American Structurepoint, Inc/Eng/137,786.70/Adl Serv #18/Carey Road and Hawthorne Drive Roundabout – Construction Inspection American Structurepoint,Inc.
Engineering Department-2016
Appropriation:ASA#18;#94-650.04;General Obligation Bond;P.O.#34015,$183,715.60;P.O.#34016.$137,786.70;P.O.
#34017,$137,786.70
Contract Not To Exceed$459,289.00
ADDITIONAL SERVICES AMENDMENT TO
AO 41
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:
Aard, PrFOffir Authori ignature
D te: S7 1 /6
Printed Name
Mary Ann urke, Me ber •
Date: W/1 ,? 1 Z t/'I're P.e�.1�..�
Title"
Lori S.Watso ember FID/TIN: 3 S- //27 3/7
Date: 22/ 1—i1 r(,,,
Last Four of SSN if Sole Proprietor:
A S .
Date: 644ge.0 . ,vbi4,
ri"stine Paule� rk-Tjeasurer
Date: f O
SS:Y.nns.'J'n1Sn+k GN..I.S.oirnitoratua"1AUmml an Sva:tury.wu.lw.ASA itE.'11'I Sn+?maul 1.21.W I1 with L.VcMf,S+rpmpea►at I.'WIf k47.EMI
EXHIBIT"A"
SERVICES BY PROFESSIONAL
A. ENGINEERING PERSONNEL
For the fulfillment of all services outlined in Section B below, the Professional will provide one full-time
Resident Project Representative, inspectors, and clerical and secretarial personnel as required for a period
of time necessary to complete the construction project and final construction report.
The qualifications and experiences of personnel provided by the Professional are subJect to approval by the
City,and no personnel will be assigned to the project until the.City's approval is obtained.
The full-time Resident Project Representative will report to the City on all matters concerning contract
compliance and administration.
The full-time Resident Project Representative will coordinate project activities with City's project manager.
B. DESCRIPTION OF SERVICES
1. Construction Schedule: Review and monitor the construction schedules prepared by the Contractor
for contract compliance and provide detailed documentation and recommendations to the City
concerning the schedule's acceptability.
2. Conferences Schedule, conduct, notify participants, and provide minutes of preconstruction
meetings, partnering meetings, progress meetings, and such other job conferences as required for
the timely and acceptable conduct of the job. Attend Public Information Meetings conducted by
the City.
The.Professional shall be available for conferences as requested by the City to review working details
of the project,, The City may review and inspect the activities whenever desired during the life of
the agreement:
3. Liaison Serve as the City's liaison with the Contractor, working principally through the
Contractor's field superintendent or such other person in authority as designated by the Contractor.
The full-time Resident Project Representative shall be thoroughly familiar with the plans and
specifications applicable to the project to monitor the Contractor for compliance with the provisions
therein. Any deviation observed shall be addressed to the Contractor by.the Resident Project
Representative. Recommendations to obtain compliance also shall be reported to the City;
4: Cooperate Cooperate with the City in dealing with various federal,state,and local agencies having
jurisdiction over the project.
5. Obtain from the Contractor
a. A list of his proposed suppliers and subcontractors
b. Additional details or information when needed at the job site for proper execution of the
work
6. Certification of Materials: Check for completeness of certifications of materials delivered to the
7.
Shop Drawings
a. Receive.shop drawings and falsework drawings. Check falsework drawings for
completeness and obtain structural engineer's approval of the proposed design: Forward
shop drawings to the design consultant for review and approval.
Exhibit A /6f ' 7 2016:0i670
b. Review the approved shop falsework drawings, specifications and other submissions,
record receipt of this data, maintain a file of all drawings and submissions, and check
construction for compliance in accordance with the Contract Documents.
c. Alert the Contractor's field superintendent when it is observed that materials or equipment
is being or is about to be used or installed before approval of shop drawings or samples,
where such are required, and advise the City when it is necessary to disapprove work as
failing to conform to the Contract Documents.
8. Review of Work,Inspection,and Tests
a. Conduct on-site inspections for the City,of the work in progress,as a basis for determining
that the project is proceeding in accordance with the Contract Documents_
b. Accompany visiting inspectors representing local, state, or federal agencies having
jurisdiction over the project and report details of such inspections to the City
c. Verify that the required quality control sampling and testing has been accomplished and
materials certification has been provided by the Contractor.
d. Review the Contractor's test/certification results and the City's independent assurance tests
for accuracy and retain in the project file
e. Questionable testing methods or results from the Contractor may initiate an increase in the
volume of assurance tests.
9. Modification: Consider and evaluate the Contractor's suggestions for modifications in drawings
and/or specifications and report them with recommendations to the City.
I0. Records
a. Prepare and maintain at the job site orderly files of correspondence, reports of job
conferences, shop drawings and other submissions, reproductions of original Contract
Documents, including all addenda, change orders,and additional drawings subsequent to
the,award of the Contract,progress reports,and other project related documents _.
b._ Keep a diary or logbook,recording hours on the job site,weather conditions,list of visiting
officials, decisions, general observations, and specific observations with regard to test
procedures. Upon request, furnish copies of such a diary or logbook to the City.
c. Maintain for the City, a record of names, addresses, and telephone numbers of all
subcontractors and major material suppliers
d. Maintain a set of drawings on which authorized changes are noted and deliver to the City
uponreuest
q but in any.event,.at the completion of the project•. . ;
e. Prepare the Final Construction Record and Final Estimate as required b the City
11 Reports: Furnish to the City at periodic intervals, as required, progress reports of the project,
including the Contractor's compliance with the approved construction schedule
12. . Progress Estimates: Prepare progress estimates for periodic partial payments to the Contractor and
deliver to the City for review and processing. The payments to the Contractor will be based on
P h• P y ...
estimates of the value of work performed and materials complete in place in accordance with the
contract.
13 Project Responsibility The Resident Project Representative will be responsible for the .:
documentation of pay quantities and estimates and the maintenance of appropriate records related
to the construction of this project- .. P J
Exhibit A 2 cy-P 2016.01670
14. Work Schedule and.Suspension: The Professional's crew will be required to regulate their
workweek to conform to the Contractor's hours in accordance with the directions of the City. If
work on the construction project is suspended and all matters concerning contract compliance and
administration are complete, the services of the Professional may also be suspended'.without cost
to the project.
15. Contract Administration: The Professional will administer the contract in accordance with City's
procedures.
16. If directed by the City,the Professional shall prepare,as needed,design,survey,right-of-way,and
other services consistent with the previous services that have been performed by the Professional
on this project. These services will be performed and paid for based on an amendment to this
agreement to be negotiated between the City and the Professional.
17.. If the City requests services beyond the scope of this agreement and capabilities of the Professional,.
Professional will prepare an amendment to provide these services through a subconsultant approved
by the City.
INFORMATION AND SERVICES TO BE FURNISHED BY CITY
The City shall furnish the Professional with the following.
I. A City's representative with decision-making authority on all inquiries
2: Assistance to the Professional by placing at its disposal all available information pertinent to
the project
SCHEDULE
I. The Professional will be prepared to begin the work under this Agreement within five(5)days
after a letter of notice to proceed is received from the City. The Professional shall complete
and deliver the final project documents and final estimate to the Project Manager within sixty
(60) days after the project's final acceptance by the City.
2. The assumed duration of the Project is 44 weeks. •
Exhibit A 3 of 7 2016 01670
INSPECTION FEE JUSTIFICATION
MANHOURS BY CLASSIFICATION
OWNER: City of Carmel
DESCRIPTION: Intersection Improvements: Roundabout construction at:
Pennsylvania Street and City Center Drive
136th Street(Smokey Row Road)and Carey Road
Carey Road and Hawthorne Drive
LETTING: August 17,2016
NOTICE TO PROCEED: August 29,2016 Anticipated
SUBSTANTIAL COMPLETION DATE: December 2,2016 Anticipated
CONTRACT COMPLETION DATE: June 2,2017 Anticipated
PRECONSTRUCTION ACTIVITIES: 8/22/2016 to 9/2/2016 = 2.00 weeks
CONSTRUCTION ACTIVITIES
TO SUBSTANTIAL COMPLETION: 9/5/2016 to 12/2/2016 = 13.00 weeks
CONSTRUCTION ACTIVITIES
TO FINAL COMPLETION: 12/5/2016 to 6/2/2017 = 26.00 weeks
POST-CONSTRUCTION ACTIVITIES: 6/5/2017 to 6/23/2017 = 3.00 weeks
44.00 weeks
The following pages(manhour justification and fee estimate)are based on the above construction schedule. Any delay or extension
in the construction that significantly extends the completion date shown above may require an extension to this Agreement
and an increase in the estimated fees.
EXHIBIT V�
LABOR
PROJECT MANAGER:
Regular time: 44 weeks @ 2 hours/week = 88 hours
PROJECT MANAGER TOTAL HOURS = 88 hours
SENIOR RESIDENT PROJECT REPRESENTATIVE:
Regular time: 44 weeks @ 4 hours/week = 176 hours
SENIOR RESIDENT PROJECT REPRESENTATIVE TOTAL HOURS = 176 hours
RESIDENT PROJECT REPRESENTATIVE:
Preconstruction Activities:
Regular Time: 2 weeks @ 20 hours/week = 40 hours
Construction Activities
To Substantial Completion:
Regular Time: 13 weeks @ 20 hours/week = 260 hours
Overtime(assume 0%) 260 @ 0% _ - hours
Construction Activities
To Final Completion:
Regular Time: 26 weeks @ 5 hours/week = 130 hours
Post-Construction Activities:
Regular Time: 3 weeks @ 20 hours/week = 60 hours
RESIDENT PROJECT REPRESENTATIVE TOTAL REGULAR HOURS = 490 hours
RESIDENT PROJECT REPRESENTATIVE TOTAL OVERTIME HOURS = - hours
FM- 1T
5- 3f7
ASSISTANT RESIDENT PROJECT REPRESENTATIVE:(Assume 3 Assistants required(1 per roundabout)
Preconstruction Activities:
Regular Time: 2 weeks @ 120 hours/week = 240 hours
Construction Activities
To Substantial Completion:
Regular Time: 13 weeks @ 120 hours/week = 1,560 hours
Overtime(assume 25%) 1,560 @ 25% = 390 hours
Construction Activities
To Final Completion:
Regular Time: 26 weeks @ 10 hours/week = 260 hours
Post-Construction Activities:
Regular Time: 3 weeks - @ 120 hours/week = 360 hours
ASSISTANT RESIDENT PROJECT REPRESENTATIVE TOTAL REGULAR HOURS = 2,420 hours
ASSISTANT RESIDENT PROJECT REPRESENTATIVE TOTAL OVERTIME HOURS = 390 hours
INSPECTOR(S):
Construction Activities: (assume 1 inspector(s)needed):
Regular Time: 13 weeks @ 40 hours/week = 520 hours
Overtime(assume 25%) 520 @ 25% = 130 hours
Post-Construction Activities: (assume 0.5 inspector(s)needed):
Regular Time: 3 weeks @ 20 hours/week = 60 hours
INSPECTOR(S)TOTAL REGULAR HOURS = 580 hours
INSPECTOR(S)TOTAL OVERTIME HOURS = 130 hours
yg��^.B�F Qy$9�c? �I�
EXHiE<i E
Coy
INSPECTION FEE SUMMARY
CONSTRUCTION INSPECTION SERVICES
CLIENT: City of Carmel
DESCRIPTION: Intersection Improvements: Roundabout construction at:
Pennsylvania Street and City Center Drive
136th Street(Smokey Row Road)and Carey Road
Carey Road and Hawthorne Drive
Rate Units Fee
Project Manager $ 185.00 88 $ 16,280.00
Senior Resident Project Representative $ 125.00 176 $ 22,000.00
Resident Project Representative(Regular) $ 115.00 490 $ 56,350.00
Resident Project Representative(Overtime) $ 132.25 - $ -
Asst.Resident Proj Representative(s)(Regular) $ 105.00 2,420 $ 254,100.00
Asst.Resident Proj Representative(s)(Overtime) $ 120.75 390 $ 47,092.50
Inspector(s)(Regular) $ 87.00 580 $ 50,460.00
Inspector(s)(Overtime) $ 100.05 130 $ 13,006.50
TOTAL INSPECTION FEE $ 459,289.00
Estimated Construction Cost $ 5,000,000.00
%Construction 9.19%
Pennsylvania Street&City Center Drive Estimated Construction Cost $ 2,000,000.00
Inspection Fee $ 183,715.60
136th Street&Carey Road Estimated Construction Cost $ 1,500,000.00
Inspection Fee $ 137,786.70
Carey Road&Hawthorne Drive Estimated Construction Cost $ 1,500,000.00
Inspection Fee $ 137,786.70
XFRP iT
7f7
American Structurepoint,Inc.
Engineering Department-2016
Appropriation:ASA#18;#94-650.04;General Obligation Bond;P.O.#34015,$183,715.60;P.O.#34016,$137,786.70;P.O.
#34017,$137,786.70
Contract Not To Exceed$459,289.00
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:\Contracts'Prof.Svcs&Goads Svcs\Engineering\2016 Amcrican Structurepoint,Inc ASA p18 Add!Svcs Arnold 3.27.2012 with E-Vcrify Iungunge.doc:8/12016 9:47 AM]
American Structurepoint,Inc.
Engineering Department-2016
Appropriation:ASA#18;#94-650.04;General Obligation Bond;P.O.#34015,$183,715.60;P.O.#34016,$137,786.70;P.O.
#34017,$137,786.70
Contract Not To Exceed$459,289.00
Exhibit"C'
E-Verify Affidavit
Gen IrRu.vf 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
A 54rucac.rer,:„I. (the "Company") in the position
of Wee.. .
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 "�Jt7 u�i ,20 l4 .
Printed: fd;
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.
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•
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 888464-4218.
Employer American Structurepoint,Inc.
Chelsea Shumaker
Nemo(Please Type orPrint) Title
E►ectroAlcally.Signed 09/1712009
Signature .,> Dats
Department of Homeland Security-Verification Division •
USCIS Verification Division
Name(Please Type or Print) Titre
Electronically Signed 09/1712009
signature Date
Page 11 of 13IE Verify MOU for EmployerlRe ision Date 10/23/08 WWW.dhs.gov/E-Verify
64 -1 1
1, A'
1111
c-vsacrr IS n ccnvmc or Pitt
Company ID Number.254011
information Required for the ERVerify Program
Information relating to your Company:
Company:Name:American Stnicturepolnt,inc,
Company Facility,Address:7260ShadeiandStation
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 131E Verify MOU for EmpfoyetlRevision Date 10/29/08 www.dhs.gov/E-Verify
SCR,
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Iti l.Vfllff Is A flAUICCL Or LMa
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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 Shumakor
Telephone Number: (317)647-6560 Fax Number. (317)543-.0270 -
E-mail Address: cshumaker@structurepolnt.com
Page 13 of 131E-Verify MOU for Employer1Revisian Date 10129/08 www.dhs.govlE-Verify
Received
07-29-16A11 :56 RCVD
LETTER OF TRANSMITTAL City of Carmel
Department of Law
Date: July 29, 2016
To: Doug Haney
Department of Law
From: Jeremy Kashman 3M(f-
Department of Engineering
RE: American Structurepoint, Inc. Additional Service Amendment
One additional service amendment is needed for American Structurepoint, Inc. for the August 17th,
BPW meeting, please.
Attached please find the work proposal and purchase order.
Contract Information:
Project Name: ASA 18; Pennsylvania Street and City Center Roundabout, 136th Street and Carey Road
Roundabout, Carey Road and Hawthorne Drive Roundabout—Construction Inspection
Vendor: American Structurepoint, Inc.
Amount: $459,289.00
Appropriation: PO 34015, PO 34016, PO 34017; 2016 General Obligation Bonds
Signature: Willis R. Conner
Address: 7260 Shadeland Station
Indianapolis, IN 46256
Phone: 317/547-5580
Fax: 317/543-0270
Email: wconner(a�structurepoint.com
rr 6
ii iii u it Ill n�®
.-,n In ii It . ii II iU n!k?.
MI III MIll
CITY ®r ARMEL
July 29,2016 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 4625 6-3 957
RE: Additional Service Amendment#18,P.O.#34015,#34016,#34017
Dear Mssrs. Conner and Henneke:
As we discussed,the City of Carmel 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#18— Pennsylvania Street and City Center Roundabout
136th Street and Carey Road Roundabout
Carey Road and Hawthorne Drive Roundabout
Construction Inspection
Not to Exceed: $459,289.00
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 Carmel with your
professional, quality services. If you should have any questions,please give me a call.
Sincerely,
Jer y M.Kashman,P.E.
City Engineer
Reviewed and approved by:
S. C.ECgelking
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
AMERICAN
■ STRUCTUREPOINT
INC.
■
July 22,2016
Mr.Jeremy Kashman,PE
City of Carmel Engineer
One Civic Square
Carmel,Indiana 46032
i(6-EN G—2—+ i to-EMI U-2(�
Re: Roundabout Construction at Pennsylvania&City Center, 136`h Street&Carey,
and Carey&Hawthorne i - - o c
Construction Engineering
Carmel Project No.Various
Dear Mr.Kashman:
On behalf of American Structurepoint, Inc., I am pleased to submit this proposal for construction
inspection services for the construction of roundabouts at Pennsylvania Street & City Center Drive,
136th Street&Carey Road,and Carey Road&Hawthorne Drive.
The professional services shall include all construction inspection and observation services necessary to
complete this project as described in Exhibit A, attached. The services performed under this task order
will be completed for a fee not to exceed$459,289.00 as outlined in the attached manhour justification,
and will only be billed as hours are used. Unused hours will not be invoiced. The fee breakdown per
roundabout is as follows: Pennsylvania Street & City Center Drive shall not exceed $183,715.60, 136th
Street&Carey Road shall not exceed$137,786.70,and Carey Road&Hawthorne Drive shall not exceed
$137,786.70.
We look forward to continuing working with the City of Cannel on this project. If you should have any
questions,do not hesitate to contact Todd Rutledge at(317)547-5580.
Very truly yours,
Am m urepo t,
e a ' n
Vice President
SJD:mek
Attachments
2016.01670
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•,; t ,4'1 60 haiei'a ci St t t ':O a oir6it'"ii�afra*67566:mif �7�5filS:58Q 71fe,45,, t7cQr w strut u a�gtnt�e kl '� 4
Ca INDIANA RETAIL TAX EXEMPT Page 1 of 1
ityo f IIariririie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL-EXCISE TAX-EXEMPT ' -- 3401 5
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AP
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
7/29/2016 00350562 Project 16-ENG-27;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 CONTRACT PAYMENT TERMS FREIGHT
7024
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 0 General Obligation Bond
Account: 94-650.04
1 Each ASA 18-Pennsylvania Street and City Center RAB- $183,715.60 $183,715.60
Construction Inspection
Sub Total $183,715.60
f, r n' 4' .
:4 't
1 ' 1
r t 1
i i ,iii \
y.. h b-41.- i ''JF'-R l .I g
Send Invoice To: `; ;` " ;,:4_ _� - ,t_ r,
Jill Newport
CrossRoad Engineers, P.C. 'N. 4 r`-J '
3417 Sherman Drive ti= v n v ,-, o _*
Beech Grove IN 46107 t
�
G.O./Storm Water Bonds
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $183,715.60
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 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
ks
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TITLE
CONTROL NO. 34015 CLERK-TREASURER
Cv INDIANA RETAIL TAX EXEMPT Page 1 of 1
lay of Carmel_ CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
_ =FEDERAL=EXCISE TAX EXEMPT -- __- —340 1 6"- - - -
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM 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
-
7129/2016 00350562 Project 16-ENG-26;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 CONTRACT I PAYMENT TERMS FREIGHT
7025
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 0 General Obligation Bond - . -
Account: 94-650.04 .
. 1 Each. ASA 18-136th Street and Carey Road RAB-Construction $137,786.70 $137,786.70
Inspection
. . Sub Total $137,786.70
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Send Invoice To: f _tin.:,, F '< ;
Jill Newport `'1/4j' Af
CrossRoad Engineers, P.C. �N. �$`"^,,,,, _�`
3417 Sherman Drive - ^- .ik
Beech Grove, IN 46107 H /} P' e
fi ., • 1., .4, .;,a,,
G.O./storm Water Bonds PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $137,786.70
SHIPPING INSTRUCTIONS 'ASP 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 Lf�� /" -
ORDERED BY y
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. /
TITLE
CONTROL NO. 34016 CLERK-TREASURER
City
INDIANA RETAIL TAX EXEMPT Page 1 of 1
ofCarmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 34017
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AR
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM 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
7/29/2016 00350562 Project 16-ENG-09;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 CONTRACT PAYMENT TERMS . FREIGHT •
7026
QUANTITY UNIT OF MEASURE DESCRIPTION . . UNIT.PRICE EXTENSION
Department: 2200 Fund: 0 General Obligation Bond
Account: 94-650.04
. 1 Each : ;ASA 18-Carey Road and Hawthorne Drive RAB,-.., $137,786.70 .$137,786.70
Construction Inspection
Sub Total $137,786.70
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Send Invoice To: -= : -- "g , y
Jill Newport . ` ,'
CrossRoad Engineers, P.C. N. --a,, ' r'9
3417 Sherman Drive "--
Beech Grove, IN 46107 if ,t, r% ' N'y
G.O./Storm Water Bonds "
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $137,786.70
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
'COD.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 - ?2- L-?---
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TITLE
CONTROL NO. 34017 CLERK-TREASURER