TPI Utility Construction/FIRE/9000/conduit installationTf'J Utility Construction, LLC
Fire Dept. - 2019
Appropriation #102- 501 -00 P.O. #24d25
Contract Not To Exceed $9,880.00
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 TPI Utility Construction, LLC (the Vendor"), as City Contract dated October 17, 2012
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
by and through its Board of Public
Works and Safety
By:
James Brainard, Presiding Officer
Date:
Mary A Burke, M em' -r
Date: .
Lori S. Wats
Date:
ATTEST:
DaCordray, !AMC /Clef/ re urer
Date: - R //7 /
TPI UTILITY CONSTRUCTION LLC
Authorized Sign
Printed Name
air GJ r
Title
FID/
Last Four of SSN if Sole Proprietor:
Date: oC a)0 / �i
S : \Contracts\ProfSves & Goods Scs\2014 \TW'I Utility Construction - Ad I'I Svcs Arncnddm -.
TPI Utility Construction LLC
478 North County Road 1100 East
Zionsville. IN 46077
Off ce# 317- 769 -4777
Fax# 317- 769 -4645
www.tpiuti1ity.com
Carmel Fire Department
2 Civic Square
Carmel. IN 46032
Date:
Estimate
8/25/2014 Estimate # TPI 448
0
®•• ()S.
••• FF
UTILITY CONSTRUCTION
Bore It ...Don't Restore It !
Project:
HDD Conduits Generator
Qty
Description
Rate
Total
150
Install (4) 4" HDPE Conduits and (4) I" Conduits from generator location to
huilding behind Carmel Fire Department
Piping is to be terminated and capped at depth for final connection by others to
huilding and generator pad.
TPI Scope:
Provide all labor and materials to install conduit as described
Hydro- excavate all utilities identified by the One Call System for depth
veritiication....anv private utilities going to building must be identified as well. If
Cannel lire needs help
identifying any private utilities TPI can coordinate with Bloodhound (private
utility locating company) to help mark and identify these utility runs. Invoicing for
this would be. a pass
60.00
y
9,000.00
F��o . 00
�,
lthrough,invoicc Their hourly- rate.to.us,is $220 -0Qper.hour_and l mild figure a
.minimum of 4 hours.S
__
It is my understanding that the asphalt in this area will be getting repaved soon.
Any asphalt cuts need to verily utilities will be tilled with compacted material and
cold patched as
temporary fix until paving is done.
Estimate Good For: 30 Days
Total
Acceptance of Proposal: The above prices, specifications and conditions are hereby accepted. You are authorized to do the work as
specified. Payment shall be made promptly after work is completed. Any charges incurred in collection of debt, including legal fees
shall be the responsibility of the signee of this proposal.
Signature
Accepted Date:
EXHIBIT
o rz
r
CITY OF CARMEL
Fire Department Headquarters
2 CIVIC SQUARE
CARMEL, INDIANA 46032
317 -571 -2600
August 27, 2014
Mr. Bryan Rynearson
TP1 Utility Construction
478 North County Road 1 100 East
Zionsville, Indiana 46077
RE: Additional Services #2014 -02 (P.O. #24625)
$9,880.00 Appropriation #102- 501 -00
Dear Mr. Rynearson:
The City of Carmel has a need for additional professional services and pursuant to our current contract with
TPI Utility Construction contract dated October 17, 2012. 1 have requested and received from you the
proposed scope of services and fee estimates for the following work task:
Additional Service:
Additional Charges for Installing Conduits for Generator
Project- Fire Station #41
Attachment "A" Fee: $9,880.00
Per our contract 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 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 Services # and include the P.O. # shown above. 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 me a call.
Respectfully,
ifigitQlers
Matthew F. Hoffman
Fire Chief
City of Carmel
Cc: Mayor James Brainard
Diana Cordray, Clerk Treasurer
EXHIBIT A-
2 61 a
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE t
PURCHASE ORDER kiiMBER
24625
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO. PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
W2712014
o�
Ica_ oc % ov��
VENDOR
TP Utility Construction LLC
478 North County Road 1100 East
Zionsville, IN 46077
SHIP
TO
Carmel Fire Department
2 Carmel Civic Square
Carmel, IN 46032
(3171 571 2622
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
V
QUANTITY 1 UNI MEASU
DESCRIPTION
UNIT PRICE
EXTENSION
Account 102-601.00
1 Each Install Conduits Per Attached Quote \ yy'%
4 Each Bloodhound Services
Send Invoice To:
Carmel Fire Department
2 Carmel Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$9,000.00
$220.00
Sub Total:
$9,000.00
$880.00
$9,880.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Cannel Fire 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.
24625
DOCUMENT CONTROL NO.
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS 880.00
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE I5 AN UNOBLIGATED BALANCE IN
THISAPPROPWRTJQN _ ICIENT TO PAY OR THE ABOVE ORDER. -
I
ORDERED BY
TITLE
CLERK - TREASURER
VENDOR COPY