Clark Dietz, Inc/Eng/Adl Serv #7/42,492/Carmel Drive Roundabout Landscape ImprovementsClark Dietz, Inc.
Engineering - 2016 _
Appropriation 42016 COLT Bond; P.O. H34309 0��;
Contract Not To Exceed $42,492,00
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, 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 `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
In
vnrwullc I aulcy; vlcln- Ic ulvl
Date:.
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Clark Dietz, Inc,
By;
Authorized Signature
Printed -Name
Title
FID/TIN:-
Last Four of SSN if Sole Proprietor;
Date:
SCOPE OF WORK
SERVICES TO BE FURNISHED BY CONSULTANT:
The CONSULTANT shall be responsible for performing the following activities:
A. Ensineerine Personnel
The CONSULT ANT will provide a Resident Project Representative and inspectors for a period of
time necessary to complete the construction project and final construction report. The Resident
Project Representative will coordinate project activities with the City's Engineering Department.
B. Description of Services
1. Construction Schedule: Review the construction schedule prepared by the Contractor for
compliance with the Contract.
2. Conferences: Attend pre -construction conferences and arrange a schedule of progress meetings, as
required for the timely and acceptable conduct of the job, including minutes of such meetings.
3. Liaision: Serve as the City's liaison with the contractor, working principally through the
Contractor's field superintendent. The fulltime Resident Project Representative shall be thoroughly
familiar with the plans and specifications applicable to the project to insure that all provisions
therein are complied with. Provide periodic status reports on project progress to the City.
4. Assist the City in obtaining from the Contractor additional details or informati.on when needed at
the job site for proper execution of work
5. Equipment - Furnish all equipment necessary to sample and test materials and perform tests in
accordance with City procedures.
6. Shop Drawings - Receive shop drawings and check for completeness
7. Inspection and Tests: Conduct on-site inspections and acceptance testing of materials in accordance
with current City practices to determine that the project is proceeding in accordance with the
Contract Documents.
8. Modifications: Evaluate the Contractor's suggested modifications to the drawings or specifications
and offer recommendations to the City.
9. Records: Maintain files of correspondence, shop drawings, contract documents, change orders, and
daily reports documenting hours worked, weather, general observations, daily pay quantities, and
specific test results.
10. Prepare as -built drawings detailing authorized changes.
11. Prepare progress estimates for partial payments to the Contractor .
12. Hold a pre -final inspection with the City and the Contractor and prepare a final construction record
and final estimate within 45 days of the pre -final.
�BIT
/6-P
SCHEDULE
No work under this Contract shall be performed by the CONSULTANT until the CONSULTANT
receives a written notice to proceed from the City
The CONSULTANT will be prepared to begin the work under this Agreement within five days after
a letter of notification to proceed is received from the City. The CONSULTANT shall conform to the below
listed items:
t) Pre -Construction Minutes written and distributed for concurrence, five days after the Pre -
Construction Meeting is held
2) Final Construction Records within forty-five days after the pre -final inspection has been held
"AIT
2c -f3
COMPENSATION TO ENGINEER
Carmel - Clay Roundabout Landscaping
This fee is based on part-time services during construction. The Consultant will be paid for the actual hours of
work performed exclusively on this contract in accordance with the negotiated hourly billing and mileage rates
as shown in the tables below. The total amount of payment will not exceed the amount of $42,492.00 as
indicated in the table below, unless a supplement is executed by the parties to increase the maximum amount
payable.
TASK
Employee Name(s)
Robert
Jason Umlauf
Julian
Mike
Valentine
Hayes\Other
Feiock
Project Management
4
0
0
0
4
Preconstruction & Progress
Meetings
0
8
0
0
8
Field Inspection / Measure /
Quantify Items
0
260
8
0
268
Contractor Pay Applications,
Change Orders, Site Manager
0
12
0
0
12
(if applicable)
Final As -Built Drawings As-
Built Digital Data Submission
0
0
0
0
0
Final Construction Record
0
40
0
0
40
TOTALS
®HIET
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Clark Dietz, Inc.
Engineering - 2016
Appropriation #2016 COIT Bond; P.O. #34309
Contract Not To Exceed $42,492.00
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.
(XAContmmAProf.Sva & Goods SsyslEngin=ring@016NC1ark Dietz ASA N7.dm:10/21/2016 2:32 Pq
Clark Dietz, Inc.
Engineering - 2016
Appropriation #2016 CO1T Bondi P.O. #34309
Contract Not To Exceed $42,492.00
Exhibit uVu
E -Verify Affidavit
!7a r+ s f"e 1 ;.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:
1. I. am over eighteen (1'8) 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
_:1114 l (the "Company") in the- position
of y GiiT
I 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 E -Verify program, and has,
provided documentation of such enrollment and participation to the City of Carmel,.
Iindiana
5, The. Company does'.not knowingly employ any unauthorized aliens.
FURTHER AFFIANT,SAYETH NOT.
)1XECUTED on:the i day, of, Qe_—
Printed: CTAlnS: 1T - P/tG,e_s44P:i
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 representations are true and correct.
Printed, l76W:h cT • %e /r%so,;_
�X:1CouvxlslWofSrct.0 Coo& S%a E.V=nngV01MC1.k Dieu ASA 92.JoeIW211201G292 PV A
City of Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
Page 1 of 1
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
34309
ONE CIVIC SQUARE
35-6000972
THIS NUMBER MUSTAPPEAR ON INVOICES, AIP
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
VOUCHER, DELIVERY MEMO, PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
10/13/2016
060650
Project 16 -ENG -13; Contract Date 05.04.16
CLARK DIETZ, INC
City Engineering's Office
VENDOR 8900 KEYSTONE CROSSING #900
SHIP 1 Civic Square
TO Carmel, IN 46032 -
INDIANAPOLIS, IN 46240 -
Kate Lustig
PURCHASEID
BLANKET
CONTRACT
PAYMENTTERMS FREIGHT
9331
QUANTITY
UNIT OF MEASURE
DESCRIPTION UNIT PRICE EXTENSION
Department., 2200 Fund.0
Account: 94-650.04
1 Each
Send Invoice To:
City Engineering's Office
Kate Lustig
1 Civic Square
Carmel, IN 46032 -
COIT Bond Fund
ASA 7 - Carmel Drive Roundabout Landscape
Improvements - Construction Inspection
PLEASE INVOICE IN DUPLICATE
$42,492.00
Sub Total
$42,492.00
$42,492.00
DEPARTMENT I ACCOUNT I PROJECT I PROJECTACCOUNT I AMOUNT
PAYMENT $42,492.00
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 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. 34309 CLERK -TREASURER