Rollfast, Inc/Comm Rel/Adl Serv/Ride, Dine and Dance 2.0Rollfast, Inc.
Community Relations - 2017
Appropriation # 120343-59300; P.O. #100608
Contract Not To Exceed $5,500.00
LA
ADDITIONAL SERVICES AMENDMENT TO
AGREEMENT FOR PURCHASE OF GOODS AND SERVICES
THIS AMENDMENT TO THE GOODS AND SERVICES AGREEMENT ("Agreement") entered into by and
between the City of Carmel and Rollfast, Inc. (the "Vendor"), as City Contract dated February 1, 2017 shall amend
the terms of the Agreement by adding the additional services to be provided by Vendor 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
by and through its Board of Public
Works and Safety
as
Braina"rd, PJesiding Officer
9_ X -7
Mary Ar1i4 Burke e e
Date: 12
Lori S. Watson, er
Date: i 9
PATT T:
ristine Pauley, Clerk -Tr asurer
Date: X6, -
IX:Cwhtr ls\Prof.SV & Goods S— C—nity Relati-A201N.ddl S— A—d Rollfast Inc..d-8/12017 9:15 AMI
P01 I FAST Mir.
Authorized Signature
Printed Name
Title
FID/TIN: 7S— ZIq 3t7_er
Last Four of SSN if Sole Proprietor:
Date: A"/—, ? Z0/ —7
Rollfast
4620 Buckingham Ct
Carmel, IN 46033
317-281-8479
Exhibit A
Submitted on 7/04/2017
Invoice for
Payable to
City of Carmel
Rollfast
C/O Nancy Heck
One Civic Square
Project
Carmel IN 46032
Carmel Bicycle Rides
Description Qty
Ride Dine and Dance 2.0 1
Notes
Rollfast will replicate the efforts from the July1 Ride Dine and Dance
event and will provide:
Equipment (audio, tents, tables, chairs, bike racks, rest stop etc)
Course (design, coordination with city, marking)
Cross promotion (social media shares)
Registration (order system, day of services)
Strategy meetings and planning sessions
Day of implementation: August 19 2017
Invoice #
455
Due date
upon reciept
Unit price Total price
$5,500.00 $5,500.00
$0.00
Subtotal $5,500.00
Adjustments
$5,500.00
•EXHIBIT •
City ®f Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
Page 1 of 1
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
100608
ONE CIVIC SQUARE
35-6000972
THIS NUMBER MUSTAPPEARONINVOICES,AIP
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
7/26/2017
371349
ADDITIONAL SERVICES
ROLLFAST, INC
Community Relations
VENDOR 4620 BUCKINGHAM COURT
SHIP 1 Civic Square
TO Carmel, IN 46032 -
CARMEL, IN 46033 -
PURCHASE ID BLANKET CONTRACT
PAYMENT TERMS FREIGHT
17584
QUANTITY UNIT OF MEASURE
DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-593.00
1 Each
Send Invoice To.-
Community
o.Community Relations
1 Civic Square
Carmel, IN 46032 -
ADDITIONAL SERVICES
PLEASE INVOICE IN DUPLICATE
$5,500.00
Sub Total
$5,500.00
$5,500.00
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $5,500.00
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 UNOBLIGATED 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 Q
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY d�
Nancy Heck Douglas Haney
TITLE Director Corporation Counsel
CONTROL NO. 100608 CLERK -TREASURER