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DB Engineering/Eng/Adl Serv #1/27,500/Crooked Stick Drainage Improvements – Construction InspectionDB Engineering, LLC" Engineering Department - 2016 Appropriation #94=650.04,.2016 Stonn Water Bond; :P.O. #34334 i{ C611tekt Not To Exceed $27,'500.00 AO. -ADDITIONAL SERVICES AMENDMENT TO AGREEMENT FOR PROFESSIONAL SERVICES THIS AMENDMENT TO THEAGREEMENT FOR PROFESSIONAL SERVICES ("Agreement") entered into by: and between the :City of Carmel and DB Engineering, LLC (the "Professional"), as City Contract dated June 1 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 "K.. Furthermore, the terms of. the Agreement shall be amended to include the &verify requirement as stated ir1 Indiana Code §:2275-1.7 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 _ DB_ ENGINEERING, LLC by and through 'its :Board of Public Works and Safety By: By: .. ... es Brainard, Presiding-Officer . Authorized Signature Date: /' /6 Printed Name Mary Ahn.Alurke, e. .. r . Date: Fres, e: Title Lori S. Watson, . 'tuber FID/TIN: oaG ' 3 `l Date:..... E: Last Four of SSN if Sole-Proprietor: _.. t .: Dae: Oi hr:istine Paul ey� C Jreg§ger . . Date: -' f�lComn. 9Rn[.S<sS Goals S<slF.nginc<ringDB Eninccdng.iLC Addl Secs Anrcnd 3.27.1u 11 with E-Vcrif� Ipnguige.da:;91873U1G 1;11 PMS ' " " " "' �B engineering 08.29.16 RE: Crooked Stick Construction Inspection Proposal City of Carmel - Engineering Carmel City Hall One Civic Square Carmel IN 46032 Mr: Ogg, Per our conversations.[ have put together a fee proposal for Crooked Stick Stormwater Inspection. I shave assumed that work will commence on or around September 1ST and carry.tNroagh until the end of the31� December . ear y (December ). This is based upon your assumption that NTP will occur around 9/22 and that final completion will occur around 12/1/16 (based upon'a substantial completion: of engineering Below is a rate chart. I anticipate most hours falling under our inspector II Classification. All rates are below our INDOT Approved 2.99 Multiplier ` Classification Rate 2016 Rate 2017 Senior Project PE/PS $115.00 $115.00 Inspector I $93.6.0 $94.68 Inspector II $80.00.. $82.40 ADMIN 55.00 57.0071 DB Engineering, LLC Engineering Department - 2016 Appropriation #94-650.04, 2016 Storm Water Bond; P.O. #34334 Contract Not To Exceed $27,500.00 EXHIBIT `B" E -verify requirement All terms defined in I.C. § 22-5-1.7 et seq. are adopted and incorporated intoAhis 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. [SdConhnctslPmr.Sves & Goods SvesTuginecringM Engineering, LLC Add? Sv Amend 3-27-2012 with EAcrlfy language.doe:9122016 12:17 PK DB Engineering, LLC Engineering Department - 2016 Appropriation #94-650.04,2.01.6 Storm Water,Bond; P.O: #34334 Contract Not To Exceed, $27,500.00 Exhibit "C" E -Verify Affidavit being first duly sworn, deposes and says that he/she is familiar with and has.personal knowledge. of the facts herein and;:if called as a witness :in this nnattet, could testify as :follows: 1. I am over eighteen (18) years of age and am competent to testify to the facts contained . ...... herein, 2. 1 am now and at'' all times . relevant herein .: have been . employed eerlm 0. tC. he "Company") in 1 mp t_e posit on of ; Pre- 3. re3. Lam familiar with the employment policies, practices; aiid procedures of the Company and have the authority :to _act. on behalf of the -Company.. 4. The Eiiiployeris enrolled and :participates in: the :federal E -Verify program and has - provided documentation of such enrollment and participation to the City. of Carmel, Indiana. . 5. The Company does not knowingly employ any utlautliorh ed aliens. FURTHER AFFIANT SAYETH NOT. EXECUTED ijn the da of 20A. Printed:... r/h fi b I certify udder the penalties for perjury under the- la the United --States of America_ and the State of Indiana that the foregoing factual statements and representations: are true and'correct.: printed J !S'CimuxuV�mC$vea .l• Ga Srsi -gin rhkg1DD EnginLLC e nc1 A&I S 12:17 PMi - . . E -Verify Affidavit Pursuant to Indiana Code 22-5-1.7-11, the Contractor entering into a contract with the City is required to enroll in and verify the work eligibility status of all its newly hired employees through the E -Verify program. The Contractor is not required to verify the work eligibility status of all its newly hired employees through the E -Verify program if the E -Verify program no longer exists. The undersigned, on behalf of the Contractor, being first duly sworn, deposes and states that the Contractor does not knowingly employ an unauthorized alien. (Contractor): ®IB Engineering, LLC By (Written Signature): (Printed Name): Rachel A. ®oba (Title): President/Founder Important - Nolary Signature and Seal Required in the Space Below STATE OF OA i4l ft r SS: COUNTY OF ` 1 Subscribed and sworn to before me this day of 24 My commission expires:(, oC 1 (Signe-S �* Residing in'C'l County, State of ,,�Ad&�A..j ^� INDIANA RETAIL TAX EXEMPT T Page 1 of 1 m City®� �� CERTIFICATE NO. 003120155 002 0 T PURCHASE�gORDER,9NUMBER FEDERAL EXCISE TAX EXEMPT 3�B 33�{• ONE CIVIC SQUARE 35-6000972 _ _ THIS NUMBER MUST APPEAR ON INVOICES, AIP 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` 9/1/2016 367070 Project 1.6 -SW -57; Contract Date 06.01.16 DB ENGINEERING, LLC City Engineering's Office VENDOR 101 WEST OHIO STREET SHIP 1 Civic Square SUITE 1515 TO Carmel, IN 46032 - INDIANAPOLIS, IN 46204 - Kate Lustig PURCHASEID BLANKET CONTRACT PAYMENTTERMS FREIGHT 8015 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 2200 Fund: 0 2016 Storm Water Bond Account 94-650.04 1 Each ASA 1 - Crooked Stick Drainage Improvements - $27,500.00 $27,500.00 Construction Inspection _ Sub Total $27,500.00 Send Invoice To: City Engineering's Office, Kate-I.usug- J i 1 N wpow Cr0 S S R-OGL ok - 3 414 71 1 MGt Y\ r n a� e}K j icY' -B-eec.1., cz o ve , (rJ 4-(" _ PLEASE INVOICE IN DUPLICATE _ L --DEPARTMENT ACCOUNT PROJECT PR04ECTACCOUNT ` . AMOUNT PAYMENT $27,500.00 SHIPPING INSTRUCTIONS ' A1P 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 c 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY — -- -- TITLE CONTROL NO. 34334 CLERK -TREASURER