United Consulting Engineers, Inc/Eng/11,100/Adl Serv #2/Illinois Street Extension from Spring Mill to 106th Street Environmental Mitigation Re-BidUnited Consulting Engineers, Inc.
Engineering Department - 2016
Appropriation: ASA #2, #43-509.00 CUM Cap Improvement Fund; P.O. #33925
Contract Not To Exceed $11,100.00 '`11
j�
ADDITIONAL SERVICES AMENDMENT TO oG
AGREEMENT FOR PROFESSIONAL SERVICES
THIS AMENDMENT TO THE AGREEMENT FOR PROFESSIONAL SERVICES ("Agreement") entered into
by and between the City of Carmel and United Consulting Engineers, Inc. (the "Professional"), as City Contract dated
June 1, 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 1fC". 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
by and through its Board of Public
Works and Safety
By:
James Brainard, Presiding Officer
Date: ,
Mary
Date:
Lori ?. Watso ' em er
Date. 5 �/
United Consulting Engineers, Inc.
<44am J/-
uthori signature `
Oat -coo 41-rit U,T
Printed Ime
,MK- Vice Pgs
Title
FID/TIN: 3S -» 110b415
Last Four of SSN if Sole Proprietor:
Date: IMA- C
U 14-
ISNpvha:eWndS.ia R G...I> Scu�F,ngnrcanrel'61t1Vo1 yl 0-14,g ASA 0 Ad,118— Ahmad 3.27.21112 xi,h L• -Varity 11:19 A\Il
Consulting
ENGINEERINGMay
25, 2016
ENVIRONMENTAL
Mr. Jeremy Kashman, PE
INSPECTION
City Engineer
LAND SURVEYING
City of Carmel
One Civic Square
LAND ACQUISITION
Carmel, Indiana 46032
PLANNING
WATER& RE: Additional Services Amendment No. 3
WASTEWATER Carmel Project No.: 10-10
SINCE 1965 Illinois Street Extension from Spring Mill Road to 1061' Street
Environmental Mitigation Re -Bid
OFFICERS
b`aii zn E, Hdt PE
Dave J�chte , PE, FLS
Swart W. Jrmes
Chiuwpher R Pope, PE
B, KLAN Brint PE
ht:hal Rotiva. PE
PROFESSIONAL STAFF
Andrew T,4MdkaP-
Gerin LStetler, Alisc,
Darril P. Winerger, PE
.dam C. Post PE
mr£ haal S. aiphwt. AJC?
E. RmEtaya Pemberten, PE
Trr4thy J. Cwves, PLS
Jcn E< CUIVttar, PE
iiRPy,PE
Brien J. Fleersen, PE
Chrsb#er L Hammad, PE
P<ul D: Gtotback PE
&Ian S. Prederck, PE
Jay N. gens, PE
Ch�,slcpherJ. Geer; PE
M, tev R Lee PE
vYrn R Cir s, PE
J omgA. RiThte.;;;,n, FE
14eaftr E.'rs oq, PE
Map J. Greulich. PLS
}P coney D. Neukant, P=
Caleb C. Rws, PE
%b th%,A.'ratst; PE
jash 0. See. PLS
Cern C. Barret, PE
xaltG. Mirmich, PE
Sam B, Harktr's, PE
John R SAxks, PE _
J0 R,' -est, PE
N&W.4s J. Ko her. PE
JenriterL Hat PE
Jeffrey R: AndiwGI PE
KAtenS. C'Unrghani PE
Rcke dJ T. Eer,v, PE
Dear Mr. Kashman:
As part of our Illinois Street Extension Project, environmental mitigation is required and
is being constructed in the Brookshire Golf Course. The mitigation was bid on October
7, 2015 as a separate project from the Illinois Street Extension Project. Due to funding
concerns, the mitigation project was not awarded. Since then, revisions have been
made to the mitigation plans to reduce the construction cost and the project is being re-
bid on June 15, 2016. This Amendment No. 3 is to cover the additional work required
to revise the plans, extend the DNR Construction in a Floodway, IDEM 401, and
USACOE 404 permits, and re -bid the project. A summary of the additional fees
requested for this work is provided below:
Mitigation Plan Revisions .... .................................................... $6,200
Regulatory Permit. Extensions ......................................................... $2,100
Bidding Services ................................ .. ........... . ... $2,800
Total: $11,100
Please review the above fees and if you find them acceptable, please prepare Additional
Services Amendment No. 3 for execution in the amount of $11,100 an6forward it to our
office: If you have any comments, please contact me at your convenience.
Sincerely,
UNITED Q
Davichter, PE
President
c: File: (pending)
r --XL
0 E til I I 1,
United Consulting Engineers, Inc.
Engineering Department - 2016
Appropriation: ASA #2, #43-509.00 CUM Cap Improvement Fund; P.O. #33925
Contract Not To Exceed $11,100.00
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.
11
[SAContrncts\PcolSv & Goals Svcs\Enginccd g@016\United Ca ulthig ASA #2 Ad81 Svcs Amend 3-27-2012 with E -W fy 1.pb gc.d«:6/62016 11.18 AMJ
United Consulting )engineers, Inc.
Engineering Department - 2016
Appropriation: ASA 02, #43-509.00 CUM Cap Improvement Fund; P.U. #33925
Contract Not To Exceed $11,100.00
Exhibit "C"
E -Verify Affidavit
'.WE pom` — , 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 atn over eighteen (18) years of age and am competent to testify to the facts contained
herein.
2. I atn now and at all times relevant herein have been employed by
VN COANSIPLTIA1(e (the "Company") in the position
of ter
3. I and faaniliar 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 &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 AFFIAN'1' SAXETH NOT
EXECUTED on the ®day of
I certify under the penalties for penury 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'.
Printed:
BRANDY BENNETT
Seal
TMy
y Public • State of Indiana
Marion County
mission Expires May 16, 2024
IS:KaurxsVh dSvr� 0. Qxx b SroVuipinrMnd[tlll6lUn[Inl bysU11M9 ASA »! AJ81 Secs Amn1A M7.301? Wo G•02styYmpuyeAn,-CtCJlOIM1 11:13 AN41
Received
06-03-16P12:45 RCVD
City of Carmel
Department of Law
LETTER OF TRANSMITTAL
Date: June 1, 2016
To: Doug Haney
Department of Law
From: Jeremy KashmanSK—
Department of Engineering
RE: United Consulting Additional Service Amendment
One additional service amendment is needed for United Consulting for the June 15th, BPW meeting,
please.
Attached please find the work proposal and purchase order.
Contract Information:
Project Name ASA 2; Illinois Street Extension from Spring Mill Road to 106th Street Environmental
Mitigation Re -Bid
Vendor: United Consulting
Amount: $11,100.00.
Appropriation: P.O. 33925; 203-R4350900
Signature: Dave Richter, PE, PLS
Address: 1625 North Post Road
Indianapolis, IN 46219
Phone: 317/837-9900
Email: daverO-ucindy.com
Company ID Number: 43803.8
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 LTn'tted Coi►suldag Engineers, Inc.
Michael Rowe
Name (Please Type or. Print)
Electronically Signed
Title
08108/2011
Signature,
Date
Department of Homeland,Security —Verification Division
SCIS Verification Division
Name (Please Type or Print)
Electronically Si ned
Title
0810812011
Signature
Date
Information Required for the,E-Verify Program
Information relating to your Com an .
Company Name
United Coiisultlhg Engineers, Inc.
Company Facility Address:
16.25. N. Post Road
Indianapolis, IN 46219
Comp�riy Alternate
Address:
Count or Parish;
MARION
Employer Identification
Number:
51108415
F,i9e 12 of 111 E -Verify MOU for Employer I Revision Date 09101/09 www.dhs.gov/E-Verify
Company ID Number: 438038
North American Industry
$4ie'hael A Rowe .
Classification Systems
(317) 895 - 2585 ext. 1104 Fax Number: (317) 89S - 2596
Code;
541
Administrator.
Joan N'.ODdnaell
Number of Employees:
20 to 99
Number of Sites Verified
joanicoQ_$cMdy.com.
for:
Are you verifying for snore than 1 site? If.yes, please provide.the number of siteswerified for
in each State:
10 INDIANA I sites}
Information relating to the (Program Administrator(s) for your .Company on policy
questions or operational problems:
Name:
$4ie'hael A Rowe .
Telephone Number:
(317) 895 - 2585 ext. 1104 Fax Number: (317) 89S - 2596
E-mail Address:
michaclr@ucindy.cdm
Name:
Joan N'.ODdnaell
Telephone Number:
(317) 895 - 2885 ext. 11110 Fax Number: (3,17) 895 - 2596
E-mail Addn:ss:
joanicoQ_$cMdy.com.
Page 13.6f la I E -Verify MOU for Employer I Revision Date,99 OI/09 www.dhs.govlE-Verify
June 1, 2016
,JAMES BRAINARD, MAYOR
Mr. Dave Richter, P.E., L.S.
United Consulting Engineers & Architects
1625 N. Post Road
Indianapolis, IN 46219-1995
RE: Additional Service Amendment #2, PO #33925
Dear Mr. Richter:
As we discussed, the City of Carmel has a need for additional professional services and pursuant to our current
contract with United, dated June 1, 2016, I have requested and received from you the proposed scope of services and
fee estimates for the following work task:
Additional Service Amendment #2— Illinois Street Extension from Spring Mill Road to 106`h Street
Environmental Mitigation Re -Bid
Not to Exceed: $11,100.00
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,
Jere as an
Ci Engineer
Revi wed and approved by:
S. C. Enge ' g
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
-JIIL
City®f Caimel
EXEMP
CERTIFICATE NO. 003120155 002 0
IRTI ICARENOLTAX 015500
_— Page 1 of7
PURCHA33925
FEDERAL EXCISE TAX EXEMPT
OORD�R�NUMBER
_ 39 5
ONE CIVIC SQUARE
35-6000972
THIS NUMBER MUST APPEAR ON INVOICES, A/P
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
6/1/2016
00351256
Project 10-10; Contract Date 06.01.16 - Use Enc. P.O. 33410
UNITED CONSULTING
City Engineering's Office
VENDOR 1625 N POST ROAD
SHIP 1 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46219 -
Kate Lustig
_
PURCHASE ID BLANKET CONTRACT
PAYMENT TERMS FREIGHT
5331
QUANTITY —
_ UNIT OF MEASURE
DESCRIPTION _
UNIT PRICEEXTENSION
ueparrment. 2U3 Account: 43-509.00 Fund: 203 CUM Cap Improvement Fund
1. Each ASA 2 - Illinois Street Extension from Spring Mill to 106th St. $11,100.00 $11,100.00
Environmental Mitigation Re -Bid
Sub Total $11,100.00
S- 7
Send Invoice To:
City Engineering's Office �.
Kate Lustig
1 Civic Square
�(i
Carmel, IN 46032 -
PLEASE INVOICE IN DUPLICATE
I UEYAK I MEN I I ACCOUNT _�_ PROJECT PROJECT ACCOUNT —AMOUNT
PAYMENT $11,100.00
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 COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY —
TITLE
CONTROL NO. 33925 CLERK -TREASURER