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American Structurepoint, Inc/Eng/Adl Serv #16A/994,150/As Needed Right of Way Services American Structurepoint,Inc. Engineering Department-2017 Appropriation#2016 COLT Bond Fund.P.O.#34028 Contract Not To Exceed$994,150.00 QRO fr . ADDITIONAL SERVICES AMENDMENT TO jAp AGREEMENT FOR PROFESSIONAL SERVICES THIS AMENDMENT TO THE AGREEMENT FOR PROFESSIONAL SERVICES.("Agreement) entered into by and between the City of Carmel and American Structurepoint, Inc. (the 'Professional"), as City Contract dated April 6, 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". 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 American Structurepoint, Inc. by and through its Board of Public Works and Safety By: By: mes Brains Presiding Officer 'Authorized Sig ature Date: ^/9 -- Xgr w;r4 canoe"— Printed Printed Name Mary Ann urke,Me ber Date: I Pre s:;/eK4 ay," Title Lori S.W:tso amber FID/TlN: 3s- li2-7ai7 Date: / Last Four of SSN if Sole Proprietor: Date: A l 12, Ay'?> ristine Paule jP, �rk-T a surer /f Date: ' I// 'C.rnnnstlMSres&On.h SmtliormmceL91IM rrinn Sinnua.,.nvt MA 116A Ja•+fl I2II 10S6104I • O AMERICAN STRUCTUREPOINT, INC. Exhibit A City of Carmel As-Needed Right-of-Way Scope Items As needed and directed by the City,Professional will provide the following right-of-way services. 1. Right-of-Way Management and Supervision a. Professional shall be responsible for administering, scheduling, and coordinating all activities necessary to certify right-of-way has been acquired and the project is clear for construction letting. This responsibility shall include: i) Meetings, conferences, and communications with property owners, relocatees, attorneys, engineers, appraisers,buyers,and City ii) Revisions to construction plans,right-of-way plans,plats,legal descriptions,and right-of-way stake-outs that may be required b. These right-of-way services include all reasonable services as required to secure all parcels based on the approved engineering design or to recommend to the City that condemnation proceedings be filed. c. The Professional shall make arrangements for delivery of payment to each property owner and/or relocatee. 2. Abstracting a. Parcels with a fair market value of$5,000 or more i) A documented preliminary title search is required covering an interval of time including one valid transfer of fee title beyond a 20-year period from the date of the search. ii) Each title search shall be updated, if necessary, and a Guaranty of Title issued in the amount of$5,000. b. Parcels with a fair market value of$5,000 or less or Temporary Right-of-Way i) A documented minimal title search by a title company, or ii) A verified last-deed-of-record search 3. Plats,Legal Descriptions,and Staking a. The Professional shall prepare metes and bounds legal descriptions and land plats for all acquisitions according to the INDOT Right-of-Way Engineering Manual and all applicable state of Indiana Codes, including, but not limited to, the following as applicable. IC 32-1-2-37 IC 32-5-2-2 IC 36-2-19 Sections 4, 5, and 6 The interpretation as to the specific requirements of these laws and regulations will be at the discretion of the City and the Professional. b. The legal descriptions shall be prepared and certified by an Indiana Registered Surveyor. c. Each plat shall include the following. i) Total area before taking "EXHIBIT April 4,2017 0 201502101 O AMERICAN STRUCTUREPOINT, INC. ii) Area of existing right-of-way iii) Area of all residue d. Right-of-Way Staking i) The Professional shall provide right-of-way stakeouts locating the new right-of- way line. The stake out shall be made using wooden hubs located at changes in bearing and other points necessary to indicate the location of the right-of-way takings (including permanent and temporary right-of-way). 4. Appraising a. Information pertaining to the Appraisers shall be submitted to City prior to City giving the Notice to Proceed on the Appraising. b. The Appraiser(s) shall be a licensed appraiser in the State of Indiana. c. No services by the Appraiser(s) shall be sublet, assigned, or otherwise performed by anyone other than the Appraiser(s). d. Should the quality and/or progress of the appraisals be deemed unsatisfactory, the City may terminate the services of the Appraiser(s)by giving five(5)days written notice.The earned value of the services performed shall be based upon an estimate of the portion of the services as have been rendered by the Appraiser(s) to the date of termination. All services, completed or partially completed,shall become the property of the City. e. The Appraiser(s) shall examine the plans for this project and review in the field the various parcels herein designated. f. The Appraiser(s) shall give the owner of each parcel to be appraised the opportunity to accompany the Appraiser(s) during the inspection of the parcel. g. The Appraiser(s) shall follow accepted principles and techniques in evaluation of real property in accordance with state laws. Any appraisal that does not meet requirements shall be further documented or reappraised, as the case may be, without additional compensation to the Appraiser(s). h. The Appraiser(s) shall furnish the City with a comparable sales docket consisting of sufficient current sales data in the vicinity of the Project to establish a pattern of values. Each comparable property shall be identified by photograph and shall be located on county or township maps that shall be a party of the comparable sales docket. i. The Appraiser(s) shall not give consideration to nor include in the appraisal any allowance for relocation assistance benefits. j. Where an entire property is to be acquired,the estimate of just compensation shall be the fair market value of the property. Where only part of a property is to be acquired, the estimate of just compensation shall be that amount arrived at in accordance with the laws governing just compensation applicable to the acquiring agency, including those laws governing compensable and non-compensable items and the treatment of general and special benefits.For whole or partial acquisitions,the appraisal report shall show what in the appraiser's judgment is a reasonable allocation of the "before value" to the various land,building,and other improvement components.For partial acquisitions,the appraisal report shall further show a similar allocation of the"after value." k. In estimating just compensation for the acquisition of real property,appraisal reports shall to the greatest extent practicable under state law, disregard any decrease or increase in the fair market value of the real property prior to the date of valuation caused by the April 4, 2017 °EXHIBIT 201502101 h-1- 7 O AMERICAN STRUCTUREPOINT, INC. public improvement for which such property would be acquired for such improvement, other than that due to physical deterioration within the reasonable control of the owner. 1. Documentation of estimates of value(either the before,the after,or the acquisition value) of damages and/or of special benefits shall be by the most applicable and appropriate means available. If support for the after value by the usual methods of market or income data or indications from severance damage studies is not feasible, the Appraiser(s) shall so state and explain why it is not feasible. In such instances, the Appraiser(s) must then fully explain the reasoning for the after value estimate. m. The Appraiser's report shall conform with statutory and judicial determinations regarding non-compensable items. i) The purpose of the appraisal,which includes a statement of value to be estimated and the rights or interests being appraised. ii) Identification of the property and its ownership, including at least a 5-year delineation of title. iii) Statement of appropriate contingent and limiting conditions,if any. iv) An adequate description v) Identified photographs of the subject property, including all principal above- ground improvements or unusual features affecting the value of the property to be acquired or damaged. vi) An identification or listing of the buildings, structures, and other improvements on the land,as well as the fixtures that the Appraiser considers to be a part of the real property to be acquired. vii) The estimate of just compensation for or resulting from the acquisition. In the case of a partial acquisition, where appropriate, the Appraiser(s) shall make a reasonable allocation of the estimate of just compensation for the real property to be acquired and for damages and/or special benefits to remaining real property. viii) The date(s) on which and/or as of which, as appropriate, the just compensation is estimated. The effective date of value estimate must be the last day of inspection. ix) The certification, signature, and date of signature of the Appraiser(s). x) Other descriptive material(maps, charts,plans,and photographs). xi) That the property owner was given the opportunity to accompany the Appraiser(s) during the inspection of the property. n. Appraisal reports shall be prepared in ink or typewritten and dated and signed by the individual making the appraisal. o. Each appraisal report shall contain an appraiser's certification.A new certificate shall be prepared where there is a change in the appraisal report that affects the estimate of just compensation or changes the date of valuation. An exception to including all requirements in each appraisal report is permitted where project data containing the same information has been developed to supplement the reports. In such instances, an appropriate reference to the information may be considered as equivalent to its inclusion in the appraisal report. p. The Appraiser(s)agrees/agree to furnish one original,one white copy and one green copy of the appraisal report. "EXHIBIT 4 April 4, 2017 br-7 201502101 O AMERICAN STRUCTUREPOINT, INC. q. The Appraiser(s)agrees/agree to updating reports for one year after the initial completion of the report and/or testifying in court on behalf of the City on any of the parcels described herein. r. All information contained in the appraisal report and all parts thereof are to be treated as a privileged communication. The Appraiser(s) shall take all necessary steps to ensure neither he/she nor any member of his/her staff or organization divulges any information concerning the report except to a duly authorized representative of the City, until authorized in writing by the City to reveal the communication to another designated party._ 5. Buying a. The Professional shall engage a subconsultant to perform the buying services covered by this Agreement. The Buyer shall be a licensed real estate broker in the State of Indiana or an attorney licensed to practice law in the State of Indiana. b. No services by the Buyer shall be sublet, assigned, or otherwise performed by anyone other than the Buyer. c. The Buyer shall make every reasonable effort to acquire expeditiously parcels listed herein. d. The Buyer shall make a prompt offer to acquire each parcel for the full amount that has been established and approved as just compensation for the acquisition. The Uniform Property or Easement offer letter shall be given each parcel owner or sent by certified mail with return receipt requested. e. Upon initiation of buying,the Buyer shall provide owner of real property to be acquired with a written statement of, and a summary of the basis for, the amount that has been established by the City as just compensation for the proposed acquisition. f. The Buyer shall perform the services under this Agreement in compliance with the Indiana Department of Transportation's Buyers Procedure Manual in addition to the following regulations: i) Make all reasonable efforts to personally contact each owner or his designated representative,explain the acquisition,and offer in writing the approved estimate of just compensation.When all efforts to make a personal contact have failed,or in the event the property owner resides out of state,the owner may be contacted by certified or registered first-class mail or other means appropriate to the situation. ii) The owner of improvements located on lands being acquired for right-of-way should be offered the option of retaining those improvements at a retention value determined by the Buyer and approved by the City. iii) A revised offer and summary statement of just compensation shall be provided to the owner if: iv) The extent of the taking is revised; v) The Buyer shall maintain adequate records to include a report for each parcel containing but not limited to: (a) The date and place of contact (b) Parties of interest contacted (c) Offer made (d) Counter-offer or reasons offer was not accepted April 2017 "DCHIBIT • 201502101 p 0J\-7 ® AMERICAN STRUCTUREPOINT, INC. (e) The report must be signed and dated by the Buyer, and initiated by the person contacted. vi) The property owner may be given a copy of the report on each contact. vii) When attempts to buy are successful, a signed statement is to be prepared by the Buyer to the effect that: (a) The written offer embodies all considerations agreed to by the property owner; (b) The Buyer understands the acquired property is for use in connection with a locally funded project; (c) The Buyer has no direct or indirect, present, or contemplated future personal interest in the property as in any monetary benefit from the acquisition of the property; and (d) The agreement was reached without coercion of any type. viii) When attempts to buy are unsuccessful, the Buyer shall record his/her recommendation for action and submit it to the City. (a) The recommendation shall consider administrative settlement,including amount of settlement and reasons for a settlement. (b) Otherwise, a condemnation report shall be filled out and submitted. g. All information contained in the appraisal shall be treated as confidential. The Buyer is to take all steps to ensure that he/she does not divulge any of this information to anyone other than a duly authorized representative of the City unless authorized in writing by the City to reveal the information to another designated party. h. Should the quality and/or progress of the buying be unsatisfactory, the City may terminate the services of the Buyer by giving five (5) days written notice. The earned value of the services performed shall be based upon the percentage of services completed at the time of the termination.All records of the Buyer and services completed or partially completed, shall become the property of the City. If condemnation services are required,the Professional can provide them as an Additional Service. 6. Relocation Assistance a. The Professional shall engage a subconsultant to provide Relocation Assistance for each person,family,business,farm operator or non-profit organization being displaced by the project. b. The subconsultant shall provide all necessary relocation and advisory services and compute payment for each parcel to be relocated.The provision of such services shall be in accordance with current state or federal regulations, as directed by the City. c. Should the City choose to provide federal entitlements,the booklet"Relocation and You" will be given to each relocatee at the earliest possible contact. 7. Recording a. Unless the City takes charge of recordation, the Professional shall record all documents necessary to provide clear title to the City.This may include but is not necessarily limited to deeds, easements,partial mortgage releases, etc. "EXHIBIT April 4,2017 c_Pl 201502101 Exhibit A 2016 BOND PROJECTS CARMEL 2016 BOND LAND ACQ SERVICES P.O.34028 3/8/2017 R/W Services Fees Number [If no fee estimate, COIT Bond Project Number R/W Clear R/W Management Design of Parcels 810,000 avg per parcel] 116th Street and Gray Road Roundabout 12-03 CrossRoad NA 96m Street and Priority Way Roundabout 15-04 CrossRoad NA Guilford Road—City Center to Main Street Reconstruction 15-05 CrossRoad NA Carmel Drive and Range Line Road Roundabout 15-12 CrossRoad NA 96th Street and Keystone Parkway Interchange construction 16-ENG-05 CrossRoad NA Hazel Dell Parkway Cherry Tree to 146th Street Widening 16-ENG-10 CrossRoad NA Monon Trail Reconstruction—City Center to Main Street 16-ENG-22 CrossRoad NA 4th Street SW-4th Avenue SW to Monon Boulevard(Midtown Supplemental) 16-ENG-31 CrossRoad NA 4th Street and Range Line Road Roundabout(Midtown) 16-ENG-31 CrossRoad NA 4th Street SW-Monon Boulevard to 1st Avenue SW(Midtown Supplemental) 16-ENG-31A CrossRoad NA Monon-Main Street to 1st Street NW(Midtown Supplemental) 16-ENG-32 CrossRoad NA 96th Street and Randall Drive Roundabout 16-ENG-40 CrossRoad NA 96th Street and Keystone Parkway Adjacent Roadway Construction 16-ENG-78 CrossRoad NA Monon Plaza-Underground Transmission 16-ENG-86 CrossRoad NA 116th Street and Hazel Dell Parkway Roundabout 15-03 DLZ Indiana NA Land Acquisition for Redevelopment 16-ENG-100 NA? NA Roundabout Landscape Improvements 16-ENG-13 No right of way NA NA 2016 Bond Management Program 16-ENG-14 No right of way NA NA Hazel Dell Parkway and Keystone Parkway Roundabout Landscape Svcs 16-ENG-15 No right of way NA NA Towne Road and 116th Street Roundabout 16-ENG-53 No right of way NA NA Range Line Road Conceptual Design for Public Outreach 16-ENG-75 No right of way NA NA 96th Street Conceptual Design 16-ENG-84 No right of way NA NA Carey Road Landscaping Design-136th Street,Hawthorne 16-ENG-87 No right of way NA NA Z C 96th Street and Keystone Parkway Plan Review 16-ENG-90 No right of way NA NA lC Subsurface Utility Engineering 16-ENG-91 No rijght of way NA NA As Needed Survey Services(Bond) 16-ENG-92 No right of way NA NA As Needed Right of Way Services(Bond) 16-ENG-93 No right of way NA NA H 2016 Paving 16-ENG-95 No right of way NA NA m Duke Energy Relocation Plans-Preliminary Engineering Services 17-ENG-01 No right of way NA NA = Pennsylvania Street and Carmel Drive Roundabout 16-ENG-48 RQAW RQAW NA 126th Street Landscape Improvements 16-ENG-102 Shrewsberry TBD NA 126th Street Path from Keystone to Hazel Dell 15-17 3/7/2018 Structurepoint Clark Dietz 11 $ 110,000.00 Carmel Drive and Old Meridian Roundabout 15-18 9/6/2017 Structurepoint RQAW 2 $ 20,000.00 126th Street reconstruction—Range Line to Keystone 16-ENG-04 _ 3/1/2017 Structurepoint Structurepoint 7 1$11134395[001 Gray Road and 126th Street Roundabout(and Gray Trail) 16-ENG-16 2/1/2017 Structurepoint DLZ 8 $ 6,1,265,00 111th Street and Range Line Road Roundabout 16-ENG-41 3/7/2018 Structurepoint TBD MEOW $ 40,000.00 116th Street and College Avenue Roundabout 16-ENG-42 3/7/2018 Structurepoint TBD MEW $ 40,000.00 116th Street and Guilford Avenue Roundabout 16-ENG-43 3/7/2018 Structurepoint TBD MEE $ 40,000.00 126th Street reconstruction-Hazel Dell to River Road 16-ENG-44 3/7/2018 Structurepoint TBD IMIW41 $ 40,000.00 AAA Way and 116th Street Roundabout 16-ENG-45 3/7/2018 Structurepoint DLZ MEW $ 40,000.00 AAA Way and Carmel Drive Roundabout 16-ENG-46 9/6/2017 Structurepoint HWC Illr4 $ 40,000.00 Keystone Way Construction to connect to AAA Way 16-ENG-47 9/6/2017 Structurepoint TBD 10 $ 100,000.00 Range Line Road from 136th Street to US 31 16-ENG-49 3/4/2020 Structurepoint United 15 1$ 1[14r657i[501 Range Line Road and City Center Drive Roundabout 16-ENG-50 3/1/2017 Structurepoint A&F 3 1$11143T6481001 Range Line Road&Medical Drive 17-ENG-07 1/15/2018 Structurepoint Structurepoint 4 $ 40,000.00 Spring Mill Reconstruct from 111th Street to Main Street 16-ENG-52 3/1/2017 Structurepoint United 12 $ 88,4;7.50 Gray Road and 136th Street Roundabout 16-ENG-54 2/1/2017 Structurepoint DLZ 3 rfiMIEME7973F10 Gray Road and Main Street Roundabout 16-ENG-55 7/15/2017 Structurepoint DLZ 4 $ 40,000.00 Range Line Road from 116th Street to 4th Street SE 16-ENG-70 8/2/2017 Structurepoint Structurepoint 16 1$ 2044200?001 Gray Road Multi Use Path 16-ENG-97 7/15/2017 Structurepoint DLZ 2 $ 20,000.00 Range Line Road Extension to Lowes Way Connector[City/County] 16-ENG-51 3/4/2020 Structurepoint CHA 11.0 $ 100,000.00 Subtotal: Subtotal: $ 1,247,868.00 201502101 Exhibit A ,2016 BOND PROJECTS R/W Services Multi-Use Paths COIT BOND Fees Number [If no fee estimate, Project Number RIW Clear RIW Management Design of Parcels $10,000 avg per parcel] Ditch Road Trail Design from 106th Street to 116th Street 16-ENG-20 3/7/2018 Structurepoint Clark Dietz 3 1$�2219115r001 116th Street Path from Michigan Road to Shelbome Road-Design 16-ENG-67 3/7/2018 Structurepoint PCS PIlliM.6 $ 60,000.00 116th Street Path from Shelbome Rd.to Towne Rd.-116th Street Culvert 16-ENG-68 5/3/2017 Structurepoint PCS iliNMMB $ 60,000.00 Shelbome Path from 106th Street to 116th Street-Design 16-ENG-69 ; 3/7/2018 Structurepoint PCS I6 $ 60,000.00 Ditch Road Trail Design from 96th Street to Existing Trail on 96th 16-ENG-71 3/7/2018 Structurepoint VS Eng 61$152T2421150] 96th Street Trail-I 96th-Michigan to Ditch III Shelboume-96th to 106th 16-ENG-73 5/15/2017 Structurepoint BFS 25 I$M=l1F250j000?001 96th Street Trail-II 96th-Ditch to Spring Mill 16-ENG-73 11/15/2017 Structurepoint BFS 3 i$MBEIM301000T001 Gray Road Multi Use Path 16-ENG-97 NA No right of way NA NA Carmel Drive Path Old Meridian to Monon Trail 16-ENG-99 NA No right of way NA NA Towne Road Trail from 96th Street to 106th Street 16-SW-18 3/1/2017 Structurepoint USI 10 1$ MI5451L1r7/501 Westfield Boulevard over Carmel Creek Bridge Plan Development 16-SW-85 8/2/2017 Structurepoint Structurepoint 1111111101W4 $ 40,000.00 Subtotal: Subtotal: $ 629,275.00 RIW Services Fees Number [If no fee estimate, Storm Water Bond Projects Project Number RIW Management Design of Parcels $10,000 avg per parcel] Emerson Road Sewer Reconstruction 16-SW-02 CrossRoad NA Small Structure Replacement-Alternate Two A-Williams Creek 16-SW-07 NA NA Small Structure Replacement-36,43,85,147,65,92,122,128 16-SW-08 NA NA Carmel View Drainage Improvements 16-SW-12 CrossRoad NA Small Structure Replacements-116th St.Path from Shelbome to Towne Rd&116th.16-SW-38 NA NA 2016 Storm Water Bond Front End Project Services 16-SW-55 NA NA Crooked Stick-Augusta Lane/Greenbrier Drive/Burning Tree/Tam 16-SW-57 NA NA C Carmel Meadows 16-SW-58 CrossRoad NA Cedar Pointe 16-SW-59 CrossRoad NA (N Concord Village 16-SW-60 CrossRoad NA Green Tree Estates 16-SW-61 CrossRoad NA Harrowgate 16-SW-62 CrossRoad NA 1= CO Ironwood 16-SW-63 CrossRoad NA Jordan Woodlands 16-SW-64 CrossRoad NA =X Village of Mount Carmel 16-SW-65 CrossRoad NA Wilson Village 16-SW-66 CrossRoad NA Ditch Rd.Trail Design-96th St.Connection to Existing Trail 16-SW-71 Structurepoint? Ii7 $ 10,007.00 Main Street Drainage Improvement Project 16-SW-72 CrossRoad NA 121st Street Small Structure Improvements 16-SW-74 CrossRoad NA Crooked Stick-St.Andrews Circle-Road Reconstructed Drainage 16-SW-76 CrossRoad NA Old Town Alley Drainage Improvements 16-SW-77 CrossRoad NA Small Structure Replacement under Jumper Lane 16-SW-79 CrossRoad NA Small Structure&Culvert Lining-8,14,30,33,49,76,98,104,165 16-SW-88 NA NA Subtotal: Subtotal: $ 10,007.00 Yellow highlight girilEnestimated dil itv.41=1, mt7 l{ Salmon highlight Indicates estimated fee but number of.arcels is accurate '' Blu=highlight indicates actual fee quotes received Current P.O.Total: $ 893,000.00 Current 3/8/17 Encumbered Total: $ 707,143.00 Remaining on P.O.Currently 3/8/17: $ 185,857.00 • Estimated Additional Fees Total: $ 994,150.00 Estimated New P.O.Total: $ 1,887,150.00 201502101 rs j INDIANA RETAIL TAX EXEMPT V�y Page 1 of 1 City of C2nrrli'ie]I CERTIFICATE NO.0031201550020 PURCHASEORDER NUMBER r __ 1 FEDERAL EXCISE TAX EXEMPT 34028 ONE CIVIC SQUARE { 35 66000972 THIS NUMBER MUST APPEAR ON INVOICES AlP 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.6RDER.DATE DATE REQUIRED REQUISITION NO: VENDOR NO. ..._. — DESCRIPTION � '-'- 6/28/2016 00350562 Contract.Date 04.06.16 AMERICAN STRUCTURE POINT,INC City Engineering's Office ff VENDOR 7260 SHADELAND STATION SHIP 1 Civic Square TO Carmel,IN 46032- INDIANAPOLIS,IN 46256--3957 Kate Lustig PURCHASE ID ) BLANKET I CONTRACT T_.� _,_,_._ __..-_ T __....;� ..._:__._-.-_..._____::w_ PAYMENT TERMS . FREIGHT 1 6012 r QUANTITYj UNIT;OF MEASURE: ' DESCRIPTION L __{..__ ..__ IT SURE. -- - DESCI....._ UNIT PRICE_.. 1. _ _EXTENSION' Department: 2200 Fund:: 0 COLT Bond Fund Account: 94-650.04 'I Each ASA 16,As Needed Right of Way Services. $893,000.00 $893,000.00 Sub Total $893,000.00 1 rc,--eo.s-e Ex's{-i P.O. Y' i / / / I f x"j k 3 vr 2A',10t 4 #,>r Send Invoice To: 2A YD ^A= A Vei i t Skip Tennancour t ,' American Structurepoint,Inc. i`i, , "` / 8425 Wicklow Way Yxi ,•o+;v4. C wa Brownsburg, IN 46112 " u sAt €� z a R 2016`COLT Bond . #' _PLEASE INVOICE IN DUPLICATE I DEPARTMENT - ACCOUNT PROJECT PROJECT ACCOUNT T ..::._. - - _ _...... __:. �...�,-L AMOUNT. PAYMENT $893,000.00 SHIPPING INSTRUCTIONS AIPVOUCHER,CANNOT BE'APPROVED FOR PAYMENT.UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHERAND EVERY INVOICE AND VOUCHER HAS.THE=PROPER"SWORN SNIP PREPAID, AFFIDAVIT"ATTACHED. I HEREBY CERTIFY THAT THERE IS:AN UNOBLIGATED BALANCE IN 'Cob.SHIPMENT"CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE:ORDER. 'PURCHASE ORDER NUMBERMUST-APPEAR ON AU,SHIPPING LABEL 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99 ACT51945 J AND ACTS AMENDATORY THEREOF AND;SUPPLEMENftHERETO. ORDERED BY P1: ..:_. ..... _ — _ _.;.,__,.»_ TITLE CONTROL NO. .34:02H CLERK-TREASURER