D L Z Indiana, LLC/Eng/Adl Serv #2/287,600/116th Street and AAA Way Roundabout DesignDLZ Indiana, LLCM 1
Engineering Department -2017 �.
Appropriation # COIT Bond Fund, P.O. #100256
Contract Not To Exceed $287,600.00
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 DLZ Indiana, LLC (the "Professional"), as City Contract dated March 31,.2016
shall:amend the terms. of; the Agreement by adding the additional services to'be providefty Professional :consistent
with the Scope of Work attached hereto and incorporated herein as .Exhibit "A". The terms and conditions of 1he
Agreement shall not otherMse 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 arid.through its Board of Public
Works and Safety
By.:
James Brainard, Presiding .officer
Date: 4S
Mary" An Burke, M ber
Datei 9" - —/ %
Lori S. Watson,.
Date: _ I
A
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DLZ Indiana, LLC
.Authoriz d Signature
Gary K. Fisk, PE
Printed.Name
Vice President
Title
FID/TIN: 31-1741713
Last Four of SSN if Sole Proprietor:
Date: 3/L[�zol}
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EXHIBIT A
SERVICES TO BE FURNISHED BY THE PROFESSIONAL
116th Street & AAA Way Roundabout Design
DLZ Indiana, LLC (PROFESSIONAL) shall prepare Design Plans and Bid Documents for the 116th Street
and AAA Way Roundabout Design, thereby constituting the "Project".
This scope of services entails detailed design of the Project. Design plans will be in accordance with CITY
of Carmel Standard Drawings, including CITY's Roundabout design guide. In the absence of any CITY
standards for any design element, the design shall conform to the latest version of the INDOT
Specifications, Supplemental Specifications, Reoccurring Special Provisions, Standard Drawings and
updates, American Association of State Highway and Transportation Officials (AASHTO) A Policy on
Geometric Design of Highways and Streets, 2011; NCHRP Report 672, Roundabouts: An informational
Guide, Second Edition; Indiana Manual on Uniform Traffic Control Devices (IMUTCD) 2011; AASHTO
Guide for the Development of Bicycle Facilities. The design will consist of asphalt pavement for
Roundabouts and Trail. The project is 100% locally funded, including design and construction.
A. PROJECT MANAGEMENT
The PROFESSIONAL shall provide Project Management services including the following:
1. The PROFESSIONAL shall manage the activities described in this Scope of Work among the project
team members. The PROFESSIONAL's project manager (PM) will be in charge of overall project
management in addition to being the CITY's direct link to the design team for issues concerning
administration and technical execution. The PM will be responsible for coordinating the activities
of all SUBCONSULTANTs and acting as liaison between professional and any outside agencies
and/or groups. The PM will also be responsible for maintaining schedule and budget.
2. The PROFESSIONAL shall coordinate and attend meetings with the CITY, as required, to facilitate
the management of the project design elements. Meetings will be held to discuss technical issues
requiring action by the CITY and other third parties. Meetings will be held with the CITY on an as -
needed basis. The PROFESSIONAL will prepare minutes of all such meetings and distribute them to
all participants. This scope of work includes a maximum of six (6) project progress meetings.
3. The PROFESSIONAL shall also coordinate with the CITY's Right of Way (R/W) Acquisition team and
will attend meetings and provide information as requested during the R/W acquisition phase.
B. TOPOGRAPHIC SURVEY
Notice of Survey
DLZ will compile a list of property owners residing along the survey route(s) and notify them by US Mail
of the proposed survey and design.
Survey Control
Horizontal Control — DLZ will establish necessary random horizontal control using Global Positioning
Systems (GPS) or conventional optical traversing methods. Horizontal control values will be based upon
"EXHIBIT n
the Indiana State Plane Coordinate system, East Zone, North American Datum 1983.
Vertical control - DLZ will establish vertical control based upon North American Vertical Datum 1988.
DLZ will establish one vertical control base station by static GPS/OPUS methods while constraining to
and checking into at least two nearby available NGS stations. Additional vertical control points (random
control stations and temporary benchmarks) will be established by conventional differential leveling
techniques.
Topography
Topography will be electronically data collected and processed.
The length of survey will extend 400 feet north and south, 500 feet east and west of the centerline
intersection of 116th Street and AAA Way. The survey limits are presented in Attachment A.
Road Cross-sections at the Roundabout location will be taken at 50 -foot intervals and will extend no less
than 75 feet either side of the centerlines of both 116th Street and AAA Way.
Known underground utilities, which are marked in the field by the respective utility or by its
representative or contractor, that fall within the survey limits, will be located. Above ground utilities and
their appurtenances that fall within the survey limits will be located.
Drainage/sewer structures found within the survey limits will be located and sized and connected to key
offsite structures if they exist.
Other topographic features that fall within the survey limits will be located and will include but will not
be limited to:
• Trees over 8 inches (Edge of tree -lines in heavily wooded areas)
• Significant landscaping and fences
• Driveways, walks and their surface types
• Buildings and /or dwellings
• Roadway surface types
• Utility installations if at surface or otherwise marked
Alignment
Survey alignment for both 1161h Street and AAA Way will be established from the existing pavement
location in the absence of predefined alignments, which are recoverable, provided by the Carmel City
Engineer or the Hamilton County Engineer or County Surveyor.
Boundary and Right of Way Determination
Fee parcel lines established this survey will be based upon record documents found in the Hamilton
County Recorder's Office and/or other public sources, i.e., GIS.
DLZ will establish granted Rights of Way if documented with the Hamilton County Surveyor's Office by
official County Commissioner's record or other Hamilton County Officials' record with legal authority to
establish Rights of Way, or from deeds or right of way grants provided to DLZ by the City Engineer.
DLZ will make every effort to recover and/or re-establish needed section corners as defined in Title 865
I.A.C. 1-12 (Rule 12). DLZ believes it may be necessary to recover or re-establish as many as 12 section
"EMBIT A ---
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corners which control the location of the affected fee parcels. Many of these corners are located as far
as one half mile from the site.
Location Control Route Survey Plats
DLZ will prepare a Location Control Route Survey Plats for recordation in accordance with Title 865 I.A.C.
1-12 (Rule 12).for the three Roundabout locations. The plats will provide the necessary alignment,
section corner and other title information needed for the preparation of Right of Way Parcel Plats and
Descriptions. The plats will display alignment monumentation and reference ties to those monuments as
well as coordinate values for random control and alignment points. DLZ will record these plats in the
Hamilton County Recorder's Office.
ASSUMPTIONS/CONDITIONS
The survey fees stated herein were calculated based upon the following assumptions.
1. DLZ shall have unrestricted access to the survey site and adjoining lands.
2. The limits of the survey shall be as described herein.
3. The Carmel City Engineer shall provide DLZ with plans and any right of way documents which might
cover area of survey.
C. ROUNDABOUT DESIGN AND PLANS
The PROFESSIONAL will prepare a dual lane roundabout concept prior to starting the detailed design of
the roundabout. The concept will be prepared utilizing the most recent traffic data collected by the
PROFESSIONAL as a part of this scope of services. Morning (AM) and Evening (PM) peak hour
intersection turning movement counts will be collected by the PROFESSIONAL for the subject
intersection. A linear.traffic growth rate of 1% and 2% per year (for sensitivity analysis) will be utilized
and traffic projections for the 20 -year design horizon (year 2038) will be made accordingly. The
PROFESSIONAL shall utilize RODEL roundabout capacity analysis software for evaluating the design year
roundabout capacity and for determining the lane requirements. PROFESSIONAL will present the
concept with the design year lane requirements to the CITY and upon approval will proceed with the
detailed design. The Project's design vehicle will be WB -50 (W13-65 will also be evaluated for thru
movements), assuming the truck will utilize both lanes to maneuver through the roundabout.
The proposed roundabout will be designed with sidewalks and/or multi -use paths, as specified by the
CITY. Crosswalks and ADA compliant ramps will be designed for each leg (at entry and exit locations).
The design shall feature concrete curbs with an enclosed storm sewer network to provide drainage from
the pavement areas. The PROFESSIONAL will analyze the existing contours and flow patterns to
determine the appropriate outlets for the storm sewer system.
It is assumed that the intersection will be closed during construction and the PROFESSIONAL shall
prepare a detour route sheet for the proposed roundabout intersection.
The stormwater will discharge into the existing enclosed stormwater system along 11611' Street. It is
assumed that any new detention (in-line or basin) will not be required.
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C. DESIGN SUBMITTALS
The PROFESSIONAL will submit the design plans to the CITY for review at the following stages:
1. Conceptual layouts for approval (Roundabouts Only).
2. Preliminary Plans Submittal (Approx. 60% plans).
3. Final Plans Plan Submittal (Approx. 95% plans).
4. Final Tracings Submittal.
D. PAVEMENT DESIGN
Pavement design will not be performed and the PROFESSIONAL shall utilize the CITY's standard
pavement section for Primary Arterial, as depicted in the CITY's standard Drawings. As requested by the
City, Geotechnical investigation is excluded from this scope of services.
E. UTILITY COORDINATION
The PROFESSIONAL shall perform the utility coordination as follows:
1. Distribute plans, after design approval, with tentative project schedule to utility company
requesting submittal of relocation plans with estimated relocation schedule.
2. Arrange for and attend One (1) Utility coordination meeting at the CITY's office.
3. Coordinate with the utilities, as necessary, to obtain reimbursable utility agreements where
applicable.
4. Process Work Plans and review relocation plans to verify that all conflicts are resolved. Written
documentation is required for all utilities whether relocations are required or not.
5. Distribute written "notice to proceed" with approved utility relocation plans to the appropriate
district office.
6. Prepare the Utility Coordination Certification. The Utility Coordination Certificate shall state the
included relocation plans address the relocation of all facilities known to be in conflict with the
project.
F. ROUNDABOUT LIGHTING DESIGN
The PROFESSIONAL will perform the lighting design calculations to cover the crosswalk areas. This task
does not include any landscape lighting. The following constitutes the scope of lighting services:
1. Perform lighting design calculations for one type of lighting fixture. The light fixture specification,
types and standard to be provided by the CITY.
2. The PROFESSIONAL will develop a set of lighting plans for the Roundabout included in the Project.
The lighting plans shall include lighting general notes, quantity sheets, plan sheets, details and
circuit diagrams.
3. Coordinate with the electric company to determine proposed power service location(s).
4. City desires to utilize the standard light foundations, as specified in City's standard drawing.
Foundation design or geotechnical investigation for the light pole foundations is not included in this
scope.
G. MAINTENANCE OF TRAFFIC (MOT) DESIGN (IF REQUIRED)
If requested by the CITY, the PROFESSIONAL shall prepare MOT design plans to maintain traffic during
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construction. In such case, two-way traffic may be maintained at all times during construction. The
PROFESSIONAL will evaluate the MOTfeasibility and discuss the same with the CITY before finalizing the
MOT design plans.
I. EROSION CONTROL PLAN & RULE 5 PERMIT
This Project is expected to disturb more than one (1) acre of land, therefore a Rule 5 Permit will be
required. The PROFESSIONAL will follow the guidelines and processes of Stormwater Pollution
Prevention Planning and Rule 5 (327 -IAC 15-5). The PROFESSIONAL is now required to analyze
additional elements pertaining to storm water and impacts to Municipal Separate Storm Sewer Systems
(MS4's). The PROFESSIONAL will analyze the pre -construction of stormwater pollution prevention for
the project, and then assess both the construction component of stormwater pollution prevention and
the post -construction component.
In the past, erosion and sediment control was prepared at the time of final plans. Now, the National
Pollutant Discharge Elimination System (NPDES) requirements have become a much more prominent
part of the design and plan preparation process. The PROFESSIONAL will address the storm water
pollution prevention process earlier in the design and incorporate Stormwater Quality Units, more
commonly known as 'best management practices' (BMP's), into our design. The goal is to make water
quality planning a common and integrated part of this design and construction process, and not a result
of a design. Therefore, the erosion control plans are initiated earlier in the design process and review
meetings are scheduled throughout the design with the reviewing agency to discuss the projects
particulars.
J. RED FLAG INVESTIGATION
A Red Flag Investigation (RFI) will be performed within the study area (project area buffered by 0.25 -
mile radius) to assess the project's potential for impacts upon infrastructure, ecological resources, social
and cultural resources and hazardous materials. This information will be used as a first -step screening
tool to identify fatal environmental flaws, or, to identify the need to adjust the project's design to
eliminate the fatal flaws, if possible. Services to be provided include:
1. Perform field reconnaissance to assess and evaluate existing conditions within the project area, and
to collect information on infrastructure, ecological resources, social and cultural resources and
hazardous materials. This task will include a visual determination of wetlands and waterways within
the project area and a recommendation as to their jurisdictional status.
2. Collect available secondary source documentation pertaining to infrastructure, ecological resources,
social and cultural resources and hazardous materials resources and issues within a 0.25 -mile radius
of the project alternatives. Such documentation may include or pertain to resources and issues such
as historic sites/districts and architecturally significant structures (National Register of Historic
Places, SHAARD GIS database and county interim report), wetlands (National Wetland Inventory),
waterways (rivers, streams, ditches and other bodies of water), land use, Section 6(f) resources,
public water supplies (IDEM, IDNR, Division of Water) and hazardous materials sites (IDEM Virtual
File Cabinet), among others.
3. Assess the potential impacts and permitting requirements.
4. Perform a fatal flaw evaluation for the project study area.
"EXHIBIT
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K. RIGHT OF WAY ENGINEERING AND SERVICES
The following Right -of -Way Engineering services will be provided to secure the permanent and
temporary right-of-way needed for this Project. A parcel take will be defined as any temporary or
permanent right-of-way being acquired from a single existing property. This means a single existing
property could have several parcel takes based on its configuration.
The PROFESSIONAL shall:
1. Determine the owners of properties located adjacent to and in the immediate area of the project
alignment, along with the record deed description of those properties (Preliminary Abstracting).
Preliminary Abstracting will include a title search, including a search for all mortgages, easements,
liens, contract sales, judgments, other encumbrances and the current legal owner.
2. Provide descriptions for all parcel takings. The descriptions will be prepared and certified by an
Indiana registered land surveyor.
3. Provide a plat reflecting take(s) for each affected property, for permanent takings. Each plat will
include the following:
a. Total area before taking.
b. Existing Right -of -Way.
c. Area(s) of taking.
d. Area(s) of residue.
e. Existing Right -of -Way to be reacquired.
f. Sketch of the parcel take(s), drawn to scale, with the above data indicted thereon.
5. Provide a one-time field stake -out marking the new Right -of -Way line for the various takings. The
stake -out will be made using wooden hubs located at appropriate property lines and at other
changes in bearing.
The PROFESSIONAL shall be available for assistance in interpretation of the Right -of -Way documents.
L. BIDDING PHASE SERVICES
The PROFESSIONAL shall attend a pre-bid meeting at the CITY's office. The PROFESSIONAL will assemble
the Bid Package including all specification, quantities and pay items for the Bid Documents. The CITY
shall provide all upfront specification to be included in the Bid Document. If required, the
PROFESSIONAL shall attend a Pre -Bid meeting and will also prepare One (1) Addenda and distribute to
the known potential bidders. The PROFESSIONAL will also upload the final Construction Documents to
Reprographix prior to the letting, and as directed by the CITY.
M. PRE -CONSTRUCTION MEETING
Following the award of the project by the CITY, the PROFESSIONAL shall attend a Pre -Construction
Meeting, as arranged by the CITY or the Resident Project Engineer.
N. CONSTRUCTION PHASE SERVICES
The PROFESSIONAL will meet at the project site with the CITY or Resident Project Engineer, as required
and as directed by the CITY, to assist in matters that may arise during the construction of the project for
the duration of construction.
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The PROFESSIONAL will make his services available to the CITY during the construction of the work for
the interpretation of the plans where disagreement may arise, utility coordination during construction
and for consultation during construction in the event unforeseen or unusual conditions arise.
Additionally, the PROFESSIONAL shall review or take other appropriate action upon the Contractor's
submittals such as Working (shop) Drawings, Product Data and Samples, (up to 100 hours) but only for
the limited purpose of checking for conformance with information given and the design concept
expressed in the Contract Documents. The PROFESSIONAL's action shall be taken with such reasonable
promptness as to cause no delay in the Work or in the activities of the CITY, Contractor or separate
contractors, while allowing sufficient time in the PROFESSIONAL's professional judgment to permit
adequate review. Review of such submittals is not conducted for the purpose of determining the
accuracy and completeness of other details such as dimensions and quantities, or for substantiating
instructions for installation or performance of equipment or systems, all of which remain the
responsibility of the Contractor as required by the Contract. The PROFESSIONAL's review shall not
constitute approval of safety precautions or, of any construction means, methods, techniques,
sequences or procedures. The PROFESSIONAL's approval of a specific item shall not indicate approval of
an assembly of which the item is a component.
If professional design services or certifications by a design professional related to systems, materials or
equipment are specifically required of the Contractor by the Contract Documents, the PROFESSIONAL
shall specify appropriate performance and design criteria that such services must satisfy. Shop Drawings
and other submittals related to the Work designed or certified by the design professional retained by
the Contractor shall bear such professional's written approval when submitted to the PROFESSIONAL.
The PROFESSIONAL shall be entitled to rely upon the adequacy, accuracy and completeness of the
services, certifications or approvals performed by such design professionals.
The construction phase services stated above shall be compensated at an hourly rate schedule in
accordance with the rates presented in Attachment B.
P. ADDITIONAL SERVICES OF THE PROFESSIONAL
If authorized in writing by the CITY through an executed supplemental agreement, PROFESSIONAL shall
furnish, or obtain from others, Additional Services of the types listed in the following paragraphs. These
Additional Services will be paid for by the CITY for a mutually agreed additional fee at a later date, as
requested by the CITY or as necessitated by the project. The additional services that may be performed
are included, but not limited to, the following:
1. Landscaping and Irrigation design.
2. Drainage detention and/or expansion of existing detention basins or off-site drainage design.
3. As -built drawings.
4. Geotechnical Investigation
5. Roundabout Metering and Microsimulation analyses.
6. Any utility relocation design (including water and sanitary) and subsurface utility engineering.
7. Attendance or preparation for any public meeting or presentations.
8. Any bridge and retaining wall design.
9. Maintenance of Traffic plan/scheme other than a detour during construction for Roundabout
intersections.
"EXHIBIT__
10. All activities and items associated with Right -of -Way Acquisition including but not limited to,
appraising, review appraising, right-of-way acquisition coordination and management services.
11. Roundabout renderings.
12. Pavement Design
13. Lighting design calculations and illumination level calculations.
14. Report for the Red Flag Investigation, any Environmental Studies, and wetland delineation.
15. Preparation for or presentation at any Public Meeting.
16. Stream Mitigation, Wetland permitting and Wetland mitigation design plans
17. Permits other than Rule 5.
18. Construction Inspection and/or observation.
Q. INFORMATION AND SERVICES TO BE FURNISHED BY THE CITY
The CITY shall furnish the PROFESSIONAL with the following:
1. Additional criteria for design and details for signs, roundabout, highway and structures such as
grades, curves, sight distances, clearance, design loading, etc.
2. CITY specifications and standard drawings applicable to the project.
3. The light fixture type and standards to be used for lighting design.
4. City's utility line depths (water and Sanitary), as requested by the PROFESSIONAL to aid in
performing the services stated in this scope of services.
5. Guarantee access to enter upon public and private lands as required for the PROFESSIONAL to
perform work under this scope of services.
6. Right of Way certifications, as needed.
7. CITY's upfront specifications for the contact document/bid book.
R. FEE FOR SERVICES
In consideration for the above, the PROFESSIONAL will be compensated a Not to Exceed total fee of
$287,600.00, including expenses. A breakdown of fee is presented as follows:
TASK DESCRIPTION
FEE
Intersection Counts
$1,550
Topographic Survey
$23,700
LCRSP
$10,100
Roundabout Design
$150,000
Signing & Pavement Marking Design
$5,500
Erosion Control & Rule 5 Permit
$6,500
Lighting Design
$8,500
Maintenance of Traffic
$11,000
"EXHIBIT "
Red Flag Investigation
$6,000.
Bid Phase, including Pre -Bid Meeting and one Addenda
$5,000
Pre -Construction Meeting
$1,500
Coordination with R/W Acquisition Team
$5,000
SUBTOTAL - LUMP SUM FEE
$234,350
RIGHT OF WAY ENGINEERING (Up to Max. of 10 parcels)
T & E Reports:
(Commercial - $650/parcel; Residential - $500/parcel;
Special/Exempt (Church)- $850/parcel, Temp - $225/parcel)
$8,000
R/W Engineering:
Permanent Parcels include Plats, Description and R/W Calcs.;
$2,000/parcel, Revisions or Temporary Parcels include Description
and R/W Calcs.; $1,400/parcel
$20,000
R/W Staking - $525/parcel (One time Staking)
$5,250
SUBTOTAL - R/W Engineering
$33,250
Utility Coordination (Hourly, as needed) *
$15,000
Construction Phase Office Services (Hourly, as needed) *
$5,000
TOTAL FEE (NOT TO EXCEED)
$287,600.00
* For these services, the PROFESSIONAL shall be compensated based on Hourly Rate and/or unit rates
for the services performed in accordance with the rates presented in Attachment A.
"EXHIBIT
—A--
I-rit
- ATTACHMENT
DLZ INDIANA, LLC - FEE STRUCTURE .
ENGINEERING/ARCHITECTURAL
2017-2018
�1
Actwi'ty Code
_ z2017
Employee Classificdtlon
Hourly
Rd>*e
-2018
Hourly
--;Rate
1
Principal
$220.00
$220.00
49/49D
Division Manager/Director
$205.00
$210.00
50
Department Manager
$185.00
$190.00
55/4
Registered Land Surveyor/Survey Coordinator
$135.00
$140.00
80/217
Senior Project Manager/ Project Manager II
$185.00
$190.00
21/216
Project Manager 1
$170.00
$175.00
341/340%556/557
Electrical/Mechanical/Structural Engineer VI
$170.00
$175.00
555/565/214
Engineer V/Architect V/Landscape Arch. V/Planner V/Scientist V/Geologist V/ Surveyor V
$165.00
$170.00
554/564
Engineer IV/Architect IV/Landscape Architect IV/Planner IV/Scientist IV/Geologist IV
$160.00
$165.00
53/58
Engineer III/Architect III/Landscape Architect III/Planner III/Scientist III/Geologist III
.$140.00
$145.00
52/57
Engineer II/Architect II/Landscape Architect II/Planner II/Scientist II/Geologist II
$130.00
$135.00
51/56
Engineer I/Architect I/Landscape Architect I/Planner I/Scientist [/Geologist 1
$105.00
$110.00
28
Designer 1
$95.00
$100.00
472
Designer 11
$110.00
$115.00
473
Designer 111
$125.00
$130.00
29
Technician
$75.00
$80.00
147
Construction Observer Manager/Administrator
$125.00
$130.00
-152
-Construction Observer
-$100:00-
$105:0
43
Clerical
$65.00
$70.00
430
Office Services Coordinator
$75.00
$80.00
6
Intern
$50.00
$55.00
Reimbursable; Expenses
Crew Classification ,. = ,• K„
2017, ourly Rate
H
201 8 Hourly Rate
142/99.
142/99
2 - person Topographic Survey Crew (straight time)
2 - person Topographic Survey Crew (over time)
$200.00
$265.00
$210.00
$280.00
63
1- person Field Crew
$120.00
$125.00
63
1- person Field Crew (over time)
$160.00
$165.00
GPS
1- person GPS/RTK Field Crew
$160.00
$165.00
SCAN
HDS Laser Scanning Crew
$260.00
$265.00
13/94
Field Survey Technician / Survey -Mapping Assistant
$85.00
$90.00
Reimbursable; Expenses
Rate'
Mileage
$0.535/mile
Travel Expenses
@ Cost
Living Expenses
@ Cost
Reproduction
Cost plus 20%
Subconsultants
Cost plus 20%
Equipment Rental
Cost plus 20%
Rates are subject to revision on January 1 of each year. Cost of living/inflation increases of 3 to 7% per annum can be anticipated.
'EXHIBIT A
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City0 f Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
Page 9 of 1
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
100256
ONE CIVIC SQUARE
35-6000972
THIS NUMBER MUST APPEAR ON INVOICES, AIP
CARMEL, INDIANA 46032-2584
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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
3/10/2017
American Structurepoint, Inc.
8425 Wicklow Way
061515
Project 16 -ENG -45; Contract Date 03.31.16
DLZ INDIANA, LLC.
City Engineering's Office
VENDOR. 157 EAST MARYLAND ST
SHIP 1 Civic Square
TO Carmel, IN 46032 -
INDIANAPOLIS, IN 46204 -
Kate Lustig
PURCHASE ID
BLANKET
CONTRACT
' AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PAYMENT TERMS
FREIGHT
13533
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
QUANTITY
UNIT OF MEASURE.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DESCRIPTION
UNIT PRICE EXTENSION
Department: 2200 Fund.0
Account., 94-650.04
1 Each
COIT Bond Fund
ASA 2 -116th Street and AAA Way Roundabout Design $287,600.00 $287,600.00
Sub Total $287,600.00
CONTROL NO. 100256 CLERK -TREASURER
" `$
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3
177
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Send Invoice To:
~•'°'
Skip Tennancour'
American Structurepoint, Inc.
8425 Wicklow Way
Brownsburg, IN 46112
2016 COIT Bond
PLEASE INVOICE. IN DUPLICATE
DEPARTMENT ACCOUNT
PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $287,600.00
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
C�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
Jeremy Kashman Douglas Haney
TITLE Director Corporation Counsel
CONTROL NO. 100256 CLERK -TREASURER