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Bid Opening - Demolition of Vacant and Abandoned Houses, Phase IX Proj No. 116-074 - Green Demolition
CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Demolition of Vacant and Abandoned Houses, Phase IX Project No. 116-074 For Bids Due August 18, 2 116 Date: Address: Agent of Bidder (if PART (Must be completed for all bids. P/Ie�� se type or print) � Bidder (Firm): t 1'tPIL//)1/I�i fi/M �1 <YCt��z// I art L ber: ( 3 / , ) ye9 S/7 `7 / Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: Demolition of Vacant and Abandoned Houses, Phase IX the City of South Bend, Indiana, in accordance with plans and specifications prepared by: The City of South Bend and date ",,',-,_,r for tbe sum of DIVISION A: rJE� ,a/Y�nI)in.fi, ivn )n Q �i i v i/ nro ;i f�HT, $ o DIVISION B• P / $/ a DIVISION C:av!//✓�- (Enter sum of Total Bid for each Division as 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 Sout nd. If. a bi is to be awarded on nit basis, the itemization of the units shall be shown on a se=Cf t� The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member ACCEPTANCE day of 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 1-21�- BID/PROPOSAL CITY OF SOUTH BEND Project Name Demolition of Vacant and Abandoned Houses, Phase IX Division A Project No. 116-074 For Bids Due August 18, 2016 Item No. Description Asbestos Abatement Demolition [LSUM] Greening Total Amount [LSUM] [LSUM] A-01 Demolition of 1226 COLLEGE ST HOUSE, GARAGE, FENCE $ 195D - $ / 4i 7� $ r A-02 Demolition of 1305 ELWOOD AVE HOUSE, GARAGE, FENCE $ A-03 Demolition of 1025 N JOHNSON ST HOUSE, GARAGE $�� A-04 Demolition of 1305 JOHNSON ST HOUSE, FENCE $ qQ0'— $13, $��©- $ Zp /V, A-05 Demolition of 1646 JOHNSON ST HOUSE, GARAGE, FENCE $ 6D_ I $ /3 ;Q,6D $606 A-06 Demolition of 1211 KINYON ST HOUSE, GARAGE, ACCESSORY $3q — $II,a5o $&W A 07 Demolition of 1414 O'BRIEN ST HOUSE ONLY $aL�/�j _ $�3 a� $�� A-08 Demolition of 1521 O'BRIEN ST HOUSE, GARAGE $�6d A-09 Demolition of 609 REX ST HOUSE, GARAGE, FENCE $/ J� — $[ A-10 Demolition of 904 SHERMAN AVE HOUSE, GARAGE, FENCE $����' $1a 7,j0 $(�C� A-11 Demolition of 906 SHERMAN AVE HOUSE, GARAGE $ $ja7�� Total Amount of Division A ASBESTOS ABATEMENT UNIT PRICING ON NEXT PAGE-> Version 7/31/2015 Contractor's Bid for Public Works - 7 AChaCtnC Ahafamant Unit Pricino Item No. Unit Pricing if Required Unit Add Per Unit Price 1. Removal, Management, and Disposal of Linear Feet $� 3 Duct Tape Material ContainingAsbestos r- L II. Removal, Management, and Disposal of Square Feet &0 $ 3� Duct WrapMaterial ContainingAsbestos Sr Removal, Management, and Disposal of 9 III. Floor Tile and Mastic Material Containing Square Feet $ 3,90 S� Asbestos IV. Removal, Management, and Disposal of Square Feet $ 3 9!� S� Plaster Material Containing Asbestos Removal, Management, and Disposal of V. Corrugated Sheet Material Containing Square Feet $ ! J20 ST v Asbestos Removal, Management, and Disposal of �v vl. Attic Insulation Material Containing Square Feet $ 3Q _ Asbestos Removal, Management, and Disposal of VII. Transite Siding Material Containing Square Feet $ — s~ Asbestos Bidder (Firm): Address: City/State/Zip: (Printed Name of Person Signing) Version 7/31/2015 Contractor's Bid for Public Works - 8 I e BID/PROPOSAL CITY OF SOUTH BEND Project Name Demolition of Vacant and Abandoned Houses, Phase IX Division B Project No. 116-074 For Bids Due August 18, 2016 Item No. Description Asbestos Abatement Demolition [LSUM] Greening Total Amount [LSUM] [LSUM] B-01 Demolition of 507 CLEVELAND AVE HOUSE, FENCE $��SQ— $�3O $ 47eo s��vp Demolition of 1028 W COLFAX B-02 HOUSE, MULTI -UNIT HOUSE, $ �9/ 0 - $ _-2a,7 _o $ / � _ Jo $ �0�,3/0 GARAGE 1 B-03 Demolition of 1614 FASSNACHT HOUSE ONLY ?(( $13 — (� $p1 /J O $ $13, /ffD B-04 Demolition of 1126 HARVEY ST HOUSE, FENCE $ �900 / _ $�7,%SO $��i B-05 Demolition of2275LAUREL ST HOUSE, GARAGE $ or $ /SU $49o$�3i35D B-06 Demolition of 1029 W OAK HOUSE ONLY $0790O — ``���1yy—'' $�%i 0 //� $( 150 ��jj $�LS.1JD /.J B 07 Demolition of 219 SEEBIRT HOUSE ONLY $ R(� 3a�0U— $/�.o�J�U $ a $ �21130 B-08 Demolition of 137 STUDEBAKER ST HOUSE, FENCE $ �lot�O $%3�a S0 $ $�lp 7J—D B 09 Demolition of 1146 THOMAS ST HOUSE ONLY $ �� $������ B-10 Demolition of 306 N WALNUT HOUSE ONLY $ lo�Q ^ $�� %� $� t/ $/7 B 11 Demolition of 717 W WAYNE ST DUPLEX ONLY {\ / $ /� $13i $�^� & $ `�� ASBESTOS ABATEMENT UNIT PRICING ON NEXT PAGE-> Total Amount of Division B Q Version 7/31/2015 Contractor's Bid for Public Works - 9 Achaetne Ahatamant Unit Pririna Item No. Unit Pricing if Required Unit Add Per Unit Price Removal, Management, and Disposal of Linear Feet $ Duct Tape Material Containing Asbestos II' Removal, Management, and Disposal of Square Feet p Ga o $ 34 Duct WrapMaterial ContainingAsbestos r SF Removal, Management, and Disposal of III. Floor Tile and Mastic Material Containing Square Feet $ ;3 Sr Asbestos IV. Removal, Management, and Disposal of Square Feet $ �� Plaster Material Containing Asbestos S Removal, Management, and Disposal of V. Corrugated Sheet Material Containing Square Feet $ Sj. SF Asbestos Removal, Management, and Disposal of VI. Attic Insulation Material Containing Asbestos Square Feet as $�_ VII. Removal, Management, and Disposal of Transite Siding Material Containing Asbestos Square Feet $ Sf Bidder (Firm): Address: City/State/Zip: Version 7/31/2015 Contractor's Bid for Public Works - 10 „1 IIt,, BID/PROPOSAL CITY OF SOUTH BEND n r lxn5 Project Name Demolition of Vacant and Abandoned Houses, Phase IX Division C Project No. 116-074 For Bids Due August 18, 2016 Item No. Description Asbestos Abatement Demolition [LSUM] Greening Total Amount [LSUM] [LSUM] C-01 Demolition of 1436 E BOWMAN ST HOUSE, GARAGE C-02 Demolition of 521 E BRONSON ST HOUSE ONLY $ (��7y C-03 Demolition of 1710 DUNHAM ST HOUSE, FENCE $ O �'� $ 4�06) $1517 C-04 Demolition of 1720 S KENDALL ST HOUSE, GARAGE, FENCE $ �cZ� 71D $ �UO $13,35D C-05 Demolition of 505 5 KOSCIUSZKO ST $ $ $ $�lo, lf/Vv 31%Zi HOUSE, FENCE C-06 Demolition of 1226 OAKLAND ST HOUSE, GARAGE C-07 Demolition of 313 E OAKSIDE ST HOUSE ONLY $� � $�� /��,,.,, $400 J/ $/���Y Total Amount of Division C L/O 7 n ASBESTOS ABATEMENT UNIT PRICING ON NEXT PAGE-> Version 7/31/2015 Contractor's Bid for Public Works - 11 Aehaaf^c Ahatamant ttnit Pririnn Version 7/31/2015 Contractor's Bid for Public Works - 12 AIA Document A310TM -2010 CONTRACTOR: (Name, legal status and address) Green Demoliton Contractors, Inc. 1427 W Dickens Ave Chicago, IL 60514 OWNER: (Vane, legal status and address) City aSouth Bend Indiana, Board a Public works 227 West Jefferson Blvd, Suite 1400 N. South Bend. IN 46601 SURETY: (,Vane, legal status and principal place of business) Developers Surety and Indemnity Company PC Box 19725 Irvine, CA 92623 BOND AMOUNT: 5% not to exceed Nine Thousand This document has important legal consequences. Consultation with an attomey 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. PROJECT: (None, location or address, and Project number, if any) Wreck & Removal - Demolition of Vacant and Abandoned Houses, Phase IX Project No. 116-074, Division A 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. "fhe 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 Surety, 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. 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 12th day of August, 2016 �—{w� Green Demolition Contractors, Inc. 7/` (Seal) (Fitness) .m ., nN n111m, 6 CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. Init. AIA Document A310— — 2010. Copyright @ 1963. 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: Yhis AIA" Document is protected by U.S. Copyright Law and Inwmationat Treaties. Unauthorized nproduction or distribution of this AIA' Dmumont. or any portion of it may result in seven civil and criminal penalties, and will be prosecuted to the maximum extent possible under the Jaw, / Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright@aia.org. Demo POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725, IRVINE, CA 92623 (949) 263,3300 KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each hereby make, constitute and appoint: ***David Kotula, Robert H. Walker, Joseph Maderak, Kathy Rzepa, David Parrilli, jointly or severally*** as their true and lawful Atlorney(s)-in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings and contracts of suretyship giving and granting unto said Attorney(s)-in-Fact full power and authority to do and to perform every act necessary, requisite or properto be done in connection therewith as each of said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and all of the acts of said Attorney(s)-in-Fact, pursuant to these presents, are hereby ratified and confirmed. This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January 1st, 2008. RESOLVED, that a combination of any two of the Chairman of the Board, the President, Executive Vice -President, Senior Vice -President or any Vice President of the corporations be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attorney(s) named in the Power of Attorney to execute, on behalf of the corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of either of the corporations be, and each of them hereby is, authorized to attest the execution of any such Power of Attorney; RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power ofAttorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond, undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective officers annd attested by their respective Secretary or Assistant Secretary this January 29, 2015. By: f'�°01y"AN.D Opt,PANVpc Daniel Young, Senior Vice -President e 4,*a,0RPo..4r�; "yy''i h-x,V ORPORgT 9 W z' OCT. 1936 6y. Mark Lansdon, Vice-Presidentoj-''q% "..-tow fi`_11�14 '10 �y 04/,c„nP�P a2 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On January 292015 before me, Lucille Raymond Notary Public ome Here mean Name and itle of to Officer personally appeared Daniel Young and Mark Lansdon Name(.) of Signer(a) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/herftheir authorized capacity(ies), and that by his/herftheir signature(s) on the instrument the person(s), or the entity upon behalf of LUCILLE RAYMOND which the person(s) acted, executed the instrument. Commission At 2001945 `+ Notary Public • Callfamla I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is Orange County true and correct. My Comm. Excites Det 13, 2018+ WITNESS my hand and official seal. Place Notary Seal Above Signature �q — Lucilltoykond, Notary Public CERTIFICATE The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby cer ify that the foregoing Power of Attorney remains in full force and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Power of Attorney are in force as of the date of this Certificate. TThi_s _Cer ificate is executed in the City of Irvine, California, this �172�f �uei day o'u �, e2 17! Cassie J. mastoid, Assistant Se Lary ID-1380(Rev.01/15) Document A310TM - 2010 CONTRACTOR: (Nome, legal status and address) Green Demoliten Contactors, Inc. 1427 W Dickens Ave Chicago, IL 60614 OWNER: (A,'ame, legal status and address) City of South Bend Indiana, Board of Public Works 227 West Jefferson Blvd, Suite 1400 N. South Bend, IN 46601 SURETY: (Name, legal status and principal place of business) Developers Surety and Indemnity Company PO Box 19725 Irvine, CA 92623 BOND AMOUNT: 5% not to exceed Fourteen Thousand 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. PROJECT: (,Name, location or address, and Project number, ifany) Wreck & Removal - Demolition of Vacant and Abandoned Houses, Phase IX Project No. 116-074, Division B 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 Surety 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) dai s. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the tenn 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 heref -our 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. Sig /I}G/d and sealed this 12th day of August, 2016 ---Gr en D u Ao ci " d(Seal) i t4i'tnessl (Title) micWrOugh - Ll�.,, tf`/1� Developers Surety and Indemnity Company _ _ "Seal) . /ritle)Davrd Parrilli Attorney -In -Fact CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. Init. AIA Document A310ra —2010. Copyright m 1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: The AIA" Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA' Document, or any portion of it, may result in sever, civil and criminal penalties, and will be prosecuted to the maximum extent possible under me law. / Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, wpynght@aia.org. 061110 POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725, IRVINE, CA 92623 (949) 263-3300 KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each hereby make, constitute and appoint: ***David Kotula, Robert H. Walker, Joseph Maderak, Kathy Rzepa, David Parrilli, jointly or severally*** as their true and lawful Attorney(s)-in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings and contracts of suretyship giving and granting unto said Attorneys) -in -Fact full power and authority to do and to perform every act necessary, requisite or proper to he done in connection therewith as each of said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and all of the acts of said Attorney(s)-in-Fact, pursuant to these presents, are hereby ratified and confirmed. This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January 1st, 2008. RESOLVED, that a combination of any two of the Chairman of the Board, the President, Executive Vice -President, Senior Vice -President or any Vice President of the corporations be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attorneys) named in the Power of Attorney to execute, on behalf of the corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of either of the corporations be, and each of them hereby is, authorized to attest the execution of any such Power of Attorney; RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond, undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective officersandattested by their respective Secretary or Assistant Secretary this January 29, 2015. AND �QtiS O,x. By; Daniel Young, Senior Vice -President ,..........�•OF; ., wyJ!4p0.POR4vFvyA OM OFtPOgyTcf`�' OCT. S h�V 6y. III Mark Lansdon, Vice -President :)_'''?%}•., /pW►,,,.••,''SRa"?� A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On January 29 2015 before me, Lucille Raymond Notary Public Dale Here Insert Nam. and Td..f the officer personally appeared Daniel Young and Mark Landon Name(s)oi Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized yY— capacRy(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of LUCILLE RAYMOND which the person(s) acted, executed the instrument. ii Commission N 2001945 `� Notary Public • California I certify under PENALTY OF PERJURY under the laws of the Stale of California that the foregoing paragraph is z orange County true and correct. M Comm. E ires Oct 13, 2013+ WITNESS my hand and official seal. Place Notary Seal Above Signature LucilltRbyilrond, Notary Public CERTIFICATE The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETYAND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Power ofAttomey are in force as of the date of this Certificate. "A This Certificate is executed in the City of Irvine, California, this J a- day of ��i i1 2 d / 6 By: I./ "� Cassie J. visford, Assistant Se tary ID-1380(Rev.01/15) AIA Document A310TM -2010 CONTRACTOR: SURETY: (Name, legal status and address) (flame, legal status crud principal place of business) Green Dickens Contractors, Inc. Developers Sure and Indemnity Company Chic W,IL 60sAve x19 ry tY P Y Chicago, IL 606t4 PO Bar 19 This document has important legal Irvine, CA 9262623 consequences. Consultation with OWNER: an attorney is encouraged with (:lame, legal status and address) respect to its completion or City of South Bend Indiana, Board of Public Works modification. 227 West Jefferson Bivd, Suite 1400 N. South Bend, IN 46601 Any singular reference to Contractor, Surety, Owner or BOND AMOUNT: 5% not to exceed Fourteen Thousand other party shall be considered plural where applicable. PROJECT: (lame, location or address, and project number, if at?t) Wreck & Removal - Demolition of Vacant and Abandoned Houses, Phase IX Project No. 116-074, Division C The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Suretv 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 otherv, ise acceptable to the Owner, for the faithful performtmce of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, of (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 Suety 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 bey end sixty (60) days. If this Bond is issued in connection with a subcontractors 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. 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 12th day of August, 2016 �44a'(_ Green Demolition Contractors, Inc. (Witness) / Devel9Pers Surety and Indemnity Company _ CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. Init. AIA Document A310' - 2010. Copyright 01963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This AIA'' Document is protected by U.S. Copyright Low and international Treaties. Unauthorized reproduction or distribution of this AIA` Document, or any portion of i4 may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. t Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright@aia.org. asrnc POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725, IRVINE, CA 92623 (949) 263-3300 KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETYAND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each hereby make, constitute and appoint: ***David Kotula, Robert H. Walker, Joseph Maderak, Kathy Rzepa, David Parrilli, jointly or severally*** as their true and lawful Attorneys) -in -Fact, to make, execute, deliver and acknowledge, forand on behalf of said corporations, as sureties, bonds, undertakings and contracts of suretyship giving and granting unto said Attomey(s}in-Fact full power and authority to board to perform every act necessary, requisite or proper to be done in connection therewith as each of said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and all of the acts of said Attorney(s)-in-Fact, pursuant to these presents, are hereby ratified and confirmed. This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January 1st, 2008, RESOLVED, that a combination of any two of the Chairman of the Board, the President, Executive Vice -President, Senior Vice -President or any Vice President of the corporations be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attorney(s) named in the Power of Attorney to execute, on behalf of the corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of either of the corporations be, and each of them hereby is, authorized to attest the execution of any such Power of Attorney; RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond, undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective officers and attested by their respective Secretary or Assistant Secretary this January 29, 2015. ® *r..o"AND By: GUiu*�+ O F �.............iae nol'� Daniel YYoouung, Senior Vice -President �;o*P0R,�OCT. S By: _"�K �. 1938 ee Mark Lansdon, Vice -President :;'7� •,ioyy R,+�aa ` A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On January 29, 2015 before me, Lucille Raymond Notary Public Oats H. Insert Name and Tin. &Ne Mir personally appeared Daniel Young and Mark Lansdon Name(.) of 5gner(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of LUCILLE RAYMOND r which the person(s) acted, executed the instrument. Commission ♦ 2001945 Notary Public • California Orange County M Comm. Ex res Oct 13. 2018' Place Notary Seal Above I cedlfy under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. 4 n Signature - • '^ Luall y arid, Notary Public CERTIFICATE The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETYAND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Power of Attorney are in force as of the date of this Certificate. This Certificate is executed in the City of Irvine, California, this /a-77t day of By: Lassie 16, . rristord, Assistant Se tary ID-1380(Rev.01/15) ccSou1H$�ti 0 1316COUNrY-(-'I'rY BUILDING 'r PHONE 574.235-9251 227 W. JFFFERSON BOL'LFVARD _�a FAX 5741235-91'73 SourH BHND, INDIANA 46601-1830 u z ""^OY > FDD 574/ 235-5567 Y a „ 1865 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: August 10, 2016 To: All Bidders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Demolition of Vacant and Abandoned Houses, Phase IX Project Number: 116-074 ACKNOWLEDGEMENT /OF RECEIPT OF ADDENDUM Date Received: d — (_2-o /�P 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: Author Date: Version 4/07/2015 Special Provisions -1 AUG-15-2016(MON) 13:42 (FAX)773 477 7149 P.DDI Activity Report TX Date/Time Function No. Destination Duration P.# Result AUG-04 14:G2 Send *478 2628577617 0°00'42" 002 OR AUG-09 0 6 : 4 7 Send *482 8154399677 0°00'16" 002 OK 06:49 Send $483 18472577513 0°00'52" 002 OR 06:50 Send 484 17739025285 0°0054" 002 OK 06:52 Send a485 16305042638 0°00'53" 002 OK 07:50 Send *486 8 154 399677 0°00'16 002 OK AUG-ID 05:41 Send *489 8169887904 0'00'14" 002 OK 05:45 Send *490 17081891082 0°00'32" 002 OR 05:46 Send *491 8153980041 0'00'16" 002 OR 05:47 Send *492 847 593 8250 0°00'14" 002 OK 05:48 Send *493 847742661U 0°00'32" 002 OR 06:20 Send *494 0 O'OO'54" 002 OR 06:21 Send r495 2707690913 0 00'36° 002 OK 06:26 Send *496 2628577617 0°00'40 002 OR 06:27 Send 497 585 865 4002 0°00'36" 002 OK 06:30 Send *498 0 0°00'54° 002 OR 06:33 Send *499 2628577617 0°00'39" 002 OR 06:35 Send +500 0 D'00'55" 002 OK 06:37 Send t501 2707690913 0°00'38" 002 OK 06:38 Send *502 2628577617 0'00'41" 002 OR 06:41 Send *503 2628577617 0°0U'41" 002 OR 06:43 Send s505 585 865 4002 0'00'22" 002 OK 06:46 Send *504 585 865 4002 0°00'19" 002 OR AUG-12 08:23 Send +509 0 0'00'54" 002 OK 08:31 Send * 5 1 0 2628577617 0'0D'39" 002 OK 08:36 Send *511 2629577617 0'00'39" 082 OR 08:43 Send a512 0 0*00'52" 002 OR 08:45 Send +513 2707690913 0°00'36" 002 OK 08:55 Send t514 2628577617 0°00'40" 002 OR 08:56 Send *515 0 0°00'52" 002 OR 10:16 Send *517 18472299499 0°02'10" 004 OR AUG-15 06:35 Send +518 12194653689 6°02'13" 005 OK 11:05 Send 523 18472577513 0°0137" OG4 OR 11:08 Send 524 16305042639 0 0 1'39" 004 OK 11:13 Send 525 13124321071 0°00'28" 004 OR 13:41 Send 527 574 235 9171 0°00'28" DOI OR AUG-05 08:27 Reception *479 O'00'37" 001 OR 09:03 Reception *480 0'00'25' DOI OR AUG-08 06:52 Reception *481 18479289254 0'00'23" 001 OR AUG-09 12:48 Reception *497 8154399677 0'00'37" 003 OR 13:36 Reception e488 8154399677 0°00'43" 003 OR AUG-10 07:47 Reception a506 0°00'36" 001 OK 09:53 Reception *507 0°00'33" DOI OR AUG-I1 03:03 Reception *508 O'00'56" 003 OR AUG-12 09:07 Reception +516 0°03'35" 005 OK AUG-15 06:50 Reception 519 913 967 8849 0'00'31" 001 OK 07:34 Reception 520 0000'45" 002 OK 08:38 Reception 521 0'00'44" 001 OK 09:52 Reception 522 913 967 8849 0'00'47" 001 OR 12:33 Reception 526 952 954 2703 0'00'20" 001 0K � yooru eE o '�o 1316 COUNTY -CITY BUILDING ti PROM¢ 5741235-9251 227 W. JEFFERSON BOULEVARD J -^-` y FAX 574/ 235-9171 SOUTH BEND, INDTANA 46601-I830 TDD 574/ 235-5567 y a' 1865 CITY OF SOUTH BEND PETE BUTTIGIF,G, MAYOR BOARD OF PUBLIC WORKS Date: August 16, 2016 To: All Bidders From Linda M. Subject Ac Project Name: Project Number: Works Number: 2 Demolition of Vacant and Abandoned Houses, Phase IX 116-074 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: d — / 7 v?-o / 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: Authorized Signatun Date: Version 4/07/2015 Special Provisions -1 0-1 AUG-17-2016({PED) 08:49 (FAX)773 477 7149 P.001 Activity Report TX Date/Time Function No. Destination Duration P.# Result AUG-10 06:41 Send *503 2628577617 0'00'41" 002 OR 06:43 Send *505 585 865 40D2 0°00'22" 002 OR 06:46 Send *504 585 865 4002 0'OD'19" 002 OK AUG -12 08:23 Send +509 0 0°00'54" 002 OR 08:31 Send 510 2628577617 0°00'39" 002 OK 08:36 Send *511 2628577617 0°DO'39" 002 OR 08:43 Send *512 0 0°00'52" 002 OR 0 8 : 4 5 Send r513 2707690913 0'00'36" 002 OK 08:55 Send *514 2628577617 n°00'40" 002 OR 08:56 Send +515 0 0'00'52" 002 OR 10:16 Send *517 18472290499 0°02'10" OD4 OR AUG-15 06:35 Send *518 12194653689 0°02'13" 005 OR 11:05 Send +523 18472577513 0'01'37" 004 OK 11:08 Send #524 16305042638 0°01'39" 004 OR 11:13 Send *525 13124321071 0'00'28" 004 OR 13:41 Send +527 574 235 9 17 1 0'00'28" 001 OK AUG-16 07:40 Send 529 19726925684 0°00'52" OU2 OR 07:41 Send 529 19723335684 000 Busy 12:17 Send 530 847973D90O 0'01'09" 004 OR AUG -17 06:42 Send 531 1 0°01'03" 802 OR 06:57 Send 533 8154399677 0°00'16" 002 OK 06:59 Send 534 7D8 251 5912 O'00'38` OD2 OR 07:01 Send 535 17735250275 0°00'53" 002 OK 07:04 Send 532 18154369677 000 Busy 07:09 Send 536 19199697302 0°00'16" 002 OR 0 7 : I I Send 538 8472339227 0°00'25" 002 OK 07:17 Send 537 17734777149 000 Busy 07:19 Send 540 18472604760 0°00'55" 002 OK 07:22 Send 541 19199697302 0'00'16" OD2 OR 07:26 Send 542 17708872357 0°00'17" 002 OK 07:29 Send 543 941907OD30 0°00'17" 002 OR 07:32 Send 544 8479730900 0'00'39" 002 OR 07:35 Send 545 17083397509 0°00'55" 002 OR 07:39 Send 546 16308962697 0'00'16" 002 OK 07 41 Send 547 17735250275 0°00'52" 002 OK 07:43 Send 548 6305841550 0°D0'17" 002 OK 07:45 Send 549 13 124 32107 1 0'00'14" 002 OR 07:50 Send 550 18154361177 000 Busy 0 8 : 3 7 Send 552 574 235 9 17 1 0°00'29" 001 OK AUG-10 07:47 Reception *506 0°00'36" 001 OR 09:53 Reception f507 0'00'33" 001 OR AUG-11 03:03 Reception *508 0°00'55" 003 OR AUG-12 09:07 Reception *516 0°03'35" 005 OR AUG-15 06:50 Reception *519 913 967 8849 0'00'31" 001 OR 07:34 Reception *520 0°00'45" 002 OR 08:38 Reception +521 0°00'44" 001 OR 09:52 Reception *522 913 967 8849 0'00'47" 001 OR 12:33 Reception 526 952 854 2703 0'06'20" 001 OR AUG-17 07:16 Reception 539 888 388 3044 0'DO'23" 001 OR 07:47 Reception 551 913 967 9849 0'00'43" 001 OR 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. 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 II 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.) 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. 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. 4. Attach a listing of equipment you have available to use for the proposed 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. 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, 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% ) SS: ff h s�sbx� tom~ ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or 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. Version 7/31/2015 Contractor's Bid for Public Works - 4 Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as 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 ventures 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 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 1 and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder may result in forfeiture of contractual payments. *xx 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 L`f -day of , 20 L Name and Title Subscribed and sworn to before me this I)' "kday ofi My Commission Expires t D 1.2 U i Z-�—> / Notary Public County of Residence or Its Agent KELLY ANN LANG NOTARY PUBLIC — OFFICIAE State of Indiana, LaPorte CMy Commission Expires: Octob Version 7/31/2015 Contractor's Bid for Public Works -6 �p[i VP >� W a c O W C m O H LU W W W w IL 0 w 0 m W O K a j W h O Z Z 0) U) W LL 7 LL Om0 UE> OW z Z a t- K O z ow w_ o a O a C. N C c N EE d N N V N N C O N p LL� Y N O J O � a O O a 7 T O (L •y Z a o O = E P E m a O LL L � V � N F O m � U) T W d O a rL W T y � 2 U C O t W LL 't O a > LL O O IL N - a p .c m w O CL 3 � � L N y any � N a N L C y N N •O a v 0 m d O t C s 3 N N O E_v 10 E y m O dci E a O o ay O'j'C N i C p m m O o \ C p U w a pa \ a o c 0 0 E E 0 QW � m o y o m 2 M 1 S_ m m c D O ED t @ a@ a3 O T Y •� O @ D d U U @ N ¢ 0 U V 1 N Q o C 0 E2 N a 7 a o ao L � @ N S Z E E Z Y�a` 1v W m C J Vi m A v7 N D a E @ z � U s d a N E d N m 0 W, CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-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 MSEMBE 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"). �7 / Project Number: 116-074 Date: Project Name: Demolition of Vacant and AbandooJned Houses, Phase IX Bidder: PQ . iX.�D��`/07'I J l_.OfJ6AC7�Z'i✓S Contact Person: Address: Telephone:../2 [i!ZZ29�Z2-71 City: /^tfdo State: / Zip: Cy,f,(p/ r/' Email: 12Y14 P %� 1 S7 19,942 /7// 6 - "e /71 To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE 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 MBEIWBE 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 to be deemed responsive, the City of South Bend requires that all perspective bidders complete no less than 2 of the following: . 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 MBENVBEs reasonable time to respond. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBENUBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 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 MBE/WBE's with adequate information about the plans, specifications and other j requirements of the subcontract and did not reject MBEMBEs 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 MBENUBEs in order to increase the likelihood of meeting the MBENVBE goals (including breaking down contracts into smaller units to facilitate MBENVBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBENVBE 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 mrtrais next to au of the aoove oozes. 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 - 14 Mike Brough From: Kim Johnson [kimj.trucksrus@yahoo.comj Sent: Tuesday, August 16, 2016 2:54 PM To: Mike Brough Subject: Re: Invoices 092859 and 092860 from Trucks R Us Inc/Kennedy Expressline Mike, I will let Jim and Casey know. Good luck, will look forward to working with you again. Thank you, Kim Johnson Trucks R Us Inc 23942 State Road 2 South Bend IN 46619 kimj.trucksrusOyahoo.com From: Mike Brough <mike@greendemolitioninc.com> To: 'Kim Johnson' <kimj.trucksrus@yahoo.com> Sent: Tuesday, August 16, 2016 3:48 PM Subject: RE: Invoices 092859 and 092860 from Trucks R Us Inc/Kennedy Expressline Kim We would like to utilize your firm once again. We are actively bidding the Demolition of Vacant and Abandoned Houses, Phase IX Project for the City of South Bend August 18, 2016 and would appreciate your help in our success should we be low bidder. Thank you, Mike Brough Green Demolition Contractors , Inc. 773-477-7160 1 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.1` MBE/WBE CONTACTED so. This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBEIWBE 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 OF / Project Number: 116-074 MBENVBE Participation Goal 7.1% Project Name: Demolition of Vacant and Abandoned Houses, Phase IX Bidder: Cep - BY re -<-/ T J0— l (Signature) ��"" ((�� (Title) (Date) MBENVBE Firm one ✓ Ot 4-1 Owner or Contact at MBENVBE Firm Telephone: +n,39 4j/ S7fl0'7 Fax: � Email: / �}�,n�/� �/�,�,C/�Gf•SUP��y�j� TYPE OF WORK SOLICITED FOR THIS PROJECT: j /) !Q/) RESULTS OF CONTACT WITH THE MBENVBE FIRM: MBENVBE Firm Owner or Contact at MBENVBE Firm Telephone: Fax Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBENVBE FIRM: Version 7/31/2015 Contractor's Bid for Public Works - 15 Mike Brough From: Laura Henderson [I.henderson@intercity-supply.c:om] Sent: Wednesday, August 17, 2016 8:15 AM To: Mike Brough Subject: Re: Inter City Supply Re -Introduction Mr Brough, We will be glad to be the MBE/WBE for this project for your company. Laura Henderson Operations Manager > Ms. Henderson: > We are once again bidding on the Vacant and Abandoned Houses Project > South Bend Indiana, the current one is Phase IX. > As before, we would like to utilize your company in the event that we > are low bidder on the project. Mr. Schutkovske at Interstate > Environmental Services had put us in touch previously with the earlier > phases of the South Bend Projects. > Hoping we can do business together soon. > Thank you, > Mike Brough > Green Demolition Contractors Inc. > 773-477-7160 Sincerely, Laura Henderson Operations Manager Inter -City Supply Co., Inc 773-731-8007 Ext 773-731-9115 Fax 1 GREEN DEMOLITION 1427 W. Dickens Ave. Suite 200 Chicago, IL 60614 Office: 312-409-4771 Fax:773-477-7149 August 17, 2016 City of South Bend Indiana Board of Public Works South Bend, Indiana Projects Completed City of South Bend Demolition of Vacant and Abandoned Houses Phase V Various Properties throughout South Bend Indiana City of South Bend Demolition of PNA Building Wreck and Remove Building located at 2701 Western South Bend, IN City of Joliet 500 Shelby Wreck Removals of Structure City of Chicago 121 N. LaSalle Street 3rd, 4th, 5th, 7th and 1 lth Floor Selective Removals Village of Lemont 12890 Main - 10970, 80 and 90 Archer Wreck Removals of Four Structures City of Chicago 2023 South Ashland Emergency Hand and Wreck Removals of Dilapidated Building City of Chicago 3050 N. Rockwell Wreck Removals of Dilapidated Building Cook County Land Bank Authority Various Properties Chicago Land and Cook County Wreck Removals of Dilapidated Buildings Chicago Housing Authority 5040 North Kenmore Wreck and Selective Removals of Four Story Residential Building Chicago Zoological Society Brookfield Zoo Selective and Wreck Removals of Scales and Feathers Structure Respectfully submitted, Michael Brough, President Green Demolition Contractors, Inc. "Recycling Today For A Greener Tomorrow" GREEN DEMOLITION 1427 W. Dickens Ave. Suite 200 Chicago, IL 60614 Office: 312-409-4771 Fax:773-477-7149 Public Works Proiects in Progress Green Demolition Contractors Incorporated is currently under contract for the following Public Works Projects: Cook County Land Bank Authority $100,000.00 69 West Washington Boulevard Suite 2938 Chicago, Illinois 60602 on going / open ended contract Demolition and Deconstruction of Various Vacant and Abandoned Properties throughout Chicago Land and Suburbs. Respectfully submitted, Michael Brough, President Green Demolition Contractors, Inc. "Recycling Today For A Greener Tomorrow" GREEN DEMOLITION 1427 W. Dickens Ave. Suite 200 Chicago; IL 60614 Office: 312-409-4771 Fax: 773-477-71-49 August 17, 2016 City of South Bend Indiana Board of Public Works South Bend, Indiana Re: Demolition of Vacant and Abandoned Houses, Phase IX Information Regarding Failure to Perform Work Not Applicable Not Applicable. Green Demolition Contractors Incorporated has never failed in any way to perform or complete any work awarded since its inception. Please see a recent sample letter provided from our Bonding Company confirming same. Respectfully submitted, Michael Brough, President Green Demolition Contractors, Inc. "Recycling Today For A Greener Tomorrow" FA, AmTrust Surety An AmTrust Financial Company April 28, 2016 Indian Springs School District 109 7450 South 86th Ave Justice, IL 60456 Re: Green Demolition Contractors, Inc. 1427 W. Dickens #200 Chicago, IL 60614 To whom it may concern I have bonded this account since 2010 and in all these years have never experienced any claims or losses on any of our bonded projects. Based on our underwriting review and this contractor's past history, Developers Surety and Indemnity Company hold this firm in high regards and we are confident in their ability to complete their work. If you should have any questions please feel free to contact me. Sincergly, Wald Director of riting AmTrust Surety 1038 Oak Street Sugar Grove, IL 60654 630.466.4860 office 630.877.6225 mobile ronald. oeng ler(a)amtrustgrouo. com nny amtrustsurety.com 17771 Cowan, Suite 100 • Irvine, CA 92614 (p) 800.782.1546 • (f) 800.251.1955 • www.AmTrustSurety.com Realty Advisors July 14, 2016 To whom it may concern: Green Demolition has been retained by CR Realty Advisors, LLC in its capacity as a court appointed receiver on multiple projects in the last fives years. As a court appointed receiver and arm of the court, I have chosen to work with Green Demolition because of their straight forward business practices, fast response time, and on site safety protocol. Green Demolition has always demonstrated a positive attitude towards the common goal of completing a job. I know when I hire Green Demolition the scope of the work will be completed on time and to the proper specs. I could only hope all my vendors were as reliable as Green Demolition, CR Realty Advisors, LLC 325 West Huron, Suite 708 Chicago, Illinois 60654 Office: 312.332.7100 Fax: 312.332.7102 CR-RA.com GREEN] DEMOUTION 1427 hv. Diclumns Ave, Si iile 200 Chicago. IL 60614 Office 312-40n_4771, Fax 773-477-71:1" Section II Plan & Equipment Questionnaire "RecycHng Today For A GREEN DEMOLITION 14:27 W. Dickens Ave. Suite 200 Chicago: IL 60614 Office: 312-409-4771 Fax:773-477-7149 August 17, 2016 City of South Bend Indiana Board of Public Works South Bend, Indiana Re: Demolition of Vacant and Abandoned Houses, Phase IX Plan/Layout for Performing Work Green Demolition Contractors Incorporated will Mobilize upon Contract Award and Notice to Proceed. We will immediately proceed with properties requiring abatement and verify that the disconnects, etc for the remaining properties per discussions at the pre -bid held August 9, 2016 have been completed. Green Demolition Contractors Incorporated will then subsequently begin the wreck and removal process of properties that have been previously abated. All work is to be performed within the durations notice to bidders, specifications and addendums issued and received. Respectfully submitted, Michael Brough, President Green Demolition Contractors, Inc. "Recycling Today For A Greener Tomorrow" GREEN DEMOLITION August 17, 2016 1427 W. Dickens Ave. Suite 200 Chicago, IL 60614 Offica: 312-409-4771 Fax:773-477-7149 City of South Bend Indiana Board of Public Works South Bend, Indiana Re: Demolition of Vacant and Abandoned Houses, Phase IX Sub Contractors Previously Utilized Sub -Contractors Previously Utilized Abatement Interstate Environmental Services, Inc. 337 West 806 North Valparaiso, Indiana 46385 Phone: (219) 762-7724 Fax: (219)763-0609 Midway Contracting Group 7413 Duvan Drive Tinley Park, Illinois 60417 Phone: (708) 342-1200 Fax: (708) 342-1202 Hauling /Disposal Kennedy Express Line Inc. 4324 Ashard Drive South Bend, Indiana 46628 Phone: (574) 876-8821 Concrete Cutting & Sawing Cobra Concrete Cutting Services, Inc. 2416 East Oakton Street Arlington Heights, Illinois 60005 Phone: (773) 775-1111 Respectfully submitted, Michael Brough, President Green Demolition Contractors, Inc. "Recycling Today For A Greener Tomorrow" GREEN DEMOLITION 1427 W.Dickens Ave. Suite 200 Chicago, IL 60614 Office: 312-409-4771 Fax:773-477-7149 August 17, 2016 City of South Bend Indiana Board of Public Works South Bend, Indiana Green Demolition Contractors Incorporated proposes to complete their work utilizing the following Number of Men and Equipment: One (1) Union Operating Engineer per property Two (2) Union Laborers per property One (1) Caterpillar 320 Excavator with Grapple per property One (1) S300 Skid Steer with Grapple per property Respectfully submitted, Michael Brough, President Green Demolition Contractors, Inc. "Recycling Today For A Greener Tomorrow" Equipment List Green Demolition Contractors Incorporated city Description 8 Overseas Containers Convereted for Roll Off Truck 2 40 Yard Rolf Off Boxes 8 30 Yard Roll Off Boas 6 20 Yard Roll Off Boxes 4 10' Snow Pushers for Bobcat Custom Fabricated 1 Flat Deck for Roll Off w/ Built In Wench 1 20 Ton Flat Deck Trailer 1 10 Ton Flat Deck Trailer 1 Bobcat Tag Trailer 1 Tilt Deck Trailer 1 Flat Deck Single Axel 1 963 Bobcat 2 863 Bobcats 1 S-185 4 S•250 2 S-300 2 5-70 4 463 1 553 1 763 1 T300 1 853 1 Ingersol Rand Mason Lull 2 Lull Conversion Brackets 1 320 excavator Wrecking Pole 5 Wrecking Poles 1 80" Root Grapple Bucket 14 Grapple Buckets 4 Bobcat Hammers 15 Misc. Buckets for Bobcat 2 Terminators 2 320 Excavator Caterpillar 1 331 Excavator 1 432 Excavator 1 2011 GalbreathSemi Roll Off Trailer 2 65 Yard Roll Off Boxes 2 Excavator Hammers 1 Excavator Grapple Misc Hand Tools, Boxes, Equip i.e. Saw, Air Hammers, etc 1 Atlas Capco 185 Air Compressor 1 Ingersoll Rand 185 Air Compressor 1 Ingersoll Rand 250 Air Compressor 10 Cargo Trailers 1 Water Trailer 1 Lowboy Trailer Misc. Inventory Steel I Beams Misc. Inventory Lumber GREEN DEMOLITION Corporate Offices 1427 W. Dickens Ave. Suite 200 Chicago, IL 60614 Office: 312-409-4771 Fax: 773-477-7149 It is the policy of Green Demolition Contractors Incorporated LLC to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic that is protected by Federal, State or Local Law. In addition, Green Demolition Contractors Incorporated LLC will provide reasonable accommodations for qualified individuals with disabilities. Green Demolition Contractors Incorporated LLC's goal is to increase representation of women, people of color, veterans and individuals with disabilities. Our programs and training are designed to apply to all applicable federal, state and local laws, ordinances and regulations and cover all human resource actions including employment, compensation, benefits, training, education, tuition aid, transfers, promotions and social/recreational programs. Green Demolition Contractors Incorporated LLC CEO and senior leadership along with Local Branches of International Operating Engineers Union and International Brotherhood of Laborer's Union regularly receive and review affirmative action reports and monitor progress, reinforce policies and hold the organization accountable to meet objectives. Michael Brough, President and Norman Bennett, Business Manager are responsible for leading Green Demolition Contractors Incorporated LLC's affirmative action efforts and ensuring that the principle of equal employment opportunity is understood and followed. The Human Resource head, is responsible for local efforts. All members and management must be familiar with this policy, must fully support it and are responsible for applying these principals in good faith. All employees are responsible for conduct consistent to demonstrate respect for all co- workers. All statements are posted in the Corporate Office and in the HR Office and may be reviewed by applicants and employees on weekdays during normal working hours. Michael J. Brough President and Chief Executive Officer "Recycling Today For A Greener Tomorrow" Green Demolition Contractors Incorporated GREEN Company Policy Green Demolition Contractors Incorporated recognizes that all businesses can have a direct or indirect impact on their local, regional, and global environment. As a result Green Demolition Contractors Incorporated has developed a Green Policy in order to minimize their environmental impact. Efficient Use of Energy Green Demolition Contractors Incorporated and its staff use and purchase energy star -compliant hardware whenever possible. Encourage Conservation Green Demolition Contractors Incorporated staff and employees are encouraged to conserve energy whenever possible. Minimize Waste Green Demolition Contractors Incorporated staff sends sales quote via email unless the customer specifically requests that the quote be sent using an alternate communication channel. This is done in order to minimize paper waste. Recycle All Green Demolition Contractors Incorporated employees are encouraged to reuse paper for note -taking where appropriate refurbished equipment or parts are considered. ESD Option All of Green Demolition Contractors Incorporated titles are available electronically, unless the customer chooses to receive physical media Green Demolition Contractors Incorporated software and key codes are delivered electronically via download and email. Telecommuting Many Green Demolition Contractors Incorporated staff members telecommute, to help reduce our corporate carton emissions. Spread the Word Green Demolition Contractors Incorporated has added a Green Tips section to the Green Demolition Contractors Safety Manuals and Haz-Com Material Handouts to share their tips for being green. Green Demolition Contractors Incorporated is primarily an e-business. The vast majority of customer contact is virtual. Green Demolition Contractors Incorporated encourages all staff to conserve, reuse and recycle, Green Demolition Contractors Incorporated makes every effort to be an environmentally responsible GREEN DEMOLITION 1427 W. Dickens Ave. Suite 200 Chicago, IL 60614 Office: 312-409-4771 Fax: 773-477-7149 Purchasing Policy Statement of Purpose This shall be known as the Green Demolition Contractors Inc., Purchasing Policy. Its purpose is to ensure that Green Demolition Contractors Inc., purchases recycled and other environmentally preferable products whenever they meet cost and performance requirements. Definitions "Environmentally Preferable Products" means products that have a lesser impact on human health and the environment when compared with competing products. This comparison may consider raw materials acquisition, production, manufacturing, packaging, distribution, reuse, operation, maintenance, or disposal of the product. "Recycled Products" are products manufactured with waste material that has been recovered or diverted from solid waste. "Practicable" means sufficient in performance and available at a reasonable cost. "Cost" means the total expense of the product including the initial price, lifecycle costs, and disposal costs. "Price" means the initial expense to acquire the product. Statement of Policy Green Demolition Contractors Inc., shall purchase recycled and other environmentally preferable products whenever practicable. Green Demolition Contractors Inc., shall require contractors and consultants to use recycled and other environmentally preferable products whenever practicable. Statement of Procedure Green Demolition Contractors Inc., shall be responsible for coordinating implementation of this policy as follows: 1. Assign appropriate personnel to fulfill the requirements of this policy. 2. Research opportunities for procurement of recycled and other environmentally preferable products and communicate these to purchasing decision makers for evaluation and purchase. 3. Collaborate with specifying agencies to prepare or revise bid documents and contract language where necessary to implement this chapter. 4. Collect data on purchases by Green Demolition Contractors Inc., of recycled and other environmentally preferable products. "Recycling Today For A Greener Tomorrow" GREEN DEMOLITION 1427 W. Dickens Ave. Suite 200 Chicago, IL 60614 Office:312-409-4771 Fax:773-477-7149 5. Prepare and submit an annual report to Green Demolition Contractors Inc., by Jan 30th of each year, describing the progress of Green Demolition Contractors Inc., in implementation of the policy, including the following elements: a. Quantities, costs, and types of recycled and other environmentally preferable products purchased; b. A summary of savings achieved through the purchase of recycled and other environmentally preferable products; c. A summary of program promotional efforts; d. Recommendations for changes in procurement policy. 6. Promote the use of recycled and other environmentally preferable products by publicizing its environmental purchasing policy and its implementation. 7. Educating staff about the policy and listening to staff comments and suggestions. Exemptions Nothing in this policy shall be construed as requiring the purchase of products that do not perform adequately or are not available at a reasonable cost. Implementation This policy shall be effective immediately from the date of signature. Dated the. day of 2015 Signature "Recycling Today For A Greener Tomorrow" -OuTlf b 04 1d CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS ° Project Name Demolition of Vacant and Abandoned Houses, Phase IX Project No. 116-074 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.' -N, Y Proper bid security included. The bidder has the option of providing either a Certified Check V 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/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 Form [MWBE-2.1]. v Acknowledge Receipt of/`� Adden�um(s) included with the bid. ,q x),Ondvrrl-2, 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'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: By Authorized Signature: Date: 9 - 17 — IL Print Name & Title: c, C, ' . sa c, 9 L �Qp C� V) Version 7/31/2015 Contractor's Bid for Public Works - 1