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Home My WebLink AboutQuote Opening - Chippewa Avenue Emergency Repairs Proj No. 116-083F - SelgeDate: Address: CITY OF SOUTH BEND, INDIANA CONTRACTOR'S QUOTE FOR PUBLIC WORK PROJECT NAME: PROJECT NO. QUOTES DUE (Must be completed for all quotes. Please type or print) 10/20/16 Firm: Selge Construction Co., Inc. 2833 S. 11th Street City/State/Zip: Niles, MI 49120 Telephone Number: ( 269) 684-0842 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: Chippewa Avenue Emergency Repairs the City of South Bend, Indiana, in accordance with plans, specifications and Addendum No. 1 prepared by: The City of South Bend, Department of Public Works and dated October, 2016 for the sum of (enter the Total Quote as shown on the Proposal) One Hundred Ninety Three Thousand Eight Hundred Eighty _($193,885.00 ) (Enter Sum of Total Quote plus Alternates shown on Proposal) (Numerical) Five Dollars & Zero Cents. If alternative quotes 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 quote is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. By 4'�.- / (signature) James Boyles, ice President (Printed Name of Person Signing) ACCEPTANCE The above quote is accepted this day of Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member James A. Mueller, Member Suzanna M. Fritzberg, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk 20 Version 9/1/2016 Page - 16 Public Works Quote QUOTE/PROPOSAL CITY OF SOUTH BEND PROJECT NAME Chippewa Avenue Emergency Repairs PROJECT NO. 116-083F QUOTES DUE October 20, 2016 -10:30 a.m. QUOTER'S NAME: Selge Construction Co., inc. c�souraa a�, 4Q 2 :J CJ YAC'P 1865 ItemNo. Description Quanti Unit Unit Price Total Amount 1 Mobilization and Demobilization 1 LS I� 7tJ�r!3 GC) 2 Construction Engineering 1 LS / CID-6 i f 060-06 3 Clearing Right -of -Way 1 LS 194 4 Present Structure, Remove Portions 1 LS IT �RaaD w�,�� 5 Pavement Removal 90 SYS 6 Common Excavation 154 CYS57/ , 00 7 Dewatering 1 LS �, ox. f fC) 3 coo • 1r) 8 Temporary Erosion and Sediment Control 1 LS � 6i6G?,o1) `lr/r 060- 66 9 Structure Backfill, Type 2 130 CYS �� Uo 10 Compacted Aggregate, No. 53 Base 43 TON LF[f , -qo 0 1 11 HMA Patching, Type B 37 TON If 360 ,DQ 4'tit / Lj0 06 12 PCC Base Patching, 8 inch 90 SYS �(�3. 1�5,-7/ 5 •00 13 Milling, Asphalt Removal 90 SYS /U oC1 �r 14 CMA, Intermediate 11 19 TONc� 15 D-1 Contraction Joint 40 LIFT �j N °O tv0 <QC) 16 Retrofit Tie Bars 12 EACH 'OZ, 06 f ce> 17 Retrofit Load Transfer 36 EACH 4,2t, 4 18 Riprap, Class 1 112 TONCl/ 19 Riprap, Revetment 17 TON v / TT 20 Geotextile 177 SYS /1 6, o ` ? 0 _ GY-) 21 Sodding 65 SYS •23/, q() 0 a 1 06 22 Concrete, High Early 25 CYS 1 00,06 70 757.C�C) 23 Concrete, Lean 28 CYS //0, �� Y"3' 0 oU Version 9/1/2016 Page - 20 Public Works Quote Item No. Description Quantity Unit Unit Price Total Amount 24 Field Drilled Hole in Concrete 9 EACH 04 25 Reinforcing Bars 3,475 LBS -16L 26 Patching Concrete Structures 21 SFT J7�tJJ�I 27 Arch. Structural Plate, Re-laid 31 LFT l b oQ 28 Arch. Structural Plate, Min Area 52 Sq. Ft. 31 LFT 7. J5 j a) $ l J/ 0G1SW 29 Maintenance of Traffic 1 LS 'T. C7C� Ar 900 .06 30 Line, Thermoplastic, Solid, Yellow, 4-Inch 176 LFT 'Oo V r37 •0() Total Amount of Quote $03� Firm: Selge Construction Co., Inc. Address: 2833 S. 11 th Street City/State/Zip: Niles, MI 49120 Telephone Number: 269, 684-0842 Fax Number: ( 269) r684-0846 By v - 4 C� pnature) James Boyles, Vice President (Printed Name of Person Signing) Version 9/1/2016 Page - 21 Public Works Quote 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 MICHIGAN ) BERRIEN COUNTY ) SS: 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 § 5-22-16.5-5, 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 Nan -Collusion Non -Debarment Affidavit Non Gan Form 2016.doc Page - 17 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 eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Non -Collusion Non -Debarment Affidavit Non Iran Form 2016.doe Page - 18 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). I hereby certify that I 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. 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 20th day ofOctober2016 Selge Construction Co., Inc. Contract rBidder (Finn) Signa re of Contractoridder or Its Agent James Boyles, Vice President Printed Name and Title Subscribed and sworn to before me this 20th dayof October 2016 My Commission Expires 07/25/2020 Notary Public County of Residence Non -Collusion Non -Debarment Affidavit Non Gan Form 2016.du pUBLIG MMISSI( tot EXPIRES 9'p 7. azs-zozo NCo.M Page - 19 .....1 1, MERCHAN BONDING COMPANY, MERCHANTS BONDING COMPANY (MUTUAL) P.O. BOX 14498, DES MOINES, IOWA 30306-3498 Bid Bond PHONE: (800) 678-8171 FAX: (515) 243-3854 CONTRACTOR: ('Jame, legal warns and address) Selge Construction Co., Inc. 2833 S. 1 lth Street Niles, MI 49120 OWNER: (Name, legal stares and address) City of South Bend, Indiana, Board of Public Works 227 W. Jefferson Blvd., Room 1316 South Bend, IN 46601 BOND AMOUNT: Five Percent (5%) of Accompanying Bid Bond Number: N/A SURETY: (Vance, legal status and principal place ojbusiness) Merchants Bonding Company (Mutual) A Cot oration 6700'Estown Parkway, West Des Moines, IA 50266 PROJECT: (Name, location or address. and Project number, ifan7) Chippewa Avenue (at Bowman Creek) Emergency Repairs, Project No. 116-083F South Bend, Indiana This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety 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 thejurisdiction 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 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 20th day of October, 2016 Selge Construction Co., Inc. (Prinr� pall (Seal)(Wrrne.rsJ _James Boyles, Vice President (True) -(rr'trnessy CON 0657 (2115) Printed in cooperation with Amerman I titute of Architects (AIA). The�ngaage in this document conforms exactly to the guage used in AIA Document A310-Bid Bond-2010 MERCHANTS BONDING COMPANY. POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Dawn M Pequignot; Elaine K Miller; Harold E Everett; J Kevin Hughes; Jada M Karst; Marie E Comparet; Melody S Hoerl; Thomas J VanDyck; Tom McGovern their true and lawful Attomey(s)-in-Fact, to make, execute, seal and deliver on behalf of the Companies, as Surety, bonds, undertakings and other written obligations in the nature thereof, subject to the limitation that any such instrument shall not exceed the amount of. FORTY MILLION ($40,000,000.00) DOLLARS This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 24, 2011. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attomeys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and authority hereby given to the Attomey-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State ofFlonda Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, It is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 22nd day of Aril 2016 .'`„<* ! ......',I'1' <l�`N�..... • MERCHANTS NATIONAL BONDING Co MERCHANTS BONDING COMPANY(MUTUAL) INC. xj 2C43 i.n`3 :% 1933- de : c.By 41 STATE OF IOWA * ..�` ••� •{T `.• COUNTY OF Dallas as, ••��hhnnr.MOr�� ••• ,.• President On this 22nd day of April 2016 before me appeared Larry Taylor, to me personally known, who being by me sworn did say that he is President of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. ,�rR'Ars sWENDY WOODY 0 W Commission Number 784654 z `°°° '- My Commission Expires �o'wP June 20 2017 Notary Publr , County, Iowa (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 2 0 � f __- yo October, .2p16- POA 0014 (6115) 2CO3 A' ;`s'• 1933 Secretary MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM The City of South Bend, Indiana has shown its commitment to addressing Minority Business ("MBE") and Women's Business Enterprise ("WBE") participation in public contracting through the adoption of the City of South Bend Ordinance No. 10081-11. 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 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 or disability that does not affect that person's ability to perform work. The goal for MBEM/BE participation for the purchase of work, labor, services, supplies, equipment, materials, or any combination in this project is 7.1% of the total bid amount, whether it be base bid or base bid plus alternate(s). Minority and Women's Businesses are described on the Indiana Department of Administration website: httoJ/www.in.ciov/idoa/. 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. Documentation shall be provided with the bid that states the MBE/WBE that will be contracted, the dollar amount of the work that will be performed on the project and the percentage of the dollar amount as it relates to the total bid amount by using Form MWBE-1.0, Proof of MBE/WBE Participation Goal Form. In the event the bidder cannot meet the MBE/1NBE participation goal set for this project, the award of the contract under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions requires the Contractor's good faith efforts to obtain participation by those Contractors classified as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE"). Failure to either meet the MBE/WBE participation goal set forth in this project or provide ALL the required evidence of good faith efforts with the bid will be grounds for rejecting a bid as non -responsive. The requirements that bidders shall supply as good faith efforts to have active participation from MBEs and/or WBEs on this Project is written documentation evidencing the efforts by using Form MWBE-2.0, Evidence of Good Faith Efforts and Form MWBE-2.1, MBEM/BE Contacted. Such documentation shall include but is not limited to the following items: a. A listing of all MBE/WBEs contacted including: (1) the name and address of the MBE/WBE; (2) the date of contact; (3) the type of contact (i.e. phone call, written solicitation, etc.); (4) the nature or type services or goods requested; and (5) the result of the contact. b. Written evidence of outreach and copies of email exchanges inviting and receiving quotes or other responses from MBE/WBE businesses or other documentations of efforts to encourage and secure competitive quotes from MBENVBE and local businesses to be included in the benefits of building this Project. c. Written documentation of letters of introduction, invitations to forging majority/minority strategic alliances for capacity building including but not limited to mentoring, extensions of assistance on payroll, insurance, bonding, line of credit, technical skills or business skills. All bidders are actively encouraged to reach out to the MBE/WBE businesses in St. Joseph County, Indiana and other local Indiana counties to utilize a good faith effort to forge constructive and lasting business partnerships. Notwithstanding the foregoing, the award and performance of all City contracts shall comply with applicable federal, state, and local laws. Version 7/28/16 Page - 22 Public Works Quote yiDIA� W m xF m O s g W y m C O r r W Q W N R aOf ZHOf ul w m0 a OZZ N N W LL 7 M 0m0 FF-W W V0W 3� 0 Z a r 0 2 g O O m O S c4) O) w C S s aE y d y C .o .N a`� Y lC0 Q ° O 3 �° 3 ° 0 . -0 •° o oa °°°c r U w m COF= Ogg w m a 3Q o° a m W w m m m U r it S t Ow c; LLm.E2� LL O- 0 %s LL « T 00 a m y a L o CL iy a� W y Q O y a to N y i C y y N O L C y y O E_ w_y °E 'a° y W ° m c 3: E m ° ° a- W E _ H C C.� 0 f6 10 0 wa�_` )I Dw Q Dw DW _ m N w � o f c w 3o m c E� C O o 0 0 O 0 QmE o m�V 0O 00 co o O N N N te y} O _ G �r1 E E -o `o c+ U ,q rc3 a3 wo U aw m (-O y 4-1 yQ a 0) U 4J W O� U O o U rtCi44 O U r. O UUUN111 C l r a4 H ON L H O O C 00 O ri I CD1�J N N N a� a EE N N M m a Z h I � Ln � u1 N w m co H Cj co N m E �Vo 0+jzv o m b Z H �z y H � ca H NMI p 0 Q m Uri AI E ❑ o Z U) p �Qro1 U] W P7 o oaEt{ � H co W U] > UUj M N a Karen Montgomery 'z ,�renmontgomery56@hotmail.com Re: South Bend Emergency Repairs <ie_ Oct 19, 2016, 12:22:04 PM Justin Butler - Fort Wayne to S. Bend Chippewa Ave. will not haul Class I or Class II Rip Rap. Revetment ;dip Rap $37,60 per hour Trucking only ( Selge buys Material) Hourly Rate $ 98.00 Per Hr. OT over 8 & Sat. Trucking only Thanks Karen From: Justin Butler <jbutler@selgeconstruction.com> Sent: Wednesday, October 19,_2016 3:10 PM To: Karen Montgomery Subject, 3011th Rent Frnergency Repairs Karen, Would you please quote me 120 Tons of Class I RipRap and 20 Tons of Revetment RipRap for the Chippewa Ave. Emergency Repair job in South Bend? I would also like trucking rates for the Ireland Road Storm Repair and Randolph Street Basin Repair. For the Randolph street basin I am trying to locate 494 CY of clay material and 200 CY of screened topsoil can you provide this? Thanks, .t!srl au±tef Project Manager/Estimator, Selge Construction Co.. Inc. V & R Trucking Inc. Certified WBE-DBE-MBE State of Indiana 1845 N. Elmer Street Phone:547-234-1268 Cell: 574-514-9418 FAX: 574-234-0748 Selge Construction Date: October 19, 2016 Attn: Justin Butler Subject: South Bend Emergency Repair Projects Rates: 2016 Trucking and hauling TRIAXLE $ 96.00 Per Hour Straight Time S 110.00 Per Hour Overtime & Saturday Thanks you for your time and assistance Thanks and have a great day! Veda. L God ette An Equal Opportunity Employer CITY OF SOUTH BEND `g5p6TO11 MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY vw�_ * DEVELOPMENT PROGRAM s r A 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 MBENVBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business as defined by the Indiana. Department of Administration ("IDOA"). Project Number: 116-083F Date: 10/20/16 Project Name: Chippewa Avenue Emergency Repairs Bidder: Selae Construction Co Inc Contact Person: James Boyles, Vice President Telephone:269-684-0842 Address: 9833 c 11th ctree- City: Niles State: Michigan Zip: 49120 Email: ibovles@selgggonstruction corn 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': T NCE OF GOOD FAITH EFFORTS BE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business rise Diversity Development Program, which uses the IDOA approved list of Minority and Women Business as found on their website (http://www.in.gov/idoa). N (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 MBE/WBEs of contracting and subcontracting opportunities. 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 MBE/WBEs 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 MBENVBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBENVBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. KMBEMT:BEs ALONTRACT(S): The bidder selected specific portions of the work to be performed by in order to increase the likelihood of meeting the MBENVBE goals (including breaking down trto smaller units to facilitate MBENVBE participation) CONTRACT RECORDS: The bidder has"maintained the following records for each MBE/WBE that has bid 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. • - -I-- d11�J. �. ww rdun Crrorr 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 7/28/16 Page - 24 Public Works Quote This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE 1 OF 2 Project Number: 116-083F MBE/WBE Participation Goal 7.1 % Project Name: Chippewa Avenue Emergency Repairs MBEAVBE Firm Wntgomery Trucking Owner or Contact at MBEAVBE Firm Karen Montgomery Telephone: 260-312-2632 Fax:260-444-4069 Email:karenmontgomery56@hotmail.corn TYPE OF WORK SOLICITED FOR THIS PROJECT Hauling class 1 rip rap RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Refused to haul material. MBEAVBE Firm Slusser r s Green Thumb Owner or Contact at MBE/WBE Firm John Williamson Telephone: 574-722-3102 Fax:574-722-2993 Email: JES@slussers.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Sodding RESULTS OF CONTACT WITH THE MBEAVBE FIRM: Quote accepted. Version 7/28/16 Page - 25 Public Works Quote This completed form should be supplied with Bids that pertain to City of South -Bend Public Works Projects requiring contacted MBE/WSE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. 'PAGE 2 OFF_ Project Number: 116-083F MBE/WBE Participation Goal 7.1% Project Name: _Chippewa Avenue Emer ency Repairs MBENVBE Firm State Barricading, Inc. Owner or Contact at MBENVBE Firm Mary Michalski Telephone: 574-287-2078 Fax: 574-287-1744 TYPE OF WORK SOLICITED FOR THIS PROJECT: Maintenance of traffic RESULTS OF CONTACT WITH THE MBENVBE FIRM: Quote accepted. MSENVBE Firm V & R Trucking, Inc. Owner or Contact at MBENUBE Firm Veda Godette Emairstatebarricade1@acl.com Telephone: 574-329-2101 Fax: 574-234-0748 Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: Trucking of materials and hauling removals off of project Items3456910 RESULTS OF CONTACT WITH THE MBE[WSE FIRM: Version 7/28/16 Page - 25 Public Works Quote 9 to w 0 ch A W (z Oo N n.oZ ..;�Gso��3@ @3<n am��ms � roWSJ-� w0',D C. 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JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAX 574/235-9171 TDD 574/ 235-5567 Crry OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: October 18, 2016 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: I Project Name: Project Number: Chippewa Avenue at Bowman Creek Emergency Repairs 116-083F ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: / 6 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 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Authorized Si; Date: 4f//(— Version 4/2/2015