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Crossroad Engineers/Addl Serv 18/ $15,000 crossroad Engineers, PC Engineering Department 2011 Appropriation #Project #14; P.O. #27472 Contract Not To Exceed 515,000.00 ADDITIONAL SERVICES AMENDMENT TO AGREEMENT FOR PURCHASE OF GOODS AND SERVICES APi :'toy ZO AS To FORM BY Ale THIS AMENDMENT TO THE GOODS AND SERVICES AGREEMENT "Agreement°) entered to and between the City of Carmel and Crossroad Engineers, PC (the 'Vendor"), as City Contract #030310.03 shall amend the terms of the Agreement by adding the additional services to be provided by Vendor consistent with the Scope of Work attached hereto and incorporated herein as Exhibit "A The terms and conditions of the Agreement shall not otherwise be affected by his Additional Services Amendment and shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have made and executed this Amendment as follows: CITY OF CARMEL, INDIANA CROSSROAD ENGINEERS, PC by and through its Board of Public Works and Safety By: By: 1 AitiAD ,11 James Brain rd, Presiding Officer Authorized lure gate: Printed N- e Mary An urke, Member Date: S -1 r` e SiteK -k Title Lori S. ember FIDITIN: r q 0 333 Date: 1/6 r SSN if Sole Proprietor: ATTEST: Date: (0Z 9-0 .o?D o t„LA,1,„. riana Cordray, IAMC, Clerk Measurer Date: lt■Awa1Vr"I'.Ax. Goods 5 koNEngoemagICIIIICROSSFLOAD ENG Addmgas1 Sowoc+ Ammidl A.doc121700I013: 17 PMJ a x i 5 a OT December 13, 2010 CITY ?DEL JAMES BRAINARD, MAYOR Mr. Chip Charles, P.E. Mr.Trent Newport, P.E. CrossRoad Engineers, P.C. 3417 South Sherman Drive Beech Grove, IN 46107 RE: Additional Service Amendment #18, P.O. #27472 Dear Chip and Trent: As we discussed, the City of Carmel has a need for additional professional services and pursuant to our current contract with CrossRoad Engineers, Contract #030310.03 dated March 3, 2010, 1 have requested and received from you the proposed scope of services and fee estimates for the following work task: Additional Service Amendment #18— 106 St Pedestrian Path Gray to Hazel Dell Construction Staking, Inspection, and As Builts See "Attachment A" Not to Exceed: $15,000.00 Per our contract procedural requirements, 1 hereby approve these Additional Professional Services estimates, and request that the Board of Public Works ratify the above referenced Contract Amendment. PLEASE NOTE Please be advised that "Additional Services" performed on City contracts must be billed separately from the original contract and other additional services. More importantly, the invoice must reference the appropriate Additional Service and P.O. shown above. Invoices received without the Additional Service referenced will be returned for proper identification. Thank you for your continued assistance in providing the City of Carmel with your professional, quality services. If you should have any questions, please give me a call. Sincerely, Michael T. McBride, P.E. City Engineer EXHIBIT ,g- Revie •ed and approved b y: I S. Engelk g DEPARTMENT OF ENGINEERING Director of Administration ONE CIVIC SQUARE, CARMEL, IN 46032 OFFICE 317 571 2441 FAX 317.571.2439 E.'IAII. engineering ©carmcLin. gm December 13, 2010 Mr. Michael McBride, P.E. CROSSROAD ENGINEERS, PC City Engineer City of Carmel 1 Civic Square Carmel, IN 46032 RE: Supplemental Fee Proposal 106 Street Pedestrian Path Gray to Hazel Dell Carmel, Indiana Dear Mike: CrossRoad Engineers has completed the survey, design, and bidding for this above referenced project. In our original proposal we included a line item for construction staking, inspection, and as -built plans; however, we did not include an estimated fee for this work so no monies were appropriated in the purchase order. Therefore, we hereby request a purchase order for the following phase: CONSTRUCTION STAKING, INSPECTION AS -BUILT PLANS 15,000 We are ready to begin and appreciate your allowing CrossRoad Engineers to design this project for you. if you have any questions, please call me at 780 -1555 ext. 114. Sincerely, CrossRoad Engineers, PC L Trent E. Newport, P. E., L. S. Vice President Please signify your acceptance by signing below: City of Cannel D a e 0 RETAIL TAX EXEMPT City of CERT NO. 003 20155 002 0 PAGE PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2--± �9-Z 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AT CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. 'ORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 CHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 2 SHIP e- 0 \kQ c2 .V1 Q y ful r,', 4 ENDOR 4t k 3 SkorY tayk c■ t TO C BC.eC V\ ekroV 1 -1 3\) 10‘ 0- 7" AFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE f DESCRIPTION UNIT PRICE EXTENSION ?N(C14 \O -14\ �`j ,l- `J��Ve V. r t q t. f- outa S c 1 (A.47;\ 7 Q ke;:, v L .�a� v eb .4 A ...k c Y i tf i fi` r .4 i N 6 0 s V 1 Send Invoice To: I tS� kg-9.- /r i j1' PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.0. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. /1 °q ry C TREASURER %et "1 IIl .IT /�AGwTm�. sew 1 7 /CNInno nesn.i