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Lehman’s Inc. of Anderson/Fire/3,785/HVAC PM – Station 43 & 44Lehman's Inc. of Anderson Fire Department - 2018 Appropriation #43-501.00; P.O. #101808 Contract Not To Exceed $3,785.00 ,lA0 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 Lehman's Inc. of Anderson, 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. 2. PERFORMANCE: City agrees to purchase the goods and/or services (the "Goods and Services") from Vendor using City budget appropriation number 43.501.00 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. 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 Three Thousand Seven Hundred Eighty Five Dollars ($3,785.00) (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, 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. 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. [S:1Contrscts\Prof.Svcs & Good. S—Tire Dept\20181 .hmeo s Inc. of Anderson Goods and S—ices.doc:7232018 11:41 AMS Lehman's Inc. of Anderson Fire Department - 2018 Appropriation #43-501.00; P.O. #101808 Contract Not To Exceed $3,785.00 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. 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. [SAContracls\Prof.S— & Goads SvcslFire DepA2018H.cho—'s Inc. of Anderson Goods and Servi=.doc:7R3/2018 11:41 AM[ Lehman's Inc. of Anderson Fire Department - 2018 Appropriation #43-501.00; P.O. #101808 Contract Not To Exceed $3,785.00 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. 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:`Cmrt \Prof.Sra & Good S—Tim DgA2018TA mN Inc. of Andason Good and Serviw.doc:723R018 11:41 AK L.ehman's Inc. of Anderson Fire Department - 2018 Appropriation #43-501.00; P.O. # 101808 Contract Not To Exceed $3,785.00 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 Fire Department 2 Civic Square Carmel, IN 46032 Attention: David Haboush If to Vendor: Lehman's Inc. of Anderson 1023 West 38th Street Anderson, IN 46013 Attention: Dylan King 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. [SXontracuiProf.Svcs & Good S—Tire Deo%201MLehm 's Inc. of Andersen Good and Services.dac:723R018 11:41 AK 4 Lehman's Inc. of Anderson Fire Department - 2018 Appropriation #43-501.00; P.O. #101808 Contract Not To Exceed $3,785.00 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, 2018 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. 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. This Agreement may only be modified by written amendment executed by both parties hereto, or their successors in interest. (SXontactsTroUSva & Good S—Tire Dept\2018V..ehmao's Inc. of Anderson Goad and Services.doc:7/13R018 11:41 AK lehman's Inc. of Anderson Fire Department - 2018 Appropriation #43-501.00; P.O. #101808 Contract Not To Exceed $3,785.00 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: Lori S. Watson, Member Date: Leman's Inc. of Anderson By; -- Authorized Signature Dylan King Printed Name Service Manager Title FID/TIN: 351604992 Last Four of SSN if Sole Proprietor: ATTEST: Date: 7-26-18 Chri ine S. Pauley, C - r �ur Date: 1 �S `Co��'b`holS.o a coos S.u•i w RphVt r4►s.o 1 b : IS 11 41 A10 6 TOLL FREE.800.439.6065 FAX 765.644.6699 LMC SERVICE SOLUTIONS FACILITY SERVICE AGREEMENT Presented to: Carmel Fire Department #43 3242 E 106th St Carmel, IN 46033 Date: July 19, 2018 No. 5712043 Type of Agreement: Preventive Maintenance. High Efficiency Express Service Plan. Equipment covered under this agreement is listed below and shall be limited to the specific items listed. *Please see attached equipment list *EXCLUDES KITCHEN EXHAUST AND MUA TOTAL COST: One Thousand Three Hundred Fifty Dollars and 00/100 ($1,350.00) Filters and Belts INCLUDED and Parts EXCLUDED. LMC Service Solutions shall schedule: One annual heating service inspection including filter change/cleaning One annual cooling service inspection including filter change/cleaning and belt replacement We agree to provide you with a qualified and trained service technician to inspect and service your HVAC equipment. The inspection and maintenance will be performed per the above stated schedule. These inspections will be performed only during normal working hours, Monday thru Friday, holidays excepted. This Agreement DOES NOT INCLUDE the cost of emergency service. It DOES provide priority status if emergency service is ever required. Please read the reverse side of this agreement before signing. This proposal and the terms on the reverse side along with the attachments hereof constitute our entire agreement. Upon written approval by both parties, the agreement shall become effective , and continue at the current price unless written notice to the contrary is given 30 days prior to the anniversary date. This agreement is subject to price revision on any anniversary date with a 30 day written notice. This agreement may be adjusted at any time due to equipment additions and/or deletions. Payment: ANNUAL Date: 7/19/2018 Submitted by: Dylan Kinq Title: Service Manager LMC SERVICE SOLUTIONS Accepted by: For: Title: ate: 1023 West 38th Street Anderson, IN 46013-1098 Imc-solutions.net Exhibit _ /W� MAINTENANCE CONTRACT We agree to: 1 Inspect the equipment on a scheduled basis as shown, and during each inspection perform the applicable services per the attached checklist and furnish a copy of the list to you upon completion. 2 Furnish either parts, and/or labor necessary (as stated on the front side of the contract) when a failure or breakdown of any component part causes the HVAC system to become inoperative. 3 Instruct you in the operation of the equipment. 4 Give our service contract holders preference over all other service activity normally undertaken by LMC Service Solutions. 5 Charge only regular rates for services not covered by the agreement. Except holidays which will incur overtime rates. You agree to: 1 Operate the equipment in accordance to our instructions. 2 Promptly notify us of any unusual operating conditions of the equipment. 3 Permit our personnel the use of your common building utilities, water, electricity, etc. 4 Permit only our service personnel and/or a service organization authorized by us to work on the equipment. 5 Permit our personnel to dispose of filters and waste in your waste disposal facilities. (A separate waste removal charge will be assessed if this isn't available.) Exclusions: All non-mechanical components. Water supply and drain beyond equipment proper. Electrical service beyond the equipment disconnect switch (control wiring excepted). Moving or relocating the equipment. Any damage due to unexpected freezing. Work made necessary by the enforcement of government codes, building and/or union regulations. Devices and controls not supplied by us are excluded from this agreement unless otherwise specified in the agreement. We are not responsible for failure or damage or premises due to improper fuel or fuel supply. General: During the term of this agreement, we will take all reasonable precautions to avoid injury to persons and damage to property while on the premises, but we shall not be liable for any special or consequential damages. We shall not be liable for losses or defects arising out of vandalism, fire, flood, wind, war, riots, and acts of God. In such cases the customer shall be charged for parts and labor involved at the then current price for such items. No such parts or labor shall be furnished, however, without authorization of customer. This is not an insurance agreement. Owners should carry such coverage. If agreement is cancelled, customer is responsible for any and all charges incurred prior to agreement cancellation. We shall not be responsible for system design nor maintaining design conditions. Exclusion & Nuisance Calls: Under the extended coverage portions of this agreement. 1 Only mechanical failures are covered. 2 Power failures, water supply problems, clogged drains, battery failures, programming thermostats, user problems, air balancing, are not covered under this agreement Exibit 2o -F t( TOLL FREE.800.439.6065 FAX 765.644.6699 LMC SERVICE SOLUTIONS FACILITY SERVICE AGREEMENT Presented to: Carmel Fire Department #44 5032 E Main St Carmel, IN 46033 Date: July 19, 2018 No. 5712600 Type of Agreement: Preventive Maintenance. High Efficiency Express Service Plan. Equipment covered under this agreement is listed below and shall be limited to the specific items listed. *Please see attached equipment list *EXCLUDES KITCHEN EXHAUST AND MUA TOTAL COST: Two Thousand Four Hundred Thirty Five Dollars and 00/100 ($2,435.00) Filters and Belts INCLUDED and Parts EXCLUDED. LMC Service Solutions shall schedule: One annual heating service inspection including filter change/cleaning One annual cooling service inspection including filter change/cleaning and belt replacement We agree to provide you with a qualified and trained service technician to inspect and service your HVAC equipment. The inspection and maintenance will be performed per the above stated schedule. These inspections will be performed only during normal working hours, Monday thru Friday, holidays excepted. This Agreement DOES NOT INCLUDE the cost of emergency service. It DOES provide priority status if emergency service is ever required. Please read the reverse side of this agreement before signing. This proposal and the terms on the reverse side along with the attachments hereof constitute our entire agreement. Upon written approval by both parties, the agreement shall become effective , and continue at the current price unless written notice to the contrary is given 30 days prior to the anniversary date. This agreement is subject to price revision on any anniversary date with a 30 day written notice. This agreement may be adjusted at any time due to equipment additions and/or deletions. Payment: ANNUAL Date: 7/19/2018 Submitted by: Dylan Kind Title: Service Manager LMC SERVICE SOLUTIONS Accepted by: For Title: Date: 1023 West 38th Street Anderson, IN 46013-1098 Imc-solutions.net Exhibit MAINTENANCE CONTRACT We agree to: 1 Inspect the equipment on a scheduled basis as shown, and during each inspection perform the applicable services per the attached checklist and furnish a copy of the list to you upon completion. 2 Furnish either parts, and/or labor necessary (as stated on the front side of the contract) when a failure or breakdown of any component part causes the HVAC system to become inoperative. 3 Instruct you in the operation of the equipment. 4 Give our service contract holders preference over all other service activity normally undertaken by LMC Service Solutions. 5 Charge only regular rates for services not covered by the agreement. Except holidays which will incur overtime rates. You agree to: 1 Operate the equipment in accordance to our instructions. 2 Promptly notify us of any unusual operating conditions of the equipment. 3 Permit our personnel the use of your common building utilities, water, electricity, etc. 4 Permit only our service personnel and/or a service organization authorized by us to work on the equipment. 5 Permit our personnel to dispose of filters and waste in your waste disposal facilities. (A separate waste removal charge will be assessed if this isn't available.) Exclusions: All non-mechanical components. Water supply and drain beyond equipment proper. Electrical service beyond the equipment disconnect switch (control wiring excepted). Moving or relocating the equipment. Any damage due to unexpected freezing. Work made necessary by the enforcement of government codes, building and/or union regulations. Devices and controls not supplied by us are excluded from this agreement unless otherwise specified in the agreement. We are not responsible for failure or damage or premises due to improper fuel or fuel supply. General: During the term of this agreement, we will take all reasonable precautions to avoid injury to persons and damage to property while on the premises, but we shall not be liable for any special or consequential damages. We shall not be liable for losses or defects arising out of vandalism, fire, flood, wind, war, riots, and acts of God. In such cases the customer shall be charged for parts and labor involved at the then current price for such items. No such parts or labor shall be furnished, however, without authorization of customer. This is not an insurance agreement. Owners should carry such coverage. If agreement is cancelled, customer is responsible for any and all charges incurred prior to agreement cancellation. We shall not be responsible for system design nor maintaining design conditions. Exclusion & Nuisance Calls: Under the extended coverage portions of this agreement. 1 Only mechanical failures are covered. 2 Power failures, water supply problems, clogged drains, battery failures, programming thermostats, user problems, air balancing, are not covered under this agreement Exhibit Vy 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: Property damage, contractual liability, products -completed operations: General Aggregate Limit (other than Products/Completed Operations): Products/Completed Operations: Personal & Advertising Injury Policy Limit: Each Occurrence Limit: Fire Damage (any one fire): Medical Expense Limit (any one person): Statutory Limits $100,000 each employee $250,000 each accident $500,000 policy limit $500,000 $500,000 $500,000 $250,000 $250,000 $ 50,000 Comprehensive Auto Liability (owned, hired and non -owned) Bodily Single Limit: Injury and property damage: Policy Limit: Umbrella Excess Liability Each occurrence and aggregate: Maximum deductible: $500,000 each accident $500,000 each accident $500,000 $500,000 $ 10,000 EXHIBIT D AFFIDAVIT Robert A. Martin , 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: 1. I am over eighteen (18) years of age and am competent to testify to the facts contained herein. 2. I am now and at all times relevant herein have been employed by Lehman' s Inc of Anderson (the "Employer") in the position of Controller Cor orate Secretary 3. 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 26th day of July , 2018. Printed: Robert A. Martin 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 rcpresc talions are true and co ect. Printed: Robert A. Martin City ®fCarmeAJII''L INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003720155 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 HASE ORDER DATE I DATE REQUIRED REQUISITION NO. VENDOR NO. 7/23/2018 370362 LEHMAN'S INC. MECHANICAL CONTRACTOR VENDOR 1023 WEST 38TH STREET ANDERSON, IN 46013 - PURCHASE ID BLANKET I CONTRACT 2771 QUANTITY UNIT OF MEASURE Department: 1120 Fund: 101 General Fund Account., 43-501.00 1 Each HVAC PM - Sta. 43 1 Each HVAC PM - Sta. 44 Send Invoice To: Fire Department 2 Civic Square Carmel, IN 46032 - DEPARTMENT PAYMENT TERMS DESCRIPTION Page 1 of 1 PURCHASE ORDER NUMBER 101808 THIS NUMBER MUST APPEAR ON INVOICES, A1P VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE DESCRIPTION HVAC PM Fire Department SHIP 2 Civic Square TO Carmel, IN 46032 - �ya�cpRF FREIGHT UNIT PRICE L EXTENSION $1,350.00 $1,350.00 $2,435.00 $2,435.00 Sub Total $3,785.00 (''C `f PLEASE INVOICE IN DUPLICATE ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $3,785.00 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 1 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Denise Snyder TITLE Budget & Accreditation Manager CONTROL No. 101808 CLERK -TREASURER