HomeMy WebLinkAboutBid Opening - MLK JR Center HVAC Revisions - Griffen P&HCITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Martin Luther King, Jr. Center HVAC Revisions
Project No.
For Bids Due
116-064
August 23, 2016
PART
(Must be completed for all bids. Please type or print)
Date: 6-23-16 Bidder (Firm): Griffen P&H, Inc.
Address: 2310 Toledo Road
City/State/Zip:
Elkhart IN 46516 Telephone Number: ( 574 ) 295-2440
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
Martin Luther King Jr. Center HVAC Revisions
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
ME Design Services
and dated 7-22-1 6 for the sum of (enter the Total Base Bid as shown on the Proposal)
('?w d .a. c IN MF L.U...r
(Enter sum of T al Base
I lcu vS ($ '3101 i3cx:) ao )
(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 separat
By (Signature)
The above bid is accepted this _
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
Todd P. Mike1
(Printed Name of Person Signing)
ACCEPTANCE
day of
David P. Relos, Member
Therese J. Dorau, Member
James A. Mueller, Member Attest: Linda M. Martin, Clerk
Version 7/3112015 Contractor's Bid for Public Works - 2
go
BID/PROPOSAL
CITY OF SOUTH BEND a
rxa�
Project Name Martin Luther King, Jr. Center HVAC Revisions
Project No. 116-064
For Bids Due August 23, 2016
. ± 11=0:1i.1
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
Provide new Gymnasium heating and air
conditioning equipment, removal of existing
Gymnasium heating and ventilating units
and replacement of boilers and various
Boiler Room accessories. Work also
Lump
1
includes removal/abatement of
1
Sum
approximately 140 lineal feet of TSI pipe
insulation and associated asbestos -
containing hard pack fittings from the
Boiler Room.
BASE BID TOTAL
AI TPRNATP it1
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
In lieu of the Base Bid Trane HVAC Units,
provide Daikin "Rebel" Model DPS020A
Units (2 required). All Specified
requirements for the Trane Units shall apply,
except that the Unit EER may be 11.1 and
1
the summer ERV sensible effectiveness
1
Lump
may be 0.76. The feeder size indicated for
Sum
the Trane units is still acceptable; however,
the overcurrent protection device shall be a
150A/3P HACR circuit breaker.
(ln ate whether amount is an add or a
duct.
Bidder (Firm): Griffen P&H, Inc.
Address: 2310 Toledo Road
City/State/Zip:
ALTERNATE 91 TOTAL i��,6C,'JO -
1.��-rt-T
-i
Elkhart, IN 46516 Telephone Number: ( 574) 295-2440
By
(Signature)
Todd P. Mikel
(Printed Name of Person Signing)
Version 7/31/2015 Contractor's Bid for Public Works - 7
= AIA Document A310TM -2010
Bid Bond
CONTRACTOR: SURETY:
(Name, legal status and address) (Name, legal status and principal place
Griffen P and H, Inc. of business)
2310 Toledo Road Fidelity and Deposit Company of Maryland
This document has important legal
Elkhart, IN 46516 Baltimore, MD
consequences. Consultation with
OWNER:
an attorney is encouraged with
(Name, legal status and address)
respect to its completion or
City of South Bend Board of Public Works
modification.
County -City Building, 13th Floor, Room 1316, 227 West Jefferson
Any singular reference to
South Bend, IN 46601
Contractor, Surety, Owner or
BOND AMOUNT:
other party shall be considered
Five Percent of the Total Bid ( 5% of Total Bid )
plural where applicable.
PROJECT:
(Name, location or address, and Project number, if any)
Martin Luther King, Jr. Center HVAC Revisions; Project No. 116-064
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) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the tern 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 18th day of August 2016
�Griffen P and H, Inc. i i��j�/'�• (Princi (Seal)
mess) �
C President
(Title) Toc Todd Mi el,
Fidelity and Deposit Company of Maryland
(Surety) (Seal)
(Witness)
(Titlel �nni�er LKas ia, A Fact
CAUTION: You should sign an original AIA Contract Document, on w h this text appears in RED. An original assures that
changes will not be obscured.
AIA Document A3101* - 2010. Copyright C 1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This AIA*
Init. 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 severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law.
/ Purchasers are permitted to reproduce ten (10) copies of this documentwhen completed. To report copyright violations of AIA Contract Documents, e-mail
The American Institute of Architects' legal counsel, copynght@aia.org. oium
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by
MICHAEL BOND, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which
are set forth on the reverse side hereof and me hereby certified to be in full force and effect on the date hereof, do hereby nominate,
constitute, and appoint Barbara E. PEARSON, Nicole L. BICKNELL, Mark E. WOBBE, Debra K. HULL, Jennifer L. KASZNIA,
William J. CERNEY, III, Theresa M. BURNS and Megan E. RIESENBERG, all of South Bend, Indiana, EACH its true and lawful
agent and Attomey-in-Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds
and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies,
as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the
ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL
AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By -Laws of said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 14th day of April, A.D. 2016.
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
teas
�p.-
By {i
Secretary Vice President
Michael McKibben Michael Bond
State of Maryland
County of Baltimore
On this 14th day of April, A.D. 2016, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, MICHAEL
BOND, Vice President, and MICHAEL MCKIBBEN, Secretary, of the Companies, to me personally known to be the individuals and officers described in
and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said
officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate
Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written.
Maria D. Adamski, Notary Public
My Commission Expires: July 8, 2019
POA-F 044-4495
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 7/31/2015 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:
Elkhart 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 MBENVBE; however, it may not unlawfully discriminate against
said WBE/MBE. A finding of a discriminatory practice by the City's MBEAVBE Utilization
Board shall prohibit that person or entity from being awarded a City contract for a period
of one (1) year from the date of such determination, and such determination may also be
grounds for terminating the contact for which the discriminatory practice or
noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination commitment shall
be made a part of any contract which it may henceforth enter into with the City of South
Bend, Indiana or any of its agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for
employment in the performance of this contract with privileges of employment, or any
matter directly or indirectly related to employment, because of race, religion, color, sex,
gender expression, gender identity, sexual orientation, handicap, national origin or
ancestry. Breach of this provision may be regarded as material breach of contract.
I, the undersigned bidder or agent as contractor on a public works project, understand my
statutory obligations to the use of steel products or foundry products made in the United
States (I.C. 5-16-8-1). 1 hereby certify that I and all subcontractors employed by me for
this project will use steel products or foundry products on this project if awarded. I
understand that violations hereunder may result in forfeiture of contractual payments.
Version 7/31/2015 Contractor's Bid for Public Works - 5
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid
for public works are true and correct.
Dated this 23rd day of Aug 2016
Griffen P&H, Inc.
Contractor/Bidder (Firm)
Signature of Contractor/Bidder or Its Agent
Todd P. Mikel, President
Printed Name and Title
Subscribed and sworn to before me this 23rd day of August , 20 16
My Commission Expires
6-23-22
TRISHA L MARTIN
Notary Public County of Residence
State8off IInncl ana
My Commission Expins June 23, 2022
Wary Public
Elkhart
Version 7/31/2015 Contractor's Bid for Public Works - 6
}
di
}
\
ƒ/
\j
\\
\\
03
(
0
a
a�
[
-
/}ƒ
s
}
ƒf§
CD
..
§ f %
ID
&\§
n
;&g
`
P.
CL rr _-
/
\
)�
§
(
-0.(¢
-
2
.
}
�
\\\
k
]
..
,
a
}k9
a
22g
E
,lm�r—Z
_}
(0
Co
/@q
B
(
-�
22§
\Ǥ
�E-q
\
§
t
;r
a®�
..
-
K!§;
CL
R;m
\
2§�
0
/§k
§
}
I=>
2
o0
�
£
)
17
Co
0\
;
/ )
\\
°
= 0
0
w;
ct
\dam
0
Sm
2.
/
/ m
m
� «�,
ouTk�
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY_a x.
DEVELOPMENT PROGRAM
FORM MWBE-2.0 ` r
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 MBE/WBE 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: 116-064 Date: B-23-16
Project Name: Martin Luther King, Jr. Center HVAC Revisions
Bidder: Griffen P&H, Inc.
Contact Person: Trisha Martin Telephone: 574-295-2440
Address: 2310 Toledo Road
City: Elkhart State: IN Zip: 46516
Email: tmartin@griffenph.com
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
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 to be deemed responsive, the City of South
Bend requires that all perspective bidders complete no less than 2 of the following:
1. Attend all pre -bid meetings scheduled by the City to inform MSE/WBEs_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.
3. Perform any and all necessary steps to provide written notice in a manner reasonably
calculated to inform MBENVBEs of subcontracting opportunities and allowed sufficient time for
them to participate effectively.
4. Utilize pre-existing services of available community organizations, small and/or disadvantaged
business assistance offices and other organizations that provided assistance in the
recruitment and placement of MBENVBE firms.
"Bidder must circle or otherwise notate which of the two (2) required actions were performed.
GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBENVBEs,
including providing such MBEANBE's with adequate information about the plans, specifications and
other requirements of the subcontract and did not reject MBE1WBEs as unqualified without sound
business reasons based on a thorough investigation of their capabilities.
SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by
MBENVBEs in 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 MBENVBE 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 - 9
CITY OF SOUTH BEND ty -VTxatm
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY/ G�-
DEVELOPMENT PROGRAM
FORM MWBE-2.1
MBE/WBE CONTACTED ` '""
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring contacted 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 1 OF 1
Project Number: 116-064 MBE/WBE Participation Goal
Project Name: Martin Luther King, Jr. Center HVAC Revisions
Bidder: Griffen P&H, Inc.
By: President 8-23-16
(Signature) (Title) (Date)
MBENVBE Firm Dudeck Roofing
Owner or Contact at MBENVBE Firm Greg
Telephone: 574-234-7912 Fax:574-234-2471 Email: help@dudeckroofing.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Roofing
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
No firm bid
MBE/WBE Firm Premium Concrete Serv; cps
Owner or Contact at MBENVBE Firm Matt Yeaky
Telephone:574-264-0196 Fax:574-266-5392 Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Concrete Work
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
No Bid
Version 7/31/2015 Contractor's Bid for Public Works - 10
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
Governmental Unit: City of South Bend
Bidder (Firm) Griffen P&H, Inc.
Date: August 23 2016
These statements to be submitted under oath by each bidder with and as a part of his bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
What public works projects has your organization completed for the period of one (1) year prior to the
date of the current bid?
Completion
Contract Amount
Class of Work
Date
Name and Address of Owner
$1,063,600,00
Mechanical
2/2016
Central Noble School
Akron, IN
$204,154.00
Mechanical
5/2016
Fairfield Community Schools
Goshen, IN
$565,617.00
Mechanical
6/2016
Battell Center
Mishawaka, IN
What public works projects are now in process of construction by your organization?
Expected
Contract Amount
Class of Work
Completion
Name and Address of Owner
Date
$2,156,890.00
Mechanical
8/2016
Fairfield Jr/Sr High School
Goshen, IN
$565,617.00
Mechanical
8/2016
Washington Gardens
Elkhart, IN
$153,305.00
Mechanical
8/2016
Angola Housing
Angola, IN
3. If you intend to sublet any portion of the work, state the name and address of each subcontractor,
equipment to be used by the subcontractor, and whether you will require a bond. However, if you are
unable to currently provide a listing, please understand a listing must be provided prior to contract
approval. Until the completion of the proposed project, you are under a continuing obligation to
immediately notify the governmental unit in the event that you subsequently determine that you will use a
subcontractor on the proposed project.
Griffen P&H Inc. uses only the most qualified and reputable subcontractors for any additional work
required on a project. Once contracted to perform work for this project Griffen will within three (3)
business days provide a listing of the names and addresses of all subcontractors to be used for this
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.
Once contracted to perform work for this project, Griffen will, within three (3) business days provide a
listing of all equipment to be used for this project.
5. Have you entered into contracts or received offers for all materials which substantiate the prices used in
preparing your proposal? If not, please explain the rationale used which would corroborate the prices
listed.
Griffen P&H, Inc. has not entered into any contracts in preparing our proposal. We have received bids
for materials which substantiate the prices used in preparing our proposal.
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial
statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to
the governing body awarding the contract must be specific enough in detail so that said governing body can make
a proper determination of the bidder's capability for completing the project if awarded.
3. Have you ever failed to complete any work awarded to you? No If so, where and why?
4. List references from private firms for which you have performed work.
Parker Hannifin Corp.
Homecrest (Masterbrand Cabinets)
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
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.)
Griffen P&H Inc.'s plan for performing proposed work will be as proposed in the plans and
specifications provided from ME Design Services.
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.
Griffen P&H Inc. uses only the most qualified and reputable subcontractors for any additional work
required on a project. Once contracted to perform work for this project, Griffen will within three (3)
business days provide a listing of the names and address of all subcontractors to be used for this
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name Martin Luther King, Jr. Center HVAC Revisions
Project No.
For Bids Due
116-064
23, 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.
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
Form [MWBE-2.1].
Proper bid security included. The bidder has the option of providing either a Certified Check
X or Bid Bond.
X Acknowledge Receipt of 3 Addendum(s) included with the bid.
X All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
X 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: Griffen P&H, Inc. Date: 8-23-16
By Authorized Representative:
Signature:
Print Name & Title: Todd P. Mlkel, President
Version 7/31/2015 Contractor's Bid for Public Works - 1