Loading...
HomeMy WebLinkAboutThe Hoosier Company, Inc./Street/$21,036.04/Vorteq TMA w15 Light Pulsar AB 6 Intermittent StrobesCzTfshfzHsfdivlijobu3;29qn-Opw3:-3133 DocuSign Envelope ID: 0AC25582-7469-415D-B3EF-F4934DCD53F8 The Hoosier Company, Inc. Street Department - 2022 Appropriation # 2201 2201 44-670.99 Fund; P.O. #106982 Contract Not To Exceed $21,036.04 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: Vendor shall maintain in full force and effect during the term of this Agreement general liability insurance, with an insurer licensed to do business in the State of Indiana, with coverage amounts no less than those applicable amounts set forth in attached Exhibit C. 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 S:\\Contracts\\Departments\\Street\\2022\\The Hoosier Company, Inc. Goods and Services.docx:11/28/2022 3:07 PM\] 2 DocuSign Envelope ID: 0AC25582-7469-415D-B3EF-F4934DCD53F8 The Hoosier Company, Inc. Street Department - 2022 Appropriation # 2201 2201 44-670.99 Fund; P.O. #106982 Contract Not To Exceed $21,036.04 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. 18. NOTICE: Any notice provided for in this Agreement will be sufficient if itis 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 Office of Corporation Counsel st3400W131 Street One Civic Square Carmel, Indiana 46074 Carmel, Indiana 46032 If to Vendor: The Hoosier Company, Inc. PO Box 681064 Indianapolis, Indiana 46268 S:\\Contracts\\Departments\\Street\\2022\\The Hoosier Company, Inc. Goods and Services.docx:11/28/2022 3:07 PM\] 3 DocuSign Envelope ID: 0AC25582-7469-415D-B3EF-F4934DCD53F8 The Hoosier Company, Inc. Street Department - 2022 Appropriation # 2201 2201 44-670.99 Fund; P.O. #106982 Contract Not To Exceed $21,036.04 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 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. S:\\Contracts\\Departments\\Street\\2022\\The Hoosier Company, Inc. Goods and Services.docx:11/28/2022 3:07 PM\] 4 DocuSign Envelope ID: 0AC25582-7469-415D-B3EF-F4934DCD53F8 The Hoosier Company, Inc. Street Department - 2022 Appropriation # 2201 2201 44-670.99 Fund; P.O. #106982 Contract Not To Exceed $21,036.04 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. This Agreement may only be modified by written amendment executed by both parties hereto, or their successors in interest. S:\\Contracts\\Departments\\Street\\2022\\The Hoosier Company, Inc. Goods and Services.docx:11/28/2022 3:07 PM\] 5 DocuSign Envelope ID: 0AC25582-7469-415D-B3EF-F4934DCD53F8 DocuSign Envelope ID: 0AC25582-7469-415D-B3EF-F4934DCD53F8 12/8/2022 12/8/2022 12/8/2022 12/8/2022 Exhibit ADocuSign Envelope ID: 0AC25582-7469-415D-B3EF-F4934DCD53F8 Vorteq™TL-3TrailerTMA GENERAL SPECIFICATION I.GENERAL: Scope: This specification describes a truck-mounted attenuator (TMA) system for 'mobile work zone' shadow vehicles and 'stationary work zone' barrier vehicles. The TMA system is designed to provide safety protection in the event an errant vehicle collides with the rear of these support vehicles. The TMA safely dissipates the collision energy of typical passenger vehicles traveling at speeds up to 100 km/h (62mph). Functional benefits oftheTMA are: 1. Increased survival rate/lowered injury rate for the occupants of errant vehicles. 2. Reduction inthe impact severity foroccupants of the shadow orbarrier vehicle. 3. Elimination of, or reduction in, the damage to barrier orshadow vehicle. 4. Decreased incident management time. II. PRODUCT: All Vorteq Trailer Truck Mounted Attenuators \[TMA's\] shall be designed and manufactured in accordance with this specification by Energy Absorption Systems, Incorporated, a Quixote Company, of Chicago, Illinois, The Vorteq Trailer TMA, when properly deployed, shall meet the National Cooperative Highway Research Program Report 350 (NCHRP 350) performance criteria at Test Level 3 (100 km/h) impact severity. The TMA shall meet the NCHRP 350 criteria for the specified mandatory Tests 3-50 and 3-51 as well as optional Tests 3-52 and 53. The TMA shall satisfy the criteria when attached to support vehicles completely restrained from forward and lateral movement during impact. The Vorteq Trailer TMA shall haveinherent features to minimize rotation during offset impacts, thus helping to minimize possible secondary accidents.The TMA shall accomplish anti-rotation by a combination of features such as a trapezoidal impact head, load balancing and self centering shaper vanes, and a collapsible tongue.This system will allow the trailer to act like a normal trailerwhentraileringandresistrotationwhenimpacted. Thesupportvehicleroll-aheaddistanceisaffectedamongotherthingsbytheweightoftheshadow orbarriervehicle,TMAweight,degreeofbraking,surfaceconditions,anderrantvehiclecollision energy. When equipped with a Vorteq Trailer TMA, an unrestrained support vehicle weighing 4500 kg (9920 lb) typically has a maximum forward skid distance of 8 m (25ft) when positioned on a clean and dry asphalt surface and impacted under Test 3-51 impact conditions with the park brakesetandthetransmissioninsecondgear.TheVorteqTMAhasthecapabilitiesofbeingused with lighter shadow and barrier vehicles. VorteqTrailerTMA - GeneralProductSpecRev 9-24-08.doc – Page1of7 © September24, 2008 DocuSign Envelope ID: 0AC25582-7469-415D-B3EF-F4934DCD53F8 Shadow or BarrierRecommendedVehicleWeight Recommendedminimumvehicle weight – 4,500 Kg (9,920 lbs.) Recommended maximum vehicle weight – No Limitation The following tablelistscalculations of roll-aheaddistance versus support vehicle weight and type: VorteqTrailerTMA -GeneralProductSpecRev 9-24-08.doc –Page2of7©September24, 2008 DocuSign Envelope ID: 0AC25582-7469-415D-B3EF-F4934DCD53F8 III. DESCRIPTION OFSYSTEM: A.General Assembly The Vorteq Trailer TMA shall be equipped with a heavy duty, forged 10 Ton lunette eye pintle ring) to make attachment to, and detachment from, the support vehicle quick and simple. TheTMA shallthenbecapable ofdeforming andsafely absorbing collision energy when impacted byerrant vehicles under any ofthe mandatory oroptional TL-3NCHRP 350 specified test conditions. B.MajorComponents: TheVorteq™ Trailer TMA shallconsist ofthe following components: 1. Impact Head The Impact Head engages the front end of the errant vehicles effectively preventing under-ride, over-ride, and side-slip past the TMA. The Impact Head deforms the Frame Rails as itis forced forward thereby absorbing collision energy and bringing impacting vehicles to a safe controlled stop. The Impact Head deforms the Frame Rails such that the debris is contained within the width of the TMA thereby preventing anundue hazard toothertraffic, pedestrians, orpersonnel intheworkzone. 2. Rear Collar (left / right) The Rear Collar couples the Impact Head, Frame Rail, and Suspension components. The Rear Collar guides the Frame Rail against the Impact Head as the TMA collapses thereby resisting under-ride, over-ride, and side-slip past the TMA. 3. Frame Rail (upper / lower) The Frame Rail couples the Rear Collar and Tongue components and provides load- bearing support for the TMA. The Frame Rail provides the principle collision energy absorption for the TMA when it is deformed by the forward movement of the Impact Head. 4. X-Brace The X-Brace cross ties the Frame Rails reducing their unsupported length and providing increased side load support to the TMA. VorteqTrailerTMA - GeneralProductSpecRev 9-24-08.doc – Page3of7 © September24, 2008 DocuSign Envelope ID: 0AC25582-7469-415D-B3EF-F4934DCD53F8 5. Tongue The Tongue couples the TMA tothe support vehicle and resists the forces from head- on collisions. The Tongue functions to provide an additional means of energy absorption during offset and angled collisions from errant vehicles. 6. Suspension The Suspension consists of the axles, wheels, tires, and fenders which support the TMA and allow it to be trailered by the support vehicle. C. Lights & Visibility The Vorteq Trailer TMA shall have a trailerlightingassembly per Federal Motor Vehicle Safety Standards (FMVSS) No. 108 “Lamps, Reflective Devices, and Associated Equipment.” All components shall be appropriate for their intended purpose under any adoptions issued by the FMVSS, National Highway Transportation Safety Administration (NHTSA), and Society of Automotive Engineers (SAE) for standard practice for electrical lighting. TMA conspicuity tape and reflectors shall be installed following these same established standards as specified by local requirements. The TMA shall include brake lights, taillights, turn signals and an ICC bar light. An industry-standard 7-pin trailer connector shall be provided to power TMA lighting. D. Jack One hand crank jack with swivel caster with a total rated load capacity of at least 910 kg 2000 lbs.) shall be supplied with the TMA to facilitate removing it from a truck for storage. E. Optional Striping The surface of the Impact Head facing oncoming traffic shall becapable of supporting a display pattern and color bands as required.The colors shall meet the value and tolerance limits established by MUTCD. G. Galvanizing All exposed steel surfaces on the TMA shall be hot dip galvanized after fabrication per ASTM A-123. VorteqTrailerTMA - GeneralProductSpecRev 9-24-08.doc – Page4of7 © September24, 2008 DocuSign Envelope ID: 0AC25582-7469-415D-B3EF-F4934DCD53F8 H. Hardware The TMA shall be assembled with Commercial Quality bolts, nuts, and washers conforming to ANSI (American National Standard) specifications unless otherwise specified. IV. WEIGHT AND DIMENSIONS: MaxHeightNominal MaxWidth NominalFromLengthWeightGround 275.0”30.5”92.0” English 1300 lb. Units 6985mm770mm2340 mmMetric 590kgUnits Tongue weight:194 kg (300 lbs.) includedin totalweight Road Clearance: 14.25” V. CRASH TEST PERFORMANCE CRITERIA: The Vorteq Trailer TMA has successfully passed both the mandatory and optional tests contained in the NCHRP Report 350 Test Level 3 guidelines for truck mounted attenuator with the support vehicle restrained from both forward and lateral movement: NCHRP 350 Test 3-50 - Vehicles with a mass of 820 kg (1,808 lb.) impacting straight into the rear of the TMA at 100 km/h (62 mph) shall remain upright with a theoretical occupant impact velocity of 12 m/s (39 fps) or less and an occupant ridedown acceleration of20 g's or less. NCHRP 350 Test 3-51 -Vehicles with a mass of 2000 kg (4,410 lb.), impacting straight into the rear of the TMA at 100 km/h (62 mph) shall remain upright with a theoretical occupant impact velocity of 12 m/s (39 fps) or less and an occupant ridedown acceleration of20 g's or less. NCHRP 350 Test 3-52 -Vehicles with a mass of 2000 kg (4,410 lb.), impacting straight into the rear of the TMA with anoffset of W/3 with respect to the TMA centerline at 100 km/h (62 mph) shall remain upright with a theoretical occupant impact velocity of 12 m/s 39 fps) or less and an occupant ridedown acceleration of 20 g's or less. VorteqTrailerTMA - GeneralProductSpecRev 9-24-08.doc – Page5of7 © September24, 2008 DocuSign Envelope ID: 0AC25582-7469-415D-B3EF-F4934DCD53F8 NCHRP 350 Test 3-53 - Vehicles with a mass of 2000 kg (4,410 lb.) impacting at 10 degrees into the rear of the TMA at 100 km/h (62 mph), and an offset of W/4 at an angle of 10 degrees with respect to the TMA centerline, shall remain upright with a theoretical occupant impact velocity of 12 m/s (39 fps) or less and an occupant ridedown acceleration of 20 g'sor less. Following anyofthesetests, the impacted TMA shallremain attachedto thesupport vehicle atthepintle hookevenwhenthesupport vehiclehas beenconstrained frombothforward and sidewise movement. When impacted noportion oftheTMAshallprotrude over, under, oraround thesidesofthe support vehicle and thereby risk damaging it during these impacts. Likewise any TMA debris from these impacts shall be contained to a distance of 2600 mm (8’-6") or less to either side of support vehicle centerline. No TMA debris from any these impacts shall become detached orcontain shards of metal that present an undue hazard to other traffic, pedestrians, orpersonnel inthe work zone. Further, the TMA shall not impede the line-of-site of either an Arrowboard or Message Board mounted on the support that has been installed per the Manual on Uniform Traffic Control Devices (MUTCD) guidelines ataheight of2135mm (7'-0") tothebottom ofboard. Lastly, the impacted TMA shall becapable ofbeing safely transported ashort distance off the road essentially intact after these impacts. For Tests 3-50 and 3-51 the impacted unit should be able to be towed away from the impact scene by the support vehicle without dragging or the need for a secondary vehicle. If necessary the TMA damage from these impacts shallbecapable ofbeingrefurbished usingsimple handtoolsandreplacement parts. Certified test results and associated test reports and films produced in compliance with NCHRP Report 350 procedures shall be submitted, upon request, showing that the Vorteq Trailer TMA conforms to the performance criteria in this specification. VI. DURABILITY TESTING: A. Road Test: The VorteqTrailer TMA shall be subjected to an accelerated road durability test that simulates actual in-service use. The road test shall cover a minimum of 16,000 km 10,000 miles) on representative roadways and in representative traffic conditions. B.Speed Bump Test: The Vorteq Trailer TMA shall besubjected to a speed bump test to determine durability of the TMA. Theresults of the bump test program will be documented in a detailed test VorteqTrailerTMA - GeneralProductSpecRev 9-24-08.doc – Page6of7 © September24, 2008 DocuSign Envelope ID: 0AC25582-7469-415D-B3EF-F4934DCD53F8 report. The bump test shall consist of mounting theTMA to a support vehicle and traversing two 1 ½” speed bumps anchored 50 feet apart at various speeds. The TMA is to be towed at the worst case speed over the speed bumps 100 times. VorteqTrailerTMA - GeneralProductSpecRev 9-24-08.doc – Page7of7 © September24, 2008 DocuSign Envelope ID: 0AC25582-7469-415D-B3EF-F4934DCD53F8 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: 0AC25582-7469-415D-B3EF-F4934DCD53F8 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: 0AC25582-7469-415D-B3EF-F4934DCD53F8 DocuSign Envelope ID: 0AC25582-7469-415D-B3EF-F4934DCD53F8 11/15/2022 THE HOOSIER CO INC INDIANAPOLIS, IN 46268 - 106982 P O BOX 681064 City of Carmel ONE CIVIC SQUARE CARMEL, INDIANA 46032-2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT 35-6000972 PURCHASE ORDER NUMBER THIS NUMBER MUST APPEAR ON INVOICES, A/P VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION VENDOR SHIP TO PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT EXTENSION Street Department 3400 W. 131st Street Carmel, IN 46074- 317) 733-2001 360022 UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY Page 1 of 1 Matt Higginbotham 70644 2201Department:2201Fund:Motor Vehicle Highway FND 44-670.99Account: Vorteq TMA w/15 light pulsar AB 6 intermittentstrobes1 $21,036.04 $21,036.04Each 21,036.04SubTotal 21,036.04 Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT SHIPPING INSTRUCTIONS SHIP PREPAID. C.O.D. SHIPMENT CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. CONTROL NO. 106982 ORDERED BY TITLE CONTROLLER Street Department 3400 W. 131st Street Carmel, IN 46074- Lee Higginbotham James Crider 317) 733-2001 Commissioner Director of Administration DocuSign Envelope ID: 0AC25582-7469-415D-B3EF-F4934DCD53F8