HomeMy WebLinkAboutPaperless Packet for BPW 11.3.21Board of Public Works and Safety Meeting
Agenda
Wednesday, November 3rd, 2021 – 10:00 a.m.
Council Chambers City Hall, One Civic Square
MEETING CALLED TO ORDER
1. MINUTES
a. Minutes from the October 20, 2021, Regular Meeting
2. BID/QUOTE OPENINGS AND AWARDS
a. Bid Opening for Construction of the Carmel Data Center; Timothy Renick, Director of
Information and Communication Systems
b. Bid Opening for 2022 Rock Salt; John Duffy, Director of the Department of Utilities
3. PERFORMANCE BOND RELEASE APPROVAL REQUESTS
a. Resolution BPW 11-03-21-02; Salsbery Brothers Shop Building; Erosion Control;
Salsbery Brothers
b. Resolution BPW 11-03-21-03; The Ridge at Legacy, Section 5; Erosion Control; Falcon
Nest II
c. Resolution BPW 11-03-21-04; Amenity Area at the Legacy; Erosion Control; Falcon
Nest II
4. CONTRACTS
a. Resolution BPW 11-03-21-01; A Resolution of the City of Carmel Board of Public
Works and Safety Acknowledging Agreement Between City and Vendor; Americans
for the Arts; ($9,000.00); Arts and Economic Prosperity 6; James Brainard, Mayor
b. Request for Purchase of Goods and Services; Maddox Industrial Group; ($4,524.75);
Water Treatment Filters 7 and 8; CO #4202; John Duffy, Director of the Department of
Utilities
c. Request for Purchase of Goods and Services; CC & T Construction, Inc.; ($105,688.00);
Resurfacing; Terry Killen, Street Commissioner
d. Request for Purchase of Goods and Services; Indy Woodworks; ($2,321.96); Tables for
Winter Pavilion; Nancy Heck, Director of the Department of Community Relations
e. Request for Purchase of Goods and Services; Gradex, Inc.; (-$228,050.73); 16-ENG-49
North Rangeline Road Reconstruction; CO #7; Jeremy Kashman, City Engineer
f. Request for Purchase of Goods and Services; Skillsoft Corporation; ($5,802.97);
Software and Training; Additional Services Amendment; Timothy Renick, Director of
Information and Communication Systems
5. REQUEST TO USE CITY STREETS/PROPERTY
a. Request to Use Civic Square Gazebo; Giving Hope Diwali Event; November 5th, 2021;
5:00 PM – 10:00 PM; Joshika Sathyamathan
b. Request to Use Civic Square Gazebo; Gold Star Memorial Ceremony; November 8th,
2021; 11:00 AM – 3:00 PM; Melanie Brewer, City of Carmel
c. Request to Acknowledge Mayor’s Approval to Use City Hall Parking Lot; Bike Carmel
Bicycle Donation Event; October 30th, 2021; 9:30 AM – 2:30 PM; Kevin Whited, City of
Carmel
d. Request to Use / Close City Streets; Tuxedo Brothers Gluhwein Gallop 5K Run/Walk;
December 4th, 2021; 10:00 AM – 12:00 PM; Don Carr
e. Request to Use Midtown Plaza and Stage; Holiday Porchfest, Amended; December 11th,
2021; 12:00 PM – 5:00 PM; Sondra Schwieterman
6. OTHER
a. Request for Dedication and Deed of Public Rights –of-Way; The Signature at Carmel
LLC; Jeremy Kashman, City Engineer
b. Request for Grant of Perpetual Storm Water Quality Management Easement; EFN
Crossroads Property, LLC; 4250 E. 96th Street; Jeremy Kashman, City Engineer
c. Request for Waiver of BPW Resolution No. 04-28-17-01 / Lane Restrictions; 12575
River Road, 12602 Double Eagle Dr, 13023 Fletcher Trace; Duke Energy
d. Request for Lane Restrictions / Open Pavement Cut; Smoky Row and Monon Trail;
Terracon Consultants
e. Request for Lane Restrictions / Sidewalk Closure / Pavement Cut; Proscenium II;
Timothy Hill, NOVO
f. Request for Construction Entrance; 10026 Spring Mill Road; Nichole Loomis, Hoss
Homes
g. Request for Consent to Encroach and Variance; 1077 3rd Ave SW; 1077 3rd Ave SW,
LLC
h. Request for Consent to Encroach and Variance; 13556 Silver Spur; Mark and Kelly
Brotherton
7. ADJOURNMENT
Board of Public Works and Safety Meeting 1
Minutes 2
Wednesday, October 20, 2021 – 10:00 a.m. 3
Council Chambers City Hall, One Civic Square 4
5
MEETING CALLED TO ORDER6
7
Mayor Brainard called the meeting to order at 10:01 AM 8
9
MEMBERS PRESENT10
11
Mayor James Brainard, Board Members Lori Watson and Mary Ann Burke, and Deputy Clerk Jennifer Stites 12
were present. 13
14
MINUTES15
16
Minutes from the October 6, 2021 Regular Meeting. Board Member Burke moved to approve. Board Member 17
Watson seconded. Request approved 2-0. Mayor Brainard abstained. 18
19
PERFORMANCE RELEASE/REDUCTION APPROVAL REQUESTS20 21
Resolution BPW 10-20-21-02; Copper Run; Erosion Control; Board Member Burke moved to approve. Board 22
Member Watson seconded. Request approved 3-0. 23
24
Resolution BPW 10-20-21-03; Woods of Shelborne; Erosion Control; Board Member Burke moved to approve. 25
Board Member Watson seconded. Request approved 3-0. 26
27
Resolution BPW 10-20-21-04; Indianapolis Rehab Institute; Right of Way; Board Member Burke moved to 28
approve. Board Member Watson seconded. Request approved 3-0. 29
30
Resolution BPW 10-20-21-05; Camden Walk 2B; Erosion Control; Board Member Burke moved to approve. 31
Board Member Watson seconded. Request approved 3-0. 32
33
CONTRACTS34
35
Resolution BPW 10-20-21-01; A Resolution of the City of Carmel Board of Public Works and Safety 36
Acknowledging Agreement Between City and Vendor; Envoy Construction Services, LLC.; ($1,276,500.00); 37
Agreement for Professional Services; Board Member Burke moved to approve. Board Member Watson 38
seconded. Request approved 3-0. 39
40
Request for Purchase of Goods and Services; Canon Solutions America, Inc; ($6,000.00); Copier Lease; 41
Additional Services Amendment; Board Member Burke moved to approve. Board Member Watson seconded. 42
Request approved 3-0. 43
44
Request for Purchase of Goods and Services; Fredericks, Inc; ($25,410.00); Roof for Fire Station #41; 45
Additional Services Amendment #2; Board Member Burke moved to approve. Board Member Watson seconded. 46
Request approved 3-0. 47
48
Request for Purchase of Goods and Services; Ellis OD, LLC; ($5,000.00); Professional Services – Department 49
Organizational Workshops; Board Member Burke moved to approve. Board Member Watson seconded. Request 50
approved 3-0. 51
52
Request for Purchase of Goods and Services; MEG & Associates, LLC; ($2,500.00); Media and Public 53
Relations; Additional Services Amendment #3; Board Member Burke moved to approve. Board Member Watson 54
seconded. Request approved 3-0. 55
56
REQUEST TO USE CITY STREETS/PROPERTY57
58
Request to Use/Close City Streets and Use the Monon and Main Plaza; Art of Wine Festival; May 21st, 2022; 59
9:00 AM – 11:00 PM; Board Member Burke moved to approve. Board Member Watson seconded. Request 60
approved 3-0.61
62
Request to Use Veterans Memorial Plaza; CPD Traffic Control for the City of Carmel Veterans Day Ceremony; 63
November 10th, 2021; 11:00 AM – 2:00 PM; Board Member Burke moved to approve. Board Member Watson 64
seconded. Request approved 3-0.65
66
Request to Have a Fireworks Display; Celebration for Diwali; November 6th, 2021; 6:30 PM – 9:30 PM; 67
Board Member Burke moved to approve. Board Member Watson seconded. Request approved 3-0. 68
69
Request to Have a Fireworks Display; Celebration for Diwali; November 6th, 2021; 8:00 PM – 9:00 PM; 70
Board Member Burke moved to approve. Board Member Watson seconded. Request approved 3-0.71
72
Request to Acknowledge Mayor’s Approval to Use/Close City Streets; Midtown’s Got Talent; October 8th, 73
2021; 3:00 PM – 8:00 PM; Board Member Burke moved to approve. Board Member Watson seconded. Request 74
approved 3-0.75
76
Request to Use Civic Square Gazebo; Proposal; October 29th, 2021; 1:00 PM – 11:00 PM; Board Member 77
Burke moved to approve. Board Member Watson seconded. Request approved 3-0.78
79
Request to Use/Close City Streets; Carmel PorchFest; September 18th, 2022; 9:00 AM – 7:00 PM; Board 80
Member Burke moved to approve. Board Member Watson seconded. Request approved 3-0. 81
82
Request to Use Civic Square Gazebo; Fall Music Recital; October 24th (October 30th for a Rain Make-up 83
Date), 2021; 12:00 PM – 7:00 PM; Board Member Burke moved to approve. Board Member Watson seconded. 84
Request approved 3-0.85
86
Request to Use Tarkington Theatre & Veteran’s Plaza; City of Carmel Veterans Day Ceremony; November 87
10th, 2021; 11:00 AM – 2:00 PM; Board Member Burke moved to approve. Board Member Watson seconded. 88
Request approved 3-0.89
90
OTHER91
92
Request for New Curb Cut; Carmel Total Fitness – 820 City Center Drive; Board Member Burke moved to 93
approve. Board Member Watson seconded. Request approved 3-0.94
95
Request for New Curb Cut; Napleton Auxiliary Parking Lot – 4240 E. 96th Street; Board Member Burke moved 96
to approve. Board Member Watson seconded. Request approved 3-0. 97
98
Request for Lane Restriction/Open Cut; 202 Woodland Lane; Board Member Burke moved to approve. Board 99
Member Watson seconded. Request approved 3-0.100
101
Request for Storm Water Technical Standards Waiver; Islamic Life Center Carmel – 7299 E. 146th Street; 102
Board Member Burke moved to approve. Board Member Watson seconded. Request approved 3-0.103
104
Request for Consent to Encroach; 30 Shoshone Drive; Board Member Burke moved to approve. Board Member 105
Watson seconded. Request approved 3-0.106
107
Request for Variance; 30 Shoshone Drive; Board Member Burke moved to approve. Board Member Watson 108
seconded. Request approved 3-0.109
110
Request for Replat; Carmel Science & Tech Lot 14; Board Member Burke moved to approve. Board Member 111
Watson seconded. Request approved 3-0.112
113
Resolution BPW 10-20-21-06; A Resolution of the City of Carmel, Indiana Board of Public Works and Safety 114
Regarding the Release of Temporary Highway Easement; Carmel Dr./ Penn St. Roundabout Project; Board 115
Member Burke moved to approve. Board Member Watson seconded. Request approved 3-0. 116
117
Request for Release of Temporary Highway Easement; Carmel Dr. / Penn St. Roundabout Project; Board 118
Member Burke moved to approve. Board Member Watson seconded. Request approved 3-0. 119
120
ADD-ONS121
122
Request for Secondary Plat; Hamilton Crossing East; Board Member Burke moved to add one add-on item onto 123
the agenda. Board Member Watson seconded. Add-on approved 3-0; Board Member Burke moved to approve 124
request. Board Member Watson seconded. Request approved 3-0. 125
126
ADJOURNMENT127
128
Mayor Brainard adjourned the meeting at 10:05 a.m. 129
130
131
APPROVED: ____________________________________ 132
Sue Wolfgang – City Clerk 133
134
_____________________________________ 135
Mayor James Brainard 136
ATTEST: 137
138
__________________________________ 139
Sue Wolfgang – City Clerk 140
RESOLUTION NO. BPW 11-03-21-01
RESOLUTION OF THE CITY OF CARMEL BOARD OF PUBLIC WORKS AND SAFETY
ACKNOWLEDGING AGREEMENT BETWEEN CITY AND VENDOR
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’smayor may enter into contracts on behalf ofthe
City; and
WHEREAS, pursuant to his authority under Indiana law, the City’smayor, the Honorable James C. Brainard,
has caused to be signed the Agreement attached hereto as Exhibit A (the “Contract”); and
WHEREAS, Mayor Brainard now wishes to present the contract to the City’sBoard of Public Works and
Safety for it to be publicly acknowledged, filed in the Clerk’sOffice, and made available to the public for review.
NOW, THEREFORE, BE IT RESOLVED by the City of Carmel Board of Public Works and Safety as
follows:
1. The foregoing Recitals are incorporated herein by this reference.
2. The receipt ofthe Contract is hereby acknowledged.
3. The Contract shall be promptly filed in the office of the Clerk and thereafter made available to the public
for review.
SO RESOLVED this day of , 2021.
CITY OF CARMEL, INDIANA
By and through its Board of Public Works and Safety
BY:
James Brainard, Presiding Officer
Date:
Mary Ann Burke, Member
Date:
Lori S. Watson, Member
Date:
ATTEST:
Sue Wolfgang, Clerk
Date:
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October 20, 2021
CzTfshfzHsfdivlijobu3;11qn-Pdu36-3132
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CC & T Construction, Inc.
Street Department - 2021
Appropriation # 2201 176 44-628.06; P.O. #105629
Contract Not To Exceed $105,688.00
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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CC & T Construction, Inc.
Street Department - 2021
Appropriation # 2201 176 44-628.06; P.O. #105629
Contract Not To Exceed $105,688.00
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-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
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CC & T Construction, Inc.
Street Department - 2021
Appropriation # 2201 176 44-628.06; P.O. #105629
Contract Not To Exceed $105,688.00
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 AND City of Carmel
Street Department Department of Law
st3400W. 131 Street One Civic Square
Carmel, Indiana 46074 Carmel, Indiana 46032
If to Vendor: CC & T Construction, Inc.
5051 Prospect Street
Indianapolis, Indiana 46203
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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CC & T Construction, Inc.
Street Department - 2021
Appropriation # 2201 176 44-628.06; P.O. #105629
Contract Not To Exceed $105,688.00
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, 2021 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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EXHIBIT B
Invoice
Date:
Name of Company:
Address & Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
Goods Services
Person Providing
Goods/Services
Date
Goods/
Service
Provided
Goods/Services Provided
Describe each good/service
separately and in detail)
Cost Per
Item
Hourly
Rate/
Hours
Worked
Total
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
Page 1 of 1INDIANARETAILTAXEXEMPT
CERTIFICATE NO. 003120155 0020PURCHASE ORDER NUMBERCityofCarmel
FEDERAL EXCISE TAXEXEMPT 105629
35-6000972 THIS NUMBER MUST APPEAR ON INVOICES, A/PONECIVICSQUARE
VOUCHER, DELIVERY MEMO, PACKING SLIPS, CARMEL, INDIANA 46032-2584 SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BYSTATE BOARD OFACCOUNTS FOR CITY OFCARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
10/19/2021033150
CC & T CONSTRUCTION INC Street Department
VENDORSHIP5051PROSPECTST 3400 W. 131st Street
TO Carmel, IN 46074-
INDIANAPOLIS, IN 46203 - Terry Killen(317) 733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
60329
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund: 2201176ARP COVID LOCAL FIS REC
Account: 44-628.06
1EachResurfacing$105,688.00$105,688.00
Sub Total 105,688.00
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
317) 733-2001 PLEASE INVOICE INDUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
105,688.00PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE ASHIPPINGINSTRUCTIONSPARTOFTHEVOUCHERANDEVERYINVOICEANDVOUCHERHASTHEPROPERSWORN
SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY 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 LABEL
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
ORDERED BYANDACTSAMENDATORYTHEREOFANDSUPPLEMENTTHERETO.
Terry KillenJames Crider
TITLECommissionerDirector ofAdministration
CONTROL NO. 105629 CONTROLLER
CzTfshfzHsfdivlijobu2;35qn-Pdu38-3132
Tim Schnizlein d/b/aIndy Woodworks
Department of Community Relations - 2021
Appropriation #43-509.00 Ice Rink Fund 922; P.O. #105634
Contract Not To Exceed $2,321.96
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. INDEMNIFICATION:
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.
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,
S:\\Contracts\\Prof.Svcs & Goods Svcs\\Community Relations\\2021\\Tim Schnizlein dba Indy Woodworks Goods and Services.doc:10/27/2021 9:30 AM\]
2
Tim Schnizlein d/b/aIndy Woodworks
Department of Community Relations - 2021
Appropriation #43-509.00 Ice Rink Fund 922; P.O. #105634
Contract Not To Exceed $2,321.96
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 C, 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
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.
S:\\Contracts\\Prof.Svcs & Goods Svcs\\Community Relations\\2021\\Tim Schnizlein dba Indy Woodworks Goods and Services.doc:10/27/2021 9:30 AM\]
3
Tim Schnizlein d/b/aIndy Woodworks
Department of Community Relations - 2021
Appropriation #43-509.00 Ice Rink Fund 922; P.O. #105634
Contract Not To Exceed $2,321.96
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 Jon Oberlander,
One Civic Square Interim Corporation Counsel
Carmel, Indiana 46032 Department of Law
One Civic Square
Carmel, Indiana 46032
If to Vendor: Tim Schnizlein d/b/a Indy Woodworks
1125 N. Hartman Dr.
Indianapolis, Indiana 46219
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.
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
S:\\Contracts\\Prof.Svcs & Goods Svcs\\Community Relations\\2021\\Tim Schnizlein dba Indy Woodworks Goods and Services.doc:10/27/2021 9:30 AM\]
4
Tim Schnizlein d/b/aIndy Woodworks
Department of Community Relations - 2021
Appropriation #43-509.00 Ice Rink Fund 922; P.O. #105634
Contract Not To Exceed $2,321.96
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.
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.
27. IRAN CERTIFICATION
Pursuant to I.C. § 5-22-16.5, the Vendor shall certify that, in signing this Agreement, it does not engage in
investment activities within the Country of Iran.
28. 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.
29. 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.
S:\\Contracts\\Prof.Svcs & Goods Svcs\\Community Relations\\2021\\Tim Schnizlein dba Indy Woodworks Goods and Services.doc:10/27/2021 9:30 AM\]
5
Timothy Schnizlein
Owner
4297
10/27/2021
Indy Woodworks PROJECT
ESTIMATE1125NHartmanDr.
Indianapolis, IN 46219
317-426-6066 Prepared by:
Tim Schnizlein
Project Description: Project Manager
Christmas Tree Tables x4
PARTS/MATERIAL/SERVICES
TOTALITEMNAMEITEMDESCRIPTIONUNITSPRICE / UNIT
502.40Lumber1x10x10' Pine16$ 31.40
150.161x10x6' Pine8$ 18.77
63.42SparUrethane2$ 31.71
30.98GoldenPecanStain1$ 30.98
PARTS/MATERIAL$ 746.96
LABOUR
TOTALTASKNAMETASKDESCRIPTIONHOURSPRICE / HOUR
855.00MillingCuttingandmanufacturingallparts19$ 45.00
270.00JointingPreparingsurfacesandjointsforattachment6$ 45.00
180.00AssemblyFinalassemblyofproject4$ 45.00
270.00FinishStain/Finish6$ 45.00
LABOUR$ 1,575.00
2,321.96PROJECTDESCRIPTION: SUBTOTAL
Four slide together christmas tree tables. Stained to match barrell tables. 0% TAX
TOTAL 2,321.96
EXHIBIT B
Invoice
Date:
Name ofCompany:
Address & Zip:
Telephone No.:
FaxNo.:
Project Name:
Invoice No.
Purchase Order No:
Services
Person Providing Date Services ProvidedHourly Total
ServicesService (Describe each good/service Rate/
Provided separately and in detail)Hours
Worked
GRAND TOTAL
Signature
Printed Name
Page 1 of 1INDIANARETAILTAXEXEMPT
PURCHASE ORDER NUMBERCERTIFICATENO. 003120155 002 0CityofCarmel
FEDERAL EXCISE TAX EXEMPT 105634
35-6000972 THIS NUMBER MUST APPEAR ON INVOICES, A/PONECIVICSQUARE
VOUCHER, DELIVERY MEMO, PACKING SLIPS, CARMEL, INDIANA 46032-2584 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
TABLES FOR PAVILION10/20/2021376104
INDY WOODWORKS Human Resources
VENDORSHIP1125NHARTMANDR 1 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46219 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
60364
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund: 922922Ice Rink Fund
Account: 43-509.00
Each1TABLES FOR WINTER PAVILION$2,321.96$2,321.96
Sub Total 2,321.96
Send Invoice To:
Human Resources
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
2,321.96PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE ASHIPPINGINSTRUCTIONSPARTOFTHEVOUCHERANDEVERYINVOICEANDVOUCHERHASTHEPROPERSWORN
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 LABEL
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
ORDERED BYANDACTSAMENDATORYTHEREOFANDSUPPLEMENTTHERETO.
Nancy Heck
TITLEDirector
CONTROL NO. 105634 CONTROLLER
CzTfshfzHsfdivlijobu:;61bn-Pdu38-3132
CzTfshfzHsfdivlijobu:;31bn-Pdu38-3132
---- PM
JS 10/27/21
BPW 11/3/21
REVIEWED VIA EMAIL
CPD BICKEL 10/25/21 OK
CFD SUTTON 10/25/21 OK
CRED BREWER/HECK 10/27/21
---- PM
JS 10/27/21
BPW 11/3/21
CRED BREWER/HECK 10-27-21
CPD BICKEL 10-20-21
CFD SUTTON 10-20-21
REVIEWED VIA EMAIL
CITY OF CARMEL, INDIANA
INFORMATION
SPECIAL EVENT / FACILITY USE REQUEST FORM
Contact Person
Email
Phone Number:
Cell Number:
Address
Name/Organization:
Organization Type:
Residency/Location:
Event/Use Purpose:
Event Date End Date
Number of People Expected:
Set-Up Start time
Tear Down End Time
CONTACT INFORMATION:
Kevin Carmel: Whited
kwhited@carmel.in.gov
3178197208
City
Carmel
State / Province / Region
IN
Postal / Zip Code
46032
Country
United States
Street Address
30 West Main Street
Address Line 2
Economic Development/Carmel Utilitie
City of Carmel, Bike Carmel
Do you reside or are you located within the Carmel city limits?
Yes
No
Bicycle donation event co-hosted by the City (Bike Carmel) and Freewheelin
Community Bikes
10/30/2021 10/30/2021
50
09:30:00 AM
02:30:00 PM
JS 10/27/21
BPW 11/3/21
MAYOR APPROVED 10/22/21
CFD SUTTON 10/22/21
CPD BICKEL 10/22/21RETRO APPROVAL
REVIEWED VIA EMAIL
Event Start time:Event end time:
Rehearsal
Rehearsal Date:
Rehearsal
Start Time:
Rehearsal
End Time:
Fees?
Description of Event:
FACILITY (S)
REQUESTS:
VENDORS:
10:00:00 AM 02:00:00 PM
NA
Will a Fee be charged for this event? If yes please describe in narrative below.
YES
NO
Provide a brief description of event
This is a drive-up and drop-off event where members of the community can donate
new and used bicycles to Freewheelin Community Bikes, a nonprofit that has
various programs to help kids build and repair bicycles at the end of the program,
they get to keep. Last year we had roughly ~75 bicycles donated.
Attach additional pages if needed-SEE BELOW
image.png 167.84KB
ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT
CITY FACILITY (S) REQUESTED: Mark all that apply
CARTER GREEN
CIVIC SQUARE FOUNTAIN AREA
CIVIC SQUARE GAZEBO
JAPANESE GARDEN
MONON & MAIN PLAZA
MIDTOWN PLAZA - Events must be free and open to the public.
REFLECTING POOL - Please note that Veteran's Plaza is NOT available for rent.
Other City Hall Parking Lot
SPECIAL REQUESTS: Mark all that apply
ELECTRICITY
FOUNTAIN RESTROOM - FOUNTAIN/GAZEBO
JAMES BUILDING RESTROOMS (CARTER GREEN) *Extra fees apply
N/A
Other
VENDORS: Mark all that apply
SEE CITY OF CARMEL FACILITY USE POLICY
VENDORS PRESENT
FOOD SERVED
ALCOHOL SERVED - Please see Section M under “General Terms and
Conditions” in the special event policy handbook.
N/A
CITY SERVICES
NEEDED:
Neighborhood
Name/Streets to be closed
UPLOAD MAP
Type of Closure:
Further Info for type of
closure
CITY SERVICES NEEDED: Mark all that apply
SEE CITY OF CARMEL FACILITY USE POLICY
EMERGENCY MEDICAL SERVICES (EMS)
TRAFFIC CONTROL
ONSITE SECURITY
BARRICADES
NO PARKING SIGNS (PICK UP AT CARMEL POLICE DEPARTMENT)
N/A
Please note the number of NO PARKING SIGNS needed
EVENT SET UP: Mark all that apply
SEE CITY OF CARMEL FACILITY USE POLICY
Stage
Size of Stage
Tent(s) – If you are requesting Midtown Plaza, the exclusive vendor for tent rental
is A-Classic Party Rentals (317-251-7368).
Size of Tent (s)
Bounce House
N/A
Other
Name of Merchants(s) doing the setup
Phone Number of Merchant(s) doing set up:
STREET(S) REQUESTED:
SEE CITY OF CARMEL FACILITY USE POLICY
Include addresses as appropriate
An easy to read, color map of the area is required with submission.
Rolling closure
Total closure
Lane restrictions - explain below
Other - explain below
N/A
Explain lane restrictions needed and other needed below:
SECURITY DEPOSIT AND FEE:
A refundable Security Deposit in the amount of $100 for any applicant located or residing within Carmel city limits or a
non-refundable event fee in the amount of $150 for any applicant located or residing outside of Carmel city limits must
be received prior to application review or processing.
Payment may be made online using a credit or debit card at www.govpaynow.com PLC #A0026j, calling the Govpay call
center at 1-888-604-7888 (give them PLC#) or in the form of a certified check or money order made payable to the City of
Carmel. (Mail to: Carmel City hall, Attn: Lobby Desk, 1 Civic Square, Carmel, IN 46032)
The Carmel Board of Public Works and Safety reserves the right, in its sole discretion, to deny any facility use
request and/or revoke any previsously granted request to use a City facility for any lawful reason.
DISCLAIMER:
ACKNOWLEDGEMENT AND AGREEMENT
Mayor's Office
ACKNOWLEDGEMENT AND AGREEMENT
TO COMPLY WITH CITY FACILITY USE POLICY
I have read and understand the City of Carmel, Indiana ("City") Facility Use Policy and agree to be bound by all the terms
and conditions set forth therein.
I will leave the City facility I use in the same condition that it was immediately prior to my use thereof. I agree to pay for
any damage, repair or clean-up costs incurred by the City as a result of my use of a City facility.
I hereby certify that I, and the organization I represent, if applicable, agree to be bound by the City's Facility Use Policy and
by any addition conditions or restrictions placed upon my/our use of a City facility by the Board. I understand that the
Board has the right to deny, alter or revoke my request for the use of a City facility for any lawful reason. I and/or my
organization also agree to indemnify and hold harmless the City of Carmel and all of its directors, officers, employees,
agents and affiliates from any claims of whatever nature (whether foreseeable or not) arising from or in connection with this
Application for any damages, costs or expenses incurred directly or indirectly as a result of my/our use of the City-owned
facility and/or property.
*
GO TO SUBMIT TAB AND CLICK ON SUBMIT
Kevin W Whited, City of Carmel
Name of Organization/Applicant
Signature of Authorized Agent/Applicant
Kevin W Whited, Transportation Development
Coordinator
Printed Name and Title (If applicable)
Address of Organization/Applicant
10/21/2021
Date
CITY OF CARMEL USE ONLY
Approved this ______day of _______________, 20
CITY OF CARMEL, INDIANA
By and Through its Board of Public Works and Safety
___________________________________
James Brainard, Presiding Officer
Date: ______________________________
___________________________________
Mary Ann Burke, Member
Date: ______________________________
___________________________________
Lori Watson, Member
Date: ______________________________
ATTEST:
_____________________
Sue Wolfgang, City Clerk
________________
Date
Special Conditions:__________________________________________________________________
APPLICATION CHECKLIST (for use by City of Carmel)
Checklist
Applicable permit or
approval copies received
Application completed in full
Event narrative description included
Maps attached, if applicable
Vendor list attached, if applicable
Security deposit or event fee received
Certificate of Insurance received
Communication plan to residents and/or businesses and/or copy of email
correspondence to affected parties received
HOA approval received
Hamilton County Health Department
Hamilton County Sheriff
City of Carmel Fire Marshal
City of Carmel Police Department
Carmel Clay Parks & Recreation
SUBMIT
Drop-down
Single Line
Checkbox
Checkbox
Drop-down
choice 1
choice 2
choice 3
choice 1
choice 2
choice 3
10/27/21
AMENDED
REQUEST
AMENDMENT OK BREWER/HECK 10-27-21
AMENDMENT OK 10-25-21
AMENDMENT OK 10-25-21
ADDED REQUEST
ADDED REQUEST
ADDED REQUEST
CzKpoPcfsmboefsbu21;22bn-Pdu38-3132
City of Carmel
BOARD OFPUBLIC WORKS & SAFETY
ACCEPTANCE OFDEDICATION & DEED OFPUBLIC RIGHTS-OF-WAY
WHEREAS,theCitybelieves thatsaidfee simple conveyance ofthePropertyisdesirable,
necessaryand intheCity'sbestinterests; and
NOW THEREFORE, theCity, byandthrough itsBoard ofPublic Works andSafety, hereby
accepts saidDedication andDeed, andorders thattheDedication andDeed of Public Rights-of-Way
described herein berecorded intheRecorder'sOffice ofHamilton County, Indiana, andthatthe
Property be, andthe samehereby is, declared open anddedicated tothe City.
SOORDERED:CITY OFCARMEL BOARD OFPUBLIC WORKS &SAFETY
James Brainard, Presiding Officer
Date:
MaryAnnBurke, Member
Date:
LoriWatson, Member
Date:
ATTEST:
SueWolfgang, Clerk
Date:
TATE OF INDIANA ) S
SS:
COUNTY OF HAMILTON )
Before me, aNotary Public in and for said County and State, personally appeared JAMES
BRAINARD, MARY ANN BURKE and LORI WATSON, by me known, and by me known to be the
Members of the City of Carmel Board of Public Works and Safety, and SUE WOLFGANG, Clerk of
THE CITY OF CARMEL, who acknowledged the execution of the foregoing Dedication and Deed of
Public Rights-of-Way on behalf of the City of Carmel, Indiana.
Witness my hand and Notarial Seal this day of , 20 .
NOTARY PUBLIC
My Commission No./Expiration:
Printed Name
My County of Residence:
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