A&F Engineer/Addl Serv/7/190,809.16/116th - Gray Roundabout A &F.Engineering
Engineering-2012
Appropriation#202-R401, 211-R509, 203-R509; P.O. #26531
Contract Not To Exceed$190,809.16
ADDITIONAL SERVICES AMENDMENT TO_ 4114°A
AGREEMENT FOR PURCHASE OF GOODS AND SERVICES
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THIS AMENDMENT TO THE GOODS AND SERVICES AGREEMENT ("Agreement") entered into by and
between the City of Carmel and A& F Engineering (the "Vendor"), as City Contract dated 4-7-2010 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". Furthermore, the terms of the Agreement shall be
amended to include the E-verify requirement as stated in Indiana Code § 22-5-1,7 et seq., which is attached hereto
and incorporated herein as Exhibit "B", as well as the required E-verify Affidavit, attached hereto and incorporated
herein as Exhibit "C", The terms and conditions of the Agreement shall not otherwise be affected by this Additional
Services Amendment and shall remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have made and executed this Amendment as follows:
CITY OF CARMEL, INDIANA A& F ENGINEERING
by and through its Board of Public
Works and Safety
g.y: By:
James Brainard, PresidingOfficer th tied Si Nature
Date:
al'-' /A41)1-- _ - \ToscRA T_Rem y.e/
Printed Name
Mary A Burke, Member
Date: 7/
S — Vice P/esiJen f
Title
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Lori S`. Wat e. ber FID/TIN:. •35- 2015gt/2
Date:`-� •G I/0i f
Last Four of SSN if Sole Proprietor:
ATTEST'
``` Date: :57/3%20/z
1.-na Cordray, IAMC, rk-Treasurer
Date: .-/L -/.2-
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CITY W ` ARMIEL
April 30, 2012 JAMES BRAINARD, MAYOR
William J. Fehribach, P.E.
A&F Engineering
8365 Keystone Crossing, Suite 201
Indianapolis, Indiana 46240
RE: Additional Service Amendment#7, PO#26531
Dear Mr. Fehribach:
As we discussed,the City of Carmel has a need for additional professional services and pursuant to our current
contract with A&F, Contract#040710.08, dated April 7, 2010, I have requested and received from you the proposed
scope of services and fee estimates for the following work task:
Additional Service Amendment#7— Project 12-03; 116th and Gray Rd. RAB
Design Services
Not to Exceed: $190,809.16
Per our contract procedural requirements. I 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,
2)4-,7614,Z_
Michael T. McBride, P.E.
City Engineer
Exhibit .4
I>) 3
R; i wed and appr ed by:
S. C. Engel ng
Director of Administration
DEPARTMENT OF ENGINEERING
ONE CIVIC SQUARE, CARMEL, IN 46032 OFFICE 317.571.2441 FAx 317.571.2439
EMAIL engineering@carmel.in.gov
Astir Epl _ ��{ �d1NG TRANSPORTATION ENGINEERING STUDIES•TRAFFIC IMPACT ANALYSES
P3 STREET DESIGN•HIGHWAY DESIGN!TRAFFIC ENGINEERING
PARKING LOT DESIGN•TRANSPORTATION PLANNING STUDIES
Transportation & Site Engineering CONSTRUCTION OBSERVATION•SITE ENGINEERING
Creating Order Since 1966 RES-19TRATION
WILLIAM J. FEHRIBACH,P.E. INDIANA.
GOY COUNCIL II.I.INOIN
STEVEN,J. FEHRIBACH, P.E. 1otiVA
PR661DLNT, KEN-u9cY
MICHIGAN
JOSEP,H,T. RENGEL, P.E. GHIO,'
V IGI I'k 91O CNT MI520U1f1
R. M_ATTHEW,BROWN, P.E. I•I. WG
V ICH PBE5IDENY
RICHARD J. KELLY, P.E.
VICE,CSifGN'T
February 9, 2012
Mr. Michael McBride
City Engineer
City of Carmel
One Civic Square
Carmel, IN 46032
Re: Roundabout Design with LPA Funding
116th Street &Gray Road
Dear Mr. McBride:
This is our proposal to prepare design plans for the intersection of 116th Street and Gray Road. The design will
include all the requirements for a Federally-funded contract with the award of CMAQ funding to the City for the
project.
The design will include the following:
I,. Full topographic and route survey
2: Prepare Construction Design Plans as follows:
a. Preliminary field check plans(Stage 1)
b. Design hearing& preliminary right of way plans (Stage 2)
c. Final right of way plans
d. Coordinate, prepare for and run design hearing
e. Perform MEPDG pavement design for approval
f. Final check.prints(Stage 3)
g. Coordinate and attain permits
h. Final tracing submittal
3. Provide utility coordination services for contract with Federal funding
4: Provide Environmental Categorical Exclusion with Cultural Resource Documentation
5, Provide Geotechnical services
6. Provide right of way services as required
7: Provide construction observation services
8365 KEYSTONE CROSSING, SUITE 201 — INDIANAPOLIS, INDIANA 46240
TELEPHONE (317) 202-0864 — 'FACSIMILE (317) 202-0908
The fees to provide these services are as follows:
1. Topographic Route Survey: Lump Sum$19,000.00
2. Roundabout construction plans: Lump Sum $1 19,980.00
3. Utility Coordination Services: Lump Sum$12,000.00
4. Environmental Services
a. Categorical Exclusion Level IV Lump Sum $17,000.00
b. Historical and Section 106 Documentation Lump Sum $7,849.16
c. Archaeological Report Lump Sum$1,290.00
d. US Waters and Wetlands Report Lump Sum $2,300.00
e. Phase I Corridor Assessment Lump Sum$2,390.00
5. Geotechnical Services: Lump Sum$9,000.00
6. Right of Way Services: To he determined
7. Construction Observation: To be determined—Not to exceed 15% of construction costs.
Thank you for the opportunity to submit this proposal. If you have any questions or comments please feel free to
contact me.
Sincerely,
A&F Engineering Co.,LLC
if*?rAil
Joseph T. Rengel,P.E.
Vice President
�a�3
A &F Engineering
Engineering-2012
Appropriation#202-R401, 211-R509, 203-R509; P.O. #26531
Contract Not To Exceed$190,809.16
EXHIBIT"B"
E-verify requirement
All terms defined in I.C. § 22-5-1.7 et seq. are adopted and incorporated into this section of the Amendment.
Pursuant to I.C. § 22-5-1.7 et seq., Vendor 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 Addendum. Vendor is further
required to execute the attached Affidavit, herein referred to as"Exhibit C", which is an Affidavit affirming that: (i)Vendor is
enrolled and is participating in the E-verify program,and(ii) Vendor does not knowingly employ any unauthorized aliens. This
Addendum incorporates by reference, and in its entirety, attached "Exhibit C." In support of the Affidavit, Vendor 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 Vendor and delivered to the City's authorized representative.
Should Vendor subcontract for the performance of any work under this Addendum, the Vendor 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. Vendor shall maintain a copy of such
certification for the duration of the term of any subcontract. Vendor shall also deliver a copy of the certification to the City
within seven(7) days of the effective date of the subcontract.
If Vendor, or any subcontractor of Vendor, knowingly employs or contracts with any unauthorized aliens, or retains
an employee or contract with a person that the Vendor or subcontractor subsequently learns is an unauthorized alien, Vendor
shall terminate the employment of or contract with the unauthorized alien within thirty (30) days ("Cure Period"). Should the
Vendor or any subcontractor of Vendor 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.
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A &F'Engineering
Engineering-2012
Appropriation#202-R401,211-R509, 203-R509; P.O. #26531
Contract Not To Exceed$190,809.16
Exhibit"C"
E-Verify Affidavit
ZC35eph '1, Rerae� , 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.
3. I am now and at all times relevant herein have been employed by
l}_CF 6Atiinceil„.g Ge, i!( (the "Company") in the position
of yf4e Preslatkf..
3: I am familiar with the employment policies, practices, and procedures of the Company and
have the authority to act on behalf of the Company.
4. The Employer is enrolled and participates in the federal E-Verify program. Documentation
of this enrollment and participation is stated in the Addendum, "Exhibit B," to the original
City Contract## 0447.10;bg , and is incorporated herein.
5. The Company does not knowingly employ any unauthorized aliens.
6. To the best of my information and belief, the Company does not currently employ any
unauthorized aliens.
7. FURTHER AFFIANT SAYETH NOT.
EXECUTED on.the 3r day of /%4y , 2011 .
Printed: foseie .1 Aye/
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.
. GLt "
•
Printed: i A C, ()es
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INDIANA RETAIL TAX EXEMPT PAGE
..,it of Carmel CERTIFICATE NO.003120155 002 0
�s PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2) -'gi
35-60000972 �CJ�
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
)RM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
CHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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ENDOR SHIP ^
TO 0� �Sl PIQ�-1f1 (Is
JFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER
•SHIP REPAID. .
•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.
CLERK-TREASURER
If?f I IIIAFMT f_f1MTDf1I AI( a I VENDOR P:OPV