American Structurepoint/Eng/236,610/Adl Serv #1/Pennsylvania Street and City Center Roundabout-Design American Structurepoint,Inc.
Engineering Department-2016
Appropriation:ASA#1; #94-650.04:2016 General Obligation Bond;P.O.#33746 pRQLm
Contract Not To Exceed$236,610.00 q
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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 American Structurepoint, Inc. (the "Vendor"), as City Contract dated April 6, 2016
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 American Structurepoint, Inc.
by and through its Board of Public
Works and Safety
By: By:
/37-ce
mes Brainard, Pr sidin fficer Authorized Sigria ure
Date:
Gu //,s 12. Co,.net
Printed Name
M ry Ann rke, Kober/
Date: / Pre S;de„-1
1 Title
Lori S. , ats. , Member FID/TIN: 3c-ii273/7
Date: S/«/qp
Last Four of.SSN if Sole Proprietor:
A E •
-
Date: mal /o, �l6a
Christine Paul rk-Treasurer
Date:
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•
AMERICAN STRUCTUREPOINT, INC.
Exhibit A
City of Carmel Program Management Scope Items
Roundabout Design and Bidding Services
A. Engineer shall provide roundabout design services for intersection of Pennsylvania and City Center
Drive,with project limits as follows:
1. Two-lane roundabout and approaches with project limits approximately 300'to the north and
south along Pennsylvania and approximately 300'to the east along City Center Drive
B. Professional shall review available traffic data from previous studies performed for the City of
Carmel
C. Professional shall use available forecasted traffic data and the Highway Capacity Manual to
determine the roundabout lane configurations.
D. Professional shall prepare contract plans, special provisions for the specifications, and opinions of
probable cost for the construction of the streets. The plans will be in accordance with the accepted
standards for such work and in accordance with the following documents in effect at the time the
plans or reports are submitted, except as modified by supplemental specifications and special
provisions,if any:the City of Carmel Standard Drawings;the American Association of State Highway
and Transportation Officials"A Policy on Geometric Design of Highways and Streets, Part V"; and
the Indiana Department of Transportation's Standard Specifications. The opinions of probable cost
for construction will be prepared according to the current practices of the City, and shall include all
types of work required for the complete construction of the work, including all temporary work
necessary in connection therewith, but shall not include the cost of such items of work for which the
City,through its own forces or through other party or parties,will perform the actual construction or
engineering.The unit prices to be used shall be in accordance with the methods used by the City.
E. The contract plans will include a Title Sheet,an Index Sheet,Plat No. 1 Sheet,Typical Section Sheets,
Plan and Profile Sheets, Roundabout Detail Sheets (if applicable), Miscellaneous Details Sheets,
Pavement Marking and Sign Plans, Maintenance-of-Traffic Detour Plans, Erosion Control Plans,
Structure Data Table, an Underdrain Table,an Approach Table, a Summary of Quantities Table, and
any necessary cross-sections.
F. The contract documents will contain sufficient information to enable the contractor to perform the
required work.
G. The Professional shall identify and notify all affected utilities and coordinate plans for utility
relocation.The Professional shall assist the City with the preparation of all required utility relocation
agreements. The Professional shall maintain a record of all utility contracts to be submitted to the
City.
H. The Professional shall design storm sewers to collect and convey stormwater to suitable outfall
locations. The Professional will investigate suitable outfall locations within 500 feet of the project
limits.
I. Upon completion and final approval of the deliverables by the City,the Professional shall deliver to
the City the following submittals/deliverables required for the design activities (all plans black and
white unless otherwise noted).
1. Preliminary Plans
i. Two(2)full-size(24"x36")plan sets,two(2)half-size(11"x17")plan sets,and one(1)
preliminary opinion of probable construction cost provided to the City
EXHIBIT A
April 15,2016 201502101 / i3
AMERICAN STRUCTUREPOINT, INC.
2. Five(5)full-size(24"x36")plan sets or digital plans provided to utility companies
3. Final Plans—four(4)full-size(24"x36")plan sets, one(1)quantity and design calculation
binder,one(1)specifications document,and one(1)final opinion of probable construction cost
4. The Professional shall conduct a field check with the City and other interested parties.
J. Bidding Services
1. Professional shall assist City in advertising for and obtaining bids or proposals for the Work and,
where applicable, maintain a record of prospective bidders to whom Bidding Documents have
been issued, attend pre-bid conferences, if any, and receive and process contractor deposits or
charges for the bidding documents.
2. Professional shall issue addenda as appropriate to clarify, correct, or change the Bidding
documents.
3. Professional shall provide information or assistance needed by City in the course of any
negotiations with prospective contractors.
4. Professional shall consult with City as to the acceptability of subcontractors,suppliers,and other
individuals and entities proposed by prospective contractors for those portions of the Work as to
which such acceptability is required by the Bidding Documents.
5. Professional shall attend the bid opening, prepare bid tabulation sheets, and assist City in
evaluating bids or proposals and in assembling and awarding contracts for the Work.
K. Lighting Design
1. Lighting design will be developed for the required intersections.
L. Right of Way Engineering
1. Right of way engineering for the affected parcels as shown in Exhibit B
M. Land Acquisition
1. Land acquisition services for the affected parcels as shown in Exhibit B
N. Items Excluded
1. Landscape design
2. Permitting(Except for Rule 5 permit,if required)
3. Wetland delineation
4. Geotechnical engineering
5. Pavement design
6. Utility Relocation design
7. Construction inspection
Ex,, i! I T
2ck3
April 15,2016 _ 201502101
Pennsylvania&City Center RAB,City of Carmel '
Proposed Fee Schedule Dated:2/19/20016 Fees May Change Based on Final Right of Way
•.• Abstracting/Engineering' .'•• R/W Services
. subtotal
A6sbecdng5•. Sowed -Buying(includes RAI Cie:Aces Total
Parcel' Owner Tag I.D. Tide Work .'This Update. Plata,Lapels ' staking Engineering . Appraising - Appealing 00o update fee) Recanting• 'Rel. Msnagement Feo Subtotal Fees
..1 Carmel Hotel LLC. - 17-09-35-00-00-015.000 . s . 500.00 7 '14000 5 2.150.00 5' 35000 5 3.140.00 3- 2.425.00 -5 2,425.00 5 1.47500 S 150.00 3 1.100.03 s 7.575.00 3 10,715.00
2 Bopper Airways LLC. ' 16-09-35-00-00-020.101 s 50005 5 140.00 5. 2.150.00 s 35000 5.. 3,140.00 5 1,825.03 5 1,e25.00 $ 1.475.00 5 150.00 5 . 1.100.03 3 0.37500 3 9.51500
3 Garrison City Center LLC.. 16-09-35-00-00-020.002 ' s 500.00 a 140.00 5. 2.15000 5' 350.00 S 3,140.03 5. 2.225.00 5 .2.225.00 5 1,476.00 5 150.00 5 1,10000 3 7,17500 S 10.31500
4 WRC Real Estate Development LLC • 17-09-35-00-00-014.000 5 600.00 5 143.33 3 2150.03 s 35003 5 3.140.00 $ 2.025.00 3 2.025.00 $ 1.47500 $ 150.00 $ 1.100m 5 8,77500 3 8,915.00
Unallocated Fee 5 •t s „ ,
2.00000 5 560.00 5 8,50000 5 1,400.00 3 12,5e000 s 8,50000 3 13.500 W.00 3 SB .03_5 600.00 1' 3(, 4,40000 $ 27,900 CO 5 40,46000
Original Contract Amount _. ....
If needed.Supplemental Fen:
Ir needed,Supplementaldl Total: - ... .. -- •
*If City records necessary documents,the Recording fee will not be billed.
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American Structurepoint,Inc.
Engineering Department-2016
Appropriation:ASA#1; #94-650.04;2016 General.Obligation Bond;P.O.#33746
Contract Not To Exceed$236,610.00
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:\Cmuracts\ProfSva&Goods Svcs\Engincering12016Wncrican Structurcpoint,Inc.ASA91 Add.!Svcs Amend 3-27-2012 with E-Verify languagadoc:5/102016 9:44 AM]
American Structurepoint,Inc.
Engineering Department-2016
Appropriation:ASA#1; #94-650.04;2016 General Obligation Bond;P.O.#33746
Contract Not To Exceed$236,610.00
Exhibit"C"
E-Verify Affidavit
6en gran" , 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:
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
AI►terr141K 54,ca,.Merodni /Au. (the "Company") in the position
of Wee. Peei.VAn.
3. 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 / (3 Pi-day of /1//h f , 20 I .
.
Yam•=�"�1���'
Printed: /4. Ae.1.4-d
I certify under the penalties for perjury under the laws of the United States of America and the State of
Indiana that the fgAgglpg factual statements and representations are true and correct.
`` i�pNTZ, 4;
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NOTARY re
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1S:'Cnnlracis1Prof-Sv..R Gsxxls Svcsllinginccringl201llAnuricvt Srncttucrydnr.Inc.ASA 91 Add1 Svc.Amend 3-27-2012 ssilh&Verily Iangnagc.doc:5/102016 9 44 AM1I
Received
05-06-16P01 :37 RC'/D
City of Carmel
Department of Law
LETTER OF TRANSMITTAL
Date: April 21, 2016
To: Doug Haney
Department of Law
From: Jeremy Kashman
Department of Engineering
RE: American Structurepoint, Inc. Additional Service Amendment
One additional service amendment is needed for American Structurepoint, Inc. for the May 4th, BPW
meeting, please.
Attached please find the work proposal and purchase order.
Contract Information:
C;+y Ceni-e7t.
Project Name: ASA#1 Pennsylvania Street and.1thstreetRoundabout Design
Vendor: American Structurepoint, Inc.
Amount: $1-9C,150.06-"-- At 2 , 610
Appropriation: PO #33746; 2016 General Obligation Bond
Signature: Willis R. Conner
Address: 7260 Shadeland Station
Indianapolis, IN 46256
Phone: 317/547-5580
Fax: 317/543-0270
Email: wconnere,structurepoint.com
®4tt•;,E
® STRUCTUREPOINT
INC.
April 15,2016
Mr. Jeremy Kashman
Cannel City Engineer
One Civic Square
Carmel,Indiana 46032
Re: Pennsylvania and City Center Roundabout Design
Dear Mr. Kashman:
On behalf of American Structurepoint, Inc., I am pleased to submit this proposal for roundabout
design services.
The professional services will include survey,roundabout design,bidding services, right-of-way
engineering, and land acquisition for the planned improvements at Pennsylvania and City Center
Drive.
Upon receiving notice to proceed from the City of Cannel, American Structurepoint will
commence with survey, bidding services, and roundabout design for a total lump-sum fee of
$196,150. Right of way engineering and land acquisition services will be invoiced on a unit cost
basis according to the attached Exhibit B for a maximum amount of$40,460. Invoices will be
forwarded to the City of Carmel on a monthly basis in accordance with our contract.
We look forward to working with the City of Cannel on this project. If you should have any
questions,please do not hesitate to contact me at(317)547-5580.
Very truly yours,
American Structurepoint, Inc.
Cash E. Canfield
Vice President
CEC:mek
Attachment
cc: Mike McBride
201502101
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Company ID Number.254011
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 American Structurepoint,Inc.Chelsea Shumaker
Name(Please Type or Pilot) Title
Elect onlcally Signed 09/17/2009
Signature Date
Department of Homeland Security-Verification Division
USCIS Verification Division
Name:(Ptease Type or Print) Title
Electronically Signed 09/17/2009
Signature. Date
Page 11 of 13IE Veidy MOU for EmployerlRevlsion Date 10129/08 www.dhs.gov/E-Verify
VeriF I;nom 76 A moms o►U8►
Company ID Number.254011
Infoirmation Required for the ENerify Program
information relating to your Company:
Company Name:American Structurepoint,Inc.
Company Facility Address:7260 Shadeland Station
Indianapolis,IN 46256
" Company Alternate
Address:
County or Parish:MARION
Employer Identlfication
Number 361127317
North American Industry
Classification Systems'.
Code: 541
•
Parent Company:
Number of Employees:100 to 499
Number of Sites Verified
for: 2
Are you verifying for more than 1 site?If yes,please provide the number of sites verified for in
each State:
• OHIO 1 site(s)
Page 12 of 13IEVerify MOU for EmptoyerjRevision Date 10/29108 www.dhs.gov/E-Verify
r
EVeriIy
vaunss a Ulvsa a mu
Company ID Number.254011
• INDIANA 1 site(s)
Information relating to the Program Administrators)for your Company on policy questions or
operational problems:
Name: Chelsea Shumaker
Telephone Number. (317)647 6580.. Fax Number. (317)543-0270
E-mail Address: cshumaker@sttiMurepointcom •
Page 13 of 13IE--Verify MOU for EmployerlRevisian Date 1029A18 www.dhs:gov/E-Verify
IIv INDIANA RETAIL TAX EXEMPT Page 1 of 1
i t of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33746
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4/21/2016 00350562 Project 16-ENG-27;ASA 1 -Contract Date 04.06.16.01
AMERICAN STRUCTURE POINT, INC Engineering
VENDOR 7260 SHADELAND STATION SHIP 1 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46256--3957 Kate Lustig
PURCHASE ID I BLANKET I CONTRACT I PAYMENT TERMS FREIGHT
4239
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Account: 94-650.04 Fund: 0 General Obligation Bond
1 Each Pennsylvania Street and City Center Roundabout Design $236,610.00 $236,610.00
Sub Total $236,610.00
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Send Invoice To: µq ;:.A - _ ,, 4a
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Jill Newport '
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CrossRoad Engineers, P.C. ,�
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3417 Sherman Drive
4- T.t A
Beech Grove, IN 46107 ••,� 41 {`; P � .; `
2016 SW Bond/G.O. Bond/
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $236,610.00
SHIPPING INSTRUCTIONS *A/P 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 COMPUANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TITLE
CONTROL NO. 33746 CLERK-TREASURER
J- L
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11 III 11 O ��I O
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1 III II IL r 1 11 :II II
CITY ® ARMEL
JAMES BRAINARD, MAYOR
April 21, 2016
Mr.Willis R. Conner,PE, SE
Mr. Gregory L.Henneke,PE
Mr. Cash E. Canfield,PE
American Structurepoint,Inc.
7260 Shadeland Station
Indianapolis,IN 46256-3957
RE: Additional Service Amendment#1,P.O.#33746
Dear Mssrs. Conner and Henneke:
As we discussed,the City of Carmel has a need for additional professional services and pursuant to our current
contract with American Structurepoint, dated April 6,2016. I have requested and received from you the proposed
scope of services and fee estimates for the following work task:
Additional Service Amendment#1— 16-ENG-27—Pennsylvania Street and City Center Roundabout
Design
Engineering Services
Not to Exceed: $ 965- 5".^n it 23
Co , (oID 6`
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,
J y M Kashman, .E.
City Engineer
Reviewed d approved by:
1
S. C. E eking
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