Fredericks, Inc/Fire/Adl Serv #1/30 x 30 Concrete Pad with 20 Mil Barrier and PVC Welded LinerFred r s(kti i r)i,,
Fire D par#mrnt 2017 Q�V�je
Appropri.atioA.#f 4.1-501.f O FL1nd P.O. I'_I(At'189
Contract Noi To Exceed .$:13,200M FAQ 1
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 Fredericks, Inc, (the "Professional"), as City Contract dated August 2, 2017
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 othenAfise 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:
n- �(r �
James Brainard, Presiding Officer
Date: n
A
Christine Pau
Date:
Fredericks, Inc.
By:;.
Authorized Sign 1
Printed Name
,P/z,C- 5 tor-N7R
Title
FID/TIN: 35- lac
Last Four of SSN if Sole Proprietor:
Date: I l - I ,� - ( 9 _
CONTRACTORS
September 11, 2017
Carmel Maintenance Training Center
4925 E 106th St.
Carmel, IN 46064
Attn. Orbie Bowles
RE: Training Center — Spill containment pad
Dear Mr. Bowles,
Fredericks Inc. is pleased to offer this proposal to furnish the labor and equipment to do the
following work:
• Provide 30'x 30' concrete pad with curb on 3 sides.
• 20 mil plastic barrier under slab. 2" sand layer provided for protection.
Price - $11,800.00
Tax excluded
Alternate #1:
• Provide PVC welded liner under slab - add $1,400.00
Sincerely,
Nate Dannelley
(765)278-2775 Cell
Nate.dannelley@fredericksinc.com
P.O. Box 229 — 5448 W. State Road 132 - Pendleton, IN 46064 - (765) 778-7588 - FAX (765) 778-7589
INDIANA RETAIL TAX EXEMPT
City
of
Carmel CERTIFICATE NO. 003120155 002 0
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.
11/9/2017 361637
FREDERICKS CONTRACTORS
VENDOR PO BOX 229
PENDLETON, IN 46064 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
20564
QUANTITY UNIT OF MEASURE 1 DESCRIP I ION UNIT PRICE
Department., 1120 Fund: 101 General Fund
Account: 43-501.00
1 Each 30 x 30 Concrete Pad with 20 mil barrier and PVC Welded $13,200.00
Liner
Send Invoice To:
Fire Department
Page 1 of 1
PURCHASE ORDER NUMBER
100893
THIS NUMBER MUST APPEAR ON INVOICES, AIP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
DESCRIPTION
Spill Pad - CTC - -
Fire Department
SHIP 2 Civic Square
TO Carmel, IN 46032 -
Q
Sub Total
G� of
LX1 ENSION
$13,200.00
$13,200.00
2 Civic Square
Carmel, IN 46032- 91) 1 ...•%
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $13,200.00
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 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�7
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 x ~�� A 01 c_ 'Q
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY - - - - - - --- - - - -- - - - -
Denise Snyder James Crider
TITLE Budget & Accreditation Manager Administration
CONTROL N0. 100893 CLERK -TREASURER