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CrossRoad Engineers/Eng/Adl Serv/30,000/2016 On-Call Engineering and Inspection ServicesCrossRoad Engineers, P.C. Engineering Department - 20 L6 X44% Appropriation #2200-4340100; P.O. 33696, ASA #24 Contract Not To Exceed $30,000.00 f0 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 CrossRoad Engineers (the "Vendor"), as City Contract dated May, 1, 2013 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 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: /I:am s Brainard VeOfficer or Date: Mary Ann,urke, M berr / Date: � 6 �b Lori CrossRoad Engineers, P.C. By: 4 Authorized Signature Printed Name 7,4LO5'1 JeK+ Title FID/TIN: ✓ S -11 G 3 33 Last Four of SSN if Sole Proprietor: Date: V1+11,2 II:C1w ..11J`nd.11.&ASA eN,1.U1S—All od1.27.;01:19hU.W,41au9+11;11�13`;IN16110.1Aa11 February 24, 2016 Mr. Chip Charles, P.E. Mr.Trent Newport, P.E. CrossRoad Engineers, P.C. 3417 South Sherman Drive Beech Grove, IN 46107 JAMES BRAINARD, MAYOR RE: Additional Service Amendment #24, P.O. #33696 Dear Chip and Trent: As we discussed, the City of Carmel has a need for additional professional services and pursuant to our current contract with CrossRoad Engineers, dated May 1 2013, I have requested and received from you the proposed scope of services and fee estimates for the following work task: Additional Service Amendment #24 — 2016 On -Call Engineering and Inspection Services Not to Exceed: $30,000.00 Per our contract procedural requirements, I hereby approve these Additional Professional Services estimates, and request that the Board of Public Works ratify the above referenced Contract Amendment. PLEASE NOTE Please 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 Service # and P.O. # shown above. Invoices received without the Additional Service # referenced will be returned for proper identification. 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. Sincerely, Jeri y M. {ashman, P.E. City Engineer EXH 44 6 BIT ! of� Reviewed and approved by: S. C. Engelking Director of Administration DEPARTMENT OF ENGINEERING ONE CIVIC SQUARE, CARMEL, IN 46032 OFFICE 317.571.2441 FAx 317.571.2439 EMAIL engineering®carmel.in.gov HOURLY BILLING RATES PERSONNEL CLASSIFICATION HOURLY RATE DESIGN Principal $ 150.00 Director 140.00 Senior Project Manager 125.00 Project Manager 115.00 Project Engineer 95.00 Assistant Project Engineer 80.00 CADD Manager 95.00 CADD Technician 85.00 R/W Manager 95.00 R/W Buyer 150.00 INSPECTION Director $ 140.00 Resident Project Representative 110.00 Asst Resident Project Representative 100.00 Project Inspector 90.00 Assistant Project Inspector 70.00 SURVEY Survey Manager $ 120.00 Assistant Survey Manager 85.00 Survey Crew —1 Man 105.00 Crew Chief 85.00 Field Man 65.00 Researcher 80.00 Survey Technician 80.00 MISCELLANEOUS Mileage (per mile) $ 0.52 Other Direct Costs at cost +15% CrossRoad Engineers, PC 3417 Sherman Drive Beech Grove, Indiana 46107 Rates Effective through December, 2016 EXX, H I B I TA 2� CrossRoad Engineers, P.C. Engineering Department - 2016 Appropriation #2200-4340100; P.O. 33696, ASA #24 Contract Not To Exceed $30,000.00 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. [S:Wontncts\Prof.Svc & Goods Svcs\Enginccring@016\GossRond ASA #24 Add? Svcs Amend 3-27-2012 with E-Vcrify Inngungc.doc:3N2016 10:53 ANn CrossRoad .Engineers, P.C. Engineering Department - 2016 Appropriation #2200-4340100: Y.O. 33696, ASA #241 Contract Not To Exceed $30,000.00 Exhibit "C E -Verify Affidavit being first duly sworn, deposes and says that lie/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: 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 Cev%lgak rZYL Ines , & (the "Company") in the position of - 6rde 3. 1 am familiar with the employment policies, practices, in 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 —f day of Y" `a'r t�� , 20A. Printed: � J'CvL� (w Yt 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. Printed: rem Kj bar is:'c., n ,on as,., c c..i, s.,.va,E.nrr� ��„s a.na: �i as.� ••.� .men sa,.An,r- J ?av 2011 oiifi ua51,tau Company ID Number: 440231 To 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 CrossRoad Engineers, PC 'Jill Newport 1 Name (Please Type o' ) t n Pri r ...... ,'* i ;Title .vtronicallv Shwed 108115/20il �itu_re ____ . ........ * ------- Date partment of Homeland Security — Verification Division US Verification Division n e (Please Type or Print) Title Ictronlcallv Slaned DWI 5/2011 ._._.._..w........._.__ ....... . ........... . . __ ......... .. . ....... ..... ...... Information Required for the E -Verify Program Information relating to your Company: ............. ............ .... . .... ... .... ..... ... ... .. . . .... . .. .... N§Te:'P!ossRoad Engineers, PC . .. . .. ........ . . . . ..... Sherman Drive .. ...... . . . . .. . .. ...... ....... ____ IN 46107 Countv or Parish-. MARION Employer Identification Number- .351963331 Page 12 of 131 E -Verify MOU for Employer I Revision Date 09101/09 www.dhs.gov/E-Verify 0 Administrator: Number of Employees: 1O W 99 Number of Sites Verified 1 for: i1 _._..__....__._............._ _...._.. _.._..._......._.1.. ... ........ _,-.... ...._...__._.._................. ...... ....... --- .._....._....._... ........ ......... ...... ... ..... .....—......... .........._................ ►re you verifying for more than 1 site? If yes, please provide the number of sites verified for 3 each State: INDIANA 1 site(q) Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Name:. Jill A Newport Telephone Number: (317) 780 -1555 ext. 120 [-;-mail Address: jincwpor1@1crossroadengineers.eum Name: Walter G Charles Telephone Number: (317) 780 - 1555 ext. 115 E-mail Address: celmrlesrp crossrondengineers.com Page 13 of 13 1 E -Verify MOU for Employer i Revision Date 09/01109 Fax Number.. (317) 780 - 6525 Fax Number. (317) 780 .6525 www.dhs.gov/E-Verify