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Home My WebLink AboutBPW Paperless Packet 02-05-25Board of Public Works and Safety Meeting Agenda Wednesday, February 5, 2025 – 10:00 a.m. Council Chambers City Hall, One Civic Square MEETING CALLED TO ORDER 1. MINUTES a. Minutes from the January 22, 2025, Regular Meeting 2. BID OPENINGS, RECOMMENDATIONS, AND AWARDS a. Bid Award for 25-STR-02 Paving; Matt Higginbotham, Street Commissioner b. Bid Award for Neighborhood Drainage Improvements at Pawne Road & Auman Drive Loop; Brad Pease, Director of Engineering 3. TABLED ITEMS a. Request for Revocation of Consent to Encroach; 41 North Rangeline; Lot One Partners, LLC TABLED 11-06-24 b. Request for Purchase of Goods and Services; William Charles Construction Company, LLC; ($1,378,000.00); 23-04 Auman & Newark Neighborhood; Brad Pease, Director of Engineering TABLED 01-22-25 4. CONTRACTS a. Request for Agreement for Emergency Medical Supervision and Training Services; St. Vincent Carmel Hospital, Inc. dba Ascension St. Vincent Carmel; Training Services; Chief Joel Thacker, Carmel Fire Department b. Request for Professional Services; American Structurepoint, Inc.; ($574,253.00); 24- ENG-10 Hazel Dell Parkway and Canton Drive Roundabout; Brad Pease, Director of Engineering c. Request for Purchase of Goods and Services; Globe Asphalt Paving Co;($295,277.09); 22-ENG-13 Rohrer Road Path and Water Main; CO#1; Brad Pease, Director of Engineering d. Resolution BPW 02-05-25-01; Request for Acknowledgment of Contract between City and Vendor; Laketec Communications, Inc.; ($313,856.48); SAN Enclosures Data Center & Expedient Data Center; Kevin Cusimano, Director of Information Communication Services e. Request for Professional Services; Bar Communications, LLC; ($60,000.00); Media Relations and Communications Services; Additional Services Amendment; Kelly Douglas, Director of Marketing and Community Relations f. Request for Purchase of Goods and Services; Mainscape, Inc.; ($1,632,719.00); Mowing and Landscaping; Additional Services Amendment; Matt Higginbotham, Street Commissioner g. Request for Purchase of Goods and Services; Mainscape, Inc.; ($80,000.00); Snow Removal; Additional Services Amendment; Matt Higginbotham, Street Commissioner h. Request for Purchase of Goods and Services; Signal Construction, Inc.; ($240,000.00); Contractor Services; Additional Services Amendment; Matt Higginbotham, Street Commissioner i. Request for Purchase of Goods and Services; TrueGreen; ($267,893.14); Fertilization; Additional Services Amendment; Matt Higginbotham, Street Commissioner 5. REQUEST TO USE CITY STREETS/PROPERTY a. Request to Resesrve Parking Spaces Along City Center Drive; Coach Bus Parking; February 19 through February 20, 2025; 4:00 PM to 3:00 PM; Bekah Levy, Hotel Carmichael b. Request to Use City Streets; Shamrock The District; March 14 through March 17, 2025; 12:00 PM to 12:00 AM; Beth Hohlier, Muldoon’s c. Request to Use Civic Square Gazebo and Lawn; Special Request to Use Fountain Restroom; Holi Event for Carmel Giving Hope; March 22, 2025; 3:00 PM to 8:00 PM; Vritika Arya, Carmel Giving Hope d. Request to Use Palladium East Patio; Special Request to Use Electricity; Wedding Ceremony; April 12, 2025; 2:00 PM to 6:00 PM; Sarah Salinas, Hotel Carmichael e. Request to Use/Close City Streets; Carmel Elementary Pup Running; April 22, 2025; 2:55 PM to 3:35 PM; Kevin Hetrick, Carmel Elementary Pup Running f. Request for EMS Services; 21st Annual 5k Fundraiser for Creekside Middle School; April 26, 2025; 7:00 AM to 10:30 AM; Randy Hartog, Creekside Middle School g. Request to Use City Council Chambers; National Day of Prayer; May 1, 2025; 11:00 AM to 1:00 PM; David Forbes, National Day of Prayer h. Request to Use Palladium East Patio; Special Request to Use Electricity; Wedding Ceremony; May 2, 2025; 2:00 PM to 6:00 PM; Sarah Salinas, Hotel Carmichael i. Request to Use Palladium East Patio; Special Request to Use Electricity; Wedding Ceremony; June 14, 2025; 2:00 PM to 6:00 PM; Sarah Salinas, Hotel Carmichael j. Request to Use Palladium East Patio; Special Request to Use Electricity; Wedding Ceremony; June 20, 2025; 2:00 PM to 7:00 PM; Sarah Salinas, Hotel Carmichael k. Request to Use Palladium East Patio; Special Request to Use Electricity; Wedding Ceremony; June 21, 2025; 2:00 PM to 7:00 PM; Sarah Salinas, Hotel Carmichael l. Request to Use Palladium East Patio; Special Request to Use Electricity; Wedding Ceremony; July 26, 2025; 2:00 PM to 7:00 PM; Sarah Salinas, Hotel Carmichael m. Request to Use Carter Green and the Palladium East Patio; Special Request to Use Electricity; August 16, 2025; 2:00 PM to 6:00 PM; Sarah Salinas, Hotel Carmichael n. Request to Use Palladium East Patio; Special Request to Use Electricity; Wedding Ceremony; September 7, 2025; 2:00 PM to 7:00 PM; Sarah Salinas, Hotel Carmichael o. Request to Use Carter Green; ASCPA Annual Gala; September 19 through September 22, 2025; 10:00 AM to 5:00 PM; Nicole Chernish, Allied Solutions Center for the Performing Arts p. Request to Use Palladium East Patio; Special Request to Use Electricity; Wedding Ceremony; September 27, 2025; 2:00 PM to 7:00 PM; Sarah Salinas, Hotel Carmichael 6. OTHER a. Request for Public Right of Way Dedication; 22-ENG-07; Hamilton County Park Board b. Uniform Conflict of Interest; Kurt Weddington c. Uniform Conflict of Interest; Benjamin Krieg 7. ADD-ONS 8. ADJOURNMENT Board of Public Works and Safety Meeting 1 Minutes 2 Wednesday, January 22, 2025 – 10:00 a.m. 3 Council Chambers City Hall, One Civic Square 4 5 6 7 MEETING CALLED TO ORDER 8 Chairwoman Campbell called the meeting to order at 10:00 AM 9 10 MEMBERS PRESENT 11 12 Chairwoman Laura Campbell, Alan Potasnik, and City Clerk Jessica Dieckman were present. 13 MINUTES 14 Minutes from the December 18, 2024, Regular Meeting. Board Member Potasnik moved to approve. 15 Board Member Campbell seconded. Minutes approved 2-0. 16 BID OPENINGS, RECOMMENDATIONS, AND AWARDS 17 18 Bid Opening for 25-STR-02 Paving 19 Board Member Potasnik unsealed the bids, and Board Member Potasnik read them aloud: 20 Contractor Bid Alternate Bid 1 Alternate Bid 2 21 Howard Companies $5,297,330.04 $1,516,046.78 $39,790.00 22 Rieth-Riley Construction $5,345,999.19 $1,505,687.20 $47,313.75 23 Milestone Contractors $5,586,085.33 $1,547,968.25 $47,313.75 24 E&B Paving LLC $5,588,501.35 $1,608,458.99 $52,395.00 25 26 Bid Opening for 25-STR-01 106TH Bridge Repair 27 Board Member Potasnik unsealed the bids, and Board Member Potasnik read them aloud: 28 Contractor Bid 29 Rieth-Riley Construction $939,658.97 30 Beaty Construction $1,015,500.06 31 Superior Construction $1,180,000.00 32 33 Bid Award for 20-ENG-13 Intersection Improvements-106th and Westfield Roundabout; Brad Pease, 34 Director of Engineering, recommended awarding the bid to Calumet Civil Contractors, Inc,, for 35 $2,307,500.00 as they were the lowest quote and most responsive. Board Member Potasnik moved to 36 approve. Board Member Campbell seconded. Bid approved 2-0. 37 38 39 40 TABLED ITEMS 41 42 Request for Revocation of Consent to Encroach; 41 North Rangeline; Lot One Partners, LLC TABLED 43 11-06-24 REMAINS TABLED 44 CONTRACTS 45 46 Request for Business Associate Agreement; Indiana University Health, Inc.; Health Data Sharing 47 Agreement; Board Member Potasnik moved to approve. Board Member Campbell seconded. Request 48 approved 2-0. 49 Request for Purchase of Goods and Services; PKS Construction, Inc.; ($85,509.00); City Hall 50 Dumpster Enclosure; Additional Services Amendment; Board Member Potasnik moved to approve. 51 Board Member Campbell seconded. Request approved 2-0. 52 Request for Professional Services; Yard Group, LLC dba Yard & Company; ($70,500.00); Consulting 53 Services; Additional Services Amendment; Mike Hollibaugh, Director of Department of Community 54 Relations, briefly speaks; this contract is a 3rd stage of the Home Project that was started last April. 55 We have gone through extensive public input and are taking that working group and creating a plan. 56 Board Member Potasnik moved to approve. Board Member Campbell seconded. Request approved 2-57 0. 58 Request for Purchase of Goods and Services; Calumet Civil Contractors, Inc.; ($2,307,500.00); 106th 59 Street and Westfield Boulevard Roundabout; Board Member Potasnik moved to approve. Board 60 Member Campbell seconded. Request approved 2-0. 61 Request for Professional Services; CrossRoad Engineers, P.C.;($430,000.00); 24-ENG-07 Towne 62 Road Roundabout & Pedestrian Crosswalk Improvement; Additional Service Amendment #1; Board 63 Member Potasnik moved to approve. Board Member Campbell seconded. Request approved 2-0. 64 Request for Professional Services; CrossRoad Engineers, P.C.; ($279,000.00); 24-ENG-03 116th 65 Street Thoroughfare Study from Keystone Ave to Hazel Dell Parkway; Additional Services Amendment 66 #2; Board Member Potasnik moved to approve. Board Member Campbell seconded. Request approved 67 2-0. 68 Request for Professional Services; CrossRoad Engineers, P.C.; ($494,850.00); 24-ENG-02 106TH & 69 Lakeshore Drive Roundabout; Board Member Potasnik moved to approve. Board Member Campbell 70 seconded. Request approved 2-0. 71 Request for Professional Services; Indianapolis Parking, LLC; ($200,000.00); 24-ENG-23 Parking 72 Study in Central Core of Carmel; Jeremy Kashman, Chief Infrastructure Officer briefly speaks that 73 this contract is to do a parking study in different parking locations. This will help guide us going 74 forward for future development projects. Board Member Potasnik moved to approve. Board Member 75 Campbell seconded. Request approved 2-0. 76 Request for Memorandum of Understanding; City of Carmel; 2024 Lease Rental Bonds; Board 77 Member Potasnik moved to approve. Board Member Campbell seconded. Request approved 2-0. 78 Request for Purchase of Goods and Services; William Charles Construction Company, LLC; 79 ($1,378,000.00); 23-04 Auman & Newark Neighborhood; TABLED Board Member Potasnik moved to 80 table. Board Member Campbell seconded. Motion approved 2-0 81 82 Request for Professional Services; C.L. Coonrod & Company; ($108,561.00); Annual Comprehensive 83 Financial Report; Additional Services Amendment; Sergey Grechukin, Corporation Counsel, briefly 84 speaks; we have been using them for a few years. This is an estimated amount because they bill hourly. 85 This is our estimate for the year. Board Member Potasnik moved to approve. Board Member Campbell 86 seconded. Request approved 2-0. 87 88 Request for Agreement between City of Carmel and Vendor; Primelife Enrichment, Inc.; 89 ($100,000.00); Funding for Operational Expenses; Sergey Grechukin, Corporation Counsel, briefly 90 speaks that this money was approved and allocated by the City Council in late 2024. This is a 91 nonprofit organization here in Carmel. Board Member Potasnik moved to approve. Board Member 92 Campbell seconded. Request approved 2-0. 93 Request for Purchase of Goods and Services; AVI Systems, Inc.; ($131,473.00); City of Carmel 2025 94 Service Plan; Additional Services Amendment; Kevin Cusimano, Director of Information and 95 Technologies, briefly speaks; this is a contract to do preventative maintenance on the audio and visual 96 locations around the city. Board Member Potasnik moved to approve. Board Member Campbell 97 seconded. Request approved 2-0. 98 Request for Purchase of Goods and Services; Emergency Radio Services, LLC; ($239,317.10); Five 99 New Tornado Sirens; Kevin Cusimano, Director of Information and Technologies, briefly speaks; this 100 replaces five tornado stations. The technology has been updated in the past twenty years. Over the next 101 four years, we are going to replace five at a time. We looked at the ones that needed to be replaced 102 now and which ones could be replaced later. Board Member Potasnik moved to approve. Board 103 Member Campbell seconded. Request approved 2-0. 104 Request for Professional Services; American Structurepoint, Inc.; ($102,060.00); 106th and Keystone 105 Damage; Additional Services Amendment; Board Member Potasnik moved to approve. Board Member 106 Campbell seconded. Request approved 2-0. 107 Request for Agreement between City of Carmel and Vendor; TPI Utility Construction, LLC; 108 ($705,675.00); 2024 Water Main Improvements; Board Member Potasnik moved to approve. Board 109 Member Campbell seconded. Request approved 2-0. 110 Request for Agreement between City of Carmel and Vendor; TPI Utility Construction, 111 LLC;($917,450.00); River Road Water Main Extensions; Board Member Potasnik moved to approve. 112 Board Member Campbell seconded. Request approved 2-0. 113 114 115 116 REQUEST TO USE CITY STREETS/PROPERTY 117 118 Request to Use Midtown Plaza; Special Request to Use Electricity; Live Music Wednesdays; March 5 119 through November 26, 2025; 5:30 PM to 9:15 PM; Board Member Potasnik moved to approve. Board 120 Member Campbell seconded. Request approved 2-0. 121 Request to Use City Streets; 2025 Sam Costa Marathon; March 22, 2025; 6:00 AM to 2:00 PM; Board 122 Member Potasnik moved to approve. Board Member Campbell seconded. Request approved 2-0. 123 Request to Use Civic Square Fountain Area and Civic Square Gazebo and Lawn; Additional Request 124 to Use/Close City Streets; Special Request to Use Electricity, Fountain Restrooms, and James Building 125 Restrooms; CarmelFest Festival, Fireworks, and Parade; July 2 through July 5, 2025; 10:00 AM to 126 10:00 AM; Board Member Potasnik moved to approve. Board Member Campbell seconded. Request 127 approved 2-0. 128 OTHER 129 Request for Consent to Encroach; 13695 Autumn Lake Overlook; Board Member Potasnik moved to 130 approve. Board Member Campbell seconded. Request approved 2-0. 131 Request for Replat; 2 Waterfront of West Clay; Board Member Potasnik moved to approve. Board 132 Member Campbell seconded. Request approved 2-0. 133 Request for Stormwater Technical Standards Waiver; 331 W Main Street; Board Member Potasnik 134 moved to approve. Board Member Campbell seconded. Request approved 2-0. 135 Request for Waiver of BPW Resolution No. 04-28-17-01; 775 E 96TH Street; Board Member Potasnik 136 moved to approve. Board Member Campbell seconded. Request approved 2-0. 137 Uniform Conflict of Interest; Board Member Potasnik moved to approve. Board Member Campbell 138 seconded. Request approved 2-0. 139 Uniform Conflict of Interest; Board Member Potasnik moved to approve. Board Member Campbell 140 seconded. Request approved 2-0. 141 Uniform Conflict of Interest; Board Member Potasnik moved to approve. Board Member Campbell 142 seconded. Request approved 2-0. 143 Resolution BPW 01-08-25-01; A Resolution of the Board of Public Works and Safety of the City of 144 Carmel, Indiana, Approving the Transfer and Presentation of Pistol and Badge to Lieutenant 145 Johnathan Alan Foster; 32 years of Meritorious Service; Board Member Potasnik moved to approve. 146 Board Member Campbell seconded. Resolution approved 2-0. 147 Nomination to Carmel Plan Commission; Susan Westermeier. Board Member Potasnik moved to 148 approve. Board Member Campbell seconded. Request approved 2-0. 149 150 151 ADD-ONS 152 Board Member Potasnik moved to add-on three items to the agenda. Board Member Campbell 153 seconded. Add-Ons Approved 2-0. 154 155 Request for Agreement between City of Carmel and Vendor; Thieneman Construction; 156 ($5,448,000.00); West Ground Storage Tank Booster Pump Station; Board Member Potasnik moved 157 to approve. Board Member Campbell seconded. Request approved 2-0. 158 Request for Agreement between City of Carmel and Vendor; Preload, LLC; ($6,288,000.00); West 159 Ground Storage Tank; Board Member Potasnik moved to approve. Board Member Campbell 160 seconded. Request approved 2-0. 161 Request for Agreement between City of Carmel and Vendor; National Water Services, LLC; 162 ($848,848.00); Well 29; Board Member Potasnik moved to approve. Board Member Campbell 163 seconded. Request approved 2-0. 164 165 166 ADJOURNMENT 167 Chairwoman Campbell adjourned the meeting at 10:28 AM. 168 169 APPROVED: ____________________________________ 170 Jacob Quinn – City Clerk 171 172 173 _____________________________________ 174 Chairwoman Laura Campbell 175 176 177 ATTEST: 178 __________________________________ 179 Jacob Quinn – City Clerk 180 181 October 29, 2024 Board of Public Works and Safety One Civic Square Carmel, Indiana 46032 RE: REVOCATION OF CONSENT TO ENCROACH AGREEMENT- 41 NORTH RANGELINE - LOT ONE PARTNERS, LLC Dear Board Members: The Department of Engineering is recommending revocation of the existing consent to encroach agreement between the City and Lot One Partners, LLC, approved by the Board on September 6, 2023. The agreement allowed a 2.5’ encroachment into the east/west alley accessed via 1st AVE NE to install a curb and handrail along the pedestrian access walkway. This encroachment has been found to limit vehicular access through the alley, causing vehicles to drive onto the private property south of the alley to access a loading zone. The Department of Engineering has confirmed the removal of the encroachment will not create any code violations or other safety hazards and therefore requests the board revoke the consent to encroach agreement and require removal of the encroachment to restore unobstructed vehicular access through the alley. Sincerely, Bradley Pease, P.E. City Engineer ATTACHMENTS: CONSENT TO ENCROACH AGREEMENT CzTfshfzHsfdivlijobu4;35qn-Kbo19-3136 1,378,000.00 BID-I One Million Three Hundred Seventy Eight Thousand Version 2020-06-1 7 1 CONSTRUCTION ENGINEERING 1 LS 50,000.00 50,000.00 2 INSPECTION HOLE, DEEPER THAN 3 FT 2 EACH 1,500.00 $ 3,000.00 3 MOBILIZATION AND DEMOBILIZATION 1 LS 68,900.00 $ 68,900.00 4 TREE, 10 IN., REMOVE 1 EACH 750.00 $ 750.00 5 TREE, 18 IN., REMOVE 3 EACH 1,500.00 $ 4,500.00 6 TREE, 30 IN., REMOVE 1 EACH 3,500.00 3,500.00 7 CLEARINGRIGHT-OF-WAY 1 LS 30,000.00 30,000.00 8 PAVEMENT REMOVAL 344 SYS 20.00 $ 6,880.00 9 INLET, REMOVE 2 EACH 500.00 $ 1,000.00 PIPE, REMOVE 917 LFT 15.00 13,755.00 EXCAVATION, COMMON 947 CYS 35.00 33,145.00 12 BORROW 316 CYS 0.01 3.16 13 STORMWATER MANAGEMENT BUDGET 12, JOO DOL 1.00 12,100.00 STORMWATER MANAGEMENT14IMPLEMENTATION LS $ 3,000.00 3,000.00 15 SWQCP PREPARATION LS $ 1,600.00 1,600.00 16 SUBGRADETREATMENT, TYPE II 2,520 SYS $ 24.00 60,480.00 17 STRUCTURE BACKFILL, TYPE 2 739 CYS 115.00 84,985.00 18 PCC BASE, 6 IN. 725 SYS 100.00 72,500.00 19 QC/QA-HMA, 2, 64, SURFACE, 9.5 mm 60 TON 165.00 9,900.00 20 ASPHALT FOR TACK COAT 725 SYS 1.00 725.00 21 SIDEWALK, CONCRETE 1,722 SYS 60.00 103,320.00 22 CURB RAMP, CONCRETE 78 SYS 215.00 16,770.00 23 DETECTABLE WARNING SURFACES 17 SYS 425.00 7,225.00 24 CURB AND GUTTER, CONCRETE 3,262 LFT 45.00 $ 146,790.00 25 PCCP FOR APPROACHE S, 6 IN. 1,070 SYS 105.00 112,350.00 26 MAILBOX ASSEMBLY, SINGLE 7 EACH 210.00 1,470.00 27 MAILBOX ASSEMBLY, DOUBLE 22 EACH 400.00 $ 8,800.00 MOBILIZATION AND DEMOBILlZATION FOR28SEEDING 2 EACH $ 800.00 1,600.00 29 WATER 13 kGAL $ 150.00 1,950.00 30 TOPSOIL 269 CYS 85.00 22,865.00 31 SODDING, NURSERY 3,224 SYS $ 5.00 16,120.00 32 PLANT, DECIDUOUS TREE, SINGLE STEM, EACH $ 1,000.00 5,000.00OVER2IN. TO 2.5 IN. 33 PIPE, TYPE 2, CIRCULAR, DIAMETER 12 IN. 1,902 LFT $ 50.00 95,100.00 34 PIPE, TYPE 2, CIRCULAR, DIAMETER 15 IN. 196 LFT 55.00 10,780.00 35 PIPE, TYPE 2, CIRCULAR, DIAMETER 18 IN. 3 LFT 85.00 255.00 36 PIPE, TYPE 3, CIRCULAR, DIAMETER 12 IN. 428 LFT 50.00 21,400.00 37 PIPE, TYPE 3, CIRCULAR, DIAMETER 15 IN. 62 LFT 55.00 3,4 10.00 38 PIPE, TYPE 3, DEFORMED, MfN. AREA 1.8 SFT 250 LFT 115.00 28,750.00 39 HMA FOR STRUCTURE fNSTALLATION, 58 TON 195.00 11,310.00TYPEB 40 VIDEO INSPECTION FOR PIPE 2,124 LFT 1.50 3,186.00 41 STORMWATER TREATMENT STRUCTURE I EACH 35,000.00 35,000.00 42 PIPE END SECTION, DIAMETER 12 IN. 24 EACH 550.00 13,200.00 43 PIPE END SECTION, DIAMETER 15 IN. 2 EACH 750.00 1,500.00 44 PIPE END SECTION, MIN. AREA 1.8 SFT 14 EACH 1,000.00 14,000.00 45 MANHOLE {STR NO. 214 & 215} 2 EACH 8,000.00 16,000.00 46 CASTING, MANHOLE, ADJUST TO GRADE 6 EACH 850.00 5,100.00 47 INLET, TYPE Jl0, MODIFIED IO EACH 2,500.00 25,000.00 48 INLET, TYPE M10, MODIFIED 5 EACH 2,500.00 12,500.00 49 PIPE CATCH BASIN, 15 IN. I EACH 1,150.00 1,150.00 50 MANHOLE, TYPE C4 7 EACH 3,150.00 22,050.00 51 STRUCTURE, MANHOLE, RECONSTRUCTED I LFT 2,500.00 2,500.00 52 CATCH BASIN, TYPE F7 6 EACH 2,100.00 12,600.00 53 CATCH BASIN, TYPE MIO 2 EACH 2,800.00 5,600.00 54 ROAD CLOSURE SIGN ASSEMBLY 2 EACH 388.00 776.00 55 CONSTRUCTION SIGN, TYPE A 2 EACH 310.00 620.00 56 CONSTRUCTION SIGN, TYPE B 6 EACH 310.00 1,860.00 57 MAINTAINING TRAFFIC I LS 54,608.74 54,608.74 58 BARRICADE, TYPE III-B 40 LFT 22.00 880.00 59 SIGN POST, SQUARE, TYPE 1, REINFORCED 29 LFT 24.00 696.00ANCHORBASE 60 SIGN, SHEET, WITH LEGEND, 0.080 IN. 15 SFT 20.00 300.00THICKNESS 61 TRANSVERSE MARKING, THERMOPLASTIC, 143 LFT 22.94 3,280.42CROSSWALKLINE, WHITE, 24 IN. 62 TRANSVERSE MARKING, THERMOPLASTIC, 22 LFT 22.94 504.68STOPLINE, WHITE, 24 IN. METER PIT RELOCATION & ADJUST TO63GRADE (UNDISTRIBUTED) 6 EACH 2,600.00 15,600.00 64 NEW HYDRANT ASSEMBLY 2 EACH 12,500.00 25,000.00 ADJUST VALVE TO GRADE & REPLACE65VALVEBOX (UNDISTRIBUTED) 3 EACH 3,500.00 10,500.00 SANITARY SEWER LATERAL PIPE ADJUSTMENT (UNDISTRIBUTED) 6 EACH 3,000.00 18,000.00 Version 2020-06-17 Version 2020-06-17 PART7 ADDITIONAL DECLARATIONS 7.I Bidder certifies for itself and all its subcontractors comp I iance with al I 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 contemplated by the Agreement with respect to hire, tenure, terms, conditions, or privileges of employment or any matter directly or indirectly related to employment or subcontracting 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 forany person discriminated against. 7.2 The Bidder certifies that he/she has thoroughly examined the site of the Project/Work and infom1ed himself/herself 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 Bidder 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 clarificationsconcerningContract Documents. BID-9 Vcrsion 2020-06-17 PARTS NON-COLLUSION AFFIDAVIT The individual person(s) executing this Bid Proposal, being firstduly sworn, depose(s) and state(s) that the Bidder has not directly or indirectly entered into a combination, collusion, undertaking or agre ement with any other Bidder or person (i) relative to the price(s) proposed herein or to be bid by another person, or (ii) to prevent any person from bidding, or (iii) to induce a person to refrain from Bidding; and furthermore, this Bid Proposal is made and submitted without reference to any other bids and without agreement, understanding or combination, either directly or indirectly, with any persons with reference to such bidding in any way or manner whatsoever. PART9 SIGNATURES Signature by or on behalf of the Bidder in the spaces provided below shall constitute execution ofeach and every Part ofthis Itemized Proposal and Declarations Document. SIGNATURE MUST BE PROPERLY NOTARIZED.] Bidders Name: Written Signature: Printed Name: Matt Schaaf Title: Director Preconstruction Important -Notary Signature and Seal Required in the Space Below STATE OF Indiana ---------- SS: COUNTY OF Hamilton ---===="------ Subscribed and sworn to beforeme this day of December , My commission exp ires: 02121/2032 (Signed) Prmted: _ Residing in Hamilton County, State of_I=n=d=ia=oa------ BID-10 Version 2020-06-17 Signature Printed Name Date: EXHIBITD AFFIDAVIT being first duly sworn, deposes and says that he/she is familiar with and has personal knowledge of the facts herein and, if called as a witness in this matter, could testify as follows: 1.I am over eighteen (18) years of age and am competent to testify to the facts contained herein. 2.I am now and at all times relevant herein have been employed by the "Employer") in the position of _________________ _ 3.I am familiar with the employment policies, practices, and procedures of the Employer and have the authority to act on behalf of the Employer. 4.The Employer is enrolled and participates in the federal E-Verify program and has provided documentation of such enrollment and participation to the City of Carmel, Indiana. 5.The Company does not knowingly employ any unauthorized aliens. FURTHER AFFIANT SAYETH NOT. EXECUTED on the ____ day of ___________ , 20 Printed: ------------- I certify under the penalties for perjury under the laws of the United States of America and the State of Indiana that the foregoing factual statements and representations are true and correct. Printed: ------------- City of Carmel INDIANA RETAIL TAX EXEMPT Page 1 of 1 CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 114247 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES, NP CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 12/19/2024 377767 Goods and Services Contract -23-04 Auman & Newark WILLIAM CHARLES CONSTRUCTION CO VENDOR 800 DOUGLAS RD PENTHOUSE CORAL GABLES, FL 33134 - PURCHASE ID BLANKET I CONTRACT PAYMENT TERMS 95157 QUANTITY UNIT OF MEASURE DESCRIPTION Fund: 202 Local Road & Street Fund Neighborhood City Engineering's Office SHIP 1 Civic Square TO Carmel, IN 46032- Laurie Slick UNIT PRICE Department: 2200 Account: 43-509.00 1 Each 1 Each 23-04 Auman & Newark Neighborhood -Construction 23-04 Auman & Newark Neighborhood -Construction 429,272.00 948,728.00 Sub Total Send Invoice To: City Engineering's Office Laurie Slick 1 Civic Square Carmel, IN 46032- DEPARTMENT PLEASE INVOICE IN DUPLICATE ACCOUNT I PROJECT I PROJECT ACCOUNT PAYMENT FREIGHT I EXTENSION 429,272.00 948,728.00 1,378,000.00 AMOUNT 1,378,000.00 SHIPPING INSTRUCTIONS SHIP PREPAID. C.O.D. SHIPMENT CANNOT BE ACCEPTED. NP 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 BALANCEIN 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 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CONTROL NO. 11424 7 ORDERED BY TITLE Bradley Pease Director Zac Jackson CFO 4859-2187-1858, v. 1 AGREEMENT FOR EMERGENCY MEDICAL SUPERVISION AND TRAINING SERVICES THIS AGREEMENT FOR EMERGENCY MEDICAL SUPERVISION AND TRAINING SERVICES (“Agreement”) is entered into by and between ST. VINCENT CARMEL HOSPITAL, INC. D/B/A ASCENSION ST. VINCENT CARMEL, an Indiana not-for-profit corporation (“Hospital”), and CITY OF CARMEL FIRE DEPARTMENT (“Department”). W I T N E S S E T H: WHEREAS, Department is an Emergency Response Organization certified by the Indiana Emergency Medical Services Commission (“Commission”) to provide emergency medical services to the residents served by Department; WHEREAS, Hospital has the expertise and capability to provide medical direction and supervision for emergency medical services providers; WHEREAS, Department desires that Hospital provide medical direction and control for its emergency medical services activities, as required by the Commission; WHEREAS, Hospital is certified by the Commission as a training institution approved to administer emergency medical services training programs; WHEREAS, Department desires Hospital to provide emergency medical services training and supervision on behalf of the Department’s Associates in ambulances and/or first response units operated by Department; WHEREAS, Hospital desires to provide emergency medical services training to Associates of Department; and WHEREAS, Hospital and Department previously entered into an Agreement for Life Support Services (“Original Agreement”), effective August 1, 2006, and the parties now wish to terminate the Original Agreement and replace it with the terms of this Agreement, as set forth herein. NOW, THEREFORE, in consideration of the mutual covenants contained herein, the parties agree as follows: I. DEFINITIONS Unless otherwise clearly required by the context of this Agreement, the terms set forth below shall have the following meanings. Other terms used herein shall have the meanings ascribed thereto in the Act, as defined below. 1.1 “Act” shall mean the Indiana Emergency Medical Services Act, as outlined in Title 16, Article 31, of the Indiana Code, and the regulations promulgated thereunder in Title 836 of the Indiana Administrative Code, Articles 1 through 4. 1.2 “Associates” shall mean those persons employed or otherwise engaged by Department seeking Docusign Envelope ID: 38B9729C-CBA9-4AD3-9088-A81A99EFAA18 4859-2187-1858, v. 1 certification by the Commission to provide various levels of emergency medical services. 1.2 “Life Support” shall mean basic life support, intermediate life support, and advanced life support as those terms are defined in the Act. 1.3 “Medical Director” shall mean a physician, appointed by Hospital and authorized in writing by Hospital’s medical staff, who shall act as the Medical Director for Hospital in its role as Supervising Hospital for Department. 1.4 “Policies of Hospital” shall mean and include the Bylaws and rules of the Hospital, the Bylaws and rules of Hospital’s medical staff as approved by Hospital’s Board of Directors, and other established policies, practices and procedures of Hospital. 1.5 “Preceptor or Primary Instructor” shall mean those individuals employed by Hospital who are qualified to act as Preceptors/Primary Instructor for Associates. 1.7 “Training” shall mean emergency medical services training programs administered by Hospital on behalf of Associates through Hospital’s Preceptor or Primary Instructor pursuant to the terms of this Agreement. 1.8 “Workforce Member” shall mean persons whose conduct, in the performance of work for the Hospital, is under the direct control of the Hospital, including, but not limited to, personnel, employees, volunteers, trainees, and other employees of Hospital, whether or not they are paid by the Hospital. II. HOSPITAL SERVICES 2.1 Certification of Hospital. Hospital shall remain certified by the Commission as a Supervising Hospital and a Training Institution throughout the term of this Agreement. 2.2 Services. Hospital agrees to provide medical supervision of life support services performed by Department’s Associates in accordance with the Act. 2.2-1 Continuing Education. Hospital shall provide continuing education and instruction opportunities from time to time. Hospital agrees to provide continuing education and instruction in accordance with applicable regulations promulgated by the Commission and any other requirements established by the Commission. Hospital may establish guidelines or requirements which exceed those established by the Commission if deemed advisable by the Hospital in the interests of quality patient care. Department agrees that it shall not employ nor permit an Emergency Medical Technician (“EMT”), A-EMT, or paramedic to perform life support services on Department’s behalf unless the individual has successfully achieved the objectives of continuing education as determined by Hospital. Department agrees to comply with any additional guidelines or requirements established by Hospital related to continuing education under this Agreement. 2.2-2 Audit and Review. Hospital shall provide audit and review services from time to time for the purpose of assessing the level of performance of Department’s EMT, A-EMT, and/or paramedics and the overall performance levels of Department in its rendering of life support services. Hospital shall provide Department with data relevant to the quality of care provided by its EMT, A-EMT, and/or paramedics and its general performance of life support services. Such audit and review services will include, but are not limited to: routine audits of patient care based on review of patient records; Docusign Envelope ID: 38B9729C-CBA9-4AD3-9088-A81A99EFAA18 4859-2187-1858, v. 1 observance of field operations; inspections of equipment and facilities; and critiques of radio communications. Hospital shall also audit and review medical procedures performed by Department’s clinical personnel in order to ensure an appropriate level of compliance with medical protocols, and an appropriate level of skill in the performance of medical techniques by those personnel. 2.2-3 Medical Control and Direction. (a) Protocols. Hospital shall develop standardized policies and procedures for medical control and the development of system protocol and/or standing orders to ensure the proper response to all medical emergency situations by emergency personnel. The protocols shall be signed by the Medical Director or his designee and said protocols are incorporated herein by reference thereto and made a part of this Agreement. A protocol may be terminated or modified by mutual agreement of the parties or unilaterally by Hospital upon written notice to Department, wherein said termination or modification by Hospital shall be effective upon Department’s receipt of the Hospital’s written notice. (b) Location of Protocols. Copies (written or electronic) of complete and current protocols are to be kept in all Department certified emergency medical vehicles, the applicable county dispatcher’s office and in the Hospital Emergency Department. A copy shall also be provided to the Indiana Emergency Medical Services Commission. Department shall be responsible for distributing a copy of the protocols to its EMT, A-EMT, and/or paramedics and shall also distribute a copy of every written termination or modification of a protocol to its EMT, A-EMT, and/or paramedics. Hospital shall post copies of all written protocols and copies of every written termination or revision of a protocol in Hospital’s Emergency Department and shall make them immediately available to Department and Commission upon request. (c) Physicians’ Orders. Communication of an order from a physician in the Hospital’s Emergency Department, or elsewhere in the Hospital if applicable, shall take precedence over all written protocols. (d) Performance Standards. Hospital may establish standards regarding overall performance of Department’s EMT, A-EMT, and/or paramedics which may exceed those established by the Commission as Hospital, in its discretion, deems advisable in the interest of quality patient care. Department agrees to comply with all such performance standards within ninety (90) days after written notice of such performance standards is provided to Department by Hospital. Said ninety (90) day notice requirement shall not apply if Hospital determines that the performance standards must be implemented in a shorter period of time or upon immediate notice for medical or patient care reasons. If such a determination is made by Hospital and is indicated in the written notice, Department agrees to implement the performance standards immediately upon receipt of said notice or as otherwise directed in said notice. 2.2-4 Emergency Medical Medications and Supplies. Medications and supplies required for the rendering of life support services may be supplied to Department by Hospital, upon approval from the Hospital and in accordance with Hospital policies and all applicable laws. Department shall reimburse Hospital for such medications and supplies pursuant to Section 5. 2.3 Emergency Medical Equipment. Hospital shall monitor the type and quality of emergency medical equipment used by Department in the provision of life support services. Hospital shall make recommendations to Department for the use of appropriate emergency medical equipment Docusign Envelope ID: 38B9729C-CBA9-4AD3-9088-A81A99EFAA18 4859-2187-1858, v. 1 2.4 Medical Director. Hospital shall provide a physician or physician designee, authorized in writing by Hospital’s medical staff, who shall act as the Medical Director for Hospital in its role as the supervising hospital for Department. The Medical Director shall at all times be immediately available to supervise the medical procedures performed by Department’s clinical personnel via the voice communication system identified in Section 2.8. The Medical Director, or his/her designee, shall be appointed by Hospital. 2.5 Certification Contingency. The provision of services as described in this Article II is contingent upon Department remaining certified by the Commission as an organization for the rendering of life support services. Hospital shall be under no obligation to provide the services described in this Agreement and shall not provide said services until Department provides Hospital with documented proof that it is currently certified by the Commission as an organization for the rendering of life support services. 2.6 Competency Review. Hospital shall review the competency of the clinical personnel of Department every two (2) years, and as needed to ensure competency. Hospital shall biennially send a letter to Department attesting to the competency of such personnel. 2.7 Reporting Changes. Hospital shall report in writing to Department any material changes to the parties’ relationship under this Agreement, including changes in key clinical Hospital personnel. Such reports shall be made within thirty (30) days of such material change. 2.8 Voice Communication System. Department shall provide means of voice communication to Hospital for medical control. The form of communication may be through the County E-911 Communications Center radio system; the Indiana Hospital Emergency Radio Network; cellular telephones as owned and operated by Department; or by standard telephone lines available for emergency crews to utilize. III. TRAINING SERVICES 3.1 Training Services. Hospital agrees to provide Training for Department in accordance with the requirements and standards for Basic, Advanced, and/or Paramedic emergency medical training set forth in the Act. Hospital and/or Department shall dismiss any Associate from the training program if the Associate is determined by Hospital to be unacceptable for reasons of health, performance, or any other cause which could interfere with Hospital’s operation or quality patient care. 3.2 Qualifications of Associates. Associates must meet and maintain during the term of this Agreement all requirements established by the Commission. Department is responsible for requiring its Associates to meet such Commission requirements and shall provide verification of such when requested by Hospital. IV. RESPONSIBILITIES OF DEPARTMENT 4.1 Regulatory and Hospital Standards. Department shall be solely responsible for maintaining compliance with all federal, state and local emergency medical service and life support laws and regulations with regard to its emergency medical units, its employees or independent contractors, its use of drugs, supplies, and equipment and its general operation as an EMT, A-EMT, and/or paramedic organization. Department agrees to comply with Occupational Health and Safety Administration (“OSHA”) requirements, including those applicable to bloodborne and airborne pathogens, during the Docusign Envelope ID: 38B9729C-CBA9-4AD3-9088-A81A99EFAA18 4859-2187-1858, v. 1 Field Internship Phase of the Educational Experience. Department further agrees to comply with all guidelines and standards established by Hospital for Training, continuing education and performance evaluation of Department personnel, employees or independent contractors. It is agreed that Hospital has no responsibility for verifying that Department and/or its personnel, employees or independent contractors satisfy all federal, state and local requirements as referenced above. As directed by Department personnel, Hospital personnel and Associates shall also comply with such OSHA requirements while aboard Department’s emergency medical units. 4.2 Primary Duty of EMT, A-EMT, and/or Paramedics to Contact Physician. Department understands and is responsible for informing its personnel, employees and independent contractors that protocols are not intended to encourage autonomous action by EMT, A-EMT’s, and/or paramedics. The purpose of such protocols is to equip the EMT, A-EMT’s, and/or paramedics with a grasp of what is expected of him/her in particular emergency situations to prevent the loss of valuable time. Department EMT, A-EMT’s, and/or paramedics shall establish radio or telephone contact with the Hospital’s Emergency Department before intervening with life support care, except for providing emergency first aid as allowed under the protocols established by Hospital. 4.3 Unsuccessful Attempts to Communicate. Unsuccessful attempts to establish radio communication with Hospital’s Emergency Department by the EMT, A-EMT, and/or paramedic neither absolves the EMT, A-EMT, and/or paramedic nor Department from responsibility to solicit direction from the Hospital Emergency Department Physicians, nor does it constitute authority for the EMT, A- EMT, and/or paramedic to perform any or all of the life support skills, except in those specific instances as allowed in the protocols. The EMT, A-EMT, and/or paramedic is responsible for continuing his attempt to contact the Hospital Emergency Department by radio, telephone or any other means that are available, both at the scene and while transporting the patient. 4.4 Duty to Implement Standards. Department is responsible for implementing and following all performance standards, protocols and requirements of Hospital and the Commission, as such pertain to the rendering of emergency medical services and life support services. 4.5 Confidential Information. Department shall instruct its personnel, employees and independent contractors on their responsibility for respecting the confidential and privileged nature of information which may come to their attention in regard to patient medical records and other Hospital information. 4.6 Criminal Background Checks/Health and Safety Screening. Department shall perform criminal background checks relative to Associates pursuant to this Agreement and ensure that all Associates are in compliance with Hospital health and safety screening requirements required by Hospital and provided to Department upon request. Department shall attest, upon request by Hospital and in the form of a letter provided upon placement of a given Associate in the Training program, that said Associate is in compliance with the screening requirements. Department shall permit Hospital to audit Department’s applicable records upon request to assure compliance with this Section. Docusign Envelope ID: 38B9729C-CBA9-4AD3-9088-A81A99EFAA18 4859-2187-1858, v. 1 V. REIMBURSEMENT The Department agrees to reimburse the Hospital for the costs of any medications or supplies provided pursuant to Section 2.2-4 of this Agreement. Reimbursement shall be calculated by adding the Hospital’s total cost for such medications and supplies. The Hospital shall submit an itemized invoice to the Department on a monthly basis. Payment of each invoice is due within thirty (30) days of receipt unless otherwise agreed in writing by the parties. VI. INSURANCE 6.1 Worker’s Compensation. Both parties agree to carry worker’s compensation insurance covering all of its employees and employer’s liability insurance in an amount not less than One Million Dollars ($1,000,000.00). Said worker’s compensation policy shall contain an endorsement waiving subrogation rights against the Hospital. 6.2 Comprehensive and Property Damage Liability. Both parties shall carry occurrence form, primary commercial general liability insurance in minimum amounts of One Million Dollars ($1,000,000.00) per occurrence, and Two Million Dollars ($2,000,000.00) general aggregate, and combined single limit on One Million Dollars ($1,000,000.00) bodily injury, One Million Dollars ($1,000,000.00) property damage and Two Million Dollars ($2,000,000.00) general aggregate. Such policies shall also include contractual liability protection insurance to satisfy both parties’ indemnification obligations set out in Article VIII below. 6.3 Professional Liability. Both parties shall carry medical malpractice insurance with those limits necessary to qualify themselves as providers under the Indiana Medical Malpractice Act (I.C. 34-18 et seq.), and shall remain providers thereunder throughout the term of this Agreement. 6.4 Proof of Coverage. Each party, upon request, shall provide the other with appropriate certificates evidencing the insurance coverages set out in this Article VI. VII. STATUS OF THE PARTIES In performing the services as contemplated hereunder, Hospital and Department agree that Department personnel are acting as independent contractors and not as the agents or employees of Hospital. No Associate in the program will be deemed to be an employee of Hospital nor will Hospital be liable for the payment of any wage, salary, or compensation of any kind for service provided by the Associates. Further, no Associate will be covered under Hospital’s Worker’s Compensation, Social Security, or Unemployment Compensation programs. VIII. INDEMNIFICATION 8.1 Department Indemnification. Department agrees that it will indemnify and hold harmless the Hospital, its officers, agents, employees, and personnel from any loss, cost, damage, expense, attorney’s fees, and liability by reason of bodily injury, property damage, or both of whatsoever nature or kind, arising out of or as a result of the sole negligent act or negligent failure to act of Department, its agents, employees, agents or personnel. 8.2 Hospital Indemnification. The Hospital agrees that it will indemnify and hold harmless Department, its officers, agents, employees, and personnel from any loss, cost, damage, expense, Docusign Envelope ID: 38B9729C-CBA9-4AD3-9088-A81A99EFAA18 4859-2187-1858, v. 1 attorney’s fees, and liability by reason of personal injury or property damage, or both of whatsoever nature or kind, arising out of or as a result of the sole negligent act or negligent failure to act of the Hospital, its employees, agents, or personnel. IX. TERM AND TERMINATION 9.1 Term. The initial term of this Agreement shall be for three (3) years commencing on the last date of signature. Thereafter, the Agreement is automatically renewable for successive one (1) year terms unless either party gives notice of termination at least sixty (60) days prior to the end of the then current term. 9.2 Termination. This Agreement may be terminated as follows: 9.2-1 Termination by Agreement. In the event Hospital and Department shall mutually agree in writing, this Agreement may be terminated on terms and date stipulated therein. 9.2-2 Early Termination. This Agreement may be terminated by either party with or without cause by delivering a written notice of termination to the other party at least thirty (30) days prior to such early termination. Such early termination shall not prejudice the rights of the currently enrolled Associates to complete the training program. 9.2-3 Termination of Individual EMT, A-EMT, and/or Paramedic. Department shall prohibitthe services of an EMT, A-EMT, and/or paramedic in the performance of life support skills, upon receipt of written notice from Hospital that such individual failed to exhibit satisfactory performance. Hospital shall not, however, have any affirmative duty or responsibility to notify Department to terminate a specific EMT, A-EMT, and/or paramedic or EMT, A-EMT, and/or paramedic unless Hospital has actual knowledge that said EMT, A-EMT, and/or paramedic or EMT, A-EMT, and/or paramedic is not performing life support skills in a satisfactory manner or that he consistently or repeatedly fails to perform EMT, A-EMT, and/or paramedic duties in accordance with the current protocols. X. ETHICAL AND RELIGIOUS DIRECTIVES The Parties acknowledge that Hospital conducts its operation in a manner consistent with the Ethical and Religious Directives for Catholic Health Care Services (“Directives”) as promulgated by the United States Conference of Catholic Bishops, Washington D.C., of the Roman Catholic Church or its successor. Nothing in this Agreement shall be construed to require the Hospital or its employees to violate the Directives. XI. REGULATORY AND CORPORATE COMPLIANCE 11.1 Regulatory Compliance. The parties agree that this Agreement is intended to comply with all applicable Hospital group purchasing contracts and state and federal laws, rules, regulations and accreditation standards, including, but not limited to, the Medicare and Medicaid Fraud and Abuse Statute and Regulations; Indiana regulations for supervising hospitals; the Robinson-Patman Price Discrimination Act; the Non-Profit Institutions Act; the Food and Drug Administration regulations; the Indiana Pharmacy Board statutes; the Joint Commission Accreditation Standards; and all regulations governing use of facilities financed with tax exempt bonds (“Laws”). If at any time, this Agreement is found to violate any applicable provision of these Laws, or if any party has a reasonable belief that this Agreement creates a material risk of violating any Laws, and after consultation with the other party, and Docusign Envelope ID: 38B9729C-CBA9-4AD3-9088-A81A99EFAA18 4859-2187-1858, v. 1 after thirty (30) days’ written notice to the other party, the parties shall renegotiate the portion of this Agreement that creates the violation or risk of violation of the Laws. If the parties fail to reach agreement, this Agreement shall automatically terminate thirty (30) days after said written notice. 11.2 Corporate Compliance. Hospital has in place a Corporate Compliance Program (the “Program”) which has as its goal to ensure that Hospital complies with federal, state and local laws and regulations. The Program focuses on risk management, the promotion of good corporate citizenship, including the commitment to uphold a high standard of ethical and legal business practices, and the prevention of misconduct. Department acknowledges Hospital’s commitment to the Program and agrees to conduct all business transactions which occur pursuant to this Agreement in accordance with the underlying philosophy of the Program adopted by Hospital. Department further agrees to disclose immediately any proposed or actual debarment, exclusion or other event that makes ineligible to participate in federal health care programs or federal procurement or non-procurement programs. 11.3 HIPAA Compliance. Hospital and Department agree that each party shall comply with all federal and state regulations, rules and orders, including but not limited to regulations promulgated under Section 264 of the Health Insurance Portability and Accountability Act (Public Law 104-91 - “HIPAA”). Hospital and Department agree that for purposes of HIPAA only, Associates shall be considered members of the Hospital’s Workforce, as that term is defined by HIPAA, and the Department agrees to require Associates to participate in any training required by Hospital for Workforce members so that Hospital may comply with HIPAA. For all other purposes the parties agree that each is acting as an independent contractor and not an agent or employee of the other. Furthermore, the parties shall promptly amend the Agreement to conform with any new or revised legislation, rules and regulations to which Hospital is subject now or in the future including, without limitation, the Standards for Privacy of Individually Identifiable Health Information or similar legislation (collectively, “Laws”) in order to ensure that Hospital is at all times in conformance with all Laws. If, within thirty (30) days of either party first providing notice to the other of the need to amend the Agreement to comply with Laws, the parties, acting in good faith, are (i) unable to mutually agree upon and make amendments or alterations to this Agreement to meet the requirements in question, or (ii) alternatively, the parties determine in good faith that amendments or alterations to the requirements are not feasible, then either party may terminate this Agreement upon thirty (30) days prior written notice. 11.4 Compliance with Anti-Kickback Statute. Each party shall comply with the Federal Health Care Programs’ Anti-Kickback Statute (42 U.S.C. § 1320a-7b) and any applicable regulations promulgated thereunder. The parties further recognize that this Agreement shall be subject to the amendments of the Anti-Kickback Statute or any of its applicable regulations. In the event any applicable provisions of the Anti-Kickback Statute or its regulations invalidate, or are otherwise inconsistent with the terms of this Agreement, or would cause one or both of the parties to be in violation of the law, the parties shall exercise their best efforts to accommodate the terms and intent of this Agreement to the greatest extent possible consistent with the requirements of the Anti-Kickback Statute and its applicable regulations. XII. GENERAL PROVISIONS 12.1 Amendments. This Agreement may be amended only by an instrument in writing signed by the parties hereto. 12.2 Assignment. Assignments of this Agreement or the rights or obligations hereunder shall be invalid without the specific written consent of the other party herein, except that this Agreement may be assigned by the Hospital without the written approval of Department to any successor entity operating Docusign Envelope ID: 38B9729C-CBA9-4AD3-9088-A81A99EFAA18 4859-2187-1858, v. 1 the facility now operated by Hospital or to a related or affiliated organization. 12.3 Confidentiality. Hospital and Department agree that the terms and conditions of this Agreement shall remain confidential. Neither Hospital nor Department shall distribute this Agreement or any part thereof or reveal any of the terms of this Agreement to parties other than their personnel, employees or agents. 12.4 Entire Agreement. By entering into this Agreement, Hospital and Department hereby mutually agree the Original Agreement shall terminate as of the Effective Date of this Agreement. This Agreement supersedes all previous contracts or agreements between the parties with respect to the same subject matter and constitutes the entire Agreement between the parties hereto. Neither Hospital nor Department shall be entitled to benefits other than those herein specifically enumerated. 12.5 Execution. This Agreement and any amendments thereto shall be executed in duplicate copies on behalf of the Hospital and Department by an official of each specifically authorized to perform such executions. Each duplicate copy shall be deemed an original, but both duplicate originals together constitute one and the same instrument. 12.6 Governing Law. This Agreement shall be construed and governed by the laws of the State of Indiana. 12.7 Notices. Notices or communications herein required or permitted shall be given to the respective parties by registered or certified mail (said notice being deemed given as of the date of mailing) or by hand delivery at the following addresses unless either party shall otherwise designate its new address by written notice: DEPARTMENT HOSPITAL Carmel Fire Department One Civic Square Carmel, Indiana 46032 Attn: Chief Ascension St. Vincent Carmel 13500 N. Meridian Street Carmel, Indiana 46032 Attn: President COPY TO: St. Vincent Contract Management 250 W. 96th Street, Suite 410 Indianapolis, Indiana 46260 12.8 Severability. In the event that any provision hereof is found invalid or unenforceable pursuant to judicial decree or decision, the remainder of this Agreement shall remain valid and enforceable according to its terms. 12.9 Waiver of Breach. The waiver by either party of a breach or violation of any provision of this Agreement shall not operate as nor be construed to be, a waiver of any subsequent breach hereof. IN WITNESS WHEREOF, the duly authorized officers and representatives of Hospital and Department have executed this Agreement on the dates written below. Docusign Envelope ID: 38B9729C-CBA9-4AD3-9088-A81A99EFAA18 4859-2187-1858, v. 1 ASCENSION ST. VINCENT CARMEL By:_________________________________ Name:______________________________ Title: _______________________________ Date:_______________________________ Approved and Adopted this day of , 20 . CITY OF CARMEL, INDIANA By and through its Board of Public Works and Safety BY: Laura Campbell, Presiding Officer Date: James Barlow, Member Date: Alan Potasnik, Member Date: ATTEST: Jacob Quinn, Clerk Date: Chad Dilley President, Ascension St. Vincent Carmel Docusign Envelope ID: 38B9729C-CBA9-4AD3-9088-A81A99EFAA18 1/13/2025 CzTfshfzHsfdivlijobu21;54bn-Kbo3:-3136 American Structurepoint, Inc. Engineering Department - 2025 Appropriation #2200 0 44-628.71 2024 Bond Fund; P.O.#115373 Contract Not To Exceed $574,253.00 SECTION 3 CITY'S RESPONSIBILITIES 3.1 City shall provide such information as is reasonably necessary for Professional to understand the Services requested. 3.2 City shall provide all data required for provision of Services. Professional may assume that all data so provided is correct and complete. 3.3. City shall arrange for Professional to enter upon public and private property as reasonably required for Professional to perform the Services. 3.4 City shall designate payment of the Services from City budget appropriation number 2200 0 44-628.71 2024 Bond fund. 3.5 City shall designate the Mayor or their duly authorized representative to act on City’s behalf on all matters regarding the Services. SECTION 4 PROFESSIONAL'S RESPONSIBILITIES 4.1 Professional shall perform the Services pursuant to the terms of this Agreement and within any applicable time and cost estimate. 4.2 Professional shall coordinate with City its performance of the Services. 4.3 Professional shall provide the Services by following and applying at all times reasonable and lawful standards as accepted in the industry. SECTION 5 COMPENSATION 5.1 Professional estimates that the total price for the Services to be provided to City hereunder shall be no more than Five Hundred Seventy Four Thousand Two Hundred Fifty Three Dollars ($574,253.00) (the “Estimate”). Professional shall submit an invoice to City no more than once every thirty (30) days for Services provided City during the time period encompassed by such invoice. Invoices shall be submitted on a form containing the same information as that contained on the Professional Services Invoice attached hereto as Exhibit B, incorporated herein by this reference. City shall pay Professional for all undisputed Services rendered and stated on such invoice within thirty five (35) days from the date of City’s receipt of same. 5.2 Professional agrees not to provide any Services to City that would cause the total cost of same to exceed the Estimate, without City’s prior written consent. SECTION 6 TERM Unless otherwise terminated in accordance with the termination provisions set forth in Section 7.1 hereinbelow, this Agreement shall be in effect from the Effective Date through the satisfactory completion of services as 2 American Structurepoint, Inc. Engineering Department - 2025 Appropriation #2200 0 44-628.71 2024 Bond Fund; P.O.#115373 Contract Not To Exceed $574,253.00 described in this Agreement. SECTION 7 MISCELLANEOUS 7.1 Termination 7.1.1 The obligation to provide all or any portion of the Services under this Agreement may be terminated by City or Professional, without cause, upon thirty (30) days’ notice. 7.1.2 The obligation to provide all or any portion of the Services under this Agreement may be terminated by City, for cause, immediately upon Professional’s receipt of City’s “Notice to Cease Services.” 7.1.3 In the event of full or partial Agreement termination, and as full and complete compensation hereunder, Professional shall be paid for all such Services rendered and expenses incurred as of the date of termination that are not in dispute, except that such payment amount shall not exceed the Estimate. Disputed compensation amounts shall be resolved as allowed by law. 7.2 Binding Effect City and Professional, and their respective officers, officials, agents, partners and successors in interest are bound to the other as to all Agreement terms, conditions and obligations. 7.3 No Third Party Beneficiaries Nothing contained herein shall be construed to give rights or benefits to anyone other than the parties hereto. 7.4 Relationship The relationship of the parties hereto shall be as provided for in this Agreement, and neither Professional nor any of its agents, employees or contractors are City employees. Professional shall have the sole responsibility to pay to or for its agents, employees and contractors all statutory, contractual and other benefits and/or obligations as they become due. Professional hereby warrants and indemnifies City for and from any and all costs, fees, expenses and/or damages incurred by City as a result of any claim for wages, benefits or otherwise by any agent, employee or contractor of Professional regarding or related to the subject matter of this Agreement. This indemnification obligation shall survive the termination of this Agreement. 7.5 Insurance 7.5.1 Professional shall, as a condition precedent to this Agreement, purchase and thereafter maintain such insurance as will protect it and City from the claims set forth below which may arise out of or result from Professional's operations under this Agreement, whether such operations be by Professional or by its subcontractors or by anyone directly or indirectly employed by any of them, or by anyone directly for whose acts any of them may be liable: 1) Claims under Worker's Compensation and Occupational Disease Acts, and any other employee benefits acts applicable to the performance of the work; 3 American Structurepoint, Inc. Engineering Department - 2025 Appropriation #2200 0 44-628.71 2024 Bond Fund; P.O.#115373 Contract Not To Exceed $574,253.00 2) Claims for damages because of bodily injury and personal injury, including death, and; 3) Claims for damages to property. Professional's insurance shall be not less than the amounts shown below: A. Commercial General Liability (Occurrence Basis) Bodily Injury, personal injury, property damage, Contractual liability, product/completed operations Each Occurrence Limit $1,000,000.00 Damage to Rented Premises $100,000.00 each occurrence) Medical Expense Limit $5,000.00 Personal and Advertising Injury Limit $500,000.00 General Aggregate Limit $2,000,000.00 (Other than Products Completed Operations) NOTE: GENERAL AGGREGATE TO APPLY PER PROJECT Products/Completed Operations $1,000,000.00 B. Auto Liability $1,000,000.00 (combined single limit) (owned, hired & non-owned) Bodily injury & property damage $1,000,000.00 each accident C. Excess/Umbrella Liability $2,000,000 (each occurrence and aggregate) D. Worker's Compensation & Disability Statutory E. 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 F. Professional Liability Insurance. The Professional shall carry and maintain during the continuance of this Agreement, professional liability insurance in the amount of 2,000,000 for single limit claims and $3,000,000 in the aggregate. The Professional's 4 American Structurepoint, Inc. Engineering Department - 2025 Appropriation #2200 0 44-628.71 2024 Bond Fund; P.O.#115373 Contract Not To Exceed $574,253.00 policy of insurance shall contain prior acts coverage sufficient to cover all Services performed by the Professional for this Project. Upon City's request, Professional shall give prompt written notice to City of any and all claims made against this policy during the period in which this policy is required to be maintained pursuant to this Agreement. If the insurance is written on a claims-made basis and coverage is cancelled at any time, the Professional will obtain, at its cost, an extended reporting endorsement which provides continuing coverage for claims based upon alleged acts or omissions during the term of the Agreement until all applicable statute of limitation periods have expired. 7.5.2 Professional shall provide the City with a certificate of insurance, naming the City as an additional insured," showing such coverage then in force (but not less than the amount shown above) shall be filed with City prior to commencement of any work. These certificates shall contain a provision that the policies and the coverage afforded will not be canceled until at least thirty (30) days after written notice has been given to City. 7.5.3 Professional may, with the prior approval of the City, substitute different types of coverage for those specified if the total amount of required protection is not reduced. Professional shall be responsible for all deductibles. 7.5.4Nothing in the above provisions shall operate as or be construed as limiting the amount of liability of Professional to the above enumerated amounts. 7.6 Liens Professional shall not cause or permit the filing of any lien on any of City’s property. In the event such a lien is filed and Professional fails to remove it within ten (10) days after the date of filing, City shall have the right to pay or bond over such lien at Professional’s sole cost and expense. 7.7 Default In the event Professional: (a) repudiates, breaches or defaults under any of the terms or conditions of this Agreement, including Professional’s warranties; (b) fails to perform the Services as specified; (c) fails to make progress so as to endanger timely and proper completion of the Services and does not correct such failure or breach within five (5) business days after receipt of notice from City specifying same; or (d) becomes insolvent, files, or has filed against it, a petition for 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 terminate all or any part of this Agreement, without liability to Professional and to exercise any other rights or remedies available to it at law or in equity. 7.8 Government Compliance Professional agrees to comply with all laws, executive orders, rules and regulations applicable to Professional’s performance of its obligations under this Agreement, all relevant provisions of which being hereby incorporated herein by this reference, to keep all of Professionals’ required professional licenses and certifications valid and current, and to indemnify and hold harmless City from any and all losses, damages, costs, liabilities, damages, 5 American Structurepoint, Inc. Engineering Department - 2025 Appropriation #2200 0 44-628.71 2024 Bond Fund; P.O.#115373 Contract Not To Exceed $574,253.00 costs and attorney fees resulting from any failure by Professional to do so. This indemnification obligation shall survive the termination of this Agreement. 7.9 Indemnification Professional shall indemnify and hold harmless City and its officers, officials, employees and agents from all losses, liabilities, claims, judgments and liens, including, but not limited to, all damages, costs, expenses and attorney fees arising out of any intentional or negligent act or omission of Professional and/or any of its employees, agents or contractors in the performance of this Agreement. This indemnification obligation shall survive the termination of this Agreement. 7.10 Discrimination Prohibition Professional represents and warrants that it and each of its employees, agents and contractors shall comply with all existing and future laws prohibiting discrimination against any employee, applicant for employment and/or other person in the subcontracting of work and/or in the performance of any Services contemplated by this Agreement with respect to hire, tenure, terms, conditions or privileges of employment or any matter directly or indirectly related to employment, subcontracting or work performance hereunder because of race, religion, color, sex, handicap, national origin, ancestry, age, disabled veteran status or Vietnam era veteran status. This indemnification obligation shall survive the termination of this Agreement. 7.11 E-Verify Pursuant to I.C. § 22-5-1.7 et seq., Professional shall enroll in and verify the work eligibility status of all of its newly-hired employees using the E-Verify program, if it has not already done so as of the date of this Agreement. Professional is further required to execute the attached Affidavit, herein referred to as Exhibit C, which is an Affidavit affirming that: (i) Professional is enrolled and is participating in the E-Verify program, and ii) Professional does not knowingly employ any unauthorized aliens. This Addendum incorporates by reference, and in its entirety, attached Exhibit C. In support of the Affidavit, Professional shall provide the City with documentation that it has enrolled and is participating in the E-Verify program. This Agreement shall not take effect until said Affidavit is signed by Professional and delivered to the City’s authorized representative. Should Professional subcontract for the performance of any work under this Addendum, the Professional shall require any subcontractor(s) to certify by affidavit that: (i) the subcontractor does not knowingly employ or contract with any unauthorized aliens, and (ii) the subcontractor has enrolled and is participating in the E-Verify program. Professional shall maintain a copy of such certification for the duration of the term of any subcontract. Professional shall also deliver a copy of the certification to the City within seven 7) days of the effective date of the subcontract. If Professional, or any subcontractor of Professional, knowingly employs or contracts with any unauthorized aliens, or retains an employee or contract with a person that the Professional or subcontractor subsequently learns is an unauthorized alien, Professional shall terminate the employment of or contract with the unauthorized alien within thirty (30) days (“Cure Period”). Should the Professional or any subcontractor of Professional fail to cure within the Cure Period, the City has the right to terminate this Agreement without consequence. The E-Verify requirements of this Agreement will not apply, should the E-Verify program cease to exist. 6 American Structurepoint, Inc. Engineering Department - 2025 Appropriation #2200 0 44-628.71 2024 Bond Fund; P.O.#115373 Contract Not To Exceed $574,253.00 7.12 Severability If any provision of this Agreement is held to be invalid, illegal or unenforceable by a court of competent jurisdiction, that provision shall be stricken, and all other provisions of this Agreement that can operate independently of same shall continue in full force and effect. 7.13 Notice Any notice, invoice, order or other correspondence required or allowed to be sent pursuant to this Agreement shall be written and either hand-delivered or sent by prepaid U.S. certified mail, return receipt requested, addressed to the parties as follows: CITY: City of Carmel City of Carmel Engineering Department Office of Corporation Counsel One Civic Square One Civic Square Carmel, Indiana 46032 Carmel, Indiana 46032 PROFESSIONAL: American Structurepoint, Inc. 9025 River Road, Suite 200 Indianapolis, Indiana 46240 Notwithstanding the above, City may orally provide to Professional any notice required or permitted by this Agreement, provided that such notice shall also then be sent as required by this paragraph within ten (10) business days from the date of such oral notice. 7.14 Effective Date The effective date (“Effective Date”) of this Agreement shall be the date on which the last of the parties hereto executes same. 7.15 Governing Law; Lawsuits This Agreement shall be governed by and construed in accordance with the laws of the State of Indiana, except for its conflict of laws provisions, as well as by all ordinances and codes of the City of Carmel, Indiana. The parties agree that, in the event a lawsuit is filed hereunder, they waive any right to a jury trial they may have, agree to file 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. 7 American Structurepoint, Inc. Engineering Department - 2025 Appropriation #2200 0 44-628.71 2024 Bond Fund; P.O.#115373 Contract Not To Exceed $574,253.00 7.16 Waiver Any delay or inaction on the part of either party in exercising or pursuing its rights and/or remedies hereunder or under law shall not operate to waive any such rights and/or remedies nor in any way affect the rights of such party to require such performance at any time thereafter. 7.17 Non-Assignment Professional shall not assign or pledge this Agreement nor delegate its obligations hereunder without City’s prior written consent. 7.18 Entire Agreement This Agreement contains the entire agreement of and between the parties hereto with respect to the subject matter hereof, and no prior agreement, understanding or representation pertaining to such subject matter, written or oral, shall be effective for any purpose. No provision of this Agreement may be amended, added to or subtracted from except by an agreement in writing signed by both parties hereto and/or their respective successors in interest. To the extent any provision contained in this Agreement conflicts with any provision contained in any exhibit attached hereto, the provision contained in this Agreement shall prevail. 7.19 Representation and Warranties Each party hereto represents and warrants that it is authorized to enter into this Agreement and that any person or entity executing this Agreement on behalf of such party has the authority to bind such party or the party which they represent, as the case may be. 7.20 Headings All headings 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. 7.21 Advice of Counsel The parties warrant that they have read this Agreement and fully understand it, have had an opportunity to obtain the advice and assistance of counsel throughout the negotiation of same, and enter into same freely, voluntarily, and without any duress, undue influence or coercion. 7.22 Copyright City acknowledges that various materials which may be used and/or generated by Professional in performance of Services, including forms, job description formats, comprehensive position questionnaire, compensation and classification plan and reports are copyrighted. City agrees that all ownership rights and copyrights thereto lie with Professional, and City will use them solely for and on behalf of its own operations. City agrees that it will take appropriate action with its employees to satisfy its obligations with respect to use, copying, protection and security of Professional’s property. 8 American Structurepoint, Inc. Engineering Department - 2025 Appropriation #2200 0 44-628.71 2024 Bond Fund; P.O.#115373 Contract Not To Exceed $574,253.00 7.23 Personnel Professional represents that it has, or will secure at its own expense, all personnel required in performing the services under this agreement. Such personnel shall not be employees of or have any contractual relationship with City. All of the services required hereunder will be performed by Professional or under his supervision and all personnel engaged in the work shall be fully qualified to perform such services. 7.24 Records and Inspections Professional shall maintain full and accurate records with respect to all matters covered under this agreement for three (3) years after the expiration or early termination of this Agreement. City shall have free access at all proper times to such records and the right to examine and audit the same and to make transcripts there from, and to inspect all program data, documents, proceedings and activities. 7.25 Accomplishment of Project Professional shall commence, carry on, and complete the project with all practicable dispatch, in a sound economical and efficient manner, in accordance with the provisions thereof and all applicable laws. In accomplishing the project, Professional shall take such steps as are appropriate to ensure that the work involved is properly coordinated with related work being carried on within City’s organization. 7.26 Debarment And Suspension 7.26.1 The Professional 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 Professional. 7.26.2 The Professional 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 Professional 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. 7.27 Access to Public Records Act Professional understands and agrees that any “public record”, as that term is defined in Indiana Code 5-14-3- 2(m), as amended, that is related to the subject matter of this Agreement, whether the same is in the possession or control of the Professional or the City, shall be subject to release under and pursuant to the provisions of Indiana’s Access to Public Records Act, as codified in Indiana Code 5-14-3-1, et seq., as amended. 7.28 Iran Certification Pursuant to I.C. § 5-22-16.5, the Professional shall certify that, in signing this Agreement, it does not engage 9 EXHIBIT B Invoice Date: Name of Company: Address & Zip: Telephone No.: Fax No.: Project Name: Invoice No. Purchase Order No: Goods Services Person Providing Date Goods/Services Provided Cost Per Hourly Total Goods/Services Goods/ (Describe each good/service Item Rate/ Service separately and in detail) Hours Provided Worked GRAND TOTAL Signature Printed Name City of Carmel Project 22-ENG-13(02) Rohrer Road Path and Water Main CHANGE ORDER #1, FINAL Balancing/Reconciliation for Pay Items 1 through 68 Contract Price prior to this Change Order $946,310.92 Contract Price will be increased/decreased by this Change Order $295,277.09 New Contract Price including this Change Order $1,241,588.01 Amount Adjusted Contract Price Cumulative % Change from Original Contract Original Contract $946,310.92 $946,310.92 N/A CO1, Final $295,277.09 $1,241,588.01 31% Jim Barlow, Member Jarrod Huff, Staff Engineer Jarrod Huff 22-ENG-13 (02)Rohrer Rd - Grace Rd to 146th Street CHANGE ORDER #1, FINAL TABLE Item No.Description Unit Unit Price Original Quantity Original Amount Final Quantity Final Amount Over/(Under) 1 Construction Engineering LS 17,140.20$ 1 $ 17,140.20 1 17,140.20$ -$ 2 Mobilization and Demobilization LS 30,000.00$ 1 $ 30,000.00 1 30,000.00$ -$ 3 Clearing of Right of Way LS 64,993.50$ 1 $ 64,993.50 1 64,993.50$ -$ 4 Sidewalk Removal SYS 12.43$ 445 $ 5,531.35 445 5,531.35$ -$ 5 Excavation, Common CYS 56.65$ 634 $ 35,916.10 634 35,916.10$ -$ 6 Storm Water Quality Management Budget DOL 1.00$ 8,115 $ 8,115.00 8115 8,115.00$ -$ 7 Subgrade Treatment Type II SYS 18.85$ 319 $ 6,013.15 324.23 6,111.74$ 98.59$ 8 Subgrade Treatment Type III SYS 3.30$ 2,175 $ 7,177.50 2175 7,177.50$ -$ 9 Structure Backfill, Type 1 CYS 30.00$ 11 $ 330.00 54.69 1,640.70$ 1,310.70$ 10 Geogrid, Type IB SYS 4.95$ 1,929 $ 9,548.55 1929 9,548.55$ -$ 11 Compacted Aggregate, No. 53 CYS 72.00$ 322 $ 23,184.00 322 23,184.00$ -$ 12 Asphalt for Tack Coat TON 1,433.60$ 1 $ 1,433.60 0.44 630.78$ (802.82)$ 13 HMA for Sidewalk TON 192.00$ 371 $ 71,232.00 428.66 82,302.72$ 11,070.72$ 14 Sidewalk, Concrete SYS 102.30$ 41 $ 4,194.30 48.95 5,007.59$ 813.29$ 15 Curb Ramp, Concrete SYS 275.00$ 88 $ 24,200.00 77.32 21,263.00$ (2,937.00)$ 16 Detectable Warning Surfaces SYS 715.00$ 21 $ 15,015.00 17.95 12,834.25$ (2,180.75)$ 17 Curb Removal LFT 22.00$ 262 $ 5,764.00 262 5,764.00$ -$ 18 Concrete Curb LFT 46.20$ 19 $ 877.80 27 1,247.40$ 369.60$ 19 Concrete Curb and Gutter LFT 30.80$ 60 $ 1,848.00 60 1,848.00$ -$ 20 Concrete Roll Curb LFT 28.60$ 202 $ 5,777.20 202 5,777.20$ -$ 21 PCCP for Approaches, 6"SYS 77.94$ 319 $ 24,862.86 324.23 25,270.49$ 407.63$ 22 Revetment Riprap TON 238.33$ 18 $ 4,289.94 28.07 6,689.92$ 2,399.98$ 23 Geotextile, Type 1A SYS 11.39$ 39 $ 444.21 39 444.21$ -$ 24 Mobilization and Demobilization for Seeding EA 1,705.00$ 1 $ 1,705.00 0 -$ (1,705.00)$ 25 Mulched Seeding U SYS 6.05$ 732 $ 4,428.60 0 -$ (4,428.60)$ 26 Water kGAL 1,650.00$ 4 $ 6,600.00 0 -$ (6,600.00)$ 27 Topsoil (Undistributed)CYS 46.20$ 162 $ 7,484.40 135 6,237.00$ (1,247.40)$ 28 Nursery Sodding SYS 13.09$ 1,210 $ 15,838.90 2616 34,243.44$ 18,404.54$ 29 Pipe End Section, Precast Concrete, Diameter 15 in.EA 1,596.00$ 4 $ 6,384.00 0 -$ (6,384.00)$ 30 Pipe, CMP, Circular, Diameter 10 in.LFT 182.70$ 9 $ 1,644.30 9 1,644.30$ -$ 31 Pipe, RCP, Circular, Diameter 15 in.LFT 105.60$ 56 $ 5,913.60 31.4 3,315.84$ (2,597.76)$ 32 Casting, Inlet, Adjust to Grade EA 660.00$ 1 $ 660.00 2 1,320.00$ 660.00$ 33 Facility Adjust to Grade or Relocate EA 1,575.00$ 2 $ 3,150.00 5 7,875.00$ 4,725.00$ 34 Pipe Catch Basin, 18 in.EA 2,948.00$ 1 $ 2,948.00 1 2,948.00$ -$ 35 Aggregate for Drainage Fill CYS 66.00$ 18 $ 1,188.00 33.36 2,201.76$ 1,013.76$ 36 Modular Block Wall SFT 22.00$ 379 $ 8,338.00 379 8,338.00$ -$ 37 Modular Block Wall Erection SFT 52.80$ 379 $ 20,011.20 379 20,011.20$ -$ 38 Maintaining Traffic LS 21,626.00$ 1 $ 21,626.00 1 21,626.00$ -$ 39 Sign, Sheet, Assembly Relocate EA 110.00$ 5 $ 550.00 1 110.00$ (440.00)$ 40 Transverse Marking, Thermoplastic, Crosswalk Line,White, 24 IN LFT 46.97$ 391 $ 18,365.27 335 15,734.95$ (2,630.32)$ 41 Reset Landscape Blocks LFT 330.00$ 48 $ 15,840.00 48 15,840.00$ -$ 42 Sump Pump Outlet Concrete Encasement EA 2,200.00$ 2 $ 4,400.00 1.5 3,300.00$ (1,100.00)$ 43 Subgrade Treatment (Undistributed)CYS 88.55$ 167 $ 14,787.85 470.1 41,627.36$ 26,839.51$ 44 HMA Surface on Variable Concrete Cap (per Carmel Std. 10-28)LFT 40.00$ 231 $ 9,240.00 262 10,480.00$ 1,240.00$ 45 HMA Surface on 12 in. Concrete Cap (per Carmel Std. 10-24)SYS 150.00$ 29 $ 4,350.00 81.04 12,156.00$ 7,806.00$ 46 12" HDPE - HDD LFT 133.98$ 1,795 $ 240,494.10 1795 240,494.10$ -$ 47 12" DI - Open Cut LFT 180.60$ 11 $ 1,986.60 16 2,889.60$ 903.00$ 48 8" DI - Open Cut LFT 106.05$ 22 $ 2,333.10 39 4,135.95$ 1,802.85$ 49 6" DI - Open Cut LFT 51.98$ 38 $ 1,975.24 8 415.84$ (1,559.40)$ 50 12" Gate Valve EA 4,140.15$ 2 $ 8,280.30 4 16,560.60$ 8,280.30$ 51 8" Gate Valve EA 2,274.30$ 1 $ 2,274.30 2 4,548.60$ 2,274.30$ 52 6" Gate Valve EA 1,606.50$ 1 $ 1,606.50 2 3,213.00$ 1,606.50$ 53 New Hydrant Assembly EA 10,706.85$ 4 $ 42,827.40 5 53,534.25$ 10,706.85$ 54 Remove and Retire Hydrant Assembly EA 1,309.35$ 2 $ 2,618.70 3 3,928.05$ 1,309.35$ 55 8" Connection LS 17,150.70$ 3 $ 51,452.10 3 51,452.10$ -$ 56 6" Connection LS 17,033.10$ 2 $ 34,066.20 1 17,033.10$ (17,033.10)$ 57 Retire Valve EA 735.00$ 1 $ 735.00 0 -$ (735.00)$ 58 Pipe End Section, Diameter 8 in.EA 275.00$ 4 $ 1,100.00 4 1,100.00$ -$ 59 Pipe, CMP, Circular, Diameter 8 in.LFT 165.00$ 26 $ 4,290.00 30 4,950.00$ 660.00$ 60 Pipe, Slotted Drain, Diameter 8 in.LFT 385.00$ 18 $ 6,930.00 20 7,700.00$ 770.00$ 61 Added Tree Removal, Carmel Forrestry LS $14,595.00 0 $ - 1 14,595.00$ 14,595.00$ 62 TSW Added Re-alignment Potholing LS $9,800.00 0 $ - 1 9,800.00$ 9,800.00$ 63 Haverstick Culvert Replacement LS $96,232.45 0 $ - 1 96,232.45$ 96,232.45$ 64 Short Side Services EA $2,530.00 0 $ - 3 7,590.00$ 7,590.00$ 65 Drainage Changes LS $49,523.26 0 $ - 1 49,523.26$ 49,523.26$ 66 Punch List Added Cedar Lake Reconfiguration LS $5,905.00 0 $ - 1 5,905.00$ 5,905.00$ 67 Wood Rail Added LS $7,540.00 0 $ - 1 7,540.00$ 7,540.00$ 22-ENG-13 (02)Rohrer Rd - Grace Rd to 146th Street CHANGE ORDER #1, FINAL TABLE Item No.Description Unit Unit Price Original Quantity Original Amount Final Quantity Final Amount Over/(Under) 68 Updated Water Unit Cost LS $51,000.00 0 $ - 1 51,000.00$ 51,000.00$ 295,277.09$ CONTRACT PRICE PRIOR TO CHANGE ORDER 946,310.92$ CHANGE ORDER #1 295,277.09$ NEW CONTRACT AMOUNT INCLUDING APPROVED CHANGE ORDERS 1,241,588.01$ TOTAL OF CHANGE ORDER ITEMS 22-ENG-13 (02)Rohrer Rd - Grace Rd to 146th Street EXHIBIT A You have been directed to make the following changes in this Contract: Item No.Description Reason For Change 1 Construction Engineering N/A 2 Mobilization and Demobilization N/A 3 Clearing of Right of Way N/A 4 Sidewalk Removal N/A 5 Excavation, Common N/A 6 Storm Water Quality Management Budget N/A 7 Subgrade Treatment Type II N/A 8 Subgrade Treatment Type III N/A 9 Structure Backfill, Type 1 Overrun due to City added enclosed drainage request by resident to minimize swale 10 Geogrid, Type IB N/A 11 Compacted Aggregate, No. 53 N/A 12 Asphalt for Tack Coat Underrun 13 HMA for Sidewalk Depth of intermediate added to minimize grading behind the path in high points 14 Sidewalk, Concrete N/A 15 Curb Ramp, Concrete Underrun 16 Detectable Warning Surfaces Underrun 17 Curb Removal N/A 18 Concrete Curb N/A 19 Concrete Curb and Gutter N/A 20 Concrete Roll Curb N/A 21 PCCP for Approaches, 6" N/A 22 Revetment Riprap Overrun due to City added enclosed drainage request by resident to minimize swale 23 Geotextile, Type 1A N/A 24 Mobilization and Demobilization for Seeding Eliminated and changed to all sod 25 Mulched Seeding U Eliminated and changed to all sod 26 Water Eliminated due to unit cost change as requested for economy of scale and as negotiated in Item 68 27 Topsoil (Undistributed) Under planned quantity 28 Nursery Sodding Overran due to change from combination of seed and sod to all sod at City's request 29 Pipe End Section, Precast Concrete, Diameter 15 in. Eliminated due to pipe type changes 30 Pipe, CMP, Circular, Diameter 10 in. N/A 31 Pipe, RCP, Circular, Diameter 15 in. Underrun due to Pipe type change. 32 Casting, Inlet, Adjust to Grade Over due to added facilities found in the field 33 Facility Adjust to Grade or Relocate Over due to added facilities found in the field 34 Pipe Catch Basin, 18 in. N/A 35 Aggregate for Drainage Fill Over due to drainage changes mostly at 1410 Rohrer and per item 65 36 Modular Block Wall N/A 37 Modular Block Wall Erection N/A 38 Maintaining Traffic N/A 39 Sign, Sheet, Assembly Relocate N/A 40 Transverse Marking, Thermoplastic, Crosswalk Line,White, 24 INN/A 41 Reset Landscape Blocks N/A 42 Sump Pump Outlet Concrete Encasement N/A 43 Subgrade Treatment (Undistributed) Overran due to field and poor soil conditions requiring over excavation and reconstruction of grade with very limited soils from the project in wet and wooded drainage areas. 44 HMA Surface on Variable Concrete Cap (per Carmel Std. 10-28)N/A 45 HMA Surface on 12 in. Concrete Cap (per Carmel Std. 10-24)Added due to Carmel Water increased excavation area in roadway for water main work 46 12" HDPE - HDD N/A 47 12" DI - Open Cut Carmel Water added quanitty due to field conditions 48 8" DI - Open Cut Carmel Water added quanitty due to field conditions 49 6" DI - Open Cut Carmel Water underran due to reduced need 50 12" Gate Valve Carmel Water added two 51 8" Gate Valve Carmel Water added one 52 6" Gate Valve Carmel Water added one 53 New Hydrant Assembly Carmel Water added one 54 Remove and Retire Hydrant Assembly Carmel Water added one 55 8" Connection N/A 56 6" Connection Underrun due to carmel Water eliminating a quantity of 1 57 Retire Valve Under planned quantity 58 Pipe End Section, Diameter 8 in. N/A 59 Pipe, CMP, Circular, Diameter 8 in. N/A 22-ENG-13 (02)Rohrer Rd - Grace Rd to 146th Street EXHIBIT A You have been directed to make the following changes in this Contract: Item No.Description Reason For Change 60 Pipe, Slotted Drain, Diameter 8 in. N/A 61 Added Tree Removal, Carmel Forrestry Added per request of Urban Forestry Dept. 62 TSW Added Re-alignment Potholing Carmel Water added due to field adjustment to bid alignment of main required added locating 63 Haverstick Culvert Replacement City added culvert replacement as semi-emergency to eliminate an expanding roadway sinkhole 64 Short Side Services Added by Carmel Water as no item included as unknown information at bid time 65 Drainage Changes Drainage and Structure changes per City approval for 1410 Rohrer to minimize swale depth 66 Punch List Added Cedar Lake Reconfiguration City and Street Department added curb extension at Cedar Lake SW corner Accel area 67 Wood Rail Added City added amenity due to drop off at back of path 68 Updated Water Unit Cost RPR request for unit cost change seeking economy of scale value engineering and oveerun of Kgal due to late summer and fall dry weather and high temperatures January 22, 2025 22-ENG-13: Rohrer Road Multi-Use Path and Water Main RE: Emergency culvert replacement on Haverstick Road The contract for the Rohrer Road path from Grace Drive to 146th Street was chosen to complete an emergency replacement of an elliptical corrugated metal pipe culvert under Haverstick Road between Brunswick Drive and Rolling Springs Drive. The existing culvert had degraded on the Eastern edge of roadway which caused the base and pavement above it to fail and created a sinkhole within the right wheel path of the Northbound lane. Additionally, the pipe was deformed and crushed approximately 15-feet from the Western end section which was caused by a tree that was previously in that location. Due to these issues, the pipe was replaced with a similar size reinforced concrete pipe and the roadway was patched along with new curb inlets. Jarrod Huff, Staff Engineer City of Carmel Department of Engineering cc: Bradley Pease, Director of Engineering Jarrod Huff RESOLUTION NO. BPW 02-05-25-01 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 toher authority under Indiana law, the City’smayor, the Honorable Sue Finkam, has caused tobe signed the Agreement attached hereto (the “Contract”); and WHEREAS, Mayor Finkam 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 of the 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 , 2025. CITY OF CARMEL, INDIANA By and through its Board of Public Works and Safety BY: Laura Campbell, Presiding Officer Date: James Barlow, Member Date: Alan Potasnik, Member Date: ATTEST: Jacob Quinn, Clerk Date: CzTfshfzHsfdivlijobu2;67qn-Kbo39-3136 Laketec Communications, Inc. Information and Communication Systems Department - 2025 Appropriation #1115 0 44-632.01 Capital Lease Fund; P.O. #114269 Contract Not To Exceed $313,856.48 MHEC-12152020 This Agreement shall become effective as of the last date on which a party hereto executes same (“Effective Date”), and both parties shall thereafter perform their obligations hereunder in a timely manner. Time is of the essence of this Agreement. 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. 2 Laketec Communications, Inc. Information and Communication Systems Department - 2025 Appropriation #1115 0 44-632.01 Capital Lease Fund; P.O. #114269 Contract Not To Exceed $313,856.48 MHEC-12152020 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. 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 3 Laketec Communications, Inc. Information and Communication Systems Department - 2025 Appropriation #1115 0 44-632.01 Capital Lease Fund; P.O. #114269 Contract Not To Exceed $313,856.48 MHEC-12152020 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 ICS Department Office of Corporation Counsel 10701 N College Ave, Suite A One Civic Square Carmel, Indiana 46280 Carmel, Indiana 46032 If to Vendor: Laketec Communications, Inc. 27881 Lorain Road North Olmsted, Ohio 44070 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 4 Laketec Communications, Inc. Information and Communication Systems Department - 2025 Appropriation #1115 0 44-632.01 Capital Lease Fund; P.O. #114269 Contract Not To Exceed $313,856.48 MHEC-12152020 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 the satisfactory completion of services and/or delivery and acceptance of goods contracted for herein. 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. 5 1/28/25 12 3%&'(0+-.-/ 45#$600.7%/8/9,...%%%:';)%600.7%<=-9-.=0 8<<*%>#2'!$%3 2(5%@AB"(3C%%%@D%%%00.8.%%% 42 E'2 3%I#2)42 E'2 3%FG)%%1#2G%H!BF" J 5%K'$A'""%%%6L*87%/8*9-80<MNN#O$(%?#P)%,<<0 1!(G%#I%1'2B AC%Q? L*%*"(%M O PKP 1'2B AC%%%Q?%%%0,.L-%%% 01".$2&%!"#$1"2 34 567687979$ 22"!./$@".A".%$= .$1 !B$1 2#&'(%C$ D'2"%%$ !B".3&%"$%!/!"#E$&'A &-&'($%-B"#2"$&%$/%$= 22 3%4 3/."$F$% =!3/."$3&22$1"$&'A &-"#$G '$%B&G0"'!C 89H$ =$>. ="%%& '/2$@".A&-"%$! $1"$&'A &-"#$/!$>. I"-!$J&-; == 89H$ =$>. ="%%& '/2$@".A&-"%$! $1"$&'A &-"#$/!$>. 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Q(B%H#('A) TL*LC</,P0<% 7Z3,+9!, 4\[%%-+-<+-.-/ H';%'(%.P...W)T.P..% @!9!1\[%%42#E#"'A AM94<#. D +#E,*,4E#1#!M"# 33 +!4,!.#! #"9+4#. R 1,4"11/ A !9:\[ N(\]&IO/S&# 0 #$% (,* %*)!1!*"(2 /"'/(,$%!3*+ +!-(%!4/(!$" $% +!-)0 1%$,!4!(*+ UO#(0P2E(C%%42!$(3)%*+*,+-.-/*.).L)0=MV 69E"#(# D#( Name of Company: Address & Zip: Telephone No.: Fax No.: Project Name: Invoice No. Purchase Order No: Person Providing Date Goods/Services Goods/ Service Provided Signature Printed Name EXHIBIT B Invoice Goods/Services Provided Describe each good/service separately and in detail) GRAND TOTAL Date: Goods Cost Per Item Services Hourly Total Rate/ Hours Worked EXHIBITCINSURANCECOVERAGES Worker's Compensation & Disability Employer's Liability: Bodily Injury by Accident/Disease: Bodily Injury by Accident/Disease: Bodily Injury by Accident/Disease: Property damage, contractual liability, products-completed operations: General Aggregate Limit ( other than Products/Completed Operations): Products/Completed Operations: Personal & Advertising Injury Policy Limit: Each Occurrence Limit: Fire Damage (any one fire): Medical Expense Limit (any one person): Statutory Limits 100,000 each employee 250,000 each accident 500,000 policy limit 500,000 500,000 500,000 250,000 250,000 50,000 Comprehensive Auto Liability ( owned, hired and non-owned) Bodily Single Limit: Injury and property damage: Policy Limit: Umbrella Excess Liability Each occurrence and aggregate: Maximum deductible: 500,000 each accident 500,000 each accident 500,000 500,000 10,000 CzBmmjtpoMzodi.NdHsbuibu21;11bn-Kbo33-3136 CzTfshfzHsfdivlijobu23;16qn-Kbo38-3136 CzTfshfzHsfdivlijobu23;16qn-Kbo38-3136 City of Carmel Street Department Mainscape- Snow Removal Contract- 2025 Additional Areas 1. Parking lots- see attached maps: Mainscape to plow snow; Carmel Street Department to apply ice melt 2. Roadway- Gradle Dr between Rangeline Rd and 3rd Ave SW: Mainscape plow snow; Carmel Street Department apply ice melt 1/15/2025 MAINSCAPE LANDSCAPING FISHERS,, IN 46038 - 114338 13418 BRITTON PARK ROAD 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 00351837 UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY Page 1 of 1 Matt Higginbotham 95690 2201Department:2201Fund:Motor Vehicle Highway FND 43-504.00Account: SnowRemoval1 $45,000.00 $45,000.00Each 45,000.00SubTotal 45,000.00 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. 114338 ORDERED BY TITLE Street Department 3400 W. 131st Street Carmel, IN 46074- Lee Higginbotham Zac Jackson 317) 733-2001 Commissioner CFO 1/15/2025 MAINSCAPE LANDSCAPING FISHERS,, IN 46038 - 114331 13418 BRITTON PARK ROAD 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 00351837 UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY Page 1 of 1 95677 1206Department:101Fund:General Fund 43-504.00Account: SnowRemoval1 $35,000.00 $35,000.00Each 35,000.00SubTotal 35,000.00 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. 114331 ORDERED BY TITLE Street Department 3400 W. 131st Street Carmel, IN 46074- Lee Higginbotham Zac Jackson 317) 733-2001 Commissioner CFO CzTfshfzHsfdivlijobu3;43qn-Kbo34-3136 1/15/2025 SIGNAL CONSTRUCTION INC GREENFIELD, IN 46140 - 114340 5639 WEST US 40 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 00352135 UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY Page 1 of 1 Matt Higginbotham 95693 2201Department:2201Fund:Motor Vehicle Highway FND 43-509.00Account: ContractorServices1 $240,000.00 $240,000.00Each 240,000.00SubTotal 240,000.00 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. 114340 ORDERED BY TITLE Street Department 3400 W. 131st Street Carmel, IN 46074- Lee Higginbotham Zac Jackson 317) 733-2001 Commissioner CFO CzTfshfzHsfdivlijobu:;6:bn-Kbo35-3136 Jim Pratt 11775 Technology Drive Fishers, IN 46038 Phone: (317) 570-2300 Customer Information BILL TO:SERVICE LOCATION: CITY OF CARMELIN ROW 3400 W 131ST ST3400 W 131ST STREET CARMEL, IN 46074WESTFIELD, IN 46074 Phone: 3177332001Phone: 3177332001 Detail of Charges Service LocationLine Item DescriptionRound #Round DescriptionTotal Price IN ROW Lawn Service2Late Spring - Fertilizer, broadleaf $46,742.50 weed, crabgrass and pre-emergent weed control (As Needed/Weather Dependent) IN ROW Lawn Service3Early Summer - Fertilizer, broadleaf $43,003.10 weed control (As Needed/Weather Dependent) IN ROW Lawn Service5Early Fall - Fertilizer, broadleaf weed $43,003.10 control (As Needed/Weather Dependent) IN ROW Lawn Service6Fall - Fertilizer, broadleaf weed $43,003.10 control (As Needed/Weather Dependent) IN ROW Armyworm Control10$13,544.10 IN ROW Spring Fertilization2Root Zone Fertilization$24,990.72 IN ROW Tree & Shrub Fertilizer6Root Zone Fertilization$24,990.72 Subtotal: $239,277.34 Total Sales Tax Amount: $0.00 Grand Total: $239,277.34 Description: Standard Terms and Conditions 1. Term. The term of this Agreement shall one (1) year from the date signed by you, the Customer. 2. Price increases. Prices of services provided in this agreement may be increased should you add property under this agreement, or in the event of increases in the cost of fuel, material, or labor, or costs incurred by TruGreen due to government regulation and other causes. In addition, TruGreen may elect to increase the price of services under this agreement after the first year, or after any subsequent anniversary date of the agreement by a percentage amount not to exceed five percent (5%) of the then current price, or consistent with any increase in the current consumer price index, whichever is greater. TruGreen shall not increase its prices on an elective basis more frequently than once during any agreement year. 3. Payment Terms. Payment is due to TruGreen within 30 days after the invoice date. In the event you fail to make payment when due, TruGreen reserves the right to terminate this Agreement. A late service fee equal to the lesser of 15% per month (18% a.p.r.) or the maximum interest rate allowed by law will be charged on any balance unpaid over thirty (30) days. A service charge of $25.00 will be charged for any returned check. Should it become necessary to bring an action to collect amounts due under this agreement, you agree to pay all costs of such collection including, but not limited to, any reasonable attorney’s fees or other professional fees and court costs. 4. Check processing policy ACH. When you provide a check as payment, you authorize TruGreen either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. If TruGreen uses information from your check to make an electronic fund transfer, funds may be withdrawn from 2024 TruGreen L.P. All Rights Reserved 2025-R-5739-CITY OF CARMEL - Clone - 2024-11-12 13:05:57 your account as soon as the same day we receive your payment, and you will not receive your check back from your financial institution. Returns: in the event that your payment is returned unpaid, you authorize us the option to collect a fee as allowed by law through an electronic fund transfer from your account. 5. Termination. In the case of your non-payment or default. TruGreen has the right to terminate this Agreement immediately upon notice to you. TruGreen may terminate this Agreement for convenience upon thirty (30) days prior written notice to you. You may cancel this Agreement for material breach by TruGreen, provided that you give TruGreen written notice of the details of the breach, and thereafter TruGreen fails to cure the breach within thirty (30) days after said notice. (a). Additional termination provisions for landscape companies, property management companies, agents and other similar entities: To the extent you represent one or more property owners and/or properties covered under this agreement, and in the event such owner terminates your contract with regard to one or more properties, then upon notice to TruGreen, you may terminate this Agreement only as it relates to such property for which owner terminated its contract with you. To the extent that this Agreement applies to other properties, not terminated by the owner, this Agreement shall continue in full force and effect with regard to such other properties. 6. Sale of Property. You agree to notify TruGreen in writing immediately in the event that you sell any property which is the subject of this Agreement. TruGreen shall make the appropriate adjustment in price to accommodate the reduction of square footage treated in the event that property is sold. In the event all property which is the subject of the Agreement is sold, this Agreement shall be terminated upon receipt by TruGreen of your written notice that you have sold the property. Should you fail to notify TruGreen as required in this provision, you agree to indemnify TruGreen for any damages incurred as a result of your failure to notify. 7. LIABILITY. TRUGREEN IS RESPONSIBLE FOR DIRECT DAMAGES RESULTING FROM ITS NEGLIGENCE OR BREACH OF THIS AGREEMENT. BUT IS NOT RESPONSIBLE FOR ANY INDIRECT, INCIDENTAL, CONSEQUENTIAL, PUNITIVE, OR SPECIAL DAMAGES ARISING OR RESULTING FROM THE PERFORMANCE OR NONPERFORMANCE OF ANY OBLIGATIONS UNDER THE AGREEMENT INCLUDING, BUT NOT LIMITED TO, LOSS OF PROFITS OR INCOME, REGARDLESS OF THE BASIS FOR THE CLAIM. 8. Duty to Inspect. You have a duty to inspect the property within fifteen (15) days after service has been performed by TruGreen. If you believe TruGreen provided deficient work, you agree to notify TruGreen immediately in writing. If written notice is not received by TruGreen within fifteen (15) days after the date of service, you agree that any and all claims alleging damage of any nature or to recover past payments and/or rights to withhold future payments due under this Agreement are waived. 9. Notice to tenants, employees, invitees. To the extent necessary, you have a duty to notify all tenants, employees, visitors and any other invitee on the premises of a scheduled service prior to the performance of any scheduled service by TruGreen. 10. No Warranties. Except as expressly set forth in this Agreement. TruGreen makes no warranty or representation of any kind, expressed or implied, concerning either products used or services performed, including no implied warranty of merchantability or fitness of the product for any particular purpose, and no such warranty shall be implied by law, usage of trade, course of performance, course of dealing, or on any other basis. 11. Force majeure. Except for the payment of TruGreen’s invoices owed by you, if either TruGreen or you shall be prevented or delayed in the performance of any or all of the provisions of this Agreement, by reason of any labor dispute, industry disturbance, delay in transportation, governmental regulatory or legal action, act of God or any cause beyond such part’s control, the obligations hereunder of such party shall be extended for as long as such cause shall be in effect and any delay or loss suffered by the other party shall not be chargeable in any way to such party: provided, however, the other party suffering such cause shall immediately notify the other party of such inability and shall use reasonable efforts to remedy same with all reasonable dispatch. If any event of force majeure should prevent a party from performing its obligations under this Agreement for a period of ninety consecutive (90) days, the other party shall have the right to cancel this Agreement upon notice to the party unable to perform its obligations. 12. No assignment. You shall not have the right to assign this Agreement or agree to the transfer of this Agreement by operation of law or otherwise without the prior written consent of TruGreen. This Agreement shall be binding upon, and shall inure to the benefit of, the parties hereto and to any permitted successors and assigns. 13. Watering, Cultural Practices. The success of this program depends on proper watering, mowing and cultural practices. Some products used by TruGreen may include label directions requiring the watering of the material after application. If any of these products are used on the property, TruGreen will provide you with watering instructions following the application and you agree to assume such watering responsibility. Climate conditions, soil conditions, plant diseases, plant material, and miscellaneous external factors will impact response to treatment. Results for difficult-to-control diseases will vary depending on environment, culture and agronomic programs used or treatment applied. Treatment for diseases may include additional cost. Consult your TruGreen specialist for details. 14. Modification of program. This program consists of lawn care and/or tree and shrub care as indicated above. Specific products, rates of application and method of application will vary with the season, weather conditions, and the needs of your lawn as determined by your TruGreen specialist. Your regularly scheduled programs may be modified depending on the weather and the condition of your landscape. The application methods and procedures used to perform service under this Agreement will be determined solely by TruGreen. Your TruGreen specialist will keep you informed on any modifications to this schedule. 15. Insects and Borers. Total insect elimination is not desirable with any program because beneficial insects will be lost along with the targeted pests. Plants invaded by borers have a high probability of death or decline. Sound cultural practices and control applications may extend the life of some plant species. Treatment for boring insects may include additional cost. Consult your TruGreen specialist with details 16. Authorization to provide Service. TruGreen agrees to furnish labor and materials for purposes of this Agreement and is authorized by you to treat the property at the address shown above. You represent and warrant to TruGreen that you are the owner of said property, or in the event that you are not the owner of the property to which this Agreement applies, you represent and warrant that you have the legal authority to execute and bind the owner of the property to the terms and conditions of this Agreement. 17. MANDATORY ARBITRATION. Any claim, dispute or controversy, regarding any contract, tort, statute, or otherwise (“Claim”), arising out of or relating to this agreement or the relationships among the parties hereto shall be resolved by one arbitrator through binding arbitration administered by the American Arbitration Association (AAA), under the AAA Commercial or Consumer, as applicable. Rules in effect at the time the Claim is filed (“AAA Rules”). Copies of the AAA Rules and forms can be located at www.adr.org, or by calling 1- 800-778-7879. The arbitrator’s decision shall be final, binding, and non-appealable. Judgment upon the award may be entered and enforced in any court having jurisdiction. This clause is made pursuant to a transaction involving interstate commerce and shall be governed by the Federal Arbitration Act. Neither party shall sue the other party other than as provided herein or for enforcement of this clause or of the arbitrator’s award; any such suit may be brought only in Federal District Court for the District or, if any such court lacks jurisdiction,in any state court that has jurisdiction. The arbitrator, and not any federal, state, or local court, shall have exclusive authority to resolve any dispute relating to the interpretation,applicability, unconscionability, arbitrability, enforceability or formation of this Agreement including any claim that all or any part of the Agreement is void or voidable. However, the preceding sentence shall not apply to the clause entitled “Class Action Waiver.” 18. CLASS ACTION WAIVER. Any Claim must be brought in the parties’ individual capacity, and not as a plaintiff or class member in any purported class, collective, representative, multiple plaintiffs, or similar proceeding (“Class Action”). The parties expressly waive any ability to maintain any Class Action in any forum. The arbitrator shall not have authority to combine or aggregate similar claims or conduct any Class Action nor make an award to any person or entity not a party to the arbitration. Any claim that all or part of this Class Action Waiver is unenforceable, unconscionable, void, or voidable may be determined only by a court of competent jurisdiction and not by an arbitrator. THE PARTIES UNDERSTAND THAT THEY WOULD HAVE HAD A RIGHT TO LITIGATE THROUGH A COURT, TO HAVE A JUDGE OR JURY DECIDE THEIR CASE AND TO BE PARTY TO A CLASS OR REPRESENTATIVE ACTION. HOWEVER. THEY UNDERSTAND AND CHOOSE TO HAVE ANY CLAIMS DECIDED INDIVIDUALLY, THROUGH ARBITRATION. 19. Unless expressly noted otherwise herein, this Agreement and any invoice issued by TruGreen pursuant to the terms hereof, set forth the entire understanding of the parties, and supersede any and all proposals, negotiations, representations and prior agreements relating to the subject matter of this Agreement, written or otherwise, including, without limitation any sales agreement previously executed by the parties. To the extent that any terms set forth in an invoice should conflict with the terms set forth in this Agreement, this Agreement shall control. No terms, conditions, or warranties other than those stated herein or in any invoice issued by TruGreen, and no agreements or understanding, oral or written, in any way purporting to modify these conditions shall be binding on the parties hereto unless hereafter made in writing and signed by authorized representatives of both parties. 20. This customer service Agreement is only valid if accepted by you within 30 days of the date submitted to customer. By: _______________________________________________________________ Date: ______________________ REPRESENTATIVE/GENERAL MANAGER Print Name: ________________________________________________________ Date: ______________________ AUTHORIZED AGENT/CUSTOMER Customer Signature: _________________________________________________ Date: ______________________ AUTHORIZED AGENT/CUSTOMER 2024 TruGreen L.P. All Rights Reserved 2025-R-5739-CITY OF CARMEL - Clone - 2024-11-12 13:05:57 2024 TruGreen L.P. All Rights Reserved 2025-U-5739 City of Carmel Grub IN ROW - 2024-12-09 13:16:13 Service Location Line Item Description Round #Round Description Total Price IN ROW Grub Preventative 10 Preventative treatment for sub- surface grub activity 21,501.00 Subtotal: $21,501.00 Total Sales Tax Amount: $0.00 Grand Total: $21,501.00 Description: 1. Term. The term of this Agreement shall one (1) year from the date signed by you, the Customer. 2. Price increases. Prices of services provided in this agreement may be increased should you add property under this agreement, or in the event of increases in the cost of fuel, material, or labor, or costs incurred by TruGreen due to government regulation and other causes. In addition, TruGreen may elect to increase the price of services under this agreement after the first year, or after any subsequent anniversary date of the agreement by a percentage amount not to exceed five percent (5%) of the then current price, or consistent with any increase in the current consumer price index, whichever is greater. TruGreen shall not increase its prices on an elective basis more frequently than once during any agreement year. 3. Payment Terms. Payment is due to TruGreen within 30 days after the invoice date. In the event you fail to make payment when due, TruGreen reserves the right to terminate this Agreement. A late service fee equal to the lesser of 15% per month (18% a.p.r.) or the maximum interest rate allowed by law will be charged on any balance unpaid over thirty (30) days. A service charge of $25.00 will be charged for any returned check. Should it become necessary to bring an action to collect amounts due under this agreement, you agree to pay all costs of such collection including, but not limited to, any reasonable attorney’s fees or other professional fees and court costs. 4. Check processing policy ACH. When you provide a check as payment, you authorize TruGreen either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. If TruGreen uses information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment, and you will not receive your check back from your financial institution. Returns: in the event that your payment is returned unpaid, you authorize us the option to collect a fee as allowed by law through an electronic fund transfer from your account. 5. Termination. In the case of your non-payment or default. TruGreen has the right to terminate this Agreement immediately upon notice to you. TruGreen may terminate this Agreement for convenience upon thirty (30) days prior written notice to you. You may cancel this Agreement for material breach by TruGreen, provided that you give TruGreen written notice of the details of the breach, and thereafter TruGreen fails to cure the breach within thirty (30) days after said notice. (a). Additional termination provisions for landscape companies, property management companies, agents and other similar entities: To the extent you represent one or more property owners and/or properties covered under this agreement, and in the event such owner terminates your contract with regard to one or more properties, then upon notice to TruGreen, you may terminate this Agreement only as it relates to such property for which owner terminated its contract with you. To the extent that this Agreement applies to other properties, not terminated by the owner, this Agreement shall continue in full force and effect with regard to such other properties. 6. Sale of Property. You agree to notify TruGreen in writing immediately in the event that you sell any property which is the subject of this Agreement. TruGreen shall make the appropriate adjustment in price to accommodate the reduction of square footage treated in the event that property is sold. In the event all property which is the subject of the Agreement is sold, this Agreement shall be terminated upon receipt by TruGreen of your written notice that you have sold the property. Should you fail to notify TruGreen as required in this provision, you agree to indemnify TruGreen for any damages incurred as a result of your failure to notify. 7. LIABILITY. TRUGREEN IS RESPONSIBLE FOR DIRECT DAMAGES RESULTING FROM ITS NEGLIGENCE OR BREACH OF THIS AGREEMENT. BUT IS NOT RESPONSIBLE FOR ANY INDIRECT, INCIDENTAL, CONSEQUENTIAL, PUNITIVE, OR SPECIAL DAMAGES ARISING OR RESULTING FROM THE PERFORMANCE OR NONPERFORMANCE OF ANY OBLIGATIONS UNDER THE AGREEMENT INCLUDING, BUT NOT LIMITED TO, LOSS OF PROFITS OR INCOME, REGARDLESS OF THE BASIS FOR THE CLAIM. 8. Duty to Inspect. You have a duty to inspect the property within fifteen (15) days after service has been performed by TruGreen. If you believe TruGreen provided deficient work, you agree to notify TruGreen immediately in writing. If written notice is not received by TruGreen within fifteen (15) days after the date of service, you agree that any and all claims alleging damage of any nature or to recover past payments and/or rights to withhold future payments due under this Agreement are waived. 9. Notice to tenants, employees, invitees. To the extent necessary, you have a duty to notify all tenants, employees, visitors and any other invitee on the premises of a scheduled service prior to the performance of any scheduled service by TruGreen. Jim Pratt 11775 Technology Drive Fishers, IN 46038 Phone: (317) 570-2300 Customer Information BILL TO: CITY OF CARMEL 3400 W 131ST ST CARMEL, IN 46074 Phone: 3177332001 Detail of Charges Standard Terms and Conditions SERVICE LOCATION: IN ROW 3400 W 131ST STREET WESTFIELD, IN 46074 Phone: 3177332001 2024 TruGreen L.P. All Rights Reserved 2025-U-5739 City of Carmel Grub IN ROW - 2024-12-09 13:16:13 10. No Warranties. Except as expressly set forth in this Agreement. TruGreen makes no warranty or representation of any kind, expressed or implied, concerning either products used or services performed, including no implied warranty of merchantability or fitness of the product for any particular purpose, and no such warranty shall be implied by law, usage of trade, course of performance, course of dealing, or on any other basis. 11. Force majeure. Except for the payment of TruGreen’s invoices owed by you, if either TruGreen or you shall be prevented or delayed in the performance of any or all of the provisions of this Agreement, by reason of any labor dispute, industry disturbance, delay in transportation, governmental regulatory or legal action, act of God or any cause beyond such part’s control, the obligations hereunder of such party shall be extended for as long as such cause shall be in effect and any delay or loss suffered by the other party shall not be chargeable in any way to such party: provided, however, the other party suffering such cause shall immediately notify the other party of such inability and shall use reasonable efforts to remedy same with all reasonable dispatch. If any event of force majeure should prevent a party from performing its obligations under this Agreement for a period of ninety consecutive (90) days, the other party shall have the right to cancel this Agreement upon notice to the party unable to perform its obligations. 12. No assignment. You shall not have the right to assign this Agreement or agree to the transfer of this Agreement by operation of law or otherwise without the prior written consent of TruGreen. This Agreement shall be binding upon, and shall inure to the benefit of, the parties hereto and to any permitted successors and assigns. 13. Watering, Cultural Practices. The success of this program depends on proper watering, mowing and cultural practices. Some products used by TruGreen may include label directions requiring the watering of the material after application. If any of these products are used on the property, TruGreen will provide you with watering instructions following the application and you agree to assume such watering responsibility. Climate conditions, soil conditions, plant diseases, plant material, and miscellaneous external factors will impact response to treatment. Results for difficult-to-control diseases will vary depending on environment, culture and agronomic programs used or treatment applied. Treatment for diseases may include additional cost. Consult your TruGreen specialist for details. 14. Modification of program. This program consists of lawn care and/or tree and shrub care as indicated above. Specific products, rates of application and method of application will vary with the season, weather conditions, and the needs of your lawn as determined by your TruGreen specialist. Your regularly scheduled programs may be modified depending on the weather and the condition of your landscape. The application methods and procedures used to perform service under this Agreement will be determined solely by TruGreen. Your TruGreen specialist will keep you informed on any modifications to this schedule. 15. Insects and Borers. Total insect elimination is not desirable with any program because beneficial insects will be lost along with the targeted pests. Plants invaded by borers have a high probability of death or decline. Sound cultural practices and control applications may extend the life of some plant species. Treatment for boring insects may include additional cost. Consult your TruGreen specialist with details 16. Authorization to provide Service. TruGreen agrees to furnish labor and materials for purposes of this Agreement and is authorized by you to treat the property at the address shown above. You represent and warrant to TruGreen that you are the owner of said property, or in the event that you are not the owner of the property to which this Agreement applies, you represent and warrant that you have the legal authority to execute and bind the owner of the property to the terms and conditions of this Agreement. 17. MANDATORY ARBITRATION. Any claim, dispute or controversy, regarding any contract, tort, statute, or otherwise (“Claim”), arising out of or relating to this agreement or the relationships among the parties hereto shall be resolved by one arbitrator through binding arbitration administered by the American Arbitration Association (AAA), under the AAA Commercial or Consumer, as applicable. Rules in effect at the time the Claim is filed (“AAA Rules”). Copies of the AAA Rules and forms can be located at www.adr.org, or by calling 1- 800-778-7879. The arbitrator’s decision shall be final, binding, and non-appealable. Judgment upon the award may be entered and enforced in any court having jurisdiction. This clause is made pursuant to a transaction involving interstate commerce and shall be governed by the Federal Arbitration Act. Neither party shall sue the other party other than as provided herein or for enforcement of this clause or of the arbitrator’s award; any such suit may be brought only in Federal District Court for the District or, if any such court lacks jurisdiction, in any state court that has jurisdiction. The arbitrator, and not any federal, state, or local court, shall have exclusive authority to resolve any dispute relating to the interpretation, applicability, unconscionability, arbitrability, enforceability or formation of this Agreement including any claim that all or any part of the Agreement is void or voidable. However, the preceding sentence shall not apply to the clause entitled “Class Action Waiver.” 18. CLASS ACTION WAIVER. Any Claim must be brought in the parties’ individual capacity, and not as a plaintiff or class member in any purported class, collective, representative, multiple plaintiffs, or similar proceeding (“Class Action”). The parties expressly waive any ability to maintain any Class Action in any forum. The arbitrator shall not have authority to combine or aggregate similar claims or conduct any Class Action nor make an award to any person or entity not a party to the arbitration. Any claim that all or part of this Class Action Waiver is unenforceable, unconscionable, void, or voidable may be determined only by a court of competent jurisdiction and not by an arbitrator. THE PARTIES UNDERSTAND THAT THEY WOULD HAVE HAD A RIGHT TO LITIGATE THROUGH A COURT, TO HAVE A JUDGE OR JURY DECIDE THEIR CASE AND TO BE PARTY TO A CLASS OR REPRESENTATIVE ACTION. HOWEVER. THEY UNDERSTAND AND CHOOSE TO HAVE ANY CLAIMS DECIDED INDIVIDUALLY, THROUGH ARBITRATION. 19. Unless expressly noted otherwise herein, this Agreement and any invoice issued by TruGreen pursuant to the terms hereof, set forth the entire understanding of the parties, and supersede any and all proposals, negotiations, representations and prior agreements relating to the subject matter of this Agreement, written or otherwise, including, without limitation any sales agreement previously executed by the parties. To the extent that any terms set forth in an invoice should conflict with the terms set forth in this Agreement, this Agreement shall control. No terms, conditions, or warranties other than those stated herein or in any invoice issued by TruGreen, and no agreements or understanding, oral or written, in any way purporting to modify these conditions shall be binding on the parties hereto unless hereafter made in writing and signed by authorized representatives of both parties. 20. This customer service Agreement is only valid if accepted by you within 30 days of the date submitted to customer. By: _______________________________________________________________ Date: ______________________ REPRESENTATIVE/GENERAL MANAGER Print Name: ________________________________________________________ Date: ______________________ AUTHORIZED AGENT/CUSTOMER Customer Signature: _________________________________________________ Date: ______________________ AUTHORIZED AGENT/CUSTOMER 2024 TruGreen L.P. All Rights Reserved 2025-R-5739-CITY OF CARMEL - OUT ROW - 2024-11-12 13:03:40 Service Location Line Item Description Round #Round Description Total Price OUT OF ROW Lawn Service 2 Late Spring - Fertilizer, broadleaf weed, crabgrass and pre-emergent weed control (As Needed/Weather Dependent) 250.00 OUT OF ROW Lawn Service 3 Early Summer - Fertilizer, broadleaf weed control (As Needed/Weather Dependent) 230.00 OUT OF ROW Lawn Service 5 Early Fall - Fertilizer, broadleaf weed control (As Needed/Weather Dependent) 230.00 OUT OF ROW Lawn Service 6 Fall - Fertilizer, broadleaf weed control (As Needed/Weather Dependent) 230.00 OUT OF ROW Armyworm Control 10 $72.44 OUT OF ROW Spring Fertilization 2 Root Zone Fertilization $2,993.68 OUT OF ROW Tree & Shrub Fertilizer 6 Root Zone Fertilization $2,993.68 Subtotal: $6,999.80 Total Sales Tax Amount: $0.00 Grand Total: $6,999.80 Description: 1. Term. The term of this Agreement shall one (1) year from the date signed by you, the Customer. 2. Price increases. Prices of services provided in this agreement may be increased should you add property under this agreement, or in the event of increases in the cost of fuel, material, or labor, or costs incurred by TruGreen due to government regulation and other causes. In addition, TruGreen may elect to increase the price of services under this agreement after the first year, or after any subsequent anniversary date of the agreement by a percentage amount not to exceed five percent (5%) of the then current price, or consistent with any increase in the current consumer price index, whichever is greater. TruGreen shall not increase its prices on an elective basis more frequently than once during any agreement year. 3. Payment Terms. Payment is due to TruGreen within 30 days after the invoice date. In the event you fail to make payment when due, TruGreen reserves the right to terminate this Agreement. A late service fee equal to the lesser of 15% per month (18% a.p.r.) or the maximum interest rate allowed by law will be charged on any balance unpaid over thirty (30) days. A service charge of $25.00 will be charged for any returned check. Should it become necessary to bring an action to collect amounts due under this agreement, you agree to pay all costs of such collection including, but not limited to, any reasonable attorney’s fees or other professional fees and court costs. 4. Check processing policy ACH. When you provide a check as payment, you authorize TruGreen either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. If TruGreen uses information from your check to make an electronic fund transfer, funds may be withdrawn from Jim Pratt 11775 Technology Drive Fishers, IN 46038 Phone: (317) 570-2300 Customer Information BILL TO: CITY OF CARMEL 3400 W 131ST ST CARMEL, IN 46074 Phone: 3177332001 Detail of Charges Standard Terms and Conditions SERVICE LOCATION: OUT OF ROW 3400 W 131ST ST CARMEL, IN 46074 Phone: 3177332001 2024 TruGreen L.P. All Rights Reserved 2025-R-5739-CITY OF CARMEL - OUT ROW - 2024-11-12 13:03:40 your account as soon as the same day we receive your payment, and you will not receive your check back from your financial institution. Returns: in the event that your payment is returned unpaid, you authorize us the option to collect a fee as allowed by law through an electronic fund transfer from your account. 5. Termination. In the case of your non-payment or default. TruGreen has the right to terminate this Agreement immediately upon notice to you. TruGreen may terminate this Agreement for convenience upon thirty (30) days prior written notice to you. You may cancel this Agreement for material breach by TruGreen, provided that you give TruGreen written notice of the details of the breach, and thereafter TruGreen fails to cure the breach within thirty (30) days after said notice. (a). Additional termination provisions for landscape companies, property management companies, agents and other similar entities: To the extent you represent one or more property owners and/or properties covered under this agreement, and in the event such owner terminates your contract with regard to one or more properties, then upon notice to TruGreen, you may terminate this Agreement only as it relates to such property for which owner terminated its contract with you. To the extent that this Agreement applies to other properties, not terminated by the owner, this Agreement shall continue in full force and effect with regard to such other properties. 6. Sale of Property. You agree to notify TruGreen in writing immediately in the event that you sell any property which is the subject of this Agreement. TruGreen shall make the appropriate adjustment in price to accommodate the reduction of square footage treated in the event that property is sold. In the event all property which is the subject of the Agreement is sold, this Agreement shall be terminated upon receipt by TruGreen of your written notice that you have sold the property. Should you fail to notify TruGreen as required in this provision, you agree to indemnify TruGreen for any damages incurred as a result of your failure to notify. 7. LIABILITY. TRUGREEN IS RESPONSIBLE FOR DIRECT DAMAGES RESULTING FROM ITS NEGLIGENCE OR BREACH OF THIS AGREEMENT. BUT IS NOT RESPONSIBLE FOR ANY INDIRECT, INCIDENTAL, CONSEQUENTIAL, PUNITIVE, OR SPECIAL DAMAGES ARISING OR RESULTING FROM THE PERFORMANCE OR NONPERFORMANCE OF ANY OBLIGATIONS UNDER THE AGREEMENT INCLUDING, BUT NOT LIMITED TO, LOSS OF PROFITS OR INCOME, REGARDLESS OF THE BASIS FOR THE CLAIM. 8. Duty to Inspect. You have a duty to inspect the property within fifteen (15) days after service has been performed by TruGreen. If you believe TruGreen provided deficient work, you agree to notify TruGreen immediately in writing. If written notice is not received by TruGreen within fifteen (15) days after the date of service, you agree that any and all claims alleging damage of any nature or to recover past payments and/or rights to withhold future payments due under this Agreement are waived. 9. Notice to tenants, employees, invitees. To the extent necessary, you have a duty to notify all tenants, employees, visitors and any other invitee on the premises of a scheduled service prior to the performance of any scheduled service by TruGreen. 10. No Warranties. Except as expressly set forth in this Agreement. TruGreen makes no warranty or representation of any kind, expressed or implied, concerning either products used or services performed, including no implied warranty of merchantability or fitness of the product for any particular purpose, and no such warranty shall be implied by law, usage of trade, course of performance, course of dealing, or on any other basis. 11. Force majeure. Except for the payment of TruGreen’s invoices owed by you, if either TruGreen or you shall be prevented or delayed in the performance of any or all of the provisions of this Agreement, by reason of any labor dispute, industry disturbance, delay in transportation, governmental regulatory or legal action, act of God or any cause beyond such part’s control, the obligations hereunder of such party shall be extended for as long as such cause shall be in effect and any delay or loss suffered by the other party shall not be chargeable in any way to such party: provided, however, the other party suffering such cause shall immediately notify the other party of such inability and shall use reasonable efforts to remedy same with all reasonable dispatch. If any event of force majeure should prevent a party from performing its obligations under this Agreement for a period of ninety consecutive (90) days, the other party shall have the right to cancel this Agreement upon notice to the party unable to perform its obligations. 12. No assignment. You shall not have the right to assign this Agreement or agree to the transfer of this Agreement by operation of law or otherwise without the prior written consent of TruGreen. This Agreement shall be binding upon, and shall inure to the benefit of, the parties hereto and to any permitted successors and assigns. 13. Watering, Cultural Practices. The success of this program depends on proper watering, mowing and cultural practices. Some products used by TruGreen may include label directions requiring the watering of the material after application. If any of these products are used on the property, TruGreen will provide you with watering instructions following the application and you agree to assume such watering responsibility. Climate conditions, soil conditions, plant diseases, plant material, and miscellaneous external factors will impact response to treatment. Results for difficult-to-control diseases will vary depending on environment, culture and agronomic programs used or treatment applied. Treatment for diseases may include additional cost. Consult your TruGreen specialist for details. 14. Modification of program. This program consists of lawn care and/or tree and shrub care as indicated above. Specific products, rates of application and method of application will vary with the season, weather conditions, and the needs of your lawn as determined by your TruGreen specialist. Your regularly scheduled programs may be modified depending on the weather and the condition of your landscape. The application methods and procedures used to perform service under this Agreement will be determined solely by TruGreen. Your TruGreen specialist will keep you informed on any modifications to this schedule. 15. Insects and Borers. Total insect elimination is not desirable with any program because beneficial insects will be lost along with the targeted pests. Plants invaded by borers have a high probability of death or decline. Sound cultural practices and control applications may extend the life of some plant species. Treatment for boring insects may include additional cost. Consult your TruGreen specialist with details 16. Authorization to provide Service. TruGreen agrees to furnish labor and materials for purposes of this Agreement and is authorized by you to treat the property at the address shown above. You represent and warrant to TruGreen that you are the owner of said property, or in the event that you are not the owner of the property to which this Agreement applies, you represent and warrant that you have the legal authority to execute and bind the owner of the property to the terms and conditions of this Agreement. 17. MANDATORY ARBITRATION. Any claim, dispute or controversy, regarding any contract, tort, statute, or otherwise (“Claim”), arising out of or relating to this agreement or the relationships among the parties hereto shall be resolved by one arbitrator through binding arbitration administered by the American Arbitration Association (AAA), under the AAA Commercial or Consumer, as applicable. Rules in effect at the time the Claim is filed (“AAA Rules”). Copies of the AAA Rules and forms can be located at www.adr.org, or by calling 1- 800-778-7879. The arbitrator’s decision shall be final, binding, and non-appealable. Judgment upon the award may be entered and enforced in any court having jurisdiction. This clause is made pursuant to a transaction involving interstate commerce and shall be governed by the Federal Arbitration Act. Neither party shall sue the other party other than as provided herein or for enforcement of this clause or of the arbitrator’s award; any such suit may be brought only in Federal District Court for the District or, if any such court lacks jurisdiction, in any state court that has jurisdiction. The arbitrator, and not any federal, state, or local court, shall have exclusive authority to resolve any dispute relating to the interpretation, applicability, unconscionability, arbitrability, enforceability or formation of this Agreement including any claim that all or any part of the Agreement is void or voidable. However, the preceding sentence shall not apply to the clause entitled “Class Action Waiver.” 18. CLASS ACTION WAIVER. Any Claim must be brought in the parties’ individual capacity, and not as a plaintiff or class member in any purported class, collective, representative, multiple plaintiffs, or similar proceeding (“Class Action”). The parties expressly waive any ability to maintain any Class Action in any forum. The arbitrator shall not have authority to combine or aggregate similar claims or conduct any Class Action nor make an award to any person or entity not a party to the arbitration. Any claim that all or part of this Class Action Waiver is unenforceable, unconscionable, void, or voidable may be determined only by a court of competent jurisdiction and not by an arbitrator. THE PARTIES UNDERSTAND THAT THEY WOULD HAVE HAD A RIGHT TO LITIGATE THROUGH A COURT, TO HAVE A JUDGE OR JURY DECIDE THEIR CASE AND TO BE PARTY TO A CLASS OR REPRESENTATIVE ACTION. HOWEVER. THEY UNDERSTAND AND CHOOSE TO HAVE ANY CLAIMS DECIDED INDIVIDUALLY, THROUGH ARBITRATION. 19. Unless expressly noted otherwise herein, this Agreement and any invoice issued by TruGreen pursuant to the terms hereof, set forth the entire understanding of the parties, and supersede any and all proposals, negotiations, representations and prior agreements relating to the subject matter of this Agreement, written or otherwise, including, without limitation any sales agreement previously executed by the parties. To the extent that any terms set forth in an invoice should conflict with the terms set forth in this Agreement, this Agreement shall control. No terms, conditions, or warranties other than those stated herein or in any invoice issued by TruGreen, and no agreements or understanding, oral or written, in any way purporting to modify these conditions shall be binding on the parties hereto unless hereafter made in writing and signed by authorized representatives of both parties. 20. This customer service Agreement is only valid if accepted by you within 30 days of the date submitted to customer. By: _______________________________________________________________ Date: ______________________ REPRESENTATIVE/GENERAL MANAGER Print Name: ________________________________________________________ Date: ______________________ AUTHORIZED AGENT/CUSTOMER Customer Signature: _________________________________________________ Date: ______________________ AUTHORIZED AGENT/CUSTOMER 2024 TruGreen L.P. All Rights Reserved 2025-U-5739 City of Carmel OUT ROW Grub - 2024-12-09 13:19:27 Service Location Line Item Description Round #Round Description Total Price OUT OF ROW Grub Preventative 10 Preventative treatment for sub- surface grub activity 115.00 Subtotal: $115.00 Total Sales Tax Amount: $0.00 Grand Total: $115.00 Description: 1. Term. The term of this Agreement shall one (1) year from the date signed by you, the Customer. 2. Price increases. Prices of services provided in this agreement may be increased should you add property under this agreement, or in the event of increases in the cost of fuel, material, or labor, or costs incurred by TruGreen due to government regulation and other causes. In addition, TruGreen may elect to increase the price of services under this agreement after the first year, or after any subsequent anniversary date of the agreement by a percentage amount not to exceed five percent (5%) of the then current price, or consistent with any increase in the current consumer price index, whichever is greater. TruGreen shall not increase its prices on an elective basis more frequently than once during any agreement year. 3. Payment Terms. Payment is due to TruGreen within 30 days after the invoice date. In the event you fail to make payment when due, TruGreen reserves the right to terminate this Agreement. A late service fee equal to the lesser of 15% per month (18% a.p.r.) or the maximum interest rate allowed by law will be charged on any balance unpaid over thirty (30) days. A service charge of $25.00 will be charged for any returned check. Should it become necessary to bring an action to collect amounts due under this agreement, you agree to pay all costs of such collection including, but not limited to, any reasonable attorney’s fees or other professional fees and court costs. 4. Check processing policy ACH. When you provide a check as payment, you authorize TruGreen either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. If TruGreen uses information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment, and you will not receive your check back from your financial institution. Returns: in the event that your payment is returned unpaid, you authorize us the option to collect a fee as allowed by law through an electronic fund transfer from your account. 5. Termination. In the case of your non-payment or default. TruGreen has the right to terminate this Agreement immediately upon notice to you. TruGreen may terminate this Agreement for convenience upon thirty (30) days prior written notice to you. You may cancel this Agreement for material breach by TruGreen, provided that you give TruGreen written notice of the details of the breach, and thereafter TruGreen fails to cure the breach within thirty (30) days after said notice. (a). Additional termination provisions for landscape companies, property management companies, agents and other similar entities: To the extent you represent one or more property owners and/or properties covered under this agreement, and in the event such owner terminates your contract with regard to one or more properties, then upon notice to TruGreen, you may terminate this Agreement only as it relates to such property for which owner terminated its contract with you. To the extent that this Agreement applies to other properties, not terminated by the owner, this Agreement shall continue in full force and effect with regard to such other properties. 6. Sale of Property. You agree to notify TruGreen in writing immediately in the event that you sell any property which is the subject of this Agreement. TruGreen shall make the appropriate adjustment in price to accommodate the reduction of square footage treated in the event that property is sold. In the event all property which is the subject of the Agreement is sold, this Agreement shall be terminated upon receipt by TruGreen of your written notice that you have sold the property. Should you fail to notify TruGreen as required in this provision, you agree to indemnify TruGreen for any damages incurred as a result of your failure to notify. 7. LIABILITY. TRUGREEN IS RESPONSIBLE FOR DIRECT DAMAGES RESULTING FROM ITS NEGLIGENCE OR BREACH OF THIS AGREEMENT. BUT IS NOT RESPONSIBLE FOR ANY INDIRECT, INCIDENTAL, CONSEQUENTIAL, PUNITIVE, OR SPECIAL DAMAGES ARISING OR RESULTING FROM THE PERFORMANCE OR NONPERFORMANCE OF ANY OBLIGATIONS UNDER THE AGREEMENT INCLUDING, BUT NOT LIMITED TO, LOSS OF PROFITS OR INCOME, REGARDLESS OF THE BASIS FOR THE CLAIM. 8. Duty to Inspect. You have a duty to inspect the property within fifteen (15) days after service has been performed by TruGreen. If you believe TruGreen provided deficient work, you agree to notify TruGreen immediately in writing. If written notice is not received by TruGreen within fifteen (15) days after the date of service, you agree that any and all claims alleging damage of any nature or to recover past payments and/or rights to withhold future payments due under this Agreement are waived. 9. Notice to tenants, employees, invitees. To the extent necessary, you have a duty to notify all tenants, employees, visitors and any other invitee on the premises of a scheduled service prior to the performance of any scheduled service by TruGreen. Jim Pratt 11775 Technology Drive Fishers, IN 46038 Phone: (317) 570-2300 Customer Information BILL TO: CITY OF CARMEL 3400 W 131ST ST CARMEL, IN 46074 Phone: 3177332001 Detail of Charges Standard Terms and Conditions SERVICE LOCATION: OUT OF ROW 3400 W 131ST ST CARMEL, IN 46074 Phone: 3177332001 2024 TruGreen L.P. All Rights Reserved 2025-U-5739 City of Carmel OUT ROW Grub - 2024-12-09 13:19:27 10. No Warranties. Except as expressly set forth in this Agreement. TruGreen makes no warranty or representation of any kind, expressed or implied, concerning either products used or services performed, including no implied warranty of merchantability or fitness of the product for any particular purpose, and no such warranty shall be implied by law, usage of trade, course of performance, course of dealing, or on any other basis. 11. Force majeure. Except for the payment of TruGreen’s invoices owed by you, if either TruGreen or you shall be prevented or delayed in the performance of any or all of the provisions of this Agreement, by reason of any labor dispute, industry disturbance, delay in transportation, governmental regulatory or legal action, act of God or any cause beyond such part’s control, the obligations hereunder of such party shall be extended for as long as such cause shall be in effect and any delay or loss suffered by the other party shall not be chargeable in any way to such party: provided, however, the other party suffering such cause shall immediately notify the other party of such inability and shall use reasonable efforts to remedy same with all reasonable dispatch. If any event of force majeure should prevent a party from performing its obligations under this Agreement for a period of ninety consecutive (90) days, the other party shall have the right to cancel this Agreement upon notice to the party unable to perform its obligations. 12. No assignment. You shall not have the right to assign this Agreement or agree to the transfer of this Agreement by operation of law or otherwise without the prior written consent of TruGreen. This Agreement shall be binding upon, and shall inure to the benefit of, the parties hereto and to any permitted successors and assigns. 13. Watering, Cultural Practices. The success of this program depends on proper watering, mowing and cultural practices. Some products used by TruGreen may include label directions requiring the watering of the material after application. If any of these products are used on the property, TruGreen will provide you with watering instructions following the application and you agree to assume such watering responsibility. Climate conditions, soil conditions, plant diseases, plant material, and miscellaneous external factors will impact response to treatment. Results for difficult-to-control diseases will vary depending on environment, culture and agronomic programs used or treatment applied. Treatment for diseases may include additional cost. Consult your TruGreen specialist for details. 14. Modification of program. This program consists of lawn care and/or tree and shrub care as indicated above. Specific products, rates of application and method of application will vary with the season, weather conditions, and the needs of your lawn as determined by your TruGreen specialist. Your regularly scheduled programs may be modified depending on the weather and the condition of your landscape. The application methods and procedures used to perform service under this Agreement will be determined solely by TruGreen. Your TruGreen specialist will keep you informed on any modifications to this schedule. 15. Insects and Borers. Total insect elimination is not desirable with any program because beneficial insects will be lost along with the targeted pests. Plants invaded by borers have a high probability of death or decline. Sound cultural practices and control applications may extend the life of some plant species. Treatment for boring insects may include additional cost. Consult your TruGreen specialist with details 16. Authorization to provide Service. TruGreen agrees to furnish labor and materials for purposes of this Agreement and is authorized by you to treat the property at the address shown above. You represent and warrant to TruGreen that you are the owner of said property, or in the event that you are not the owner of the property to which this Agreement applies, you represent and warrant that you have the legal authority to execute and bind the owner of the property to the terms and conditions of this Agreement. 17. MANDATORY ARBITRATION. Any claim, dispute or controversy, regarding any contract, tort, statute, or otherwise (“Claim”), arising out of or relating to this agreement or the relationships among the parties hereto shall be resolved by one arbitrator through binding arbitration administered by the American Arbitration Association (AAA), under the AAA Commercial or Consumer, as applicable. Rules in effect at the time the Claim is filed (“AAA Rules”). Copies of the AAA Rules and forms can be located at www.adr.org, or by calling 1- 800-778-7879. The arbitrator’s decision shall be final, binding, and non-appealable. Judgment upon the award may be entered and enforced in any court having jurisdiction. This clause is made pursuant to a transaction involving interstate commerce and shall be governed by the Federal Arbitration Act. Neither party shall sue the other party other than as provided herein or for enforcement of this clause or of the arbitrator’s award; any such suit may be brought only in Federal District Court for the District or, if any such court lacks jurisdiction, in any state court that has jurisdiction. The arbitrator, and not any federal, state, or local court, shall have exclusive authority to resolve any dispute relating to the interpretation, applicability, unconscionability, arbitrability, enforceability or formation of this Agreement including any claim that all or any part of the Agreement is void or voidable. However, the preceding sentence shall not apply to the clause entitled “Class Action Waiver.” 18. CLASS ACTION WAIVER. Any Claim must be brought in the parties’ individual capacity, and not as a plaintiff or class member in any purported class, collective, representative, multiple plaintiffs, or similar proceeding (“Class Action”). The parties expressly waive any ability to maintain any Class Action in any forum. The arbitrator shall not have authority to combine or aggregate similar claims or conduct any Class Action nor make an award to any person or entity not a party to the arbitration. Any claim that all or part of this Class Action Waiver is unenforceable, unconscionable, void, or voidable may be determined only by a court of competent jurisdiction and not by an arbitrator. THE PARTIES UNDERSTAND THAT THEY WOULD HAVE HAD A RIGHT TO LITIGATE THROUGH A COURT, TO HAVE A JUDGE OR JURY DECIDE THEIR CASE AND TO BE PARTY TO A CLASS OR REPRESENTATIVE ACTION. HOWEVER. THEY UNDERSTAND AND CHOOSE TO HAVE ANY CLAIMS DECIDED INDIVIDUALLY, THROUGH ARBITRATION. 19. Unless expressly noted otherwise herein, this Agreement and any invoice issued by TruGreen pursuant to the terms hereof, set forth the entire understanding of the parties, and supersede any and all proposals, negotiations, representations and prior agreements relating to the subject matter of this Agreement, written or otherwise, including, without limitation any sales agreement previously executed by the parties. To the extent that any terms set forth in an invoice should conflict with the terms set forth in this Agreement, this Agreement shall control. No terms, conditions, or warranties other than those stated herein or in any invoice issued by TruGreen, and no agreements or understanding, oral or written, in any way purporting to modify these conditions shall be binding on the parties hereto unless hereafter made in writing and signed by authorized representatives of both parties. 20. This customer service Agreement is only valid if accepted by you within 30 days of the date submitted to customer. By: _______________________________________________________________ Date: ______________________ REPRESENTATIVE/GENERAL MANAGER Print Name: ________________________________________________________ Date: ______________________ AUTHORIZED AGENT/CUSTOMER Customer Signature: _________________________________________________ Date: ______________________ AUTHORIZED AGENT/CUSTOMER 1/15/2025 TRUGREEN LOUISVILLE, KY 40290--1033 114337 PO BOX 9001033 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 359201 UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY Page 1 of 1 Matt Higginbotham 95688 2201Department:2201Fund:Motor Vehicle Highway FND 43-504.00Account: Fertilization1 $260,778.34 $260,778.34Each 260,778.34SubTotal 260,778.34 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. 114337 ORDERED BY TITLE Street Department 3400 W. 131st Street Carmel, IN 46074- Lee Higginbotham Zac Jackson 317) 733-2001 Commissioner CFO 1/15/2025 TRUGREEN LOUISVILLE, KY 40290--1033 114332 PO BOX 9001033 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 359201 UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY Page 1 of 1 95678 1206Department:101Fund:General Fund 43-504.00Account: Fertilization1 $7,114.80 $7,114.80Each 7,114.80SubTotal 7,114.80 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. 114332 ORDERED BY TITLE Street Department 3400 W. 131st Street Carmel, IN 46074- Lee Higginbotham Zac Jackson 317) 733-2001 Commissioner CFO CITY OF CARMEL, INDIANA Information CARTER GREEN SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. FACILITY * Neighborhood Name/Streets to be closed 1. CITY FACILITY REQUESTED: Mark all that apply CARTER GREEN (area between Palladium & James Building) PALLADIUM EAST PATIO (on the Campus of the Center for the Performing Arts) 2. STREET(S) REQUESTED: Parking on City Center Drive for a Coach Bus Include addresses as appropriate 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/23/2025 Yes 01/23/2025 Yes 01/24/2025 Recommendations: Parking is requested for City Center Drive. See map UPLOAD MAP Type of Closure: Further Info for type of closure REQUESTS: CITY SERVICES NEEDED: Cones * Standard Cones * No Parking Signs * 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: Place No Parking Signs on parking spots on City Center Drive next to the Palladium for a large Coach Bus 3. SPECIAL REQUESTS: Mark all that apply ELECTRICITY JAMES BUILDING RESTROOMS (CARTER GREEN) *Extra fees apply N/A Other 4. CITY SERVICES NEEDED: Mark all that apply Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other Agreement must be signed with Carmel Street Department before delivery/pickup Standard Cones Tall Skinny Cones Barricades (used to close roads)Crowd-Control Gates Please note the number of Standard Cones needed 6 Please note the number of NO PARKING SIGNS needed 6 Event Use/Purpose: Description of Event: Event Date Start *Event Date End * If multiple dates, please list Set-Up time * Tear Down End time * Event Start time:* Event End time:* Rehearsal Rehearsal Date: 5. EVENT DETAILS: Meeting Group Provide a brief description of event Meeting Group Hosted at Hotel Carmichael is Traveling in a large Coach bus and needs parking Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 2/19/2025 2/20/2025 Feb 19th Feb 20th 4:00:00 PM 3:00:00 PM 4:00:00 PM 3:00:00 PM NA Rehearsal Start Time: Rehearsal End Time: Number of People Expected:* Fees? Vendors Contact Person Email 30 Will a Fee be charged for this event? If yes, please describe below. YES NO EVENT SET UP: Mark all that apply Stage Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571- 2600) Bounce House N/A Other Name of Merchants(s) doing the setup Phone Number of Merchant(s) doing set up: VENDORS: Mark all that apply VENDORS PRESENT FOOD SERVED (May be subject to Hamilton County Health Department inspection.) ALCOHOL SERVED - Please see Section R under “General Terms and Conditions” in the Public Use Policy. N/A 6. CONTACT INFORMATION: Bekah Levy rlevy@hotelcarmichael.com Phone Number: Cell Number: Name/Organization: Address Organization Type:* Residency 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 https://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. 3176889678 Hotel Carmichael City Carmel State / Province / Region IN Postal / Zip Code 46032 Country USA Street Address 1 Carmichael Square Address Line 2 For-Profit Organization Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/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 Special Event/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. Age Confirmation * Special Event/Facility Use Policy * * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Hotel Carmichael / Rebekah Levy Name of Organization/Applicant Signature of Authorized Agent/Applicant Rebekah Levy - Catering Sales Manager Printed Name and Title (If applicable) 3176889678 Phone Number (Required) 1 Carmichael Square Carmel IN 46032 Address of Organization/Applicant 1/21/2025 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 ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ CITY OF CARMEL, INDIANA Information SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. The Event Request Form must be submitted a minimum of 60 days prior to the planned date of the event or activity. Please click here to request the Carter Green or East Patio. Facility(s) 1. CITY FACILITY(S) REQUESTED: Civic Square Fountain Area Civic Square Gazebo / Lawn Japanese Garden Monon & Main Plaza Midtown Plaza (Events must be free and open to the public. We are unable to accommodate public movie requests.) Reflecting Pool (Please note that Veteran's Memorial Freedom Circle and Plaza is not available for use) Sophia Square Other Veteran's Way    01/17/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/23/2025 Yes 01/23/2025 Yes 1/24/2025 Neighborhood Name/Streets to be closed Upload Map Type of Closure: Further Info for type of closure Requests: 2. STREET(S) REQUESTED: Veteran's Way from Main St to the parking lot entrance of Old Town Apartment Parking lot Include addresses as appropriate An easy to read, color map of the area is required with submission. Shamrock the District footprint.pdf 166.88KB Rolling closure Total closure Lane restrictions - explain below Other - explain below N/A Explain lane restrictions needed and other needed below: just part of Veterans Way from Main to Parking Lot entrance of Old Town Apartments. 3. SPECIAL REQUESTS: Electricity Fountain Restroom - Fountain/Gazebo Reflecting Pool Restrooms N/A Other 4. CITY SERVICES NEEDED: Mark all that apply City Services Needed Cones * Barricades * Crowd-Control Gates * Standard Cones * Tall Skinny Cones * No Parking Signs * Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other Agreement must be signed with Carmel Street Department before delivery/pickup Standard Cones Tall Skinny Cones Barricades (used to close roads)Crowd-Control Gates Please note the number of Barricades needed 6 Please note the number of Crowd-Control Gates needed 4 Please note the number of Standard Cones needed 6 Please note the number of Tall Skinny Cones needed 4 Please note the number of NO PARKING SIGNS needed 2 5. EVENT DETAILS Event Use/Purpose:* Description of Event:* Event Date Start * Per the City of Carmel Special Event/Facility Use Policy, requests must be received at least 60 days prior to the event. Event Date End * If multiple dates, please list Set-Up time:* Tear Down End time:* Event Start time:* Event End time:* Rehearsal Rehearsal Date: Rehearsal Start:Rehearsal End: Number of People Expected:* Fees? Shamrock the District Provide a brief description of event Tent Party for St Patrick's Day, Live Music and entertainment. Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 3/14/2025 3/17/2025 The event is 3/15/2025, but the tent company can only set up Friday at noon and take down Monday am by noon. 12:00:00 PM 12:00:00 AM 1:00:00 PM 11:00:00 PM NA Rehearsal Start Time:Rehearsal End Time: 300 Will a Fee be charged for this event? If yes, please describe below. Yes No EVENT SET UP: Stage Size of Stage Vendors Contact Person * Email * Phone Number:* Cell Number: Name/Organization: Address Organization Type:* Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. 20x100 Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571-2600) Bounce House N/A Other Hoosier Tent Name of Merchants(s) doing the setup 3172729746 Phone Number of Merchant(s) doing set up: VENDORS: Vendors Present Food Served (May be subject to Hamilton County Health Department Inspection) Alcohol Served (Please see Section R under “General Terms and Conditions” in the Special Event/Facility Use Policy) N/A 6. CONTACT INFORMATION: Beth Hohlier Muldoon's City Carmel State / Province / Region IN Postal / Zip Code 46032 Country USA Street Address 111 W. Main St Ste 100 Address Line 2 For-Profit Organization Residency 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 https://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 previously granted request to use a City facility for any lawful reason. Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/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 Special Event/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. Age Confirmation * Special Event/Facility Use Policy * * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Muldoon's of Carmel Name of Organization/Applicant Signature of Authorized Agent/Applicant Beth Hohlier Printed Name and Title (If applicable) Phone Number (Required) 111 W. Main St Ste 100 Carmel, IN 46032 Address of Organization/Applicant 1/17/2025 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 ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ CITY OF CARMEL, INDIANA Information SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. The Event Request Form must be submitted a minimum of 60 days prior to the planned date of the event or activity. Please click here to request the Carter Green or East Patio. Facility(s) 1. CITY FACILITY(S) REQUESTED: Civic Square Fountain Area Civic Square Gazebo / Lawn Japanese Garden Monon & Main Plaza Midtown Plaza (Events must be free and open to the public. We are unable to accommodate public movie requests.) Reflecting Pool (Please note that Veteran's Memorial Freedom Circle and Plaza is not available for use) Sophia Square Other    01/14/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/23/2025 Yes 01/23/2025 Recommendations: No public restrooms. Will need to rent portables. Requester has been notified Yes, 01/24/2025 Neighborhood Name/Streets to be closed Upload Map Type of Closure: Further Info for type of closure Requests: 2. STREET(S) REQUESTED: 4488 Evergreen Trl 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: 3. SPECIAL REQUESTS: Electricity Fountain Restroom - Fountain/Gazebo Reflecting Pool Restrooms N/A Other 4. CITY SERVICES NEEDED: Mark all that apply City Services Needed Event Use/Purpose:* Description of Event Date End * Tear Down End time:* Event End time:* Rehearsal End: Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other 5. EVENT DETAILS Holi Event for Carmel Giving Hope Provide a brief description of event Holi is a Hindu festival that celebrates spring, love, and new life. Some families hold religious ceremonies, but for many Holi is more a time for fun. It's a colorful festival, with dancing, singing and throwing of powder paint and colored water. Holi is also known as the "festival of color". Carmel Giving hope is a culture club which also raises money for the Miracle Foundation, a non-profit organization based in New Delhi that is responsible for providing shelter to orphans in India. They believe that every child deserves a family and a lifestyle that they can help provide. Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 3/22/2025 8:00:00 PM 7:00:00 PM NA Event: * Event Date Start * 3/22/2025 If multiple dates, please list Set-Up time: * 3:00:00 PM Event Start time:* 5:00:00 PM Rehearsal Rehearsal Date: Rehearsal Start: Rehearsal Start Time: Number of People Expected: * Rehearsal End Time: 30 Fees? Fees (cont'd) Vendors Contact Person * Email * Phone Number:* Cell Number: Name/Organization: Will a Fee be charged for this event? If yes, please describe below. Yes No Purpose of fee fundraise money- fee will be $5 EVENT SET UP: Stage Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571-2600) Bounce House N/A Other Name of Merchants(s) doing the setup 3172080961 Phone Number of Merchant(s) doing set up: VENDORS: Vendors Present Food Served (May be subject to Hamilton County Health Department Inspection) Alcohol Served (Please see Section R under “General Terms and Conditions” in the Special Event/Facility Use Policy) N/A 6. CONTACT INFORMATION: Vritika Arya Carmel Giving Hope Address Organization Type:* Residency 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 https://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 previously granted request to use a City facility for any lawful reason. City Carmel State / Province / Region IN Postal / Zip Code 46074 Country United States Street Address Address Line 2 Non-Profit Organization Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/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 Special Event/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. Age Confirmation * Special Event/Facility Use Policy * * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Carmel Giving Hope/Vritika Name of Organization/Applicant Signature of Authorized Agent/Applicant Vritika Arya Printed Name and Title (If applicable) Phone Number (Required) Carmel, IN 46074 Address of Organization/Applicant 1/14/2025 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 ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ 01/17/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/23/2025 Yes 01/23/2025 Yes, 01/24/2025 James Barlow CITY OF CARMEL, INDIANA Information SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. The Event Request Form must be submitted a minimum of 60 days prior to the planned date of the event or activity. Please click here to request the Carter Green or East Patio. Facility(s) 1. CITY FACILITY(S) REQUESTED: Civic Square Fountain Area Civic Square Gazebo / Lawn Japanese Garden Monon & Main Plaza Midtown Plaza (Events must be free and open to the public. We are unable to accommodate public movie requests.) Reflecting Pool (Please note that Veteran's Memorial Freedom Circle and Plaza is not available for use) Sophia Square Other Carmel View Drive Closure    01/13/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/23/2025 Yes 01/23/2025 Yes 01/21/2025 Yes, 01/24/2025 Neighborhood Name/Streets to be closed Upload Map Type of Closure: Further Info for type of closure Requests: 2. STREET(S) REQUESTED: Carmel View Drive Loop Include addresses as appropriate An easy to read, color map of the area is required with submission. Carmel View Drive Closure Map - Parent Locations.pdf 1.73MB Rolling closure Total closure Lane restrictions - explain below Other - explain below N/A Explain lane restrictions needed and other needed below: For one Carmel Elementary Pup Running practice in spring 2025, I request to close Carmel View Drive for approximately 30 minutes from 3:00 pm to 3:30 pm. 3. SPECIAL REQUESTS: Electricity Fountain Restroom - Fountain/Gazebo Reflecting Pool Restrooms N/A Other 4. CITY SERVICES NEEDED: Mark all that apply City Services Needed Event Use/Purpose:* Description of Event:* Event Date Start * Event Date End * If multiple dates, please list Set-Up time:* Tear Down End time:* Event Start time:* Event End time:* Rehearsal Rehearsal Date: Rehearsal Start:Rehearsal End: Number of People Expected:* Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other 5. EVENT DETAILS For one practice per Carmel Elementary Pup Running season, I like to close the Carmel View Drive loop just west of the Elementary School for a 30 minute walk / run for the team. Provide a brief description of event We will have approximately 10 adults on hand as noted in the map to control traffic and the runners. There will be 60-80 4th and 5th grade (10 and 11 year old) walkers & runners. Intent of the practice is for 30 minutes of continuous movement around the loop, walking or jogging. In the past, the practice has been well received in the past by the runners, parents, and residents of the loop. Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 4/22/2025 4/22/2025 2:55:00 PM 3:35:00 PM 3:00:00 PM 3:30:00 PM NA Rehearsal Start Time:Rehearsal End Time: 80 Fees? Vendors Contact Person * Email * Phone Number:* Cell Number: Name/Organization: Will a Fee be charged for this event? If yes, please describe below. Yes No EVENT SET UP: Stage Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571-2600) Bounce House N/A Other Name of Merchants(s) doing the setup Phone Number of Merchant(s) doing set up: VENDORS: Vendors Present Food Served (May be subject to Hamilton County Health Department Inspection) Alcohol Served (Please see Section R under “General Terms and Conditions” in the Special Event/Facility Use Policy) N/A 6. CONTACT INFORMATION: Kevin Hetrick Carmel Elementary Pup Running Address Organization Type:* Residency 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 https://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 previously granted request to use a City facility for any lawful reason. City Carmel State / Province / Region IN Postal / Zip Code 46032 Country Street Address Address Line 2 Non-Profit Organization Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/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 Special Event/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. Age Confirmation * Special Event/Facility Use Policy * * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Kevin Hetrick Name of Organization/Applicant Signature of Authorized Agent/Applicant Printed Name and Title (If applicable) Phone Number (Required) Address of Organization/Applicant 1/12/2025 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 ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ Laura Campbell, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ CITY OF CARMEL, INDIANA Information SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. The Event Request Form must be submitted a minimum of 60 days prior to the planned date of the event or activity. Please click here to request the Carter Green or East Patio. Facility(s) 1. CITY FACILITY(S) REQUESTED: Civic Square Fountain Area Civic Square Gazebo / Lawn Japanese Garden Monon & Main Plaza Midtown Plaza (Events must be free and open to the public. We are unable to accommodate public movie requests.) Reflecting Pool (Please note that Veteran's Memorial Freedom Circle and Plaza is not available for use) Sophia Square Other    01-16-2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/23/2025 Yes 01/23/2025 Yes, 01/24/2025 Neighborhood Name/Streets to be closed Upload Map Type of Closure: Further Info for type of closure Requests: 2. STREET(S) REQUESTED: Include addresses as appropriate An easy to read, color map of the area is required with submission. Updated Course Map - 2018.PNG 1.47MB Rolling closure Total closure Lane restrictions - explain below Other - explain below N/A Explain lane restrictions needed and other needed below: 3. SPECIAL REQUESTS: Electricity Fountain Restroom - Fountain/Gazebo Reflecting Pool Restrooms N/A Other 4. CITY SERVICES NEEDED: Mark all that apply City Services Needed Event Use/Purpose:* Description of Event:* Event Date Start * Event Date End * If multiple dates, please list Set-Up time:* Tear Down End time:* Event Start time:* Event End time:* Rehearsal Number of People Expected:* Fees? Fees (cont'd) Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other 5. EVENT DETAILS 21st annual 5k fundraiser benefitting Creekside Middle School Athletics. Provide a brief description of event The Cat Race is a 5K run/walk held in the Village of West Clay each year that raises funds for the Creekside athletics and activities department. Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 4/26/2025 4/26/2025 7:00:00 AM 10:30:00 AM 8:30:00 AM 10:00:00 AM NA 500 Will a Fee be charged for this event? If yes, please describe below. Yes No Purpose of fee fundraiser for Creekside Athletics EVENT SET UP: Vendors Contact Person * Email * Phone Number:* Cell Number: Name/Organization: Address Organization Type:* Stage Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571-2600) Bounce House N/A Other Name of Merchants(s) doing the setup Phone Number of Merchant(s) doing set up: VENDORS: Vendors Present Food Served (May be subject to Hamilton County Health Department Inspection) Alcohol Served (Please see Section R under “General Terms and Conditions” in the Special Event/Facility Use Policy) N/A 6. CONTACT INFORMATION: Randy Hartog above Creekside Middle School City Carmel State / Province / Region IN Postal / Zip Code 46032 Country Street Address Address Line 2 Non-Profit Organization Residency 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 https://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 previously granted request to use a City facility for any lawful reason. Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/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 Special Event/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. Age Confirmation * Special Event/Facility Use Policy * * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Creekside Middle School Name of Organization/Applicant Signature of Authorized Agent/Applicant Randy Hartog - Athletics and Activities Director Printed Name and Title (If applicable) Phone Number (Required) Address of Organization/Applicant 1/16/2025 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 ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ CITY OF CARMEL, INDIANA Information SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. The Event Request Form must be submitted a minimum of 60 days prior to the planned date of the event or activity. Please click here to request the Carter Green or East Patio. Facility(s) 1. CITY FACILITY(S) REQUESTED: Civic Square Fountain Area Civic Square Gazebo / Lawn Japanese Garden Monon & Main Plaza Midtown Plaza (Events must be free and open to the public. We are unable to accommodate public movie requests.) Reflecting Pool (Please note that Veteran's Memorial Freedom Circle and Plaza is not available for use) Sophia Square Other Council Chambers    01/16/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/23/2025 Yes 01/23/2025 Yes, 01/24/2025 Neighborhood Name/Streets to be closed Upload Map Type of Closure: Further Info for type of closure Requests: 2. STREET(S) REQUESTED: 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: 3. SPECIAL REQUESTS: Electricity Fountain Restroom - Fountain/Gazebo Reflecting Pool Restrooms N/A Other 4. CITY SERVICES NEEDED: Mark all that apply City Services Needed Event Use/Purpose:* Description of Event:* Event Date Start * Event Date End * If multiple dates, please list Set-Up time:* Tear Down End time:* Event Start time:* Event End time:* Rehearsal Number of People Expected:* Fees? Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other 5. EVENT DETAILS National Day of Prayer Provide a brief description of event Prayer for our Nation. State and City. Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 5/1/2025 5/1/2025 11:00:00 AM 1:00:00 PM 12:00:00 PM 1:00:00 PM NA 75 Will a Fee be charged for this event? If yes, please describe below. Yes No EVENT SET UP: Stage Size of Stage Vendors Contact Person * Email * Phone Number:* Cell Number: Name/Organization: Address Organization Type:* Residency Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571-2600) Bounce House N/A Other use of hand held mic; podium with mic. Name of Merchants(s) doing the setup 3092561417 Phone Number of Merchant(s) doing set up: VENDORS: Vendors Present Food Served (May be subject to Hamilton County Health Department Inspection) Alcohol Served (Please see Section R under “General Terms and Conditions” in the Special Event/Facility Use Policy) N/A 6. CONTACT INFORMATION: David Forbes National Day of Prayer City Carmel State / Province / Region Indiana Postal / Zip Code 46032 Country United States Street Address Address Line 2 Individual Is the requestor a citizen of the City of Carmel? Yes No 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 https://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 previously granted request to use a City facility for any lawful reason. SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/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 Special Event/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. Age Confirmation * Special Event/Facility Use Policy * * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Carmel National Day of Prayer Name of Organization/Applicant Signature of Authorized Agent/Applicant David Forbes , Chairman of Carmel committee Printed Name and Title (If applicable) Phone Number (Required) Carmel, Indiana 46032 Address of Organization/Applicant 1/16/2025 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 ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ Information CITY OF CARMEL, INDIANA • I Department Review: MAC: Yes 01/23/2025 ENG: Yes 01/21/2025 CPD: Yes 01/21/2025 CARTER GREEN SPECIAL EVENT/ FACILITY USE REQUEST FORM Please reference the City of Carmel Special EvenUFacility Use Policy *Must be at least 18 years of age to complete this form. 1.CITY FACILITY REQUESTED: Mark all that apply FACILITY* CARTER GREEN (area between Palladium & James Building) PALLADIUM EAST PATIO (on the Campus of the Center for the Performing Arts) A Allied Solutions· CENTER FOR THE PERFORMING ARTS C i walkway to Veterans Way Garage i 2.STREET(S) REQUESTED: Neighborhood Include addresses as appropriate Name/Streets to be closed CAMPUS MAP CITY QNTH DRIVE CARMEL CITY CENTER II . b. MONON GltHN IL.VD. CIVIC SQUARE PARKING GARAGE 126TH STRED ■FREE PUBLIC PARKING 'VALET PARKING -VALET LINEUP b.HANDICAP DROP-OFF b.HANDICAP PARKING WAlr:M/AYS -CLOSED TO TRAFFIC I 01/17/2025 CFO:Yes 01/21/2025 STREETS: Yes, 01/24/2025 PARKS: Yes 01/23/2025 CITY OF CARMEL, INDIANA Information CARTER GREEN SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. FACILITY * Neighborhood Name/Streets to be closed 1. CITY FACILITY REQUESTED: Mark all that apply CARTER GREEN (area between Palladium & James Building) PALLADIUM EAST PATIO (on the Campus of the Center for the Performing Arts) 2. STREET(S) REQUESTED: Include addresses as appropriate 01/21/2024 Yes 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/23/2025 Yes 01/23/2025 Yes, 01/24/2025 Allied Solutions: Shows on same date. Will close doors to accommodate. Still may conflict. 01/24/2025 UPLOAD MAP Type of Closure: Further Info for type of closure REQUESTS: CITY SERVICES NEEDED: Event Use/Purpose: Description of Event: Event Date Start *Event Date End * If multiple dates, please list 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: 3. SPECIAL REQUESTS: Mark all that apply ELECTRICITY JAMES BUILDING RESTROOMS (CARTER GREEN) *Extra fees apply N/A Other 4. CITY SERVICES NEEDED: Mark all that apply Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other Electrical Access for DJ 5. EVENT DETAILS: Wedding Ceremony Provide a brief description of event Hotel to provide white padded chairs for a Ceremony and a 6' Table for a DJ Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 6/14/2025 6/14/2025 Set-Up time * Tear Down End time * Event Start time:* Event End time:* Rehearsal Rehearsal Date: Rehearsal Start Time: Rehearsal End Time: Number of People Expected:* Fees? 2:00:00 PM 6:00:00 PM 5:30:00 PM 6:00:00 PM NA 6/13/2025 4:00:00 PM 5:00:00 PM 20 Will a Fee be charged for this event? If yes, please describe below. YES NO EVENT SET UP: Mark all that apply Stage Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571- 2600) Bounce House N/A Other Hotel Carmichael Name of Merchants(s) doing the setup 3176889612 Phone Number of Merchant(s) doing set up: Vendors Contact Person Email Phone Number: Cell Number: Name/Organization: Address Organization Type:* Residency 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 https://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. VENDORS: Mark all that apply VENDORS PRESENT FOOD SERVED (May be subject to Hamilton County Health Department inspection.) ALCOHOL SERVED - Please see Section R under “General Terms and Conditions” in the Public Use Policy. N/A 6. CONTACT INFORMATION: Sarah Salinas ssalinas@hotelcarmichael.com 3176889612 Sarah Salinas / Hotel Carmichael City Carmel State / Province / Region IN Postal / Zip Code 46032 Country USA Street Address 1 Carmichael Square Address Line 2 For-Profit Organization Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/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 Special Event/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. Age Confirmation * Special Event/Facility Use Policy * * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Hotel Carmichael / Sarah Salinas Name of Organization/Applicant Signature of Authorized Agent/Applicant Sarah Salinas - Catering Sales Manager Printed Name and Title (If applicable) 317.688.9612 Phone Number (Required) 1 Carmichael Square Carmel IN 46032 Address of Organization/Applicant 1/21/2025 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 ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ CITY OF CARMEL, INDIANA Information CARTER GREEN SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. FACILITY * Neighborhood Name/Streets to be closed 1. CITY FACILITY REQUESTED: Mark all that apply CARTER GREEN (area between Palladium & James Building) PALLADIUM EAST PATIO (on the Campus of the Center for the Performing Arts) 2. STREET(S) REQUESTED: Include addresses as appropriate 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/23/2025 Yes 01/23/2025 Allied Solutions: Shows on same date. Will close doors to accommodate. Still may conflict. 01/24/2025 Yes, 01/24/2025 UPLOAD MAP Type of Closure: Further Info for type of closure REQUESTS: CITY SERVICES NEEDED: Event Use/Purpose: Description of Event: Event Date Start *Event Date End * If multiple dates, please list 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: 3. SPECIAL REQUESTS: Mark all that apply ELECTRICITY JAMES BUILDING RESTROOMS (CARTER GREEN) *Extra fees apply N/A Other 4. CITY SERVICES NEEDED: Mark all that apply Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other Electrical Access for DJ 5. EVENT DETAILS: Wedding ceremony Provide a brief description of event hotel to provide chairs for wedding ceremony Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 6/20/2025 6/20/2025 Set-Up time * Tear Down End time * Event Start time:* Event End time:* Rehearsal Rehearsal Date: Rehearsal Start Time: Rehearsal End Time: Number of People Expected:* Fees? 2:00:00 PM 7:00:00 PM 5:30:00 PM 6:00:00 PM NA 6/19/2025 4:00:00 PM 5:00:00 PM 15 Will a Fee be charged for this event? If yes, please describe below. YES NO EVENT SET UP: Mark all that apply Stage Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571- 2600) Bounce House N/A Other Hotel Carmichael Name of Merchants(s) doing the setup 6176889612 Phone Number of Merchant(s) doing set up: Vendors Contact Person Email Phone Number: Cell Number: Name/Organization: Address Organization Type:* Residency 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 https://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. VENDORS: Mark all that apply VENDORS PRESENT FOOD SERVED (May be subject to Hamilton County Health Department inspection.) ALCOHOL SERVED - Please see Section R under “General Terms and Conditions” in the Public Use Policy. N/A 6. CONTACT INFORMATION: Sarah Salinas ssalinas@hotelcarmichael.com 3176889612 Hotel Carmichael City Carmel State / Province / Region IN Postal / Zip Code 46032 Country USA Street Address 1 Carmichael Square Address Line 2 For-Profit Organization Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/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 Special Event/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. Age Confirmation * Special Event/Facility Use Policy * * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Hotel Carmichael - Sarah Salinas Name of Organization/Applicant Signature of Authorized Agent/Applicant Sarah Salinas - Catering Sales Manager Printed Name and Title (If applicable) 3176889612 Phone Number (Required) 1 Carmichael Square Carmel IN 46032 Address of Organization/Applicant 1/21/2025 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 ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ CITY OF CARMEL, INDIANA Information CARTER GREEN SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. FACILITY * Neighborhood Name/Streets to be closed 1. CITY FACILITY REQUESTED: Mark all that apply CARTER GREEN (area between Palladium & James Building) PALLADIUM EAST PATIO (on the Campus of the Center for the Performing Arts) 2. STREET(S) REQUESTED: Include addresses as appropriate 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/23/2025 Yes 01/23/2025 Allied Solutions: Shows on same date. Will close doors to accommodate. Still may conflict. 01/24/2025 Yes, 01/24/2025 UPLOAD MAP Type of Closure: Further Info for type of closure REQUESTS: CITY SERVICES NEEDED: Event Use/Purpose: Description of Event: Event Date Start *Event Date End * If multiple dates, please list 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: 3. SPECIAL REQUESTS: Mark all that apply ELECTRICITY JAMES BUILDING RESTROOMS (CARTER GREEN) *Extra fees apply N/A Other 4. CITY SERVICES NEEDED: Mark all that apply Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other Electrical Access for DJ 5. EVENT DETAILS: Wedding Ceremony Provide a brief description of event Hotel to Provide Chairs for Wedding Ceremony Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 6/21/2025 6/21/2025 Set-Up time * Tear Down End time * Event Start time:* Event End time:* Rehearsal Rehearsal Date: Rehearsal Start Time: Rehearsal End Time: Number of People Expected:* Fees? 2:00:00 PM 7:00:00 PM 5:30:00 PM 6:00:00 PM NA 6/20/2025 2:00:00 PM 3:00:00 PM 10 Will a Fee be charged for this event? If yes, please describe below. YES NO EVENT SET UP: Mark all that apply Stage Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571- 2600) Bounce House N/A Other Hotel Carmichael Name of Merchants(s) doing the setup 3176889612 Phone Number of Merchant(s) doing set up: Vendors Contact Person Email Phone Number: Cell Number: Name/Organization: Address Organization Type:* Residency 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 https://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. VENDORS: Mark all that apply VENDORS PRESENT FOOD SERVED (May be subject to Hamilton County Health Department inspection.) ALCOHOL SERVED - Please see Section R under “General Terms and Conditions” in the Public Use Policy. N/A 6. CONTACT INFORMATION: Sarah Salinas ssalinas@hotelcarmichael.com 3176889612 Hotel Carmichael City Carmel State / Province / Region IN Postal / Zip Code 46032 Country USA Street Address 1 Carmichael Square Address Line 2 For-Profit Organization Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/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 Special Event/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. Age Confirmation * Special Event/Facility Use Policy * * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Hotel Carmichael - Sarah Salinas Name of Organization/Applicant Signature of Authorized Agent/Applicant Sarah Salinas - Catering Sales Manager Printed Name and Title (If applicable) 3176889612 Phone Number (Required) 1 Carmichael Square Carmel IN 46032 Address of Organization/Applicant 1/21/2025 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 ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ CITY OF CARMEL, INDIANA Information CARTER GREEN SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. FACILITY * Neighborhood Name/Streets to be closed 1. CITY FACILITY REQUESTED: Mark all that apply CARTER GREEN (area between Palladium & James Building) PALLADIUM EAST PATIO (on the Campus of the Center for the Performing Arts) 2. STREET(S) REQUESTED: Include addresses as appropriate 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/23/2025 Yes 01/23/2025 Yes, 01/24/2025 UPLOAD MAP Type of Closure: Further Info for type of closure REQUESTS: CITY SERVICES NEEDED: Event Use/Purpose: Description of Event: Event Date Start *Event Date End * If multiple dates, please list 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: 3. SPECIAL REQUESTS: Mark all that apply ELECTRICITY JAMES BUILDING RESTROOMS (CARTER GREEN) *Extra fees apply N/A Other 4. CITY SERVICES NEEDED: Mark all that apply Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other Electrical Access for DJ 5. EVENT DETAILS: Wedding Ceremony Provide a brief description of event Hotel to Provide Chairs for ceremony Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 7/26/2025 7/26/2025 Set-Up time * Tear Down End time * Event Start time:* Event End time:* Rehearsal Rehearsal Date: Rehearsal Start Time: Rehearsal End Time: Number of People Expected:* Fees? 2:00:00 PM 7:00:00 PM 5:30:00 PM 6:00:00 PM NA 7/25/2025 4:00:00 PM 5:00:00 PM 10 Will a Fee be charged for this event? If yes, please describe below. YES NO EVENT SET UP: Mark all that apply Stage Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571- 2600) Bounce House N/A Other Hotel Carmichael Name of Merchants(s) doing the setup 3176889612 Phone Number of Merchant(s) doing set up: Vendors Contact Person Email Phone Number: Cell Number: Name/Organization: Address Organization Type:* Residency 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 https://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. VENDORS: Mark all that apply VENDORS PRESENT FOOD SERVED (May be subject to Hamilton County Health Department inspection.) ALCOHOL SERVED - Please see Section R under “General Terms and Conditions” in the Public Use Policy. N/A 6. CONTACT INFORMATION: Sarah Salinas ssalinas@hotelcarmichael.com 3176889612 Hotel Carmichael City Carmel State / Province / Region IN Postal / Zip Code 46032 Country USA Street Address 1 Carmichael Square Address Line 2 For-Profit Organization Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/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 Special Event/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. Age Confirmation * Special Event/Facility Use Policy * * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Hotel Carmichael - Sarah Salinas Name of Organization/Applicant Signature of Authorized Agent/Applicant Sarah Salinas - Catering Sales Manager Printed Name and Title (If applicable) 3176889612 Phone Number (Required) 1 Carmichael Square Carmel IN 46032 Address of Organization/Applicant 1/21/2025 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 ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ CITY OF CARMEL, INDIANA Information CARTER GREEN SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. FACILITY * Neighborhood Name/Streets to be closed 1. CITY FACILITY REQUESTED: Mark all that apply CARTER GREEN (area between Palladium & James Building) PALLADIUM EAST PATIO (on the Campus of the Center for the Performing Arts) 2. STREET(S) REQUESTED: Include addresses as appropriate 1/17/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/23/2025 Yes 01/23/2025 Yes, 01/24/2025 Allied Solutions: Wedding same date. Will close doors to accommodate. Still may conflict. 01/24/2025 UPLOAD MAP Type of Closure: Further Info for type of closure REQUESTS: CITY SERVICES NEEDED: Event Use/Purpose: Description of Event: Event Date Start *Event Date End * If multiple dates, please list 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: 3. SPECIAL REQUESTS: Mark all that apply ELECTRICITY JAMES BUILDING RESTROOMS (CARTER GREEN) *Extra fees apply N/A Other 4. CITY SERVICES NEEDED: Mark all that apply Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other Electrical Access for DJ 5. EVENT DETAILS: Wedding Ceremony Provide a brief description of event Hotel to Provide White padded chairs for a Ceremony and a 6' table for a DJ Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 8/16/2025 8/16/2025 Set-Up time * Tear Down End time * Event Start time:* Event End time:* Rehearsal Rehearsal Date: Rehearsal Start Time: Rehearsal End Time: Number of People Expected:* Fees? 2:00:00 PM 6:00:00 PM 5:00:00 PM 5:30:00 PM NA 8/15/2025 5:00:00 PM 6:00:00 PM 140 Will a Fee be charged for this event? If yes, please describe below. YES NO EVENT SET UP: Mark all that apply Stage Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571- 2600) Bounce House N/A Other Hotel Carmichael Name of Merchants(s) doing the setup 3176889612 Phone Number of Merchant(s) doing set up: Vendors Contact Person Email Phone Number: Cell Number: Name/Organization: Address Organization Type:* Residency 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 https://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. VENDORS: Mark all that apply VENDORS PRESENT FOOD SERVED (May be subject to Hamilton County Health Department inspection.) ALCOHOL SERVED - Please see Section R under “General Terms and Conditions” in the Public Use Policy. N/A 6. CONTACT INFORMATION: Sarah Salinas ssalinas@hotelcarmichael.com 3176889612 Hotel Carmichael City Carmel State / Province / Region IN Postal / Zip Code 46032 Country USA Street Address 1 Carmichael Square Address Line 2 For-Profit Organization Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/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 Special Event/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. Age Confirmation * Special Event/Facility Use Policy * * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Hotel Carmichael / Sarah Salinas Name of Organization/Applicant Signature of Authorized Agent/Applicant Sarah Salinas Catering Sales Manager Printed Name and Title (If applicable) 3176889612 Phone Number (Required) 1 Carmichael Square Address of Organization/Applicant 1/17/2025 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 ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ CITY OF CARMEL, INDIANA Information CARTER GREEN SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. FACILITY * Neighborhood Name/Streets to be closed 1. CITY FACILITY REQUESTED: Mark all that apply CARTER GREEN (area between Palladium & James Building) PALLADIUM EAST PATIO (on the Campus of the Center for the Performing Arts) 2. STREET(S) REQUESTED: Include addresses as appropriate 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/21/2025Yes 01/23/2025 Yes 01/23/2025 Yes 01/24/2025 UPLOAD MAP Type of Closure: Further Info for type of closure REQUESTS: CITY SERVICES NEEDED: Event Use/Purpose: Description of Event: Event Date Start *Event Date End * If multiple dates, please list 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: 3. SPECIAL REQUESTS: Mark all that apply ELECTRICITY JAMES BUILDING RESTROOMS (CARTER GREEN) *Extra fees apply N/A Other 4. CITY SERVICES NEEDED: Mark all that apply Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other Electrical Access for DJ 5. EVENT DETAILS: Wedding Ceremony Provide a brief description of event Hotel to provide chairs for wedding ceremony Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 9/7/2025 9/7/2025 Set-Up time * Tear Down End time * Event Start time:* Event End time:* Rehearsal Rehearsal Date: Rehearsal Start Time: Rehearsal End Time: Number of People Expected:* Fees? 2:00:00 PM 7:00:00 PM 5:30:00 PM 6:00:00 PM NA 9/6/2025 2:00:00 PM 3:00:00 PM 10 Will a Fee be charged for this event? If yes, please describe below. YES NO EVENT SET UP: Mark all that apply Stage Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571- 2600) Bounce House N/A Other Hotel Carmichael Name of Merchants(s) doing the setup 3176889612 Phone Number of Merchant(s) doing set up: Vendors Contact Person Email Phone Number: Cell Number: Name/Organization: Address Organization Type:* Residency 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 https://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. VENDORS: Mark all that apply VENDORS PRESENT FOOD SERVED (May be subject to Hamilton County Health Department inspection.) ALCOHOL SERVED - Please see Section R under “General Terms and Conditions” in the Public Use Policy. N/A 6. CONTACT INFORMATION: Sarah Salinas ssalinas@hotelcarmichael.com 3176889612 Hotel Carmichael City Carmel State / Province / Region IN Postal / Zip Code 46032 Country USA Street Address 1 Carmichael Square Address Line 2 For-Profit Organization Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/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 Special Event/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. Age Confirmation * Special Event/Facility Use Policy * * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Hotel Carmichael - Sarah Salinas Name of Organization/Applicant Signature of Authorized Agent/Applicant Sarah Salinas - Catering Sales Manager Printed Name and Title (If applicable) 3176889612 Phone Number (Required) 1 Carmichael Square Carmel IN 46032 Address of Organization/Applicant 1/21/2025 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 ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ CITY OF CARMEL, INDIANA Information CARTER GREEN SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. FACILITY * Neighborhood Name/Streets to be closed 1. CITY FACILITY REQUESTED: Mark all that apply CARTER GREEN (area between Palladium & James Building) PALLADIUM EAST PATIO (on the Campus of the Center for the Performing Arts) 2. STREET(S) REQUESTED: Include addresses as appropriate 01/14/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/23/2025 Yes 01/23/2025 Yes 01/24/2025 UPLOAD MAP Type of Closure: Further Info for type of closure REQUESTS: CITY SERVICES NEEDED: Event Use/Purpose: Description of Event: Event Date Start *Event Date End * 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: 3. SPECIAL REQUESTS: Mark all that apply ELECTRICITY JAMES BUILDING RESTROOMS (CARTER GREEN) *Extra fees apply N/A Other Tent outside Palladium steps 4. CITY SERVICES NEEDED: Mark all that apply Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other 5. EVENT DETAILS: ASCPA Annual Gala tent and parking on Carter Green Provide a brief description of event Allied Solutions Center for the Performing Arts holds their annual Gala in September each year. They will install a registration tent on Friday near the South steps, and will use Carter Green for parking. The tent will come down on Monday. Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 9/19/2025 9/22/2025 If multiple dates, please list Set-Up time * Tear Down End time * Event Start time:* Event End time:* Rehearsal Number of People Expected:* Fees? Fees (cont'd) Tent set up - Friday Gala - Saturday Tent Tear Down - Monday 10:00:00 AM 5:00:00 PM 4:00:00 PM 12:00:00 AM NA 400 Will a Fee be charged for this event? If yes, please describe below. YES NO Purpose of fee Table reservation EVENT SET UP: Mark all that apply Stage Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. 20x40 Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571- 2600) Bounce House N/A Other A Classic Name of Merchants(s) doing the setup 3172517368 Phone Number of Merchant(s) doing set up: Vendors Contact Person Email Phone Number: Cell Number: Name/Organization: Address Organization Type:* Residency 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 https://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. VENDORS: Mark all that apply VENDORS PRESENT FOOD SERVED (May be subject to Hamilton County Health Department inspection.) ALCOHOL SERVED - Please see Section R under “General Terms and Conditions” in the Public Use Policy. N/A 6. CONTACT INFORMATION: Nicole Chernish nchernish@thecenterpresents.org 3178213520 3172898226 Allied Solutions Center for the Performing Arts City Carmel State / Province / Region IN Postal / Zip Code 46032 Country USA Street Address 1 Carter Green Address Line 2 Non-Profit Organization Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/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 Special Event/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. Age Confirmation * Special Event/Facility Use Policy * * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Allied Solutions Center for the Performing Arts Name of Organization/Applicant Signature of Authorized Agent/Applicant Nicole Chernish, Event Manager Printed Name and Title (If applicable) 317-821-3520 Phone Number (Required) 1 Carter Green Carmel, IN 46032 Address of Organization/Applicant 1/14/2025 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 ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ CITY OF CARMEL, INDIANA Information CARTER GREEN SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. FACILITY * Neighborhood Name/Streets to be closed 1. CITY FACILITY REQUESTED: Mark all that apply CARTER GREEN (area between Palladium & James Building) PALLADIUM EAST PATIO (on the Campus of the Center for the Performing Arts) 2. STREET(S) REQUESTED: Include addresses as appropriate 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/21/2025 Yes 01/23/2025 Yes 01/23/2025 Yes 01/24/2025 UPLOAD MAP Type of Closure: Further Info for type of closure REQUESTS: CITY SERVICES NEEDED: Event Use/Purpose: Description of Event: Event Date Start *Event Date End * If multiple dates, please list 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: 3. SPECIAL REQUESTS: Mark all that apply ELECTRICITY JAMES BUILDING RESTROOMS (CARTER GREEN) *Extra fees apply N/A Other 4. CITY SERVICES NEEDED: Mark all that apply Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other Electrical Access for DJ 5. EVENT DETAILS: Wedding Ceremony Provide a brief description of event Hotel to Provide Chairs for Ceremony Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 9/27/2025 9/27/2025 Set-Up time * Tear Down End time * Event Start time:* Event End time:* Rehearsal Rehearsal Date: Rehearsal Start Time: Rehearsal End Time: Number of People Expected:* Fees? 2:00:00 PM 7:00:00 PM 5:30:00 PM 6:00:00 PM NA 9/26/2025 4:00:00 PM 5:00:00 PM 10 Will a Fee be charged for this event? If yes, please describe below. YES NO EVENT SET UP: Mark all that apply Stage Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571- 2600) Bounce House N/A Other Hotel Carmichael Name of Merchants(s) doing the setup 3176889612 Phone Number of Merchant(s) doing set up: Vendors Contact Person Email Phone Number: Cell Number: Name/Organization: Address Organization Type:* Residency 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 https://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. VENDORS: Mark all that apply VENDORS PRESENT FOOD SERVED (May be subject to Hamilton County Health Department inspection.) ALCOHOL SERVED - Please see Section R under “General Terms and Conditions” in the Public Use Policy. N/A 6. CONTACT INFORMATION: Sarah Salinas ssalinas@hotelcarmichael.com 3176889612 Hotel Carmichael City Carmel State / Province / Region IN Postal / Zip Code 46032 Country USA Street Address 1 Carmichael Square Address Line 2 For-Profit Organization Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/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 Special Event/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. Age Confirmation * Special Event/Facility Use Policy * * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Hotel Carmichael - Sarah Salinas Name of Organization/Applicant Signature of Authorized Agent/Applicant Sarah Salinas - Catering Sales Manager Printed Name and Title (If applicable) 3176889612 Phone Number (Required) 1 Carmichael Square Carmel IN 46032 Address of Organization/Applicant 1/21/2025 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 ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ City ofCarmel BOARD OF PUBLIC WORKS & SAFETY ACCEPTANCE OF DEDICATION & DEED OF PUBLIC RIGHTS-OF-WAY WHEREAS, theforegoing Grantor having filed with theCity ofCarmel, Indiana, an Indiana municipal corporation ("City"), its Dedication and Deed of Public Rights-of-Way ofcertain real property Property") tothe City forthe purpose ofestablishing City rights-of-way; WHEREAS, the City believes that said fee simple conveyance of the Property isdesirable, necessary and inthe City'sbest interests; and NOW THEREFORE, the City, by and through its Board ofPublic Works and Safety, hereby accepts said Dedication and Deed, and orders that the Dedication and Deed ofPublic Rights-of-Way described herein be recorded inthe Recorder'sOffice ofHamilton County, Indiana, and that the Property be, and the same hereby is, declared open and dedicated tothe City. SO ORDERED: CITY OF CARMEL BOARD OF PUBLIC WORKS & SAFETY Laura Campbell, Presiding Officer Date: James Barlow, Member Date: Alan Potasnik, Member Date: ATTEST: Jacob Quinn, Clerk Date: 3