Gaylor Electric, Inc/Golf/Adl Serv #1/50,188/Pool House Egress Lighting Gaylor Electric,Inc.
Brookshire Golf Club-2019
Appropriation#2017 LOIT Bond Fund;P.O. #102895
Contract Not To Exceed$50,188.00
ADDITIONAL SERVICES AMENDMENT TO `,,;, 0
AGREEMENT FOR GOODS AND SERVICES
THIS AMENDMENT TO THE AGREEMENT FOR GOODS AND SERVICES ("Agreement") entered into by
and between the City of Carmel and Gaylor Electric, Inc., (the "Vendor"), as City Contract dated June 10, 2019 shall
amend the terms of the Agreement by adding the additional services to be provided by Vendor consistent with the
Scope of Work attached hereto and incorporated herein as Exhibit"A". The terms and conditions of the Agreement
shall not otherwise be affected by this Additional Services Amendment and shall remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have made and executed this Amendment as follows:
CITY OF CARMEL, INDIANA Gaylor Electric, Inc.
by and through its Board of Public
Works and Safety
By: By: -
JA16f k-(9/1
ames Brainard, Presiding Officer Authorize Signature
D. e:
�� �I VCIO n 7. /fiBrea
Printed Nanle
Ma Ann = - 8-A
,.
Date: ctTGrrT il
,Q ,
I.
Title `�
Lori S. at : e er FID/TIN: 2 0 - 3 7 2- 7 h9-
Date: `i .��q
Last Four of SSN if Sole Proprietor: N'4
ATT
i,
Date: �,7/1 y'
C istine Pauley, Cler -Tree
Date:
I5: 94af.Sr$A Gwda SaolGelf Cwaa1201A13a7to<fled,,,.be.ASA.doe6/17/20199:S7 AM
Proposed Change Order
ELECTRIC
• oR
The Highest Performing National Contractor of Excellence
Indianapolis, IN Contract Name: Brookshire Golf Course
17225 Kraft Court Contract#: 0028793.1
Noblesville,Indiana 46060 Project Name: Brookshire Egress Lighting Contract
Project#: 0028793
Client PCO#: GPCO 1 -Pool House Egress Lighting
Client Address:
Work Description
GPCO 1-Pool House Egress Lighting
Applies to City of Carmel Egress Lighting Contract
Included:
Place all PT1 fixtures on(1) 300W inverter to be located near electrical panel
Add 2 self lit Exit signs
Add 4 EM2 fixtures-Fixtures to be powered off of nearest 120V source
Excluded:
Confirmation of loads and photometrics to be by the project
Any work not detailed above
Overtime work
Note:This proposal is based on prices quoted for electrical conduit,wiring,and other electrical products as of the date of this proposal. Due to rapidly fluctuating
petroleum,steel and copper prices,this proposal is subject to possible increase if products increase prior to the execution of a written agreement,by the amount of
increase quoted by our intended suppliers and/or subcontractors.
Summary
Extension Materials % Total
Database Material 233.16
Total Extension Material Cost 233.16
Material Markup 10.00 23.32
Total Extension Material 256.48
Quotes Cost Tax% OH% MU% Total
Light Source 4,518.75 0.000 0.000 10.000 4,970.63
Total Quotes 4,970.63
Labor Hours Rate Sub Total % Total
Field Labor
Journeyman 37.174 65.00 2,416.31
Total Labor Cost 2,416.31
Wednesday,June 12,2019 9:01 AM 1/2
Exhibit
Proposed Change Order
Indianapolis,IN Contract Name: Brookshire Golf Course
17225 Kraft Court Contract#: 0028793.1
Noblesville, Indiana 46060 Project Name: Brookshire Egress Lighting Contract
Project#: 0028793
Client Address: Client PCO#: GPCO 1 -Pool House Egress Lighting
Total Labor 2,416.31
General Expenses Qty Duration Cost/Unit Tax% OH % MU % Total
Project Engineer 2.00 3.000 50.00 0.000 10.000 330.00
Total General Expenses 330.00
Equipment Qty Duration Cost/Unit Tax% OH% MU% Total
Small Tools (Per Hour) 37.174 0.35 0.000 0.000 10.000 14.31
Total Equipment 14.31
Sub Total 1 7,987.72
Sub Total 2 7,987.73
Final Adj 0.003 0.27
Total Adjustments 0.27
Selling Price 7,988.00
Tax 0.00
Total 7,988.00
Contractor Certification
Name:
Date:
Signature:
I hereby certify that this quotation is complete and accurate based on the information provided
Client Acceptance
PCO#: 1
Final Amount: $ 7,988.00
Name:
Date:
Signature:
Change Order#:
I hereby accept this quotation and authorize the contractor to complete the above described work
Work Description
Wednesday,June 12,2019 9:01 AM 2/2
Exhibit
A
I INDIANA RETAIL TAX EXEMPT Page 1 of 1
Clayof Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
�JJ FEDERAL EXCISE TAX EXEMPT 102895
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AP
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
5/22/2019 105285 Project 18-ENG-09;Contract Date 06.05.19
GAYLOR ELECTRIC INC City Engineering's Office
VENDOR 5750 CASTLE CREEK PKWY N DR SHIP 1 Civic Square
SUITE 400 TO Carmel, IN 46032-
INDIANAPOLIS, IN 46250- Kate Lustig
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
36472
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 0 2017 LOIT Bond Fund
Account: 44-628.71
1 Each ASA 1 -Pool House Egress Lighting $7,988.00 $7,988.00
1 Each Brookshire Golf Club-Club House, Bath House, Pool $42,200.00 $42,200.00
Sub Total $50,188.00
•
Send Invoice To: •
Jill Newport •
CrossRoad Engineers, P.C.
3417 Sherman Drive
Beech Grove,IN 46107 •
,inew por4- 0, cross readengi•+rers.coin -
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT $50,188.00
SHIPPING INSTRUCTIONS •AP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0 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 0 D SHIPMENT CANNOT BE ACCEPTED THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL pp
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 � 144+—f7 C JiTiL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO ORDERED BY
Jeremy Kashman James Crider
TITLE Director Administration
CONTROL NO. 1 02895 CLERK-TREASURER