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American Structurepoint/Eng/80,000/Adl Serv #8/Subsurface Utility Engineering American Structurepoint,Inc. Engineering Department-2016 ,QfcN. Appropriation:ASA#8;#94-650.04;2016 COIT Bond;P.O.#33935 ; o. Contract Not To Exceed S80,000.00 JqO. ADDITIONAL SERVICES AMENDMENT TO AGREEMENT FOR PROFESSIONAL'SERVICES THIS AMENDMENT TO THE AGREEMENT FOR PROFESSIONAL.SERVICES ("Agreement") entered into by and between the City of Carmel and American Structurepoint, Inc. (the `Professional"), as City Contract dated April 6, 2016 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 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. 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: J es Brainard, Presiding Off r Authorized Signature Date: — .0 )� G,at�► e tail-red/Printed Name Mary An urke, M I be / n Date: l� V.i-e-e -�csilevir No4 ?( ._z2e n 4 Title Lori S.Watson, Member FID/TIN: 35- /<273/7 Date: Last Four of SSN if Sole Proprietor: ATT T. / Date: ply .2 ao/C ristine Paule , Glejk-Treas r r Date: p////fr �$:\Canlyd:8rcf.S.ti R Gams Snall:ngineecingl"l(,'A,n:.m Snu yumn;•ine.IoP ASA NS Add I Sett An:and i.21-2012 ssiIh E-Wnf+I:mgnnge.+Ae:i!2(L^_OIR f I:fli Ahil gi AMERICAN °A.11 STRUCTUREPOINT !.*z INC. 11 May 16, 2016 Mr. Jeremy Kashman • Carmel City Engineer — —0--neti—vic Square • Cannel,Indiana 46032 - Re: Subsurface Utility Engineering Services Dear Mr. Kashman: On behalf of American Structurepoint, Inc., I am pleased to submit this proposal for subsurface utility engineering(SUE) services The professional services will include traffic control,utility locating,and SUE potholing services for various projects. Upon receiving notice to proceed from the City of Carmel, American Structurepoint will commence with the above professional services for subsurface utility engineering. Services will be invoiced at the unit costs identified in ExhibiA,to a maximum not to exceed cost of$80,000. Invoices will be forwarded to the City of Cannel on a monthly basis in accordance with our contract. We look forward to working with the City of Cannel on this project. If you should have any questions,please do not hesitate to contact me at(317)547-5580. Very truly yours, American Structurepoint, Inc. 44C 4.—A/ Cash E. Canfield,PE Vice President CEC:mek Attachment cc: Mike McBride Mike Maurovich EXHIBIT 201502101 •ip .%'7260iSrladelandrStOtton;IfidiarlOPoliS,0:4b2,56q30.5'7, TEL 317.50 WO FAX 817,543,Z)279 www$tfuetgrgpolnic0m • ft. u, t; Blood Hound, Inc. Estimate -' 750 Patricks Place ,{ /r � �� ,.� Brownsburg,IN 46112 Date Estimate# 4..x��.t, 5/11/2016 19044 Name/Address American Structurepoint,Inc. 7260 Shadeland Station Indianapolis,IN 46256 Accounts Payable Item ;: •Description Qty 'Cost Total Cannel Project Traffic Control-Level 1 Level 1 Traffic Control includes sending out the Traffic Control Van,Signs,Cones and 0 600.00 0.00...5 an Arrowboard.This would be driven by the second member of a Vac Crew or Camera Crew and does NOT include any Flagger *Day Rate** Traffic Control Level 2 Level 2 Traffic Control mcludessending out<the Ttaftic Control Van Signs,Cones and 0 750 00 0 00"an Arrowbo ird This service also includes one(1)Flagger **Day Rate** Traffic Control-Level 3 Level 3 Traffic Control includes sending out the Traffic Control Van,Signs,Cones and 0 1,100.00 0.00 ° an Arrowboard.This service also includes two(2)Flaggers.**Day Rate** Craffic Control Level 4 Level 4 Traffic Control includes sending out the Traffic Control Van(s),Signs,Cones 0 14400 00: 0 00,,;and 4vo.(2)Arroerboards This service also includes two(2)Flaggers.**Day Rate** SUE GPR(per unit) S.U.E.GPR(per unit)**Price is based on PER DAY** � 0 2,000 00 - 0.00 SUE Locate:(per unit) SUE Locate(per'unit)**Price is based on PERLINEAR FOOT** 'i 0 1 15 SUE VAC(per unit) S.0 E VAC(per unit)**1-10 Test Holes** _ - SUE,VAC(peruntt) S:U E VAC erunit **lj 25 TestHoles** 0 600 00 0 00 SUE VAC(per unit) S.U.E.VAC(per unit)**26-50 Test Holes 00 00 0.00 ** SUE VAC(per unit) S:LI E VAC(per_unit)**>50 Test Holes** '`•t - 0 6 0.00 Waste Disposal(clean) Waste Disposal(clean,per dump)**IF NEEDED** 125.00 00 0 00 0 0. This estimate was produced using the information that you provided,in combination with our previous experience. Please note that if no or inaccurate utility prints were provided,there could be variations between the estimated time and the actual time on site. This is only an estimate, so the final price may vary based on situations encountered on site. If you require a firm Do-Not-Exceed price,please contact our office. Total Phone# Fax# E-mail Web Site 888-858-9830 888-858-9829 BHI bhu .coin @ g www.bhug.com THE OFFICIAL UNDERGROUND UTILITY LOCATING ,=liC. COMPANY OF THE INDIANAPOLIS COLTS f a f E 2�f 3 201502101 • , -' ' 7' ' w Blood Hound, Inc. Estimate r p, ;, ;' 750 Patricics Place •E 4+`�.3� h, • Brownsburg,IN 46112 Date Estimate # y . 5/11/2016 19044 Name/Address American Structurepoint,Inc. 7260 Shadeland Station Indianapolis,IN 46256 Accounts Payable Item ,Description Qty Cost Total Pricing being submitted for'the Carmel Infrastructure Project Per hole prices above for Test Holes fire based on natiive backfill compacted m 6,lifts Holes wil be tack coated and capped with cold patchif m paved areas If any special restoration is required , i dditiona f l pricing will have•to be provided w if additional hourly rates arc needed for the purpose of the contract,they.,can be found in Appendix"D'of Blood Hound's contract with the Indiana•Department of , `, ..•n..` . , ", Transpor'tatfon(1NDOTI_ �_ Natalie Paazks,P E Utility&Railroad Coordinator � 4 American Structurepomt z 7260•Shadeland Station,Indianapolis,IN 46256 t 317 547$580 c 317 523 7517 ;a5 s '.x'�. i .1, '.. e sparks r@�structurepomt coin t • • • • • This estimate was produced using the information that you provided,in combination with our previous experience. Please note that if no or inaccurate utility prints were provided,there could be variations between the estimated time and the actual time on site. This is only an estimate, so the final price may vary based on situations encountered on site. If you require a firm Do-Not-Exceed price,please contact our office. ,Unless otherwise elec omagi eti EM)mductton E?,p,e oiittedte 4 f0 rar idea rfy ni•.allfc , Total $0.00 fub3e�ts:� through i methodologies. , • •*Payment lb eBl " ,i Eel alreadsi( flilt+ i� jP`lr,� dbEID account i�?�t n ess othei��isec�Tt�i$�Q ��, °pre-arfliVIS'proved contracts Pleas-cants questions at 888.858 983t). • r q Phone# Fax# E-mail • • Web Site • 888-858-9830 888-858-9829 BEII@bhug.com www.bhug.com • THE OFFICIAL UNDERGROUND UTILITY LOCATING InEHIE31T A ,,,51, c ,.. .1. 0101) COMPANY OF THE INDIANAPOLIS COLTS. �, --to.-.) 3 201502101 American Structurepoint,Inc. Engineering Department-2016 Appropriation:ASA#8;#94-650.04;2016 COLT Bond;P.O.#33935 Contract Not To Exceed$80,000.00 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:\Contr cI'Prof.Svcs&Goods Svcs\Enghtxring\2016\American Structurcpoiu4 Inc ASA#8 Add i Svcs Amend 3-27-2012 with E-Vcrify langungc.doc:5R0R016 11:03 AM] • American Structurepoint,Inc. Engineering Department-2016 Appropriation:ASA#8;#94-650.04;2016 COIT Bond;P.O.#33935 Contract Not To Exceed$80,000.00 • Exhibit"C" E-Verify Affidavit n 6rau-✓l ,being first duly sworn,deposes and says that he/she is familiar with and has personal knowledge of the facts herein and, if called as a witness in this matter, could testify as follows: 1. I 'am over eighteen (18) years of age and am competent to testify to the facts contained. herein. • 2. I art now and at all times relevant herein have been employed by H flcan 5buo-cvejoo;nE Inc . (the "Company") in the position of VI(e ein5d,it 3. I am familiar with the employment policies, practices, and procedures of the Company and have the authority to act on behalf of the company. 4. The Employer is enrolled and participates in the federal E-Verify program and has • provided documentation of such enrollment and participation to the City of Carmel, • Indiana. 5. The Company does not knowingly employ any unauthorized aliens. FURTHER AFFIANT SAYETH NOT. • EXECUTED on the day of %1417 , 20 /h. 47,1S6 Printed: 4--.) -� I certify under the penalties for perjury under the laws of the United States of America and the State of Indiana that-the foregoing factual statements and representations are true and correct. ." `�`: Pius p,,a,e F�"`0fZ ••• Printed: - NOTARY w PUBLIC .>1 -._ SEAL -•, • t may.` '• '{"t.. •t •sly ;�11\�t t;•:, f tt:s "•`:p$:-filial;{t 1S:.CNllrays1Pnn:S,., Cn di Sv.-sll_ngutecring1201MAn.ai.Mn Slrtotacryt6n,Inc.AS.A-g Add Svcs Amcnd 3.2;_OI2 xi1S I:•Verify I:.ngu+gc.rLr:5120/2OI(1 1 I:O3 AM1 r E� stco EMI t erS'6art zs A SUVICL Or D11 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 Structurepolnt,Inc. Chelsea Shumaker Name(Please Type or Print) Tula Electronically Signed 09/17/2009 Slgna%ure Data, ` Department of Homeland Security- Verification Division USCIS Verification Division Name(Please Type or Print) ;_ Tina Electronically Signed 09/17/2009 Signature Date Page 11 of 131E-Verify MOU for EmptoyerlRetision Date 10/29/08 www.di1,.gOv/EVerify 0) 04 matikSTO --•= erry V151171:a A MI CC 0?D0 Company ID Number,254011 information Required for the.E-Verify 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 Identification Number. 351127317. 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 9 site?if yes,please provide the number of sites verified for In each State: • OHIO 1 site(s) Page 12 of 131E Verify MOU for Emp!oyerIRevision Date 10/29/08 .dhs.gov/E-Verify • ® , 07; 4 ...veri y Oh? 6 Vp1T1 IAA 1[AVI[3 or WO Company ID Number.254011 .. INDIANA 1 site(s) Information relating to the Program Administrator(s)for your Company on policy questions or operational problems: Name Chelsea,Shumaker Telephone Number, (317)647 6580rH: Fax Number. "' (317)543-0270 E-mail Address cshumakerrstructurepolntcom Page 13 of 131E-Verify MOU for EmployerlRevision Date 10129;08 www.dhs.gov/E-Verify LETTER OF TRANSMITTAL Date: May 20, 2016 To: Doug Haney Department of Law • ----------- From: Jeremy-Ka-el-man&kw^— Department of Engineering RE: American Structurepoint, Inc. Additional Service Amendment One (1)additional service amendment is needed for American Structurepoint, Inc. for the June 1st, BPW meeting, please. Attached please find the work proposal and purchase order. Contract Information: Project Name: ASA#8; Subsurface Utility Engineering Services Vendor: American Structurepoint, Inc. Amount: $80,000.00 Appropriation: PO #33935; 2016 COIT Bond Signature: Willis R. Conner Address: 7260 Shadeland Station Indianapolis, IN 46256 Phone: . 317/547-5580 Fax: 317/543-0270 Email: wconner(a�structurepoint.com Received 05-20-16A10 :47 RCVD City of Carmel Department of Law City ® INDIANA RETAIL TAX EXEMPT Page 1 of 1 —f C`� rim e1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBERJL \��///CS.Il �.LJ� FEDERAL EXCISE TAX E EXEMPT 33935 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 5/19/2016 00350562 Contract Date 04.06.16 AMERICAN STRUCTURE POINT, INC City Engineering's Office VENDOR 7260 SHADELAND STATION SHIP 1 Civic Square TO Carmel, IN 46032- INDIANAPOLIS,IN 46256--3957 Kate Lustig PURCHASE ID BLANKET CONTRACT PAYMENT TERMS ------ FREIGHT __ 5035 QUANTITY UNIT OF MEASURE DESCRIPTION -- ---_ — UNIT PRICE EXTENSION Department: 2200-- - Account: 94-650:04 Fund: 0 COIT Bond Fund 1 Each ASA 8-Subsurface Utility Engineering Services $80,000.00 $80,000.00 Sub Total $80,000.00 -� ,{ . i RI ( 1 I ,,, i w A �it3�Al3.k,t Send Invoice To: , ,, y by £. jj d City Engineering's Office Kate Lustig .. 1 Civic Squarek ,,�.� ? , �0 Carmel, IN 46032- '1 rr)i +{A= 3 R'' �,i ' $ PLEASE INVOICE IN DUPLICATE DEPARTMENT 1 ACCOUNT G PROJECT [ PROJECT ACCOUNT 1 AMOUNT PAYMENT $80,000.00 SHIPPING INSTRUCTIONS 'A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A 'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN 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 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY — 4 TITLE CONTROL NO. 33935 CLERK-TREASURER 6IP n:iii ii iI ii. a tii u ft ••I a;.' CITY O E EL May 20,2016 DAMES BRAINARD, MAYOR 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#8,P.O.#33935 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 tasks: Additional Service Amendment#5— Subsurface Utility Engineering Services Not to Exceed: $80,000.00 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, Jere . ashmmaan,P.E. City Engineer Reviewed and approved by: S. C. E gellcing 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