OLCO, Inc/Eng/480,236.45/Carmel Drive Trail - ConstructionOLCO, Inc.
Engineering - 2016
Appropriation #94-650.04, COIT Bond; P.O. #34296 p�
Contract Not To Exceed $480,236.452-��o`�
AGREEMENT FOR PURCHASE OF GOODS AND SERVICES
THIS AGREEMENT FOR PURCHASE OF GOODS AND SERVICES ("Agreement") is
hereby entered into by and between the City of Carmel, Indiana, acting by and through its Board
of Public Works and Safety ("City"), and OLCO, Inc., an entity duly authorized to do business in
the State of Indiana ("Vendor").
TERMS AND CONDITIONS
1. ACKNOWLEDGMENT, ACCEPTANCE:
Vendor acknowledges that it has read and understands this Agreement, and agrees that its execution of
same constitutes its acceptance of all of the Agreement's terms and conditions.
2. PERFORMANCE:
City agrees to purchase the goods and/or services (the "Goods and Services") from Vendor using City
budget appropriation number 94-650.04, COIT Bond funds. Vendor agrees to provide the Goods and
Services and to otherwise perform the requirements of this Agreement by applying at all times the highest
technical and industry standards. Vendor will not perform any of the Services detailed in- Exhibit A prior to
obtaining a written Notice to Proceed from the City. Upon receiving a Notice to Proceed, the Vender shall
perform only those Services specifically detailed in the Notice. If the Vender desires clarification of the scope
of any Notice to Proceed, the Vendor shall obtain such clarification from the City in writing, prior to
performing the service set forth in the Notice. to Proceed. Any services performed without the City's prior
express written authorization will not be compensated.
PRICE AND PAYMENT TERMS:
3.1 Vendor estimates that the total price for the Goods and Services to be provided to City hereunder
shall be no more than Four Hundred Eighty Thousand Two Hundred Thirty Six Dollars and Forty
Five Cents ($480,236.45) (the "Estimate"). Vendor shall submit an invoice to City no more than once
every thirty (30) days detailing the Goods and Services provided to City within such time period. City
shall pay Vendor for such Goods and Services within sixty (60) days after the date of City's receipt of
Vendor's invoice detailing same, so long as and to the extent such Goods and Services are not
disputed, are in conformance with the specifications set forth in Exhibit A, are submitted on an
invoice that contains the information contained on attached Exhibit B, and Vendor has otherwise
performed and satisfied all the terms and conditions of this Agreement.
3.2 Vendor agrees not to provide any Goods and Services to City that would cause the total cost of the
Goods and Services provided by Vendor to City hereunder to exceed the Estimate, unless City has
previously agreed, in writing, to pay an amount in excess thereof.
4. WARRANTY:
Vendor expressly warrants that the Goods and Services covered by this Agreement will conform to those
certain specifications, descriptions and/or quotations regarding same as were provided to Vendor by City
and/or by Vendor to and accepted by City pursuant to or as part of that certain City of Carmel Engineering
Department Bid Proposal Package for "Carmel Drive Trail Project" received by the City of Carmel Board of
Public Works and Safety on or about September 7, 2016, all of which documents are incorporated herein by
reference, and that the Goods and Services will be delivered in a timely, good and workmanlike manner and
free from defect. Vendor acknowledges that it knows of City's intended use and expressly warrants that the
Goods and Services provided to City pursuant to this Agreement have been selected by Vendor based upon
City's stated use and are fit and sufficient for their particular purpose.
[V;Vh—W0.1.d TrotS— & Goods S— Engi.—ing12016W1.00 Goods & Services 9-9-16.d-9192016 11:16 AMI
OLCO, Inc.
Engineering - 2016
Appropriation #94-650.04, COIT Bond; P.O. #34296
Contract Not To Exceed $480,236.45
5. TIME AND PERFORMANCE:
This Agreement shall become effective as of the last date on which a party hereto executes same ("Effective
Date"), and both parties shall thereafter perform their obligations hereunder in a timely manner. Time is of the
essence of this Agreement.
6. DISCLOSURE AND WARNINGS:
If requested by City, Vendor shall promptly furnish to City, in such form and detail as City may direct, a list of
all chemicals, materials, substances and items used in or during the provision of the Goods and Services
provided hereunder, including the quantity, quality and concentration thereof and any other information
relating thereto. At the time of the delivery of the Goods and Services provided hereunder, Vendor agrees to
furnish to City sufficient written warning and notice (including appropriate labels on containers and packing)
ofany hazardous material utilized in or that is a part of the Goods and Services.
7. LIENS:
Vendor shall not cause or permit the filing of any lien on any of City's property. In the event any such lien is
filed and Vendor fails to remove such lien within ten (10) days after the filing thereof, by payment or bonding,
City shall have the right to pay such lien or obtain such bond, all at Vendor's sole cost and expense.
8. DEFAULT:
In the event Vendor: (a) repudiates, breaches or defaults under any of the terms or conditions of this
Agreement, including Vendor's warranties; (b) fails to provide the Goods and Services as specified herein;
(c) fails to make progress so as to endanger timely and proper provision of the Goods and Services and does
not correct such failure or breach within five (5) business days (or such shorter period of time as is
commercially reasonable under the circumstances) after receipt of notice from City specifying such failure or
breach; or (d) becomes insolvent, is placed into receivership, makes a general assignment for the benefit of
creditors or dissolves, each such event constituting an event of default hereunder, City shall have the right to
(1) terminate all or any parts of this Agreement, without liability to Vendor; and (2) exercise all other rights
and remedies available to City at law and/or in equity.
9. INSURANCE AND INDEMNIFICATION:
Vendor shall procure and maintain in full force and effect during the term of this Agreement, with an insurer
licensed to do business in the State of Indiana, such insurance as is necessary for the protection of City and
Vendor from all claims for damages under any workers' compensation, occupational disease and/or
unemployment compensation act; for bodily injuries including, but not limited to, personal injury, sickness,
disease or death of or to any of Vendor's agents, officers, employees, contractors and subcontractors; and,
for any injury to or destruction of property, including, but not limited to, any loss of use resulting therefrom.
The coverage amounts shall be no less than those amounts set forth in attached Exhibit C. Vendor shall
cause its insurers to name City as an additional insured on all such insurance policies, shall promptly provide
City, upon request, with copies of all such policies, and shall provide that such insurance policies shall not be
canceled without thirty (30) days prior notice to City. Vendor shall indemnify and hold harmless City from and
against any and all liabilities, claims, demands or expenses (including, but not limited to, reasonable attorney
fees) for injury, death and/or damages to any person or property arising from or in connection with Vendor's
provision of Goods and Services pursuant to or under this Agreement or Vendor's use of City property.
Vendor further agrees to indemnify, defend and hold harmless City and its officers, officials, agents and
employees from all claims and suits of whatever type, including, but not limited to, all court costs, attorney
fees, and other expenses, caused by any act or omission of Vendor and/or of any of Vendor's agents,
officers, employees, contractors or subcontractors in the performance of this Agreement. These
indemnification obligations shall survive the termination of this Agreement.
[VAsharedlConlrocWftof.Svcs&Goods S-s\Engin=ing\201610LC0 Goods &Semi -s 9-9-16d=90/2016 11:16 AM]
2
OLCO, Inc.
Engineering - 2016
Appropriation #94-650.04, COIT Bond; P.O. #34296
Contract Not To Exceed $480,236.45
10. GOVERNMENT COMPLIANCE:
Vendor agrees to comply with all federal, state and local laws, executive orders, rules, regulations and codes
which may be applicable to Vendor's performance of its obligations under this, Agreement, and all relevant
provisions thereof are incorporated herein by this reference. Vendor agrees to indemnify and hold harmless
City from any loss, damage and/or liability resulting from any such violation of such laws, orders, rules,
regulations and codes. This indemnification obligation shall survive the termination of this Agreement.
11. NONDISCRIMINATION:
Vendor represents and warrants that it and all of its officers, employees, agents, contractors and
subcontractors shall comply with all laws of the United States, the State of Indiana and City prohibiting
discrimination against any employee, applicant for employment or other person in the provision of any Goods
and Services provided by this Agreement with respect to their hire, tenure, terms, conditions and privileges of
employment and any other matter related to their employment or subcontracting, because of race, religion,
color, sex, handicap, national origin, ancestry, age, disabled veteran status and/or Vietnam era veteran
status.
12. E -VERIFY:
Pursuant to I.C. § 22-5-1.7 et seq., as the same may be amended from time to time, and as is incorporated
herein by this reference (the "Indiana E -Verify Law"), Vendor is required to enroll in and verify the work
eligibility status of its newly -hired employees using the E -Verify program, and to execute the Affidavit
attached herein as Exhibit D, affirming that it is enrolled and participating in the E -verify program and does
not knowingly employ unauthorized aliens. In support of the Affidavit, Vendor shall provide the City with
documentation indicating that it has enrolled and is participating in the E -Verify program. Should
Vendor subcontract for the performance of any work under and pursuant to this Agreement, it shall fully
comply with the Indiana E -Verify Law as regards each such subcontractor. Should the Vendor or any
subcontractor violate the Indiana E -Verify law, the City may require a cure of such violation and thereafter, if
no timely cure is performed, terminate this Agreement in accordance with either the provisions hereof or
those set forth in the Indiana E -Verify Law. The requirements of this paragraph shall not apply should the E -
Verify program cease to exist.
13. NO IMPLIED WAIVER:
The failure of either party to require performance by the other of any provision of this Agreement shall not
affect the right of such party to require such performance at any time thereafter, nor shall the waiver by any
party of a breach of any provision of this Agreement constitute a waiver of any succeeding breach of the
same or any other provision hereof.
14. NON -ASSIGNMENT:
Vendor shall not assign or pledge this Agreement, whether as collateral for a loan or otherwise, and shall not
delegate its obligations under this Agreement without City's prior written consent.
15. RELATIONSHIP OF PARTIES:
The relationship of the parties hereto shall be as provided for in this Agreement, and neither Vendor nor any
of its officers, employees, contractors, subcontractors and agents are employees of City. The contract price
set forth herein shall be the full and maximum compensation and monies required of City to be paid to
Vendor under or pursuant to this Agreement
jVAshaz Wontmm\Prof.Svm & Goods SvcslEngiuming\2016\0LC0 Goods R ScTi=9-9-16.doc:9/9/201611:16 AM)
DLCO, Inc.
Engineering - 2016
Appropriation #94-650.04, COIT Bond; P.O. #34296
Contract Not To Exceed $480,236.45
16. GOVERNING LAW; LAWSUITS:
This Agreement is to be construed in accordance with and governed by the laws of the State of Indiana,
except for its conflict of laws provisions. The parties agree that, in the event a lawsuit is filed hereunder, they
waive -their right to a jury trial, agree to file any such lawsuit in an' appropriate court in Hamilton County,
Indiana only, and agree that such court is the appropriate venue for and has jurisdiction over same.
17. SEVERABILITY:
If any term of this Agreement is invalid or unenforceable under any statute, regulation, ordinance, executive
order or other rule of law, such term shall be deemed reformed or deleted, but only to the extent necessary to
comply with same, and the remaining provisions of this Agreement shall remain in full force and effect.
18. NOTICE:
Any notice provided for in this Agreement will be sufficient if it is in writing and is delivered by postage
prepaid U.S. certified mail, return receipt requested, to the party to be notified at the address specified
herein:
If to City: City of Carmel
One Civic Square
Carmel, Indiana 46032
If to Vendor: OLCO, Inc.
24053 Vote Road
Batesville, IN 47006
ATTENTION: William Oesterling
AND Douglas C. Haney,
Corporation Counsel
Department of Law
One Civic Square
Carmel, Indiana 46032
Notwithstanding the above, notice of termination under paragraph 19 hereinbelow shall be effective if given
orally, as long as written notice is then provided as set forth, hereinabove within five (5) business days from
the date of such oral notice.
19. TERMINATION:
19.1 Notwithstanding anything to the contrary contained in this Agreement, City may, upon notice to
Vendor, immediately terminate this Agreement for cause, in the event of a default hereunder by
Vendor and/or if sufficient funds are not appropriated or encumbered to pay for the Goods and
Services to be provided hereunder. In the event of such termination, Vendor shall be entitled to
receive only payment for the undisputed invoice amount representing conforming Goods and
Services delivered as of the date of termination, except that such payment amount shall not exceed
the Estimate amount in effect at the time of termination, unless the parties have previously agreed in
writing to a greater amount.
19.2 City may terminate this Agreement at any time upon thirty (30) days prior notice to Vendor. In the
event of such termination, Vendor shall be entitled to receive only payment for the undisputed
invoice amount of conforming Goods and Services delivered as of the date of termination, except
that such payment amount shall not exceed the Estimate amount in effect at the time of termination,
unless the parties have previously agreed in writing to a greater amount.
19.3 The City may terminate this Agreement pursuant to Paragraph 11 hereof, as appropriate.
]V.W,h dConl.m\P,d.S—&C— Sv NEngi.—ing1201610LC0 Goods& S—i— 9-9-16.d-919201611:16 AM]
4
DLCO, Inc.
Engineering - 2016
Appropriation #94-650.04, COIT Bond; P.O. #34296
Contract Not To Exceed $480,236.45
20. REPRESENTATIONS AND WARRANTIES
The parties represent and warrant that they are authorized to enter into this Agreement and that the persons
executing this Agreement have the authority to bind the party which they represent.
21. ADDITIONAL GOODS AND SERVICES
Vendor understands and agrees that City may, from time to time, request Vendor to provide additional goods
and services to City. When City desires additional goods and services from Vendor, the City shall notify
Vendor of such additional goods and services desired, as well as the time frame in which same are to be
provided. Only after City has approved Vendor's time and cost estimate for the provision of such additional
goods and services, has encumbered sufficient monies to pay for same, and has authorized Vendor, in
writing, to provide such additional goods and services, shall such goods and services be provided by Vendor
to City. A copy of the City's authorization documents for the purchase of additional goods and services shall
be numbered and attached hereto in the order in which they are approved by City.
22. TERM
Unless otherwise terminated in accordance with the termination provisions set forth in Paragraph 19
hereinabove, this Agreement shall be in effect from the Effective Date through December 31, 2016 and shall,
on the first day of each January thereafter, automatically renew for a period of one (1) calendar year, unless
otherwise agreed by the parties hereto.
23. HEADINGS
All heading and sections of this Agreement are inserted for convenience only and do not form a part of this
Agreement nor limit, expand or otherwise alter the meaning of any provision hereof.
24. BINDING EFFECT
The parties, and their respective officers, officials, agents, partners, successors, assigns and legal
representatives, are bound to the other with respect to all of the covenants, terms, warranties and obligations
set forth in Agreement.
25. NO THIRD PARTY BENEFICIARIES
This Agreement gives no rights or benefits to anyone other than City and Vendor.
26. IRAN CERTIFICATION: Pursuant to I.C. § 5-22-16.5, the Vendor shall certify that, in signing this document,
it does not engage in investment activities within the Country of Iran.
27. ADVICE OF COUNSEL:
The parties warrant that they have read this Agreement and understand it, have had the opportunity to obtain
legal advice and assistance of counsel throughout the negotiation of this Agreement, and enter into same
freely, voluntarily, and without any duress, undue influence or coercion.
28. ENTIRE AGREEMENT:
This Agreement, together with any exhibits attached hereto or referenced herein, constitutes the entire
agreement between Vendor and City with respect to the subject matter hereof, and supersedes all prior oral
or written representations and agreements regarding same. Notwithstanding any other term or condition set
forth herein, but subject to paragraph 16 hereof, to the extent any term or condition contained in any exhibit
attached to this Agreement or in any document referenced herein conflicts with any term or condition
contained in this Agreement, the term or condition contained in this Agreement shall govern and prevail.
This Agreement may only be modified by written amendment executed by both parties hereto, or their
successors in interest.
�V:1shazed`ContrectsiProf.Svcs&Goods Sva\Enginemng1201610LC0 Goods R..Services 9.9-16.dm9l9/101611:16 AM]
OLCO, Inc.
Engineering - 2016
Appropriation #94-650.04, COIT Bond; Y.O. #34296
Contract Not To Exceed $430,236.45
IN WITNESS WHEREOF, the parties hereto have made and executed this Agreement as follows:
CITY OF CARMEL, INDIANA OLCO, Inc.
by and through its Board of Public
Works and Safety
By:
times Brainard'Pressi iry 0
Mary
Date:
Lori S.
Date:
ATTES
r
ristine S. Pauley,
Date:
;T
I1'.0.'nrcd'Gctrr,aVid:S
.r B' Y
1�
Authorized Signature
Printed Name
Vicz
Tile
FID/TIN:
—.A, C-4. C.W, s &—i— 9.1, 16d -..W -19I& 11:16A\II
Last Four of SS/N if /Sole Proprietor:
Date: �! 1 ) I
BIDDER'S ITEMIZED PROPOSAL
AND DECLARATIONS
City of Carmel
Instructions To Bidders:
This form shall be utilized by all Bidders. Except as otherwise specifically provided, all Parts
shall be fully and accurately filled in and completed and notarized.
Project: Carmel Drive Trail Project
Proposal For Construction of
The installation of anew HMA Multi -use. Path (Trail) along
the north side of Carmel Drive from just east of Old
Meridian Street to Arbor Drive, and a new HMA Multi -use
Path (Trail) along the north side of. Carmel Drive and a new
concrete sidewalk along the south side -of Carmel Drive
between just east of Chase Court and Yd Avenue Southwest.
Detailed construction plans and locations are included with
the roadway construction plans.
Date: SC4' "" -�)U 1
To: City of Carmel, Indiana, Board of Public Works and Safety
Veision 2016-08-31
b
PART 2
BID PROPOSAL
2.1 Base Bid
The undersigned Bidder proposes to furnish all necessary labor, machinery, tools,
apparatus, materials, equipment, service and other necessary supplies, and to perform and
fulfill all obligations incident thereto in strict accordance with and within the time(s)
provided by the terms and conditions of the Contract Documents for the above described
Work and Project, including any and all addenda thereto, for the Unit Prices applicable to
the Contract Items as stated in Part 3 hereof, which Unit Prices, when multiplied by
estimated unit. quantities for siqch Contract Items, total &.r k. ,,r vz.4 ,i stab,. 4�0,i nM
LxV"�At,3'r 'ir Dollars ($ f p 'i5 The
Bidder acknowledges t ' .t evaluation of the lowest Bid shall be 6ased on such price and
further acknowledges that the unit quantities listed in.Part 3 of this Proposal are estimates
solely for the purpose of Bid evaluation and Contract award, and are not to be construed
as exact. or binding, The Bidder further understands that all Work which may result on
the Contract shall be .compensated for on a Unit Price basis and that the OWNER and
ENGINEER cannot and'do not guarantee the amount or quantity of -any'item of Work to
be performed or furnished under -the Contract.
Version 2016.08-31
!7XHIBIT
2 ��
Carmel Drive Trail
September 7, 2016
DLCO, Inc.
Line Item
Quantity
Unit
Total Bid
Total Price/Unit
001- Construction Engineering
1
LS
$
5,560.00
$
5,500.00
002 - Mobilization and Demobilization
1
LS
$
52,187.50
$
52,187.50
003 - Clearing Right of Way
1
LS
$
9,750.00
$
9,750.00
004 - Common Excavation
1195
CYS
$
43,378.50
$
36.30
005 - Temporary Curb Inlet Protection
8
EA
$
704.00
$
88.00
006 -Temporary Check Dam, Revetment Riprap
18
TON
$
467.46
$
25.97
007 -Temporary Ditch Inlet Protection
4
EA
$
418.00
$
104.50
008 - Temporary Silt Fence
3020
LFT
$
7,550.00
$
2.50
009 - Subgrade Treatment, Type Ii
487
SYS
$
3,282.38
$
6.74
010 - Subgrade Treatment, Type.11l (Uncassified)
2.600
SYS
$
27,222.00
$
10.47
011- Structural Backfill, Type 2.
157
EA
$
6;562.60
$
41.80
012 - Compacted Aggregate No. 53 Base
889
TON
$
271381.20
$
30.80
613 - Milling, Asphalt, 11/2 In.
802
SYS
$
13,666:08
$
17.04
014 - HMA Surface, Type B, 9.5 mm
197
TON
$
33,588.50
$
170.50
015 - HMA Surface, Type C, 9.5 mm
23
TON
$
4,680.50
$
203.50
016 - HMA Intermediate, Type % 19 mm
334
TON
$
47,762.00
$
143.00
017 - Asphalt for Tack Coat
1.5
TON
$
16.50
$
11.00
018 - Sidewalk, Concrete
282
SYS
$
13,028:40
$
46.26
019 - Curb Ramp, Concrete
130
SYS
$
9,152.00
$
70.40
020 - Detectable Warning Surfaces
34
SYS
$
5,802.44
$
170.66
021- Curb, Concrete
100
LFT
$
1,375.00
$
13.75
022 - Curb and Gutter, Concrete
1197
LFT
$
22,060.71
$
18.43
023 - Mobilization & Demobilization for Seeding
2
EA
$
1,000.00
$
500.00
024 - Water
11
Kgal
$
82.50
$
7.50
025 - Sodding, Nursery
3018
SYS
$
18,138.18
$
6.01
026 - Misc. Equipment for Water Relocation/Adj.
1
LS
$
3,520.00
$
3,520.00
027 - Meter Pit'
1
EA
$
1,980.00
$
1,980.00
028 - Pipe, Type 2, Circular, IS In.
687
LFT
$
351174.40
$
51.20
029 - Pipe, Type 2, Circular, 18 In.
5
LFT
$
1,089.00
$
217.86
030 - Pipe, Type:2, Circular, _24 In.
227
LIT
$
14,596.10
$
64.30
031.- Pipe End Section, Diameter '15 In.
2
EA
$
1,055.00
$
527.50
632 - Water Valve Adjust to Grade
9
EA
$
2,722.50
$
302.50
033 - Casting, Furnish & Adjust to Grade
2
EA
$
968.00
$
484.00
034 - Inlet, E7
2
EA
$
5,437.50
$
2,718.75
035 _ Inlet, M10
5
EA
$
131125.00
$
2,625.00
036 - Manhole, C4
1
EA
$
2;750.00
$
2,750.00
037 - Structure, Manhole, Reconstructed
3
LFT
$.
1,875.00
$
625.00
038 - Fire Hydrant Assembly
3
EA
$
9,375.00
$
3,125.00
039.- Fire Hydrant Assembly Relocate
3
EA
$
6,562.50
$
2,187.50
040 - Maintaining Traffic
1
LS
$
17,560.00
$
17,500.00
041- Water Main Lowering
1
LS
$
7;750.00
$
71750.00
$
480,236.45
I- !H B IT A
3 0�3
EXHIBIT B
Invoice
Name of Company:
Address & Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
Date:
Signature
Printed Name
Goods
Services
Person Providing
Goods/Services
Date
Goods/
Service
Provided
Goods/Services Provided
(Describe each good/service
separately and in detail)
Cost Per
Item
Hourly
Rate/
Hours
Worked
Total
GRAND TOTAL
Signature
Printed Name
EXHIBIT C
INSURANCE COVERAGES
Worker's Compensation & Disability
Employer's Liability:
Bodily Injury by Accident/Disease:
Bodily Injury by Accident/Disease:
Bodily Injury by Accident/Disease:
Property damage, contractual liability,
products -completed operations:
General Aggregate Limit (other than
Products/Completed Operations):
Products/Completed Operations:
Personal & Advertising Injury
Policy Limit:
Each Occurrence Limit:
Fire Damage (any one fire):
Medical Expense Limit (any one person):
Statutory Limits
$100,000 each employee
$250,000 each accident
$500,000 policy limit
$500,000
$500,000
$500,000
$250,000
$250,000
$ 50,000
Comprehensive Auto Liability (owned, hired and non -owned)
Bodily Single Limit:
Injury and property damage:
Policy Limit:
Umbrella Excess Liability
Each occurrence and aggregate:
Maximum deductible:
$500,000 each accident
$500,000 each accident
$500,000
$500,000
$ 10,000
EXHIBIT D
AFFIDAVIT
i<- V/oVa% _ '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:
I ani over eighteen (18) years of age and am competent to testify to the facts contained
herein.
I am now and at all times relevant herein have been employed by
�-L.o�, / Vit (the "Employer")
in the position of e-c;otiti-5
3. I am familiar with the employment policies, practices, and procedures of the Employer and
have the authority to act on behalf of the Employer.
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.
The Company does not knowingly employ any unauthorized aliens.
FURTHER AFFIANT SAYETH NOT.
EXECUTED on the�7 j +
_day of 20�C,.
Wit WncNvQ.t\
Printed: imWal
1
I certit, 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.
'i,., W c
Printed: J ,G 0"1
Company ID Plumber: 562527
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.
Page 12 of 13 1 E -Verify MOU for Employer I Revision Date 09/01/09 www.dhs.gov/E-Verify
Mwf
l stiQ
�r
Company ID Number: 562527
North American Industry
Nancy S Palislm
Classification Systems
(812) 934 - 4574 Fax Number: (812) 934 - 6467
Code:
!238
! Administrator:
Pam K Oesterling
Number of Employees:
20 to 99
E Number of -Sites Verified
i
for:
,2
Are you verifying for more than I site? If yes, please provide the number of sites ver fied.for
!in each State:
® KENTUCKY
1 site(s)
INDIANA
i
I
I site(s)
Information relating to the Program Administrator(s) for your Company on policy
questions or operational problems:
Name:
Nancy S Palislm
Telephone. Number:
(812) 934 - 4574 Fax Number: (812) 934 - 6467
E-mail Address:
itaney@olcoine.eom
Name:
Pam K Oesterling
Telephone Number.
(812) 934 - 4574 Fax Number. (812) 934 - 6467
E-mail.Address:
pam@olcoine.com
Page 13 of 131 E -Verify MOU for Employer 1 Revision Date 09/01/09 www.dhs.gov/E-Verify
CityofCarmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
Page 1 of 1
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
34296
ONE CIVIC SQUARE
35-6000972
THIS NUMBER MUST APPEAR ON INVOICES, AIP
CARMEL, INDIANA 46032-2584
VOUCHER, DELIVERY MEMO, PACKING SUPS,
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
918/2016
371108
Project 16 -ENG -99; Contract Date 09.21.16
OLCO INC
City Engineering's Office
VENDOR 24053
SHIP 1 Civic Square
TO Carmel, IN 46032-
BATESVILLE, IN 47006 -
Kate Lustig
PURCHASE ID
BLANKET CONTRACT
PAYMENTTERMS
FREIGHT
8260
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE EXTENSION
Department: 2200 Fund:0
Account: 94-650.04
1 Each
Send Invoice To:
Skip Tennancour
American Structurepoint, Inc.
8425 Wicklow Way
Brownsburg, IN 46112
COIT Bond Fund
Carmel Drive Trail
NO NOfya
zyih
5k.:
2016 COIT Bond PLEASE INVOICE IN DUPLICATE
$480,236.45
Sub Total
$480,236.45
$480,236.45
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
PAYMENT $480,236.45
SHIPPING INSTRUCTIONS ' AIP 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 A PROPRI ION SUFFICIENT TO PAY FORTHE 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 I ti
TITLE
CONTROL NO. 34296 CLERK -TREASURER