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HomeMy WebLinkAboutQuote Opening - Ireland Road Storm Repairs Proj No. 116-083G - HRP ConstructionHRP CONSTRUCTION INC. t � QUOTE/PROPOSAL y 1 CITY OF SOUTH BEND ltlfi5 PROJECT NAME Ireland Road Storm Repairs PROJECT NO. 116-083G October 20, 2016 at 10:30 a.m. Local Time, with the intent to QUOTES DUE award on October 26, 2016 Base Quote: Item No. Description Quantity Unit Unit Price Total Amount 1 CONSTRUCTION ENGINEERING 1 LS —3 Soo 2 MAINTENANCE OF TRAFFIC 1 LS /0,DDo OrJ /CJ,poO. vo 4 MOBILIZATION AND DEMOBILIZATION 1 LS t/,SOO. 013 `i,Sov. z o 5 CURB, CONCRETE, REMOVE 65 LFT 10. 00 to so. oa 6 CLEARING RIGHT OF WAY 1 LS l g ROD. oo 7 FENCE REMOVAL 60 LFT A 0(:) 8 BORROW 46 CYD ys, 00 oj, 070. 00 9 NEW CHAIN LINK FENCE 50 LFT 3R. 00 /, 9 0o. 00 10 RESET CHAIN LINK GATE 1 EA boo, o0 SoC , 00 11 MOVABLE FENCE PANEL ASSEMBLY, 20 FT 1 EA 3 SOD. 00 3 Sao• O0 12 HMA PATCHING, TYPE C 22 TON ag5.vo (a a7o. v0 13 HMA SURFACE, TYPE C 5 TON 14 6" COMPACTED AGGREGATE No. 53, BASE 45 TON 35.00 1, 6 7S, 00 15 STRUCTURE BACKFILL 22 CYD -3 00 770. 00 16 REMOVABLE FLOWABLE FILL 40 CYD 8s, 00 5, yco. o0 17 FLEXAMAT 2520 SFT 18 CURB, CONCRETE 30 LFT ?S.Oo d,Sgj,00 Version 9/1/16 Page 16 Public Works Quote 19 REMOVE AND RESET CONCRETE PIPE 16 LFT laS oo L?, oov. nv 20 CONCRETE PIPE ANCHOR 1 EA c?, Soo. oo Suc , an 21 SODDING, NURSERY 60 SYD q.gt5 �y7.oc 22 PCCP FOR APPROACHES 70 SYD f "�5.0O S, '750- Uo 23 MILLING, ASPHALT, 11/2IN. 22 SYD 9s.00 SSo.00 24 CLEAN EXISTING 18" PIPE 105 LFT p o0 3 /So.no 25 ADJUST HANDHOLE TO GRADE 1 EA (pbO. op (qoo. 0O 26 PCCP, 9 IN. 40 SYD pb S Ooo,no Total Amount of Quote 18 Ste- 00 Firm: HRP CONSTRUCTION INC. Address: 5777 Cleveland Road, P.O. Box 266 City/State/Zip: South Bend, IN 46624 Telephone Number: ( 574) 271-7800 Fax Number: 574 271-0524 By (Signature)\ Matthew D. Cain, President (Printed Name of Person Signing) Addendum No. 1 Page 17 Public Works Quote you rug . CITY OF SOUTH BEND, INDIANA CONTRACTOR'S QUOTE FOR PUBLIC WORK PROJECT NAME: Ireland Road Storm Repairs PROJECT NO. 116-083G QUOTES DUE October 20, 2016 at 10:30 a.m. Local Time, with the intent to award on October 25, 2016 (Must be completed for all quotes. Please type or print) Date: 10/20/16 Firm: HRP CONSTRUCTION INC. Address: 5777 Cleveland Road, P.O. Box 266 City/State/Zip: South Bend, IN 46624 Telephone Number: ( 574) 271-7800 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: Ireland Road Storm Repairs the City of South Bend, Indiana, in accordance with plans and specifications and Addendum Number 1 prepared by: The City of South Bend, Department of Public Works and dated 1 0/1 2/1 6 1 for the sum of (enter the Total Quote as shown on the Proposal) See Attached ($ ) (Enter Sum of Total Quote plus Alternates shown on Proposal) (Numerical) 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. tk n s t e-awarded on a unit basis, the itemization of the units shall be s a on a s rat a I nt. By (Signature Addendum 1, 10/19/16 Matthew D. Cain, Presiden (Printed Name of Person Signing) The above quote is accepted this Subject to the following conditions: I Z�7_1:3�Z�l;�lr11�C�15'l�]:1�9 Gary A. Gilot, President Eliabeth A. Maradik, Member James A. Mueller, Member ACCEPTANCE day of Suzanna M. Fritzberg, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk 20 Addendum No. 1 Page 12 Public Works Quote When theprospective 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: St. Joseph COLJNTY 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: 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 Version 9/1/16 Page 13 Public Works Quote 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 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 MBEMIBE 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. Version 9/1/16 Page 14 Public Works Quote 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 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 of October 2016 HRP CONSTRAtKION INC. C ctor/B d 10 Signature of Contractor/Bidd is Agent Matthew D. Cain. President Printed Name and Title Subscribed and sworn to before me this 20th dayofOctober 12016 My Commission Expires 3/6/24 Notary�ndy Vanheste County of Residence St. Jos Version 9/1/16 Page 15 Public Works Quote 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, orjoint 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 MBE/WBE 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: http://www.in.gov/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/WBE 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, MBE/WBE Contacted. Such documentation shall include but is not limited to the following items: a. A listing of all MBEM/BEs 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 MBE/WBE 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 9/1/16 Page 18 Public Works Quote Julie Jackson From: Microsoft Outlook To: rbecker@premiumconcreteonline.com'; 'jmccormick@rieth-riley.com'; John Williamson Slusser's Green Thumb; 'chris@milestonefence.com'; Pioneer Associates, Inc.; 'max@premiumconcreteonline.com'; 'info@slussers.com'; 'tcs@tcspecialists.net' (tcs@tcspecialists.net); 'jwalter@upvinc.com'; 'dustinh@walshkelly.com'; joe.hile@specialtiescompany.com'; 'statebarricadel @aol.com'; barry@tcspecialists.net; 'nathanhart@midwesttile.net'; 'mbertsch@bertschfrank.com'; 'dsherwood@c- techinc.net' (dsherwood@c-techinc.net); 'dave@dblservicesinc.com'; Michael Rozycki (mrozycki@abonmarche.com); 'posse880@yahoo.com'; Linda 1 Gilroy (Ijg318 @sbcglobal.net); Dyer Vault Co., Inc.; 'kbowman@jprlsource.com'; 'nshanahan@klinktrucking.com'; LaPorte Construction; Earth Images, Inc.; Highway Safety Service, Inc.; 'kfaulkner@indianaSB.com' Sent: Tuesday, October 18, 2016 3:19 PM Subject: Relayed: Ireland Rd @ High St Emergency Repairs - Request for Quote Delivery to these recipients or groups is complete, but no delivery notification was sent by the destination server: 'rbecker@premiumconcreteonline com'(rbecker(a)nremiumconcreteonline com) 'jmccormick@rieth-riley.com' (jmccormick@rieth-rilev com) John Williamson Slusser's Green Thumb (JDW(cbslussers com) 'chris@milestonefence.com' (chris@milestonefence com) Pioneer Associates Inc (admin@pioneerassociatesinc com) 'max@oremiumconcreteonline.com' max(cbpremiumconcreteonline com) 'info@slussers.com' (info(cbslussers com) 'tcs@tcsoecialists.net' (tcs(&tcsoecialists net) (tcs@tcspecialists net) 'jwalter@uovinc com' (jwalter(aupvinc com) 'dustinh@walshkelly com' (dustinh@walshkelly com) 'ioe hile@soecialtiescompanv com' (joe hile@soecialtiescompanv com) 'statebarricadel@aol.com' (statebarricadel(cbaol com) barry@tcspecialists net (barrv@tcsoecialists net) 'nathanhart@midwesttile.net' (nathanhart@midwesttile net) 'mbertsch@bertschfrank com' (mbertsch@bertschfrank com) 'dsherwood@c-techinc net' (cisherwood@c-techinc net) (dsherwood(cbc-techinc net) 'dave@dblservicesinc com' (dave(c dblservicesinc com) Michael Rozycki (mrozycki(cbabonmarche com) (mrozycki(alabonmarche com) 'posse880(a@yahoo.com' (oosse880(a@yahoo com] Linda ] Gilroy (Ijg318gc sbcglobal net) 01018(a)sbcolobal net) Dyer Vault Co. Inc (kckarvasaleCla sbcglobal nett 'kbowman@iprlsource com' (kbowman(cajprlsource com) 'nshanahan(o@klinktruckincicom' lnshanahanaa klinktruckincicom) LaPorte Construction (Ischrad(allaoorteconstruction com) Earth Images Inc (davids(o)earthimagesinc com) Highway Safety Service, Inc, (mike.madrid(a)hss-mmco com) 'kfaulkner(aiindianaSB.com' (kfaulkner(o indianaSB com) Subject: Ireland Rd @ High St Emergency Repairs - Request for Quote PROPOSAL I� �CsIA-�t��II PREMIUM CONCRETE SERVICES, INC. /r� �Re��a*r.��p)TmC 712 Richmond Street. M\/a RETE Elkhart, IN 46516 SEBV{CES, INC. Contact: Jeremy Jankoviak Phone: 574-264-0196 Cell: 574-612-6405 Quote To: Job Name: 116-083G Ireland Rd. Date of Plans: HCSS #: 4517 Phone: Revision Date: Email: Fax: Date: PREMIUM CONCRETE IS DBE / WBE CERTIFIED ITEM I DESCRIPTION QUANTITY UNIT UNIT PRICE AMOUNT 4 Mobilization and Demobilization 1.00 LS 5,000.00 5,000.00 12 HMA Patching Type C 22.00 TON 358.00 7,876.00 13 HMA Surface Type C 5.00 TON 534.00 2,670.00 18 Combination Curb & Gutter "Type B 30.00 LET 65.00 1.950.00 22 PCCP for Approaches 70.00 SYD 85.00 5,950.00 26 PCCP.9IN. 40.00 SYD 100.00 4,000.00 NOTES: 1) Permits, bond, fees, inspection, testing, layout, licenses and engineering by others 2) All grade to be +/- 0.10'compaeted to specifications by others 3) Barricades and flag Control by others 4) Concrete wash out area to be provided by others 5) All (tubs for curb work must be spaced no more than every 25 If 6) Bid price firm for a period of 15 calendar days 7) Stringline, used by others will be set up once. Additional cost involved in resetting, adjusting, mobilization, etc. will be passed on to the prime contractor. Page 1 of 1 State Barricading Inc The Road To Success Is Always Under Construction' 24963 US 20 West South Bend, Indiana, 46628 Phone: 574 287-2078 Fax.- 574 287-1744 Qty Item # Description Maintaining Traffic- Includes 1 LS Set Up & Take Down, 7 Type A Signs, 1 Arrowboard & 20 Drums Unit Price $1,211.00 Lump Sum Extra Drums, If Needed Will Be $0.60 per day each DBE/WBE* Equal Opportunity Employer*Indiana Laborers*ATSSA Certified Quote Date: 10/1412016 Job # Ireland Rd Storm Sewer Repairs TO All Bidders Discount Line Total '.. $1,211.00 Subtotal $1,21100 t v V r ' N _N OL T N N Y L L O t U t - 3 a T • 3 w N a •L N m > m o 3 >1 W > J a c O - o < 0) (n O a = Q' z >. y N tL it W 0 V d 0 O Q O " N L WZa Cow0 On. 'U N O xrna wX d jZZ �a na W W L' W _r � 'O � Mm �w oma O �m 0 �ww V2> g°0=o a'y N Oo LL 0 0 cMM O LL 3 0.0 o' w z Q O ON ac�a o a X ILCL a Y R •a Y a~— O N' Z N 16 N ad 'o� W O m N 2 t N C ui E co 0 W C o d O O d ° 3 a L ca G m O O C e, N S C :EE O V/ C W CO O W m a c a a V c w m p_ � m W o o O Be �o`v o o ' a i m c N O 0 0 I n 0 0 O EU o aw 0 y N m a a o €v v� a� y C a 0 U O T ..� Y w od A o H O L H n_y W U •rl N O � U y N � U 'N N C m Up L N u n � U m E m E TY E? � w m m N W � m m fl] � U Z N U H N U Q H C Ni m tfJ W m m E E m Z N M L m m � o U] N [n N 3I W L 1� E m 7 U)n v 4 T 0 W CITY OF SOUTH BEND "Opt rJrbFta MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSIM It DEVELOPMENT PROGRAM FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS 1865 I his completed torm 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: 116-083G Date: 10/20/16 Project Name: Ireland Road Storm Repairs Bidder: HRP CONSTRUCTION INC. Contact Person: Matthew D. Cain, President Telephone: 574-271-7800 Address: 5777 Cleveland Road, P.O. Box 266 City: South Bend State: IN Zip: 46624-0266 Email: mattc®hrpconstruction.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 /WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business rprise Diversity Development Program, which uses the IDOA approved list of Minority and Women ed Business as found on their website (hftp://www.in.gov/idoa). ION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South t1. 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. 'V Perform any and all necessary to steps 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 MBENUBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBENVBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by MBENVBEs in 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. - Froper uemonsrranon of Goon Faun erron 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 20 Public Works Quote MBE/WBE CONTACTED FORM 2.1 CITY OF SOUTH BEND et of MINORITY AND WOMEN BUSINESS ENTERPRISE DIVER*rVo-- %k DEVELOPMENT PROGRAM s FORM MWBE-2.0 na " EVIDENCE OF GOOD FAITH EFFORTS 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 Project MBENVBE Participation Number: 116-083G Goal 7.1 Project Name: Ireland Road Storm ,.Repairs Bidder: _r s C INC. 0 Matthew D. Ca ident MBEMBE Firm **See Attached Owner or Contact at MBENVBE Firm Telephone: Fax Email TYPE OF WORK SOLICITED FOR THIS PROJECT: 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 7/28/16 Page 21 Public Works Quote BIDDER: HRP CONSTRUCTION INC Attachment to Form MWBE Form 2.1 Contractor List from IDOA's M/WBE Certified Businesses CONTRACTGOALS 7.1%MBE/WBE Ireland Road at Hieh Street Fmeroencv Rennirs M W ate Goods or B B Type of Dat70fRe' ponse ServicesCompany Name and Address "C-Tech E E Contact Email Addressor Fax# ConDue Requested Result Corporation, 5300 W 100 N, dsherwo0d@C- X ; Any Work mi ! terhinc_nef -. neue> ivo quote received p " Dyer Vault Co., Inc., 1750 Sheffield Ave, ^ X ` kckarvasale@sbcalo. i Any work ;Dyer, IN Email bal.net ° 10/16/116 10/19/16 Trades No quote received Earth Images, Inc., PO Box 267, ; davids@earthimapes Any Work j IGreenwood, IN I X i Email i mc.com SO/18/16 10/19/16 _._.. __ - Trades ( No quote received Safety Services, 32151mperial mlkemadrld@hss- PI Any Workwy, Lafayette, INEmail mmeo com 10/18/16 10/19/16 Trades No quote received diana Sign &Barricade, 5240E 25th An, Work [Highway Indianapolis, IN X1kfaulkner@lndianaSy Email B.COm10/18/16 1 10/19/16 " Trades No quote received Porte Construction, Inc., 4999 US-35, `Isehrad@laoorteeonsAny WorkPorte, IN _.._.._ 9 X ; Email trUCti0n.COm j b 10/18/16 a 10/19/16 ' Trades No quote received Pioneer Associates, Inc., 728 E400 N, , admin@pioneerasso # Any Work ' Albion IN # X Email clateslnc.com ; 10/18/16 10/19/16 ' Trades No quote received Premium Concrete Services, Inc.,712 ; Richmond St., Elkhart, IN X Email ' maX@oremiumconcr 10/18/16 10/19/16 Any Work Quote received too - eteonllne.com _ _ -. Trades high State Barricading, Inc., 24963 US 20 `V ''statebarrlcadel @aeL 3 ' X I Any Work Quote received used 1 West, South Bend, IN E Email COm r 10/18/16 10/19/16 Trades in bid ' _ iTraffic Control Specialists, Inc., 305 W. § X Any Work o Hamilton Dr Knox IN 1 Email tcs Otcspeclal lsts. net, 10/18/16 10/19/16 Trades No quote received TM _ IA Document A310 2010 Bid Bond CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place HRP Construction Inc. of business) P.O. Box 266 Fidelity and Deposit Company of Maryland This document has important legal South Bend, IN 46624-0266 Baltimore, MD consequences. Consultation with OWNER: an attorney is encouraged with (Name, legal status and address) respectto its completion or City of South Bend Board of Public Works modification. County -City Building Room 1316, 227 West Jefferson Blvd Any singular reference to South Bend, IN 46601 Contractor, Surety, Owneror 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) Ireland Road at High Street Emergency Repairs 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 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 14th day of October 2016 d. n• cti c,-- '�•�� r� (Pr' cc'P ) (Seal) (Witness) Na41cy Knapi , Sec/Treasurer Pr (Title) Matthew D. Cai resident (Surety) and Deposit C y of Maryland ( tY) (Seal) (Witness) (Title) Jennifer . Kasznia; Attomeyt Fact CAUTION: You should sign an original AIA Contract Document, on which-thiis text appears in RED. An original assures that changes will not be obscured. Init. AIA Document A010i° —2010. Copyright 0 1963,1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This 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 severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten n0) 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. 061110 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 are 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 y.x f IA i I' S p4 5,st 1aBa I/ W, Ij- 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 swom, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instr unent 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 ACOR& CERTIFICATE OF LIABILITY INSURANCE `� DATE(MMIOOIYYYY) 1 10/17/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Stacy Christlieb NAME: 1 Gibson Insurance Agency, Inc. 130 S Main St, Ste 400 P/C No Est: (BDD) 814-2122 qIC No: (S00)e3fi-2122 EMAIL schristlieb@gibsonins.com ADDRESS PO BOX 11177 INSURER(S) AFFORDING COVERAGE NAIC41 INSURERA.Amerisure Mut Ins Cc 23396 South Bend IN 46601-0177 INSURED INSURERS: IIRP Construction Inc. INSURER C: 5777 Cleveland Rd INSURER 0: PO Box 266 INSURERE: South Bend IN 46624-0266 INSURER F: COVERAGES CERTIFICATE NUMBER:9-1-16/17 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR L SI TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDOIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X�OCCUR EACH OCCURRE�111NCE $ 1,000,000 PREMISES Ea ouU �noe $ 1,000,000 X TeED E`P(Any one person) $ 10,000 xCU CPP20316441202 9/1/2016 9/1/2017 X Contractual Liability PER OONAL 3 ADV INJLWY $ 1,000,000 GENT AGGREGATE LWIT APPLIES PER POLICY 1"' LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMPIOPAGG $ 2,000,000 $ OTHER'. AUTO MOBILE LIABILITY CUNTWNE OLlh L01 1 Ea exitlern $ 1,000,000 BODILY INJURY (Per person) $ A X MY AUTO ALL OWNED SCHEDULED AUTOS AUTOS CA20316451202 9/1/2016 9/1/2017 BODILY INJURY(Peraccident ) $ NON -OWNED HIRED AUTOS X AUTOS X PROPERTY DAMAGE Per accident IT $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10 000 000 A EXCESS LIAB CLAIMS -MADE LED I X I RETENTION$ D $ CU20316431102 9/1/2016 9/1/2017 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? N❑ (Mandatory in NH) NIA WC203164211 9/1/2016 9/1/2017 X PEATUTE ETH E.L.EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1 000,000 fyes describeurder DESCRIPTION OF OPERATIONS below States of IS 6 MI EL DISEASE -POLICY LIMIT I $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Project: Ireland Road at High Street Emergency Repairs; Project No. 116-083G Certificate holder is additional insured with respect to general liability coverages regarding work performed by the insured. City of South Bend Board of Public Works 1316 County -City Building 227 West Jefferson Blvd South Bend, IN 46601 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ins Agency/STACYC © 1988-2014 ACORD ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) 1316 COLIN rY-CI I BUILDING 227 WAEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 Date: Octc To: All 1 From Lind Subject Addl Project Name: --- o W PRACF, � 1865 PHONE 574/235-9251 FAX 574/235-9171 TDD 574/235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS 19, 2016 M. Martin, Clerk, Board of Public Works Number: 1 Ireland Road at High Street Emergency Repairs Project Number: 116-083G ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: fG7 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: AF—/1 :1�1e� Authorized Signature: Date: w// s Version 4/2/2015