HomeMy Public PortalAbout178-2021 - Sanitary - Smarrelli General Contractors - Repair Work Storage Area ORIGINAL
AGREEMENT
THIS AGREEMENT made and entered into this iq day of bae.,c44b-rce , 2021, and
referred to as Contract No. 178-2021 by and between the City of Richmond, Indiana, a municipal
corporation acting by and through its Board of Sanitary Commissioners (referred to as the
"City"), and Smarrelli General Contract, 136 S. 2' Street„ Richmond, IN 47374 (hereinafter
referred to as the"Contractor").
SECTION I. STATEMENT AND SUBJECT OF WORK
City hereby agrees to retain Contractor for certain items of repair work to the MRF storage area.
The foregoing shall meet the requirements previously requested by the City which are set forth
within the specifications on the Invitation to Bid, as well as the Addendums thereto, to which the
Contractor has responded with said specifications being attached hereto as Exhibit "A".
Additionally, Contractor's response is incorporated by reference herein, and attached hereto as
Exhibit"B".
Should any provisions, terms, or conditions contained in any of the documents attached hereto
and incorporated by reference herein as Exhibits, conflict with any of the provisions, terms, or
conditions of this Agreement,this Agreement shall be controlling.
The Contractor shall perform the services listed on the attached Exhibits attached hereto as soon
as is practically possible in coordination with the 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(s) signed by Contractor in accordance with
I.C. § 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.
SECTION III. COMPENSATION
City shall pay Contractor the sum of one hundred one thousand one hundred thirty-nine dollars
and 00/100 ($101,139.00)in consideration for the services contemplated herein.
SECTION IV. TERM OF AGREEMENT
This Agreement shall become effective when signed by all of the parties hereto and shall continue
until such time that the Contractor satisfactorily performs the services contemplated herein.
Notwithstanding the term of this Agreement, City may terminate this Agreement in whole or in
part, for cause by specifying 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;
1 I Page
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;
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.
This Agreement may also be terminated by either the City or the Contractor, in whole or in part,
by mutual Agreement 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.
Coverage Limits
A. Worker's Compensation& Statutory
Disability Requirements
B. Employer's Liability $100,000
C. Comprehensive General Liability
Section 1. Bodily Injury $1,000,000 each occurrence
$2,000,000 aggregate
Section 2. Property Damage $1,000,000 each occurrence
D. Comprehensive Auto Liability
Section 1. Bodily Injury $1,000,000 each person
$1,000,000 each occurrence
Section 2. Property Damage $1,000,000 each occurrence
E. Comprehensive Umbrella Liability $1,000,000 each occurrence
$1,000,000 aggregate
F. Malpractice/Errors&Omissions Insurance $1,000,000 each occurrence
2 I Page
$2,000,000 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 INDIANA 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 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.
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 Board determines during the course
of this Agreement that this certification is no longer valid, Board 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 Board
that the Contractor has ceased investment activities in Iran within ninety (90) days after
the written notice is given to the Contractor, the Board may proceed with any remedies it
may have pursuant to IC 5-22-16.5. In the event the Board 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 Board 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.
SECTION IX. PROHIBITION AGAINST DISCRIMINATION
3 I Page
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.
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 assign or 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.
4 I Page
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.
Any person executing this Contract in a representative capacity hereby warrants that he/she has
been duly authorized by his or her principal to execute this Contract.
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.
IN WITNESS WHEREOF, 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.
[The remainder of this page intentionally left blank—signatures to follow on page 6]
5 I Page
"CITY" "CONTRACTOR"
The City of Richmond,Indiana,by and Smarrelli G tractors
through its Board of Sanitary
Commiss.oners
By:
Sue Miller, President E"<�:Z�
/G� (Printed): I
Dated: 2(
Title:
an B ice President Z
Dated: 1� 171
Dated: l-2- 2(
ogle44
St:;14., Member
Dated:
APPROVED:
. Sno a
Dated: /712Z 2(.2Z(
6 I Page
Exhibit A to Contract: City and Smarrelli General Contractor
1L RICI REQUEST
ST
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- A • f r7�y i
7 w.
CITY OF RICH OND
DEPARTMENT OF SANITATION �( NOT �'
2380LIBERTYAVENUEoRICHMOND,INDIANA47374 THIS IS NO JL AN ORDER
PHONE(765)983-7450oFAX(765)962-2669
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 14,2021 November 9,2021 by 9:00AM I UPON RECEIPT OF INVOICE DELIVERED
DESCRIPTION
This is a request for quotes for the repair of items at the Material Recycling.Facility (MRF)Storage Building. Please
see attached specifications.All E-Verify requirements will apply to this quote. Please include a Certificate of
Insurance,which must include Worker's Compensation,and Warranty Information with quote.There will
be a pre-quote meeting on October 27,2021 at 9:00 AM in the Board Room of Richmond Sanitary
District.
Return the quote in a sealed envelope addressed to: Richmond Sanitary District
Denise Johnson,Customer Svc Mgr
2380 Liberty Avenue -
Richmond,IN 47374
Re:.Repair of items at the MRF
Quote Valid Until
Please itemize all charges on attached Bid Sheet.
If you have any questions please call Jeff Lohmoeller at 765-993-2670.
NAME OF FIRM QUOTING:
S TAX EXEMPTI N#003121909-001 AUTHORIZED BY SIGNATURE
TITLE
.
Richmond nitary District DATE PHONE NUMBER
EXHIBIT PAGE C .@FS.
The Richmond anitau I istrn�� Il I[�� uIl��l im u ote5 for
Y
the air of Items at Our
Material. Recycling ®rage
I�,uunlldlnngo
This building was built in the 60's. We want to dry up this building.We have several items that
needs addressed.I will list what needs to be repaired or replaced. Cost of each item is listed
separately.We have a limited budget.
A Pre-Quote Meeting will be October 27th at 10:00am at our Administration Building.2380
Liberty Avenue,Richmond,Indiana 47374.Quotes will be due back to our Sanitary Board
by 9:00ant on November 9,2021 in sealed envelopes.
Scope of Work:
1. Roof, Gutters and Windows
o Walk&Inspect Roof,repair as needed
o Clean 230'of gutters,check down spout connections.If connected to pipe,pipe is
to be cleaned by others.
o Windows:Inspect,replace broken window pane and glaze.Seal window with
caulking where it attaches to building
2 Lay 10" common downspout tile on grade. Connect existing downspouts to new tile.
3. Clearing Brush
o Remove 250'of fence
o Clear brush&trees 20'away from,building,5000SF
o Remove soil away from cement block wall. Clean block wall'with power wash
spray. Fill and seal all cracks and voids.Apply approved exterior water proofing
mastic.
o Grade Swell to drain away from building
o Install 6"drain tile in washed stone
o Reinstall fence
$
EXHIBIT A PAGE
4. Interior Trench drain system
o Saw cut Floor,Install prernanufactured 4"trench,drain sloping 2.ways.Sump pit&
pumps at each end.
o Pipe sump effluent pipe to exterior away from building
O 110V Electucal to be within 10'by others
Please include the following:
1. Certificate of Insurance naming the City of Richmond as Certificate Holder.
Yes No
2. E-Verification Yes No
3. Iran Activities Yes No
Emma. PAS 3 OF 11--
•
lC-Verify "equireimeuts:
Definitions:
E-Verify 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
1V,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
Murder 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.
DOULIIIII tl ULIUIILILI17tl�O$JII'�rI7�L7[U�'an a fI U a nu oA�LI PL E l UU�E�U LLjL U L7�L[7na ll Lf lL�O 7 LI LI G E D�O7-�ULI LL UL I CI LLII L IU 0 0 0 L O G O O G tl O Gn fi Q G1U
COMPLIANCE LJLt]V,V CE WITH ILA A l—V'J�.`.111�1]UB Il POLOOGRt711n'A.REQ UIREM ILIIV 1L S
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(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 the public interest orpublic
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 fox actual damages.
C u ty PAGE 1OF
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 certify 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 contractwith a subcontractor.
I hereby verify under the penalty of perjury that the foregoing statement is true.
Dated this day of ,20
•
(signature)
(printed name)
EXHIBIT � PAGE 6 O
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 writtennotice 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 dining 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.
•
.
�Qli�lT PAGE
Date: October 28,2021
To: All Bidders
From: Jeff Lohmoeller
RE: Repair of Items at MRF Storage Area
ADDENDUM#1
This is"Addendum#1".This addendum is in reference to the above-mentioned services.
Please mark Addendum#1 on outside of envelope when returning quote.
Clarification:
Scope of Work:
3. Remove soil away from cement block wall. Clean wall with power wash spray.Fill and seal
all cracks and voids.Apply approved water proofing mastic.
o Area to be cleaned power wash spray:Building length 226'length x 8'high
o Hydrocide Mastics Waterborne Emulsified—Asphalt or approved equivalent
4.Interior Trench drain system.Area that will house recycling material.Approximately 80'
length x 4"trench drain sloping each way approximately 6—8 feet from rear wall.
ExHstir PAGE 7 DF_r
Date: November 2,2021
To: All Bidders
From: Jeff Lolunoeller
RE: Repair of Items at MRF Storage Area
ADDENDUM#2
This is"Addendum#2". This addendum is in reference to the above-mentioned services.
Please mark Addendum#2 on outside of envelope when returning quote.
Clarification:
Scope of Work:
1. Roof,Gutters and Windows.
o Windows—Instead of replacing broken window and sealing,REMOVE window
and frame and BLOCK in window area.There are 10 windows.Dimension of
area to be blocked in 61"wide by 44-1/2"tall.
EXHIBIT PAGE
• Exhibit B to Contract: City and Smarrelli
PRICE REI IU -S J!L
of
, a
o
u
CITY OF RICiMOlNi)
DEPARTMENT NOFU SANITATION THIS X NOT AN' ORDE i�,2380LIDERTYAVLNUEoRIGTIMOND,INDIANA47374 1�I 1
PHONE(765)983-7450.FAX(765)962-2669
VENDOR INSTRUCTIONS
This Is a request for a price for the services of materials
described below. Any additional specifications may be
Smarrelli General Contractor attached hereto. This is NOT an order and the City reserves
136 S. 2nd Street the right to accept all or part, or decline the entire proposal.
Please complete your full name and phone number below
Richmond,IN 47374 with signature; itemize all prices and charges where
requested; and attachany 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 14,2021 November 9,2021 by 9:00AM UPON RECEIPT OF INVOICE DELIVERED
DESCRIPTION
This is a request for quotes for the repair of items at the Material Recycling Facility (MRF) Storage Building. Please
- see attached specifications.All E-Verify requirements will apply to this quote. Please include a Certificate of
Insurance, which must include Worker's Compensation, and Warranty Information with quote. There will
be a pre-quote meeting on October 27,2021 at 9:00 AM in the Board Room of Richmond Sanitary
District.
Return the quote in a sealed envelope addressed to: Richmond Sanitary District
Denise Johnson,Customer Svc Mgr
2380 Liberty Avenue
Richmond,IN 47374
Re: Repair of items at the MRF
Quote Valid Until /2-go-Z02
Please itemize all charges on attached Bid Sheet. -
If you have any questions please call Jeff Lohmoeller at 765-993-2670.
N OF FIRM Q .
t
ST TE , EXEMPTION#j 12191101 AUTHORIZED BY SIGNATURE.
J 10 ri TLEl"\..,_.-
970U 1‘21•57‘
Richmond S. :Ty District DA E PHONE NUMBER
ow( � aT PA6E—L-
0F2.
LI
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The ffieJIi m®>m� �>Llln��lr I®>1 �>rn�� i J ��u estiim Quotes for
the Rye any° of Arens at our
Materiall Recyelli ng Sit iCne
unlldhago
This building was built in the 60's, We want to dry up this building.We have several items that
needs addressed.I will list what needs to be repaired or replaced. Cost of each item is listed
separately.We have a limited budget.
A Pre-Quote Meeting will be October 271h at 10:00am at our Administration Building.2380
Liberty Avenue,Richmond,Indiana 47374. Quotes will be due back to our Sanitary Board
by 9:00am on November 9,2021 in sealed envelopes.
Scope of Work:
1. Roof, Gutters and Windows
o Walk&Inspect Roof,repair as needed •
o Clean 230'of gutters,check down spout connections.If connected to pipe,pipe is
to be cleaned by others.
o Windows:Inspect,replace broken window pane and glaze.Seal window with
caulking where it attaches to building . lack""^ w:4•Ic sys P w 4 o Lido°"" all Z
$ Il6Zu0•
2 Lay 10"common downspout tile oin grade. Connect existing downspouts to new tile.
.$ U60.
3. Clearing Brush
o Remove 250'of fence
o• Clear brush&trees 20'away from,building,5000SF
o Remove soil away from cement block wall. Clean block wall with power wash
spray. Fill and seal all cracks and voids.Apply approved exterior water proofing
mastic.
o Grade Swell to drain away from building
o Install 6"drain tile in.washed stone
o Reinstall fence
EXHIBIT--8 L..PAGE
4. Interior Trench drain systeax,
o Saw cut Floor Install prernanufactuted 4"trench drain sloping 2 ways. Stn np pit&
pumps at each end.
o Pipe sump effluent pipe to exterior away from building
O 110V Elect:dcal to be within 10'by others
$ f93.
Please,include the following:
1. Certificate of Insurance naming the City of Richmond as Certificate Holder.
Yes . . No
2. E-Verification Yes No
3: Iran Activities Yes No
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EXHIBIT PAGE` .._...OF
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•
lE-Verify Requirements:
cents:
Definitions:
E-Verify 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 22-5-1.7-11 (a) (2);and
1 A purchase order has been issued by the Purchasing Department.
an a a a a a o a o a a a P a ao o a o o aoa a ao a as a a a a an an a a a a a a a a ma a s an a a a a a Q a a a'Q a D a a a a a a G a s a a a a a O a D a a Op
COMPLIANCE W[TU I[NJ[DIANA ENEMY PROGRAM REQUIREMENTS
NTS
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 requited 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 affinning 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(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 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 fox actual damages.
BI , _._.-.,PAGE (7/ ®F
•
Affidavit of Employment Eligibility Verification
The Contractor, 4,4„..11. „ (. ,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 Contactor 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
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 r4Gday of Itirvi ,20Z( .
( tare)
(printed name)
EXHIBIT 5 PAM_ C OF 7
IRAN.INVESTNIENT 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.
•
•
EXHIBIT, PAGE
r '
Client/:160922 SMARGENI
ACORD„, CERTIFICATE OF LIIABnIUTf [INSURANCE DATE(RINUDD/YYYY)
1011b12021
1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 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(les)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 any rights to the certificate holder in lieu of such endorsement(s). j
PRODUCER NAMEACT Mary Griffin
EPIC Insurance Midwest PHI{ONE a FAX
(iuo.No,Eat): (NC,No):
36 S.9th Street ADDRESS; mary.L.grltfin@eplcbrokers.com
Richmond,IN 47374 INSURER(S)AFFORDING COVERAGE NAIC S
INSURER A:FCCI Insurance Company 10178
INSURED INSURER B:BuslnessFlrst Insurance Company ,11697
Smarrelli General Contractor,Inc.
INSURER C:
136 South 2nd St. •
. INSURER D: • •
Richmond,IN 47374
INSURER E: ,
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE 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 ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN9R TYPE OF INSURANCE AD RL SUER MO_ POLICY NUMBER (MM oD EFF (MMIDDYA'YYY) LIMITS
LTR A X COMMERCIAL GENERAL LIABILITY )( X CPP10003253904 11/01/2021 11/01/2022 DEAACCHHOOC7COUR�RENCE $1,000,000
CLAIMS•MADE X OCCUR PREMISES IEe occuuencel $100,000
MED EXP(Any one person) $5,000
PERSONAL A ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,060,000
POLICY JEC7
PRO- n LOC PRODUCTS-COMP/OPAGG $2,000,000
OTHER: $
`�'_A AUTOMOBILE LIABILITY X X CA10001915604 11101(2021 11/01/2022 EaaccidenljINGLELIMIT s1,000,000
X ANY AUTO BODILY INJURY(Per parson) $
— OWNED SCHEDULED BODILY INJURY(Per accident) $
_AUTOS ONLY _AUTOS PROPERTY DAMAGE
X AUTOS ONLY X AUT SONLY (Per accident) $1,000,000
.� — S
A x UMBRELLA LIAB )( OCCUR X X UMB10001915504 11/01/2021 11/01/2022 EACH OCCURRENCE $5,000,000
EXCESS LIAB CLAIMS•MADE AGGREGATE s5,000,000
DED RETENTION$ . - $
H
B WORKERS COMPENSATION X 52118957 11/01/2021 11/01/2022 9T TUTE ER
AND EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y!N E.L.EACH ACCIDENT $1,000,000 .
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory In NH •
)
D E.L.DISEASE-EA EMPLOYEE $1,000,000
Dyes,describe under
DESCRIPTION OF OPERATIONS below • E.L.DISEASE"-POLICY LIMIT $1,060,000
•
DESCRIPTION OF OPERATIONS!LOCATIONS i VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
li
CERTIFICATE HOLDER • CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City
of Richmond THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
50 N.5th Street ACCORDANCE WITH THE POLICY PROVISIONS.
f'—' • Richmond,IN 47374 .
AUTHORIZED REPRESENTATIVE
i �j —
�y� f•� p � � 1988.2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) 1 of 1
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