CrossRoad Engineers/Eng/30,000/Adl Serv #5/On-Call Engineering and InspectionP.C.
�rmi D...
.gineeripg kpartjbeht--201.0
Appropriation A A#5 #43-4 P.Q�.' 3753
P S. 01 #33
Q0htj.-act _N6t. TO Exteed, $30,000.00,
• e
ADDITIONAL SERVICES' AMENDMENTTO
AGREEMENT FOR PURCHASE: OF. GOODS AND SERVIC'.8
THIS AMENDMENT TO THE :GOODS AND SERVICES AGREEMENT ("Agreement") entered into by, and
between the City of;Carmel and C . rossRbad Eng ineers, PC. (tha. "Vendor"), as City Contract dated.Maroh I6; 201 ,
.8hall amend the terms. of.th-e Agreement by adding the additional services to� be. provided: by Vendor consistent with
the Scope.of.Workattached hereto and iricor'porated;.hereiri as: Exhibit "A". Furthermore; or6,, the terms of the Agreement
shall be, amended to include the E -verify reauirement as stated in Indiana Code §, 22.57.1.7 et.seq., ch w is attached
e
.hi.. h, d
hereto: and incorporated, herein :as: Exhibit. "B`zY as well asthe required E-verifv Affidavit attached hereto. and
incorporated herein as Exhibit 11C11 Also, pursuant 1a IC. m2
.,e § 5 246.5, Vendor shallcertify that in signing this
.document, it does . ;not engage: in investment activities within the Qountry of Iran. The terms and .conditions ,of the
Agreement shall not otherwiso, be affected by this Additional Services.Amendme a
Amendment and �sh A remain in full force l and
effect.
IN -W d and , ITNESS WHEREOF, the parties hereto. 1160' made an .executed this Amendment as. foflows
CITYOF-CARMEL,. INDIANA.
by -arid through. its Board of Public:
Works and Safety
M
Date'
Lori, S: I atso ember
Date: t�,V,eB /1-a
A,
ristine S. P AwTroasurer
Date://l/
Cross.R.oad Engin.eers,.P.C,
Authorized Signature
Printed. Name:
7ce5 Ltev,.
Title
FID/TIN.:: 3S7 M X333
Last Four of SSN if Solo: Proprlet&
Date: Oq �Z.,C) to
May 6, 2016
Mr. Jeremy Kashman, P.E.
City Engineer
City of Carmel
1 Civic Square
Carmel, IN 46032
RE: On -Call Engineering and Inspection Services (flea On -Call Consulting)
Funds Request
Dear Jeremy:
As we discussed, we have prepared this proposal to continue providing professional
services for the City of Carmel. Crossroad Engineers, P.C. will provided these services
as an extension of the City's Engineer's staff on an hourly basis.
The specific services which we expect to provide include survey, design, inspection,
and management services on various miscellaneous projects as your office requests.
All work tasks will be completed at the direction of the City Engineer.
Attached are our 2016 Hourly Billing Rates which we were used for this work. Per
our communication with your office, we would suggest establishing a $30,000 contract
ceiling against which we would invoice.
We value the City's confidence in our ability to provide engineering services and
appreciate the opportunity to continue our involvement in the City's improvements. If
you should have any questions or need further assistance, please do not hesitate to call
me at 780-1555 ext. 114.
Sincerely,
CrossRoad Engineers, PC
Trent E. Newport, P. E., L. S.
Vice -President
Mr. Jeremy Kashman, P.E.XI g B IT
City of Carmel e e e
May 6, 2016
Page 1 of 2 6
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
IBIT
2 C2—
CrossRoad Engineers, P.C.
Engineering Department - 2016
Appropriation: ASA #5; #43-401.00-201; P.O. #33753
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:\ConIrncts\Pmf.SY R Goals Sv \EnginmringV016\C[ ,Rofld ASA 45 Add7 Svcs Amcnd 3-27-2012 with E-Vui[y Iangmgc.dm 5/92016 3:09 PMj
CrossRoad Engin ors, P.C.
2016'.
AppfO priati0ii: A 1 8 A#5;. #43-40.1 00-201 P.0..#33753 :
Cohtfadt.Not To Exceed $30,000,00*
&M , i t ".0 ."
E -Verify
�>O Y+ being first duly sworn,, deposes `and says that
.he/she. is familiar. with and has personal Icnowledge,.of the facts: -herein and, called, as a witness in this
matter, could testify as follows:;
am over eighteen' 'ears of a-ge and, c I i-Apptent to; te, f ;.facts: contained
I (18) y o sti y to the f tt&
2. 1 an upw and at :all times relevant heteinhave been einployed by
CrasSKaoj
e -e Y -S P g— (the "Company") in tho'ition.
Pos
of . ?rc, -eyjr
3. 1 am,farniliar -.wiffi. 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 an'd, al tN'ciffy prognin and has
participates in the. fedor,
provided documentation of such enrollment and, participation to -the City of- Carmel,
Indiana.
5.. Tho Company does :not .lei owingyemp
. I I - ftv unauihori;�od alions,.
—.oya
FURTHER AFFIANT SAYETH NOT,
EXECUTED on the- day of 210
I
Printed:- . MOT --e Lj
I certify tind-a the.ponaltics for'ur under the, laws. of thb;'Unit��! States of Americaand, the State: of
peri Y
Indiana. that the f6re-Wift9factual, : statements and. representations- aretrue and correct...
Printed'. Pe nf E:
G&OS*Affqgii I& I ii,9VO1610i'm d AS Al SI6,S. I A 2,U' 30) ,T1,11
kW I AY 5 - 1-1� , T 6d3-2I,401ivM,
City ®fir Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
Page 1 of 1
PURCHASE ORDER NUMBER
JL
FEDERAL EXCISE TAX EXEMPT
33753
ONE CIVIC SQUARE
35-6000972
THIS NUMBER MUST APPEAR ON INVOICES, A/P
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
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
5/5/2016
068025
ASA #5 - Project 16 -ENG -56; Contract Date 03.16.16
CROSSROAD ENGINEERS, PC
City Engineering's Office
VENDOR 3417 S SHERMAN DR
SHIP 1 Civic Square
TO Carmel, IN 46032 -
BEECH GROVE, IN 46107 -
Kate Lustig
PURCHASE ID
BLANKET
I CONTRACT
PAYMENTTERMS FREIGHT
4608
QUANTITY
UNIT OF MEASURE
DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Account: 43-401.00 Fund. 201 Motor Vehicle Highway
1 Each 2016 On -Call Engineering and Inspection Services $30,000.00
Sub Total
Send Invoice To:
City Engineering's Office
Kate Lustig
1 Civic Square
Carmel, IN 46032-
a
PLEASE INVOICE IN DUPLICATE
$30,000.00
$30,000.00
DEPARTMENT I ACCOUNT PROJECT + PROJECTACCOUNT AMOUNT
PAYMENT $30,000.00
SHIPPING INSTRUCTIONS ' AIP 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 S(
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY d
TITLE
CONTROL NO. 33753 CLERK -TREASURER
�.
a
PLEASE INVOICE IN DUPLICATE
$30,000.00
$30,000.00
DEPARTMENT I ACCOUNT PROJECT + PROJECTACCOUNT AMOUNT
PAYMENT $30,000.00
SHIPPING INSTRUCTIONS ' AIP 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 S(
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY d
TITLE
CONTROL NO. 33753 CLERK -TREASURER
E
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
Name (Please Type or Print) - -- - - ----_ _ _ ---
Tille — -----
iO8115/2011
ElectronJcallySigned—
_ _
_—__------__-�-
•_---
Signature 'Date
Department of Homeland Security - Verification Division
USC1S •Verification Division
,Name (Please Type or Print) Title
Electronically Signed
—______--_ X08/1512011
'Signature Date
i Information Required for the E -Verify Program
I
Information relating toyouur Company: _ _ ......
1CrossRoad
CRMpqnyName Engineers, PC
Company Facility Address:'3r417 Sherman Drive
—
— Beech Grove, IN 46107 ------
--_-Company
CompanyAlternate
Address:-
�' 417 Sherman Drive
— -
- —
—
Beech Grove, IN 46107
____gounty or Parish: .MARION
Employer Identification
Number: _ _361963331
Page 12 of 131 E -Verify MOU for Employer 1 Revision Date 09/01109 www.dhs.gov/E-Verify
Company ID Number: 440231
North American Industry
Classification Systems
Code: 441
_
011w-
Administrator
11
Number of Employees:... 120 to 99
Number of Sites Verified
for: 1
Ire you verifying for more than 1 site? If yes, please provide the number of sites verified for
n each State:
• INDIANA 1 sites)
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 rax Number.
13 -mail Address:
jncwporl!a crossroadengincers.com
Name:
Walter E Charles
Telephone Number.
(31,7) 780 -155,5 ext. 115 Fax Number.
rrmail Address:
ecLnrles(a crossrondengineers.com
Page 13 of 13 1 E Verify MOU for Employer i Revision Date 09101109
(317) 780-6525
(317) 780.6$25
www.dhs.gov/E-Verify
Received
05-06-16P01:37 RCVD
City of Carmel
Department of Law
LETTER OF TRANSMITTAL
Date: May 6, 2016
To: Doug Haney
Department of Law
From: _Jeremy KashmanTJ4'*'
Department of Engineering
RE: CrossRoad Engineers Additional Service Amendment
An additional service amendment is needed for Crossroad Engineers for the May 18th BPW meeting,
please.
Attached please find CrossRoad's scope of work and purchase order.
Contract Information:
Project Name: ASA #5 — On -Call Engineering and Inspection Services
Vendor:
CrossRoad Engineers, P.C.
Amount:
$30,000.00
Appropriation:
P.O. 33753; 2200-401
Signature:
Chip Charles
Address:
3417 South Sherman Drive
Beech Grove, IN 46107
Phone:
317/780-1555
Fax:
317/780-6525
Email:
ccharles@crossroadengineers.com
May 5, 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 #5, P.O. #33753
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 March 16, 2016, I have requested and received from you the proposed
scope of services and fee estimates for the following work task:
Additional Service Amendment #5 — 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,
Jeremy as an, P.E.
City 16gineer
Reviewed and approved by:
S. C. Enge1jing
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