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Clark Dietz/Eng/Adl Ser/25,700/Small Structures Hydraulic StudyClark Diez, Inc. Engineering - 2015 Appropriation #250-84350900; P.O. 33692 e ContractNotTo xceed $25,700.00 ADDITIONAL SERVICES. AU NDQJTTO: AGREEMENT FOR PURCHASE OF GOOD.$AND SERVICES THIS AMENDMENT TO THE GOODS AND SERVICES AGREEMENT ("Agreement") entered into by and between the City.of Carmel and Clark Dietz, Inc. (the "Vendor"), as City Contract dated May 6, 2015 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 'IB", 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 WITNESSUHEREOF, 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 dames Brainard, Presiding Officer Date: Mary Ann Date: Lori S. Date: ATT t,, ;r_istine S. P, Ie Clerk-Treasur Date: "/�. 1530.�nnnl..V`n45..+.l•G�t1. 5`•oV:uynrcc.i..-eV}n(.bW,ii S. An 113-0?-NQM2 r. I_.V u;-In:C..9:.L-JP,";Mf ;:;3 I'M Clark Dietz, Inc. By its _ Authocfzed Signature ` Printed Name Title FID/TIN: 37. l a.l ao.S 1 Last Four of SSN if Sole Proprietor: Date: Chiiz Hydraulics Assessment/Hydraulics Study of Small Structures on 106th Street, Laurelwood Drive, and Jumper Lane in Carmel, Indiana 2/29/2016 CATEGORIES OF WORK Project Manager Project Engineer EngineerIV EngineerIII 1CaddTech III 1 _J Gather and Review Info for On -Site Scoping Meeting 1 4 Prepare Scoping Meeting Agenda I Prepare and Send Invitations to Scoping Meeting 2 Conduct On -Site Scoping Meeting 4 4 4 Prepare and Distribute Scoping Meeting Minutes 1 2 P9E'L-VYW4A-RY. 11YYRAUL1CS,-ANAL' YSTK Prepare Request for Drainage Area and Q 100 from IDNR 3 Plot cross sections for hydraulic model 2 6 16 Prepare preliminary plan & profile sheets 2 4 8 Prepare preliminary layout sheet 4 6 8— 12 Hydraulic analysis to determine QI 00 elev., existing condition 1 12 2 4 Hydraulic analysis to determine Q100 elev., existing structure 1 16 2 2 PRBPA UL"tC,ASSF$SMBNT,.,REf'.ORTIS�TUJ)Y.,­7' Determine Design Criteria Compare Exist. Conditions to Design Criteria 1 2 Develop Proposed Typical Cross Sections 1 2 4 Develop Quantities for Alternatives 4 13 20 Develop Estimated Costs of Alternatives 1 4 Determine Proposed Project Limits 1 4 Identify Environmetal Is ties/Permits Required as noted from Site Mtg. 1 2 Determine recommended survey limits 1 2 Layout proposed right-of-way for Alternatives 1 2 1 Determine Traffic Maintenance for Alternatives 1 2 2 Assemble maps, graphs, field photographs for report 2 12 Submit Report 1 1 2 Revise Report Based on Comments Received and Finalize 2 2 4 4 TOTAL HOURS 10 61 56 55 56 Average Hourly Rate $ 51.44 $ 44.30 $ 34.74 $ 30.11 $ 27.35 Payroll Cost $ 514.40 $ 2,702.30 $ 1,945.44 $ 1,656.05 $ 1,531.60 $ 8,349.79 Overhead (1.8094) $ 15,108.11 Total Labor Cost (Payroll + Overhead) $ 23,457.90 Profit (9.5%) $ 2,228.50 Direct Expenses $ 7.20 Mileage $ 0.36 mile 20 $ 7.20 Per Diem for Meals $ 26.00 da 0 $ - Lodging $ 70.00 night 0 $ Prints $ 10.00 plan set 0 :r$—, Misc. Expenses (photocopies, supplies, etc.) $ 25.00 1 lump sum 0 1 $ Total Direct Expenses = $ 7.20 ITOTAL FEE 1 1 $ 25,693.60 USE: I S 25,70U.00 EV A H I BB .1'= Er;6INE'ERS March 3, 2016 PROJECT DESCRIPTION SCOPE: Small Structures Hydraulic Study Our scope for this project is to perform hydraulic assessments and prepare hydraulic studies for the three small structure locations in the City of Carmel. The structures/culverts are located under 106'h Street, Laurelwood Drive, and Jumper Lane. All three are located in Clay Township, and carry an Un -Named Tributary to Williams Creek. Our scope will include the following services: 1. Field Inspection of all three locations. 2. Perform preliminary hydraulics analysis. 3. Prepare hydraulics report which will summarize analysis and recommendations. ,... X H U O TOZ ®® Clark Dietz, Inc. 8900. Keystone Crossing, Suite 900 Indianapolis, Indiana 46240 T: 317.844.8900 F: 317.544.9158 Clark Dietz, Inc. Engineering - 2016 Appropriation #250-R4350900;. P.O. 33692 Contract Not To Exceed $25,700.00 EXHIBIT "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:\ConlradxNrnLSrc. & G-1, Svcs\EnginccringN201GWdd'I Svcs Nix 17-27-2012 wish &Verify langung..,1 :3lno IC 12:33 PMj Clark Dietz, Inc. Engineering - 2016 Appropriation #250-84350900; P.O. 33692 C011MICL Not To Exceed $25,700.00 .Exhibit "C" E -Verify Affidavit being first duty sworn, deposes and says that he/,Rhe is familiar with and has personal knowledge of the facts herein and, if called as a witness in this matter, could testify as follows: I -arn over eighteen (18) years of age and. am competent to testify to the -facts contained herein. 2. 1 am now and at All --times relevant herein have been ernP toyed by (the "Company") in the position 7 o I 3, 1 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 pro -ram and has provided documentation of such enrollment and participation to the City of Carmel, Indiana. 5. The Company does not lGiowingly employ any unauthorized aliens. FURTHER AFFIANT SAYETI-I NOT. IPA EXECUTE]) on the., /0 - -day of . Mjj!j6J7_. I certify under the penalties for perjuxy under the laws of die United States of America and the State of Indiana that the foregoing factual sLatcments and representations are true and correct. i "kP­.S­ & C CityINDIANA RETAIL TAX EXEMPT of Carmel [CERTIFICATE NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT ONE CIVIC SQUARE 35-6000972 CARMEL, INDIANA 46032-2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 Page 1 of 1 PURCHASE ORDER NUMBER 33692 THIS NUMBER MUST APPEAR ON INVOICES, A/P VOUCHER, DEUVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 3/4/2016 060650 Project 16 -SW -11 -USE P.O. 33467 250-R4350900 CLARK DIETZ, INC Engineering VENDOR 8900 KEYSTONE CROSSING #900 SHIP 1 Civic Square TO Carmel, IN 46032 - INDIANAPOLIS, IN 46240 - Kate Lustia CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 2200 Account. 43-509.00 Fund., 250 Storm Water 1 Each Hydraulic Assessment of Small Structures -106th, $27,500.00 $27,500.00 Laurelwood, Jumper Sub Total -$27,50" U Z S, -4-0a Send Invoice To: Engineering Kate Lustig 1 Civic Square Carmel, IN 46032 - PLEASE INVOICE IN DUPLICATE 42 C5, -;1 w DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT 427;6G"0___Q_ SHIPPING INSTRUCTIONS ' AN 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 'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN 'C.O.D. SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER 'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 ----c� ' ¢� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY TITLE CONTROL NO. 33692 CLERK -TREASURER chi� IIS i t a ENGINEERS February 26, 2016 Mr. Chris Ogg, P.E. Assistant City Engineer Office of Engineering Carmel City Hall One Civic Square Carmel, IN 46032 REFERENCE: Small Structures on 106`h Street, Laurelwood Drive and Jumper Lane Multi -Use Path in Carmel, Hamilton County, Indiana Subject: Proposal for Hydraulic Assessment/Hydraulic Study Dear Mr. Ogg, Per your request, we are pleased to submit our proposal to perform hydraulic assessments and prepare hydraulic studies for the three small structure locations in the City of Carmel. The structures/culverts are located under 106th Street, Laurelwood Drive, and Jumper Lane. All three are located in Clay Township, and carry an Un - Named Tributary to Williams Creek. Our proposal includes the following services: 1. Field Inspection of all three locations. 2. Perform preliminary hydraulics analysis. 3. Prepare hydraulics report which will summarize analysis and recommendations. We propose to provide the above services for a total lump sum fee of $25,700 (approximately $8,560 per structure location). See attached for detailed breakdown of tasks and associated hours. Please contact us if you have any questions. We look forward to working with you on this project. Sincerely, C, Ji Loew. P.E. Project Manager Copy: Jeremy Kashman, P.E., City Engineer, City of Carmel Clark Dietz, Inc. 8900 Keystone Crossing, Suite 900 Indianapolis, Indiana 46240 T: 317.844.8900 F: 317.844.9158 r Company ID Number: 436844 7o be accepted as a participant In E Verify, you should only sign the Employer's Section of the signature page. If you have any questions, contact E -Verify at 888-464-4218. :Employer Clark Dietz, Inc 'Jon Howaniec . ,..._Print) ............._.._.........._....... . M. Name (Please Type or f^TlUa ;ElectronicallySlgned S4j ;08102!2011 Signature i Date iDepartment of Homeland Security -- Verification Division i !0SCIS Verification Division Name tPiease Type of Print) 1 TIl1e� i Electronically Signed I ;0810212011 Signature :Date R ; i • Information Required for the E -Verify Program Information relating to your Company: i Company_Name:Clark Dietz, Inc ` Company Facility Address118 S. Clinton St. Suite 700 r 'Chicago, IL 60610 i - Company Alternate { Address: 0 County or Parish: ?COOK i Employer identification Number: ;371212061 Pago 12 of 131 E -Verify MOU for Employer I Revision Dale 09/01/09 www.dhs.gov/E-Verify Company ID Number: 436844 i North American Industry i Classification Systems I Code: '641^ _�_.._ .... __ ......._ ._ .__z.....,..... .._ .., ......... ; it _ • 4 Administrator: i 3 x i Number of Employees; '100 to 499 ; Number of Sites Verified s for: 'Are you verifying for more than t site? If yes, please provide the number of sites verified for ,in each State: i E . WISCONSIN 3 site(s) i . ILLINOIS 2 site(s) INDIANA 2 sile(s) t 3 Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Namc: Jon B 1;Iowanice Telephone Number; (312) 648.9900 ext. 259 Fax Number: E-mail Address: jon.bowanicc©dark dietz wm Name: Joanna Cabaj Telephone Number: (312) 648 - 9900 Fax Numbor: E-mail Address: joanna.cabaj®clack-dietz.com Page 13 of 131 E -Verify MOU for Employer 1 Revislon Data 09/01108 www.dhs.gov/EVerify