CrossRoad Engineers/Eng/59,000/Adl Serv #7/96th Street and Priority Way Acquisition Services – Parcels 2 thru 5:CrossRoad.-Engineers, P:C..
Engineering -Department = 2016
Appropriation: ASA:#7; #947650.04; 2016 COLT Bond, #33953
#33953
Contract Not To Exceed $59;000:00
JAO. .
..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 CrossRoad Engineers, P.C.: -(the "Professional")-, -as City Contract dated
d.
March :16, 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-.h-ereto 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-&:.:
verify .Affidavit, _attached: Hereto and: incorporated: herein : as Exhibit ' Also,. pursuant .to I.C.: § -5-22-16.5,.
Pr..ofessional 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.
b.
IN WITNESS WHEREOF,: the parties hereto have.made and:executed this Amendment as follows:
CITY OF CARMEL, INDIANA CrossRoad Engineers; PC.
by and through. its :Board of Public
Works And Safety:
mes Brainard Pre. iding Offc Authorized Signature::'
Date:
A
re
)17119,1,4 ra"4) Printed -Name
M ry An Burke em er .. -L
T
itle
L
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Lori S. Watson;.M.ember FIDITIN: 3 S -f `�fD 333
Date,
LastFour of SSN if Sole Proprietor:
ASr
Date: Oma, 17 ZoJ 6
v
�IcT/TE
liiistine_S.:Pa y Cl rk-Treasure -
Date:. f
IS-X.1W.r.St'csSASA N7AJJ1S—A.,J[MM012uithGYccifyLnpnapadn:5117R61f..I:OfNXII
R/W Acquisition Services
Parcels 2 thru 5)
96t11 Street & Priority Way
City of Carmel
Work Item
Quantity
Fee
Total Fee
$1,000.00
Appraisal Problem Analysis(l)
4 each
$250.00
Appraisals — Short Form
2 each
$4000.00
$8,000.00
Appraisals — Long Form (1)
2 each
$8,500.00
$17,000.00
Review Appraisal (1)
4 each
Varies
$11,600.00
Title Update & Guaranty�l�
4 each
$275.00
$1,100.00
Negotiations
4 each
$1,725.00
$6,900.00
Deed Recordation (includes Title & Doc Review)
4 each
$350.00
$1,400.00
Partial Mortgage Release & Recordation (2)
4 each
$2,000.00
$8,000.00
R/W Management
4 each
$1,000.00
$4,000.00
ESTIMATED TOTAL FEE
$59,000
NOTES: (1) This is a subcontracted item and the fee is estimated based upon the 2016 Carmel Bond Program
Management Contract and the specific fees listed in Exhibit 2 of that contract. The final cost will
consist of the actual invoiced amounts from the subcontractor per said Exhibit 2 plus a 10% mark-up
for task coordination and administrative efforts.
(2) These are fees that will be incurred for partial mortgage releases, recordations, etc., and the fee
shown here is estimated. The final cost will consist of the actual fees charged plus a 10% mark-up
for task coordination and administrative efforts.
CrossRoad Engineers, P.C.
Engineering Department - 2016
Appropriation: ASA #7; #94-650.04; 2016 COIT. Bond; P.O. #33953
Contract Not To Exceed $59,000.00
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 alien's. 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.
IS:\Contracts\ProGSY s & Goods Svcs\Enginccring\2016\C—Road ASA 97 Add? Svcs Amend 3.27-2012 with E -Verify 1angnogc.d=5/162016 4:29 PMI
CrossRoad:Engineers, P:C..
Engineering Department - 2016 .
Appropriation: ASA:#7; #94-650.04; 2016 :COIT Boiid; P.O. #33,953
Contract Not To Exceed $59;000.00
Exhibit «C"
E -Verify: Affidavit ::
being first duly sword .de oses:aiid s that
P says
he/she. is familiar with and, has ersonalknowledge 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 cornpetent* to .testify- to the facts contained: -
herein:
2.: I am now and at all times relevant herein have . been : :. employed . by
t� f o55 fz vast` f e -S cµ,.0✓S. PC (the : "Company") in the position:
of ` ►'@5 t. eK#
3. I am familiar with, the employirient.policies, practices, and'procedures' of the Company and:
have the authority to act oh; behalf of :the Company.
4. The: -Employer.. is enrolled: and participates in the.: federal E -.Verify program at -id :has
provided, documentation of . such enrollment and: participation to the City- of Carmel,:
,Indiana. - .
-5. The Company does not Imowii gly employ any unauthorized aliens.
FURTHER AFFIANT SAYETH NOT.
EXECUTED on:the 7 day of 200.
1 .
Printed::-
@.✓oa�
I certify under. the penalties for pggWy under the laws :of the United States of America and. the State -of ,:
Indiana that the foregoing factual statements. and repre.sentations.a •e true.aad correct.-::
r,
Printed:
jS:\CnmmnxlPmfSa S G:vls SredEnginahigl2glflCrnsRuul ASA tl7 AdJ'1 Sws AmcnH 347,2012 aiih E,Vnify Inncunge.JR511(l1011. 4:29 PMI
Company ID (dumber: 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 i
i
'Jill Newport ..... ....... .......... .
,Nr
-..__.__
ame(Please Type or Print) Title
512011
nent of Homeland Security — Verification Division
Verification Division
_...._.___._..._.._._.____........................................._........-..._..__..-_-._._
ease Type or Print) kTitle
I
nically Signed `08/1512011
_..... _... _....... ,_.._---_ ....._._..__ _._._..._...._...._......._..__.......... _._......_._._...__......__..._.... __----- .._.-_..._..__..... ....... ...... ... _.---..._._.___ __
Information Required for the E -Verify Program
Information relating to your_Company:
Cmmnanv NameGrossRoad Enaineers. PC
Facilitv Add
17 Sherman Drive
!ech Grove, IN 46107
Company Alternate
Address: ;`417 Sherman Drive
1_._......._..._................._ ... ......""_... ._............_..................._........_......_.,3....µ.,,_...-....,...._..,...._.........._................._...,......,...„,._...............,,....................................._.__...__._.....,..._._.._.._..........._._.._.__.__.
I
Beech Grove, IN 46107
-.._._.._......_....._........._....._..................._...., ..w ..............._.._........- ..........
i t
County or Parish:. MARION j
j
Employer Identification I
Number_ `351963331
Page 12 of 131 E -Verify MOU for Employer I Revdsion Date 09/01/09 www.dhs.gov/E-Verify
Company ID (dumber: 440231
_ _._.__... _._..... _.,m_._ _...__..__ _.... __ ..__...._ .. _.__.. -_-... ___,........._ ............. ... ....... ................ .....__..._....._....... ......
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North American Industry 1
Classification Systems_
Administrator:
_..._._........._...._._._ LO
s ......_.....__._._.___..__.__.__........_....... ......_...___...__ ..__.-................ .... ----_.......___....__.____.._.......
__..._.........._....._..
Number of Employees: 4099 __.._..__._.._..._ ._._.._......
t
Number of Sites Verified
for: [1
__ _ _._._._�_...._.._._._..._....:....._.___.....,..,..._...._........._.......... .................................._._._.................__._...._............
Are you verifying for more than t site? If yes, please provide the number of sites verified for
in each State:
INDIANA I 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 fax Number: (317) 780 - 6525
E-mail Address: ine porl(u crossrondengincers.com
Name: Walter 1E- Charles
Telephone Number: (317) 780 - 1555 ext. 115 Pax Number. (317) 780 - 6525
E-mail Address: celiarles(a erossrondengineers.com
Page 13 11331E Verify MOU for Employer I Revision Dale 09/01/09 WWW.dh§.govlE-Verify
Received
05-16-1 6 P1 2 : 25 RCVD
City of Carmel
Department of Law
LETTER OF TRANSMITTAL
Date: - May 12, 2016
To: Doug Haney
Department of Law
From: Jeremy Kashman
Department of Engineering
RE: CrossRoad Engineers Additional Service Amendment
An additional service amendment is needed for Crossroad Engineers for the June 1st BPW meeting,
please.
Attached please find CrossRoad's scope of work and purchase order.
Contract Information:
Project Name: ASA #7 - 96th and Priority Way Right of Way Acquisition Services Parcels 2 thru 5
Vendor:
CrossRoad Engineers, P.C.
Amount:
$59,000.00
Appropriation:
P.O. 33953; 2016 COIT Bond
Signature:
Chip Charles
Address:
3417 South Sherman Drive
Beech Grove, IN 46107
Phone:
317/780-1555
Fax:
317/780-6525
Email:
ccharles@crossroadengineers.com
ATTACHMENT "A"
May 10, 2016
Mr. Jeremy Kashman, P.E.
City Engineer
City of Carmel
1 Civic Square
Carmel, IN 46032
Re: 96th and Priority Way
Right of Way Acquisition Services — Parcels 2 thru 5
Fee Proposal
Dear Jeremy:
CrossRoad Engineers is pleased to prepare this fee proposal to provide right-of-way acquisition
services required for the above listed parcels for this project. This proposal has been prepared
based upon our meetings, discussions and the information supplied by the design team for this
project.
Our work will include the Right -of -Way Acquisition Services required for this project. All of this
work will be based on the construction plans provided by CHA. The attached spreadsheet
represents an estimate of the services that will be required for the above listed parcels.
Thank you for allowing CrossRoad Engineers this opportunity. If, during your review of this
proposal, you have any questions concerning the scope items or proposed fee, please call me at
(317) 780-1555 ext. 114.
Sincerely,
CrossRoad Engineers, PC
Trent E. Newport, P.E., L.S.
President
3417 Sherman Drive ■ Beech Grove, Indiana 46107 111 Tel 317.780.1555 ■ Fax 317.780.6525
oft-
(�° Carm(d
City
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
Page 1 of 1
PURCHASE ORDER NUMBER
Jl
FEDERAL EXCISE TAX EXEMPT
33953
ONE CIVIC SQUARE
35-6000972
THIS NUMBER MUST APPEAR ON INVOICES, AIP
CARMEL, INDIANA 46032-2584
VOUCHER, DELIVERY MEMO, PACKING SUPS,
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
5/12/2016
068025
Project 15-04
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 I BLANKET CONTRACT
PAYMENT TERMS FREIGHT
4764
QUANTITY I UNIT OF MEASURE
DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Account., 94-650.04 Fund: 0 COIT Bond Fund
1 Each ASA 7 - 96th and Priority Way Right of Way Acquisition $59,000.00 $59,000.00
Services Parcels 2 thru 5
Sub Total .$59,000.00
Send Invoice To:
Skip Tennancour
8425 Wicklow Way
Brownsburg, IN 46112
2016 COIT Bond PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
PAYMENT $59,000.00
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 UNOBUGATED 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
TITLE
CONTROL No. 33953 CLERK -TREASURER
May 12, 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 #7, P.O. #33953
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 #7 — 96th and Priority Way Right of Way Acquisition Services
Parcels 2 thru 5
Not to Exceed: $59,000.00
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,
Jerem Cashman, P. .
City Engineer
DEPARTMENT OF ENGINEERING
Reviewed and approved by:
,4*�, I
S. C. Eng- ' g
Director of Administration
ONE CIVIC SQUARE, CARMEL, IN 46032 OFFICE 317.571.2441 FAx 317.571.2439
EMAIL engineering@carmel.in.gov