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CrossRoad Engineers, PC/Eng/35,000/Adl Serv #10/Old Town Drainage Improvements NE and NW Quad of Old Town AlleyCrossRoad En(Vincers. P.C. l ngincering Department - 2016 Fp�� Appropriation: ASA #10; #94-650.04: 2016 Storm Water. P.O. #33923 G Contract Not To Exceed $35,000.00 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 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 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: A)DI James Brain rd, Presiding Oificor CrossRoad Engineers, P.C. Printed Nanie CE C) Title FID/TIN: Last Four of S/SN if Sole Proprietor: Date: I3:•r­'. rr. f S, A' G ­ I. ASA a10 AbM Sa_.. A.:n>1 LD.Nfl -zo. May 26, 2016 Mr. Jeremy Kashman, P.E. City Engineer City of Carmel 1 Civic Square Carmel, IN 46032 RE: Fee Proposal 2016 Stormwater Bond — Old Town Drainage Improvements NE and NW Quad Old Town Alley Project City of Carmel, Indiana Jeremy: CrossRoad Engineers is pleased to present this Scope of Services and Fee Proposal to provide professional services associated with the construction of the North-South alley located %2 block east of 1St Avenue Northeast with limits from 1St Street Northeast to 5th Street Northeast and the North-South alley located %2 block east of 2nd Avenue Northwest with limits from 1St Street Northwest to 2nd Street Northwest, both being alleys in the Old Towne Carmel area. The total length of this project is approximately 1500 feet. We will work with the City on any potential detention and water quality design for this project. This will include the investigation of constructing the alley with pervious type pavement (asphalt or concrete). We have based our Fee Proposal on the aforementioned assumptions. The following Scope of Services is designed to assist you in the development of this project: A. TOPOGRAPHIC SURVEY CrossRoad Engineers will perform the field work and office work necessary to complete a Topographic Survey for this site. Included will be information such as one foot contouring, existing street elevations, existing sanitary and storm structures, and verification of existing utilities. This survey will also all research, office work, and field work necessary to re-establish the existing Right -of -Way of the alleys throughout the length of the project. X -14 ARTA- /Oft/ Mr. Jeremy Kashman, P.E. City of Carmel May 26, 2016 Page 1 of 4 B. DESIGN & CONSTRUCTION DRAWINGS We will design all of the elements of the development necessary to insure the workability of: Alley roadways Storm structures/underdrains as necessary Drainage and grading Construction drawings will be prepared in accordance with all state and local laws and ordinances and will include the following: ■ Storm structures & drainage ■ Grading for alley construction ■ Details for Alley Construction ■ Erosion control plans ■ Maintenance of Traffic Details (minimal) C. UTILITY COORDINATION, REGULATORY SUBMITTALS & BIDDING PHASE CrossRoad Engineers will provide all necessary utility coordination for this project in order to minimize all utility impacts and if some are necessary then we will coordinate all relocations. We will also prepare the necessary applications for submittal and review and/or approval of the construction plans prepared as part of this agreement. This task will include the necessary administration services for preparing the submittals as well as time associated with the coordination efforts with the local regulatory agencies. This work will also include the services necessary to facilitate bidding of the project. D. CONSTRUCTION STAKING, INSPECTION & AS -BUILT PLANS Once design is complete, CrossRoad Engineers can perform construction staking, inspection, and as -built plans if requested by the City of Carmel. This work will include all office work and field work to complete the construction and final record drawings of the project. ='rV Mr. Jeremy Kashman, P.E. City of Carmel May 26, 2016 Page 2 of 4 E. METHOD FOR PAYMENT OF ENGINEERING FEES During the course of this work, progress invoices will be prepared for the portions of the work done to date based on the Fee Schedule included with this document as Attachment "A". Prior to preparing these invoices, we will contact you to discuss the amount of work that is complete and, therefore, the dollar amount that each invoice will be. These invoices will be submitted by the 5th of each month and will become due by the 30th of that same month. Invoices not paid within 30 days after submission to you will accrue interest at a rate of 1.5% per month. F. UNDERSTANDINGS For additional services not covered herein, the work will be performed as authorized by you at a mutually agreed upon rate. Items not included are acquisition of building permits, sanitary sewer connection permits, regulatory fees to accompany permit applications, and permits normally obtained by the contractor(s). Payment for these items will not be the responsibility of CrossRoad Engineers. We are ready to begin and appreciate your allowing CrossRoad Engineers to design this project for you. If you have any questions, please call me at 780-1555 ext. 114. Sincerely, CrossRoad Engineers, PC Trent E. Newport, P. E., L. S. President Please signify your acceptance by signing below: City of Carmel Date EX 3 of Ll Mr. Jeremy Kashman, P.E. City of Carmel May 26, 2016 Page 3 of 4 FEE SCHEDULE The total lump sum fee is divided into the following work components for billing purposes: A. TOPOGRAPHIC SURVEY $ 7,000 B. DESIGN & CONSTRUCTION DRAWINGS $21,000 C. UTILITY COORDINATION, REGULATORY SUBMITTALS & BIDDING PHASE $ 7,000 D. CONSTRUCTION STAKING, INSPECTION & AS -BUILT PLANS TBD TOTAL FEE (Not Including Item D above) $35,000 Our total proposed fee is divided into the above work components for billing purposes. Mr. Jeremy Kashman, P.E. City of Carmel May 26, 2016 Page 4 of 4 CrossRoad Engineers, P.C. Engineering Department - 2016 Appropriation: ASA #10; #94-650.04; 2016 Storm Water; P.O. #33923 Contract Not To Exceed $35,000.00 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. [SAConvnclsTrof.Sves & Goods Svcs\Enginccfing\2016\CrossRoad ASA #10 Add? Svcs Amend 3.27-2012 with E -Verify ]nngoagcA-6132016 2:17 PM] CrossRoad Etigitteets. P.C. Engineering Department - 2016 Appropriation: ASA #10;#94-650.04-,2016 Storm water: 1:1.0. 1163923 Contract Not To Exceed `t;35,000.00 Exhibit "C" � I E -Verify Affidavit �� �e," `''� 1 e i , beim, first dusays sworn, deposes and sa s that Ile/she is familiar with and has personal knowledge of the facts herein and, if called as a witless in this platter, could testify as follows:_ I am over eighteen (18) years of age and, am competent to testify to the facts contained hereiIl. 2. I ant now end at all 11111Cti relevant herein have been employed by `55 p114 eer �C (the "Company") in. the position of CE. U 3. I am familiar with the employment policies, practices, and procedures of the Company and have the autliority 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 clay of I 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 represent, tt ons are Yiu,,nd correct. Printed: cs.,0.I— jl 4.5,- I*, GRJ, ASA +IO AIn S%11 va a1347-.012ai h ii•i'�dy lm, u, a .<6 ^aib 2:17 MIJ Received 6-03-16P12:46 RCVD City of Carmel Department of Law LETTER OF TRANSMITTAL Date: June 2, 2016 To: Doug Haney Department of Law From: Jeremy KashmanI"-'-- Department of Engineering RE: CrossRoad Engineers Additional Service Amendment An additional service amendment is needed for Crossroad Engineers for the June 15th BPW meeting, please. Attached please find CrossRoad's scope of work and purchase order. Contract Information: Project Name: ASA 10 - Old Town Alley Drainage Improvements NE and NW Quad - Old Town Alley Project Vendor: CrossRoad Engineers, P.C. Amount: $35,000.00 Appropriation: P.O. 33923; 2016 Storm Water Bond Signature: Chip Charles Address: 3417 South Sherman Drive Beech Grove, IN 46107 Phone: 317/780-1555 Fax: 317/780-6525 Email: ccharies@crossroadengineers.com Company ID Number: 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 CrossRond Engineers, PC i Fill N.ewpori Jame (Please Type or Print) Tille i ?lectronically Signed__._._.._..._.._._._.._.___.._..-_.._._.___-__._.._.._..._.__.. i _.:08115/2011 _-._......._.__..._____ ._._.___._.__.__...- .................._. ........... Signature Dale 1i )epartment of Homeland Security — Verification Division USCIS Verification Division Vame (Please Type or Print) Title electronically Signed _...-_-...._.___.._...........__.._.__--_,---._...___._./__, 08/15/2011 Signature Date ..... _.......... ..,....... ._._...._._ _._.._.. _ . _._...._............................._..__..._ ........ Information Required _ _.. �.. for the E -Verify Program Information relating to your Company: ny Name:jCrossRoad Engineers, PC Sherman Drive h Grove, IN 46107 Company Alternate Address: 13417 Sherman Drive ..................-.......__..............___..._-___..l___..._.._....._....._......._.._... Beech Grove, IN 46107 _.._..__......._...__.._..._....__............ .........._........ _._...._............__......._................. ............... _......_...._........__,__._....,_..._......_........_.__.._..... County or Parish: MARION Employer Identification Number: .351963331 Page 12 of 131 E -Verify MOU for Employer i Revision Date 09/01/09 www.dhs.gov/E-Verify Company ID Number: 440231 i{ North American Industry Classification Systems Coder ,541 Administrator: Number of Employees: 120 to 99 Number of Sites Verified for: i1 Are you verifying for more than I site? If yes, please provide the number of sites verified for in each State: INDIANA I site(s) i ... .._......._........ __-......_..m._.........._. .....__._ .................. ..................._..._....._........_....... ................. ..... ... _.....___.. ___....................... ... _....... Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Name: .sill A Newport Telephone Number: (317) 780 -1555 ext. 120 Fax Number: (317) 780 - 6525 E-mail Address: jncwport(a erossroadengincers.com Nnme: Walter E C:hnrles Telephone Number: (317) 780 - 1555 ext. 115 Fax Number. (317) 780 - 6525 E-mail Address: echariesoa crossroadengincers.com Page 13 of 131E Verify MOU for Employer I Revision tate 09101109 www.dhs.gov/E-Verify June 2, 2016 Mr. Chip Charles, P.E. Mr.Trent Newport, P.E. CrossRoad Engineers, P.C. 3417 South Sherman Drive Beech Grove, IN 46107 ,JAMES BRmNARD, MAYOR RE: Additional Service Amendment #10, P.O. #33923 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 #10 — Old Town Drainage Improvements NE and NW Quad Old Town Alley Project Not to Exceed: $35,000.00 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, Jere .I shman, City Engineer Revi wed and approved by: S. C. Engelkinj 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 T FEDERAL EXCISE TAX EXEMPT 33923 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES, AIP 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 6/2/2016 068025 Project 16 -SW -77; Contract Date 03.16.16 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 BLANKET CONTRACT PAYMENT TERMS �~ FREIGHT 5342 QUANTITY _UNIT OF MEASURE^ DESCRIPTION _ _ A� UNIT PRICE EXTENSION Department: 2200 Account: 94-650.04 Fund. 0 2016 Storm Water Bond 1 Each ASA 10 - Old Town Drainage Improvements NE and NW Quad $35,000.00 Old Town Alley Sub Total Send Invoice To: Jill Newport CrossRoad Engineers, P.C. 3417 Sherman Drive Beech Grove, IN 46107 2016 SW Bond/G.O. Bond/ PLEASE INVOICE IN DUPLICATE $35,000.00 $35,000.00 7{ ROJECT PROJECT ACCOUNT AMOUNT PAYMENT $35,000.00 SHIPPING INSTRUCTIONS `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 `SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATE_D 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. 33923 CLERK -TREASURER