Bartlett Tree Experts/DOCS/15,000/Tree Removal Bartlett Tree Experts
DOGS-2014
Appropriation#43.504.00; P.Q.#31717
Contract Not To Exceed$15,000,00 �Q TiVcr
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ADDITIONAL SERVICES AMENDMENT TO JAo
AGREEMENT FOR PURCHASE OF GOODS AND SERVICES
THIS AMENDMENT TO THE GOODS AND SERVICES AGREEMENT ("Agreement") entered into by and
between the City of Carmel and Bartlett Tree Experts (the "Vendor"), as City Contract dated March 5, 2014 shall
amend the terms of the Agreement by adding the additional services to be provided by Vendor consistent with the
Scope of Work attached hereto and incorporated herein as Exhibit "A Furthermore, the terms of the Agreement
shall be amended to include the E-verify requirement as stated in Indiana Code§22-5-1.7 et seq., which is attached
hereto and incorporated herein as Exhibit "B", as well as the required E-verify Affidavit attached hereto and
incorporated herein as Exhibit "C". Also, pursuant to I.C. § 5-22-16,5, Vendor shall certify that in signing this
document, it does not engage in investment activities within the Country of Iran. The terms and conditions of the
Agreement shall not otherwise be affected by this Additional Services Amendment and shall remain in full force and
effect.
IN WITNESS WHEREOF, the parties hereto have made and executed this Amendment as follows:
CITY OF CARMEL, INDIANA `Bartlett Tree Experts
by and through its Board of Public
Works and Safety
By Aate: r( ar� B�$rainard, Presiding 0 Authorized Signature
Matthew Farin
Printed Name
Mary Ap Burke, Mara er Vice President
Date:/ _� —�y/ Title
LIu/TIN:
Doti:' Watson,s foto'
Date: .�� /
r • Last Four of SSN it Sole Proprietor:
ATTEST: Mdelvason,„
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Date: 8/11/2014 j
na Cordray, IA Tre surer
Date: _ / * BARTLETT TREE EXPERTS 15 THE REGISTERED
TRADE NAME OF,THE F.A.BARTLETT TREE
EIIPERT COMPANY,A CONNECTICUT CORPORATION
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CITY OF -CARMEL
JAMES BRAINARD, MAYOR
July 29,2014
Bartlett Tree Experts
P.O. Box 3067
Stamford,CT 06905-0067
Re:Additional Professional Services#1 (P.O 31717)
Dear Mr. Faris:
The City of Carmel has a need liar additional professional services over and above those set out in the Agreement Between the City of
Carmel and Bartlett Tree Experts for Tree Removal and Maintenance dated March 5,2014_.
Additional Services#1: Services not to exceed$15,000
Services are to include Tree Removal/Maintenance,
All labor,materials,equipment and services
for tree removal/maintenance and clean-up of debris
Per our procedural requirements, I hereby approve this"Additional Professional Services"estimate,and grant you the Notice to
Proceed for the above services.
PLEASE NOTE:
Be advised that"Additional Professional Services"performed through agreement with the City of Carmel must be billed separately
from the original Agreement and other additional services, More importantly,the inyoice must ttfference the a ov - 4',ere_nre
purchase Order no to her Invoices submitted without this information will be returned to your office. 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 rae a
call.
Sincerely, Approved:
•
C2FI0llibaugh Steve Engelci t�
Director Director of Administration
cc' Mayor James Brainard
Diana Cordray,Clerk'I',udsllrer
Cindy Sheeler,Clerk 9'rw3urees Office
EXHIBIT AI
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I)Y✓.ARI MUN"r OP COMMUNITY SERVICI'S
ONN. CCIvn. Svuntui, CAUMI:1., IN 46032 I'noNr 317.571.2417, Fax 317.571.2426
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C0 INDIANA RETAIL TAX EXEMPT PAGE
i \�/ - of 1\ .a.r e l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
y y ��11.// �11a FEDERAL EXCISE TAX EXEMPT 31717
1 35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES.AIP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO. PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO VENDOR NO DESCRIPTION
7129/2014
Bartlett Tree Experts DOCS Department
VENDOR SHIP 1 Civic Square
P.O. Box 3067 TO Carmel, IN 46032
Stamford, CT 06905-0067 (317) 571-2418
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-504.00
1 Each Additional Services Letter $15,000.00 $15,000.00
Sub Total: $15,000.00
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Send Invoice To. 1 ) ':'
DOCS Department
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1192 DOCS PAYMENT $15,000.00
• AIP 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 CERTI THAT E IS AN UNOBLIGATED BALANCE IN
THIS APPROP UFFICIENT TO PAY PORT-IIE ABOVE ORDER
•SHIP REPAID (/�j
• COD.SHIPMENTS CANNOT BE ACCEPTED ORDERED BY
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Director
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
CLERK-TREASURER
DOCUMENT CONTROL NO. 31717 VENDOR COPY