HWC Engineering/Eng/472,000/Small Structure Replacements and RepairsHWC Engineering, Inc.
Engineering - 2016
Appropriation #2016 Storm Water Bond; P.O.33695, ASA #2
Contract Not To Exceed $472,000.00
r p
ADDITIONAL SERVICES AMENDMENT TO
AGREEMENT FOR PROFESSIONAL SERVICES '�Aa
THIS AMENDMENT TO THE PROFESSIONAL SERVICES AGREEMENT ("Agreement") entered into by and
between the City of Carmel and HWC Engineering, Inc. (the "Professional"), as City Contract dated May 20, 2015
shall amend the terms of the Agreement by adding the additional services to be provided by.Professional consistent
with the Scope of Work attached hereto and incorporated herein as Exhibit "A". Professional will not perform any of
the Services detailed in Exhibit A prior to obtaining a written Notice to Proceed from the City. Upon receiving a
Notice to Proceed, the Professional shall perform only those Services specifically detailed in the Notice. If the
Professional desires clarification of the scope of any Notice to Proceed, the Professional -shall obtain such
clarification from the City in writing, prior to performing the service set forth in the Notice to Proceed. Any services
performed without the City's prior express written authorization will not be compensated. 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, Professional 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.
[Remainder of page intentionally left blank]
LSACon1=B\Prof.Svm S Goods Sv \Enginccring\2016W WC Enginccring Addl Svcs Am 1mcnt.dwx:3/32016 12:46 PK
HWC Engineering, Inc.
Engineering - 2016
Appropriation #2016 Storm Water Bond; P.O.33695, ASA #2
Contract Not To Exceed $472.000.00
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:
t'g&es Brainard Pre idin 1
MaryA�Ph Burke, Megb�F,
Date: // JJ // e
Lori S. at !Member
Date: 31 V 4-, / t ,{e
.r,.as.oec„�,sz>trunccu.g\IdUi11'C15,15—o,gAArJ Amcndnnu.d,c413P.CIE12:+4P\1;
HWC Engineering, Inc.
By: 2r,��d n
f U am
Authorized Signature
ij) WAe,p -�o c+v►�FG
Printed Name
IR r; 1 D civ-7-
Title
rvTTitle
FID/TIN: 35- 178'03yr
Last Four of SSN if Sole Proprietor:
Date: 3 - `/ -1-L
rxIR-6�--fifiiilENGINEERING
February 17, 2016
City of Carmel
Attn: Jeremy Kashman, P.E., City Engineer
One Civic Square
Carmel, IN 46032
RE: Proposed 2016 Small Structure Replacements/Repairs
HWC Project No: 2015-112-S
Mr. Kashman,
Confidence in the built environment.
151 N. Delaware, Suite 800
Indianapolis, Indiana 46204
www.hwcengineering.com
HWC Engineering (HWC) proposes to provide the City of Carmel Engineering Department with the
following services related to the small structures discussed in our previous meetings:
Task 2A: HWC will provide survey, utility coordination, plan development, R/W engineering, permits,
bidding, and construction inspection for the replacement of small structures 36, 43, 85, and 147. The
target bidding for these structures is October of 2016 and will be dependent on R/W acquisition and
permits. The proposed fee for these structures is $322,000.
Task 2113: HWC will provide limited survey, utility coordination, plan development, permits, bidding, and
construction inspection for the lining of small structures 65, 92, 122, and 128. The target bidding for
these structures is May of 2016 and will be dependent on permits. The proposed fee for these structures
is $104,100.
Task 2C: HWC will review and repackage the previously bid Carmel Project 15-14. HWC will provide
utility coordination, plan development, permits, bidding, and construction inspection for the lining of storm
sewer locations A, C, & D as indicated in the Project 15-14 map. The proposed fee for these structures is
$45,900.
A breakdown of the proposed fees and detailed scope of services (Appendix A) is included.
Please let me know if you have any questions or need additional information. We appreciate this
opportunity to continue to work with the City and are prepared to start work on these tasks immediately
upon receipt of a notice to proceed.
Sincere ,
i
JacobIsenburg, E.
Project Manager
Indianapolis I Terre Haute I Lafayette I Scottsburg
www.hwcengineering.com
EXHIBIT
Noblesville
6r
HWC Engineering
City of Carmel
Small Str Replacement (No. 36, 43, 85, 147)
Design Fee Summary
February 17, 2016
Culvert
36
43
85
147
Totals
I. Roadway Design (LS)
$ "
' 43,000
$` '43,000 .,
$ ; :
43,000
' $ '°
39,300
$..°'.
168,300-
IL Survey (LS)
$
4,500,.$
4,500._
$
4,500
$ ,
3,000
$"_
16,500.
III, eotec nica- ctua:,
$;'>.:
3,830
;3,830
3,830
$`,
3,830
"
15,320,`
Geotech Sub - Earth Exploration
IV. Utility Coordination'(LS)
$'
4,770.
$ ; 4,770.
$ ,,
4,770. $
4,770
$;
19,080
V. RNV Engineering"._'
$°_
1,950
$: ;: ,:1,950
$. %: , 1,,950.
$
1,950
, $
7,800.:
VI. .Bidding & Contract'Admin. (LS Per Contract Bid)
$'
8,000
VII. Con'st.lnspection (Hrly)
$'
24,000
_$ ° 24,000
- $ ..
24,000
$
15,000
- $:
87,000
Totals
$
82,050
$ 82,050
$
82,050
$
67,850
$
322,000
R/W Engineering Breakdown
Anticipated Parcels 1 1 1 1
Staking RNV for clearing ($750/parcel)
$ 750 $ 750 $ 750 $ 750 $ 3,000
RNV Parcel Exhibits ($1200/Parcel)
$ 1,200 $ 1,200 $ 1,200 $ 1,200 $ 4,800
RNV Subtotal = $ 1,950 $ 1,950 $ 1,950 $ 1,950 $ 7,800
NOTES:
-Title Work, Appraising, Negotiation, & Buying To Be Completed by Others
EXHIBIT
. 14 ,
2af�
HWC Engineering
City of Carmel
Small Str Linings (No. 65, 92, 122, 128)
And Repackage of Project 15-14
Design Fee Summary _
February 17, 2016
Culvert
65
92
122
128
Proj.15-14
Totals
L Roadway_ Design (LS)-
$
16;900
$
12,600
$
,. 9,000-,$
9,0W,_$,
.$,
22,9001;
.$ 70,400
11. Survey (LS)
$
1,200
$
1,500
$ ,
1,,200
$
1,200
$
-
$ 5,100"
III. eotechnical- Actual NT
$
$
$
$
$
$
IV. Utility Coordination (LS)
$
900
$
900
$
850
$
850,'$
3,000'
$ 6,500,
V. Bidding ,& Contract Admin. (LS Per Contract Bid)
„ ,..
;..
° $ 8,000
VI:, Const:Inspection (Hrly)
$'
• 1'0;000
- $
10,000M
'$
•10,000"
$
10,000 ; $
. 20,000;
'$ 60,000;;
Totals
$
29,000
$
25,000
$
21,050
$
21,050
$
45,900
$ 150,000
NOTES:
-Project 15-14 include 3 storm sewer locations (A, C, & D) to be lined.
EXHIBIT
3 �-F�
City of Carmel
Small Structures No. 36, 43, 85, and 147 (Replacement)
Small Structures No. 65, 92, 122, and 128 (Repairs)
Repackage of Project 15-14 (Repairs)
HWC Engineering will provide the following services:
Small Structures No. 36, 43, 85, and 147 (Weplacements)
Small Structure 36 is on West 116' Street approximately 400 feet west of Ditch Road. The existing structure is a 7'
diameter corrugated metal pipe with concrete headwalls and wingwalls. It is anticipated to be replaced with a 7'
span precast structure.
Small Structure 43 is on Hoover Road approximately 0.65 miles north of 116fl' Street. The existing structure is a 12'
span cast -in-place reinforced concrete slab on full height abutments with wingwalls. It is anticipated to be replaced
with a 13' span precast 3 -sided structure.
Small Structure 85 is on East 111'h Street approximately 950 feet west of Westfield Boulevard. The existing
structure is a 12' span reinforced concrete slab on full height abutments with wingwalls. It is anticipated to be
replaced with a 13' span precast 3 -sided structure.
Small Structure 147 is on Ditch Road approximately 360 feet north of 96"' Street. The existing 4' span elliptical
corrugated metal pipe with a 2' tall concrete weir at the outlet. It is anticipated to be replaced in kind.
Survey
Obtain needed survey of project limits. This task includes the following elements:
1. Provide a topographical survey of the existing site conditions, as necessary for development of design
plans. Elements to be identified will be the existing utilities, pavements, buildings, ground contours,
drainage conditions, and existing right-of-way.
2. Identify affected property owners along the limits of the project and obtain copies of deed descriptions.
3. Establish a baseline, or route control survey line from which the project will be developed.
4. Establish a temporary benchmark system.
Utility Coordination
Coordinate with all impacted utilities during project development. Work shall include the following tasks:
1. Identify all impacted utilities within proposed project limits.
2. Request utility locates prior to survey of project.
3. Issue preliminary plans to utilities to confirm locates shown on plans are correct.
4. Coordinate with all utilities prior to preparation of preliminary plans, to avoid any expensive conflicts
within expected construction limits.
5. Invite all utilities to participate in preliminary field check.
6. Following field check, distribute preliminary construction schedule.
7. Prepare written documentation of required utility relocations.
8. Review utility relocation plans to confirm the plans will work within roadway design.
9. Issue written utility notice to proceed with relocation efforts.
10. Provide each utility copies of final design plans and project schedule at least 30 days prior to letting.
Plan Development
Prepare Preliminary Field Check plans (50% complete), including the following items:
1. Plan sheets, including title sheet, typicals, detail sheets and cross sections
2. Prepare Hydraulic calculations.
3. Preliminarily size storm sewer system, if required.
4. Prepare layout and general plan sheets for small structures, as required.
5. Conduct preliminary field check on site.
Prepare Final Review plans (95% complete), including the following:
1. Finalize Title sheetr
-
2. Complete plan/profile sheets 1
3. Prepare structure data table
4. Complete cross sections
5. Assemble Specifications and Contract Book
City of Carmel
Small Structures No. 36, 43, 85, and 147 (Replacement)
Small Structures No. 65, 92, 122, and 128 (Repairs)
Repackage of Project 15-14 (Repairs)
6. Ap
pl for necessary Permits:
Structure 36 1 43 1 85 147
IDEM 401 RGP RGP RGP RGP
ACOE 404 RGP RGP RGP RGP
IDNR CIF N/A N/A N/A N/A
Hamilton County Legal Drain Yes Yes No Yes
7. Finalize all quantities
8. Prepare final cost estimate
Once City has reviewed and approved the final review plans, HWC will prepare the final bid documents to be bid as
one project.
R/W Engineering /W
1. Prepare parcel descriptions and exhibits for proposed Rtaking and provide to City. Proposed R/W to
follow Thoroughfare Plan and anticipated to be 1 Parcel per Structure.
/W
2. Stake newly acquired Rfor clearing.
3. Appraising, Buying, Negotiation, and Title Research to be done by others.
Bidding Process/Contract Administration
HWC will assist the City in the bidding process, including bid solicitation, bid opening and processing of
required contractual documents. Our scope for the contract administration assumes one bid opening for the
project. If no bids are received for any of the bid lettings, or the City desires to re -bid any portion of the project,
a supplement will be required for this extra work. HWC work elements will consist of the following:
1. Distribute plan and bid documents to contractors and bid/plan agencies.
2. Solicit bids from contractors. Work includes bid packet and any necessary addendum distribution as
well as coordination of all bid related documents with the City.
3. Assist the City in opening of the project bids.
4. Attend initial project kickoff meeting.
5. Provide shop drawing review and approvals.
6. Review and approve pay requests.
7. Complete final project paperwork for project.
Construction Inspection
HWC will provide full time construction observation to monitor the contractor's workmanship and general
compliance with the project plans and specifications.
FEESCHEDULE
HWC shall provide the each of the services described above for a fee schedule, as follows:
Work element
Fee structure
Fee
1. Survey
Lump Sum
$ 16,500
2. Plans, Specifications & Estimate
Lump Sum
$168,300
3. Geotechnical Investigation
Actual Price, NTE
$ 15,320
4. Utility Coordination
Lump Sum
$ 19,080
5. R/W Engineering
Unit Price
a. Parcel Descriptions and Exhibits
$1200/Parcel x 4 Parcels
$ 4,800
b. R/W Staking for Clearing
$750/Parcel x 4 Parcels
$ 3,000
6. Bidding Process/Contract Administration
Lump Sum per Bidding
$ 8,000
7. Construction Inspection
Hourly, not to exceed
$ 87,000
SUBTOTAL (Structures 36, 43, 85, & 147)
$322,000
7. Finalize all quantities
8. Prepare final cost estimate
Once City has reviewed and approved the final review plans, HWC will prepare the final bid documents to be bid as
one project.
R/W Engineering /W
1. Prepare parcel descriptions and exhibits for proposed Rtaking and provide to City. Proposed R/W to
follow Thoroughfare Plan and anticipated to be 1 Parcel per Structure.
/W
2. Stake newly acquired Rfor clearing.
3. Appraising, Buying, Negotiation, and Title Research to be done by others.
Bidding Process/Contract Administration
HWC will assist the City in the bidding process, including bid solicitation, bid opening and processing of
required contractual documents. Our scope for the contract administration assumes one bid opening for the
project. If no bids are received for any of the bid lettings, or the City desires to re -bid any portion of the project,
a supplement will be required for this extra work. HWC work elements will consist of the following:
1. Distribute plan and bid documents to contractors and bid/plan agencies.
2. Solicit bids from contractors. Work includes bid packet and any necessary addendum distribution as
well as coordination of all bid related documents with the City.
3. Assist the City in opening of the project bids.
4. Attend initial project kickoff meeting.
5. Provide shop drawing review and approvals.
6. Review and approve pay requests.
7. Complete final project paperwork for project.
Construction Inspection
HWC will provide full time construction observation to monitor the contractor's workmanship and general
compliance with the project plans and specifications.
FEESCHEDULE
HWC shall provide the each of the services described above for a fee schedule, as follows:
Work element
Fee structure
Fee
1. Survey
Lump Sum
$ 16,500
2. Plans, Specifications & Estimate
Lump Sum
$168,300
3. Geotechnical Investigation
Actual Price, NTE
$ 15,320
4. Utility Coordination
Lump Sum
$ 19,080
5. R/W Engineering
Unit Price
a. Parcel Descriptions and Exhibits
$1200/Parcel x 4 Parcels
$ 4,800
b. R/W Staking for Clearing
$750/Parcel x 4 Parcels
$ 3,000
6. Bidding Process/Contract Administration
Lump Sum per Bidding
$ 8,000
7. Construction Inspection
Hourly, not to exceed
$ 87,000
SUBTOTAL (Structures 36, 43, 85, & 147)
$322,000
SCHEDULE
Upon Notice to Proceed, survey is expected to take 60 days to complete. Plans, Specifications & Estimate to be
completed within 150 days of receipt of survey data. Project will be bid as soon as permits and %V are
obtained. ��,��
EXC H B I
WOM
City of Carmel
Small Structures No. 36, 43, 85, and 147 (Replacement)
Small Structures No. 65, 92, 122, and 128 (Repairs)
Repackage of Project 15-14 (Repairs)
Small Structures No. 65, 92,122, and 128 (Repairs)
The most cost effective repairs to each of these structures consist of installing a pipe liner in each existing pipe. The pipe
lining can be done with minimal right of way and utility impacts. The existing structures:
Structure 65 consists of twin 8' x 5.5' CMP on West Main Street approximately 700 feet east of Guilford Road.
Structure 92 consists of a 42" CMP on Keystone Parkway approximately 0.46 miles north of 106`l' Street.
Structure 122 consists of a 42" CMP on Beech Drive approximetly 700 feet east of Carey Road.
Structure 128 consists of a 42" CMP on Beechtree Court approximately 425 feet north of Briarwood Trail.
Survey
Obtain needed survey of project limits. This task includes the following elements:
1. Provide a limited survey of the existing site conditions, as necessary for development of hydraulic
calculations.
2. Identify affected property owners along the limits of the project and obtain copies of deed descriptions.
3. Establish a temporary benchmark system.
Utility Coordination
Coordinate with all impacted utilities during project development. Work shall include the following tasks:
1. Identify all impacted utilities within proposed project limits.
2. Request utility locates prior to survey of project.
3. Issue preliminary plans to utilities to confirm locates shown on plans are correct.
4. Coordinate with all utilities prior to preparation of preliminary plans, to avoid conflicts within expected
construction limits.
5. Provide each utility copies of final design plans and project schedule at least 30 days prior to letting.
Plan Development
Prepare Final Review plans (95% complete, 8.5"x11" format), including the following:
1. Hydraulic pipe calculations
2. Complete Layout sheet, General Plan sheet, and Details sheet, as required
3. Assemble Specifications and Contract Book
4. Apply for necessary Permits:
Structure
11
65
92
122
128
IDEM 401
RGP
N/A
RGP
RGP
ACOE 404
RGP
N/A
RGP
RGP
IDNR CIF
N/A
N/A
N/A
N/A
Hamilton County
Legal Drain
N/A
N/A
N/A
N/A
5. Calculate all quantities
6. Prepare final cost estimate
Once City has reviewed and approved the final review plans, HWC will prepare the final bid documents to be bid as
one project.
R/W Engineering
Existing R/W and Easements anticipated to be sufficient. Right -of -Entry Agreements with adjacent property
owners to be acquired as required.
Bidding Process/Contract Administration
HWC will assist the City in the bidding process, including bid solicitation, bid opening and processing of
required contractual documents. Our scope for the contract administration assumes one bid opening for the
project. If no bids are received for any of the bid lettings, or the City desires to re -bid any portion of the project,
a supplement will be required for this extra work. HWC work elements will consist of the following:
1. Distribute plan and bid documents to contractors and bid/plan agencies.
2. Solicit bids from contractors. Work includes bid packet and any necessary addendum distribution as
well as coordination of all bid related documents with the City.
3. Assist the City in opening of the project bids.
4. Attend initial project kickoff meeting.
5. Provide shop drawing review and approvals. EXHIBIT
6. Review and approve pay requests.
9(5c,16,
City of Carmel
Small Structures No. 36, 43, 85, and 147 (Replacement)
Small Structures No. 65, 92, 122, and 128 (Repairs)
Repackage of Project 15-14 (Repairs)
7. Complete final project paperwork for project.
Construction Inspection
HWC will provide full time construction observation to monitor the contractor's workmanship and general
compliance with the project plans and specifications.
FEE SCHEDULE
HWC shall provide the each of the services described above for a fee schedule, as follows:
Work element
Fee structure
Fee
1. Survey
Lump Sum
$ 5,100
2. Plans, Specifications & Estimate
Lump Sum
$ 47,500
4. Utility Coordination
Lump Sum
$ 3,500
5. Bidding Process/Contract Administration
Lump Sum per Bidding
$ 8,000
6. Construction Inspection
Hourly
$ 40,000
SUBTOTAL (Structures
65, 92, 122 & 128)
$104,100
SCHEDULE
Upon Notice to Proceed, survey is expected to take 30 days to complete. Plans, Specifications & Estimate to be
completed within 90 days of receipt of survey data. Project will be bid as soon as permits are obtained.
Repackage of Project 15-14 (Repairs)
HWC shall provide the following services for Locations A, C, and D per the Carmel Project 15-14 Bid Package
provided by the City. Location A is on Cool Creek Drive approximately 75 feet west of Ridge Road and consists of
approximately 210 feet of storm sewer pipe to be lined. Location C is on Lakeview Drive approximately 800 feet
west of Lakeshore Drive East and consists of approximately 435 feet of storm sewer pipe to be lined. Location D is
on Pleaseantview Drive approximately 375 feet east of Lakeshore Drive West and consists of approximately 180
feet of storm sewer pipe to be lined.
Survey
None anticpated
Utility Coordination
Coordinate with all impacted utilities during project development. Work shall include the following tasks:
1. Identify all impacted utilities within proposed project limits.
2. Coordinate with all utilities to avoid conflicts within expected construction limits.
3. Provide each utility copies of final design plans and project schedule prior to letting.
Plan Development
Prepare Final Review plans (95% complete, 8.5"x11" format), including the following:
1. Prepare General Plan sheet, Layout sheet, and Details sheet, as required
2. Assemble Specifications and Contract Book
3. Apply for necessary Permits:
Location
=
C
D
IDEM 401
RGP
RGP
RGP
ACOE 404
RGP
RGP
RGP
IDNR CIF
Yes
N/A
N/A
Hamilton County Legal Drain
N/A
N/A
N/A
4. Finalize all quantities
5. Prepare final cost estimate
Once City has reviewed and approved the final review plans, HWC will prepare the final bid documents to be bid as
one project with Small Structure No. 65, 92, 122, and 128.
Bidding Process/Contract Administration EN'
City of Carmel
Small Structures No. 36, 43, 85, and 147 (Replacement)
Small Structures No. 65, 92, 122, and 128 (Repairs)
Repackage of Project 15-14 (Repairs)
Bidding and Contract Administration included with Small Structures No. 65, 92, 122, and 128.
Construction Inspection
HWC will provide full time construction observation to monitor the contractor's workmanship and general
compliance with the project plans and specifications.
FEE SCHEDULE
HWC shall provide the each of the services described above for a fee schedule, as follows:
Work element Fee structure Fee
1. Plans, Specifications & Estimate Lump Sum $ 22,900
2. Utility Coordination Lump Sum $ 3,000
3. Bidding Process/Contract Administration (Included Previously)
4. Construction Inspection Hourly $ 20,000
SUBTOTAL (Repackage of Project 15-14) $45,900
SCHEDULE
Upon Notice to Proceed, plans, specifications, estimate, and bidding to be completed with Small Structures No.
65, 92, 122, and 128.
TOTAL FEE SUMMARY
Work element Fee
1. Structures 36, 43, 85, & 147 $ 322,000
2. Structures 65, 92, 122 & 128 $ 104,100
4. Repackage of Project 15-14 $ 45,900
TOTAL $472,000
nFANEVirm
Fit Y ,
HWC Engineering, Inc.
Engineering - 2016
Appropriation #2016 Storm Water Bond; P.O. 33695, ASA #2
Contract Not To Exceed $472,000.00
EXIIIBIT `B"
E -verify requirement
All terms defined in I.C. § 22-5-1.7 et seq. are adopted and incorporated into this section of the Amendment.
Pursuant to I:C. § 22-5-1.7 et seq., Vendor shall enroll in and verify the work eligibility status of all of its newly -hired
employees using the E -Verify program, if it has not already done so as of the date of this Addendum. Vendor is further
required to execute the attached Affidavit, herein referred to as "Exhibit C", which is an Affidavit affirming that: (i) Vendor is
enrolled and is participating in the E -verify program, and (ii) Vendor does not knowingly employ any unauthorized aliens. This
Addendum incorporates by reference, and in its entirety, attached "Exhibit C." In support of the Affidavit, Vendor shall
provide the City with documentation that it has enrolled and is participating in the E -Verify program. This Agreement
shall not take effect until said Affidavit is signed by Vendor and delivered to the City's authorized representative.
Should Vendor subcontract for the performance of any work under this Addendum, the Vendor shall require any
subcontractor(s) to certify by affidavit that: (i) the subcontractor does not knowingly employ or contract with any unauthorized
aliens, and (ii) the subcontractor has enrolled and is participating in the E -verify program. Vendor shall maintain a copy of such
certification for the duration of the term of any subcontract. Vendor shall also deliver a copy of the certification to the City
within seven (7) days of the effective date of the subcontract.
If Vendor, or any subcontractor of Vendor, knowingly employs or contracts with any unauthorized aliens, or retains
an employee or contract with a person that the Vendor or subcontractor subsequently learns is an unauthorized alien, Vendor
shall terminate the employment of or contract with the unauthorized alien within thirty (30) days ("Cure Period"). Should the
Vendor or any subcontractor of Vendor fail to cure -within the Cure Period, the City has the right to terminate this Agreement
without consequence.
The E -Verify requirements of this Agreement will not apply, should the E -Verify program cease to exist.
jS:1CmI(n WrdLS,. & Goods Sv \Enginmring@016W WC Engh—ring Add? S— A—dmrnl.d-3/3/1016 12:46 PM]
MVC Engineering, Inc.
Engineering - 2016
Appropriation #2016 Storm Water Bond; P.0.33695, ASA #2
Contract Not To Exceed $472,000.00
Exhibit "C'
E -Verify Affidavit
being first 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 follows:
L I am over eighteen (18) years of age and am competent to testify to the facts contained
herein.
2. 1 am now Land at all times relevant herein have been employed by
-f WC., �N& ( %)EG'rt 1-1/6, (the "Company") in the position
of 24 es, 66 J T
I am familiar with the employment policies, practices, and procedures of the Company and
have the authority to act on behalf of the Company.
4. The Employer is enrolled and participates in the federal E -Verify 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.
EXECUTED on the day of A C4 , 20A.
l
Printed: G 0 tv R D vv I rFa
I certify under the penalties for perjury under the laws of the United States of America and the State of
Indiana that the foregoing factual statements and representations are true and correct.
�S.'[uunnUn+fSs.<fi Cn*v1+Sv:>Iliir�ncainel0l6Ullt'C li.�inmc:, Mtd'1 S•�s,�mrndmcncdn:z:i:,,/I015 12::f, P1t�
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or
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�S.'[uunnUn+fSs.<fi Cn*v1+Sv:>Iliir�ncainel0l6Ullt'C li.�inmc:, Mtd'1 S•�s,�mrndmcncdn:z:i:,,/I015 12::f, P1t�
E%,iE-Verif
Company ID Plumber. 860647 Client Company ID Number. 863796
If you have any questions, contact E Verify at 1-888-464-4218.
Approved by:
Employer
HWC Englneering
Name (Please Type or Print)
Title
`IYt+2C
ignature
Date
Verify Employer Agent
HWC Engineering
Name (Please Type or Print)
Tide
Caidyn Plummer
W
Signature.
Date
Electronically Signed
03123/2015
Department of Homeland Security — Verification Division
Name (Please Type or Print)
Title
Signature
Date
Page 15 of 19 E-Vedy MOU for Employers Using an E -Verify Employer Agent l Revision Date 06/01/13
Company ID Number. 860647 Client Company ID (dumber. 863796
Information Required for the E -Verify Program
Information. relating to your Company:
Company Name
HM Engineering
Company Facility Address
161 WDelaware Street
suite 800
Indianapolis, IN 46204
Company Alternate Address
ounty or Parish
MARION
mployer Identification Number
351780345
orthAmerican Industry
lassificat)on'Systems Code
237
Parent Company
umber of Employees
20 to 99
Number of Sites Verified for
1
Page 16 of 19 E -Verify MOU for Employers Using an E -Verity Employer Agent I Revision Date 06101/13
Company ID Number. 860647 Client Company ID Number. 863796
Are you verifying for more than 'l site? If yes, please provide the number of sites verified for In
each State:
INDIANA 1 site(s) .
Page 17 of 19 E-Ve* MOU for Employers Using an E -Verify Employer Agent I Revision Dale 06/01113
t mv
Company ID Number. 860647 Client Company ID Number. 863796
Information relating to the Program Administrator(s) for your Company on policy questions or
operational problems:
Name Caltiym J Plummer
Phone Number (317) 347 - 3663 ext. 238
Fax Number (317) 347.3664
Email Address cplummer@hwcenginsering.corn
Page 18 of 19.E.Vedry MOU for Employers Using an E -Verify Employer Agent I Revision Date 08!01/13