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Midwest Constructors; P.O. 31785 $203,890 Sponsors: Councilor Finkam Councilor Rider Councilor Snyder RESOLUTION CC-09-15-14-01 A RESOLUTION OF THE COMMON COUNCIL OF THE CITY OF CARMEL, INDIANA,APPROVING CARMEL REDEVELOPMENT COMMISSION GOODS AND SERVICES CONTRACT WITH MIDWEST CONSTRUCTORS, LLC WHEREAS, THE City of Carmel Common Council ("Council") created by ordinance the Carmel Redevelopment Commission("CRC"); and WHEREAS, by subsequent ordinance, the Council requires the CRC to seeks its approval, by simple majority vote, of all professional services contracts that exceed Twenty-Five Thousand Dollars ($25,000.00) in a calendar year(the"Threshold Amount"); and WHEREAS, the CRC now desires to enter into the goods and services contract with Midwest Constructors, LLC the same being attached hereto as Exhibit A, which contract (the "Goods midi'Services Contract") is in an amount that exceeds the Threshold Amount; and WHEREAS, the CRC has presented the Goods and Services Contract to the Council and has requested approval of the same. NtiOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Carmel, Indiana, as follows: Section 1. The foregoing Recitals are incorporated herein by this reference. Section 2. The Contract should be and the same is hereby APPROVED by the Common Council of the City of Carmel, Indiana. SO RESOLVED by the Common Council of the City of Cannel, Indiana, this day of ■ 014, by a vote of I ayes and 95 nays. This Resolution was prepared by Douglas C.Haney, Carmel City Attorney, on 9/5/14 at 11:30 a.m. No subsequent revision to this Resolution has been reviewed by Mr.Haney for legal sufficiency or otherwise. Sponsors: Councilor Finkam Councilor Rider Councilor Snyder COMMON COUNCIL FOR THE CIT OF CARMEL OPIPP Pr ding Officer ' evin D. Rider (1 ,`-.1 a I it W. Eric Seidert ticker, Presid , ` ro Tempore Carol Schlei 7 Ar. ../// ( ' /:-...‘#. f R•,.: ■ E. Carter Richard,. Sharp A... 41IL All 1 if 1_ d. 4--A ' - �'rnkam/ Juci - I er - 0 ATT _' 4 Diana L. Cordray, IAMC, Clerk-Tree er Presented by me to the Mayor of the City of Carmel, Indiana this I day of 2014, at 9 • fZ ' .M. ,k-'4 Z6' Diana L. Cordray, IAMC, C1er - reasurer Approved by me, the Mayor of the City of Carmel, Indiana, this 1 5+day of 2014, at IZ V .M. J es Brainard, Mayor ATTEST: At,--,:y4 6; ,/ A Diana L. Cordray, IAMC, Cle r -asurer Resolution No. CC-09-15-14-01 Page Two of Two Pages This Resolution was prepared by Douglas C.Haney, Carmel City Attorney,on 9/5/14 at 11:30 a.m. No subsequent revision to this Resolution has been reviewed by Mr.Haney for legal sufficiency or otherwise. Midwest Constructors,LLC CRC-2014 Appropriation#902-4460954; P.O.#31785 Contract Not To Exceed$203,890.000 CO AGREEMENT FOR PURCHASE OF GOODS AND SERVICES THIS AGREEMENT FOR PURCHASE OF GOODS AND SERVICES ("Agreement") is hereby entered into by and between the City of Carmel Redevelopment Commission ("CRC"), and, Midwest Constructors, LLC, an entity duly authorized to do business in the State of Indiana ("Vendor"). TERMS AND CONDITIONS 1. ACKNOWLEDGMENT,ACCEPTANCE: Vendor acknowledges that it has read and understands this Agreement, and agrees that its execution of same constitutes its acceptance of all of the Agreement's terms and conditions. 2. PERFORMANCE: CRC agrees to purchase the goods and/or services (the "Goods and Services") from Vendor using CRC budget appropriation number 902-4460954 funds. Vendor agrees to provide the Goods and Services and to otherwise perform the requirements of this Agreement by applying at all times the highest technical and industry standards. 3. PRICE AND PAYMENT TERMS: 3.1 Vendor estimates that the total price for the Goods and Services to be provided to CRC hereunder shall be no more than Two Hundred Three Thousand, Eight Hundred Ninety Dollars ($203,890.00) (the "Estimate"). Vendor shall submit an invoice to CRC no more than once every thirty (30) days detailing the Goods and Services provided to CRC within such time period. CRC shall pay Vendor for such Goods and Services within thirty five (35) days after the date of CRC's receipt of Vendor's invoice detailing same, so long as and to the extent such Goods and Services are not disputed, are in conformance with the specifications set forth in Exhibit A, are submitted on an invoice that contains the information contained on attached Exhibit B, and Vendor has otherwise performed and satisfied all the terms and conditions of this Agreement. 3.2 Vendor agrees not to provide any Goods and Services to CRC that would cause the total cost of the Goods and Services provided by Vendor to CRC hereunder to exceed the Estimate, unless CRC has previously agreed,in writing,to pay an amount in excess thereof. 4. WARRANTY: Vendor expressly warrants that the Goods and Services covered by this Agreement will conform to those certain specifications, descriptions and/or quotations regarding same as were provided to Vendor by CRC and/or by Vendor to and accepted by CRC pursuant to or as part of that certain City of Carmel Redevelopment Department Bid Proposal Package for "Nash Building Streetscape" received by the City of Carmel Redevelopment Commission on or about September 3, 2014, all of which documents are incorporated herein by reference, and that the Goods and Services will be delivered in a timely, good and workmanlike manner and free from defect. Vendor acknowledges that it knows of CRC's intended use and expressly warrants that the Goods and Services provided to CRC pursuant to this Agreement have been selected by Vendor based upon CRC's stated use and are fit and sufficient for their particular purpose. IV:bAa itC mu1.WdSc.&Gauls Sies102CD01411.11OWF.ST CONSTRUCTORS•CRC.WODS&SERVICES STRDARD CONTRAC 4 9N21314-UR PMT Midwest Constructors,LLC CRC-2014 Appropriation#902-4460954; P.O.#31785 Contract Not To Exceed$203,890.000 5. TIME AND PERFORMANCE: This Agreement shall become effective as of the last date on which a party hereto executes same("Effective Date"),and both parties shall thereafter perform their obligations hereunder in a timely manner.Time is of the essence of this Agreement. 6 DISCLOSURE AND WARNINGS: If requested by CRC,Vendor shall promptly furnish to CRC,in such form and detail as CRC may direct, a list of all chemicals, materials,substances and items used in or during the provision of the Goods and Services provided hereunder, including the quantity, quality and concentration thereof and any other information relating thereto.At the time of the delivery of the Goods and Services provided hereunder,Vendor agrees to furnish to CRC sufficient written warning and notice(including appropriate labels on containers and packing) of any hazardous material utilized in or that is a part of the Goods and Services. 7. LIENS: Vendor shall not cause or permit the filing of any lien on any property of CRC or the City of Carmel, Indiana ("City"). In the event any such lien is filed and Vendor fails to remove such lien within ten (10)days after the filing thereof, by payment or bonding, CRC shall have the right to pay such lien or obtain such bond, all at Vendor's sole cost and expense. 8. DEFAULT: In the event Vendor: (a) repudiates, breaches or defaults under any of the terms or conditions of this Agreement, including Vendor's warranties; (b)fails to provide the Goods and Services as specified herein; (c)fails to make progress so as to endanger timely and proper provision of the Goods and Services and does not correct such failure or breach within five (5) business days (or such shorter period of time as is commercially reasonable under the circumstances)after receipt of notice from CRC specifying such failure or breach;or(d) becomes insolvent, is placed into receivership, makes a general assignment for the benefit of creditors or dissolves, each such event constituting an event of default hereunder, CRC shall have the right to(1)terminate all or any parts of this Agreement,without liability to Vendor;and (2)exercise all other rights and remedies available to CRC at law and/or in equity. 9. INSURANCE AND INDEMNIFICATION: Vendor shall procure and maintain in full force and effect during the term of this Agreement, with an insurer licensed to do business in the State of Indiana,such insurance as is necessary for the protection of CRC,the City,and Vendor from all claims for damages under any workers'compensation,occupational disease and/or unemployment compensation act; for bodily injuries including, but not limited to, personal injury, sickness, disease or death of or to any of Vendor's agents, officers, employees, contractors and subcontractors; and, for any injury to or destruction of property, including, but not limited to, any loss of use resulting therefrom. The coverage amounts shall be no less than those amounts set forth in attached Exhibit C. Vendor shall cause its insurers to name CRC and City as additional insureds on all such insurance policies,shall promptly provide CRC and City, upon request, with copies of all such policies, and shall provide that such insurance policies shall not be canceled without thirty (30) days prior notice to CRC and City. Vendor shall indemnify and hold harmless CRC and City from and against any and all liabilities, claims, demands or expenses (including, but not limited to, reasonable attorney fees) for injury, death and/or damages to any person or property arising from or in connection with Vendor's provision of Goods and Services pursuant to or under this Agreement or Vendor's use of CRC or City property. IV,MAaMICamncuWdS.a @ Goods SuMCRcvoIWIMIvwEST CONSTRUCTORS-CRC•GOODS @ SERVICES ST{NDARDQIMRACT.dor.7NAI44:08 PMI Midwest Constructors,LLC CRC-2014 Appropriation#902-4460954; P.O.#31785 Contract Not To Exceed$203,890.000 Vendor further agrees to indemnify, defend and hold harmless CRC and City, and their respective officers, officials, agents and employees from all claims and suits of whatever type, including, but not limited to, all court costs, attorney fees, and other expenses, caused by any act or omission of Vendor and/or of any of Vendor's agents, officers, employees, contractors or subcontractors in the performance of this Agreement. These indemnification obligations shall survive the termination of this Agreement. 10. GOVERNMENT COMPLIANCE: Vendor agrees to comply with all federal,state and local laws, executive orders, rules, regulations and codes which may be applicable to Vendor's performance of its obligations under this Agreement, and all relevant provisions thereof are incorporated herein by this reference.Vendor agrees to indemnify and hold harmless CRC from any loss, damage and/or liability resulting from any such violation of such laws, orders, rules, regulations and codes.This indemnification obligation shall survive the termination of this Agreement. 11. NONDISCRIMINATION: Vendor represents and warrants that it and all of its officers, employees, agents, contractors and subcontractors shall comply with all laws of the United States, the State of Indiana and CRC prohibiting discrimination against any employee,applicant for employment or other person in the provision of any Goods and Services provided by this Agreement with respect to their hire,tenure,terms,conditions and privileges of employment and any other matter related to their employment or subcontracting, because of race, religion, color, sex, handicap, national origin, ancestry, age, disabled veteran status and/or Vietnam era veteran status. 12. E-VERIFY Pursuant to I.C. § 22-5-1.7 et seq., as the same may be amended from time to time, and as is incorporated herein by this reference (the Indiana E-Verify Law"), Vendor is required to enroll in and verify the work eligibility status of its newly-hired employees using the E-Verify program, and to execute the Affidavit attached herein as Exhibit D, affirming that it is enrolled and participating in the E-verify program and does not knowingly employ unauthorized aliens. In support of the Affidavit, Vendor shall provide the CRC with documentation indicating that it has enrolled and is participating in the E-Verify program. Should Vendor subcontract for the performance of any work under and pursuant to this Agreement, it shall fully comply with the Indiana E-Verify Law as regards each such subcontractor. Should the Vendor or any subcontractor violate the Indiana E-Verify law,the CRC may require a cure of such violation and thereafter, if no timely cure is performed, terminate this Agreement in accordance with either the provisions hereof or those set forth in the Indiana E-Verify Law.The requirements of this paragraph shall not apply should the E- Verify program cease to exist. 13. NO IMPLIED WAIVER: The failure of either party to require performance by the other of any provision of this Agreement shall not affect the right of such party to require such performance at any time thereafter, nor shall the waiver by any party of a breach of any provision of this Agreement constitute a waiver of any succeeding breach of the same or any other provision hereof. 14. NON-ASSIGNMENT: Vendor shall not assign or pledge this Agreement,whether as collateral for a loan or otherwise,and shall not delegate its obligations under this Agreement without CRC's prior written consent. IV:kAmnMmwdAINo(Sro&GoodsSm1CRClNiI&NMIDWESTCONSTRUCr ORS•CRC-GOODS&SERVICESST NDARDCOMiUCrAorW3QOJ43IRPMI 1 Midwest Constructors,LLC CRC-2014 Appropriation#902-4460954; P.O.#31785 Contract Not To Exceed$203,890.000 15. RELATIONSHIP OF PARTIES: The relationship of the parties hereto shall be as provided for in this Agreement, and neither Vendor nor any of its officers,employees,contractors, subcontractors and agents are employees of CRC.The contract price set forth herein shall be the full and maximum compensation and monies required of CRC to be paid to Vendor under or pursuant to this Agreement. 16. GOVERNING LAW; LAWSUITS: This Agreement is to be construed in accordance with and governed by the laws of the State of Indiana, except for its conflict of laws provisions.The parties agree that, in the event a lawsuit is filed hereunder,they waive their right to a jury trial, agree to file any such lawsuit in an appropriate court in Hamilton County, Indiana only,and agree that such court is the appropriate venue for and has jurisdiction over same. 17. SEVERABILITY: If any term of this Agreement is invalid or unenforceable under any statute, regulation, ordinance, executive order or other rule of law,such term shall be deemed reformed or deleted,but only to the extent necessary to comply with same,and the remaining provisions of this Agreement shall remain in full force and effect. 18. NOTICE: Any notice provided for in this Agreement will be sufficient if it is in writing and is delivered by postage prepaid U.S. certified mail, return receipt requested, to the party to be notified at the address specified herein: If to CRC: Carmel Redevelopment Commission AND Douglas C.Haney, City Attorney 30 West Main St.,Ste.220 Department of Law Carmel, Indiana 46032 One Civic Square ATTENTION:Corrie Meyer Carmel, Indiana 46032 If to Vendor: Midwest Constructors,LLC 2916 Bluff Road,Suite D Indianapolis, IN 46225 Telephone:317-784-6400 E-Mail: ATTENTION: Jim Streeter Notwithstanding the above, notice of termination under paragraph 19 hereinbelow shall be effective if given orally, as long as written notice is then provided as set forth hereinabove within five (5) business days from the date of such oral notice. 19. TERMINATION: 19.1 Notwithstanding anything to the contrary contained in this Agreement, CRC may, upon notice to Vendor, immediately terminate this Agreement for cause, in the event of a default hereunder by Vendor andlor if sufficient funds are not appropriated or encumbered to pay for the Goods and Services to be provided hereunder. In the event of such termination, Vendor shall be entitled to receive only payment for the undisputed invoice amount representing conforming Goods and Services delivered as of the date of termination, except that such payment amount shall not exceed the Estimate amount in effect at the time of termination, unless the parties have previously agreed in writing to a greater amount. IV.l+hareCtaaaedgafSa&Garb SrolCRC17OINARAVEST OW,STRUCTORS-CRC-GOODS&SERVICES Sr4NUARU CONTRACT-dor9/V20/44..08 PMI Midwest Constructors,LLC CRC-2014 Appropriation#902-4460954; P.O.#31785 Contract Not To Exceed$203,890.000 19.2 CRC may terminate this Agreement at any time upon thirty (30) days prior notice to Vendor. In the event of such termination, Vendor shall be entitled to receive only payment for the undisputed invoice amount of conforming Goods and Services delivered as of the date of termination, except that such payment amount shall not exceed the Estimate amount in effect at the time of termination, unless the parties have previously agreed in writing to a greater amount. 19.3 The CRC may terminate this Agreement pursuant to Paragraph 11 hereof,as appropriate. 20. REPRESENTATIONS AND WARRANTIES The parties represent and warrant that they are authorized to enter into this Agreement and that the persons executing this Agreement have the authority to bind the party which they represent. 21. ADDITIONAL GOODS AND SERVICES Vendor understands and agrees that CRC may, from time to time, request Vendor to provide additional goods and services to CRC. When CRC desires additional goods and services from Vendor,the CRC shall notify Vendor of such additional goods and services desired,as well as the time frame in which same are to be provided. Only after CRC has approved Vendor's time and cost estimate for the provision of such additional goods and services, has encumbered sufficient monies to pay for same, and has authorized Vendor, in writing,to provide such additional goods and services,shall such goods and services be provided by Vendor to CRC. A copy of the CRC's authorization documents for the purchase of additional goods and services shall be numbered and attached hereto in the order in which they are approved by CRC. 22. TERM Unless otherwise terminated in accordance with the termination provisions set forth in Paragraph 19 hereinabove,this Agreement shall be in effect from the Effective Date through December 31,20_and shall, on the first day of each January thereafter,automatically renew for a period of one(1) calendar year, unless otherwise agreed by the parties hereto. 23. HEADINGS All heading and sections of this Agreement are inserted for convenience only and do not form a part of this Agreement nor limit,expand or otherwise alter the meaning of any provision hereof. 24. BINDING EFFECT The parties, and their respective officers, officials, agents, partners, successors, assigns and legal representatives, are bound to the other with respect to all of the covenants,terms,warranties and obligations set forth in Agreement. 25. THIRD PARTY BENEFICIARIES Except as provided in paragraphs 7 and 9 hereof, this Agreement gives no rights or benefits to anyone other than CRC and Vendor. 26. IRAN CERTIFICATION: Pursuant to I.C. § 5-22-16.5, the Vendor shall certify that, in signing this document, it does not engage in investment activities within the Country of Iran. IV,Wred1CmmcnwRdSscs&Mods SresICIIC12014 D JST CONSTRUCTORS•CRC-GOODS St SERVICES STrMRDCONiRACtdrc.WV1O144U8 PMI Midwest Constructors,LLC CRC-2014 Appropriation#902-4460954; P.O.#31785 Contract Not To Exceed$203,890.000 27. ADVICE OF COUNSEL: The parties warrant that they have read this Agreement and understand it,have had the opportunity to obtain legal advice and assistance of counsel throughout the negotiation of this Agreement, and enter into same freely,voluntarily,and without any duress, undue influence or coercion. 28. ENTIRE AGREEMENT: This Agreement, together with any exhibits attached hereto or referenced herein, constitutes the entire agreement between Vendor and CRC with respect to the subject matter hereof,and supersedes all prior oral or written representations and agreements regarding same. Notwithstanding any other term or condition set forth herein, but subject to paragraph 16 hereof, to the extent any term or condition contained in any exhibit attached to this Agreement or in any document referenced herein conflicts with any term or condition contained in this Agreement, the term or condition contained in this Agreement shall govern and prevail. This Agreement may only be modified by written amendment executed by both parties hereto, or their successors in interest. IN WITNESS WHEREOF,the parties hereto have made and executed this Agreement as follows: CARMEL REDEVELOPMENT Midwest Constructors,LLC COMMISSION BY: :16 William Hammer,President u orized Signature Date: 'rinted Title: ge_x-6,i9A-417- FID/TIN: 70 —3 3 o°7 Last Four of SSN if Sole Proprietor: Date: -e,7149It `y`� 2)/ IV:Hha.dlCmttMuV4dSrn R Odds Sm1CRC130141MRRWFST CONSTRUCTORS•CRC.MODS&SERVICES SfeNDARD CONTRACT doe.91!/0014 4008 PM' BID PROPOSAL SUMMARY PAGE Complete the following information and place as the cover page to your bid packet. Insert all documents into an envelope with project name and your company name clearly marked on the outside. Seal the envelope. Company: Midwest Constructors LLC Project Name: Nash Building Streetscape Date Submitted: 7/28/2014 Base Bid 183,847.00 Amount: Alternate 1 Bid 51,969 Amount: Alternate 2 Bid 48,687 Amount: Alternate 3 Bid 20,043 Amount: . EXHIBIT A tor PART3 CONTRACT ITEMS AND UNIT PRICES cry ofCancel ilwo� u Cateace Parcel 73-Huh sb..a4,p. ITEM NO. DESCRIPTION UNIT QUAY UNIT TOTAL PIECE 1 PAVEMENT REMOVAL SYS 270 i 55.87 $ 12.24017(]) 2 CURD.CONCRETE.REMOVE LFT 57 i 3092 S 1256 61 O S AIRS AND GUTTER.SAWCUT LFT _ 206 1 13.74 5 2.11077 0 4 EXCAVATION.COMMON CYS 500 s 83.09 s 31.14772 O 5 DROP N MET PROTECTION EA 4 i 422.51 5 1990.0:1 8 IMLLLNO.ASPHALT.LAP JOIN SYS 15 5 56.82 5 732.36 D 7 SIGN.RELOCATE EA 1 5 1.690.113 s 193.03 O LIGHT POLE.RELOCATE(ALLOWANCE) LS 1 3 2918.72 S 2.81572 , O FIRE HYDRANT.RE1nCATE(JLLLOWANCE) LS I $ 11.416.99 $ 11.41818 10 HIM•HOT NIX AEPI4LLT SYS 244 5 124.78 i 25.5608 11 SfDEWALN.CONCRETE,410 SYS 365 5 18.42 5 25.971.83 12 SDEWALK.COCRETE(PAYER BASE) SYS 329 $ • 5 13 CURBRAAV's,TYPE(ALL) EA 2 5 677.83 5 1.75536 14 STRAGHT CONCRETE CURB LFT 273 5 13.03 $ 3902.67/6 16 TRENCH EXCAVATION AND BACLFRL LFT 504 5 33.60 i 17.03523 Q 10 CABLE NTERDUCT LFT 294 8 1890 1 3.968.70) 17 (NM PVC CONDUIT LFT 210 i 13.41 s 291832 0 10 HANDHOLE EA 3 5 2.816.72 5 0.450.10 19 WATER ESN 2 $ 818.01 5 1.35203 20 SEEDING SYS 200 $ 3.10 6 819.68') 21 ISIS.UT LITYAWILSTNENTS CONRICTS(AUAWANCE) LS 1 S 9.61025 5 997855 22 WINTENANCE OF TRAFFIC(ALLOINANCE) LS 1 5 4.34000 S 4.34020 23 LNE,PANT.SOLID.WHITE.4 LV LFT 72 $ 1017 5 73236•) 24 lANDSCAPE(MLONIANCE) LS 1 1 7.8668 5 7.66862 25 T135SO0. CYS 33 5 07.30 5 3211.08 0 ALTERNATE NO.1 I ISIOEWALIL CLAY PAVERS LS L 1 L5 519820315 51.969.001 ALTERNATE RO.2 1 IsIGEWALIC CONCRETE PAYERS LS 1 1 III 46957.001 i - 45.667.001 ALIERNATE NO.3 1 ISIDE1JALIL.COICRETE.4 R.COLOREOS1AMPED LS I 1 I s 20.043WI i ,Kazoo EXHIBIT A 2 c L( • PART 2 BID PROPOSAL 2.1 Base Bid The undersigned Bidder proposes to furnish all necessary labor, machinery, tools, apparatus,materials,equipment,service and other necessary supplies,and to perform and fulfill all obligations incident thereto in strict accordance with and within the time(s) provided by the terms and conditions of the Contract Documents for the above described Work and Project,including any and all addenda thereto,for the Unit Prices applicable to the Contract Items as stated in Part 3 hereof, which Unit Prices, when multiplied by estimated unit quantities for such Contract Items,total One Hundred eighty-three thousand eight hundred fourty-seven Dollars ($ 183,847.00 ). The Bidder acknowledges that evaluation of the lowest Bid shall be based on such price and further acknowledges that the unit quantities listed in Part 3 of this Proposal are estimates solely for the purpose of Bid evaluation and Contract award, and are not to be construed as exact or binding. The Bidder further understands that all Work which may result on the Contract shall be compensated for on a Unit Price basis and that the OWNER and ENGINEER cannot and do not guarantee the amount or quantity of any item of Work to be performed or furnished under the Contract. 2.2 Alternate Proposals .1 Alternate proposals are requested under Alternates of the Bidding Documents. .2 The alternate proposal shall indicate the amount to be added to or deducted from the Base Bid if the alternate proposal is accepted by the Owner. .3 The alternate proposal shall include all costs necessary for the complete installation of the materials or items indicated for the alternate proposal,including materials, labor, equipment, administration, overhead, profit, and taxes (as applicable). .4 The alternate proposal shall also include all costs for changes in the work (including work of other Separate Contracts) that will be made necessary by acceptance of the alternate proposal. .5 The Bidder shall submit prices for all the alternates listed below in the manner indicated. Cross out (Add) or (Deduct) as applicable. If there is no change in price to the Base Bid,write in"No Change". Alternate No. l State the amount to add to or deduct from the base bid to construct clay pavers atop the base bid concrete walk as shown on sheet C200 of the construction plans, dated June 30, 2014. Clay pavers style, color, pattern etc. shall be approved by Owner prior to construction. Pattern to be similar to pavers along Rangeline, south of City Center Drive, see photo below. (Add)(Deduct)Add Fifty one thousand nine hundred sixty-nine Dollars $ 51,969 (written amount) (numerals) EXHIBIT A B1D-3 Alternate No.2 State the amount to add to or deduct from the base bid to construct concrete pavers atop the base bid concrete walk as shown on sheet C200 of the construction plans, dated June 30, 2014. Concrete pavers style, color,pattern, etc. shall be approved by Owner prior to construction. Pattern to be similar to pavers along Rangeline, south of City Center Drive, see photo below. (Add)(Deduct)Add Fourty-eight thousand six hundred eighty-seven Dollars $48,687 (written amount) (numerals) Alternate No. 3 State the amount to add to or deduct from the base bid to construct integrally colored/stamped concrete walk in lieu of standard concrete walk as shown on sheet C200 of the construction plans, dated June 30, 2014. Concrete stamp style and pattern, color, etc. shall be approved by Owner prior to construction. Pattern to be similar to pavers along Rangeline, south of City Center Drive, see photo below. (Add)(Deduct) Add Twenty thousand fourty-thee Dollars $ 20,043 (written amount) (numerals) r ,,.., y__ es •l // _ EXHIBIT 44 t/ c)-(1( BID-4 l - - EXHIBIT B Invoice Date: Name of Company: Address &Zip: Telephone No.: Fax No.: Project Name: Invoice No. Purchase Order No: Goods Services Person Providing Date Goods/Services Provided Cost Per Hourly Total Goods/Services Goods/ (Describe each good/service Item Rate/ Service separately and in detail) Hours Provided Worked GRAND TOTAL Signature Printed Name EXHIBIT C INSURANCE COVERAGES Worker's Compensation&Disability Statutory Limits Employer's Liability: Bodily Injury by Accident/Disease: $100,000 each employee Bodily Injury by Accident/Disease: $250,000 each accident Bodily Injury by Accident/Disease: $500,000 policy limit Property damage,contractual liability, products-completed operations: General Aggregate Limit(other than Products/Completed Operations): $500,000 Products/Completed Operations: $500,000 Personal&Advertising Injury Policy Limit: $500,000 Each Occurrence Limit: $250,000 Fire Damage(any one fire): $250,000 Medical Expense Limit(any one person): $ 50,000 Comprehensive Auto Liability(owned,hired and non-owned) Bodily Single Limit: $500,000 each accident Injury and property damage: $500,000 each accident Policy Limit: $500,000 Umbrella Excess Liability Each occurrence and aggregate: $500,000 Maximum deductible: $ 10,000 5810812014 1:00 3175712484 CARMEL LAW DEPARTMET PAGE 12/12 EDIT D • AIWIDAVIT a.r.. r• being i<urst duly sworn,deposes and says that he/she is familiar with and has personal knowledge of the facts herein and,if called as a witness in this matter,could testify as ibllows: 1. I am over eighteen 18)years of age and am competent to testify to the facts contained herein. 2. I am now and at all times relevant herein have been employed by NI .�' .5.• t i .. (the"Employee") in the position of w , rl. . 3. I am familiar with the employment policies,practices,and procedures of the Employer and have the authority to ant on behalf of the Employer, 4. The Employer is enrolled and participates in the federal E-Veiny program and has provided documentation of such enrollment and participation to the City of Carmel, Indiana. • 5. The Company does not knowingly employ any unauthorized aliens. FURTHER AFFIANT SAYETH NOT. IN P �Q �INDIAN t� �•. EXECUTED on the day of 20 . * SEAL * Johnson County _ .,` Expires 02-1 21 /Pr ted; J h �/ A .4fiA 1 certify under the penalties far perjury under the laws of the United States of America and the State of Indiana that the foregoing factual statements and represen : •n true and correct „of 4 ted: rte- .- a EXHIBIT Ioc' z , .,„ g-e-,E-Verify Employment Eligibility Verification Exit . , N 3 Company Information � � � C� I� ,�� ' � � �.3 .� � ems— r . j 4.J`�..� J Company Name: Midwest Form Constructors LLC :._View:/.;Edit ; Doing Business As(DBA) Name: Midwest Constructors LLC DUNS Number: Physical Location: Mailing Address: Address 1: 2916 Bluff Road Address 1: Address 2: Suite D Address 2: City: Indianapolis City: State: IN State: Tip Code: 46225 Tip Code: County: MARION Additional Information: Employer Identification Number: 203303507 Total Number of Employees: 100 to 499 Parent Organization: Administrator: How did you hear about E-Verify? Other Marketing Channel: Organization Designation: Employer Category: None of these categories apply NAICS Code: 236- CONSTRUCTION OF BUILDINGS (236) View;/ Edit Hiring Sites: .View./:Edit ;: INDIANA 1 E-Verify Users: View/ Edit, Last First M.I. Phone E-mail Name Name Vasi Kim (317)784-6400 kvasi @midwestconstructorslIc.com MOU Signatory ONLY Vasi Kim (317)784- 6400kvasi @midwestconstructorslIc.com I•certify that the information provided for this registration is correct. I am aware that Federal law provides for imprisonment and/or fines for knowing false statements or other fraudulent EXHIBIT" conduct in connection with this registration. I am aware that providing any false information may be grounds for terminating participation in E-Verify. 2 of ® I agree i City ®f Carmel INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT I-7 h � 35-60000972 ( /(J" ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/F CARMEL,INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO, VENDOR NO. DESCRIPTION •VENDOR /11 J Y0,4 1,0nj 4"r'U thrf SHIP C R C 2916 Bfk-f-f Road,$ ;fe D TO 30 I4/. Ain 51 ,Sri/e 220 Indlq?dpolL!, 14' 4622,5 ear'mei I, '‘03Z CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION I Nh5) 5/71e !y 4203, e90."or lc r t ,' - . ,eit, 9 4 I,`',- ,, ..ti,.cI? ....-_`. t s� yw` � i i,A e gJ," • »'fir,rt�✓r=• .,,F'bi ', It s Li °�j 66 1 Send Invoice To: G R ( wJ F ,,, � r ��[ SuiTe n t&1-mel,IA/ 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT u'l // AMOUNT 50z ii i4 b 09 5i PAYMENT • 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. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS PROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •C.O.D.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 I _ LA 1 A L_ •iP ' AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. . CLERK-TREASURER DOCUMENT CONTROL NO. 317 8 5 VENDOR COPY