Clark Dietz, Inc/Eng/Adl Serv #6/189,540/116th and Towne Road Roundabout DesignClark Dietz Inc.
Engineering - 2016
Appropriation #COIT Bond Fund; P.O. #34325 qO
Contract Not To Exceed $1.89,540.00
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
M...
Lori S. V11 tson, pgr/ a
Dater
;A.T
-. hristine Paule ., �� r�-Treasurer
Date:
�:C\Coolta:Is}i'mCS�Cs Se Gaolss"'A '?i— uy'1GI61Mk'DiN]_Im ASA 56d=IU112120161:36 P1I1
C:LARKDIETZ, INC.
Signature
�ayo - —77- a4---4�.
Printed Name
Title
FIDITIN:
Last Four of SSN if Sole Proprietor:
Date: 14> - V - �
ClarbDietz
Engineering Quality of Life"
October 6, 2016
PROJECT DESCRIPTION: Design of Roundabout at 11611' St and Towne Road in Carmel
SCOPE:
Our scope for this project is to perform design of a roundabout intersection at 116111 St and Towne Road.
Configuration and layout of the. roundabout will be determined through iterative modeling using RODEL.
Existing sidewalks and shared use paths will be reconstructed. The project will be developed with the following
schedule:
1. Stage 1 plan submittal is made to the City for review by November 18, 2016
2. Final design and draft bid documents submitted to the City for review by January 13, 2017
3. Contract documents advertised on January 27, 2017
4. Bid submittals by contractors on February 15, 2017
The scope and schedule are based on the following assumptions:
1. If right of way is required, then right of way engineering, title research, appraising, and acquisition will
be performed by others.
2. Existing drainage patterns can be perpetuated
3. Minimal utility relocations will be required. Subsurface utility exploration (SUE) may be utilized to
attempt to avoid utilities with our design, as an aid to meet the proposed design/construction schedule.
SUE work will be performed by others.
Our scope will include the following services:
1. Topographic Survey
2. Roundabout design
3. Utility Coordination
4. Erosion Control Permitting
5. Bidding Services and Construction Support
6. Geotechnical Investigation (an allowance is included)
X H1 I IBB IT
1f 2
Clark Dietz, Inc. 8900 Keystone Crossing, Suite 900 Indianapolis, Indiana 46240 T: 317.844.8900 F: 317.844.9158
Fee Summary
Clark>Diez
Engineering Quality of Life`
116th at Towne Road Roundabout
City of Carmel, IN
Fee Summary
10/6/2016
1 of 5
Task Description
Fee
*Feld Survey (Lump Sum)
$
18,940.00
Design (Lump Siam)
$
140,400.00
Geotechnical Allowance (Not to Exceed, if needed)
$5,000
Utility Coordination (Hourly)
$
15,300.00
Rule 5 Permit (Lump Siam)
$
9,900.00
TOTAL = $
189,540.00
* I ndi cater professi onal cervi ce provi ded by sub -consul tant SJCA
EXHIBIT
242-,
Clark
42—
Clark Dietz, Inc. 116th at Towne Fee Prcposalxls(
Clark Dietz, Inc.
Engineering - 2016
Appropriation #COIT Bond Fund; P.O. #34325
Contract Not To Exceed $189,540.00
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.
[VAsharc&ConMculProCSn & Goods Svm\Engincering\20I6\Clark Diem, Inc. ASA F6.dw: 101102016 10:12 AM]
Clark -Dietz, Inc..
Engineering;- 2016
Appropriation #COIT Bond.Fund; P.O. #34325
Contract Not To Exceed $.183;540.00
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:
1. 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� t/.�g Vt 4s
3. I am familiar with theemployment 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.
5. The Company does not knowingly employ any unauthorized aliens.
FURTHER AFFIANT SAYETH. NOT.
EXECUTED on the O.A _day of
I certify under the penalties for perjury under the. laws ohe United. States of America and the State of
Indiana that the foregoing factual statements and re sent 'ons are tru d correct.
P ed:
[Y:btiariU'Ldnmeii�YrutY�•y Ye Cronlc:!"r�xUin�insla0l(4I6K'Lvk Uiem MS ASA a6.d�107[[V201610:1?.W1� '
City ®f Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO.003120155 002 0
Page 1 of 1
PURCHASE ORDER NUMBER
SHIPPING INSTRUCTIONS
FEDERAL EXCISE TAX EXEMPT
_ 34325
ONE CIVIC SQUARE
35-6000972
THIS NUMBER MUST APPEAR ON INVOICES, AIP
CARMEL, INDIANA 46032-2584
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
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
I REQUISITION NO.
VENDOR NO.
DESCRIPTION
10/7/2016
060650
Project 16 -ENG -53; 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
PURCHASE ID
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
9128
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE EXTENSION
Department 2200 Fund. 0
Account 94-650.04
1 Each
Send Invoice To.
Skip Tennancour
American Structurepoint, Inc.
8425 Wicklow Way
Brownsburg, IN 46112
COIT Bond Fund
ASA 6 -116th Street and Towne Road Roundabout Design $189,540.00 $189,540.00
Sub Total $189,540.00
,P y'., rte, y,✓` y, �,..
2016 COIT Bond PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT
PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $189,540.00
SHIPPING INSTRUCTIONS
' AIP 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. 34325 CLERK -TREASURER