HomeMy WebLinkAboutTPI Utility Construction,_LLC/Admin/$37,950/I.T. Data Center Project – Fiber Optic ProjectCzTfshfzHsfdivlijobu22;37bn-Gfc34-3133
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
TPI Utility Construction, LLC
Administration Department - 2022
Appropriation #1205 0 44-628.71 2021 IT Data Center Bond Fund; P.O. #106310
Contract Not To Exceed $37,950.00
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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DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
TPI Utility Construction, LLC
Administration Department - 2022
Appropriation #1205 0 44-628.71 2021 IT Data Center Bond Fund; P.O. #106310
Contract Not To Exceed $37,950.00
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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DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
TPI Utility Construction, LLC
Administration Department - 2022
Appropriation #1205 0 44-628.71 2021 IT Data Center Bond Fund; P.O. #106310
Contract Not To Exceed $37,950.00
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
Administration Department Office of Corporation Counsel
One Civic Square One Civic Square
Carmel, Indiana 46032 Carmel, Indiana 46032
If to Vendor: TPI Utility Construction, LLC
478 N 1100 E
Zionsville, Indiana 46077
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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DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
TPI Utility Construction, LLC
Administration Department - 2022
Appropriation #1205 0 44-628.71 2021 IT Data Center Bond Fund; P.O. #106310
Contract Not To Exceed $37,950.00
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, 2022 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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DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
3/2/2022
3/2/2022
3/2/2022
NOT PRESENT
QUOTE PROPOSAL SUMMARY PAGH
Complete the following information and place as the cover page to
your quote packet. Insert all documents into an envelope with
project name and your company name clearly marked on the
outside. Seal the envelope.
The prices indicated on this sheet shall be opened during the quote
opening and shall match the prices indicated in Part 2 of the
Quoters Itemized Proposal and Declarations.
Company:
TPI Utility Construction, LLC
Project Name:CARMEL DATA CENTER
FIBER OPTIC PROJECT
Date Submitted:
January 17, 2022
Base Quote Amount:
37,950.00
Revised 10/8/2021
Exhibit A
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
QmlER'sITEMTZF.npRoposLAL
Carmel Communications
uoters:
TLh^is,^!:,:~.S.h]a.I.I_I:_ut:li,ze2,Py:!lQu?ters.E.xceptasothervisespecifilcallyprovided,allpartsshau
be fully and accurately filled in and complelea and notarized.
Prct]ect.. Carrnel Data center Fiber optic project
Proposal For Construction of :
T!e pr.o!:ct is.for th_e installation Of ±1,590 LFT Of144Strandfiberth.rouFh existing condruit and tllree (;) f iiber
terminations within existing buildings.
Date: Lanurary 17,2022 __
To: Carmel communications
QUOTE-1
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
PART 1
0IJOTHR INFORM ATION
Print)
Quoter Name:TPI Utility Construction, LLC
Quoter Address: StreetAddress: 478 North 1 100 East
City Zionsville State: lN
Phone: 317-679-2391
1.3 Quotelisalan [markone]
Individual
I.4
Partnership
Foreign (Out of state) Corporation; State:
Joint Venture
Zip: 46077
Fax: 317-769-5214
i Indiana Corporation
Other
The following must be answered if the Quoler or any of its partners or joint venture parties
is a foreign corporation. Note: To do business in or with the City Of Carmel, Indiana,
foreigrl corporations must register with the Secretary Of the State Of Indiana as required
by the Indiana General Corporation Act as slated therein and expressed in the Attorney
General's Opinion #2, dated January 23,1958.]
I CorporationName:
2 Address:
3 Date registered with state oflndiana:
4 Indiana Registered Agent:
Name:
Address:
QUOTE-2
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
PART 2
2.I Base ouote
The undersigned Quoter proposes to furnish all necessary labor, machinery, tools.,
apparatus, materials, equipment, service and other necessary supplies, and to perform and
fulfill all obligations incident thereto in strict accordance with and within the time(s)
provided by the terms and conditions of the Contract Documents for the above described
Work and Projec¢ including any and all addenda thereto, for the Unit Prices applicable to¥Lri;,i¥]hngEL
Quoter acknowledges that evaluation of the lowest Quote shall be based on such price and
further acknowledges that the unit quantities listed in Part 3 of this Proposal are estimates
solely for the purpose of Quote evaluation and Contract award, and are not to be construed
as exact or binding. The Quoter further understands that all Work which may result on the
Contract shall be compensated for on a Unit Price basis and that the OWNER and
ENGINEER cannot and do not guarantee the amoimt or quantity of any item of Work to
be performed or furnished under the Contract.
QUOTE-3
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
PART 3
Cfl]ITRACTITEMSANDUNITPRICLES
This Part lo be used only for Quoting on
QUOTE-4
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
PART 4
CONTRACT DOCUMF,NTS ANT} ADDF,NT)A
4.I The Quoter agrees to be bound by the terms and provisions of all contract Documents as
defined in the Standard General Conditions and incorporates such Contract Documents
herein by reference.
4.2 The Quoter acknowledges receipt of the following addenda:
ADDENDUM NUMBER DATE
January 12, 2022
QUOTE-5
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
PART 5
F,XCF,PTTONS
Instructions To Ouoters :
5.1 T_he Quoter shall f ally state each exception taken to the specif ications or other contract
Documents in Section 5.3 Of this Part.
5.2 Quoter. i`s cau.tipned that any exception taken by Queter and deemed by OWNER to be a
in.a.ter!al qu:lip icati?n or !ariance f rom the terms of the contract Docuinents may result in
this Quote being rejected as non-responsive.
5.3 Exceptions:
QUOTE-6
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
PART 6
FINANCIAL STATF.MF,NT
6.1 Attachment ofQuoter's financial statement is mandatory. Any Quote submitted without said
financial statement as required by statute shall thereby be rendered invalid. The financial
statement provided hereunder to OWNER must be specific enough in detail so that
OWNER can make a proper determination of the Quoter's capability for completing the
Work/Project if awarded. Information on Quoter's company and financial statement shall
be consistent with the information requested on the State Board of Accounts Forms #96a
and # 102, entitled "Standard Questionnaires and Financial Statement for Quoters".
QUOTE-7
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
SPONSEL
CPA GROUP
F..oactivo ^dhde-
Strate®icth--
TPI UTILITY CONSTRUCTloN, LLC
Financial Statements
TOGETHER WITH INDEPENDENT ACC0uNTANT'S
CC"PILATloN REPoRT FOR THE YEARS
ENDED DCCEMBEP 31, 2020 i`ND 2019
Sponselc pAGroup com
251 North lllmois slle®t Suite 450 lndiar`opolii. IN 46204
507 Wcod5cie;I Diiv® Bloaming.on, lN 4740l
MAIN 317.608 6699 F^x 317608,66P8
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
SPONSEL
CPA GROUP
Proac`ive ^4vl-
Strategjc anutho
INDEPENDENT ACCOuNTANT'S COMpllATI0N REPORT
To the Members of TPI Utility Construction, LLC:
ManagementisresponsiblefortheaccompanyingfinancialstatementsofTplutilityConstruction,LIC(alimited
liability company), which cornprise the balance sheets as of December 31, 2020 and 2019, and the related
statements of income for the years then ended in accordance with accounting principles generally accepted in
the Umted States of America. We have performed a compilation engagement in accordance with Statements on
Standards for Accounting and Review Services promulgated bythe Accounting and Review Services Committee
of the AICPA. We did not audit or rev.lew the financial statennerlts nor were we required to perform any
procedurestoverifytheaccuracyorcompletenessoftheinformationprovidedbymanagement.Accordingly,
we do riot express an opinion, a conclusion, nor provide any form of assurance on these financlal statements.
Managementhaselectedtoomitsubstanttallyawofthedisclosuresandthestatementofcashflowsrequiredby
accountingprinciplesgenerallyacceptedintheUnitedStatesofAmerica.Iftheomitteddisclosuresandthe
statementofcashflowswereincludedinthefinancialstatements,theymightinfluencetheuser'sconclusions
abouttheCompany'sfinanclalposition,resultsofoperations,andcashflows.Accclrdingly,the financial
statements are not des.igned for those who are not informed about such matters.
qu CIA Gap, Lic
Indianapolis, Indiana
March 11, 2021
SponsclcpAGroup.com
251 North lllmois Street Suite 450 lndlanapolis. IN 46204
507 Woodscrest Drlve Bloomington, lN 47401
MAIN 317.608.6699 FAX 317.cog.6698
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
Tpl UTILITY CONSTRUCTION, llc
Balance Sheets
December 31, 2020 cind 2019
ASSETS
Current Assets
Cash
Accounts receivable
Costs in excess Of billings
Employee advances
Total current cissets
l]ropertv and Equipment
Automob(Ies & trucks
Compiitel & office equipment
Machinery & equlpment
Land
Accumu`ated depreciation
Total property and equipment
Total assets
LIABluTLES AND MEIVIBERS` EQUITY
Current Liabil-rties
Current port.Ion -long term liabilities
Accounts payable
Credit card payable
Accrued payroll
SBA PPP loan
Total cL]rrent liabilities
Long-Term lia bllitles
Lease payable
Less current portion
DtJe to afflliates
Total long term liabilities
Total Ilabllitles
Memt)eTs' Equ ity
Member'5 draw
Members' equity
Net income
Total members' equity
Total Iic\bilities arid members' equity
See Independent Accountant's Compilatlon fteport.
2020 2019
921,866.46 $ 693,136.76
663, 564. 29 781,596. 63
200, 000.00 2 25 , OcO. 00
1,800.cO
1,785,430.75 1,701,533.39
781,S20.71 647,770.71
1,076.39 1,076.39
671,666.20 683,888 30
79,140.91
842,18S.27)(722,478.87)
691,zia 94 6io,256.s3
2,476,649.69 $ 2,311,789.92
8,573.88 $ 8,573.88
11,251.58 81,114.30
6,502.ce 4,863.83
5,97 2.97 5,045.82
120,400.00
1S2,700.46 99,S97.83
21,434.54 29,293.93
8,S73.88} (8,573.88)
696,446.05
709,306.71
862,007.17
147,748.S1
768,468.56
a68,o66.39
4,500.00)
1,443,723.53 1,239,434.88
17S,418.99
1,614.642.52
2,476,649.69
204,288.65
1,443,723.S3
2,311,789.92
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
Tpi uTiirTv coNSTRucTioN, Lic
Statements of )ncc)me
For the Years Ended December 31, 2020 and 2019 Page 1 Of 2
ZQ2Q % of Revenue 2Q±!% of Revenue
Constmu ctlon Revenue
Cast Of Rev.hue
Job related labor costs
Material
Prints
Bond expense
Reimbursed expense
Sub contractor
Equipmerit renta)
Small tools and supplies
Ca rrruck expense
Customer damage
Depreciation expense
Dump fee
Equipment repairs & maintenarice
Lab fee
Pe,mit
Insurance
Fuel
Heavy equipment tax
Use tax
Water test
Total cost of revenue
Gross Proflt
See Independent Accountant's
2,291,187.64 100.0 %
622,619.00
602,788.07
2,633.55
400.00
17,064.74
91,669.41
22,859.00 1.0
44,931`07 2.0
89,277.21 3.9
134.45 0.0
171,835.75 7.5
2S,234.00 1.1
114,962.19 5.a
0.0
10S.00 0.0
47,660.24 2,1
66,829.22 2.9
3,160.83 0.1
39.85 0.0
280.00 0.0
1,924,483 58
366,704.06
Ccimpilatlon Report.
83.9
2,027,419.41 100.0 %
558,391.60
399,890.58
452.80
15,300.00
17,812.76
168,050.80
6,925.15 0.3
39,013`92 1.9
84,301.54 4.2
0.0
168,GOO.S6 8.3
19,713.06 1.0
72,283.40 3.6
62.00 0.0
225.00 0.0
S3.52S.80 2,6
77,347.10 3.8
3,018.90 0.1
29.95 0.0
84.00 0.0
1,685.o28.92 8a.o
16.1 $ 342,390.49
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
Tpl uTlllTY cONSTRuCTION, llc
State me nts Of Income, Contin ned
For the Years Ended December 31, 2020_
Operatlng Expense
Advert.ising
Bad debt
Banl( service charges
Education and tralnin8
Dues and subscrl.ptiens
Gain (loss) on asset disposals
Miscellaneous
Office supplies
Pavroll expenses
Pavroll fees
Postage and del.lvery
Professional fees
Property ta xes
Repairs
Telephone
Travel a entertainment
utllities
Water usage
and 2019
29ZQ
421,10
11,133.51
50.00
20.00
3,864.40
11.52
1,578.17
132,065.12
5,S32,05
141.88
10,3SO.10
5,035.60
981.71
8,517.19
6,530.68
3,542.97
3,172.2S
96 Of Reverue
0.0
0.S
0.0
0.0
0.2
0.0
0.0
a.1
5.8
0.2
0.0
0.5
0.2
0.a
0.4
0.3
0.2
0.1
Page 2 of 2
Zg±g 9t of Ret/.nu.
1,772.63 a.1
0.0
0.0
0.a
1,628.47 01
1,000 00) 0.0
0.0
1,477.00 0,1
98,16S.81 4.7
5,304.16 0J
239.66 0.0
5 , 540. 00 03
3,923.66 0.2
1i54.01 0-1
S,405.68 0.3
5,304.35 0.3
2,295.12 0.1
7,677.33 a.4
Total operating expe rise
aperatlng li`come
Other Income and Expense
Chher income
lnterest expense
Total a.I`er iricclme arld expense
Net Income
See Independent Accour`tant's
192,948.25
173.755.81
1,663.18
1,663.18
17S,418.99
Comp`lation Report.
139,287.88
203,102.61
1,250.48 0.1
64.44)
1,186.04
204,288.6S
0.0
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
7.1
7.2
PART 7
ADDITIONAL I)ECLARATI0NS
Quoter certifies for itself and all its subcontractors compliance with all existing laws of the
United States and the State of Indiana prohibiting the discrimination against any employee
or applicant for employment or subcontract work in the performance of the Work
contemplatedbytheAgreementwithrespecttohire,teniire,terms,conditions,orprivileges
ofemploymentoranymatterdirectlyorindirectlyrelatedtoemploymentorsubcontracting
because of race, religion, color, sex, handicap, national origin, ancestry, age, disabled
veteran status or Vietnam era veteran status. The City of carmel reserves the right to collect
a penalty as provided in IC 5-16-6-1 for any person discriminated against.
The Quoter certifies that he/she has thoroughly examined the site of the Project/Work and
informed himselfTherself fully regarding all conditions under which he/she will be
obligated to operate and that in any way affect the Work, and knows, understands and
accepts the existing conditions. The Quoter further certifies that he/she has thoroughly
reviewed the Contract Documents, including all Addenda, and has had the opportunity to
ask questions and obtain interpretations or clarifications concerning Contract Documents.
QUOTE-8
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
PART 8
NON-COT,I,USTON AFTTT)AVIT
The individual person(s) executing this Quote Proposal, being first duly sworn, depose(s) and
state(s) that the Quoter has not directly or indirectly entered into a combination, collusion,
undertaking or agreement with any other Quoter or person (i) relative to the price(s) proposed
herein or to be quote by another person, or (ii) to prevent any person from quoting, or (iii) to induce
a person to refrain from Quoting; and furthermore, this Quote Proposal is made and submitted
without reference to any other quotes and without agreement, understanding or combination, either
directly or indirectly, with any persons with reference to such quoting in any way or manner
whatsoever.
PART 9
SIGNATURES
Signature by or on behalf Of [he Quoler in the spaces provided below shall constitute execution
of each and every Part Of this Itemized Proposal and Declarations Document. SIGNATURE MUST
BE PROPERLY NOTARIZED.]
Quoters Name:
Written Signature:
Printed Name:
Title:
TPI Utilit Construction
Brad R nearson
Member
Important - Notarv Sianature and Seal Required in the Si)ace Below
STATEOF Indiana
SS:
COUNTYOF Boone
2o22 Subscribed and sworn to before me this
My commission expires: 04/09/2027 (Signed)
Printed:
Residing in Boone County,State of Indiana
QUOTE-9
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
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
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
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
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7
DocuSign Envelope ID: 19225BE0-4115-4986-BFAE-58D4B0D556B7