Michael Lee/CRC/50,000/accounting service Michael Lee
CRC-2014
PO#31558
Contract Not To Exceed$50,000.00
ADDITIONAL SERVICES AMENDMENT TO
AGREEMENT FOR PURCHASE OF GOODS AND SERVICES
THIS AMENDMENT TO THE GOODS AND SERVICES AGREEMENT ("Agreement") entered into by and
between the City of Carmel and Michael Lee (the "Vendor'), as City Contract dated September 18, 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'I, 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:
•
CARMEL REDEVELOPMENT COMMISSION Michael Lee
By: By:
9
William Uammpr ,Ehre t1eert Authorized Signature
Date: �j '"'1t
M� chetel Lc1e.
Printed Name
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Last Four of SSN if Sole Proprietor: 6 370
Date: 2- 21- I�
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EXHIBIT A
JO Description — Financial Consultant
Carmel Redevelopment Commission
8/7/13
I. Finance
a. Prepare annual budgets for the Redevelopment Commission and their
revisions
b. Update monthly forecast
c. Prepare monthly financial packet, which includes the forecast,expenditure
and revenue analyses, summary of cash and cash rights, debt summary and
developer debt summary
d. Attend monthly Commission meetings to assist with any questions
involving approval of claims and the forecast
e. Attend Finance Committee meetings to address the budget, forecast and
any other Commission financial issues
f. Advise on the status of budget line items for the Redevelopment
Commission and the Redevelopment Department
g. Communicate with other financial and accounting professionals and legal
professionals on the Commission's behalf to resolve issues that may occur
2. Administrative
a. Review Redevelopment Commission and Redevelopment Department
invoices and prepare claims to be submitted to the Clerk-Treasurer's office
b. Contact any vendors when issues regarding their invoices arise
c. Assist in the preparation of contracts to be submitted to the Clerk-
Treasurer's office
d. Assist in preparing purchase orders to be submitted to the Clerk-
Treasurer's office
C i ity of f C sane l INDIANA RETAIL TAX EXEMPT 155 00 PAGE
1n1 1111 \�/ CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
7.
FEDERAL EXCISE TAX EXEMPT 3/558
35-60000972 •
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FO PROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR Michael Lee SHIP CRC ,
506 W 5mokey Rol✓ Rd• TO 30 k/ Main 5 , C ki e 2,2.0
Car me),TN �f6032 Carmel, T/V 'f603Z
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
I Financial and acCaaih9 : , 450,00D
5errice5 for fhe CRC
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Send Invoice To: C r1 4 1
30 W /'1a 1 h 54:,Su fc 22` --Li f
Carmel1I4" 4.6032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
901 434. 0303 PAYMENT
• MP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
•
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY,'T THERE IS AN UNOBLIGATED BALANCE IN
et,EPAID. i THIS APPROPRIATI)s F C: TO PAY FOR 'EABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY I /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. �,'(i AI L
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE •
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 315 5 8 CLERK-TREASURER VENDOR COPY
OPY