First Group Engineering/Eng/Ald Serv #1/11,800/Alternate Two A Modified – Unnamed Tributary of Williams CreekFirst Group Engineering; Inc:
Engineering Department - 2016
Appropriation,#250-R43509.00; P.O. #34330.
Contract Not To'Excemd $ i 1,800.00..J
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ADDITIONAL SERVICES AMENDMENT -T0
AGREEMENT FOR PROFESSIONAL SERVICES
THIS. -AMENDMENT TO THE AGREEMENT FOR:PROFESS.IONAL SERVICES ("Agreement") entered info .
by and between -the City of Carmel and First Group Engineering; Inc; (the 'Professional"),. as City _.Contract dated
,
February 1.7, .2016 shall amend. the terms. of the Agreement by adding the add itional.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 `'Bi1, 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: otherwisebe affected by this, -Additional Services
Amendment and shall remain in full force and effect.
IN WITNESS WHEREOF, the parties. hereto have made and:execilthis Amendmentas follows:
CITY OF CARMEL, INDIANA First Group Engineering; Inc..
by and through its Board of Public
Works and. Safety
By: By
mes Brainard; Presiding Officer Authorized Sighature
Date;
Dennis W. Cobb, P.E. _
Printed Name
Mary An urke
Date: ; ember;
-� President . -
Title
Lori S; W tsonI Me er FID/TIN; 35=1693178
Date:
Last -Four of SSN if Sole Proprietor:'
A E
Date:. September 22, 2016
-Christine Fauley, C,le'rk=Tree �1r r
Date: :�D�/��
(X]Com-1sT,oLSn R Goods S—E.gimsing�016Tirss Group Engimering. Inc. Addl Ssns Amend 3-27-2U12 nish E-\'cfi lv 1ang,nge.d=W21QUI6 9:21 A%Q ..
t.
�_nclsraurnc; Inc.
August 22, 2016
Chris Ogg:
Assistant. City Engineer
One Civic. Square
Cityof Carmel, IN 46032
RE; Scope of Services and Fee Proposal'Alternate Two A Modified July/August Revisions:. .
Unnamed Tributary of Williams Creek
Spring Mill Road south of 106 thStreet
Carmel, Indiana
Dear. Chris: ... .
After the last fee proposal submitted: in July additions/changes have been iticorporated.into the design of
this project. As requested last month; I have attached emails pertainingao the extent of the changes and
reduced some of the items you indicated should have been anticipated from the.beginning...
1. Revise the beginning of the project profile.grades to a 0.50%q minimum and revise the drainage
to -add flanking inlets at the remaining 0..3% This also required changing thespot
elevation sheet at Millridge plug tables, quantities, cross sections etc.
2. Revised the drainage atMillridge after we found the City's preference is to use existing
structures, when possible: Note this concept changed from the original scope which.Was to replace
everything with new for theroad reconstruction.,.
3. ,Additional utility coordination and meetings_not previously required with the previous'
contract. Although you indicated to remove.ihis.item:previously there were a lot of additions for
the water line. including many reviews and changes, of thewater design, quantities and
specifications.. .1 am attaching several emails showing the: extent -of the. changes /additions of the,
waterline and.other work it took to complete the plans. The water line location was changed three
times and revising quantities twice .
4. Nofe that after we submitted plans and made all of:the revisions asked by the. County, Ali got
back and said our structure was notdeteri— d'a bridge so her. review was riot. necessary. This
took some time to add countyrequirements and coordinate.
Manhours b
. Classification .
Description -
Project
Manager. _
:Survey .
Crew 'Chief :
Design
Engineer II
i
C vil
Design r II
Total
1:. Revise .Grades;draina e, cross sections; quantities
:8.
32.
40 ..
2.Revise drainage, inlets at Mill'Rid a Plan; cross secs., uants.,etc: _ .:
2
4 ..
6,
3:. Added utility coordination plus water, plans quantities revisions.
6
18
24
4. Structure additions per County
2_
6
8
5. channel and -stream cross section: chan es
4
8
12
6. additional.coordination, with CB.for floodwa , determination ..
8..
.2
.10.
7:. Maintanance of Traffic
4.
4
Summary of Quantities Table
0
Cross -Sections, Earthwork; Structures.
:0
Revise Quantities.
0'. .
Engineer's. Estimate:..
0:.
Structure Data. Table
0
Total.Hours
0.
0
30
74
104
Hourl Costs
: $65.00:.
$43.85.
$45.50.
$35:50'
Total Sala .Costs .
$0.00'
$0.00
$1,365.00.'
$2,627.00
$3,992.00
Overhead 156.41%
$6,243.89
Sala .Plus Overhead.
$10,235.89
Fixed Fee 15%
$1,535.39
Direct Costs ......
..
$0.00
Document Fees.
$0.00
Motel $150:00 per night 0 nights)'
$0.00
Meals $26,00 per da X days)
$0:00
Mileage $0.44 per Mile x miles),
$0.00
$11,771.28
Total Fee.
..USE:
$.11,$00::00
First Group Engineering, Inc.
Eigineer ng:Department- 20 t6
Appropriation #250-R435..0900; RO. #34330
Cofivkt Not To Exceed $11,800.00
Exhibit "C"
E -Verify Affidavit
Dennis W. Cobb , 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. 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 by
First Group Engineering, Inc. (the "Company") in the position
of President
I ant 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.
The Company does not knowingly employ any unauthorized aliens.
FURTHER AFFIANT SAYETH NOT.
EXECUTED on the 22 day of Seatember .2016.
Zt) &x/
Printed-. Dennis W. Cobb
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 anc rrepresentations are true and correct.
Notary Public
C pidsalon No. 874442
SEAL
Deborah Marlon County, staten Curnutte Octobir �
lod�
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INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
Page 1 of 1
PURCHASE ORDER NUMBER
j
FEDERAL EXCISE TAX'EXEMPT
34:330
ONE CIVIC SQUARE
35-6000972
THIS NUMBER MUST APPEAR ONINVOICES, A/P —i
'1 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
9/19/2016
365731
Project 16-SW-07; Contract Date 02.17.16 'Decrease P.O.33467'
FIRST GROUP ENGINEERING
City Engineering's Office
VENDOR 5925 LAKESIDE BLVD
SHIP 1 Civic Square
TO Carmel,. IN 46032-
INDIANAPOLIS, IN 46278 -
Kate Lustig
PURCHASE ID I BLANKET CONTRACT
PAYMENT TERMS _ ! FREIGHT
8542
QUANTITY UNIT OF MEASURE
DESCRIPTION -� UNIT PRICE EXTENSION
Department: 2200
Account:. 43-509.00
1 Each
Fund: 250 Storm Water
Send Invoice To:
City Engineering's Office
Kate Lustig
1 Civic Square
Carmel, IN 46032 -
ASA 1 - Alternate Two A Modified - Unnamed Tributary of
Williams Creek
PLEASE INVOICE IN DUPLICATE
$11,800.00
Sub Total
$11,800.00
$11,800.0
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $11,800.00
.SHIPPING INSTRUCTIONS 'AP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS'THE P:O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICEAND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN
'C.O.D. SHIPMENT CANNOT HE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORDERISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 —�
AND ACTS AMENDATORY THE REOFANDSUPPLEMENT THERETO.. ORDERED BY
TITLE
CONTROL NO. 34330 CLERK -TREASURER