HomeMy Public PortalAboutAddendum No. 2 to Contract No. 183-2011 with Pedro FelicianoADDENDUM
ItTHIS AD ENDUM, (Number 2 to Contract No. 183-2011) is made and entered into this
day of , 2013, by and between Richmond, Indiana, a municipal corporation
acting through its Board of Public Works and Safety with its office at 50 North 51' Street, Richmond,
Indiana, (hereinafter referred to as "City"), and Pedro Feliciano, d/b/a Preventive Maintenance
Services, 129 South Yh Street, Richmond, IN 47374 (hereinafter referred to as "Contractor").
WHEREAS, City and Contractor entered into Contract No. 183-2011 on December 31,
2012, which contract is incorporated by reference as well as Addendum
Number I to said Contract on November 15, 2012 (effective as of January 1,
2013) which Addendum is also incorporated by reference and made a part
hereof; and
WHEREAS, Contract No. 183-2011 contains an option to renew which the City wishes to
exercise for the 2014 calendar year; and
WHEREAS, City wishes to retain Contractor to continue providing services in connection
with preventive maintenance, oil changes, brake repairs, tire changes, and
other miscellaneous minor repairs to Rose View Transit's fleet of buses and
vans during the course of the 2014 calendar year within the scope of
Contract No. 183-2011.
NOW, THEREFORE, in consideration of the mutual promises and covenants herein
contained, including the above stated recitals, City and Contractor hereby agree as follows:
Contractor shall continue to provide services in connection with preventive
maintenance, oil changes, brake repairs, tire changes, and other miscellaneous minor
repairs to Rose View Transit's fleet of buses and vans as identified within Contract
No. 183-2011 for the 2014 calendar year at the rate set forth in Addendum Number I
to said Contract. Such services shall be performed in a manner consistent with
Contract No. 183-2011, which is hereby incorporated by reference and made a part
hereof.
2. City and Contractor expressly agree that all other terms, conditions and covenants
contained in Contract No. 183-2011, shall be applicable to the work performed
pursuant to this Addendum, unless such term, condition or covenant conflicts with
this Addendum, in which case this Addendum shall be controlling.
3. Both parties agree that Contract No. 183-2011 and its Addendum Number I shall
remain intact and unchanged.
Addendum No. 2 to Contract No. 183-2011
Page 1 of 2
4. Both parties agree that any person executing this Contract in a representative capacity
hereby warrants that he or she has been duly authorized by his or her principal to
execute this Addendum.
THIS ADDENDUM is exec t�approved by the undersigned representatives of the City
and Contractor this day of 13, to be effective in accordance with its terms as of
January 1, 2014.
"CITY"
THE CITY OF RICHMOND,
INDIANA by and through its
Board of Public Works and Safety
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Vicki Robinson, President
By: IL.�Gc .*�. r4w. J
Dian Lawson, Member
"CONTRACTOR"
PEDRO FELICIANO, D/B/A
PREVENTIVE MAINTENANCE SERVICES
129 South 5"' Street
Richmond, IN 47374
i
Title: 0 WP-R t'
By: Date:
Anthony L. 01ter, II, Member
Date: Ir`/ —C
APPROVE
Sarah L. Hutton, Mayor
Date: f
Page 2 of 2
Affidavit of Employment Eligibility Verification
The Contractor, Pic�j�o �/ 1 [ c4 P? a , 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 contract with a
subcontractor.
I hereby verify under the penalty of perjury that the foregoing statement is true.
Dated this / % day of OC �O ao , 20/3
(signature)
pedi-o
(printed name)
VERIFICATION OF ELIGIBILITY FOR STATE OR LOCAL PUBLIC BENEFIT
REQUIRED BY INDIANA CODE_12-32-1
C (Ol V) 0 (printed name), am a United States citizen or
qualified alien (as defined under S U.S.C. 1641).
OR
(printed name), is a United States citizen or qualified
alien (as defined under S U.S.C. 1641).
I hereby verify under the penalty of perjury that the foregoing statement is true.
Dated this L2 day of OC-/o ZIP, t . 20L3
(signature)
0
(printed name)
r a DATE tMMMD+YYYYI
,RV CERTIFICATE OF LIABILITY INSURANCE ,o,1-lro13
r THIS CERTIFICATE IS 111SU911 A$ A MATTER OF INFORMATION ONLY AND Ct3NFERS NO RIGHTS UPON THE CERTIFICATE IOLDE;R, THIS
CERTIFICATE: DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EyXTENO OR ALTER THE COVERAGE AFFORDED BY TIDE POLICIES
SELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE IWUINQ INSURE R(S), AUTHORIZED
REPRESENTATIVE OR FRODUCER, AND THE CERTIFICATE HOLDER.
1141'ORTANT: If the certificate holder Is on ADDITIONAL INSURED, the pollcy(les) must be endorsed, If SUBROGATE M IS WAIVED, Subisa to
the terms and candMana of the poUgy, wruin pvlic!" may require an endorsement. A statemerd on this certificate does not confer rights to i:he
certificate holder in 116t1 of surh endnr ament(s).
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DmtRIPTION OF OPERATIONS b@Ift_
DWPEPTION OF 0YERVICIN8I LOCATIONS, WACLES IA1laeh ACORD 141. AWlillonal Ramarxa SQhgdute.If mare iPRcw-N requirodl
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City Df Richmond
Fax 11)83.7305
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELA.ED BEFORE
THE EXPIRATION GATE THEREOF, 40TICE IAfILL BE DELIVERED IN
ACCORDANCE WH THE POLICY PROVIStOUS,
ALIT IZED RI
ACOIRD 25 (201OMS(
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G 19138-2910 ACORR CORPORATION, All a onts r89er Pod.
Thu ACCIRD name and logo are registered marks of ACORD
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Preventive Maintenance
Services
129 South 5th St.
Richmond, IN 47374
(765)965 4720
Customer's name:
UI,20,u)
Address & tel. no.:
Unit # Miles:
Make all checks payable to Pedro Feliciano
If you have any questions concerning this invoice,
contact Pedro Feliciano at (765) 965-4720
Please return pink copy with payment
THL-k-N'K 1`01k..[ FOR 1`01.11 B-U�JN"ESs
,IU
Date: A) 49 0/ 12
Total parts
Tax
Subtotal
Total due
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