HomeMy WebLinkAboutPaperless Packet for BPW 04.05.23Board of Public Works and Safety Meeting
Agenda
Wednesday, April 5, 2023 – 10:00 a.m.
Council Chambers City Hall, One Civic Square
MEETING CALLED TO ORDER
1.MINUTES
a.Minutes from the March 15, 2023, Regular Meeting
2.BID OPENING AND AWARD
a.Bid Opening for Digester Gas Piping Replacement Project; John Duffy, Director of the
Department of Utilities TABLED UNTIL APRIL 5, 2023
b.Quote Opening for 23-STR-04 Road Preservation at Cherry Creek; Matt
Higginbotham, Street Commissioner
3.PERFORMANCE BOND RELEASE / REDUCTION APPROVAL REQUESTS
a.Resolution BPW 04-05-23-06; Sunrise on the Monon Phase 5; Storm Sewer; Sunrise
Residential, LLC
b.Resolution BPW 04-05-23-07; 4160 E. 96th Street; Erosion Control; Dallman
Contractors, LLC
c.Resolution BPW 04-05-23-08; Waterfront at West Clay Section 2; Street Signs; Paul
Shoopman Building Corp.
d.Resolution BPW 04-05-23-09; Waterfront at West Clay Section 5A; Right of Way;
Paul Shoopman Building Corp.
4.CONTRACTS
a.Request for Purchase of Goods and Services; Howard Asphalt LLC d/b/a Howard
Companies; ($3,641,478.16); 2023 Paving Program; Matt Higginbotham, Street
Commissioner
b.Request for Purchase of Goods and Services; D. & L.S., Inc./ d/b/a Office Keepers;
($17,874.00); Cleaning Services; Chief David Haboush, Carmel Fire Department
c.Request for Purchase of Goods and Services; Ellis OD, LLC; ($4,000.00);
Professional Services – Department Organizational Workshops; Nancy Heck,
Director of Community Relations and Economic Development
d.Resolution BPW 04-05-23-01; A Resolution of the City of Carmel Board of Public
Works and Safety Acknowledging Agreement Between City and Vendor; Indiana
Department of Transportation; ($1,000,000.00); Local Roads and Bridges Matching
Grant; Jeremy Kashman, City Engineer
e.Request for Purchase of Goods and Services; A Cut Above Catering, LLC;
($3,074.18); Catering for Holocaust Remembrance Ceremony; Nancy Heck, Director
of Community Relations and Economic Development
f. Request for Purchase of Goods and Services; Pyrotecnico Fireworks, Inc.;
($79,500.00); Fireworks Display; Additional Services Amendment; Nancy Heck,
Director of Community Relations and Economic Development
g. Request for Purchase of Goods and Services; Mainscape, Inc.; ($25,335.00); Sod
Installation; Additional Services Amendment; Matt Higginbotham, Street Commissioner
h. Request for Purchase of Goods and Services; The Taylor Realty Group, P.C.;
($2,055.00); 560 3rd Ave SW – Appraisal Services; Jeremy Kashman, City Engineer
i. Request for Purchase of Goods and Services; Engledow, Inc.; ($49,301.00); Sophia
Square Topiaries; Additional Services Amendment; Matt Higginbotham, Street
Commissioner
j. Resolution BPW 04-05-23-02; A Resolution of the City of Carmel Board of Public
Works and Safety Acknowledging Agreement Between City and Vendor; Flock
Group, Inc; ($49,000.00); Falcon and Falcon Flex Camera/Additional Services
Agreement; Chief James Barlow, Carmel Police Department
k. Request for Purchase of Goods and Services; College Avenue Design, LLC d/b/a
Sweet Event Planning; ($15,000.00); Event Planning Services – Brews on the
Boulevard; Additional Services Amendment; Nancy Heck, Director of Community
Relations and Economic Development
l. Resolution BPW 04-05-23-03; A Resolution of the City of Carmel Board of Public
Works and Safety Acknowledging Agreement Between City and Vendor; Knauss
Property Services, LLC; ($212,500.00); Reflecting Pool Painting; Additional Services
Amendment; Matt Higginbotham, Street Commissioner
m. Resolution BPW 04-05-23-04; A Resolution of the City of Carmel Board of Public
Works and Safety Acknowledging Agreement Between City and Vendor; Marathon
Pipe Line, LLC; Encroachment Agreement; Jeremy Kashman, City Engineer
n. Resolution BPW 04-05-23-05; A Resolution of the City of Carmel Board of Public
Works and Safety Acknowledging Agreement Between City and Vendor; Shepherd
Insurance, LLC; ($6,000.00); Consulting Fees; Lisa Hartz, Director of Human
Resources
o. Request for Purchase of Goods and Services; Berrnath, LLC; ($48,875.00); Falcon
Asphalt Repair Hotbox; Matt Higginbotham, Street Commissioner
p. Request for Purchase of Goods and Services; Rollfast, Inc.; ($37,700.00);
Professional Services for Bike Carmel Events; Additional Services Amendment;
Nancy Heck, Director of Community Relations and Economic Development
q. Request for Purchase of Goods and Services; Comcast Business; ($2,377.55);
Monthly Service; Timothy Renick, Director of Information and Communication Systems
r. Request for Purchase of Goods and Services; St. Vincent Health, Wellness and
Preventive Care Institute, Inc.; ($75,432.00); Firefighter Physicals; Additional
Services Amendment; Chief David Haboush, Carmel Fire Department
s. Request for Purchase of Goods and Services; St. Vincent Health, Wellness and
Preventive Care Institute, Inc.; ($31,430.00); Firefighter Physicals; Additional
Services Amendment; Chief David Haboush, Carmel Fire Department
t. Request for Purchase of Goods and Services; Stryker Sales, LLC; ($31,407.00);
LifePak 15 Preventative Maintenance; Additional Services Amendment; Chief David
Haboush, Carmel Fire Department
u. Request for Materials Transfer Agreement; Verily Viral Pathogen Testing Services;
John Duffy, Director of the Department of Utilities
v. Request for Purchase of Goods and Services; Rieth-Riley Construction Inc.;
($201,137.72); 20-ENG-01 Smoky Row Road Reconstruction from Old Meridian
Road to Rangeline Road; CO #7; Jeremy Kashman, City Engineer
5. REQUEST TO USE CITY STREETS/PROPERTY
a. Request to Acknowledge Approval to Use the Japanese Garden; Wedding; April 3,
2023; 1:00 PM – 4:00 PM; Danica Anderson
b. Request to Use/Close City Streets and Carter Green; Bolt for the Heart 5K;
November 23, 2023; 5:00 AM – 11:00 AM; Pierre Twer, Bolt for the Heart
c. Request to Use Carter Green; Equity Event; July 16, 2023; 10:00 AM – 10:00 PM;
Carmella Sparrow, Communities Allied for Racial Equity
d. Request to Use/Close City Streets/Carter Green/Civic Square Fountain Area, Gazebo
and Lawn; CarmelFest; July 2-4, 2023; 1:00 PM – 10:00 PM; Steve Krusie, Rotary Club
of Carmel, Indiana
e. Request to Use City Hall Parking Lot/City of Carmel Stage; CarmelFest Kids Zone;
July 3-4, 2023; 5:00 AM – 11:00 PM; Meg Gates Osborne
f. Request to Use Civic Square Gazebo/Lawn; Indianapolis-Carmel Children’s Festival;
April 29, 2023; 7:30 AM – 4:00 PM; Greg Yoakam, Kids and Family Growth
Foundation/Kidslinked
g. Request to Use Carter Green; Cheftacular; May 1, 2023; 11:00 AM – 9:30 PM; Nick
Carter, Carmel Culinary Arts
h. Request to Use Midtown Plaza; Grads on the Grass; May 26, 2023; 11:00 AM – 4:00
PM; Patrice Dawson, Carmel High School PTO
i. Request to Use Carter Green and Use/Close City Streets (Updated); Religious
Procession/Public Prayer; June 11, 2023; 9:00 AM –7:00 PM; Thomas Gallagher, Our
Lady of Mount Carmel Catholic Church
j. Request to Add Temporary No Parking Signs; Tour Bus Parking; April 14, 2023;
12:00 PM – 1:30 PM; Candy Martin, City of Carmel
k. Request to Use Civic Square Gazebo/Lawn; Police Memorial; May 3, 2023; 8:00 AM –
8:00 PM; Dawn Fisher, Carmel Police Department
l. Request to Use Caucus Room; Retirement Outreach Program; May 31 and June 1,
2023; 11:00 AM – 1:00 PM; Allyson McClure, Guardian Wells Financial
m. Request to Use/Close City Streets; Carmel 5K for Haiti; July 29, 2023; 4:00 AM –
12:00 PM; Jeff Hines
n. Request to Use City of Carmel Stage; Carmel International Arts Festival; September
23-24, 2023; 6:00 AM – 6:00 PM; Meg Gates Osborne
o. Request to Use City Sidewalks/Monon Greenway; Fundraiser for Brain Cancer
Research; May 20, 2023; 7:00 AM – 5:00 PM; Ryan McLaughlin, Kelli’s Kegs N Eggs
5K
p. Request to Use Palladium East Courtyard; Event for Lake Forest Ferrari; May 5,
2023; 3:00 PM – 10:00 PM; Zak Khan
q. Request to Use Midtown Plaza (Updated); Group Fitness Class; April 22, 2023; 8:00
AM – 11:00 AM; Leslie Lupton, Physique 57
r. Request to Use Monon & Main Plaza; Placing a Giant Floor Piano for the American
Pianists Awards; April 20, 2023; 3:30 PM – 6:30 PM; Lee Clifford, American Pianists
Association
6. OTHER
a. Request for Additional Arts Grant Program Agreement; ($2,670.00 Increase); Central
Indiana Dance Ensemble; Mayor James Brainard
b. Uniform Conflict of Interest Disclosure Statement; Nancy Heck
c. Request for Petition to Vacate a Public Right of Way; LOR/1933 Lounge
Redevelopment Project; Henry Mestetsky, Executive Director of the Carmel
Redevelopment Commission
d. Request for Curb Cut Vacation/ Curb Cut; 912 Auman Drive East; 4021 Architecture
e. Request for Lane Restrictions/ Road Closure/Open Pavement Cut; 401 1st Ave NE;
Zach Spitz, Elevation Excavation, Inc.
f. Request for Stormwater Technical Standards Waiver; 1701 E 116th Street; Steven
Rucker, Weihe Engineers
g. Request for Stormwater Technical Standards Waiver; 11841 Pebblebrook Lane;
Steven Rucker, Weihe Engineers
h. Request for Stormwater Technical Standards Waiver; Carmel Clay History Museum,
211 1st Street SW; Chad James, HWC Engineering
i. Request for Stormwater Technical Standards Waiver; Range Line Road Mixed-Use
Development, 175 S Range Line Road; Nicholas Justice, CEC, Inc.
j. Request for Stormwater Technical Standards Waiver; Chick-Fil-A, 9965 N Michigan
Road; Erik Hertel, HR Green
k. Request for Consent to Encroach and Variance; 9650 Prairiewood Way; Douglas and
Mary Thompson, Property Owners
7. ADJOURNMENT
Board of Public Works and Safety Meeting 1
Minutes 2
Wednesday, March 15, 2023 – 10:00 a.m. 3
Council Chambers City Hall, One Civic Square 4
5
6
MEETING CALLED TO ORDER 7 8
Board Member Burke called the meeting to order at 10:00 AM 9
10
MEMBERS PRESENT 11
12
Board Members Lori Watson and Mary Ann Burke, and Deputy Clerk Jacob Quinn were present. 13
14
Mayor James Brainard was not present. 15
16
MINUTES 17
18
Minutes from the March 1, 2023 Regular Meeting. Board Member Burke moved to approve. Board 19
Member Watson seconded. Minutes were approved 2-0. 20
21
BID OPENING AND AWARD 22
23
Quote Opening for 23-STR-02 Reflecting Pool Painting; Board Member Burke opened the quote and 24
read it aloud: 25
26
Contractor Quote 27
Knauss Property Services $212,500.00 28
29
30
Bid Opening for Digester Gas Piping Replacement Project; John Duffy, Director of the Department of 31
Utilities. The Department of Utilities requested that the bid opening be tabled until April 5th. There 32
wasn’t enough initial interest in the bid due to supply chain issues associated with electrical 33
components of the project. Board Member Burke moved to table. Board Member Watson seconded. 34
Motion approved 2-0 35
36
PERFORMANCE BOND RELEASE / REDUCTION APPROVAL REQUESTS 37
38
Resolution BPW 03-15-23-01; Jackson’s Grant 1B; Erosion Control; Board Member Burke moved to 39
approve. Board Member Watson seconded. Request approved 2-0. 40
41
CONTRACTS 42
43
Request for Purchase of Goods and Services; Nelson Alarm, LLC; ($48,551.00); Camera 44
Replacements; Additional Services Amendment. Board Member Burke moved to approve. Board 45
Member Watson seconded. Request approved 2-0. 46
47
Request for Purchase of Goods and Services; Engledow, Inc; ($53,797.76); 2023 Flower Maintenance. 48
Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. 49
50
Resolution BPW 03-15-23-02; A Resolution of the City of Carmel Board of Public Works and Safety 51
Acknowledging Agreement Between City and Vendor; Traynor & Associates, Inc; ($2,000.00); 560 52
3rd Ave SW – Appraisal Report. Board Member Burke moved to approve. Board Member Watson 53
seconded. Request approved 2-0. 54
55
Request for Purchase of Goods and Services; American Structurepoint, Inc; ($1,290,998.00); 22-56
ENG-03 116th & Hoover Rd RAB 116th St Path from Towne to Spring Mill – Pedestrian Bridge 57
Design; Additional Services Amendment #2; Board Member Burke moved to approve. Board Member 58
Watson seconded. Request approved 2-0. 59
60
Request for Purchase of Goods and Services; American Structurepoint, Inc; ($1,151,961.05); 20-61
ENG-04 College Ave Rd Improvement – 96th to 106th Street – Construction Engineering; Additional 62
Services Amendment #3; Board Member Burke moved to approve. Board Member Watson seconded. 63
Request approved 2-0. 64
65
Request for Purchase of Goods and Services; Convergint Technologies, LLC; ($618,282.07); 66
Genetec Upgrade; Board Member Burke moved to approve. Board Member Watson seconded. 67
Request approved 2-0. 68
69
Request for Purchase of Goods and Services; Municipal Emergency Services, Inc; ($1,522,375.14); 70
Cascade System and Self-Contained Breathing Apparatuses; Additional Services Amendment; Board 71
Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. 72
73
Request for Purchase of Goods and Services; Beard Equipment Company, Inc; ($127,692.00); 74
Equipment; Board Member Burke moved to approve. Board Member Watson seconded. Request 75
approved 2-0. 76
77
Request for Purchase of Goods and Services; Clark Dietz, Inc; ($276,420.00); 22-ENG-05 99th St. 78
Path from Westfield Blvd to Haverstick Road – Design; Agreement for Professional Services; Board 79
Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. 80
81
Request for Purchase of Goods and Services; AG Productions, LLC; ($52,800.00); Video Marketing, 82
Content Management and Production; Board Member Burke moved to approve. Board Member 83
Watson seconded. Request approved 2-0. 84
85
Request for Purchase of Goods and Services; CorGroup, LLC; ($22,700.00); 20-ENG-02, College 86
Ave – Garage Replacement; Agreement for Professional Services; Board Member Burke moved to 87
approve. Board Member Watson seconded. Request approved 2-0. 88
89
REQUEST TO USE CITY STREETS/PROPERTY 90
91
Request to Use Council Chambers; Homeowners Association Meeting; April 20, 2023; 6:45 PM –8:30 92
PM; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-93
0. 94
95
Request to Use Midtown Plaza/Monon Blvd; Brews on the Boulevard; July 29, 2023; 10:00 AM –96
10:00 PM; Board Member Burke moved to approve. Board Member Watson seconded. Request 97
approved 2-0. 98
Request to Use Civic Square Gazebo/Lawn and to Use/Close City Streets; Fundraiser; June 3, 2023; 99
12:00 PM –6:00 PM; Board Member Burke moved to approve. Board Member Watson seconded. 100
Request approved 2-0. 101
102
Request to Use/Close City Streets; CarmelFest Freedom Run; July 4, 2023; 7:00 AM –10:00 AM; 103
Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. 104
105
Request to Use Civic Square Gazebo/Lawn; Spring Woodwind Studio Recital; May 7, 2023; 12:00 PM 106
–5:00 PM; Board Member Burke moved to approve. Board Member Watson seconded. Request 107
approved 2-0. 108
109
Request to Use Veterans Plaza/Traffic Control; City of Carmel Memorial Day Ceremony; May 26, 110
2023; 7:00 AM –11:00 AM; Board Member Burke moved to approve. Board Member Watson 111
seconded. Request approved 2-0. 112
113
Request to Use/Close City Streets; Overbrook Farms HOA Block Party; April 22, 2023; 10:00 AM –114
4:00 PM; Board Member Burke moved to approve. Board Member Watson seconded. Request 115
approved 2-0. 116
117
Request to Use Reflecting Pool; Submarine Event; August 12-13, 2023; 7:00 AM –5:00 PM; Board 118
Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. 119
120
Request to Use/Close City Streets; Sam Costa Half and Quarter Marathon Road Race; March 25, 121
2023; 7:00 AM –12:00 PM; Board Member Burke moved to approve. Board Member Watson 122
seconded. Request approved 2-0. 123
124
OTHER 125
126
Request for Additional Arts Grant Program Agreement; ($42,720.00 Increase); Actors Theatre of 127
Indiana, Inc; Board Member Burke moved to approve. Board Member Watson seconded. Request 128
approved 2-0. 129
130
Request for Additional Arts Grant Program Agreement; ($48,950.00 Increase); Carmel Symphony 131
Orchestra, Inc.; Board Member Burke moved to approve. Board Member Watson seconded. Request 132
approved 2-0. 133
134
Request for Additional Arts Grant Program Agreement; ($7,120.00 Increase); Indiana Wind 135
Symphony; Board Member Burke moved to approve. Board Member Watson seconded. Request 136
approved 2-0. 137
138
Request for Additional Arts Grant Program Agreement; ($14,240.00 Increase); Gregory Hancock 139
Dance Theatre, Inc.; Board Member Burke moved to approve. Board Member Watson seconded. 140
Request approved 2-0. 141
142
Request for Additional Arts Grant Program Agreement; ($17,000.00 Increase); Gregory Hancock 143
Dance Theatre, Inc.; Board Member Burke moved to approve. Board Member Watson seconded. 144
Request approved 2-0. 145
146
Request for Additional Arts Grant Program Agreement; ($37,380.00 Increase); Booth Tarkington 147
Civic Theatre; Board Member Burke moved to approve. Board Member Watson seconded. Request 148
approved 2-0. 149
Request for Additional Arts Grant Program Agreement; ($16,020.00 Increase); The CAT, Ltd.; Board 150
Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. 151
152
Resolution BPW 03-15-23-04; A Resolution of the City of Carmel Board of Public Works 153
Acknowledging Arts Grant; ($175,000.00); The Great American Songbook Foundation; Board 154
Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. 155
156
Resolution BPW 03-15-23-03; A Resolution of the City of Carmel Board of Public Works and Safety 157
Approving the Appointment of the Fire Chief’s Executive Assistants; Board Member Burke moved to 158
approve. Board Member Watson seconded. Request approved 2-0. 159
160
Request for Waiver of BPW Resolution No. 04-28-17-01/ Temporary Construction Entrance; Between 161
Carmel Drive and 111th Street; Board Member Burke moved to approve. Board Member Watson 162
seconded. Request approved 2-0. 163
164
Request for Waiver of BPW Resolution No. 04-28-17-01/ Lane Restriction; 889 Bridle Circle; Board 165
Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. 166
167
Request for Waiver of BPW Resolution No. 04-28-17-01/ Path Closure; 307 East City Center Drive; 168
Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. 169
170
Request for Waiver of BPW Resolution No. 04-28-17-01/ Lane Restrictions; 1705 W 116th Street; 171
Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. 172
173
Request for Lane & Road Closure/ Sidewalk Closure/Open Pavement Cuts; 175 S Rangeline Road; 174
Board Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. 175
176
Request for Waiver of City Code 6-145 (Application of Outdoor Burning Regulations); 4100 W 121st 177
Street; Board Member Burke moved to approve. Board Member Watson seconded. Request approved 178
2-0. 179
180
Request for Stormwater Technical Standards Waiver; Irsay Pond, 116th & Clay Center Road; Board 181
Member Burke moved to approve. Board Member Watson seconded. Request approved 2-0. 182
183
Request for Consent to Encroach and Variance; 12517 Brompton Road; Board Member Burke moved 184
to approve. Board Member Watson seconded. Request approved 2-0. 185
186
ADD-ONS 187
188
Crystal Edmondson, Operations Manager for the Carmel Street Department, recommended awarding 189
the Quote for 23-STR-02 Reflecting Pool Painting to Knauss Property Services as they were the lowest, 190
responsive bidder. Board Member Burke moved to award the bid to Howard Asphalt, LLC in the amount 191
of $212,500.00. Board Member Watson seconded. Bid Award approved 3-0. 192
193
Board Member Burke moved to add-on and item to the agenda. Board Member Watson seconded. Motion 194
approved 2-0. 195
196
Request for Purchase of Goods and Services 197
Kenney Machinery, LLC; ($145,402.31); Equipment. 198
Board Member Burke moved to approve. Board Member Watson seconded. Request approved 3-0. 199
200
201
ADJOURNMENT 202
203
Board Member Burke adjourned the meeting at 10:07 a.m. 204
205
206
207
208
209
APPROVED: ____________________________________ 210
Sue Wolfgang – City Clerk 211
212
213
214
_____________________________________ 215
Mayor James Brainard 216
217
218
ATTEST: 219
220
__________________________________ 221
Sue Wolfgang – City Clerk 222
223
CzTfshfzHsfdivlijobu23;18qn-Nbs25-3134
Howard Asphalt LLC d/b/aHoward Companies
Street Department - 2023
Appropriation #2201 2201 43-502.00 Motor Vehicle Highway Fund; P.O. # 108575
Contract Not To Exceed $3,641,478.16
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 pursuant to or as part of that certain City of Carmel Street Department
Bid Proposal Package for “23-STR-01 Paving Program” received by the City of Carmel Board of Public Works
and Safety on or about February 15, 2023, 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.
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
S:\\Contracts\\Departments\\Street\\2023\\Howard Asphalt LLC dba Howard Companies Goods and Services.docx:3/6/2023 1:54 PM\]
2
Howard Asphalt LLC d/b/aHoward Companies
Street Department - 2023
Appropriation #2201 2201 43-502.00 Motor Vehicle Highway Fund; P.O. # 108575
Contract Not To Exceed $3,641,478.16
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.
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.
S:\\Contracts\\Departments\\Street\\2023\\Howard Asphalt LLC dba Howard Companies Goods and Services.docx:3/6/2023 1:54 PM\]
3
Howard Asphalt LLC d/b/aHoward Companies
Street Department - 2023
Appropriation #2201 2201 43-502.00 Motor Vehicle Highway Fund; P.O. # 108575
Contract Not To Exceed $3,641,478.16
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.
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 itis 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 City of Carmel
Street Department Office of Corporation Counsel
st3400W131 Street One Civic Square
Carmel, Indiana 46074 Carmel, Indiana 46032
If to Vendor: Howard Asphalt LLC d/b/a Howard Companies
2916 Kentucky Ave
Indianapolis, Indiana 46221
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.
S:\\Contracts\\Departments\\Street\\2023\\Howard Asphalt LLC dba Howard Companies Goods and Services.docx:3/6/2023 1:54 PM\]
4
Howard Asphalt LLC d/b/aHoward Companies
Street Department - 2023
Appropriation #2201 2201 43-502.00 Motor Vehicle Highway Fund; P.O. # 108575
Contract Not To Exceed $3,641,478.16
19.3 The City may terminate this Agreement pursuant to Paragraph 11 hereof, as appropriate.
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, 2023 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. 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.
27. IC 5-16-13.
The provisions of IC 5-16-13 are hereby incorporated into this Agreement by reference.
28. DEBARMENT AND SUSPENSION
28.1 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
S:\\Contracts\\Departments\\Street\\2023\\Howard Asphalt LLC dba Howard Companies Goods and Services.docx:3/6/2023 1:54 PM\]
5
Howard Asphalt LLC d/b/aHoward Companies
Street Department - 2023
Appropriation #2201 2201 43-502.00 Motor Vehicle Highway Fund; P.O. # 108575
Contract Not To Exceed $3,641,478.16
responsibilities, or a person who has a critical influence on or substantive control over the operations of the
Vendor.
28.2 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.
29. IRAN CERTIFICATION.
Pursuant to I.C. § 5-22-16.5, the Vendor shall certify that, in signing this Agreement, it does not engage in
investment activities within the Country of Iran.
29. 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.
S:\\Contracts\\Departments\\Street\\2023\\Howard Asphalt LLC dba Howard Companies Goods and Services.docx:3/6/2023 1:54 PM\]
6
Exhibit A
EXHIBIT B
Invoice
Date:
Name of Company:
Address & Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
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 Statutory Limits
Employer’s Liability:
Bodily Injury by Accident/Disease: $1,000,000 each employee
Bodily Injury by Accident/Disease: $1,000,000 each accident
Bodily Injury by Accident/Disease: $1,000,000 policy limit
Commercial General Liability:
General Aggregate Limit (other than
Products/Completed Operations): $6,000,000
Products/Completed Operations: $5,000,000
Personal & Advertising Injury
Each Occurrence Limit: $5,000,000
Comprehensive Auto Liability (owned, hired and non-owned)
Bodily Injury and Property Damage: $5,000,000 each occurrence
Umbrella Excess Liability
If a commercial umbrella liability policy is used to satisfy the minimum limits of liability
requirements, the combined limits must equal these minimum limits of liability.
3/2/2023
HOWARD COMPANIES
INDIANAPOLIS, IN 46221 -
108575
2916 KENTUCKY AVE
City of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-6000972
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR SHIP
TO
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
EXTENSION
Street Department
3400 W. 131st Street
Carmel, IN 46074-
317) 733-2001
372681
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
Matt Higginbotham
74602
2201Department:2201Fund:Motor Vehicle Highway FND
43-502.00Account:
Resurfacing1 $3,641,478.16 $3,641,478.16Each
3,641,478.16SubTotal
3,641,478.16
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
SHIPPING INSTRUCTIONS
SHIP PREPAID.
C.O.D. SHIPMENT CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
PAYMENT
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
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
CONTROL NO. 108575
ORDERED BY
TITLE
CONTROLLER
Street Department
3400 W. 131st Street
Carmel, IN 46074-
Lee Higginbotham
317) 733-2001
Commissioner
CzTfshfzHsfdivlijobu21;19bn-Nbs24-3134
D. & L.S., Inc. d/b/a Office Keepers
Fire Department - 2023
Appropriation #1120 101 43-509.00 Fund; P.O. #108579
Contract Not To Exceed $17,874.00
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.
C:\\Users\\clivingston\\AppData\\Local\\Microsoft\\Windows\\INetCache\\Content.Outlook\\562V7G6G\\D. L.S. Inc. dba Office Keepers Goods and Services (1).docx:3/6/2023 1:52 PM\]
2
D. & L.S., Inc. d/b/a Office Keepers
Fire Department - 2023
Appropriation #1120 101 43-509.00 Fund; P.O. #108579
Contract Not To Exceed $17,874.00
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, itshall 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.
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.
C:\\Users\\clivingston\\AppData\\Local\\Microsoft\\Windows\\INetCache\\Content.Outlook\\562V7G6G\\D. L.S. Inc. dba Office Keepers Goods and Services (1).docx:3/6/2023 1:52 PM\]
3
D. & L.S., Inc. d/b/a Office Keepers
Fire Department - 2023
Appropriation #1120 101 43-509.00 Fund; P.O. #108579
Contract Not To Exceed $17,874.00
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 itis 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 City of Carmel
Fire Department Office of Corporation Counsel
10701 N College Ave, Suite A One Civic Square
Carmel, Indiana 46280 Carmel, Indiana 46032
If to Vendor: D. & L.S., Inc. d/b/a Office Keepers
8537 Bash Street, Suite 5
Indianapolis, Indiana 46250
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.
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
C:\\Users\\clivingston\\AppData\\Local\\Microsoft\\Windows\\INetCache\\Content.Outlook\\562V7G6G\\D. L.S. Inc. dba Office Keepers Goods and Services (1).docx:3/6/2023 1:52 PM\]
4
D. & L.S., Inc. d/b/a Office Keepers
Fire Department - 2023
Appropriation #1120 101 43-509.00 Fund; P.O. #108579
Contract Not To Exceed $17,874.00
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, 2023 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.
27. IRAN CERTIFICATION
Pursuant to I.C. § 5-22-16.5, the Vendor shall certify that, in signing this Agreement, it does not engage in
investment activities within the Country of Iran.
28. 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.
C:\\Users\\clivingston\\AppData\\Local\\Microsoft\\Windows\\INetCache\\Content.Outlook\\562V7G6G\\D. L.S. Inc. dba Office Keepers Goods and Services (1).docx:3/6/2023 1:52 PM\]
5
Exhibit A
OFFICEKEEPERS
8537 BASH ST, SUITE 5
INDIANAPOLIS, IN46250
PHONE (317) 577-6877
FAX (317) 577-2594
2-3-2023
Mark Gugel, Chief
Jessie Baker
Carmel FireDepartment
210Veterans Way
Carmel, IN46032
Dear Chief Gugel, MsBaker,
Thank youforincluding OfficeKeepers inyour consideration forthecleaning services of
theFireDepartment Headquarters inCarmel.
Office Keepers hasbeen servicing itscustomers inCentral Indiana since 1988 andprides
itself on offering quality, dependable service withaÐhands onÑapproach by our
management team.
Ouroffice isfully staffed duringbusiness hours toserve ourcustomers andtoanswer any
questions theymayhave regarding service. After business hours, allsupervisors and
managers canbereached 24hours bycellular phone.
Office Keepers isfullyinsured upto $3,000,000liability andproperty damage toprotect
ourcustomers.
Once again, thank youforthisopportunity andifyoushould have anyquestions regarding
anyoftheinformation provided please donothesitate tocallme.
Sincerely,
Dave Spinks
President
OFFICE KEEPERS
8537BASH ST, SUITE5
INDIANAPOLIS, IN46250
317) 577-6877
fax (317)577-2594
SERVICE CONTRACT
COMPANY: Carmel Fire Department
ADDRESS: 210 Veterans Way
CITY: Carmel STATE: IN ZIP: 46032
GENERAL SERVICE SPECIFICATION: We propose toprovide supervised janitorial
service perattached jobspecification. Allwork tobeperformed inaworkmanlike manner.
Anydeletions/additions tobereflected inpricechange.
Servicetobecompletedincludesjanitorial servicesaccordingtoattached
cleaningspecs
Serviceistobecompletedona3dayperweekbasis, generallyscheduledfor
MondayWednesdayandFriday, servicetostartat mutuallyagreeabletimes.
Otherservicesavailableuponrequest: commercialfloorcare, carpetcleaning,
windowcleaning, projectcleaning, construction cleaning
Monthlypricefortheproposedservices
st1floor $722/month for3x/weekservice, $1204/month for5x/weekservice
nd2floor $1264/monthfor3x/week servce, $2107/monthfor5x/weekservice
OfficeKeeperswillsupplycleaningsuppliessuchaswindowcleaner, bowl
cleaneretc. CFDistosupplypaper suppliessuchastrash liners, handtowels,
toiletpaper, handsoapetc.
TERMS: NET DUE UPON RECEIPT
A. OfficeKeepersherebyagreestoprovidelaborandsupervision necessarytomaintainthe
describedbuildingasindicated.
B. Thiscontractmaybeterminatedbyeitherparty witha30daywrittennoticeatanytimeafter
thefirst30days ofthestartofservice.
C. Ourcompanyisbonded, ouremployees arefullycoveredbyWorkmanÓsCompensation andour
equipmentbyfullliabilityandpropertydamages ($3,000,000.00 coverage).
D. Uponterminationofthisagreement, youwillnotemployorcontactany personsemployedby
OfficeKeepers duringthisagreementto performanyservicesherein, within sixmonthsof
termination.
E. Intheeventofcustomerdefaulttopaysaid price, inaccordance withthetermsindicated and
whethera lawsuitisinstitutedornot, thecustomer agreestopayallcollectionexpenses, attorney
fees, andcourtcosts.
ACCEPTEDBY: ______________________________________________ DATE: ________________
2
OPERATIONAL PLAN FOR CARMEL FIRE
I. Nightly cleaning
a. Scheduled for 3 days per week, Monday Wednesday and
Friday, evening service
Service is to start each evening not before 5:00 pm. b.
c. Cleaning is to be completed primarily after the close of
business.
II. Supplies
a. Office Keepers is to supply cleaning supplies to include
bowl cleaner, window cleaner, cleaning rags as needed.
b. CFD is to supply useable supplies such as hand towels,
toilet paper, trash liners, hand soap etc.
c. CFD is to provide trash dumpster for all bags of trash and
other materials needing disposal.
d. Office Keepers will provide and maintain needed vacuums,
trash barrels, mop buckets and wringers, mops and other
needed equipment.
III. Areas of cleaning
a. FirstFloor
i. Administrative areas
ii. Conferencerooms
iii. Kitchenandbreakroom area
iv. Offices
v. Entrancearea
vi. Stairwells
vii. Restrooms
b. SecondFloor
i. Administrative areas
ii. Conferencerooms
iii. Kitchenandbreakrooms
iv. Commonareas
v. Restrooms
vi. Offices
3
CLEANING SPECS FOR CARMEL FIRE
I. Lobby, Hallways, Entrance Area
a. Empty off trash receptacles, replace liners as needed
b. Vacuum carpets and rugs daily
c. Vacuum hard surface floors, damp mop entrances and
hallways daily
d. Spot clean glass in doors in entrance area daily
e. Dust or wipe reception area counters daily
II. Office areas, conference rooms, administration areas
a. Vacuum carpeted areas
b. Vacuum mop hard surface floors, damp mop daily
c. Empty trash receptacles daily, replace liners as needed
d. Dust horizontal areas that are reachable monthly
e. Clean vertical surfaces as possible, light switches etc
monthly
f. Empty recycling bins as needed
III. Break Room
a. Empty all trash and replace liners daily
b. Clean all sinks and countertops daily
c. Clean tables and eating areas daily
d. Sweep and damp mop hard surface floors daily
e. Dust reachable surfaces monthly
f. Wipe appliance fronts as needed
g. Clean microwaves daily
IV. Restrooms and locker rooms
a. Empty all trash and replace liners daily
b. Clean all sinks, counters and mirrors daily
c. Clean and sanitize all restroom fixtures including toilets,
urinals, showers daily
d. Clean and sanitize all bright work daily
e. Refill all dispenses including T.P, towels, soap etc. daily
f. Vacuum and mop all hard floors daily
4
OFFICE KEEPERS INFORMATION
D.&L.S. inc
DBA Office Keepers
8537 Bash St, Suite 5
Indianapolis, IN 46250
www.indyofficekeepers.com
317-577-6877 office
317-577-2594 fax
Dave Spinks Owner
317-590-5242 Cell
dave@indyofficekeepers.com
Angel Novoa Operations Manager
317-440-1565 Cell
angel@indyofficekeepers.com
Amy Rapala Office Manager
amy@indyofficekeepers.com
Company Insurance, maintained thru EMC
commercial insurance, certificate of insurance
available as requested
Office Keepers is a family owned janitorial services
company operating in central Indiana. It has been
under the same ownership since April of 1997. It
services customers in all types of businesses
including everything from medical offices to
trucking terminals. All work is done by Office
Keepers employees, we do not subcontract our
services.
5
EXHIBIT B
Invoice
Date:
Name of Company:
Address & Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
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 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): $ 50,000
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
3/6/2023
OFFICE KEEPERS
SUITE 5
INDIANAPOLIS, IN 46250 -
108579
8537 BASH STREET
City of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-6000972
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR SHIP
TO
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
EXTENSION
Cleaning - Admin Building 1st/2nd Floor
Carmel Fire Department
10701 N. College Avenue, Ste A
Carmel, IN 46280-
372218
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
74700
1120Department:101Fund:General Fund
43-509.00Account:
Cleaning 1st Floor - Admin Building - 3 x per week - Per
Month
9 $722.00 $6,498.00Each
Cleaning 2nd Floor - Admin Building - 3 x per week - Per
Month
9 $1,264.00 $11,376.00Each
17,874.00SubTotal
17,874.00
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
SHIPPING INSTRUCTIONS
SHIP PREPAID.
C.O.D. SHIPMENT CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
PAYMENT
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
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
CONTROL NO. 108579
ORDERED BY
TITLE
CONTROLLER
Carmel Fire Department
2 Civic Square
Carmel, IN 46032-
Denise Snyder
Accreditation/Budget Administrator
CzTfshfzHsfdivlijobu3;54qn-Nbs25-3134
Ellis OD, LLC
Community Relations Department - 2023
Appropriation #1203 101 43-570.04 Fund; P.O. #108344
Contract Not To Exceed $4,000.00
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.
S:\\Contracts\\Departments\\Community Relations\\2023\\Ellis OD, LLC Goods and Services.docx:3/8/2023 2:59 PM\]
2
Ellis OD, LLC
Community Relations Department - 2023
Appropriation #1203 101 43-570.04 Fund; P.O. #108344
Contract Not To Exceed $4,000.00
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.
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.
S:\\Contracts\\Departments\\Community Relations\\2023\\Ellis OD, LLC Goods and Services.docx:3/8/2023 2:59 PM\]
3
Ellis OD, LLC
Community Relations Department - 2023
Appropriation #1203 101 43-570.04 Fund; P.O. #108344
Contract Not To Exceed $4,000.00
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 City of Carmel
Community Relations Department Office of Corporation Counsel
One Civic Square One Civic Square
Carmel, Indiana 46032 Carmel, Indiana 46032
If to Vendor: Ellis OD, LLC
3759 E Carmel Drive
Carmel, Indiana 46033
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.
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
S:\\Contracts\\Departments\\Community Relations\\2023\\Ellis OD, LLC Goods and Services.docx:3/8/2023 2:59 PM\]
4
Ellis OD, LLC
Community Relations Department - 2023
Appropriation #1203 101 43-570.04 Fund; P.O. #108344
Contract Not To Exceed $4,000.00
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, 2023 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.
27. IRAN CERTIFICATION
Pursuant to I.C. § 5-22-16.5, the Vendor shall certify that, in signing this Agreement, it does not engage in
investment activities within the Country of Iran.
28. 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.
S:\\Contracts\\Departments\\Community Relations\\2023\\Ellis OD, LLC Goods and Services.docx:3/8/2023 2:59 PM\]
5
Sfcfddb!Fmmjt
Qsjodjqbm
418:39325
1402303134
Exhibit A
Cbdlhspvoe!
Pckfdujwft!
Tubufnfou!pg!XpslBqqspbdi!up!Xpsl!
Efmjwfsbcmf!Nbufsjbmt!
Fohbhfnfou!Sftpvsdft!
Es/!FmmjtÉt!tvqfsqpxfs!jt!tjnqmjgzjoh!dpnqmfy!dibmmfohft/!Nboz!ibwf!sfgfssfe!up!ifs!
bt!b!ÆNbdHzwfsÇ!evf!up!ifs!qsbdujdbm-!dptu!fggfdujwf!bqqspbdi!uibu!jt!hspvoefe!jo!
uifpsz!boe!tusbufhjdbmmz!tibqfe!up!cf!nptu!jnqbdugvm!qpttjcmf/!Sfcfddb!ibt!tqfou!
b!dbsffs!jo!Ubmfou!Efwfmpqnfou!tubsujoh!gjstu!bt!b!njeemf!tdippm!nbui!ufbdifs/!
Tjodf!uibu!ujnf-!Sfcfddb!ibt!dsfbufe!boe!mfbe!mfbsojoh!'!dibohf!ufbnt!jo!
gbnjmz.pxofe-!qvcmjdmz!usbefe-!boe!Gpsuvof!611!pshboj{bujpot/!Tif!ibt!xpslfe!jo!b!
wbsjfuz!pg!joevtusjft!tvdi!bt!nbovgbduvsjoh-!gjobodjbm-!Bh-!dpotusvdujpo-!fofshz!boe!
ifbmuidbsf/!Sfcfddb!opx!tqfoet!ifs!ebzt!fyufsobmmz!dpotvmujoh!xjui!pshboj{bujpot!
pg!bmm!uzqft!boe!tj{ft/!!
Gff!Tdifevmf!
Dpnqmfujpo!Dsjufsjb!
Djuz!pg!DbsnfmFmmjt!PE-!MMD
EXHIBIT B
Invoice
Date:
Name of Company:
Address & Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
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 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): $ 50,000
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
Page 1 of 1INDIANARETAILTAXEXEMPT
PURCHASE ORDER NUMBERCERTIFICATENO. 003120155 002 0CityofCarmel
FEDERAL EXCISE TAX EXEMPT 108344
35-6000972 THIS NUMBER MUST APPEAR ON INVOICES, A/PONECIVICSQUARE
VOUCHER, DELIVERY MEMO, PACKING SLIPS, CARMEL, INDIANA 46032-2584 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
12/16/2022376055
ELLIS OD LLC COMMUNITY RELATIONS
VENDORSHIP3759ECARMELDRIVE 1 CIVIC SQ
TO Carmel, IN 46032-
CARMEL, IN 46033 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
72707
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund: 1203101General Fund
Account: 43-570.04
Each1PROFESSIONAL SERVICES - DEPARTMENT $5,000.00$5,000.00
ORGANIZATIONAL WORKSHOPS
Sub Total 5,000.00
Send Invoice To:
COMMUNITY RELATIONS
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
5,000.00PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE ASHIPPINGINSTRUCTIONSPARTOFTHEVOUCHERANDEVERYINVOICEANDVOUCHERHASTHEPROPERSWORN
SHIP PREPAID. AFFIDAVIT ATTACHED. IHEREBY 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
ORDERED BYANDACTSAMENDATORYTHEREOFANDSUPPLEMENTTHERETO.
Nancy Heck
TITLEDirector
CONTROL NO. 108344 CONTROLLER
RESOLUTION NO. BPW 04-05-23-01
RESOLUTION OF THE CITY OF CARMEL BOARD OF PUBLIC WORKS AND SAFETY
ACKNOWLEDGING AGREEMENT BETWEEN CITY AND VENDOR
WHEREAS, pursuant to Indiana Code 36-1-4-7, the City of Carmel, Indiana (“City”), is authorized to enter
into contracts; and
WHEREAS, pursuant to Indiana Code 36-4-5-3, the City’smayor may enter into contracts on behalf ofthe
City; and
WHEREAS, pursuant to his authority under Indiana law, the City’smayor, the Honorable James C. Brainard,
has caused to be signed the Agreement attached hereto (the “Contract”); and
WHEREAS, Mayor Brainard now wishes to present the contract to the City’sBoard of Public Works and
Safety for it to be publicly acknowledged, filed in the Clerk’sOffice, and made available to the public for review.
NOW, THEREFORE, BE IT RESOLVED by the City of Carmel Board of Public Works and Safety as
follows:
1. The foregoing Recitals are incorporated herein by this reference.
2. The receipt of the Contract is hereby acknowledged.
3. The Contract shall be promptly filed in the office of the Clerk and thereafter made available to the public
for review.
SO RESOLVED this day of , 2023.
CITY OF CARMEL, INDIANA
By and through its Board of Public Works and Safety
BY:
James Brainard, Presiding Officer
Date:
Mary Ann Burke, Member
Date:
Lori S. Watson, Member
Date:
ATTEST:
Sue Wolfgang, Clerk
Date:
S:\\EBass\\MyDocuments\\BPW-Resolutions\\2023\\Acknowledge Agreement - LocalRoads and Bridges Matching Grant Agreement - #70237.docx3/15/2023 2:26PM
CzTfshfzHsfdivlijobu23;43qn-Nbs24-3134
LOCAL ROADS AND BRIDGES MATCHING GRANT AGREEMENT
Contract #0000000000000000000070237
This Grant Agreement (this "Grant Agreement"), entered intoby and between the Indiana Department of
Transportation (the "State") and CITY OF CARMEL, aLocal Unit,(the "Grantee"), is executed pursuant
to theterms and conditions setforth herein. Inconsideration ofthose mutual undertakings and covenants,
theparties agree as follows:
1. Purpose of this Grant Agreement; Funding Source. The purpose of this Grant Agreement is to
enable the State to award aGrant of $1,000,000.00 (the "Grant"), representing 50% of the eligible costs of
the project (the "Project") described in Attachment Aof this Grant Agreement, which isincorporated fully
herein. The funds shall be used exclusively inaccordance with the provisions contained in thisGrant
Agreement and in conformance with Indiana Code ch. 8-23-30 establishing the authority to make this Grant,
as well as any rules adopted thereunder. The funds received by the Grantee pursuant to this Grant
Agreement shall be used only to implement the Project or provide the services in conformance with this
Grant Agreement and forno other purpose.
FUNDING SOURCE:
State Funds: Program Title: Local Road and Bridge Matching Grant Fund (I.C. ch. 8-23-30).
2. Representations andWarranties of the Grantee.
A. The Grantee expressly represents and warrants to the State that itisstatutorily eligible toreceive these
Grant funds and that the information setforth in its Grant Application istrue, complete,and accurate. The
Grantee expressly agrees to promptly repay all funds paid to itunder this Grant Agreement should itbe
determined either that itwas ineligible to receive the funds, or itmade any material misrepresentation on its
grant application.
B. The Grantee certifies by entering into this Grant Agreement that neither itnor its principals are presently
debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from entering
into this Grant Agreement byany federal orstate department or agency. The term "principal" for purposes
of this Grant Agreement isdefined as an officer, director, owner, partner, key employee or other person
with primary management or supervisory responsibilities, or aperson who has acritical influence on or
substantive control over the operations ofthe Grantee.
C. The Grantee hascommitted matching funds from one of the following revenue sources in accordance
with Ind. Code § 8-23-30-3: (1) any money the local unit is authorized to use foralocal road or bridge
project; (2) special distribution oflocal income tax under Ind. Code § 6-3.6-9-17; or (3) local rainy-day
fund under Ind. Code § 36-1-8-5.1.
D. The Grantee uses anapproved transportation asset management plan on file with the State.
3. Implementation of and Reporting on theProject.
The Grantee shall implement andcomplete the Project in accordance with Attachment Aand with the
plans and specifications contained in its Grant Application, which is on file with the State and is
incorporated by reference. Modification of the Project shall require prior written approval of the State.
4. Term. This Grant Agreement commences on the date approved by the State Budget Agency andshall
remain in effect fortwo (2) years. Unless otherwise provided herein, itmay be extended upon the written
agreement of the parties and inconformance with Ind. Code § 5-22-17-4, and aspermitted by Ind. Code ch.
8-23-30.
Page 1of 9
The Grantee understands that the Grantee must procure materials and/or acontractor for the Project no later
than four (4) months from the date ofthe award letter, attached hereto as Attachment B and incorporated
fully herein. Ifthe Grantee fails to procure acontractor by four (4) months from the date of the award letter,
the Grantee forfeits the Grant, the grant funds shall not be distributed to the Grantee but shall be
redistributed as all other funds under Indiana Code ch. 8-23-30.
5. Grant Funding. Pursuant to Ind. Code ch. 8-23-30, the Grantee agrees tothe following:
A. Itmay use the State funds only for the Project described inAttachment A;
B. If ituses the grant funds for any purpose other than construction of the Project as described in
Attachment A, the Grantee:
i. must immediately repay all grant funds provided to theState; and
ii. may not participate in the grant program during thesucceeding calendar year.
C. Itshall provide local matching funds equal tonotless than 50%of the estimated project cost;
D. Disbursement of grant funds will not be made until the Grantee'ssubmission of an accepted/awarded
Project Material Bid and/or an executed contract with the contractor;
E. The State'sparticipation in the Project isstrictly limited to the grant funds awarded herein. The Grantee
understands and agrees thatthe State is under no obligation to payfor or participate in any cost increases,
change orders, cost overruns or additional Project expenses of any kind.
6. Payment of Claims.
A. Ifadvance payment of all oraportion of the Grant funds ispermitted bystatute orregulation, and the
State agrees to provide such advance payment, advance payment shall be made only upon submission of a
proper claim setting outthe intended purposes of those funds. After such funds have been expended,
Grantee shall provide State with areconciliation of those expenditures. Otherwise, allpayments shall be
made thirty-five (35) days in arrears in conformance with State fiscal policies and procedures. As required
by IC § 4-13-2-14.8, all payments willbe by the direct deposit by electronic funds transfer to the financial
institution designated by the Grantee in writing unless aspecific waiver has been obtained from the Indiana
Auditor of State.
B. Requests for payment will be processed only upon presentation of aClaim Voucher inthe form
designated by the State. Such Claim Vouchers must be submitted with the budget expenditure report
detailing disbursements of local funds.
C. The State may require evidence furnished by the Grantee that substantial progress has been made
toward completion of the Project prior to making the payment under thisGrant. All payments are subject
to the State'sdetermination that theGrantee'sperformance to date conforms with the Project as approved,
notwithstanding any other provision of this Grant Agreement.
D. Pursuant to Ind. Code ch. 8-23-30, Local Road and Bridge Grant Funds made available to theGrantee
by theState willbe used topay the Grantee for upto50% of the eligible Project costs and not more than
1million. The maximum amount of state funds allocated to the Project is $1,000,000.00. The Grantee
understands that maximum amount of Local Road and Bridge Grant funds may not exceed more than $1
million for all qualifying projects the Grantee may have in acalendar year.
E. Claims must be submitted with accompanying supportive documentation as designated by the
State. Claims submitted without supportive documentation will bereturned to the Grantee and not
processed for payment. Failure to comply with the provisions of this Grant Agreement may result in the
denial of aclaim for payment.
Page 2of 9
F. Pursuant to Ind. Code § 8-23-30-3, the Grantee's50% match shall be paid from oneof the identified
revenue sources. The remainder of the Project costs greater than the total of the State'sgrant and the
Grantee's 50% match shall be borne by the Grantee and may be paid how the Grantee chooses. In the
interest of clarity and to avoid misunderstanding, the State shall not pay the Grantee for any costs relating
to the Project except as specifically provided herein, unless the Parties enter into an amendment to this
Grant Agreement.
7. Project Monitoring by theState. The State may conduct on-site or off-site monitoring reviews ofthe
Project during the term of thisGrant Agreement and for up to ninety (90) days after itexpires or is
otherwise terminated. The Grantee shall extend its full cooperation and give fullaccess to the Project site
and torelevant documentation to the State or its authorized designees for the purpose of determining,
among other things:
A. whether Project activities are consistent with those set forth in Attachment A, the Grant
Application, and the terms and conditions of the Grant Agreement;
B. that Grantee ismaking timely progress with the Project, and that its project management,
financial management and control systems, procurement systems and methods, and overall
performance are in conformance with the requirements set forth in this Grant Agreement and
are fully and accurately reflected in Project reports submitted tothe State.
8. Compliance with Audit and Reporting Requirements; Maintenance of Records.
A. The Grantee shall submit to an audit of funds paid through this Grant Agreement and shall make all
books, accounting records and other documents available at all reasonable times during the term of this
Grant Agreement and for aperiod of three (3) years after final payment for inspection by the State or its
authorized designee. Copies shall befurnished to theState at no cost.
B. Ifthe Grantee isa "subrecipient" of federal grant funds under 2C.F.R. 200.331, Grantee shall arrange
for afinancial and compliance audit that complies with 2 C.F.R. 200.500 et seq. ifrequired by applicable
provisions of 2 C.F.R. 200 (Uniform Administrative Requirements, Cost Principles, and Audit
Requirements).
C. The Grantee shall file the annual financial report required by Ind. Code § 5-11-1-4in accordance with
the State Board of Accounts Uniform Compliance Guidelines forExamination of Entities Receiving
Financial Assistance from Governmental Sources. All grant documentation shall be retained and made
available to the State Board of Accounts ifand when requested.
D. A final audit construction invoice detailing the actual costs ofconstruction and proof of payment tothe
contractor must be submitted to the State within thirty (30) days of completion of the Project. Iffor any
reason, including overpayment of grant funds to the Grantee, theGrantee isrequired to repay to the State
the sum or sums of state funds paid to the Grantee under the terms of this Grant Agreement, then the
Grantee shall repay to the State such sum or sums within forty-five (45) days after receipt of a billing from
the State. Payment for any and all costs incurred by the Grantee which are not eligible for state funding
shall be the sole obligation of the Grantee.
E. Iffor any reason theState finds noncompliance and requires a repayment of state funds previously paid
to the Grantee, theGrantee isrequired to submit such sum or sums within thirty (30) days after receipt of a
billing from the State. IftheGrantee hasnot paid the full amount due within sixty (60) calendardays past
the duedate, the State may proceed in accordance with Ind. Code § 8-14-1-9tocompel the Auditor of the
State of Indiana to make amandatory transfer of funds for the Grantee'sallocation of the Motor Vehicle
Highway Account to the State'sLocal Road and Bridge Matching Grant Fund account until the amount due
has been repaid.
9. Compliance with Laws.
A. The Grantee shall comply with all applicable federal, state and local laws, rules, regulations and
ordinances, and all provisions required thereby to be included herein are hereby incorporated by reference.
Page 3of 9
The enactment or modification of anyapplicable state or federal statute or the promulgation of rules or
regulations thereunder after execution of thisGrant Agreement shall be reviewed by the State and the
Grantee to determine whether the provisions of this Grant Agreement require formal modification.
B. The Grantee and its agents shall abide by all ethical requirements that apply to persons who have a
business relationship with theState asset forth in IC § 4-2-6, et seq., IC § 4-2-7, et seq. and the regulations
promulgated thereunder. Ifthe Grantee has knowledge, or would have acquired knowledge with
reasonable inquiry, that astate officer, employee, or special state appointee, as those terms are
defined in IC 4-2-6-1, has afinancial interest in the Grant, the Grantee shall ensure compliance with
the disclosure requirements in IC § 4-2-6-10.5prior to the execution ofthis Grant Agreement. If the
Grantee is not familiar with these ethical requirements, the Grantee should refer any questions to the
Indiana State Ethics Commission or visit the Inspector General'swebsite at http://www.in.gov/ig/. Ifthe
Grantee or its agents violate any applicable ethical standards, the State may, in its sole discretion, terminate
this Grant immediately upon notice to the Grantee. In addition, the Grantee may be subject to penalties
under IC §§ 4-2-6, 4-2-7, 35-44.1-1-4, and under any other applicable laws.
C. TheGrantee certifies by entering into this Grant Agreement that neither itnor its principal(s) ispresently
in arrears in payment of taxes, permit feesor other statutory, regulatory or judicially required payments to
the State. The Grantee agrees that any payments currently due to the State may be withheld from payments
dueto the Grantee. Additionally, payments may be withheld, delayed, or denied and/or this Grant
suspended until the Grantee is current in its payments and has submitted proof of such payment to the State.
D. The Grantee warrants that ithas no current, pending or outstanding criminal, civil, or enforcement
actions initiated by the State, and agrees that it will immediately notify the State of any such actions.
During the term of such actions, the Grantee agrees that the State may suspend funding for the Project. Ifa
valid dispute exists as to the Grantee'sliability or guilt in any action initiated by the State or itsagencies,
andthe State decides to suspend funding to the Grantee, the Grantee may submit, in writing, arequest for
review to theIndiana Department of Administration (IDOA). A determination by IDOA shall be binding
on the parties. Any disbursements that theState may delay, withhold, deny, or apply under this section
shall notbe subject topenalty or interest.
E. The Grantee warrants that the Grantee and any contractors performing work inconnection with the
Project shall obtain and maintain all required permits, licenses, registrations, and approvals, and shall
comply with all health, safety, andenvironmental statutes, rules, or regulations in the performance of work
activities for the State. Failure to do so may be deemed a material breach of this Grant Agreement and
grounds for immediate termination and denial of grant opportunities with the State.
F. The Grantee affirms that, if itisan entity described in IC Title 23, itisproperly registered and owes no
outstanding reports to the Indiana Secretary ofState.
G. As required by IC § 5-22-3-7:
1) The Grantee and any principals of the Grantee certify that:
A) theGrantee, except for de minimis and nonsystematic violations, has not
violated the terms of:
i) IC § 24-4.7 \[Telephone Solicitation of Consumers\];
ii) IC § 24-5-12 \[Telephone Solicitations\]; or
iii) IC § 24-5-14 \[Regulation of Automatic Dialing Machines\];
in theprevious three hundred sixty-five (365) days, even if IC 24-4.7 is
preempted by federal law; and
B) the Grantee willnot violate the terms of IC§ 24-4.7for the duration of this
Grant Agreement, even ifIC §24-4.7ispreempted by federal law.
Page 4of 9
2) The Grantee and any principals of the Grantee certify that an affiliate or principal of
the Grantee and any agent acting on behalf ofthe Grantee oron behalf of an affiliate or
principal of the Grantee, except for de minimis and nonsystematic violations,
A) has not violated the terms ofIC § 24-4.7in the previous three hundred sixty-
five (365) days, even ifIC § 24-4.7is preempted by federal law; and
B) will not violate the terms of IC§ 24-4.7for the duration of this Grant
Agreement even ifIC § 24-4.7ispreempted by federal law.
10. Debarment andSuspension.
A. The Grantee certifies by entering into this Grant Agreement that itisnot presently debarred, suspended,
proposed for debarment, declared ineligible or voluntarily excluded from entering into this Grant by any
federal agency or by any department, agency or political subdivision of the State. Theterm "principal" for
purposes ofthis Grant Agreement means anofficer, director, owner, partner, key employee or other person
with primary management or supervisory responsibilities, or aperson who has acritical influence on or
substantive control over the operations ofthe Grantee.
B. The Grantee certifies that ithas verified the suspension and debarment status for all subcontractors
receiving funds under this Grant Agreement and shall be solely responsible for any recoupments or
penalties that might arise from non-compliance. The Grantee shall immediately notify the State ifany
subcontractor becomes debarred or suspended, and shall, at the State's request, take all steps required by the
State to terminate its contractual relationship with the subcontractor for work to be performed under this
Grant Agreement.
11. Drug-Free Workplace Certification. As required by Executive Order No. 90-5, April 12, 1990,
issued by theGovernor of Indiana, the Grantee hereby covenants and agrees to make agood faith effort to
provide and maintain adrug-free workplace. Grantee will give written notice tothe State within ten (10)
days after receiving actual notice thatthe Grantee, or an employee of the Grantee in the State of Indiana,
has been convicted of acriminal drug violation occurring inthe workplace. False certification or violation
of the certification may result in sanctions including, but not limited to, suspension of grant payments,
termination of theGrant and/or debarment of grant opportunities with the State of Indiana forup to three
3) years.
In addition tothe provisions ofthe above paragraphs, if the total amount set forth in this Grant Agreement
isin excess of $25,000.00, the Grantee certifies and agrees that itwill provide adrug-free workplace by:
A. Publishing and providing to all of its employees a statement notifying them that the
unlawful manufacture, distribution, dispensing, possession or use of acontrolled substance is
prohibited in the Grantee's workplace and specifying the actions that will betaken against
employees for violations of such prohibition; and
B. Establishing adrug-freeawareness program to inform its employees of: (1) the dangers
of drug abuse in the workplace; (2) the Grantee'spolicy of maintaining adrug-free workplace;
3) any available drug counseling, rehabilitation, and employee assistance programs; and (4)
thepenalties that may be imposed upon an employee for drug abuse violations occurring in
the workplace; and
C. Notifying all employees in the statement required by subparagraph (A) above thatas a
condition of continued employment the employee will: (1) abide bythe terms of the
statement; and (2) notify the Grantee of any criminal drug statute conviction for aviolation
occurring in the workplace no later than five (5) days after such conviction; and
D. Notifying in writing the State within ten (10) days after receiving notice from an
employee under subdivision (C)(2) above, or otherwise receiving actual notice of such
conviction; and
Page 5of 9
E. Within thirty (30) days after receiving notice under subdivision (C)(2) above of a
conviction, imposing the following sanctions orremedial measures on any employee who is
convicted of drug abuse violations occurring in the workplace: (1) take appropriate personnel
action against the employee, up toand including termination; or (2) require such employee to
satisfactorily participate in adrug abuse assistance or rehabilitation program approved for
such purposes by afederal, state or local health, law enforcement, or other appropriate
agency; and
F. Making agood faith effort to maintain adrug-free workplace through theimplementation
of subparagraphs (A) through (E) above.
12. Employment Eligibility Verification. Asrequired by IC § 22-5-1.7, the Grantee hereby swears or
affirms under the penalties ofperjury that:
A. The Grantee has enrolled and isparticipating inthe E-Verify program;
B. The Grantee has provided documentation to the State that ithas enrolled and is
participating in theE-Verify program;
C. The Grantee does not knowingly employ an unauthorized alien.
D. TheGrantee shall require its contractors who perform work under this Grant Agreement
to certify to Grantee that the contractor does not knowingly employ orcontract with an
unauthorized alien and that the contractor has enrolled and isparticipating in the E-Verify
program. The Grantee shall maintain this certification throughout the duration of the term of a
contract with acontractor.
The State may terminate for default ifthe Grantee fails to cure abreach of this provision no later than thirty
30) days after being notified bythe State.
13. Funding Cancellation. As required by Financial Management Circular 3.3and IC § 5-22-17-5, when
theDirector of the State Budget Agency makes awritten determination that funds arenot appropriated or
otherwise available to support continuation of performance of this Grant Agreement, itshall be canceled.
A determination by theDirector of the State Budget Agency that funds are not appropriated orotherwise
available to support continuation ofperformance shall be final andconclusive.
14. Governing Law. This Grant Agreement shall be governed, construed, andenforcedin accordance
with the laws of the State of Indiana, without regard to its conflict of laws rules. Suit, ifany, must be
brought in the State of Indiana.
15. Information Technology Accessibility Standards. Any information technology related products or
services purchased, usedor maintained through this Grant must be compatible with the principles and goals
contained in the Electronic and Information Technology Accessibility Standards adopted by the
Architectural and Transportation Barriers Compliance Board under Section 508 of the federal
Rehabilitation Act of 1973 (29 U.S.C. §794d), as amended. The federal Electronic and Information
Technology Accessibility Standards can be found at: http://www.access-board.gov/508.htm.
16. Insurance. The Grantee shall maintain insurance with coverages and in such amount as may be
required by the State or as provided in its Grant Application.
17. Nondiscrimination. Pursuant to the Indiana Civil Rights Law, specifically IC § 22-9-1-10, and in
keeping with the purposes of the federal Civil Rights Act of 1964, the Age Discrimination in Employment
Act, and the Americans with Disabilities Act, the Grantee covenants that itshall notdiscriminate against
any employee or applicant for employment relating to this Grant with respect to the hire, tenure, terms,
conditions or privileges of employment or any matter directly or indirectly related to employment, because
of the employee or applicant's: race, color, national origin, religion, sex, age, disability, ancestry, status as a
Page 6of 9
veteran, orany other characteristic protected by federal, state, orlocal law ("Protected Characteristics").
Furthermore, Grantee certifies compliance with applicable federal laws, regulations, and executive orders
prohibiting discrimination based on the Protected Characteristics in the provision of services.
The Grantee understands that theState isa recipient of federal funds, and therefore, where applicable,
Grantee and any subcontractors shall comply with requisite affirmative action requirements, including
reporting, pursuant to41 CFR Chapter 60, asamended, and Section 202 of Executive Order 11246 as
amended by Executive Order 13672.
18. Notice to Parties. Whenever any notice, statement or other communication isrequired under this
Grant, itwill be sentby E-mail or first-class U.S. mail service to the following addresses, unless otherwise
specifically advised.
A. Notices to the State shall be sent to:
Office of LPA/MPO and Grant Administration
Attention: Director of LPA/MPO and Grant Administration
100 North Senate Avenue, Room N758-LPA
Indianapolis, IN 46204
E-mail: indotlpampo@indot.in.gov
With acopy to:
Chief Legal Counsel/Deputy Commissioner
Indiana Department of Transportation
100 NSenate Avenue, Room N758-Legal
Indianapolis, IN 46204-2216
B. Notices to the State regarding project management shall be sent torespective District
Office:
Kelcie Bishop
Greenfield District
32 S. Broadway St.
Greenfield, IN 46140
Email: kebishop@indot.in.gov
C. Notices to the Grantee shall be sent to:
City of Carmel
ATTN: Jim Brainard
One Civic Sq
Carmel, IN 46032
Email: jbrainard@carmel.in.gov
As required by IC § 4-13-2-14.8, payments to the Grantee shall be made via electronic funds transfer in
accordance with instructions filed by the Grantee with the Indiana Auditor ofState.
19. Order of Precedence; Incorporation byReference. Any inconsistency or ambiguity in this Grant
Agreement shall be resolved by giving precedence inthe following order: (1) this Grant Agreement, (2)
Exhibits prepared by the State, (3) Invitation toApply for Grant; (4) the Grant Application; and (5)
Exhibits prepared by Grantee. All ofthe foregoing are incorporated fully herein by reference.
Page 7of 9
20. Public Record. The Contractor acknowledges that the State will nottreat this Grant as containing
confidential information and will post this Grant on the transparency portal as required by Executive Order
05-07 and IC § 5-14-3.5-2. Useby the public of theinformation contained in this Grant shall not be
considered an act of the State.
21. Termination for Breach.
A. Failure to complete the Project and expend State, local and/or private funds in accordance with this
Grant Agreement may be considered amaterial breach, and shall entitle the State to suspend grant
payments, and to suspend the Grantee'sparticipation in State grant programs until such time as allmaterial
breaches are cured to theState'ssatisfaction.
B. The expenditure of State or federal funds other than inconformance with the Project or the Budget may
be deemed a breach. The Grantee explicitly covenants thatit shall promptly repay to the State all funds not
spent in conformance with this Grant Agreement.
22. Termination for Convenience. Unless prohibited by astatute orregulation relating tothe award of
the Grant, this Grant Agreement may be terminated, in whole or in part, by the State whenever, for any
reason, the State determines that such termination isin the best interest of the State. Termination shall be
effected by delivery to the Grantee of aTermination Notice, specifying the extent to which such
termination becomes effective. The Grantee shall be compensated for completion of the Project properly
done prior to the effective date of termination. The State will not be liable for work on the Project
performed after the effective date of termination. In no case shall total payment made to the Grantee exceed
the original grant.
23. Travel. Noexpenses fortravel will be reimbursed unless specifically authorized by this Grant.
24. Provision Applicable to Grants with tax-funded State Educational Institutions: "Separateness" of
the Parties. The State acknowledges and agrees that because of the unique nature of State Educational
Institutions, theduties and responsibilities ofthe State Educational Institution in these Standard Conditions
for Grants arespecific tothedepartment or unitofthe State Educational Institution. The existence or status
of anyone contract or grantbetween the State andthe State Educational Institutionshallhave noimpact on
theexecution or performance of any other contract or grant and shall not form the basis for termination of
anyother contract or grantbyeither party.
25. State Boilerplate Affirmation Clause. Iswear or affirm under the penalties of perjury thatIhave not
altered, modified, changed or deleted the State'sstandard contract clauses (ascontained in the 2022 SCM
Template) in any way except as follows: Payment of Claims; the Compliance with Audit and Reporting
Requirements; Maintenance ofRecords were modified to include statutory and program requirements.
REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK
Page 8of 9
Non-Collusion, Acceptance
The undersigned attests, subject to the penalties for perjury, that the undersigned is the Grantee, or that the
undersigned isthe properly authorized representative, agent, member or officer of the Grantee. Further, to
the undersigned'sknowledge, neither the undersigned nor any other member, employee, representative,
agent or officer of the Grantee, directly or indirectly, hasentered into or been offered any sum of money or
other consideration for the execution of thisGrant Agreement other than that which appears upon the face
hereof. Furthermore, ifthe undersigned has knowledge that astate officer, employee, or special state
appointee, as those terms are defined in IC § 4-2-6-1, has afinancial interest in the Grant, the
Grantee attests to compliance with the disclosure requirements inIC § 4-2-6-10.5.
Agreement to Use Electronic Signatures
Iagree, anditismy intent, to sign this Grant Agreement by accessing State ofIndiana Supplier Portal using
the secure password assigned to me and by electronically submitting this Grant Agreement to the State of
Indiana. Iunderstand that my signing and submitting this Grant Agreement in this fashion isthe legal
equivalent of having placed my handwritten signature on the submitted Grant Agreement and this
affirmation. Iunderstand and agree thatby electronically signing and submitting thisGrant Agreement in
this fashion Iam affirming to thetruth of the information contained therein. Iunderstand that this Grant
Agreement will not become binding on the State until ithas been approved by the Department of
Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be
posted on the Active Contracts Database: https://secure.in.gov/apps/idoa/contractsearch/
In Witness Whereof, the Grantee and the State have, through their duly authorized representatives, entered
into thisGrant Agreement. Theparties, having read andunderstood the foregoing terms of this Grant
Agreement, doby their respective signatures dated below agree to the terms thereof.
CITY OF CARMEL Indiana Department of Transportation
By:\\s1\\ ___________________________ By:\\s2\\______________________
Title:\\t1\\______________________________ (for) Michael Smith, Commissioner
Date:\\d1\\_________________________ Date:\\d2\\_____________________
Electronically Approved by: Electronically Approved by:
Department of Administration State Budget Agency
By: (for) Rebecca Holwerda, Commissioner By: (for) Zachary Q. Jackson, Director
Approved as to Form and Legality:
Form approval has been granted by the
Office of theAttorney General pursuant to
IC 4-13-2-14.3(e) on October 7, 2022.
FA 22-55
Thisinstrument waspreparedbytheundersignedattorney:
Marjorie AMillman, #21748-36
Page 9of 9
ATTACHMENT A
PROJECT DESCRIPTION
Des. No.: 2201338
Program: Local Roads and Bridges Matching Grants
Type of Project: Pavement Replacement
Location:
RouteName From To
COLLEGEAVE 96thStreet 106thStreet
Application ID: 12251
Ageneral scope/description of the Project isas follows:
This project consists of thereconstruction of College Avenue from just north of 96th Street to just south of
106th Street. This will bea complete reconstruction of theroadway with added enclosed storm sewer and
the additional of multi-usepaths on both sides of the roadway. The roadway will remain atwo-lane
roadway with the additional ofalandscaped median for access management controls.
The maximum amount of state funds allocated to the Project is $1,000,000.00.
Page 1of 1
ATTACHMENT B
AWARD LETTER
Page 1of 1
CzTfshfzHsfdivlijobu4;54qn-Nbs27-3134
Exhibit A
Noon)
3/7/2023
A CUT ABOVE CATERING
SUITE 104
CARMEL, IN 46032 -
108585
12955 OLD MERIDIAN ST
City of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-6000972
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR SHIP
TO
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
EXTENSION
CATERING FOR HOLOCAUST REMEMBRANCE CEREMONY
COMMUNITY RELATIONS
1 CIVIC SQ
Carmel, IN 46032-
376851
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
74737
1203Department:101Fund:General Fund
43-590.03Account:
CATERING FOR HOLOCAUST REMEMBRANCECEREMONY1 $3,074.18 $3,074.18Each
3,074.18SubTotal
3,074.18
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
SHIPPING INSTRUCTIONS
SHIP PREPAID.
C.O.D. SHIPMENT CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
PAYMENT
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
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
CONTROL NO. 108585
ORDERED BY
TITLE
CONTROLLER
COMMUNITY RELATIONS
1 Civic Square
Carmel, IN 46032-
Nancy Heck
Director
CzTfshfzHsfdivlijobu4;54qn-Nbs27-3134
Exhibit A
Page 1 of 1INDIANARETAILTAXEXEMPT
PURCHASE ORDER NUMBERCERTIFICATENO. 003120155 0020CityofCarmel
FEDERAL EXCISE TAX EXEMPT 108589
35-6000972 THIS NUMBER MUST APPEAR ON INVOICES, A/PONECIVICSQUARE
VOUCHER, DELIVERY MEMO, PACKING SLIPS, CARMEL, INDIANA 46032-2584 SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BYSTATE BOARD OFACCOUNTS FORCITY OFCARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
FIREWORKS DISPLAY3/8/2023376386
PYROTECNICO FIREWORKS INC COMMUNITY RELATIONS
VENDORSHIP299WILSONROAD 1 CIVIC SQ
TO Carmel, IN 46032-
NEW CASTLE, PA 16101 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
74757
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund: 1203101General Fund
Account: 43-590.03
Each1FIREWORKS DISPLAY$79,500.00$79,500.00
Sub Total 79,500.00
Send Invoice To:
COMMUNITY RELATIONS
1Civic Square
Carmel, IN 46032-
PLEASE INVOICE INDUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
79,500.00PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE ASHIPPINGINSTRUCTIONSPARTOFTHEVOUCHERANDEVERYINVOICEANDVOUCHERHASTHEPROPERSWORN
SHIP PREPAID. AFFIDAVIT ATTACHED. IHEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
C.O.D. SHIPMENT CANNOT BE ACCEPTED.THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
ORDERED BYANDACTSAMENDATORYTHEREOFANDSUPPLEMENTTHERETO.
Nancy HeckJames Crider
TITLEDirectorDirector of Administration
CONTROL NO. 108589 CONTROLLER
CzTfshfzHsfdivlijobu4;54qn-Nbs27-3134
Exhibit A
DATE PROPOSAL3/7/2023
SERVICE LOCATIONBILLING ADDRESSCUSTOMER CONTACT INFORMATIONBRANCH ADDRESS
Crystal EdmondsonMAINSCAPE, INC. Carter Green&CityHall.3400 West 131st.
13418Britton ParkRoadCarmel,IN46074 317)733-2001
Fishers, IN46038Alt:
cedmondson@carmel.in.gov
PROPERTY NAMEWORK ORDER #PROPOSED BYBRANCH CONTACT
Phone: (317) 577-3155BenRoblesFax: (317) 577-3161
SERVICE CODE ANDDESCRIPTION
1524 - SODINSTALLATION
DISCRIPTION
sod 16,890sq ft oncarter green and cityhall.
SPECIFICS, DESCRIPTION, & INSTRUCTIONS SIZE QTY.UOMUNIT PRICETOTAL
strip andresod 16,890sqftshown onmap, includes 1inchoftop soiloverentire areas.16,890SF$ 1.50 $ 25,335.00
Notes: TOTAL*:$ 25,335.00
TAXISNOT INCLUDED
Conditions: The above price is good for 30 days from date of proposal. Any additional trips to the site caused by the customer for reasons uncontrolled by Mainscape, Inc. will result in a $65.00
trip charge’ per event. No warranty on transplanted material. All material is guaranteed to be as specified. Transplanted plant material is not covered under warranty. All work is to be completed
in a workmanlike manner according to standard practices. Mainscape will be responsible for coordinating the marking of public utilities. Any private underground utilities not covered by Indiana
811 will be the responsibility of the owner to locate prior to the commencement of work. This would include underground irrigation and drainage, parking lot lights, private gas, water,or electric
lines, etc. Mainscape assumes no responsibility for damage to any private utilities not located by owner. As an option, Mainscape can provide this service to the owner on a time and material basis.
All agreements are contingent upon strikes, accidents, or other delays beyond our control. The purchaser is to carry fire, tornado, and other necessary insurance. Mainscape, Inc. is insured for
workman's compensation, general liability, and automobile liability. Certificates of insurance are available upon request.
Terms: Net due upon receipt, subject to a 2% per month late charge on past due accounts with costs incurred in collection of this contract, including reasonable attorney's fees, to be paid by the
purchaser.
Acceptance of Proposal: The above prices, specifications, method of payment, conditions and terms of payment are satisfactory and hereby accepted. Mainscape, Inc. is authorized to do the work
as specified. Mainscape or Purchaser may cancel this contract at any time upon giving a 30-day notice or upon customer default of payment terms.
Purchaser’s SignatureProposed By
3/7/2023BenRoblesOperationsManager
Name Title DateName TitleDate
1432SA - ANNUAL FLOWERSCY
1481 - BUSHHOGGINGEA
1720 - IRRIGATION SERVICESCY
1521 - LANDSCAPE INSTALLATIONEA
1468 - LARGE TREE PRUNINGBALE
1445 - MISC FLOWER CARECF
1199 - MOWING OTHERCY
1451C - MULCH INSTALLATIONEA
1499 - OTHER LANDSCAPE MAINTHR
6360000 - REPAIR TO CUSTOMERLF
1524 - SOD INSTALLATIONLS
1443 - STORM CLEAN-UPSF
1240 - TREE STAKINGSY
2190000A - WARRANTY WORKTN
Carmel Street Department Specifications
2023 Carter Green Sod Installation
TheCityofCarmelisrequesting pricing forpurchase ofandinstallation ofRTF TallFescue sodattwo
locations, listed below:
1. Carter Green, justSouth ofthePalladium (1Center Green, Carmel, IN46032).
2. CityHall (1Civic Square, Carmel, IN46032), South West ofSouthern Entry Doors, seemap
Quote mustinclude pricing forsite workpreparations tobedone, including removal ofoldgrass and
levelingoutthesitebefore theinstallation ofnew sod. Seeattached mapforspecified locations. The
approximate square footage isbelow:
CenterGreen:
rdFarWestsideoftheproperty (between 3AveSWandsidewalk): 2areas totaling 400sqft
Westsideofthe center sidewalk (where ice rinkcurrently is): 8,600sqft
Eastsideofthe center sidewalk (nearamphitheater): 7,500sqft
CityHall:
West sidebed (neardumpster enclosure): 275sqft
South-West area (nearhandicapped parking): 115 sqft
Total Square Footage of Area for Sod Installation: 16,890 sq ft
rdSodcanbegintobelaidonceicerinkandwintermarkethasbeenremoved (approximately April3,
th2023). Contractor musthavesodcompletely installed byApril17, 2023. Contractor istoremove old
grass, prepare site, purchase sodandperform installation.
Please returnquote viaemailtoCrystal Edmondson atcedmondson@carmel.in.govby4:30pm
3/08/2023. Ifyouhaveanyquestions, please email orcallCarmel Street Department at317-733-2001.
3/15/2023
MAINSCAPE LANDSCAPING
FISHERS,, IN 46038 -
108600
13418 BRITTON PARK ROAD
City of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-6000972
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR SHIP
TO
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
EXTENSION
Street Department
3400 W. 131st Street
Carmel, IN 46074-
317) 733-2001
00351837
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
74985
1206Department:101Fund:General Fund
43-504.00Account:
SodInstallation1 $25,335.00 $25,335.00Each
25,335.00SubTotal
25,335.00
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
SHIPPING INSTRUCTIONS
SHIP PREPAID.
C.O.D. SHIPMENT CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
PAYMENT
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
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
CONTROL NO. 108600
ORDERED BY
TITLE
CONTROLLER
Street Department
3400 W. 131st Street
Carmel, IN 46074-
Lee Higginbotham
317) 733-2001
Commissioner
CzTfshfzHsfdivlijobu6;35qn-Nbs28-3134
The Taylor Realty Group, P.C.
Engineering Department - 2023
Appropriation #2200 0 44-628.71 2020 Road Bond Fund; P.O. #108582
Contract Not To Exceed $2,055.00
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.
S:\\Contracts\\Departments\\ENG\\2023\\The Taylor Realty Group, PC Goods and Services.docx:3/6/2023 1:20 PM\]
2
The Taylor Realty Group, P.C.
Engineering Department - 2023
Appropriation #2200 0 44-628.71 2020 Road Bond Fund; P.O. #108582
Contract Not To Exceed $2,055.00
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.
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.
S:\\Contracts\\Departments\\ENG\\2023\\The Taylor Realty Group, PC Goods and Services.docx:3/6/2023 1:20 PM\]
3
The Taylor Realty Group, P.C.
Engineering Department - 2023
Appropriation #2200 0 44-628.71 2020 Road Bond Fund; P.O. #108582
Contract Not To Exceed $2,055.00
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 itis 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 City of Carmel
Engineering Department Office of Corporation Counsel
One Civic Square One Civic Square
Carmel, Indiana 46032 Carmel, Indiana 46032
If to Vendor: The Taylor Realty Group, P.C.
3211 Annally Dr
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.
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
S:\\Contracts\\Departments\\ENG\\2023\\The Taylor Realty Group, PC Goods and Services.docx:3/6/2023 1:20 PM\]
4
The Taylor Realty Group, P.C.
Engineering Department - 2023
Appropriation #2200 0 44-628.71 2020 Road Bond Fund; P.O. #108582
Contract Not To Exceed $2,055.00
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, 2023 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.
27. IRAN CERTIFICATION
Pursuant to I.C. § 5-22-16.5, the Vendor shall certify that, in signing this Agreement, it does not engage in
investment activities within the Country of Iran.
28. 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.
S:\\Contracts\\Departments\\ENG\\2023\\The Taylor Realty Group, PC Goods and Services.docx:3/6/2023 1:20 PM\]
5
Exhibit A Page 1 of2REALESTATESERVICESFEESCHEDULE
RightofWayManagement Services
RightofWayManagementServicesInclude: allprocesses, procedures, observations, dataentryinto LRS, andmanagementof allservicesneededtocleartherightofway, includingall ofthe
necessary activities to certify the right of way that has to be acquired to clear the project(s) for construction. This shall be completed in accordance with federal and state law (including but not
limitedtoFederalHighwayAdministrationrulesandregulations), thecurrentversionoftheINDOTRealEstateDivisionManual, andascontractedwithorotherwisedirectedbyINDOT.Thecurrent
versionoftheINDOTRealEstateManual islocatedathttp://www.in.gov/indot/2493.htm. AllserviceslistedbelowshallberequiredwithintheRightofWayServicesManagementscopeof work.
Report Type Fee
RightofWayManagementservicesfee 1,310perparcel
PublishingandPaymentfor Legal Notice on parcels 520perproject
Valuation Services
EarlyAssessmentReal EstateCostEstimateIncludes: all processes, proceduresand observationstocompleteaRealEstateCostEstimate assignment (includingbut notlimitedto completionof
theINDOTRealEstate CostEstimateSpreadsheet) inaccordancewithfederalandstatelaw (includingbut notlimitedtoFederalHighway Administration rulesandregulations), thecurrentversionof
theINDOTRealEstateDivisionManual, and ascontractedwithorotherwisedirectedbyINDOT.
CompDocketsInclude: providing comparablesales data (including butnotlimitedtomarketdata research andrawsalesdata) or asotherwise requested byINDOTwithin thescopeof workfor Non-
ReportServicesagreed uponatthetime ofassignment.
Waiver ValuationsInclude: allprocesses, proceduresand observationsto complete awaiver valuation reportinaccordancewith federalandstate law (includingbutnotlimited toFederalHighway
Administration rulesandregulations), thecurrentversion oftheINDOTReal EstateDivisionManual, andas contractedwithor otherwisedirectedbyINDOT.
AppraisalReportsInclude: allprocesses, proceduresandobservationstocompletean appraisalreportofthetypebelow assignedbyINDOTinaccordance withfederalandstatelaw (including but
notlimitedto FederalHighwayAdministration rulesandregulations), thecurrentversionof theINDOTRealEstateDivision Manual, andas contractedwith or otherwisedirectedbyINDOT.Appraisal
feesaredefinedand paidbasedonINDOTparcelandnotcountytaxidentification parcel.
Non-Report Services Per Parcel Fee
Early Assessment: Projects 50 parcels $145
Early Assessment: Projects > 50parcels negotiatedbaseduponcomplexity
Comp Docket: Agricultural / ResidentialProperties: $270
Comp Docket: Commercial / SpecializedProperties: $550
Report Type
725WaiverValuation: AnyPropertyType (ImprovedorUnimproved)
2,055ValueFinding: AnyPropertyType (ImprovedorUnimproved)
3,015ShortForm: AnyPropertyType (ImprovedorUnimproved)
3,375ShortForm: Residential / Ag (withaffected improvementsoratotaltake)
4,710ShortForm: Commercial / Industrial / Multi-Family / Special / Billboard (withaffectedimprovementsor atotal take)
3,625LongForm: AnyPropertyType (Unimproved)
4,815LongForm: Residential / Ag (Improved)
12,050LongForm: Commercial / Industrial / Multi-Family / Special (Improved)
695ExcessLandAppraisal
ThespecificReportTypeaboveisdeterminedbyINDOTReviewAppraisersortheirsupervisorsaftertheAppraisalProblemAnalysishasbeencompleted.
Review Valuation Services
AppraisalProblemAnalysisIncludes: allprocesses, proceduresandobservationstocompleteanAppraisalProblemAnalysisinaccordance withfederalandstatelaw (includingbutnotlimitedto
FederalHighway Administrationrulesandregulations), thecurrentversionof theINDOTRealEstateDivision Manual, andas contractedwith or otherwisedirectedbyINDOT.
ReviewofWaiverValuationand/or AppraisalReportsInclude: allprocesses, proceduresandobservationstocompleteareviewofanappraisalreportorwaivervaluation reportin accordancewith
federaland statelaw (includingbutnotlimited toFederalHighway Administrationrulesand regulations) thecurrent versionoftheINDOTRealEstateDivision Manual, and as contractedwithor
otherwisedirectedbyINDOT. Appraisalfeesaredefinedandpaid basedonINDOTparceland notcountytaxidentification parcel.
Per Parcel FeeReportType
270AppraisalProblemAnalysis (APA)
435WaiverValuation: AnyPropertyType (ImprovedorUnimproved)
1,035ValueFinding: AnyPropertyType (ImprovedorUnimproved)
1,445ShortForm: AnyPropertyType (Improvedor Unimproved)
1,630ShortForm: Residential / Ag (withaffectedimprovementsor atotal take)
2,300ShortForm: Commercial / Industrial / Multi-Family / Special / Billboard (withaffectedimprovementsor a totaltake)
1,725LongForm: AnyPropertyType (Unimproved)
2,280LongForm: Residential / Ag (Improved)
LongForm: Commercial / Industrial / Multi-Family / Special (Improved) 5,550
BuyingServices
BuyingServicesInclude: all processes, proceduresandobservationstocompletethetotal orpartial acquisition of realestate, theobtainingof temporaryoraccess rights, or buyingreviewin
accordancewithfederalandstatelaw (including but notlimitedtoFederalHighway Administration rulesandregulations), thecurrentversionoftheINDOT RealEstateDivision Manual,andas
contractedwithorotherwise directedby INDOT.
Report Type Per Parcel Fee
2,160Total/Partial Acquisition
Temporary/Access Rights 1,800
MAP 21Offer - Total/PartialAcquisition 2,705
MAP21Offer - Temporary/AccessRights 2,345
BuyingReview 360
RelocationServices
RelocationServicesInclude: all processes, proceduresandobservationstocompletetheactivitiesforrelocationof residentialor businessownersor tenants, orrelocationofpersonalproperty, or
reviewof anysuchrelocation activitiesinaccordancewithfederalandstatelaw (including but notlimitedtoFederalHighway Administration rulesand regulations), thecurrentversionof theINDOT
RealEstateDivisionManual, andascontractedwith orotherwise directedbyINDOT.
ReportTypePayment Schedule Per Relocation Fee
Payments: 1/3Relo/Appraisal meetingiscomplete, 1/390DayNotice is issued, 1/3parcelis closed $4,332ResidentialOwner / Tenant
Payments: 1/3 Relo/Appraisal meetingis complete, 1/3 90DayNotice is issued, 1/3parcelis closedBusinessOwner / Tenant 4,332
PersonalProperty Only Payments: 1/3Relo/Appraisalmeetingis complete, 1/3 90 DayNoticeisissued, 1/3parcelis closed 1,815
ResidentialandBusiness 100% oncetheparceliscompliantandclosed. 1,205Review
PersonalPropertyMove 460100% oncetheparceliscompliantandclosed. OnlyReview
Property ManagementServices
PropertyManagementServicesInclude: allprocesses, procedures, observations, dataentryintoLRS, andmanagementofallservicesneededtocompletetheparcel’sreadinessfordemolition.
Thisshallbecompletedinaccordancewith federalandstatelaw (including but not limitedtoFederalHighwayAdministrationrules andregulations), thecurrentversionoftheINDOT RealEstate
DivisionManual, andascontractedwithor otherwisedirectedbyINDOT. Thecurrentversion ofthe INDOTRealEstateManualislocated athttp://www.in.gov/indot/2493.htm. All serviceslisted below
shallberequired withinPropertyManagementServices scopeofwork.
Non-Report Services Per Parcel Fee
1,035PropertyManagementperparcelservicesfee
105PlacingRatBaitonstructure
PlacingAppropriate Signson structure $210
Boarding Up Openingson structure AmountonWritten EstimateApprovedbyINDOT
DebrisRemoval AmountonWrittenEstimateApprovedbyINDOT
Report Type
AsbestosSamplingand Analysis AmountonWritten Estimate Approved byINDOT
Utility Disconnection Coordination & Verification AmountonWritten EstimateApproved byINDOT
Page 2 of2
Theabove FeeSchedule will beeffective for allnew on-call realestate contract assignments (based onthe date thatPurchase Orders
are issued) made onorafter January 1, 2023. TheFeeSchedule for (a) project-specific contracts that include any land acquisition
services, and (b) contracts entered into under “Small Purchase Procedures” pursuant to Section 3.3.1ofINDOT’sProfessional Services
Contract AdministrationManual willbeinaccordance with the payment terms inthe contracts and bethe FeeSchedule inplace onthe
date the contract was approved bythe Attorney General ofIndiana. Any deviation inestablished fees from the above rules inthis
paragraph will require (and shall notbe allowed without) written pre-approval from the Director orone of his orher Managers inINDOT’s
Real Estate Department.
REVISED: 1/1/2023
EXHIBIT B
Invoice
Date:
Name of Company:
Address & Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
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 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): $ 50,000
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
March17, 2023
StatementonCompanyEmployees
TheDJTaylorRealtyGroup, PCisaprofessionalcorporationwith2partnersandnoemployees.
DebraJ. Taylor
President
lJ// City ®f Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
Page 1 1
PURCHASE E UMBER
FEDERAL EXCISE TAX EXEMPT oO
R EQR
i! V V
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIR
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
3/3/2023 377074 560 3rd Ave SW - Appraisal Services
THE TAYLOR REALTY GROUP PC City Engineering's Office
VENDOR 3211 ANNALLY DR SHIP 1 Civic Square
TO Carmel, IN 46032-
CARMEL, IN 46032--9650 Laurie Slick
PURCHASEID BLANKET CONTRACT PAYMENTTERMS FREIGHT
74644
QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE EXTENSION
Department. 2200 Fund: 0
Account: 44-628.71
1 Each
Send Invoice To:
Jill Newport
CrossRoad Engineers, PC
115 N. 1711 Avenue
Beech Grove, IN 46107
2020 Road Bond
560 3rd Ave SW - Appraisal Services 2,055.00 $2,055.00
Sub Total $2,055.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
PAYMENT $2,055.00
SHIPPING INSTRUCTIONS
SHIP PREPAID.
C.O.D SHIPMENT CANNOT BE ACCEPTED
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
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THEP O NUMBERISMADEA
PART OF THE VOUCHER AND EERY INVOICE AND VOUCHER HAS THE PROPER SWORN
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
CONTROL NO. 108582
TITLE
CONTROLLER
Jeremy Kashman
Director
CzTfshfzHsfdivlijobu22;33bn-Nbs31-3134
Exhibit A
Page 1 of 1INDIANARETAILTAXEXEMPT
CERTIFICATE NO. 003120155 0020PURCHASE ORDER NUMBERCityofCarmel
FEDERAL EXCISE TAXEXEMPT 108607
35-6000972 THIS NUMBER MUST APPEAR ON INVOICES, A/PONECIVICSQUARE
VOUCHER, DELIVERY MEMO, PACKING SLIPS, CARMEL, INDIANA 46032-2584 SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BYSTATE BOARD OFACCOUNTS FOR CITY OFCARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
3/16/2023358653
ENGLEDOW, INC Street Department
VENDORSHIP1100E116THST 3400 W. 131st Street
TO Carmel, IN 46074-
CARMEL, IN 46032 - (317) 733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
75025
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund: 1206101General Fund
Account: 43-504.00
1EachSophia Square Topiaries$49,301.00$49,301.00
Sub Total 49,301.00
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
317) 733-2001 PLEASE INVOICE INDUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
49,301.00PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE ASHIPPINGINSTRUCTIONSPARTOFTHEVOUCHERANDEVERYINVOICEANDVOUCHERHASTHEPROPERSWORN
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
ORDERED BYANDACTSAMENDATORYTHEREOFANDSUPPLEMENTTHERETO.
LeeHigginbotham
TITLECommissioner
CONTROL NO. 108607 CONTROLLER
RESOLUTION NO. BPW 04-05-23-02
RESOLUTION OF THE CITY OF CARMEL BOARD OF PUBLIC WORKS AND SAFETY
ACKNOWLEDGING AGREEMENT BETWEEN CITY AND VENDOR
WHEREAS, pursuant to Indiana Code 36-1-4-7, the City of Carmel, Indiana (“City”), is authorized to enter
into contracts; and
WHEREAS, pursuant to Indiana Code 36-4-5-3, the City’smayor may enter into contracts on behalf ofthe
City; and
WHEREAS, pursuant to his authority under Indiana law, the City’smayor, the Honorable James C. Brainard,
has caused to be signed the Agreement attached hereto (the “Contract”); and
WHEREAS, Mayor Brainard now wishes to present the contract to the City’sBoard of Public Works and
Safety for it to be publicly acknowledged, filed in the Clerk’sOffice, and made available to the public for review.
NOW, THEREFORE, BE IT RESOLVED by the City of Carmel Board of Public Works and Safety as
follows:
1. The foregoing Recitals are incorporated herein by this reference.
2. The receipt of the Contract is hereby acknowledged.
3. The Contract shall be promptly filed in the office of the Clerk and thereafter made available to the public
for review.
SO RESOLVED this day of , 2023.
CITY OF CARMEL, INDIANA
By and through its Board of Public Works and Safety
BY:
James Brainard, Presiding Officer
Date:
Mary Ann Burke, Member
Date:
Lori S. Watson, Member
Date:
ATTEST:
Sue Wolfgang, Clerk
Date:
S:\\EBass\\MyDocuments\\BPW-Resolutions\\2023\\Acknowledge Agreement Flock GroupInc.docx3/20/202311:38AM
CzTfshfzHsfdivlijobu:;19bn-Nbs28-3134
Professional Services and One-Time Purchases
Name Price/Usage Fee QTY Subtotal
Professional Services - Standard Implementation Fee $0.00 16.00 $0.00
Hardware and Software Products
Annual recurring amounts over subscription term
Name Price/Usage Fee QTY Subtotal
Falcon $2,500.00 16.00 $40,000.00
Falcon Flex $3,000.00 3.00 $9,000.00
Subtotal Year 1: $49,000.00
Subscription Term: 12 Months
Annual Recurring Total: $49,000.00
Estimated Sales Tax: $0.00
Total Contract Amount: $49,000.00
EXHIBIT A
This agreement is governed by the terms as set out in this attached agreement that has been previously
executed by both parties.
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
3.000 each Falcon Camera $ 2,500.000 $ 7,500.00
1.000 each Falcon Flex camera $ 3,000.000 $ 3,000.00
GLAccount# 1125101-4350900
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PLEASE INVOICE IN DUPLICATE
SHIPPING INSTRUCTIONS
SHIP REPAID.
C.O.D SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO.57810
PAYMENT
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
AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY
TITLE
CONTROLLER
VENDOR COPY
Dawn Koepper
Send Invoice To:
10,500.00
Purchasing Administrator
57810
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-60000972
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PAGE 1
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER NUMBER
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO.VENDOR NO.DESCRIPTION
Camera's for CentralPark3090503/21/233/16/2023
VENDOR
Flock Safety
1170 Howell Mill Rd NW Suite 210
Atlanta, GA 30318 SHIP
TO
Administration Office
1411 E. 116th Street
Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
City ®f CarmeI
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO.003120155 002 0
Page 1 of 1
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 108604
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES, AIP
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
3/16/2023 375489 Additional Services Agreement
FLOCK SAFETY ICS
VENDOR 1170 HOWELL MILL RD NW SHIP 31 1st Avenue N.W.
TO
SUITE 210 Carmel, IN 46032-
ATLANTA, GA 30318 - Timothy Renick (317) 571-2576
PURCHASE ID BLANKET CONTRACT PAYMENTTERMS FREIGHT
75000
DESCRIPTIONQUANTITYUNITOFMEASURE UNIT PRICE EXTENSION
Department: 1115
Account: 43-556.00
1 Each
Send Invoice To:
ICS
Timothy Renick
31 1st Avenue N.W.
Carmel, IN 46032-
317) 571-2576
DEPARTMENT
Fund: 101 General Fund
Additional Services Agreement
CAA
38,500.00 $38,500.00
Sub Total $38,500.00
PLEASE INVOICE IN DUPLICATE
ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $38,500.00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MA['C 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 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
Timothy Renick James Crider
TITLE Director Director of Administration
CONTROL No. 108604 CONTROLLER
CzBmmjtpoMzodi.NdHsbuibu22;3:bn-Nbs32-3134
EXHIBIT A
SweetEventPlanning/Sondra Schwieterman
Scope of Services & Rate Schedule for Professional Services forEventPlanning For:
Brews on the Boulevard
ScopeofServicesandRates
To assist the City ofCarmel inpromoting Midtown and the Monon Boulevard through
events such asBrews onthe Boulevard
To direct activities and event coordination for Brews onthe Boulevardon behalf ofthe City of
Carmel, including but not limited to:
o Research dates tohost events
o Research target audiences for events
o Create acomprehensive timeline complete with goals, objectives, and dates of
completion foreach
o Direct the recruitment ofand communication with vendors for Brews onthe Boulevard
o Direct therecruitment ofand communication with volunteers forBrews on the
Boulevard
o Confirm and coordinate entertainment Brews onthe Boulevard through Artist
Development Company
o Write web and social media copy for Brews onthe Boulevard
o Spearhead art direction on allcollateral materials needed forthe event
o Coordinate marketing and advertising with designated City ofCarmel representatives
o Spearhead logistics ofassigned events, from planning toset upthrough
execution and clean up
o Provide staff torun event effectively
o Assist with sponsorship fulfillment asdirected
o Direct public relations efforts for events asapproved
Includes but isnot limited to:
Communications totarget audiences tomaximize the user
experience at events
News release writing
News releases sent tomarkets outside ofCentral Indiana
o Adhere toapproved City ofCarmel budget for events, media andpublic
relations
o Meet regularly with City ofCarmel representative(s)
Assist onexecutionofspecial promotional events and public relations efforts asneeded and
within the parameters ofthe contract
3508 E. Carmel Drive, Carmel, IN46033(317) 657-8263 Sondra_Schwieterman@Outlook.com
o Including but not limited to: Executing social media posts,
needed, providing art direction tographic designers, and writing copy for collateral
material
Cost
The above Scope ofWork can beexecuted for afee nottoexceed $15,000 and canbe billed monthly as
services are rendered.
Brews on the Boulevard - $15,000
Specialty materials and outside services paid for bySweet Event Planning will bebilled back toCity of
Carmel atcost. Examples include but are not limited tomedia buys, specialty paper, signs, banners, staff
meals, dumpsters, event supplies, and postage.
Cost includes parking fees and mileage incurred bySweet Event Planning forthe duration ofthe contract
provided allmiles driven are within the Marion and surrounding eight counties.)
Sondra Schwieterman3¨¦-
3508 E.
Carmel Drive, Carmel, IN 46033 (317) 657-8263 Sondra_Schwieterman@Outlook.com
Page 1 of 1INDIANARETAILTAXEXEMPT
PURCHASE ORDER NUMBERCERTIFICATENO. 003120155 0020CityofCarmel
FEDERAL EXCISE TAX EXEMPT 108595
35-6000972 THIS NUMBER MUST APPEAR ON INVOICES, A/PONECIVICSQUARE
VOUCHER, DELIVERY MEMO, PACKING SLIPS, CARMEL, INDIANA 46032-2584 SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BYSTATE BOARD OFACCOUNTS FORCITY OFCARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
EVENT PLANNING SERVICES3/13/2023373677
SWEET EVENT PLANNING COMMUNITY RELATIONS
VENDORSHIP3508ECARMELDR 1 CIVIC SQ
TO Carmel, IN 46032-
CARMEL, IN 46033 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
74923
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund: 1203101General Fund
Account: 43-590.03
Each1EVENT PLANNING SERVICES$15,000.00$15,000.00
Sub Total 15,000.00
Send Invoice To:
COMMUNITY RELATIONS
1Civic Square
Carmel, IN 46032-
PLEASE INVOICE INDUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
15,000.00PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE ASHIPPINGINSTRUCTIONSPARTOFTHEVOUCHERANDEVERYINVOICEANDVOUCHERHASTHEPROPERSWORN
SHIP PREPAID. AFFIDAVIT ATTACHED. IHEREBY 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
ORDERED BYANDACTSAMENDATORYTHEREOFANDSUPPLEMENTTHERETO.
Nancy HeckJames Crider
TITLEDirectorDirector of Administration
CONTROL NO. 108595 CONTROLLER
RESOLUTION NO. BPW 04-05-23-03
RESOLUTION OF THE CITY OF CARMEL BOARD OF PUBLIC WORKS AND SAFETY
ACKNOWLEDGING AGREEMENT BETWEEN CITY AND VENDOR
WHEREAS, pursuant to Indiana Code 36-1-4-7, the City of Carmel, Indiana (“City”), is authorized to enter
into contracts; and
WHEREAS, pursuant to Indiana Code 36-4-5-3, the City’smayor may enter into contracts on behalf ofthe
City; and
WHEREAS, pursuant to his authority under Indiana law, the City’smayor, the Honorable James C. Brainard,
has caused to be signed the Agreement attached hereto (the “Contract”); and
WHEREAS, Mayor Brainard now wishes to present the contract to the City’sBoard of Public Works and
Safety for it to be publicly acknowledged, filed in the Clerk’sOffice, and made available to the public for review.
NOW, THEREFORE, BE IT RESOLVED by the City of Carmel Board of Public Works and Safety as
follows:
1. The foregoing Recitals are incorporated herein by this reference.
2. The receipt of the Contract is hereby acknowledged.
3. The Contract shall be promptly filed in the office of the Clerk and thereafter made available to the public
for review.
SO RESOLVED this day of , 2023.
CITY OF CARMEL, INDIANA
By and through its Board of Public Works and Safety
BY:
James Brainard, Presiding Officer
Date:
Mary Ann Burke, Member
Date:
Lori S. Watson, Member
Date:
ATTEST:
Sue Wolfgang, Clerk
Date:
S:\\EBass\\MyDocuments\\BPW-Resolutions\\2023\\Acknowledge Agreement Knauss Property Services, LLC.docx3/20/202311:39AM
Exhibit A
CityofCarmel StreetDepartment
23-STR-02Reflecting PoolPainting
Specifications
rdTheCityofCarmelStreetDepartmentisrequestingquotesforaprojectlocatedat8003AveSW,
Carmel, IN46032, which includes cleaning andpainting oftheCity-owned Reflecting Pool. This work
stmustbecompletedbyMay1, 2023.
ThisprojectattheReflecting Poolisforcleaning andpainting ofthewalls andfloorofthepool, withan
estimated 83,000square feetoffloor and ,0square feetofwall.
Contractor responsibilities:
1.Power-wash allsurfaces ofthepool toremove scaling anddebris.
2.Remove anddispose ofalldebris from pool.
3.Applyonecoatofpaint toallpoolsurfaces using pool-approved epoxy (Macropoxy 646Fast
CureEpoxy, Color: Dawn Blueorapproved equivalent).
4.Anyresidual water inthe reflecting pool must bepumped outtoanearby wastewater drain
5.Setupandmaintain aMUTCD-recommended work zone.
6.Maintain aclean work areafortheduration oftheproject.
E-verify MOU and signedaffidavit must beprovided beforeapproved work maybegin. The Carmel
Street Department reserves therighttoreject anyandallquotes.
Anyquestions should bedirected toBoyd Piercy atbpiercy@carmel.in.gov.
3/16/2023
KNAUSS PROPERTY SERVICES LLC
INDIANAPOLIS, IN 46220 -
108605
2817 E 55TH PLACE
City of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-6000972
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR SHIP
TO
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
EXTENSION
Street Department
3400 W. 131st Street
Carmel, IN 46074-
317) 733-2001
372933
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
75022
1206Department:101Fund:General Fund
43-509.00Account:
Reflecting PoolPainting1 $212,500.00 $212,500.00Each
212,500.00SubTotal
212,500.00
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
SHIPPING INSTRUCTIONS
SHIP PREPAID.
C.O.D. SHIPMENT CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
PAYMENT
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
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
CONTROL NO. 108605
ORDERED BY
TITLE
CONTROLLER
Street Department
3400 W. 131st Street
Carmel, IN 46074-
Lee Higginbotham
317) 733-2001
Commissioner
RESOLUTION NO. BPW 04-05-23-04
RESOLUTION OF THE CITY OF CARMEL BOARD OF PUBLIC WORKS AND SAFETY
ACKNOWLEDGING AGREEMENT BETWEEN CITY AND VENDOR
WHEREAS, pursuant to Indiana Code 36-1-4-7, the City of Carmel, Indiana (“City”), is authorized to enter
into contracts; and
WHEREAS, pursuant to Indiana Code 36-4-5-3, the City’smayor may enter into contracts on behalf ofthe
City; and
WHEREAS, pursuant to his authority under Indiana law, the City’smayor, the Honorable James C. Brainard,
has caused to be signed the Agreement attached hereto (the “Contract”); and
WHEREAS, Mayor Brainard now wishes to present the contract to the City’sBoard of Public Works and
Safety for it to be publicly acknowledged, filed in the Clerk’sOffice, and made available to the public for review.
NOW, THEREFORE, BE IT RESOLVED by the City of Carmel Board of Public Works and Safety as
follows:
1. The foregoing Recitals are incorporated herein by this reference.
2. The receipt of the Contract is hereby acknowledged.
3. The Contract shall be promptly filed in the office of the Clerk and thereafter made available to the public
for review.
SO RESOLVED this day of , 2023.
CITY OF CARMEL, INDIANA
By and through its Board of Public Works and Safety
BY:
James Brainard, Presiding Officer
Date:
Mary Ann Burke, Member
Date:
Lori S. Watson, Member
Date:
ATTEST:
Sue Wolfgang, Clerk
Date:
S:\\EBass\\MyDocuments\\BPW-Resolutions\\2023\\Acknowledge Agreement Encroachment Agreement Marathon Pipe Line LLC and Carmel.docx3/21/2023 1:17PM
T&C File No.: 11-A47-010-060
APPROVED
l er wr a.memb n tt:a w M mn
ENCROACHMENT AGREEMENT
THIS ENCROACHMENT AGREEMENT ("Agreement") is entered into this date of
Effective Date") by and between Marathon Pipe Line LLC
Licensor") and City of Carmel ("Licensee"). As used herein, "Party" means Licensor or
Licensee and "Parties" means both of them.
A. Licensor holds real property interests in the form of an Easement, as further described
below.
B. Licensee desires to encroach upon the Easement as further described below.
C. Licensor is willing to allow such encroachment subject to the limitations and restrictions
set forth in this Agreement.
For and in consideration of the mutual covenants, agreements, terms and conditions contained
herein and other good and valuable consideration, the receipt and sufficiency of which are
hereby acknowledged, and intending to be legally bound, Licensee and Licensor agree to the
preamble, the recitals, and the following:
ARTICLE 1— DEFINITIONS
1.1 These capitalized terms have the following meanings:
Easement" means that certain pipeline easement granted May 31, 1949 and recorded
on July 18, 1949 in Volume 39, Pages 219-220 of the Hamilton County, Indiana
recorder's office, as may have been amended.
Easement Area" means the land covered by the Easement.
Encroachment" means walking trail as depicted on Exhibit A.
Encroachment Area" means the portion of the Easement Area upon which the
Encroachment is permitted to sit pursuant to the terms of this Agreement but only as
depicted on Exhibit A.
ARTICLE 2 - ENCROACHMENT
2.1 Subject to the terms of this Agreement, Licensee may construct, operate, use and
maintain the Encroachment upon the Encroachment Area.
2.2 Licensee may use or occupy the Encroachment Area only to the extent necessary to
construct, maintain, operate, use, and repair the Encroachment, including that the
Encroachment Area may be open for use by the general public for the purposes for which
Form Revised. 0112112022
558337.DOC 2 )
Page 1 of 8
the Encroachment is constructed, operated, and maintained, and such use or occupancy is
not exclusive. Licensee may not extend, expand, or alter the footprint of the
Encroachment without the prior written consent of Licensor, which will be memorialized
by amendment of this Agreement.
2.3 Licensee will construct and maintain the Encroachment, ensuring it is built and remains
in a safe and useable condition. In addition, Licensee will construct, maintain and use the
Encroachment Area subject to these specifications:
a) Licensee will not plant shrubs or trees within the Encroachment Area without
Licensor's prior written consent, which Licensor may withhold or condition in its
sole discretion.
b) Licensee will ensure a Licensor representative is present during the construction
of the Encroachment or any activity within 50 feet of the pipeline.
c) No construction equipment will cross Licensor's pipeline until a stress analysis
has been reviewed and approved by Licensor.
2.4 If Licensee removes all or a portion of the Encroachment other than to repair, replace, or
reconstruct the same, Licensee will repair and restore the Encroachment Area to its
original condition and the portion of the Easement Area no longer encroached upon will
revert to Licensor.
2.5 If applicable, Licensee will pay all taxes levied or imposed on the Easement Area related to
the Encroachment.
2.6 Licensee will ensure that the Encroachment and any associated activities comply with Law,
this Agreement, and the terms of the Easement. As used in this Agreement, "Law" means any
applicable treaty, constitution, charter, act, statute, federal, state and local laws, ordinance,
code, rule, regulation, resolution, permit, order, decree, mandate, injunction, writ, directive,
interpretation, or final non -appealable judgment adopted, enacted, issued, promulgated or
ratified by any governmental entity, including tribal entities, and having the force of law.
2.7 If the Encroachment interferes with Licensor's operations, use and enjoyment of the Easement
Area, or Licensor's ability to maintain its rights thereunder, at Licensor's sole option,
Licensee will promptly upon written notice from Licensor (a) temporarily remove or relocate
all or part of the Encroachment at Licensee's sole cost; or (b) reimburse Licensor for
relocating all or part of the Encroachment.
2.8 Licensor may, in its sole discretion, restrict use and/or access to the Encroachment at any time
for any length of time and for any reason. Licensee does hereby fully waive, release and
discharge Licensor for any claims or liability arising' from such restriction. Licensee
acknowledges and agrees that Licensor has no obligation to repair, replace or maintain the
Encroachment. Licensee acknowledges and accepts that (i) Licensor's operations may occur
in the daytime, evenings, nights, weekends, and holidays, and (ii) it may be necessary and
convenient for Licensor to operate machinery and equipment (including lighting) that will be
visible and audible on the Easement Area. In consideration of Licensor granting this
Agreement, Licensee, on behalf of itself and its successors, assigns, invitees and licensees,
Form Revised: 0112112022
558337.DOC 2 )
Page 2 of 8
hereby waives and releases Licensor and its affiliates and their employees, insurers, agents,
contractors, and all their successors and assigns from any current and future claims and
liabilities of any nature relating in any way to the use and enjoyment of the Encroachment by
Licensee and its affiliates and their predecessors in title, agents and contractors, including
claims of nuisance, loss of use and enjoyment, lost profits, loss of business opportunity, or
other similar claims known or unknown at this time, whether the claims arise under common
law, statutory law or otherwise.
ARTICLE 3 - WAIVER
3.1 Licensee understands that Licensor uses and enjoys its rights under the Easement and
maintains active operations in the Easement Area. Licensee hereby waives, releases, and
forever discharges all Claims (as defined below) against Licensor for business interruption or
delays, lost profits or revenue, lost commercial opportunities, or other similar damages arising
or resulting from Licensor exercising its rights under the Easement or this Agreement.
3.2 Licensor and its designees will, from time to time, conduct activities in close proximity to the
Encroachment. Licensee hereby waives, releases, and forever discharges all Claims against
Licensor for damage to the Encroachment caused by Licensor or its designees, except for
damages to the Encroachment caused by the gross negligence or willful misconduct Licensor
or its designees.
3.3 "Claims" means all claims or causes of action of any nature, whether known or unknown, that
a) relate to the Agreement, (b) sound in law or in equity, whether in contract or tort, or are
based upon fraud or misrepresentation, breach of duty, common law, or arise under or by
virtue of any judicial decision, constitutional provision, statute or regulation, and (c) are for
damages, including, actual, consequential, punitive or exemplary damages, costs, expenses,
interest, demands, suits, reasonable attorneys' fees, losses, injuries, injunctive relief, or other
remedies of any nature, whether equitable or legal.
ARTICLE 4 — DEFAULT; TERMINATION FOR CONVENIENCE
4.1 If Licensee breaches the provisions of this Agreement, Licensor may terminate this
Agreement and pursue available remedies of any nature, whether equitable or legal. Licensee
consents to Licensor seeking injunctive relief or an emergency order to enforce the provisions
of this Agreement, or prevent breach thereof, without the necessity to post a bond.
4.2 Nothing contained herein will be deemed to constitute any warranty or representation by
Licensor as to its authority to permit the Encroachment upon the Encroachment Area as
proposed by Licensee, except regarding Licensor's rights as set forth in this Agreement that
may restrict the Encroachment. Licensee understands that Licensor is under no obligation to
renew or amend the Easement and that if the Easement terminates, Licensee's rights
hereunder also terminate and Licensee will be obligated to remove the Encroachment prior to
termination of the Easement. Licensee's obligations under this Section will survive
termination of this Agreement.
Form Revised: 0112112022
558337.DOC 2 )
Page 3 of 8
4.3 Licensor may terminate this Agreement without cause and at any time (a) by giving at least 90
days written notice to Licensee; or (b) upon termination of any other interest or permission
that Licensor holds in the Easement.
4.4 Licensee explicitly recognizes that notwithstanding the costs of improvements of and
alterations to the Easement Area incurred by Licensee hereunder, Licensor's right to terminate
this Agreement will be without compensation to Licensee in any manner including
replacement value or for the fair market value of any improvement placed on or near the
Easement Area. Licensee will, upon termination or expiration of this Agreement, remove the
Encroachment, rehabilitate and leave the Easement Area in a safe and useable condition.
Licensee acknowledges that the Encroachment may have to be damaged, destroyed or
removed in the course of Licensor's operations. Licensee hereby fully releases Licensor from
any and all liability arising from any such damage, destruction or removal.
ARTICLE 5 — MISCELLANEOUS
5.1 INTERPRETATION. Unless the context as used in this Agreement clearly indicates
otherwise: (a) words in the singular include the plural and words used in the plural include the
singular; (b) references to any Party include such Party's successors and assigns; (c) the words
include", "includes" and "including" will be deemed to be followed by the words "without
limitation"; (d) any addendum, exhibit or schedule attached is deemed to be incorporated by
reference into the Agreement; and (e) reference to any Law will be deemed to also refer to all
rules and regulations promulgated thereunder.
5.2 COUNTERPARTS. Licensor and Licensee acknowledge that this Agreement may be
executed in counterparts, each of which will be deemed to be an original and taken together
will be considered as one document.
5.3 BINDING ON SUCCESSORS AND ASSIGNS. Licensee will not assign this Agreement, or
an performance of this Agreement, without the prior written consent of Licensor. Any
attempted assignment in violation of this Section will be void and will in no way release
Licensee from its obligations under this Agreement, including Section 6, Indemnity. This
Agreement is binding upon and inures to the benefit of each of the Parties and their respective
heirs, successors, and assigns, including successor owners and occupants of the
Encroachment.
5.4 GOVERNING LAW. The validity, interpretation or performance of this Agreement and any
disputes arising hereunder will be governed and construed in accordance with the Laws of the
state where the Encroachment is located.
5.5 AMENDMENTS. Except as otherwise expressly set forth herein, this Agreement will not be
modified, in whole or in part, except by a written amendment signed by both Parties and
expressly identified as an amendment or modification. Any attempt by either Party through
any document to vary any of the terms of this Agreement will be deemed void.
5.6 CONSPICUOUS. TO THE EXTENT REQUIRED BY LAW TO BE EFFECTIVE, THE
PROVISIONS IN THIS AGREEMENT IN BOLD -TYPE FONT ARE
CONSPICUOUS" FOR THE PURPOSE OF ANY LAW.
Form Revised: 0112112022
558337.DOC 2 )
Page 4 of 8
5.7 SEVERABILITY. Each clause and provision of this Agreement is severable. If any clause or
provision of this Agreement is held invalid or unenforceable by any court of competent
jurisdiction, all other clauses or provisions of this Agreement will remain in full force and
effect in such jurisdiction and will not in any manner affect such clause or provision in any
other jurisdiction, or any other clause or provision in this Agreement in any jurisdiction. If any
clause or provision contained herein is, to any extent, held invalid or unenforceable in any
respect under the Laws governing this Agreement, such clause or provision will be restricted
in applicability, reformed to the minimum extent required for such clause or provision to be
enforceable or the Parties will amend or otherwise modify this Agreement to replace such
clause or provision with a valid and enforceable clause or provision giving effect to the intent
of the Parties.
5.8 WAIVER. Neither action taken nor inaction pursuant to this Agreement will be deemed to
constitute a waiver of compliance with any representation, warranty, covenant or agreement
contained herein by the Party committing such action or inaction. A waiver by any Party of a
particular right, including breach of any provision of this Agreement, will not operate or be
construed as a subsequent waiver of that same right or waiver of any other right.
5.9 This Agreement, as may be amended in accordance with the terms herein, contains the entire
agreement of the Parties related to the Encroachment and supersedes any and all prior
negotiations, agreements, or understandings, written or oral, with respect to the Encroachment
or Licensee's use or occupancy of the Encroachment Area. Each Party warrants to the other
that no promises or inducements for this Agreement have been made except as herein set
forth. This Agreement is the result of negotiations between the Parties and no Party will be
deemed to be the drafter of this Agreement. The language of all parts of this Agreement will
be in all cases be construed as a whole, according to its fair meaning, and not strictly for or
against any Party.
ARTICLE 6 — INDEMNITY
6.1 TO THE FULLEST EXTENT PERMITTED BY LAW, LICENSEE WILL PROTECT,
INDEMNIFY, HOLD HARMLESS, RELEASE, DISCHARGE AND DEFEND
LICENSOR, ITS AFFILIATES AND THEIR RESPECTIVE OFFICERS,
DIRECTORS, EMPLOYEES, AGENTS AND INVITEES, JOINTLY AND
SEVERALLY, FROM AND AGAINST ALL CLAIMS BECAUSE OF:
a) BODILY INJURY OR DEATH;
b) DAMAGE TO PROPERTY; OR
c) CONTAMINATION OF OR ADVERSE EFFECTS ON THE ENVIRONMENT,
INCLUDING THE COST OF ASSESSMENT AND REMEDIATION,
WHICH, IN EACH CASE, OCCUR IN CONNECTION WITH (x) LICENSEE'S USE
OR OCCUPANCY OF THE EASEMENT OR (y) ANY ACTIVITY ASSOCIATED
WITH THE ENCROACHMENT CONDUCTED BY LICENSEE OR ITS
AFFILIATES, OR THEIR EMPLOYEES, AGENTS, CONTRACTORS OR INVITEES
Form Revised.• 0112112022
558337.DOC 2 )
Page 5 of 8
6.2 LICENSEE WILL PAY ALL COSTS AND EXPENSES, INCLUDING REASONABLE
ATTORNEY FEES AND ALL OTHER EXPENSES OF LITIGATION INCURRED BY
LICENSOR TO ENFORCE LICENSEE'S OBLIGATIONS AS SET FORTH IN THIS
ARTICLE OR TO ENFORCE LICENSEE'S INSURANCE CARRIER'S
OBLIGATIONS UNDER ARTICLE 7.
ARTICLE 7 — INSURANCE
7.1 Without limiting in any way the scope of any obligations or liabilities assumed hereunder by
Licensee, Licensee will procure or cause to be procured and maintained at its expense, for the
duration of this Agreement with insurance companies designated by A.M. Best Company with
a rating of A- or better and found acceptable to Licensor, the insurance policies described
below. Prior to commencement of any work within the Easement Area, Licensee will furnish
Licensor with valid and, as needed to maintain compliance with this Article, updated
certificates of insurance which document that all coverages and endorsements required by
have been obtained; provided that Licensee is only required to maintain one certificate of
insurance with Licensor demonstrating the required coverages and endorsements in this
Agreement and any other agreement with Licensor or its affiliates. Licensee's obligation to
comply with the insurance requirements of this Article is a material obligation of this
Agreement.
a) Workers' compensation for all benefits required of Licensee by Law, U.S. longshore
and harbor workers' compensation insurance, the Outer Continental Shelf Lands Act,
with voluntary compensation for marine operations, to include transportation, wages,
maintenance, and cure, and under applicable maritime law (including Jones Act
Coverage) where required, or other statutory insurance Laws in the area having
jurisdiction over such employees, agents, servants and borrowed servants, or over the
location where the work is being performed.
b) Employer's liability insurance covering the employees of Licensee with limits of at
least $1,000,000 per occurrence.
c) General liability insurance including contractual liability, explosion, collapse and
underground hazards and completed operations with a combined single limit of at least
1,000,000 per occurrence.
d) Business automobile liability insurance, if owned, hired or non -owned automotive
equipment is used in the performance of this Agreement, with a combined single limit
of at least $1,000,000 per occurrence.
e) Pollution liability insurance to cover third -parry claims for losses including bodily
injury, property damage and clean-up costs arising from pollution conditions that
occur from the ongoing operations or in connection with a release, spill, discharge or
leak into the environment of pollutants, with a combined single limit of $15,000,000
per occurrence.
f) The insurance limits in this Section can be satisfied through any combination of
primary and excess liability policies.
Form Revised: 0112112022
558337.DOC 2 j
Page 6 of 8
7.2 The general liability and business automobile liability policies will include Licensor and its
affiliates as additional insureds for liabilities arising out of the performance under this
Agreement to the same and full extent of coverage provided to Licensee under those policies
and to the full extent allowed under Law. Such policies will be primary to any other insurance
of Licensor. Such insurance will specifically provide that it applies separately to each insured
against which Claim is made or suit is brought, except with respect to the limits of the
insurer's liability.
7.3 The workers' compensation and employer's liability policies will provide that all rights of
subrogation against Licensee and its affiliates are waived when permitted by Law.
IN WITNESS WHEREOF, the Parties hereto by their duly authorized representatives have executed
this Agreement as of the Effective Date.
MARATHON PIPE LINE LLC
By: _
Name:
Title:
State of
County of
ss
The foregoing instrument was acknowledged before me this 20 by
Signature:
Name:
My commission expires:
Form Revised: 0112112022
55833TDOC 2 }
Page 7 of 8
CITY OF CARMEL
By:
Name: James Brainard
Title: Mayor
State of Indiana
ss
County Of Hami 1 t-nn
The foregoing instrument was acknowledged before me this March 20th 2023 by
James Brainard
R,ra&4 SHARO7M. BBE
A
Resident oon Co.
My Commxpiresuly6
Si ature' A a l
Name: Sharon M. Kibbe
My commission expires: Ju ly 12 , 2 0 2 6
I affirm under the penalties of perjury, that I have taken reasonable care to redact each Social
Security number in this document, unless required by law.
This instrument prepared by:
Brian Phillips
539 South Main Street
Findlay, Ohio 45840
Form Revised: 0112112022
558337.DOC 2 }
Page 8 of 8
RESOLUTION NO. BPW 04-05-23-05
RESOLUTION OF THE CITY OF CARMEL BOARD OF PUBLIC WORKS AND SAFETY
ACKNOWLEDGING AGREEMENT BETWEEN CITY AND VENDOR
WHEREAS, pursuant to Indiana Code 36-1-4-7, the City of Carmel, Indiana (“City”), is authorized to enter
into contracts; and
WHEREAS, pursuant to Indiana Code 36-4-5-3, the City’smayor may enter into contracts on behalf ofthe
City; and
WHEREAS, pursuant to his authority under Indiana law, the City’smayor, the Honorable James C. Brainard,
has caused to be signed the Agreement attached hereto (the “Contract”); and
WHEREAS, Mayor Brainard now wishes to present the contract to the City’sBoard of Public Works and
Safety for it to be publicly acknowledged, filed in the Clerk’sOffice, and made available to the public for review.
NOW, THEREFORE, BE IT RESOLVED by the City of Carmel Board of Public Works and Safety as
follows:
1. The foregoing Recitals are incorporated herein by this reference.
2. The receipt of the Contract is hereby acknowledged.
3. The Contract shall be promptly filed in the office of the Clerk and thereafter made available to the public
for review.
SO RESOLVED this day of , 2023.
CITY OF CARMEL, INDIANA
By and through its Board of Public Works and Safety
BY:
James Brainard, Presiding Officer
Date:
Mary Ann Burke, Member
Date:
Lori S. Watson, Member
Date:
ATTEST:
Sue Wolfgang, Clerk
Date:
S:\\EBass\\MyDocuments\\BPW-Resolutions\\2023\\Acknowledge Agreement Shepherd Insurance, LLC.docx3/21/20233:31PM
CzTfshfzHsfdivlijobu3;59qn-Nbs32-3134
Berrnath, LLC
Street Department - 2023
Appropriation #2201 2201 44-670.00 Motor Vehicle Highway Fund; P.O. #108597
Contract Not To Exceed $48,875.00
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.
S:\\Contracts\\Departments\\Street\\2023\\Bernath, LLC Goods and Services.docx:3/15/2023 11:51 AM\]
2
Berrnath, LLC
Street Department - 2023
Appropriation #2201 2201 44-670.00 Motor Vehicle Highway Fund; P.O. #108597
Contract Not To Exceed $48,875.00
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.
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.
S:\\Contracts\\Departments\\Street\\2023\\Bernath, LLC Goods and Services.docx:3/15/2023 11:51 AM\]
3
Berrnath, LLC
Street Department - 2023
Appropriation #2201 2201 44-670.00 Motor Vehicle Highway Fund; P.O. #108597
Contract Not To Exceed $48,875.00
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 itis 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 City of Carmel
Street Department Office of Corporation Counsel
st3400W131 Street One Civic Square
Carmel, Indiana 46074 Carmel, Indiana 46032
If to Vendor: Bernath, LLC
1010 E Sumner Avenue
Indianapolis, Indiana 46227
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.
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
S:\\Contracts\\Departments\\Street\\2023\\Bernath, LLC Goods and Services.docx:3/15/2023 11:51 AM\]
4
Berrnath, LLC
Street Department - 2023
Appropriation #2201 2201 44-670.00 Motor Vehicle Highway Fund; P.O. #108597
Contract Not To Exceed $48,875.00
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, 2023 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.
27. IRAN CERTIFICATION
Pursuant to I.C. § 5-22-16.5, the Vendor shall certify that, in signing this Agreement, it does not engage in
investment activities within the Country of Iran.
28. 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.
S:\\Contracts\\Departments\\Street\\2023\\Bernath, LLC Goods and Services.docx:3/15/2023 11:51 AM\]
5
Qbhf;Qbhf;2ExhibitA
Sfnju!Up;Sfnju!Up;
TFBMNBTUFS
2121!FBTU!TVNOFS!BWFOVF
JOEJBOBQPMJT-!JO!!57338
EQUIPMENT SALE QUOTE
Dvtupnfs;Dvtupnfs;264
Jowpjdf!$///Jowpjdf!$/// 617:76.1111617:76.1111DJUZ!PG!DBSNFM!)JO* Tztufn!ebuf/Tztufn!ebuf/!4014034POF!DJWJD!TRVBSF 4014034!!!!2;28!QNJowpjdf!ebufJowpjdf!ebufDBSNFM-!JO!!57143
Kpc!Mpd/////Kpc!Mpd/////4511!X!242TU-!DBSNFM
Kpc!Op//////Kpc!Op//////2!.!TIPQKpc!Tjuf;Kpc!Tjuf;
UCEQ/P/!$//////Q/P/!$////// TIPQ Psefsfe!Cz//Psefsfe!Cz// QJFSDZ-!CPZE4511!X!242TU Ofu!41EbztUfsnt/////// DBSNFM-!JO!!57185
LFWJO!TVUUFSTbmft!Sfq;
LFWJO!TVUUFSXsjuufo!cz//Xsjuufo!cz// 428.844.3112Kpc!Ufm$;
Ruz!Jufn!ovncfs!!!!!!!!!!!!!!!!!!!!Voju!!!!!!Qsjdf!!!!!!!!!!!!!!!!!!BnpvouRuz!Jufn!ovncfs!!!!!!!!!!!!!!!!!!!!Voju!!!!!!Qsjdf!!!!!!!!!!!!!!!!!!Bnpvou
2/11!5.UPO!USBOTQPSUFS!RVJDLTIJQ!IPUC!FB!!54511/111!!!!!!!!!!!!!!!!54511/11
5U.USBOT!RT
5Upo!Rvjdltijq!Evnqcpy-Cbuufsz!Dibshfs-
Tnbsu!Dpouspmmfs!Qbdlbhf-wpmunfufs-WJQ-
Gvfm!Hbvhf-8Ebz!ujnfs-Ufnq!Hbvhf-Is!nfuf
s-MFE!Mjhiujoh!vqhsbef!xjui!xpsl!mjhiut-
boe!tuspcf!mjhiut/
2/11!TPMWFOU!UBOL!!!!!!!!!!!!!!!!!!!!!FB!!!!611/111!!!!!!!!!!!!!!!!!!611/11
GBM1123:
9!Hbmmpo!Tpmwfou!Ubol++
2/11!UPPM!IPMEFS!.!6!QPTJUJPOT!)JOTUB!FB!!!!311/111!!!!!!!!!!!!!!!!!!311/11
UI6Q
2/11!2111MC!EBWJU!DSBOF!X0!XJODI!!!!!!FB!!!4386/111!!!!!!!!!!!!!!!!!4386/11
TQ88:15
2/11!QMBUF!DPNQBDUPS!CBTLFU!.!35Y35!.!FB!!!!361/111!!!!!!!!!!!!!!!!!!361/11
91TQ43181
2/11!MFE!BSSPX!TUJDL!)JOTUBMMFE!POMZ*!FB!!!2561/111!!!!!!!!!!!!!!!!!2561/11
MFE!BSSPX!TUJDL
2/11!NJTDFMMBOFPVT!!!!!!!!!!!!!!!!!!!!FB/11
NJTD
Frvjqunfou!usbef!jo!2:99
Xftufso0Opslpu!Ipu!Cpy!%.611/11++
EFMJWFSZ!DIBSHF!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!411/11
Tvc.upubm;!!!!5:486/11Tvc.upubm;
Upubm;!!!!5:486/11Upubm;
PRICING ISCONFIDENTIAL***
WWW.SEALMASTER.NETWWW.JBEQUIP.NET
1. The totalcharges are an estimate based on the estimated rental period and other information provided byCustomer.
2. Customer assumes allrisks associated with the equipment during the rental period, including injury and damage topersons, property and the equipment.
3. Customer isresponsible for and shall onlypermit properly trained and authorized individuals touse the equipment.
4. Ifthe equipment does notoperate properly, is notsuitable for customers intended use, does not have operating and safety instructions orcustomer has any questions regarding useof
the equipment, customer shall not use theequipment and shall contact SealMaster immediately.
5. Equipment misuse orusing damaged ormalfunctioning equipment may result in serious bodily injury ordeath and customer agrees that customer orits agents assume allrisk associated
thereunder, and indemnifies SealMaster/Bernath LLC/Bernath Transportation/JDB Manufacturing and allentities forallclaims ordamages asaresult ofmisuse oruse ofdamaged or
malfunctioning equipment.
6. Customer must contact SealMaster torequest pickup ofequipment, customer isresponsible for equipment until actually retrieved bySealMaster.
7. Asignature indicates customer agrees with allcontractual obligations on the backside ofthis contract.
CUSTOMER SIGNATUREDATENAME PRINTEDDATEDELIVERED BYDATE
TMTMTE
2/EFGJOJUJPOT/!!!#Bvuipsj{fe!Joejwjevbmt#!bsf!uiptf!joejwjevbmt!uibu!Dvtupnfs!ejsfdumz!ps!joejsfdumz!bmmpxt!up!vtf!uif!Frvjqnfou-!xip!bsf!qspqfsmz!usbjofe!up!vtf!uif!Frvjqnfou!boe!bsf!opu!voefs!uif!j ogmvfodf!pg!boz!
esvht- bmdpipm-!tvctubodft!ps!puifsxjtf!jnqbjsfe/!#Dvtupnfs#!jt!jefoujgjfe!fbsmjfs!boe!jodmveft!boz!pg!jut!sfqsftfoubujwft-!bhfout-!pggjdfst-!fnqmpzfft!ps!bozpof!tjhojoh!uijt!Dpousbdu!po!jut!cfibmg/!#Fowjsp onfoubm!Gff#!jt!
uif!dibshf eftdsjcfe!jo!Tfdujpo!27/!#Frvjqnfou#!jt!uif!frvjqnfou!boe0ps!tfswjdft!jefoujgjfe!fbsmjfs-!uphfuifs!xjui!bmm!sfqmbdfnfout-!sfqbjst-!beejujpot-!buubdinfout!boe!bddfttpsjft!boe!bmm!gvuvsf!Frvjqnfou!sfou fe/!#Jodjefou#!
jt!boz!gjof- djubujpo-!uifgu-!bddjefou-!dbtvbmuz-!mptt-!wboebmjtn-!jokvsz-!efbui!ps!ebnbhf!up!qfstpo!ps!qspqfsuz-!dmbjnfe!cz!boz!qfstpo!ps!foujuz!uibu!bqqfbst!up!ibwf!pddvssfe!jo!dpoofdujpo!xjui!uif!Frvjqnfou/!Fr
vjqnfou!jt!dpotjefsfe!#Mptu# xifo!ju!jt!fjuifs!tupmfo-!jut!mpdbujpo!jt!volopxo!ps!Dvtupnfs!jt!vobcmf!up!sfdpwfs!ju!gps!b!qfsjpe!pg!41!ebzt/!#NTMQ#!jt!uif!Frvjqnfou!nbovgbduvsfsµt!tvhhftufe!mjtu!qsjdf!po!ps!bcpvu!uif!ebuf!pg!uif!
Jodjefou!sfmbujoh!up!uif Frvjqnfou/!#Pof!Tijgu-#!nfbot!opu!npsf!uibo!9!ipvst!qfs!ebz!boe!51!ipvst!qfs!xffl/!#Psejobsz!Xfbs!boe!Ufbs#!nfbot!opsnbm!efufsjpsbujpo!dpotjefsfe!sfbtpobcmf!jo!uif!frvjqnfou!sfoubm!joevtusz!gps!
Pof!T ijgu!vtf/!#Sfoubm Qfsjpe#!dpnnfodft!xifo!uif!Frvjqnfou!jt!efmjwfsfe!up!Dvtupnfs!ps!uif!Tjuf!Beesftt!boe!dpoujovft!voujm!uif!Frvjqnfou!jt!sfuvsofe!up!uif!Tupsf!ps!qjdlfe!vq!cz!Tfbmnbtufs!evsjoh!opsnbm!
cvtjoftt!ipvst-!q spwjefe!Dvtupnfs!ibt puifsxjtf!dpnqmjfe!xjui!uijt!Dpousbdu/!#SQQ#!jt!uif!sfoubm!qspufdujpo!qsphsbn!eftdsjcfe!jo!Tfdujpo!21/!#Tjuf!Beesftt#!jt!uif!mpdbujpo!uibu!Dvtupnfs!sfqsftfout!uif!Frvjqnfou!xjmm!cf!mpdbufe!
gps!uif!ev sbujpo!pg!sfoubm!jefoujgjfe fbsmjfs/!#Tupsf#!jt!uif!Tfbmnbtufs!mpdbujpo!jefoujgjfe!fbsmjfs/!#Tfbmnbtufs#!jt!Cfsobui!MMD!ecb!Tfbmnbtufs!Joejbobqpmjt-!Cfsobui!Usbotqpsubujpo!MMD-!boe!KEC!
Nbovgbduvsjoh!ecb!TfbmNbtufs!Mpvjtwjmmf/!#Tfbmnbtufs!Foujujft#!jt Tfbmnbtufs!boe!jut!bggjmjbufe!dpnqbojft-!
uifjs!sftqfdujwf!pggjdfst-!ejsfdupst-!fnqmpzfft!boe!bhfout/ 3/UFSNT/!!Dvtupnfsµt!fyfdvujpo!pg!uijt!Dpousbdu!ps!ubljoh!qpttfttjpo!pg!uif!Frvjqnfou!tibmm!cf!effnfe!bddfqubodf!pg!uif!ufsnt!ifsfjo/!Bmm!pg!uif!ufsnt!ifsfjo!bsf!jodpsqpsbufe!joup!uijt!
boe!bmm!qbtu!b oe!gvuvsf!dpousbdut!cfuxffo Tfbmnbtufs!boe!Dvtupnfs!vqpo!Dvtupnfsµt!sfdfjqu!pg!Tfbmnbtufsµt!Frvjqnfou!voefs!uiptf!dpousbdut/!Boz!sfgfsfodf!jo!Dvtupnfs(t!qvsdibtf!psefs!ps!puifs!Dvtupnfs!epdvnfou!up!
puifs!ufsnt!uibu!tibmm!dpousp m!uijt!usbotbdujpo!tibmm cf!wpje/!Dvtupnfs!sfout!uif!Frvjqnfou!gspn!Tfbmnbtufs!qvstvbou!up!uijt!Dpousbdu/!Uijt!Dpousbdu!jt!b!usvf!mfbtf/!Uif!Frvjqnfou!)b*!jt!boe!tibmm!sfnbjo!uif!qfstpobm!qspqfsuz!pg!Tfbmnbtufs!
boe!)
c*!tibmm opu!cf!bggjyfe!up!boz!puifs qspqfsuz/ 4/QFSNJUUFE!VTF/!!Dvtupnfs!bhsfft!uibu!Tfbmnbtufs!ibt!op!dpouspm!pwfs!uif!nboofs!jo!xijdi!uif!Frvjqnfou!jt!pqfsbufe!gps!uif!evsbujpo!pg!sfoubm!cz!Dvtupnfs!ps!
boz!uijse!qbsuz!uibu!Dvtupnfs!jnqmjdjumz!ps!fyqmjdjumz!qfsnjut/ Dvtupnfs!xbssbout!uibu;!)b*!qsjps!up!fbdi!vtf-!Dvtupnfs!tibmm!jotqfdu!uif!Frvjqnfou!up!dpogjsn!uibu!ju!jt!jo!hppe!dpoejujpo-!xjuipvu!efgfdut-!jodmveft!sfbebcmf!efdbmt!
boe!pqfsbujoh!boe!tbgfuz!frvjqnf ou!ps!jotusvdujpot!boe!jt tvjubcmf!gps!Dvtupnfsµt!joufoefe!vtf<!)c*!boz!bqqbsfou!bhfou!bu!uif!Tjuf!Beesftt!jt!bvuipsj{fe!up!bddfqu!efmjwfsz!pg!uif!Frvjqnfou!)boe!jg!Dvtupnfs!sfrvftut-!Dvtupnfs!
bvuipsj{ft!Tfbmnbtufs!up!mfbwf!u if!Frvjqnfou!bu!uif!Tjuf Beesftt!xjuipvu!sfrvjsfnfou!pg!xsjuufo!sfdfjqu*<!)d*!Dvtupnfs!tibmm!jnnfejbufmz!opujgz!Tfbmnbtufs!jg!uif!Frvjqnfou!jt!njttjoh-!ebnbhfe-!votbgf-!ejtbcmfe-!
nbmgvodujpojoh-!mfwjfe!vqpo-!uisfbufofe!xjui!tfj{vsf-!ps!jg!boz!Jodjefou pddvst<!)e*!Dvtupnfs!ibt!sfdfjwfe!gspn!Tfbmnbtufs!bmm!jogpsnbujpo!offefe!ps!sfrvftufe!sfhbsejoh!uif!pqfsbujpo!pg!uif!Frvjqnfou<!)f*!Tfbmnbtufs!
jt!opu!sftqpotjcmf!gps!qspwjejoh!pqfsbups!ps!puifs!usbjo joh!vomftt!Dvtupnfs tqfdjgjdbmmz!sfrvftut!jo!xsjujoh!boe!Tfbmnbtufs!bhsfft!up!qspwjef!tvdi!usbjojoh!)Dvtupnfs!cfjoh!sftqpotjcmf!up!pcubjo!bmm!usbjojoh!uibu!Dvtupnfs!eftjsft!qsjps!
up!uif!Frvjqnfouµt!vtf*<!)g*!pomz!Bvuips j{fe!Joejwjevbmt!tibmm!vtf!boe pqfsbuf!uif!Frvjqnfou<!)h*!uif!Frvjqnfouµt!vtf!tibmm!cf!jo!b!dbsfgvm!nboofs-!jo!dpnqmjbodf!xjui!bmm!pqfsbujoh!boe!tbgfuz!jotusvdujpot!qspwjefe!po-!jo!ps!
xjui!uif!Frvjqnfou!boe!bmm!bqqmjdbcmf!gfefsbm-tubuf!boe!mpdbm!mbxt-!qfsnjut!boe mjdfotft-!jodmvejoh!cvu!opu!mjnjufe!up-!PTIB-!
bt!sfwjtfe<!boe!)i*!uif!Frvjqnfou!tibmm!cf!lfqu!jo!b!tfdvsf!mpdbujpo/ 5/QSPIJCJUFE!VTF/!Dvtupnfs!tibmm!opu!)b*!bmufs!ps!dpwfs!vq!boz!efdbmt!ps!jotjhojb!po!uif!Frvjqnfou!ps!sfnpwf!boz!pqfsbujoh!ps!tbgfuz!frvjqnfou!
ps!jotusvdujpot<!)c*!bttjho!jut!sjhiut!voefs!uijt!Dpousb du<!)d*!npwf!uif!Frvjqnfou gspn!uif!Tjuf!Beesftt!xjuipvu!Tfbmnbtufsµt!xsjuufo!dpotfou<!)e*!vtf!uif!Frvjqnfou!jo!b!ofhmjhfou-!jmmfhbm-!vobvuipsj{fe!ps!bcvtjwf!nboofs-!ps!jo!
boz!qvcmjdbujpo!)qsjou-!bvejpwjtvbm!ps!fmfduspojd*<!ps f*!bmmpx!uif!vtf!pg!uif!Frvjqnfou cz!boz!vobvuipsj{fe!joejwjevbm!)Dvtupnfs!
bdlopxmfehjoh!uibu!uif!Frvjqnfou!nbz!cf!ebohfspvt!jg!vtfe!jnqspqfsmz!ps!cz!vousbjofe!qbsujft*/ 6/NBJOUFOBODF/!Dvtupnfs!tibmm!qfsgpsn!spvujof!nbjoufobodf!po!uif!Frvjqnfou-!jodmvejoh!spvujof!jotqfdujpot!boe!nbjoufobodf!pg!
gvfm!boe!pjm!mfwfmt-!hsfbtf-!dppmjoh!tztufn-!xbufs-!cbuufsjft-!dvuujoh!feh ft-!boe!dmfbojoh!jo bddpsebodf!xjui!uif!nbovgbduvsfsµt!tqfdjgjdbujpot/!Bmm!puifs!nbjoufobodf!ps!sfqbjst!nbz!pomz!cf!qfsgpsnfe!cz!Tfbmnbtufs!ps!jut!bhfout-!
cvu!Tfbmnbtufs!ibt!op!sftqpotjcjmjuz!gps!uif!evsbujpo!pg!sfoubm!up!jotqfdu!ps!qfsgpsn!boz nbjoufobodf!ps!sfqbjst!vomftt!Dvtupnfs!sfrvftut!b!tfswjdf!dbmm/!Jg!Tfbmnbtufs!efufsnjoft!uibu!sfqbjst!up!uif!Frvjqnfou!bsf!offefe-!puifs!uibo!
Psejobsz!Xfbs!boe!Ufbs-!Dvtupnfs!tibmm!qbz!uif!gvmm!sfqbj s!dibshft!boe!sfoubm!pg!uif Frvjqnfou!voujm!uif!sfqbjst!bsf!dpnqmfufe/!Tfbmnbtufs!ibt!uif!sjhiu!up!jotqfdu!uif!Frvjqnfou!xifsfwfs!mpdbufe/!Dvtupnfs!ibt!uif!bvuipsjuz!
up!boe!ifsfcz!hsbout!Tfbmnbtufs!boe!jut!bhfout!uif!sjhiu!up!f oufs!uif!qiztjdbm!mpdbujpo!pg uif!Frvjqnfou!gps!uif!qvsqptft!tfu!gpsui!ifsfjo/!Tfbmnbtufs!tibmm!cf!sftqpotjcmf!gps!sfqbjst!offefe!cfdbvtf!pg!
Psejobsz!Xfbs!boe!Ufbs/!Dvtupnfs!bhsfft!uibu!sfqbjs!ps!sfqmbdfnfou!pg!uif!Frvjqnfou!jt!D vtupnfsµt!fydmvtjwf!sfnfez gps!Tfbmnbtufsµt!csfbdi!pg!uijt!Tfdujpo/!Opuxjuituboejoh!Tfbmnbtufsµt!tfswjdf!dpnnjunfou-!Tfbmnbtufs!tibmm!
ibwf!op!pcmjhbujpo!jg!Dvtupnfs!csfbdift!uijt!Dpousbdu!up!tupq!uif!Sfoubm!Qfsjpe-!dpnnfodf!
sf qbjst!ps!sfou!puifs frvjqnfou!up!Dvtupnfs!voujm!Dvtupnfs!ps!jut!bhfou!bhsfft!up!qbz!gps!tvdi!dibshft/ 7/DVTUPNFS!MJBCJMJUZ/!GPS!UIF!EVSBUJPO!PG!SFOUBM-!DVTUPNFS!
BTTVNFT!BMM!SJTL!BTTPDJBUFE!XJUI!UIF!QPTTFTTJPO-!DPOUSPM-!PS!VTF!PG!UIF!FRVJQNFOU-!JODMVEJOH!CVU!OPU!MJNJUFE!UP-!JOKVSZ- EFBUI-!SFOUBM!DIBSHFT-!UIFGU-!MPTTFT-!EBNBHFT!
BOE!EFTUSVDUJPO-!JODMVEJOH!DVTUPNFS!USBOTQPSUBUJPO-!MPBEJOH!BOE!VOMPBEJOH-!XIFUIFS!PS!OPU!UIF!DVTUPNFS!JT!BU!GBVMU/!Bgufs!bo!Jodjefou- Dvtupnfs!tibmm!)b*!jnnfejbufmz!opujgz!Tfbmnbtufs-!uif!qpmjdf-!jg!ofdfttbsz!boe!Dvtupnfsµt!jotvsbodf!dbssjfst<!)
c*!tfdvsf!boe!nbjoubjo!uif!Frvjqnfou!boe!uif!tvsspvoejoh!qsfnjtft!jo!uif!dpoejujpo!fyjtu joh!bu!uif!ujnf!pg!tvdi Jodjefou-!voujm!Tfbmnbtufs!ps!jut!bhfout!jowftujhbuf<!)d*!jnnfejbufmz!tvcnju!dpqjft!pg!bmm!qpmjdf!ps!puifs!uijse!qbsuz!
sfqpsut!up!Tfbmnbtufs<!boe!)e*!bt!bqqmjdbcmf-!qbz!Tfbmnbtufs-!jo!beejujpo!up!pui fs!tvnt!evf!ifsfjo-!uif!sfoubm!sbuf!gps Frvjqnfou!voujm!uif!sfqbjst!bsf!dpnqmfufe!ps!Frvjqnfou!sfqmbdfe!qmvt!fjuifs!)j*!uif!NTMQ!ps!)
jj*!uif!gvmm!dibshft!pg!sfqbjst!pg!ebnbhfe!Frvjqnfou/!Bddsvfe!sfoubm!dibshft!tibmm!opu!cf!
bqqmjfe!bhbjotu!uiftf!bnpvout/!Tfbmnbtufs!tibmm ibwf!uif!jnnfejbuf!sjhiu-!cvu!opu!pcmjhbujpo-!up!sfdmbjn!boz!Frvjqnfou!jowpmwfe!jo!boz!Jodjefou/ 8/SFMFBTF!BOE!JOEFNOJGJDBUJPO/!Up!uif!gvmmftu!fyufou!
qfsnjuufe!cz!mbx-!dvtupnfs!joefnojgjft-!sfmfbtft-!ipmet!Tfbmnbtufs!foujujft!ibsnmftt!boe!bu!Tfbmnbtufsµt!sfrvftu-!efgfoet!Tfbmnbtufs!foujujft!)xju i!dpvotfm!bqqspwfe!cz Tfbmnbtufs*-!gspn!boe!bhbjotu!bmm!mjbcjmjujft-!dmbjnt-!mpttft-!ebnbhft-!boe!fyqfotft!)
jodmvejoh!buupsofzµt!boe0ps!mfhbm!gfft!boe!fyqfotft*!ipxfwfs!bsjtjoh!ps!jodvssfe-!sfmbufe!up!boz!jodjefou-!ebnbhf up!qspqfsuz-!jokvsz!ps!efbui!pg- boz!qfstpo-!dpoubnjobujpo!ps!bmmfhfe!dpoubnjobujpo-!ps!wjpmbujpo!pg!mbx!ps!sfhvmbujpo!dbvtfe!cz!ps!dpoofdufe!
xjui!uif!)b*!vtf-!qpttfttjpo!ps!dpouspm!pg!uif!frvjqnfou!gps!uif!evsbujpo!pg!sfoubm!ps!)c*csfbdi!pg!uijt!dpousbdu-!xifuifs ps!opu!dbvtfe!jo!qbsu!cz!uif!bdujwf!ps!qbttjwf!ofhmjhfodf!ps!puifs!gbvmu!pg!boz!qbsuz!joefnojgjfe!
ifsfjo!boe!boz!pg!uif!gpsfhpjoh!bsjtjoh!ps!jnqptfe!jo!bddpsebodf!xjui!uif!epdusjof!pg!tusjdu!ps!bctpm vuf!mjbcjmjuz/!Dvtupnfs!bmtp!bhsfft up!xbjwf!jut!xpslfstµ!dpnqfotbujpo!jnnvojuz-!up!
uif!fyufou!bqqmjdbcmf/!Dvtupnfsµt!joefnojuz!
pcmjhbujpot!tibmm!tvswjwf!uif!fyqjsbujpo!ps!ufsnjobujpo!pg!uijt!dpousbdu/!Bmm!pg!dvtupnfsµt!joefnojgjdbujpo pcmjhbujpot!voefs!uijt!qbsbhsbqi tibmm!cf!kpjou!boe!tfwfsbm/ 9/JOTVSBODF/!Gps!uif!evsbujpo!pg!sfoubm-!Dvtupnfs!tibmm!nbjoubjo-!bu!jut!
pxo!fyqfotf-!uif!gpmmpxjoh!njojnvn!jotvsbodf!dpwfsbhf;!)b*!hfofsbm!mjbcjmjuz!jotvsbodf!pg!opu!mftt!uibo!%2-111-111!qfs!pddvssf odf-!jodmvejoh!dpwfsbhf!gps Dvtupnfsµt!dpousbduvbm!mjbcjmjujft!ifsfjo!tvdi!bt!uif!sfmfbtf!boe!joefnojgjdbujpo!dmbvtf!dpoubjofe!
jo!Tfdujpo!9<!)c*!qspqfsuz!jotvsbodf!bhbjotu!mptt!cz!bmm!sjtlt!up!uif!Frvjqnfou-!jo!bo!bnpvou!bu!mfb tu!frvbm!up!uif!NTMQ!uifsfpg- vomftt!SQQ!jt!fmfdufe!boe!qbje!gps!
bu!uif!ujnf!pg!sfoubm<!)d*!xpslfsµt!dpnqfotbujpo!jotvsbodf!bt!sfrvjsfe!cz!mbx<!boe!)e*!bvupnpcjmf!mjbcjmjuz!jotvsbodf!)jodmvejoh!dpnqsfifotjwf!boe!dpmmjtjpo!dpwfsbh f-!boe!vojotvsfe0voefsjotvsfe npupsjtu!dpwfsbhf*-!jo!uif!tbnf!bnpvout!tfu!gpsui!jo!tvctfdujpot!)b*!boe!)
c*-!jg!uif!Frvjqnfou!jt!up!cf!vtfe!po!boz!spbexbz/!Tvdi!qpmjdjft!tibmm!cf!qsjnbsz-!opo.dpousjcvupsz-!po!bo!pddvssfodf!cbtjt-!dpoubjo!b!xbjwfs!pg tvcsphbujpo-!obnf!Tfbmnbtufs!boe!jut!bhfout!bt!bo!beejujpobm!
jotvsfe!)jodmvejoh!bo!beejujpobm!jotvsfe!foepstfnfou*!boe!mptt!qbzff-!boe!qspwjef!gps!Tfbmnbtufs!up!sfdfjwf!bu!mfbtu!41!ebzt!qsjps!xsjuufo opujdf!pg!boz!dbodfmmbujpo!ps nbufsjbm!dibohf/!Boz!jotvsbodf!uibu!fydmveft!cppn!ebnbhf!
ps!pwfsuvsot!jt!b!csfbdi/!Dvtupnfs!tibmm!qspwjef!Tfbmnbtufs!xjui!dfsujgjdbuft!pg!jotvsbodf!fwjefodjoh!uif!dpwfsbhft!sfrvjsfe!bcpwf!qsjps!up!bo z!sfoubm!boe!boz!ujnf!vqpo Tfbmnbtufsµt!sfrvftu/!
Up!uif!fyufou!Tfbmnbtufs!Foujujft!dbssz!boz!jotvsbodf-!Tfbmnbtufs!Foujujftµ!jotvsbodf!xjmm!cf!dpotjefsfe!fydftt!jotvsbodf/!Uif!
jotvsbodf!sfrvjsfe!ifsfjo!epft!opu!sfmjfwf!Dvtupnf s!pg!jut!sftqpotjcjmjujft- joefnojgjdbujpo-!ps!puifs!pcmjhbujpot!qspwjefe!ifsfjo-!ps!gps!xijdi!Dvtupnfs!nbz!cf!mjbcmf!cz!mbx!ps!puifsxjtf/ SFOUBM!QSPUFDUJPO!Q/!Dvtupnfsµt!sfqbjs!ps!
sfqmbdfnfou!sftqpotjcjmjuz!jo!Tfdujpot!6!boe!7!jt!npejgjfe!cz!uif!SQQ!boe!Tfbmnbtufs!tibmm!mjnju!uif!bnpvou!Tfbmnbtufs!dpmmfdut!gspn!Dvtupnfs!gps!uif!Frvjq nfou!mptt-!ebnbhf!ps eftusvdujpo!up!uif!gpmmpxjoh!bnpvout!gps!fbdi!qjfdf!pg!Frvjqnfou;!)b*!
21&!pg!uif!NTMQ!gps!Mptu!Frvjqnfou-!vq!up!b!nbyjnvn!pg!%611!qfs!qjfdf!pg!Frvjqnfou<!)c*!21&!pg!uif!sfqbjs!dibshft!gps!jodjefoubm!ps!bddjefoubm!ebnbhf!up Frvjqnfou-!vq!up!b!nbyjnvn!pg!%611!qfs!qjfdf!pg!
Frvjqnfou<!)d*!dibshft!jo!fydftt!pg!%61!qfs!ujsf!gps!ujsf!sfqbjst<!boe!)e*!opuijoh!gps!uif!sfoubm!dibshft!xijdi!xpvme!puifsxjtf!bddsvf!evsjoh!uif!qfsjp e!xifo!ebnbhfe!ps eftuspzfe!Frvjqnfou!jt!cfjoh!
sfqbjsfe!ps!sfqmbdfe!cz!Tfbmnbtufs!ps!Mptu!Frvjqnfou!jt!cfjoh!sfqmbdfe<!qspwjefe!ipxfwfs-!uif!gpsfhpjoh!SQQ!mjbcjmjuz!sfevdujpo!pomz!bqqmjft!jg!uif!Dpoejujpot!bsf!tbujtgj fe!boe!bo!Fydmvtjpo!epft!opu bqqmz/!Uif!SQQ!jt!OPU!JOTVSBODF!boe!epft!
OPU!qspufdu!Dvtupnfs!gspn!mjbcjmjuz!up!Tfbmnbtufs!ps!puifst!bsjtjoh!pvu!pg!qpttfttjpo-!dpouspm!ps!vtf!pg!uif!Frvjqnfou-!jodmvejoh!jokvsz!ps!ebnbhf!up!qfstpot!ps!qspqfsuz/!UIF!SQQ!JT!B DPOUSBDUVBM!NPEJGJDBUJPO!
PG!DVTUPNFSµT!MJBCJMJUZ/!Bmm!pg!uif!gpmmpxjoh!#Dpoejujpot#!nvtu!cf!tbujtgjfe!gps!uif!SQQ!boe!uif!dpssftqpoejoh!mjbcjmjuz!sfevdujpo!up!bqqmz;!)j*!Dvtupnfs!bddfqut!uif!SQQ!jo!b ewbodf!pg!uif!sfoubm< jj*!Dvtupnfs!qbzt!26&!pg!uif!hsptt!sfoubm!
dibshft!bt!uif!gff!gps!uif!SQQ!)qmvt!bqqmjdbcmf!ubyft*<!)jjj*!Dvtupnfs!gvmmz!dpnqmjft!xjui!uif!ufsnt!pg!uijt!Dpousbdu<!)jw*!Dvtupnfsµt!bddpvou!jt!dvssfou!bu uif!ujnf!pg!uif!mptt-!uifgu- ebnbhf!ps!eftusvdujpo!pg!uif!
Frvjqnfou<!boe!)w*!opof!pg!uif!Fydmvtjpot!bqqmz/!Dvtupnfs!bttvnft!uif!Fydmvtjpo!sjtlt-!nfbojoh!uibu!jg!boz!Fydmvtjpo!pddvst-!uif!SQQ!epft!OPU!sfevdf!uif!mjbcjmjuz!pg!Dvtu pnfs!up!Tfbmnbtufs!gps!uif mptt-!
uifgu-!ebnbhf!ps!eftusvdujpo!sftvmujoh!gspn!tvdi!Fydmvtjpo/!#Fydmvtjpot#!tibmm!nfbo!mptt-!uifgu-!ebnbhf!ps!eftusvdujpo!pg!uif!Frvjqnfou;!)B*!evf!up!joufoujpobm!njtvtf<!)C*!dbvtfe!cz!Mptu!Frvjqn fou!opu!sfqpsufe!cz!Dvtupnfs up!uif!qpmjdf!
xjuijo!59!ipvst!pg!ejtdpwfsz-!boe!tvctuboujbufe!cz!b!xsjuufo!qpmjdf!sfqpsu!)qspnqumz!efmjwfsfe!up!Tfbmnbtufs*<!)D*!evf!up!gmppet-!xjoe-!tupsnt-!fbsuirvblft!ps!puifs!Bdut!pg!Hpe<!boe!)E*bddfttpsjft!ps!Frvjqnfou!
gps xijdi!Dvtupnfs!jt!opu!dibshfe!uif!SQQ!gff/!UIF!FYDMVTJPOT!SFNBJO!UIF!MJBCJMJUZ!PG!DVTUPNFS!BOE!BSF!OPU!NPEJGJFE!CZ!UIF!SQQ/!SQQ!JT!SFGMFDUFE!PO!UIF!DPOUSBDU!
BT!QBSU!PG!DVTUPNFST!QSPKFDUFE DIBSHFT!VOMFTT!DVTUPNFS!IBT!FMFDUFE!UP!EFDMJOF!SQQ!JO!XSJUJOH!PS!NBEF!PUIFS!DPOUSBDUVBM!BSSBOHFNFOUT/!Opuxjuituboejoh!bozuijoh!up!uif!dpousbsz!jo!uijt!Dpousbdu-!jg!Mptu!Frvjqnfou!jt!
mbufs!sfdpwfsfe-Tfbmnbtufs!sfubjot!pxofstijq!pg!uif!Frvjqnfou!sfhbsemftt!pg!boz!qbznfout!nbef!cz!Dvtupnfs!ps!Dvtupnfsµt!jotvsbodf!dpnqboz!xjui!sftqfdu!up!tvdi!Frvjqnfou-!bmm!pg!xijdi!qbznfout!bsf!opo.sfgvoebcmf/!Dvt upnfs!bhsfft!
up qspnqumz!sfuvso!boz!Frvjqnfou!uibu!jt!sfdpwfsfe/!Tfbmnbtufs!tibmm!cf!tvcsphbufe!up!Dvtupnfsµt!sjhiut!up!sfdpwfs!bhbjotu!boz!qfstpo!ps!foujuz!sfmbujoh!up!boz!mptt-!uifgu-!ebnbhf-!ps!eftusvdujpo!up!uif Frvjqnfou/!Dvtupnfs!
tibmm dppqfsbuf!xjui-!bttjho!Tfbmnbtufs!bmm!
dmbjnt!boe!qspdffet!bsjtjoh!gspn!tvdi!mptt-!uifgu-!ebnbhf!ps!eftusvdujpo-!fyfdvuf!boe!efmjwfs!up!Tfbmnbtufs!xibufwfs!epdvnfout!bsf!sfrvjsfe!boe!ublf!bmm!puifs!of dfttbsz!tufqt!up!tfdvsf!jo Tfbmnbtufs!tvdi!sjhiut-!
bu!Dvtupnfsµt!fyqfotf/ 21/SFOUBM!SBUFT/!Uif!upubm!dibshft!tqfdjgjfe!jo!uijt!Dpousbdu!bsf;!)b*!qspkfdufe!cbtfe!vqpo!Dvtupnfsµt!sfqsftfoubujpo!pg!uif!qspkfdufe!Sfoubm!Qfsjpe!jefoujgjfe!ifsfjo!)sfoubm!sbuft!cfzpoe!uif!qspkfdu fe!Sfoubm!Qfsjpe!
nbz!dibohf* boe!puifs!jogpsnbujpo!dpowfzfe!cz!Dvtupnfs!up!Tfbmnbtufs<!boe!)c*!gps!uif!Frvjqnfouµt!vtf!gps!Pof!Tijgu-!vomftt!puifsxjtf!opufe/!Xfflmz!boe!5!xffl!sfoubm!sbuft!tibmm!opu!cf!qspsbufe/!Sfoubm!dibshft!
b ddsvf!evsjoh!Tbuvsebzt- Tvoebzt!boe!ipmjebzt/!Uif!sfoubm!sbuft!ep!opu!jodmvef!boe!Dvtupnfs!jt!sftqpotjcmf!gps-!)j*!bmm!dpotvnbcmft-!gfft-!mjdfotft-!qsftfou!boe!gvuvsf!ubyft!boe!boz!puifs!hpwfsonfoubm!dibshft!cbtfe!po!Dvtupn fsµt!qpttfttjpo!boe0ps!
vtf pg!uif!Frvjqnfou-!jodmvejoh!beejujpobm!gfft!gps!npsf!uibo!Pof!Tijgu!vtf<!)jj*!efmjwfsz!boe!qjdlvq!dibshft!up!boe!gspn!uif!Tupsf-!jodmvejoh!cvu!opu!mjnjufe!up!boz!gsfjhiu-!usbotqpsubujpo-!efmjwfsz-!qj dlvq!boe!tvsdibshf!gfft!mjtufe!
jo!uijt Dpousbdu<!)jjj*!nbjoufobodf-!sfqbjst!boe!sfqmbdfnfout!up!uif!Frvjqnfou!bt!qspwjefe!ifsfjo<!)jw*!b!dmfbojoh!gff!jg!sfrvjsfe<!)w*!njtdfmmbofpvt!
dibshft-!tvdi!bt!gfft!gps!njttjoh!lfzt!boe!SQQ<!)wj*!gvfm vtfe!gps!uif!evsbujpo!pg!sfoubm!boe gps!sfgvfmjoh!Frvjqnfou!bt!eftdsjcfe!cfmpx<!)wjj*!gjoft!gps!vtf!pg!ezfe!ejftfm!gvfm!
jo!po.spbe!Frvjqnfou<!boe!)wjjj*!Usbotqpsubujpo!Tvsdibshf/ 22/QBZNFOU/!Dvtupnfs!tibmm!qbz!bnpvout!evf-!xjuipvu!boz!pggtfut-!jo!gvmm!bu!uif!ujnf!pg!sfoubm-!vomftt!Tfbmnbtufs!bqqspwft!Dvtupnfsµt!fyfdvufe!dsfeju!bqqmjdbujpo!)dsfeju!dvtupnfst!nvtu!
qbz!vqpo!sfdfj qu!pg!Tfbmnbtufsµt jowpjdf*/!Dvtupnfs!nvtu!opujgz!Tfbmnbtufs!jo!xsjujoh!pg!boz!ejtqvufe!bnpvout-!jodmvejoh!dsfeju!dbse!dibshft-!xjuijo!26!ebzt!bgufs!uif!sfdfjqu!pg!uif!jowpjdf0dpousbdu!ps!Dvtupnfs!tibmm!cf!effnfe!up!ib wf!
jssfwpdbcmz!xbjwfe!jut!sjhiu up!ejtqvuf!tvdi!bnpvout/!Bu!Tfbmnbtufsµt!ejtdsfujpo-!boz!dsfeju!bddpvou!xjui!b!efmjorvfou!cbmbodf!nbz!cf!qmbdfe!po!b!dbti!cbtjt-!efqptjut!nbz!cf!sfrvjsfe!boe!uif!Frvjqnfou!nbz!cf!qjdlfe!vq!xjuipvu!op ujdf/!Evf!up!
uif!ejggjdvmuz jo!gjyjoh!bduvbm!ebnbhft!dbvtfe!cz!mbuf!qbznfou-!Dvtupnfs!bhsfft!uibu!b!tfswjdf!dibshf!frvbm!up!uif!mfttfs!pg!2/6&!qfs!npoui!ps!uif!nbyjnvn!sbuf!qfsnjuufe!cz!mbx!tibmm!cf!bttfttfe!po!bmm!efmjorvfou!
b ddpvout-!voujm!qbje!jo!gvmm/ Dvtupnfs!tibmm!qbz!b!gff!pg!%311!gps!fbdi!difdl!sfuvsofe!gps!mbdl!pg!tvggjdjfou!gvoet!up!dpnqfotbuf!Tfbmnbtufs!gps!jut!pwfsifbe!gps!qspdfttjoh!njttfe!qbznfou/!Efqptjut!xjmm!pomz!cf!sfuvsofe!
bgufs!bmm bnpvout!bsf!qbje!jo!gvmm/ Dvtupnfs!bhsfft!uibu!jg!b!dsfeju!dbse!jt!qsftfoufe!up!qbz!gps!
dibshft!ps!up!hvbsbouff!qbznfou-!Dvtupnfs!bvuipsj{ft!Tfbmnbtufs!up!dibshf!uif!dsfeju!dbse!bmm!bnpvout!tipxo!po!uijt!Dpousbdu!boe!dibshft!tvctfrvfoumz!jodvssfe!cz Dvtupnfs-!jodmvejoh!cvu!opu!mjnjufe!up-!mptt!pg!ps!ebnbhf!up!uif!
Frvjqnfou!boe!fyufotjpo!pg!uif!Sfoubm!Qfsjpe/ 23/SFUVSO!PG!FRVJQNFOU/!Tfbmnbtufs!nbz!ufsnjobuf!uijt!Dpousbdu!bu!boz!ujnf-!gps!boz!sfbtpo/!Bu!uif!foe!pg!uif!Sfoubm!Qfsjpe-!uif!Frvjqnfou!tibmm!cf!sfuvsofe!up!Tfbmnbtufs!jo!uif!
tbnf!dpoejujpo!ju!xbt sfdfjwfe-!mftt Psejobsz!Xfbs!boe!Ufbs!boe!gsff!pg!boz!ib{bsepvt!nbufsjbmt!boe!dpoubnjobout/!Dvtupnfs!xjmm!dpoujovf!up!cf!sftqpotjcmf!gps!sfoubm!boe!puifs!dibshft!bgufs!uif!Sfoubm!Qfsjpe!jg!uif!Frvjqnfou!jt!
opu!sfuv sofe!jo!uif!dpoejujpo!sfrvjsfe ifsfjo/!Jg!Tfbmnbtufs!efmjwfsfe!uif!Frvjqnfou!up!Dvtupnfs-!Dvtupnfs!tibmm!opujgz!Tfbmnbtufs!uibu!uif!Frvjqnfou!jt!sfbez!up!cf!qjdlfe!vq!bu!uif!Tjuf!Beesftt!boe!tdifevmf!b!Qjdl.
Vq-!xijdi!Qjdl.Vq!Dvtup nfs!tipvme!lffq!qsppg!pg uif!dbmm<!qspwjefe!Dvtupnfs!sfnbjot!mjbcmf!gps!boz!mptt-!uifgu-!ebnbhf!up!ps!eftusvdujpo!pg!uif!Frvjqnfou!voujm!Tfbmnbtufs!dpogjsnt!uibu!uif!Frvjqnfou!jt!sfuvsofe!
jo!uif!dpoejujpo!sfrvjsfe!ifsfjo/!Dv tupnfs!xjmm!opu!cf!dibshfe!uif sfoubm!dibshft!bgufs!uif!ebuf!uif!Qjdl.Vq!Ovncfs!jt!hjwfo-!qspwjefe!Dvtupnfs!ibt!puifsxjtf!dpnqmjfe!xjui!uijt!Dpousbdu/!Op!qjdlvqt!pddvs!po!Tvoebzt!
ps!tubuvupsz!ipmjebzt!boe!Tbuvsebz!qjdlvqt!bsf!efqf oefou!po!tqfdjgjd!Tupsf ipvst/!Jg!Dvtupnfs!qjdlfe!vq!Frvjqnfou-!
Dvtupnfs!tibmm!sfuvso!Frvjqnfou!up!uif!tbnf!Tupsf!evsjoh!uibu!Tupsfµt!opsnbm!cvtjoftt!ipvst/!Jg!uif!Frvjqnfou!jt!opu!sfuvsofe!cz!uif!qspkfdufe!foe!pg!uif!Sfoub m!Qfsjpe!tqfdjgjfe!fbsmjfs- Dvtupnfs!bhsfft!up!qbz!uif!
bqqmjdbcmf!sfoubm!sbuf!gps!uif!Frvjqnfou!voujm!uif!foe!pg!uif!Sfoubm!Qfsjpe/ 24/QVSDIBTFT/!Jg!uijt!Dpousbdu!jefoujgjft!boz!Vtfe!Frvjqnfou-!nbufsjbmt!ps!puifs!jufnt!uibu!jt!up!cf!qvsdibtfe!cz!Dvtupnfs-!Tfbmnbtufs!tfmmt!vtfe!
frvjqnfou!boe!efmjwfst!tvdi!jufnt!
up!Dvtupnfs!po!bo!#BT!JT-!XIFSF!JT# cbtjt-!xjui!bmm!gbvmut!boe!xjuipvu!boz!xbssboujft!)puifs!uibo!nbovgbduvsfs!xbssboujft-!jg!boz*!jo!dpotjefsbujpo!gps!Dvtupnfsµt!qbznfou!up!Tfbmnbtufs!pg!uif!gvmm!qvsdibtf!qsjdf!pg!uif!jufn-!Tfbmnbtufs sfubjot!
ujumf!up!uif!jufn!voujm Dvtupnfs!ibt!qbje!jo!gvmm/ 25/EFGBVMU/!Dvtupnfs!tibmm!cf!jo!efgbvmu!jg!Tfbmnbtufs!effnt!jutfmg!jotfdvsf!ps!jg!Dvtupnfs;!)b*!gbjmt!up!qbz!tvnt!xifo!evf<!)c*!csfbdift!boz!Tfdujpo!pg!
uijt!Dpousbdu<!)d*!cfdpnft!b!efcups!jo!b!cbols vqudz!qspdffejoh-!hpft!joup sfdfjwfstijq-!ublft!qspufdujpo!gspn!jut!dsfejupst!voefs!boz!jotpmwfodz!mfhjtmbujpo-!dfbtft!up!dbssz!po!cvtjoftt-!ps!ibt!jut!bttfut!tfj{fe!cz!boz!dsfejups<!)e*!
gbjmt!up!jotvsf!uif!Frvjqnfou!bt!sfrvjsf e-!ps!puifsxjtf!qmbdft!uif!Frvjqnfou bu!sjtl<!)f*!gbjmt!up!sfuvso!Frvjqnfou!jnnfejbufmz!vqpo!Tfbmnbtufsµt!efnboe<!ps!)g*!jt!jo!efgbvmu!voefs!boz!puifs!dpousbdu!xjui!Tfbmnbtufs/!Jg!
b!Dvtupnfs!efgbvmu!pddvst-!Tfbmnbtufs!tibmm!ibwf-!jo!bee jujpo!up!bmm!sjhiut!boe!sfnfejft!bu mbx!ps!jo!frvjuz-!uif!sjhiu!up!sfqpttftt!uif!Frvjqnfou!xjuipvu!kvejdjbm!qspdftt!ps!qsjps!opujdf/!Dvtupnfs!tibmm!qbz!bmm!pg!Tfbmnbtufsµt!dptut-!
jodmvejoh!sfbtpobcmf!dptut!pg!dpmmfdujpo-!dpvsu!dptut-!b uupsofzt!boe!mfhbm!gfft-!jodvssfe!jo fyfsdjtjoh!boz!pg!jut!sjhiut!ps!sfnfejft!ifsfjo/!Uif!vtf!pg!gbmtf!jefoujgjdbujpo!up!pcubjo!Frvjqnfou!ps!uif!
gbjmvsf!up!sfuvso!
Frvjqnfou!cz!uif!foe!pg!uif!Sfoubm!Qfsjpe!nbz!cf!dpotjefsfe!uifgu-!tvckfd u!up!dsjnjobm!qsptfdvujpo!boe!djwjm mjbcjmjuz!xifsf!qfsnjuufe-!qvstvbou!up!bqqmjdbcmf!mbxt/!Tfbmnbtufs!tibmm!opu!cf!
mjbcmf!evf!up!tfj{vsf!pg!Frvjqnfou!cz!psefs!pg!hpwfsonfoubm!bvuipsjuz/!DVTUPNFS!XBJWFT!BOZ!SJHIU!PG!BDUJPO!BHBJOTU!TFBM NBTUFS!FOUJUJFT GPS!TVDI!SFQPTTFTTJPO/ 26/MJNJUBUJPO!PG!TFBMNBTUFSµT!MJBCJMJUZ/!Jo!dpotjefsbujpo!pg!uif!
sfoubm!pg!frvjqnfou-!dvtupnfs!bhsfft!uibu!Tfbmnbtufsµt!mjbcjmjuz!voefs!uijt!dpousbdu-!jodmvejoh!boz!mjbcjmjuz!bsjtjoh!gspn!Tfbmnbtufs-Tfbmnbtufs!foujujft-!ps!boz uijse!qbsuzµt!dpnqbsbujwf-!dpodvssfou-!dpousjcvupsz-!qbttjwf!ps!bdujwf!ofhmjhfodf!ps!uibu!bsjtft!bt!b!sftvmu!pg!boz!
tusjdu!ps!bctpmvuf!mjbcjmjuz-!tibmm!opu!fydffe!uif!upubm!sfoubm!
dibshft!qbje!cz!dvt upnfs!voefs!uijt!dpousbdu/ 27/KVSZ!USJBM!XBJWFS/!Jo!boz!ejtqvuf!bsjtjoh!pvu!pg-!jo!dpoofdujpo!xjui-!ps!jo!boz!xbz!qfsubjojoh!up!uijt!dpousbdu-!dvtupnfs!boe!Tfbmnbtufs!ifsfcz!lopxjohmz-!wpmvoubsjmz!
boe!joufoujpobmmz!xbjwf!boz!s jhiu!up!b!usjbm!cz!kvsz-!uijt xbjwfs!cfjoh!b!nbufsjbm!joevdfnfou!up!foufsjoh!joup!uijt!dpousbdu/ 28/BSCJUSBUJPO!BHSFFNFOU!'!DMBTT!BDUJPO!XBJWFS/!Bu!uif!fmfdujpo!pg!dvtupnfs!ps!
Tfbmnbtufs-!boz!ejtqvuf!bsjtjoh!pvu!pg-!jo!dpoofdujpo!xjui!ps!jo!boz!xbz!qfsubjojoh!up!uijt!dpousbdu!tibmm!cf!tfuumfe!cz bscjusbujpo!cspvhiu jo!uif!qbsuzµt!joejwjevbm!dbqbdjuz!boe!opu!bt!b!qmbjoujgg!jo!b!qvsqpsufe!dmbtt!ps!
sfqsftfoubujwf!dbqbdjuz-!benjojtufsfe!cz!uif!Bnfsjdbo!
bscjusbujpo!bttpdjbujpo!voefs!jut!dpnnfsdjbm!bscjusbujpo!svmft!ps!cz!kbnt!qvstvbou!up!jut tusfbnmjofe!bscjusbujpo!svmft!boe!qspdfevsft!boe!kvehfnfou!po!uif!bxbse!sfoefsfe!cz!uif!bscjusbups)t*!nbz!cf!foufsfe!jo!boz!dpvsu!
ibwjoh!kvsjtejdujpo!uifsfpg/!Uifsf!tibmm!cf!op!sjhiu!ps!bvuipsjuz!gps boz!dmbjnt!up!cf!bscjusbufe!ps usjfe!po!b!dmbtt!bdujpo!cbtjt/ 29/DPNQMJBODF!XJUI!FYQPSU!BOE!JNQPSU!MBXT/!Sfnpwbm!pg!uif!Frvjqnfou!gspn!uif!
Vojufe!Tubuft!)#V/T/#*!jt!qspijcjufe!voefs!uijt!Dpousbdu/!Jg!Dvtupnfs!eftjsft!ps!dbvtft!uif!usbotqpsu!boe0ps!pqfsbujpo!pg!uif!Frvjqnfou pvutjef!pg!uif!V/T/-!Dvtupnfs!nvtu!)b*!pcubjo!Tfbmnbtufsµt!dpotfou!qsjps!up!ubljoh!
tvdi!bdujpo-!boe!)c*!fyfdvuf!bo!bnfoenfou!up!uijt!Dpousbdu-!xijdi!bnfoenfou!jt!jodpsqpsbufe!ifsfjo/!Jg!Dvtupnfs!fyqp sut!ps!sf.fyqpsut!xjuipvu dpnqmzjoh!xjui!uif!bcpwf!tfoufodf-!Dvtupnfs!bhsfft!uibu!)j*!uif!
Frvjqnfou!jt!tvckfdu!up!boe!nvtu!dpnqmz!xjui!bmm!bqqmjdbcmf!fyqpsu!mbxt-!jodmvejoh!cvu!opu!mjnjufe!up!uif!Fyqpsu!Benjojtusbujpo!Sfhvmbu jpot<!boe!)jj*!Dvtupnfs!jt sftqpotjcmf!
gps;!)B*!efufsnjojoh!xifuifs!boe!pcubjojoh!jg!ofdfttbsz-!fyqpsu!ps!sf.fyqpsu!mjdfotft!ps!puifs!bvuipsj{bujpot!bt!sfrvjsfe!qsjps!up!fyqpsujoh!ps!sf.fyqpsujoh!uif!Frvjqnfou-!)C*!pcubjojoh!b oz!sfrvjsfe!epdvnfoubujpo ofdfttbsz!gps!sfuvso!
pg!uif!Frvjqnfou-!boe!)D*!fotvsjoh!op!vobvuipsj{fe!usbotgfst!ps!ejwfstjpot!pg!uif!Frvjqnfou!pddvs/!Sfgfs!up!xxx/cjt/epd/hpw!gps!jogpsnbujpo/ 2:/HPWFSOJOH!MBX/!!Uif!
qbsujft!fyqsfttmz!boe!jssfwpdbcmz!bhsff;!)b*!uijt!Dpousbdu-!jodmvejoh!boz!sfmbufe!upsu!dmbjnt-!tibmm!cf!hpwfsofe!cz!uif!mbxt!pg!Joejbob!boe!Lfouvdlz-!xjuipvu!sfhbse!
up!boz!dpog mjdut!pg!mbx!qsjodjqmft!boe c*!jg!boz!Tfdujpo!pg!uijt!Dpousbdu!jt!qspijcjufe!cz!boz!mbx-!tvdi!Tfdujpo!tibmm!cf!jofggfdujwf!up!uif!fyufou!pg!tvdi!
qspijcjujpo!xjuipvu!jowbmjebujoh!uif!sfnbjojoh!Tfdujpot/ 31/QFSNJUUFE!BSFB!PG!VTF!PG!FRVJQNFOU/!Sfoufs!tibmm!opu!sfnpwf!uif!Frvjqnfou!gspn!uif!Tubuf!jo!xijdi!ju!jt!sfoufe!xjuipvu!Tfbmnbtufsµt!xsjuufo!dpotfou/ 32/NJTDFMMBOFPVT/!Uijt!Dpousbdu-!uphfuifs!xjui!
boz!Dvtupnfs!fyfdvufe!dsfeju!bqqmjdbujpo-!dpotujuvuft!uif!foujsf!bhsffnfou!pg!uif!qbsujft!sfhbsejoh!uif!Frvjqnfou!boe!nbz!opu!cf!npejgjfe!fydfqu!cz!xsju ufo!bnfoenfou tjhofe!cz!uif!qbsujft/!Dvtupnfsµt!pcmjhbujpot!ifsfvoefs!tibmm!tvswjwf!uif!ufsnjobujpo!pg!
uijt!Dpousbdu/!Uijt!Dpousbdu!boe!bmm!pg!Dvtupnfsµt!sjhiut!jo!boe!up!uif!Frvjqnfou!bsf!tvcpsejobuf!up!bmm!sjhiu t-!ujumf!boe!joufsftu!pg!bmm!qfstpot jodmvejoh!Tfbmnbtufsµt!mfoefst*!xip!ibwf!sjhiut!jo!uif!Frvjqnfou/!Ifbejoht!bsf!gps!dpowfojfodf!pomz/!
Up!uif!fyufou!uibu!boz!ufsnt!jo!uijt!Dpousbdu!dpogmjdu-!uif!qbsujft!bhsff!uibu!uif!npsf!tqfdjgjd!ufsnt!dpouspm/!B!dpqz!pg!uijt Dpousbdu!tibmm!cf!wbmje!bt!uif!psjhjobm/!Boz!gbjmvsf!cz!Tfbmnbtufs!up!jotjtu!
vqpo!tusjdu!qfsgpsnbodf!pg!boz!Tfdujpo!pg!uijt!Dpousbdu!tibmm!opu!cf!dpotusvfe!bt!b!xbjwfs!pg!uif!sjhiu!up!efnboe!tusjdu!q fsgpsnbodf!jo!uif!gvuvsf/!Dvtupnfs boe!uif!qfstpo!tjhojoh!uijt!Dpousbdu!sfqsftfou!uibu;!)b*!uifz!cpui!
ibwf!gvmm!bvuipsjuz!up!fyfdvuf-!efmjwfs!boe!qfsgpsn!uijt!Dpousbdu!boe!)c*!uijt!Dpousbdu!dpotujuvuft!b!mfhbm-!wbmje!boe!cjoejoh!pcmjh bujpo!pg!Dvtupnfs-!fogpsdfbcmf!jo bddpsebodf!xjui!jut!
ufsnt/!Xifo!Dvtupnfs!jt!b!cvzfs!pg!Frvjqnfou-!uifz!bsf!ifsfcz!opujgjfe!uibu!Tfbmnbtufs!ibt!bttjhofe!jut!sjhiut!)
EXHIBIT B
Invoice
Date:
Name of Company:
Address & Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
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 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): $ 50,000
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
Page 1 of 1INDIANARETAILTAXEXEMPT
CERTIFICATE NO. 003120155 0020PURCHASE ORDER NUMBERCityofCarmel
FEDERAL EXCISE TAXEXEMPT 108597
35-6000972 THIS NUMBER MUST APPEAR ON INVOICES, A/PONECIVICSQUARE
VOUCHER, DELIVERY MEMO, PACKING SLIPS, CARMEL, INDIANA 46032-2584 SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BYSTATE BOARD OFACCOUNTS FOR CITY OFCARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
3/14/2023376400
SEALMASTER INDIANAPOLIS Street Department
VENDORSHIP1010EASTSUMNERAVE 3400 W. 131st Street
TO Carmel, IN 46074-
INDIANAPOLIS, IN 46227 - Matt Higginbotham(317) 733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
74981
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund: 22012201Motor Vehicle Highway FND
Account: 44-670.00
1EachFalcon Asphalt Repair Hotbox$48,875.00$48,875.00
Sub Total 48,875.00
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
317) 733-2001 PLEASE INVOICE INDUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
48,875.00PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE ASHIPPINGINSTRUCTIONSPARTOFTHEVOUCHERANDEVERYINVOICEANDVOUCHERHASTHEPROPERSWORN
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
ORDERED BYANDACTSAMENDATORYTHEREOFANDSUPPLEMENTTHERETO.
LeeHigginbotham
TITLECommissioner
CONTROL NO. 108597 CONTROLLER
CzTfshfzHsfdivlijobu3;16qn-Nbs33-3134
1/6/2023
ROLLFAST
INDIANAPOLIS, IN 46280 -
108393
10630 WESTFIELD BLVD
City of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-6000972
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR SHIP
TO
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
EXTENSION
PROFESSIONAL SERVICES FOR BIKE CARMEL EVENTS
COMMUNITY RELATIONS
1 CIVIC SQ
Carmel, IN 46032-
371349
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
73134
1203Department:101Fund:General Fund
43-593.00Account:
PROFESSIONAL SERVICES FOR BIKE CARMELEVENTS1 $27,700.00 $27,700.00Each
27,700.00SubTotal
27,700.00
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
SHIPPING INSTRUCTIONS
SHIP PREPAID.
C.O.D. SHIPMENT CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
PAYMENT
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
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
CONTROL NO. 108393
ORDERED BY
TITLE
CONTROLLER
COMMUNITY RELATIONS
1 Civic Square
Carmel, IN 46032-
Nancy Heck James Crider
Director Director of Administration
1/6/2023
ROLLFAST
INDIANAPOLIS, IN 46280 -
108394
10630 WESTFIELD BLVD
City of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-6000972
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR SHIP
TO
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
EXTENSION
PROFESSIONAL SERVICES FOR BIKE CARMEL EVENTS
Community Relations
1 Civic Square
Carmel, IN 46032-
371349
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
73135
1203Department:854Fund:Community Relations Gift
43-590.38Account:
PROFESSIONAL SERVICES FOR BIKE CARMELEVENTS1 $10,000.00 $10,000.00Each
10,000.00SubTotal
10,000.00
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
SHIPPING INSTRUCTIONS
SHIP PREPAID.
C.O.D. SHIPMENT CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
PAYMENT
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
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
CONTROL NO. 108394
ORDERED BY
TITLE
CONTROLLER
Community Relations
1 Civic Square
Carmel, IN 46032-
Nancy Heck James Crider
Director Director of Administration
CzTfshfzHsfdivlijobu22;49bn-Nbs34-3134
ComcastCable
CommunicationsManagement,LLCc/oMarket
Development,ComcastBusiness
41112Concept Drive, Plymouth, MI 48170
RE: Accessto AccesstoPropertyPropertyrd4753AvenuePropertyAddress: Street Address (include applicable range, exclude suite numbers)
Carmel, Indiana 46032
City, State and Zip
Additional Address Information (optional)
TheOwning Entityidentified below, being theownerofthepremises described above (the “Property”),
hereby consents totheinstallation, operation, andmaintenance byComcast Cable Communications
Management, LLC, onbehalf ofitsaffiliates (together, “Comcast”), atComcast’ssolecostand expense, of
Comcast’scable andotherequipment attheProperty, tobeusedbyComcast toprovide communications
services totenants andother occupants oftheProperty.
Comcast willcontact theOwner, orOwner’srepresentative,beforework begins.
OwningEntity: City ofCarmel
Contact name: NpshboSjofibsu
Contact phone number: 428/682/36:2 Ext.
Contact email address: nsjofibsuAdbsnfm/jo/hpw
Additional Contact (optional):
Comcastshallrepair anydamageto thePropertycaused bytheinstallation,operation,ormaintenanceof
Comcast’sequipment on theProperty. Exhibit A, which isattached hereto, depicts thelocation of
Comcast’scable andother equipment (the “Plans”).
Owner’sconsentwillcontinueforso longasComcastprovidescommunicationsservicestotenantsorother
occupants oftheProperty.TheAccesstoPropertyshall bindandbenefittheparties andtheirrespective
successorsandassigns. ThisAgreement shallnotberecorded.
Sincerely,
Signature: Date Signed:
Owner or Duly Authorized Agent of Owner
Print Name: UjnpuizSfojdl 402403134
FullTitle: EjsfdupspgJDT
Exhibit “A”
The Plans
Comcast will secure required permits and locate existing utilities prior to work commencing atthe site.
rd4753Avenue, Carmel, Indiana
Stryker Sales, LLC
Fire Department - 2023
Appropriation #1120 101 43-515.01 Fund; P.O. #108562
Contract Not To Exceed $31,407.00
ADDITIONAL SERVICES AMENDMENT TO
AGREEMENT FOR SERVICES
THIS AMENDMENT TO THE AGREEMENT FOR GOODS AND SERVICES (“Agreement”) entered into by
and between the City of Carmel and Stryker Sales, LLC, (the “Vendor”), as City Contract dated April 7, 2021 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 Stryker Sales, LLC
by and through its Board of Public
Works and Safety
By: By:
James Brainard, Presiding Officer Authorized Signature
Date:
Printed Name
Mary Ann Burke, Member
Date:
Title
Lori S. Watson, Member FID/TIN:
Date:
ATTEST: Date:
Sue Wolfgang, Clerk
Date:
C:\\Users\\clivingston\\AppData\\Local\\Microsoft\\Windows\\INetCache\\Content.Outlook\\562V7G6G\\Stryker Sales LLC ASA_.docx:2/28/2023 3:13 PM\]
Damesha Sheppard
Senior Procare Contract Coordinator
3/24/2023
38-1239739
Exhibit A
Sales Rep Name:Mandy O Grady3800 E. Centre Ave
ProCare Service Rep:Zachary FluhrPortage, MI 49009
Date:2/23/2023
ID #:230223161247
02/#!2% 02/0/3!, 35"-)44%$ 4/
Name: Billing Acc Num:1066238Andrew Young
Shipping Acct Num: 1066238Title:
Account Name CARMEL FIRE DEPTPhone:(317) 571-2663
Account Address2 CIVIC SQEmail:asyoung@carmel.in.gov
City, State ZipCARMEL, IN 46032
02/#!2% #/6%2!'%
Item Model Model DescriptionProCare ProgramQtyYrsAnnual PriceTotal
No.Number
1LP15LifePak 15LP15 Prevent Onsite151$33,060.00$33,060.00
02/'2!- ).#,5$%3
0 0±¤µ¤-³ /-²¨³¤ProCare LIFEPAK 15
Prevent Service: Annual onsite preventive maintenance inspection and unlimited repairs including parts, labor and travel with battery coverage Unless otherwise stated
on contract, payment is expected upfront.ProCare Total$33,060.00 Discount5% 4/4!,
31,
407.00 Start Date:5/
1/2023 End Date:4/
30/2024 Stryker SignatureDateCustomer SignatureDate
The Terms and
Conditions of this quote and any subsequent purchase order of the Customer are governed
by the Terms and Conditions located at ª¤±
The terms and conditions
referenced in the immediately preceding sentence do not apply where Customer
and Stryker are parties to a Master Service Agreement. Purchase Order Number 4§¨² ¨² -®³
µ®¨¢¤µ®¨¢¤ ¶¨«« ¡¤ ¬
2¤¬¨³ ¯0/µ¤±
0/ COMMENTS: Please email signed Proposal and Purchase Order to procarecoordinators@stryker.com. All information contained within this
quotation
is considered confidential and proprietary and is not subject to
public disclosure. Quote pricing valid for 30 days.
3/24/2023
3%2)!, .5-"%23(%%4
Item ModelSerial NumberProgramNo.
1LP1540344397LP15 Prevent Onsite
2LP1540344402LP15 Prevent Onsite
3LP1540346172LP15 Prevent Onsite
4LP1540344404LP15 Prevent Onsite
5LP1540344401LP15 Prevent Onsite
6LP1540344400LP15 Prevent Onsite
7LP1540346171LP15 Prevent Onsite
8LP1540344395LP15 Prevent Onsite
9LP1540346170LP15 Prevent Onsite
10LP1540335281LP15 Prevent Onsite
11LP1540336526LP15 Prevent Onsite
12LP1540342627LP15 Prevent Onsite
13LP1540342937LP15 Prevent Onsite
14LP1540344399LP15 Prevent Onsite
15LP1540344398LP15 Prevent Onsite
Purchase Order Form
Account ManagerPurchase Order Date
Cell PhoneExpected Delivery Date
Stryker Quote Number230223161247
Check box ifBilling same asShipping
BILL TOCUSTOMER #SHIP TOCUSTOMER #
Billing Account Num1066238Shipping Account Num1066238
Company NameCompany NameCARMEL FIRE DEPT
Contact or DepartmentContact or DepartmentAndrew Young
Street AddressStreet Address2 CIVIC SQ
Addt'lAddress LineAddt'lAddress Line
City, ST ZIPCity, ST ZIPCARMEL, IN 46032
PhonePhone(317) 571-2663
Authorized Customer InitialsAuthorized Customer Initials
DESCRIPTIONQTYTOTAL
REFERENCE QUOTE
Accounts Payable Contact Information
Name
Email
PhoneStryker Terms and Conditions
https://techweb.stryker.com
Authorized Customer Signature
Printed Name
Title
Signature
Date
AttachmentStryker Quote Number 230223161247
Sales orusetaxesondomestic (USA) deliveries willbeinvoiced inaddition tothepriceofthegoods and services ontheStryker Quote.
AsofMarch2020
LIFEPAK® 15service
StrykerhasbeennotifiedbyourglobalpartsprovidersthatsomecomponentsusedoncertainLIFEPAK15monitor/defibrillatormodels (Part
NumbersbeginningwithV15-2) arenolongeravailableinthemarket. ServiceontheLIFEPAK15withPartNumberbeginningwithv15-5orv15-7
isunaffected.
Strykerwillcontinue toofferservicesupportforthissubsetoftheLIFEPAK15asfollows:
oIfacomponenthasfailedonyourdevice, yourlocalSalesRepresentativeshouldbecontactedforsupport
oStrykerwillcontinuetooffercontractualserviceonayearlybasisonly
oPreventivemaintenance willcontinuetobedoneondeviceslessthaneight (8) yearsold. Afterthispoint, wewillceaseto
conductpreventativemaintenanceandshifttodeviceinspections
oIfacomponentfailsonyourdevice, pleasecontactyourlocalSalesRepresentativeforsupport. Apro-ratedcreditforanypre-
paidservicewillbeprovided shouldaunitbecomenon-serviceable duetopartavailability
ItisimportanttonotethattheLIFEPAK15hasanexpectedlifeofeight (8) yearsfromthedateofmanufacture. Ifyouareuncertainofthe
manufacturedateofyourproducts, pleasecontactyourlocalSalesRepresentativeforafullfleetassessment.
Wewanttoensurethehighestqualityproductsandservicesforourcustomers. Assuch, itisimportanttoknowthatStrykeristheonlyFDA-
approvedserviceproviderforourproducts. Wedonotcontractwiththirdpartyserviceproviders, norwillwebeprovidingthemwithany
additional partsfortheserepairs. Assuch, wecannotguaranteethesafetyandefficacyofanydevicethatisrepairedbyathird-partyservice
agency.
2/25/2023
STRYKER MEDICAL
CHICAGO, IL 60673 -
108562
PO BOX 93308
City of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-6000972
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR SHIP
TO
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
EXTENSION
LifePak PM
Carmel Fire Department
10701 N. College Avenue, Ste A
Carmel, IN 46280-
00351580
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
74495
1120Department:101Fund:General Fund
43-515.01Account:
LifePak 15 Preventative Maintenance Per Proposal
220120095157
1 $31,407.00 $31,407.00Each
31,407.00SubTotal
31,407.00
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
SHIPPING INSTRUCTIONS
SHIP PREPAID.
C.O.D. SHIPMENT CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
PAYMENT
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
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
CONTROL NO. 108562
ORDERED BY
TITLE
CONTROLLER
Carmel Fire Department
2 Civic Square
Carmel, IN 46032-
Denise Snyder
Accreditation/Budget Administrator
Approved and Adopted this day of , 20 .
CITY OF CARMEL, INDIANA
By and through its Board of Public Works and Safety
BY:
James Brainard, Presiding Officer
Date:
Mary Ann Burke, Member
Date:
Lori S. Watson, Member
Date:
ATTEST:
Sue Wolfgang, Clerk
Date:
Clerk 3-29-23
BPW 4-5-23
RETRO-RATIFICATION - EVENT IS PRIOR TO BPW MEETING
MAYOR APPROVED. EMAIL INCLUDED.
CFD Heavner OK 3-28-23
CPD Horner OK 3-29-23
Clerk 3-29-23
BPW 4-5-23
Reviewed/Approved Via Email
CFD Heavner 3-28-23
CPD Horner 3-22-23
CRED Brewer 3-30-23
Back-up date for bad weather
7-23-23
Clerk 3-29-23
BPW 4-5-23
Reviewed/Approved Via Email
CFD Heavner 3-24-23
CPD Horner 3-22-23
CRED Brewer 3-22-23
Approved by Center for Performing Arts,
REI, Hotel Carmichael 3-13-23
X
3 parking spaces needed on 3rd Ave SW next to Carter Green to use for
unloading/loading. See attached map.
Clerk 3-29-23
BPW 4-5-23
Reviewed/Approved Via Email
CFD Heavner 3-20-23
CPD Horner 3-20-23
CRED Brewer 3-20-23
CITY OF CARMEL, INDIANA
INFORMATION
SPECIAL EVENT / FACILITY USE REQUEST FORM
* Must be at least 18 years of age to complete this form.
Contact Person
Email
Phone Number:
Cell Number:
Name/Organization:
Address
Organization Type:
Residency/Location:
Event/Use Purpose:
Event Date End Date
Number of People Expected:
Set-Up Start time
Tear Down End Time
CONTACT INFORMATION:
Meg Gates Osborne
meg@megpromo.com
3175907522
3175907522
CarmelFest
City
Carmel
State / Province / Region
IN
Postal / Zip Code
46032
Country
United States
Street Address
37 E Main Street
Address Line 2
Non-Profit Organization
Do you reside or are you located within the Carmel city limits?
Yes
No
CarmelFest Kids Zone
7/3/2023 7/4/2023
1,000
05:00:00 AM
11:00:00 PM
Clerk 3-29-23
BPW 4-5-23
Reviewed/Approved Via Email
CFD Heavner 3-28-23
CPD Horner 3-22-23
CRED Brewer 3-30-23
Event Start time:Event end time:
Rehearsal
Rehearsal Date:
Rehearsal
Start Time:
Rehearsal
End Time:
Fees?
Fees (cont'd)
Description of Event:
FACILITY (S)
REQUESTS:
VENDORS:
11:00:00 AM 09:00:00 PM
NA
Will a Fee be charged for this event? If yes, please describe below.
YES
NO
Purpose of fee
cost of rides
Provide a brief description of event
Kids Zone in City Hall Parking Lot
Attach additional pages if needed-SEE BELOW
ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT
CITY FACILITY (S) REQUESTED: Mark all that apply
CARTER GREEN (area between Palladium & theater building)
CIVIC SQUARE FOUNTAIN AREA
CIVIC SQUARE GAZEBO / LAWN
JAPANESE GARDEN
MONON & MAIN PLAZA
MIDTOWN PLAZA - Events must be free and open to the public.
REFLECTING POOL - Please note that Veteran's Plaza is NOT available for use.
Other
SPECIAL REQUESTS: Mark all that apply
ELECTRICITY
FOUNTAIN RESTROOM - FOUNTAIN/GAZEBO
JAMES BUILDING RESTROOMS (CARTER GREEN) *Extra fees apply
N/A
Other City of Carmel Stage
VENDORS: Mark all that apply
SEE CITY OF CARMEL FACILITY USE POLICY
VENDORS PRESENT
FOOD SERVED (May be subject to Hamilton County Health Department
inspection.)
ALCOHOL SERVED - Please see Section M under “General Terms and
Conditions” in the Public Use Policy.
N/A
CITY SERVICES
NEEDED:
Neighborhood
Name/Streets to be closed
UPLOAD MAP
Type of Closure:
CITY SERVICES NEEDED: Mark all that apply
SEE CITY OF CARMEL FACILITY USE POLICY
EMERGENCY MEDICAL SERVICES (EMS) (Extra fees may apply)
EXTRA PATROL DURING EVENT (when available)
TRAFFIC CONTROL (Extra fees may apply)
ONSITE SECURITY (Assigned off-duty CPD officers, extra fees will apply)
BARRICADES
NO PARKING SIGNS (PICK UP AT CARMEL POLICE DEPARTMENT)
N/A
Other
Please note the number of NO PARKING SIGNS needed
EVENT SET UP: Mark all that apply
SEE CITY OF CARMEL FACILITY USE POLICY
Stage
Size of Stage
Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the
exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368).
Otherwise, you may use the vendor of your choice.
Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571-
2600)
Bounce House
N/A
Other
Name of Merchants(s) doing the setup
Phone Number of Merchant(s) doing set up:
STREET(S) REQUESTED:
SEE CITY OF CARMEL FACILITY USE POLICY
Include addresses as appropriate
An easy to read, color map of the area is required with submission.
Rolling closure
Total closure
Lane restrictions - explain below
Other - explain below
N/A
Explain lane restrictions needed and other needed below:
Further Info for type of
closure
A refundable Security Deposit in the amount of $100 for any applicant located or residing within Carmel city limits or a
non-refundable event fee in the amount of $150 for any applicant located or residing outside of Carmel city limits must
be received prior to application review or processing.
Payment may be made online using a credit or debit card at https://www.govpaynow.com . PLC #A0026j, calling the
Govpay call center at 1-888-604-7888 (give them PLC#) or in the form of a certified check or money order made payable
to the City of Carmel. (Mail to: Carmel City hall, Attn: Lobby Desk, 1 Civic Square, Carmel, IN 46032)
The Carmel Board of Public Works and Safety reserves the right, in its sole discretion, to deny any facility use
request and/or revoke any previsously granted request to use a City facility for any lawful reason.
SECURITY DEPOSIT AND FEE:
DISCLAIMER:
ACKNOWLEDGEMENT AND AGREEMENT
Mayor's Office
ACKNOWLEDGEMENT AND AGREEMENT
TO COMPLY WITH CITY PUBLIC USE POLICY
I have read and understand the City of Carmel, Indiana ("City") Public Use Policy and agree to be bound by all the terms
and conditions set forth therein.
I will leave the City facility I use in the same condition that it was immediately prior to my use thereof. I agree to pay for
any damage, repair or clean-up costs incurred by the City as a result of my use of a City facility.
I hereby certify that I, and the organization I represent, if applicable, agree to be bound by the City's Facility Use Policy and
by any addition conditions or restrictions placed upon my/our use of a City facility by the Board. I understand that the
Board has the right to deny, alter or revoke my request for the use of a City facility for any lawful reason. I and/or my
organization also agree to indemnify and hold harmless the City of Carmel and all of its directors, officers, employees,
agents and affiliates from any claims of whatever nature (whether foreseeable or not) arising from or in connection with this
Application for any damages, costs or expenses incurred directly or indirectly as a result of my/our use of the City-owned
facility and/or property.
*
*
*
Public Use Policy *
GO TO SUBMIT TAB AND CLICK ON SUBMIT
Meg Gates Osborne
Name of Organization/Applicant
Signature of Authorized Agent/Applicant
Meg Gates Osborne
Printed Name and Title (If applicable)
317-590-7522
Phone Number (Required)
37 E Mail St
Carmel, IN 46032
Address of Organization/Applicant
3/19/2023
Date
I confirm that I am 18 years of age or older.
By selecting this box, I hereby acknowledge that I have read and fully
understand the City of Carmel, Indiana ("City") Public Use Policy and agree to be
bound by all the terms and conditions set forth therein.
Public Use Policy Acknowledgement and Agreement (Required)
CITY OF CARMEL USE ONLY
Approved this ______day of _______________, 20
CITY OF CARMEL, INDIANA
By and Through its Board of Public Works and Safety
___________________________________
James Brainard, Presiding Officer
Date: ______________________________
___________________________________
Mary Ann Burke, Member
Date: ______________________________
___________________________________
Lori Watson, Member
Date: ______________________________
ATTEST:
_____________________
Sue Wolfgang, City Clerk
________________
Date
Special Conditions:__________________________________________________________________
APPLICATION CHECKLIST (for use by City of Carmel)
Checklist
Applicable permit or
approval copies received
Application completed in full
Event narrative description included
Maps attached, if applicable
Vendor list attached, if applicable
Security deposit or event fee received
Certificate of Insurance received
Communication plan to residents and/or businesses and/or copy of email
correspondence to affected parties received
HOA approval received
Hamilton County Health Department
Hamilton County Sheriff
City of Carmel Fire Marshal
City of Carmel Police Department
Carmel Clay Parks & Recreation
SUBMIT
Clerk 3/29/23
BPW 4/5/23
Reviewed/Approved Via Email
CFD Heavner 3-13-23
CPD Horner 3-13-23
CRED Brewer 3-20-23
UPDATE: Theree will NOT be
a petting zoo or pony rides.
Instead, Hedgehog Hannah will
bring animals for a show.
hedgehoghannah.com, 2123
Glebe St, Carmel.
Clerk 3-29-23
BPW 4-5-23
Reviewed/Approved Via Email
CFD Heavner 3/17/23
CPD Horner 3/17/23
CRED Brewer 3/17/23
CITY OF CARMEL, INDIANA
INFORMATION
SPECIAL EVENT / FACILITY USE REQUEST FORM
* Must be at least 18 years of age to complete this form.
Contact Person
Email
Phone Number:
Cell Number:
Name/Organization:
Address
Organization Type:
Residency/Location:
Event/Use Purpose:
Event Date End Date
Number of People Expected:
Set-Up Start time
Tear Down End Time
CONTACT INFORMATION:
Patrice Dawson
patrice.dawson25@gmail.com
3179951259
Carmel High School PTO
City
Carmel
State / Province / Region
IN
Postal / Zip Code
46032
Country
United States
Street Address
520 East Main Street
Address Line 2
Non-Profit Organization
Do you reside or are you located within the Carmel city limits?
Yes
No
Would like to have an event called Grads on the Grass to celebrate Carmel High
School Class of 2023. This would include a movie starting around 1pm.
5/26/2023
1,000
11:00:00 AM
04:00:00 AM---- PM
Clerk 3-29-23
BPW 4-5-23
Reviewed/Approved Via Email
CFD 3-28-23
CPD 3-28-23
CRED Brewer 3-30-23
Event Start time:Event end time:
Rehearsal
Rehearsal Date:
Rehearsal
Start Time:
Rehearsal
End Time:
Fees?
Description of Event:
FACILITY (S)
REQUESTS:
VENDORS:
12:00:00 PM 04:00:00 PM
NA
Will a Fee be charged for this event? If yes, please describe below.
YES
NO
Provide a brief description of event
Would like to have an event called Grads on the Grass to celebrate Carmel High
School Class of 2023. This would include a movie starting around 1pm.
Attach additional pages if needed-SEE BELOW
ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT
CITY FACILITY (S) REQUESTED: Mark all that apply
CARTER GREEN (area between Palladium & theater building)
CIVIC SQUARE FOUNTAIN AREA
CIVIC SQUARE GAZEBO / LAWN
JAPANESE GARDEN
MONON & MAIN PLAZA
MIDTOWN PLAZA - Events must be free and open to the public.
REFLECTING POOL - Please note that Veteran's Plaza is NOT available for use.
Other
SPECIAL REQUESTS: Mark all that apply
ELECTRICITY
FOUNTAIN RESTROOM - FOUNTAIN/GAZEBO
JAMES BUILDING RESTROOMS (CARTER GREEN) *Extra fees apply
N/A
Other
VENDORS: Mark all that apply
SEE CITY OF CARMEL FACILITY USE POLICY
VENDORS PRESENT
FOOD SERVED (May be subject to Hamilton County Health Department
inspection.)
ALCOHOL SERVED - Please see Section M under “General Terms and
Conditions” in the Public Use Policy.
N/A
CITY SERVICES NEEDED: Mark all that apply
CITY SERVICES
NEEDED:
Neighborhood
Name/Streets to be closed
UPLOAD MAP
Type of Closure:
Further Info for type of
closure
SEE CITY OF CARMEL FACILITY USE POLICY
EMERGENCY MEDICAL SERVICES (EMS) (Extra fees may apply)
EXTRA PATROL DURING EVENT (when available)
TRAFFIC CONTROL (Extra fees may apply)
ONSITE SECURITY (Assigned off-duty CPD officers, extra fees will apply)
BARRICADES
NO PARKING SIGNS (PICK UP AT CARMEL POLICE DEPARTMENT)
N/A
Other
Please note the number of NO PARKING SIGNS needed
EVENT SET UP: Mark all that apply
SEE CITY OF CARMEL FACILITY USE POLICY
Stage
Size of Stage
Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the
exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368).
Otherwise, you may use the vendor of your choice.
Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571-
2600)
Bounce House
N/A
Other
Name of Merchants(s) doing the setup
Phone Number of Merchant(s) doing set up:
STREET(S) REQUESTED:
SEE CITY OF CARMEL FACILITY USE POLICY
Include addresses as appropriate
An easy to read, color map of the area is required with submission.
Rolling closure
Total closure
Lane restrictions - explain below
Other - explain below
N/A
Explain lane restrictions needed and other needed below:
A refundable Security Deposit in the amount of $100 for any applicant located or residing within Carmel city limits or a
non-refundable event fee in the amount of $150 for any applicant located or residing outside of Carmel city limits must
be received prior to application review or processing.
Payment may be made online using a credit or debit card at https://www.govpaynow.com . PLC #A0026j, calling the
Govpay call center at 1-888-604-7888 (give them PLC#) or in the form of a certified check or money order made payable
to the City of Carmel. (Mail to: Carmel City hall, Attn: Lobby Desk, 1 Civic Square, Carmel, IN 46032)
The Carmel Board of Public Works and Safety reserves the right, in its sole discretion, to deny any facility use
request and/or revoke any previsously granted request to use a City facility for any lawful reason.
SECURITY DEPOSIT AND FEE:
DISCLAIMER:
ACKNOWLEDGEMENT AND AGREEMENT
Mayor's Office
ACKNOWLEDGEMENT AND AGREEMENT
TO COMPLY WITH CITY PUBLIC USE POLICY
I have read and understand the City of Carmel, Indiana ("City") Public Use Policy and agree to be bound by all the terms
and conditions set forth therein.
I will leave the City facility I use in the same condition that it was immediately prior to my use thereof. I agree to pay for
any damage, repair or clean-up costs incurred by the City as a result of my use of a City facility.
I hereby certify that I, and the organization I represent, if applicable, agree to be bound by the City's Facility Use Policy and
by any addition conditions or restrictions placed upon my/our use of a City facility by the Board. I understand that the
Board has the right to deny, alter or revoke my request for the use of a City facility for any lawful reason. I and/or my
organization also agree to indemnify and hold harmless the City of Carmel and all of its directors, officers, employees,
agents and affiliates from any claims of whatever nature (whether foreseeable or not) arising from or in connection with this
Application for any damages, costs or expenses incurred directly or indirectly as a result of my/our use of the City-owned
facility and/or property.
*
*
*
Public Use Policy *
GO TO SUBMIT TAB AND CLICK ON SUBMIT
Carmel High School PTO
Name of Organization/Applicant
Signature of Authorized Agent/Applicant
Patrice Dawson, Senior Celebration Chair
Printed Name and Title (If applicable)
3179951259
Phone Number (Required)
520 East Main Street
Carmel, Indiana 46032
Address of Organization/Applicant
3/27/2023
Date
I confirm that I am 18 years of age or older.
By selecting this box, I hereby acknowledge that I have read and fully
understand the City of Carmel, Indiana ("City") Public Use Policy and agree to be
bound by all the terms and conditions set forth therein.
Public Use Policy Acknowledgement and Agreement (Required)
CITY OF CARMEL USE ONLY
Approved this ______day of _______________, 20
CITY OF CARMEL, INDIANA
By and Through its Board of Public Works and Safety
___________________________________
James Brainard, Presiding Officer
Date: ______________________________
___________________________________
Mary Ann Burke, Member
Date: ______________________________
___________________________________
Lori Watson, Member
Date: ______________________________
ATTEST:
_____________________
Sue Wolfgang, City Clerk
________________
Date
Special Conditions:__________________________________________________________________
APPLICATION CHECKLIST (for use by City of Carmel)
Checklist
Applicable permit or
approval copies received
Application completed in full
Event narrative description included
Maps attached, if applicable
Vendor list attached, if applicable
Security deposit or event fee received
Certificate of Insurance received
Communication plan to residents and/or businesses and/or copy of email
correspondence to affected parties received
HOA approval received
Hamilton County Health Department
Hamilton County Sheriff
City of Carmel Fire Marshal
City of Carmel Police Department
Carmel Clay Parks & Recreation
SUBMIT
●Stage/tent set up 9 am at Carter
Green
●All clean up complete by 7 pm
●Walk time 1:30-4:30 pm
●Prayer time 3:30-4:30 pm
●4:30 pm Charter buses picking up
walkers to return to Our Lady of
Mt. Carmel
Clerk 3-29-23
BPW 4-5-23
Reviewed/Approved Via Email
CFD Heavner 3-28-23
CPD Horner 3-29-23
CRED Brewer 3-30-23
Route Reviewed/
Approved by
Engineering-JKirsh
SEE MAPS & TIMING
●Route has been approved by Kirsh/
Kashman in Engineering.
●Advanced warning signs of the
possible delays caused by the walk
will be placed along the route 9 days
prior.
●Engineering is approving the sign
wording.
CITY OF CARMEL, INDIANA
INFORMATION
SPECIAL EVENT / FACILITY USE REQUEST FORM
* Must be at least 18 years of age to complete this form.
Contact Person
Email
Phone Number:
Cell Number:
Name/Organization:
Address
Organization Type:
Residency/Location:
Event/Use Purpose:
Event Date End Date
Number of People Expected:
Set-Up Start time
Tear Down End Time
CONTACT INFORMATION:
Candy Martin
cmartin@carmel.in.gov
3175712401
City of Carmel
City
Carmel
State / Province / Region
IN
Postal / Zip Code
46032
Country
Street Address
1 Civic Square
Address Line 2
Non-Profit Organization
Do you reside or are you located within the Carmel city limits?
Yes
No
Street Closure
4/14/2023 4/14/2023
60
12:00:00 PM
01:30:00 PM
Clerk 3/29/23
BPW 4/5/23
Reviewed/Approved Via Email
CPD Horner 3/13/23
CFD Heavner 3/13/23
CRED Brewer 3/20/23
Event Start time:Event end time:
Rehearsal
Rehearsal Date:
Rehearsal
Start Time:
Rehearsal
End Time:
Fees?
Description of Event:
FACILITY (S)
REQUESTS:
NA
Will a Fee be charged for this event? If yes, please describe below.
YES
NO
Provide a brief description of event
We are requesting to have Elm Street closed between Veterans Way and Monon
Greenway on Friday, April 14 from Noon to 1:30 pm to allow for a charter bus to be
parked. The City will be hosting City leaders from Denver, CO and that is the
location that their bus needs to pick them up at. We would like the bus to be parked
under the underpass - towards Veterans Way so that the Midtown Screen/Selfie
CARMEL Side is available for the group to take photos.
Attach additional pages if needed-SEE BELOW
ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT
CITY FACILITY (S) REQUESTED: Mark all that apply
CARTER GREEN (area between Palladium & theater building)
CIVIC SQUARE FOUNTAIN AREA
CIVIC SQUARE GAZEBO / LAWN
JAPANESE GARDEN
MONON & MAIN PLAZA
MIDTOWN PLAZA - Events must be free and open to the public.
REFLECTING POOL - Please note that Veteran's Plaza is NOT available for use.
Other
SPECIAL REQUESTS: Mark all that apply
ELECTRICITY
FOUNTAIN RESTROOM - FOUNTAIN/GAZEBO
JAMES BUILDING RESTROOMS (CARTER GREEN) *Extra fees apply
N/A
Other
VENDORS: Mark all that apply
SEE CITY OF CARMEL FACILITY USE POLICY
VENDORS:
CITY SERVICES
NEEDED:
Neighborhood
Name/Streets to be closed
UPLOAD MAP
VENDORS PRESENT
FOOD SERVED (May be subject to Hamilton County Health Department
inspection.)
ALCOHOL SERVED - Please see Section M under “General Terms and
Conditions” in the Public Use Policy.
N/A
CITY SERVICES NEEDED: Mark all that apply
SEE CITY OF CARMEL FACILITY USE POLICY
EMERGENCY MEDICAL SERVICES (EMS) (Extra fees may apply)
EXTRA PATROL DURING EVENT (when available)
TRAFFIC CONTROL (Extra fees may apply)
ONSITE SECURITY (Assigned off-duty CPD officers, extra fees will apply)
BARRICADES
NO PARKING SIGNS (PICK UP AT CARMEL POLICE DEPARTMENT)
N/A
Other
Please note the number of NO PARKING SIGNS needed
EVENT SET UP: Mark all that apply
SEE CITY OF CARMEL FACILITY USE POLICY
Stage
Size of Stage
Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the
exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368).
Otherwise, you may use the vendor of your choice.
Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571-
2600)
Bounce House
N/A
Other
Name of Merchants(s) doing the setup
Phone Number of Merchant(s) doing set up:
STREET(S) REQUESTED:
SEE CITY OF CARMEL FACILITY USE POLICY
Elm Street between Veterans Way and Monon Greenway
Include addresses as appropriate
An easy to read, color map of the area is required with submission.
X
X
Type of Closure:
A refundable Security Deposit in the amount of $100 for any applicant located or residing within Carmel city limits or a
non-refundable event fee in the amount of $150 for any applicant located or residing outside of Carmel city limits must
be received prior to application review or processing.
Payment may be made online using a credit or debit card at https://www.govpaynow.com . PLC #A0026j, calling the
Govpay call center at 1-888-604-7888 (give them PLC#) or in the form of a certified check or money order made payable
to the City of Carmel. (Mail to: Carmel City hall, Attn: Lobby Desk, 1 Civic Square, Carmel, IN 46032)
The Carmel Board of Public Works and Safety reserves the right, in its sole discretion, to deny any facility use
request and/or revoke any previsously granted request to use a City facility for any lawful reason.
Rolling closure
Total closure
Lane restrictions - explain below
Other - explain below
N/A
Explain lane restrictions needed and other needed below:
Further Info for type of
closure *** Parking spaces reserved for charter bus
SECURITY DEPOSIT AND FEE:
DISCLAIMER:
X
No parking signs on the north side of Elm St. from Monon Greenway
east to Veterans Way. Bus parking east of TV screen, under the
crosswalk. Traffic will be able to pass.
ACKNOWLEDGEMENT AND AGREEMENT
Mayor's Office
ACKNOWLEDGEMENT AND AGREEMENT
TO COMPLY WITH CITY PUBLIC USE POLICY
I have read and understand the City of Carmel, Indiana ("City") Public Use Policy and agree to be bound by all the terms
and conditions set forth therein.
I will leave the City facility I use in the same condition that it was immediately prior to my use thereof. I agree to pay for
any damage, repair or clean-up costs incurred by the City as a result of my use of a City facility.
I hereby certify that I, and the organization I represent, if applicable, agree to be bound by the City's Facility Use Policy and
by any addition conditions or restrictions placed upon my/our use of a City facility by the Board. I understand that the
Board has the right to deny, alter or revoke my request for the use of a City facility for any lawful reason. I and/or my
organization also agree to indemnify and hold harmless the City of Carmel and all of its directors, officers, employees,
agents and affiliates from any claims of whatever nature (whether foreseeable or not) arising from or in connection with this
Application for any damages, costs or expenses incurred directly or indirectly as a result of my/our use of the City-owned
facility and/or property.
*
*
*
Public Use Policy *
GO TO SUBMIT TAB AND CLICK ON SUBMIT
City of Carmel
Name of Organization/Applicant
Signature of Authorized Agent/Applicant
Candy Martin
Printed Name and Title (If applicable)
3175712401
Phone Number (Required)
1 Civic Square
Carmel, IN 46032
Address of Organization/Applicant
3/13/2023
Date
I confirm that I am 18 years of age or older.
By selecting this box, I hereby acknowledge that I have read and fully
understand the City of Carmel, Indiana ("City") Public Use Policy and agree to be
bound by all the terms and conditions set forth therein.
Public Use Policy Acknowledgement and Agreement (Required)
CITY OF CARMEL USE ONLY
Approved this ______day of _______________, 20
CITY OF CARMEL, INDIANA
By and Through its Board of Public Works and Safety
___________________________________
James Brainard, Presiding Officer
Date: ______________________________
___________________________________
Mary Ann Burke, Member
Date: ______________________________
___________________________________
Lori Watson, Member
Date: ______________________________
ATTEST:
_____________________
Sue Wolfgang, City Clerk
________________
Date
Special Conditions:__________________________________________________________________
APPLICATION CHECKLIST (for use by City of Carmel)
Checklist
Applicable permit or
approval copies received
Application completed in full
Event narrative description included
Maps attached, if applicable
Vendor list attached, if applicable
Security deposit or event fee received
Certificate of Insurance received
Communication plan to residents and/or businesses and/or copy of email
correspondence to affected parties received
HOA approval received
Hamilton County Health Department
Hamilton County Sheriff
City of Carmel Fire Marshal
City of Carmel Police Department
Carmel Clay Parks & Recreation
SUBMIT
Clerk 3-29-23
BPW 4-5-23
Reviewed/Approved Via Email
CFD Heavner 3-28-23
CPD Horner 3-22-23
CRED Brewer 3-30-23
CITY OF CARMEL, INDIANA
INFORMATION
FACILITY REQUEST FORM
City Hall Caucus Room or Council Chambers
* Must be at least 18 years of age to complete this form.
Name
Organization:
Phone Number:
Cell Number:
Email
Address
Organization Type:
Event/Use Purpose:
Event Date End Date
Number of People
Expected:
Set-Up Start time
Tear Down End Time
Event Start
time:
Event end
time:
GENERAL INFORMATION
Allyson McClure
Guardian Wells Financial
3176600929
allyson@guardianwells.com
City
Carmel
State / Province / Region
IN
Postal / Zip Code
46032
Country
United States
Street Address
722 South Rangeline Road
Address Line 2
For-Profit Organization
We like to do local outreach program for anyone and everyone over the age of 50 to
come learn our top 5 tips heading into retirement.
The event would be held on May 31st from 11a-1p and June 1st from 11a-1p
30 people each day, 60 total
5/31/2023 6/1/2023
30
11:00:00 AM
01:00:00 PM
11:00:00 AM 01:00:00 PM
Room Requested
The room may be divided into sections or can be one large room. Choose the size that you need. Room has an 8.5-foot
counter area with a sink.
Room Set-Up
Other seating options:
Equipment needed:
Equipment not provided:
Computers or connection cords/electrical cords
Microphones are not available in the Caucus rooms.
Projector
Other:
How many?
Room Requested
Equipment needed:
Equipment not provided:
Computers or connection/electrical cords.
Other:
ROOM REQUESTED CAUCUS ROOM
Caucus Room
The traditional seating arrangement is Boardroom style.
1/3 side has four, 5-foot tables with 10 chairs
2/3 side has six, 5-foot tables with 20 chairs (plus 15-20 chairs around perimeter
of room)
Classroom, Seating capacity 33
Theater (chairs only), Seating capacity 50
Projection screen
Are tables and/or chairs needed around periphery of room?
Yes
No
If you selected YES - please fill out the details below.
How many additional table/chairs are needed?
0
Note: Extra tables/chairs available: 34 chairs, eight 4-foot tables, six 6-foot tables.
ROOM REQUESTED COUNCIL CHAMBERS
Seating capacity: 112
Council Chambers
Microphone(s) 13 available on dais, 1 at presenter's podium, 1 at clerk's desk
Dais
Dais # and which ones
Projection Screen
Are tables and/or chairs needed around periphery of room?
Yes
No
If you selected YES - please fill out the details below.
How many?How many additional table/chairs are needed?
Note: Extra tables/chairs available: 34 chairs, eight 4-foot tables, six 6-foot tables.
ACKNOWLEDGEMENT AND AGREEMENT
Mayor's Office
ACKNOWLEDGEMENT AND AGREEMENT
TO COMPLY WITH CITY FACILITY USE POLICY
I have read and understand the City of Carmel, Indiana ("City") Facility Use Policy and agree to be bound by all the terms
and conditions set forth therein.
I will leave the City facility I use in the same condition that it was immediately prior to my use thereof. I agree to pay for
any damage, repair or clean-up costs incurred by the City as a result of my use of a City facility.
I hereby certify that I, and the organization I represent, if applicable, agree to be bound by the City's Facility Use Policy and
by any addition conditions or restrictions placed upon my/our use of a City facility by the Board. I understand that the
Board has the right to deny, alter or revoke my request for the use of a City facility for any lawful reason. I and/or my
organization also agree to indemnify and hold harmless the City of Carmel and all of its directors, officers, employees,
agents and affiliates from any claims of whatever nature (whether foreseeable or not) arising from or in connection with this
Application for any damages, costs or expenses incurred directly or indirectly as a result of my/our use of the City-owned
facility and/or property.
*
*
*
*
GO TO SUBMIT TAB TO FINALIZE YOUR REQUEST
Guardian Wells Financial
Name of Organization/Applicant
Signature of Authorized Agent/Applicant
Allyson McClure
Printed Name and Title (If applicable)
allyson@guardianwells.com
Email (Required)
3,176,600,929
Phone Number (Required)
722 South Rangeline Road, Carmel, IN 46032
Address of Organization/Applicant
I confirm that I am 18 years of age or older.
3/14/2023
Date
CITY OF CARMEL USE ONLY
Approved this _____day of__________, 20
CITY OF CARMEL, INDIANA
By and Through its Board of Public Works and Safety
___________________________________
James Brainard, Presiding Officer
Date: ______________________________
___________________________________
Mary Ann Burke, Member
Date: ______________________________
___________________________________
Lori Watson, Member
Date: ______________________________
ATTEST:
______________________________
Sue Wolfgang, City Clerk
Date: ______________________________
Special Conditions:__________________________________________________________________
SUBMIT
Clerk 3-29-23
BPW 4-5-23
Reviewed/Approved Via Email
CFD Heavner 3/13/23
CPD Horner 3/13/23
CRED Brewer 3/20/23
CITY OF CARMEL, INDIANA
INFORMATION
SPECIAL EVENT / FACILITY USE REQUEST FORM
* Must be at least 18 years of age to complete this form.
Contact Person
Email
Phone Number:
Cell Number:
Name/Organization:
Address
Organization Type:
Residency/Location:
Event/Use Purpose:
Event Date End Date
Number of People Expected:
Set-Up Start time
Tear Down End Time
CONTACT INFORMATION:
Meg Gates Osborne
Meg@Megpromo.com
3175907522
3175907522
Carmel International Arts Festival
City
Carmel
State / Province / Region
IN
Postal / Zip Code
46082
Country
United States
Street Address
P.O. Box 778
Address Line 2
Non-Profit Organization
Do you reside or are you located within the Carmel city limits?
Yes
No
Carmel International Arts Festival
9/23/2023 9/24/2023
30,000
06:00:00 AM
06:00:00 PM
Clerk 3-29-23
BPW 4-5-23
Reviewed/Approved Via Email
CFD Heavner 3-28-23
CPD Horner 3-22-23
CRED Brewer 3-30-23
Event Start time:Event end time:
Rehearsal
Rehearsal Date:
Rehearsal
Start Time:
Rehearsal
End Time:
Fees?
Description of Event:
FACILITY (S)
REQUESTS:
VENDORS:
10:00:00 AM 10:00:00 PM
NA
Will a Fee be charged for this event? If yes, please describe below.
YES
NO
Provide a brief description of event
Carmel International Arts Festival
Attach additional pages if needed-SEE BELOW
ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT
CITY FACILITY (S) REQUESTED: Mark all that apply
CARTER GREEN (area between Palladium & theater building)
CIVIC SQUARE FOUNTAIN AREA
CIVIC SQUARE GAZEBO / LAWN
JAPANESE GARDEN
MONON & MAIN PLAZA
MIDTOWN PLAZA - Events must be free and open to the public.
REFLECTING POOL - Please note that Veteran's Plaza is NOT available for use.
Other City of Carmel Stage
SPECIAL REQUESTS: Mark all that apply
ELECTRICITY
FOUNTAIN RESTROOM - FOUNTAIN/GAZEBO
JAMES BUILDING RESTROOMS (CARTER GREEN) *Extra fees apply
N/A
Other
VENDORS: Mark all that apply
SEE CITY OF CARMEL FACILITY USE POLICY
VENDORS PRESENT
FOOD SERVED (May be subject to Hamilton County Health Department
inspection.)
ALCOHOL SERVED - Please see Section M under “General Terms and
Conditions” in the Public Use Policy.
N/A
CITY SERVICES NEEDED: Mark all that apply
SEE CITY OF CARMEL FACILITY USE POLICY
CITY SERVICES
NEEDED:
Neighborhood
Name/Streets to be closed
UPLOAD MAP
Type of Closure:
Further Info for type of
closure
EMERGENCY MEDICAL SERVICES (EMS) (Extra fees may apply)
EXTRA PATROL DURING EVENT (when available)
TRAFFIC CONTROL (Extra fees may apply)
ONSITE SECURITY (Assigned off-duty CPD officers, extra fees will apply)
BARRICADES
NO PARKING SIGNS (PICK UP AT CARMEL POLICE DEPARTMENT)
N/A
Other
Please note the number of NO PARKING SIGNS needed
EVENT SET UP: Mark all that apply
SEE CITY OF CARMEL FACILITY USE POLICY
Stage
Size of Stage
Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the
exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368).
Otherwise, you may use the vendor of your choice.
Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571-
2600)
Bounce House
N/A
Other
Name of Merchants(s) doing the setup
Phone Number of Merchant(s) doing set up:
STREET(S) REQUESTED:
SEE CITY OF CARMEL FACILITY USE POLICY
Include addresses as appropriate
An easy to read, color map of the area is required with submission.
Rolling closure
Total closure
Lane restrictions - explain below
Other - explain below
N/A
Explain lane restrictions needed and other needed below:
A refundable Security Deposit in the amount of $100 for any applicant located or residing within Carmel city limits or a
non-refundable event fee in the amount of $150 for any applicant located or residing outside of Carmel city limits must
be received prior to application review or processing.
Payment may be made online using a credit or debit card at https://www.govpaynow.com . PLC #A0026j, calling the
Govpay call center at 1-888-604-7888 (give them PLC#) or in the form of a certified check or money order made payable
to the City of Carmel. (Mail to: Carmel City hall, Attn: Lobby Desk, 1 Civic Square, Carmel, IN 46032)
The Carmel Board of Public Works and Safety reserves the right, in its sole discretion, to deny any facility use
request and/or revoke any previsously granted request to use a City facility for any lawful reason.
SECURITY DEPOSIT AND FEE:
DISCLAIMER:
ACKNOWLEDGEMENT AND AGREEMENT
Mayor's Office
ACKNOWLEDGEMENT AND AGREEMENT
TO COMPLY WITH CITY PUBLIC USE POLICY
I have read and understand the City of Carmel, Indiana ("City") Public Use Policy and agree to be bound by all the terms
and conditions set forth therein.
I will leave the City facility I use in the same condition that it was immediately prior to my use thereof. I agree to pay for
any damage, repair or clean-up costs incurred by the City as a result of my use of a City facility.
I hereby certify that I, and the organization I represent, if applicable, agree to be bound by the City's Facility Use Policy and
by any addition conditions or restrictions placed upon my/our use of a City facility by the Board. I understand that the
Board has the right to deny, alter or revoke my request for the use of a City facility for any lawful reason. I and/or my
organization also agree to indemnify and hold harmless the City of Carmel and all of its directors, officers, employees,
agents and affiliates from any claims of whatever nature (whether foreseeable or not) arising from or in connection with this
Application for any damages, costs or expenses incurred directly or indirectly as a result of my/our use of the City-owned
facility and/or property.
*
*
*
Public Use Policy *
GO TO SUBMIT TAB AND CLICK ON SUBMIT
Meg Osborne
Name of Organization/Applicant
Signature of Authorized Agent/Applicant
Meg Gates Osborne
Printed Name and Title (If applicable)
317-590-7522
Phone Number (Required)
P.O. Box 778
Carmel, IN 46082
Address of Organization/Applicant
3/19/2023
Date
I confirm that I am 18 years of age or older.
By selecting this box, I hereby acknowledge that I have read and fully
understand the City of Carmel, Indiana ("City") Public Use Policy and agree to be
bound by all the terms and conditions set forth therein.
Public Use Policy Acknowledgement and Agreement (Required)
CITY OF CARMEL USE ONLY
Approved this ______day of _______________, 20
CITY OF CARMEL, INDIANA
By and Through its Board of Public Works and Safety
___________________________________
James Brainard, Presiding Officer
Date: ______________________________
___________________________________
Mary Ann Burke, Member
Date: ______________________________
___________________________________
Lori Watson, Member
Date: ______________________________
ATTEST:
_____________________
Sue Wolfgang, City Clerk
________________
Date
Special Conditions:__________________________________________________________________
APPLICATION CHECKLIST (for use by City of Carmel)
Checklist
Applicable permit or
approval copies received
Application completed in full
Event narrative description included
Maps attached, if applicable
Vendor list attached, if applicable
Security deposit or event fee received
Certificate of Insurance received
Communication plan to residents and/or businesses and/or copy of email
correspondence to affected parties received
HOA approval received
Hamilton County Health Department
Hamilton County Sheriff
City of Carmel Fire Marshal
City of Carmel Police Department
Carmel Clay Parks & Recreation
SUBMIT
Per Lampe, Parks Dept, use of
Monon Greenway approved.
Clerk 3-29-23
BPW 4-5-23
Reviewed/Approved Via Email
CFD Heavner 3-24-23
CPD Horner 3-27-23
CRED Brewer 3-30-23
xx PM
CITY OF CARMEL, INDIANA
INFORMATION
SPECIAL EVENT / FACILITY USE REQUEST FORM
* Must be at least 18 years of age to complete this form.
Contact Person
Email
Phone Number:
Cell Number:
Name/Organization:
Address
Organization Type:
Residency/Location:
Event/Use Purpose:
Event Date End Date
Number of People Expected:
Set-Up Start time
Tear Down End Time
CONTACT INFORMATION:
Zak Khan
zkhan@mssurgerycenter.com
3173798566
3173798566
Zak Khan
City
carmel
State / Province / Region
IN
Postal / Zip Code
46032
Country
US
Street Address
415 Springwood Dr
Address Line 2
Individual
Do you reside or are you located within the Carmel city limits?
Yes
No
Provide a private party for Lake Forest Ferrari
5/5/2023 5/5/2023
40
03:00:00 PM
10:00:00 PM
Approved by Center for Performing Arts 3/17/23
Ramona Adams
Clerk 3-29-23BPW 4-5-23
Reviewed/Approved Via Email
CFD Heavner 3-20-23
CPD Horner 3-20-23
CRED Brewer 3-20-23
Event Start time:Event end time:
Rehearsal
Rehearsal Date:
Rehearsal
Start Time:
Rehearsal
End Time:
Fees?
Description of Event:
FACILITY (S)
REQUESTS:
VENDORS:
06:00:00 PM 09:00:00 PM
NA
Will a Fee be charged for this event? If yes, please describe below.
YES
NO
Provide a brief description of event
I am throwing a private event for Ferrari. We will have a 30-40 people enjoying the
new models from Lake Forest Ferrari. We will be enjoying hors d'oeuvres outside
and also inside the Palladium.
Attach additional pages if needed-SEE BELOW
ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT
CITY FACILITY (S) REQUESTED: Mark all that apply
CARTER GREEN (area between Palladium & theater building)
CIVIC SQUARE FOUNTAIN AREA
CIVIC SQUARE GAZEBO / LAWN
JAPANESE GARDEN
MONON & MAIN PLAZA
MIDTOWN PLAZA - Events must be free and open to the public.
REFLECTING POOL - Please note that Veteran's Plaza is NOT available for use.
Other Palladium east courtyard, between Palladium and Carmichael
Hotel
SPECIAL REQUESTS: Mark all that apply
ELECTRICITY
FOUNTAIN RESTROOM - FOUNTAIN/GAZEBO
JAMES BUILDING RESTROOMS (CARTER GREEN) *Extra fees apply
N/A
Other
VENDORS: Mark all that apply
SEE CITY OF CARMEL FACILITY USE POLICY
VENDORS PRESENT
FOOD SERVED (May be subject to Hamilton County Health Department
inspection.)
ALCOHOL SERVED - Please see Section M under “General Terms and
Conditions” in the Public Use Policy.
N/A
3 cars will be on the patio.
CITY SERVICES
NEEDED:
Neighborhood
Name/Streets to be closed
UPLOAD MAP
Type of Closure:
CITY SERVICES NEEDED: Mark all that apply
SEE CITY OF CARMEL FACILITY USE POLICY
EMERGENCY MEDICAL SERVICES (EMS) (Extra fees may apply)
EXTRA PATROL DURING EVENT (when available)
TRAFFIC CONTROL (Extra fees may apply)
ONSITE SECURITY (Assigned off-duty CPD officers, extra fees will apply)
BARRICADES
NO PARKING SIGNS (PICK UP AT CARMEL POLICE DEPARTMENT)
N/A
Other Will provide our own security
Please note the number of NO PARKING SIGNS needed
EVENT SET UP: Mark all that apply
SEE CITY OF CARMEL FACILITY USE POLICY
Stage
Size of Stage
Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the
exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368).
Otherwise, you may use the vendor of your choice.
Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571-
2600)
Bounce House
N/A
Other
Name of Merchants(s) doing the setup
Phone Number of Merchant(s) doing set up:
STREET(S) REQUESTED:
SEE CITY OF CARMEL FACILITY USE POLICY
Include addresses as appropriate
An easy to read, color map of the area is required with submission.
Rolling closure
Total closure
Lane restrictions - explain below
Other - explain below
N/A
Explain lane restrictions needed and other needed below:
Further Info for type of
closure
A refundable Security Deposit in the amount of $100 for any applicant located or residing within Carmel city limits or a
non-refundable event fee in the amount of $150 for any applicant located or residing outside of Carmel city limits must
be received prior to application review or processing.
Payment may be made online using a credit or debit card at https://www.govpaynow.com . PLC #A0026j, calling the
Govpay call center at 1-888-604-7888 (give them PLC#) or in the form of a certified check or money order made payable
to the City of Carmel. (Mail to: Carmel City hall, Attn: Lobby Desk, 1 Civic Square, Carmel, IN 46032)
The Carmel Board of Public Works and Safety reserves the right, in its sole discretion, to deny any facility use
request and/or revoke any previsously granted request to use a City facility for any lawful reason.
SECURITY DEPOSIT AND FEE:
DISCLAIMER:
ACKNOWLEDGEMENT AND AGREEMENT
Mayor's Office
ACKNOWLEDGEMENT AND AGREEMENT
TO COMPLY WITH CITY PUBLIC USE POLICY
I have read and understand the City of Carmel, Indiana ("City") Public Use Policy and agree to be bound by all the terms
and conditions set forth therein.
I will leave the City facility I use in the same condition that it was immediately prior to my use thereof. I agree to pay for
any damage, repair or clean-up costs incurred by the City as a result of my use of a City facility.
I hereby certify that I, and the organization I represent, if applicable, agree to be bound by the City's Facility Use Policy and
by any addition conditions or restrictions placed upon my/our use of a City facility by the Board. I understand that the
Board has the right to deny, alter or revoke my request for the use of a City facility for any lawful reason. I and/or my
organization also agree to indemnify and hold harmless the City of Carmel and all of its directors, officers, employees,
agents and affiliates from any claims of whatever nature (whether foreseeable or not) arising from or in connection with this
Application for any damages, costs or expenses incurred directly or indirectly as a result of my/our use of the City-owned
facility and/or property.
*
*
*
Public Use Policy *
GO TO SUBMIT TAB AND CLICK ON SUBMIT
Zak Khan
Name of Organization/Applicant
Signature of Authorized Agent/Applicant
Zak Khan
Printed Name and Title (If applicable)
3173798566
Phone Number (Required)
415 springwood dr, carmel, in 46032
Address of Organization/Applicant
3/14/2023
Date
I confirm that I am 18 years of age or older.
By selecting this box, I hereby acknowledge that I have read and fully
understand the City of Carmel, Indiana ("City") Public Use Policy and agree to be
bound by all the terms and conditions set forth therein.
Public Use Policy Acknowledgement and Agreement (Required)
CITY OF CARMEL USE ONLY
Approved this ______day of _______________, 20
CITY OF CARMEL, INDIANA
By and Through its Board of Public Works and Safety
___________________________________
James Brainard, Presiding Officer
Date: ______________________________
___________________________________
Mary Ann Burke, Member
Date: ______________________________
___________________________________
Lori Watson, Member
Date: ______________________________
ATTEST:
_____________________
Sue Wolfgang, City Clerk
________________
Date
Special Conditions:__________________________________________________________________
APPLICATION CHECKLIST (for use by City of Carmel)
Checklist
Applicable permit or
approval copies received
Application completed in full
Event narrative description included
Maps attached, if applicable
Vendor list attached, if applicable
Security deposit or event fee received
Certificate of Insurance received
Communication plan to residents and/or businesses and/or copy of email
correspondence to affected parties received
HOA approval received
Hamilton County Health Department
Hamilton County Sheriff
City of Carmel Fire Marshal
City of Carmel Police Department
Carmel Clay Parks & Recreation
SUBMIT
Clerk 3-29-23
BPW 4-5-23
Reviewed/Approved Via Email
CFD Heavner 3-20-23
CPD Horner 3-20-23
CRED Brewer 3-20-23
Clerk 3/29/23
BPW 4/5/23
Reviewed/Approved Via Email
CPD Horner 3/13/23
CFD Heavner 3/13/23
CRED Brewer 3/20/23
Monon & Main
use approved by
Chuck Lazzara
CzTfshfzHsfdivlijobu3;35qn-Nbs24-3134
” www.hwcengineering.comxxxx
” www.hwcengineering.com