CrossRoad Engineers, PC/Eng/16,500/Adl Serv #9/Crooked Stick – St. Andrews Circle – Road Constructed Drainage ProjectCrossRoad Engineers, P.C..
Engineering Department - 2016
Appropriation: ASA #9; #94-650.04; 2016 Stonn Water; P.O. 933926
Contract Not To Exceed $16,500.00
f 19
F,�UL �G
ADDITIONAL SERVICES AMENDMENT TOS•
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 § 22-571.7 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. § 522-16.5,
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:N1 C* P
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James Brainard, Presiding Officer
Mary
Date:
Lori S. Wat;
Date:`��
CrossRoad Engineers, P.C.
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Title
FID/TIN:. 3S' lit 6 3 3 3 1
Last Four of SSN if Sole Proprietor:
A G� Date:
pristine S. PyK�„ l , CJe k'-Trea er
Date: ACU/S//�
1\+Contra v?to1S%z RASA r)AdJ1 1!39 P\q
May 24, 2016
Mr. Jeremy Kashman, P.E.
City Engineer
City of Carmel
1 Civic Square
Carmel, IN 46032
RE: Fee Proposal
St. Andrews Circle — Road Reconstructed Drainage Project
Carmel, Indiana
Dear Jeremy:
CrossRoad Engineers is pleased to present this Scope of Services and Fee Proposal to provide
professional services associated with a Drainage Improvement Project on St. Andrews Circle in
Carmel, Indiana. The total length of this project is approximately. 700 feet.
From our recent discussions, we understand that the project will involve replacing an existing
pipe that runs through a portion of Lot 32 in Crooked Stick Estates Section Two and then
eventually drains into a pond in Crooked Stick Golf Course. 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 include all research, office work,
and field work necessary to re-establish the existing Right -of -Way and relevant lot lines
and platted drainage easements throughout the length of the project.
B. PRELIMINARY PHASE
After the survey is completed, we will prepare a preliminary layout that will identify the
existing site amenities and will identify proposed project features such as the proposed
pipe, drainage improvements, etc. Once the layout has been completed, we will meet
with you to discuss and make any necessary adjustments. This plan will then be used to
complete the design of the project.
Mr. Jeremy Kashman, P.E.
City of Carmel
May 24, 2016
Page 1 of 4
Nell e R
C. DESIGN & CONSTRUCTION DRAWINGS
We will design all of the elements of the development necessary to insure the workability
of:
Any impacted curbs, sidewalks, ramps, drives, etc.
Storm sewer and structures 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 sewer profiles
■ Storm.structures & drainage
■ Grading as necessary
■ Erosion control plans
D. REGULATORY SUBMITTALS & BIDDING PHASE
We will 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.
E. 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.
Mr. Jeremy Kashman, P.E.
City of Carmel
May 24, 2016
Page 2 of 4
E: X WHIT
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F. 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.
G. 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
Mr. Jeremy Kashman, P.E.
City of Carmel
May 24, 2016
Page 3 of 4
1„`i� rlt'0a 0
ATTACHMENT "A"
FEE SCHEDULE
The total lump sum fee is divided into the following work components for billing purposes:
A. TOPOGRAPHIC SURVEY
B. PRELIMINARY PHASE
C. DESIGN & CONSTRUCTION DRAWINGS
D. REGULATORY SUBMITTALS & BIDDING PHASE
E. CONSTRUCTION STAKING, INSPECTION & AS -BUILT PLANS
TOTAL LUMP SUM FEE
(Not Including Item E above)
$ 3,500
$ 2,000
$ 8,500
$ 2,500
0
$ 16,500
Our total lump sum proposed fee is divided into the above work components for billing
purposes.
Mr. Jeremy Kashman, P.E.
City of Carmel
May 24, 2016
Page 4 of 4
CrossRoad Engineers, P.C.
Engineering Department - 2016
Appropriation: ASA #9; #94-650.04; 2016 Storm Water; P.O. #33926
Contract Not To Exceed $16,500.00
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.
[SAContrnctsNrof.Svcs & Goods SvcslEnginwring@016\Cr Road ASA N9 AMI Svcs Amcnd 3-27-2012 with E -W fy Inngung.A-5/312016 4:31 PM1
CvossRoad Eneincers, P.C.
Engineering Department -.2016
Appropriation: ASA #9; #94-650.04; 2016 Storm `Vater; P.O. #33926
Contract Not To Exceed $16,500.00
Exhibit "C"
E -Verify Affidavit
r,IA NAOLrAe , being first duly sworn, deposes and says. that
he/she is familiar O ith 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 hire,. now anieat all times relevant herein have, been employed by
rats C-61 PC (the ``Company") in the position
of GEV ci
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 doeuimentation of such enrollment and participation to the City of Carmel,
Indiana.
5. The Company sloes not knowingly: employ any unauthorized aliens.
FURTHER AFFIANT SAYETH NOT.
EXECUTED on the I , day of
I certify under the penalties for perjury rind
hidiana that`the foregoing factuaf statements
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and the State of
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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 CrossRoad Engineers, PC
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Information
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Information Required for the E -Verify Program
relating to your Company:
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Company a r SsRoad Engineers, PC
Sherman Drive
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h Grove, IN 461D7
Company Alternate I
.1411 Sherman Dr ve
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County �gr.Parish:
,
Employer Identification
Number. -:351983331
Page 12 of 131 E -Verify MOU for Employer I Revision Date 09101109
wvvw.dhs.gov/E-Verity
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Company ID Plumber: 440231
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Number of Ernployees: s20to 99
Number of Sites Verified
for:
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'Are you verifying for more than 1 site? If yes, please provide the number of sites verified for
lin each State:
INDIANA I site(q)
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Information relating to the Program Administrator(s) for your Company on policy
questions or operational problems:
Name:
.1111 A Newport
Telephone Number:
(317) 780 -1555 ext. 120
E-mail Address:
incwporl(a crossroudengincers.cum
Nnme:
Walter E Charles
Telephone Number,
(317) 780 - 1555 ext. 115
E-mnil Address:
ecLnrlesCa)crossroadengineers.corn
Fax Number; (317) 780.-6525
Fax Number: (317) 780 .6525
Page 13 of 131E Verify MOU for Employer I Revision Date 09/01/09 www.dhs.gov/E-Verify
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 CrossiRoad Engineers, PC
Newport
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(Please Type or Print)
11512011
apartment of Homeland Security — Verification Division
SCIS Verification Division
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nformation relat!!Ig, to your Company:
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ComPAaNnq,1CrossRoad Engineers, PC
7 Sherman Drive
Beech Grove, IN 46107
Company Alternate
Employer Identification
Number: .351963331
. . . .. ........
Page 12 of 931 E -Verify MQU for Employer 1, Revision Date 09/01/09
www.dhs.gov/E-Verify
Company ID Number: 440231
I
North American Industry
Classification Systems
_._._..._..._..................................................__. Code; -(54
Administrator:
. ss:y., �.. r�•r
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Number of Employees: 20 to 99
Number of Sites Veiifi-ed
for: (7
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►re you verifying for more than I site? If yes, please provide the number of sites verified for
3 each State:
INDIANA 1 sitc(s)
Information relating to the Program Administrator(s) for your Company on policy
questions or operational problems:
Name.
Mll A Newport
Telephone Number:
(317) 780 -1555 ext. 120
E-mail Address:
jncivporlracrossroadengineers.com
Name:
Waller E Charles
Telephone Number:
(3 17) 780 - 1555 ext. 115
E-mail Address:
echnrlesrp crossroedengincers.com
Page 13 of 13 1 E Verify MOU for Employer I Revision Date 09/01109
Fax Number. (317) 780 - 6525
Fax Number. (317) 780 - 6525
www.dhs.gov/E-Verify
Received
05-31-16A09:38 RCVD
City of Carmel
Department of Law
LETTER OF TRANSMITTAL
Date: May 27, 2016
To: Doug Haney
Department of Law
From: Jeremy Kashmanyv-
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 #9 — St. Andrews Circle — Road Reconstructed Drainage Project
Vendor:
CrossRoad Engineers, P.C.
Amount:
$16,500.00
Appropriation:
P.O. 33926; 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
May 27, 2016
C
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 #9, P.O. #33926
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 #9 — St. Andrews Circle — Road Reconstructed Drainage Project
Not to Exceed: $16,500.00
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,
JerepeM. Kashman, P.E.
City Engineer
Reviewe and approved by:
f
S. C. EiigeWng
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 of Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
Page 1 of 1
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
33926
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
5/27/2016
068025
Project 16 -SW -76; 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
I BLANKET CONTRACT
PAYMENT TERMS
FREIGHT
5204
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE EXTENSION
Department: 2200 Account: 94-650.04 Fund: 0 2016 Storm Water Bond
1 Each ASA 9 - Crooked Stick - St. Andrews Circle - Road $16,500.00
Reconstructed Drainage Project
Sub Total
Send Invoice To:
Jill Newport
CrossRoad Engineers, P.C.
3417 Sherman Drive
Beech Grove, IN 46107
,)n1F SW Bond/G.O. Bond/
PLEASE INVOICE IN DUPLICATE
$16,500.00
$16,500.00
DEPARTMENT ACCOUNT 0 PROJECT ' PROJECT ACCOUNT AMOUNT
PAYMENT $16,500.00
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 UNOBUGATED BALANCE IN
'C.O.D. SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FORTHE 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
x
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TITLE
CONTROL NO. 33926 CLERK -TREASURER