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Christopher Burke Engineering, LLC/Eng/4,300/Westfield Boulevard Bridge over Carmel Creek - DesignChristopher B. Burke Engineering, LLC Engineering Department - 2018 Appropriation # 2016 Storm Water Bond Fund; P.O. #101865 �• Contract Not To Exceed $4,300.00 AGREEMENT FOR PROFESSIONAL SERVICES THIS AGREEMENT FOR PROFESSIONAL SERVICES ("Agreement") is hereby made and entered into by and between the City of Carmel, Indiana, acting by and through its Board of Public Works and Safety (hereinafter "City"), and Christopher B. Burke, LLC, (hereinafter "Professional"). RECITALS WHEREAS City owns and is responsible for the operation and maintenance of its property, personnel, public works and infrastructure; and and WHEREAS, from time to time, City needs professional assistance in fulfilling its foregoing responsibilities; WHEREAS, Professional is experienced in providing and desires to provide to City the professional services ("Services") referenced herein; and WHEREAS, City desires to engage Professional as an independent contractor for the purpose of providing to City the Services referenced herein; NOW, THEREFORE, in consideration of the foregoing recitals and the covenants and conditions set forth herein, City and Professional mutually agree as follows: SECTION 1 INCORPORATION OF RECITALS The foregoing Recitals are hereby incorporated into this Agreement and made a part hereof. SECTION 2 SCOPE OF SERVICES 2.1 City desires to engage Professional as an independent contractor for the Services set forth in attached Exhibit A, incorporated herein by this reference. 2.2 Professional understands and agrees that City may, from time to time, request Professional to provide additional or modified Services to City. When City desires additional Services from Professional, the City shall notify Professional of such additional Services desired, as well as the time frame in which same are to be provided. Only after City has approved Professional's time and cost estimate for the provision of such additional Services, has encumbered sufficient monies to pay for same, and has authorized Professional, in writing, to provide such additional Services, shall such Services be provided by Professional to City. A copy of the City's authorization documents for the purchase of additional Services shall be numbered and attached hereto in the order in which they are approved by City. 2.3 Time is of the essence of this Agreement. [SXontrsaslProf.Svcs & Goods Svcs\Engineering120181Chris1opha B. Burke Engineving, LLC Prof—ionel Savi—doc:812112018 10:31 AMU Christopher B. Burke Engineering, LLC Engineering Department - 2018 Appropriation # 2016 Storm Water Bond Fund; P.O. #101865 Contract Not To Exceed $4,300.00 SECTION 3 CITY'S RESPONSIBILITIES 3.1 City shall provide such information as is reasonably necessary for Professional to understand the Services requested. 3.2 City shall provide all data required for provision of Services. Professional may assume that all data so provided is correct and complete. 3.3. City shall arrange for Professional to enter upon public and private property as reasonably required for Professional to perform the Services. 3.4 City shall designate payment of the Services from City budget appropriation number 2016 Storm Water Bond Fund funds. 3.5 City shall designate the Mayor or his duly authorized representative to act on City's behalf on all matters regarding the Services. SECTION 4 PROFESSIONAL'S RESPONSIBILITIES 4.1 Professional shall perform the Services pursuant to the terms of this Agreement and within any applicable time and cost estimate. 4.2 Professional shall coordinate with City its performance of the Services. 4.3 Professional shall provide the Services by following and applying at all times reasonable and lawful standards as accepted in the industry. SECTION 5 COMPENSATION 5.1 Professional estimates that the total price for the Services to be provided to City hereunder shall be no more than Four Thousand Three Hundred Dollars ($4,300.00) (the "Estimate"). Professional shall submit an invoice to City no more than once every thirty (30) days for Services provided City during the time period encompassed by such invoice. Invoices shall be submitted on a form containing the same information as that contained on the Professional Services Invoice attached hereto as Exhibit B, incorporated herein by this reference. City shall pay Professional for all undisputed Services rendered and stated on such invoice within thirty five (35) days from the date of City's receipt of same. 5.2 Professional agrees not to provide any Services to City that would cause the total cost of same to exceed the Estimate, without City's prior written consent. [SXontraasTrof.Sv &C—ds S—Tngmeenng\201MCbristopher B. Burke Engineering, ILC Prof—ionil Services d-8212018 10:31 AK 2 Christopher B. Burke Engineering, LLC Engineering Department - 2018 Appropriation # 2016 Storm Water Bond Fund; P.O. #101865 Contract Not To Exceed $4,300.00 SECTION 6 TERM Unless otherwise terminated in accordance with the termination provisions set forth in Section 7.1 hereinbelow, 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. SECTION 7 MISCELLANEOUS 7.1 Termination 7.1.1 The obligation to provide all or any portion of the Services under this Agreement may be terminated by City or Professional, without cause, upon thirty (30) days' notice. 7.1.2 The obligation to provide all or any portion of the Services under this Agreement may be terminated by City, for cause, immediately upon Professional's receipt of City's "Notice To Cease Services." 7.1.3 In the event of full or partial Agreement termination, and as full and complete compensation hereunder, Professional shall be paid for all such Services rendered and expenses incurred as of the date of termination that are not in dispute, except that such payment amount shall not exceed the Estimate. Disputed compensation amounts shall be resolved as allowed by law. 7.2 Binding Effect City and Professional, and their respective officers, officials, agents, partners and successors in interest are bound to the other as to all Agreement terms, conditions and obligations. 7.3 No Third Party Beneficiaries Nothing contained herein shall be construed to give rights or benefits to anyone other than the parties hereto. 7.4 Relationship The relationship of the parties hereto shall be as provided for in this Agreement, and neither Professional nor any of its agents, employees or contractors are City employees. Professional shall have the sole responsibility to pay to or for its agents, employees and contractors all statutory, contractual and other benefits and/or obligations as they become due. Professional hereby warrants and indemnifies City for and from any and all costs, fees, expenses and/or damages incurred by City as a result of any claim for wages, benefits or otherwise by any agent, employee or contractor of Professional regarding or related to the subject matter of this Agreement. This indemnification obligation shall survive the termination of this Agreement. (SACootr=U\Prof.Svo & Goods Svcs\P.ngin—g\2018`Christopha B. &¢Ice Pngmeaing. LLC Professional Servi—doc:8212018 10:31 AK Christopher B. Burke Engineering, LLC Engineering Department - 2018 Appropriation # 2016 Storm Water Bond Fund; P.O. #101865 Contract Not To Exceed $4,300.00 7.5 Insurance Professional shall procure and maintain with an insurer licensed to do business in the State of Indiana such insurance as is necessary for the protection of City and Professional from all claims under workers' compensation, occupational disease and/or unemployment compensation acts, because of errors and omissions, because of bodily injury, including, but not limited to, the personal injury, sickness, disease, or death of any of Professional's employees, agents or contractors and/or because of 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 on attached Exhibit C. Such insurance policies shall not be canceled without thirty (30) days' prior written notice to City. 7.6 Liens Professional shall not cause or permit the filing of any lien on any of City's property. In the event such a lien is filed and Professional fails to remove it within ten (10) days after the date of filing, City shall have the right to pay or bond over such lien at Professional's sole cost and expense. 7.7 Default In the event Professional: (a) repudiates, breaches or defaults under any of the terms or conditions of this Agreement, including Professional's warranties; (b) fails to perform the Services as specified; (c) fails to make progress so as to endanger timely and proper completion of the Services and does not correct such failure or breach within five (5) business days after receipt of notice from City specifying same; or (d) becomes insolvent, files, or has filed against it, a petition for 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 terminate all or any part of this Agreement, without liability to Professional and to exercise any other rights or remedies available to it at law or in equity. 7.8 Government Compliance Professional agrees to comply with all laws, executive orders, rules and regulations applicable to Professional's performance of its obligations under this Agreement, all relevant provisions of which being hereby incorporated herein by this reference, to keep all of Professionals' required professional licenses and certifications valid and current, and to indemnify and hold harmless City from any and all losses, damages, costs, liabilities, damages, costs and attorney fees resulting from any failure by Professional to do so. This indemnification obligation shall survive the termination of this Agreement. 7.9 Indemnification Professional shall indemnify and hold harmless City and its officers, officials, employees and agents from all losses, liabilities, claims, judgments and liens, including, but not limited to, all damages, costs, reasonable expenses and reasonable attorney fees arising out of any intentional or negligent act or omission of Professional and/or any of its employees, agents or contractors in the performance of this Agreement. This indemnification obligation shall survive the termination of this Agreement. 1S:: Coutrwts\Rof.S-s & Goods Sws\Engineamg\2018VChnstophc B. Burke Engin—g, LLC Professional Servio-d-8292018 9:08 AK 4 Christopher B. Burke Engineering, LLC Engineering Department - 2018 Appropriation # 2016 Storm Water Bond Fund; P.O. #101865 Contract Not To Exceed $4,300.00 7.10 Discrimination Prohibition Professional represents and warrants that it and each of its employees, agents and contractors shall comply with all existing and future laws prohibiting discrimination against any employee, applicant for employment and/or other person in the subcontracting of work and/or in the performance of any Services contemplated by this Agreement with respect to hire, tenure, terms, conditions or privileges of employment or any matter directly or indirectly related to employment, subcontracting or work performance hereunder because of race, religion, color, sex, handicap, national origin, ancestry, age, disabled veteran status or Vietnam era veteran status. This indemnification obligation shall survive the termination of this Agreement. 7.11 E -Verify Pursuant to I.C. § 22-5-1.7 et seq., Professional shall enroll in and verify the work eligibility status of all of its newly -hired employees using the E -Verify program, if it has not already done so as of the date of this Agreement. Professional is further required to execute the attached Affidavit, herein referred to as Exhibit D, which is an Affidavit affirming that: (i) Professional is enrolled and is participating in the E -verify program, and (ii) Professional does not knowingly employ any unauthorized aliens. This Addendum incorporates by reference, and in its entirety, attached Exhibit D. In support of the Affidavit, Professional shall provide the City with documentation that it has enrolled and is participating in the E -Verify program. This Agreement shall not take effect until said Affidavit is signed by Professional and delivered to the City's authorized representative. Should Professional subcontract for the performance of any work under this Addendum, the Professional shall require any subcontractor(s) to certify by affidavit that: (i) the subcontractor does not knowingly employ or contract with any unauthorized aliens, and (ii) the subcontractor has enrolled and is participating in the E -verify program. Professional shall maintain a copy of such certification for the duration of the term of any subcontract. Professional shall also deliver a copy of the certification to the City within seven (7) days of the effective date of the subcontract. If Professional, or any subcontractor of Professional, knowingly employs or contracts with any unauthorized aliens, or retains an employee or contract with a person that the Professional or subcontractor subsequently learns is an unauthorized alien, Professional shall terminate the employment of or contract with the unauthorized alien within thirty (30) days ("Cure Period"). Should the Professional or any subcontractor of Professional fail to cure within the Cure Period, the City has the right to terminate this Agreement without consequence. The E -Verify requirements of this Agreement will not apply, should the E -Verify program cease to exist. 7.12 Severability If any provision of this Agreement is held to be invalid, illegal or unenforceable by a court of competent jurisdiction, that provision shall be stricken, and all other provisions of this Agreement that can operate independently of same shall continue in full force and effect. [SXoshraatstProf.Sm & Goad Sws\Engineermg12018\Christophc B. Burke Engineering, LLC Professional SCrvi—d-8212018 10:31 AK Christopher B. Burke Engineering, LLC Engineering Department - 2018 Appropriation # 2016 Storm Water Bond Fund; P.O. #101865 Contract Not To Exceed $4,300.00 7.13 Notice Any notice, invoice, order or other correspondence required or allowed to be sent pursuant to this Agreement shall be written and either hand -delivered or sent by prepaid U.S. certified mail, return receipt requested, addressed to the parties as follows: CITY: City of Carmel Department of Engineering One Civic Square Carmel, Indiana 46032 ATTENTION: Jeremy Kashman PROFESSIONAL: Christopher B. Burke Engineering, LLC 115 West Washington Street Suite 1368 South Indianapolis, IN 46204 ATTENTION: Jon Stolz, P.E. Douglas C. Haney Corporation Counsel One Civic Square Carmel, Indiana 46032 Notwithstanding the above, City may orally provide to Professional any notice required or permitted by this Agreement, provided that such notice shall also then be sent as required by this paragraph within ten (10) business days from the date of such oral notice. 7.14 Effective Date The effective date ("Effective Date") of this Agreement shall be the date on which the last of the parties hereto executes same. 7.15 Governing Law; Lawsuits This Agreement shall be governed by and construed in accordance with the laws of the State of Indiana, except for its conflict of laws provisions, as well as by all ordinances and codes of the City of Carmel, Indiana. The parties agree that, in the event a lawsuit is filed hereunder, they waive any right to a jury trial they may have, agree to file 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. 7.16 Waiver Any delay or inaction on the part of either party in exercising or pursuing its rights and/or remedies hereunder or under law shall not operate to waive any such rights and/or remedies nor in any way affect the rights of such party to require such performance at any time thereafter. 7.17 Non -Assignment Professional shall not assign or pledge this Agreement nor delegate its obligations hereunder without City's (SXont—AsTrof.Sv & Goods SvcsXFngineaingV0189Cbristopha B. Burke E gieamg. LLC Nof—i—I S—i—doc:8/212018 10:31 AMI 6 Christopher B. Burke Engineering, LLC Engineering Department - 2018 Appropriation # 2016 Storm Water Bond Fund; P.O. #101865 Contract Not To Exceed $4,300.00 prior written consent. 7.18 Entire Agreement This Agreement contains the entire agreement of and between the parties hereto with respect to the subject matter hereof, and no prior agreement, understanding or representation pertaining to such subject matter, written or oral, shall be effective for any purpose. No provision of this Agreement may be amended, added to or subtracted from except by an agreement in writing signed by both parties hereto and/or their respective successors in interest. To the extent any provision contained in this Agreement conflicts with any provision contained in any exhibit attached hereto, the provision contained in this Agreement shall prevail. 7.19 Representation and Warranties Each party hereto represents and warrants that it is authorized to enter into this Agreement and that any person or entity executing this Agreement on behalf of such party has the authority to bind such party or the party which they represent, as the case may be. 7.20 Headings All headings 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. 7.21 Advice of Counsel The parties warrant that they have read this Agreement and fully understand it, have had an opportunity to obtain the advice and assistance of counsel throughout the negotiation of same, and enter into same freely, voluntarily, and without any duress, undue influence or coercion. 7.22 Copyright City acknowledges that various materials which may be used and/or generated by Professional in performance of Services, including forms, job description formats, comprehensive position questionnaire, compensation and classification plan and reports are copyrighted. City agrees that all ownership rights and copyrights thereto lie with Professional, and City will use them solely for and on behalf of its own operations. City agrees that it will take appropriate action with its employees to satisfy its obligations with respect to use, copying, protection and security of Professional's property. 7.23 Personnel Professional represents that it has, or will secure at its own expense, all personnel required in performing the services under this agreement. Such personnel shall not be employees of or have any contractual relationship with City. All of the services required hereunder will be performed by Professional or under his supervision and all personnel engaged in the work shall be fully qualified to perform such services. 7.24 Records and Inspections Professional shall maintain full and accurate records with respect to all matters covered under this agreement for three (3) years after the expiration or early termination of this Agreement. City shall have free (S:\ContreclstProf.S c & Goad SvcstEngtneeringt2018`,Cbristopb= B. Burke Fngmeming, LLC Professional Servi—doc:8R1/2018 10:31 AMI Christopher B. Burke Engineering, LLC Engineering Department - 2018 Appropriation # 2016 Storm Water Bond Fund; P.O. #101865 Contract Not To Exceed $4,300.00 access at all proper times to such records and the right to examine and audit the same and to make transcripts there from, and to inspect all program data, documents, proceedings and activities. 7.25 Accomplishment of Project Professional shall commence, carry on, and complete the project with all practicable dispatch, in a sound economical and efficient manner, in accordance with the provisions thereof and all applicable laws. In accomplishing the project, Professional shall take such steps as are appropriate to ensure that the work involved is properly coordinated with related work being carried on within City's organization. 7.26 Iran Certification Pursuant to I.C. § 5-22-16.5, the Professional shall certify that, in signing this Agreement, it does not engage in investment activities within the Country of Iran. 7.27 Access to Public Records Act Professional understands and agrees that any "public record", as that term is defined in Indiana Code 5-14-3- 2(m), as amended, that is related to the subject matter of this Agreement, whether the same is in the possession or control of the Professional or the City, shall be subject to release under and pursuant to the provisions of Indiana's Access to Public Records Act, as codified in Indiana Code 5-14-3-1, et sec., as amended. (remainder of page intentionally left blank) [SACmtntsTmf.S— & Good SvcsEng—ring12018`Chfistopha B. Bwke Engineering, LLC Professional Servi—d-8/212018 10:31 AK Christopher B. Burke Engineering, LLC Engineering Department - 2018 Appropriation # 2016 Storm Water Bond Fund; P.O. #101865 Contract Not To Exceed $4,300.00 IN WITNESS WHEREOF, the parties hereto have made and executed this Agreement as follows: CITY OF CARMEL, INDIANA Christopher B. Burke Engineering, LLC by and through its Board of Public Works and Safety (-0 ATTEISPau:l�ey, hristine Date: AN ALL Authoriz gnature Printed Name: ��� 54�I-z-- Title: FIDITIN: q5--3gyQs25 Last Four of SSN if Sole Proprietor: Dater ws� 25f , 2C)(s IS.1eq+n I'T'oUS'.&G-1,Sao`f ,tinccnnpCUlS'CAmngh.7 B. H.AY F., --p. LLC R aslmial S—A-1,11101% M31 ANN F B - April 17, 2018 Jeremy Kashman, PE Carmel City Hall One Civic Square Carmel, IN 46032 1 10- — S W -- '—"Z- Christopher 2 Christopher B. Burke Engineering, LLC 115 W. Washington St. Suite 1368 South Indianapolis, IN 46204 317.266.8000 cbbel-in.com Subject: Westfield Boulevard Bridge over Carmel Creek Professional Services Proposal Dear Mr. Kashman: Christopher B. Burke Engineering, LLC (CBBEL) is pleased to provide this proposal for professional environmental services for the above-mentioned project located along Westfield Boulevard, just south of 116th Street in Carmel, Hamilton County, Indiana. The following is our understanding of the assignment, scope of services and estimated fee in support of the project. UNDERSTANDING OF THE ASSIGNMENT During 2016, CBBEL assisted the City of Carmel and Kite Realty Group in obtaining permits and authorizations from the Indiana Department of Natural Resources (IDNR), the Indiana Department of Environmental Management (IDEM) and the U.S. Army Corps of Engineers (USACE) for the replacement of the Westfield Boulevard crossing of Carmel Creek. Due to delays in the project initiation and utility coordination, it is expected that the project will not be completed by the expiration date of the IDNR approval. Additionally, the USACE authorization and the associated IDEM authorization expired in 2017. It is our understanding that you would like CBBEL to perform the necessary tasks to extend the IDNR approval for an additional year and renew the USACE and IDEM authorizations. SCOPE OF SERVICES CBBEL will provide the following services for this work: Task 1 – Construction in a Floodway Permit Extension: CBBEL staff will prepare and submit the necessary information to the IDNR to extend the expiration date of the previously issued approval for one year. This would allow the project approval to remain valid until August 2019. CBBEL will submit the information, periodically check with IDNR after the information is submitted regarding its status and respond to questions as needed. Task 2 – Section 401 and 404 Permit Applications: CBBEL will complete and submit a new Section 401 Water Quality Certification application to IDEM and a new Section 404 Department of the Army permit application to USACE for approval of the proposed project impacts. The new applications will rely on the previously submitted and approved project plans, application forms and related exhibits and documentation for the Section 401 and 404 permit applications. CBBEL will coordinate the progress and review of the project by the regulatory agencies. Westfield Boulevard over Carmel Creek 19.RI80185.00000 April 17, 2018 Exhibit A page 1 00 ESTIMATED FEE We have estimated the total cost of these services shall not exceed $4,300. If the value of work accomplished exceeds this figure, CBBEL will assess the remaining work and notify you, in writing, of the revised compensation and schedule before continuing with the services. We will bill you monthly, on a time and material basis, for assigned tasks in accordance with our attached standard charges for professional services. In addition, our contract will be established in accordance with the attached general terms and conditions. These general terms and conditions are expressly incorporated into and are an integral part of this contract for professional services. If this proposal meets with your approval, please sign where indicated and return an executed original to us as our notice to proceed. The executed proposal, along with the estimated fee, and the attached standard charges for professional services and general terms and conditions constitute the whole of our agreement. Any modification to any part of this agreement without prior acknowledgement and consent by CBBEL will make null and void this agreement. Any time commitment made by CBBEL as part of the agreement does not begin until CBBEL has received an executed original. We appreciate the opportunity to submit this proposal and look forward to working with you on this project. Please contact me or Kerry Daily at the number listed above if you have any questions. Sincerely, Jon Stolz, PE Managing Vice President THIS PROPOSAL, ESTIMATED FEE, STANDARD CHARGES FOR PROFESSIONAL SERVICES, AND GENERAL TERMS AND CONDITIONS ARE ACCEPTED ON BEHALF OF THE CITY OF CARMEL: Signature: Name (Printed): Title: Date: Attachments: Standard Charges for Professional Services General Terms and Conditions Westfield Boulevard over Carmel Creek 19.R1 80185.00000 Exhibit _� April 1 Page 2 C1 3 Personnel Christopher B. Burke Engineering, LLC Standard Charges for Professional Services, January %010 Engineer»JI.................................................................................................................................................................... 216 Engineerv..................................................................................................................................................................... l07 Engineer/v.................................................................................................................................................................... 172 EngineerIII ................................................................................................................................................................... 144 Engineer//u................................................................................................................................................................. 1l3 ResourcePlanner V...................................................................................................................................................... 16O ResourcePlanner IV ..................................................................................................................................................... 16O ResourcePlanner III ................................................................................................................................................... 13O ResourcePlanner l/I.................................................................................................................................................. 105 EngineeringTechnician IV......................................................................................................................................... 1SS EngineeringTechnician III ......................................................................................................................................... 130 EngineeringTechnician I/I....................................................................................................................................... 1OS CAD[L--.--._'—_—_-------_--------'_. ---------_------.130 CADl............................................................................................................................................................................. 107 GISSpecialist III ........................................................................................................................................................... 13V GISSpecialist I/l........................................................................................................................................................ 1OU Environmental Resource Specialist V....................................................................................................................... 1S1 Environmental Resource Specialist lv...................................................................................................................... l30 Environmental Resource Specialist III ...................................................................................................................... 12S Environmental Resource Specialist I/I................................................................................................................... 1OS Environmental Resource Technician .------------.----------__----_------..OV Administrative................................................................................................................................................................. 7G EngineeringIntern .......................................................................................................................................................... 6O Direct Costs inclu6overbead andprqflit Cbristopber B. Burke Engineering, LLC reserves the ngbtm6narase these rates and costs �y 5% if the contract is executed after December 31, 2018. Westfield Boulevard over c=elCreek April 17, Mm _P3 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 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 C� ►, s ian �.�� Ig • ��-iC- �.-�, . L L (the "Employer") in the position of 11G., 11: « Prosht-4- X 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. The Company does not knowingly employ any unauthorized aliens. FURTI IER AFFIANT SAYETH NOT. EXECUTED on the P- !Ke ` clay of /��w , 20 1 r. Printed: 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. t� Printed: City ®fCareAINDIANA RETAIL TAX EXEMPT JIII'1CERTIFICATE 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 Page 1 of 1 PURCHASE ORDER NUMBER 101865 THIS NUMBER MUST APPEAR ON INVOICES, A/P VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE I DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 8/14/2018 1 356865 Project 18 -SW -22; Contract Date 09.05.18 CHRISTOPHER BURKE ENGINEERING LLC VENDOR DEPT 20-7045 PO BOX 5997 CAROL STREAM, IL 60197-5997 PURCHASEID BLANKET CONTRACT 28481 QUANTITY UNIT OF MEASURE Department: 2200 Account: 44-628.71 1 Each Send Invoice To: Fund: 0 PAYMENT TERMS DESCRIPTION 2016 Storm Water Bond City Engineering's Office SHIP 1 Civic Square TO Carmel, IN 46032 - Kate Lustig FREIGHT UNIT PRICE I EXTENSION Westfield Boulevard Bridge over Carmel Creek - Design $4,300.00 Sub Total R■ 6 � s � Z■� L .� $4,300.00 $4,300.00 Jill Newport CrossRoad Engineers, P.C. 3417 Sherman Drive Beech Grove, IN 46107 % AtA ,.. Email: jnewport@crossroadengineers.com PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT PAYMENT $4,300.00 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 �Z AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Jeremy Kashman TITLE Director CONTROLNO. 101865 CLERK -TREASURER