CHA Consulting/Eng/58,225/Adl Serv #3/ 96th Street at Keystone Added SidewalkCHA, Consulting, Inc.
Engineering 2016p f
16
Appropriation p p
riation 92016 COIT Bond, P.O., #343 1.0
Contract Not To Exceed $58,225.00
ADDITIONAL SERVICES AMENDMENT TO
AGREEMENT FOR PROFESSIONAL SERVICES
THIS AMENDMENT TO THE AGREEMENT FOR. PROFESSIONAL SERVICES ("Agreement') entered into
byand between the City of Car Mel and CHA Consulting, Inc, (the "Profe,8slonal" as. City Contract dated February
17, 201.6. shall amend the1erms of the Agreement byadding theadditiorial,servicosto be provided 4yP 0
consistent
istent With , the Scope of Work attached "hereto and incorporated herein as Exhibit "A", Furthermore, the terms of'
the Agreement stiall be amended to include the E -verify requirement as stated I I n Indiana Code §, 22-5-1.7 et seq,
'Which Is: attached hereto.and incorporated .herein as .Exhibit "U, as Well as the required E -verify AM a it attached
hereto and incorporated herein as, EXhibit.'C. Also, pursuant to. I..C. § 5-22-165, Professional shall certify that in
signi . ng 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.VVITNESS'WHEREOF,the parties hereto have Made and executed this Amendment as follows:
CITY OF CARMEL, INDIANA
by and t hrbugh its Board of Public
Works :and tifety
13yo If —I
Date: -
,Mary Ann t3pe;, w
. ) peer
bate,� . .1
Lori S,.. Wa W*
Date; rl /� ,
tv" 4 0o"wa. agincOngLOL&COA Consulting ASA WA000111110 16 7Si% MO.
CHA Consulting, Inc.
By:
&
Authorize'd SigryatUre
Printed' Name
anio,
ViLd P -re lo'd eolvl-
7it16
FIDITI N: 0 4 14 1 S-41:
Last Four of'881\11f` So'le proprietor.
Date, 1012- q IL
CHA Consulting, Inc.
Engineering. Department - 2016
Appropriation: ASA #3, , 2016 COIT Bond; P.O. #
Contract Not to Exceed $58,225.00
Scope:
The Professional shall provide the following additional services during Calendar Year 2016:
Schedule:
Fee:
• Additional Roadway Design required to add a 6'-0" sidewalk adjacent to the curb and gutter along
the south side of 96th Street within the project limits, as set out in Section 105 of "Exhibit A" in the
Base Agreement.
• Additional Right -of -Way Engineering Services, as set out in the following table:
Task
Original Number
of Parcels
Revised Number
of Parcels
Difference
Title Updates
25
0
-25
Right of Way Engineering Updates
19
38
+19
New Right of Way Engineering
0
5
+5
Right of Way Staking
19
43
+24
The work set out in "Exhibit A" of this Additional Services Amendment #3 shall be performed by Professional
during Calendar Year 2016.
The following adjustment shall be made to the fee for the relevant services.
Task
Description
Type
Base
ASA #3
Revised
Agreement
Total
Section 105
Roadway and Traffic Design
LSUM
$260,600.00
$12,000.00
$272,600.00
Section 108
Final Right -of -Way Engineering (United)
UNIT PRICES
$40,475.00
$46,225.00
$86,700.00
ASA #3 Total
$58,225.00
'EIBB6T
tofy
C]HV
PROJECT: 96th Street at Keystone Parkway PROJ. NO: 16-ENG-05
CLIENT. City of Carmel
Section 1 Added Sidewalk
Section 2 Additional Right -of -Way Engineering (United)
LSUM $ 12,000.00
UNIT PRICES $ 46,225.00
Sub -Total = $ 58,225.00
Total Not -to -Exceed Fee= $ 58,225.00
Notes
(1) HOURLY -NTE indicates work performed on hourly basis at actual hourly rates times 3.0 multiplier, plus reimbursable expenses, per Appendix "D".
(2) LSUM indicates work performed on lump sum basis by CHA Consulting or subconsultants.
(3) UNIT PRICES indicates work performed on per unit basis by CHA Consulting or subconsultants.
2 a��l
CLIENT: City of Carmel
Update Abstracting & Right of Way Engineering to be performed by subconsultant
See attached proposal
Title Updates -
25
0
$ 175.00
$
(4,375.00)
Right of Way Engineering Updates (Legal Descriptions and Land Plats)
19
38
$ 1,500.00
$
28,500.00
New Right of Way Engineering (Legal Descriptions and Land Plats)
0
5
$ 2,500.00
$
12,500.00
RNV Staking
19
43
$ 400.00
$
9,600.00
r I I
X
M
CHA Consulting, Inc.
Engineering - 2016
Appropriation #2016 COIT Bond; P.O. #34310
Contract Not To Exceed $58,225.00
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., Professional 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. Professional is
further required to execute the attached Affidavit, herein referred to as "Exhibit C", which is an Affidavit affirming that: (i)
Professional is enrolled and is participating in the E -verify program, and (ii) Professional does not knowingly employ any
unauthorized aliens. This Addendum incorporates by reference, and in its entirety, attached "Exhibit C." In support of the
Affidavit, Professional 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 Professional and delivered to the City's
authorized representative.
Should Professional subcontract for the performance of any work under this Addendum, the Professional 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. Professional shall
maintain a copy of such certification for the duration of the term of any subcontract. Professional shall also deliver a copy of
the certification to the City within seven (7) days of the effective date of the subcontract.
If Professional, or any subcontractor of Professional, knowingly employs or contracts with any unauthorized aliens, or
retains an employee or contract with a person that the Professional or subcontractor subsequently learns is an unauthorized
alien, Professional shall terminate the employment of or contract with the unauthorized alien within thirty (30) days ("Cure
Period"). Should the Professional or any subcontractor of Professional 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.
[XAContracistPmfSvcs & Goods SvcstEnginmdng12016\CRA Consulting ASA #3.doc:10/21/2016 2:28 PK
CHA Comuldhg,lic.
Engineering -'20.16
Appropriation. #.2016COITBond; P.0.04310
Contiact Not T6 Exceed $5 8,225.0.0.
Exhibit T"
E -Verify Affidavit
wrig first duly sworn,: deposes and says that
MeWis familiarwith and ha has personal knowledge of the facts h,erehi and, if 'called as. a witness in this
.matter, could test follows: w
testify as fo lo Is:
1. I'arn over eighteen (18) yearsof age and am competent to testify to the facts contained.
herein.
2. 1 -am now and at all times relevant herelp have been employed by
(the "Company") in the position
Of
3. 1 am familiar with the emplbymOrif. policies, practices; and procedures of the Company and
have the avjthpriiy to act on behalf of the Company.
4. The, Employer is; enrolled and participates in the federal E -Verify program and has
provided documentation ol .f such enrohitent and participation to the City of Carmel,
Indiana,
5,i The, Company does riot knowingly employ any unauthorized aliens.
FURTHER AFFIANT SAYP_TI4 N.
EXECUTED on the _� __ day of 2Q
I certify underthe penalties for perjury under the laws of the United States of America. and the State of
Indiana that the,fbregoingfadtual statements and representations are true and correct.
Printed!
Itij ASA 6.6c;I0121110ir, 228 Nq
of j' Carmel
City
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
Page 1 of 1
PURCHASE ORDER NUMBER
JL
FEDERAL EXCISE TAX EXEMPT
34310
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
10/13/2016
368938
Project 16 -ENG -05; Contract Date 02.17.16
C H A CONSULTING
City Engineering's Office
VENDOR 300 SOUTH MERIDIAN
SHIP 1 Civic Square
UNION STATION
TO Carmel, IN 46032 -
INDIANAPOLIS, IN 46225 -
Kate Lustig
PURCHASE ID
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
9330
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE EXTENSION
Department: 2200 Fund: 0 COIT Bond Fund
Account: 94-650.04
1 Each ASA 3 - 96th Street at Keystone Parkway - Added Sidewalk $58,225.00 $58,225.00
and Right of Way Engineering
Sub Total $58,225.00
Send Invoice To: , '' g-`
Skip Tennancour l
American Structurepoint, Inc.
8425 Wicklow Way
Brownsburg, IN 46112'
2016 COIT Bond .,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
PAYMENT $58,225.00
SHIPPING INSTRUCTIONS * AtP 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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TITLE
CONTROL NO. 34310 CLERK -TREASURER