Clark, Dietz, Inc/Eng/Adl Serv #11/25,300/Towne Road and Firestone Lane Intersection/Drainage Improvements – DesignClark Dietz, Inc.
Engineering Department - 2017
Appropriation # Fund 250, Fund 202; P.O. #33414
Contract Not To Exceed $25,300.00
,Ifirs, O
ADDITIONAL SERVICES AMENDMENT TO QAQ
AGREEMENT FOR PROFESSIONAL SERVICES
THIS AMENDMENT TO THE AGREEMENT FOR PROFESSIONAL SERVICES ("Agreement") entered into
by and between the City of Carmel and Clark Dietz, Inc. (the "Professional'), as City Contract dated May 4, 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
by and through its Board of Public
Works and Safety
By:
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James Brainard, Presiding Officer
Date:
Mary An// Burke, Me Je
Date: /�
Lori S.11ats , Mer ber
Date: i � / l 7
ATTE�. ;
Christine Pauley, Clerk- reqs rer
Date: // /yZ �
jS.V—,—.W(1—& 0.w�4 S.c�V:'ng'x.rmngLUlTCIuk Dirk ASA II I Joe 11/N2017 1:55 M11
Clark Dietz, Inc.
By:
Authorized Signature
Tl a •i s T )pe -
Printed Name
Sr. Vrce 12,e 5, d/, .,r
Title
FID/TIN: 3%-- /2 1 rR c, 5 -
Last Four of SSN if Sole Proprietor:
Date:
Ctark>Dietz
Engineering Quality of Life"
October 25, 2017
PROJECT DESCRIPTION: Drainage and Intersection Improvements at Towne Road & Firestone Lane.
SCOPE:
The scope for this project is the design of drainage & intersection improvements in the City of Carmel. The project
is located at the intersection of Towne Road and Firestone Lane, approximately 0.5 miles North of 106`s Street.
The anticipated project schedule is for design to be completed in Fall 2017, with construction either late Fall 2017
or early Spring 2018.
Our Scope will include the following services for the project:
1. Field Survey of Project Area.
2. Property Owner/Existing Right of Way Research.
3. Design of Drainage and Intersection Improvements.
4. Condensed Utility Coordination.
5. Bid Documents (if required).
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EXT11 �6TA
142 -
Clark Dietz, Inc. 8900 Keystone Crossing, Suite 900 Indianapolis, Indiana 46240 T: 317.844.8900 F: 317.844.9158
Towne Road & Firestone Lane - Drainage & Intersection Improvements
City of Carmel, IN
ClarbDietz
Field Survey & Design of Drainage/Intersection
Improvements 10/25/2017
TOTAL $25,300
Notes:
1) Field Survey task to include R/W Staking if needed.
2) Permits and land acquisition not anticipated for this project.
3) Utility Coordination includes research, initial notice, and work plans as req'd.
242-
Task Description
Fee Subconsultant
Field Survey
(LS)
$4,500
R/W Research
(LS)
$2,400
Design
(LS)
$12,500
Utility Coordination
(LS)
$2,900
Bid Documents
(LS)
$3,000
TOTAL $25,300
Notes:
1) Field Survey task to include R/W Staking if needed.
2) Permits and land acquisition not anticipated for this project.
3) Utility Coordination includes research, initial notice, and work plans as req'd.
242-
INDIANA RETAIL TAX EXEMPTCERTIFICATE NO. 003120155 002 0
Cit(())f Carmel
FEDERAL EXCISE TAX EXEMPT
ONE CIVIC SQUARE 35-6000972
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO.
12/30/2015 060650
Page 1 of 1
PURCHASE ORDER NUMBER
33414
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
DESCRIPTION
Project 17-19; Contract Date 05.04.16
CLARK DIETZ, INC Engineering
VENDOR 8900 KEYSTONE CROSSING #900 SHIP 1 Civic Square
INDIANAPOLIS, IN 46240.
PURCHASEID BLANKET CONTRACT
1514
QUANTITY UNIT OF MEASURE
Department: 2200 Fund:202
Account: 43-401.00
PAYMENT TERMS
DESCRIPTION
Local Road & Street Fund
TO Carmel, IN 46032 -
Kate Lustig
1 Each ASA 11 - Towne Road and Firestone Lane
Intersection/Drainage Improvements - Design
Department: 2200 Fund: 250 Storm Water
Account: 43-509.00
1 Each ASA 11 - Towne Road and Firestone Lane
Intersection/Drainage Improvements - Design
Send Invoice To:
Engineering
Kate Lustig
1 Civic Square
Carmel, IN 46032 -
FREIGHT
UNIT PRICE I EXTENSION
$9,449.00 $9,449.00
Sub Total $9,449.00
$15,851.00 $15,851.00
Sub Total $15,851.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $25,300.00
SHIPPING INSTRUCTIONS`A/PVOUCHER CANNOT BEAPPROVED FOR PAYMENT UNLESS THE P.O. NUMBER ISMADE 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 UNOBLI GATED BALANCE IN
`C.O.D. SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. p
`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. 33414 CLERK -TREASURER