A & F Engineering Co., LLC/Eng/41,960/Adl Serv #4/Traffic Signal Maintenance A&F Engineering Co.,1..1..0
Department-2016
Appropriation 4i2200-R509,202-R509 ASA#4; P.O.#33939
Conner Not To Exceed$41,960.00
geo
48,2,
ADDITIONAL SERVICES AMENDMENT TO
AGREEMENTfOR PURCHASE:OF GOODS AND SERVICES
THIS AMENDMENT TO THE GOODS AND:SERVICES.AGREEMENT ("AgreeMent") entered into by and
between.the City of Carmel and A& F Engineering Co, LLC (the:"Vendon, es City Contract dated January 6, 2015
shall amend the terms of the.Agreement by adding the additional servideS 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 5-22-16.5, Vendor shall certify that in signing this .
dodument, 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 A& Ehgineering Co., LLC
by and through its Board of Public
Works and Safety
By: By:
Pt5en+- 5///ez
ames Brainard,Presiding Qfficer LithOrized Signature
Date:
5.kf. 3,1 Tc_k,v1%bac
Printed Name
Mary Ann uric°,M er
Date: 15- r-VrE.St.d.EvA
Title
•
Lori•S.Watson, M Ol , FID/TIN.: 3E- 6209 3 LI LIZ
Date:
Last Four of SSN if Sore Proprietor: . r.o 3
KRESTY
Date: ks,syL.Q .2o I
hriStine PaUley,Date: Clefk-Treasurer
0/67/( '
Mro.unalannto a 0.4 6,43Nlinfitl4eriue.2016,A F FagInccrlog ASA P4 A401 S1Z4 Anwn4 3.17.2011 Willi 11•Vaify Ituip.lp.116:513142016 1033
•
A F ENGINEERING
TRANSPORTATION ENGINEERING STUDIES •TRAFFIC IMPACT ANALYSES
STREET DESIGN • HIGHWAY DESIGN •TRAFFIC ENGINEERING
3. PARKING LOT DESIGN • TRANSPORTATION PLANNING STUDIESSITETransportation & Site E n g i n e e r i n CONSTRUCTION OBSERVATION • BE ENGINEERING
Creating Order Since 196E REGISTRATION
INDIANA
WILLIAM J.FEHRIBACH,P.E.OFCOUNCILILLINOIS
OF
IOWA
STEVEN J.FEHRIBACH,P.E. KENTUCKY
PRESIDENT MICHIGAN
JOSEPH T.RENGEL,P.E. OHIO
VICE PRESIDENT MISSOURI
FLORIDA
R.MATTHEW BROWN.P.E.
VICE PRESIDENT
February 24, 2016
Mr. Jeremy Kashman
City Engineer
City of Carmel
One Civic Square
Carmel, Indiana 46032
Mr. David Huffman
Street Commissioner
City of Cannel
One Civic Square
Cannel, Indiana 46032
Re: Maintain Traffic Signal Records and On-Call Services-2O+6—e-
Dear Mr. Kashman and Mr. Huffinan,
A&F Engineering Co., LLC has established a system for maintaining traffic signal records for
the City of Carmel. This service has been provided under an agreement with the City.
A&F Engineering now proposes to maintain those records throughout the calendar year of 2016.
We will provide the following services:
1. Assist with the administration of the traffic signal maintenance contract.
2. File all maintenance records submitted by the traffic signal maintenance contractor.
3. Issue work orders for signal repairs to the street commissioner.
4. Provide quarterly and annual reports of the work activities by the traffic signal
maintenance contractor
5. Assist with quotes from contractors for maintenance contract. Assistance shall include the
development of documents for use by the City to solicit quotes from Contractors for the
annual maintenance contract.
6. Assist with timing assessment and recommendation for timing changes to address
increased efficiency of traffic operation or to address pedestrian concerns.
8365 KEYSTONE CROSSING, SUITE 201 — INDIANAPOLIS, INDIANA 46240 - eHIB
TELEPHONE (317) 202-0864 -- FACISMILE (317) 202-0908
7. Design additional pedestrian signal heads at existing signalized intersections, if required.
8. Conduct speed studies on existing roadway corridors, if required.
The fee to provide Signal Records System Maintenance (services 1-4, as outlined above), is
$30.00 per month,per intersection. Invoices will be submitted quarterly.
There are currently(51) intersections, (38) signals and(13) flashers in the system.
When new signals come on line or there are major modifications to existing signals, A&F
Engineering will prepare"as built"plans for each intersection. A maintenance record file will be
established for each intersection. The lump sum fee to provide these services is $1,020.00 per
intersection where an electronic design file can be provided. The lump sum fee is $1,740.00 per
intersection where A&F must perform field work to establish an as-built.
The total cost for this proposal is:
Signal records system maintenance $18,360.00
Estimated"as-built plans"with no field work(if required)-2 intersections @$1,020.00 2,040.00
Estimated"as-built plans"with field work(if required)-2 intersections @$1,740.00 3,480.00
Maintenance Contract Renewal and Evaluation 1,740.00
Estimated Signal Timing Evaluations(if required)—5 occurrences @$1,000.00 5,000.00
Design of Pedestrian Crossing(if required)—2 occurrences @$1,545.00 3,090.00
Speed Study(if required)— 10 locations @$820.00 8,250.00
TOTAL $41,960.00
Thank you for the opportunity to submit this proposal.
If you have any questions,please give me a call.
Sincerely,
A&F Engineering Co., LLC
Steven J. Fehribach,P.E.
President
EXHIBIT
2 � 2
M:\A&F PROJECTS\2016\16002-Carmel,Signal Records,Qrtly\Contract\Maintain Traffic Signal Records and On-Call Services-2016 2nd
REVISION.docx
A&F Engineering Co.,LLC
Department-2016
Appropriation#2200-R509,202-R509 ASA#4; P.O.#33939
Contract Not To Exceed$41,960.00
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:\Comracts\PIOE$Yes&Goals Sva\Enginccriog\2016 A&F Engineering ASA#4 Add'1 Svcs Amend 3-27-2012 with E-Verify langoagc.doo:5/312016 10:38 AM]
•
A SE.F Engineering ca.,1.1.C. •
Depattmenc-2016. .
ApPropriatiOn#2200-R509,.202,R5.09.ASA#4; T.0.43.3939
Contract Not To Exceed$41,960.00
•
Exhibit."C)!
.E-Verify Affidavit
eg first duly sworn,deposes and says that.
he/she is familiar wit nd 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 (118) 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
Qv, • (the."Company") in the position
• of
3.. 1 am familiar with the'employmentpolicies.,practices, aridprocedures of the Company and
have.the authority to act on behalf of the Company.
4. The Employer is enrolled and voticipaes i . the federal .E-Verify program and :has
provided documentation of such enrollment and. participation to the City of Carmel,
Indiana.
5. The Company does notInoWingly eriiplo:y any utiziutlibti2;ed:aliens.
FURTHER AFFIANT SAYETH NOT.
Itc‘
EXECUTED on the 02 day of , o
,20 1 t.0
\A&X--AAAA
Printed: \k.:Vc Sot--
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 representatiens are true and Correct.
•
•
Printed:
•
•
%,taninrcrInel211141lA F.)!Tisigcerilso ASA MI 1.11,11Ssw Arnold 347.201.2 ihveil ry 1.19.V.d''.5.8112016:Pk38 AM}
k.sev. 1 f ., PIN , .,, _ 4,0,1L, .4"‘X\>'...‘:‘
Ictz
Company ID Number:478164
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 A&F Engineering Co LLC
Lisa Pipes _ —
Name(Please Type or Print) Title
,Electronically Signed 12122(2011 ,
'Signature Dale
Department of Homeland Security—Verification Division
USCIS Verification Division
Name(Please Type or Print) ' `True
Electronically Signed 12/2212011 ,
Signature Date
Information Required for the E-Verify Program
information relating,to your Company:
Company Name:A&F Engineering Co LLC
Company Facility Address:8365 Keystone Crossing
Suite 201
Indianapolis,IN 46240
Company Alternate
Address:
County or Parish; MARION .
Employer Identification
Number: 352093442
Page 12 of 13 I E-Verify MOU for Employer I Revision Date 09/01109 www.dhs.gov/E-Verify
CLCf
1111
dui Or xFs :
r, •� �� l-�� it ■-�:etsr:a r WWI.Or�
Company ID Number:254011
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 American Structurepolnt,inc.
Chelsea`Shumaker
Name(Please Type,or Print) rate
Electronically Signed ' 09/17/2009
Signature
Department of Homeland Security-Verification Division
USCiS Verification Division
Name(Please'type or Print) Title
Electronically Signed 09/17/2009
Signature Date
Page 11 et 131E Verify MOU for EmployerlRevision Date 10/29/08 .dhs.govIE-Verity
LETTER OF TRANSMITTAL
Date: May 25, 2016
To: Doug Haney
Department of Law
From: Jeremy Kashmand
Department of Engineering
RE: A & F Engineering Additional Service Amendment
One additional service amendment is needed for A & F Engineering for the June 15th BPW meeting,
please.
Attached please find the work proposal and purchase order.
Contract Information:
Project Name: ASA#4 Traffic Signal Maintenance
Vendor: A & F Engineering
Amount: $41,960.00
Appropriation: PO #33939; 2200-R509, 202-R509
Signature: William J. Fehribach, P.E.
Address: 8365 Keystone Crossing, Suite 201
Indianapolis, IN 46240
Phone: 317/202-0864
Fax: 317/202-0908
Email: wfehribach(a,af-enq.com
i
71
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:: ::: u r n li II in
M _ MN II EN
Ma 25 2016 CITY O 7 ARMEL
Y
JAMES BRAINARD, MAYOR
William J.Fehribach,P.E.
A&F Engineering
8365 Keystone Crossing, Suite 201
•
Indianapolis,Indiana 46240
RE: Additional Service Amendment#4,PO#33939
•
Dear Mr. Fehribach:
As we discussed,the City of Cannel has a need for additional professional services and pursuant to our current
contract with A&F Engineering, dated January 1, 2015,I have requested and received from you the proposed scope
of services and fee estimates for the following work task:
Additional Service Amendment#4— Traffic Signal Maintenance
Not to Exceed: $41,960.00
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 Cannel with your
professional, quality services. If you should have any questions,please give me a call.
Sincerely,
Jere as an,P. .
C. Engineer
Reviewed and approved by:
S. C.Ep ge1kmg
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
C0 INDIANA RETAIL TAX EXEMPT PAGE
ity ofC.Irrael. CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 5 3 ��
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
'ORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
RCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/25)IL 'sra-4-H c Sig.-,p1 " c�.-i + Onance
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NFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P 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
SHIPPING INSTRUCTIONS THIS PPROPRIATION UFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID.
• C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ��
SHIPPING LABELS. lee
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TITLE
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
'Donor)^ � CLERK-TREASURER
.I AA.I®IrkIT /1/1 I.IT In01I !IA