American Structurepoint, Inc/Eng/ Adl Serv #21/13,320/Pennsylvania Street and City Center Drive Roundabout – Landscaping Design American Structurepoint,Inc. •
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Engineering Department-2016 p'
Appropriation:ASA#21;#94-650.04;P.O.#34338
Contract Not To Exceed$13,320.00 JNO.,
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"Be, 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:
P rcie
James Brainard,Presiding Officer u orized Signature
Date: /6G� /14a.ttpe✓ieh
Printed Name
Mary Ann Bur e, e r // ))
Date: k i', ,Q et: .� e
Title '
Lori S. • atson, FID/TIN: 35-- 1l a7 3/7
Date:
Last Four of SSN If Sole Proprietor:
A ES `
4C140' Date: i+l us# � :g .Vp/6r
ine Pauley,C rk-Treasu i
Date: / /
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•
AMERICAN
0•
.911 STRUCTUREPOINT
August 8, 2016
Mr.Jeremy Kashman
Cannel City Engineer
One Civic Square
Carmel,Indiana 46032
Re: Pennsylvania and City Center Roundabout Landscaping Design
Dear Mr. Kashman:
On behalf of American Structurepoint,Inc., I am pleased to submit this proposal for Pennsylvania
and City Center Roundabout Landscaping Design Services, as described in Exhibit A(attached).
Upon receiving notice to proceed from the City of Cannel, American Structurepoint will
commence with the above professional services for landscaping design for a total lump-sum fee
of$13,320.
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.
Michael Maurovich
Project Manager
MJM:mek
Attachment
cc: Mike McBride
EXHfoil
IBiT
201502101
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Exhibit A
Pennsylvania and City Center 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.
t a
August 8,2016 201502101
American Structurepoint,Inc.
Engineering Department-2016
Appropriation:ASA#21;#94-650.04;P.O.#34338
Contract Not To Exceed$13,320.00
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:\Conlrncls\Prof.Svcs&Goals Svcs\Enginccring2016 Amcricn Slruclurcpoim,Inc.ASA#21 Add'!Svcs Amend 3.27-2012 wish E-Vcrify Inrgungc.doc:8/152016 4:33 PMI
American St ucturepoint,Inc.
Engineering Department-2016
Appropriation:ASA#21;#94-650.04;P.O.#34338
Contract Not To Exceed$13,320.00
Exhibit"C"
E-Verify Affidavit
/Teri Bai4n 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 niet ea„ 4-1 reckon?Wirt (the "Company") in the position
of:Wee Pr wide..+
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 a? day of vv ,1O l4 .
Printed: "' i
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.
/1147,7 .-�� TZ,No�'4, , Printed:Par;s rta f 4':Z.
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4: '�"''' "^' flul I-VERl1T IA A SZAVICL or➢AS
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 Structurepolnt,Inc.
Chelsea Shumaker
Name(Please Type or Print) Title u
Electronically Signed 09/17/2009
Signature Date
Department of Homeland Security Verification Division
USCIS Verification Division
(Please Name Type or Print) Title
Electronically Signed 09/1712009 •
Signature Date
•
Page 11 of 131E-Verify MOD for EmpioyerlRetisiion Date 10/29/08 vninv.dhs.goviE-Verify
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2.
Mr. It
Vffia[/II I8 A 9011VICL Or DNS
Company ID Number 254011
Information Required for the E.Verify Program
Information relating to your Company:
Company Name:American Structurepolnt,Inc,
Company!Facility Address:.7260 Shadeland Station
lndianepolle,IN 46256
Company Alternate
Address:
County or Parish: Ir1ARIOPI
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 9 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 EmptoyerrRevision Date 10/29/98 .dhs.gov/E-Verify
"1,1 eit.e'i
- ��` .- rs vaun 15 A SKAVICZ or nxn
Company ID Number.254011
o INDIANA 1 site(s)
information relating to the Program Administrator(s)for your Company on policy questions or
operational problems: •
Name: :: Chelsea'Sliumaker
Telephone Number: (317)647.-6680 Fax Number. (317)643-.0270
E mall Address: cshumaker@stetscturepolnt.com
Page 13 of 13jE-Verify MOU for EmptoyejRev sion Date 10/29108 .dhs.gov/ M erify
o INDIANA RETAIL TAX EXEMPT Page 1 of 1
cii1� c f C CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 34338
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
8/12/2016 00350562 Project 16-ENG-98;Contract Date 04.06.16
AMERICAN STRUCTURE POINT, INC City Engineering's Office
VENDOR 7260 SHADEI`AND STATION SHIP 1 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46256--3957 Kate Lustig
PURCHASE ID I BLANKET CONTRACT I PAYMENT TERMS FREIGHT
7496
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 0 General Obligation Bond
Account: 94-650.04
1 Each ASA 21 -Pennsylvania Street and City Center Roundabout $13,320.00 $13,320.00
Landscaping Design
Sub Total $13,320.00
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Send Invoice To: :,- _ r {,q ,.;'
Jill Newport `
CrossRoad Engineers, P.C. ;.. '`' it
3417 Sherman Drive _ `�
Beech Grove, IN 46107 r.4 ;:'* * �' '- "�
G.O./Storm Water Bonds
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $13,320.00
SHIPPING INSTRUCTIONS *NP 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 APP PRIATION 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
TITLE
CONTROL NO. 34338 CLERK-TREASURER