Clark Dietz, Inc/Eng/24,264/Adl Serv #2/106th Street and Towne Road Roundabout Intersection ImprovementsClark Dietz, Inc.
Engineering.- 2016
Appropriation # 2016.General: Obligation :Bond; P.O. #33921
Contract Not-To Exceed $24,264.00����'p+
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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 Clark Dietz, Inc. (the "Professional"),. as City Contract dated May 4,. 2015
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 "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
by and through. its. Board of Public.
Works and Safety
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CLARK DIETZ., INC.
Printed. Name
Title
FID/TIN:
Last.Fourof SSN if Sole Proprietor:.
Date: to • A IL
Engineering Quality of fife'
October 6, 2016
PROJECT DESCRIPTION: Redesign of Roundabout at 10611' St and Towne Road in Carmel
SCOPE:
The construction scope for 1061 St at Towne Road needs reduced in order to meet the stipulations of the
general obligation bond. The ends of each approach will be eliminated and areas of the project will be
converted from full reconstruction to variable depth resurfacing and widening. The project will be combined
into a single contract with the 116111 at Towne Road roundabout. The project will be developed with the
following schedule:
1. Plan submittal made to the City for review by December 2, 2016
2. Final design and draft bid documents submitted with 116111 and Towne by January 13, 2017
3. Contract documents advertised on January 27, 2017
4. Bid submittals by contractors on February 15, 2017
Our scope will include the following services. For completion of this work, the fee will be a lump sum of amount
of $26,264:
1. Update design and project manual to reduce construction project costs.
2. Combine 106111 and 1161 St roundabouts at Towne Rd into one contract.
rEXH I B IT
Clark Diety, Inc. 8900 Keystone Crossing, Suite 900 Indianapolis, Indiana 46240 T: 317.844.8900 F: 317.844.9158
Clark Dietz, Inc.
Engineering - 2016
Appropriation # 2016 General Obligation Bond; P.O. #33921
Contract Not To Exceed $24,264.00
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.
[VAsh&ed\Con11acts\PfOC.Svcs & Goods Svcs\Enginccring\20161C1uk, Dietz, Inc. ASA #2A.doc:10110(2016 10:08 AM]
C1ark.Dietzjnc.
Engineering - 2016
Appropriation # 2016 General Obliggation Bond; P.O. #33421
Contract Not To Exceed $24,264.00
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
matter, could testify as follows:
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
(the "Company") in the position
of z6'
3. 1 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 B -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 _�,�clay of , 201 t,,,
rinted;-61zt�t.,Do�-
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 reputations are true correct.
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—upaluirarrc. LAUU AGCounr: 944MX4 Fund. 0 General Obligation Bond
1 Each ASA 2 -106th Street and Towne Road Roundabout $189,500.00 $189,500.00
Intersection Improvements - Design
Send Invoice To.
Jill Newport
CrossRoad Engineers, P.C.
3417 Sherman Drive
Beech Grove, IN 46107
2016 SW Bond/G.O. Bond/
Sub Total $189,500.00
Increase P.O. IoM
�I 2 `-F , 2 U L4 °
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $189,500.00
SHIPPING INSTRUCTIONS ' A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TITLE
CONTROL NO. 33921 (:I FRK_TDCACI loco