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CrossRoad Engineers ASA 12 - 2016 Bond Projects Right of Way Services A 11 In 11 II 4' I N iii u . _■■ III III III 11 In U 1 1 CI ! lj EL JAMES BRAINARD, MAYOR July 20, 2016 Mr.Trent Newport CrossRoad Engineers,PC 3417 S. Sherman Drive Beech Grove, IN 46107 RE: Notice-To-Proceed; Project 16-ENG-94; 2016 Bond Projects Right of Way Services Dear Trent: Please let this serve as the official Notice to Proceed with the City of Carmel for the 2016 Bond Projects Right of Way Services. This contract agreement was signed at the Board of Public Works and Safety meeting held July 20, 2016 and is subject to the granting of this "Notice to Proceed." Sincerely, Jeremy Kashman City Engineer Cc: Jill Newport, CrossRoad Engineers DEPARTMENT OF ENGINEERING ONE CIVIC SQUARE, CARMEL, IN 46032 OFFICE 317.571.2441 FAx 317.571.2439 EMAIL engineering@carmel.in.gov CrossRoad Engineers,P.C. Engineering Department - 2016 Appropriation: ASA#12: #94-650.04:General Obligation Bond, P.O. #34003$300.000.00&2016 Storm Water Bond: $100,00(1.00 P.O.#34004 Contract Not To Exceed $400.000.00 Q�110/,...., o ADDITIONAL SERVICES AMENDMENT TO ✓ O 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 CARfv1EL, INDIANA CrossRoad Engineers, P.C. by and through its Board of Public Works and Safety By, By: cam— P, „ ,,, Ames Brainard, Presiding Officer A orized ate: Greet J, 1( k Punted Na ie Mary An urke, Member \ I ( Date: -7 o� - V lGP T resit A- Title Lori Sf Watso ' ' em er FID/TIN: 3C —11 to 333 ) _ Date: ' '7 .),0 Last Four of SSN if Sole Proprietor: ATTEST: C. *ti4 <2 Date: ( j 1 (0 Christine S. Pa tley, Clerk-Treasurer ' Date: 7/2 b I/6 1 r,11,sa0A.9 MM...t Grx.h SIesT.non tieun,_`n1GCnv..e,vd AS 1.12 A,ht1 S.;.Amanl.-2'-:61'mb i9.vee:f im,,upr.1,. 'LY 116.it”['MI ATTACHMENT "A" July 8, 2016 /� Vid Mr.Jeremy Kashman, P.E. CROSSROAD City Engineer ENfIIUEER5,PE City of Carmel 1 Civic Square Carmel, IN 46032 Re: 2016 Bond Projects Right of Way Services Fee Proposal Dear Jeremy: As we discussed, we have prepared this proposal to provide various Right of Way Services for various 2016 Bond Projects which are included in either the 2016 General Obligation Bond, the 2016 COIT Bond, or the 2016 Storm Water Bond Program and as directed by your department. CrossRoad Engineers will provide these services in accordance with the previously approved contract #16-ENG-21 called 2016 Carmel Bond Program Management. All units cost items will be in accordance with said previous contract. Based upon the number of anticipated projects in which we will be involved, we would suggest establishing a contract ceiling of $400,000 against which we would invoice for the various above referenced projects. We would like to thank you for this opportunity to continue our involvement in enhancing the City of Carmel and we appreciate the City's trust in our ability to provide these services. We look forward to working closely with you to make these 2016 Bond projects a success! If you should have any questions or need any further information, please do not hesitate to call me at (317) 780-1555 ext. 114. Sincerely, CrossRoad Engineers, PC Trent E. Newport, P. E. President HIBIT (o 3417 Sherman Drive ® Beech Grove, Indiana 46107 ® Tel 317.780.1555 ® Fax 317.780.6525 CrossRoad Engineers,P.C. Engineering Department-2016 Appropriation: ASA#12;#94-650.04;General Obligation Bond,P.O.#34003$300,000.00&2016 Storm Water Bond; $100,000.00 P.O.#34004 Contract Not To Exceed$400,000.00 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. - ISACo,u,cIS'P,of Sv,R Goods Svcs1Engmeerine2016\CrossRa d ASA 012 Add'I Svcs Amend 3-27-2012 with E-Vcrify Inngnngc.doc:71122016 3:57 PM) Urossl<oad Engineers,P.C. Engineering Department-2016 Appropriation: ASA#12;#94-650.04;General Obligation Bond,P.O.#34003$300,000.00&2016 Storm Water Bond: $1 00,000.00 P.O.#34004 Contract Not To Exceed$400,000.00 Exhibit"C" E-Verify Affidavit , being first duly sworn, deposes and says that he/she is f liar 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 OcossIloa r� ph eerS, Pc (the "Company") in the position of \! - Kt 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 SAYETH NOT. EXECUTED on the 1 J day of J _ _ 20 t i . Printed: 40P 1 certify under the penalties for perjury under the laws f the United States of America and the State of Indiana that the foregoing factual statements and repres nations are true and c met. Printed: J �kiD i5'Cmi,,.n:?:.d S.c...f.•a•S•,..Viopnc:n,1r f 1A-Cs..•Rtud-\A i,I?A.hl7 Sv,Aldmi:.27.2112 la,w.;c.a+-:1'I2.7.O16}:}7PAIL 4,71 i77 R qr rri ,Nxi Flo 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 Jill Newport Name(Please Type or Print) Title Electronically Signed 08/15/2011 Signature Date Department of Homeland Security—Verification Division USCIS Verification Division Name(Please Type or Pnnt) Title Electronically Signed 08/15/2011 ignature Date Information Required for the E-Verify Program Information relating to your Company: Company Name-CrossRoad Engineers,PC Company Facility Address.3417 Sherman Drive Beech Grove, IN 46107 Company Alternate Address: 417 Sherman Drive Beech Grove,IN 46107 County or Parish MARION Employer Identification Number 351963331 Page 12 of 13 i E-Venfy MOU for Employer Rev sion Date 09/01/09 www,dhs.gov/E-Verify ii � x '� ?fir Ill s Company ID Number: 440231 North American Industry Classification Systems Code: 541 Administrator: Number of Employees: 2°to 99 Number of Sites Verified for: 1 Are you verifying for more than I site? If yes, please provide the number of sites verified for in each State: . INDIANA I sile(s) Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Name: HI A Newport Telephone Number: (317)780-1555 ext. 120 Fax Number. (317)780-6525 E-mail Address: jnevtportf;crossroudcnginccrs.com Name: Walter E Charles Telephone Number: (317)780- 1555 ext. 115 Fax Number: (317)780-6525 E-mail Address: echorlesr)crossrondergtineers.com Page 13 of 13 I E-Ver:fy MOU for Employer I Revision Dale 09/01/09 www.dhs.gov/E-Verify Received 07-12-16A11 :59 RCVD City of Carmel Department of Law LETTER OF TRANSMITTAL Date: July 11, 2016 To: Doug Haney Department of Law From: Jeremy Kashman `L Department of Engineering RE: CrossRoad Engineers Additional Service Amendment An additional service amendment is needed for Crossroad Engineers for the July 20th BPW meeting, please. Attached please find CrossRoad's scope of work and purchase order. Contract Information: Project Name: ASA 12 — 2016 Bond Projects Right of Way Services Vendor: CrossRoad Engineers, P.C. Amount: $400,000.00 Appropriation: P.O. 34003; 2016 General Obligation Bond P.O. 34004; 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: ccharles(a�crossroadengineers.com n W n U m p u a m a Arne 11 I CMS?' 11, 2016 CITY : EL ® July DAMES BRAINARD, MAYOR Mr. Chip Charles, P.E. Mr.Trent Newport,P.E. CrossRoad Engineers,P.C. 3417 South Sherman Drive Beech Grove, IN 46107 RE: Additional Service Amendment#12,P.O.s #34003 and#34004 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#12— 2016 Bond Projects Right of Way Services Not to Exceed: $300,000.00 P.O. 34003 Not to Exceed: $100,000.00 P.O. 34004 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 . Kashman, P.E. City Engineer R7we and app ovcd by: ' S. C. Engelking Director of Administration DEPARTMENT OF ENGINEERING ONE. CIVIC SQUARE, CARMEL, IN 46032 OFFICE 317.571.2441 FAx 317.571.2439 EMP1II. engineerinOcarmel.in.gov Ccor INDIANA RETAIL TAX EXEMPT Page 1 of 1 ltyo f Carmel. I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER �/��jjj FEDERAL EXCISE TAX EXEMPT 34004 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP f CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, 1FORM 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 7/11/2016 068025 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 I PAYMENT TERMS FREIGHT 6413 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION Department: 2200 Fund: 0 2016 Storm Water Bond Account: 94-650.04 1 Each ASA 12-2016 Bond Projects Right of Way Services $100,000.00 $100,000.00 Sub Total $100,000.00 / i '„ r t � , -.. V {i ?�1 '_ il 1 t r Cann ln,,nira Try yt?...,'!=* .� - 1" ;Jill Newport `\ \ 1'r / CrossRoad Engineers, P.C. .. - e 3417 Sherman Drive _ - y_ / Beech Grove, IN 46107 _ �' .5' A^4 G.O./Storm Water Bonds PLEASE INVOICE IN DUPLICATE DEPARTMENT ! ACCOUNT i PROJECT 1 _ PROJECT ACCOUNT AMOUNT I PAYMENT $100,000.00 SHIPPING INSTRUCTIONS •AlP 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 v AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY - Jeremy Kashman Steve Engelking TITLE Director Administration CONTROL NO. 34004 CLERK-TREASURER 0 INDIANA RETAIL TAX EXEMPT Page 1 of 1 I }�Jjt of cI arm ei CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 34003 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SUPS, SHIPPING LABELS AND ANY CORRESPONDENCE FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 7/11/2016 068025 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 6412 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 2200 Fund: 0 General Obligation Bond Account: 94-650.04 1 Each ASA 12-2016 Bond Projects Right of Way Services $300,000.00 $300,000.00 Sub Total $300,000.00 t. .a t _ N,,. fe w:..:. '''yam . ry J".`• ,0 '.s. Sk tr P - \} X. r. r l g a $ ' Send Invoice To: 'k ': "s_ t 1. Jill Newport `- s _ - `� CrossRoad Engineers, P.C. �z�,t `.- "' x 3417 Sherman Drive '" ,..- Beech Grove, IN 46107 1"', <T. #S. '"'' G.O./Storm Water Bonds PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT PAYMENT $300,000.00 SHIPPING INSTRUCTIONS *AlP 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 FOR THE ABOVE ORDER. 'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL 'THIS ORDER ISSUED IN COMPUANCE WITH CHAPTER 99,ACTS 1945 "=-r— ..,,y.,:.;,` AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO, ORDERED BY Jeremy Kashman Steve Engelking TITLE Director Administration CONTROL NO. 34003 CLERK-TREASURER