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Crossroad Engineers/ENG/Addl Serv1/45,000/Drainage plan CrossRoad Engineers, PC Engineering- 2013 Appropriation#2200-401; l'.0. #25309 Contract Nor To Exceed$45,000.00 ADDITIONAL SERVICES AMENDMENT TO Mit AGREEMENT FOR PURCHASE OF GOODS AND SERVICES ' a °- oaf THIS AMENDMENT TO THE GOODS AND SERVICES AGREEMENT ("Agreement") entered into by and between the City of Carmel and CrossRoad Engineers, P.C. (the "Vendor"), as City Contract dated May 1, 2013 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". Also, pursuant to I.C. § 5-22-16.5, Vendor shall certify that in signing this document, it does not engage in investment activities within the Country of Iran. 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, P.C. by and through its Board of Public Works and Safety By/ By: vLl P L11i Ault l James Brainard, Presiding Officer Authorized Si. at Tif rate: a h r . Printed d N N..me Mary An :urke, Member Date: /o - a -1 71'6'51(194j l Title Lori S. Wis. epiber FID/TIN: �� ��rp 3 3 5 Date: /o z-/i 3 Last Four of SSN if Sole Proprietor: ATTES : • Date: 9/rib 3 r aria Cordray, IAMC/erk-T easurer Date: A O 000 i0 ® 9 abp September 5, 2013 CITY OF ARMEL JAM S 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#1, P.O. #25309 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 dated May 1, 2013, I have requested and received from you the proposed scope of services and fee estimates for the following work task: Additional Service Amendment#1— Drainage Plan Review— On Call Engineering Services Not to Exceed: $45,000.00 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 Exhibit 1 Reviewed and approved by: S. C. En elking Drlsthi:'it::Nr tm kNGECR<E(; Director of Administration cm:: civic Stn wi:. C:v<no.r, IN 46032 Diner ;17.571.2441 FAx 317:371.2,139 I1\IAIl cnginccrin_t,o nsl.i)4:(n • LETTER OF TRANSMITTAL Date: September 9, 2013 To: Doug Haney Department of Law From: Mike McBride Department of Engineering RE: Crossroad Engineers Additional Service Amendment An additional service amendment is needed for Crossroad Engineers for the September 18th, BPW meeting. Attached please find Crossroad's scope of work and purchase order. Contract Information: Project Name ASA #1 "Drainage Plan Review— On Call" Vendor: Crossroad Engineers, P.C. Amount: $45,000.00 Appropriation: P.O. 25309: 2200-401 Signature: Chip Charles Address: 3417 South Sherman Drive Beech Grove, IN 46107 Phone: 317/780-1555 Fax: 317/780-6525 Email: ccharles @crossroadengineers.com A August 6, 2013 Mr. Mike McBride, City Engineer City of Carmel One Civic Square [R055ROAD Carmel, IN 46032 ENGINEERS PC RE: 2013 Plan Review Supplemental Request Dear Mr. McBride, We have prepared this proposal to continue providing professional services for the City of Cannel. CrossRoad Engineers will provide these services as an extension of the City Engineer's staff on an hourly basis. The specific services which we expect to provide include technical reviews of developer-prepared plans and other various miscellaneous engineering and surveying services as your office requests. Attached are our 2013 Hourly Billing Rates which we will be using for the work the remainder of this year. Per our projected work load with submitted plan reviews, we would suggest adding an additional amount of$45,000 to the contract ceiling against which we would invoice. It is expected that this amount will serve for the billing periods through the end of 2013. We will continue to work as efficiently as possible to minimize the City's expenditures on these developer driven projects. At such time as the supplemental amount is depleted, we shall contact you immediately. We appreciate the City's trust in our ability to provide these services and look forward to continue working closely with your staff and helping you keep the ever-growing list of projects moving through your office. If you should have any questions or need any further information. Please do not hesitate to call me. Sincerely, CrossRoad Engineers, P.C. 4,qr� Gregory III TOL.E. Vice President Enc. �co I HOURLY BILLING RATES • PERSONNEL CLASSIFICATION HOURLY RATE E GIN5R0 R DESIGN Principal $145.00 Director 135.00 Senior Project Manager 120.00 Project Manager 110.00 Project Engineer 90.00 Assistant Project Engineer 75.00 R/W Manager 90.00 CADD Manager 90.00 CADD Technician 80.00 INSPECTION Director 135.00 Resident Project Representative 105.00 Assistant Resident Project Representative 95.00 Project Inspector 85.00 Assistant Project Inspector 65.00 SURVEY Survey Manager 110.00 Assistant Survey Manager 80.00 Crew Chief 80.00 Researcher 75.00 Survey Technician 75.00 Survey Crew 140.00 Field Man 60.00 Mileage $0.50/mile Other Direct Costs at cost+15% CrossRoad Engineers, PC 3417 Sherman Drive Beech Grove, Indiana 46107 Rates Effective through December, 2013 A r y CrossRoad Engineers, PC Engineering -2013 Appropriation#2200-40/r P.O. #25309 Contract Not To Exceed$45,000.00 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. pm.nnl^elm data-adnintAW4bnrdMnLSmam Slen inmin¢CUI 3Y'maR,d F gimam•ASA MI&Kill JIDUJai"Ii CrossRanrl Ehginecii. PC Engineering -20)3 Appro priation x2200-401; P.0. #25309 Conover No! To E.lreed$45,000.00 Exhibit "C" �" E-Verify Affidavit Gh t p C ha r' IP j , 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. I. I am over eighteen (I8) 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 094,55golip 6/t_/6 a^0 PC (the "Company") in the position of FresidrKf 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 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. iiiS EXECUTED on the day of S 'I �CHa.7 •• --- !� , 20 I' .. �9 ,, !`✓J Printed: l/llA C karIe 5 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 represent' ions ar rue t 4d correct. IC , dal A, 4A , ,t, Printed: ‘ r 0L0.rle5- ynnlT<IW Vi 11 ..mMth M-\\14Nr<J I,,1s---," :.,,11.OtOP ma' ,:ll' ""'R Jri,,unaa-.1l'.\ I J'\-'9/001111-I aP.\I 1- MN u` ' I n,III§III s` Company ID Number: 440231 To be accepted as a participant in E-Verify, you should only sign the Employer's Section of the signature page. If you have any questions, contact E-Verify at 888-464-4218. Employer CrossRoad Engineers, PC gill Newport -- - - Name(Please Type or Print) (Title I 'Electronically Signed Lf08/15/2011 Signature Dale Department of Homeland Security—Verification Division 1 [ SCIS Verification Division r---- (Name(Please Type or Print) Title :Electronically Signed 08/15/2011 Signature Date I I I � Information Required for the E-Verify Program Information relating to your Company: i Company Name:ICrossRoad Engineers, PC i I Company Facility Address: 13417 Sherman Drive Beech Grove, IN 46107 Company Alternate Address: 3417 Sherman Drive Beech Grove, IN 46107 County or Parish: MARION Employer Identification Number: 351963331 Page 12 of 13 1E-Verify MOU for Employer I Revision Date 09/01/09 www.dhs.gov/E-Verify 1 y� J��+ /� INDIANA RETAIL TAX EXEMPT PAGE I n � c II " `�Jrxi e l CERTIFICATE NO.003120155 002 0 ll �1J�111111 \��//ISJL 1 LL ll�1a PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2S-'o / 35-60000972 / ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. A APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 LSE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION CI i .s C( cv L.✓C t vu_9_,-;.as IOR SHIP J TO 6p tV1ci d1,2.�✓I .n,S AnION BLANKET CONTRACT PAYMENT TERMS FREIGHT IANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION S Y 7,7717 l L ' w.y r „ Co 2 \ e__v1 ELL/ a y V �S tCN ?° / b N I Invoice TO: v " %'` qc lc coo (-7D 2-zoo -'t 0 I PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT • AP 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 TIP REPAID THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY JRCHASE ORDER NUMBER MUST APPEAR ON ALL PIPPING LABELS. PIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE JD ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 5 3 0 9 CLERK-TREASURER CUMENT CONTROL NO. VENDOR COPY is