American Structurepoint/Eng/226,531/Adl Serv #7/Corridor Survey Studies – 96th Street, Gray Road, Rangeline Road American Structurepoint,Inc.
Engineering Department-2016:
Appropriation:ASA#7;#94-650.04;2016 COIT"Bond;P.O.#33750
Contract Not To Exceed$226,531;.00 QQRO/,-.
ADDITIONAL SERVICES AMENDMENT TO 410
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:
A3vi'amesBrainard, Presi i�r Authorized Signafure
t •
Printed Name
Mary A Burke, Meer / //
Date: l6 Vat t ?es;DM
Title
Lori S.Watson, Member FID/TIN: 3s i l�-7 3/7
Date:
/� Last Four of SSN if Sole Proprietor:
ATYEST%
G` Date: r?a y i sr, ao/‘
Christine Pauley Jerk-Treasurer
Date: if//fr'
(S;`Lra+racrPPrn[.Sra.@ CrarhSusTnOuccrinFl7016\Anrcrican Structure,uitn.Inc.ASA#7 AdJ7 Sit Amend 3.77-2UI2 with EVcrify g agedo..:S1172016 I:IS PMI
AMERICAN
STRUCTUREPOINT
r!1 INC.
April 15,2016
Mr.Jeremy Kashman
Cannel City Engineer
One Civic Square
Cannel,Indiana 46032
Re: Professional Services—Corridor Survey Services
Dear Mr. Kashman:
On behalf of American Structurepoint, Inc., I am pleased to submit this proposal for corridor
survey services.
The professional services will include survey and creation of a DTM model for the 96th Street,
Rangeline Road, and Gray Road corridors.
Upon receiving notice to proceed from the City of Carmel, American Structurepoint will
commence with these professional services for a total lump-sum fee of$226,531. 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 Carmel 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.
► J
Cash E. Canfield,PE
Vice President
CEC:mek
Attachment
cc: Mike McBride,American Structurepoint H-H y B I T
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201502101
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0 AMERICAN STRUCTUREPOINT, INC.
Exhibit A
City of Carmel Program Management Scope Items
For each route survey described below,the Professional shall provide necessary field surveys and topographic
and utility mapping for design purposes.Utility mapping will be based upon information obtained from utility
owners.The Professional shall survey the project location and provide the City with one set of original field
notes for the data accumulation surveys.The Professional shall obtain deeds of record,subdivision plats,and
section or auditor plats for all properties within the project limits. The Professional's services shall be in
accordance with IC 25-21.5; 865 IAC 1-12;and Chapter 106 of the INDOT Design Manual(Survey Manual).
The Professional acknowledges that it has a copy of the Survey Manual. If there is any conflict between IC
25-21.5, 865 IAC 1-12, or the Survey Manual,the order of precedence shall be:
1. IC 25-21.5
2. 865 IAC 1-12
3. Survey Manual
The Professional's scope of services for each route survey includes the following:
1. Establish horizontal control and property corner tie-in and section corner tie-in
2. Establish vertical control(1988 Datum), including setting benchmarks
3. Roadway route survey
4. Check property corners for right-of-way determination
5. Locate and invert sanitary and storm sewers on site and immediately adjacent to the site for purpose
of design tie-in
6. Locate aboveground evidence of utilities on site plus marks on the ground by public utility locate
company
7. Land surveyor review and property line and right-of-way determination
8. Drafting and creation of a TIN and contours for design along with pipe network drawing
9. Property research and utility call in
10. Prepare and record a route survey plat
11. Set centerline monuments along the route
The three overall routes to be surveyed are as follows:
a .
9611'Street Route Survey
1. The survey limits are: Z OE?
96u'Street from Hazel Dell Road to Priority Way(intersections only of Hazel Dell Road,Gray Road,
and Priority Way). Total linear footage along 96th Street for the roundabout project (3,000' x 200').
April 15,2016 201502101
0 AMERICAN STRUCTUREPOINT, INC.
Total linear footage for the 96th Street Path project(5,400' x 75').Includes survey at Hazel Dell Road
(600' x 100'),Gray Road(800' x 100'), and Priority Way Drive(800' x 100')
2. Establishing vertical control includes setting approximately 8 benchmarks.
Gray Road Route Survey
1. The survey limits are:
a. Gray Road total linear footage(6,600' x 75')
b. 126th Street and Gray Road Roundabout
c. Main Street and Gray Road Roundabout
d. Smokey Row and Gray Road Roundabout
2. Establishing vertical control includes setting approximately 6 benchmarks.-
Rangeline Road Route Survey
1. The survey limits are:
Rangeline Road from 800' south of 116th Street to 250' north of 4th Street SE for a length of 7,800'
and a width of 175'. The following S-Lines from Rangeline Road are also included (width varies
based on existing right-of-way + 25' beyond the existing right-of-way on each side): 116`h Street
(1,000'), Medical Drive (500'), Executive Drive (500'), Shoshone Drive (200'), Nappanee Drive
(200'), Winona Drive(200'), 126th Street(1,500'),and 4th Street SE(200') .
2. Establishing vertical control includes setting approximately 20 benchmarks.
P
3�ff
April 15,2016 _ 201502101
American Structurepoint,Inc.
Engineering Department-2016
Appropriation:ASA#7;#94-650.04;2016 COIT Bond;P.O.#33750 •
Contract Not To Exceed$226,531.00
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:\Contracts\ProfSvcs&Goods Svcs\Engincering\2016\Americ:n Structurcpoint,Inc.ASA#7 Add i Svcs Amend 3-27-2012 with E-Verify langungc.doc:5/162016 2:16 PM]
American Structurepoint,Inc.
Engineering Department-2016
Appropriation:ASA.#7;#94-650.04;2016 COIT Bond;P.O.#33750
Contract Not To Exceed$226,531.00
Exhibit"C"
E-Verify Affidavit
n i$r•au n ,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
Arre'r„4n SJrr.c*Nrehv;•1t inc. (the "Company") in the position
of vl'ce Orei,'den#
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: 5-Verify program and has
provided documentation of such enrollment and participation to the City of Cannel,
Indiana.
5. The Company does not knowingly employ any unauthorized aliens.
FURTHER AFFIANT SAYETH NOT.
EXECUTED on the. ) U day of 1 A 1 ,20
Printed: ," ,� # $''t./
I certify under the penalties for peijury 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.
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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 Punt) Tine
Electronically Signed 09/17/2009
r. -
Signature Date
Department of Homeland Security—Verification Division
USCIS Verification Division
Name(Please Type or Rini) Title
Electronically Signed 09/17/2009
Signature . . Date
Page 11 of 131E Venfy.MOD for EmptoyerlRevision Date 10/29/08 1/1/ININ.d o.gov/ - E.rify
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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 1 site?If yes,please provide the number of sites verified for In
each State:
D OHIO 1 site(s)
Page 12 of 131E-Verify MOU forEmployerjRevision Date 10/29108 www.dthS.cg0V/E-Veri1y
!J: Hvey
n-v.Irt z+r Imuccs or pm
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)647-5560 Fax Number (317)543-0270
E-mail Address cshumaker@structurepoint.com
Page 13 of 131E-Verify MOU for EmployerjRevision Date 10129/08 d.ul:s.yravf '-V;ri4y
Received
05-16-161'12 : 25 RCVD
City of Carmel
Department of Law
LETTER OF TRANSMITTAL
Date: May 16, 2016
To: Doug Haney
Department of Law
From: Jeremy Kashman
Department of Engineering
RE: American Structurepoint, Inc. Additional Service Amendments
Three (3) additional service amendments are needed for American Structurepoint, Inc. for the June 1st,
BPW meeting, please.
Attached please find the work proposals and purchase orders.
Contract Information:
Project Name: ASA#5; Rangeline Road from 116th Street to 4th Street SE - Design
Vendor: American Structurepoint, Inc.
Amount: $207,750.00
Appropriation: PO #33931; 2016 COIT Bond
Project Name: ASA#6; 96th and Keystone Plan Review
Vendor: American Structurepoint, Inc.
Amount: $24,960.00
Appropriation: PO #33933; 2016 COIT Bond
Project Name: ASA#7; Corridor Survey Services —96th Street, Gray Road, Rangeline Road
Vendor: American Structurepoint, Inc.
Amount: $226,531.00
Appropriation: PO #33750; 2016 COIT Bond
Signature: Willis R. Conner
Address: 7260 Shadeland Station
Indianapolis, IN 46256
Phone: 317/547-5580
Fax: 317/543-0270
Email: wconnerstructurepoint.com
Cv INDIANA RETAIL TAX EXEMPT Page 1 of 1
ity of (Cairi:iie]1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33750
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,Ail,'
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
5/15/2016 00350562 Project 16-ENG-30;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 I BLANKET I CONTRACT I PAYMENT TERMS I FREIGHT
4842
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 . Account: 94-650.04 Fund: 0 COIT Bond Fund
1 Each ASA 7-Corridor Survey Services-96th Street, Gray Road, $226,531.00 $226,531.00
Rangeline Road
Sub Total $226,531.00
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8425 Wicklow Way
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Brownsburg, IN 46112 ;. ;`+kt.� '4 Al,, "�{
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2016 COIT Bond �°�4 "
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $226,531.00
SHIPPING INSTRUCTIONS 'ANVOUCHER 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 c/J e`""',-
CONTROL NO. 33750 CLERK-TREASURER