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HomeMy WebLinkAboutProfessional Services Agreement - Arcadis US Inc - Reciprocal Internal Combustion Engine National Emission Standard1316 COUNTY -CITY BunDING 227 W. JEFFrRSON BOULEVARD Sou-ni BEND. INDIANA 46601-1830 March 27, 2018 Amy Smitley Arcadis U.S., Inc. 150 West Market Street, Suite 725 Indianapolis, IN 46204 RE: Professional Services Agreement Dear Ms. Smitley: PHONii 574/235-9251 FAX 574/235-9171 The Board of Public Works, at its meeting held on March 27, 2018, approved the above referenced agreement to review the current reciprocal internal combustion engine national emission standard for hazardous pollutants plan to verify alignment with current regulations, in the amount of $4,700. Enclosed please find a copy of the agreement for your records. If you have any further questions regarding this matter, please call this office at (5 74) 23 5 - 9251. Sincerely, Linda M. Martin, Clerk Enclosure e: Andrea Alexander, Utilities Emily Leyes, Utilities GAILY A. GILOT SUZANNA M. FRITZBER(3 ELIZABE."I'li A. MARADIK JAMEs A. MUELLER THE RESE I DORAU SHORT FORM OF AGREEMENT BETWEEN OWNER AND ENGINEER FOR PROFESSIONAL SERVICES THIS IS AN AGREEMENT effective as of NjW C.h a l . 2a"Effective Date") between the City of South Bend, Indiana, a municipal corporation organized and operating under the laws of the State of Indiana, acting by and through its Board of Public Works ("Owner") and ARCADIS U.S., Inc., a for -profit corporation chartered under the laws of the State of Delaware, licensed to do business in Indiana, having its principal place of business at 630 Plaza Drive, Highlands Ranch, Colorado 80129 and with offices at 150 West Market Street, Suite 728, Indianapolis, Indiana 46204 ("Engineer"). Owner's Project, of which Engineer's services under this Agreement are a part, is generally identified as follows: RICE MACT Review ("Project"). Engineer's Services under this Agreement are described in Exhibit A, attached hereto and incorporated herein. Owner and Engineer further agree as follows: 1.01 Basic Agreement and Period of Service A. Engineer shall provide, or cause to be provided, the services set forth in this Agreement. If authorized by Owner, or if required because of changes in the Project, Engineer shall furnish services in addition to those set forth above. Owner shall pay Engineer for its services as set forth in Paragraphs 7.01 and 7.02. B. Engineer shall complete its services within a reasonable time, or within the following specific time period: 2-4 weeks of receiving written authorization to proceed and also receiving the required information from the Owner to complete the work. 2.01 Payment Procedures A. Invoices: Engineer shall prepare invoices in accordance with its standard invoicing practices and submit the invoices to Owner on a monthly basis. Invoices are due and payable within 30 days of receipt. If Owner fails to make any payment due Engineer for services and expenses within 30 days after receipt of Engineer's invoice, then the amounts due Engineer will be increased at the rate of 1.0% per month (or the maximum rate of interest permitted by law, if less) fiom said thirtieth day. In addition, Engineer may, after giving seven days written notice to Owner, suspend services under this Agreement until Engineer has been paid in full all amounts due for services, expenses, and other related charges. Owner waives any and all claims against Engineer for any such suspension. Payments will be credited first to interest and then to principal. EJCDC E"520 Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright ©2009 National Society of Professional Engineers for EJCDC. All rights reserved. Page r 3.01 Termination A. The obligation to continue performance under this Agreement may be terminated: 1. For cause, a. By either party upon 30 days written notice in the event of substantial failure by the other party to perform in accordance with the Agreement's terms through no fault of the terminating party. Failure to pay Engineer for its services is a substantial failure to perform and a basis for termination. b. By Engineer: 1) upon seven days written notice if Owner demands that Engineer furnish or perform services contrary to Engineer's responsibilities as a licensed professional; or 2) upon seven days written notice if the Engineer's services for the Project are delayed for more than 90 days for reasons beyond Engineer's control. Engineer shall have no liability to Owner on account of a termination by Engineer under Paragraph 3.01.A. Lb. c. Notwithstanding the foregoing, this Agreement will not terminate as a result of a substantial failure under Paragraph 3.0LA. 1.a if the party receiving such notice begins, within seven days of receipt of such notice, to correct its substantial failure to perform and proceeds diligently to cure such failure within no more than 30 days of receipt of notice; provided, however, that if and to the extent such substantial failure cannot be reasonably cured within such 30 day period, and if such party has diligently attempted to cure the same and thereafter continues diligently to cure the same, then the cure period provided for herein shall extend up to, but in no case more than, 60 days after the date of receipt of the notice. 2. For convenience, by Owner effective upon Engineer's receipt of written notice from Owner. B. The terminating party under Paragraph 3.0 LA may set the effective date of termination at a time up to 30 days later than otherwise provided to allow Engineer to complete tasks whose value would otherwise be lost, to prepare notes as to the status of completed and uncompleted tasks, and to assemble Project materials in orderly files. C. In the event of any termination under Paragraph 3.01, Engineer will be entitled to invoice Owner and to receive full payment for all services performed or furnished in accordance with this Agreement and all reimbursable expenses incurred through the effective date of termination. 4.01 Successors, Assigns, and Beneficiaries A. Owner and Engineer are hereby bound and the successors, executors, administrators, and legal representatives of Owner and Engineer (and to the extent permitted by Paragraph 4.0t.13 the assigns of Owner and Engineer) are hereby bound to the other party to this Agreement and to the EJCDC E-520 Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright 02004 Rational society of Professional Engineers for EJCDC. All rights reserved. Page 2 successors, executors, administrators, and legal representatives (and said assigns) of such other party, in respect of all covenants, agreements, and obligations of this Agreement. B. Neither Owner nor Engineer may assign, sublet, or transfer any rights under or interest (including, but without limitation, moneys that are due or may become due) in this Agreement without the written consent of the other, except to the extent that any assignment, subletting, or transfer is mandated or restricted by law. Unless specifically stated to the contrary in any written consent to an assignment, no assignment will release or discharge the assignor from any duty or responsibility under this Agreement. C. Unless expressly provided otherwise, nothing in this Agreement shall be construed to create, impose, or give rise to any duty owed by Owner or Engineer to any contractor, subcontractor, supplier, other individual or entity, or to any surety for or employee of any of them. All duties and responsibilities undertaken pursuant to this Agreement will be for the sole and exclusive benefit of Owner and Engineer and not for the benefit of any other party. 5.01 General Considerations A. The standard of care for all professional engineering and related services performed or furnished by Engineer under this Agreement will be the care and skill ordinarily used by members of the subject profession practicing under similar circumstances at the same time and in the same locality. Engineer makes no warranties, express or implied, under this Agreement or otherwise, in connection with Engineer's services. Subject to the foregoing standard of care, Engineer and its consultants may use or rely upon design elements and information ordinarily or customarily furnished by others, including, but not limited to, specialty contractors, manufacturers, suppliers, and the publishers of technical standards. B. This Agreement is to be governed by the law of the state or jurisdiction in which the Project is located. C. All documents prepared or furnished by Engineer are instruments of service, and Engineer retains an ownership and property interest (including the copyright and the right of reuse) in such documents, whether or not the Project is completed. Owner shall have a limited license to use the documents on the Project, extensions of the Project, and for related uses of the Owner, subject to receipt by Engineer of full payment for all services relating to preparation of the documents and subject to the following limitations: (1) Owner acknowledges that such documents are not intended or represented to be suitable for use on the Project unless completed by Engineer, or for use or reuse by Owner or others on extensions of the Project, on any other project, or for any other use or purpose, without written verification or adaptation by Engineer; (2) any such use or reuse, or any modification of the documents, without written verification, completion, or adaptation by Engineer, as appropriate for the specific purpose intended, will be at Owner's sole risk and without liability or legal exposure to Engineer or to its officers, directors, members, partners, agents, employees, and consultants; (3) Owner shall indemnify and hold harmless Engineer and its officers, directors, members, partners, agents, employees, and consultants from all claims, damages, losses, and expenses, including attorneys' fees, arising out of or resulting from any use, reuse, or modification EJCDC E-520 Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright ©2009 National Society of Professional Engineers for EJCDC. All rights reserved. Page 3 of the documents without written verification, completion, or adaptation by Engineer; and (4) such limited license to Owner shall not create any rights in third parties. D. To the fullest extent permitted by law, Owner and Engineer (1) waive against each other, and the other's employees, officers, directors, agents, insurers, partners, and consultants, any and all claims for or entitlement to special, incidental, indirect, or consequential damages arising out of, resulting from, or in any way related to the Project, and (2) agree that Engineer's total liability to Owner under this Agreement shall be limited to $50,000 or the total amount of compensation received by Engineer, whichever is greater. E. The parties acknowledge that Engineer's scope of services does not include any services related to a Hazardous Environmental Condition (the presence of asbestos, PCBs, petroleum, hazardous substances or waste as defined by the Comprehensive Environmental Response, Compensation and Liability Act, 42 U.S.C. §§9601 et seq., or radioactive materials). if Engineer or any other party encounters a Hazardous Environmental Condition, Engineer may, at its option and without liability for consequential or any other damages, suspend performance of services on the portion of the Project affected thereby until Owner: (1) retains appropriate specialist consultants or contractors to identify and, as appropriate, abate, remediate, or remove the Hazardous Environmental Condition; and (2) warrants that the Site is in full compliance with applicable Laws and Regulations. F. Owner and Engineer agree to negotiate each dispute between them in good faith during the 30 days after notice of dispute. if negotiations are unsuccessful in resolving the dispute, then the dispute shall be mediated. If mediation is unsuccessful, then the parties may exercise their rights at law. 6.01 Total Agreement A. This Agreement (including any expressly incorporated attachments), constitutes the entire agreement between Owner and Engineer and supersedes all prior written or oral understandings. This Agreement may only be amended, supplemented, modified, or canceled by a duly executed written instrument. 7.01 Basis of Payment Hourly Rates Plus Reimbursable Expenses A. Using the procedures set forth in Paragraph 2.01, Owner shall pay Engineer as follows: 1. An amount equal to the cumulative hours charged to the Project by each class of Engineer's employees times standard hourly rates for each applicable billing class for all services performed on the Project, plus reimbursable expenses and Engineer's consultants' charges, if any. 2. Engineer's Standard Hourly Rates are attached as Appendix 1. 3. The total compensation for services and reimbursable expenses is estimated to be $4,700. 7.02 Additional Services: For additional services of Engineer's employees engaged directly on the Project, Owner shall pay Engineer an amount equal to the cumulative hours charged to the Project by each class of Engineer's employees times standard hourly rates for each applicable billing class; EJCDC E-520 Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright ©2009 National Society of Professional Engineers for EdCDC. All rights reserved. Page 4 plus reimbursable expenses and Engineer's consultants' charges, if any. Engineer's standard hourly rates are attached as Appendix 1. Attachments: Appendix 1, Engineer's Standard Hourly Rates Exhibit A, Scope of Basic Engineering Services IN WITNESS WHEREOF, the parties hereto have executed this Agreement, the Effective Date of which is indicated on page 1. Owner: City of South Bend, Indiana Board of Public Works 4 By: Title: Gary A. Gilot, resident By: Title: Elizabe r A. Maradik, Member By� Title: Therese J. Dorahrmenlb6r Engineer: Arcadis U.S., Inc. By: C iw, Title: Amy Ejmitley, Associ I Vice President By: Title: James A. Member By: Alf A Title: a p'ritkerg, NMVf6er Attest: Y Li da Martin, Clerk A�i Date: 3 Date: March 12, 2018 Engineer License or FinWs Certificate No. PE10200631 State of. Indiana Address for giving notices:: Address for giving notices: 227 West Jefferson Boulevard 150 West Market Street, Suite 728 South Bend, Indiana 46601 IndianEolis, IN 46204 Designated Representative: Al Greek Title: Utilities Director Phone Number: (574) 271-4210 Designated Representative: Amy E. Sinitley, PE Title: Associate Vice President Phone Number: 317-231-6500 E-Mail Address: agreek@southbendin.gov E-Mail Address: Ain X,Smitley!2arcadis.com EJCDC E-520 Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright 02009 National Society of Professional Engineers for EJCDC. All rights reserved. Page 5 EJCDCo§N-- ENGINEERS JOINT CONTRACT DOCUMENTS COMMITTEE This is Appendix 1, Engineer's Standard Hourly Rates, referred to in and part of the Short Form of Agreement between Owner and Engineer for Professional Services dated Engineer's Standard Hourly Rates A. Standard Hourly Rates: 1. Standard Hourly Rates are set forth in this Appendix 1 and include salaries and wages paid to personnel in each billing class plus the cost of customary and statutory benefits, general and administrative overhead, non -project operating costs, and operating margin or profit. 2. The Standard Hourly Rates apply only as specified in Paragraphs 7.01 and 7.02, and are subject to annual review and adjustment. B. Schedule of Hourly Rates: Hourly rates for services performed on or after the Effective Date are: Category Rate ($/hours) Design Tech II/Field Technician II 71 Drafter I/Field Technician III and IV 84 Drafter II/Field Technician V 96 Document Tech 120 Project Assistant I and II 134 CADD Designer /Field Supervisor 184 Engineer/Scientist 125 Staff Engineer/Scientist/Architect 140 Project Engineer/ Scientist/Architect 150 Senior Engineer/ Scientist/Architect I 162 Senior Engineer/Scientist/Architect II 185 Principal Engineer/Scientist/Architect I 232 Principal Engineer/Scientist/Architect II 265 Engineer/Scientist Director 281 Appendix 1, Standard Hourly Rates Schedule EJCDC E-520 Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright (92009 National Society of Professloxial Engineers for EJCDC, All rights reserved. Page 1 EXHIBIT A Scope of Basic Engineering Services The City of South Bend desires to contract with Arcadis to assist the City in performing a regulatory review related to the Reciprocating Internal Combustion Engine (RICE) National Emission Standard for Hazardous Pollutants (NESHAP), which is applicable to emergency and non -emergency engines. The City currently operates emergency and non -emergency generators and has the following plans related to these generators: Maintenance Plan for Existing Emergency Stationary Compression Ignition Reciprocating Internal Combustion Engines (dated 5/2/2013) and RICE NESHAP Compliance Plan for Existing Non -Emergency Stationary Spark Ignition Reciprocating Internal Combustion Engines (dated 6/20/2013). Arcadis will review these existing plans to bring the plans up to date, as further detailed below. SCOPE Or WORK Under this scope of work, Arcadis will: Request from City of South Bend a list of all current emergency and non -emergency generators, including the manufacture date and horsepower rating. Prepare a RICE NESHAP requirement matrix which outlines the applicable requirements for each generator. Review and provide suggested edits to the Maintenance Plan for Existing Emergency Stationary Compression Ignition RICE (dated 5/2/2013) and RICE NESHAP Compliance Plan for Existing Non -Emergency Stationary Spark Ignition RICE (dated 6/20/2013). DELIVERABLES This project includes the following deliverables: • RICE NESHAP requirement matrix. • Memorandum outlining comments and suggested edits to Maintenance Plan for Existing • Emergency Stationary Compression Ignition RICE and RICE NESHAP Compliance Plan for Existing Non -Emergency Stationary Spark Ignition RICE. Pending review of the comments and suggested edits by the City of South Bend, the City may ask Arcadis to update the actual plans. Exhibit A, Scope of Basic Engineering Services Paine 2 When the prospective Contractor is unable to certify to airy of the statements below, it shall attach an explanation to this Affidavit CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana ) ) SS: Marion COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or morc in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in Non -Collusion Non -Debarment Affidavit Non Iran Form 2016 the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration, 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as pant of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Non -Collusion Non -Debarment Affidavit Non Iran Form 2016 Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder may result in forfeiture of contractual payments. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 13th day of March , 2018 Arcadis U.S., Inc. Cont actor/Bidder Firm) Signalure o Contractor/ idde r Its Agent Amy E. mitley, Associat ice President Printed Name and Title Subscribed and sworn to before me this 13th day of March , 2018 21 My Commission Expires 07/10/2022 Notary Public County of Residence Marion Michele R. Baxter Non -Collusion Non-Mbannent Affidavit Non Iran Dorm 2016 A Notary pubiio SEAL Marion County, State of Indiana My Commission Expires 07110/2022 Commission No. 655484 & ConSkillanry urstand 94 ARCADIS � M11tassets City of South Bend RICE MACT Review Scope of Work Arcadis U.S., Inc. (Arcad!is) is pleased to submit this draft scope of work to assist the City of South Bend in performing a regulatory review related to the Reciprocating Internal Combustion Engine (RICE) National Emission Standard for Hazardous Pollutants (NESHAP) which its applicable to emergency and non -emergency engines Arcadis is well positioned to help the City of South Bend with this analysis. Our air quality staff in our Novi, Michigan office have considerable experience with the RICE NESHAP through work with both municipal and industrial clients. SCOPE OF WORK The City of South Bend currently operates emergency and non -emergency generators and has the following plans related to these generators: Maintenance Plan for Existing Emergency Stationary Compression Ignition Reciprocating Internal Combustion Engines (dated 512/2013) and RICE NESHAP Compliance Plan for Existing Non-Emiergency Stationary Spark Ignition Reciprocating Internal Combustion Engines (dated 6/20/2013)., The City of South Bend has asked Arcadis to review these existing plans in order to bring the plans up to date. Under this scope of work, Arcadis will: • Request from City of South Bend a list of all current emergency and non -emergency generators, including the manufacture date and horsepower rating. • Prepare a RICE NESHAP requirement matrix which outlines the applicable requirements for each generator. • Review and provide suggested edits to the Maintenance Plan for Existing Emergency Stationary Compression Ignition RICE (dated 5/2/2013) and RICE NESHAP Compliance Plan for Existing Non -Emergency Stationary Spark Ignition RICE (dated 6/20/2013). DELIVERABLES This project includes the following deliverables: • RICE NESHAP requirement matrix, • Memorandum outlining comments and suggested edits to Maintenance Plain for Existing Emergency Stationary Compression Ignition RICE and RICE NESHAP Compliance Plan for Existing Non -Emergency Stationary Spark Ignition RICE. Pending review of the comments and suggested edits by the City of South Bend, the City may ask Arcadis to update the actual plans, SCHEDULE Arcadis is prepared to begin work within 1 week of receipt of written authorization to proceed. Arcadis will complete the project within 2-4 weeks of receiving information from provide the City of South Bend. BUDGET Arcadis proposes to perform this scope of work on a time and materials (T&M) basis for a not -to exceed budget of $4,700, unless otherwise approved by the City of South Bend. INTEROFFICE MEMORANDUM DEPARTMENT OF PUBLIC WORKS DIVISION OF ENVIRONMENTAL SERVICES TO: Linda Martin FROM: Andrea Alexander SUBJECT: Professional Services Agreement DATE: March 16, 2018 Please see attached Agenda Item Review Request Form to contract with Arcadis to have the RICE NESHAP plan reviewed for alignment with current regulations. I have included the Scope of Work, and the non -collusion and non -debarment affidavit. Also included are two copies of the Short Form of Agreement with original signatures. Arcadis has requested a fully executed copy for their files. Please contact me if you have any additional questions at 235.5813 or aalexand@southbendin.gov. BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW RE QUEST FORM Date March 16, 2018 Name Andrea Alexander Department Utilities - Wastewater BPW Date March 27, 2018 Meqtin Phone Extension 5813 Legal Attorney Name Clara McDaniels Controller review is required for all Contracts, $5,000.00 or more Controller El and greater than one year in length per the City Purchasing Policy Purchasing F-1 �H Agreement F-1 Professional Services F1 Bid Opening FI Quote Opening F] Chg Order No. F] Ease./Encroach,, n Other. - Company or Vendor Name New Vendor MBENVBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Amount of ❑ ❑ Req. to Advertise [:] PCA F-1 Resolution F-1 Claim M. N Me, Addendum El Title Sheet ❑ Yes El If Yes, Approved by Purchasing �KNO 1:1 MBE Completed E-Verify Form Attached ElEl NYes F-1 o RICE NESHAP Plan Review N/A Wastewater 0 & M 641-06301-793,-6335 $4.7010 Review current plan to verify alignment with current regulations. Increase $ Decrease $ Previous Amount Current Percent of Change New Amount Total Percent of Change: Time Extension: Dispersal After Approval Copy Original F-1 Andrea Alexander Emily Leyes El F