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Clark Dietz, Inc/Eng/189,500/Adl Serv #2/106th Street and Towne Road Roundabout Intersection Improvements - Design
Clark Dietz, Inc. En;ineerhw Depaarnent - 2016 Appropriation: ASA #2, #94-650.04, 201'6 General Obligation Bond; P.0.03921 Contract Not To Exceed ;5189,500:00 ADDITIONAL SERVICES AMENDMENT TO AGREEMENT FOR PROFESSIONAL SERVICES THIS AMENDMENT TO THE PROFESSIONAL SERVICES AGREEMENT ("Agreement'). entered into by and between the City of Carmel and; Clark Dietz, Inc. (the "Professional"), as City Contract dated May 4, 2016.shall. amend the terms of the Agreement by.adding the additionalservices 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 :signi'rg`this document, it does, not. engages in investment activities Within the Country of Iran. The terms and conditions of. the Agreement shall not otherwise be affected by this .Additiorial 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: I ©� James Brainard, Presiding Officer- Date: fficerDate: Ann Date: Lori S.lWatsol ` `ember Date: _ r ATTEST: Christi'ne Pauy / ler) re surer Date: [p � Clark'Dietz, Inc. By: Authorized Signature Printed Name Sr'. L c e. IC:5z�&7 j_ Title FID/TIN: 37- /oZ/945/ Last Four of SSN if Sole Proprietor: Date: O� is:!r"w . Whots— & G. a, Dice_ 1— ASA 52 Add9 Sc A-,,,13.27.2012 6:1, E VaiIy h.,g.mpAv:Wa12016 1:53 i'>p May 26, 2016 Jeremy Kashman, P.E. City Engineer Carmel Engineering Department One Civic Square Carmel IN, 46032 Re: Fee Proposal 106th Street and Towne Road Roundabout & Intersection Improvements Dear Mr. Kashman: We are pleased to transmit to you with this letter our proposal to develop the project referenced above. The scope of work is further defined in the attached fee documentation and is summarized here: 1. Clark Dietz will perform the following as part of this project: a. Conceptual Roundabout Design. b. Final Intersection Roundabout Design, including Trail and Sidewalk Reconstruction. c. Utility Coordination Services. d. Erosion Control and Permitting. e. Project Management of sub -consultants and the delivery of the project within scope, schedule and budget. f. Bidding Services and Construction Support g. Contact information is Kevin Hetrick, kevin.hetrick64clarkdietz.com, 317-808-3136 2. USI will perform: a. Field Survey of the Project Area and Property Owner Research. An allowance is included in the Design Fee for Geotechnical Investigation, if that service will be required. Please let me know of any questions you have about our fee proposal. Our team looks forward to working with Carmel towards the successful completion of this project. Sincerely, Clark Dietz, Inc. Kevin M. Hetrick, P.E. Transportation Department Manager E-mail kevin.hetrick@clarkdietz.com Cc: Chris Ogg, P.E., Assistant Carmel City Engineer Trent Newport, P.E., Crossroads Engineers, Program Managers g p"R" , Jim Loew, P.E. EEXbb 9 0 143 ® Clark Dietz, Inc. 8900 Keystone Crossin.g, Suite 900 Indianapolis, Indiana 46240 T: 317.844.8900 F: 317.844.9158 EENO[NEE RS May 26, 2016 PROJECT DESCRIPTION: Design of Roundabout at 106' St and Towne Road in Carmel SCOPE: Our scope for this project is to perform design of a roundabout intersection at 106' St and Towne Road. Configuration and layout of the roundabout will be determined through iterative modeling using RODEL. Existing sidewalks and shared use paths will be reconstructed. The project will be developed so that a conceptual roundabout plan is submitted to the City for review by July 8, 2016, with final design and draft bid documents submitted to the City for review by September 1, 2016 and final bid documents submitted to the City for advertisement by September 23, 2016. The scope and schedule are based on the following assumptions: 1. No new right of way is needed for this project. 2. No culvert work will be required on existing structure under intersection. 3. Drainage from new storm sewer will be able to outfall to existing culvert structure. 4. No utility relocations will be required. Subsurface utility exploration (SUE) may be utilized to attempt to avoid utilities with our design, as an aid to meet the proposed design/construction schedule. If SUE work is needed, this will be performed by others (American Structurepoint on-call contract with Bloodhound). Our scope will include the following services: 1. Topographic Survey 2. Roundabout design 3. Utility Coordination 4. Erosion Control Permitting 5. Bidding Services and Construction Support 6. Geotechnical Investigation (an allowance is included) ® Clark Dietz, Inc. 8900 Keystone Crossing, Suite 900 Indianapolis, Indiana 46240 T: 317.844.8900 F: 317.844.9158 Fee Summary 1of5 106th at Towne Road Roundabout City of Carmel, IN Fee Summary 5/26/2016 Task Descri pti on Fee R el d Survey q_unp Stan) $ 25,300.00 Desigt(LunpSum) $ 135,900.00 Utility Coordination (Lump Sum) $ 15,500.00 F?uie5Permit (Lump Sum) $ 12,800.00 " I ndi cater profess ons servi ce provi ded by sub -consul tant $ 189,500.00 EXHIBIT _ �6 Clark Dietz, Inc. 106th at Towne Fee Proposalxlsx Clark Dietz, Inc. Engineering Department - 2016 Appropriation: ASA #2, #94-650.04, 2016 General Obligation Bond; P.O. #33921 Contract Not To Exceed $189,500.00 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. (SAContracls\Prof.Svcs & Goofs Sm\Enginmring@016\C1ark Dieu, Ina ASA N2 Add7 Svcs Amend 3-27-2012 with E -Verify hmgw gadoc6/32016 1.•53 Plop Clark Dietz, Inc. Engineering Department - 2016 Appropriation: ASA #2, #94-650.0,1, 2016 General Obligation Bond; P.O. 03921 Contract Not To Exceed .$189,500.00 Exhibit "C" E -Verify Affidavit ��pi ti s /' ✓-So y� being:first duly sworn, deposes and says that he/she is familiar with. and.l as personal lalowledge of the_facts herein and, if called as a witness in this matter, could testify as -follows, I am over. eighteen 0 8). years of age and am competent to testify to the- facts contained. herein. 2. I am now Arid at all times relevant hereinhave been employed by if /,a r n K. / , I, f _ . Til G • (the "Company")'in the position of Sr•. C%ice f r�srai e 3. Tam familiar with the employment .policies, practices, and procedures of the Company and have the authority to act on behalf of the Company. 4. The Einployer is enrolled and participates in the federal Elver fy program and has provided documentation of such enrollment and participation to the City of Carmel, Iindiana. 5. The Company does not.lcnowingly employ any -unauthorized aliens. FURTHER AFFIANT+ SAYETH NOT. EXECUTED on the day of J_.A m e- , 20_1,�. Printed:_ Y—api-5 P4kS0111 I certify under the penalties for perjury tinder 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: A pis ✓'S 0 t-1 {s� nM,m 1:1: ASA 4'2.\ XI $, At,1 it 3.17.2u1_u4.1, 1': Wilily L•n:...... .1L\:(, +211161:53 i'.\II Received 06-03-16P12:45 RCVD Cif of Carmel Department of Law LETTER OF TRANSMITTAL Date: June 3, 2016 To: Doug Haney Department of Law From: Jeremy Kashman Department of Engineering RE: Clark Dietz, Inc. Additional Service Amendment One additional service amendment is needed for Clark Dietz for the June 15th BPW meeting, please. Attached please find the work proposal and purchase order. Contract Information: Project Name: ASA 2 106th Street and Towne Road Roundabout and Intersection Improvements - Design Vendor: Clark Dietz, Inc. Amount: $189,500.00 Appropriation: PO 33921; 2016 General Obligation Bond Signature: James Loew, P.E. Address: 8900 Keystone Crossing, Suite 900 Indianapolis, IN 46240 Phone: 317/808-9168 Email: jim.loew(cr�clarkdietz.com X 194i� Company 10 Number 436844 To be accepted as a participant In E -Verify, you should only sign the Employees Section of the signature page. If you have any questions, contact E -Verify at 888-464-4218. Employer Clark Dietz, Inc Jon Howanice :Naine (Please Type or Prinij 'a Alecfronlc 11yAigiled. .00212011 re Dale Pepartment. of Homeland Security-- Verification Division 'USCIS Verification DiAslon :Name (Oleas6 Typ6 or Print) ... . .. Title ;Electronically Slgqej. t 08/0212011 'Signature j: bale Information Required for the E -Verify Program .Information relatinq. t9y.9yr Company: f Company Namel,clark Dietz, Inc Company Facility Address... 118 S. Clinton St. Suite 700 Chlcapo, IL 60610 Company Alternate Address: County or Parish; 'COOK Employer Identification t Number. '..3712i20151 Page 12 of 131 E -Verily MOU for Employer I Revision Date 09/01109 www.dhs.gov1E-Verlfy Company ID Number: 4.36844 North American Industry Classification Systems r Code: d41 Administrator: Number.of Employees 100 to 498 Number of Sites Verified for: Are you verifying for more than is site? If yes, please provide the number of sites veirified for jn each State: m WISCONSIN 3 sites) o ILLINOIS 2 site(s) o INDIAN4 , 2 sile(s) Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Name: Jon B Ho`vanice Telephone Number; (312) 648 - 9900 est. 259 Fax Number: E-mail Address: jon.howanicc©dark-dietz corn Name: Joanna Cabaj Telephone Number: (312) 648 -9900 Fax Number: E-mail Address: joanna.cabaj@ciarit-dietz.com Page 13 of 13 1 E -Verify MOU for Employer I Revision Data 09/01/00 vmw.dhs.gov1E Verify June 3, 2016 Mr. James Loew, P.E. Clark Dietz, Inc. 8900 Keystone Crossing, Suite 900 Indianapolis, IN 46240 ,JAMES BRAINARD, MAYOR RE: Additional Service Amendment #2, PO #33921 Dear Mr. Loew: As we discussed, the City of Carmel has a need for additional professional services and pursuant to our current contract with Clark Dietz, Inc., dated May 4, 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— 106th Street and Towne Road Roundabout and Intersection Improvements Not to Exceed: $189,500.00 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, P.E. Cit?Engineer Reviewed and approved by: o t' S. C. EngAking 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 INDIANA RETAIL TAX EXEMPT ®ilo Carmel J�IIIL- CERTIFICATE NO. 003120155 002 0 Cky Page 1 of 1 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT,�-�39 .ry _ 2Y_ ONE CIVIC SQUARE CARMEL, INDIANA 46032-2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR 35-6000972 CITY OF CARMEL - 1997 THIS NUMBER MUST APPEAR ON INVOICES, AIP VOUCHER, DELIVERY MEMO, PACKING SUPS, SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO, VENDOR NO. -- DESCRIPTION 6/3/2016 060650 Project 16 -ENG -39; Contract Date 05.04.16 CLARK DIETZ, INC City Engineering's Office VENDOR 8900 KEYSTONE CROSSING #900 SHIP 1 Civic Square TO Carmel, IN 46032 - INDIANAPOLIS, IN 46240 - Kate Lustig _ PURCHASE ID BLANKET CONTRACT PAYMENTTERMS — FREIGHT 5358 QUANTITY— UNIT OF MEASURE -_— - UNIT PRICEY [(—EXTENSION _ DESCRIPTION —_ �— uCNanrrrent: LZUU Account., 94-650.04 Fund: 0 General Obligation Bond 1 Each ASA 2 -106th Street and Towne Road Roundabout $189,500.00 $189,500.00 Intersection Improvements - Design Send Invoice To: Jill Newport CrossRoad Engineers, P.C. 3417 Sherman Drive Beech Grove, IN 46107 2016 SW Bond/G.O. Bond/ F t...°k..... -. �T"5i'1 �'x� � y� �,-I�s j6✓ 6 Sub Total $189,500.00 I DEPARTMENT _�- gCCOUNT _ PROJECT ---� PROJECT ACCOUNT AMOUNT PAYMENT $189,500.00 SHIPPING INSTRUCTIONS "AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A 'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN 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 C 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY TITLE CONTROL No. 33921 CLERK-TREASIJRFR