HomeMy WebLinkAboutStatement of Work - Vision 33 - Accela!� "'"
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1316 COUNTY -CITY BUILDING
PHONE 574/ 235-9251
227 W. JEFFERSON BOULEVARD VP ACC
FAX 574/ 235-9171
SOI JTH BEND_ INDIANA 46601-1830
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
August 13, 2019
Derek Porter
Vision33
6 Hughes Road, Suite 220
Irvine, CA 92618
RE: Statement of Work
Dear Mr. Porter:
The Board of Public Works, at its meeting held on August 13, 2019, approved the above
referenced agreement regarding assistance and work with Accela to sync the Cities
production, test, and support Accela environments for an hourly rate of $125/hour for one -
hundred seventy (170) hours, for a total of $8,750
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 (574) 235-
9251.
Sincerely,
Linda M. Martin, Clerk
Enclosure
GARY A. GILOT GENEVIEVE E. MILLER ELIZABETH A. MARADIK LAURA L. O'SULLIVAN THERESE J. DORAU
AGREEMENT FOR PROFESSIONAL SERVICES
This Agreement For Professional Services (this "Agreement") is entered into on _August_
13, 2019 (the "Effective Date"), by and between the City of South Bend, acting by and through its
Board of Public Works (the "City"), and Vision33 Inc., a California corporation with its
Principal place of business located at 6 Hughes, Suite #220, Irvine, California 92618 (the
"Provider") (each a "Party" and collectively the "Parties").
For and in consideration of the mutual covenants and promises contained herein, the Parties
agree as follows:
1. :Services. The Provider will provide to the City the professional services (the
"Services") set forth in the Provider's proposal attached hereto as Exhibit A (the "Proposal"),
which Proposal is incorporated herein. In the event of any conflict between the terms of this
Agreement and the terms of the Proposal, the terms of this Agreement will prevail. The Provider
will execute its obligations under this Agreement in accordance with the prevailing professional
standard of care for projects of similar design and complexity.
2. Con nsatigii. In exchange for the Provider's satisfactory performance of the
Services, and subject to the terms and conditions of this Agreement, the City will pay the Provider
the Program Fee stated in the Proposal (the "Contract Amount") in accordance with the project
budget stated in the Proposal. The City will pay the Contract Amount in installments upon
invoicing by the Provider as set forth in the Proposal (each a "Contract Installment"). The City
will not be required to pay any Contract Installment if the City is not satisfied with the Provider's
performance under this Agreement or any default or breach of this Agreement by the Provider
exists, as the City may determine in its sole discretion. The sum of all Contract Installments will
not exceed the Contract Amount, and the Provider will not incur or seek reimbursement for any
expenses in excess of the Contract Amount.
3. Tenn, Termination, Unless earlier terminated in accordance with its terms, this
Agreement will commence on the Effective Date and end upon the Provider's satisfaction of all
its obligations hereunder and the City's final payment therefor. Notwithstanding the foregoing,
effective immediately upon delivery of a written termination notice to the Provider, the City may
terminate this Agreement, in whole or in part, for any reason, if the City determines that such
termination is in the best interest of the City. In addition, in accordance with Ind. Code 6-1.1-18-
4, payments are subject to annual appropriation by the City. If the City makes a written
determination that funds are not appropriated or are otherwise unavailable to support the
continuation of this Agreement, it shall be cancelled. A determination by the City that funds are
not appropriated or are otherwise unavailable to support the continuation of performance shall be
final and conclusive. The City will not be required to pay any Contract Installment or be otherwise
liable for any cost associated with the Provider's performance of any Services after the effective
date of termination.
4. Remedies for Breach of Contract. Failure to complete the Services in accordance
with this Agreement will be considered a material breach. In the event of such breach, the City
may suspend all payments to the Provider and may pursue any and all remedies available at law
or in equity. The Provider shall repay to the City any portion of the Contract Amount expended
for matters not within the scope of the Services.
5. Pasant of Contact. The City employee identified in Section 9 below will serve as the
City's principal point of contact for purposes of this Agreement.
6. I elatk nsli . The Provider shall at all times be an independent contractor for the
performance of the Services rather than an employee of the City, and no act or omission to act by
the Provider shall in any way bind or obligate the City. This Agreement is strictly for the benefit
of the Parties and not for any third party or person. This Agreement was negotiated by the Parties
at arm's length and each of the parties hereto has reviewed the Agreement after the opportunity to
consult with independent legal counsel. Neither party shall maintain that the language in the
Agreement shall be construed against any signatory hereto. The City and the Provider hereby
renounce the existence of any form of agency relationship, joint venture, or partnership between
the Provider and the City and agree that nothing contained herein or in any document executed in
connection herewith shall be construed as creating any such relationship between the City and the
Provider.
7. Ind emnif„cation of Citv. The Provider hereby agrees to defend, indemnify, and
hold harmless the City, its officials, employees, and agents from any and all claims of any nature
which arise from the performance by the Provider under this Agreement and from all costs and
attorney fees in connection therewith, excepting for claims arising out of the negligence of the
City, its officials, directors, employees, and agents. The obligations of the Provider under this
section shall survive the termination of this Agreement.
8. s i Licnt. The Provider shall not assign or subcontract the whole or any part of
this Agreement or its obligations hereunder without the prior written consent of the City.
9. Notices. Any notice required or permitted to be delivered hereunder shall be
deemed to be delivered, whether or not actually received, when deposited in the United States
Postal Service, postage prepaid, registered or certified mail, return receipt requested, addressed to
the City or the Provider, as the case may be, at the address set forth below.
Provider: City:
Vision33 Inc City of South Bend
6 Hughes, Suite #220 227 W. Jefferson Blvd., Ste. 1200 N.
Irvine, California 92618 South Bend, IN 46601
Attn: Derek Porter, GM Attn: Daniel O'Connor, CTO
10. Islgjjl pl c r nit °ion„i iscriniigation t::t91D aliaaaoc. The Provider shall comply
with all applicable laws and regulations in its hiring and employment practices and policies for
any activity covered by this Agreement. The Provider shall comply with all state, federal, and
municipal laws, regulations, and standards applicable to its activities pursuant to this Agreement
including, but not limited to, the requirements imposed by Ind. Code 22-9-1-10 (non-
discrimination), the provisions of Ind. Code 5-22-16.5 (disqualification for dealings with the
government of Iran), and the provisions of Ind. Code 22-5-1.7 (requiring E-Verify for new
2
employees and prohibiting employment of unauthorized aliens). Each of the foregoing provisions
is incorporated herein as if set forth in full, and the Provider certifies that it is in compliance with
each such provision and shall remain in compliance through the term of this Agreement.
11. Contractor's Affidavit. The Provider agrees, as a condition precedent to the
effectiveness of this Agreement, that its authorized representative will execute and submit to the
City and any other appropriate bodies an affidavit in the form attached hereto as Exhibit B.
12. Dr'u g-hrec Wgr jj�g. The Provider hereby agrees to make a good faith effort to
provide and maintain a drug -free workplace. The Provider will give written notice to the City
within ten (10) days after receiving actual notice that the Provider or an employee of the Provider
within the State of Indiana has been convicted of a criminal drug violation occurring in the
workplace.
13. Entire A reement, Amendment, Applicable Law. This Agreement sets forth the
entire agreement and understanding between the parties as to the subject matter hereof, and merges
and supersedes all prior discussions, agreements, and understanding of any and every nature
between them. This Agreement may be amended only by separate writing, signed by authorized
representatives of both the Provider and the City. This Agreement will be construed and
interpreted according to the laws of the State of Indiana, and any dispute arising out of this
Agreement or otherwise concerning the Provider's rendering of the Services will be resolved in
the courts located in St. Joseph County, Indiana, unless the Parties mutually agree to a different
method of dispute resolution.
14. Several. iIity. All provisions of this Agreement shall be considered as separate terms
and conditions, and in the event any one shall be held illegal, invalid or unenforceable, all the other
provisions hereof shall remain in full force and effect as if the illegal, invalid, or unenforceable
provision were not a part hereof, unless the provision held illegal, invalid or unenforceable is a
material provision of this Agreement, in which case the Provider and the City agree to amend this
Agreement with replacement provisions containing mutually acceptable terms and conditions.
15. Force Mqieure. The Provider shall not be responsible for any failure or delay in the
performance of any obligation hereunder, if such failure or delay is due to a cause beyond the
Provider's reasonable control, including, but not limited to acts of God, flood, fire, volcano, war,
third -party suppliers, labor disputes or governmental acts.
[Signature page follows.]
3
IN WITNESS WHEREOF, the Parties hereto have caused this Agreement for Professional
Services to be effective as of the Effective Date stated above.
VISION33, INCORPORATED CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WO . KS
—._ ...............
Gilot, President
Srgnalure
/jeiie E. Millet, r
Derek Porter
Alame and irr ..............._Ppint, t .Sullivan Mem�e"
r
6 Hughes Rd, Suite 220
Street.lddress
Elea eth A. Maradik, Member
Irvine' California 92 618 .. .: M -
CiA . State Zip
Therese J. Dc' L��ember
709.722.7213 x220 ATTEST:
Telephone Fax
mda M. Martin, Clerk
EXHIBIT A
Proposal
[See attached.]
EXHIBIT B
Contractor's Affidavit
[See attached.]
EXHIBIT A
Proposal
[See attached.]
24203589,2
INTER -OFFICE MEMORANDUM
*121r
.
r
Department of Innovation & Technology
City of South Bend 227 W Jefferson Blvd
m 6.,
TO: Board of Public Works, Linda Martin
CC: Daniel Collins, Sandra Kennedy, Michael Schmidt, Dan Parker
FROM: Dan O'Connor
SUBJECT: Kronos (Change order for a HR Payroll project timeline extension)
DATE: 8/6/2019
Linda and Members of the Board
We are submitting for review and approval this professional Services agreement with Vision33
as they will be working with Accela support to identify, extract and then reapply previous work
product created by Vision33 when we sync our Production, Test and Support Accela
environments.This Professional Service Agreement is for 170 hours at an hourly rate of
$125\hours for a total amount of $8,750.
Thank you,
Dan O'Connor
Exhibit A
Statemen't of Work
Prepa red for City of"' South Bend � N
August lst, 201 9
VIBON33STATEMENT QFCONFIDENTIALITY AND EXCEPTIONS
The contents of this document shall remain the confidential property of Visimn33 and may not be
communicated to any other party without the prior written approval of Vision33. This document must not
be reproduced in whole or in part. It must not be used other than for evaluation purposes only, except
with the prior written consent ofVision3] and then only on condition that Vision33'a and any other
copyright notices are included in such reproduction. No information astothe contents or subject matter
of this proposal or any pert shall be given or communicated to any third party without the prior written
consent of Vision33.
T8���OfContents
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Visirjai33
Document ContrW
Date Author Version Change Reference
AUgLlSt 1., 2019 Tara McCuflough iriffial draft
ol "Aloi Flage � 4
Ove&ie%v
Thank you for se|ecnnQ VisionB foryour Acceb Sync ofenvironmants Of Test, suppo� t and Production
Vis1onu 1)/opos/1 t8 i|Ize the Vision�3 eGovemmeI mp|cmeoatmn Me�hodoIo�y to ensure a
successfo| p/cgecc �ha/ vviU meet the CIty's oI )I VVork will oodine I he
s\ep, proposed forenv/nznmenl synchronoaUon pn�ec(
Vaionu commItkef� io providInQ a supeAor ass/sIanco, hz/ I,he co Ird [utue noeds cfl,ihe ( /tyof
�ou�hBeng/N
Th/s Siaie'rent ol VVork (^�[y�^) sei,) hz11h lhe scope and de0mUo" o� p/ohsssIona| semices
(coUecL've|y. Phe ^�ew/ces~) ro be p/ovided byWsIon��' iIsa|Uiates anU/o/aQen�s. io Ihe [ity
Services Description
PurpDS�
of��sdoc��ervi�/es' gehve'ao'es-o�esano res�ons/bd/��s fo�
ee [zy��Soozh 5epd /N �nw'onmen� synch�oniza�on p-cY�c�
J - �thD�DIO"y
V|smnB �� .zes our soec/a�ue� Voon3� �r`o�emenobon We�hodo/o�y ��' e�ovemne^1 co �u/de �ro
oonoc� ''��� �s eady sta�es �u ever�ua� oeo|oy�ent Tn�� o`oc"odoo�y ~as �s�o~s�'ao�e �uccess and
nc'eases �~ec�a^ceso��uccessk. rp|e'nen�Uon oft�eAcce�a [|v/c p�ac'o'r�
Upon exec��onofthis SOVV.the parciesvv'AcoUahoo� tetode�e/mineasca�.11atefo/professmna|semices
�ee ossiona| services, �he�s��neresources wrwt� ,he be -e:uene� �oon nt/at.on ofmm
"ityto co|ia-orat'xe|ydehne a high |ewe|, baseline project schedule Vs/onB will use the baseline pu�eU
schedu|etop|anondschedu|eresourceavadabihLYinordercocomp|ete\hede[medscope
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In o'derio sucPAT uie Hhe se/vres oescooed herem. �he/e are severa� ciUcMuccess[actors[or
Uhe p/ojeo rha� num he c|osMy n`on'tored and r,ana�ed byMe stakeho|de/s|hesc hscroI`S are crb,ic01 in
sertm8exoectatmnsbemveenihe[ryandvow 33.denrfyio8and rnonknnoQprc4ectrivsks'and prononno,
s�ron, Y,proje( I I,)/runcation,
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�mp�emeo/ai�on n'c�ect (o /edoce /.skwhen i'rne,nenUrR/he AcceK Civic W:,n:
1. Leadership—VVith any rna/o� «/a�'on' o/ cY�a«j,�e * pmcess, vxa. 1hat \he [Oyaonomt
ateam!eaoertothedeaUyc- scersonwdxtne[iiytao'ougMK1ndudn&pain
�urm o" cu'reni sys\e'ls ard the hene )('vv sys�em wN IN, lniiute phase.
Vmon3I wU work in parze'shio co ahe [lzy's neeu, ard
rewneren\s
2. OecisbnMaing—I Van lyxeeUscoannempowe'somecne nier"al'ytomakedec'sons.
o/at|,everyOn, c'anow»aihe oec/s'on'mak�n�p/:ces�
Txe Decn'on Vaker keeps o-e aid ou\ by!"e ream Leadera:o doe
[��y |heye«s,/e Me densmns vvkh ihe [i,ys
�oaIsand keepthe�earn n�otIvated ecehosu§oas
I Engagement — A NQhe/ aVcp|on rn\e ca" be ach.eved wnen �heo' usen ear�y
Expehencmgso�ware assoon as possNo cax a/so PnqveNMI arnongsrhose show'ncswns o(
,es/sYnce ThiswiU inroease a wmk n.y A me so'I�ware and empowmrHhenvvidh Ow
knowbd�e needed 1-oensure L�eyp'ooda valar'e nccrmqo Lhe Qo/'s conP,u/aHon
4. Pmo�ec1"natc:e [xy�o'rr)a Warn thalare|u[y
comm�\ted to��e�na� o��ne pr�ec| rrese ernp�oyeesshco!d Ue<ocosedcn ensurinQ/hacp/oec�
goa�sa�e 'ne|andihat/he mp'e�e:a� �" araysor sc'ed��e' orovWn�eveqmneinvo�veg a be�rer
expe'/e"ce MOM wlH wr'Kw4h cre l/`o deLeintena4ywe
w1 1 (IV euQeourexpe/Usewhere requ'e�
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�esource reeds' updaW� !^e�: eXhe�,a' s�ane&odes or omQress ang pruacUvely idenWy and
a�dress anyissuesthat maya!-/se s|on� i �"a vv,ay
6. Anovmtbn—Upgnad/nqro1eAccNan N p/ovIdesaQencIesv\/'mawehnfnmwba|u/esa,o
(urchonaL|yvvheI her LhaI Uc "?\/orkfc"'v emer�' maopmfcanabih�'esUeN inspectmnsen
k is rnpo/tann that 6u, 14e"mplene,qa=n� use's a'e prepa/ed to emb'ace the charge and
/e'nemhe/�he[/�y's�oa!s
7. GoMs—r-e [h\yshoudd sa no ado coo a o, Wh07\heyWa^ctoaccornV[s� a�d crea\ea imeMb/e
of =e/ Qoa|s and the oo p'ocess w�� 'esources ass'Axeo /o
eac-W"e
S. Palnership—VVheo se|ec1og an Accea oa/cne. 4) wmk nuh' .| 's cnl cazhai ihe [iw no ecc a
pa'�ne� vvUH vvorkwiOh iaro u, ha!vvbhmflhe pub[c
sec�o� \ocnsurca successym rno�e�enon
,taremen\n�VVn/k(11,.yofSuuth 8end IN pago � 7
WorkDeSCriDtiOD
ThefuUovvI I sectmn descnbes 1'he specIhr actmi:er'and tasks. III 0/eed opon by both pa/�ies' \haixvd| be
executed�oLhebusIII essolDlecUvesaoUbusmessrequiremeo�oi ihe[Iiy.
E�p�nI8S
/�s�'oposa|mc��desnoonsi�e�nos
ChaDg8OrderS
order to—ake a change to the scope of professioral services irl. tl-o SOW, arid subject to the Discla'—ers
oe/ovv. the City must submiz a wnc�en requesc to Yision3I spec�fying the o'oposed changes in detail
Vs/o«33shaH sub',«tothe City an estimate o''i,echarges a-d�he ant'c'oated changes in the delivery
schedule tha�. vvi!!! /esu|tfrom the proposed -,-,,a-ge " cxe pro�ess/ona| se"*ces Change Order \osionB
shaUcont/nceperformmgthepmfessiona|sem'ces'naccordancevvizhtheSOVVunn|rhepartiesag/ee'n
wr�tingon:he charkie\nscope cfwork, sched�.|ir:g.arid fees chere6o'e, Any (-hangeO^de,shall beagreed
mbythe pa, ues.nwriting prior to/r`o|eme«rononof 'the Change Order |/Vo/on33'seffort changes due
co changes In t'rnmg, roles, respons;b].hes, assurronons, scope' etc or /fadd/nona| support hours are
'coured'sCharge O�derwill becreated that deua.sthese cha"ges'and /moac,'kzorcUectand cost (/fary�
Any Change Drdc'sina!| be signed byV|son33 a~d ti-,e [:ty p/'o'to commercinga,yactivities defired r
,the Change Order Standard blended 'atefor V\s.or33resources u$l25per hour
S�a�emendofwc/k GlycdSou�h8e«d{N Page l 8
Vb�n33
PUt(')n HOk'j
�t Is unde/stood that soIf, iimes the Oty's priorKies a/e I evised requkInF� I he Giy I pbce Lhe Accela
Imp|emeI'll ation on hold 5ouih 8end mus�send WI Men �o Vismn33 11-1 order to put0he
pon�ecton ho|d
Ap'()�(,ctcanoeonhNdforupto9Odays vvithoutovokinj)ate/romahonofthacontract Af�er�haOhme'
on3n cr)oosetocancal (he resIcfl IheS\atementofVVo/k To Mnish the po4ec�vv.0 requ/nea new
�La1ement ofVVork a new pNcIn� The 01 yexcephonio Lhis is an .Actof6od' such as hurricane'
Hood' eIc "ha, [dry0he experiences in wkIch case no jerminaUon dause vvd/ be execubyd un|essthe [i1y
spec/hcaUy/equesPsiL
VVhena�r�ec�muu�onho|d'aimnmum.V�'o~33wU|needto�ra'�a[harQeO�dertoxeeosomeo�t�e
Vsmn]3s �'oec�r`ana�e''stmc en���ed �o mon�tor po�ressand �o 'e�ource the prcgec� once tcomes
o�"o�u r-ee,^ou"rof�'ne�x�be"e8�t'at��onarasebycasebaso O�"e'[�ar�eOrde'�ternsmayoe
nee�eo asa 'esuxo�th� oeby
When aproject goes onhold, project resou/resMUberedeployed and Vis/on33will need aforty 'five (4S)
calendar day not/ceto re staff the project Resumption of the project will be dependent upon Vision33
resourcingt/rne|mes
Shou|dthe [�x/become nocnesponsNe �oV/smn���ora tenn o��Oca�enUar �ays re�ard/r�con��nuance
o�the �r�eccwm/x' Vix
EKpiratbn
[hescooeanoLerrnsofthisSOVVrnustbeexecu1edwithinsixty(6O)ca|enUa'daysofthedateofthisS[DW
if the SOW is -mt exrecuted, then the cur rent scope and terms can tse renegotiated
(-O3tS&'|OVOiCe S[hedUk.,.
Costs
Vision33w/Uoerformthe Services or) aT/meandMateha|s"not to'exceed" structure, based or) rhenature
and scope of�11e Services outlined in this SOW, the expected staffing requ/-e'nents, project schedule'
Vis/onK5andSouTh8endro|esandresponsibdiUes,andLheothe/asumpr/onssetforninthisSOVV
The total price For Wsion33 to perform the Services and pnovde the De|ive'ao|es desoibeu in this SOW 's
$8,75OUSOexc|usixeoftaxes and expenses Theprice isbased orthe inforrnat�onavai|ab|eatthe Umeof
signing, and 'Lhe assompt'ons, dependencies, constraints, and roles and nespors/b/|/ties ofthe Part/es, as
(A Work,: ( ItyofSou�h 8end IN Page � 9
VNinf133
Task Hours Including
Project Management
ncT 11 foo rn'1t or docun",en,,' cnanges I-oi chen�
\'4anualk'l rrdei-�, �,..� y chang�,s De%,r envi( ri—erii
11'u's I o 0,
............ .........
N"I v f C J c'
TOTAL 70 hours,
$8,750
ulwnik!-jly,)f .'-fflulh IN page � 10
/c e
AoceWe88y A( By
VisionS5
Partner city
—
Authorized Signature Authorized Signatu=_
Name — Type or Print Name —Type or Print
Title Tfle
Statemen�ofofS�outhBendIN Pa0e | 11
_, ��" �1 T °,lea' , r � i, I 1�.,� � I'�,L1P� �''',A ��oV�„ili,''. � �i�Y;V
EXHIBIT B
Contractor's Affidavit
[See attached.]
24203589..2
When the prospective Contractor is unable to certify to any of the statements below, it shall anach an explanation to this Affidavit
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT,
CERTIFICATION REGARDING INVESITAENT WrfH IRAN, EMPLOYMENT ELIGIBILITY
VERIFICATION, NON-DISCRId4IINATION 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)
Alp
The undersigned Contractor, being duly swom 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 h-an and any agency or
instrumentality of Uan, 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 more 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-Whuion Non -Debarment Affidavit Non Iran Form 2016
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 ail 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 enrolhnent and participation in the E-Verify
Program is included and attached as part of this bid/quote; and
5. Contractor shall require hisiher/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
subseA uently learns is an unauthorized alien, and that the subcontractor has enrolled in and is
participating in die 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
TWO
gum
ettorts to ob pairucipation oy laose Contractors cerullea oy lic Sta ol Indiana as a only
Business (-MBE-) or as a Women's Business Enterprise ("WBF") as a factor in determining
the lowest, responsible, responsive bidder.
In no event shall -,yersoris or entities seekin��--the-aw-ard-af-aXiW--nmlmALm �nnw- -o-awar"
subcontract to an MBEAVBE; however, it may not unlawfully discrumn against said
WBE/MIBE. 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 detern-nnation, 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, boarcls. Or commissions.
Non-Gollusion Non-Deba-mcnt Affidavit N(m it= 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.
1, the undersigned bidder or agent as contractor on a pubtic works project, understand my
statutory obligations to the use of steel products or foundry products made in the United States
5-16-8- 1). 1 hereby certify that I and afl 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 under -stand it 'is
IL' 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 pedury that the facts and information contained in the foregoing bid for
oublic works are true and correct.
Dated phis day 20
.............
C,ubscribed and swom to before me this
My Commission Expires . .... . r',l )0�
County of Residence
Non -Collusion Non. Dd5arment Affidavit Non lean Form 2016
� '<', M d' v'1131 L" c
Cont F aq(013idder (Firm)
S gn,,.itL1 rc of Contractor/Bidder or Its Agent
"I
4
Printed Name and Title
day of 20
. ..... . . .......
Notary Public
ai111arba io a.-Inabil ty. ra!C rtif„tt , _i i rttlate ,to the mIM"r nn
Vision33 Inc. ("Contractor") is unable to certify item 44 of the attached Non -Collusion Non -Debarment
Affidavit Non Iran Form 2016 to the extent that item relates to the E-Verify Program. Contractor is not
currently enrolled in the E-Verify Program as this has not been a requirement for any of our previous
engagements for public sector clients.
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date
Name
8-6-2019
Dan O'Connor
Department Innovation
BPW Date 8-13-2019 Phone Extension 6201
DIW/vvl�rMluuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuwuw�elP�ifl u y��rv,&'d'.�+9ati�'; rK�2' ppy➢liYWp , ....• W//�rIDP91W1�1P',91N6%pFORMl�
ITmmmmm_� .... Nuired Prior to Submittal to Board
Legal ® Attorney Name Sandra Kennedy
Controller ® Controller review is required for all Contracts $5,000.00 or more anc
greater than one year in length per the City Purchasing Policy
Purchasing
Check the
Agreement
® Professional Services
❑ Bid Opening
❑ Quote Opening
Change Order No.
Ease/Encroach.
F1 Other:
'r at Item Type --
El Contract
❑ Resolution
❑ Bid Award
�I Quote Award
❑ C/O & PCA No. _
❑ Traffic Control
Company or Vendor Name Vision33
for All Submissions
j Proposal ❑ Addendum
[] Req. to Advertise ❑ Title Sheet
red Information
❑ PCA
New Vendor Yes Z No ❑If Yes, Approved by Purchasing
MBE/WBE Contractor ❑ MBE [:] WBE
MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company
Professional Services Agreement for Vision33 to perform
assistance and work with Accela to Sync the Cities Production, Test
Project Name and Support Accela environments
Project Number
Funding Source IT Professional Services
-........ ...._ .... .....................�w
Account No. 279-0672-415.31-06
Amount $8,750
.... ..._.........
...-
Terms of Contract 170 hours at an hour) rate ate of $125/hour
�..__ mm.e_u ,,....... ... ...._
Purpose/Description Vision33 will be workin in tandem with Accela support to identif
extract ,and, then reapply revious work product, created bv Vision33
when we sync our Production Test and -Support Accela
environments.
Required Contractor's Certification Form Attached (Non -Collusion,
Non -Discrimination, Non -Debarment, E-V"erifv„ Iran, etc.)
Amount of ❑ Increase $
E] Decrease $
Previous Amount $
Current Percent of Change:
New Amount
E-3
Total Percent of Change:
Copy
Original
®
❑ Dan O'Connor
®
_._ ..an.... Jo������._...
El Khe.................
sepi
®
Daniel Collins
Dispersal After Approval
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM