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Bid Opening - Chet Waggoner Court Proj No. 116-005 - Woodruff
CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Chet Waggoner Court Project No. 116-005 For Bids Due August 18, 2016 PART (Must be completed for all bids. Please type or print) Date: August t8, 2016 Bidder(Firm): Woodruff & Sons, Inc. Address: 2125 East US Hwy 12 P.O. Box 450 City/State/Zip: Michigan City, IN Telephone Number: _( 219) 872-8605 Agent of Bidder (if Applicable): 46361-0450 N/A 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: City of South Bend Engineering Division and dated July 26, 2016 for the sum of (enter the Total Bid as shown on the Proposal) SEE ITEMIZED BID PROPOSAL ATTACHED ($ SEE ATTACHED - (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 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 City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. (Signature) Todd R. Bell (Printed Name of Person Signing) ACCEPTANCE The above bid is accepted this day of Subject to the following conditions: BOARD OF PUBLIC WORKS GaryA. 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 20 BID/PROPOSAL CITY OF SOUTH BEND Project Name Chet Waggoner Court Project No. 116-005 For Bids Due August 18, 2016 BASE BID Respectfully Submitted: WOODRUFF & SONS, INC. tk LG ., 1` ICti Item No. Description P Quantity Unit Unit price Total Amount 1. Construction Engineering 1 LS �[� 0— a,p0Go- 2. CPM Schedule 1 LS 000 — tr, 0w — 3. 4• CPM Monthly Update Mobilization and Demobilization 4 1 EA LS j 6[b� go 000 G/ 000 D Orb 5. Video Record 1 LS low - 7 000 6. Utility Allowance 5,000 DOL $1.00 $5,000.00 Cnrin 4lor A11.. ❑ nnn nr,l 8. _I --.. _. ...._.. _..__ Maintainin Traffic ..,., 1 — LS wl.vv /Soso— �Pn,uuu.uu ISOcn� 9. Sidewalk, Concrete, Remove, Undistributed 140 SYS 10. Pavement Removal, Undistributed 210 SYS ►�' 3/SO` 11. HMA for Patching, Type A, Undistributed 40 12 Detour Route Marker Assembly, Undistributed 5 EA 75- G177- 13. Road Closure Sign Assembly, Undistributed 5 EA 80 L100 •� 14. Inspection Hole, Undistributed 5 EA 1Too ' 9 so o 15. Structural Backfill, Type 2, Undistributed 100 CYS 27 - a 700 _ 16. Clearing of Right of Way 1 LS ar8lo - a5- $SO , 17. Curb, Concrete, Remove 16D LF (o - Y&O - 18. Pedestrian Light, Remove and Relocate 1 EA 860 - S (00 — 19• Pedestrian Light Foundation, Remove 1 EA Z 30 — 2 3o — 20. Excavation, Common 3650 CYS ,:?p ^ 71 000 21. Temporary Erosion Control 1 LS 111;L p jl 0 22• Temporary Silt Fence 2110 LF 2, �E- 23. Temporary Inlet Protection 14 EA /30l 24. No. 2Stone 100 TON ,0-' 25. Compacted Aggregate, No. 53, Base 1500 TON -- 26. HMA for Patching, Type 110 TON 83 9 /30' 27. HMA Surface, 9.5 mm 485 TON $$ ~ 4 -� f nA - Version 7/31/2015 Contractor's Bid for Public Works - 7 Respectfully Submitted: WOODRUFF & SONS,'INC. 28. HMA Intermediate, 19.5 mm 645 TON bo " 38 DOS 29. HMA Base, 25.0 mm 1930 TON W - Iqj Y70' 30. HMA for Sidewalk 14 TON lqo - /1 31. Curb Ramp, Concrete 19 SYS spy- s� ybS 32. Curb and Gutter, Combined 3320 LF /Pj" 3 % %60 33. PCCP For Approaches, 8" 390 SYS 8a 31 980 34. Mobilization and Demobilization for Seeding 1 EA 1"b370' 1160_ 35. Seeding and Topsoil 5100 SYS y rO ?,2 QSo - 35. Storm Sewer Pipe12" 810 LF - 33 -241,73D- 37. Storm Sewer Pipe 15" 350 LF 6 / aj 6co - 38. Storm Sewer Pipe 18" 250 LF - /0O Poo - 39. Storm Sewer Pipe24" 82 LF I/ 40. Sanitary5ewer, PVC SDR 35, 9IN 166 LF 6 9 - /0 ba4 41. Sanitary Sewer, PVC SDR35, 10IN 1606 LF HO' 64 a'to - 42. Sanitary Manhole 5 EA b,000- 30000- 43. Catch BasinK10 7 EA 2, Boo l96DO- 44. ManholeC15 3 EA /0 /Al;00- 45. Riprap Stone 60 TON 68 1osr6 46. Safety Metal End Section, Type 3, 24 IN 1 EA /, p0o - I Coca - 47. Geotextile Fabric 60 SYS - I ZO - 48. Irrigation Repair 260 49 Sign Post, Square, Type 2, Reinforced Anchor Base 19 50. Sign, Sheet With Legend 0.080 IN 6.3 SFT �o - I eLb 51. Sign, Sheet With Legend 0.100IN 18 77 1 - 52. Sign, Sheet With Legend 0.125 IN 7.5 SFT $ - �1 O - 53. Handhole, Lighting 1 EA f(j - 960 - 54. No. 4 Wire 565 LF- 55. Conduit, PVC, Schedule 80, 2 IN. 555 LF 8 - q, qqo - 56. MiscellaneousEquipment for Lighting 1 LS IIxo- 11000- 57. Light Pole Assembly 1 EA 3„moo- 3,300 - 58. Light Pole Foundation 2 EA 59. Line, Remove 640 LF a' / ago - 60. Transverse Marking, Liquid Thermoplastic Traffic Paint, Crosswalk, 6 IN 100 LF �I - 1� 1W a. Version 7/31/2015 Contractor's Bid for Public Works - 8 Respectfully Submitted: WOODRUFF & SONS, INC. 61. Transverse Marking, Liquid Thermoplastic Traffic Paint, Stop Bar, 24 IN 16 LF — 62. SalvageDecorativeBricks 1 LS 5000' S,000_ BASE BID TOTAL 805 a$O ADD ALTERNATE A: EXISTING DYLAN DRIVE INI FTR rYPANanN-inlNTc P Quantity Unit Unit Price Total Amount EDeDescription , Inlet, Adjust Expansion Joints 20 EA 2,000— Yb 006 — ning Traffic 1 LS 1,260- 1,a60' ALTERNATE A TOTAL V, 2(DO ADD ALTERNATE B: FLIR CAMERA DETECTION SYSTEM AT AMFRITFrN Amn r-I F1/FI Amn Item No Descri tion p Quantity Unit Unit Price Total Amount B1. Vehicle Video Detection System 4 EA J), 00 - '/71 — B2. Maintaining Traffic 1 LS I,�bo- 1, a6o ALTERNATE B TOTAL ADD ALTERNATF rr RFMAININn CTRFFT I If-WTC nkl cuoT lnln r_r_nuro nni for Item No. Description p _Wnn---__--.----.-. Quantity Total Amount Cl. Light Pole Assembly 3 7, 900 C2. Light Pole Foundation 3 C3. No. 4 Wire 1220C4. Conduit, PVC, Schedule 80, 2 IN. 1200 9, 6WC5. Miscellaneous Equipment for Lighting 1 l/ 070 C6. Tesco Cabinet with Single Service, Wiring, Etc 1 EA /D a 00 JO a00 ALTERNATE C TOTAL Bidder (Firm): - Woodruff & Sons, Inc. Address: 2125 East US Hwy 12, P.O. Box 450 City/State/Zip: Michigan City, IN Telephone Number: ( 219) 872-8605 46361-0450 By� (Signature) Todd R. Bell, Vice President (Printed Name of Person Signing) Version 7/31/2015 Contractor's Bid for Public Works - 9 Bid Bond CONTRACTOR: (Nnnte, legal slairw and addmm) Woodruff and Sons, Inc. 2125 E US Highway 12 Michigan City, IN 46360 Document A310TM - 2010 Conforms with The American Institute of Architects AIA Document 310 SURETY: IMnme, legal slnlus rod princJpal place rfhtrs•Ltrrs) Hartford Accident and Indemnity Company One Hartford Plaza Hartford, CT 06155 - 0001 Mailing Address for Notices OWNER: (Name. legal wales and oddr ess) , City of South Bend, Indiana Board of Public Works County City Building Room 1316 227 West Jefferson Blvd South Bend, IN 46601 BOND AMOUNT: $ 5% Five Percent of Amount Bid PROJECT: ¢hole. location or adds-n andProJectynnnber, if an ) Chet Waggoner Court Project No. 116-005 This document has Important legal consequences. Consultation with an attorney Is encouraged with respect to Its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety arc 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 Owmeraccepts 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(l) enters into a contract with the Owner in accordance with the temps 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 die 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 part)' ai perfimn the work covered by said bid, then this obligation shall be null and void, otherwise in, remain in full fboee and cll'ecl. The Surely hereby waives any notice of an agreement between the Owner and Contractor to extend the lime in which the Owner cony accept the bid.'kiriver ol'nolice by the Surely %hall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance ol'bids specified in the bid documents. and the Owner and Contractor shall obtain the Surely's consent fir an extension beyond sixty (60) da?:s. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the tone Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. 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 mid provisions confbmting to such statutory or other legal requirement shall be deemed incorporated herein. When so fiurnished, the intent is [hat this Bond shall be construed as a statutory bond and not as a common law bond. Signed and scaled this 10th day of August, 2016. e (IJ'intess) Michael A. Edinger C ;: f y (1Pioress) Torre Taylor S-0054/AS 8110 Woodruff and Sons, Inc. (Principal) (seal) By: (141e) Todd R. Bell. Vice President Hartford Accident and Indemnity Company !.Surer}) (set+11 c ff le) Wdllam Griffin Attomey-In-Fact Direct Inquiries/Claims to: Y THE HARTFORD Bond T-1 POWER OF ATTORNE2 One Hartford Plaza Hartford, Connecticut 06155 email: bond.claims@thehartford.com call. 888-266-34881 fax: 860-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Adencv Code: 21-212039 © Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut 0 Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana © Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana 0 Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint up to the amount of Unlimited Theresa J. Foley of Roslyn Heights NY, Ricardo Davila, William Griffin, Michael Marino, Torre Taylor of MIAMI, Florida their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on August 1, 2009, the Companies have caused these presents to be signed by its Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. A. .a,•. 7. � roe wf:± L9Ar ayr.e, .. 4 ,tiy� ` - Y ;}+e�a,� iaatMlb ? IHY9Y ��1Gy98d� 9 I978 y� «" y f v. '.t\� 'TH 9'e AY\ 4rv�wOw 4btH` tl John Gray, Assistant Secretary STATE OF CONNECTICUT ss. Hartford COUNTY OF HARTFORD M. Ross Fisher, Vice President On this 12th day of July, 2012, before me personally came M. Ross Fisher, to me known, who being by me duly swom, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. QA KaddeenT Maynard CERTIFICATE Notary Public My Commission Eapiies July 31, 2016 I, the undersigned, Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of August 10, 2016 Signed and sealed at the City of Hartford. 'alaa�l �Y,emPb�`� 5- i 00= 10 I` rea u'•n • gwaMa o' rp7p sc`.l 9� 8�� Kevin Heckman, Assistant Vice President POA 2012 F pµt'V OWN"4Np OPENA7Ep 44f"ICAN BUS10E55 SINCE JOAO Woodruff & Sons, Inc. PO. Box 10127 Bradenton, FL 34282-0127 Phone:941-756-1871 Fax:941-755-1379 Woodruff & Sons, Inc. P.O. Box 450 Michigan City, IN 46361 Phone:219-872-8605 Fax:219-879-5339 Equal Opportunity Employer CERTIFIED COPY OF THE RESOLUTION OF THE BOARD OF DIRECTORS OF WOODRUFF & SONS, INC. I, Michael A. Edinger, do hereby certify that I am the duly elected and qualified Assistant Secretary and keeper of the records and corporate seal of WOODRUFF & SONS, INC., a corporation organized under the Laws of the State of Indiana; and that the following is a true and correct copy of a certain resolution duly adopted at a meeting of the Board of Directors thereof, convened on the Fourth Day of December, 2015, and that such resolution is now in full force and effect. "BE IT RESOLVED that Donald P. Woodruff, Bruce R. Woodruff, Linda S. Wakeman, Todd R. Bell, and Michael A. Edinger or any one of them, be, and they are hereby authorized and empowered to execute in the name of this corporation, contracts and other documents, and that such documents bearing the signatures of any one, or all, of the aforementioned persons shall be valid and binding on the Corporation." IN WITNESS THEREOF, I have hereunto affixed my name, as Assistant Secretary, and have caused the corporate seal of said corporation to be affixed this 18th day of August. 2016. /A Michael . Edinger Assistant Secretary PART II (For projects of $100,000 or more — IC 36-1-12-4) 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. See attached 2. Attach a listing of public works projects currently in process of construction by your organization. See attached 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. See attached 4. Attach references from private firms for which you have performed work. See attached 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.) See attached 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. See attached 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. See attached 4. Attach a listing of equipment you have available to use for the proposed project. See attached 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. See attached 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. See attached Version 7/31/2015 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, 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: LaPorte COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its 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) 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 Version 7/31/2015 Contractor's 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 Contractors 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 18th day of A_ugust2o 16 Subscribed and sworn to before me this My Commission Expires January 2, 2024 Woodruff & Sons, Inc. Contractor/Bidder (Firm) Signature of Contractor/Bidder or Its Agent Todd R.Bell, Vice President Printed Name and Title 18thdayof August 20 16 No ubli County of Residence LaPorte JAYNE A. KARNER Seat Public - State of Indiana La Porte County [M:N:otary mission Expires Jan 2, 2024 Version 7/31/2015 Contractor's Bid for Public Works - 6 u Z v 3 CD O z O X 1 D Z O Gan r^m-q rz-< NCO m— Z-i N C - �(n2 0mm �mz 3� A m m 0 m cn CITY OF SOUTH BEND cYsq°''He.ti�f` MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY �t DEVELOPMENT PROGRAM FORMMWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBEIWBE 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 ("IDOA"). Project Number: 116-005 Date: August 18, 2016 Project Name: Chet Waggoner Court Bidder: Woodruff & Sons, Inc. Contact Person: Todd R. Bell Telephone: 219-872-8605 Address: 2125 East US Hwy 12P.O. Box 450 City: Michigan City State: IN zip: 46361-0450 Email: toddb@woodruffandsons.com 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.gov/idoa). ACTION (ADVERTISE/CONTACT): In order for your bid tobe 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 MBFJWBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/ortrade 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 MBE/WBEs 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 MBE/WBE 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 MBE/WBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBEWBEs 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 MBEIWBEs in order to increase the likelihood of meeting the MBEANBE goals (including breaking down contracts into smaller units to facilitate MBE/WBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has bid on the subcontracting opportunity: 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 MBE/WBE was unqualified to perform the job. "Proper demonstration of Good Faith Effort requires your initials next to all 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 Contractor's Bid for Public Works - I I CITY OF SOUTH BEND K�4, MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORMMWBE-2.1 MBE/WBE CONTACTED.in° 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 2 Project Number: 116-005 MBEA1VBE Participation Goal 7.1% Project Name: Chet Waggoner Court Bidder: Woodruff & Sons, Inc. By: Vice President August 18 2C (Signature) Todd R. Bell (Title) (Date) MBENVBE Firm Premium Concrete Services, Inc. Owner or Contact at MBE/WBE Firm_ Jeremy Jankoyi ak Telephone: 574-264-0196 Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: Concrete RESULTS OF CONTACT WITH THE MBENVBE FIRM: Quote received MBENVBE Firm State Barricading Owner or Contact at MBENVBE Firm Mary Telephone: 574-287-2078 Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT. Traffic Control RESULTS OF CONTACT WITH THE MBENVBE FIRM: Quote received Version 7/31/2015 Contractor's Bid for Public Works -12 CITY OF SOUTH BEND ^eavTyvF>,., MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM I€+ FORM MWBE-2.1 ell MBE/WBE CONTACTED ,toy 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 2 OF 2 Project Number: 116-005 MBEA/VBE Participation Goal 7.1% Project Name: Chet Waggoner Court Bidder: Woodruff & Sons, Inc. By: 77— 'c./3Le, Vice Precirient Aumrct 1R 9nt MBEANBEFirm Hawk Enterprises, Inc. Owner or Contact at MBE/WBE Firm f: ran Telephone: 219-662-8090 Fax: 219-662-8093 Email: TYPE OF WORK SOLICITED FOR THIS PROJECT. Signals and Lights RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Quote received MBE/WBE 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: Version 7/31/2015 Contractor's Bid for Public Works -12 1316 C'OL'M Y-0I A B i L DIN W 227 W. IEFFFR.SON Buu[.EEAao SO( rII BEND, 1NDIAN:v 36,301-1830 Date: To: From Subject aouTxQ� t865 PHONr_ 574; 235 9251 FAX 574:235 9171 TDD 5741235-5567 O rY OF SOUTH BEND PETE Bli rTIGTEG, MAYOR BOARD OF PUBLIC WORKS August 12, 2016 All Bidders Linda M. Martin, Clerk, Board of Public Works Addendum Number: 1 Project Name: Chet Waggoner Court Project Number: 116-005 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: _August 15, 2016 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 herein. Company: Woodruff & SonsInc. Authorized Signature: Michael A. Date: August 15, 2016 Edinger SECTION I EXPERIENCE QUESTIONNAIRE 1. What public works projects has your organization completed for the one (1) year prior to the date of the current bid? Contract Amount Class of Work When Completed Name and Address of Owner Hobart Sanitary District $ 2,564,000 Drainage Improvements 2015 49th Avenue and South Liverpool Michigan City Redevelopment $ 136,400 Sewer Installation 2015 Commission, Dunes Plaza Phase III Michigan City Sanitary District $ 130,488 Sanitary Sewer 2015 Michigan Blvd Extension Project City of South Bend $ 295,888 Sewer Installation 2015 Western Ave Corridor Indiana American Water $ 916,521 Water Main Installation 2015 Polk Street and Van Buren Place/Street Michigan City Redevelopment $ 1,701,956 Road Improvements 2016 Wabash Street Improvements Michigan City Water Works Dept $ 268,000 Water Main 2016 Pottawattamie Park 2. What public works projects currently in process of construction? Class of Work When to be Name and Address of Owner Completed Space Center DBA La Porte, LLC Sewer Installation Au ust 2016 Thomas Rose Industrial Park E743,970 City of South Bend/Rieth Riley Storm Sewer Au ust 2016 One Wa Two Wa Conversion City Sanitary District Drainage Im rovements October 2016 Lazks ur Lane Drainage Improvements Franciscan Health/Tom and Blank $ 1,761,888 Underground Utilities June 2018 1 St. AnthonyHospital 3. Have you ever failed to complete any work awarded to you? NO If so, where and why? 4. Walsh Construction La Porte, IN Ken Warrick 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, complete the project, number of workers, etc. and any other information which you believe would enable the governmental unit to consider your bid.) **Woodruff & Sons, Inc. will construct the work of the project in accordance with Contract Documents as issued by the Owner and as prepared by the Engineer. 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. **Rieth-Riley and Walsh & Kelly, asphalt paving and concrete; Premium Concrete, concrete work; State Barricading, traffic control; Hawk Enterprise, signals and lights. 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 expect to require a bond. However, if you are unable to currently provide a listing, please understand, a listing must be provided prior to contract approval .**Not Determined at this time 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. 12 Loaders 14 Backhoes I Mobile Mixer 40 Trucks, Trailers, and Cars 3 Pavers 5 Dozers 2 Compactors I Vertical Drill 3 Rollers 3 Boring Machines 2 Concrete Breakers Trench Protection Equipment I Conveyor 5 Graders I Scraper 6 Wellpoint Systems, Pumps 3 Cranes 12 Compressors S. Have you entered into contracts or received offers for all materials which substantiate prices used in preparing your proposal? If not, please explain the rationale used which would corroborate the prices listed. **Yes. BID FORM NON -COLLUSION AFFIDAVIT OF PRIME BIDDER STATE OF INDIANA, COUNTY OF LA PORTE: Todd R. Bell , being first duly deposes and says that; 1. He is (Owner, VICE-PRESIDENT, Officer) of WOODRUFF & SONS. INC that Bidder has submitted the attached Bid; 2. He is fully informed respecting the preparation and contents of the attached bid and of all pertinent circumstances respecting such Bid; 3. Such Bid is genuine and is not a collusive or sham Bid; 4. Neither the said Bidder nor any of its Officers, Partners, Owners, Agents, Representatives, Employees, or Parties of Interest, including the Affiant, has in any way colluded, conspired, connived, or agreed, directly of indirectly with any other bidder, firm or person to submit a collusive or sham bid in connections with the Contract for which the attached Bid has been submitted or to refrain from bidding in connections with such Contract, or has in nay manner directly of indirectly, sought by agreement or collusion or communication or conference with any other Bidder, firm or person to fix the price or prices in the attached bid, or of any other bidder, or to fix any overhead, profit or cost element of the bid price of the bid price of any other bidder, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the Owner or any person interested in the proposed Contract, and 5. The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the Bidder or any of its agents, representatives, owners, employees, or parties in interest, including the afiant. Signed:_1�/� Title: Todd R. Bell, Vice President Subscribed and sworn to before me this 18th day of Au ust 2016 i ne . 1 �rner, Notary Public My Commission Expires: January 2. 2024 A Resident of: LA PORTE COUNTY, INDIANA JAYNE A. KARNER Seal Notary public - State of Indiana La,Pgrte County My Commission Expires Jan 2, 2024 CONTRACTOR'S CERTIFICATION DENYING ENGAGING IN INVESTMENTS IN IRAN I certify that WOODRUFF & SONS, INC. is NOT engaged in investment activities in IRAN as prohibited by Indiana Code 5-22-16.5-1, et seq. Todd R. Bell, Vice President Date: August 18, 2016 SEE: IC5-22-16.5-1, et seq. for these requirements AFFIDAVIT OF E-VERIFY COMPLIANCE COMES NOW, Todd R. Bell , being duly sworn upon my oath, state and affirm the following: 1. 1 am an adult, over the age of eighteen (18) year and am legally competent. 2. 1 have personal knowledge of the information stated in the affidavit. 3. 1 hold the position of Vice President with WOODRUFF & SONS, INC. and I am authorized to make the statements herein. 4. WOODRUFF & SONS. INC. is presently enrolled and participating in the E-Verify program operated and maintained by the Department of Homeland Security and Social Security Administration. 5. WOODRUFF & SONS, INC. has screened its employees through E-Verify and determined that it does not employ any unauthorized aliens. FURTHER AFFIANTSAYETH NOT. Dated this 18t" day of August 1 2016. Todd R. Bell, Vice President STATE OF INDIANA COUNTY OF LAPORTE ) On this 18th day of August , 2016 TODD R. BELL personally appeared before me and being duly sworn upon his/ her oath attested to the above and foregoing as true and correct. N a ublic: Jayne A. Karner Commission Expires: January 02, 2024 My County of Residence: LaPorte ENotary YNE A. KARNER Seal ublic State of Indiana a Poste County ,;���Ns Ian 2. 2024 E-VERIFY ENROLLMENT AGREEMENT Pursuant to Indiana Code 22-5-1.7, WOODRUFF & SONS. INC. agrees to enroll in and verify the work eligibility status of all newly hired employees through E-Verify program, operated and maintained by the Department of Homeland Security and Social Security Administration. However, WOODRUFF & SONS. INC. shall not be required to verify the work eligibility status of all newly hired employees through the E-Verify program, if the E-Verify program ceases to exist. COPIES OF THIS NOTICE WILT BE POSTED BY THE CONTRACTOR IN CONSPICUOUS PLACES AVAILABLE TO EMPLOYEES AND APPLICANTS FOR EMPLOYMENT. COPIES OF THIS NOTICE ARE TO BE FURNISHED BY THE CONTRACTOR TO LABOR UNIONS OR OTHER ORGANIZATIONS OF WORKERS, APPRENTICESHIP AND TRAINING PROGRAM SPONSORS, AND EMPLOYMENT REFERRAL AGENCIES. ........................................................................................... NOTICE OF NONDISCRIMINATION IN EMPLOYMENT TO: LABORERS INTERNATIONAL UNION OF NORTH AMERICA, LOCAL 81 3502 Enterprise Avenue, Valparaiso, IN 46383 INTERNATIONAL UNION OF OPERATING ENGINEERS, LOCAL 150 2193 W. 84a` Place, Merrillville, IN 46410 INTERNATIONAL BROTHERHOOD OF TEAMSTERS, LOCAL 135 4337 S. Ohio Street, Michigan City, IN 46360 The undersigned currently holds, or represents contractors or subcontractors who currently hold, contracts or subcontracts and may in the future bid on contracts or subcontracts which are subject to the provisions of Executive Orders 10925 of March 6, 1961, as amended, and 11114 of June 22, 1963 and 11246 as amended on September 25, 1965. You are advised that under the provisions of these contracts and in accordance with Executive Orders, contractors and subcontractors are obliged to take Affirmative Action to provide equal employment opportunity without regard to race, creed, color, sex, sexual orientation, gender identity, military service, national origin, disability, or age. This obligation includes, but is not limited to, the following: HIRING, PLACEMENT, UPGRADING, TRANSFER, OR DEMOTION RECRUITMENT, ADVERTISING, OR SOLICITATION FOR EMPLOYMENT TREATMENT DURING EMPLOYMENT RATES OF PAY OR OTHER FORMS OF COMPENSATION SELECTION FOR TRAINING INCLUDING APPRENTICESHIP LAYOFF OR TERMINATION This obligation extends so far as the responsibility of the undersigned is concerned, to any arrangement under which journeymen or apprentices are selected and referred for work on its project. This notice is furnished to you pursuant to the provisions of such contracts or subcontracts and Executive Orders 10925 and 11114 and 11246. Contractor: WOODRUFF & SONS, INC. Todd R. Bell By: Todd R. Bell, Vice President EEO Officer OEE-2(11/79) CERTIFICATION OF NON -SEGREGATED FACILITIES Each Bidder required to submit with his Bid a fully executed Certificate of Non -Segregated Facilities. AGREEMENT The Bidder certifies that he does not maintain or provide for his employees any segregated facilities at any of his establishments, and that he does not permit his employees to perform their services at any location under his control, where segregated facilities are maintained. The Bidder certifies father that he will not maintain or provide for his employees any segregated facilities at any of his establishments, and that he will not permit his employees to perform their services at any location under his control where segregated facilities are maintained. The Bidder agrees that a breach of this certification will be a violation of the Equal Opportunity clause in any contract resulting from acceptance of this bid. As used in this certification, the term "segregated facilities" means any waiting rooms, work area, restroom and washroom, restaurant and other eating areas, time -clocks, locker rooms and other storage or dressing areas, transportation and housing facilities provided for employees which are segregated by explicit directives or are in fact segregated on the basis of race, color, religion, or national origin, because of habit, local custom, or otherwise. The bidder agrees the (except where has obtained identical certification from proposed subcontractors for specific time periods) he will obtain identical certification from proposed subcontractor prior to the award of subcontracts exceeding $ 10,000.00 which are not exempt from the provisions of the Equal Opportunity clause, and that he will retain such certifications in his files. NOTE: The penalty for making false statements in offers is prescribed in 18 U.S.C. ss 1001. Official Address (including Zip Code): Woodruff & Sons, Inc. 2125 East US Hwy 12 PO Box 450 Michigan City, IN 46361-0450 Bidder: WOODRUFF & SONS. INC By: Todd R. Bell Title: TODD R. BELL, EEO Officer 04-23-15 f p0 1�Y OWNED 4ND pPEFATea 44'ENICAN SU51NE55 SINCE 1946 Woodruff & Sons, Inc. P.O. Box 10127 Bradenton, FL 34282-0127 Phone:941-756-1871 Fax: 941-755-1379 Woodruff & Sons, Inc. P.O. Box 450 Michigan City, IN 46361 Phone:219-872-8605 Fax.,219-879-5339 Equal Opportunity Employer August 18, 2016 CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS (If applicable) Woodruff & sons, Inc. 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 that 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. Todd R. Bell CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Chet Waggoner Court Project No. 116-005 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 X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and _X_ Certification of use of United States Steel Products or Foundry Products. Proof of MBE/WBE 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 X Form [MWBE-2.1]. x Acknowledge Receipt of 1 Addendum(s) included with the bid. y 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. X This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Woodruff & Sons, Inc. Date: August 18, 2016 By Authorized Representative: Signature:��� Print Name & Title: Version 7/31/2015 Contractor's Bid for Public Works -1