The Schneider Corporation/Eng/32,000/); Guildford/City Center/Carmel Drive Roundabouts Beautification DesignThe Schneider Corporation
Engineering - 2016
Appropriation 2200-9465004 2016 G.O. Bond; 13.0.34019
Contract Not To Exceed $32,000.00
AGREEMENT FOR PROFESSIONAL SERVICES
THIS AGREEMENT FOR PROFESSIONAL SERVICES ("Agreement") is hereby made and entered into by
and between the City of Carmel, Indiana, acting by and through its Board of Public Works and Safety (hereinafter
"City"), and The Schneider Corporation (hereinafter "Professional").
RECITALS
WHEREAS City owns and is responsible for the operation and maintenance of its property, personnel, public
works and infrastructure; and
and
WHEREAS, from time to time, City needs professional assistance in fulfilling its foregoing responsibilities;
WHEREAS, Professional is experienced in providing and desires to provide to City the professional services
("Services") referenced herein; and
WHEREAS, City desires to engage Professional as an independent contractor for the purpose of providing to
City the Services referenced herein;
NOW, THEREFORE, in consideration of the foregoing recitals and the covenants and conditions set forth
herein, City and Professional mutually agree as follows:
SECTION 1 INCORPORATION OF RECITALS
The foregoing Recitals are hereby incorporated into this Agreement and made a part hereof.
SECTION 2 SCOPE OF SERVICES
2.1 City desires to engage Professional as an independent contractor for the Services set forth in attached
Exhibit A, incorporated herein by this reference.
2.2 Professional understands and agrees that City may, from time to time, request Professional to provide
additional or modified Services to City. When City desires additional Services from Professional, the City
shall notify Professional of such additional Services desired, as well as the time frame in which same are to
be provided. Only after City has approved Professional's time and cost estimate for the provision of such
additional Services, has encumbered sufficient monies to pay for same, and has authorized Professional, in
writing, to provide such additional Services, shall such Services be provided by Professional to City. A copy
of the City's authorization documents for the purchase of additional Services shall be numbered and attached
hereto in the order in which they are approved by City.
2.3 Time is of the essence of this Agreement.
jSAConhaelsWrof.Sws & Goods S=%Engincering@0161The Schneider Co'Poealoin Professional Services C..=W-12/1512016 2:02 PM]
The Schneider Corporation
Engineering - 2016
Appropriation 2200-9465004 2016 G.O. Bond; P.O.34019
Contract Not To Exceed $32,000.00
SECTION 3 CITY'S RESPONSIBILITIES
3.1 City shall provide such information as is reasonably necessary for Professional to understand the Services
requested.
3.2 City shall provide all data required for provision of Services. Professional may assume that all data so
provided is correct and complete.
3.3. City shall arrange for Professional to enter upon public and private property as reasonably required for
Professional to perform the Services.
3.4 City shall designate payment of the Services from City budget appropriation number 2200-9465004 funds.
3.5 City shall designate the Mayor or his duly authorized representative to act on City's behalf on all matters
regarding the Services.
SECTION 4 PROFESSIONAL'S RESPONSIBILITIES
4.1 Professional shall perform the Services pursuant to the terms of this Agreement and within any applicable
time and cost estimate.
4.2 Professional shall coordinate with City its performance of the Services.
4.3 Professional shall provide the Services by following and applying at all times reasonable and lawful
standards as accepted in the industry,
SECTION 5 COMPENSATION
5.1 Professional estimates that the total price for the Services to be provided to City hereunder shall be no more
than Thirty Two Thousand Dollars ($32,000.00) (the "Estimate"). Professional shall submit an invoice to City
no more than once every thirty (30) days for Services provided City during the time period encompassed by
such invoice. Invoices shall be submitted on a form containing the same information as that contained on the
Professional Services Invoice attached hereto as Exhibit B, incorporated herein by this reference. City shall
pay Professional for all undisputed Services rendered and stated on such invoice within thirty five (35) days
from the date of City's receipt of same.
5.2 Professional agrees not to provide any Services to City that would cause the total cost of same to exceed the
Estimate, without City's prior written consent.
ISXonh-WPFOBS &Goods S�\Enginuring12016C1he Scbncida Cbgw loin PrefRsiennl Services Contnn:Ldoc:12A5/2016102 PM)
2
The Schneider Corporation
Engineering - 2016
Appropriation 2200-9465004 2016 G.O. Bond; 11.0.34019
Contract Not To Exceed $32,000.00
SECTION 6 TERM
Unless otherwise terminated in accordance with the termination provisions set forth in Section 7.1
hereinbelow, this Agreement shall be in effect from the Effective Date through December 31, 2017, and shall,
on the first day of each January thereafter, automatically renew for a period of one (1) calendar year, unless
otherwise agreed by the parties hereto.
SECTION 7 MISCELLANEOUS
7.1 Termination
7.1.1 The obligation to provide all or any portion of the Services under this Agreement may be terminated
by City or Professional, without cause, upon thirty (30) days' notice.
7.1.2 The obligation to provide all or any portion of the Services under this Agreement may be terminated
by City, for cause, immediately upon Professional's receipt of City's "Notice To Cease Services."
7.1.3 In the event of full or partial Agreement termination, and as full and complete compensation
hereunder, Professional shall be paid for all such Services rendered and expenses incurred as of
the date of termination that are not in dispute, except that such payment amount shall not exceed
the Estimate. Disputed compensation amounts shall be resolved as allowed by law.
7,2 Binding Effect
City and Professional, and their respective officers, officials, agents, partners and successors in interest are
bound to the other as to all Agreement terms, conditions and obligations.
7.3 No Third Party Beneficiaries
Nothing contained herein shall be construed to give rights or benefits to anyone other than the parties
hereto.
7.4 Relationship
The relationship of the parties hereto shall be as provided for in this Agreement, and neither Professional nor
any of its agents, employees or contractors are City employees. Professional shall have the sole
responsibility to pay to or for its agents, employees and contractors all statutory, contractual and other
benefits and/or obligations as they become due. Professional hereby warrants and indemnifies City for and
from any and all costs, fees, expenses and/or damages incurred by City as a result of any claim for wages,
benefits or otherwise by any agent, employee or contractor of Professional regarding or related to the subject
matter of this Agreement. This indemnification obligation shall survive the termination of this Agreement.
1S:Wbnlmc1s1Prof.Sm & Goods Sws%Engineering120161ne Schneider Corpomloin Prufmional Service Conlmcl.dw..12f15f2016 202 PM]
The Schneider Corporation
Engineering - 2016
Appropriation 2200-9465004 2016 G.O. Bond; P.O.34019
Contract Not To Exceed $32,000.00
7.5 Insurance
Professional shall procure and maintain with an insurer licensed to do business in the State of Indiana such
insurance as is necessary for the protection of City and Professional from all claims under workers'
compensation, occupational disease and/or unemployment compensation acts, because of errors and
omissions, because of bodily injury, including, but not limited to, the personal injury, sickness, disease, or
death of any of Professional's employees, agents or contractors and/or because of any injury to or
destruction of property, including, but not limited to, any loss of use resulting therefrom. The coverage
amounts shall be no less than those amounts set forth on attached Exhibit C. Such insurance policies shall
not be canceled without thirty (30) days' prior written notice to City.
7.6 Liens
Professional shall not cause or permit the filing of any lien on any of City's property. In the event such a lien
is filed and Professional fails to remove it within ten (10) days after the date of filing, City shall have the right
to pay or bond over such lien at Professional's sole cost and expense.
7.7 Default
In the event Professional: (a) repudiates, breaches or defaults under any of the terms or conditions of this
Agreement, including Professional's warranties; (b) fails to perform the Services as specified; (c) fails to
make progress so as to endanger timely and proper completion of the Services and does not correct such
failure or breach within five (5) business days after receipt of notice from City specifying same; or (d)
becomes insolvent, files, or has filed against it, a petition for receivership, makes a general assignment for
the benefit of creditors or dissolves, each such event constituting an event of default hereunder, City shall
have the right to terminate all or any part of this Agreement, without liability to Professional and to exercise
any other rights or remedies available to it at law or in equity.
7.8 Government Compliance
Professional agrees to comply with all laws, executive orders, rules and regulations applicable to
Professional's performance of its obligations under this Agreement, all relevant provisions of which being
hereby incorporated herein by this reference, to keep all of Professionals' required professional licenses and
certifications valid and current, and to indemnify and hold harmless City from any and all losses, damages,
costs, liabilities, damages, costs and attorney fees resulting from any failure by Professional to do so. This
indemnification obligation shall survive the termination of this Agreement.
7.9 Indemnification
Professional shall indemnify and hold harmless City and its officers, officials, employees and agents from all
losses, liabilities, claims, judgments and liens, including, but not limited to, all damages, costs, expenses and
attorney fees arising out of any intentional or negligent act or omission of Professional and/or any of its
employees, agents or contractors in the performance of this Agreement. This indemnification obligation shall
survive the termination of this Agreement.
IS:1ContraclslProf.Sves & Goods SwAEngineerinSUOI Whe Schneider Co'poealoin Professional Services Con1=Ldor.IL15f2016 202 PMS
4
The Schneider Corporation
Engineering - 2016
Appropriation 2200-9465004 2016 G.O. Bond; 1'.0.34019
Contract Not `Ib Exceed :32,000.00
7.10 Discrimination Prohibition
Professional represents and warrants that it and each of its employees, agents and contractors shall comply
with all existing and future laws prohibiting discrimination against any employee, applicant for employment
and/or other person in the subcontracting of work and/or in the performance of any Services contemplated by
this Agreement with respect to hire, tenure, terms, conditions or privileges of employment or any matter
directly or indirectly related to employment, subcontracting or work performance hereunder because of race,
religion, color, sex, handicap, national origin, ancestry, age, disabled veteran status or Vietnam era veteran
status. This indemnification obligation shall survive the termination of this Agreement.
7.11 E -Verify
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
Agreement. Professional is further required to execute the attached Affidavit, herein referred to as Exhibit D,
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 D. 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.
7.12 Severability
If any provision of this Agreement is held to be invalid, illegal or unenforceable by a court of competent
jurisdiction, that provision shall be stricken, and all other provisions of this Agreement that can operate
independently of same shall continue in full force and effect.
1SACan1nc1.%Wwf.SWs & Goads SwsWnginerring1201MThc Schnrider Corpomloin Prafrssionol Services Con1scLd=12/15/2016 202 PMj
The Schneider Corporation
Engineering - 2016
Appropriation 2200-9465004 2016 G.O. Bond; 11.0.34019
Contract Not To Exceed $32,000.00
7.13 Notice
Any notice, invoice, order or other correspondence required or allowed to be sent pursuant to this Agreement
shall be written and either hand -delivered or sent by prepaid U.S. certified mail, return receipt requested,
addressed to the parties as follows:
CITY:
City of Carmel
Department of Engineering
One Civic Square
Carmel, Indiana 46032
ATTENTION: Jeremy Kashman
PROFESSIONAL:
The Schneider Corporation
Michael Krosschell
Historic Fort Harrison
8901 Otis Avenue
Indianapolis, IN 46216
mkrosschel[@SchneiderCoro.com
Douglas C. Haney
Corporation Counsel
One Civic Square
Carmel, Indiana 46032
Notwithstanding the above, City may orally provide to Professional any notice required or permitted by this
Agreement, provided that such notice shall also then be sent as required by this paragraph within ten (10)
business days from the date of such oral notice.
7.14 Effective Date
The effective date ("Effective Date") of this Agreement shall be the date on which the last of the parties
hereto executes same.
7.15 Governing Law: Lawsuits
This Agreement shall be governed by and construed in accordance with the laws of the State of Indiana,
except for its conflict of laws provisions, as well as by all ordinances and codes of the City of Carmel,
Indiana. The parties agree that, in the event a lawsuit is filed hereunder, they waive any right to a jury trial
they may have, agree to file such lawsuit in an appropriate court in Hamilton County, Indiana only, and agree
that such court is the appropriate venue for and has jurisdiction over same.
7.16 Waiver
Any delay or inaction on the part of either party in exercising or pursuing its rights and/or remedies hereunder
or under law shall not operate to waive any such rights and/or remedies nor in any way affect the rights of
such party to require such performance at any time thereafter.
]5:1Cano-a uTMESM R Goods S,uw ri..,i.SV016\TheSchneider Cmpom[oin Ro&aional Services Conlma4=12/15120162.02 PM]
The Schneider Corporation
Engineering - 2016
Appropriation 2200-9465004 2016 G.O. Bond; 11.0.34019
Contract Not To Excecd $32,000.00
7.17 Non -Assignment
Professional shall not assign or pledge this Agreement nor delegate its obligations hereunder without City's
prior written consent.
7.18 Entire Agreement
This Agreement contains the entire agreement of and between the parties hereto with respect to the subject
matter hereof, and no prior agreement, understanding or representation pertaining to such subject matter,
written or oral, shall be effective for any purpose. No provision of this Agreement may be amended, added to
or subtracted from except by an agreement in writing signed by both parties hereto and/or their respective'
successors in interest. To the extent any provision contained in this Agreement conflicts with any provision
contained in any exhibit attached hereto, the provision contained in this Agreement shall prevail.
7.19 Representation and Warranties
Each party hereto represents and warrants that it is authorized to enter into this Agreement and that any
person or entity executing this Agreement on behalf of such party has the authority to bind such party or the
party which they represent, as the case may be.
7.20 Headings
All headings and sections of this Agreement are inserted for convenience only and do not form a part of this
Agreement nor limit, expand or otherwise alter the meaning of any provision hereof.
7.21 Advice of Counsel
The parties warrant that they have read this Agreement and fully understand it, have had an opportunity to
obtain the advice and assistance of counsel throughout the negotiation of same, and enter into same freely,
voluntarily, and without any.duress, undue influence or coercion.
7.22 Copyright
City acknowledges that various materials which may be used and/or generated by Professional in
performance of Services, including forms, job description formats, comprehensive position questionnaire,
compensation and classification plan and reports are copyrighted. City agrees that all ownership rights and
copyrights thereto lie with Professional, and City will use them solely for and on behalf of its own operations.
City agrees that it will take appropriate action with its employees to satisfy its obligations with respect to use,
copying, protection and security of Professional's property.
7.23 Personnel
Professional represents that it has, or will secure at its own expense, all personnel required in performing the
services under this agreement. Such personnel shall not be employees of or have any contractual
relationship with City. All of the services required hereunder will be performed by Professional or under his
supervision and all personnel engaged in the work shall be fully qualified to perform such services.
[S:\COnlmcIs\PmLSm & Goods SwAEngineoringl016\7be Schneider Cmpomloin IWfessionN Saviccs ConIMCLdoc 12/15/2016 2:02 PM]
The Schneider Corporation
Engineering - 2016
Appropriation 2200-9465004 2016 G.O. Bond; 11.0.34019
Contract Not To Exceed `}32,000.00
7.24 Records and Inspections
Professional shall maintain full and accurate records with respect to all matters covered under this
agreement for three (3) years after the expiration or early termination of this Agreement. City shall have free
access at all proper times to such records and the right to examine . and audit the same and to make
transcripts there from, and to inspect all program data, documents, proceedings and activities.
7.25 Accomplishment of Proiect
Professional shall commence, carry on, and complete the project with all practicable dispatch, in a sound
economical and efficient manner, in accordance with the provisions thereof and all applicable laws. In
accomplishing the project, Professional shall take such steps as are appropriate to ensure that the work
involved is properly coordinated with related work being carried on within City's organization.
7.26 Iran Certification
Pursuant to I.C. § 5-22-16.5, the Professional shall certify that, in signing this Agreement, it does not engage
in investment activities within the Country of Iran.
7.27 Access to Public Records Act
Professional understands and agrees that any "public record", as that term is defined in Indiana Code 5-14-3-
2(m), as amended, that is related to the subject matter of this Agreement, whether the same is in the
possession or control of the Professional or the City, shall be subject to release under and pursuant to the
provisions of Indiana's Access to Public Records Act, as codified .in Indiana Code 5-14-3-1, et seg., as
amended.
(remainder of page intentionally left blank)
JS-XontrnelsTwESN &Goods S—lEngin—ingl2016\The Schneider Corpomloin Proksionnl S.A=CO.t adoc:1211520162:02 PM]
The Schneider C'cn•poration
f3ngincering- 2016
AplarUpriation 22(10-9465004 2016 (:i.0. 13orid; P.0.14019
Contract Not To rsxcecd $32,O()0.00
IN WITNESS WHEREOF, the parties hereto have made and executed this Agreement as folrows:.
CITY OF CARMEL, INDIANA
by and through its Board of'Public
Works and Safety
:
James Brainard, Presiding, Officer
Lori S. W tson, mber
Date: l M I
The Schneider Corporation
As
Authorized Signature
Printed Name: _1u.F,c, il`rtoSSc,�-tE.t,t..
Title: 6PN10 �J�i•►O.Stl 'E. ARd�-it c.'
FID/TIN:
Last Four of SSN if Sole Proprietor:
Date: _ 17-/2m/Z®1(.e
�CL('aitr+ncl°iu).Sta R Ga, Sws1Emurceing11014S16e SchncWrr Corpartiain Pio&sunnol Semtei ConvuLdur.)y!5l2U1G 2;02 ml
September 21, 2016
The Schneider Corpora'
Historic Fort Harrison 89010tis Avenue Indianapolis, IN 46216-1037 Phone: 317.826.7100 Fax: 317.826.7200
Jeremy Kashman Coa,"ej D,-. 4 G:+y Cen+&A 1 b- Ef'1 G,- 25
City Engineer1 �- Et► 4- 23
Gui l.t:o�d Road + Cawrr+eI D''•
City of Carmel Uu:l fo1-d Road j Ci+y cee*CA I a - C -N Ce - 24
One Civic Square
Carmel, IN 46032
RE: Guilford/City Center/Carmel Drive Roundabouts Beautification Design
TSC Proposal #30804
Dear Mr. Kashman:
This letter is in response to your request for proposal for roundabout beautification design
services at the three corners of the'Guilford, City Center, and Carmel Drive triangle. We appreciate
the opportunity to provide this proposal and are eager to continue our work with you on this
important project for the City of Carmel. The following is our understanding of the project and our
proposed scope of services.
Project Understanding:
Based upon discussions with Trent Newport of CrossRoad Engineers on September 15, 2016, we
understand that you are looking to The Schneider Corporation (TSC) to provide beautification
design for the three roundabouts at South Guilford Road, City Center Drive, and West Carmel
Drive. This design will include some hardscape elements, planting design, and irrigation system
design.
TSC will be responsible for preparing construction documents for these designs. These documents
will include both plans and specifications.
i6e
Indianapolis, Indiana
west Lafayette, Indiana
Ankeny, Iowa
Charlotte, north Carolina Deland, Florida
Houston, Texas
Historic Fort Harrison
1330 Win Hentschel Blvd
1450 SW Vintage Pkwy
8307 University Executive 120112 W. New York Ave.
5444 Westheimer Road
8901 Otis Avenue
Suite 260
Suite 260
Park Dr. Suite 220 DeLand, FL 32720
Suite 1000
Indianapolis, IN 46216
West Lafayette, IN 47906
Ankeny, IA 50023
Charlotte, NO 28262
Houston, TX 77084
TX Firm Reg # 10194084
T:\Proposals\2016\30604_Carmel Roundabouts\2016.09.21 Carmel RAB Proposal.docx
Roundabout Beautification — Scope of Services
TSC will prepare landscape architectural design and construction documents for the roundabout
landscape. The following will be accomplished during this task:
• Preparation of conceptual design sketches for review and approval by City staff.
• Preparation of construction drawings and specifications for hardscape elements; may include
walls, pedestal, or limestone blocks, including itemized cost estimate.
• Preparation of construction drawings and specifications for landscape plantings; may include
trees, shrubs, perennials, turf and decorative stone, including itemized cost estimate.
• Preparation of construction drawings and specifications for irrigation design, including
itemized cost estimate.
• Bidding Services including facilitation of advertisement, pre-bid meeting, coordinating plan
distribution, and required addenda, bid tabulation, and award recommendation.
• Construction administration services to include bi-weekly progress meetings (up to 6), pay
application review and approval, and response to RFIs and CCDs.
Proposed Schedule: To be determined based upon RAB Construction schedule
Project Assumptions:
-1. Roadway plans prepared by CrossRoad for the three RABs will be made available to TSC in Auto -
Cad format.
2. Schneider plans to use Eastern Engineering for plan printing and distribution services. These
costs will be passed through to the owner as reimbursable expenses.
3. This proposal assumes that the three roundabouts will be designed, bid, and constructed as
part of a cohesive package.
�� r ;- i
Y, i, T A
24-3
Indianapolis, Indiana
West Lafayette, Indiana
Ankeny, Iowa
Charlotte, North Carolina Deland, Florida
Houston, Texas
Historic Fort Harrison
1330 Win Hentschel Blvd
1450 SW Vintage Pkwy
8307 University Executive 12W6 W. New York Ave.
5444 Westheimer Road
8901 Otis Avenue
Suite 260
Suite 260
Park Dr. Suite 220 DeLand, FL 32720
Suite 1000
Indianapolis, IN 46216
West Lafayette, IN 47906
Ankeny, IA 50023
Charlotte, NC 28262
Houston, TX 77084
TX Firm Reg # 10194084
TAProposals\2016\30604_Carrnel Roundabouts\2016.09.21 Carmel RAB Proposal.dou
Cost of Services:
Cost of services will be a lump sum fee as follows:
Concepts & Construction Documents $20,000
Bidding Services $6,000
Construction Administration $6,000
Total Cost $32,000
Reimbursable Expenses
The following expenses will be charged on an as -used basis:
Mileage
Bond prints
Mylar prints
Other out-of-pocket expenses
$0.58/mile
$1.08/sheet
$10.00/sheet
cost plus 10%
After a period of 12 months from the date of this Agreement, all fees remaining under this contract are subject to
an increase of up to 6% at the discretion of the Professional, and may further be increased by 6% annually
thereafter.
Thank you for your consideration of The Schneider Corporation for this project. We look forward
to the opportunity to continue our work with the City of Carmel on this exciting project. Please
contact me if you need more information or have any questions regarding our proposal.
If you determine that you would like to proceed forward with this scope of work. We will then
prepare a Professional Services Agreement for your signature and begin preliminary work on this
project based on your schedule.
Very truly yours,
Michael Krosschell, RLA
Senior Landscape Architect
M K/cct
E XIis i i, ff
30f)
Indianapolis, Indiana
West Lafayette, Indiana
Ankeny, Iowa
Charlotte, North Carolina
Deland, Florida
Houston, Texas
Historic Fort Harrison
1330 Win Hentschel Blvd
1450 SW Vintage Pkwy
8307 University Executive
1201,,2 W. New York Ave.
5444 Westheimer Road
8901 Otis Avenue
Suite 260
Suite 260
Park Dr. Suite 220
Deland, FL 32720
Suite 1000
Indianapolis, IN 46216
West Lafayette, IN 47906
Ankeny, IA 50023
Charlotte, NC 28262
Houston, TX 77084
TX Firm Reg # 10194084
T:\Proposals\2016\30804_Carmel Roundabouts\2016.09.21 Carmel RAB Proposal.docx
EXHIBIT B
Invoice
Name of Company:
Address & Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
Date:
Signature
Printed Name
Goods
Services
Person Providing
Goods/Services
Date
Goods/
Service
Provided
Goods/Services Provided
(Describe each good/service
separately and in detail)
Cost Per
Item
Hourly
Rate/
Hours
Worked
Total
GRAND TOTAL
Signature
Printed Name
EXHIBIT C
INSURANCE COVERAGES
Worker's Compensation & Disability
Employer's Liability:
Bodily Injury by Accident/Disease:
Bodily Injury by Accident/Disease:
Bodily Injury by Accident/Disease:
Property damage, contractual liability,
products -completed operations:
General Aggregate Limit (other than
Products/Completed Operations):
Products/Completed Operations:
Personal & Advertising Injury
Policy Limit:
Each Occurrence Limit:
Fire Damage (any one fire):
Medical Expense Limit (any one person):
Statutory Limits
$100,000 each employee
$250,000 each accident
$500,000 policy limit
$500,000
$500,000
$500,000
$250,000
$250,000
$ 50,000
Comprehensive Auto Liability (owned, hired and non -owned)
Bodily Single Limit:
Injury and property damage:
Policy Limit:
Umbrella Excess Liability
Each occurrence and aggregate:
Maximum deductible:
$500,000 each accident
$500,000 each accident
$500,000
$500,000
$ 10,000
EXHIBIT D
AFFIDAVIT
L -twm-4 M&OQ[
y• , being first duty 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. 1.m now and at all times relevant herein have been employed by
Ke- SCA -WO -tem GoR-OMA�rt (the "Employer")
in the position of .ptplATatz. ,
3. I am familiar with the employment policies, practices, and procedures of the Employer and
have the authority to act on behalf of the Employer.
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 SAYET- NOT.
EXECUTED on the. day of��ivlh!:J , 20 __..
VtkC_ .
Printed: Uau,/) c
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.
I / /MV
Printed:
City®f Ccid �e}�'jYj�el
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
Page 1 of 1
PURCHASE ORDER NUMBER
( JL �j��FEDERAL
EXCISE TAX EXEMPT
34019
ONE CIVIC SQUARE
35-6000972
THIS NUMBER MUST APPEAR ON INVOICES, A/P
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
12/14/2016
00351654
Projects 16 -ENG -23, 16 -ENG -24, 16 -ENG -25; Contract Date
i
IpT
01.04.16
THE SCHNEIDER CORPORATION
City Engineering's Office
VENDOR PO BOX 7048 GROUP 11
SHIP 1 Civic Square
TO Carmel, IN 46032 -
INDIANAPOLIS, IN 46207--7048
Kate Lustig
PURCHASE ID
BLANKET
CONTRACT
CrossRoad Engineers, P.C.
PAYMENT TERMS
FREIGHT
11185
�-
Beech Grove, IN 46107
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE EXTENSION
Department: 2200 Fund: 0 General Obligation Bond
Account: 94-650.04
1 Each Guilford/City Center/Carmel Drive Roundabouts $32,000.00 $32,000.00
Beautification Design
Sub Total $32,000.00
'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 on �I _
& on
CONTROL NO. 34019 CLERK -TREASURER
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Send Invoice To:
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Jill Newport+'~
CrossRoad Engineers, P.C.
3417 Sherman Drive
�-
Beech Grove, IN 46107
G.O./storm Water Bonds
PLEASE INVOICE IN DUPLICATE
DEPARTMENT
ACCOUNT F
PROJECT PROJECTACCOUNT AMOUNT
PAYMENT $32,000.00
SHIPPING INSTRUCTIONS
' A/P 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 on �I _
& on
CONTROL NO. 34019 CLERK -TREASURER