Clark Dietz, Inc/Eng/Adl Serv #5a/9,700/106th Street and Towne Road Roundabout - Inspection Clark Dietz,Inc.
Engineering Department-2019
Appropriation#2016 General Obligation Fund;P.O.#34291
Contract Not To Exceed$9,700.00
ADDITIONAL SERVICES AMENDMENT TO *si 011
AGREEMENT FOR GOODS AND SERVICES
,`rn.
THIS AMENDMENT TO THE AGREEMENT FOR GOODS AND SERVICES ("Agreement") entered into by
and between the City of Carmel and Clark Dietz, Inc., (the"Vendor'), as City Contract dated February 17, 2016 shall
amend the terms of the Agreement by adding the additional services to be provided by Vendor consistent with the
Scope of Work attached hereto and incorporated herein as Exhibit"A". The terms and conditions of the Agreement
shall not otherwise be affected by this Additional Services Amendment and shall remain in full force and effect.
IN WITNESS WHEREOF,the parties hereto have made and executed this Amendment as follows:
CITY OF CARMEL, INDIANA Clark Dietz, Inc.
by and through its Board of Public
Works and Safety
By: By:
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mes Brainard, Pr-•kin. Officer Authorized Signature
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i— '� Printed Name
Mary Ann : ' •
Date: _ Sr. VI< .. Pre s, d4,,%f-
, %,d;OF Title
Lori S.Watso' Iember FID/TIN: 37— /. /.2O S t
Date: _ -
Last Four of SSN if Sole Proprietor:
A rDate: o a/la 8� o 9
Christine Paule Cler -Tr asurer
Date: ...5
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P
C l a rk>Jietz
Engineering Quality of Life
February 14,2019
Jeremy Kashman,P.E.
City Engineer
Cannel Engineering Department
One Civic Square
Cannel IN,46032
Re: Supplemental Request
City of Carmel Project 16-ENG-39; 106th Street&Towne Road RAB—Construction Inspection
Dear Mr.Kashman:
With this letter,Clark Dietz is requesting a supplemental agreement to Clark Dietz's contract for inspection of Carmel
project 16-ENG-39. Due to various delays and additional work by the contractor,additional inspection and final
construction record time is required to complete the project.
Clark Dietz requests an increase of$9,700.00 which would increase the original contract from$89,020 to$98,720. As a
percentage of construction cost,this inspection work will remain at approximately 12%of construction cost,similar to the
original contract. The billing rates will remain unchanged from the original contract.
Thank you for any consideration.
Sincerely,
11-) /0Th
Clark Dietz,Inc.
W.Eric Von Hoven
Construction Team Leader
E-mail eric.vonhoven@clarkdietz.com
Cc: Chris Ogg,P.E.,City of Carmel Assistant City Engineer
Jarrod Huff,P.E.,City of Carmel Project Manager
Exhibit
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8900 Keystone Crossing.Suite 900 Indianapolis,IN 46240 / 317.844.8900 clarkdietz.com
v INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 34291
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO DESCRIPTION
8/3/2016 060650 Project 16-ENG-39;Contract Date 05.04.16
CLARK DIETZ, INC City Engineering's Office
VENDOR 8900 KEYSTONE CROSSING#900 SHIP 1 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46240 - Kate Lustig
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
7185
QUANTITY I UNIT OF MEASURE I DESCRIPTION L_ UNIT PRICE EXTENSION
Department: 2200 Fund: 0 General Obligation Bond
Account: 94-650.04
1 Each ASA 5-106th Street and Towne Road Roundabout- $89,020.00 $89,020.00
Construction Inspection
1 Each ASA 5a -106th Street and Towne Road RAB-Inspection $9,700.00 $9,700.00
Sub Total $98,720.00
,cl OF C41/444.
Ill
Rena s e : xsR
"�• x _ - r s
Send Invoice To: ''
Jill Newport
CrossRoad Engineers,P.C.
3417 Sherman Drive
Beech Grove, IN 46107 MIt
G.O./Storm Water
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $98,720.00
SHIPPING INSTRUCTIONS *NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.0 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. 34291 CLERK-TREASURER