HomeMy WebLinkAboutPaperless Packet for BPW 11.01.23Board of Public Works and Safety Meeting
Agenda
Wednesday, November 1, 2023 – 10:00 a.m.
Council Chambers City Hall, One Civic Square
MEETING CALLED TO ORDER
1.MINUTES
a.Minutes from the October 18, 2023, Regular Meeting
2.PERFORMANCE BOND REDUCTION APPROVAL REQUEST
a.Resolution BPW 11-01-23-05; Bond Release for 708 & 714 Adams Street; Erosion
Control; DB Klain Construction, LLC
b.Resolution BPW 11-01-23-06; Bond Release for Village of West Clay Block D Parking
Lot; Erosion Control; DB Klain Construction, LLC
c.Resolution BPW 11-01-23-07; Bond Release for The Reserve at Springmill; Erosion
Control; Pittman Family Real Estate Investors, LLC
d.Resolution BPW 11-01-23-08; Bond Release for Woodside of West Clay; Erosion
Control; Snap II Properties, LLC
e.Resolution BPW 11-01-23-09; Bond Release for Magnolia Condominiums; Storm
Sewer, Interior Curb, Signs; Magnolia Condos, LLC
3.CONTRACTS
a.Request for Goods and Services; BGI Fitness; ($54,602.01); Fitness Equipment; Chief
Dave Haboush, Carmel Fire Department
b.Resolution BPW 11-01-23-03; A Resolution Requesting Financing, Construction and
Dedication of Certain Infrastructure or Other Impact Zone Improvements in Lieu of
and as a Credit Against the Payment of Parks and Recreation Impact Fees (“PRIF”)
and Approving a PRIF Credit Agreement; Pedcor Community Development
Corporation - Penn One Eleven; ($4,706,248.00); Henry Mestetsky, Director of the
Department of Redevelopment
c.Resolution BPW 11-01-23-04; A Resolution Requesting Financing, Construction and
Dedication of Certain Infrastructure or Other Impact Zone Improvements in Lieu of
and as a Credit Against the Payment of Parks and Recreation Impact Fees (“PRIF”)
and Approving a PRIF Credit Agreement; Carmel Corner Project Partners, LLC -
The Corner; ($860,390.00); Henry Mestetsky, Director of the Department of
Redevelopment
d.Request for Goods and Services; College Avenue Design, LLC d/b/a Sweet Event
Planning; ($2,500.00); Event Planning Services - Shop Carmel; Additional Services
Amendment; Nancy Heck, Director of the Department of Community Relations
e.Resolution BPW 11-01-23-02; Request for Acknowledgement of Contract between
City and Vendor; RJE Business Interiors; ($1,134.73); Furniture for City Hall CRED
Office; Nancy Heck, Director of the Department of Community Relations
f.Resolution BPW 11-01-23-10; Request for Acknowledgement of Contract between City
and Vendor; PleinAir; ($4,245.00); Advertising Agreement; Nancy Heck, Director of the
Department of Community Relations
g.Request for Goods and Services; Wilkinson Brothers, Inc.; ($55,000.00); City of
Carmel Advertising and Event Promotion; Additional Services Amendment; Nancy
Heck, Director of the Department of Community Relations
h.Request for Goods and Services; 3D Company, Inc.; ($10,222.54); 20-ENG-02 106th
Street and College Avenue RAB; CO #4; Jeremy Kashman, City Engineer
i.Request for Goods and Services; RQAW Corporation; ($102,200.00); 22-ENG-11
Carmel Path – 141st Street from West Road to Springmill Road – Phase 2 Design;
Additional Services Amendment; Jeremy Kashman, City Engineer
j.Request for Goods and Services; White Construction, Inc.; ($112,390.55); 18-ENG-05
Richland Ave & Main St and Lexington Blvd & Main St - Intersection Improvements;
CO #2 (Final); Jeremy Kashman, City Engineer
k.Request for Goods and Services; Vision Service Providers; VSP Contract Renewal;
Lisa Hartz, Director of Human Resources
l.Request for Goods and Services; KBSO Consulting, LLC; ($16,000.00); Tarkington
Garage – EV Charging Stations Project; Matt Higginbotham, Street Commissioner
m.Resolution BPW 11-01-23-01; Request for Acknowledgement of Contract between City
and Vendor; Catbun Studios; ($6,000.00); Painting Services for Christkindlmarkt;
Matt Higginbotham, Street Commissioner
4.REQUEST TO USE CITY STREETS/PROPERTY
a.Request to Use City Hall Caucus Room; Administration/Coaches Meeting; November
28, 2023; 9:30 AM – 3:30 PM; Grace Schott, Heartland Collegiate Athletic Conference
5.OTHER
a.Request for Secondary Plat; Five-Ten Subdivision; Tom Lazzara, Custom Living USA –
TABLED on 10/4/23
b.Request for Waiver of BPW Resolution No. 04-28-17-01, Replacement of an Existing
Pole; 1684 Lodgetree Cove; Duke Energy
c.Request for Grant of Perpetual Storm Water Quality Management Easement; BJ’s
Wholesale Club - 14400 Lowes Way; Connor Strege, Kite Greyhound, LLC
d.Request for Consent to Encroach and Variance; 12950 Old Meridian Street; Edward
Rose Development Carmel, LLC
e.Request for Consent to Encroach and Variance; 3180 Driftwood Court; Aaron & Kyle
Monke, Property Owners
f.Request for Secondary Plat; Jackson’s Grant Village, Sections 1 & 2; Republic
Development
g.Request for Storm Water Technical Standards Waiver; LEO at Carmel - 14575 James
Dean Drive; Weihe Engineers
h.Request for Replat; Waterfront of West Clay, Section 5B; Duane Sharrer, Weihe
Engineers
i.Request for Replat; Woodland Golf Club, Lots 37 & 38; Joe Logan
6.ADJOURNMENT
Board of Public Works and Safety Meeting 1
Minutes 2
Wednesday, October 18, 2023 – 10:00 a.m. 3
Council Chambers City Hall, One Civic Square 4
5
6
7
MEETING CALLED TO ORDER 8 9
Board Member Mary Ann Burke called the meeting to order at 10:03 AM. 10
11
MEMBERS PRESENT 12
13
Board Members Mary Ann Burke and Lori Watson, and Deputy Clerk Jessica Komp were present. 14
15
MINUTES 16
17
Minutes from the October 4, 2023 Regular Meeting. Board Member Burke moved to approve. Board 18
Member Watson seconded. Minutes were approved 2-0. 19
20
BID & QUOTE OPENINGS & AWARDS 21
22
Bid Award for 20-ENG-11TC 96th Street Tree Clearing 23
Jeremy Kashman, City Engineer, recommended awarding the bid to United Construction Services, 24
LLC, as the lowest, most responsive bidder, in the amount of $89,600.00. Board Member Burke moved 25
to approve. Board Member Watson seconded. Award approved 2-0. 26
27
Bid Award for 22-ENG-02 116th Street Multi-Use Path from Michigan Road to Towne Road 28
Jeremy Kashman, City Engineer, recommended awarding the bid to Morphey Construction, Inc., as 29
the lowest, most responsive bidder, in the amount of $1,124,300.00. Board Member Burke moved to 30
approve. Board Member Watson seconded. Award approved 2-0. 31
32
CONTRACTS 33
Resolution BPW 10-18-23-01; A Resolution of the City of Carmel to Approve the Transfer of Surplus 34
Property to Westfield High School; Board Member Burke moved to approve. Board Member Watson 35
seconded. Resolution approved 2-0. 36
Request for Goods and Services; TargetSolutions Learning, LLC; ($25,455.33); Vector Check-It 37
Renewal; Additional Services Amendment; Board Member Burke moved to approve. Board Member 38
Watson seconded. Request approved 2-0. 39
Request for Approval of Engagement Letter Agreement between City and Vendor; Baker Tilly 40
Municipal Advisors, LLC; Board Member Burke moved to approve. Board Member Watson seconded. 41
Request approved 2-0. 42
Request for Goods and Services; Morphey Construction, Inc.; ($1,124,300.00); 22-ENG-02 116th 43
Street Multi-Use Path from Michigan Road to Towne Road – Construction; Board Member Burke 44
moved to approve. Board Member Watson seconded. Request approved 2-0. 45
Request for Goods and Services; The Taylor Realty Group, P.C.; ($27,845.00); 20-ENG-04-N College 46
Avenue Reconstruction – Appraisal Services; Additional Services Amendment; Board Member Burke 47
moved to approve. Board Member Watson seconded. Request approved 2-0. 48
Request for Goods and Services; United Construction Services, LLC; ($89,600.00); 20-ENG-11TC 49
96th Street Tree Clearing - Construction; Board Member Burke moved to approve. Board Member 50
Watson seconded. Request approved 2-0. 51
Request for Purchase of Goods and Services; Knauss Property Services, LLC; ($28,246.00); Parking 52
Garage Cleaning; Additional Services Amendment; Board Member Burke moved to approve. Board 53
Member Watson seconded. Request approved 2-0. 54
Request for Purchase of Goods and Services; Smock Fansler Corporation; ($34,951.00); Jazz 55
Sculpture Project; Additional Services Amendment; Board Member Burke moved to approve. Board 56
Member Watson seconded. Request approved 2-0. 57
58
REQUEST TO USE CITY STREETS/PROPERTY 59
60
Request to Use Midtown Plaza; Information Table regarding Carmel Clay Schools Operating 61
Referendum; October 18, 2023; 4:30 PM – 7:00 PM; Board Member Burke moved to approve. 62
Member Watson seconded. Request approved 2-0. 63
64
Request to Use City Street; Neighborhood Block Party; October 21, 2023; 3:00 PM – 10:00 PM; 65
Kristen Spriggs, Jackson’s Grant Neighborhood. Board Member Burke moved to approve. Member 66
Watson seconded. Request approved 2-0. 67
68
Request to Use/Close City Streets and Use Sophia Square Restrooms; Carmel PorchFest; September 69
15, 2024; 8:00 AM - 7:00 PM; Board Member Burke moved to approved. Member Watson seconded. 70
Request approved 2-0. 71
72
Request to Use Midtown Plaza; Dog Portraits; October 18, 2023; 4:00 PM – 7:00 PM; Board 73
Member Burke moved to approve. Member Watson seconded. Request approved 2-0. 74
75
OTHER 76
77
Request for Secondary Plat; Five-Ten Subdivision; TABLED on 10/4/23. REMAINS TABLED. 78
79
Request for Waiver of BPW Resolution No. 04-28-17-01, Lane Restrictions; 11101 Springmill Road; 80
Board Member Burke moved to approve. Member Watson seconded. Request approved 2-0. 81
82
Request for Right of Way Dedication; 20-ENG-06, Parcel 9; Board Member Burke moved to approve. 83
Member Watson seconded. Request approved 2-0. 84
85
Request for Right of Way Dedication; 20-ENG-04-N, Parcel 14; Board Member Burke moved to 86
approve. Member Watson seconded. Request approved 2-0. 87
88
Request for Consent to Encroach and Variance; 3512 Cardinal Way; Board Member Burke moved to 89
approve. Member Watson seconded. Request approved 2-0. 90
91
Request for Release and Termination of Grant of Perpetual Storm Water Quality Management 92
Easement; CRG Flex Office - 815 City Center Drive; Board Member Burke moved to approve. 93
Member Watson seconded. Request approved 2-0. 94
95
Request for Grant of Perpetual Storm Water Quality Management Easement; CRG Flex Office - 815 96
City Center Drive; Board Member Burke moved to approve. Member Watson seconded. Request 97
approved 2-0. 98
99
Request for Secondary Plat; Kingswood Extension; Board Member Burke moved to approve. Member 100
Watson seconded. Request approved 2-0. 101
102
Request for Grant of Water Quality Preservation Easement; 13065 Clay Center Road; Board Member 103
Burke moved to approve. Member Watson seconded. Request approved 2-0. 104
105
ADD-ON 106
Board Member Burke moved to add one add-on item to the agenda. Member Watson seconded. 107
Approved 2-0. 108
109
Amendment to Affiliation Agreement between City of Carmel and Indiana University Health, Inc. 110
The Carmel Police Department requests the approval of an amendment to the previously executed 111
Affiliation Agreement with Indiana University Health, pertaining to modifications of minimum 112
vaccination requirements for Covid-19, and screening requirements for tuberculosis. Presented by 113
Sergey Grechukhin, Corporation Counsel. Board Member Burke moved to approve. Member Watson 114
seconded. Request approved 2-0. 115
116
ADJOURNMENT 117
Board Member Burke adjourned the meeting at 10:07 AM 118
119
120
121
APPROVED: ____________________________________ 122
Sue Wolfgang – City Clerk 123
124
125
_____________________________________ 126
Mayor James Brainard 127
128
129
ATTEST: 130
__________________________________ 131
Sue Wolfgang – City Clerk 132
133
134
RESOLUTION NO. BPW_11-01-23-03
A RESOLUTION REQUESTING THE PROVISION OF CERTAIN INFRASTRUCTURE
OR OTHER IMPACT ZONE IMPROVEMENTS IN LIEU OF AND AS A CREDIT
AGAINST THE PAYMENT OF PARKS AND RECREATION IMPACT FEES (“PRIF”)
AND APPROVING A PRIF CREDIT AGREEMENT
WHEREAS, Indiana Code 36-7-4-1335 permits the application of a credit against the payment of
impact fees for persons who construct or provide certain infrastructure or other improvements of a type for
which a unit imposes an impact fee in an impact zone; and,
WHEREAS, City of Carmel Unified Development Ordinance 1.30(F) permits the City of Carmel
Board of Public Works and Safety (“Board”) to request that any person otherwise required to pay PRIF to
instead finance, construct, and dedicate certain infrastructure or improvements in the Parks and Recreation
Infrastructure Impact Zone (“Impact Zone”) located in Clay Township, Indiana and over which the City of
Carmel, Indiana (“City”) exercises planning and zoning jurisdiction; and,
WHEREAS, City of Carmel Unified Development Ordinance 1.30(F) also permits the Board to
determine the amount of PRIF credit any person requested to finance, construct, and dedicate certain
infrastructure or improvements in the Impact Zone in lieu of PRIF payment shall receive, and to memorialize
this determination in a credit agreement (“Credit Agreement”); and,
WHEREAS, the Board now desires to request that Pedcor Community Development Corporation,
an Indiana corporation (“Pedcor”), finance and construct, within seven (7) years of Pedcor’s receipt of a
structural building permit for its first phase of construction (the “End Date”), those certain infrastructure and
improvements set forth on attached Exhibit A, the same being incorporated herein by this reference, in
exchange for a PRIF credit the Board has determined should be in the amount of exactly Four Million Seven
Hundred Six Thousand, Two Hundred Forty Eight Dollars ($4,706,248.00); and,
WHEREAS, Pedcor covenants that the infrastructure and improvements set forth in Exhibit A shall
remain open to the public for their use and enjoyment in perpetuity; and,
WHEREAS, Pedcor shall maintain, repair and replace, at its sole cost and expense, the
infrastructure and improvements set forth in Exhibit A as necessary and to the satisfaction of the City, in
perpetuity; and,
WHEREAS, Pedcor shall execute and return to the Board, by and through the Carmel Office of
Corporation Counsel, the Credit Agreement set forth on attached Exhibit B, the same being incorporated
herein by this reference, prior to the issuance of the improvement location fee for that ce rtain improvement
identified on attached Exhibit C, the same being incorporated herein by this reference; and
WHEREAS, PRIF in the amount of $4,706,248.00 is due and owing by Pedcor to the City by virtue
of that certain improvement identified on attached Exhibit C (the “Targeted PRIF”); and,
WHEREAS, Pedcor’s obligation to pay the Targeted PRIF to the City shall be held in abeyance
until the earlier of the acceptance by the Board, in its sole discretion, of the infrastructure or improvements
set forth on attached Exhibit A (“Board Acceptance”) or the End Date. Upon Board Acceptance, the City
shall promptly enter the credit identified herein against Pedcor’s Targeted PRIF obligations. If Board
Acceptance does not occur by the End Date, no credit shall be entered against the Targeted PRIF and the
same shall thereafter become immediately due and owing to the City.
NOW, THEREFORE, BE IT RESOLVED by the Board of Public Works and Safety of the City
of Carmel, Indiana as follows:
1. The foregoing Recitals are incorporated herein by this reference.
2. The Board hereby requests that Pedcor Community Development Corporation finance and
construct those certain infrastructure and improvements set forth on attached Exhibit A, in exchange for a
PRIF credit of exactly $4,706,248.00, pursuant to the terms and conditions set forth hereinabove.
3. The Board hereby approves the Credit Agreement in the form as set forth in attached Exhibit B.
4. That Henry Mestetsky, on behalf of the City and the Board, is hereby authorized and directed to
take such actions as are lawful, necessary, and proper to effectuate the transaction approved by this
Resolution.
SO RESOLVED.
Approved and adopted this ________ day of __________________, 2023.
CARMEL BOARD OF PUBLIC WORKS AND SAFETY
By:
__________________________________
James Brainard, Presiding Officer
Date:______________________________
__________________________________
Mary Ann Burke, Member
Date:______________________________
__________________________________
Lori S. Watson, Member
Date:______________________________
ATTEST:
__________________________________
Sue Wolfgang, Clerk
Date:______________________________
Total Residential Units 964
Parks and Recreation Impact Fees (PRIF)
Per Unit PRIF Rate 4,882.00$
Total Project PRIF 4,706,248.00$
Plaza Infrastructure Costs
Entertainment Area Stage 250,000.00$
Stage Lighting 55,000.00$
Public TV, speakers, and other AV items 600,000.00$
Outdoor Sound System + Infrastructure 150,000.00$
Hopscotch Feature 5,500.00$
Amphitheater Grading 625,000.00$
Security Cameras 40,000.00$
Feature Benches 60,000.00$
Pickleball Courts 105,000.00$
Playground Enhancements 195,000.00$
Feature Fountain 145,000.00$
Bocce Ball Court 135,000.00$
Fire Pit and Seating 55,000.00$
Public Art & Scupltures 350,000.00$
Shade Installations 125,000.00$
Large Format Chess 5,500.00$
Public Restrooms 395,000.00$
Decorative Paver Enhancements 235,000.00$
Decorative Railing Enhancements 115,000.00$
Roundabout Art 75,000.00$
Plaza Design Costs 250,000.00$
Restroom Detailing 25,000.00$
Structural Engineer 50,000.00$
Construction Administration 50,000.00$
Inflation Contingency 614,400.00$
Total 4,710,400.00$
Penn One Eleven - Plaza Budget
Exhibit C
RESOLUTION NO. BPW 11-01-23-04
A RESOLUTION REQUESTING THE FJN4NCING. CONSTRUCTION, AND
DEDICATION OF CERTAIN INFRASTRUCTURE OR OTHER IMPACT ZONE
IMPROVEMENTS IN LIEU OF AND AS A CREDIT AGAINST JIii "'AYMENT OF PARKS AND RECREATION IMPACT FEES l"PRIF"} AND APPROVING A PRIF
CREDIT AGREEMENT
WHEREAS, Indiana Code 36-7-4-133S permits the application of a credit against the payment of
impact fees for persons who construct or provide certain infrastructure or other improvements of a type for
which a unit imposes an impact fee in an impact zone; and,
WHEREAS, City of Carmel Unified Development Ordinance §l.3(F) permits the City of Carmel
Board of Public Worb and Safety ("Board'") to request that any person otherwise required to pay PRIF to
instead finance, comtruct, and dedicate certain infrastructure or improvements in the Parks and Recreation
Infrastructure Impact Zone ("Impact Zone'') located in within Carmel, Indiana and over which the City of
Carmel, Indiana ("City'') exercises p]anning imd zoning jurisdiction; and,
WHEREAS, City of Carmel Unified Development Ordinance § 1.3(F) also permits the Board to
determine the amount of PRIF credit any person requested to finance, construct, and dedicate certain
inftastructure or improvements in the Impact Zone in lieu of PRIF payment shall receive, and to memorialize
this detennination in a credit agreement ("Credit Agreement''); and,
WHEREAS, at ita meeting on August 4, 2021 the Board passed Resolution BPW 08-04-21-03,
which approved a PRIF credit for The Corner project in the amount $826,216.00; and,
WHEREAS, the amount of the PRIF credit in Resolution BPW 08-04-21-03 was incorrect, due to
a change in the number of units in The Corner's project plan; and,
WHEREAS, in order to Clllurc that The Comer project is issued the COITeCt PRIF credit ammm.t, it
is necessary to repeal Resolution BPW 08-04-21-03 in its entirety and replace it with a corrected resolution
and credit agreement; and
WHEREAS, PRIF in the amount of $860,390.00 is due and owing by Carmel Corner Project
Partnen, LLC, an Indiana limited liability company, ("Carmel Corner Project Partners") to the City by virtue
of certain improvements identified on attached Exhibit A (the "Targeted PRIF'); and,
WHEREAS, the Board now desires to request that Carmel Corner Project Partners, finance and
construct those certain infrastructure and improvements set forth on attached Exhibit B, the same being
incorporated herein by this reference, in exchange for a PRIF credit the Board has determined should be in
the amount of exactly Five Hundred Forty Two Thousand Seven Hundred Fourteen Dollars ($S42, 714.00);
and,
WHEREAS, Cannel Corner Project Partners covenants that the inftastructure and improvements
set forth in Exhibit B shall remain open to the public for their use and enjoyment in perpetuity; and,
WHEREAS, Carmel Comer Project Partnen s�l maintain, repair and replace the infrastructure
and improvements set forth in Exhibit B as necessary and to the satisfaction of the City, in perpetuity; and,
WHEREAS, the Board also desires to request that Carmel Comer Project Partnen finance future
infrastructure or improvements that meet the requirements set forth in Indiana Code § 36-7-4-133S(a) in the
amount of $317,676.00; and,
EXBIBITC
PRIF CREDIT AGREEMENT
COMES NOW Carmel Comer Project Partners, LLC, an Indiana limited liability company, (''Carmel Comer Project Partners") by its undersigned, duly authorized agent, and states as follows:
Pursuant to the terms set forth in BPW Resolution 11-01-23-04, Carmel Comer Project Partners hereby agrees to finance and construct those certain infrastructure items or public improvements set forth
in attached Exhibit B, and to contribute $317,676.00 in order to finance the construction of futme infrastructure items or public improvements that meet the requirements of Indiana Code 36-7-4-1335(a), in exchange for a Parks and Recreation Impact Fee ("PRIF'') credit not to exceed $860,390.00.
After the improvements are completed and have been accepted by the Carmel Board of Public Works and Safety, any remajning unused PRIF shall be made available for use by the Carmel Department of Parks and Recreation, pursuant to the requirements of the City.
ii" zo� SO AGREED this� day of �-tobe( �-
Printed Name
C}ue.f hno.v,c10..\ Oft\c.(.( Title
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EXHIBIT A
Sweet Event Planning/Sondra Schwieterman
ScopeofServices & Rate Schedule forProfessional Services forEventPlanning For:
3§®¯ #
3¢®¯¤ ®¥ 3¤±µ¨¢¤² 2 To assist the
City of Carmel in maintaining and building the Carmel Arts & Design To direct activities
and event coordination for Shop Smallon behalf of the City of Carmel, including but not
limited to: o Host eventonSaturday, .®
µ¤¬¡¤± o Direct the
recruitment of and communication with businessesfor Shop Carmel o Direct the
recruitment of and communication with volunteers for Shop Carmel o Write web
and social media copy forShop Carmel o Spearhead art
direction on collateral materials for Shop Carmeland coordinate marketing and advertising
with designated City of Carmel representatives o Spearhead logistics
of assigned events, from planning to set up through execution and clean
up o Assist with
sponsorship fulfillment as directed o Direct public
relations efforts for events as approved Includes but is
not limited to: Communications to target
audiences to maximize the user experience at events
News release writing
o Adhere to
approved City of Carmel budget for events, media and public relations o Meet
regularly
with City of Carmel representative(s) o Evaluate measurable
objectives through research resources available or budgeted for by
the City of Carmel Assist onexecution special
promotional events and public relations efforts as needed and within the
parameters of the contract o Including but
not limited to: Executing social media posts on Carmel Arts &Design District social media
channels, assisting the direction to graphic
designers, and writing copy for collateral material The above Scope
of
Work can be executed for a fee of andcan be billedmonthly as services are rendered. 9 /
5 /
Lb h
Specialty materials and outside services paid for by Sweet Event Planning will be billed back to City
of Carmel at cost. Examples include but are not limited to media buys, specialty paper, signs,
banners, staff meals, dumpsters, event supplies, and postage.
Cost includes parking fees and mileage incurred by Sweet Event Planning for the duration of the
contract (provided all miles driven are within the Marion and surrounding eight counties.)
Sondra SchwietermanSignature: _________________________________
Date: 6/26/2023
9 /5 /Lb
Page 1 of 1INDIANARETAILTAXEXEMPT
PURCHASE ORDER NUMBERCERTIFICATENO. 003120155 002 0CityofCarmel
FEDERAL EXCISE TAX EXEMPT 109866
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
EVENT PLANNING SERVICES FOR SHOP CARMEL7/6/2023373677
SWEET EVENT PLANNING COMMUNITY RELATIONS
VENDORSHIP3508ECARMELDR 1 CIVIC SQ
TO Carmel, IN 46032-
CARMEL, IN 46033 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
78941
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund: 1203101General Fund
Account: 43-590.03
Each1EVENT PLANNING SERVICES FOR SHOP CARMEL$2,500.00$2,500.00
Sub Total 2,500.00
Send Invoice To:
COMMUNITY RELATIONS
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
2,500.00PAYMENT
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.
Nancy Heck
TITLEDirector
CONTROL NO. 109866 CONTROLLER
RESOLUTION NO. BPW 11-01-23-10
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:
CzTfshfzHsfdivlijobu23;2:qn-Pdu36-3134
ADDITIONAL SERVICES
EXHIBIT A
WILKINSON BROTHERS • 317.915.8611 • www.wilkinsonbrothers.com
October 24, 2023
City of Carmel
One Civic Square
Carmel, IN 46032
RE: City of Carmel Request for Additional Services
This document outlines the additional professional services requested by the City of Carmel for
additional graphic design & marketing materials including, but not limited to:
55,000 - City of Carmel Advertising and Event Promotion
Oktoberfest promotion
Arts in Autumn materials
Holidays in Carmel
Ice at Carter Green
Christkindlmarkt
Festival of Ice & Carmel Winter Games
Meet Me On Main
Shop Small
City Newsletter (print)
Holiday Porchfest
COST for DESIGN, PRODUCTION, & DEVELOPMENT (Additional Services): $55,000
Should our duties require less than the above anticipated cost, we will adjust the amount accordingly.
The cost will not exceed this amount.
COST NOTES:
All design, additions or updates are estimated at a rate of $75-100 per hour (depending on
skill sets required), based on the previous years of production on event-related projects.
The costs above include any hosting or registration and vendor expenses necessary.
PAYMENT TERMS:
Payment will be requested as work is completed. This quote is based on information presented
by the City of Carmel.
Thank you for allowing us to serve the City of Carmel and its community!
Wilkinson Brothers, Inc.
corey@wilkinsonbrothers.com
City of Carmel Promo Materials
Branding and Logo Development
Carmel Year In Review
Design for Display Case Near Public Restroom/Hotel
Carmel on Canvas
Carmel Christmas ornament
12-page booklet for State of the City
Assembly of a comprehensive collection/guide of
branding elements created for the City
Winter Event Signage and Environmental Graphics
10/22/2023
WILKINSON BROTHERS
FISHERS, IN 46038 -
110167
PO BOX 235
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
ADDITIONAL SERVICES FOR GRAPHIC DESIGN, WEBSITE &
CREATIVE MARKETING SERVICES
COMMUNITY RELATIONS
1 CIVIC SQ
Carmel, IN 46032-
358230
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
81728
1203Department:101Fund:General Fund
43-404.01Account:
ADDITIONAL SERVICES - GRAPHIC DESIGN, WEBSITE &
CREATIVE MARKETING SERVICES
1 $23,750.00 $23,750.00Each
23,750.00SubTotal
43-590.03Account:
ADDITIONAL SERVICES - GRAPHIC DESIGN, WEBSITE &
CREATIVE MARKETING SERVICES
1 $31,250.00 $31,250.00Each
31,250.00SubTotal
55,000.00
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. 110167
ORDERED BY
TITLE
CONTROLLER
COMMUNITY RELATIONS
1 Civic Square
Carmel, IN 46032-
Nancy Heck James Crider
Director Director of Administration
RU VE•
City of Carmel Project 20-ENG-02=
Intersection Improvements: 106t" Street
and College Avenue Roundabout
CHANGE ORDER #4
This change order will add pay items for a yard drain on the property on the northwest corner of Arthur
Drive and College Avenue; additional water main work at 106th and Broadway intersection; downtime
for rental materials for STIR 125A; and payment for materials due to deletion of STIR 174 and STIR 176 on
the east leg of the project; and a liquidated damages pay item. There is no time extension for this work.
This change order will also adjust the substantial and final completion dates. The substantial completion
date is changing from December 2, 2022 to March 31, 2023. The final completion date is changing from
January 3, 2023 to June 2, 2023.
Contract Price prior to this Change Order
Contract Price will be changed by this Change Order
3, 804,245.77
10,222.54
New Contract Price including this Change Order $3,814,458.31
Amount Adjusted Contract
Price
Cumulative % Change
from Original Contract
Original Contract 3,660,000.00 N/A N/A
C01 99,360.21 3,759.360.21 2.71%
CO2 21,026.40 3,780,396.61 3.29%
CO3 23,849.16 3,804,245.77 3.94%
C04 10,222.54 3,814,458.31 4.22%
CITY OF CARMEL
TO: Jeremy Kashman CONTRACT CHANGE ORDER NO.: 4
City Engineer DATE: October 17, 2023
City of Carmel Indiana PROJECT NAME: 106th and Colle e Ave RAB
One Civic Square CITY REQ. NO.:
Carmel, IN 46032 CITY PO NO.: 20-ENG-02
CITY PO DATE:
I. You are directed to make the following changes in this Contract:
This change order will add pay items for a yard drain on the property on the northwest corner of Arthur Drive
and College Avenue; additional water main work at 106th and Broadway intersection; downtime for rental
materials for STR 125A; payment for materials due to deletion of STIR 174 and STIR 176 on the east leg of
the project; and a liquidated damages pay item. There is no time extension for this work. This change order
will also adjust the substantial and final completion dates. The substantial completion date is changing from
December 2, 2022 to March 31, 2023. The final completion date is changing from January 3, 2023 to June
2, 2023.
SCHEDULED ADJUSTMENT
ITEM AMOUNT H OR (-) DAYS
II. The following referenced Documents further describe the changes outlined in Paragraph I,
and are to be considered a part of this Change Order: R.F.P.: N/A W.D.C. NO.: N/A
The changes result in the following adjustment of Contract Price and Contract Time:
Contract Price prior to this Change Order $ 3,804,235.77
Contract Price will be increased by this Change Order $ 10,222.54
New Contract Price including this Change Order $ 3,814,458.31
Contract Time prior to this Change Order Days Closure 12/2/2022 Substantial Completion Date
Contract Time prior to this Change Order 1/3/2023 Final Completion Date
Net increased/decreased resulting from this Change Order Days
Current Contract Time including this Change Order Days Closure 3/31/2023 Substantial Completion Date
Current Contract Time including this Change Order 6/2/2023 Final Completion Date
This Change Order is for full and final settlement of all direct, indirect, impact costs and time
extensions incurred at any time resulting from the performance of the changed work.
The Above Changes Are The Above Changes Are Accepted
Recommended
American 5tructurepoitiL Inc._ 3D Company
ENGINEER CONTRACTOR
9025 River Road. Suite 200 7240 North_State Road 3
Address Address
Indianapolis. IN 46240 Muncie, IN 47303
City/State/Zip City/State/Zip
Phone: 317-281-9563 Phone: (765) 288-3326
Date: October 17, 2023 Date: October 23, 2023
Approved
James Brainard, Mayor
Mary Ann Burke, Member
Loris Watson, Member
Jer Iy dashman, PE, City Engineer
ATTEST:
Sue Wolfgang, Clerk
Date:
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CITY OF CARMEL
TO: CONTRACT CHANGE REQUEST NO.: 32
DATE: 8/1 /23
PROJECT NAME: 106th St & College Ave. RAB
FROM: 3D Company Inc.
IT IS REQUESTED THAT A CONTRACT CHANGE BE MADE TO THE ABOVE
REFERENCED CONTRACT.
1. SCOPE OF WORK (USE ADDITIONAL PAGES IF REQUIRED. ALSO LIST OTHER
CONTRACTS INVOLVED.)
Installation of yard drain at College and Arthur,
2. REASON FOR CHANGE:
Installation of yard drain was unforeseen and needed to aid in drainage at this intersection.
3. APPROXIMATE COST CHANGE TO CONTRACT PRICE: $1,530.66
4. WILL THE CONTRACT NEED ADDITIONAL CONTRACT TIME TO COMPLETE
THE CHANGE IN WORK SCOPE? X -YES -NO .5 -(CALENDAR
DAYS)
5. WILL THE CONTRACTOR NEED ADDITIONAL PERSONNEL TO COMPLETE THE
CHANGE IN WORK SCOPE? -YES X -NO
IF NO, TRADE(S): _
NO. OF PERSONNEL:
DURATION:
6. IDENTIFICATION OF ATTACHMENTS:
COR # 32 is attached.
DATE: DATE:
PREPARED
REVIEWED BY: Seth Blalock REVIEWED BY:
ENGINEER
Comments and Recommendation:
AR-5
Version 2018-12-19
CHANGE ORDER REQUEST FORM
CONTRACT NO. 20-ENG-02 DATE OF SUBMISSION 8/1/23
PROJECT DESCRIPTION 1061h Street and College Avenue Roundabout
route/intersection/bridge no(s).)
CHANGE ORDER REQUEST SUMMARY Installation of yard drain at College and Arthur intersection.
DESCRIPTION
PROPOSED SOLUTION SUMMARY Installation of yard drain and connection into newly installed storm system.
NOTE: Upon request from Engineer, enter detailed description on page 2.
ONSET DATE OF CHANGE 5/24/23 CHANGE ORDER TYPE 104.03 Extra Work
PROPOSED COST AND TIME ADJUSTMENT
COST COST INCREASE / (DECREASE): 1,530.66
The cost adjustment shall include lump sum and/or estimated totaled unit -priced item costs. Attach a separate sheet of unit price items
including item description, unit of measurement, estimated quantity and unit price.
CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF COST CHANGE:
109.03 Altered Quantities 109.05(a) Agreed Price M 109.05(b) Force Account 109.05.02 Delay Costs
PROPOSED COST CHANGE INCLUDES: ® Labor M Material ® Equipment Lease Agreement
Subcontractor
DICK here to
TIME ADJUSTMENT INCREASE / (DECREASE): (work days) enter text.
1
CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF TIME CHANGE:
108.08(a) Excusable, Non-Compensable 108.08(b) Excusable, Compensable
NOTE: If Compensable, attach details based on 109.05.2(a) Allowable Delay Costs.
SUPPLEMENTAL INFORMATION
Additional information.
CHANGE ORDER ORIGINATION:
DOCUMENTS AFFECTED:
M Contract Specifications (ref. doc name/no.)
Contract Plans (ref. doc name/no.)
CHANGE ORDER AFFECTS DBE PARTICIPATION:
Owner/Inspection Contractor
IN DOT Standard Specifications 2020
Intersection Improvements 106th Street & College Ave. RAB 20-ENG-02
yes ® no (if yes, attach details)
Ver. 10,18.18
CHANGE ORDER REQUEST FORM
CONTRACT NO. 20-ENG-02
UPON WRITTEN REQUEST FROM THE ENGINEER, PROVIDE ADDITIONAL DETAIL
DATE RECEIVED REQUEST FOR SUBMITTAL DATE OF
ADDITIONAL DETAIL [
Select Date]
ADDITIONAL DETAIL
DETAILED DESCRIPTION / JUSTIFICATION:
Select Date]
Include location(s), actions of contractor, owner, and other stakeholders, key events and related cause(s), discoveries,
discussions, meetings, and effect on the contract if no action is taken. Also include references to key documents attached
or available to support this change order request.)
Installation of yard drain at intersection of College and Arthur.
PROPOSED SOLUTION — ADDITIONAL DETAILS:
Include proposed scope of work, means & methods, materials, equipment, utility relocation required, subcontracted
scope and the effect on the contract schedule. Also include references to attached documents including, but not limited
to, sketches, calculations, photos, material information, and submittals and meeting minutes.)
Installation of yard drain and connection into newly installed storm system.
SIGNATURE
Contractor: 3D Company Inc.
Name: (print) eanna D. Case
signature) Date: 8/1 /23
NOTE: The Contractor should retain a signed copy of this document for record.
pg. 2
CHANGE ORDER REQUEST FORM
CONTRACT NO. 20-ENG-02
ATTACHMENT: UNIT PRICE ITEMS DETAIL
Attach or paste a unit price item detail.
See attached force account sheet for breakdown of cost.
pg. 3
T&M Spreadsheet
INDOT Contract #: 20-ENG-02 Contract Descp:
Prime Contractor: 3D Company Inc. Subcontractor:
Date Work Performed: 5/24/2023 Inspector:
T&M Task Description: Installation of yard drain and connection at College and Arthur. 7 yards
of top soil were placed for this work and the AT&T relocation.
Labor (includes Fringes & Applicable Taxes)
O.H. &
Hours Subtotal Profit AmountNameClassificationRate/Hour
1 Foreman 94.00 3.00 282.00 1.20 338.40
21 Laborer 62.00 3.00 186.00 1.20 223.20
3
4
5
Labor Total: $561.60
Equipment
Make Classification Rate/Hour Hours Subtotal
O.H. &
Profit Amount
1 Kubota 95 Skidsteer 147.00 3.00 441.00 1.12 493.92
2 Ford F-550 Single Axle Dump 115.00 2.00 230.00 1.12 257.60
3
4
5
6
E ui ment Total: $751.52
Materials (See Attached lnvoiml
Description Location Unit Price Quanytv Subtotal
O.H. &
Profit Amount
11 Yard Drain/Pie 128.29 1.00 128.29 1.12 143.68
2 H dralic Cement 21.98 3.00 65.94 1.12 73.85
3
4
Material Total. $217.54
Sub Contractors
Subcontractor Type Unit Price Quantity Subtotal
O.H. &
Profit Amount
1
Material Total: $0.00
Daily Cost Summary
Daily Labor Total:
Daily Equipment Total:
Daily Materials Total:
Subcontractor Total:
Bond % Increase Total:
GC (10%-1st $3,000):
GC (7%-Over $3,000):
Daily Grand Total:
561.60
751.52
217.54
0.00
1 $1,530.66
Signature:
Signature:
Signature:
Signature:
Prime Contractor
Inspector
Subcontractor
CITY OF CARMEL
TO: CONTRACT CHANGE REQUEST NO.: 04
DATE: 2/27/2023
PROJECT NAME:
FROM: 3D Company Inc.
IT IS REQUESTED THAT A CONTRACT CHANGE BE MADE TO THE ABOVE
REFERENCED CONTRACT.
1. SCOPE OF WORK (USE ADDITIONAL PAGES IF REQUIRED. ALSO LIST OTHER
CONTRACTS INVOLVED.)
Requp-st for change order due to change of scope & work for
2. REASON FOR CHANGE:
C hane in scope of work,
APPROXIMATE COST CHANGE TO CONTRACT PRICE: $ 3,631.68
4. WILL THE CONTRACT NEED ADDITIONAL CONTRACT TIME TO COMPLETE
THE CHANGE IN WORK SCOPE? X -YES -NO 1 -(CALENDAR
DAYS)
5. WILL THE CONTRACTOR NEED ADDITIONAL PERSONNEL TO COMPLETE THE
CHANGE IN WORK SCOPE? -YES X -NO
IF NO, TRADE(S):
NO. OF PERSONNEL-
DURATION:
6. IDENTIFICATION OF ATTACHMENTS:
time and materials force account breakdown attached along with material
invoices.
DATE: 2/27/2023 DATE:
PREPARED
REVIEWED BY: Seth Blalock REVIEWED BY:
ENGINEER
Comments and Recommendation:
AR-5
Version 2018-12-19
CHANGE ORDER REQUEST FORM
CONTRACT NO. 20-ENG-02
PROJECT DESCRIPTION
route / intersection / bridge no(s).)
CHANGE ORDER REQUEST SUMMARY
DESCRIPTION
DATE OF SUBMISSION
1061h Street and College Avenue Roundabout
February 27,
2023
Change of scope for watermain tie-in at Broadway & 1061h intersection
PROPOSED SOLUTION SUMMARY I Click here to enter text.
NOTE: Upon request from Engineer, enter detailed description on page 2.
ONSET DATE OF CHANGE October 28, 2022 CHANGE ORDER TYPE
PROPOSED COST AND TIME ADJUSTMENT
COST COST INCREASE / (DECREASE):
104.03 Extra Work
3,631.68
The cost adjustment shall include lump sum and/or estimated totaled unit -priced item costs. Attach a separate sheet of unit price items
including item description, unit of measurement, estimated quantity and unit price.
CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF COST CHANGE:
109.03 Altered Quantities 109.05(a) Agreed Price N 109.05(b) Force Account 109.05.02 Delay Costs
PROPOSED COST CHANGE INCLUDES: N Labor N Material N Equipment Lease Agreement
Subcontractor
TIME ADJUSTMENT INCREASE / (DECREASE): work days) 1
CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF TIME CHANGE:
N 108.08(a) Excusable, Non-Compensable 108.08(b) Excusable, Compensable
NOTE: If Compensable, attach details based on 109.05.2(a) Allowable Delay Costs.
SUPPLEMENTAL INFORMATION
Additional information.
CHANGE ORDER ORIGINATION: M Owner/Inspection Contractor
DOCUMENTS AFFECTED:
N Contract Specifications (ref. doc name/no.) INDOT Standard Specifications 2020
ElContract Plans (ref. doc name/no.) I Intersection Improvements 106`h Street & College Ave. RAB 20-ENG-02
CHANGE ORDER AFFECTS DBE PARTICIPATION: N yes no (if yes, attach details)
Ver. 10.18.18
CHANGE ORDER REQUEST FORM
CONTRACT NO. 20-ENG-02
UPON WRITTEN REQUEST FROM THE ENGINEER, PROVIDE ADDITIONAL DETAIL
DATE RECEIVED REQUEST FOR SUBMITTAL DATE OF
ADDITIONAL DETAIL [
Select Date]
ADDITIONAL DETAIL [
Select Date]
DETAILED DESCRIPTION / JUSTIFICATION:
Include location(s), actions of contractor, owner, and other stakeholders, key events and related cause(s), discoveries,
discussions, meetings, and effect on the contract if no action is taken. Also include references to key documents attached
or available to support this change order request.)
Click here to enter text.
PROPOSED SOLUTION — ADDITIONAL DETAILS:
Include proposed scope of work, means & methods, materials, equipment, utility relocation required, subcontracted
scope and the effect on the contract schedule. Also include references to attached documents including, but not limited
to, sketches, calculations, photos, material information, and submittals and meeting minutes.)
3D was instructed by onsite inspector on how to proceed.
SIGNATURE
Contractor: 3D Company Inc.
Name: (print) eanna D. Case
signature) Date: 2/27/2023
NOTE: The Contractor should retain a signed copy of this document for record.
pg. 2
CHANGE ORDER REQUEST FORM ,
CONTRACT NO. 20-ENG-02
ATTACHMENT: UNIT PRICE ITEMS DETAIL
Attach or paste a unit price item detail.
See attached force account sheet for breakdown of cost involved.
pg. 3
WATERWORKS
2126 WEST 400 SOUTH
KOKOMO, IN 46902-9615
Please contact with Questions: 317-546-2013
I
31) COMPANY INC
7240 N SR 3
106TH & COLLEGE AVE
MUNCIE, IN 47303
INVOICE NUMBER TOTAL DUE CUSTOMER PAGE
0297710 $2,279.22 14225 1 of 1
PLEASE REFER TO INVOICE NUMBER WHEN
MAKING PAYMENT AND REMIT TO:
FERGUSON WATERWORKS #1934
PO BOX 644054
PITTSBURGH, PA 15264-4054
3D COMPANY INC
106TH AND COLLEGE
106TH & COLLEGE AVE
CARMEL, IN 46032
SHIP TO:
SHIP SELL TAX CODE CUSTOMER ORDER NUMBER SALESMAN JOB NATAE INVOICE DATE BATCH
WHSE. WHSE. 10
2930 2930 INE 2563 LMA 106TH & COLLEGE AVE 10/25/22 24424
ORDERED SHIPPED ITEM NUMBER DESCRIPTION UNIT PRICE UM AMOUNT
1 1 DMJTLA16U DOM 16X6 MJ C153 TEE UA 1099.510 EA 1099.51
2 2 DMJLSLAU DOM 6X12 MJ C153 LONG SLV L/A 158.000 EA 346-W
1 1 AFC2506MMLAOR 6 DI MJ RW OR GATE VLV UA 863.710 EA 863.71
INVOICE SUB -TOTAL 2279.22
LEAD LAW WA RNING; IT IS ILLE AL TO INSTALL PRODUCTS THAT ARE NOT "LEAD FREE" IN ACCORDANCE WITH
US FEDERAL MR. OTHER APPLIC ABLE LAW IN POTABLE WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION
PRODUCTS W TH "NP IN THE DE SCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN
NON -POTABLE APPLICATIONS. I IUYER IS SOLELY RES ONSIBLE FOR PRODUCT SELECTION.
Looking for a more convenient way to pay your bill?
Log in to Ferguson.com and request access to Online Bill Pay.
TERMS: NET 10TH PROX ORIGINAL INVOICE TOTAL DUE $2,279.22
All past due amounts are subject to a service charge of 1.5% per month, or the maximum allowed by law, if lower. if Buyer fails to pay within terms, hen inadditiontootherremedies, Buyer agrees to pay Seller all costs of collection, including reasonable attorney fees. Compiete terms and conditions are vailable
upon request or at https://www.ferguson.comlcantenVwebsite-infolterms-of-sale, incorporated by reference. Seller may convert checks to ACH.
Any reference to or incorporation of Executive Order 14042 and/or the EO•implementing Federal clauses {FAR 52.223 -99 and/or DFARS 252.223-7999 'sexpresslyrejectedbySellerandshallnotapplyasSellerisamaterialssupplierandthereforeexemptundertheExecutiveOrder.'
Time & Materials Spreadsheet
IN DOT Contract #: 20-ENG-02 Contract Descp: 106th St & College RAB
Prime Contractor: 3D Company Subcontractor:
Date Work Performed: 10128/2022-11101122 Inspector: Dave Machala T&M Task Description: Change of scope for
water main tie at Broadway & 106th intersection. T&M Task Provider (Prime or Subcontractor): Weather
Conditions: Task Start Time: Task Finish Time:.
Comments: Lanor (inctucres rnn4es & Appucame
r axed Name
Classification
Rate/Hour Hours Subtotal O.H. &
Profit Amount 1 Chris PettyForeman 74.
24 3.
00 222.
72 1.20 267.26 2 Nathan Cox Laborer 52.35 3.00
157.05 1.20 188.46 3 Joseph Futrell Laborer 52.35 3.00
157.05 1.20 188.46 4 Brennen Hess Operator 69.70 3.00
209.10 1.20 250.92 5 6 Labor Total: 895.10 Eauinmenf Make
Classification
Rate/
Hour Hours Subtotal O.
H. &
Profit Amount 1 Case 235C Exc.
56,000
lb 109.
16 3.00 327,48 1.12 366.78 2 Cat 914K Wheel Loader 1.5 YD
50.89 3.00 152.67 1.12 170.99 3 4 6 E ulpment Total: 537.77
1
LQLGIIPlr1
VGG !"
IiLa4!!GY Description 11lr VlVGJ
Su tier Unit Price guand
Subtotal
O.H. &
Profit Amount f Fittings. Gaskets, Etc
Ferguson 1.
963.22
1.00 1.963.22 1.12 2,198.81 2 6 Material Total: 2.198.81 Signature:
Daily
Cost
Summary Daily Labor Total: 895.
10
Signature: Daily Equipment
Total: 537.77 Daily Materials Total:
2,198.81 Bond % Increase
Total: Signature: GC (10%-1st $3,
000): GC (7%-Over $
3,000): Daily Grand Total:
3,631.68 Signature: Prime
Contractor Inspector Subcontractor
CITY OF CARMEL
TO: CONTRACT CHANGE REQUEST NO.: 07
DATE:. 1 /11 /2023
PROJECT NAME: 106th St & College Ave. RAB
FROM: 3D Company Inc.
IT IS REQUESTED THAT A CONTRACT CHANGE BE MADE TO THE ABOVE
REFERENCED CONTRACT.
1. SCOPE OF WORK (USE ADDITIONAL PAGES IF REQUIRED. ALSO LIST OTHER
CONTRACTS INVOLVED.)
Downtime fQr utilitydelays with Duke T&T at structure 125A.
2. REASON FOR CHANGE:
Multiple utility conflicts
3. APPROXIMATE COST CHANGE TO CONTRACT PRICE: $3,864.00
4. WILL THE CONTRACT NEED ADDITIONAL CONTRACT TIME TO COMPLETE
THE CHANGE IN WORK SCOPE? X -YES -NO 3 -(CALENDAR
DAYS)
5. WILL THE CONTRACTOR NEED ADDITIONAL PERSONNEL TO COMPLETE THE
CHANGE IN WORK SCOPE? -YES X -NO
IF NO, TRADE(S):
NO. OF PERSONNEL:
DURATION:
6. IDENTIFICATION OF ATTACHMENTS:
time and materials force account breakdown attached.
DATE: 1 /11 /2023 DATE:
PREPARED
REVIEWED BY: Deanna Case REVIEWED BY:
ENGINEER
Comments and Recommendation:
AR-5
Version 2018-12-19
CHANGE ORDER REQUEST FORM
CONTRACT NO. 20-ENG-02
PROJECT DESCRIPTION
route / intersection / bridge no(s).)
CHANGE ORDER REQUEST SUMMARY
DESCRIPTION
PROPOSED SOLUTION SUMMARY
DATE OF SUBMISSION
1061h Street and College Avenue Roundabout
January 11,
2023
Downtime for utility delays with Duke and AT&T at structure 125A.
Click here to enter text.
NOTE: Upon request from Engineer, enter detailed description on page 2.
ONSET DATE OF CHANGE September 27, 2022 CHANGE ORDER TYPE 104.02 Changed Conditions
PROPOSED COST AND TIME ADJUSTMENT
COST COST INCREASE / (DECREASE): 3,864.00
The cost adjustment shall include lump sum and/or estimated totaled unit -priced item costs. Attach a separate sheet of unit price items
including item description, unit of measurement, estimated quantity and unit price.
CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF COST CHANGE:
109.03 Altered Quantities 109.05(a) Agreed Price M 109.05(b) Force Account 109.05.02 Delay Costs
PROPOSED COST CHANGE INCLUDES: Labor Material M Equipment Lease Agreement
Subcontractor
TIME ADJUSTMENT INCREASE / (DECREASE): work days) 3
CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF TIME CHANGE:
108.08(a) Excusable, Non-Compensable M 108.08(b) Excusable, Compensable
NOTE: If Compensable, attach details based on 109.05.2(a) Allowable Delay Costs.
SUPPLEMENTAL INFORMATION
Additional information.
CHANGE ORDER ORIGINATION: N Owner/Inspection Contractor
DOCUMENTS AFFECTED:
Contract Specifications (ref. doc name/no.)
Contract Plans (ref. doc name/no.)
CHANGE ORDER AFFECTS DBE PARTICIPATION:
INDOT Standard Specifications 2020
Intersection Improvements 106`h Street & College Ave. RAB 20-ENG-02
N yes no (if yes, attach details)
Ver. 10.18.18
CHANGE ORDER REQUEST FORM
CONTRACT NO. 20-ENG-02
UPON WRITTEN REQUEST FROM THE ENGINEER, PROVIDE ADDITIONAL DETAIL
DATE RECEIVED REQUEST FOR SUBMITTAL DATE OF
ADDITIONAL DETAIL [
Select Date]
ADDITIONAL DETAIL [
Select Date]
DETAILED DESCRIPTION / JUSTIFICATION:
Include location(s), actions of contractor, owner, and other stakeholders, key events and related cause(s), discoveries,
discussions, meetings, and effect on the contract if no action is taken. Also include references to key documents attached
or available to support this change order request.)
Downtime for utility delays with Duke and AT&T at structure 125A.
PROPOSED SOLUTION — ADDITIONAL DETAILS:
Include proposed scope of work, means & methods, materials, equipment, utility relocation required, subcontracted
scope and the effect on the contract schedule. Also include references to attached documents including, but not limited
to, sketches, calculations, photos, material information, and submittals and meeting minutes.)
3D was instructed by onsite inspector on how to proceed.
SIGNATURE
Contractor: 3D Company Inc.
Name: (print) eanna D. Case
Date: 1/11/2023signature)
NOTE: The Contractor should retain a signed copy of this document for record.
pg. 2
CHANGE ORDER REQUEST FORM
CONTRACT NO. 20-ENG-02
ATTACHMENT: UNIT PRICE ITEMS DETAIL
Attach or paste a unit price item detail.
See attached force account sheet for breakdown of cost involved.
pg. 3
Chan a Order Spreadsheet
INDOT Contract #: 106th & College RAi3 Contract Descp:
Prime Contractor: 3D Subcontractor:
Date Work Performed: 9/27/2022-9/29/2022 Inspector: Dave Machala
T&M Task Description: Downtime for utility delays with Duke and AT&T at structure 125A.
T&M Task Provider (Prime or Subcontractor):
Weather Conditions:
Comments:
Task Start Time:
Task Finish Time:
l..ahnr finrludes Frinnes & Annlicable Taxes)
Name Classification Rate/Hour Hours Subtotal
O.H. &
Profit Amount
1
3
6
Labor Total: 0.00
Efujinment
Make Classification Rate/Hour Hours Subtotal
O.H. &
Profit Amount
11 Trench Box 2,550.00 1.00 2,550.00 1.12 2,856.00
21 Manhole Box 900.00 1.00 900.00 1.12 1.008.00
6
Equipment Total: 3,864.00
Matprials (See Attached Invoices)
Description Location Unit Price Quantity Subtotal
O.H. &
Profit Amount
1
2
3
Material Total: 0.00
Serb Contractors
Subcontractor Type I Unit Price Quantity Subtotal
O.H. &
Profit Amount
1
2
6
Material Total: 0.00
Daily Cost Surnrnar Signature:
Signature:
Signature:
Signature:
Daily Labor Total:
Daily Equipment Total:
Daily Materials Total:
Subcontractor Total:
Bond % Increase Total:
GC (10%-1st $3,000):
GC (7%-Over $3,000):
Daily Grand Total:
0.00
3,864.00
0.00
0.00
3,864.00
Contractor
Inspector
Subcontractor
CR'en't,a]l'
8686 BROOKVILLE RD
INDIA317--7791-2323
LIS, IN 6239
MacAllister Rentals Contract No. Invoice No. Date g
Please Remit Your Payment to:
48249 5 R71482495501 28SEP2022
MacAllister Rentals
Dept. 78731
P.O. Box 78000 Page 1
Detroit, Mll 48278-0731 44 WEEK INVOICE 6:39 PM
6866305 12SEP2022 12:58 PM IWCT2022
3D COMPANY INC
7240 N STATE ROAD 3
MUNC I E , IN 47303
106TH AND COLLEGE 2563
Phone: 765-288-3326 106 AND COLLEGE, INDIANAPOLIS SETH 765 730 1831
Cell: 765-288-3326 CYCLE BILL 000208
Qty Equipment # Min Day Week 4 Week Amount
1 4" X 8' X 20' TRENCH BOX 350. OC 350.00 800.00 2200.00 2200.00
8482056 Make: EFFICIENCY Model: XLD-B20 Ser #: 165239
1 4" X 4' X 20' TRENCH BOX 350. OC 350.00 600.00 1 700. 1700.00
B442020 Make: EPI Model: XLD-420 Ser #: 160714
8 8" X 5' SPREADERS so. 0C 50.00 100.00 150.00 1200.00
4 TRENCH BOX STACKING PINS 10. 0C 10.00 20.00 25 . 0 100.00
16 2" TRENCH BOX SPREADER PINS W 10.0c 10.00 20.00 25-OCI 400.00
SALE ITEMS:
Qty Item number Unit Price
1 INEX EA 129.713 129.71
INDIANA RENTAL EXCISE TAX
1 ENVIRONMENTAL FEE EA 19 000 19.00
ENVIRONMENTAL FEE
DELIVERY CHARGE 165.00
BILLED FOR FOUR WEEKS 9/12/22 THRU 10/10/22 12:58 PM
BILLED FOR FOUR WEEKS 9/12/22 THRU 10/10/22 12:58 PM
IMPORTANTI Please note and acknowledge safety instruction by initialing here:
INDIANA STATE SALES TAX 404.88
Total . . s r
By his/her Initial. Lessee will provide All safely accessories as required, per safely instructions. Initiat here:
PAYMENT: Nat-30 days from invoice dale unless otherwise specified herein. A service charge will apply to all past due accounts.
RENTAL EQUIPMENT PROTECTION PLAN ("REP"): Lessee will purchase REP (terms at www.macEillister.com/rep and incorporated herein by reference) if Lessee fails to obtain insurance
coverage and provide MacAllister with proof of such coverage or if such insurance contains coverage amounts that are inadequate to cover the Equipment at any time.
TERMS AND CONDITIONS: The rental agreement terms and conditions found at www.macallister.com/rentalterms ("Rental Terms") are incorporated herein by this reference and apply to your
rental of Equipment from or provision of Services by MacAllister (as defined in the Rental Terms). Please read carefully. This agreement includes an indemnification clause, a Jury waiver, warranty
disclaimers, and limitations of MacAllister's liability. By accepting delivery of or using the Equipment or Services or making payment(s) to MacAllister for the same, Lessee agrees to be bound by the
Rental Terms and REP Terms, even if this Rental Out form has not been fully executed.
ACCEPTED BY CUSTOMER
f DW (290m2020)
CITY OF CARMEL
TO: CONTRACT CHANGE REQUEST NO.: 29
DATE: 3/28/2023
PROJECT NAME: 106th St & College Ave. RAB
FROM: 3D Company Inc.
IT IS REQUESTED THAT A CONTRACT CHANGE BE MADE TO THE ABOVE
REFERENCED CONTRACT.
1. SCOPE OF WORK (USE ADDITIONAL PAGES IF REQUIRED. ALSO LIST OTHER
CONTRACTS INVOLVED.)
Structures 174 & 176 were submitted, approved, produced, and then deleted
from the contract. 3D is requesting compensation for the material costs.
2. REASON FOR CHANGE:
Existing AT&T utilities were in conflict with the proposed locations of str's 174 & 176.
Existing str's were used to avoid relocating utilities which deleted the proposed str's.
3. APPROXIMATE COST CHANGE TO CONTRACT PRICE: $1195.20
4. WILL THE CONTRACT NEED ADDITIONAL CONTRACT TIME TO COMPLETE
THE CHANGE IN WORK SCOPE? -YES X -NO -(CALENDAR
DAYS)
5. WELL THE CONTRACTOR NEED ADDITIONAL PERSONNEL TO COMPLETE THE
CHANGE IN WORK SCOPE? -YES X -NO
IF NO, TRADE(S):
NO. OF PERSONNEL:
1::_ •
6. IDENTIFICATION OF ATTACHMENTS:
COR #29 is attached.
DATE: 3 /2 8 /2023 DATE:
PREPARED
REVIEWED BY: Seth Blalock REVIEWED BY:
ENGINEER
Comments and Recommendation:
AR-5
Version 2018-12-19
CHANGE ORDER REQUEST FORM
CONTRACT NO. 20-ENG-02
PROJECT DESCRIPTION
route / intersection / bridge no(s).)
DATE OF SUBMISSION
1061h Street and College Avenue Roundabout
3/28/2023
CHANGE ORDER REQUEST SUMMARY Structures 174 & 176 were submitted, approved, produced, and tl
DESCRIPTION deleted from the contract. Reason for deletion was existing AT&T
were in conflict with the proposed locations.
PROPOSED SOLUTION SUMMARY 3D is requesting compensation for the material costs.
NOTE: Upon request from Engineer, enter detailed description on page 2.
ONSET DATE OF CHANGE CHANGE ORDER TYPE 1 104.03 Extra Work
PROPOSED COST AND TIME ADJUSTMENT
COST COST INCREASE / (DECREASE): $ 1195.20
The cost adjustment shall include lump sum and/or estimated totaled unit -priced item costs. Attach a separate sheet of unit price items
including item description, unit of measurement, estimated quantity and unit price.
CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF COST CHANGE:
109.03 Altered Quantities 109.05(a) Agreed Price ® 109.05(b) Force Account 109.05.02 Delay Costs
PROPOSED COST CHANGE INCLUDES: Labor ® Material Equipment Lease Agreement
Subcontractor
Click here to
TIME ADJUSTMENT INCREASE / (DECREASE): (work days) enter text.
CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF TIME CHANGE:
108.08(a) Excusable, Non-Compensable 108.08(b) Excusable, Compensable
NOTE: If Compensable, attach details based on 109.05.2(a) Allowable Delay Costs.
SUPPLEMENTAL INFORMATION
Additional information.
CHANGE ORDER ORIGINATION:
DOCUMENTS AFFECTED:
Contract Specifications (ref. doc name/no.)
Contract Plans (ref. doc name/no.)
CHANGE ORDER AFFECTS DBE PARTICIPATION:
Owner/Inspection
INDOT Standard Specifications 2020
Contractor l
Intersection Improvements 106th Street & College Ave. RAB 20-ENG-02
yes ® no (if yes, attach details)
Ver_ 10.18.18
CHANGE ORDER REQUEST FORM
CONTRACT NO. 20-ENG-02
UPON WRITTEN REQUEST FROM THE ENGINEER, PROVIDE ADDITIONAL DETAIL
DATE RECEIVED REQUEST FOR SUBMITTAL DATE OF
ADDITIONAL DETAIL [
Select Date]
ADDITIONAL DETAIL [
Select Date]
DETAILED DESCRIPTION / JUSTIFICATION:
Include location(s), actions of contractor, owner, and other stakeholders, key events and related cause(s), discoveries,
discussions, meetings, and effect on the contract if no action is taken. Also include references to key documents attached
or available to support this change order request.)
Structures 174 & 176 were submitted, approved, produced, and then deleted from the contract. Reason
for deletion was existing AT&T utilities were in conflict with the proposed locations.
PROPOSED SOLUTION —ADDITIONAL DETAILS:
Include proposed scope of work, means & methods, materials, equipment, utility relocation required, subcontracted
scope and the effect on the contract schedule. Also include references to attached documents including, but not limited
to, sketches, calculations, photos, material information, and submittals and meeting minutes.)
Existing structures were used to avoid timely utility relocations. This resulted in the deletion of str. 174
and 176.
SIGNATURE
Contractor: 3D Company Inc.
Name: (print) eanna D. Case
signature) Date: 3/2e/2023
NOTE: The Contractor should retain a signed copy of this document for record.
P9. 2
CHANGE ORDER REQUEST FORM
CONTRACT NO. 20-ENG-02
ATTACHMENT: UNIT PRICE ITEMS DETAIL
Attach or paste a unit price item detail.
See attached force account sheet for breakdown of cost.
pg. 3
Change Order Spreadsheet
INDOT Contract #: 20-ENG-02 Contract Descp:
Prime Contractor: 3D Company Inc. Subcontractor:
Date Work Performed: Inspector:
106th St & College RAB
Dave Machala
T&M Task Description: Strucutres were submitted, approved, made, and then deleted from the
contract.
T&M Task Provider (Prime or Subcontractor):
Weather Conditions:
Comments:
Task Start Time:
Task Finish Time:
Labor (IncluUes rr 119eS & App1 Carle 1 axeSl
Name Classification Rate/Hour Hours Subtotal
O.H. &
Profit Amount
1 1.20 1.20
2 1.20 1.20
3
4
5
Labor Total: 2.40
Enuinrnent
Make Classification Rate/Hour Hours Subtotal
O.H. &
Profit Amount
1 0.00 1.12 0.00
2 0.00 1.12
Equipment Total: 0.00
MatpriaLe /Spa ffac-hpd Invoices)
Description Location Unit Price gQuanti Subtotal
O.H. &
Profit Amount
1 Str.174 570.00 1.00 570.00 1.12 638.40
2 Str.176 495.00 1.00 495,00 1.12 554.40
Material Total: 1,192.80
Suh Contractors
Subcontractor Type Unit Price Quantity Subtotal
O.H. &
Profit Amount
1 0.00 1.07 0.00
a
Material Total: 0.00
Dailv Cost Summa
Daily Labor Total: 2.40
Daily Equipment Total: 0.00
Daily Materials Total: 1,192.80
Subcontractor Total: 0.00
Bond % Increase Total:
GC (10%-1st $3,000):
GC (7%-Over $3,000):
Daily Grand Total: 1,195.20
Signature
Prime Contractor
Signature:
Inspector
Signature:
Subcontractor
Signature:
INVOICE
COUNTY. (80 . Fax: (715) 443-3768 -
P.O. BOX BOX 100100 SHIPPED INVOICE DATE ORDER NO.
MATERIALS CORPORATION MARATHON, WI 54448-0100 10/15/22 10/17/22 1 3832786-00
P.O. NO. PAGE#
57 jhol 2563-5 1 of 1
COST #: 150010
106TH ST & COLLEGE AVE RAB
SHIP TO: *0089-22* CHRIS 765-748-1328
NEAR 10602 E 106TH ST
CARMEL IN 46280
3D COMPANY INC
7240 NORTH STATE RD 3
BILL TO: MUNCIE IN 47303
LINENO. PRODUCT
AND DESCRIPTION
QTY.
SHIPPED
QTY. '
Ulm UNITPRICE ' AMOUNTNET)
1 sp057-0089-22-006 1.00 EA 570.00 570.00
STR# 131 17X30 (R13) INLET
2 sp057-0089-22-013 1.00 EA 570.00 570.00
STR# 167 17X30 (R13) INLET
3 sp057-0089-22-014 1.00 EA 570.00 570.00
STR# 169 17X30 (R13) INLET
4 sp057-0089-22-015 1.00 EA 570.00 570.00
sp057-0089-22-016 1.00 EA 570.00 570.00
STR# 174 17X30 (R13) INLET
EA 595.00
STR# 168 17X30 (MOD R13) INLET
7 sp057-0089-22-022 1.00 EA 595.00 595.00
STR# 175 17X30 (MOD R13) INLET
8 sp057-0089-22-027 1.00 EA 495.00 495.00
STR# 126 24X36 (J10) INLET
9 sp057-0089-22-033 1.00 EA 495.00 495.00
STR# 154 24X36 (J10) INLET
10 sp057-0089-22-034 1.00 EA 495.00 495.00
STR# 159 24X36 (J10) INLET
11 78173006RIN 2.00 EA 0.00 0.00
INLET RISER 17" X 30" 6" TALL
12 78243606RIN 2.00 EA 0.00 0.00
INLET RISER 24" X 36" 6" TALL
13 700250 4.00 ROLL 0.00 0.00
JT SEAL 3/4" X 14.5' (8/CASE)
Total
Invoice Total
Elp
00 I
fa COUNTY" 80 . 69 Fax: (715) 443-3768
P.O. BOXOX 10100MATERIALS
C0RP0RAT ION MARATHON, WI 54448-0100 cusT#: 150010
106TH ST &
COLLEGE AVE RAB SHIP TO: "
0089-22" CHRIS 765-748-1328 NEAR 10602
E 106TH ST CARMEL IN
46280 3D COMPANY
INC 7240 NORTH
STATE RD 3 BILL TO:
MUNCIE IN 47303 INVOICE SHIPPED
INVOICE
DATE ORDER NO. 10/14/
22 j 10/14/22 3832788-00 P.O.
NO. PAGE # 2563-5
1 of 1 LINE NO.
PRODUCT
AND
DESCRIPTION
QTY. SHIPPED QTY. U!MUNITPRICE AMOUNT
NET)
1
sp057-
0089-22-035 1.00 EA 495.00 495.00 STR# 163
24X36 (J10) INLET 2 sp057-
0089-22-036 1.00 EA 495.00 495.00 3 sp057-
0089-22-637 1.00 EA 495.00 495.00 STR# 176
24X36 (J10) INLET 450.00
STR# 155
24X36 (M10) INLET 5 sp057-
0089-22-046 1.00 EA 450.00 450.00 STR# 156
24X36 (M10) INLET 6 sp057-
0089-22-047 1.00 EA 450.00 450.00 STR# 157
24X36 (M10) INLET 7 sp057-
0089-22-049 1.00 EA 450.00 450.00 STR# 172
24X36 (M10) INLET 8 sp057-
0089-22-054 1.00 EA 575.00 575.00 STR# 160
24X36 (MOD M10) INLET 9 sp057-
0089-22-055 1.00 EA 575.00 575.00 STR# 164
24X36 (MOD M10) INLET 10 78243606RIN
9.00 EA 0.00 0.00 INLET RISER
24" X 36" 6" TALL 11 700250
9.00 ROLL 0.00 0.00 JT SEAL
3/4" X 14.5' (8/CASE) Total 435.
00 Invoice Total
1 4435.00
35-1127849
CzTfshfzHsfdivlijobu4;3:qn-Pdu34-3134
VSPRenewalExhibitfor CityofCarmel
Group Number: 12013661
RenewalEffective Date: January1, 2024
VSP Signature PlanVSP Signature PlanVSP Signature Plan
Current PlanRenewal PlanRenewal Alternative Option
10.00$10.00$10.00ExamCopay
25.00$25.00$25.00MaterialsCopay
Frequency:
Every 12 MonthsEvery 12 MonthsEvery 12 MonthsExam:
Every 12 MonthsEvery 12 MonthsEvery 12 MonthsLenses:
Every 24 MonthsEvery 24 MonthsEvery 24 MonthsFrame:
Essential Medical Eye Care
20 copay per visit$20 copay per visit$20 copay per visit
Exam Coverage
Covered in full after copayCovered in full after copayCovered in full after copayWellVisionExam
Standard and premium fit: Covered in full after Standard and premium fit: Covered in full after Standard and premium fit: Covered in full after
copay. Member receives 15% off contact lens exam copay. Member receives 15% off contact lens exam copay. Member receives 15% off contact lens exam
services; copay will never exceed $60 services; copay will never exceed $60 services; copay will never exceed $60ContactLensExam
Fitting & Evaluation)
15% off not available at Costco Optical, 15% off not available at Costco Optical, 15% off not available at Costco Optical,
Walmart Optical or Sam's Club OpticalWalmart Optical or Sam's Club OpticalWalmart Optical or Sam's Club Optical
Routine Retinal Screening
No more than a $39 copay on routine retinalt® Not available at Costco Optical, WalmartNo more than a $39 copay on routine retinal No more than a $39 copay on routine retinalscreeningasanenhancementtoaWellVisionscreeningasanenhancementtoaWellVisionExamscreeningasanenhancementtoaWellVisionExamOpticalorSam's Club Optical Exam
Lens Coverage
Basic Prescription Lenses:
Glass or plastic)
Single vision Covered in full after copayCovered in full after copayCovered in full after copay
Lined bifocal
Lined trifocal
Lenticular
1 Covered with a copay, saving an average of Covered with a copay, saving an average of Covered with a copay, saving an average ofLensEnhancements
40%40%40%
Single VisionMultifocalSingle VisionMultifocalSingle VisionMultifocal
Standard Anti-Glare coating: 37$37$37$37$37$37
All other Anti-Glare coatings:$61 - $75$61 - $75$61 - $75$61 - $75$61 - $75$61 - $75
Impact-resistant lenses for children:Covered in fullCovered in fullCovered in fullCovered in fullCovered in fullCovered in full
Impact-resistant lenses for adults:Covered in fullCovered in fullCovered in fullCovered in fullCovered in fullCovered in full
Standard Progressives:N/ACovered in fullN/ACovered in fullN/ACovered in full
Premium & Custom Progressives:N/A$80 - $160N/A$80 - $160N/A$80 - $160
Tints/Light-reactive lenses:$70$70$70$70$70$70
Scratch-resistant coating:Covered in fullCovered in fullCovered in fullCovered in fullCovered in fullCovered in full
Costco Optical, Walmart Optical and Sam'sCostco Optical, Walmart Optical and Sam's ClubCostco Optical, Walmart Optical and Sam's Club
Optical prices already include savings. Members will Optical prices already include savings. Members willClubOpticalpricesalreadyincludesavings.
pay the Usual & Customary fee.pay the Usual & Customary fee. Members will pay the Usual & Customary fee.
1Prices shown reflect standard selections; premium or custom options may also be available at additional costs.
Frame Coverage
150 allowance; plus 20% off any amount above the $150 allowance; plus 20% off any amount above the $200 allowance; plus 20% off any amount above the
VSP Network Doctors and Visionworks allowanceallowanceallowance
80 allowance$80 allowance$110 allowanceCostcoOptical
Walmart Optical, Sam's Club Optical 130 allowance $130 allowance $200 allowance
and Retail Chains
Contact Lens Coverage
Elective Contact Lenses 130 allowance$130 allowance$150 allowance
prescription contact lenses, in lieu of glasses)
Necessary Contact Lenses
Covered in full after copayCovered in full after copayCovered in full after copayNotavailableatRetailChains, Costco Optical,
Walmart Optical or Sam's Club Optical
Extra Savings
Average 15% off or 5% off promotional offerAverage 15% off or 5% off promotional offerAverage 15% off or 5% off promotional offer
SMVSPLaserVisionCareProgram Discounts only available from VSP contracted Discounts only available from VSP contracted Discounts only available from VSP contracted
Discounts on LASIK, Custom LASIK, and PRK, facilities.facilities.facilities.
plus patient education. Members who've had laser surgery can use frame Members who've had laser surgery can use frame Members who've had laser surgery can use frame
benefit for non-prescription sunglassesbenefit for non-prescription sunglassesbenefit for non-prescription sunglasses
30% off unlimited additional pairs of prescription 30% off unlimited additional pairs of prescription 30% off unlimited additional pairs of prescription
glasses and/or non-prescription sunglasses glasses and/or non-prescription sunglasses glasses and/or non-prescription sunglasses
purchased on the same day with the same provider purchased on the same day with the same provider purchased on the same day with the same provider
Additional Pairs of Glasses who performed the exam. Or 20% off from any VSP who performed the exam. Or 20% off from any VSP who performed the exam. Or 20% off from any VSP
provider within 12 months of the member's last provider within 12 months of the member's last provider within 12 months of the member's last
WellVision ExamWellVision ExamWellVision Exam
Plan Enhancements
LightCare
Allows members to use their frame allowance
towards ready-made non-prescription
sunglasses, or ready-made non-prescription blue $25 copayN/AN/A 200 allowancelightfilteringglasses, instead of prescription
glasses or contacts.
Not available at Walmart Optical or Sam's Club
Optical
Out-of-Network Schedule
50.00$50.00$50.00EyeExam:
50.00$50.00$50.00SingleVision:
75.00$75.00$75.00LinedBifocal:
100.00$100.00$100.00LinedTrifocal:
125.00$125.00$125.00Lenticular:
75.00$75.00$75.00Progressive:
70.00$70.00$70.00Frame:
105.00$105.00$105.00ElectiveContactLenses:
210.00$210.00$210.00NecessaryContactLenses:
Rate PassMonthlyRates
Employee Only: $8.20Employee Only: $8.03Employee Only: $8.20
Employee + One: $12.53 Employee + One: $12.27 Employee + One: $12.53Risk
Employee + Family: $22.46Employee + Family: $22.01Employee + Family: $22.46
Sliding 10%Sliding 10%Sliding 10% Commissions
2 Years2 Years4 YearsPolicyTerm
Select the desired renewal plan
Renewal Acceptance
To renew your contract with VSP and ensure continuous service, please have the appropriate representative review this information, select the desired renewal action, sign and return this Renewal
Agreement to the email address below. VSP produces your Plan Policy upon receipt of your confirmation of renewal. Your new Plan Policy may contain some provisions that are changed from those
in your current Policy, so you should review the new Policy carefully upon receipt. Please file this Agreement with your VSP contract as it serves as your notice of renewal.
VSP® Renewal Exhibit for City of Carmel
Renewal Effective Date: January 1, 2024
Kiley EllisSignature:
Key Client Manager, VSPName:
800.852.7600 Ext.7442Title:
kiley.ellis@vsp.comDate:
Based onapplicable laws, benefits may varybydoctor location.
2023 Vision Service Plan. All rights reserved.
Classification: Confidential
Rev. 08/2023
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:
SueWolfgang, Clerk
Date: _____________________________________
CzTfshfzHsfdivlijobu4;52qn-Pdu24-3134
KBSO Consulting LLC
Street Department - 2023
Appropriation #1206 101 43-509.00 Fund; P.O.#110103
Contract Not To Exceed $16,000.00
SECTION 3 CITY'S RESPONSIBILITIES
3.1 City shall provide such information as is reasonably necessary for Professional to understand the Services
requested.
3.2 City shall provide all data required for provision of Services. Professional may assume that all data so provided
is correct and complete.
3.3. City shall arrange for Professional to enter upon public and private property as reasonably required for
Professional to perform the Services.
3.4 City shall designate payment of the Services from City budget appropriation number 1206 101 43-509.00funds.
3.5 City shall designate the Mayor or his duly authorized representative to act on City’s behalf on all matters
regarding the Services.
SECTION 4 PROFESSIONAL'S RESPONSIBILITIES
4.1 Professional shall perform the Services pursuant to the terms of this Agreement and within any applicable time
and cost estimate.
4.2 Professional shall coordinate with City its performance of the Services.
4.3 Professional shall provide the Services by following and applying at all times reasonable and lawful standards
as accepted in the industry.
SECTION 5 COMPENSATION
5.1 Professional estimates that the total price for the Services to be provided to City hereunder shall be no more
than Sixteen Thousand Dollars ($16,000.00) (the “Estimate”). Professional shall submit an invoice to City no
more than once every thirty (30) days for Services provided City during the time period encompassed by such
invoice. Invoices shall be submitted on a form containing the same information as that contained on the
Professional Services Invoice attached hereto as Exhibit B, incorporated herein by this reference. City shall
pay Professional for all undisputed Services rendered and stated on such invoice within thirty five (35) days
from the date of City’s receipt of same.
5.2 Professional agrees not to provide any Services to City that would cause the total cost of same to exceed the
Estimate, without City’s prior written consent.
SECTION 6 TERM
Unless otherwise terminated in accordance with the termination provisions set forth in Section 7.1 hereinbelow,
this Agreement shall be in effect from the Effective Date through December 31, 2023, and shall, on the first
day of each January thereafter, automatically renew for a period of one (1) calendar year, unless otherwise
KBSO Consulting LLC
Street Department - 2023
Appropriation #1206 101 43-509.00 Fund; P.O.#110103
Contract Not To Exceed $16,000.00
agreed by the parties hereto.
SECTION 7 MISCELLANEOUS
7.1 Termination
7.1.1 The obligation to provide all or any portion of the Services under this Agreement may be terminated
by City or Professional, without cause, upon thirty (30) days’ notice.
7.1.2 The obligation to provide all or any portion of the Services under this Agreement may be terminated
by City, for cause, immediately upon Professional’s receipt of City’s “Notice to Cease Services.”
7.1.3 In the event of full or partial Agreement termination, and as full and complete compensation
hereunder, Professional shall be paid for all such Services rendered and expenses incurred as of the
date of termination that are not in dispute, except that such payment amount shall not exceed the
Estimate. Disputed compensation amounts shall be resolved as allowed by law.
7.2 Binding Effect
City and Professional, and their respective officers, officials, agents, partners and successors in interest are
bound to the other as to all Agreement terms, conditions and obligations.
7.3 No Third Party Beneficiaries
Nothing contained herein shall be construed to give rights or benefits to anyone other than the parties hereto.
7.4 Relationship
The relationship of the parties hereto shall be as provided for in this Agreement, and neither Professional nor
any of its agents, employees or contractors are City employees. Professional shall have the sole responsibility
to pay to or for its agents, employees and contractors all statutory, contractual and other benefits and/or
obligations as they become due. Professional hereby warrants and indemnifies City for and from any and all
costs, fees, expenses and/or damages incurred by City as a result of any claim for wages, benefits or otherwise
by any agent, employee or contractor of Professional regarding or related to the subject matter of this
Agreement. This indemnification obligation shall survive the termination of this Agreement.
7.5 Insurance
7.5.1 Professional shall, as a condition precedent to this Agreement, purchase and thereafter maintain such
insurance as will protect it and City from the claims set forth below which may arise out of or result from
Professional's operations under this Agreement, whether such operations be by Professional or by its
subcontractors or by anyone directly or indirectly employed by any of them, or by anyone directly for whose
acts any of them may be liable:
1) Claims under Worker's Compensation and Occupational Disease Acts, and any other
employee benefits acts applicable to the performance of the work;
KBSO Consulting LLC
Street Department - 2023
Appropriation #1206 101 43-509.00 Fund; P.O.#110103
Contract Not To Exceed $16,000.00
2) Claims for damages because of bodily injury and personal injury, including death, and;
3) Claims for damages to property.
Professional's insurance shall be not less than the amounts shown below:
A. Commercial General Liability (Occurrence Basis)
Bodily Injury, personal injury, property damage,
Contractual liability, product/completed operations
Each Occurrence Limit $1,000,000.00
Damage to Rented Premises $100,000.00
each occurrence)
Medical Expense Limit $5,000.00
Personal and Advertising Injury Limit $500,000.00
General Aggregate Limit $2,000,000.00 (Other than
Products Completed
Operations)
NOTE: GENERAL AGGREGATE TO APPLY PER PROJECT
Products/Completed Operations $1,000,000.00
B. Auto Liability $1,000,000.00 (combined
single limit) (owned, hired & non-owned)
Bodily injury & property damage $1,000,000.00
each accident
C. Excess/Umbrella Liability $2,000,000 (each occurrence
and aggregate)
D. Worker's Compensation & Disability Statutory
E. 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
F. Professional Liability Insurance. The Professional shall carry and maintain during the
continuance of this Agreement, professional liability insurance in the amount of
2,000,000 for single limit claims and $3,000,000 in the aggregate. The Professional's
KBSO Consulting LLC
Street Department - 2023
Appropriation #1206 101 43-509.00 Fund; P.O.#110103
Contract Not To Exceed $16,000.00
policy of insurance shall contain prior acts coverage sufficient to cover all Services
performed by the Professional for this Project. Upon City's request, Professional shall
give prompt written notice to City of any and all claims made against this policy during
the period in which this policy is required to be maintained pursuant to this Agreement.
If the insurance is written on a claims-made basis and coverage is cancelled at any
time, the Professional will obtain, at its cost, an extended reporting endorsement
which provides continuing coverage for claims based upon alleged acts or omissions
during the term of the Agreement until all applicable statute of limitation periods have
expired.
7.5.2 Professional shall provide the City with a certificate of insurance, naming the City as an
additional insured," showing such coverage then in force (but not less than the amount shown above)
shall be filed with City prior to commencement of any work. These certificates shall contain a provision
that the policies and the coverage afforded will not be canceled until at least thirty (30) days after
written notice has been given to City.
7.5.3 Professional may, with the prior approval of the City, substitute different types of coverage for
those specified if the total amount of required protection is not reduced. Professional shall be
responsible for all deductibles.
7.5.4Nothing in the above provisions shall operate as or be construed as limiting the amount of liability
of Professional to the above enumerated amounts.
7.6 Liens
Professional shall not cause or permit the filing of any lien on any of City’s property. In the event such a lien is
filed and Professional fails to remove it within ten (10) days after the date of filing, City shall have the right to
pay or bond over such lien at Professional’s sole cost and expense.
7.7 Default
In the event Professional: (a) repudiates, breaches or defaults under any of the terms or conditions of this
Agreement, including Professional’s warranties; (b) fails to perform the Services as specified; (c) fails to make
progress so as to endanger timely and proper completion of the Services and does not correct such failure or
breach within five (5) business days after receipt of notice from City specifying same; or (d) becomes insolvent,
files, or has filed against it, a petition for receivership, makes a general assignment for the benefit of creditors
or dissolves, each such event constituting an event of default hereunder, City shall have the right to terminate
all or any part of this Agreement, without liability to Professional and to exercise any other rights or remedies
available to it at law or in equity.
7.8 Government Compliance
Professional agrees to comply with all laws, executive orders, rules and regulations applicable to Professional’s
performance of its obligations under this Agreement, all relevant provisions of which being hereby incorporated
herein by this reference, to keep all of Professionals’ required professional licenses and certifications valid and
current, and to indemnify and hold harmless City from any and all losses, damages, costs, liabilities, damages,
KBSO Consulting LLC
Street Department - 2023
Appropriation #1206 101 43-509.00 Fund; P.O.#110103
Contract Not To Exceed $16,000.00
costs and attorney fees resulting from any failure by Professional to do so. This indemnification obligation shall
survive the termination of this Agreement.
7.9 Indemnification
Professional shall indemnify and hold harmless City and its officers, officials, employees and agents from all
losses, liabilities, claims, judgments and liens, including, but not limited to, all damages, costs, expenses and
attorney fees arising out of any intentional or negligent act or omission of Professional and/or any of its
employees, agents or contractors in the performance of this Agreement. This indemnification obligation shall
survive the termination of this Agreement.
7.10 Discrimination Prohibition
Professional represents and warrants that it and each of its employees, agents and contractors shall comply
with all existing and future laws prohibiting discrimination against any employee, applicant for employment
and/or other person in the subcontracting of work and/or in the performance of any Services contemplated by
this Agreement with respect to hire, tenure, terms, conditions or privileges of employment or any matter directly
or indirectly related to employment, subcontracting or work performance hereunder because of race, religion,
color, sex, handicap, national origin, ancestry, age, disabled veteran status or Vietnam era veteran status. This
indemnification obligation shall survive the termination of this Agreement.
7.11 E-Verify
Pursuant to I.C. § 22-5-1.7 et seq., Professional shall enroll in and verify the work eligibility status of all of its
newly-hired employees using the E-Verify program, if it has not already done so as of the date of this
Agreement. Professional is further required to execute the attached Affidavit, herein referred to as Exhibit C,
which is an Affidavit affirming that: (i) Professional is enrolled and is participating in the E-Verify program, and
ii) Professional does not knowingly employ any unauthorized aliens. This Addendum incorporates by
reference, and in its entirety, attached Exhibit C. In support of the Affidavit, Professional shall provide the City
with documentation that it has enrolled and is participating in the E-Verify program. This Agreement shall not
take effect until said Affidavit is signed by Professional and delivered to the City’s authorized representative.
Should Professional subcontract for the performance of any work under this Addendum, the
Professional shall require any subcontractor(s) to certify by affidavit that: (i) the subcontractor does not
knowingly employ or contract with any unauthorized aliens, and (ii) the subcontractor has enrolled and is
participating in the E-Verify program. Professional shall maintain a copy of such certification for the duration of
the term of any subcontract. Professional shall also deliver a copy of the certification to the City within seven
7) days of the effective date of the subcontract.
If Professional, or any subcontractor of Professional, knowingly employs or contracts with any
unauthorized aliens, or retains an employee or contract with a person that the Professional or subcontractor
subsequently learns is an unauthorized alien, Professional shall terminate the employment of or contract with
the unauthorized alien within thirty (30) days (“Cure Period”). Should the Professional or any subcontractor of
Professional fail to cure within the Cure Period, the City has the right to terminate this Agreement without
consequence.
The E-Verify requirements of this Agreement will not apply, should the E-Verify program cease to exist.
KBSO Consulting LLC
Street Department - 2023
Appropriation #1206 101 43-509.00 Fund; P.O.#110103
Contract Not To Exceed $16,000.00
7.12 Severability
If any provision of this Agreement is held to be invalid, illegal or unenforceable by a court of competent
jurisdiction, that provision shall be stricken, and all other provisions of this Agreement that can operate
independently of same shall continue in full force and effect.
7.13 Notice
Any notice, invoice, order or other correspondence required or allowed to be sent pursuant to this Agreement
shall be written and either hand-delivered or sent by prepaid U.S. certified mail, return receipt requested,
addressed to the parties as follows:
CITY:
City of Carmel City of Carmel
Street Department Office of Corporation Counsel
st3400W131 Street One Civic Square
Carmel, Indiana 46074 Carmel, Indiana 46032
PROFESSIONAL:
KBSO Consulting LLC
275 Veterans Way, Suite 300
Carmel, Indiana 46032
Notwithstanding the above, City may orally provide to Professional any notice required or permitted by this
Agreement, provided that such notice shall also then be sent as required by this paragraph within ten (10)
business days from the date of such oral notice.
7.14 Effective Date
The effective date (“Effective Date”) of this Agreement shall be the date on which the last of the parties hereto
executes same.
7.15 Governing Law; Lawsuits
This Agreement shall be governed by and construed in accordance with the laws of the State of Indiana, except
for its conflict of laws provisions, as well as by all ordinances and codes of the City of Carmel, Indiana. The
parties agree that, in the event a lawsuit is filed hereunder, they waive any right to a jury trial they may have,
agree to file such lawsuit in an appropriate court in Hamilton County, Indiana only, and agree that such court
is the appropriate venue for and has jurisdiction over same.
7.16 Waiver
Any delay or inaction on the part of either party in exercising or pursuing its rights and/or remedies hereunder
KBSO Consulting LLC
Street Department - 2023
Appropriation #1206 101 43-509.00 Fund; P.O.#110103
Contract Not To Exceed $16,000.00
or under law shall not operate to waive any such rights and/or remedies nor in any way affect the rights of such
party to require such performance at any time thereafter.
7.17 Non-Assignment
Professional shall not assign or pledge this Agreement nor delegate its obligations hereunder without City’s
prior written consent.
7.18 Entire Agreement
This Agreement contains the entire agreement of and between the parties hereto with respect to the subject
matter hereof, and no prior agreement, understanding or representation pertaining to such subject matter,
written or oral, shall be effective for any purpose. No provision of this Agreement may be amended, added to
or subtracted from except by an agreement in writing signed by both parties hereto and/or their respective
successors in interest. To the extent any provision contained in this Agreement conflicts with any provision
contained in any exhibit attached hereto, the provision contained in this Agreement shall prevail.
7.19 Representation and Warranties
Each party hereto represents and warrants that it is authorized to enter into this Agreement and that any person
or entity executing this Agreement on behalf of such party has the authority to bind such party or the party
which they represent, as the case may be.
7.20 Headings
All headings and sections of this Agreement are inserted for convenience only and do not form a part of this
Agreement nor limit, expand or otherwise alter the meaning of any provision hereof.
7.21 Advice of Counsel
The parties warrant that they have read this Agreement and fully understand it, have had an opportunity to
obtain the advice and assistance of counsel throughout the negotiation of same, and enter into same freely,
voluntarily, and without any duress, undue influence or coercion.
7.22 Copyright
City acknowledges that various materials which may be used and/or generated by Professional in performance
of Services, including forms, job description formats, comprehensive position questionnaire, compensation and
classification plan and reports are copyrighted. City agrees that all ownership rights and copyrights thereto lie
with Professional, and City will use them solely for and on behalf of its own operations. City agrees that it will
take appropriate action with its employees to satisfy its obligations with respect to use, copying, protection and
security of Professional’s property.
7.23 Personnel
Professional represents that it has, or will secure at its own expense, all personnel required in performing the
services under this agreement. Such personnel shall not be employees of or have any contractual relationship
KBSO Consulting LLC
Street Department - 2023
Appropriation #1206 101 43-509.00 Fund; P.O.#110103
Contract Not To Exceed $16,000.00
with City. All of the services required hereunder will be performed by Professional or under his supervision and
all personnel engaged in the work shall be fully qualified to perform such services.
7.24 Records and Inspections
Professional shall maintain full and accurate records with respect to all matters covered under this agreement
for three (3) years after the expiration or early termination of this Agreement. City shall have free access at all
proper times to such records and the right to examine and audit the same and to make transcripts there from,
and to inspect all program data, documents, proceedings and activities.
7.25 Accomplishment of Project
Professional shall commence, carry on, and complete the project with all practicable dispatch, in a sound
economical and efficient manner, in accordance with the provisions thereof and all applicable laws. In
accomplishing the project, Professional shall take such steps as are appropriate to ensure that the work
involved is properly coordinated with related work being carried on within City’s organization.
7.26 Debarment And Suspension
7.26.1 The Professional certifies by entering into this Agreement that neither itnor 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
Professional.
7.26.2 The Professional 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 Professional 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.
7.27 Access to Public Records Act
Professional understands and agrees that any “public record”, as that term is defined in Indiana Code 5-14-3-
2(m), as amended, that is related to the subject matter of this Agreement, whether the same is in the
possession or control of the Professional or the City, shall be subject to release under and pursuant to the
provisions of Indiana’s Access to Public Records Act, as codified in Indiana Code 5-14-3-1, et seq., as
amended.
7.28 Iran Certification
Pursuant to I.C. § 5-22-16.5, the Professional shall certify that, in signing this Agreement, it does not engage
in investment activities within the Country of Iran.
TFVO!PEVLPNBJZB-!Q/F/
NBOBHJOH!QBSUOFS
58.6575:68
10/13/2023
Exhibit A
Additional Services Request
Date: 10/2/2023
KBSO Project #:23094
Project Name:Tarkington Garage
ASR#:1
IssuedBy:Seun Odukomaiya, P.E.
DESCRIPTION:
Thisrequest for additional services shall cover additional scope of work for the following:
Bid Process Assistance to include the following:
a.Front end documentation development
b.Conducting the Pre-bid meeting
c.Bid opening and bid reviews
d.Letter of Recommendation
e.Pay application/progress billing assistance
Electrical design for EV charging stations.
ADDITIONALSERVICESFEETOTAL:$16,000
Bid Process Assistance: $12,000
Electrical Designfor EVcharging stations: $4,000
Please indicate your acceptance of this proposal by signing below and returning to us.
Accepted by:
Representative, Carmel Redevelopment CommissionDate
275Veterans Way, Suite300, Carmel, IN46032
EXHIBIT B
Invoice
Date:
Name of Company:
Address & Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
Goods Services
Person Providing Date Goods/Services Provided Cost Per Hourly Total
Goods/Services Goods/ (Describe each good/service Item Rate/
Service separately and in detail) Hours
Provided Worked
GRAND TOTAL
Signature
Printed Name
EXHIBIT C
AFFIDAVIT
SEUN ODUKOMAIYA , being first duly sworn, deposes and says that
he/she is familiar with and has personal knowledge of the facts herein and, if called as a witness in this
matter, could testify as follows:
1.I am over eighteen (18) years of age and am competent to testify to the facts contained
herein.
2.I am now and at all times relevant herein have been employed by
KBSO CONSULTING (the "Employer")
in the position of MANAGING PARTNER
3.I am familiar with the employment policies, practices, and procedures of the Employer and
have the authority to act on behalf of the Employer.
4.The Employer is enrolled and participates in the federal E-Verify program and has
provided documentation of such enrollment and participation to the City of Carmel,
Indiana.
5.The Company does not knowingly employ any unauthorized aliens.
FURTHER AFFIANT SA YETH NOT.
EXECUTED on the 12TH day of NOVEMBER , 201-.:!_. ------------
Printed: OLUWASEUN ODUKOMAIYA
I certify under the penalties for perjury under the laws of the United States of America and the State of
Indiana that the foregoing factual statements and representations are true and correct.
Printed: OLUWASEUN ODUKOMAIYA
Page 1 of 1INDIANARETAILTAXEXEMPT
PURCHASE ORDER NUMBERCERTIFICATENO. 003120155 0020CityofCarmel
FEDERAL EXCISE TAX EXEMPT 110103
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
10/2/2023376158
KBSO CONSULTING LLC Street Department
VENDORSHIP275VETERANSWAY 3400 W. 131st Street
TOSUITE300 Carmel, IN 46074-
CARMEL, IN 46032 - (317) 733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
81175
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund: 1206101General Fund
Account: 43-509.00
1EachProfessional Services$16,000.00$16,000.00
Sub Total 16,000.00
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
317) 733-2001 PLEASE INVOICE INDUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
16,000.00PAYMENT
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. 110103 CONTROLLER
RESOLUTION NO. BPW 11-01-23-01
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:
CzTfshfzHsfdivlijobu:;21bn-Pdu16-3134
Catbun Studios
Street Department- 2023
Appropriation #1206 101 43-509.00 Fund; P.O. #110104
Contract Not To Exceed $6,000.00
6. GOVERNMENT COMPLIANCE:
Contractor agrees to comply with all federal, state and local laws, executive orders, rules, regulations and
codes which may be applicable to Contractor’s performance of its obligations under this Agreement, and all
relevant provisions thereof are incorporated herein by this reference. Contractor 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.
7. NONDISCRIMINATION:
Contractor 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.
8. 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.
9. NON-ASSIGNMENT:
Contractor 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.
10. RELATIONSHIP OF PARTIES:
The relationship of the parties hereto shall be as provided for in this Agreement, and neither Contractor 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
Contractor under or pursuant to this Agreement.
11. 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.
12. 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.
13. TERMINATION:
13.1 Notwithstanding anything to the contrary contained in this Agreement, City may, upon notice to
Contractor, immediately terminate this Agreement for cause, in the event of a default hereunder by
Contractor and/or if sufficient funds are not appropriated or encumbered to pay for the Services to be
provided hereunder. In the event of such termination, Contractor shall be entitled to receive only
payment for the undisputed invoice amount representing conforming Services delivered as of the date
of termination, except that such payment amount shall not exceed the Estimate amount in effect at the
C:\\Users\\clivingston\\Desktop\\Catbun Studios Agreement.docx:10/4/2023 2:16 PM\]
2
Catbun Studios
Street Department- 2023
Appropriation #1206 101 43-509.00 Fund; P.O. #110104
Contract Not To Exceed $6,000.00
time of termination, unless the parties have previously agreed in writing to a greater amount.
13.2 City may terminate this Agreement at any time upon thirty (30) days prior notice to Contractor. In the
event of such termination, Contractor shall be entitled to receive only payment for the undisputed
invoice amount of conforming 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.
14. 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.
15. ADDITIONAL SERVICES
Contractor understands and agrees that City may, from time to time, request Contractor to provide additional
services to City. When City desires additional services from Contractor, the City shall notify Contractor of such
additional services desired, as well as the time frame in which same are to be provided. Only after City has
approved Contractor’s time and cost estimate for the provision of such additional services, has encumbered
sufficient monies to pay for same, and has authorized Contractor, in writing, to provide such additional services,
shall such goods and services be provided by Contractor 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.
16. TERM
This Agreement shall be in effect from the Effective Date through the completion of the Services unless
terminated according to the terms of this Agreement
17. 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.
18. NO THIRD PARTY BENEFICIARIES
This Agreement gives no rights or benefits to anyone other than City and Contractor.
19. ENTIRE AGREEMENT:
This Agreement, together with any exhibits attached hereto or referenced herein, constitutes the entire
agreement between Contractor and City with respect to the subject matter hereof, and supersedes all prior
oral or written representations and agreements regarding same. This Agreement may only be modified by
written amendment executed by both parties hereto, or their successors in interest.
C:\\Users\\clivingston\\Desktop\\Catbun Studios Agreement.docx:10/4/2023 2:16 PM\]
3
Exhibit A
Ubmjb!Bsjfot
03503134
Page 1 of 1INDIANARETAILTAXEXEMPT
PURCHASE ORDER NUMBERCERTIFICATENO. 003120155 0020CityofCarmel
FEDERAL EXCISE TAX EXEMPT 110104
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
10/2/2023377442
CATBUN STUDIOS Street Department
VENDORSHIP5616DOEWAY 3400 W. 131st Street
TO Carmel, IN 46074-
NOBLESVILLE, IN 46062 - (317) 733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
81176
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund: 1206101General Fund
Account: 43-509.00
1EachPainting Services$6,000.00$6,000.00
Sub Total 6,000.00
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
317) 733-2001 PLEASE INVOICE INDUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
6,000.00PAYMENT
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. 110104 CONTROLLER