Dallman Contractors/Street/75,000/Concrete Maintenance Keystone BridgesDalbnan Contractors, LLC
Street - 2014
Appropriation #43- 509.00; P.O. #31275
Contract Not To Exceed $75,000.00
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 Dallman Contractors, LLC. (the "Vendor'), as City Contract dated November 6, 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 f1BI ", as well as the required E- verify Affidavit, attached hereto and
incorporated herein as Exhibit "IC ". 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 DALLMAN CONTRACTORS, LLC.
by and through its Board of Public
Works and Safety
By:
C da
mes Brainard, Presiding Officer
Date:
Mary An
Date:
Burke Member
Lori S.'Wats&n; Member
Date:
ATTEST:
ana Cordr
Date:
Clerk-Treasurer
�
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By:
Authorized Signature
LL
RC?A t ( ( Yf�J-I l` rS
Printed Name
Prc eQf /1/ /G% /fc,(r/
Title
FID/TIN:
Last Four of SSN if Sole Proprietor:
Date: 0 is c) 7„? a/ y
July 16th, 2014
Mr. Ernest Dallman
Dallman Contractors, LLC
5808 W. 74th Street
Indianapolis, IN. 46278
RE: Additional Service Amendment #1, P.O # 31275
Dear Ernest,
As we discussed, the City of Carmel has a need for additional professional services and pursuant to our
current contract with Dallman Contractors, Contract dated November,6, 2013 I have requested and
received from you the proposed scope of services and fee estimates for the following work task:
Additional Service Amendment #1- Keystone Bridges Concrete Maintenance Program not
to exceed $74,357.
Per our contract procedural requirements, I hereby approve this Additional Professional Services
estimate, and request 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 Carmel with your professional, quality services. If you should have any
questions, please give me a call.
David W. Huffman
Street Commissioner Reviewed and approved by:
S.C. Engelking
Director of Administration
EXHIBIT i-
�orw
DALLMAN
CONTRACTORS, LLC
DESIGN • CONSTRUCTION • CONSTRUCTION MANAGEMENT
Proposal
Date 06/25/2014
Date: Page 1 of 1
Job Name: Carmel Roundabouts
Job Location: 116th St. & 136T" St.
WE PROPOSE TO:
Clean , reseal roundabouts and lift walks that have settled.
ALL AS OUTLINED ABOVE AND /OR PER PLANS AND SPECIFICATIONS FOR THE SUM OF:
Dollars and 00/100 Seventy Four Thousand Three Hundred and Fifty Seven Dollars $ 74,357.00
THIS PROPOSAL MAY BE WITHDRAWN, WITHOUT NOTICE, BY US IF NOT ACCEPTED WITHIN 30 DAYS FROM DATE
OF PROPOSAL.
TERMS OF PAYMENT: NET 30 BY: 7244_4.171/14.ci-
RON BROTHERS
ALL MATERIAL AND WORKMANSHIP IS GUARANTEED TO BE AS SPECIFIED AND IN ACCORDANCE WITH INDUSTRY PRACTICE. ANY CHANGE IN SCOPE OF WORK OR
QUANTITY OF MATERIAL WILL BE EXECUTED ONLY UPON WRITTEN ORDER AND WILL BECOME AN EXTRA CHARGE OVER AND ABOVE THE PRICED STATED HEREON.
THIS AGREEMENT IS CONTINGENT UPON STRIKES, ACCIDENTS, AND /OR DELAYS BEYOND OUR CONTROL. PRICE AND DESIGN SUBJECT TO CHANGE WITHOUT
NOTICE. OWNER OR OWNERS REPRESENTATIVES TO PROVIDE BUILDERS RISK INSURANCE. DALLMAN CONTRACTORS, LLC TO PROVIDE LIABILITY AND WORKMAN
COMPENSATION INSURANCE WITH CERTIFICATE IF REQUIRED. AMOUNTS NOT PAID ON OR BEFORE DUE DATE WILL ACCRUE INTEREST DAILY AT THE RATE OF
2.0% INTEREST PER MONTH. ANY AND ALL ATTORNEYS FEES REQUIRED IN THE COLLECTION OF OVERDUE AMOUNTS ARE TO BE ADDED TO BALANCE.
Acceptance of Proposal
YOUR PROPOSAL IS SATISFACTORY AND YOU ARE AUTHORIZED TO DO THE
WORK AS SPECIFIED. PAYMENTS WILL BE MADE PER YOUR TERMS.
DATE: SIGNATURE:
5808 W. 74th Street, Indianapolis, IN 46278 • (317) 280 -8940 • Fax (317) 280 -8941
City of Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
3540000972
ONE CIVIC SQUARE
CARMEL INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
PAGE
PURCHASE ORDER NUMBER
31275
THIS NUMBER MUST APPEAR ON INVOICES. M
VOUCHER, DELIVERY MEMO, PACKING SUP:
SHIPPING LABELS AND ANY CORRESPONDENCI
DESCRIPTION
12/1812013
VENDOR
Daliman Contractors, LLC
5808 W. 74th Street
Indianapolis, IN 46278
SHIP
TO
Street Department
3400 W. 131st Street
Carmel, IN 46074
(317) 733 -2001
CONRRMATION
BLANKET CONTRACT
QUANTITY
PAYMENT TERMS
FREIGHT
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 0043 - 509.00
1 Each Keystone Bridges Concrete Maintenance
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
PLEASE INVOICE IN DUPLICATE
$75,000.00
Sub Total:
$75,000.00
$75,000.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Carmel Street Department
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 312 75
ORDERED BY
TITLE
CLERK - TREASURER
VENDOR COPY
PAYMENT $75,000.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAT.f FFICIENT TO PAY FOR THE ABOVE ORDER.