Crossroad Engineers/Addl Serv 41/ENG/$12,500/136th Culvert Design and Survey Crossroad Engineers, PC
Engineering-1012
Appropriation #211-4462-300; P.O. #26552
Contract Not To Exceed S12,500.00
ADDITIONAL SERVICES AMENDMENT TO
AGREEMENT FOR PURCHASE OF GOODS AND SERVICES. !i it'
o
THIS AMENDMENT TO THE GOODS AND SERVICES AGREEMENT ("Agreement") entered into by and
between the City of Carmel and Crossroad Engineers, PC (the "Vendor"), as City Contract number 030310.03 dated
March 3, 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 CROSSROAD ENGINEERS, PC
by and through its Board of Public
Works and Safety d I
,..., .
By. By:
illP , .A_..e.t 0 _ .L.A A.440
/1".vmes Brainard, Presiding Officer Aut'•" zed Signat - r
Date: _
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�� —/ Printed Name
ary ., n Buff, Me er
Date: !U ' �/ cestdew 1—
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% 193331
Lon S. � � o , Member FIDITIN: ��
Date: f Ois
Last Four of SSN.if.Sole Proprietor:
ATTEST:
Date: 99/17/I
• na Cordray,JA , Clerk-Treasurer
Date: /6 2./2 ,
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•
CITE' 1, , MIEL
September 5, 2012 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#41,P.O. #26552
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#41— 136th Street Culvert(West of Ditch Rd.)
Survey and Design Services
Not to Exceed: $12,500.00
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,
Michael T. McBri e, P.E.
City Engineer
"E I I i a� 91
Reevi-wed and ap,roved by:
S. C. En;,•lking
DEPARTMENT OF ENGINEERING Director of Administration
ONE CIVIC SQUARE, CARMEL, IN 46032 OFFICE 317.571.2441 FAx 317.571.2439
EMAIL engineeringncarmel.in.gov
August 31, 2012
Mr. Michael McBride. P.E.
City of Carmel Engineer NOP:,
One Civic SquareM, i
Carmel, IN 46032
CR055R®A
Re: 136`x' Street Culver Project EN1E9NEEIilS IT
Survey and Design Proposal
Dear Mike,
We have completed a field visit for the culvert under 136`x' Street located approximately 1600
feet west of Ditch Road. The existing culvert is an arch culvert with reconstructed headwalls and
these headwalls are failing at the edge of the pavement. Therefore, this culvert and headwalls
need to be replaced as soon as possible. The drainage area is less than 1 square mile so this
should allow for expedited permitting and the ability to construct this as soon as possible. Also,
we understand that the City has several sections of a precast 8' x 3' box culvert that you prefer to
use for this replacement as long as the drainage calculations allow for this size of culvert to be
used.
Our fee for the survey, design, permitting, bidding, and construction administration for
this work shall be a total lump sum of$12,500 with the following breakdown:
Survey $2,500
Design/Permitting $5,000
Bidding $2,000
Const. Admin. $3,000
Total $12,500
Please feel free to call me at the office at (317) 780-1555 ext. 114 with any questions. We look
forward to working with you on another project!
Sincerely,
CrossRoad Engineers, PC
Trent Newport, .E., L.S.
Vice-President
"EXHIBIT.44 f a 99
Crossroad Engineers, PC
Engineering-2012
Appropriation#211-4462-300; P.O. #26552
Contract Not To Exceed$12,500.00
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.
[Nssvrapps I\User Data-Admin\LA W\sharni\Pro]Svc,&Goods Svcs\Eogineving\2012\CROSSROAD ENGINEERS-ASgN4I dm:9/7/2012 1:14 PM]
Crossroad Engineers, PC
Engineering-2012
Appropriation 4211-4462-300; P.O. ;126552
Contract Not 7o Exceed$12,500.00
Exhibit"C"
II E-Verify Affidavit
a,-,� Citketoe 1e , 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. 1 am now and at all times relevant herein have been employed by
CproSSRo ca2- vteers C (the "Company") in the position
of
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 t/030310.03, 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 ARRANT SAYETH NOT.
EXECUTED on the t t day of Se. L- v64-41 I 20 \ 't
Its` p 1 / . _ A/—
yr
Printed: C �• Ci. e S
I certify under the penalties for perjury under the laws o r tic United Stat of Am+ ica and the State of
Indiana that the foregoing factual statements and represet a ions arc tru i d correct
-
Printed:
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