HomeMy WebLinkAboutBPW Paperless Packet 10-01-25Board of Public Works and Safety
Meeting Agenda
Wednesday, October 1, 2025 – 10:00 a.m. Council Chambers, City Hall, One Civic Square
MEETING CALLED TO ORDER
1. MINUTES
a. Minutes for September 17, 2025, Regular Meeting
2.CONTRACTS
a. Request for Agreement of Services; Digitech Computer, LLC; EMS Billing
Services; Chief Joel Thacker, Carmel Fire Department
b. Request for Purchase of Goods and Services; PennCare, Inc.; ($273,530.00);
Re-Chassis Ambulance 345; Additional Services Amendment; Chief Joel
Thacker, Carmel Fire Department
c. Request for Software License and Support Agreement; Avolve Software
Corporation; ($93,204.00); ProjectDox Software; Additional Services
Amendment; Mike Hollibaugh, Director of Department of Community Services
d. Request for Professional Services; CrossRoad Engineers, P.C.; ($78,000.00);
24-ENG-07 106th and Towne; Additional Services Amendment #1; Brad Pease,
Director of Engineering
e. Request for Addendum to Extend the Agreement for Additional Period;
Sedgwick Claims Management Services, Inc.; OSHA Recordkeeping Services;
Nicole Murphy, Director of Human Resources
f. Request for Purchase of Goods and Services; Azteca Systems, Inc.;
($188,409.31); Cityworks Renewal; Additional Services Amendment; Kevin
Cusimano, Director of Information Communications Services
g. Request for Purchase of Goods and Services; Insight Public Sector, Inc.;
($51,840.00); Vmware vSphere Renewal; Additional Services Amendment;
Kevin Cusimano, Director of Information Communications Services
h. Request for Purchase of Goods and Services; Advanced Security
Technologies, LLC; ($370,138.00); Mobile Barricades and Modular Vehicle
Barrier System; Matt Higginbotham, Street Commissioner
i. Request for Purchase of Goods and Services; Howard Company;
($1,370,633.36); 25-STR-02 Paving Program; CO#1 Matt Higginbotham, Street
Commissioner
Board of Public Works Members:
Laura Campbell, Presiding Officer
Appointed by Mayor Finkam Term January 17, 2024, Until a Successor is Appointed Alan Potasnik Appointed by Mayor Finkam Term January 17, 2024, Until a Successor is Appointed James Barlow Appointed by Mayor Finkam Term August 27, 2025, Until a Successor is Appointed Next Meeting: October 15, 2025
3. REQUEST TO USE CITY STREETS/PROPERTY
a. Request to Use Midtown Plaza; Special Request to Use Electricity; Asia Cup
Cricket Screening; September 28, 2025; 9:00 AM to 6:00 PM; Feroz Syed,
CricIndy
b. Request to Midtown Plaza and Use/Close City Streets; Window Cling
Removal; October 14, 2025; 8:00 AM to 5:00 PM; Kenna Dishmond, City of
Carmel
c. Request to Use Civic Square Fountain Area and Use City Streets; Special
Request to Use Electricity; 2025 City of Carmel Holiday Trolley; November 21,
22, 28, 29, December 5, 6, 12, 13, 19, and 20, 2025; 8:00 AM to 9:00 PM; Tierra
Bush, City of Carmel
4. OTHER a. Request for Aerial Waiver of BPW Resolution NO. 04-28-17-01; Replacement of
3 Utility Poles; Duke Energy
b. Request for Aerial Waiver of BPW Resolution NO. 04-28-17-01; Various
Locations; Crown Castle
5 ADD-ONS 6. ADJOURNMENT
Board of Public Works Members:
Laura Campbell, Presiding Officer Appointed by Mayor Finkam Term January 17, 2024, Until a Successor is Appointed Alan Potasnik Appointed by Mayor Finkam Term January 17, 2024, Until a Successor is Appointed James Barlow
Appointed by Mayor Finkam Term August 27, 2025, Until a Successor is Appointed
Next Meeting: October 15, 2025
Board of Public Works and Safety 1
Meeting Minutes 2
Wednesday, September 17, 2025 – 10:00 a.m. 3 Council Chambers, City Hall, One Civic Square 4
5
MEETING CALLED TO ORDER 6
Board Member Campbell called the meeting to order at 10:00 AM 7
MEMBERS PRESENT 8
9
Board Members Laura Campbell, Jim Barlow, and Alan Potasnik, City Clerk Jacob Quinn, and 10
Deputy Clerk Jessica Dieckman were present. 11
MINUTES 12
Minutes for August September 03, 2025, Regular Meeting. Board Member Barlow moved to 13
approve. Board Member Potasnik seconded. Minutes approved 3-0. 14
BID OPENINGS AND AWARDS 15
Quote Award for Carmel School Zone Signage Installation; Jarrod Huff, Engineering 16
Department, recommended awarding the bid to Morphey Construction, Inc., $103,000.00, as 17
they were the lowest quote and most responsive. Board Member Potasnik moved to approve. 18
Board Member Barlow seconded. Bid approved 3-0. 19
CONTRACTS 20
Request for Emergency Medical Services Clinical Affiliation Agreement; Carmel Clay Schools; 21
Emergency Medical Services; Board Member Potasnik moved to approve. Board Member Barlow 22
seconded. Request approved 3-0 23
Request for Professional Services; CrossRoad Engineers, P.C.; ($189,000.00); 136th Street Trail 24
Connections; Additional Services Amendment #3; Board Member Potasnik moved to approve. 25
Board Member Barlow seconded. Request approved 3-0 26
Request for Purchase of Goods and Services; Morphey Construction, Inc.; ($103,000.00); Carmel 27
School Zone Signage Installation; Board Member Barlow moved to approve. Board Member 28
Potasnik seconded. Request approved 3-0 29
30 31
Request for Purchase of Goods and Services; E&B Paving LLC; ($155,387.12); 22-ENG-06 32 Pennsylvania Street Roundabouts Intersection Improvements; CO #1; Board Member Barlow 33
moved to approve. Board Member Potasnik seconded. Request approved 3-0 34
35
Request for Purchase of Goods and Services; Cultivate Geospatial Solutions, LLC;($55,000.00); 36 Vehicle Maintenance Software Integration; Board Member Potasnik moved to approve. Board 37 Member Barlow seconded. Request approved 3-0 38
39
Request for Purchase of Goods and Services; Tom Wood Ford; ($624,945.00); Fleet of Vehicles; 40
Board Member Barlow moved to approve. Board Member Potasnik seconded. Request approved 41 3-0 42 REQUEST TO USE CITY STREETS/PROPERTY 43
44
Request to Carter Green and Use/Close City Streets; (Amendment to Approved Application; 45
Originally Approved 11-06-24); Special Request to Use Electricity and James Building 46
Restrooms; Secret Families of Hamilton County Festival; September 21, 2025; 8:00 AM to 6:00 47
PM; Board Member Potasnik moved to approve. Board Member Barlow seconded. Request 48
approved 3-0 49
Request to Use Civic Square Gazebo and Lawn and Use/Close City Streets; Special Request to 50
Use Electricity and Fountain Restrooms; Indiana Jewish Festival; August 30, 2026; 8:00 AM to 51
6:00 PM; Board Member Potasnik moved to approve. Board Member Barlow seconded. Request 52
approved 3-0 53
Request to Use City Streets; 13th Annual Boo’n Brew Fall Festival; October 18, 2025; 7:00 AM to 54
9:00 PM; Board Member Potasnik moved to approve. Board Member Barlow seconded. Request 55
approved 3-0 56
Request to Reserve Parking Spots; KBSO Consulting Event; October 30, 2025; 9:00 AM to 7:00 57
PM; Board Member Potasnik moved to approve. Board Member Barlow seconded. Request 58
approved 3-0 59
OTHER 60
61
Request for Consent to Encroach; 13727 Smokey Ridge Drive; Board Member Potasnik moved to 62
approve. Board Member Barlow seconded. Request approved 3-0 63
Request for Consent to Encroach; 695 1st Avenue SE; Board Member Barlow moved to approve. 64
Board Member Potasnik seconded. Request approved 3-0 65
66
67
Request for Stormwater Quality Management Easement; 331 W Main Street; Board Member 68
Barlow moved to approve. Board Member Potasnik seconded. Request approved 3-0 69
ADD-ONS 70
71
ADJOURNMENT 72
Chairwomen Campbell adjourned the meeting at 10:08 AM. 73
74 75
APPROVED: ____________________________________ 76
Jacob Quinn – City Clerk 77 78 79 _____________________________________ 80
Chairwoman Laura Campbell 81
82 83 ATTEST: 84
__________________________________ 85
Jacob Quinn – City Clerk 86 87
PennCare, Inc. Fire Department - 2025 Appropriation #1120 44-650.03 Capital Lease Fund; P.O. #118117 Contract Not To Exceed $273,530.00
ADDITIONAL SERVICES AMENDMENT TO AGREEMENT FOR GOODS AND SERVICES This ADDITIONAL SERVICES AMENDMENT TO AGREEMENT FOR GOODS AND SERVICES (“Additional
Services Amendment”) shall amend the terms of the Agreement for Purchase of Goods and Services entered into by
and between the City of Carmel, Indiana, acting by and through its Board of Public Works and Safety (“City”), and
PennCare, Inc. (the “Vendor”) as City Contract dated October 2, 2019 (the “Agreement”) by adding the additional
services to be provided by Vendor consistent with the Scope of Work attached hereto and incorporated herein as
Exhibit “A”. The terms and conditions of the Agreement shall not otherwise be affected by this Additional Services
Amendment and shall remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have made and executed this Additional Services Amendment as follows: CITY OF CARMEL, INDIANA PennCare, Inc. by and through its Board of Public Works and Safety By: By: Laura Campbell, Presiding Officer Authorized Signature Date: Printed Name James Barlow, Member Date: Title Alan Potasnik, Member FID/TIN: Date: ATTEST: Date: Jacob Quinn, Clerk Date:
Remount Proposal
For: Carmel Fire Department Unit 345
Date: August 4, 2025
Thank you for allowing us to participate in the refurbishment of your Braun
Ambulance. We are extremely pleased to have this opportunity to partner with you
in this project and further solidify the relationship between Penn Care, Inc., SIV
Ambulance and the Carmel Fire Department.
Included is a complete list of the requested work along with any notes we’ve made
to help clarify any of the items.
Final Purchase Price does not include any applicable tax………$ 273,530.00
Pre-payment:
A pre-payment of $ 60,000 will need to be made to Penn Care, Inc. before
starting the remount
Optional Pricing, not included in the above proposal.
•SIV to come out to Carmel and transport your ambulance back to SIV
Ambulance, $ 2,500.
•Penn Care to deliver the completed unit back to your facility, $ 2,500
Ready to Start 30-45 days after signed purchase agreement and pre-payment
with production time being approximately 90-120 days.
Customer will be responsible to deliver remount to SIV ambulances.
FOB: Langhorne, PA
Changes or additions to the vehicle may be made before manufacturing begins, with
the appropriate charges or credits applied to the aforementioned price. Penn Care,
Exhibit A Page 1 of 12
Inc. will honor this proposal for thirty (30) days. Please feel free to give me a call at
765-425-5920 if any further information is needed.
Sincerely,
Tony Crum
Sales Representative
Penn Care, Inc.
Exhibit A Page 2 of 12
Page | 1
Remount Specifications and Scope of Work
Job Name: Carmel Unit 345
Chassis Description
2025 Ford F550
18000 GVWR
4x4
193” Wheel Base
108” CA
7.3L Gas Engine
4.88 Limited Slip Differential
XLT Trim Regular Cab
10 Speed Transmission
50 State Emissions
Vinyl Rubber Cab Floor
Ambulance Prep Package
Heavy Duty 410 Amp Alternator
Power Windows
Power Mirrors
AM/FM Radio
40 Gallon Fuel Tank
Message Center
Cruise Control
Keyless Alarm
Exterior Upgrade Package
Interior Upgrade Package
Suspension
New Liquid Spring Rear
***Liquid Spring Suspension dump function will operate as currently programmed in the electrical system unless
specified otherwise
Module Description
Braun
Module Change Over
Type I to Type I
Mounting Per QVM Guidelines
New Grade 8 Fasteners Torqued to QVM Guidelines
New OEM Rubber Body Mount Bushings
2400 Big Oak Rd, Langhorne PA 19047
Office 215-970-5007 Email sales@sivambulances.com Website www.sivambulances.com
Exhibit A Page 3 of 12
Page | 2
Other
All components removed will be packaged and returned to customer
Body and Paint
Module Welding and Fabrication
Weld in Def holes and Opening
Cab Welding and Fabrication
Fabricate, Install Rear Aluminum Panel for Type 1 Pass Through Window Opening
Module
Remove all Graphics and Glue Residue
Remove Exterior Lighting
Remove Fenderettes, Rub Rails, Drip Rails, Rear Door Grabbers, Cowel Vents, and Bump Stops
Remove All Exterior Doors, Panels, Retentions, Gaskets, Windows, Paddle Handles, Latches, Strikers, Hinges
Remove Entry Door Stainless Steel Door Thresholds
Remove Exterior Compartment Door Stainless Steel Door Thresholds
Remove Exterior Windows
Disconnect All Electrical to Entry and Exterior Compartment Doors
Degrease Entire Module including door jambs
Corrosion Repair and Body Work
Apply CRE Epoxy Primer and Sand
Apply 3M Epoxy Seam Sealer and Sand
Apply 2k High Build Primer and Sand
Apply Epoxy Sealer
***Reference Current Unit for Paint Scheme
***100% Color Match is not guaranteed, SIV will do its best to get the closest color match possible
***SIV will use its discretion in choosing the placement of the break line
Apply Base Coat 1 Color
***Color Match Red
Apply Base Coat 2 Color
***Module to be painted above break line
***Color Black
***Roof will not be Painted
Apply Clear Coat
Wet Sand, Buff, Polish
2400 Big Oak Rd, Langhorne PA 19047
Office 215-970-5007 Email sales@sivambulances.com Website www.sivambulances.com
Exhibit A Page 4 of 12
Page | 3
Chassis Cab
Remove bumper, headlights, grille, hood, mirrors, doors, door gaskets, door handles
Cab to be Sanded and Prepped Including Door Jambs
Apply Epoxy Sealer
***Reference Current Unit for Paint Scheme
***100% Color Match is not guaranteed, SIV will do its best to get the closest color match possible
***SIV will use its discretion in choosing the placement of the break line
Apply Base Coat 1 Color
***Cab Type I
***Cab to be painted below the break line
***Color Match Red
Apply Base Coat 2 Color
***Cab to be painted above break line
***Outside Hood and Hinges to be painted
***Underside of the hood will be left White
***Rear Panel to be Painted
***Color Black
Apply Clear Coat
Wet Sand, Buff, Polish
Corrosion Protection
If applicable:
Module shall have nylon inserts installed at all exterior lighting mounting holes
Module shall have nylon inserts installed at all other component mounting holes where possible
Eck Corrosion Protection applied to all exterior fasteners where nylon inserts can not be installed
Eck Corrosion Protection applied behind Stainless Spillway to prevent dissimilar metal corrosion
Corrosion Protection Barrier Tape applied between module and stainless door hinges
ADP and Stainless Components shall have industrial silicone applied between Module body and seams
Bedliner
Apply Bedliner ***Color Medium Gray
***Exterior Compartments and ADP Panels
Chassis Cab
Install bumper, headlights, grille, hood, mirrors, doors, door gaskets, door handles
New ADP Running Boards Type 1 with Grip Strut
New Mud Flaps
New Fuel Fill Per QVM Guidelines
New Exhaust Extension
New Stainless Wheel Simulators Type 1
New Tire Valve Stem Extensions
New Tireview Monitoring System
2400 Big Oak Rd, Langhorne PA 19047
Office 215-970-5007 Email sales@sivambulances.com Website www.sivambulances.com
Exhibit A Page 5 of 12
Page | 4
Chassis Cab Interior
New Cab to Module Upholstery
New Cab to Module Accordion Gasket Type 1
Center Console
New Type 1 Black Bedlinered Center Console with 2 Cup Holders and Storage Compartment
Module Exterior
New Aluminum Rear Bumper with Grip Strut Flip Step
New ADP Rear Bumper Caps
New ADP Corner Guards
New ADP Front Splash Guards
New ADP Rear Kick Panel
New Rubber Rub Rails
New Rubber Fenderettes
New Aluminum Drip Rails
New Rear Door Grabbers
New Chrome Cowels Vents
New Fuel Fill Housing with Stainless Spillway
Module Entry Doors
Transfer Entry doors and Adjust for proper operation
Transfer Entry Door Panels
Transfer Entry Door Grab Bars
Adjust Door Hardware
Lubricate Door Hardware
Clean and Polish Entry Door Hinges
New Exterior Paddle Handles Eberhard
New Interior Paddle Handle and Bezel
New Striker/Nader Pins
New Rotary Latches and Rod Clips
New Door Gas Springs
Transfer Windows
New Window Gaskets
New Braun EZ Glide Curbside Door Roller Kit
2400 Big Oak Rd, Langhorne PA 19047
Office 215-970-5007 Email sales@sivambulances.com Website www.sivambulances.com
Exhibit A Page 6 of 12
Page | 5
Module Exterior Compartments/Doors
Transfer Compartmet doors and Adjust for proper operation
Transfer Compartment Interior Door Panels
Adjust Door Hardware
Lubricate Door Hardware
Clean Entry Door Hinges
New Door Gasket
New Exterior Paddle Handles Eberhard
New Striker/Nader Pins
New Rotary Latches and Rod Clips
New Door Gas Springs
New Stainless Steel Door Thresholds
Transfer DriDek Liners
Audible
New (2) SIV 100 Watt Siren Speakers
***Speakers mounted behind the grille
New Whelen Howler System
***(2) Howler Brackets
***(2) Howler Siren Speakers
***(1) Howler Module
New Buell Air Horn System
***Standard Duty Air Compressor
***Air Tank
***(2) Buell Air Horns
***Air Lines and Fittings
***Horns will not be mounted in plastic valance through the lower bumper
Audible Center Console
New Whelen 295SLSA1 Siren
Camera System
New RVS Camera System
***(1) 7” Rear View Mirror Monitor
***(1) Back Up Camera
***(1) Harness
***Back up camera will be wired to OEM Display in Dash
2400 Big Oak Rd, Langhorne PA 19047
Office 215-970-5007 Email sales@sivambulances.com Website www.sivambulances.com
Exhibit A Page 7 of 12
Page | 6
Electrical
All Pass Throughs shall have edge banding or plastic snap in grommets to protect wires from chafing
All Pass Throughs shall be sealed with Industrial Grade Sealant
Chassis Cab Electrical
New Cab to Module Tie in Wiring Harness
New Siren Speaker Wiring Harness
New Hidden Emergency Unlock Switch at Grille
New Back Up Alarm
New High Idle and or High Idle Programming
Center Console Electrical
Transfer Vista Display Control Panel
Transfer Air Horn Switch
***At Center Console
Transfer Momentary Howler Switch
***At Center Console
Transfer Med Radios and Antennas
Transfer Med Radio Speakers
***Mount Speakers at a High Enough Area in the Cab where they will be heard
Transfer Tablet Mount
***Customer will be notified During production if it is determined that the mount cannot be transferred.
Transfer Intercom
Module Electrical
New Battery Cables
New Battery Terminals/Lugs as needed
New Terminal Blocks as needed
New Terminal Posts as needed
New Relays, Circuit Breakers, Fuses, Connectors, as needed
Grounds Corrosion Protected Undercoated
New Kussmaul 120 Volt 20 Amp Auto Eject Shoreline
New Kussmaul Auto Eject Cover
New Vanner 1100 Watt Model Lifesine Pure Sinewave Inverter/Charger
Ambulance to have a total of 2 Batteries, (2) Engine Bay and (0) at the battery compartment
Wire in Module Electronic Lock/Unlock Circuit to Cab
Replace defective magnetic door switches
Service and replace electrical components as needed to operational condition (relays, fuses, diodes, solenoids)
*** Does Not Include Replacement of faulty Circuit Boards, Modules, Switches, or VMUX Nodes
Test All Electrical
2400 Big Oak Rd, Langhorne PA 19047
Office 215-970-5007 Email sales@sivambulances.com Website www.sivambulances.com
Exhibit A Page 8 of 12
Page | 7
Lighting Emergency
Lighting Emergnecy Electrical Functions
Primary/Secondary Function
***Same as programmed on current unit
Opticom wired To Activate the same as existing
Cab Grille Intersection Flashers
New (2) Whelen M2 LED Red Flasher Clear Lens
New (2) Whelen M2 LED White Flasher Clear Lens
New (4) Whelen M2 Chrome Trim and Gasket
***Grille Lights to flash in the same Pattern as currently programmed
Cab Fender Intersection Flashers
New (2) Whelen M7 LED Red Flasher with Clear Lens
New (2) Whelen M7 Chrome Flange and Gasket
Module Front Wall
Front Layout:
***Red, White, Red, Opticom, Red, White, Red
New (4) Whelen M9 LED Red Flasher Clear Lens
New (2) Whelen M9 LED White Flasher Clear Lens
New (6) Whelen M9 Chrome Flange and Gasket
New Opticom
Tomar Model T792HL-R Strobe
700 Series Chrome Trim and Gasket
Module Rear Wall
Rear Layout Top:
***Red, Scene, Amber, Scene, Red
Rear Layout Mid:
***Red, Red
New (2) Whelen M9 LED Red Flasher Clear Lens
New (2) Whelen M9 LED Scene
New (1) Whelen M9 LED Amber Flasher Clear Lens
New (2) Whelen M9 LED Red Flasher Clear Lens Mid
New (7) Whelen M9 Chrome Flange and Gasket
2400 Big Oak Rd, Langhorne PA 19047
Office 215-970-5007 Email sales@sivambulances.com Website www.sivambulances.com
Exhibit A Page 9 of 12
Page | 8
Module Sides
New (4) Whelen M9 LED Red Flasher Clear Lens
New (4) Whelen M9 LED Scene
New (8) Whelen M9 Chrome Flange and Gasket
New (2) Whelen M6 LED Red Flasher Clear Lens
New (2) Whelen M6 Chrome Flange and Gasket
Lighting DOT
Marker Lights
New (5) LED Marker Lights Amber Clear Lens
New (7) LED Marker Lights Red Clear Lens
Brake Tail Turn Reverse Lights
New (2) Whelen M6 LED Brake Clear Lens
New (2) Whelen M6 LED Turn Clear Lens
New (2) Whelen M6 LED Back Up Clear Lens
New (6) Whelen M6 Chrome Flange and Gasket
License Plate Lights
New LED License Plate Light
Lighting Exterior Compartments
Lights to be left as is
Lighting Interior
Fluorescent Style LED lights to be left as is
New (8) LED Dome Lights
All other lights to be left as is
Module Interior
Replace rusty or discolored screws
Cover all Misc Holes
New Captains Chair with Child Seat
***With 4 Point Belt
***Will not be the same Style as Existing
New Captains Chair Swivel Base
New (1) Vinyl Bench Seat Bottom Cushion Double Size
New Vinyl CPR Seat Bolsters
New (3) Vinyl Buttons
***Behind Captain's Chair
2400 Big Oak Rd, Langhorne PA 19047
Office 215-970-5007 Email sales@sivambulances.com Website www.sivambulances.com
Exhibit A Page 10 of 12
Page | 9
02, Medical Air, Suction
Nitrogen Leak Test O2 System
Repair any Leaks
***If O2 Outlets internally leak, additional quote for replacement will be provided
***If O2 Hose leaks behind walls or ceiling that is not easy accessible, additional quote for repair will be provided
A/C & Heat
New 12 Volt A/C & Heat System
New Evaporator with 3 speed Blower
New Dryer
New Expansion Valve
***Rear AC will only work when front Cab AC is on
Auxiliary Condenser
Transfer A/C Auxiliary Condenser Housing
New A/C Auxiliary Condenser Coil at Front Wall of Module
New A/C Auxilary Condenser A/C Hoses and Fittings
Prep and Paint A/C Auxiliary Condenser Housing ***Color Match Red
Thermostat
No Thermostat, Heat/AC Operation will be controlled by Multiplex Control Panel
Fittings/Hoses/Valves/Testing
New High and Low Pressure AC hoses
New Heat Coolant Hoses
New Heat Electric Coolant Valves
New Heat Coolant Booster Pump Type 1
New Fittings and Hardware
Nitrogen Leak Test and Charge A/C System
Performance Test A/C & Heat System for Proper Operation
Stretcher Retention
Replace Stryker Power Load
***Customer Supplied
Graphics
All Graphics to be installed by customer
***Can Be Added Per Customer Spec as Additional Option
2400 Big Oak Rd, Langhorne PA 19047
Office 215-970-5007 Email sales@sivambulances.com Website www.sivambulances.com
Exhibit A Page 11 of 12
Page | 10
Underbody
New Braided Ground Straps
Apply Rubberized undercoating as needed
Dismount and Inspect all Surfaces and Framing for cracks and excessive wear
No Wiring Attached to Fuel Lines, AC Lines, Brake Lines, Per QVM
Watertight Electrical Connectors
Heat Shielding Protection Installed As Needed for HVAC Lines and Electrical Wiring/Cabling
Chassis Frame Rails if shortened to be Epoxy Coated for corrosion protection
All Grounds on Frame Shall be undercoated for corrosion protection
All Pass Throughs shall have edge banding or plastic snap in grommets to protect wires from chafing
All Pass Through shall be sealed with Industrial Grade Sealant
Detailing
Full Cleaning Interior and Exterior
Touch Ups
Pre-Delivery
Full Tank of Fuel
Key for Exterior Doors and Compartments Attached to vehicle key ring
Underbody Inspection Per QVM
Road Test Per Ford QVM
Water Test Cab to Box Seal and Compartments Per QVM
4 Corner Weight Analysis Test Per QVM
02 System Leak Test per AMD
Electrical Draw Test Per AMD
A/C Fill Sticker Under Hood
Fuel Type Decal Above Fuel Housing
FMVSS Certification Decal
KKK-1822 Certification Decal
Fuel Type/Def Decals
No Smoking Decal Cab
No Smoking Decal Rear Action Area
Full QC Inspection of all Components
2400 Big Oak Rd, Langhorne PA 19047
Office 215-970-5007 Email sales@sivambulances.com Website www.sivambulances.com
Exhibit A Page 12 of 12
8/7/2025
PENN CARE INC.
NILES, OH 44446 -
118117
1317 NORTH 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
Re-Chassis Ambulance 345
Carmel Fire Department
210 Veterans Way
Carmel, IN 46032-
368918
UNIT PRICEDESCRIPTIONUNIT OF MEASUREQUANTITY
Page 1 of 1
103624
1120Department:0Fund:Capital Lease Fund
44-650.03Account:
Refurbish - Re-Chassis Ambulance Per Attached1 $273,530.00 $273,530.00Each
$273,530.00Sub Total
$273,530.00
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. 118117
ORDERED BY
TITLE
Carmel Fire Department
2 Civic Square
Carmel, IN 46032-
Denise Snyder Zac Jackson
Accreditation/Budget Administrator CFO
CzTfshfzHsfdivlijobu21;44bn-Tfq28-3136
Carmel, IN
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Telephone:
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QuoteDelivered To:
Alexia LopezOne Civic Square Carmel, IN
3rd FloorPlanningAdministrator Dated: 8/19/2025
Carmel, Indianaalopez@carmel.in.gov Expiration Date:
46032
Term: 10/25/2025 -10/24/2025
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Maximum 2environments
SaaS Additional 1Incremental Best-In-
ProjectFlowSOFT-SaaS-PF3.4Class ProjectFlow for SaaS 12.00$267.00$3,204.00
WorkflowTier 3 and 4
Software asaService
SaaS) forProjectDox on
Production andTest
Environments.
SOFT-SAAS4- SaaS PDox Tier 4Software included for 12.00$7,000.00$84,000.00PDOXProduction & Test:
ProjectDox Software
Subscription
1BIC ProjectFlow
Permit Integration
The Production system can
support:
Maximum of50
concurrent users
1Terabyte ofcontent
Test Environment is50%
capacity ofthe Production
Environment
Avolve Hosting Security
Compliance Includes:
SOC 2Audited
SSAE 18
100% Network Uptime
99.95% Hardware Uptime
Production Environment
Security Restrictions:
No direct OSand
hardware configuration
No direct custom SSRS
report creation
Project Creator Service
installed on customer site
for 3rd party integration
NoVPN access
Subtotal SaaS :$93,204.00
100% ofSaaSandSubscriptions shallbeinvoicedupon SaaS:$93,204.00
execution ofAgreement. Services willbebilledmonthly ona
TimeandMaterial Basis. Payment fortheremaining amountis TotalYear OneSolutionduenetthirtydays (30) from invoiceafter workhasoccurred. 93,204.00Cost: Payment viaEFT. Travel andExpenses arenot included in
thistotalandwillbeinvoiced asincurred.
COMPANY SIGNATURE: _________________________________________\\s1\\
DATE: \\
CUSTOMER SIGNATURE: ______________________________________________________
ZacJackson, Carmel CFO
DATE:\\August20, 2025
9/3/2025
AVOLVE SOFTWARE
SUITE 1630-503
PHOENIX, AZ 85050 -
118223
21001 N TATUM BLVD
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
Yearly Renewal for ProjetDox - Engr/DOCS split $93,204.00
City Engineering's Office
1 Civic Square
Carmel, IN 46032-
370234
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
Laurie Slick
104301
2200Department:2200Fund:Motor Vehicle Highway
43-515.02Account:
ProjectDox Subscription - Engineering / DOCS1 $46,602.00 $46,602.00Each
46,602.00SubTotal
46,602.00
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. 118223
ORDERED BY
TITLE
City Engineering's Office
1 Civic Square
Laurie Slick
Carmel, IN 46032-
Bradley Pease Zac Jackson
Director CFO
CzBmmjtpoMzodi.NdHsbuibu4;54qn-Tfq34-3136
September15, 2025
Mr. Bradley Pease, P.E.
CityEngineer
CityofCarmel
1Civic Square
Carmel, IN 46032
Re:TowneRoadRoundabout Pedestrian andCrosswalk Improvements 24-ENG-07
Supplemental No. 1Proposal
Dear Bradley:
Basedonpreviousconversations with you,wearehereby requesting thissupplemental tothe
inspection portion ofthe Towne RoadRoundabout Pedestrian andCrosswalk Improvements
services contract. Asyouknow, the originalsubstantialcompletion dateforthisproject was to
thbeSeptember12, 2025. However, during construction itwasdecided toclose 136Street and
st141separately whichextended thesubstantial completion date. Theanticipated substantial
completion date isnow October31, 2025withafinal completion datetofollow. Wehavebeen
abletostretch ouroriginal budget through theoriginal substantial completion butdo intendto
deplete thefunds thisweek. Therefore, wearerequesting this supplemental inorder tobe
able tocomplete allworkforthisproject.
Insummary, wearerequesting asupplemental inanamount of $78,000 fortheabove-
describedwork. This supplementalwill belocallyfundedthrough the2024Bond.
Ifyou should haveanyquestions orneed anyfurther information, please donot hesitate tocall
meat (765) 506-8784
Sincerely,
CrossRoad Engineers, PC
Curtis Holcom, P. E.
VicePresident
HOURLYBILLINGRATES
Director$200.00
Senior Project Manager176.00
Project Manager157.00
Senior Project Engineer149.00
Project Engineer140.00
Assistant Project Engineer121.00
CADD Manager140.00
SeniorCADDTechnician/Assistant CADD Manager130.00
CADD Technician121.00
Assistant CADD Technician103.00
Senior Plan Reviewer140.00
Plan Reviewer121.00
R/W Manager176.00
R/W Buyer176.00
Director$200.00
Senior Project Manager176.00
Senior Resident Project Representative167.00
Resident Project Representative157.00
AsstResident Project Representative148.00
Project Inspector140.00
Assistant Project Inspector99.00
Survey Manager$176.00
Assistant Survey Manager149.00
SurveyCrew 1Person145.00
Crew Chief121.00
Survey Crew Member97.00
Researcher109.00
Survey Technician121.00
Mileage (permile)Current IRSRate
Other Direct Costsat cost +15%
RatesEffectivethroughDecember
th115N. 17AVE, BEECH GROVE, IN46107 // 317.780.1555 //CROSSROADENGINEERS.COM
12/12/2024
CROSSROAD ENGINEERS, PC
BEECH GROVE, IN 46107 -
113126
115 N 17TH AVE
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
New Professional Services Agreement 01/22/25 - ASA1
City Engineering's Office
1 Civic Square
Carmel, IN 46032-
068025
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
Laurie Slick
93918
2200Department:0Fund:2024 Bond
44-628.71Account:
ASA1 - 24-ENG-07 Ped Improv./ 24-ENG-07a1- 106th &
Towne/ 24-ENG-07a2 - Towne & Glebe - D&B
1 $430,000.00 $430,000.00Each
ASA1a - 24-ENG-07 Ped Improv./ 106th & Towne/ Towne &
Glebe - Additional Inspection
1 $78,000.00 $78,000.00Each
508,000.00SubTotal
508,000.00
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. 113126
ORDERED BY
TITLE
City Engineering's Office
1 Civic Square
Laurie Slick
Carmel, IN 46032-
Bradley Pease Zac Jackson
Director CFO
ADDENDUM TOEXTEND THEAGREEMENT FORANADDITIONAL PERIOD
This Addendum toExtendtheAgreement foranAdditional Period
andmadeapartofthe Amended andRestated ServiceAgreement forAdministration ofaClaims
Programthat waseffective asofJanuary1, 2021 between CityofCarmeland Sedgwick Claims
Inconsideration oftheAgreement recitalsandthemutualcovenant andconditions contained herein, the
Partiesacknowledge thattheAgreement isherebyamended asfollows:
1. TheAgreement shallbeextended foranadditional period commencing January 1, 2025 toand
ending December 31, 2027.
2. Clientshall paySedgwick thefollowing feesonalifeofcontract basis forservices provided
duringthisadditional period:
A. PerClaim Fees:
January 1, 2025toDecember 31, 2025
Indemnity Claim $ 1,143.00
Medical OnlyClaim $ 195.00
Incident Only $ 29.00
January 1, 2026toDecember 31, 2026
Indemnity Claim $ 1,177.00
Medical OnlyClaim $ 201.00
Incident Only $ 30.00
January 1, 2027toDecember 31, 2027
Indemnity Claim $ 1,212.00
Medical OnlyClaim $ 207.00
Incident Only $ 31.00
B. Miscellaneous Charges:
i. AccountManagement fee:
a. $ 16,607.00 (1/1/2025- 12/31/2025)
b. $ 17,105.00 (1/1/2026-12/31/2026)
c. $ 17,618.00 (1/1/2027-12/31/2027)
ii. viaOneaccess, which includes _4_ users, isprovided forafeeof $__0____. Additional
accessisavailable forafeeof $870 (1/1/2025- 12/31/2025), $896 (1/1/2026-12/31/2026),
or $923 (1/1/2027-12/31/2027) peruserperyear.
C/36666 1
iii. ViaOneOSHAaccessincludes5users nocharge. Additional access isavailable forafee
of $515.00 (1/1/2025- 12/31/2025), $530 (1/1/2026-12/31/2026), or $546 (1/1/2027-
12/31/2027) peruserperyear.
viaOne® OSHA
Basiccasedemographicdata (name, address, etc.) willbeloadedwhentheclaimisinitiallysetupinJURIS®. Anychanges
orupdatesinJURIS® areupdatedinviaOne® OSHA. TheClientcannotmodifyanyofthedemographicdatainviaOne®
OSHA.
Thisdataiscompleted
bySedgwickcolleaguesorobtainedfromtheintakefeed. TheClientcannotmodifydatainviaOne® OSHA.
TheOSHArecordabilitydeterminationismadebythesystembasedonOSHArecordkeepingrulesandanevaluationofdata
providedbytheSedgwickcolleaguesregardingOSHArecordkeepingcriteria.
WorkstatusrecordsidentifyingdaysawayfromworkanddaysofrestrictedworkactivityareloadedfromtheJURIS® Time
Trackingscreens. TheClientcannotmodifythisdata.
ManualAdds:
claim.
OSHA300logs, theOSHA300AandtheOSHA301formsaswellasBLSSurveysandDART/IncidentReportscanbe
producedatanytime.
TheSIC/NAICScode, industrydescription, federalemployeridentificationnumber, numberofemployees, andhoursworked
datafortheOSHA300AareprovidedbytheClientandcanbeuploadedbytheClientdirectlyintoviaOne® OSHA.
Service Rate
OSHARecordkeepingService:
AnnualMaintenanceFee
7,350.00peryear
7.571.00peryear2026
7,798.00peryear2027
35.00percase
36
CaseFee $37
Captives/MultipleAccounts InquireforFee
BLS/ElectronicReportingPerReport (after5reports) $100.00perreport
iv. Termination Fees: Therewillbenoexitdatafeesforclaimnotes/transactions aswellas
claimfileimagessolongasthenewTPA/Vendorpartneracceptsthedatainourstandard
EO2) format. IntheeventthenewTPA/Vendorrequirescustomizationforthedata
export, suchworkwillbechargedat $155/hour.
C/36666 2
C. CareManagement FeeSchedule:
managedcareservicesforallbillreviewandcasemanagement services. Managed carefees
aredetailed belowandmovewith contract rateincrease of3%.
Year1 Year2 Year 3
1-Jan-2025to31-1-Jan-2026to31-Dec-
Dec-2025 2026 1-Jan-2027to31-Dec-2027
Service Rate Rate Rate
Medical billreview
Statefeescheduling/usual,
customaryandreasonable; state $8.76perbill $9.02perbill $9.29perbill
reporting
Providernetworks
Preferredprovider 27% savings 27% savings 27% savingsorganization (PPO) networks
Outofnetworkservices 27% savings 27% savings 27% savings
SurgicalImplants 27% savings 27% savings 27% savings
Telephonic Clinical Services
Evaluationand Evaluationand Evaluationandrecommendation: recommendation: $165 recommendation: $170Telephoniccasemanagement $160
130days: $407 130days: $419 130days: $432Manager,
Every30days Every30days Every30daysthereafter:
Manager, thereafter: $304 thereafter: $313 $322
BehavioralHealthSpecialist $108perhour (1) $111perhour (1) $114perhour (1)
1) CustomizedNurseServices $108perhour (1) $111perhour (1) $114perhour (1)
Utilization Review &
Physician Advisor
Utilizationreview $129perreview $133perreview $137perreview
Physicianadvisor/peerreview $283perreview $291perreview $300perreview
Physicianreviewofrecords $283perhour $291perhour $300perhour
Physicianadvisorappeal $371perreview $382perreview $393perreview
Pharmacynurse Pharmacynurse PharmacynurseComplexpharmacymanagement/pain management/pain management/paincoaching: management coaching: $124per coaching: $128perhour $132perhourhour
Physicianand PhysicianandPharmD PhysicianandPharmD
PharmDmanagement management (asneeded): management (asneeded):
C/36666 3
asneeded): $283per $291perreview $300perreview
review
FieldCaseManagement
FCM)
108perhour, plusMedicalfieldcase $111perhour, plusdirect $114perhour, plusdirectdirectexpensesmanagement: Fullfield expenses (1)(2) expenses (1)(2) 1)(2)
Catastrophic/Crisiscare 180perhour (1) $185perhour (1) $191perhour (1) management
CountriesnearUS CountriesnearUSandUSandUSTerritory CountriesnearUSandUSTerritory (Canada, Canada, Mexico, Territory (Canada, Mexico, InternationalMedicalFCM Mexico, PuertoRico, PuertoRico, PuertoRico, Bahamas, USVI): Bahamas, USVI): $185Bahamas, USVI): $191perhourperhour180perhour
Allothercountries: Allothercountries: $222 Allothercountries: $229per
216perhour perhour hour
FCMTasks:
Onevisitclinical 762flatfee $785flatfee $809flatrfeeassessment
LimitedAssignmentTask $108perhour (1) $111perhour (1) $114perhour
Specialtytaskservices: Life
CarePlan, Experttestimony, $180perhour $185perhour $191perhour
customizedservices
Vocational & Work
placement solutions
Transitionalworkplacement $927forplacement $955forplacementorno-$984forplacementorno-
atNot-for-profit) orno-show show show
108perhour (1) 111perhour (1) $114perhour (1) ReturntoWorkSpecialist Telephonicreturn-to- Telephonicreturn-to-work Telephonicreturn-to-workwork
WorkPlaceConsultation - 216perhour, plus $222perhour, plusdirect $229perhour, plusdirectProgram/PolicyDesign & directexpenses expenses expensesplanning
108perhour, plusVocational - FullFieldCase $111perhour, plusdirect $114perhour, plusdirectdirectexpensesManagementexpenses (1)(2) expenses (1)(2) 1)(2)
Vocationalfieldtasks:
Vocational 1,009flatfee $1,039flatfee $1,070flatfeeAssessment/Testing
LaborMarketSurvey $680flatfee $700flatfee $721flatfee
AutomatedTransferable 381flatfee $392flatfee $404flatfeeSkillsAnalysis
JobAnalysisorErgonomic 839flatfee $864flatfee $890flatfeeEvaluation
Clinical Consultation
C/36666 4
Services
Standard (24x7x365 Standard (24x7x365 Standard (24x7x365accesstoaccesstonurse): $93 accesstonurse): $96per nurse): $99percallClinicalconsultationpercallcall
Premium (standard
plusoptionof Premium (standardplus Premium (standardplusoptionblendedintakeoroptionofblendedintakeofblendedintakeorlimitedlimitedorlimitedcustomization): customization): $114percallcustomization): $108 $111percall
percall
Advance (Premium Advance (Premiumplusplusoptionto Advance (Premiumplusoptiontocustomizecustomizeoptiontocustomizeworkflows): $121percallworkflows): $118per workflows): $124percall *
call *
levelofcustomization levelofcustomizationmay * levelofcustomizationmaywarrantmaywarrantadditionalwarrantadditionalfeesadditionalfeesfees
Sedgwick managed care
administrative services
28% ofthebelowfee 28% ofthebelowfee 28% ofthebelowfeescheduleschedulesavingsschedulesavingssubjectsavingssubjecttominimumLienresolutionsubjecttominimumtominimumfeeof $138 feeof $142andcapof $7,957feeof $134andcap andcapof $7,725perlien perlienof $7,500perlien
Expertwitness
testimonyorhearing Expertwitnesstestimony Expertwitnesstestimonyor
representation orhearingrepresentation hearingrepresentation charged
chargedat $129per chargedat $133perhour at $137perhourplusidrect
hourplusdirect plusdirectexpenses expenses
expenses
Nocharge; Sedgwickstandardmedical Nocharge; customization Nocharge; customizationcustomizationstartscardstartsat $3,713 startsat $3,824at $3,605
Electronic versions
ofpanelcardswillbeElectronicversionsof
providedatno panelcardswillbe Electronicversionsofpanel
additional cost. providedatnoadditional cardswillbeprovidedatno
Mandatorystatepanel Physicalpanelcards cost. Physicalpanelcards additionalcost. Physicalpanel
postings willincurpass-thru willincurpass-thrucosts cardswillincurpass-thrucosts
costsatcurrent atcurrentprintingand atcurrentprintingandmailing
printingandmailing mailingratestobepaidbyratestobepaidbytheclient.
ratestobepaidby theclient.
theclient.
Year 1 Year2 Year3
25.0% ofrecoveries 25.0% ofrecoveries 25.0% ofrecoveriesSedgwickSubrogation
C/36666 5
services
D. Subrogation andOther Recoveries:
i. Sedgwick shallpursuerecoveries forsubrogation, second injuryfunds, and other
applicable specialfundssuchassupplemental statefunds, COLAreimbursements, retro
funds, andothersimilar funds. ClientshallpaySedgwick twenty percent (25%) ofthe
pursuitofanyrecovery shallbechargedtotheappropriate Qualified Claimfileasan
allocatedlossadjustment expense.
ii. Asdetermined bytheparties, Sedgwick shalleither:
a.
funding account orforward itdirectlyto
theClient.
b. -funding account andSedgwick shall
receive payment from theclaimfileordirectlyfromClient.
i. maybesubjecttoadjustmentatanytime, withtheconsent ofbothparties.
3. TheMedicare Reporting Services ScheduleintheAgreement isremovedandreplaced withthe
following:
MEDICARE REPORTING SERVICES SCHEDULE
Toassist theClient infulfilling Medicare beneficiary reporting obligations under
andtheCMS UserGuide
Sedgwick will
perform thefollowing reportingservices:
1. Sedgwick will electronically interface withtheCenters forMedicare andMedicaid
CMS
Specifications.
2. Sedgwick willreportdirectly toCMS onbehalf ofClient asanAccount Designee
reporting agent), assuchtermisdefinedintheCMSUserGuideasamended fromtime
totimebyCMS.
3.
intheUserGuide.
a. Client willberesponsible formaintaining avalidRRE Identification Number as
described intheUserGuideandisacondition precedent toSedgwick preforming the
dutiesunderthissection. Failuretomaintain theRREIdentification Number will
C/36666 6
Sedgwick assumes noresponsibility formaintaining avalidRRE Identification
Number onbehalfofthe Client.
4. Sedgwickwillassist Clientasfollows:
a. Sedgwickwillelectronically interface withtheCenters forMedicare andMedicaid
Services (CMS) tocaptureandreport dataintheformatprescribed bytheUser
Guide.
b. Sedgwick willreportdirectly toCMSonbehalfoftheClientasanAccountDesignee
reportingagent), and/orAccount Manager assuchtermisdefinedintheUserGuide.
c. Sedgwick willprepare therequired datafiles andsubmitthemtoCMSonaperiodic
basisinordertoproperly query andreporttheappropriate filesasdefined intheUser
Guide.
5. Sedgwick willberesponsible forpaymentofany andallfinesassessed toClient
regarding compliance with theMedicare beneficiary reporting requirements ofMedicare,
Medicaid andSCHIPExtension Actof2007thatrelatetothenegligent actsoromissions
ofSedgwickexcept totheextentthat:
a. Suchfines orpenaltiesarethedirectresult ofspecific direction given byClientand/or
itsagent ortheactions oromissions ofClientand/oritsagent; or
b. Sedgwick didnotreceive information fromClientthatisessential totheperformance
ofthedutiessetforthhereininatimelymannersoastobeabletocomply with the
termsofthisAgreement.
4. Alltermsandconditions oftheAgreement shallotherwise remain thesame, except those terms
andconditions whichhavebeen added, deleted, ormodified bythepartiesinwriting.
C/36666 7
INWITNESS WHEREOF, theparties hereto havecausedthisAddendum tobeexecuted onthedates
shownbelow.
City ofCarmel, Indiana Sedgwick ClaimsManagement Services, Inc.
ByandthroughitsBoardofPublicWorksandSafety
BY:
By: _________________________________________
Laura Campbell, Presiding Officer
Senior VicePresidentDate: _______________________________Title: _________________________________
September 23, 2025Date: _________________________________
JamesBarlow, Member
Date: _______________________________
AlanPotasnik, Member
Date: _______________________________
ATTEST:
Jacob Quinn, Clerk
Date: ________________________________
C/366668
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Advanced Security Technologies, LLC
StreetDepartment – 2025
Appropriation # 2201220144-650.01Motor Vehicle Highway Fund; 911 91044-670.99CIDEarned Income Fund
PO #s: 118290; 118291
Contract NotToExceed $370,138.00
6. DISCLOSURE AND WARNINGS:
Ifrequested byCity, Vendor shallpromptly furnish toCity, insuch formand detail as Citymay direct, alistof
allchemicals, materials, substances anditems used inorduring theprovision ofthe Goods and Services
provided hereunder, including thequantity, quality and concentration thereof andanyother information relating
thereto. Atthetime ofthe delivery oftheGoods andServices provided hereunder, Vendor agrees tofurnish to
Citysufficient written warning andnotice (including appropriate labels oncontainers and packing) ofany
hazardous material utilized inorthat isapartoftheGoods andServices.
7. LIENS:
Vendor shall notcause orpermit thefilingofanylien onany ofCity’sproperty. Intheevent anysuch lien is
filedand Vendor fails toremove such lien within ten (10) daysafter thefiling thereof, bypayment orbonding,
Cityshallhavethe right topaysuch lien orobtain suchbond, allatVendor’ssolecostandexpense.
8. DEFAULT:
Inthe event Vendor: (a) repudiates, breaches ordefaults under any oftheterms orconditions ofthis
Agreement, including Vendor’swarranties; (b) fails toprovide theGoods andServices asspecified herein; (c)
fails tomake progress so astoendanger timely and proper provision oftheGoods andServices anddoes not
correct such failure orbreach within five (5) business days (orsuch shorter period oftimeas iscommercially
reasonable under the circumstances) afterreceipt ofnotice from Cityspecifying such failure orbreach; or (d)
becomes insolvent, isplaced into receivership, makes ageneral assignment forthe benefit ofcreditors or
dissolves, each such event constituting an event ofdefault hereunder, City shallhave theright to (1) terminate
alloranyparts ofthisAgreement, without liability toVendor; and (2) exercise all other rights and remedies
available toCity atlawand/orinequity.
9. GOVERNMENT COMPLIANCE:
Vendor agrees tocomply with allfederal, state and local laws, executive orders, rules, regulations and codes
which maybeapplicable toVendor’sperformance ofitsobligations under this Agreement, andallrelevant
provisions thereof areincorporated herein by this reference. Vendor agrees to indemnify andholdharmless
Cityfrom any loss, damage and/orliability resulting fromany suchviolation ofsuch laws, orders, rules,
regulations andcodes. This indemnification obligation shall survive the termination ofthis Agreement.
10. NONDISCRIMINATION:
Vendor represents and warrants that itand allofitsofficers, employees, agents, contractors and
subcontractors shallcomply with alllawsoftheUnited States, theState ofIndiana andCityprohibiting
discrimination against anyemployee, applicant for employment orother person intheprovision ofanyGoods
and Services provided bythisAgreement with respect totheirhire, tenure, terms, conditions andprivileges of
employment andanyother matter related totheir employment orsubcontracting, because ofrace, religion,
color, sex, handicap, national origin, ancestry, age, disabled veteran status and/orVietnam era veteran status.
11. E-VERIFY:
Pursuant toI.C. § 22-5-1.7etseq., asthesame may beamended from time totime, and asisincorporated
herein bythis reference (the “Indiana E-Verify Law”), Vendor isrequired toenroll inand verify thework eligibility
status ofitsnewly-hired employees using the E-Verify program, andtoexecute theAffidavit attached herein
asExhibit D, affirming that itisenrolled andparticipating intheE-Verify program anddoes not knowingly
employ unauthorized aliens. Insupport oftheAffidavit, Vendor shall provide theCity withdocumentation
indicating that ithas enrolled andisparticipating intheE-Verify program. Should Vendor subcontract
fortheperformance ofany work under andpursuant tothis Agreement, itshallfullycomply with theIndiana E-
2
Advanced Security Technologies, LLC
StreetDepartment – 2025
Appropriation # 2201220144-650.01Motor Vehicle Highway Fund; 911 91044-670.99CIDEarned Income Fund
PO #s: 118290; 118291
Contract NotToExceed $370,138.00
Verify Lawasregards each suchsubcontractor. Should theVendor oranysubcontractor violate theIndiana
E-Verify law, theCity may require acure ofsuch violation and thereafter, ifnotimely cure is performed,
terminate thisAgreement inaccordance witheither the provisions hereof orthose setforth intheIndiana E-
Verify Law. The requirements ofthis paragraph shall notapplyshould the E-Verify program cease toexist.
12. NOIMPLIED WAIVER:
The failure ofeither party torequire performance bytheother ofany provision ofthisAgreement shallnotaffect
theright ofsuch party torequire such performance atanytimethereafter, norshallthe waiver byany partyof
abreach ofanyprovision ofthisAgreement constitute awaiver ofanysucceeding breach ofthesame orany
other provision hereof.
13. NON-ASSIGNMENT:
Vendor shallnot assign orpledge this Agreement, whether ascollateral foraloanorotherwise, and shall not
delegate itsobligations under this Agreement without City’spriorwritten consent.
14. RELATIONSHIP OFPARTIES:
The relationship ofthe parties hereto shall beasprovided forinthisAgreement, andneither Vendor norany
ofitsofficers, employees, contractors, subcontractors andagents areemployees of City. The contract price
setforthherein shall bethefulland maximum compensation andmonies required ofCity tobepaid toVendor
under orpursuant tothisAgreement.
15. GOVERNING LAW; LAWSUITS:
This Agreement istobeconstrued inaccordance with and governed bythelaws oftheStateofIndiana, except
foritsconflict oflaws provisions. The parties agree that, intheevent alawsuit isfiled hereunder, theywaive
theirright toajurytrial, agree tofile anysuch lawsuit inanappropriate courtinHamilton County, Indiana only,
and agree that suchcourt istheappropriate venue forand hasjurisdiction oversame.
16. SEVERABILITY:
Ifany term ofthisAgreement isinvalid orunenforceable under any statute, regulation, ordinance, executive
order orother rule oflaw, suchterm shallbedeemed reformed ordeleted, butonly totheextent necessary to
comply with same, and theremaining provisions ofthisAgreement shall remain infullforce andeffect.
17. NOTICE:
Anynotice provided forinthis Agreement willbe sufficient ifitisinwriting andisdelivered bypostage prepaid
U.S. certified mail, return receipt requested, totheparty tobe notified attheaddress specified herein:
IftoCity: CityofCarmel AND CityofCarmel
Street Department Office ofCorporation Counsel
st3400W131 Street One Civic Square
Carmel, Indiana 46074 Carmel, Indiana 46032
IftoVendor: Advanced Security Technologies
47Trautwein Crescent
Closter, New Jersey 07624
Notwithstanding theabove, notice oftermination under paragraph 18 hereinbelow shall beeffective ifgiven
orally, aslong as written notice isthen provided assetforth hereinabove within five (5) business daysfromthe
3
Advanced Security Technologies, LLC
StreetDepartment – 2025
Appropriation # 2201220144-650.01Motor Vehicle Highway Fund; 911 91044-670.99CIDEarned Income Fund
PO #s: 118290; 118291
Contract NotToExceed $370,138.00
date ofsuch oralnotice.
18. TERMINATION:
18.1 Notwithstanding anything tothe contrary contained inthis Agreement, Citymay, upon notice toVendor,
immediately terminate thisAgreement forcause, intheeventofadefault hereunder byVendor and/or
ifsufficient funds arenotappropriated orencumbered topayforthe Goods andServices tobeprovided
hereunder. In theevent ofsuch termination, Vendor shall be entitled toreceive onlypayment forthe
undisputed invoice amount representing conforming Goods andServices delivered asofthedate of
termination, except that such payment amount shallnotexceed the Estimate amount ineffect atthe
time oftermination, unless theparties have previously agreed inwriting toagreater amount.
18.2 Citymayterminate thisAgreement atanytime upon thirty (30) days prior notice toVendor. Inthe
event ofsuch termination, Vendor shall be entitled toreceive onlypayment for the undisputed invoice
amount ofconforming Goods andServices delivered asofthedate oftermination, except that such
payment amount shall notexceed theEstimate amount ineffect atthetime oftermination, unless the
parties havepreviously agreed inwriting toagreater amount.
18.3 TheCitymayterminate thisAgreement pursuant toParagraph 10hereof, asappropriate.
19. REPRESENTATIONS AND WARRANTIES
Theparties represent and warrant that theyareauthorized toenterinto this Agreement andthatthe persons
executing this Agreement havethe authority tobind theparty which they represent.
20. ADDITIONAL GOODS AND SERVICES:
Vendor understands and agrees that Citymay, from time totime, request Vendor toprovide additional goods
andservices toCity. When Citydesires additional goods and services from Vendor, theCity shall notify Vendor
ofsuch additional goods andservices desired, aswellasthetime frame inwhich same are tobeprovided.
Only afterCity has approved Vendor’stime and cost estimate forthe provision ofsuchadditional goods and
services, hasencumbered sufficient monies topay forsame, and hasauthorized Vendor, inwriting, toprovide
suchadditional goods and services, shall such goods and services beprovided byVendor toCity. Acopy of
theCity’sauthorization documents forthe purchase ofadditional goods andservices shall benumbered and
attached hereto intheorder inwhichthey areapproved byCity.
21. TERM:
Unless otherwise terminated inaccordance withthetermination provisions set forth inParagraph 18
hereinabove, this Agreement shall beineffect from the Effective Date through thesatisfactory completion of
services and/ordelivery andacceptance ofgoods contracted forherein.
22. HEADINGS:
Allheading and sections ofthis Agreement areinserted forconvenience onlyand donotform apartofthis
Agreement norlimit, expand orotherwise alterthe meaning ofany provision hereof.
23. BINDING EFFECT:
The parties, and their respective officers, officials, agents, partners, successors, assigns and legal
representatives, are bound totheother with respect toallofthecovenants, terms, warranties and obligations
set forth inAgreement.
4
Advanced Security Technologies, LLC
StreetDepartment – 2025
Appropriation # 2201220144-650.01Motor Vehicle Highway Fund; 911 91044-670.99CIDEarned Income Fund
PO #s: 118290; 118291
Contract NotToExceed $370,138.00
24. NOTHIRD PARTY BENEFICIARIES:
This Agreement gives norights orbenefits toanyone other than CityandVendor.
25. DEBARMENT AND SUSPENSION:
25.1 The Vendor certifies byentering intothis Agreement thatneither itnoritsprincipals norany ofits
subcontractors arepresently debarred, suspended, proposed fordebarment, declared ineligible orvoluntarily
excluded fromentering into thisAgreement byanyfederal agency orbyany department, agency orpolitical
subdivision oftheState ofIndiana. Theterm “principal” for purposes ofthisAgreement means anofficer,
director, owner, partner, key employee orother person with primary management orsupervisory
responsibilities, oraperson who has acritical influence onorsubstantive control over the operations ofthe
Vendor.
25.2 TheVendor certifies thatithas verified thestate andfederal suspension anddebarment status for all
subcontractors receiving funds under this Agreement and shall besolely responsible forany recoupment,
penalties orcosts thatmight arisefrom useofasuspended ordebarred subcontractor. The Vendor shall
immediately notify theCity ifanysubcontractor becomes debarred orsuspended, andshall, attheCity’s
request, take allsteps required bytheCity toterminate itscontractual relationship with the subcontractor for
worktobeperformed under this Agreement.
26. IRAN CERTIFICATION:
Pursuant toI.C. § 5-22-16.5, the Vendor shallcertify that, insigning thisAgreement, itdoes not engage in
investment activities within the Country ofIran.
27. ADVICE OFCOUNSEL:
Theparties warrant thattheyhave read thisAgreement and understand it, have hadtheopportunity toobtain
legal advice and assistance of counsel throughout thenegotiation ofthisAgreement, andenter intosame
freely, voluntarily, andwithout anyduress, undue influence orcoercion.
28. ACCESS TOPUBLIC RECORDS ACT:
Vendor understands andagrees thatany “public record”, asthe term isdefined inIndiana Code 5-14-3-2(m),
asamended, thatisrelated tothe subject matter oftheContract, whether thesame isinthepossession or
control ofVendor orCity, shall be subject torelease under and pursuant tothe provisions ofIndiana’sAccess
toPublic Records Act, as codified inIndiana Code 5-14-3-1, etseq., asamended.
29. SUSPENSION OFSERVICES:
A. Suspension due tosecurity orintegrity threats. Vendor agrees toprovide atleast twelve (12) hours notice
totheCity ifanysuspension ofservices orgood deliveries willbenecessary due toathreat tothetechnical
security ortechnical integrity ofthe services ordelivery systems.
B. Suspension duetopayment dispute. IftheParties arehaving a billing orpayment dispute, Vendor shall
notsuspend theservices under the Agreements between the Parties untilsuch disputes isresolved or
Agreements between theParties areterminated.
30. DATA TRANSFER UPON TERMINATION:
Upon termination oftheAgreement, andifVendor possesses any City digital data orelectronic content
collectively “Customer Dataand Content”), Vendor shall notdelete andshall allow the City todownload and
export allsuch Customer Data andContent heldintheservices byVendor forninety (90) days following
5
Advanced Security Technologies, LLC
StreetDepartment – 2025
Appropriation # 2201220144-650.01Motor Vehicle Highway Fund; 911 91044-670.99CIDEarned Income Fund
PO #s: 118290; 118291
Contract NotToExceed $370,138.00
termination.
31. LIMITATION ON USE OFCUSTOMER DATA AND CONTENT:
Vendor shall not use, disclose, sell, license, rent, orotherwise exploit Customer Data and Content forany
commercial purposes, nor forany purpose beyond the scope of providing theservices setforthinthe
Agreements between the Parties. Alluse ofCustomer DataandContent byVendor must comply with all
applicable federal, state, andlocal laws, rules, andregulations.
32. MARKETING:
Any Vendor press-releases announcing thepartnership between theParties, shall becoordinated withtheCity’s
marketing department.
33. ENTIRE AGREEMENT:
ThisAgreement, together with anyexhibits attached hereto orreferenced herein, constitutes the entire
agreement between Vendor andCitywith respect tothesubject matter hereof, andsupersedes all priororal
orwritten representations and agreements regarding same. Notwithstanding anyotherterm orcondition set
forthherein, butsubject toparagraph 16hereof, tothe extent anyterm orcondition contained inanyexhibit
attached tothis Agreement orinany document referenced herein conflicts withany termorcondition contained
inthis Agreement, the term orcondition contained inthis Agreement shall govern andprevail. ThisAgreement
may only be modified bywritten amendment executed byboth parties hereto, ortheirsuccessors ininterest.
6
Bringing Advanced Technologiesto theSecurity World
August7, 2025
TravisTabak
CityofCarmelStreet DepartmentTel: 317-417-5055
st3400 W131streetEmail: ttabak@carmel.in.gov
Carmel, IN46074
REFERENCE: ModularVehicleBarrier3XSystem-PriceQuotation72 UnitTrailer
DearMr. Tabak,
ItwasapleasurespeakingwithyouregardingtheMiframModular VehicleBarrierSystem. Perour
conversation, pleasefindadditionalproductinformation ontheMiframModularVehicleBarrier3X
System. AdvancedSecurityTechnologies LLC (AST) istheUSdistributor andsalesarmfortheMifram
productline. ASTalsomanufactures dedicatedUSmadetransport trailersthatcanbeusedasashard
assettotransporttheequipmenttodifferent events. Aftertheevent, theequipment isloadedbackinto
thededicatedtrailerthatwillbeusedasstorage.
A.SystemAdvantages:
1.Onepersontoassemble, deployanddismantle.
2.Oneminutetoconnect eachunit.
3.Quickperimeter accessincaseofemergency.
4.Systemcanbeusedasanoperational gate.
5.Notoolsrequiredforassembly.
6.Zeromaintenance.
7.Foldsforeasycarrying.
8.Easytostore.
9.Modular easilyadapts toanyroadwidth.
B.ModularVehicle BarrierSpecifications:
1.BarriersmustbecertifiedtoASTM-F2656-15.
2.Barriers mustbecertifiedtoASTM/PAS68 & IWAstandards.
3.BarrierSystemmustbemodularand adaptable toanyroadwidth.
4..
5.Eachcomplete MVB3Xunit mustweighlessthan55lbs.
www.adsectec.com
6..
7.Toolsshallnotberequired. Systemistobeassembledwithpins.
8.Barriersmusthavetheabilitytobefoldedfortransportation.
9.MVB3Xunits musthavetheoptiontopivotandtransition intoanoperational gate.
10.MVB3Xunits musthavetheoptionofslidewheels.
11.MVB3Xpivoting sectionshallbemodular (meaningusercandecidehowmanysections toopen).
12.Barriersmustbecapableofquick deployment (lessthanaminutetodeployasingleunit).
13.Barriersmustbeabletobedeployed byoneperson.
14.Bottomedgesofthebarriersshallbeprotectedbyaluminumcovers (forpedestriansafety).
15.Barrier System shallhavetheabilitytobedeployedfromtheroadanduptosidewalk inone
continuousline.
16.MVB3Xunitsshallhavemulti-terraincapability.
17.MVB3Xunits shallnotrequire anymaintenance.
18.Magnetic sequentiallightsshallattachtoMVB3X units.
C.MVB3XTransport TrailerSpecifications:
1.TheTrailershallbemadeintheUnitedStatesandcomplywithU.S.DOTregulations.
2.TheTrailermustbeNew/Unused.
3.Trailertoincludedriprails.
4.72MVB3Xunits + Pivots.
5.72-unitTrailer willhave6doorsoneachside.
6.Trailersshall be20feetlong.
7..
8.Trailershall betandemaxel.
9.14,000lb.haulingcapacity.
10.Electric brakes.
11.LEDlighting.
12.15,000poundsafety chain.
13.Trailerwillcomeequipped witha hitch.
14.Sparewheel + TireST225/75/R12 (6Lug).
15.Allcontainment steelshallbepowder coated.
16.MVB3Xbarriers canbeloaded/storedfrombothsides.
17.EachMVB3Xunit hasitsowndedicatedslotforsafetransport.
18.EachMVB3Xislockedinplacefortransportwithsecondaryretainment system.
19.UnitshallhaveStainlessSteellatches & hinges.
20.Zinccoatedsteelrivets.
21.Zinccoatednuts & bolts.
22.Dedicated spaceforpivotunits.
23.Eachdoorhaslocksforsafestorage. Allkeyedalike.
24.Single
Compartment shallhavededicated slotsforthepivotunits.
25.Trailershallbeblackincolor.
www.adsectec.com2
D.Sequential Lighting Specifications
1.24+ hoursofcontinuous flash.
2.Charge allflaresatonce.
3.Visiblerangeof3,000+ feet
4.6hourrecharge timefromcompletely deadbattery.
5.RDS(RapidDeployment System): Automatically turnsonflarewhenremoved fromcase.
6.30,000lbscrushstrength.
7.Flarespecification: Weight = .5lbs.
Dimensions: L = 4.25in, W = 3.5in, H = 1in.
8.10Setspecification: Weight withflares = 7lbs,
Dimensions: L = 11.7in, W = 9.2in, H = 1.2in
Includes: Carrying/Charging case, DC12/24Vcarchargerplug, ACwallchargerplug
E.PricingInformation
72XMVB3X UnitTrailerProvidesUp To10LanesofClosureperTrailer
SystemNumber DescriptionUnit Price QuantityExtended
AST3X72/72-320208-3072MVB3X Capacity Fully 185,0692$370,138LoadedTrailerSystem
Freight F.O.B. DestinationIncluded1Included
ASTServicesOn-siteEquipment Included1 IncludedTraining (FeeWaived)
Total$370,138
CSD Half: $185,069IndividualTrailerSystemInventory
DescriptionQuantityDescriptionQuantity
TrailerwithCapacityfor72MVB3X 1BlockSetsofSequential Lighting 3
UnitsandAccessories(Totalof30Magnetic Lights)
MVB 3XUnits72Rotating Slide Wheels8
Pivot Units32Fixed Slide Wheels2
LargeStorage/Shipping Box4
72MVB3X Capacity TrailerwithSixCompartments perSide
www.adsectec.com3
F.Notes:
1.Pivotunitsareonlyrequiredforthepurposes ofusingasectionofMVB3XUnitsasan
operational gate. MVB3X Sections notdesignated asoperationalgatesdonotrequiretheuseof
pivotunits. Thenumberofpivotscanbemodifiedbaseduponyourspecificoperational
requirements.
2.Slidewheelsareusedforthepurposesofmovingassembledsections ofMVB3Xlaterally
throughout anareaofoperation withoutrequiring theendusertodisassemble andre-assemble
thesection.
3.Theseoptions representtheinventories ofstandard, fullyloadedtrailers, but, canbecustom
tailoredtomeetthespecificoperational requirements ofthepurchasing agency.
4.Numberofpivotsandsequential flarescanbemodifiedbasedonoperational requirements.
5.Numberofpivotsareanestimate.
G.Terms & Conditions:
1.F.O.BDestination. Shipping hasbeenincludedintheaboveprice.
2.Taxesarenotincluded. Should anytaxesareleviedtheywillbepaidforbythepurchaser.
3.Delivery: 10-12weeks AROdependingonmaterial availability.
4.Paymentterms50% downpayment 50 % net30.
5.Pricesarevalidfor60days.
6.Purchase ofequipment issubjecttoAdvanced Security Technologies LLCstandardtermsand
conditions.
Pleasedonothesitate tocontactmeshould yourequireadditional information.
Sincerely,
Yaron Getter
Principal & Co-Founder
Advanced Security Technologies LLC
Mobile: (917) 561-1344Iygetter@adsectec.com
www.adsectec.com4
Bringing Advanced Technologiesto theSecurity World September 8, 2025
Travis Tabak
Operations Manager Tel: 317-733-2001
City ofCarmel Street DepartmentEmail: ttabak@carmel.in.gov
st3400W. 131Street
Carmel, IN46074
w9 {
Mr. Tabak,
Thisletter herebyconfirms thatAdvanced Security Technologies LLC (AST) isthesolesource
provider oftheMobile Vehicle Barrier System package, which includes thespecialized transport
trailer, themodular vehicle barriers, pivot systems, packaging boxes and sequential lighting for
unitswithPivotsystem. Noothercompany orentity provides allthecomponents ofthesystem.
TheUniquecharacteristics oftheMVB3X system are:
Oneperson toinstallanddismantle
Oneminute foreachsection tobeconnected
Transition intoanoperation gateforaccess control
System canbeused asanactivegate
Foldsforeasycarrying
Easytostore
Notools required
Zero maintenance
Designed formulti-terrain use
Adaptable toanyroad width
Mobile withAST dedicated trailers
Assemble lighting system when events runintothenight hours
ASTsuppliesthe ModularVehicle BarrierSystem package throughout theUnited States. We
lookforward toworking withTheCityofCamelto meetits security needs.
Ifyouhave anyadditional questions, please donothesitate tocontact meat917-561-1344.
Sincerely,
Yaron Getter
Principal & Co-Founder
Advanced Security Technologies LLC
www.vehicle-barriers.com
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
EXHIBIT C
INSURANCE COVERAGES
Worker’s Compensation & Disability Statutory Limits
Employer’s Liability:
Bodily Injury by Accident/Disease: $500,000 each employee
Bodily Injury by Accident/Disease: $500,000 each accident
Bodily Injury by Accident/Disease: $1,000,000 policy limit
Commercial General Liability (Occurrence
Basis), Bodily Injury, Personal Injury, Property
Damage, Contractual Liability, Products –
Completed Operations:
General Aggregate Limit (other than
Products/Completed Operations): $2,000,000
Products/Completed Operations: $1,000,000
Personal & Advertising Injury Limit: $500,000
Each Occurrence Limit: $1,000,000
Damage to Premises: $100,000 each occurrence
Fire Damage (any one fire): $250,000 each occurrence
Medical Expense Limit (any one person): $10,000
Auto Liability (owned, hired, and non-owned)
Bodily Single Limit: $1,000,000 each accident
Injury and Property Damage: $1,000,000 each accident
Policy Limit: $1,000,000
Umbrella/Excess Liability
Each Occurrence: $1,000,000
Aggregate: $1,000,000
Maximum Deductible: $10,000
9/16/2025
ADVANCED SECURITY TECHNOLOGIES
CLOSTER, NJ 07624 -
118290
47 TRAUTWEIN CRESCENT
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
Mobile Barricades- CSD Half
Street Department
3400 W. 131ST Street
Carmel, IN 46074-
317) 733-2001
378652
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
Matt Higginbotham
104622
2201Department:2201Fund:Motor Vehicle Highway FND
44-650.01Account:
MobileBarricades1 $185,069.00 $185,069.00Each
185,069.00SubTotal
185,069.00
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. IHEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
CONTROL NO. 118290
ORDERED BY
TITLE
Street Department
3400 W. 131st Street
Carmel, IN 46074-
Lee Higginbotham Zac Jackson
317) 733-2001
Commissioner CFO
9/18/2025
ADVANCED SECURITY TECHNOLOGIES
CLOSTER, NJ 07624 -
118291
47 TRAUTWEIN CRESCENT
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
Modular Vehicle Barrier System
Hamilton/Boone Co. Drug TF
1000 S Rangeline Rd
Carmel, IN 46032-
378652
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
104674
911Department:910Fund:CID Earned Income
44-670.99Account:
Modular Vehicle Barrier 3XSystem1 $185,069.00 $185,069.00Each
185,069.00SubTotal
185,069.00
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. IHEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
CONTROL NO. 118291
ORDERED BY
TITLE
Hamilton/Boone Co. Drug TF
1000 S Rangeline Rd
Carmel, IN 46032-
Ryan Meyer Zac Jackson
Major CFO
TOMOJ
/
City of Carmel Street Department
Change Order Form
Project Name:25-STR-02 Paving Program
Change Order No.:J
Listed items for this change order:
Additional milling and asphalt types,full depth repair,decorative brick removal
Change Order No.J.
Contract price prior to this change order
Contract price will be increased/dccrcascd by this change order
is for work completed regarding (project name)25-STR-02 Paving Program
S 6,853,166.82
S 1,370,633.36
5 8,223,800.18Newcontractpriceincludingtliischangeorder
Cumulative %
Change from
Original Contract
Adjusted Contract
PriceAmount
N/A N/AOriginalContract$6,853,166.82
CO 1:$1,370,633.36 $8,223,800.18 20%Additional milling and asphalt types,tull depth repair,decorative brick removal
CO 2:
CO 3:
.<>.
/
//ypiAH.b -'
cm'OI'CARMEL TO:
1CONTRACTCHANGEORDERNO.:
DATE:
PROJECT NAME:25-STR-02 Paving Program
09/11/2025
N/ACm'REQ.NO.:
115477,115473,115478,118247cm'PO NO.:
02/22/25,09/08/25CITYPODATE:
I.
You arc directed to make the following changes in this Contract:
Change Order No.1 listed below.
SCHEDULED ADJUSTMENT
(+)OR (-)DAYSAMOUNTite:m
Additional milling and asphalt types,fulldepthrepair,decorative brick removal $1,370,633.36 45
The following referenced Documents further describe the changes outlined in Paragraph 1,and arc to be
considered a part of this Change Order:R.F.P.:N'A W.D.C.No.:N/A Other:See attached files
'Fhe changes result in the following adjustment of Contract Price and Contract Time:
g 6,853,166.82
s 1,370,633.36
s 8,223,800.18
Contract Price prior to this Change Order
Contract Price will be increased/decreased by this Change Order
New Contract Price including this Change Order
Contract Time Prior to this Change Order:
Net increasc/decrease resulting from this Change Order:
Current Contract Time including this Change Order:
.225 11/01/25Days.Completion Date:
.45 Days
.270 .12/15/25Days.Completion Date:
\
\
This Change Order is for full and final settlement of all direct,indirect,impact costs and time
extensions incurred at any time resulting from the performance of the changed work.
Howard Companies
Contractor Name
Carmel Street Department
Owner Name Laura Campbell,Presiding Officer
3400 W.131st St 2916 Kentucky Ave
James Barlow,MemberContractorAddressOwnerAddress
Indianapolis,!N 46221
City,State,Zip Code
Carmel,IN 46074
Alan Potasnik,MemberCity,State,Zip Code
ATTEST:
Jacob Quinn,ClerkMattHigginbotham'Signature
317-849-9666
Contractor Phone NumberOwnerPhoneNumber Date
DateDate9/16/2025
SPECIAL EVENT / FACILITY USE REQUEST
Information
Facility(s)
Event Purpose &
Description:*
Has this event been
held at City facility
before?*
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:*
Event Start
time:*
Rehearsal
Number of People
Expected:*
Fees?
1. CITY FACILITY(S) REQUESTED:
Civic Square Fountain Area Civic Square Gazebo / Lawn
Japanese Garden Monon & Main Plaza
Midtown Plaza Reflecting Pool
Other
2. EVENT DETAILS
Provide a brief description of event
MAC is requesting total road closure of Elm street from Veterans Way to Monon
North so that Sports Graphics can come in and remove the world aquatics window
clings on the Allied Solutions building.
Attach additional pages if needed-SEE BELOW
Yes No
10/14/2025
10/14/2025
8:00:00 AM
Tear Down time: *
5:00:00 PM
End Time
8:00:00 AM
Event End time: *
5:00:00 PM
No Yes
5
Will a Fee be charged for this event? If yes, please describe below.
Yes No
2. STREET(S) REQUESTED:
09/11/2025Approved by Kelly Douglas. Removal of
World Aquatic Signaga yes 09/19/2025
yes 09/19/2025
yes 09/19/2025
yes 09/19/2025
yes 09/19/2025
yes 09/19/2025
Neighborhood
Name/Streets to be
closed
Upload Map
Type of Closure:
Further Info for type
of closure
Requests:
City Services Needed
Cones*
Barricades*
Elm Street from Veterans Way to Monon North
Include addresses as appropriate
An easy to read, color map of the area is required with submission.
Elm Street Road Closure.png 1.87MB
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
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
4
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)
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 previously granted request to use a City facility for any lawful reason.
Bounce House
N/A
Other
Name of Merchants(s) doing the setup
Phone Number of Merchant(s) doing set up:
6. 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
7. CONTACT INFORMATION:
Kenna Dishmond
kdishmond@carmel.in.gov
3177719972
City of Carmel
City
Carmel
State / Province / Region
Indiana
Postal / Zip Code
46032
Country
United States
Street Address
10 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*
*
*
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.
City of Carmel MAC Department
Name of Organization/Applicant
Signature of Authorized Agent/Applicant
Kenna Dishmond
Printed Name and Title (If applicable)
3177719972
Phone Number (Required)
One Civic Square, Carmel IN 46032
Address of Organization/Applicant
9/11/2025
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:__________________________________________________________________
SPECIAL EVENT / FACILITY USE REQUEST
Information
Facility(s)
Event Purpose &
Description:*
1. CITY FACILITY(S) REQUESTED:
Civic Square Fountain Area Civic Square Gazebo / Lawn
Japanese Garden Monon & Main Plaza
Midtown Plaza Reflecting Pool
Other
Various locations listed in
description
2. EVENT DETAILS
Provide a brief description of event
2025 City of Carmel Holiday Trolley – Schedule and Stops
Dates & Times
Stop Setup Date: Friday, November 21, 8 A.M.
1.
Saturday, November 22, 2 P.M. – 9 P.M. (3 shuttles)
2.
Friday, November 28, 5 P.M.- 9 P.M. (2 shuttles)
3.
Saturday, November 29, 2 P.M. – 9 P.M. (3 shuttles)
4.
Friday, December 5, 5 P.M.- 9 P.M. (2 shuttles)
5.
Saturday, December 6, 2 P.M. – 9 P.M. (3 shuttles)
6.
Friday, December 12, 5 P.M.- 9 P.M. (2 shuttles)
7.
Saturday, December 13, 2 P.M. – 9 P.M. (3 shuttles)
8.
Friday, December 19, 5 P.M – 9 P.M. (2 shuttles)
9.
Saturday, December 20, 2 P.M – 9 P.M. (3 shuttles)
Trolley Stops
1.
Indiana Design Center
2.
1st & Main (Across from Woody’s) – 2 parking spots
3.
Christkindlmarkt (North entrance) – 2 parking spots
4.
W Main St. & Monon Blvd. (Bub’s Burgers) – 2 parking spots
5.
City Center – Tent in front of In Cycle, no parking spaces needed
6.
W Elm St. & Monon Blvd. (Garden Table) – 2 parking spots
7.
Civic Square (SW corner of fountain, in the corner near gazebo)
Attach additional pages if needed-SEE BELOW
09/18/20258
yes 09/19/2025
yes 09/19/2025
yes 09/19/2025
yes 09/19/2025
yes 09/19/2025
yes 09/19/2025
Has this event been
held at City facility
before?*
Event Date Start *Event Date End*
If multiple dates,
please list
Set-Up time:*Tear Down time:*
Event Start
time:*Event End time:*
Rehearsal
Number of People
Expected:*
Fees?
Neighborhood
Name/Streets to be
closed
Upload Map
Yes No
11/21/2025 12/20/2025
Dates & Times
Stop Setup Date: Friday, November 21, 8 A.M.
1.
Saturday, November 22, 2 P.M. – 9 P.M. (3 shuttles)
2.
Friday, November 28, 5 P.M.- 9 P.M. (2 shuttles)
3.
Saturday, November 29, 2 P.M. – 9 P.M. (3 shuttles)
4.
Friday, December 5, 5 P.M.- 9 P.M. (2 shuttles)
5.
Saturday, December 6, 2 P.M. – 9 P.M. (3 shuttles)
6.
Friday, December 12, 5 P.M.- 9 P.M. (2 shuttles)
7.
Saturday, December 13, 2 P.M. – 9 P.M. (3 shuttles)
8.
Friday, December 19, 5 P.M – 9 P.M. (2 shuttles)
9.
Saturday, December 20, 2 P.M – 9 P.M. (3 shuttles)
8:00:00 AM
4:00:00 PM
End Time
2:00:00 PM 9:00:00 PM
No Yes
1,000
Will a Fee be charged for this event? If yes, please describe below.
Yes No
2. STREET(S) REQUESTED:
1 Civic Square
Include addresses as appropriate
An easy to read, color map of the area is required with submission.
Holiday Trolley Map.pdf 4.42MB
Holiday Trolley_IDC Lot.pdf 1.16MB
2025 City of Carmel Holiday Trolley – Schedule and
Stops.pdf 124.12KB
Type of Closure:
Further Info for type
of closure
Requests:
City Services Needed
Rolling closure
Total closure
Lane restrictions - explain below
Other - explain below
N/A
Explain lane restrictions needed and other needed below:
(3) "No Parking Friday & Saturday" valet signs at each location
3. SPECIAL REQUESTS:
Electricity
Fountain Restroom - Fountain/Gazebo
Reflecting Pool Restrooms
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 (21) total valet cones. (3) at each stop.
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 Decorative trolley stop gift towers, lights, and signage.
Name of Merchants(s) doing the setup
Phone Number of Merchant(s) doing set up:
6. VENDORS:
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 previously granted request to use a City facility for any lawful reason.
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
7. CONTACT INFORMATION:
Tierra Bush
tbush@carmel.in.gov
3176182799
City of Carmel
City
Carmel
State / Province / Region
IN
Postal / Zip Code
46032
Country
United States
Street Address
1 Civic Square
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*
*
*
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.
City of Carmel
Name of Organization/Applicant
Signature of Authorized Agent/Applicant
Tierra Bush
Printed Name and Title (If applicable)
3176182799
Phone Number (Required)
1 Civic Square
Carmel, IN 46032
Address of Organization/Applicant
9/17/2025
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:__________________________________________________________________
2025 City of Carmel Holiday Trolley – Schedule and Stops
Dates & Times
Stop Setup Date: Friday, November 21, 8 A.M.
1. Saturday, November 22, 2 P.M. – 9 P.M. (3 shuttles)
2. Friday, November 28, 5 P.M.- 9 P.M. (2 shuttles)
3. Saturday, November 29, 2 P.M. – 9 P.M. (3 shuttles)
4. Friday, December 5, 5 P.M.- 9 P.M. (2 shuttles)
5. Saturday, December 6, 2 P.M. – 9 P.M. (3 shuttles)
6. Friday, December 12, 5 P.M.- 9 P.M. (2 shuttles)
7. Saturday, December 13, 2 P.M. – 9 P.M. (3 shuttles)
8. Friday, December 19, 5 P.M – 9 P.M. (2 shuttles)
9. Saturday, December 20, 2 P.M – 9 P.M. (3 shuttles)
Trolley Stops
1. Indiana Design Center
2. 1st & Main (Across from Woody’s) – 2 parking spots
3. Christkindlmarkt (North entrance) – 2 parking spots
4. W Main St. & Monon Blvd. (Bub’s Burgers) – 2 parking spots
5. City Center – Tent in front of In Cycle, no parking spaces needed
6. W Elm St. & Monon Blvd. (Garden Table) – 2 parking spots
7. Civic Square (SW corner of fountain, in the corner near gazebo)
DN
UP
DN
UP
RAMP DOWN
RANGELINE ROAD
PARKING LOT EVENT DIAGRAM
Must be approved by the IDC
GRAND HALL
SOUTH ENTRANCE
EXHIBIT A
TROLLEY STOP
SANTA HOUSE
September 23, 2025
Board of Public Works and Safety
One Civic Square
Carmel, Indiana 46032
RE: WAIVER OF BPW RESOLUTION NO. 04-28-17-01 – DUKE ENERGY – REPLACEMENT OF 3 UTILITY POLES
Dear Board Members:
Duke Energy is requesting a waiver from the City’s Buried Utility District requirements (BPW Resolution No. 04-28-
17-01) to replace 3 existing utility poles (exhibits attached). The pole replacements are typical maintenance of the
existing above ground electric service distribution network.
The Department of Engineering, in review of the proposed requested waiver, has determined that the waiver is
valid and recommends approval of the waiver conditioned upon the following:
• The project’s contractor shall comply with the provisions of Carmel City Code 6-227(a)(1), 6-227(a)(8) and
6-227(b).
• Any damage to the existing improvements within the right of way of and City of Carmel roadway shall be
restored to the satisfaction of the City when work is completed.
• Access to all adjoining properties shall be maintained at all times.
• The petitioner shall be responsible for coordinating relocation of all utility lines attached to the poles and
complete removal of any retired or replaced poles.
• The petitioner acknowledges that this waiver is for the items described above only.
• The petitioner acknowledges that the waiver approved this date does not guarantee approval of any
future waiver requests for this or any other project.
Sincerely,
Bradley Pease, P.E.
City Engineer
1 inch = 27 ft
-Remove pole and install 45 ft class
2 pole and install deeper
-Move pole a couple feet to
northeast
-Remove 2 secondary clevises and
install 2 secondary clevises on new
pole
-Transfer service wire to building
560 and from pole HMI-41041(QX)
Scope Of Work
-Clay/Hamilton
-Flaggers needed
Construction Notes
9/12/25
Date Page 1/1
58037127
Work Order Number
POLERPL
Job Plan Number
560 3RD AVE SW, CARMEL, IN,
46032, USA
Job Site Address
Nathan Vu Nguyen
Designer
765-736-2776
Designer Phone
Customer Name
Customer Phone
CARMEL 1ST AVE (794) 1264
Circuit Id
12.47/7.2
Primary Voltage
-Breaker @ SS CARMEL 1ST AVE
(794) 1264
Upstream Protective Devices
Permits
-Replace 40 ft class 3 pole with
another 40 ft class 3 pole
-Remove and reinstall all utilities on
pole 087-943 to new pole
-Comms on pole as well (3)
-Retransfer the span guy to pole
after replacing
Scope Of Work
-Span guy connecting pole 196-290
and pole 087-943 together
-Clay/Hamilton
Construction Notes
7/31/25
Date Page 1/1
58270098
Work Order Number
POLERPL
Job Plan Number
11414 RIVER DR W, CARMEL, IN,
46033, USA
Job Site Address
Nathan Vu Nguyen
Designer
765-736-2776
Designer Phone
Customer Name
Customer Phone
CARMEL SOUTHEAST (444) 1254
Circuit Id
12.47/7.2
Primary Voltage
-Breaker @ SS CARMEL
SOUTHEAST (444) 1254
Upstream Protective Devices
Permits
-Remove 30 ft class 7 pole and
install another 30 ft class 7 pole
-Remove and install new secondary
clevis and transfer 2 AL secondary
Scope Of Work
-Pole is on gravel bed
-Clay/Hamilton
Construction Notes
8/28/25
Date Page 1/1
58555900
Work Order Number
POLERPL
Job Plan Number
1615 NORRISTON DR,
INDIANAPOLIS, IN, 46280, USA
Job Site Address
Nathan Vu Nguyen
Designer
765-736-2776
Designer Phone
Customer Name
Customer Phone
HOMEPLACE (430) 1244
Circuit Id
12.47/7.2
Primary Voltage
-Breaker @ SS HOMEPLACE (430)
1244
Upstream Protective Devices
Permits
UNDERGROUND & BURIED UTILITY DISTRICT WAIVER REQUEST
SMALL CELL PERMIT SC-2025-00017
Colby Toney
1961 Northpoint Boulevard, Suite 130
Hixson, TN
37343
7063133461
colby.toney@telecadeng.com
Crown Castle
2000 Corporate Drive
Canonsburg, PA
15317
APPLICANT FACILITY OWNER
The applicant listed below requests the Board of Public Works and Safety grant a waiver from the
requirements of the Underground and Buried Utility District (BPW Res. 04-28-17-01) to facilitate installation
of above ground small cell facilities within Carmel's dedicated right-of-way.
Location 1 197 N Richland Dr
PROPOSED SITES
104 Sylvan LnLocation 2
Location 3
Location 4
Location 5
2329 E Smoky Row
The Department of Engineering has determined this request to be valid and recommends approval the waiver, subject to the
following conditions:
·The waiver is limited to the design and placement of small cell facilities, support structures, control cabinets and other
appurtenances as shown on the construction plans submitted to the Department of Engineering as part of Small Cell
Permit No. SC-2025-00017
· This waiver applies only to the locations listed above.
· Approval of this waiver does not guarantee approval of any future requests.
___________________________________________
Bradley Pease, PE
City Engineer
GN CARMEL 0013
GN CARMEL 0011
GN CARMEL 0010
Pole ID Address
DEPARTMENT OF ENGINEERING
ONE CIVIC SQUARE, CARMEL, IN 46032 OFFICE 317.571.2441 FAX 317.571.2439
EMAIL engineering@carmel.in.gov
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