Crider & Crider, Inc/Eng/404,674.64/Jumper Lane Culvert Replacement - ConstructionCrider & Crider, Inc.
Engineering Department - 2018 Q V,
Appropriation # 2016 Storm Water Bond Fund; P.O. #: 101380
Contract Not To Exceed $404,674.64
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
Crider & Crider, 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 Four Hundred Four Thousand Six Hundred Seventy Four Dollars and Sixty
Four Cents ($404,674.64) (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 "Jumper Lane Small Structure Replacement, Project # 16 -SW -79"
received by the City of Carmel Board of Public Works and Safety on or about February 7, 2018, 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.
IS:\Coo"a u\Prd.Sv. & Gads Svcs\En0--g\20lgWrida & Crida. Inc. C—& =d Savic-d-2/9/2019 10:39 AM]
Crider & Crider, Inc.
Engineering Department - 2018
Appropriation # 2016 Storm Water Bond Fund; P.O. #: 101380
Contract Not To Exceed $404,674.64
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.
6. 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.
7. 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.
8. 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.
[S:'Cmna \Pro(.Svcs & Goods Svcs EnSumwin&0181Crider & Cride, 1— Goods and S—ices.doc:2NRM18 10.38 AM]
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Crider & Crider, Inc.
Engineering Department - 2018
Appropriation # 2016 Storm Water Bond Fund; P.O. #: 101380
Contract Not To Exceed $404,674.64
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
[S:CQ11R NProf.Sve & Goods SvcsEngkmaing�2018Crider & Crider. Inc. Goode and Servi—doc.2/9R018 10:38 AM)
Crider & Crider, Inc.
Engineering Department - 2018
Appropriation # 2016 Storm Water Bond Fund; P.O. #: 101380
Contract Not To Exceed $404,674.64
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
One Civic Square
Carmel, Indiana 46032
If to Vendor: Crider & Crider, Inc.
4806 W 86th Street
Indianapolis, IN 46268
ATTENTION: Jeffrey Crider
AND Douglas C. Haney,
Corporation Counsel
Department of Law
One Civic Square
Carmel, Indiana 46032
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.
[C:\Uses\kJustig\AppDmaU.ocal\Mic ft\Windows\Temporay Intmd Fi1cs\Coment0udook\1R0NF879\Crider Crida Inc. Goods' and SaviusA-2/9/2018 3:33 PM]
4
Crider & Crider, Inc.
Engineering Department - 2018
Appropriation # 2016 Storm Water Bond Fund; P.O. #: 101380
Contract Not To Exceed $404,674.64
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
James Brainard, Presiding Officer
Date:
Mary Ann Burke, Member
Date:
Lori S. Watson, Member
Date:
ATTEST:
Crider & Crider, Inc,
By: 0'��
Authorized UWe
Jeffrey J. Crider
Printed Name
Vice President
Title
FID/TIN: 35-1875662
Last Four of SSN if Sole Proprietor:
Date: February 12, 2018
Christine S. Pauley, Clerk -Treasurer
Date:
.I:(.h-eioMANIJ
6
Crider & Crider, Inc.
Engineering Department - 2018
Appropriation # 2016 Storm Water Bond Fund; P.O. #: 101380
Contract Not To Exceed $404,674.64
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
By:
i *,.L—
J es Brainard, Presiding Officer
Date:. A
Mary A Burke, M mb
Date: _
Lori S. Wgtson, mb�r
Date: I. Q-- a r
Christine S. Pauley, Clerk -Tr rer "
Date:
JSAGon a \Prof.Sv s & Goods Svcs\Engmaaing\20181Cnda & Cnder. In, C—Is and Services_dn:. 2/9/10 IA IR 38 AMI
6
Crider & Crider, Inc.
By:
Authorized Signature
Printed Name
Title
FID/TIN:
Last Four of SSN if Sole Proprietor:
Date:
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:
Crider & Crider, Inc.
Project Name:
Project No. 16 -SW -79
Jumper Lane Small Structure Replacement
Date Submitted:
February 7, 2018
Base Quote Amount:4�O�
1
�11-1 G4
Exhibit
Revised 12/11/2017
Wo
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: Jumper Lane — Small Structure Replacement (16 -SW -79)
Proposal For Construction of :
This project involves a small structure replacement under
Jumper Lane. The existing twin 71 " x 47" CMP Arches
will be replaced with a new 16 ft x 6 ft box culvert due to
the existing structures deterioration.
Date: February 7, 2018
To: City of Carmel, Indiana, Board of Public Works and Safety
Version 2016-08-31
Ex1n'bit
2 6�T
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 terns 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 multiplied by
estimated unit quantities for such Contract Items, total
Inc ttwpap 5Ev>yN-fie AND �eo Dollars ($ 404 1 G14- ( _). 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
[This Part to be used only for Bidding on Unit Price Contracts for the Contract Items shown]
ITEMS FOR THE JUMPER LANE SMALL STRUCTURE REPLACEMENT
Contract
Item No.
Description/
Unit Price [in Words]
Estimated
Quantity
Prices In Figures
Unit
Price
Total Price
for Item
1
CONSTRUCTION ENGINEERING
I LS
5,406.71
$ 5,406.71
2
INSPECTION HOLE, DEEPER THAN 3
FT
3 EACH
1,263.54
$ 3,790.62
3
INSPECTION HOLE, 3 FT DEEP OR LESS
3 EACH
842.36
$ 2,527.08
4
MOBILIZATION AND
DEMOBILIZATION
1 LS
48,238.85
$ 48,238.85
5
CLEARING RIGHT OF WAY
1 LS
43,093.33
$ 43,093.33
6
EXCAVATION, COMMON
255 CYS
32.10
$ 8,185.50
7
BORROW
50 CYS
67.29
$ 3,364.50
8
TEMPORARY SILT FENCE
283 LFT
4.59
$ 1,298.97
9
TEMPORARY GEOTEXTILE
237 SYS
3.06
$ 725.56
10
TEMPORARY SEED MIXTURE
13 LBS
50.97
$ 662.61
11
SUBGRADE TREATMENT, TYPE II
164 SYS
16.96
$ 2,781.44
12
SUBGRADE TREATMENT, TYPE IC
167 SYS
33.69
$ 5,626.23
Exhibit
Contract
Item No.
Description/
Unit Price [in Words]
Estimated
Quantity
Prices In Figures
Unit
Price
Total Price
for Item
13
B BORROW
33 CYS
102.03
$ 3,366.99
14
STRUCTURE BACKFILL, TYPE 2
312 CYS
57.31
$ 17,880.72
15
STRUCTURE BACKFILL, TYPE 5
92 CYS
136.23
$ 12,533.16
16
COMPACTED AGGREGATE NO. 53
49 TON
57.77
$ 2,830.73
17
COMPACTED AGGREGATE NO. 73
100 TON
51.98
$ 5,198.00
18
MILLING, ASPHALT, 1 1/2 IN,
153 SYS
8.92
$ 1,364.76
19
MILLING, APPROACH
18 SYS
8.92
$ 160.56
20
JOINT ADHESIVE, SURFACE
145 LFT
0.25
$ 36.25
21
JOINT ADHESIVE, INTERMEDIATE
65 LFT
0.25
$ 16.25
22
LIQUID ASPHALT SEALANT
145 LFT
1.27
$ 184.15
23
HMA SURFACE, TYPE B
24 TON
89.21
$ 2,141.04
24
HMA FOR TEMPORARY PAVEMENT, B
29 TON
76.46
$ 2,217.34
25
ASPHALT FOR TACK COAT
281 SYS
0.64
$ 179.84
26
GUARDRAIL, STEEL-BACKED TIMBER,
TERMINAL SECTION, SBT-FAT
2 EACH
4,460.27
$ 8,920.54
Exhibit %�
Contract
Item No.
Description/
Unit Price [in Words]
Estimated
Quantity
Prices In Figures
Unit
Price
Total Price
for Item
27
GUARDRAIL, WOOD BEAM STEEL-
BACKED TIMBER, TYPE A
40 LFT
100.99
$ 4,039.60
28
HMA FOR APPROACHES, TYPE B
12 TON
89.21
$ 1,070.52
29
BENCH MARK POST
1 EACH
1,457.46
$ 1,457.46
30
RIPRAP, CLASS 1
174 TON
64.32
$ 11,191.68
31
RIPRAP, REVETMENT
91 TON
1.27
$ 115.57
32
GEOTEXTILE FOR RIPRAP TYPE I
393 SYS
1.58
$ 620.94
33
MOBILIZATION AND
DEMOBILIZATION FOR SEEDING
1 EACH
637.18
$ 637.18
34
MULCHED SEEDING U
125 SYS
12.74
$ 1,592.50
35
TOPSOIL
40 CYS
25.49
$ 1,023.85
36
WATER
1 kGAL
477.89
$ 477.89
37
SODDING, NURSERY
241 SYS
50.97
$ 12,283.77
38
PLANT, DECIDUOUS TREE, MULTI-
STEM, 48 IN. OR UNDER
5 EACH
637.18
$ 3,185.90
39
CONCRETE, CLASS, A
1 CYS
637.18
$ 637.18
40
TEMPORARY PIPE (48 IN.)
114 LFT
211.25
$ 24,082.50
Exhibit /-k
60-71
Exhibit �A
-7`k-I
Prices In Figures
Contract
Description/
Estimated
Unit
Total Price
Item No.
Unit Price [in Words]
Quantity
Price
for Item
STRUCTURE, REINFORCED
41
CONCRETE, BOX SECTIONS, 16 FT. X 6
59 LFT
2,080.08
$ 122,724.72
FT.
SANITARY SEWER SERVICE
42
ADJUSTMENT
28 LFT
128.51
$ 3,598.28
43
HMA FOR STRUCTURE
INSTALLATION, TYPE B
40 TON
76.46
$ 3,058.40
44
ROAD CLOSURE SIGN ASSEMBLY
2 EACH
191.15
$ 382.30
45
CONSTRUCTION SIGN, A
10 EACH
127.44
$ 1,274.40
46
CONSTRUCTION SIGN, B
4 EACH
63.72
$ 254.88
47
MAINTAINING TRAFFIC
1 LS
4,867.29
$ 4,867.29
48
BARRICADE, III -A
24 LFT
16.57
$ 397.68
TEMPORARY TRAFFIC BARRIER, TYPE
49
170 LFT
46.83
$ 7,961.10
SIGN, DOUBLE-FACED, SHEET, WITH
50
LEGEND, 0.080 IN. THICKNESS
7 SFT
89.21
$ 624.47
51
SIGN, SHEET, WITH LEGEND, 0.100 IN.
7 SFT
70.09
$ 490.63
SIGN POST, 3" O.D. ALUM TUBE, NON
52
FLUTED 1/8" WALL BLACK POWDER
15 LFT
31.86
$ 477.90
COATED
LUMINAIRE ORNAMENTAL, LED, 152
53
1 EACH
1,529.24
$ 1,529.24
WATT
LIGHT POLE ORNAMENTAL, WITH 8
54
1 EACH
9,557.72
$ 9,557.72
FT. MAST ARM
Exhibit �A
-7`k-I
Contract
Item No.
Description/
Unit Price [in Words]
Estimated
Quantity
Prices In Figures
Unit
Price
Total Price
for Item
55
LIGHT STANDARD FOUNDATION
1 EACH
1,274.36
$ 1,274.36
56
PIPE PVC 6 IN
30
LFT
35.10
$ 1,053.00
TOTAL
$ 404,674.64
Exhibit
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
,. 111111
111 111
$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
Rachel Wells , 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 am over eighteen (18) years of age and am competent to testify to the facts contained
herein.
2. 1 am now and at all times relevant herein have been employed by
Crider & Crider, Inc (the "Employer")
in the position of EEO Officer
I 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 Carmel,
Indiana.
5. The Company does not knowingly employ any unauthorized aliens.
FURTHER AFFIANT SAYETH NOT.
EXECUTED on the 12th day of February , 2018.
M I Of 151 -0-
Printed: Rachel Wells, EEO Officer
I certify under the penalties for perjury under the laws of the United States of America and the State of
Indiana that the foregoing factual statements and representations are true and correct.
Printed: Jeffrey J. Crider, Vice President
City ®f Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
Page 1 of 1
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
101380
ONE CIVIC SQUARE
35-6000972
THIS NUMBER MUST APPEAR ON INVOICES, A/P
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
2/8/2018
355573 Project 16 -SW -79; Contract Date 02.21.18
CRIDER & CRIDER INC
City Engineering's Office
VENDOR 4806 WEST 86TH STREET
SHIP 1 Civic Square
TO Carmel, IN 46032 -
INDIANAPOLIS, IN 46268 -
Kate Lustig
PURCHASE ID BLANKET CONTRACT
PAYMENT TERMS
FREIGHT
23270
QUANTITY UNIT OF MEASURE
DESCRIPTION
UNIT PRICE EXTENSION
Department: 2200 Fund: 0 2016 Storm Water Bond
Account: 94-650.04
1 Each Jumper Lane Small Structure Replacement - Construction $404,674.64 $404,674.64
Sub Total $404,674.64
_9A
Send Invoice To:
Jill Newport
CrossRoad Engineers, P.C.
3417 Sherman Drive
Beech Grove, IN 46107
Email: jnewport@crossroadengineers.com PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT T PROJECT ACCOUNT AMOUNT
PAYMENT $404,674.64
SHIPPING INSTRUCTIONS ' AQP 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
'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. 101380 CLERK -TREASURER