United Consulting Engineers, Inc/Eng/45,000/Adl Serv #3/Spring Mill Road from 111th Street to Main Street Detention Design PlansUnited Consulting Engineers, Inc.
Engineering Department - 2016 �a✓`
Appropriation: ASA 03, #94-650.04 2016 COIT Bond Fund; P.O. 033996AQ\
Contract Not To Exceed $45,000.00
,lAO
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 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 "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
by and through its Board of Public
Works and Safety
By:
fi �P _
Ia es Brainard, Presiding Officer
United Consulting Engineers, Inc.
7� Z4- e
USi 4e&
ature
DAVE tk4X SILL RAL -L
Printed Name
?gCS1P:4[ vice; Amour
Title cc
FID/TIN: �� .. < < 05
Last Four of SSN if Sole Proprietor:
Date: A �.4
IS1S'n1lwtiJkut.S\l. L Cp\I� SYYS�GtItYln`f111QL�UIC�Il111�¢II CI.I.W III11,1 ASA O AMI Sm .l —1347.2"1: 1\ifl1 11:23 AMI
ENGINEERING -"°`""
May27,;2016
ENVIRONMENTAL
Mr..Jeremy Kashman, PE
INSPECTION
City Engineer
LAND SURVEYING
City of Carmel
LAND ACQUISITION
One Clvlc Square
Carmel, Indiana 46032.
PLANNING
WATER&
RE: Additional Services, Amendment No. 4
WASTEWATER
Spring Mill Road from `111'":Steeet to MainStreet.(incl. path to 1.061h Street)
SINCE 1965.::
Detention. Design and Plans
Dear Mr. Kashman:
OFFICERS
' �PanE:IM11,PE '
PE, PLG
At the time our professional services agreement: for the referenced project was being
slevenyv,Jdnes,
prepared, detention requirements were ;unknown. Following zubsequent discussions
ci sW.erRPCKx,PE
with your office and the. Hamilton. County Surveyor's Office, the detention requirements
In Bryant PE.
are now understood... Six outfalls,.;eachwith.waterqualify design, be required:.
h'a4,�! Rc�e, PE•
Outfalls 1; 2 and 3 will be into existing detention systems. Due to the additional
PROFESSIONAL STAFF impervious area created by the -Spring "Mill project, the existing detention systems: will
Aiw -Yrdxa PE be.verified for capacity. Outfall twill be into the existing detention system at the Church
00; inlSM%�uAcP' � of Latter-day Saints at the ;southwest corne.r=of Spring Mill and. 116th. Outfall 2 will be
D?rtyP.+V€ner.get,PE into the existing detention system at The Bridges: commercial development at the
Nam. C.Post PE northeast corner of Spring Mill and 111'x': Outfall 3 will be into the existing detention
s.a. antcP system within the Jackson's Grant, development on the:west side.of Spring Mill, north of
Rx. ej'e Pem!-Woo, FE 111 Ih :Street.
ko nsnR. assar,PE. "°, Outfalls 4, 5 and 6. Will consist .Of new inline detention discharging Into .the.: north and
Saran R Paa.�y, PE g .g
9rianJ.E�er y;PE. south crossings of. Williams Creek.
N,8,8 *r L. Hamrod, PE
Pow U. C-;11tzhwh,.P.E A summary of -the additional fees requested for this work is provided below:
60an S. Fredawk, PE.
rN��w•PE Detention Design and Plans, Six:Outfalls................
$45,000.Chsa'egP�arJ. Elver. PE .
M tfiwR Lae.PE
;Please, review the above fees and "if you -find themacceptab.16,r please prepare Additional
JErrryrtRch sen, PE ~: Services- Amendment No. 4 for execution in. the amount of $4000 and forward it to our
+ a
E K!u
,;ZA FI_. office. If you have any comments,. please contact me at your convenience.
Adartl:J. �(i�,�fl, PLs:
1vv�%JD:N,8lkam,PE Q Sincerely,.
R=, PE '; UNITED CONSULTING
N'laPh mA Ww: PE
Jaah G: i� ?LS'
Caan'G;Earell. PE
SccG:t^rxi,,PE
"e&. 9: Hata: a PE: n
JdrnRSbcls,PE. D e RIG
.imRL>;aPE. m President..
NkWasJ.°lana, PE
Jernt ��,L=1at PE
�aI eyRa, s rE:, c: File (pending)
fCe19:n S, Cti)irxrtai,, PE: °1
R iWT 6?mad.PE
EXHBIT
/6f I
United Consulting Engineers, Inc.
Engineering Department - 2016
Appropriation: ASA #3, #94-650.04 2016 COLT Bond Fund; P.O. #33996
Contract Not To Exceed $45,000.00
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:1Conlracts\Prof.Sv & Goods Sves\Engincering\2016\U4iited Consulting ASA #3 Ad81 Svcs Amend 3-27-2012 with E -Verify language.doc:6172016 11:23 AM]
United Consulting Engineers, Inc.
Engineering Department - 2016
Appropriation: ASA #3, #94-650.04 2016 COTE Bond Fund; P.O. #33996
Contract Not To Exceed $45,000.00
Exhibit "C"
E -Verify Affidavit
- Wk—o T tam. , 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:
I ani over eighteen (18) years of age and am competent to testify to the facts contained
herein.
2. I am now and at all tines relevant herein have been employed by
UA31TED (the "Company") in the position
of
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 VUAC. , )n i
Printed:
I certify Linder 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.
Printed:
PAMELA J •NEPENBER.GER
Seal
Notary Public - State of Indian
Hancock County
My Commission Expires May 8, 2024
Is:^C,v—uwnss—xG-1• .mul111Ut"mledCmviUinp ASA 03 AJJ18ia M- 127311?Mlb f•.Yttil}hmpm pa.ln:fil7RUI! 11::3AMI
mom
1 j
Ck Y �� .o -V l !fL
Company ID Number: 438038
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 United Consulting Engineers, Inc.
Michael Lowe
Name (Please Type or. Print)
Electronically Signed
Title
0810812011
ignature.
Date
Department of H.omeiand'Security-Verification Division
SCIS Verification Division
Name (Please Type or Print)
Electronically Signed
Title
0810812011
Signature
Date
Information Required for the,E-Verify Program
Information relating to yoar Company:
Company Name:
United Constiltitig Engineers, Inc.
Company Facility Address:
%25 N, FoSt Road
Indianapolis, IN 46219
Comparty Alternate
Address:
County or Parish:
MARION
Employer identification
Number.
361168416
Page 12 of 13 1 verify MOU for Employer I RoWtion Date 09101109 www,dhs.goviF--Verify
Company ID Number: 438038
�/MIIIII
North American Industry
Archael A R.owe.
Classification Systems
.(117) 895 - 2585 ext. 1104 Fax Number: (317)895-2$96
Code:
41
Administrator
Joan N'4.Donnell
Number of Employees:
0 to 99
Number of Sites Verified
joanicn@ucindy.com.
for:
Are you verifying for inbre than 1'site? If yes, please provide:the number of sites -verified for
in each State:
s INDIANA 1 site(s)
Information relating to the Program Administrator(s) for your .Company on policy
questions or operational problems:
Name:
Archael A R.owe.
Telephonb Number:
.(117) 895 - 2585 ext. 1104 Fax Number: (317)895-2$96
E-malAddress:
michaclr@ucindy.com
Name:
Joan N'4.Donnell
Telephone N.umber
(3'17) 895 -25k5 act, 1110 Fax Number: (3,,17) 825 -2596
E-mail Address:
joanicn@ucindy.com.
Page 18..6f 13 I 'E -Verify MOU fogy Employer I Revision Date�OWOVQ9 ww.w.dhs.gov/E Verify
Received
06-07-16A09:00 RCVD
C4 of Cannel
Department of Law
LETTER OF TRANSMITTAL
Date: June 6, 2016
To: Doug Haney
Department of Law
From: Jeremy Kashman:fr^v,
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 3; Spring Mill Road from
Vendor:
United Consulting
Amount:
$45,000.00
Appropriation:
P.O. 33996; 2016 COIT Bond
Signature:
Dave Richter, PE, PLS
Address:
1625 North Post Road
Indianapolis, IN 46219
Phone:
317/837-9900
Email:
daver()-ucindy.com
111th Street to Main Street Detention Design Plans
June 6, 2016
JAN4Es 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 #3, PO #33996
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 #3— Spring Mill Road from 1111h to Main Street Detention Design
Plans
Not to Exceed: $45,000.00
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,
J y Kas an, P.E.
City Engineer
Revie ed and approve by:
C. Engel ' 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
City®f Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
Page 1 of 1
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
33996
ONE CIVIC SQUARE
35-6000972
THIS NUMBER MUST APPEAR ON INVOICES, AIP
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
6/3/2016
00351256
Project 16 -ENG -52; Contract Date 06.01.16
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
PAYMENTTERMS
FREIGHT
5367
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE EXTENSION
Department., 2200 Account: 94-650.04 Fund: 0 COIT Bond Fund
1 Each ASA 3 - Spring Mill Road from 111th Street to Main Street $45,000.00 $45,000.00
Detention Design Plans
Sub Total $45,000.00
Send Invoice To:
Skip Tennancour
American Structurepoint, Inc.
8425 Wicklow Way
Brownsburg, IN 46112
Suits C:UI I trona PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT
SHIPPING INSTRUCTIONS
'SHIP PREPAID.
'C.O.D. SHIPMENT CANNOT BE ACCEPTED.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF A ND SUPPLEMENT THERETO. ORDERED BY
TITLE
CONTROL No. 33996 CLERK -TREASURER
PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $45,000.00
' AIP 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
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.