American Structurepoint/ENG/Addl Serv 5/5,000/Supplemental Design Services s
American Structurepoint
Engineering -2014
Appropriation#2009 Bond; P.O. #25283
Contract Not To Lrceed$5,000.00
ADDITIONAL SERVICES AMENDMENT TO gnok�
AGREEMENT FOR PURCHASE OF GOODS AND SERVICES �� �°
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THIS AMENDMENT TO THE GOODS AND SERVICES AGREEMENT ("Agreement") entered into by and
between the City of Carmel and American Structurepoint (the "Vendor"), as City Contract dated March 20, 2013 shall
amend the terms of the Agreement by adding the additional services to be provided by Vendor consistent with the
Scope of Work attached hereto and incorporated herein as Exhibit "A". Furthermore, the terms of the Agreement
shall be amended to include the E-verify requirement as stated in Indiana Code § 22-5-1.7 et seq., which is attached
hereto and incorporated herein as Exhibit "B", as well as the required E-verify Affidavit, attached hereto and
incorporated herein as Exhibit "C". Also, pursuant to I.C. § 5-22-16.5, Vendor shall certify that in signing this
document, it does not engage in investment activities within the Country of Iran. The terms and conditions of the
Agreement shall not otherwise be affected by this Additional Services Amendment and shall remain in full force and
effect.
IN WITNESS WHEREOF, the parties hereto have made and executed this Amendment as follows:
CITY OF CARMEL, INDIANA American Structurepoint
by and through its Board of Public
Works and Safety
By:
By: de C%
1%J/emes Brainard,•Presiding Offi r Authorized Signature
Date: -
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Printed Name
ary in Burke, Mnber ' /
Date: `1 — —I C/L/L Fr/6/NP6if//'' ETi' /-e,DTe
Title
Lori S. Watso , ember FID/TIN:
Date: 'f/zli/
Last Four of SSN if Sole Proprietor:
ATTEST:
Date: 3-,2/-,Qo/'
iana.Cordray, AMC lerk-Treasurer
Date: '—> /
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February 14,2014 01Ye0
CAIRMEL
jA tIs BRAI:NARD, MAYOR
Mr. Willis R. Conner, PE, SE
Mr. Gregory L. Henneke, PE
American Structurepoint, Inc.
7260 Shadeland Station
Indianapolis, IN 46256-3957 '
RE: Additional Service Amendment#$, P.O. #25283
Dear Mssrs. Conner and Henneke:
As we discussed, the City of Cannel has a need for additional professional services and pursuant to our current
contract with American Structurepoint, dated March 20, 2013. I have requested and received from you the proposed
scope of services and fee estimates for the following work task:
Additional Service Amendment#5- Bridlebourne Subdivision Drainage Improvements
Supplemental Design Services
Not to Exceed: $5,000.00
Per our contract procedural requirements, I hereby approve these Additional Professional Services estimates, and
request that the Board of Public Works ratify the above referenced Contract Amendment.
PLEASE NOTE
Please be advised that "Additional Services"performed on City contracts must be billed separately from the original
contract and other additional services. More importantly, the invoice must reference the appropriate Additional
Service# and P.O. # shown above. Invoices received without the Additional Service# referenced will be returned
for proper identification. Thank you for your continued assistance in providing the City of Cannel with your
professional, quality services. If you should have any questions, please give me a call.
Sincerely,
27;, `
Michael T. McBride, P.H.
City Engineer nn
Exhibit 0
Reviei d and approved by:
arC ems
C. Hngelkir >
DI?P.V.Ib11' I r,r IJSaI?IdiRr“; Director of Administration
Ch. Cn is S.I ,ll r. CAlau 1_ IN 4( 03' Ornat 31 - 571 21-11 I'AN 317 57 I._-i39
ENiAII. cnImruiin +navmct ut'r.
B
Ei
O AMERICAN
STRUCTUREPOINT
mm- it;.=`".' INC.
December 5, 2013
Mr. Michael McBride, PE
Carmel City Engineer
One Civic Square
Carmel, Indiana 46032
Re: Bridleboume Subdivision Drainage Improvements
Additional Services Request
Project No. IN201100507
Dear Mr. McBride:
On behalf of American Structurepoint, Inc., I am submitting this request for authorization of
additional professional services under our agreement dated March 20, 2013, for the
Bridleboume Subdivision Drainage Improvements Project.
The professional services shall include conversion of the construction plans and specifications
initially prepared for bidding per the Hamilton County Surveyor's Office requirements to the
City of Carmel bidding requirements as requested by the City Engineer. Our fee for the
additional services will be a lump-sum of $5,000. Invoices will be forwarded to the City of
Carmel on a monthly basis in accordance with our original contract.
Thank you for your consideration of our request. If you should have any questions, do not
hesitate to contact me at(317) 547-5580.
Very truly yours,
American Structurepoint, Inc.
r
le�agic, PE, ED AP
Civil Engineering Group Leader
AF:mek
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201100507 Sr
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INDIANA RETAIL
EXEMPT
City \`f a Carmel
('�r e CERTIFICATE NO. 031(20155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2 -�i
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES.
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING Si
SHIPPING LABELS AND ANY CORRESPONDEI
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
IRCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
SHIP
VENDOR ``- �- ice.�� ^sue-�"V IA S
TO
OYRRMATION BLANKET I CONTRACT} PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
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Send Invoice To:
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
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.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID.
•C O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY _
SHIPPING LABELS.
•THIS GIRDER ISSUED IN COM?LANCE WITH CHAPTER 99.ACTS 1945 TITLE ____
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
eL, ? CLERK-TREASURER
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