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American Structurepoint ASA 17 - Carey Road Roundabouts Landscaping Design II :i: ii n a II •a ~u II I.: I: III III In II .-y*.m a m.� CI .—•:. d' EL JAMES BRAINARD, MAYOR July 21, 2016 • Mr.Michael T. McBride American Structurepoint, Inc. 7260 Shadeland Station Indianapolis, IN 46256 RE: Notice-To-Proceed: Project 16-ENG-87; Carey Road Roundabouts Landscaping Design— 136t Street,Hawthorne Dear Mike: Please let this serve as the official Notice to Proceed with the City of Carmel for Carey Road Roundabouts Landscaping Design at 136th Street and Hawthorne. 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: Mike Maurovich,American Structurepoint Skip Tennancour, American Structurepoint DEPARTMENT OF ENGINEERING ONE Civic SQUARE, CARMEL, IN 46032 OFFICE 317.571.2441 FAx 317.571.2439 EMAIL engineeringecarmel.in.gov American Structurepoint,Inc. Engineering Department-2016 . ✓�o Appropriation:ASA#I7;#94-650.04;2016 COLT Bond;P.O.#34005 Contract Not To Exceed$26,000.00 'Iq0 ADDITIONAL SERVICES AMENDMENT TO AGREEMENT FOR PROFESSIONAL SERVICES THIS AMENDMENT TO THE AGREEMENT FOR PROFESSIONAL SERVICES ("Agreement") entered into by and between the City of Carmel and American Structurepoint, Inc. (the "Professional"), as City Contract dated April 6, 2016 shall amend the terms of the Agreement by adding the additional services to be provided by Professional consistent with the Scope of Work attached hereto and incorporated herein as Exhibit NA". Furthermore, the terms of the Agreement shall be amended to include the E-verify requirement as stated in Indiana Code §22-5-1.7 et seq., which is attached hereto and incorporated herein as Exhibit'B", as well as the required E- verify Affidavit, attached hereto and incorporated herein as Exhibit "C". Also, pursuant to I.C. § 5.22-1 6.5, Professional shall certify that in signing this document, it does not engage in investment activities within the Country of Iran. The terms and conditions of the Agreement shall not otherwise be affected by this Additional Services Amendment and shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have made and executed this Amendment as follows: CITY OF CARMEL, INDIANA American Structurepoint, Inc. by and through its Board of Public Works and Safety By: By: \ r James Brainard, Presiding Officer Aut orized Signature "` ptate:ii_alau,z__ // j)) �iP d Name Maryurke, be / Date: '' (-a-e�`� G4` Title �f Lori S.Wats ember FIDITIN: 35-- //77 3/ 7 Date:, '7 / XO 1(�, Last Four of SSN if Sole Proprietor: ATTEST: 4,-6- - ( Date: .S4,-17 r 3, .2v/6 Christine Pauley,,drk-Treasurer Date: -7/ze, Sm.$G t.t,5+0,'LR.omen�'0161A,wl..n St/waver..I ASA 117 ASRS,o Aemd 3.274012 w:tn C-Vcr-(,yn eSr.7f12J.i)tb 5-17',11 AMER!CAN �® STRUCTUREPOINT ■ July 11, 2016 Mr. Jeremy Kashman Carmel City Engineer One Civic Square Carmel, Indiana 46032 Re: Carey Road Roundabout Landscaping Design Dear Mr. Kashman: On behalf of American Structurepoint, Inc., 1 am pleased to submit this proposal for Carey Road Landscaping Design Services. The professional services will include landscaping design for the roundabouts at 136t Street and Carey Road and at Hawthorne and Carey Road. Upon receiving notice to proceed from the City of Carmel, American Structurepoint will commence with the above professional services for traffic analysis for a total lump-sum fee of $26,000. We look forward to working with the City of Carmel on this project. If you should have any questions, please do not hesitate to contact me at (317) 547-5580. Very truly yours, American Structurepoint, Inc. f F x1 Michael Maurovich • Project Manager MJM:mek Attachment cc: Mike McBride EXHIBIT 201502101 726G S Ste;on irrian<ipoIi ,IN•;6256 3957 i E1.31 .5-17 S5SC FAX 317 5 3.U27O s: a ,;;:!;:fou'.corn. 0 Exhibit A Carey Road Roundabout Landscaping Design 1.1. Landscape Architecture Services. American Structurepoint will perform landscape design and plan development services for the center island of the proposed roundabout. 1.1.1. Attend project kickoff meeting with City of Carmel and design representatives to discuss the design intent of the roundabout's center island. 1.1.2. American Structurepoint will prepare up to two conceptual planting plans for the center island. Conceptual planting plans will be presented in a fully rendered, two-dimensional format and will illustrate design intent,color palettes, plant type, and quantities. 1.1.3. Following the approval of the conceptual planting plan, the landscape architect will coordinate with both the City of Carmel and the project engineer to finalize design and installation requirements. The landscape architect will be available during this time to discuss the aesthetic elements and their incorporation into the overall project as needed. 1.1.4. American Structurepoint will provide irrigation design services for the center island. 1.1.5. American Structurepoint will prepare contract bid documents suitable for use in bid letting of the project. The plans will include planting plans, planting details, irrigation plans, irrigation details, quantities, special provisions/specifications, and an opinion of probable cost. EXF U 3 T 2_C5 f.Z-.--, July 11,2016 201502101 American Structurepoint,Inc. Engineering Department-2016 Appropriation:ASA#17;#94-650.04;2016 COIT Bond;P.O.#34005 Contract Not To Exceed$26,000.00 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. LSACI*nrans1ProLSws&Gx 1,Svcs\Enginecring\2016lAmcrican Slmcnircpoini,Inc.ASA#17 Add1 Svcs Amend 3-27-2012 with E-Verify Ifinguagc.duc:7/122016 3:27 PM! American Stiucturepoint, Inc. Engineering Department-2016 Appropriation:ASA#17;#94-650.04;2016 COIT Bond;P.O.#34005 Contract Not To Exceed$26,000.00 Exhibit"C" E-Verify Affidavit (,fir-...ii ,being first duly sworn,deposes and says that he/she is familiar 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 I�Mee; ., 54/.04Lq[1rit e..+i, lnr- (the "Company") in the position of Orr, 4ee ,#. 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 / ,day of.. . ✓t)c� ,20 Me. Printed: ( -r A'- 1 1 - 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 representations are true and correct. #17,47—' �,,,,ti►tiwsu►�,�„ .4.044Il,4/0 7ti�� ate /14e C-'_ kan1Z c� NOTARY =-41 cc t PUBLIC 1°r°a s ' SEAL n S �P;res 58,�:� Q Tq�i „.nrn, ai,``,. OF %Nay,��� ihOKn itunit tio• isx..,, .v„r.sr.,sr_,.},Ss& ,putitettVIKAx.vssawues Is,ASA 417,.L!'Is,s.A,...r;n:ro. .0 C.Vs.,tr 7n2/212t61.:7rl:i Received 17-12-16A11 :59 RCVD City of Carmel Department of Law LETTER OF TRANSMITTAL Date: July 11, 2016 To: Doug Haney Department of Law From: Jeremy Kashman 3► V- Department of Engineering RE: American Structurepoint, Inc. Additional Service Amendment One additional service amendment is needed for American Structurepoint, Inc. for the July 20th, BPW meeting, please. Attached please find the work proposal and purchase order. Contract Information: Project Name: ASA ; -- - Road Roundabouts Landscaping Design — 136th Street, Hawthorne Vendor: merican Structu -point, Inc. Amoun . $24,000.00 Approp ' tion: PO 34005; ?D1'6 01 Signature: .ginner Address: 7260 Shadeland Station Indianapolis, IN 46256 Phone: 317/547-5580 Fax: 317/543-0270 Email: wconner c(�structurepoint.com If ; •H•• i1 1 i; It • 11 .. H ••I 11 11 11 t 11 •.I 11 _: on O III III III :a w 1 1 TrT71M q =/TT'y CI EL July 11, 2016 JAMES BRAINARD, MAYOR Mr. Willis R. Conner,PE, SE Mr. Gregory L. Henneke,PE Mr. Cash E. Canfield, PE American Structurepoint,Inc. 7260 Shadeland Station Indianapolis, IN 46256-3957 RE: Additional Service Amendment#17, P.O.#34005 Dear Mssrs. Conner and Henneke: As we discussed,the City of Cannel has a need for additional professional services and pursuant to our current contract with American Structurepoint, dated April 6, 2016. I have requested and received from you the proposed scope of services and fee estimates for the following work tasks: Additional Service Amendment#17— Carey Road Roundabout Landscaping Design—136th Street, Hawthorne Not to Exceed: $26,000.00 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 . . K shman,P.E. Engineer Reviewed and approved by: S. C. En ]king Director of Administration DEPARTMENT OF ENGINEERING ONE Civic SQUARE, CARMEL, IN 46032 OFFICE 317.571.2441 FAX 317.571.2439 EMAIL engineeringactrmel.in.gov .y ,y sir& fir ti�- t Verily7:: \idi Tir-T 20 — 1 IT 10 A 1[11V(L O1 Orr 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 Structurepoint,Inc. Chelsea Shumaker Name(Please Type or Print) — Title Electronically Signed 09117/2009 Signature Date Department of Homeland Security—Verification Division USCIS Verification Division Name(Please Type or Print) i"Itia Electronically Signed 09/17/2009 Signature Date Page 11 of 131E-Verify MOU for EmplayeVevision Date 10/29/08 >rvww.dhs.rjov/EFVer°sty erilv :1/4;up 41;14 \17111111, KAM X.A!MICE or D. Company ID Number 254011 information Required for the E-Verify Program Information relating to your Company: Company Name:American Structurepoint, Company Facility Address: 7260 Shadeland Station Indianapolis,IN 46256 Company Alternate Address: County or Parish: MARION Employer Identification Number 351127317 North American industry Classification Systems Code: 541 Parent Company: Number of Employees: 100 to 499 Number of Sites Verified for: 2 Are you verifying for more than 1 site?If yes,please provide the number of sites verified for in each State: • OHIO 1 site(s) Page 12 of 13IE-Verify MOU for FmployerpevIsion Date 10/29/08 wv4v.dhs.gov/E-Verify Verb y 'Mtn n� A- as A liAV IC CTOI nsa Company ID Number. 254011 • INDIANA 1 site(s) Information relating to the Program Administrator(s)for your Company on policy questions or operational problems: Name_ Chelsea Shumaker Telephone Number. (317)647-6680 Fax Number (317)543-0270 E-mail Address; cshumaker©structurepolnt.com Page 13 of 131E-Verify MOU for EmployerIRewsion Date 10129/08 www.dhs.gov/E-Verify INDIANA RETAIL TAX EXEMPT Page 1 of 1 Clty of Carmei CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER rFEDERAL EXCISE TAX EXEMPT 34005 _ ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AN CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 _ I PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. I DESCRIPTION 7/11/2016 00350562 Project 16-ENG-87; Contract Date 04.06.16 AMERICAN STRUCTURE POINT, INC City Engineering's Office VENDOR 7260 SHADELAND STATION SHIP 1 Civic Square TO Carmel, IN 46032- INDIANAPOLIS, IN 46256--3957 Kate Lustig PURCHASE ID BLANKET I CONTRACT I PAYMENT TERMS FREIGHT 6405 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 2200 Fund: 0 COIT Bond Fund Account: 94-650.04 1 Each ASA 17- Carey Road Roundabouts Landscaping Design - $26,000.00 $26,000.00 136th Street, Hawthorne Sub Total $26,000.00 . t. ' / 3 4 f P - \9 a /f f - . .� / ` i ALl i I I E ' � t 7 1 _ i > Send Invoice To: \ 'w ft-2 tt' - ;t Skip Tennancour ` American Structurepoint, Inc. �- _ P 8425 Wicklow Way }g q,_ , Brownsburg, IN 46112 '`° § , .IN. :- 2016 COIT Bond PLEASE INVOICE IN DUPLICATE I DEPARTMENT 1 ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT j PAYMENT $26,000.00 SHIPPING INSTRUCTIONS */VP 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 `^ % AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ----- --- Jeremy Kashman Steve Engelking TITLE Director Administration CONTROL NO. 34005 CLERK-TREASURER