HomeMy Public PortalAbout192-2019 - Sanitation - Greensfork Alignmrnent - Waste Oil Furnaces^GIaEMEN= ORIGINAL
THIS AGREEMENT is made and entered into this day of ,DCc t1mber , 2019,
by and between the City of Richmond, Indiana, a municipal corporation acting by and through its
Board of Sanitary Commissioners, 50 North 5" Street, Richmond, Indiana 47374 (hereinafter
referred to as the "City") and Greens Fork Alignment & Service, 2441 Centerville Road North,
Centerville, Indiana 47330 (hereinafter referred to as the "Contractor").
SECTION I. STATEMENT AND SUBJECT OF WORK
City hereby retains Contractor for furnishing and installation of three (3) new 325,000 BTU waste
oil furnaces with air compressors at the Richmond Sanitary District New Paris Pike Landfill
garage for the Richmond Sanitary District.
City sent a Request for Quotes on October. 16, 2019, seeking quotes for the furnishing and
installation of three (3) new 325,000 BTU waste oil furnaces with air compressors at the
Richmond Sanitary District Landfill garage. The Request for Quotes is attached hereto and
incorporated herein by reference as Exhibit "A".
u
The response of Contractor, dated November 12,.2019, is contained in Exhibit `B", which Exhibit
"B" is attached hereto and incorporated herein by reference and made a part of this Agreement.
Should any provisions, terms, or conditions contained in any of the documents attached hereto as
Exhibits, or in any of the documents incorporated by reference herein, conflict with any of the
provisions, terms, or conditions of this Agreement, this Agreement shall be controlling.
The Contractor shall, when requested, provide the phone call, text message or email specified by
City.
No performance of services shall commence until the following has been met:
1. The City is in receipt of any required certificates of insurance and/or
warranties;
2. The City is in receipt of any required affidavit signed by Contractor in
accordance with Indiana Code 22-5-1.7-11 (a)(2); and
3. A purchase order. has been issued by the Purchasing Department.
SECTION II. STATUS OF CONTRACTOR
Contractor shall be deemed to be an independent contractor and is not an employee or agent of
the City of Richmond. The Contractor shall provide, at its own expense, competent supervision
of the work.
SECTION III. COMPENSATION
City shall pay Contractor a sum not to exceed Twenty -Eight Thousand Two Hundred Forty -Three
Dollars and Seventy -Six Cents ($28,243.76) for the furnishing and installation of three (3) new
325,000 BTU waste oil furnaces with air compressors. This cost is based upon three (3) new BTU
waste _oil furnaces with air compressors, installation of all three (3) and less a trade -in -value of
$1,500.00 for two (2) used heaters, all as set forth in Exhibit `B".
Contract No. 192-2019
Page 1 of 6
SECTION IV. TERM OF AGREEMENT
This Agreement shall become effective when signed by both City and Contractor and shall
continue in effect through the installation and operation of the three (3) new 325,000 BTU waste
oil furnaces with air compressors, which is anticipated to be completed by no later than May 1,
2020.
Notwithstanding the term of this Agreement, City may terminate this Agreement in whole or in
part, for cause, at any time by giving at least five (5) working days written notice specifying the
effective date and the reasons for termination which shall include but not be limited to the
following:
a. failure, for any reason of the Contractor to fulfill in a timely manner
its obligations under this Agreement;
b. submission of a report, other work product, or advice, whether oral or written, by the
Contractor to the City that is incorrect, incomplete, or does not meet reasonable
professional standards in any material respect; 1.
c. ineffective or improper use of funds provided under this Agreement;
d. suspension or termination of the grant funding to the City under which this Agreement
is made; or
e. unavailability of sufficient funds to make payment on this Agreement.
In the event of. such termination, the City shall be required to make payment for all work
performed prior to the date this Agreement is terminated, but shall be relieved of any other
responsibility herein.
This Agreement may also be terminated, in whole or in part, by mutual Agreement of the parties
by setting forth the reasons for such termination, the effective date, and in the case of partial
termination, the portion to be terminated.
SECTION V. INDEMNIFICATION AND INSURANCE
Contractor agrees to obtain insurance and to indemnify the City for any damage or injury to
person or property or any other claims which may arise from the Contractor's conduct or
performance of this Agreement, either intentionally or negligently; provided, however, that
nothing contained in this Agreement shall be construed as rendering the Contractor liable for acts
of the City, its 'officers, agents, or employees. Contractor shall as a prerequisite to this
Agreement, purchase and thereafter maintain such insurance as will protect it from the claims set
forth below which may arise out of or result from the Contractor's operations under. this
Agreement, whether such operations by- the Contractor or by any sub -contractors ..or by anyone
directly or indirectly employed by any of them, or by anyone for whose acts the Contractor may
be held responsible.
Coveraee Limits,
A. Worker's Compensation & Statutory
Page 2 of 6
Disability Requirements
C.
0
Employer's Liability
Comprehensive General. Liability
Section 1. Bodily Injury
Section 2. Property Damage
Comprehensive Auto Liability (if applicable)
Section 1. Bodily Injury
Section 2. Property Damage
$100,000
$1,000,000 each occurrence
$2,000,000 aggregate
$1,000,000 each occurrence
$1,000,000 each person
$1,000,000 each occurrence
$1,000,000 each occurrence
E. Comprehensive Umbrella Liability $1,000,000 each occurrence
$2,000,000 each aggregate
SECTION VI. COMPLIANCE WITH WORKER'S COMPENSATION LAW
Contractor shall comply with all provisions of the Indiana. Worker's Compensation law, .and shall,
before commencing work under this Agreement, provide the City a_certificate.of insurance, or a.
certificate from the industrial board showing that the Contractor has complied with Indiana Code
Sections 22-3-2-5, 22-3-5-1 and 22-3-5-2. If Contractor is an out of state employer and therefore
subject -to another state's worker's compensation law, Contractor may choose to comply with all
provisions of its home state's worker's compensation law and provide the City proof of such
compliance in lieu of complying with the provisions of the Indiana Worker's Compensation Law.
SECTION VII. COMPLIANCE WITH INDTANA E-VERIFY PROGRAM
REQUIREMENTS
Pursuant to Indiana Code 22-5-1.7, Contractor is required to enroll in and verify the work
eligibility status of all newly hired employees of the contractor through the Indiana E-Verify
program. Contractor is not required to verify the work .eligibility status of all newly hired
employees of the contractor through the Indiana E-Verify program if the Indiana E-Verify
program no longer exists. Prior to the performance of this Agreement, Contractor shall
provide to the City its signed Affidavit affirming that Contractor does not knowingly employ
an unauthorized alien in accordance with IC 22-5-1.7-11 (a) (2). In the event Contractor
violates IC 22-5-1.7 the Contractor shall be required to remedy the violation not later than
thirty (30) days after the City notifies the Contractor of the violation. If Contractor fails to
remedy the violation within the thirty (30) day period provided above, the City shall consider
the Contractor to be in breach of this Agreement and this Agreement will be terminated. If
the City determines that terminating this Agreement would be detrimental to they public
interest or public property, the City may allow this Agreement to remain in effect until the
City procures a new contractor. If this Agreement is terminated under this section, then
pursuant to IC 22-5-1.7-13 (c) the Contractor will remain liable to the City for actual
damages.
Page 3 of 6
SECTION VIII. IRAN INVESTMENT ACTIVITIES
Pursuant to Indiana Code (IC) 5-22-16.5, Contractor certifies that Contractor is.not engaged
in investment activities in Iran. In the event City determines during the course of this
Agreement that this certification is no longer valid, City shall notify Contractor in writing of
said determination and shall give contractor ninety (90) days within which to respond to the
written notice. In the event Contractor fails to demonstrate to the City that the Contractor has
ceased investment activities in Iran within ninety (90) days after the written notice is given to
the Contractor, the City may proceed with any remedies it may have pursuant to IC 5-22-
16.5. In the event the City determines during the course of this Agreement that this
certification is no longer valid and said determination is not refuted by Contractor in the
manner set forth in IC 5-22-16.5, the City reserves the right to consider the Contractor to be
in breach of this Agreement and terminate the agreement upon the expiration of the ninety
(9.0) day period set forth above.
SECTION IX. PROHIBITION AGAINST DISCRIIVIINATION
A. Pursuant to Indiana Code 22-9-1-10, Contractor, any sub -contractor, or any person acting
on behalf of Contractor or any sub -contractor shall not discriminate against any employee
or applicant for employment to be employed in the performance of this Agreement, with
respect to hire, tenure, terms, conditions or privileges of employment or any matter
directly or. indirectly related to employment, because of race, religion, color, sex,
disability, national origin, or ancestry.
B. Pursuant to Indiana Code 5-16-6-1, the Contractor agrees:
1. That in the hiring of employees for the performance of work under this
Agreement of any subcontract hereunder, Contractor, any subcontractor, or any
person acting on behalf of Contractor or any sub -contractor, shall not
discriminate by reason of race, religion, color; sex, national origin or ancestry
against. any citizen of the State of Indiana who is qualified and available to
perform the work to which the employment relates;
2. That Contractor, any sub -contractor, or any person action on behalf of Contractor
or any sub -contractor shall in no manner discriminate against or intimidate any
employee hired for the performance of work under this Agreement on account of
race, religion, color, sex, national origin or ancestry;
3. That there may be deducted from the amount payable to Contractor by the City
under this Agreement, a penalty of five dollars ($5.00) for each -person for each
calendar day during which such person was discriminated against or intimidated
in violation of the provisions of the Agreement; and
4. That this Agreement may be canceled or terminated by the City and all money
due or to become due hereunder may be forfeited, for a second or any subsequent
violation of the terms or conditions of this section of the Agreement.
C. Violation of the terms or conditions of this Agreement relating to discrimination or
intimidation shall be considered a material breach of this Agreement.
Page 4 of 6
SECTION X. RELEASE OF LIABILITY
Contractor hereby agrees to release and hold harmless the City and all officers, employees, or
agents of the same from all liability which may arise in the course of Contractor's performance of
its obligations pursuant to this Agreement.
SECTION XI. MISCELLANEOUS
This Agreement is personal to the parties hereto and neither party may assignor delegate any of
its rights or obligations hereunder without the prior written consent of the other party. Any such
delegation or assignment, without the prior written consent of the other party, shall be null and
void. This Agreement shall be controlled by and interpreted according to Indiana law and shall
be binding upon the parties, their successors'and assigns. This -document constitutes the entire
Agreement between the parties, although it may be altered or amended in whole or in part at any
time by filing with the Agreement a written instrument setting forth such changes signed by both'
parties. By executing this Agreement the parties agree that this document supersedes any
previous discussion, negotiation, or conversation relating to the subject matter contained herein.
This Agreement_may be simultaneously executed in several counterparts, each of which shall be
an original and all of which shall constitute but one and the same instrument.
The parties hereto submit to jurisdiction of the courts of Wayne County, Indiana, and any suit
arising out of this Contract must be filed in said courts. The parties specifically agree that no
arbitration or mediation shall be required prior to the commencement of legal proceedings in said
Courts.: By executing this Agreement, Contractor is estopped from bringing suit or any other
action in any alternative forum, venue, or in front of any.other tribunal, court, or administrative
body other than the Circuit or Superior Courts of Wayne County, Indiana, regardless of any right
Contractor may have to bring such suit in front of other tribunals or in other venues.
In the event of any breach of this Agreement by Contractor, and in addition to any other damages
or remedies, Contractor shall be liable for all costs incurred by City in its efforts to enforce this.
Agreement, including but not limited to, City's reasonable attorney's fees.
In the event that an ambiguity, question of intent, or a need for interpretation of this Agreement
arises, this Agreement shall be construed as if drafted jointly by the parties, and no presumption.
or burden of proof shall arise favoring or disfavoring any party by virtue of the authorship of any
of the provisions of this Agreement.
Any person executing this Contract in a representative capacity hereby warrants that he or she has
authorization, in writing, by his or her principal to execute this Contract on behalf of the
Contractor and that such authorization has not been revoked or rescinded.
Page 5 of 6
IN WITNESS WI1ERE0F, the parties have executed this Agreement at Richmond, Indiana, as of
the day and year first written above, although signatures may be affixed on different dates.
"CITY"
THE CITY OF RICHMOND,
INDIANA by and through its
Board of Sanitary Commissioners
By:
Sue Miller, President
By:
Aman Baksh�`ce-President
By: IL��
e Member
Date: / :2- — s ✓ /
APPROVED:
. Sn
City of Richtond, Indiana
r
Date:
"CONTRACTOR"
GREENS FORK ALIGNMENT
& SERVICE
B/ted:
Ag
Pr /V o G 7d f 1-)
Title: 5.a C
Date: 12 - / 1- 26,11
Page 6 of 6
PRICEREOUEST
A
o q,
ti{ O
v
pal e
* mn u *
lei l 1 O M Ol D
DEPARTMENT OF SANITATION
2380 LIBERTYAVENUE.RICHMOND, MIANA47374
PHONE (765) 983-7450.FAX (765) 962-2669 .
THIS IS N0'I' AN ORDER
VENDOR
INSTRUCTIONS
This is a request for a price for the services of materials
described below. Any additional specifications may be
attached hereto. This is NOT an order and -the City reserves
the right to accept all or part, or decline the entire proposal.
Please complete your full name and phone number below
with signature; itemize all prices and charges where
requested; and attach any explanation for any substitution to
specifications altered. Return in a sealed envelope, in care of
Richmond Sanitary District Board of Commissioners to
the administration building at the address above by the
specified date and time to be considered.
DATE:
REPLY MUST BE IN BY:
PAYMENT TERMS:
DELIVERY REQUIRED:
October 16, 2019
November 12, 2019 by 10:OOAM
UPON RECEIPT OF INVOICE
DELIVERED
DESCRIPTION
This is a request for quotes for purchasing and installation of three (3) waste oil furnaces: Please see
attached specifications. All E-Verify requirements will apply to this quote. Please include a Certificate of
Insurance which must include Workers Compensation and any warranty information.
Return the quote in a sealed envelope addressed to: Richmond Sanitary District
Denise Johnson, Customer Svc Mgr
2380 Liberty Avenue
Richmond, IN 47374
Re. waste oil furnaces
If you have any questions please call Jeff Lohmoeller at 765-983-7464 or Darren Duncan at 765-983-7457.
STAT EXEMPTION # 003121909-001
"�4�
Richmond S itary District
NAME OF FIRM QUOTING:
DATE
AUTHORIZED BY SIGNATURE
TITLE
PHONE NUMBER
REQUEST FOR QUOTE
The Richmond New Paris Pike_Landfill is requesting quotes for three (3) new 325,000 BTU
Waste Oil Furnaces with their own Air Compressors. This request will include installation of
each unit.. The Landfill will be asking to trade-in two unit presently being used.
N inimum Specification for the three (3) new 325,000 BTU Waste Oil Furnaces:
a Maximum BTU/br 325,000 (95.3 kW)
• Maximum Oil consumption 2.1 GPH (7.91 L/h)
® Fuels Used oils: Crankcase, ATF, hydraulic.
Fuel Oils: #2, #4, and #5 fuel oils
• Air Flow Output (CFM) Unitr heater 3300
Centeral Furnace (ducted)
0.25 SPWC (in.) 3150
0.30 SPWC (in.) 2900
• *Air. Compressor Required 2.5 CFM @ 25 PSI
(4.25 m3/h @ 1.7 bar)
s Stack Size 8-inch Dia. (20cm dia.)
• Furnace Demensions, Assembled 121" L x 31.25 W x 35 H
(307 cm x 80cm x 89cm)
• Electrical Available 230 volts 60 Hz, single phase.
30 Amp Circuit Breaker
• Installation of each new unit installation will include new flue for each unit
• Service Center and parts warehouse located within 50 miles of Richmond, Indiana.
C e .
9-VerifyRequirements:
Definitions:
E-Ver' . Program — A electronic verification of work authorization program of the Illegal
Immigration Reform and Immigration Responsibility Act -of 1996 (P.L.. 104-208), Division C, Title
IV,s.403 (a), as amended, operated by the United States Department of Homeland Security or
successor work authorization program designated by the United States Depart of Homeland Security
or other federal agency authorized to verify the work authorization status of newly hired employees
under the Immigration Reform and control Act of 1986 (P.L. 99-603).
No performance of services shall commence until the following has been met:
1. The City is in receipt of any required certificates of insurance;
2. The City is in receipt of any required affidavit signed by Contractor in accordance with
Indiana Code 22-5-1.7.1.1 (a) (2); and
3. A purchase order has been issued by the Purchasing Department.
a a a MR R O R 0 R a 0 a 0 a Ma R 1313 R 0 131113 O D a a n R a a 0 a a as Rama am a a moan an a R R a an am a am R a an a Dan a m a R a D a a an a a 131M
COWLL4,NCE WIT-H ]ilNDlf NA. ]E-VERWY PROGRAM REQUM EMENTS
Pursuant to Indiana Code 22.5.1,7, Contractor is required to enroll in and verify the work eligibility
status of all newly hired employees of the contractor through the Indiana E-Verify program. Contractor
is not required to verify the work eligibility status of all newly hired employees of the contractor through
the Indiana E-Verify` program if the Indiana E-Verify program no longer exists. Prior to the
performance of the Agreement, Contractor shall provide to the City its signed Affidavit affirming that
-Contractor does not knowingly employ an unauthorized alien in accordance with IC 22-5-1.7 (a) (2). In
the event Contractor violates IC 22-5-1.7 the- Contractor shall be required to remedy the violation no
later than thirty (30) days after the City notifies the Contractor of the violation. If the Contractor fails to
remedy the violation within the thirty (3 0) day period provided above, the City shall consider the
Contractor to be in breach of this Agreement and this Agreement will be terminated. If the City
determines that terminating this Agreement would be detrimental to the public interest or public
property, the City may allow this Agreement to remain in effect until the City procures a new contractor.
If this Agreement is terminated under this section, then pursuant to IC 22-5-1.7-13 (c) the Contractor
will remain liable to the City for actual damages.
Affidavit of Employment Eligibility Verification
The Contractor, , affirms under the penalties of perjury that
Contractor does not knowingly employ an unauthorized alien. If Contractor is self-employed
and does not employ any employees, Contractor verifies he or she is a United States citizen or
qualified alien. ?
The Contractor has not knowingly employed or contracted with an unauthorized alien and shall
not retain an employee or contract with a person that the Contractor subsequently learns is an
unauthorized alien. Pursuant to Indiana Code 22-5-1.7, Contractor has enrolled in and verified
the work eligibility status of all newly hired employees of the contractor through the Indiana E-
Verify program.
The Contractor has required Contractor's subcontractors to cer(ify to the Contractor that the
subcontractor does not knowingly employ or contract with an unauthorized alien and that the
subcontractor has enrolled and is participating in the E-Verify program. The Contractor will
maintain this certification throughout the duration of the term of a contract with a subcontractor.
I hereby verify under the penalty of perjury that the foregoing statement is true.
Dated this day of , 20_
(signature)
(printed name)
IRAN INVESTMENT ACTIVITIES
Pursuant to Indiana Code (IC) 5-22-16.5, Contractor certifies that Contractor is not engaged in
investment activities in Iran. In the event City determines during the course of this Agreement that
this certification is no longer valid, City shall notify Contractor in writing of said determination
and shall give contractor ninety (90) days within which to respond to the written notice. In the
event Contractor fails to demonstrate to the City that the Contractor has ceased investment
activities in Iran within ninety (90) days after the written notice is given to the Contractor, the City
may proceed with any remedies it may have pursuant to IC 5-22-16.5. In the event the City -
determines during the course of this Agreement that this certification- is no longer valid and said
determination is not refuted by Contractor in the manner set forth in IC 5-22-16.5, the City reserves
the right to consider the Contractor to be in breach of this Agreement and terminate the agreement
upon the expiration of the ninety (90) day period set forth above. -
v
~ y
U I'II a
-PRICE REQUE ST
C11 A ®F _lf-V.1.1L1lLWJL0N
DEPARTMENT OF SANHA'HON �+��� IS NOT AN ORDER
2380 L]BERTYAVENUE-RICHMOND,INDIANA47374 1 l�l
PHONE (765) 983 7450oFAX (765) 962 2669
VENDOR
INSTRUCTIONS
This is a request for a price for the services of materials
Greens ForkAlinment
described below. Any additional specifications may be
City
attached hereto. This is NOT an order and the reserves
2441 N. Centerville Road
the right to accept all or part, or decline the entire proposal.
Please complete your full name and phone number below.
Centerville, IN 47330
with signature; itemize all, prices and charges where
-ATTN; Danny Hall ,
requested; and attach any explanation for any substitution to
specifications altered. Return in a sealed envelope, in care of
Richmond Sanitary District Board of Commissioners to .
the administration building at the address above by the
specified date and time to be considered.
DATE:
REPLY MUST BE IN BY:
PAYMENT TERMS:
bELIVERY REQUIRED:
October 16, 2019
November 12, 2019. by 10:OOAM
UPON RECEIPT OF INVOICE ._
DELIVERED
DESCRIPTION
This is a request for quotes for.purchasing and installation of three (3) waste oil furnaces. Please see
attached specifications. All E-Verify requirements will apply to this quote. Please include a Certificate of .
Insurance which must include Workers Compensation and any warranty information.
Return the quote in a sealed envelope addressed to: Richmond Sanitary District
Denise Johnson, Customer Svc Mgr
2386 Liberty Avenue
Richmond, IN 47374
Re: waste oil furnaces
If Vou have any questions please call Jeff Lohmoeller at 765-983-7464 or Darren Duncan at 765-983-7457.
ST EXEMPTION # 0031 21909-001
Richmond Sani ry District
NAME OF FIRM QUOTING:
AUTHORIZED BY SIGNATURE
/ .1" � ��-
J TITLE
DATE PHONE NUMBER
REQUEST FOR
The Richmond New Paris Pike Landf ll is requesting quotes for three (3) new 325,000 BTU
Waste Oil Furnaces with their own Air Compressors. This request will include installation of
each unit. The Landfill will be asking to trade-in two unit presently being used.
Minimum Specification for the three (3) new 325,000 BTU Waste OR Furnaces:
® Maximum BTU/hr 325,000 (95.3 kW)
o Maximum Oil consumption 2.1 GPH (7.91 Llh)
o Fuels Used oils: Crankcase, ATF, hydraulic.
Fuel Oils: #2, #4, and #5.fuel oils
a Air Flow Output (CFM) Unitr heater 3300
Centeral Furnace (ducted)
0.25 SPWC.(in.) 3150
0.30 SPWC (in.) 2900
*Air Compressor Required 2.5 CFM @ 25 PSI
(4.25 m3/h @ 1.7 bar)
v Stack Size 8-inch Dia. (20cm dia.)
a Furnace Demensions, Assembled 121" L x 31.25 W x 35 H
(307 cm x 80cm x 89cm)
ElectricalAvailable 230 volts 60 Hz, single phase
30 Amp Circuit Breaker
o Installation of each new unit installation will include new flue for each unit
Service Center and parts warehouse located within 50 miles of Richmond, Indiana.
of I0
�a
Proposal Sheet
Furnish and install three (3) New 325,000 BTU Waste Oil Furnaces with air compressors
and Trade -In of two (2) old furnaces
NAME OF CONTRACTOR ((%���7� � � AI
�/ FC, 1:�
f
ADDRESS �L VV/ Oe v J�AAV C 6a /U�'k
crrusTATE
7gz
Cost of each unit: $ i�
c� a
Cost of Installation of each unit: $ 1347
Cb
'Trade -In Value of both used heaters: $ /.5QQ
�G
Total Cost with Trade -In: $^42 X 2, V-3 f
How long price is firm: Jo
All Warrantees Included:
Yes_X No
Service Center and Parts Warehouse within 50 miles. Yes_____ No
CERTIFICATE OF INSURANCE IN.CL. UDED (:must meet the City of Richmond,
IN requirements) YES NO
E-VERIFICATION FORM FILLED OUT: YES NO
FOCAL PREFERENCE CLAIM[: YES NO )e
o IRAN INVESTMENT: YES NO }
L pr �°�
9+ -Verify Requirements:
Definitions:
E-Ver' Program — A electronic verification of work authorization program. of the Illegal
Immigration Reform and Immigration Responsibility Act -of 1996 (P.L.104 2008), Division C, Title
IV,s.403 (a), as amended, operated by the United States Department of Homeland Security or .
successor work authorization program designated by the United States Depart of Homeland Security
or*other federal agency authorized to verify the work authorization status of newly hired employees
under the Immigration Reform and control Act of 1986 (P.L. 99-603).
No performance of services shall commence until the following has been met:
1. The City is in receipt of any required certificates of insurance;
2. The City is in receipt of any required affidavit signed by Contractor in accordance with
Indiana Code 22-5-1.7-11 (a) (2); and
3. A purchase order has been issued by the Purchasing Department.
noun an D a n n Mania nna n nn n no n m nnnnnnnnn an nn as m n g Q On am on nnnamnnnn A Una nn n n an an q n a no Man4nn n min
Pursuant to Indiana Code 22.5.1,7, Contractor is required to enroll in and verify the work eligibility
status of all newly hired employees ,of the contractor through the Iardiana E-Verify program. Contractor
is not required to verify the work eligibility status of all newly hired employees of the contractor through
the Indiana E-Verify program if the Indiana E-Verify program no longer exists. Prior to the
performance of the Agreement, Contractor shall provide to the City its signed Affidavit affirming that
Contractor does not knowingly employ an unauthorized alien in accordance with IC 22-5-1.7 (a) (2). In
the event Contractor violates IC 22-5-1.7 the Contractor shall be required to remedy the violation no
later than thirty (3 0) days after the Citynotifies the Contractor of the violation. If the Contractor fails to
remedy the violation within the thirty (3 0) day p erio.d provided above, :the City shall consider the
Contractor to be in breach of this Agreement and this. Agreement will. be terminated. If the City
determines that terminating this Agreement would be detrimental to the public interest or public
property, the City may allow this Agreement to remain in effect until the City procures a new contractor.
If this Agreement is terminated under this section, then pursuant to IC 22-5-1.7-13 (C) the Contractor
will;remain liable to the City for actual damages.
Affidavit of Employment Eligibility Verification
The Contractor, 4,ng,,IAS4vlf <�14 �,� , S v; of rms under the penalties of perjury that
Contractor does not knowingly employ an unauthorized alien. If Contractor is self-employed
and does not employ any employees, Contractor verifies he or she is a United States citizen or
qualified alien.
The Contractor has not knowingly employed or contracted with an unauthorized alien and shall
not retain an employee or contract with a person that the Contractor subsequently learns is an
unauthorized alien. Pursuant to Indiana Code 22-5-1.7, Contractor has enrolled in and verified
the work eligibility status of all newly hired employees of the contractor through the Indiana E-
Verify program.
The Contractor has required Contractor's subcontractors to certify to the Contractor that the
subcontractox does not knowinglyemploy or contract with an unauthorized alien and that the
subcontractor has enrolled and is participating in the E Verify.program. The Contractor will
maintain this cerEficationthroughout the duration ofthe term, of contract with a subcontractor.
I hereby verify under the penalty of perjury that the foregoing statement is true.
Dated this — day of 1VdI,gL- e L , 20_&.
(signature) r
(p " ted n (q)
MAN INVESTMENT ACTIVITIES
Pursuant to Indiana Code (IC) 5-22-16.5, Contractor certifies that Contractor is not engaged in
investment activities in Iran. In the event City determines during the course of this Agreement that
this certification is no longer valid, City shall notify Contractor in writing of said determination
and shall give contractor ninety (90) days within which to respond to. the written notice. In the
event Contractor fails to demonstrate to the City that the Contractor has ceased investment
activities in Iran within ninety (90) days after the written notice is given to the Contractor, the City
may proceed with any remedies -it may have pursuant to IC 5-2246.5. Iia the. event the City -
determines during the course of this Agreement that this certification- is no longer valid and said
determination is not ref ted by Contractor in the manner set forth in IC 5-22-16.5, the City reserves
the'right to consider the Contractor to be in breach of this Agreement and terminate the agreement
upon the expiration of the ninety (90) day period set forth above.
DATE October24, 2019
Quotation # Richmond New Paris Pike Landfill Pr
Customer ID
Quotation valid until. 30 days
Green Fork.Alignment and Service
2441 N. Centerville Rd
Centerville, IN 47330
765 541-0194
afacomsalesMamail.com
Qty
Description
Unit Cost'
Ext Cost
4, -idr specifications:
BTU's: 350,000 BTU input, 280,000 BTU's Output/heater
Oil Consumption: 2.5 Gals/Hr
Air Flow Output: 2600 cfm.
Air Compressor: Built on with 9-11 psi compressed air
Stack size: 8" inside diameter
Assembled Dimensions: 22" H x 22" W x 117" L
Electrical Requirements: 115 VAC 60Hz, 25 amps maximum, dedicated circuit
Service Center: Located 44 Miles away in Ft Recovery, OH
TOTAL
$ -
iv7'FES.. I mac` e l anel n Vs:_essostempft,xuStpb>I,ty -
price Quote
Richmond Landfall
Quantity 3
Energy Logic Waste CAI Heater (3�®D®®® BTU)
3 @ $8,547092 Total: $2.5,643.76 . (Freight IncO ed)
Freda 0 0n 2 @ $750.00 Q $1,500m00
Total $24,143.76
Install: $4,100.00 ($1,367a00 each)-.
Total: $28,243a76 -
G. — Ma s Fork A8ag,w rn ens
10.4 Lu>r ited Warranty
EnergyLogic, LLC, MANUFACTURER, warrants to the buyer that MANUFACTURERSs furnace be free from defect in material and workmanship according to the provisions
and limitations set forth herein for aperiod of one (1) year from the Effective Date (as defined below) or 1,500 hours of operation, whichever occurs first. The buyer is responsible
for registering the unit with the MANUFACTURER. If the unit is not registered, the buyer is responsible for maintaining proof ofthe purchase date ofthe unit. The warranty
coverage period begins on the date (the "Effective Date") ofpurchase, as established by the buyer, or otherwise on the date of manufacture as indicated by the serial number. No
iarran0, claim eeandization shall conrnrence until the unit rs registered ivith the AANUFACTURER.
Non-consumables or parts that ara not associated with a maintenance service in)erval because of normal wear shall be warranted for a period of one (1) years
from -the Effective Date or 1,500 hours of operation, whichever occurs first. A second yearwill be activated when the product is registered with the Manufacturer
With in the first 30 days of receipt of the Product.
The heat exchanger chamber/combustion chamber shall be warranted for a period of ten (10) years from the Effective Date or 15,060 hours of operation,
whichever occurs first. The Furnace Limited Warranty includes 100% of parts coverage for heat exchanger replacement during the first five (5) years from the
Effective Date or 7,500 hours of operation, whichever occurs first, with prorated coverage (from the Effective Date) for the remainder of the ten (10) year term.
Parts (including heat exchangers) replaced during the original equipment warranty period as detailed herein shall carry either a one (1) year warranty from the date
of purchase or the remainder of the factory warranty for the original equipment, whichever occurs last. In no event shall a part replaced under the original warranty
carry a warranty that extends beyond one year from the expiration of the original factory warranty period.
Warranty Exclusions:
1. Consumable parts or any part that is associated with a normal maintenance interval because of normal wear and tear (filters, seals, gaskets, air
compressor vanes, batteries, insulation, furnace cabinets).
2. Products or parts which are not maintained in.accordance with the service frequency and methods described in the MANUFACTURER'S instructions
furnished and / or available upon request from the buyer.
3. Parts and products that are not installed and operated according to MANUFACTURER'S instructions furnished and / or available upon request from
the buyer..
4. Repairs made with parts or accessories which are not genuine EnergyLogic LLC or EnergyLogic LLC approved
5. installations not in accordance with Manufacturers Installation Manual, UL, NFPA guidelines, federal, state, and local codes and regulations.
6. Labor or.other costs incurred in troubleshooting, repair, removal, transportation, installation, service or handling of parts.
7. Claims, representation, or warranty made by any dealer, distributor, or other person that is inconsistent with or is more expansive than the provisions
provided herein.
8. Parts that are altered from original specifications of the MANUFACTURER or are damaged because of misuse, improper handling, storage, or use in
conjunction with other parts not authorized by MANUFACTURER.
9. Products that have been moved from the original installation site or that have been sold or exchanged to a person other than the original buyer.
10. Equipment or products installed outside of the continental U.S. or Canada.
11. Products or parts in which the serial number has been altered, defaced, or removed.
The buyer must assist the MANUFACTURER'S Technical Support group during over -the -phone problem diagnosis in order to help substantiate a warranty
condition. A course of action will be determined by the MANUFACTURER If repair or replacement is deemed necessary.
MANUFACTURER'S liability under this warranty shall be limited to the repair or replacement of any part or parts that may prove to be defective under such normal
operation and'use, subject to MANUFACTURER'S examination and determination to its satisfaction that such part or parts are so defective.
Obtaining Warranty Service:
If the local Service Provider is unknown, contact EnergyLogic, LLC at 5901 Crossings Blvd, Antioch, TN 37013, or at 1-615-471-5290. A representative wilt
assist you in locating the nearest authorized service provider or in verifying the warranty coverage. The Unit Registration identification number will be required.
Please refer to our website at www.energy[6gic.com for more information.
In order for a warranty claim to be acknowledged by the MANUFACTURER, the buyer must be issued a Return Authorization (RA) number and the product must
be Warranty Registered. After obtaining an RA number, the buyer must properly package the part to avoid damage during shipment with the RA number visible on
the outside of the box. A credit card number must be provided in order for the replacement part to be shipped and the part must be returned within 30 days of
receipt of the replacement part in order to avoid charges.
If MANUFACTURER determines that a problem'with a product or part is not covered under the Limited Warranty, the buyer will be notified and informed of service
alternatives available on a fee basis.
DISCLAIMER AND LIMITATION OF DAMAGES: THIS LIMITEDWARRANTY IS EXPRESSLY IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR
IMPLIED, TO THE EXCLUSION OF ANY AND ALL OTHER WARRANTIES OR REPRESENTATIONS THAT MAYBE EXPRESSED OR IMPLIED BY ANY -
LITERATURE, PACKAGING, SAMPLES, MODELS, DATA OR PERSONS. MANUFACTURER DOES NOT ASSUME, NOR DO WE AUTHORIZE ANY
EMPLOYEE, AGENT, OR OTHER PERSON TO ASSUME FOR US, ANY OTHER RESPONSIBILITY OR LIABILITY IN CONNECTION WITH THE SALE OF
THE GOODS COVERED HEREBY. MANUFACTURER HEREBY DISCLAIMS ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR
PURPOSE OR USE. MANUFACTURER'S MAXIMUM LIABILITY HEREUNDER SHALL NEVER EXCEED THE COST OF THE PRODUCT. MANUFACTURER
IS NOT RESPONSIBLE FOR OR LIABLE FOR DIRECT, INDIRECT, SPECIAL, INCIDENTAL, CONSEQUENTIAL OR PUNITIVE DAMAGES RESULTING
FROM THE USE OF THE GOODS COVERED HEREBY OR ANY BREACH OF WARRANTY OR UNDER ANY OTHER LEGAL THEORY, INCLUDING BUT
NOT LIMITED TO CONTRACT, TORT, NEGLIGENCE, STRICT LIABILITY, LOST PROFITS OR GOODWILL, LOSS OF TIME; INCONVENIENCE, LOST FUEL,
LOST SAVINGS, LABOR CHARGES OR OTHER INCIDENTAL OR CONSEQUENTIAL DAMAGES WITH RESPECT TO PERSONS, BUSINESS OR
PROPERTY WHETHER AS A RESULT OF BREACH OF WARRANTY OR OTHERWISE. THIS WARRANTY IS LIMITED TO THE PRECISE TERMS SET
FORTH ABOVE, AND PROVIDES EXCLUSIVE REMEDIES EXPRESSLY IN LIEU OF ALL OTHER REMEDIES.
90
9 A
$'
Call 1-800-351-0643 for Technical Support
I
CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDYY)AC®RV
A�®
07/0112019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement -on.
this certificate does not confer rights to the certificate holder in lieu of such endors.ement(s).
PRODUCER
CONTACT Julie George
NAME:
ISU George Insurance Group
Pn PHONE
Ext , (765) 216-7725 Fn a N.: (765) 381-1041
E-MAIL julie@geergelnsurancegroup.com
ADDRESS:
311 South Walnut St.
INSURERS) AFFORDING COVERAGE
NAIC
Muncie IN 47305
INSURERA: Ohio Security Insurance Co.
24082
INSURED
INSURERB: Ohio Casualty Insurance Company
24074
Greens Fork Alignment & Service Inc
INSURER C ; Liberty Mutual Ins Co
2441 N Centerville Rd
INSURER D :
INSURER E :
Centerville IN 47330
INSURERF:
COVERAGES CERTIFICATE NUMBER: 2019-2020 REVISION NUMBER:
THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
DDL
INSD
SUBR
-WVD
POLICY NUMBER
POLICY EFF
MMIDD
POLICY EXP
MMIDDIYYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
"®
DAMAGE TO RENTED
300,000
CLAIMS -MADE OCCUR
'PREMISES Eaoc urrrence
$
MED FRCP (Anyone person)
$ 15,000
_
PERSONAL&ADVINJURY
$ 1,000,000
A
BKS56693819
06/12/2019
06/12/2020
GEN'LAGGREGATELIMITAPPLIESPER:
GENERALAGGREGATE
$ 2,000,000
i� POLICY ❑ JET LOC
PRODUCTS-COMP/OPAGG
$ 2,000,000
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
X
ANYAUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
13AS66693819
06/12/2019
06/12/2020
BODILY INJURY (Per accident)
$
HIRED NON -OWNED
Ix
PROPERTYDAMAGE
$
AUTOS ONLY AUTOS ONLY
Per accident
Comp $1000 Coll $1000
$
X
UMBRELLALIAB
OCCUR
EACH OCCURRENCE
$ 3,000,000 _
B
EXCESS��LIIAB
CLAIMS -MADE
US056693819
06/12/2019
06/12/2020
AGGREGATE
$ 3,000,000
DED dv RETENTION $ 10,000
$
WORKERS COMPENSATION
-PER OTH-
STATUTE ER
AND EMPLOYERS' LIABILITY Y / N
_
E.L. EACH ACCIDENT
$ 500,000
C.
ANYCERIMEETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
NIA
WC5-39S-721888-019
O6/12/2019
06/12/2020
E.L. DISEASE - EA EMPLOYEE
500,000
$
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE- POLICY LIMIT
$ 500.000
Garagekeeper's
1,500,000
A
BKS56693819
06/12/2019
06/12/2020
Limit
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Richmond Sanitary District ACCORDANCE WITH THE POLICY PROVISIONS.
2380 Liberty Ave
• AUTHORIZED REPRESENTATIVE '
RichmondIN 47374
@ 1988-2015 ACORD CORPORATION.. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD