby Vendor and/orifsufficient fundsarenotappropriated orencumbered topayfortheGoodsand Services tobeprovidedhereunder. Intheeventofsuchtermination, Vendor shallbeentitledto receive onlypaymentfortheundisputedinvoiceamountrepresenting conforming Goods and Services delivered asofthedateoftermination, except thatsuchpaymentamountshallnotexceed theEstimateamountineffectatthetimeoftermination, unless thepartieshavepreviouslyagreedin writing toagreateramount. 19.2 CitymayterminatethisAgreement atanytimeuponthirty (30) dayspriornoticetoVendor. Inthe event ofsuchtermination, Vendor shallbeentitledtoreceiveonlypayment fortheundisputed invoice amount ofconforming Goods andServicesdeliveredasofthedateoftermination, except thatsuchpaymentamountshallnotexceedtheEstimateamountineffectatthetimeoftermination, unless thepartieshavepreviouslyagreedinwritingtoagreateramount. 19.3TheCitymayterminatethisAgreement pursuant toParagraph11hereof, asappropriate. S:\\joberlander\\ Contracts\\ Harding Asphalt Goods and Services Engineering Project 21-01.doc:3/4/2021 4:30 PM\] 4 DocuSign Envelope ID: FC5D7196-8786-4D11-9FAA-BE2110A95754 Harding Asphalt, LLCd/b/aHardingGroup Carmel StreetDepartment/Carmel Engineering Department - 2021 Appropriation #220143-502.00; P.O. #105031 Contract NotToExceed $2,264,960.80 20. REPRESENTATIONS ANDWARRANTIES ThepartiesrepresentandwarrantthattheyareauthorizedtoenterintothisAgreement andthatthepersons executing thisAgreement havetheauthoritytobindthepartywhichtheyrepresent. 21. ADDITIONAL GOODS ANDSERVICES Vendor understands andagreesthatCitymay, fromtimetotime, request Vendor toprovideadditional goods andservicestoCity. WhenCitydesiresadditionalgoodsandservicesfromVendor, theCityshallnotify Vendor ofsuchadditionalgoodsandservicesdesired, aswellasthetimeframeinwhichsamearetobe provided. OnlyafterCityhasapprovedVendor’stimeandcostestimatefortheprovisionofsuchadditional goods andservices, hasencumbered sufficient monies topayforsame, andhasauthorized Vendor, in writing, toprovidesuchadditionalgoodsandservices, shall suchgoodsandservicesbeprovidedbyVendor toCity. AcopyoftheCity’sauthorization documents forthepurchaseofadditionalgoodsandservicesshall benumberedandattachedheretointheorderinwhichtheyareapprovedbyCity. 22. TERM Unless otherwise terminated inaccordance withthetermination provisions setforthinParagraph 19 hereinabove, thisAgreement shallbeineffectfromtheEffectiveDatethroughDecember31, 2021andshall, onthefirstdayofeachJanuarythereafter, automatically renew foraperiodofone (1) calendar year, unless otherwise agreed bythepartieshereto. 23. HEADINGS AllheadingandsectionsofthisAgreement areinsertedforconvenience onlyanddonotformapartofthis Agreement norlimit, expand orotherwisealterthemeaningofanyprovisionhereof. 24. BINDING EFFECT Theparties, andtheirrespectiveofficers, officials, agents, partners, successors, assigns andlegal representatives, areboundtotheotherwithrespecttoallofthecovenants, terms, warranties andobligations setforthinAgreement. 25. NOTHIRDPARTYBENEFICIARIES ThisAgreementgivesnorightsorbenefitstoanyoneotherthanCityandVendor. 26. DEBARMENT ANDSUSPENSION 26.1TheVendorcertifiesbyenteringintothisAgreement thatneitheritnoritsprincipalsnoranyofits subcontractors arepresentlydebarred, suspended, proposed fordebarment, declared ineligible orvoluntarily excluded fromenteringintothisAgreement byanyfederalagencyorbyanydepartment, agencyorpolitical subdivision oftheStateofIndiana. Theterm “principal” forpurposesofthisAgreement means anofficer, director, owner, partner, keyemployeeorotherpersonwithprimarymanagement orsupervisory responsibilities, orapersonwhohasacriticalinfluenceonorsubstantive control over theoperationsofthe Vendor. 26.2TheVendorcertifiesthatithasverifiedthestateandfederalsuspension anddebarment status forall subcontractors receiving funds under thisAgreement andshallbesolelyresponsibleforanyrecoupment, penalties orcoststhatmightarisefromuseofasuspendedordebarredsubcontractor. TheVendorshall immediately notify theCityifanysubcontractor becomes debarred orsuspended, andshall, attheCity’s request, takeallstepsrequiredbytheCitytoterminateitscontractual relationship withthesubcontractor for worktobeperformedunderthisAgreement. S:\\joberlander\\ Contracts\\ Harding Asphalt Goods and Services Engineering Project 21-01.doc:3/4/2021 4:30 PM\] 5 DocuSign Envelope ID: FC5D7196-8786-4D11-9FAA-BE2110A95754 Harding Asphalt, LLCd/b/aHardingGroup Carmel StreetDepartment/Carmel Engineering Department - 2021 Appropriation #220143-502.00; P.O. #105031 Contract NotToExceed $2,264,960.80 27. IRANCERTIFICATION Pursuant toI.C. § 5-22-16.5, theVendorshallcertifythat, insigningthisAgreement, itdoesnotengagein investment activities within theCountryofIran. 28. ADVICE OFCOUNSEL: ThepartieswarrantthattheyhavereadthisAgreement andunderstandit, havehadtheopportunity toobtain legal adviceandassistanceofcounselthroughout thenegotiationofthisAgreement, andenterintosame freely, voluntarily, andwithoutanyduress, undue influence orcoercion. 29. ENTIRE AGREEMENT: ThisAgreement, together withanyexhibitsattachedheretoorreferencedherein, constitutes theentire agreement between Vendor andCitywithrespecttothesubjectmatterhereof, andsupersedesallpriororal orwrittenrepresentations andagreements regarding same. Notwithstanding anyothertermorconditionset forthherein, butsubjecttoparagraph16hereof, totheextentanytermorconditioncontained inanyexhibit attached tothisAgreement orinanydocument referenced hereinconflictswithanytermorcondition contained inthisAgreement, thetermorconditioncontainedinthisAgreement shallgovernandprevail. ThisAgreementmayonlybemodifiedbywrittenamendment executed bybothpartieshereto, ortheir successors ininterest. INWITNESSWHEREOF, thepartiesheretohavemadeandexecutedthisAgreementasfollows: CITYOFCARMEL, INDIANA Harding Asphalt, LLCd/b/aHardingGroup byandthroughitsBoardofPublic Works andSafety By: By: James Brainard, Presiding Officer Authorized Signature Date: SeanRizer Printed Name MaryAnnBurke, Member Date:ChiefFinancialOfficer Title LoriS. Watson, Member FID/TIN: 61-1895705 Date: LastFourofSSNifSoleProprietor: ATTEST: Date: 03/04/2021 SueWolfgang, Clerk Date: S:\\joberlander\\ Contracts\\ Harding Asphalt Goods and Services Engineering Project 21-01.doc:3/4/2021 4:30 PM\] 6 DocuSign Envelope ID: FC5D7196-8786-4D11-9FAA-BE2110A95754 3/17/2021 3/17/2021 3/17/2021 3/17/2021 FYIJCJU B) 2pg8* DocuSign Envelope ID: FC5D7196-8786-4D11-9FAA-BE2110A95754 FYIJCJU B) 3pg8* DocuSign Envelope ID: FC5D7196-8786-4D11-9FAA-BE2110A95754 FYIJCJU B) 4pg8* DocuSign Envelope ID: FC5D7196-8786-4D11-9FAA-BE2110A95754 FYIJCJU B) 5pg8* DocuSign Envelope ID: FC5D7196-8786-4D11-9FAA-BE2110A95754 FYIJCJU B) 6pg8* DocuSign Envelope ID: FC5D7196-8786-4D11-9FAA-BE2110A95754 FYIJCJU B) 7pg8* DocuSign Envelope ID: FC5D7196-8786-4D11-9FAA-BE2110A95754 FYIJCJU B) 8pg8* DocuSign Envelope ID: FC5D7196-8786-4D11-9FAA-BE2110A95754 EXHIBITB Invoice Date: NameofCompany: Address & Zip: TelephoneNo.: FaxNo.: ProjectName: InvoiceNo. PurchaseOrderNo: Goods Services Person Providing Date Goods/Services Provided CostPer Hourly Total Goods/Services Goods/ ( Describe eachgood/service Item Rate/ Service separately andindetail) Hours Provided Worked GRANDTOTAL Signature PrintedName DocuSign Envelope ID: FC5D7196-8786-4D11-9FAA-BE2110A95754 EXHIBITC INSURANCECOVERAGES Worker’sCompensation & Disability Statutory Limits Employer’sLiability: Bodily InjurybyAccident/Disease: $ 1,000,000eachemployee Bodily InjurybyAccident/Disease: $ 1,000,000eachaccident Bodily InjurybyAccident/Disease: $ 1,000,000policylimit Commercial General Liability: General Aggregate Limit (other than Products/Completed Operations): $ 6,000,000 Products/Completed Operations: $ 5,000,000 Personal & Advertising Injury EachOccurrenceLimit: $ 5,000,000 Comprehensive AutoLiability (owned, hiredandnon-owned) Bodily Injury andPropertyDamage: $ 5,000,000eachoccurrence Umbrella Excess Liability Ifacommercial umbrella liability policy isusedtosatisfytheminimumlimitsofliability requirements, thecombined limitsmustequaltheseminimumlimitsofliability. DocuSign Envelope ID: FC5D7196-8786-4D11-9FAA-BE2110A95754 EXHIBITD AFFIDAVIT SeanRizerandsaysthat being firstdulysworn, deposes he/sheisfamiliarwithandhaspersonalknowledgeofthefactshereinand, ifcalledasawitnessinthis matter, could testify asfollows: 1. Iamovereighteen (18) yearsofageandamcompetenttotestifytothefactscontained herein. 2. Iamnowandatalltimesrelevanthereinhavebeenemployedby Harding Asphalt, LLCd/b/aHardingGroup the “Employer”) inthepositionofChiefFinancialOfficer ______________________________________. 3. Iamfamiliarwiththeemployment policies, practices, andproceduresoftheEmployerand havetheauthoritytoactonbehalfoftheEmployer. 4. TheEmployerisenrolledandparticipates inthefederalE-Verify program andhas provided documentation ofsuchenrollment andparticipation totheCityofCarmel, Indiana. 5. TheCompanydoesnotknowinglyemployanyunauthorized aliens. FURTHER AFFIANT SAYETH NOT. EXECUTED onthe _04March _______dayof _____________________20__21 ______. _, Printed:SeanRizer_____________________________ IcertifyunderthepenaltiesforperjuryunderthelawsoftheUnitedStatesofAmericaandtheStateof Indiana that theforegoingfactualstatementsandrepresentations aretrueandcorrect. Printed:SeanRizer _____________________________ DocuSign Envelope ID: FC5D7196-8786-4D11-9FAA-BE2110A95754 INDIANARETAILTAXEXEMPTPage1of1 CityofCarmel0031201550020 CERTIFICATENO.PURCHASEORDERNUMBER FEDERALEXCISETAXEXEMPT 105031 ONECIVICSQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES, A/P VOUCHER, DELIVERY MEMO, PACKING SLIPS, CARMEL, INDIANA46032-2584 SHIPPING LABELS AND ANY CORRESPONDENCE FORMAPPROVEDBYSTATEBOARDOFACCOUNTSFORCITYOFCARMEL - 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 3/3/2021372681 HARDING GROUP, INC Street Department VENDORSHIP 2916KENTUCKYAVE 3400W. 131st Street TO Carmel, IN 46074- INDIANAPOLIS, IN 46221 - Terry Killen( 317) 733-2001 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 54465 QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION Department: 22012201Motor Fund: Vehicle Highway FND Account: 43-502.00 1EachResurfacing$ 2,264,960.80$ 2,264,960.80 SubTotal 2,264,960.80 SendInvoiceTo: Street Department 3400W. 131st Street Carmel, IN 46074- 317) 733-2001 PLEASEINVOICEINDUPLICATE DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT PAYMENT 2,264,960.80 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER ISMADE A SHIPPINGINSTRUCTIONS PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN SHIP PREPAID. AFFIDAVIT ATTACHED. IHEREBY CERTIFY THAT THERE IS AN UNOBLIGATED 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 ANDACTSORDEREDBY AMENDATORY THEREOF AND SUPPLEMENT THERETO. TerryKillen TITLE Commissioner CONTROL NO. 105031 CONTROLLER DocuSign Envelope ID: FC5D7196-8786-4D11-9FAA-BE2110A95754