White Construction, Inc./Eng/743,900/Highway Run Drainage Improvements – ConstructionWhite Construction, Inc.
Engineering Department - 2017
Appropriation # 2016 Storm Water Bond Fund; P.O. #: 100707
Contract Not To Exceed $743,900.00 e
AGREEMENT FOR PURCHASE OF GOODS AND SERVICES
THIS AGREEMENT FOR PURCHASE OF GOODS AND SERVICES ("Agreement") is hereby entered into by
and between the City of Carmel, Indiana, acting by and through its Board of Public Works and Safety ("City"), and
White Construction, Inc., an entity duly authorized to do business in the State of Indiana ("Vendor").
TERMS AND CONDITIONS
ACKNOWLEDGMENT, ACCEPTANCE:
Vendor acknowledges that it has read and understands this Agreement, and agrees that its execution of
same constitutes its acceptance of all of the Agreement's terms and conditions.
PERFORMANCE:
City agrees to purchase the goods and/or services (the "Goods and Services") from Vendor using City
budget appropriation number 2016 Storm Water Bond Fund funds. Vendor agrees to provide the Goods and
Services and to otherwise perform the requirements of this Agreement by applying at all times the highest
technical and industry standards. Vendor will not perform any of the Services detailed in Exhibit A prior to
obtaining a written Notice to Proceed from the City. Upon receiving a Notice to Proceed, the Vendor shall
perform only those Services specifically detailed in the Notice. If the Vendor desires clarification of the scope
of any Notice to Proceed, the Vendor shall obtain such clarification from the City in writing, prior to
performing the service set forth in the Notice to Proceed. Any services performed without the City's prior
express written authorization will not be compensated.
3. PRICE AND PAYMENT TERMS:
3.1 Vendor estimates that the total price for the Goods and Services to be provided to City hereunder
shall be no more than Seven Hundred Forty Three Thousand Nine Hundred Dollars ($743,900.00)
(the "Estimate"). Vendor shall submit an invoice to City no more than once every thirty (30) days
detailing the Goods and Services provided to City within such time period. City shall pay Vendor for
such Goods and Services within thirty-five (35) days after the date of City's receipt of Vendor's
invoice detailing same, so long as and to the extent such Goods and Services are not disputed, are
in conformance with the specifications set forth in Exhibit A, are submitted on an invoice that
contains the information contained on attached Exhibit B, and Vendor has otherwise performed and
satisfied all the terms and conditions of this Agreement,
3.2 Vendor agrees not to provide any Goods and Services to City that would cause the total cost of the
Goods and Services provided by Vendor to City hereunder to exceed the Estimate, unless City has
previously agreed, in writing, to pay an amount in excess thereof.
4. WARRANTY:
Vendor expressly warrants that the Goods and Services covered by this Agreement will conform to those
certain specifications, descriptions and/or quotations regarding same as were provided to Vendor by City
and/or by Vendor to and accepted by City pursuant to or as part of that certain City of Carmel Engineering
Department Bid Proposal Package for "Highway Run Drainage Improvements, Project # 17 -SW -04" received
by the City of Carmel Board of Public Works and Safety on or about September 6, 2017, all of which
documents are incorporated herein by reference, and that the Goods and Services will be delivered in a
timely, good and workmanlike manner and free from defect. Vendor acknowledges that it knows of City's
intended use and expressly warrants that the Goods and Services provided to City pursuant to this
Agreement have been selected by Vendor based upon City's stated use and are fit and sufficient for their
particular purpose.
JSAConos ts\Prof Svcs & Goods Svcs\Engineenng\2017\W1ite Conswction. Inc. Goads and Sen ims 9.7.17 t2l.doc:9/7/2017 10:11 AMS
White Construction, Inc.
Engineering Department - 2017
Appropriation # 2016 Storm Water Bond Fund; P.O. #: 100707
Contract Not To Exceed $743,900.00
5. TIME AND PERFORMANCE:
This Agreement shall become effective as of the last date on which a party hereto executes same ("Effective
Date"), and both parties shall thereafter perform their obligations hereunder in a timely manner. Time is of the
essence of this Agreement.
DISCLOSURE AND WARNINGS:
If requested by City, Vendor shall promptly furnish to City, in such form and detail as City may direct, a list of
all chemicals, materials, substances and items used in or during the provision of the Goods and Services
provided hereunder, including the quantity, quality and concentration thereof and any other information
relating thereto. At the time of the delivery of the Goods and Services provided hereunder, Vendor agrees to
furnish to City sufficient written warning and notice (including appropriate labels on containers and packing)
of any hazardous material utilized in or that is a part of the Goods and Services.
LIENS:
Vendor shall not cause or permit the filing of any lien on any of City's property. In the event any such lien is
filed and Vendor fails to remove such lien within ten (10) days after the filing thereof, by payment or bonding,
City shall have the right to pay such lien or obtain such bond, all at Vendor's sole cost and expense.
DEFAULT:
In the event Vendor: (a) repudiates, breaches or defaults under any of the terms or conditions of this
Agreement, including Vendor's warranties; (b) fails to provide the Goods and Services as specified herein;
(c) fails to make progress so as to endanger timely and proper provision of the Goods and Services and does
not correct such failure or breach within five (5) business days (or such shorter period of time as is
commercially reasonable under the circumstances) after receipt of notice from City specifying such failure or
breach; or (d) becomes insolvent, is placed into 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
(1) terminate all or any parts of this Agreement, without liability to Vendor; and (2) exercise all other rights
and remedies available to City at law and/or in equity.
9. INSURANCE AND INDEMNIFICATION:
Vendor shall procure and maintain in full force and effect during the term of this Agreement, with an insurer
licensed to do business in the State of Indiana, such insurance as is necessary for the protection of City and
Vendor from all claims for damages under any workers' compensation, occupational disease and/or
unemployment compensation act; for bodily injuries including, but not limited to, personal injury, sickness,
disease or death of or to any of Vendor's agents, officers, employees, contractors and subcontractors; and,
for 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 in attached Exhibit C. Vendor shall
cause its insurers to name City as an additional insured on all such insurance policies, shall promptly provide
City, upon request, with copies of all such policies, and shall provide that such insurance policies shall not be
canceled without thirty (30) days prior notice to City. Vendor shall indemnify and hold harmless City from and
against any and all liabilities, claims, demands or expenses (including, but not limited to, reasonable attorney
fees) for injury, death and/or damages to any person or property arising from or in connection with Vendor's
provision of Goods and Services pursuant to or under this Agreement or Vendor's use of City property.
Vendor further agrees to indemnify, defend and hold harmless City and its officers, officials, agents and
employees from all claims and suits of whatever type, including, but not limited to, all court costs, attorney
fees, and other expenses, caused by any act or omission of Vendor and/or of any of Vendor's agents,
officers, employees, contractors or subcontractors in the performance of this Agreement. These
indemnification obligations shall survive the termination of this Agreement.
IS:\Conttaas\Prof.Sccs & Goods Sces\Engineering\2017\White Construction. Inc Goods and Scn ices 9 7 17(2) doc:9/7/2017 10:43 AM
White Construction, Inc.
Engineering Department - 2017
Appropriation # 2016 Storm Water Bond Fund; P.O. #: 100707
Contract Not To Exceed $743,900.00
10. GOVERNMENT COMPLIANCE:
Vendor agrees to comply with all federal, state and local laws, executive orders, rules, regulations and codes
which may be applicable to Vendor's performance of its obligations under this Agreement, and all relevant
provisions thereof are incorporated herein by this reference. Vendor agrees to indemnify and hold harmless
City from any loss, damage and/or liability resulting from any such violation of such laws, orders, rules,
regulations and codes. This indemnification obligation shall survive the termination of this Agreement.
11. NONDISCRIMINATION:
Vendor represents and warrants that it and all of its officers, employees, agents, contractors and
subcontractors shall comply with all laws of the United States, the State of Indiana and City prohibiting
discrimination against any employee, applicant for employment or other person in the provision of any Goods
and Services provided by this Agreement with respect to their hire, tenure, terms, conditions and privileges of
employment and any other matter related to their employment or subcontracting, because of race, religion,
color, sex, handicap, national origin, ancestry, age, disabled veteran status and/or Vietnam era veteran
status.
12. E -VERIFY:
Pursuant to I.C. § 22-5-1.7 et seq., as the same may be amended from time to time, and as is incorporated
herein by this reference (the "Indiana E -Verify Law"), Vendor is required to enroll in and verify the work
eligibility status of its newly -hired employees using the E -Verify program, and to execute the Affidavit
attached herein as Exhibit D, affirming that it is enrolled and participating in the E -verify program and does
not knowingly employ unauthorized aliens. In support of the Affidavit, Vendor shall provide the City with
documentation indicating that it has enrolled and is participating in the E -Verify program. Should
Vendor subcontract for the performance of any work under and pursuant to this Agreement, it shall fully
comply with the Indiana E -Verify Law as regards each such subcontractor. Should the Vendor or any
subcontractor violate the Indiana E -Verify law, the City may require a cure of such violation and thereafter, if
no timely cure is performed, terminate this Agreement in accordance with either the provisions hereof or
those set forth in the Indiana E -Verify Law. The requirements of this paragraph shall not apply should the E -
Verify program cease to exist.
13. NO IMPLIED WAIVER:
The failure of either party to require performance by the other of any provision of this Agreement shall not
affect the right of such party to require such performance at any time thereafter, nor shall the waiver by any
party of a breach of any provision of this Agreement constitute a waiver of any succeeding breach of the
same or any other provision hereof.
14. NON -ASSIGNMENT:
Vendor shall not assign or pledge this Agreement, whether as collateral for a loan or otherwise, and shall not
delegate its obligations under this Agreement without City's prior written consent.
15. RELATIONSHIP OF PARTIES:
The relationship of the parties hereto shall be as provided for in this Agreement, and neither Vendor nor any
of its officers, employees, contractors, subcontractors and agents are employees of City. The contract price
set forth herein shall be the full and maximum compensation and monies required of City to be paid to
Vendor under or pursuant to this Agreement
(SAContractsTmf Secs & Goods SvcslEngineenng�2017TWldte Construction. Inc. Goods and Services 9.7.17 (2).doc:9/7/2017 10:43 AMS
White Construction, Inc.
Engineering Department - 2017
Appropriation # 2016 Storm Water Bond Fund; P.O. #: 100707
Contract Not To Exceed $743,900.00
16. GOVERNING LAW; LAWSUITS:
This Agreement is to be construed in accordance with and governed by the laws of the State of Indiana,
except for its conflict of laws provisions. The parties agree that, in the event a lawsuit is filed hereunder, they
waive their right to a jury trial, agree to file any 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.
17. SEVERABILITY:
If any term of this Agreement is invalid or unenforceable under any statute, regulation, ordinance, executive
order or other rule of law, such term shall be deemed reformed or deleted, but only to the extent necessary to
comply with same, and the remaining provisions of this Agreement shall remain in full force and effect.
18. NOTICE:
Any notice provided for in this Agreement will be sufficient if it is in writing and is delivered by postage
prepaid U.S. certified mail, return receipt requested, to the party to be notified at the address specified
herein:
If to City: City of Carmel AND Douglas C, Haney,
One Civic Square Corporation Counsel
Carmel, Indiana 46032 Department of Law
One Civic Square
Carmel, Indiana 46032
If to Vendor: White Construction, Inc.
3900 East White Avenue
P.O. Box 249
Clinton, IN 47842
ATTENTION: J.P. Roehm
Notwithstanding the above, notice of termination under paragraph 19 hereinbelow shall be effective if given
orally, as long as written notice is then provided as set forth hereinabove within five (5) business days from
the date of such oral notice.
19. TERMINATION:
19.1 Notwithstanding anything to the contrary contained in this Agreement, City may, upon notice to
Vendor, immediately terminate this Agreement for cause, in the event of a default hereunder by
Vendor and/or if sufficient funds are not appropriated or encumbered to pay for the Goods and
Services to be provided hereunder. In the event of such termination, Vendor shall be entitled to
receive only payment for the undisputed invoice amount representing conforming Goods and
Services delivered as of the date of termination, except that such payment amount shall not exceed
the Estimate amount in effect at the time of termination, unless the parties have previously agreed in
writing to a greater amount.
19.2 City may terminate this Agreement at any time upon thirty (30) days prior notice to Vendor. In the
event of such termination, Vendor shall be entitled to receive only payment for the undisputed
invoice amount of conforming Goods and Services delivered as of the date of termination, except
that such payment amount shall not exceed the Estimate amount in effect at the time of termination,
unless the parties have previously agreed in writing to a greater amount.
19.3 The City may terminate this Agreement pursuant to Paragraph 11 hereof, as appropriate.
)S:\Contracts\Prof Sres & Goods Sres\Engineering\2017\White Construction. Inc. Goods and Serrices 9.7.17 (2).doc:9/7/2017 10 43 AMI
White Construction, Inc.
Engineering Department - 2017
Appropriation # 2016 Storm Water Bond Fund; P.O. #: 100707
Contract Not To Exceed $743,900.00
20. REPRESENTATIONS AND WARRANTIES
The parties represent and warrant that they are authorized to enter into this Agreement and that the persons
executing this Agreement have the authority to bind the party which they represent.
21. ADDITIONAL GOODS AND SERVICES
Vendor understands and agrees that City may, from time to time, request Vendor to provide additional goods
and services to City. When City desires additional goods and services from Vendor, the City shall notify
Vendor of such additional goods and services desired, as well as the time frame in which same are to be
provided. Only after City has approved Vendor's time and cost estimate for the provision of such additional
goods and services, has encumbered sufficient monies to pay for same, and has authorized Vendor, in
writing, to provide such additional goods and services, shall such goods and services be provided by Vendor
to City. A copy of the City's authorization documents for the purchase of additional goods and services shall
be numbered and attached hereto in the order in which they are approved by City.
22. TERM
Unless otherwise terminated in accordance with the termination provisions set forth in Paragraph 19
hereinabove, 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.
23. HEADINGS
All heading 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.
24. BINDING EFFECT
The parties, and their respective officers, officials, agents, partners, successors, assigns and legal
representatives, are bound to the other with respect to all of the covenants, terms, warranties and obligations
set forth in Agreement.
25. NO THIRD PARTY BENEFICIARIES
This Agreement gives no rights or benefits to anyone other than City and Vendor.
26. IRAN CERTIFICATION: Pursuant to I.C. § 5-22-16.5, the Vendor shall certify that, in signing this document,
it does not engage in investment activities within the Country of Iran.
27. ADVICE OF COUNSEL:
The parties warrant that they have read this Agreement and understand it, have had the opportunity to obtain
legal advice and assistance of counsel throughout the negotiation of this Agreement, and enter into same
freely, voluntarily, and without any duress, undue influence or coercion.
28. IC 5-16-13.
The provisions of IC 5-16-13 are hereby incorporated into this Agreement by reference.
29. ENTIRE AGREEMENT:
This Agreement, together with any exhibits attached hereto or referenced herein, constitutes the entire
agreement between Vendor and City with respect to the subject matter hereof, and supersedes all prior oral
or written representations and agreements regarding same. Notwithstanding any other term or condition set
forth herein, but subject to paragraph 16 hereof, to the extent any term or condition contained in any exhibit
attached to this Agreement or in any document referenced herein conflicts with any term or condition
contained in this Agreement, the term or condition contained in this Agreement shall govern and prevail.
S \ConnctsTro(Ss cs & Goods Secs\Enginccnng\2017\WIuic Construction. Inc Goods and Sen ices') 7 17 (2) doe 9,7 2017 Iii 19 AMI
White Construction, Inc.
Fngineering Department - 2017
Appropriation P, 3016 Storm Water Bond Fund; P.O.: 100707
Contract Not To Exceed S743,900.00
This Agreement may only be modified by written amendment executed by both parties hereto, or their
successors in interest.
IN WITNESS WHEREOF the parties hereto have made and executed this Agreement as follows.
CITY OF CARMEL, INDIANA
by and through its Board of Public
Works and Safety
aures Brainard, Presiding Q#icer
Date: li
Ma6 Ann rke, �npWl 7Date: /
Lori S. Wat M tuber
Date: `iTavI r
ATTEST:
WHITE CONSTRUCTION, INC.
%"sm&�'
Authorized Signature
�\wkw, N.
Printed Name
'A k=tel �'c(Z
Title
FID/TIN:
Last Four of SSN if Sole Proprietor: VA k
Date:
Aou� d1e&-rew.
Christine. P r r
S aul y, Clerk -Treasurer
eastr e
Date:
IN Ccntrhhd i,c,KIia C-6 aW Son Yl174_'1d0.9,uy
BID PROPOSAL SUMMARY PAGE
Complete the following information and place as the cover page to
your bid packet. Insert all documents into an envelope with
project name and your company name clearly marked on the
outside. Seal the envelope.
The prices indicated on this sheet shall be read aloud during the
bid opening and shall match the prices indicated in Part 2 of the
Bidders Itemized Proposal and Declarations.
Company:
White Construction, Inc.
3900 E. White Ave. Clinton, IN. 47842
Project Name:
Project No. 17 -SW -04
Highway Run Drainage Improvements
Date Submitted:
September 6, 2017
Base Quote Amount:
}
Revised 8/21/2017
°DCHIBIT lk-.
o�
BIDDER'S ITEMIZED PROPOSAL
AND DECLARATIONS
City of Carmel
Instructions To Bidders:
This form shall be utilized by all Bidders. Except as otherwise specifically provided, all Parts
shall be fully and accurately filled in and completed and notarized.
Project: Project No. 17 -SW -04
Highway Run Drainage Improvements
Proposal For Construction of :
In general, the work to be completed on the Highway Run
Project involvess the replacement of the existing small
structures carrying Highway Run from upstream of Walter
Court to Downstream of Walter Street, specifically the
replacement of the existing small structures over Highway
Run on Walter Court located near the intersection of
Walter Court and Walter Street, the replacement of the
existing small structures over Highway Run on a Private
Drive for 212 Walter Street, the replacement of the existing
small structures over Highway Run on Walter Street
approximately 200' east of the intersection of Walter Court
and Walter Street. The culverts will be installed with
handrails along the pavement, and the pavement and
ground disturbed as a result of the replacement will be
restored.
Along with these culvert replacements, storm: sewer will be
installed along Walter Court to convey flow south of Clay
Terrace via closed pipe to Highway Run. Highway Run
will be regraded over the project area in order to maintain
positive drainage from the upstream to downstream end of
the project. Finally, sidewalk will be installed along the
north side of the street from Walter Court to the
intersection of Walter Street and Clay Terrace Blvd.
�. - -• -u�- .1111
To: Cit` of Carmel, Indiana, Board of Public Works and Safety
"EXHIBIT
zt::rC!5-
Version 2016-08-31
PART 2
BID PROPOSAL
2.1 Base Bid
The undersigned Bidder proposes to furnish all necessary labor, machinery, tools,
apparatus, materials, equipment, service and other necessary supplies, and to perform and
fulfill all obligations incident thereto in strict accordance with and within the time(s)
provided by the terms and conditions of the Contract Documents for the above described
Work and Project, including any and all addenda thereto, for the Unit Prices applicable to
the Contract Items as stated in Part 3 hereof, which Unit Prices, when multilied by
estimated unit quantities for such Contract It ms, total ��i► �1V�ai�it i� 1'4
4�4--WMD Dollars ($'N%A'XJIRM.M ). The
Bidder acknowledges that evaluation of the lowest Bid shall be based on such price and
further acknowledges that the unit quantities listed in Part 3 of this Proposal are estimates
solely for the purpose of Bid evaluation and Contract award, and are not to be construed
as exact or binding. The Bidder further understands that all Work which may result on
the Contract shall be compensated for on a Unit Price basis and that the OWNER and
ENGINEER cannot and do not guarantee the amount or quantity of any item of Work to
be performed or furnished under the Contract.
"EXHIBIT__
Version 2016-08-31
PART 3
CONTRACT ITEMS AND UNIT PRICES
Item #
Item
Quantity
Unit
Unit Cost
Total Cost
1
Construction Engineering
1
LS
$27,100.00
527,100.00
2
Mobilization / Demobilization
1
LS
$40,000.00
$40,000.00
3
Clearing Right of Way
1
LS
$53,005.00
$53,005.00
4
Common Excavation
152
CYS
$50.00
$7,600.00
5
Dewatering (to include pump around and coffer
dams w/ impervious sheeting).
1
LS
$10,000.00
$10,000.00
6
Existing Retaining Block Wall Reconstruction
1
LS
$59000.00
$5,000.00
7
Temporary Modified Rock Check Dam
45
TON
$60.00
$2,700.00
8
Temporary Inlet Protection
4
EACH
$150.00
$600.00
9
Temporary Sat Fence
745
LFT
$3.00
$2,235.00
10
Temporary Check Dam, Traversable
60
LFT
$30.00
$1,800.00
11
Structural Backfill, Type 2
450
CYS
$75.00
$33,750.00
12
Structural Backfill, Type 5
440
CYS
$100.00
$44,000.00
13
Compacted Aggregate, No. 53, Base
200
TON
$50.00
$10,000.00
14
HMA Surface, Type B
47
TON
$150.00
$7,050.00
15
HMA Intermediate, Type B
48
TON
$125.00
$6,000.00
16
HMA Base, Type B
87
TON
$100.00
$8,700.00
17
PCCP,6"
220
SYS
$70.00
$15,400.00
18
Handrail
227
LFT
$180.00
$40,860.00
19
Guardrail, Remove
30
LFT
$20.00
$600.00
20
Revetment Riprap
160
TON
$75.00
$12,000.00
21
Geotextiles
570
SYS
$3.00
$1,710.00
22
Mulched Seeding, U
1880
SYS
$1.50
$2,820.00
23
Top Soil
157
CYS
520.00
$3,140.00
24
Erosion Control Blankets
440
SYS
$1.50
$660.00
25
Sidewalk, Concrete, 4"
410
SYS
$40.00
$16,400.00
76
Structure,
u �M, Reinforced Concrete Box, 1 6' Walter
43
LFT
$1,700.00
$73,100.00
27
Structure, Reinforced Concrete Box, 15'x3' Walter
Street
40
LFT
$1,550.00
$62,000.00
28
Structure, Reinforced Concrete Box, 10'x3'
40
LFT
$1,400.00
$569000.00
29
Structure, Reinforced Concrete Box, 48"x24"
70
LFT
$300.00
$21,000.00
30
Pipe, RCP, 30"
266
LFT
$125.00
$33,250.00
31
Pipe, RCP, 12"
42
LFT
$85.00
$3,570.00
32
Pipe, HDPE, 4"
5
LFT
$50.00
$250.00
33
Manhole, 5'
2
EACH
$6,500.00
$13,000.00
34
Manhole, 7'
1
EACH
$7,500.00
$7,500.00
35
Inlet, E7
1
EACH
$2,000.00
$2,000.00
36
Pipe end section, Diameter 30", With Safety Grate
1
EACH
$3,500.00
$3,500.00
"EXHIBIT—
�� L VERSION 2016-08-31
Item #
Item
Quantity
Unit
Unit Cost
Total Cost
37
Pipe end section, Diameter 12", With Safety Grate
1
EACH
$1,750.00
51,750.00
38
Mailbox Assembly, Single Reset
7
EACH
$250.00
$1,750.00
39
Maintaining Traffic
1
IS
$40,000.00
$40,000.00
40
6" Ductile Iron Water Main
160
LFT
540.00
$6,400.00
41
Structural Backfill, For Water Main
160
LFT
$20.00
$3,200.00
42
6" Connection
1
EACH
$2,500.00
$2,500.00
43
Short Side Service (SS)
5
EACH
$2,000.00
$10,000.00
44
Long Side Service (IS)
1
EACH
$3,500.00
$3,500.00
45
Adjust Valve to Grade
2
EACH
$250.00
$500.00
46
Remove/Replace/Relocate Hydrant
3
EACH
$6,500.00
$19,500.00
47
10 Water Main Relocation at Private Drive
Culvert(Undistributed)
50
LFT
$75.00
$3,750.00
48
12 Water Main Relocation at Private Drive
Culvert(Undistributed)
50
LFT
585.00
$4,250.00
49
8" Water Main Lowering
1
LS
$5,000.00
$5,000.00
50
10" Water Main Lowering
1
IS
$6,000.00
56,000.00
51
Sanitary Lateral Relocation (undistributed)
100
LFT
$75.00
$7,500.00
TOTAL..... $743,900.00
"EXHIBIT "
d�
VERSION 201508-31
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:
Commercial General Liability:
General Aggregate Limit (other than
Products/Completed Operations):
Products/Completed Operations:
Personal & Advertising Injury
Each Occurrence Limit:
Statutory Limits
$1,000,000 each employee
$1,000,000 each accident
$1,000,000 policy limit
$6,000,000
$5,000,000
$5,000,000
Comprehensive Auto Liability (owned, hired and non -owned)
Bodily Injury and Property Damage: $5,000,000 each occurrence
Umbrella Excess Liability
If a commercial umbrella liability policy is used to satisfy the minimum limits of liability
requirements, the combined limits must equal these minimum limits of liability.
EXHIBIT D
AFFIDAVIT
N%. Lwt'� , 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:
I . I am over eighteen (18) years of agc and am competent to testify to the facts contained
herein.
2. 1ai�i now andatall times relevant herein have been employed by
`
ZmVE \ Qh=R- a,-\'. \,!,C • (the "Employer')
in the position of C�.�E(�.�L C \Qt�L�•�eE�2
3. 1 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 Cannel,
Indiana.
5. The Company does not knowingly employ any unauthorized aliens.
FURTHER AFFIANT SAYF.TH NOT.
'TH
EXECUTED on the , �J dayof
Printed: D.
I certify under the penalties for perjury tinder the laws of the United States of America and the State of
Indiana that the foregoing factual statements d representations are true and correct.
Printed:J�PtI�IL
a
�®f Carel
Cty
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
Page 1 of 1
PURCHASE ORDER NUMBER
SHIPPING INSTRUCTIONS
FEDERAL EXCISE TAX EXEMPT
100707
ONE CIVIC SQUARE
35-6000972
THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR
CITY OF CARMEL - 1997
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
9/6/2017
371561
Project 17 -SW -04; Contract Date 09.20.17
WHITE CONSTRUCTION, INC.
City Engineering's Office
VENDOR 3900 E. WHITE AVENUE
SHIP 1 Civic Square
TO Carmel, IN 46032-
CLINTON, IN 47842 -
Kate Lustig
PURCHASE ID
BLANKET CONTRACT
PAYMENT TERMS
FREIGHT
18782
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE EXTENSION
Department: 2200 Fund:0
Account: 94-650.04
1 Each
Send Invnira Th -
Jill Newport
CrossRoad Engineers, P.C.
3417 Sherman Drive
Beech Grove, IN 46107
G.O./Storm
2016 Storm Water Bond
Highway Run Drainage Improvements - Construction
CM
i
PLEASE INVOICE IN DUPLICATE
$743,900.00 $743,900.00
Sub Total $743,900.00
DEPARTMENT IACCOUNT
PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $743,900.00
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 -
Jeremy Kashman James Crider
TITLE Director Administration
CONTROL NO. 100707 CLERK -TREASURER