BBI Holdings, LLC d/b/a Corvus Janitorial Systems of Indianapolis/Admin/3,540/Cleaning Services BBI Holdings,LLC d/b/a Corvus Janitorial Systems of Indianapolis
Department of Administration-2019
Appropriation#43-506.00 P.O.#102709
Contract Not To Exceed$3,540.00 QR0fr
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 BBI Holdings, LLC d/b/a Corvus Janitorial Systems of Indianapolis, an entity duly authorized to do
business in the State of Indiana("Vendor").
TERMS AND CONDITIONS
1. 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 43-506.00 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 Five Hundred Forty Dollars ($3,540.00) (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.
5. 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.
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BBI Holdings,LLC d/b/a Corvus Janitorial Systems of Indianapolis
Department of Administration-2019
Appropriation#43-506.00 P.O.#102709
Contract Not To Exceed$3,540.00
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.
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.
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BBI Holdings,LLC d/b/a Corvus Janitorial Systems of Indianapolis
Department of Administration-2019
Appropriation#43-506.00 P.O.#102709
Contract Not To Exceed$3,540.00
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.
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
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BBI Holdings,LLC d/b/a Corvus Janitorial Systems of Indianapolis
Department of Administration-2019
Appropriation#43-506.00 P.O.#102709
Contract Not To Exceed$3,540.00
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 AND Douglas C. Haney,
One Civic Square Corporation Counsel
Carmel, IN 46032 Department of Law
One Civic Square
Carmel, Indiana 46032
If to Vendor: BBI Holdings, LLC
d/b/a Corvus Janitorial Systems of Indianapolis
PO Box 636338
Cincinnati,OH 45263
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.
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BB1 Holdings,LLC d/b/a Corvus Janitorial Systems of Indianapolis
Department of Administration-2019
Appropriation#43-506.00 P.O.#102709
Contract Not To Exceed$3,540.00
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 31,2019 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. DEBARMENT AND SUSPENSION
26.1 The Vendor certifies by entering into this Agreement that neither it nor its principals nor any of its
subcontractors are presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily
excluded from entering into this Agreement by any federal agency or by any department, agency or political
subdivision of the State of Indiana. The term "principal" for purposes of this Agreement means an officer,
director, owner, partner, key employee or other person with primary management or supervisory
responsibilities, or a person who has a critical influence on or substantive control over the operations of the
Vendor.
26.2 The Vendor certifies that it has verified the state and federal suspension and debarment status for all
subcontractors receiving funds under this Agreement and shall be solely responsible for any recoupment,
penalties or costs that might arise from use of a suspended or debarred subcontractor. The Vendor shall
immediately notify the City if any subcontractor becomes debarred or suspended, and shall, at the City's
request, take all steps required by the City to terminate its contractual relationship with the subcontractor for
work to be performed under this Agreement.
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BBI Holdings,LLC d/b/a Corvus Janitorial Systems of Indianapolis
Department of Administration-2019
Appropriation#43-506.00 P.O.#102709
Contract Not To Exceed$3,540.00
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.
IN WITNESS WHEREOF,the parties hereto have made and executed this Agreement as follows:
CITY OF CARMEL, INDIANA BBI Holdings, LLC
d/b/a Corvus Janitorial Services of Indianapolis
by and through its Board of Public
Works and Safety
By: By:
v .
James Brainard, Presiding Officer Authorized Signature 1.
Date:
Printed Name
M.ry Ann :urke M= .ber
Date: &<5a)#, ✓Y' J_r i r {or
Title
lk/
Lori S.Watso' T' b•r FIDlTIN:
Date: 3 `
Last Four of SSN if Sole Proprietor:
ATTEST:
Date: 3 f% 20/ I
CI` _ ,� Zt.� - 3 ,sal
Kristine S.Paule Clerk-Treasurer
Qate: A -a /9
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6
C ,,RV
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JANITORIAL SYSTEMS
5619 W. 74t Street
Indianapolis, Indiana 46278
February 20,2019
City of Carmel
1 Civic Square
Carmel IN 46032
Dear Clayton,
CORVUS Janitorial Systems appreciates the opportunity you have given our firm to submit a competitive quote for your
facilities cleaning and janitorial needs. We realize that you have many options with respect to your janitorial vendor. We
value the opportunity to earn your business.
As a national,fully-integrated provider of janitorial and hygienic facility solutions, CORVUS is well-suited to manage all of
your facilities cleaning needs. We have developed an operating system that provides greater certainty in our ability to
deliver consistently outstanding janitorial services.
Do you expect professional,well educated, reliable service providers?
Do you desire that the industry's leading equipment be used in your facility?
Do you expect the peace of mind of having environmentally friendly chemicals used in your
facility?
If your answers are'YES", CORVUS is the perfect partner for your organization.
Please find enclosed a customized quote suited to the specifications and desires you expressed to me in our meeting.
As you review the cleaning specifications, features and benefits which CORVUS offers,please do not hesitate to contact
me with your questions or thoughts.
Our success is based on customer satisfaction.Simply put,our future depends on you being satisfied. CORVUS wants
the opportunity to become your leading janitorial provider just as we have been privileged to serve so many others.
Respectfully Submitted,
David Villafana
Executive Director
(317) 202-9570 Office
(317)504-0901 Mobile
dvillafana a(�corvusjanitorial.com
www.corvusjan itorial.com
Exhibit I 6jf'
C '=RVUS
JANITORIAL SYSTEMS
CUSTOMER PARTNER PLEDGE:
What makes CORVUS different is our commitment to what we call the"Customer Partner Pledge"philosophy.
Specifically, CORVUS views its relationship with our clients as a partnership. We are committed to providing our clients
with outstanding service and do so through multiple facets including outstanding service, monthly client evaluations,
inspections and our communication log book.
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QUALITY CONTROL•INCLUDES: •
24 Hour CORVUS Connection •
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Our clients are always just a telephone call away from our assistance in the
case of an emergency. Every hour our office is closed,a staff member will have a dedicated phone close by in
the event a client or crew member needs assistance during an emergency.
CORVUS Communication
In addition to the 24-hour emergency contact,clients have the option of communicating a request to us every time
we clean their facility via the CORVUS Communication book. The Communication book is a means to relay
messages through notes and is reviewed by a CORVUS Crew Leader each time a client's premises is cleaned.
The requests are answered as quickly and completely as possible.
CORVUS Client Evaluation
This monthly evaluation is designed to communicate performance levels. As our client,you will receive this
monthly via email. CORVUS personnel will review this assessment and implement any requests made by the
client.
CORVUS Operations Team
The synchronized efforts of the Crew Leader and the CORVUS Operations Team combine to provide the best service for
our Clients. The Operations Team at CORVUS is structured to offer support and learning opportunities for the crew
members. Clients may rest assured that their cleaning professional is backed by a company that emphasizes the
education of its professionals. Whether training a new technique or seeing a customer on-site,the Operations Team is
prepared to work with CORVUS crew members in the pursuit of excellence in the cleaning business.
Exhibit
• 2
C ` RVUS
1.",tlliORI Al SYSTEMS
CORVUS COMMITMENT:
CORVUS has built a strong reputation of being an industry leader in customer service. We at CORVUS understand the
importance of putting our existing clients'needs first and foremost,a practice that many of our competitors simply forget.
CORVUS INSURANCE:
We maintain a$2,000,000 General Liability insurance policy with a$2,000,000 umbrella as well as worker's compensation insurance.
CORVUS AFFILIATIONS INCLUDE:
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Exhibit ' c
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IP.IIITORIAL SYSTEMS
Areas to be serviced:
_x_ Entrance/Foyer _ Lounges
Waiting Area __x_ Hallways I Common Areas
_x_ Lobby floor mats only _ Stairways/Landings
x General Offices I Workstations — Elevator Cabs
_x_ Private Offices , Offices in Plant/Shop/Warehouse
Executive Offices — Restrooms in PlantlShoplWarehouse
x Conference Room Locker Room I Showers
Copy Room I Area — Examination Rooms
File Room I Area Physical Therapy Areas
Computer Room ___ Laboratory
Office Restrooms _ X-ray Rooms
_x_ Kitchenette 1 Coffee Area — Classrooms
Lunch Room/Kitchen — Service Bays
Other areas not listed above:
Exclude:
Second Floor Offices and stairwells landings
Exhibit k
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C '� RVUS
JANITORIAL SYSTF dS
Scope of work FREQUENCY
Clean interior and exterior entrance and partition glass,remove smudges 1 time per week
Service exterior waste receptacles/smoking urns 1 time per week
Empty waste receptacles and replace liners 1 time per week
Wipe outside of waste receptacles and surrounding wall As Needed
Sanitize door handles,frames,and light switches 1 time per week
Dust horizontal surfaces of desks,credenzas,tables,filing cabinets,etc. 1 lime per week
Clean and sanitize drinking fountains/coolers 1 time per week
Clean and sanitize telephones and office equipment 1 time per week
Vacuum and/or wipe fabric I leather 1 plastic furniture 1 time per month
Dust high/low in corners,walls and baseboards for cobwebs 1 time per month
Dust all blinds,ledges and window sills 1 time per month
Dust ceiling vents,light fixtures and picture frames 1 time per month
Floor Maintenance
Vacuum walk—off mats(Pro Team) 1 time per week
Vacuum carpeted areas(Pro Team) 1 time per week
Vacuum all hard surface floor areas(Pro Team) 1 time per week
Mop all hard surface floor areas(Unger dual-bucket,color coded system) 1 time per week
Kitchen/Break Area
Empty waste receptacles and replace liners 1 time per week
Wipe outside of waste receptacles and surrounding wall As Needed
Clean and disinfect sink,counters,tables and chairs 1 time per week
Clean and disinfect exterior of appliances 1 time per week
Clean microwaves interior and exterior 1 time per week
Mop floors with germicidal cleaner(Ungerdual-bucket,color coded system) 1 time per week
Restock paper and soap products 1 time per week
Dust high I low in corners,walls and baseboards for cobwebs 1 time per month
Dust all blinds,ledges and window sills 1 time per month
• Dust ceiling vents,light fixtures and picture frames 1 time per month
Restrooms
Empty waste receptacles and replace liners 1 time per week
Wipe outside of waste receptacles and surrounding wall As Needed
Clean and polish dispensers,fixtures and mirrors 1 time per week
Clean and sanitize sinks,toilets,and urinals 1 time per week
Mop floors with germicidal cleaner(Unger dual-bucket,color coded system) 1 time per week
Restock paper and soap products 1 time per week
Wash partitions with germicidal cleaner 1 time per week
Clean and sanitize sanitary napkin dispensers 1 time per week
Dust high/low in corners,walls and baseboard for cobwebs 1 time per month
Dust ceiling vents,light fixtures and picture frames 1 time per month
11 Exhibit As S
C �tRVUS
If,11ITORIAI SYSTEMS
CORVUS FINANCIAL BREAKDOWN:
FREQUENCY Price per Month
1 time per week $295.00 per month plus applicable tax
CORVUS GENERAL SERVICES:
Closing Instructions
Maintain janitor's closets in a neat and orderly fashion
Inform building maintenance department of any problems or repairs needed
Check doors upon completion to be sure that they are properly secured
Switch off all designated lights when finished
Weekly/Monthly Services-Communication
Review Communication Log Book(each clean)
Email Client Evaluation monthly
General Conditions
Janitorial staff will wear uniforms, and perform work assignments in a professional manner
Janitorial services will be performed as specified by scheduled services
Supervision of staff will be maintained at all times
All labor,cleaning chemicals and equipment will be furnished by CORVUS.
CORVUS will provide service times per week after business hours.
Additional Services Price Per Occurrence
Strip and Refinish VCT Call for quote
Top Scrub and Recoat VCT Call for quote
Carpet Cleaning(hot water extraction,dry clean) Call for quote
Tile and Grout Cleaning(HOST) Call for quote
Window Cleaning Interior/Exterior Call for quote
The above pricing is good for twelve(12)months from the date of the proposal.
Exhibit k 10510.
12
EXHIBIT B
Invoice
Date:
Name of Company:
Address&Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
Goods Services
Person Providing Date Goods/Services Provided Cost Per Hourly Total
Goods/Services Goods/ (Describe each good/service Item Rate/
Service separately and in detail) Hours
Provided Worked
GRAND TOTAL
Signature
Printed Name
EXHIBIT C
INSURANCE COVERAGES
Worker's Compensation&Disability Statutory Limits
Employer's Liability:
Bodily Injury by Accident/Disease: $100,000 each employee
Bodily Injury by Accident/Disease: $250,000 each accident
Bodily Injury by Accident/Disease: $500,000 policy limit
Property damage, contractual liability,
products-completed operations:
General Aggregate Limit(other than
Products/Completed Operations): $500,000
Products/Completed Operations: $500,000
Personal &Advertising Injury
Policy Limit: $500,000
Each Occurrence Limit: $250,000
Fire Damage (any one fire): $250,000
Medical Expense Limit(any one person): $ 5,000
Comprehensive Auto Liability(owned,hired and non-owned)
Bodily Single Limit: $500,000 each accident
Injury and property damage: $500,000 each accident
Policy Limit: $500,000
Umbrella Excess Liability
Each occurrence and aggregate: $500,000
Maximum deductible: $ 10,000
EXHIBIT D
AFFIDAVIT
IIf
az-.'• d `��.• r i 61 I A !, , 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
AL)TI O K.!l Al! S J !)7 (the "Employer")
in the position of t__xcr%n-, yr 71 WTFT(*),e
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 Cannel,
Indiana.
5. The Company does not knowingly employ any unauthorized aliens.
FURTHER AFFIANT SAYETH NOT.
EXECUTED on the ?O' ' day of /1-4/14C1i , 20
Printed: 14 (f 4 'v
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: )>43u;d 1i11t-t, ‘2 .
INDIANA RETAIL TAX EXEMPT
Page 1 of i
Citcy
®f Carmel l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102709
' 35-6000972 THIS NUMBER MUST APPEAR ON'INDICES,A P
ONE CIVIC SQUARE ' VOUCHER DELIVERY MEMO,PACKING SLIPS,
CARMEL,INDIANA46032-2584 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
316/2019 365074
CORVUS JANITORIAL OF INDIANAPOLIS General Administration
SHIP 1 Civic Square
VENDOR PO BOX 636338 TO Carmel,IN 46032-
CINCINNATI,OH 45263--6338 FREIGHT
PURCHASE ID I BLANKET I CONTRACT
PAYMENT TERMS
34449 I UNIT PRICE I EXTENSION
QUANTITY UNIT OF MEASURE
DESCRIPTION
Department: 1205 Fund: 101 General Fund
Account: 43-506.00 $3,540.00 $3,540.00
1 Each Cleaning Services Sub Total $3,540.00
/ rat5.'7 '' •'• ltti ) \
I I/ \ •1
\''...::...;_it.A.W.II4 tlik_f...;1 .,i,./ /
Send Invoice To: k.' " I /
Dept of Administration �` �`-. f ;/ ,
1 Civic Square ~'. if;/ 'J 1\ 7 1,1�' '''
Carmel,IN 46032- `-
PLEASE INVOICE IN DUPLICATE PROJECT I PROJECT ACCOUNT AMOUNT
DEPARTMENT ACCOUNT I $3,540.00
PA M NT
'AR VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
SHIPPING INSTRUCTIONS 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.0.0.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL 7�-
"�f
'THIS ORDER ISSUED INGOMPLUNCE WITH CHAPTER SS,ACTS 1945 ORDERED BY •' ter
ide
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. James Crider
TITLE Administration
CONTROL NO. 102709 CLERK-TREASURER