The URL can be used to link to this page

American Structurepoint, Inc/Eng/50,000/Adl Serv #20/Additional Subsurface Utility Engineering American Structurepoint,Inc. Engineering Department-2016 Appropriation:ASA#20;#94-650.04;COLT Bond Fund;P.O.#34339 �Rp� Contract Not To Exceed$50,000.00 p 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 "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 CARMEL,INDIANA . American Structurepoint, Inc. by and through its Board of Public Works and Safety By: By: es Brainard Pr idin 0 i r Authorized Signature )ate: 1 Printed Name Mary Ann B rke, Vernier Date: 1 tie 14 c ' ) Title Lori Si Watso ember FIDITIN: 3S=Il 71i:7 Date: g /11 Last Four of SSN if Sole Proprietor. ATT Date: ,Aurtu< ristine Pauley,��er Date: ISYmim.7nt3m&Gala Swlan,:xninsI MlAnaiots Suuymq.unt Ina ASA I O Mal Si. Aan.13-71.2012.16 ENaal,Iac,v,u►e.1/90164:11 Put MillAMERICAN STRUCTUREPOINT August 4, 2016 Mr. Jeremy Kashman Carmel City Engineer One Civic Square Carmel, Indiana 46032 Re: Additional Subsurface Utility Engineering Services Dear Mr. Kashman: On behalf of American Structurepoint, Inc., I am pleased to submit this proposal for additional subsurface utility engineering (SUE) services. The professional services will include traffic control,utility locating, and SUE potholing services for various projects. Upon receiving notice to proceed from the City of Carmel, American Structurepoint will commence with the above professional services for subsurface utility engineering. Services will be invoiced at the unit costs identified in Exhibit B,to a maximum not to exceed cost of$50,000. Invoices will be forwarded to the City of Carmel on a monthly basis in accordance with our contract. 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. Mike Maurovich, PE Project Manager MJM:mek Attachment A cc: Mike McBride EXHIBIT 201502101 I U 7260 stiatitiand Stan Indianapolis,IN 2162564957 `CEL 517 54165a0 FM517.5213.0270 wiviatiyatutemapir ,0:. • . Exhibit A • . Blood Hound, Inc. Estimate 750 Patricks PIace Date Estimate# Brownsburg,IN 46112 _ 5/11/2016 19044 Name/Address- American Structurepoint,Inc. 7260 Shadeland Station Indianapolis,IN 46256 Accounts Payable Item Description Qty Cost Total Carmel Project Traffic Control-Level 1 Level 1 Traffic Control includes sending out the Traffic Control Van,Signs,Cones and 0 600.00 0.00 an Arrowboard.This would be driven by the second member of a Vac Crew or Camera Crew and does NOT include any Flagger.*Day Rate** _ Traffic Control-Level 2 Level 2 Traffic Control includes sending out the Traffic Control Van,Signs,Cones and 0 750.00 0.00 an Arrowboard.This service also includes one(1)Flagger.**Day Rate** Traffic Control-Level 3 Level 3 Traffic Control includes sending out the Traffic Control Van,Signs,Cones and 0 1,100.00 0.00 an Arrowboard.This service also includes two(2)Flaggers.**Day Rate** Traffic Control-Level 4 Level 4 Traffic Control includes sending out the Traffic Control Van(s),Signs,Cones 0 1,400.00 0.00 . and two(2)Arrowboards.This service also includes two.(2)Flaggers.**Day.Rate**. ... SUE GPR(per unit) S.0 E GPR(per unit)**Price is based on PER DAY** 0 2,000.00 0.00 SUE Locate(per unit) S.U.E.Locate(per unit)**Price is based on PER LINEAR FOOT**T. .. .. .__ .................._.........._4. .......1.15 ..._...........0.00....' SUE VAC(per unit) S.U.E.VAC(per unit)**I-10 Test Holes** 0 700.00 0.00 SUE VAC(per unit) S.U.E.VAC(per unit).**I 1-25 Test Holes** 0 650.00 0.00 SUE VAC(per unit) S.U.E.VAC(per unit)**26-50 Test Holes** 0 600.00 0.00 SUE VAC(per unit), . S.U.E.VAC(per•unit)•**>50 Test Holes** .... ..-,:.:..2_,_........ ..... 550.00 .. .. o.00 . Waste Disposal(clean) Waste Disposal.(clean,per dump)**IF NEEDED** 0 125.00 0.00 This estimate was produced using the information that you provided,in combination with our previous experience. Please note that if no or inaccurate utility prints were provided,there could be variations between the estimated time and the actual time on site. This is only an estimate, so the final price may vary based on situations encountered on site. If you require a firm Do-Not-Exceed price,please contact our office. Total Phone# Fax# E-mail Web Site 888-858-9830 888-858-9829 BHI@bhug.com www.bhug.com THE OFFICIAL UNDERGROUND UTILITY LOCATING Inc.COMPANY OF THE INDIANAPOLIS COLTS r-. 5 D 243 . 201502101 Exhibit A Blood Hound, Inc. Estimate 750 Patricks Place Date Estimate # Brownsburg,IN 46112 5/11/2016 19044 Name/Address American Structurepoint,Inc. 7260 Shadeland Station Indianapolis,IN 46256 Accounts Payable Item Description Qty Cost Total Pricing being submitted for the Carmel Infrastructure Project.Per hole prices above for Test Holes are based on native backfill compacted in 6"lifts.Holes will be tack coated and capped with cold patch if in paved areas.If any special restoration is required additional pricing will have to be provided. If additional hourly rates are needed for the purpose of the contract,they can be found in Appendix"D"of Blood Hound's contract with the Indiana Department of Transportation(INDOT). Natalie Parks,P.E. Utility&Railroad Coordinator American Structurepoint 7260 Shadeland Station,Indianapolis,IN 46256 t 317.547.5580 c 317.523.7517 • e nparks@structurepoint.com This estimate was produced using the information that you provided,in combination with our previous experience. Please note that if no or inaccurate utility prints were provided,there could be variations between the estimated time and the actual time on site. This is only an estimate, so the fmal price may vary based on situations encountered on site. If you require a firm Do-Not-Exceed price,please contact our office. . , .• • • Total $0.00 Phone# Fax# E-mail Web Site 888-858-9830 888-858-9829 BHI@bhug.com www.bhug.com THE OFFICIAL UNDERGROUND UTILITY LOCATING I _mg) COMPANY OF THE INDIANAPOLIS COLTS t' o e fS"`�` 5000 3 0{3 201502101 American Structurepoint,Inc. Engineering Department-2016 Appropriation:ASA#20;#94-650.04;COIT Bond Fund ;P.O.#34339 Contract Not To Exceed$50,000.00 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. • IS:1Contracts\rofSvcs&Goods Svcs lEngincering@016 American Struclurcpoint,Inc.ASA#20 Add I Svcs Amend 3-27-2012 with E-Verify language.doc:8/92016 4:11 PMI American Structurepoint,Inc. Engineering Department-2016 Appropriation:ASA#20;#94-650.04;COLT Bond Fund;P.O.#34339 Contract Not To Exceed S50,000.00 Exhibit"C" E-Verify Affidavit n Ir,'u .y ,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 Qnerr cr,.l Srr�1 fart r, (the "Company") in the position of 1/itr Fievrie,e 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 /0 day of 'o v S r- ,20 f G. Printed: 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. `,�g171N61�11711r7lrletp #7(07- ct• .cr _;,.a Printed: Ririe , e-f is r NOTARYY :c is? PUBLIC =c g -t% SEAL .€ `�? IS:Ymnact 11u1Sw&GalsSw+Ea,statinO01LNtn"lan St+uu,terpiol the.ASA 120MI1Svcs Amend}27.2012with 0•Vmly laa,uyealn=SAl2Ol64:l 1 Phl! v INDIANA RETAIL TAX EXEMPT Page 1 of 1 Cit y ®f Cairriie]1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 34339 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P 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 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 8/8/2016 00350562 Project 16-ENG-91;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 I BLANKET CONTRACT PAYMENT TERMS FREIGHT 7270 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 2200 Fund: 0 COIT Bond Fund Account: 94-650.04 1 Each ASA 20 -Additional Subsurface Utility Engineering Services $50,000.00 $50,000.00 Sub Total $50,000.00 / if t, 13 x It 11 t - 1 i ,'- .._,, e S i Send Invoice To: 4.. -1- V_A M M�3 ; z Y Skip Tennancour x, N American Structurepoint, Inc. 8425 Wicklow Way Brownsburg, IN 46112 4 _ >: 0 r =ate 2016 COIT Bond PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $50,000.00 SHIPPING INSTRUCTIONS •ANVOUCHER 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 ��' J f TITLE CONTROL NO. 34339 CLERK-TREASURER