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Home My WebLink AboutBid Opening - Chet Waggoner Court Proj No. 116-005 - Walsh&Kelly04~alrN 4i'y. CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK ; as Project Name Chet Waggoner Court Project No. For Bids Due 116-006 ust 18, 2016 PART (Must be completed for all bids. Please type or print) Date: August 18 2016 Bidder (Firm): Walsh & Kelly Inc. Address: 24358 State Road 23 City/State/Zip- South Bend IN 46614 Telephone Number: ( 574 ) 288-4811 Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: Chet Waggoner Court Project No 116-005 the City of South Bend, Indiana, in accordance with plans and specifications prepared by: and dated July 2016 for the sum of (enter the Total Bid as shown on the Proposal) Seven Hundred Foude n Thousand Two Hundred Sixty -Eight Dollars Sixty Cents $ 714,268.60 (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifical ferenced at the applicable page. If additional units of material included in the contract a eeded, th co of nits must be the same as that shown in the original contract if accepted by the ('It f South d. bid is to be awarded on a unit basis, the Itemization of the units shall be sho, ' o a separat tta nt. By /, c Dustin Hilary ArE ACCEPTANCEI The above bid is accepted this day of Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member David P. Relos, Member Therese J. Dorau, Member James A. Mueller, Member Attest: Linda M. Martin, Clerk Version 7/31/2015 Contractor's Bid for Public Works -2 PART II (For projects of $100,000 or more - IC 36-1-124) These statements to be submitted under oath by each bidder with and as part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION 11 PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) As required by Owner 2. Attach a listing of the names and addresses of all subcontractors (i.e_ persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. We will provide upon award of the project 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. We will provide upon award of the project 4. Attach a listing of equipment you have available to use for the proposed project. We will provide upon award of the project 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. Yes, we have received quotes from suppliers and subcontractors. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 7/3112015 Contractor's Bid for Public Works - 3 When the prospective Contractor is unable to certify to any 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, NOW 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: St Joseph COUNTY ) The undersigned Contractor, being duly sworn upon his/herfits oath, affirms under the penalties of perjury that: 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 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 the energy sector in Iran; and (ii) atthe time thefinancial 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 Version 7/3112015 Contractors Bid for Public Works - 4 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 part 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. 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). 1 hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products on this project if awarded. I understand that violations hereunder may result in forfeiture of contractual payments. Version 7/31/2015 Contractor's Bid for Public Works - 5 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 1 Sth day of &UgjLaL 2016 S' nature of Contractor/Bidder or Its Agent / Dustin HilaN, Area Manager Printed Name and Title Subscribed and sworn to before me this 18th day of Au u t 2016 My Commission Expires May 4, 2018 Notary Public I J Fuchs County of Residence St Joseph PAULA J FUCHS Notary Public, State of Indiana St. Joseph County Eck, CommisaionExpires Ma 4, 2018 Version 7/31/2015 Contractor's Bid for Public Works - 6 BID/PROPOSAL CITY OF SOUTH BEND Project Name Chet Waggoner Court Project No. 116-005 For Bids Due August 18, 2016 BASE BID - t Item No. Description Quantity Unit Unit Price Total Amount 1• Construction Engineering 1 LS $ 7,500.00 $ 7,500.00 2. CPM Schedule 1 LS $ 400.00 $ 400.00 3. CPM Monthly Update 4 EA $ 100.00 $ 400.00 4. Mobilization and Demobilization 1 LS $ 22,000.00 $ 22,000.00 5. Video Record 1 LS $ 750.00 $ 750.00 6. Utility Allowance 5,000 DOL $ 1.00 $ 5,000.00 7. Sprinkler Allowance 3,000 DOL $ 1.00 $ 3,000.00 8. Maintaining Traffic 1 LS $ 3,000.00 $ 3,000.00 9• Sidewalk, Concrete, Remove, Undistributed 140 SYS $ 5.00 $ 700.00 10. Pavement Removal, Undistributed 210 SYS $ 15.00 $ 3,150.00 11. HMA for Patching, Type A, Undistributed 40 TON $ 75.00 $ 3,000.00 12. Detour Route Marker Assembly, Undistributed 5 EA $ 445.00 $ 2,225.00 13. Road Closure Sign 5 EA $ 375.00 $ 1,875.00 14. Inspection Hole, Undistributed 5 EA $ 250.00 $ 1,250.00 15. Structural Backfill, Type 2, Undistributed 100 CYS $ 14.00 $ 1,400.00 16. Clearing of Right of Way 1 LS $ 4,200.00 $ 4,200.00 17. Curb, Concrete, Remove 160 LF $ 5.00 $ 800.00 18. Pedestrian Light, Remove and Relocate 1 EA $ 600.00 $ 600.00 19. Pedestrian Light Foundation, Remove 1 EA $ 300.00 $ 300.00 20. Excavation, Common 3650 CYS $ 18.00 $ 65,700.00 21. Temporary Erosion Control 1 LS $ 3,200.00 $ 3,200.00 22. Temporary Silt Fence 2110 LF $ 1.86 $ 3,924.60 23. Temporary Inlet Protection 14 EA $ 150.00 $ 2,100.00 24. No. 2 Stone 100 TON $ 20.00 $ 2,000.00 25. Compacted Aggregate, No. 53, Base 1500 TON $ 17.50 $ 26,250.00 26• 1 HMA for Patching, Type A 110 TON $ 75.00 $ 8,250.00 27• HMA Surface, 9.5 mm 485 TON $ 80.00 $ 38,800.00 Version 7/31/2015 Contractor's Bid for Public Works - 7 28. HMA Intermediate, 19.5 mm 645 TON $ 55.00 $ 35,475.00 29. HMA Base, 25.0 mm 1930 TON $ 45.00 $ 86,850.00 30. HMA for Sidewalk 14 TON $ 125.00 $ 1,750.00 31. Curb Ramp, Concrete 19 SYS $ 125.00 $ 2,375.00 32. Curb and Gutter, Combined 3320 LF $ 16.00 $ 53,120.00 33. PCCP For Approaches, 8" 390 SYS $ 65.00 $ 25,350.00 34 Mobilization and Demobilization for Seeding 1 EA $ 475.00 $ 475.00 35. Seeding and Topsoil 5100 SYS $ 4.00 $ 20,400.00 36. Storm Sewer Pipe 12" 810 LF $ 17.00 $ 13,770.00 37• Storm Sewer Pipe 15" 350 LF $ 19.00 $ 6,650.00 38. Storm Sewer Pipe 18" 250 LF $ 23.00 $ 5,750.00 39. Storm Sewer Pipe 24" 82 LF $ 35.00 $ 2,870.00 40. Sanitary Sewer, PVC SDR 35, 8 IN 166 LF $ 37.00 $ 6,142.00 41. Sanitary Sewer, PVC SDR 35, 10 IN 1606 LF $ 42.00 $ 67,452.00 42. Sanitary Manhole 5 EA $ 4,800.00 $ 24,000.00 43. Catch Basin K10 7 EA $ 3,200.00 $ 22,400.00 44• Manhole C15 3 EA $ 4,100.00 $ 12,300.00 45. Riprap Stone 60 TON $ 45.00 $ 2,700.00 46. Safety Metal End Section, Type 3, 24 IN 1 EA $ 1,250.00 $ 1,250.00 47• Geotextile Fabric 60 SYS $ 1.00 $ 60.00 48. Irrigation Repair 260 SYS $ 5.00 $ 1,300.00 49 Sign Post, Square, Type 2, Reinforced Anchor Base 19 LF $ 15.00 $ 285.00 50. Sign, Sheet With Legend 0.080 IN 6.3 SFT $ 20.00 $ 126.00 51, Sign, Sheet With Legend 0.100 IN 18 SFT $ 50.00 $ 900.00 52. Sign, Sheet With Legend 0.125 IN 7.5 SFT $ 30.00 $ 225.00 53. Handhole, Lighting 1 EA $ 800.00 $ 800.00 54. No. 4 Wire 565 LF $ 6.00 $ 3,390.00 55. Conduit, PVC, Schedule 80, 2 IN. 555 LF $ 4.00 $ 2,220.00 56. Miscellaneous Equipment for Lighting 1 LS $ 500.00 $ 500.00 57. Light Pole Assembly 1 EA $ 3,000.00 $ 3,000.00 58. Light Pole Foundation 2 EA $ 700.00 $ 1,400.00 5. Line, Remove 640 LF $ 0.90 $ 576.00 60. Transverse Marking, Liquid Thermoplastic Traffic Paint, Crosswalk, 6 IN 100 LF $ 1.45 $ 145.00 Version 7/31/2015 Contractor's Bid for Public Works - 8 Transverse Marking, Liquid Thermoplastic 61. Traffic Paint, Stop Bar, 24 IN 16 LF $ 6.75 $ 108.00 62• Salvage Decorative Bricks 1 LS $ 3,700.00 $ 3,700.00 BASE BID TOTAL $ 621,588.60 ADD ALTERNATE A: EXISTING DYLAN DRIVE INLETS, EXPANSION JOINTS Item No. Description Quantity Unit Unit Total Amount Price Al. Casting, Inlet, Adjust Expansion Joints 20 EA $ 800.00 $ 16,000.00 A2. Maintaining Traffic 1 LS $ 1,600.00 $ 1,600.00 ALTERNATE A TOTAL ADD ALTERNATE B: FLIR CAMERA DETECTION SYSTEM AT AMERITECH CLEVELAND $ 17,600.00 Item No. Description Quantity Unit Unit Total Amount Price B1. Vehicle Video Detection System 4 EA $ 10,215.00 $ 40,860.00 B2. Maintaining Traffic 1 LS $ 2,500.00 $ 2,500.00 ALTERNATE B TOTAL ADD ALTERNATE C: REMAINING STREET LIGHTS ON CHET WAGGONER COURT $ 43,360.00 Item No. Description Quantity Unit Unit Price Total Amount Cl. Light Pole Assembly 3 EA $ 3,000.00 $ 9,000.00 C2. Light Pole Foundation 3 EA $ 700.00 $ 2,100.00 C3. No.4 Wire 1220 LF $ 6.00 $ 7,320.00 C4. Conduit, PVC, Schedule 80, 2 IN. 1200 LF $ 4.00 $ 4,800.00 C5. Miscellaneous Equipment for Lighting 1 LS $ 1,500.00 $ 1,500.00 C6. Tesco Cabinet with Single Service, Wiring, Etc 1 EA $ 7,000.00 $ 7,000.00 ALTERNATE C TOTAL $ 31,720.00 Bidder (Firm): Address: City/State/Zip: South Bend, Indiana 46614 Telephone N (Signature) Dustin Hilary, Area Manager (Printed Name of Person Signing) Version 7/31/2015 Contractor's Bid for Public Works - 9 CCHUBB GROUP OF INSURANCE COMPANIES Surety Department, 15 Mountain View Road, P.O. Box 1615, Warren, NJ 07061-1615 OMUE30 Phone: (908) 903-3485 • Facsimile: (908) 903-3656 AIA DOCUMENT A31OTM - 2010 BID BOND Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. CONTRACTOR (Name, legal status and address): Walsh & Kelly, Inc. 24358 State Road 23 South Bend, IN 46614 OWNER (Name, legal status and address): SURETY (Name, legal status and principal place of business): Federal Insurance Company 15 Mountain View Road Warren, N.J. 07059 City of South Bend, Indiana, Board of Public Works, 227 West Jefferson Boulevard, South Bend, Indiana, 46601 BOND AMOUNT: Amount of not less than five percent (5%) of the base bid plus any alternates PROJECT: (Name, location or address, and Project number, If any) City of South Bend, Indiana, Board of Public Works Chet Waggoner Court Project No. 116-005 The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or Within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surely shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. Printed in cooperation with the American Institute of Architects (AIA) by the Chubb Group or Insurance Companies. The language in this document conforms to the language used in AIA Document A310 w- 2010, Form 15-02-0575-FED (Ed. 7.10) When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 18th (Witness) Paui& Fuchs . #4AgUnAK�� (Witness) Tia A. Boice z w t 'Not;{NP �KEdf day of AugGst,�fZ016 LORPORgr� =C1Z ✓__ / _ �� Hilary, Area r i Federal Insurance Company (FederallnsC/�ompanY) (Corporate Seat) By: (AttomeY-in-Fact) Terry R. Hurst Panted in cooperation with the American Institute of Architects (AIA) by the Chubb Croup of Insurance Companies. The language in this document conforms to the language used in AIA Document A310 m- 2010. Forth 15.OM575-FED (Ed. 7.10) CChubb YOWER Federal Insurance Company Athi Surety Department Sure OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY Pacific Indemnity Company Warren, NJ 07059 Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Tia A. Boice, Terry R. Hurst, Brian T. Morton, Robert M. Rutigliano, Liana M. Shelton and Eric M. Wahlstrom of Indianapolis, Indiana —•---------- ___._------ _----- W_._..._ - each as their true and lawful Attorney- in- Fad to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) glven or executed in the course of business, and any instruments amending or altering the same, and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In witness Whereof, said FEDERAL INSURANCE COMgANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each ezecute�gnd attested these presents and affixed their corporate seals onthis 8 day of February, 2016. 11 Qqwl,-m Dawn M. ChIOMS, Assistant Secretary *04) STATE OF NEW JERSEY ss. Count' of Somerset On this 8sh day of February, 2016 before me, a Notary Public of New Jersey, personally came Dawn M. Chlores, to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power ofAttorney, and the said Dawn M. Chloros, being by me duly swom, did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority ofthe By- Laws of said Companies; and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority; and that she Is acquainted wah David B. Norris, Jr., and knows him to be Vice President of said Companies; and that the signature of David S. Norris, Jr., subscribed to said Power of Attorney Is in the genuine handwriting of David B. Norris, Jr., and was thereto subscribed by authority of saitl By- Laws and in deponerus presence. Notarial Seal NDTARy ter+ PUBLIC y�tJER KATHERINE J- ADELAAR NOTARY PUBLIC OF NEW JERSEY No. 2318685 Commission Expires July 16, 2019 CERTIFICATION Extract from the By- Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY: Notary Public 'Except as otherwise provided in these By -Laws or by Ian or as otherwise directed by the Board of Directors, the President or any Vice President shall be authorized to execute and deliver, in the name and on behalf of the Corporation, all agreements, bonds, contracts, deeds, mortgages, and other Instruments, either for the Corporation's own account or in a fiduciary or other capacity, and the seal of the Corporation, If appropriate, shag be affixed thereto by any of such officers or the Secretary or an Assistant Secretary. The Board of Directors, the President or any Vice President designated by the Board of Directors may authorize any other officer, employee or agent to execute and deliver, In the name and on behalf of the Corporation, agreements, bonds, contracts, deeds, mortgages, and other instruments, either for the Corporation's own account or in a fiduciary or other capacity, and, if appropriate, to affix the seal of the Corporation thereto. The grant of such authority by the Board or any such officer may be general or confined to specific Instances.' 1, Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY {the'Companles") do hereby certify that (I) the foregoing extract of the By- Laws of the Companies is true and correct, (it) the Companies are duly licensed and authorized to transact surety business In all 50 of the United States ofAmedca and the Distinct of Columbia and are authorized by the U.S. Treasury Department; further, Federal and Vigilant are licensed in the U.S. Virgin Islands, and Federal is licensed in Guam, Puerto Rico, and each of the Provinces of Canada except Prince Edward Island; and Jill) the foregoing Power of Attorney is We, correct and In full force and effect. Given under my hand and seals of said Companies at Warren, NJ this 18th day of August, 2016 1 - Dawn M. Chloros, Assistant Secrets IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT ADDRESS FOM15-10-0225B-U GEN CONSENT(rev. 07.15J WG. o 0 C mm + W (p � wR N N w ,a 5I ¢. m O O (O O O �n O O V O O D m o a u> <n e> W mm 09 m n o � �w N � a 0 O T \ ow 0 � o� V w L p� C Q m N O C O N a U F � � ryo a O L m M N O N ap M ro .. Vd (O 0 U. 4 E? J W O M L N r v (iN zN m� m N E m w 3 L to O) N N (Dm rn rn �It - v C U CD � o Z a3 > (,� Ol a Y C £ F z 0 lD c a L W N m (D = N F Z u� Ua(7 u5NJ >w(n O o � N A E � O CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY '. DEVELOPMENT PROGRAM it FORM MWBE-2.0 • EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids doeuments related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBENVBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business as defined by the Indiana Department of Administration ('9DOA"). Project Number: 116-005 Date: August 18 2016 Project Name: Bidder: Contact Person: Address: City: Chet Waggoner Court Walsh & Kelly Inc Dustin Hilary Telephone: 574-288-4811 24358 State Road 23 South Bend State: Zip: 46614 Email: infoawalshkelly corn To determine whether a bidder has demonstrated good faith efforts to reach the MBE/WBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below': EVIDENCE OF GOOD FAITH EFFORTS MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (http://www.in.govldoa). ACTION {ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Bend requires that all perspective bidders complete no less than 2 of the following: ✓ 1. Attend all pre -bid meetings scheduled by the City to inform MBENVBEs of contracting and subcontracting opportunities. ✓ 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBEIWBEs reasonable time to respond. 3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBENVBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 4. utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBENVBE firms. "Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBENVBEs, / including providing such MBEANBE's with adequate information about the plans, specifications and other �/ requirements of the subcontract and did not reject MBENVBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by MBENVBEs in increase order to the likelihood of meeting the MBENVBE goals (including breaking down contracts into smaller units to facilitate MBFJWBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBENVBE that has bid on the subcontracting opportunity: Y 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBENVBE was unqualified to perform the job. ao.,. • •-ram• -•-•• •�_•�••a��•• �. �•+�•. .-a.u, cuon requves your nnnais next to an Of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 7/31/2015 Contractors Bid for Public Work; CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY ilk DEVELOPMENT PROGRAM FORM MWBE-2.1 MBE/WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE 1 OF 1 Project Number: 116-005 MBEAVBE Participation Goal Project Name _Chet Waggoner Court Bidder: Walsh & Kelly Inc By: Dustin Hilary Area Manager August 18 2016 (Signature) (Title) (Date) MBEIWBE Firm Owner or Contact at MBE/WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT. RESULTS OF CONTACT WITH THE MBE/WBE FIRM: MBE/WBE Firm Owner or Contact at MBENVBE Firm TelephoneFax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBENVBE FIRM: Version 7/31/2015 Contractors Bid for Public Works -12 1316 COUNT r-CITY BUILDING 227 W JEFITRSON BOUT F%ARD SOUTH BEND, INDIANA 46601-1930 PHONE 5741,235.9251 FAX 574/ 235 9171 TDD 574i 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: August 12, 2016 To: All Bidders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Chet Waggoner Court Project Number: 116-005 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Note: The attached documents are hereby added to the Specifications and Contract Documents and become a part of heroin. Company: Authorized Signature: Date: City of South Bend Chet Waggoner Court PROJECT NO. 116-005 ADDENDUM NO. 1 Owner: City of South Bend Engineer: City of South Bend Department of Public Works Division of Engineering Date: August 12, 2016 To: All Plan Holders From: Roger T. Nawrot, P.E., P.L.S. You must acknowledge receipt of this addendum by signing the first page and returning a copy with your bid. This Addendum modifies the Contract Documents as follows: PART 1 — CLARIFICATIONS PART 2 — SPECIAL PROVISIONS PART 3 — CONSTRUCTION DOCUMENTS PART 1 — CLARIFICATIONS 1 Attached is the sign in sheet and meeting agenda from the Pre -bid meeting held on August 9, 2016. 1.2 The water main tap and sanitary sewer tap off of Chet Waggoner Court shall be coordinated with the Project Manager for the Fedex Freight Property, Rob Sangdahl (rangdahl(a setzerprouerties coin 419-902-7633) 1.3 As mentioned during the Pre -Bid Conference, the existing traffic control system at the intersection of Ameritech and Cleveland is a Video Detection System. PART 2 — SPECIAL PROVISIONS 2.1 SPECIAL PROVISIONS, Page 5, Section XIII.B.4, Prosecution and Progress: Chet Waggoner Court (116-005) Addendum # 1 August 12, 2016 Page 1 1. REVISE: Should Alternate B be awarded, Alternate B will have a final completion date fefty five (4 5) of 12/09/2016. 2.2 SPECIAL PROVISIONS, Page 9, Section XXI.B.4, Pre -Construction Video of Site Conditions: ADD: The approximate linear footage required to be video recorded is five thousand fifty (5,050) feet, This includes the existing inlets on Dylan Drive, the length of land between Dylan Drive and Mayflower Road where the new road and water main will be located, the area in which the brick pavers are being removed, and the intersection of Ameritech Drive and Cleveland Road. This number is an approximation and as such, it shall be the responsibility of the contractor to field verify the actual lineal footage of recording required. 2.3 SPECIAL PROVISIONS, Page 38, Section LXIX.B.5, Wire: I. ADD: This item shall include the cost of the four (4) conductors within the No. 4 wire. PART 3 — CONSTRUCTION DOCUMENTS 3.1 Plan Sheets 12-16 —Plan and Profile 1. ADD note regarding the project location being outside of the FEMA floodplain. 2. REVISE location of the water main. Shifted three (3) feet away from the curb line. 3.2 Plan Sheet 24 — S WPPP Cover Sheet 1. REVISE General Note 2 to reflect the updated contact information for the SWCD office. ATTACHMENTS • Pre -Bid Meeting Sign In Sheet • Revised Plan Sheets END OF ADDENDUM #1 T\ ignature ate Chet Waggoner Court (116-005) Addendum # 1 August 12, 2016 Page 12 (ffmifuate of Quttlif ration Lx r, , , i s a :; 1 a U IIIA11111i INDIANAPOLIS, IN April 11, 2016 TO WALSH & KELLY INC GRIFFITH, IN who has filed with the Department a Contractor's Statement of Experience and Financial Condition as required under Indiana Code B-23-10, is hereby qualified to bid at any Department of Transportation letting in Classes of Work and within the amount and other limitation of each classification as listed below, for such period as the uncompleted work on hand from all sources does not exceed the Aggregate amount. Classification references by name or symbol are in accordance with the definitions in the Contractor's Statement of Experience and Financial Condition. This certificate supersedes any certificate previously issued, but is subject to revision or revocation according to the law, if and when changes in the financial condition of the contracting firm or other facts justify such revision or revocation. Valid May 1, 2016 Thm April 30, 2017 AGGREGATE....................................................................................................................................... $UPIIJI'MD A(B) CONCRETE PAV)EMENT, LamiTED......................................................................................................... $25,000,000 B(A) ASPHALT PAVING: CERT HMA PLANT........................................................................................._......SUNI' MITED C(B) LIGHT GRADING........................................................................................................................................ $25,000,000 D(A) HWY OR RR BRIDGES OVER WATER.................................................................................................... $2,000,000 DO) HWY OR RR BRIDGES OVER HIGHWAYS............................................................................................. $2,000,000 D(C) HWY BRIDGES REQ PROTECTION OF RR TRACKS............................................................................. $2.000,000 E(E) SMALL STRUCTURES AND DRAINAGE ITEMS ............................................ ................... ..................... $2%000.000 E(F) SURFACE MASONRY AND MISC CONCRETE .......................... ........................................................ .... $25,000,000 E(0) CONCRETE PAVEMENT REPAIRS.......................................................................................................... $25,000,000 E(R) ROAD MB.LING.......................................................................................................................................... $5,000,000 E(T) DEMOLITION.............................................................................................................................................. $5,000,000 PREQUALIFICATION ENGINEER Slate Form 20508 (R3 / 5-05) . � •� � (mot,,, / / 1�,: - _ C COMMISSIONER Part of State Form52414 (RI 9-10) Form 96 (Revised 2010) BID OF Walsh & Kelly Inc. (Contractor) 24358 State Road 2 (Address) South Bend IN 46614 FOR PUBLIC WORKS PROJECTS OF City of South Bend, Indiana Board of Public Works Chet Waggoner Count Project No. 116-005 Action State Form 52414 (R / 9-10) Prescribed by State Board of Accounts Form No 96 (Revised 2010) CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96 PART 1 (To be completed for all bids. Please type or print) 1. Governmental Unit (Owner): 2. County: 3. Bidder (Firm): Address: City/State: 4. Telephone Number: 5. Agent of Bidder (If applicable): Date (month, day, year): August 18, 2016 City of South Bend. Board of Public Works Walsh & Kelly, Inc. 24358 State Road 23 South Bend IN 46614 574-288-4811 Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of Chet Waggoner Court, Project No 116-005 (Governmental Unit) in accordance with plans and specifications prepared by Roger T. Nawrot and dated July 2016 for the sum of See Attached $ See Attached The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the Governmental Unit. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant may be regarded as a material breach of the contract. CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS (If applicable) 1, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation to use steel products made in the United States. I.C. 5-16-8-2. I hereby certify I and all subcontractors employed by me for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in forfeiture of contractual payments. ACCEPTANCE The above bid is accepted this day of Contracting Authority Members: subject to the following conditions: PART II (For projects of $100,000 or more — IC 36-1-12-4) Governmental Unit: City of South Bend. Board of Public Works Bidder (Firm): Walsh & Kelly. Inc. Date(month, day, year) August 18, 2016 These statements to be submitted under oath by each bidder with and as part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount Class of Work J When Com leted I Name and Address of Owner $ 6,030,341.00 Resurface December 2015 Lake County Hwy Dept. $ 5,758,069.00 Resurface November 2015 Town of St. John, IN $ 4,461,632.00 Reconstruction December 2015 INDOT $ 3,571,923.00 Reconstruction July 2015 INDOT 2. What public works projects are now in process of construction by your organization? Contract Amount i Class of Work When to be Com leted I Name and Address of Owner $ 5,080,808.00 Reconstruction November 2017 City of South Bend, IN $ 5,938,220.00 Resurface October 2017 INDOT $ 5,775,000.00 Reconstruction November 2016 Town of Merrillville, IN $ 3,102,502.00 Reconstruction October 2016 INDOT 3. Have you ever failed to complete any work awarded to you? No If so, where and why? 4. List references from private firms for which you have performed work. Dyer Construction Co.. 1716 Sheffield Avenue Dyer IN Ms Janet Furman Grimmer Construction Co.. Inc 2619 Main Street, Highland IN Mr. Greg Grimmer SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, completed the project, number of workers, etc, and any other information which you believe would enable the governmental unit consider your bid.) As required by owner 2. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. See Attached List 3. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the governmental unit in the event that you subsequently determine that you will use a subcontractor on the proposed project. Will supply upon award of contract 4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC. CONDITION YEARS OF SERVICE PRESENT LOCATION 5 Asphalt Plants Various Good Griffith, South Bend, Valparaiso, Lowell, LaPorte 18 Asphalt Pavers Various Good Griffith, South Bend 4 Sli form Conc. Paver Various Good Griffith, South Bend 3 Road Widener Various Good Griffith, South Bend 5 Motor Graders CAT/J.D. Good Griffith, South Bend 48 Rollers Various Good Griffith, South Bend 31 Rubber Tire Loaders Various Good Griffith, South Bend 15 Excavators Various Good Griffith, South Bend 8 Bulldozers Various Good Griffith, South Bend 6 LowBoy Tractors Various Good Griffith, South Bend 7 Flatbed Dumps Various Good Griffith, South Bend 39 /2 and'/n ton Pickups Various Good Griffith, South Bend 59 1 Ton Crew Trucks Various Good Griffith, South Bend 4 Cold Planers Wirten 1900 DC Good Griffith, South Bend 3 Tri-Axle Dump Mack Good South Bend 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? Otherwise, please explain the rationale used which would corroborate the prices listed. Yes, we received quotes from potential subcontractors and suppliers SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's capability for completing the project if awarded. SECTION IV CONTRACTOR'S NON -COLLUSION AFFIDAVIT The undersigned bidder or agent, being duly sworn on oath, says that he 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. He 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 SECTION V OATH AND AFFIRMATION I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE F TS AND INFORMATION CONTAINED IN THE FOREGOING BID FOR PRBLIC WORKS ARE TRU CORRECy Dated at South Bend this 18th day of u t 2016 als & Kell In j (N " of rganiz Itin) By: t 1 Dustin Hilary, Area Manager (Title of Person Signing) STATE OF Indiana ) ) ss COUNTY OF St Joseph 1 Before me, a Notary Public, personally appeared the above -named Dustin Hilary and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 18th day u, 2 O Paula S, Notary Public My Commission Expires: May 4, 2018 PAULA J FUCHS Notary Public, State of Indiana County of Residence: St Joseph St. Joseph County S Commission Expires May 4, 201 a Form 96 Section II, #2 Subcontractors Used on Public Works Contracts During the Past 5 Years SUBCONTRACTORS COMPANY ADDRESS CITY/STATE/ZIP PHONE FAX SEWER B & D Sewer 531 Winston Ct Schererville, IN 46375 (219)322-2300 (219)865-0065 Deboer Egolf 5772 Melton Road Portage, IN 46368 (219)763-9700 (219)763-9703 Delta III 2063 W 1250 S Hanna, IN 46340 (219)797-4004 (219)797-3008 Dyer Construction 1716 Sheffield Avenue Dyer, IN 46311 (219)865-2961 (219)865-2963 Gatlin Plumbing & Heating 1111 E. Main Street Griffith, IN 46319 (219)924-6972 (219)924-1401 Gough, Inc. 2200 E. 88th Drive Merrillville, IN 46410 (219)756-2200 (219)756-2202 Grimmer Construction 2619 Main Street Highland, IN 46322 (219)924-1623 (219)924-0328 Hasse Construction 10 Lincoln Avenue Calumet City, IL 60409 (219)932-1611 (219)932-6829 HRP Construction 5777 Cleveland Rd. ISouth Bend, IN 46624 (574)271-7800 (574)271-0524 Rex Construction 700 Schiller Avenue IN 46375 (219)322-8090 (219)322-0031 Wirtz & Yates, Inc. P.O. Box 41 Pentland, Kentland, IN 47951 (219)474-6542 Woodruff & Sons P.O. Box 450 IMichigan City, IN 46361 (219)872-8605 (219)8795339 MILLING Javelina Construction, Inc. 13476 Britton Park Rd. IFishers, IN 46038 j (317)841-8364 (317)841-0075 Mid America Milling Co. 6200 W. Hwy 62, Ste 400 1 Jeffersonville, IN 47130 (8U)282-2751 (812)283-9846 McCrite Milling 209 Quality Ave. Ste 9 INew Albany, IN 47150 (812)941-0252 (812)941-0852 Specialties Company 9350 E. 30th St. Indianapolis, IN 46229 (317)594-0291 (317)594-0271 ELECTRICAL INSTALLATION Hawk Enterprises 1850 E. North St Crown Point, IN 46307 (219)662-8090 (219)662-8093 Midwestern Electric 1620 E. Chicago Ave East Chicago, IN 46312 (219)3974Nl (219)397-8888 S/T Bancroft Electric 25020 State Road 2 South Bend, IN 46619 (574)287-6490 Trans Tech Electric 4601 Cleveland Road South Bend, IN 46619 (574)272-9673 (574)271-0144 SIGN INSTALLATION Hawk Enterprises 1850 E. North St ICrown Point, IN 46307 (219)662-8090 (219)662-8093 Midwestern Electric 1620 E. Chicago Ave East Chicago, IN 46312 (219)397-4444 (219)397-8888 RoadSafe Traffic Systems 3519 Harding Street Indianapolis, IN 46217 (317)780-1825 Traffic Control Specialists, Inc. 305 W. Hamilton Dr. lKnox, IN 46534 (574)772-7001 (574)772-7002 PAVEMENT MARKINGS The Airmarking Company P.O. Box 526 IRochester, WIN 46975 (574)223-5817 (574)223-7959 Blackout Sealcoating 7440 W. 87th Place Bridgeview, IL 60455 (219)864-2300 (708)430-6910 Line Makers 12998 So. 450 W Hanna, IN 46340 (219)797-5035 (219)797-5035 RoadSafe Traffic Systems 3519 Harding Street Indianapolis, IN 46217 (317)780-1825 Traffic Control Specialists, Inc. 305 W. Hamilton Dr. Knox, IN 46534 (574)772-7001 (574)772-7002 LANDSCAPE Great American Landscape P.O. Box 235 Dyer, IN 46311 (219)322-7033 (219)322-4419 Hubinger Landscape 210 E. 113th Avenue Crown Point, IN 46307 (219)662-9911 (219)662-6206 Site Restoration 5225 E. 145th Avenue Crown Point, IN 46307 (219)743-8180 (219)661-1818 Slusser's Green Thumb, Inc. 125 Montgomery Street Logansport, IN 46947 (574)722-3102 (574)722-1628 T & J Landscape Service 8253 Wicker Avenue St. John, IN 46373 (219)374-9000 (219)374-9950 Form 96 Section II, #2 Subcontractors Used on Public Works Contracts During the Past 5 Years — Page 2 COMPANY ADDRESS CITY/STATE/ZIP PHONE FAX GUARDRAIL/FENCING Acorn Fence 2041 164th Street Hammond, IN 46320 (219)844-8400 (219)844-8441 C Tech Corporation 5300 W. 100 North Boggstown, IN 46110 (317)835-2745 (317)835-2781 James H. Drew Company 8701 Zionsville Rd. Indianapolis, IN 46268 (317)876-3739 (317)876-3829 Security Industries 1000 Georgiana St. Hobart, IN 46342 (219)942-9447 (219)942-9448 Specialties Company 9350 E. 30th St. Indianapolis, IN 46229 (317)594-0291 (317)594-0271 Swaney Electric Company 9111 Louisiana St. Merrillville, IN 46410 (219)769-6007 (219)769-0565 TRUCKING/HAULING C. Lee Construction Services 11200 W. Main Street Griffith, IN 46319 (219)922-7733 (219)924-8609 J. Jarrett Trucking. Inc. 13316 W. 45 Avenue IGary, IN 46408 (219)902-6660 (219)884-8292 SRPM'S M.A.S. Markers, Inc. 11625 S 400E ILebanon,IN 46052 (317)769-7200 UNDERSEAL Rieth-Riley Construction Co Inc 12454 West CR 450 North LaPorte, IN 46350 (219)362-6178 TREE REMOVAL Homer Tree Service 14000 S. Archer Ave ILockport, IL 60441 (815)838-0320 Timber Masters LLC I P.O. Box 245 IDyer, IN 46311 (219)864-8733 LIME STABILIZATION Mt. Carmel Sand & Gravel 11611 College Dr. Mt. Carmel, IL 62663 (618)262-5118 (618)263-4084 Specialties Company 19350 E. 30th St. Indianapolis, IN 46229 (317)594-0291 (317)594-0271 PIPE LINING Indiana Reline, Inc. 1312 E. Main Street ISulphur Springs, IN 47388 765-766-5040 765-533-5831 SPRINKLER SYSTEM Turf Irrigation 19845 Express Dr. Highland, IN 46322 (219)924-1511 (219)924-9250 SAW CUTTING Diamond Coring Co., Inc. 111800 S Ewing Ave Chicago, IL 60617 773-978-5000 Quality Saw & Seal, Inc. 17600 W. 79th Street jBridgeview, IL 60455 773-767-9300 JWalsh & ,0 Kelly,.. EQUAL EMPLOYMENT OPPORTUNITY It is the policy of this Company to assure that the applicants are employed, and that employees are treated during employment, without regard to their race, religion, sex, color, national origin, age, association with the Vietnam era or any other war, disability, genetic information, citizenship status, military status, veteran status, ancestry, or any other status protected under applicable law. Such action shall include: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, pre -apprenticeship, and/or on the job training. As Vice President of Business Development and Equal Employment Officer of WALSH & KELLY, INC., I am committed to the principles of Equal Employment Opportunity. I will also strive to ensure its dissemination and implementation throughout all levels of the company. In furtherance of its policy of Equal Employment Opportunity, WALSH & KELLY, INC. is committed to ensure that its policy of non-discrimination against persons with handicaps, special disabled veterans, and Vietnam era veterans, is accomplished. Forms for filing a complaint are available for completion by any employee or applicant for employment, during normal business hours, in the office. Interested persons should contact John C. Wall, Vice President of Business Development and Equal Employment Officer at (219) 924-5900 for assistance. We submit the above plan to comply with the Civil Rights Act of 1964, as amended, the Federal Highway Act of 1968, the Executive Order 11246 and 11375, the Rehabilitation Act of 1973, as amended, the Disabled Veterans and Vietnam Era Veterans Readjustment Act of 1974, as amended, the Indiana Civil Right Act, and other Federal and State Laws and Regulations pertaining to Equality of Opportunity. John C. Wall, Vice President of Business Development of Walsh & Kelly, Inc. is our duly appointed Equal Employment Officer, effective as of May 18, 2016. Mr. John Wall can be reached by calling (219) 924-5900 or by writing to: Walsh & Kelly, Inc. 1700 E. Main Street Griffith, IN 46319 WALSH & KELLY, INC. id1l.. e. wX Vice President of Business Development/EEO Officer Revised 5/18/16 A„p•:.. 4yOVTH h 9, Vi O CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Chet Waggoner Court Project No. 116-006 For Bids Due August 18, 2016 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond. ✓ Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of MBE/MBE Participation Goal Form [MWBE-1 0] If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted Form [MWBE-2.1]. Acknowledge Receipt of 1 Addendum(s) included with the bid. 1/ All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. This checklist submitted with the Bid. This checklist Is provided for bidder' se in assuring compliance with required documentation; however, it does not ' cl a all specifications requirements and does not relieve the bidder of the need to rea 4ndoompy with the specifications. Bidder: Walsh & Kell i Inc. Date' August 18, 2016 By Authorized Representati e: ✓ Signature: / v Print Name & Title: rXl, ri Hilani Araa Mpnnnar Version 7/3112015 Contractor's Bid for Public Works - 1