CrossRoad Engineers, PC/Eng/19,491.60/Adl Serv #25/116th Street and Gray Road – Additional Funds for Right of Way ServicesCrossRoad Engineers, P.C.
Engineering Department - 2016
Appropriation #2200-4340100; P.O.33935, ASA #25
Contract Not To Exceed $19,491.60
QJA ADDITIONAL SERVICES AMENDMENT TO S
AGREEMENT FOR PURCHASE OF GOODS AND SERVICES
THIS AMENDMENT TO THE GOODS AND SERVICES AGREEMENT ("Agreement") entered into by and
between the. City of Carmel and CrossRoad Engineers, P -.C. (the "Vendor"), as City Contract dated May 1, 2013 shall
amend the terms of the Agreement by adding the additional services to be provided by Vendor 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, Vendor 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)C)+ pfc�A-�
James Brainard, Presiding Officer
CrossRoad Engineers, P.C.
Ci,5_0
Title
FID/TIN:
Last Four of SSN if Sole Proprietor:
Date:
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May 24, 2016
Mr. Jeremy Kashman, City Engineer
City of Carmel
1 Civic Square
Carmel, IN 46032
RE: Additional Funds - RW Services Fee
116th and Gray Road
Carmel, Indiana
P.O. #25293
Dear Jeremy:
We are requesting a supplemental increase to our R/W Services contract dated December 4, 2013.
During the course of the project, right of way services revisions were requested by your office,
which were not accounted for in our original proposal over 2 years ago. In order to cover the
additional charges we are requesting an additional $19,491.60 to cover the difference between
the Original Contract Total Fee and the Actual Cost as shown on the attached "R/W Engineering &
Acquisition Services Additional Funds Breakdown".
If you have any questions, please call me at (317) 780-1555 ext. 114.
Sincerely,
CrossRoad Engineers, PC
Trent E. Newport, P. E., L. S.
Vice -President
A
Tc6 6f 9 _
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R/W Engineering & Acquisition Services
Additional Funds Breakdown
116'hand Gray Road Intersection Project
Carmel, Indiana
Work Item
Esta Quantity.
Original
Contract
Fee
Original
Contract
Total Fee:
Actual Cost
Preliminary T & E Report (1)
7 each
$400.00
$2,800.00
$3,658.60
R/W Engineering (includes RW Plats)
7 each
$1,500.00
$10,500.00
$10,500.00
R/W Legal Descriptions
14 each
$500.00
$7,000.00
$7,500.00
R/W Engineering Revisions (2)
1 each
$0.00
$0.00
$11,842.50
Appraisal Problem Analysis (1)
7 each
$350.00
$2,450.00
$1,100.00
Appraising(')
1
$9,100.00
$9,100.00
$10,257.50
Review Appraisal (45 % of appraisal fees) (1)
5 each
Varies
$4,100.00
$4,598.00
Buying (1)
7 each
$1,500.00
$10,500.00
$15,785.00
R/W Staking (3)
7 each
$400.00
$2,800.00
$5,000.00
Document Preparation & Title Review (1)
7 each
$150.00
$1,050.00
$750.00
Payment Processing & Deed Recordation
7 each
$100.00
$700.00
$500.00
R/W Management
7 each
$1,000.00
$7,000.00
$6,000.00
ESTIMATED TOTAL FEE
$58,000.00
$77,491.60
NOTES: (1) This was a subcontracted item and the Original Contract fee shown was estimated. The
Actual Cost consists of the actual invoiced amounts from the subcontractor plus a 10%
mark-up for task coordination and administrative efforts. This includes a total take and
relocation that was not included in the original design.
(2) Design change during course of project required R/W Engineering revisions not included in
the original contract.
(3) Actual Cost includes additional right of way staking requested for utilities that was not
included in original contract.
EXHHBEF
2 G-�2
CrossRoad Engineers, P.C.
Engineering Department - 2016
Appropriation #2200-4340100; P.O. 33938, ASA #25
Contract Not To Exceed $19,491.60
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:Tonlraclss\Prof.Svcs & Goods Svcs\Enginmring\2016\CrossRoad ASA 925 Add? Svcs Amend 3-27-2012 wiih E -Verify Inngungo.doc:5/312016 10:17 AMU
CrossRoad Engineers, P.C.
Engineering Department - 2016
Appropriation #2200-4340100: P.0.33938. ASA #25
Contract Not To Exceed $1.9.491.60
Exhibit "C
E -Verify Affidavit
being first duly sworn, deposes and says that
he/she is famttiai 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
C tro56 4�LK -ers'PC (the "Company") in the position
of CIE 0
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 SAYETII NOT.
EX)JCUTED on the 2r..44 day of
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 representad is are true a ld corr L.
Printed: '
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LETTER OF TRANSMITTAL
Date: May 25, 2016
To: Doug Haney
Department of Law
From: Jeremy Kashman gri--
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 #25 —116th and Gray Road Right of Way Services — Additional Funds
Vendor: CrossRoad Engineers, P.C.
Amount: $19,491.60
Appropriation: P.O. 33938; 2200-4340100
Signature: Chip Charles
Address: 3417 South Sherman Drive
Beech Grove, IN 46107
Phone: 317/780-1555
Fax: 317/780-6525
Email: ccharles(a)-crossroadengineers.com
May 25, 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 #25, P.O. #33938
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 May 1 2013, I have requested and received from you the proposed scope
of services and fee estimates for the following work task:
Additional Service Amendment #25 — 116th and Gray Road Right of Way Services — Additional Funds
Not to Exceed: $19,491.60
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,
Jerepek K shman, P - E'
City Engineer
Review d and approvby:
S. C. Enge&ing
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
CityofCarme�
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
Page 1 of 1
PURCHASE ORDER NUMBER
SHIPPING INSTRUCTIONS
FEDERAL EXCISE TAX EXEMPT
33938
ONE CIVIC SQUARE
35-6000972
THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR
CITY OF CARMEL — 1997
VOUCHER, DELIVERY MEMO, PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
5/23/2016
11
068025
Project 12-03; Contract Date 05.01.13
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
I
PAYMENT TERMS
FREIGHT
5074
QUANTITY UNIT OF MEASURE
DESCRIPTION
UNIT PRICE EXTENSION
Department: 2200 Account: 43-401.00 Fund: 201 Motor Vehicle Highway
1 Each ASA 25 -116th and Gray Road; Additional Funds for RW $19,491.60 $19,491.60
Services
Sub Total $19,491.60
Send Invoice To:
City Engineering's Office
Kate Lustig
1 Civic Square
Carmel, IN 46032-
e ja
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT
PROJECT i PROJECT ACCOUNT AMOUNT
PAYMENT $19,491.60
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 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
06PIFA
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
11
TITLE
CONTROL NO. 33938 CLERK -TREASURER