HomeMy WebLinkAboutQuote Opening - Ireland Road Storm Repairs Proj No. 116-083G - Walsh&KellyBID/PROPOSAL
CITY OF SOUTH BEND
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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
Base Quote:
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
I
CONSTRUCTION ENGINEERING
1
LS
$1,500.00
$1,500.00
2
MAINTENANCE OF TRAFFIC
1
LS
$2,500.00
$2,500.00
4
MOBILIZATION AND
DEMOBILIZATION
1
LS
$3,500.00
$3,500.00
5
CURB, CONCRETE, REMOVE
65
LFT
$20.00
$1,300.00
6
CLEARING RIGHT OF WAY
1
LS
$2,300.00
$2,300.00
7
FENCE REMOVAL
60
LFT
$8.00
$480.00
8
BORROW
46
CYD
$85.00
$3,910.00
9
NEW CHAIN LINK FENCE
50
LFT
$38.00
$1,900.00
10
RESET CHAIN LINK GATE
I
EA
$500.00
$500.00
I I
MOVABLE FENCE PANEL
ASSEMBLY, 20 FT
1
EA
$3,500.00
$3,500.00
12
LIMA PATCHING, TYPE C
22
TON
$285.00
$6,270.00
13
HAM SURFACE, TYPE C
5
TON
$425.00
$2,125.00
14
6" COMPACTED AGGREGATE
No.53, BASE
45
TON
$60.00
$2,700.00
15
STRUCTURE BACKFILL
22
CYD
$30.00
$660.00
16
REMOVABLE FLOWABLE FILL
40
CYD
$100.00
$4,000.00
17
FLEXAMAT
2520
SET
$7.00
$17,640.00
18
CURB, CONCRETE, REMOVE
30
LFT
$85.00
$2,550.00
19
REMOVE AND RESET
CONCRETE PIPE
16
LFT
$400.00
$6,400.00
20
CONCRETE PIPE ANCHOR
1
EA
$1,250.00
$1,250.00
21
SODDING, NURSERY
60
SYD
$40.25
$2,415.00
22
PCCP FOR APPROACHES
70
SYD
$125.00
$8,750.00
23
MILLING, ASPHALT, 1 1/2 IN.
22
SYD
$25.00
$550.00
24
CLEAN EXISTING 18" PIPE
105
LFT
$16.00
$1,680.00
25
ADJUST HANDHOLE TO GRADE
1
EA
$350.00
$350.00
26
PCCP, 9IN.
40
SYD
$151.21
$6,048.40
Firm:
Address
Inc.
24358 State Road 23
Total Amount of Quote $84,778.40
City/State/Zip: South Bend, IN 46614 Telephone
(Signature)
Dustin Hilary, Area Manager
(Printed Name of Person Signing)
Addendum No. 1 Page 17 Public Works Quote
oYspulx8��
CITY OF SOUTH BEND, INDIANA d
CONTRACTOR'S QUOTE FOR PUBLIC WORK
R
PROJECT NAME: Ireland Road Storm Repairs 1865
PROJECT NO. 116-083G
QUOTES DUE October 20, 2016 at 10:30 a.m. Local Time, with the intent to
award on October 26, 2016
(Must be completed for all quotes. Please type or print)
Date: October 20., 2016 Firm: Walsh & Kelly Inc.
Address: 24358 State Road 23
City/State/Zip: South Bend IN 46614 Telephone Number: ( 574 ) 2884811
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
Ireland Road Storm Repairs, Project No. 116-083G
the City of South Bend, Indiana, in accordance with plans and specifications and Addendum Number 1
prepared by:
The City of South Bend, Department of Public Works
and dated October 2016 1 for the sum of (enter the Total Quote as shown on the Proposal)
Eighty -Four Thousand Seven Hundred ntyfght Dollars Fourty ($ 84,778.40 )
(Enter Sum of Total Quote plus Alternates shown on Proposal) (Numerical)
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 t pplicabl age.
If additional units of material included in the contrac/reeeded, of units must be the same as
that shown in the original contract if accepted by a . If the quo is to be awarded on
a unit basis, the itemization of the units shall b howachm
ACCEPTANCE
The above quote is accepted this- day of
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Eliabeth A. Maradik, Member
James A. Mueller, Member
Suzanne M. Fritzberg, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
20
Addendum No. I 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 COUNTY )
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
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 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/WSE; however, it may not unlawfully discriminate against said
WBE/MBE. A finding of a discriminatory practice by the City's MBENVBE 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). 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
for public works are true and correct.
Dated this 20th day of October ,
Subscribed and sworn to before me
My Commission Expires May 4, 2018
County of Residence
in the foregoing bid
of Contractor/Bidder or Its Agent
Dustin HilaryArea Manager
Printed Name and Title
Public
J Fuchs
2016
of Ind
St. Joseph county
Commission Expires
Mav A. 2018
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, 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 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 MBEM/BE 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, 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 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 7/28/16 Page 18 Public Works Quote
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CITY OF SOUTH BEND o s°
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSIT _/ � ASS
DEVELOPMENT PROGRAM\r 'aY
FORM MWBE-2.0 7e
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included a7 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: sober 20.2016
Project Name: Ireland Road Storm Repairs
Bidder Walsh & Kelly. Inc
Contact Person: Dustin Hilary. Area Manager Telephone: 574-288-4811
Address: 24358 State Road 23
City: South Bend State: Indiana Zip: 46614
Email: info(cawalshkelly 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 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.
✓
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 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.
SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by
Y
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 MBE/WBE that has
bid on the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the 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 7/28/16 Page 20 Public Works Quote
CITY OF SOUTH BEND*4u
TyeFry>
of
\tyl
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVER
DEVELOPMENT PROGRAM
FORM MWBE-2.0
%a r
EVIDENCE OF GOOD FAITH EFFORTS
I his 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 OF
Project MBE/WBE Participation
Number: 116-083G Goal 7.1%
Project Na Ireland Road Storm Repairs
Bidder: lsh , nc.
By: Dustin Hilary, Area Manager October 20, 2016
( nature) (Title) (Date)
M BE Firm
ner 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
� -OUT11 BFM
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U - O
1316 COUNTY -CITY BUILDING � ' '� 2 PHONE 574/235-9251
227 W. JEFFERSON BOULEVARD FAX 574/ 235.9171
SOUTH BEND, INDIANA 46601-1830 1865 TDD 574/ 235-5567
CITY GF 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: Ireland Road at High Street Emergency Repairs
Project Number: 116-083G
ACKNOWLEDGEMENT, OF RECEIPT OF ADDENDUM
Date Received: October 18, 2016
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by faxing this sheet to the Board of Public Works at (574) 235-9171
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
Documents and become a Di
Company: Walsh &
Authorized
Date:
Version 4/2/2015
to the Specifications and Contract
Dustin
ADDENDUM NUMBER
IRELAND ROAD STORM REPAIRS
4 SOU TH 8E,
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y x
1865
City of South Bend, Indiana
Board of Public Works
Project No. 116-083G
October 18, 2016
TO: All bidders and others to whom
Project Documents for the above referenced project have been
issued.
The items included in this Addendum are to become a part of the original Contract
Documents as if included therein. Only these items are to be altered. The remainder of the
original Contract Documents maintains validity in their entirety.
Addendum No. 1 Page 1 Public Works Quote
CCHUBB GROUP OF INSURANCE COMPANIES
Surety Department, 15 Mountain View Road, P.O. Box 1615, Warren, NJ 07061-1615
CNUBB Phone: (908) 903-3485 • Facsimile: (908) 903-3656
AIA DOCUMENT A310Tm - 2010
BID BOND
Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable.
GUNIRAGIUR
(Name, legal status and address):
Walsh & Kelly, Inc.
24358 State Road 23
South Bend, IN 46614
OWNER
(Name, legal status and address):
SURETY (Name, legal status and principal place of business):
Federal Insurance Company
15 Mountain View Road
Warren, N.J. 07059
City of South Bend, Department of Public Works, 227 West Jefferson
Boulevard, Room 1316, South Bend, IN 46601
BOND AMOUNT:
Five percent (5%) of the total quote
PROJECT:
(Name, location or address, and Project number, if any)
City of South Bend, Department of Public Works
Ireland Road at High Street Emergency Repairs
Project No. 116-083G
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.
rnmeu in cooperation wan the Amencan Institute of Architects (AIA) by the Chubb Group of Insurance Companies. The language in this document
conforms to the language used in AIA Document A310 m- 2010.
Fom, 15-02-057SFED (Ed. 7.10)
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.
iKF1°°j°•
Signed and sealed this ` N .........<.4
9 20th day of 2,vctc.
, 1RPOR,1Walsh & = ®•a F
(PrincipCoip I
: e
(Witness) Pau Fuchs By: �i®i' AND ••°M N �`%`®•�
(Tale) ustin-Hilary, Area Man 40ttttt"",
(Witness) Terry Hurst
(Federal Insurance Company) (Corporate Seal)
By.
ey-in-Fact) Eric M. Wahlstrom
Printed in cooperation with the American Institute of Architects (AIA) by the Chubb Group of Insurance Companies. The language in this document
conforms to the language used in AIA Document A310 w. 2010.
Fa 15-0M575-FED(Ed. 7.10)
KI Chubb POWER Federal Insurance Company Attn: Surety Department
OF Vigilant Insurance Company 15 Mountain View Road
Surety ATTORNEY pacific Indemnity Company Warren, NJ 07059
II7MJY
Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE
COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and
appoint Tia A. Bocce, Terry R. Hurst, Brian T. Morton, Robert M. Rutigliano, Liana M. Shelton and Eric M. Wahistrom of
Indianapolis, Indiana ------____—__—___.._.. ._----- -------------._�__--_-_--__._...---__
each as their true and lawful Attorney- in- Fad to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed in the course of business, and any
instruments amending or altering the same, and consents to the modification or alteration of any instrument referred to in said bonds or obligations.
In Witness whereof, said FEDERAL INSURANCE COMgANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each exec and attested
these presents and affixed their corporate seals on this 8 day of February, 2016.
Dawn M. Chloros, Assistant Secretary DaN B. Noma, Jr., Vice Pr ei an
STATE OF NEW JERSEY
as.
County of Somerset
On this Bm day of February, 2016 before me, a Notary Public of New Jersey, personally came Dawn M. Chloros, to me known to be Assistant Secretary of FEDERAL
INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the
said Dawn M. Chloros, being by me duly swam, did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE
COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals
and were thereto affixed by authority of the By- Laws of said Companies; and that she signed said Power of Attomey as Assistant Secretary of said Companies by like authority;
and that she is acquainted with David B. Norris, Jr., and knows him to be Vice President of saitl Companies; and that the signature of David B. Noms, Jr., subscribed to said
Power of Attorney is in the genuine handvind ing of David B. Norris, Jr., and was thereto subscribed by authonty of saitl By- Laws and In deponent's presence.
Notarial Seal
.q
rr NOTARY r
r 4e
PUBLIC
yJER
NOTARY PUBLIC OF NN pEWJERSEY
o. Commission Expires ri es July 16. 2019
CERTIFICATION
eo-,
4 Z /,/� -
Notary Public
Extract from the By- Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY:
'Except as otherwise provided In these By -Laws or by law or as otherwise directed by the Board of Directors, the President or any Vice President shall be authorized to
execute and deliver, in the name and on behaff of the Corporation, all agreements, bonds, contracts, deed$, mortgages, and other Instruments, either for the Corporation's
own account or in a fiduciary or other capacity, and the seal of the Corporation, R appropriate, shall be affixed thereto by any of such officers or the Secretary or an Assistant
Secretary. The Board of Directors, the President or any Vice President designated by the Board of Directors may authorize any other omoer, employee or agent to execute
and deliver, in the name and on behalf of the Corporation, agreements, bonds, contracts, deeds, mortgages, and other instruments, either for the Corporaation's own
account or in a fiduciary, or other capacity, and, if appropriate, to affix the seal of the Corporation thereto. The grant of such authority by the Board or any such officer may
be general or confined to specific Instances.'
I, Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companies")
do hereby certify that
(1) the foregoing extract of the By- Laws of the Companies is true and correct,
f i) the Companies are duly licensed and authorized to transact surety business In all 50 of the United States of Amenca and the District of Columbia and are
authorized by the U.S. Treaswy Department, further, Federal and Vigilant are licensed in the U.S. Virgin Islands, and Federal is licensed in Guam, Puerto
Rico, and each or the Provinces of Canada except Prince Edward Island; and
(ill) the foregoing Power of Attorney is true, correct and in full force and effect.
Given under my hand and seals of said Companies at Warren, NJ this 20th day of October, 2016
000
_ V Y~'I "
Dawn M. Chloms, Assistant Secrete
IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT ADDRESS
Foim15-10-0225E-1.1 GEN CONSENT(rev. 07-15)
(6rdifulde of Qun ifirution
o E
I aoisil4PWO JUTHT-1-1-Til lin 'wool ill
INDIANAPOLIS, IN
m
WALSH & KELLY INC
April 11, 2016
GRIFFITH, IN
who has filed with the Department a Contractor's Statement of Experience and Financial Condition as
required under Indiana Code 8-23-10, is hereby qualified to bid at any Department of Transportation
letting in Classes of Work and within the amount and other limitation of each classification as listed
below, for such period as the uncompleted work on hand from all sources does not exceed the Aggregate
amount. Classification references by name or symbol are in accordance with the definitions in the
Contractor's Statement of Experience and Financial Condition. This certificate supersedes any certificate
previously issued, but is subject to revision or revocation according to the few, if and when changes
in the financial condition of the contracting firm or other facts justify such revision or revocation.
Valid May 1, 2016 Thm April 30, 2017
AGGREGATE.......................................................................................................................................
$U1.4LIM77'ED
A(B)
CONCRETE PAVEMENT. LIMITED_—...................................................................................................
$25,000,000
B(A)
ASPHALT PAVING: CERT HMA PLANT ..........................................................
..............................._......$UNLIMITED
C(B)
LIGHT GRADING ............ ...... .___.................... ___ ................................... ..............
.............. ..... ............... $25,000,000
D(A)
HWY OR RR BRIDGES OVER WATER.__.......................................-._...............................-..................
$2,000,000
D(B)
HWY OR RR BRIDGES OVER HIGHWAYS ............. ................ _............_............_............_
.................... $2,000,000
D(C)
HWY BRIDGES REQ PROTECTION OF RR TRACKS .......... __..................................................._.._......
$2,000'000
E(E
SMALL STRUCTURES AND DRAINAGE ITEMS ........................ .............................
.............. __... $25,000,000
E(F)
SURFACE MASONRY ANDMISC CONCRETE ........ ...._........ _.... .........._._........................................
$25,000,000
E(Q)
CONCRETE PAVEMENT REPAIRS ........ ...................... .... --......................... ..........
... ........... ......... ......... $25,000,000
FIR)
ROAD MILLING ................ --.............................................. ................................ ....
.......... ...... .................... $5,000,000
E(T)
DEMOLITION..............................................................................................................................................
$5,000,000
PREQUALIFICATION ENGINEER
State Form 20506 (11315-05)
A 6z
tOIL COMMISSIONER
Part of State Form52414 (R/ 9-10) Form 96 (Revised 2010)
BID OF
24358 State Road 23
(Address)
South Bend IN 46614
FOR
PUBLIC WORKS PROJECTS
OF
City of South Bend
Department of Public Works
Ireland Road at High Street Emergency Repairs
ProiectNo 116-083G
Action
State Form 52414 (R / 910)
Prescribed by State Board of Accounts Form No 96 (Revised 2010)
CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96
PART 1
(To be completed for all bids. Please type or print)
Date (month, day, year): October 20, 2016
1. Governmental Unit (Owner): Department of Public Works. City of South Bend
2. County: St Joseph
3. Bidder (Firm):
Address:
City/State:
4. Telephone Number:
5. Agent of Bidder (If applicable):
Walsh & Kelly, Inc.
24358 State Road 23
South Bend IN 46614
574-288-4811
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of Ireland Rd at High St 116-083G (Governmental Unit) in accordance with plans
and specifications prepared by Brian M Smith PE and dated 10-12-16 for
the sum of See Attached $ See Attached
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 Governmental Unit. If the bid is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or
applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or
indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant
may be regarded as a material breach of the contract.
CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS
(If applicable)
1, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation
to use steel products made in the United States. I.C. 5-16-8-2. I hereby certify I and all subcontractors employed by me
for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in
forfeiture of contractual payments.
ACCEPTANCE
The above bid is accepted this day of
Contracting Authority Members:
subject to the following conditions:
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
Governmental Unit: Department of Public Works. City of South Bend
Bidder (Firm): Walsh & Kelly, Inc.
Date(month, day, year) October 20 2016
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. What public works projects has your organization completed for the period of one (1) year prior to the date of
the current bid?
Contract Amount
Class of Work
When Completed
Name and Address of Owner
$ 6,030,341.00
Resurface
December 2015
Lake County Hwy Dept.
$ 5,758,069.00
Resurface
November 2015
Town of St. John, IN
$ 4,461,632.00
Reconstruction
December 2015
INDOT
$ 3,571,923.00
Reconstruction
July 2015
INDOT
2. What public works projects are now in process of construction by your organization?
Contract Amount
Class of Work
When to be Completed
Name and Address of Owner
$ 5,080,808.00
Reconstruction
Novernber2017
City of South Bend, IN
$ 5,938,220.00
Resurface
October 2017
INDOT
$ 5,775,000.00
Reconstruction
November 2016
Town of Merrillville, IN
$ 3,102,502.00
Reconstruction
October 2016
INDOT
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.
Dyer Construction Co., 1716 Sheffield Avenue, Dyer IN Ms Janet Furman
Grimmer Construction Co., Inc. 2619 Main Street, Highland IN Mr. Greg Grimmer
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could
begin work, completed the project, number of workers, etc. and any other information which you believe would
enable the governmental unit consider your bid.)
As required by owner
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.
See Attached List
3. If you intend to sublet any portion of the work, state the name andaddress 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.
Will supply upon award of contract
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.
QUANTITY
ITEM
DESCRIPTION, SIZE,
CAPACITY, ETC.
CONDITION
YEARS
OF
SERVICE
PRESENT LOCATION
5
Asphalt Plants
Various
Good
Griffith, South Bend,
Val araiso, Lowell, LaPorte
18
Asphalt Pavers
Various
Good
Griffith, South Bend
4
Sli form Conc. Paver
Various
Good
Griffith, South Bend
3
Road Widener
Various
Good
Griffith, South Bend
5
Motor Graders
CAT/J.D.
Good
Griffith, South Bend
48
Rollers
Various
Good
Griffith, South Bend
31
Rubber Tire Loaders
Various
Good
Griffith, South Bend
15
Excavators
Various
Good
Griffith, South Bend
8
Bulldozers
Various
Good
Griffith, South Bend
6
LowBo Tractors
Various
Good
Griffith, South Bend
7
Flatbed Dumps
Various
Good
Griffith, South Bend
39
%: and'/4 ton Pickups
Various
Good
Griffith, South Bend
59
1 Ton Crew Trucks
Various
Good
Griffith, South Bend
4
Cold Planers
Wirten 1900 DC
Good
Griffith, South Bend
3
Tri-Axle Dump
Mack
Good
South Bend
5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing
your proposal? Otherwise, please explain the rationale used which would corroborate the prices listed.
Yes, we received quotes from potential subcontractors and suppliers
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.
SECTION IV CONTRACTOR'S NON -COLLUSION AFFIDAVIT
The undersigned bidder or agent, being duly sworn on oath, says that he 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.
He 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
SECTION V OATH AND AFFIRMATION
I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION
CONTAINED IN THE FOREGOING BID FOR PRBLIC WORKS ARE TRUE AbiD CORRECT.
Dated at South Bend this
STATE OF Indiana 1
) ss
COUNTY OF St Joseph 1
0,
Dustin Hilary, Area Manager
(Title of Person Signing)
Before me, a Notary Public, personally appeared the above -named Dustin Hilary and swore
that the statements contained in the foregoing document are true and correct.
Subscribed and sworn to before me this 20th day of ct ber 016
Paula J F , Notary Public
My Commission Expires: May 4, 2018 PAULA J FUCHS
Notary Public, State of Indians
_• St. Joseph County
County of Residence: St Joseph Commission FxPlres
May 4, 20f 8
Form 96 Section II, #2
Subcontractors Used on Public Works Contracts During the Past 5 Years
SUBCONTRACTORS
COMPANY ADDRESS CITY/STATE/ZIP PHONE FAX
SEWER
B & D Sewer
531 Winston Ct
Schererville, IN 46375
(219)322-2300
(219)865-0065
Deboer Egolf
5772 Melton Road
Portage, IN 46368
(219)763-9700
(219)763-9703
Delta III
2063 W 1250 S
Hanna, IN 46340
(219)797-4004
(219)797-3008
Dyer Construction
1716 Sheffield Avenue
Dyer, IN 46311
(219)865-2961
(219)865-2963
Gatlin Plumbing & Heating
1111 E. Main Street
Griffith, IN 46319
(219)924-6972
(219)924-1401
Gough, Inc.
2200 E. 88th Drive
Merrillville, IN 46410
(219)756-2200
(219)756-2202
Grimmer Construction
2619 Main Street
Highland, IN 46322
(219)924-1623
(219)924-0328
Hasse Construction
10 Lincoln Avenue
Calumet City, IL 60409
(219)932-1611
(219)932-6829
HRP Construction
5777 Cleveland Rd.
South Bend, IN 46624
(574)271-7800
(574)271-0524
Rex Construction
700 Schiller Avenue
Schererville, IN 46375
(219)322-8090
(219)322-0031
Wirtz & Yates, Inc.
P.O. Box 41
Kentland, IN 47951
(219)474-6542
Woodruff & Sons
P.O. Box 450
IMichigan City, IN 46361
(219)872-8605
(219)8795339
MILLING
Javelina Construction, Inc.
13476 Britton Park Rd.
IFishers, IN 46038
(317)841-8364
(317)841-0075
Mid America Milling Co.
6200 W. Hwy 62, Ste 400
Jeffersonville, IN 47130
(812)282-2751
(812)283-9846
McCrite Milling
209 Quality Ave. Ste 9
New Albany, IN 47150
(812)941-0252
(812)941-0852
Specialties Company
9350 E. 30th St.
lIndianapolis, IN 46229
(317)594-0291
j (317)594-0271
ELECTRICAL INSTALLATION
Hawk Enterprises
1850 E. North St
iCrown Point, IN 46307
(219)662-8090
(219)662-8093
Midwestern Electric
1620 E. Chicago Ave
I East Chicago, IN 46312
(219)397-4444
(219)397-8888
S/T Bancroft Electric
25020 State Road 2
iSouth Bend, IN 46619
(574)287-6490
Trans Tech Electric
4601 Cleveland Road
South Bend, IN 46619
(574)272-9673
(574)271-0144
SIGN INSTALLATION
Hawk Enterprises
1850 E. North St
ICrown Point, IN 46307
(219)662-8090
(219)662-8093
Midwestern Electric
1620 E. Chicago Ave lEast
Chicago, IN 46312
(219)397-4444
(219)397-8888
RoadSafe Traffic Systems
3519 Harding Street
Indianapolis, IN 46217
(317)780-1825
Traffic Control Specialists, Inc.
305 W. Hamilton Dr. lKnox,
IN 46534
(574)772-7001
(574)772-7002
PAVEMENT MARKINGS
The Airmarking Company
P.O. Box 526 iRochester,
IUN 46975
(574)223-5817
(574)223-7959
Blackout Sealcoating
7440 W. 87th Place lBridgeview,
IL 60455
(219)864-2300
(708)430-6910
Line Makers
12998 So. 450 W IHanna,
IN 46340
(219)797-5035
(219)797-5035
RoadSafe Traffic Systems
3519 Harding Street
Indianapolis, IN 46217
(317)780-1825
Traffic Control Specialists, Inc.
305 W. Hamilton Dr. lKnox,
IN 46534
(574)772-7001
(574)772-7002
LANDSCAPE
Great American Landscape
P.O. Box 235
Dyer, IN 46311
(219)322-7033
(219)322-4419
Hubinger Landscape
210 E. 113th Avenue
Crown Point, IN 46307
(219)662-9911
(219)662-6206
Site Restoration
5225 E. 145th Avenue
Crown Point, IN 46307
(219)743-8180
(219)661-1818
Slusser's Green Thumb, Inc.
125 Montgomery Street
Logansport, IN 46947
(574)722-3102
(574)722-1628
T & J Landscape Service
8253 Wicker Avenue
St. John, IN 46373
(219)374-9000
(219)374-9950
Form 96 Section II, #2
Subcontractors Used on Public Works Contracts During the Past 5 Years — Paee 2
COMPANY ADDRESS CITY/STATE/ZIP PHONE FAX
GUARDRAIL/FENCING
Acorn Fence
12041 164th Street
Hammond, IN 46320
(219)844-8400
(219)844-8441
C Tech Corporation
5300 W. 100 North
Boggstown, IN 46110
(317)835-2745
(317)835-2781
James H. Drew Company
8701 Zionsville Rd.
Indianapolis, IN 46268
(317)876-3739
(317)876-3829
Security Industries
1000 Georgiana St.
Hobart, IN 46342
(219)942-9447
(219)942-9448
Specialties Company
9350 E. 30th St.
Indianapolis, IN 46229
(317)594-0291
(317)594-0271
Sweney Electric Company
9111 Louisiana St.
Merrillville, IN 46410
(219)769-6007
(219)769-0565
TRUCKING/HAULING
C. Lee Construction Services
11200 W. Main Street
IGriffith, IN 46319
(219)922-7733
(219)924-8609
J. Jarrett Trucking. Inc.
13316 W. 45 Avenue
IGary, IN 46408
(219)902-6660
(219)884-8292
SRPM'S
M.A.S. Markers, Inc. 11625 S 400E ILebanon, IN 46052 (317)769-7200
UNDERSEAL
Rieth-Riley Construction Co Inc 12454 West CR 450 North ILaPorte, IN 46350 (219)362-6178
TREE REMOVAL
Homer Tree Service
114000 S. Archer Ave
ILockport, IL 60441
(815)838-0320
Timber Masters LLC
I P.O. Box 245
IDyer, IN 46311
(219)864-8733
LIME STABILIZATION
Mt. Carmel Sand & Gravel 11611
College Dr.
Mt. Carmel, IL 62863
(618)262-5118
(618)263-4084
Specialties Company 19350
E. 30th St.
Indianapolis, IN 46229
(317)594-0291
(317)594-0271
PIPE LINING
Indiana Reline, Inc. 1312 E. Main Street ISulphur Springs, IN 47388 765-766-5040 765-533-5831
SPRINKLER SYSTEM
Turf Irrigation 19845 Express Dr. IHighland, IN 46322 (219)924-1511 (219)924-9250
SAW CUTTING
Diamond Coring Co., Inc. 111800
S Ewing Ave IChicago,
IL 60617
773-978-5000
Quality Saw & Seal, Inc. 17600
W. 79th Street
Bridgeview, IL 60455
773-767-9300
PROJECT DOCUMENTS
IRELAND ROAD STORM REPAIRS
SpU TH BE'
4
U
ACE
C
rye
1'SACt:
�y
x
x
1865
City of South Bend, Indiana
Board of Public Works
Project No. 116-083G
October, 2016
Brian M. Smith, PE
Registered Professional Engineer
State of Indiana No. 10100213
Prepared By
DLZ
DLZ Indiana, LLC
2211 East Jefferson Boulevard
South Bend, Indiana 46613
(574) 236-4400 FAX (574) 236-4471