HomeMy WebLinkAboutOpening of Bids - 2016 Curb & Sidewalk Construction Phase II - Premium ConcreteProject Name
Project No.
For Bids Due
t" r/, hf
1�
BID/PROPOSAL
CITY OF SOUTH BEND
1365 `
2016 Curb and Sidewalk Construction Phase II
116-029A
November 81h, 2016
Division E — West Dunham Street
Item
No.
Description
p
Quantity
Unit
Unit Price
Total
Amount
1
CONCRETE SIDEWALK, 4-INCH
285
SY
9s, 00
;j7 t'75,oe
2
REMOVAL, TREE, 48-INCH
1
EA
19 9 5, oa
3
FENCE, CHAIN LINK, 48-INCH
10
1 LF
'j'7,cU
1 9 70.co
Division E Base BidTotal d ), 0 `t 0
Alternate #1 — Division E
Item
No.
Description
P
Quantity
Unit
Unit Price
Total
Amount
1
CONCRETE APPROACH, 6-INCH
88
SY
1 (Q5,oc
j� ,06-00
Division E Alternate #1 Total 14, 5 Z• OO
Division E Base Bid + Alternate #1 Total 44,5&0,C 0
Division F — Wilber from Linden to Sibley
Item
No.
Description
P
Quantity
Unit
Unit Price
Total
Amount
1
CONCRETE SIDEWALK, 4-INCH
320
SY
11 a•oO
s 36,�116,ee
2
ONE-WAY PERPENDICULAR CURB RAMP
15
SY
d5 O.CYj
3, 7.Stti,eo
3
DEPRESSED CORNER CURB RAMP
8
SY
`EO-eo
R,%111p,cOc)
4
CONCRETE APPROACH, 6-INCH
30
SY
I &F J ce)
0 116.0(5
5
BBORROW
33
CY
iy6.Go
6
GRADING, TOPSOIL, AND SODDING
96
SY
1G'1.c0
I�, a7a•oe
7
REMOVAL, TREE, 6-INCH
1
EA
1 a .5, f C>
i t :6CC
Division F Base Bid Total f ;,I, ti i �7.0CS
Alternate #1 — Division F
Item
No
Description
P
Quantity
Unit
Unit Price
Total
Amount
1
CONCRETE SIDEWALK, 4-INCH
40
SY
1 O S 00
}; x,\e,,,
Division F Alternate #1 Total `)) °Z00,00
_
Division F Base Bid + Alternate #1 Total �
Version 7/28/2016 Contractor's Bid for Public Works - 7 Bidder's Name:
Division G - Wilber from Sibley to Fassnacht
Item
No.
Description
P
Quantity
Unit
Unit Price
Total
Amount
1
CONCRETE SIDEWALK, 4-INCH
150
SY
V J_7
19 t SL.cc
2
PAIRED PERPENDICULAR CURB RAMP
9
SY
.211 b: •oc,
a; G &11.CID
3
CONCRETE APPROACH, 6-INCH
14
SY
�255.cv
3 576.cb
4
B BORROW
15
CY
4 S. r•o
9 -I a ,ec
6
GRADING, TOPSOIL, AND SODDING
45
SY
1C9.c,0
6; scj,op
Division G Base Bid Total 3 9155 41. oo
Division H - Wilber from Fassnacht to Longley
Item
No
Description
P
Quantity
Unit
Unit Price
Total
Amount
1
CONCRETE SIDEWALK, 4-INCH
143
SY
I3 5 , ec
i 9 3Q 5,cc,
2
ONE-WAY PERPENDICULAR CURB RAMP
7
SY
2 (ol'1 .00
3
DEPRESSED CORNER CURB RAMP
10
SY
& ko-eo
4
CONCRETE APPROACH, 6-INCH
14
SY
aS4.06
3.5s,6.c
5
BBORROW
14
CY
65,e
7 1
GRADING, TOPSOIL, AND SODDING
43
SY
I y S,C^t
C� 'a3S,cC
Division H Base Bid Total 91 -36, a (A .c x>
Division I — Woodward Ave.
Item
No
Description
P
Quantity
Unit
Unit Price
Total
Amount
1
CONCRETE SIDEWALK, 4-INCH
142
SY
117, oo
(K/ 111, .cb
2
ONE-WAY PERPENDICULAR CURB RAMP
9
SY
Vox'c-
1 9 $Qxy>
4
CONCRETE APPROACH, 6-INCH
27
SY
QO.",
5
CONCRETE CURB, MODIFIED
365
LF
60-0 ,+
I ) 010,00
6
B BORROW
20
CY
$, cC
1360.ro
7
GRADING, TOPSOIL, AND SODDING
134
SY
SQ,r`O
Division I Base Bid Total $ 51, I C11A.0 D
Alternate #1 — Division I
Item
No.
Description
P
Quantity
Unit
Unit Price
Total
Amount
1
CONCRETE SIDEWALK, 4-INCH
100
SY
j Q! j,�r,jO,OCO.tC
6
B BORROW
14
CY
7
GRADING, TOPSOIL, AND SODDING
100
SY
Cxn-
Division I Alternate #1 Total 19, GlLn,00
Division 1 Base Bid + Alternate #1 Total # 70,70A.no
Version 7/28/2016 Contractor's Bid for Public Works - 8 Bidder's Name: w:,. Cb`^c-'r`C��
Bidder (Firm):
Address:
City/State/Zip: }'.(.Wpt tq-4j Telephone Number:
%Sid
a
\viyiimu'7/
�cky' L , �ca1�e � �i2rlc
(Printed Name of Person Signing)
Version 7/28/2016 Contractor's Bid for Public Works - 9
oxrr hf.
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CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name 2016 Curb and Sidewalk Construction Phase II
Project No. 116-029A
For Bids Due November 8tb, 2016
PART
(Must becompletedfor all bids. Please type or print) / —y
Date: Bidder (Firm): �IEVYIIGC%yl U7�/%?l��P E,l/I16f
Address: % 12 1, hmOn
City/State/Zip: L//L Telephone Number. ( 57q ) d6V-0196
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:
aol6 Cu--b oft Gl al A anfkaoo -hare it
the Q!X of South Bend, Indiana, in accordance with plans and specifications prepared by:
#671nc.k C• &yri MD, I?E
for the sum of (enter the Total Bid as shown on the Proposal)
tes shown on Proposal) ( umerical)
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in
the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance
with the notice. Any addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that
shown in the original contract if accepted by the City of South Bend. If the bid i to be awarded on a unit
basis, the itemization of the units shall be showrrma serasrate atfachrrx6nt.
ACCEPTANCE
The above bid is accepted this day of
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
David P. Relos, Member
Therese J. Dorau, Member
James A. Mueller, Member Attest: Linda M. Martin, Clerk
Version 7/2812016 Contractor's Bid for Public Works - 2
20
A Document A310T"" -2010
CONTRACTOR:
(Name, legal status and address)
Premium Concrete Services, Inc.
712 Richmond St
Elkhart, IN 46516
SURETY:
(Name, legal status and principal place
of business)
Old Republic Insurance Company
Brookfield, WI
OWNER:
(Name, legal status and address)
City of South Bend, Indiana, Department of Public Works
County City Building Room 1316, 227 W Jefferson St
South Bend, IN 46601
BOND AMOUNT:
Five Percent of the Total Bid ( 5% of Total Bid
PROJECT:
(Name, location or address, and Project number, if any)
2016 Curb and Sidewalk Construction Phase II; Project No. 116-029A
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
Mural 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 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 fumished 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 3rd day of November 2016
(Witness)
Premium Concrete Services. Inc
(Principal) (Seal)
C
(Title) Old Republic Insurance Company
(Surety) 7 (Seal)
(Witness)
(Title) JerffMr L. Kaszni , Attomey'tn Fact
CAUTION: You should sign an original AIA Contract Document, on wh'�coAls text appears in RED. An original assures that
changes will not be obscured.
Init. AIA Document A310`" —2010. Copyright @ 1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: 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.
f purchasers are pennitted to reproduce ten It 0) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail
The American Institute of Architects' legal counsel, mpydght@aia.org. emu
OLD REPUBLIC INSURANCE COMPANY
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC INSURANCE COMPANY, a Pennsylvania stock insurance corporation, does
make, constitute and appoint:
NICOLE L BICKNELL, MEGAN E RIESENBERG, MARK EDWARD WOBBE, DEBRA K HULL, BARBARA E PEARSON, JENNIFER L KASZNIA, SAND
RA L JUNK, -
WILLIAM J CERNEY, III, WESLEY MANTOOTH,.THERESA BURNS, JORDAN SCHEMER, OF SOUTH BEND, IN
its true and lawful Attorney(s)-in-Fact, with full power and authority, not exceeding $50,000,000, for and on behalf of the Company as surety, -to -execute
- - - = and deliver and affix the4sal of the Company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in `the nature
thereof, (other than self-insurance workers compensation bonds guaranteeing payment of benefits, asbestos abatement contract bonds, waste manage-
ment bonds, hazardous waste remedisdon bonds or black lung bonds), as follows: ALL WRITTEN INSTRUMENTS IN. AN AMOUNT NOT TO 'EXCEED AN AGGREGATE OF
FOUR MILLION DOLLARS($4000,000)------------------------- FOR ANY SINGLE _
OBLIGATION, REGARDLESS OF THE NUMBER OF INSTRUMENTS ISSUED FOR THE OBLIGATION.
and to bind OLD REPUBLIC INSURANCE COMPANY thereby, and all of the acts of said Attorneys -in -Fact, pursuant to these presents, are ratified and —`-
confirmed. This document is not valid unless printed on colored background and is multi -colored. This appointment is made under and by authority of
-. the board of directors at a meeting held on March 14, 2014. This Power of Attorney is signed and sealed by facsimile under and by the authority of the
- --` following resolutions adopted by the board of directors of the OLD REPUBLIC INSURANCE COMPANY on March 14, 2014.
RESOLVED FURTHER, that the chairman, president or any vice president of the Company's surety division, in conjuncfion with the secretary or --_
any assistant secretary of the Company, be and hereby are authorized and directed to execute and dellver, to such persons as such officers of the Company may deem appropriate, Powers of Attorney in the form presented to and attached to the minutes of this meeting, authorizing such
persons to execute and deliver and affix the seal of the Company to bonds, undertakings, recognizances, and suretyship obligations of all kinds
other than bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bends. guarantees of insiatsnerif paper and note
guaranty bonds_ The said officers may revoke any Power of Attorney previously granted to any such person. The authorizftty-pf any -Power of
Attorneygranted by any such officer of the Company as aforesaid shall not exceed fifty million dollars ($50,000,000.00), except (a) bonds
required to be filed as open penalty bonds, and (b) bonds filed with any courtor governmental authority requiring an unlimited -penalty -in bonds
filed in that court.-
RESOLVED FURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company
(i) when signed by the chairman, president or any vice president of the Company's surety division and attested and sealed (if a seal be
required) by any secretary or assistant secretary; or -
(ii) when signed by a duly authorized Attomey-in Fact and sealed with the seal of the. Company (if a seal be required).
RESOLVED FURTHER, that the signature of any officer designated above, and the seal of the Company, may be affixed by facsimile 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 affixed
- IN WITNESS WHEREOF, OLD REPUBLIC INSURANCE COMPANY has caused these presents to be signed by its proper officer, and its
- corporate seal to be affixed this 24TH -day of AUGUST. 2015.
OLD REPUBLIC INSURANCE COMPANY
.�,wsu,MybW
.rSEAL • /�j
Ass nt Secretary o�
wa_-_ STATE OF WISCONSIN, COUNTY OF WAUKESHA -SS r.... Vice President
On this 24TH. day of AUGUST, 2015 , personally came before me, ALAN PAVLIC and
PHYLLIS M. JOHNSON to me known to be the individuals and officers of the OLD REPUBLIC INSURANCE COMPANY who
executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say; that
they are said officers of the corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate
seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said -
organization.
`::a4esu r` Notary PubNc =
My commission expires: 9/28/18 -
- = _ (Expiration of notary commission does not Invalidate this Instrument)
CERTIFICATE � _ -
I, the undersigned, assistant secretary of the OLD REPUBLIC INSURANCE COMPANY, a Pennsylvania corporation, CERTIFY that the foregoing
and attached Power of Attorney remains in full force and has not been revoked; and furthermore, that the Resolutions of the board of directors set forth in
the Power of Attorney, are now in force. _ _-
45-5314 s Signed. and sealed at the City of Brookfield, WI this cJ� day of
_.I SEAL
n.ecn.. ...m.e,. .•.J��........... ..... - ssistanl 5erretarvl
_18E1-S =1100S-R(5-40)
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
These statements to be submitted under oath by each bidder with and as part of his bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1. Attach information regarding projects your organization has completed for the period of one
(1) year prior to the date of the current bid.
2. Attach a listing of public works projects currently in process of construction by your
organization.
3. Attach information regarding any failure to complete any work awarded to you and the
location thereof.
4. Attach references from private firms for which you have performed work.
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Attach an explanation of your plan or layout for performing proposed work. (Examples could
include a narrative of when you could begin work, complete the project, number of workers,
etc. and any other information which you believe would enable the City of South Bend to
consider your bid.)
2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside
your own firm who have performed part of the work) that you have used on public works
projects during the past five (5) years along with a brief description of the work done by each
subcontractor.
3. If you intend to sublet any portion of the work, attach the name and address of each
subcontractor, equipment to be used by the subcontractor, and whether you will require a
bond. However, if you are unable to currently provide a listing, please understand a listing
must be provided prior to contract approval. Until the completion of the proposed project, you
are under a continuing obligation to immediately notify the City of South Bend in the event that
you subsequently determine that you will use a subcontractor on the proposed project.
4. Attach a listing of equipment you have available to use for the proposed project.
5. Have you entered into contracts or received offers for all materials which substantiate the
prices used in preparing your proposal? If not, attach an explanation for the rationale used
which would corroborate the prices listed.
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said
financial statement as required by statute shall thereby be rendered invalid. The financial
statement provided hereunder to the City of South Bend awarding the contract must be specific
enough in detail so that said City of South Bend can make a proper determination of the bidder's
capability for completing the project if awarded.
Version 7/28/2016 Contractor's Bid for Public Works - 3
When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION
REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-
DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL
PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF 1 N )
+ SS:
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
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 (1) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration.
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any
employee or contract with a person that the Contractor subsequently learns is an unauthorized alien.
Version 7/28/2016 Contractor's Bid for Public Works - 4
Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's
newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's
documentation of enrollment and participation in the E-Verify Program is included and attached as part of
this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public contract to
certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain
any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien,
and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees
to maintain this certification throughout the term of the contract with the City of South Bend, and understands
that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision
no later than thirty (30) days after being notified by the City.
6. Persons, partnerships, corporations, associations, or joint ventures awarded a contract by the City of
South Bend through its agencies, boards, or commissions shall not discriminate against any employee or
applicant for employment in the performance of 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 (I) year from the date of such determination, and such
determination may also be grounds for terminating the contact for which the discriminatory practice or
noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made
a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its
agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the
performance of this contract with privileges of employment, or any matter directly or indirectly related to
employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation,
handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of
contract.
I, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). 1 hereby
certify that I and all subcontractors employed by me for this project will use steel products or foundry
products 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.
r..
Version 7/28/2016 Contractor's Bid for Public Works - 5
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid
for public works are true and correct.
Dated this 8` day of / 20 (p
Subscribed and sworn to before me this _
My Commission Expires 0 .3 17 A0/$
8`k
County of Residence
-day of 06 kWLE,- , 20 A6
P% a
Notary Public
E lk-ko-f
.°'" CHERYL J TAYLOR
c e Notary Public, State of Indiana
Elkhart County
Commission k 616635
My Commission Expires
�e�"e March 17, 2018
Version 7/28/2016 Contractor's Bid for Public Works - 6
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CITY OF SOUTH BEND d,yo`r BE
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
FORM MWBE-2.0 r
EVIDENCE OF GOOD FAITH EFFORTS '""
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBEANBE 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: 116-029A Date: //- 08 -16
Project Name:
Bidder:
Contact Person:
Address:
City:
Email:
Sidewalk
Telephone: f57y��j - / A
State: aiq Zip: %5 l b
To determine whether a bidder has demonstrated good faith efforts to reach the MBE/WBE utilization goals set
forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or
commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*:
EVIDENCE OF GOOD FAITH EFFORTS
MBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business
Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women
Owned Business as found on their website (http://www.in.gov/idoa).
ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South
Bend requires that all perspective bidders complete no less than 2 of the following:
1. Attend all pre -bid meetings scheduled by the City to inform MBEANBEs of contracting and
subcontracting opportunities.
2. Advertise in general circulation and/or trade association publications concerning subcontracting
opportunities, and allow MBE/WBEs reasonable time to respond.
3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated
to inform MBENUBEs of subcontracting opportunities and allowed sufficient time for them to
participate effectively.
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 MBE/WBE 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 MBE/WBEs,
including providing such MBE/WBE's with adequate information about the plans, specifications and other
requirements of the subcontract and did not reject MBE/WBEs 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
MBE/WBEs in order to increase the likelihood of meeting the MBENVBE goals (including breaking down
contracts into smaller units to facilitate MBEANBE 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 MBE/WBE was unqualified to perform the job.
rroper oemonstranon or 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 7/28/2016 Contractor's Bid for Public Works - 10
CITY OF SOUTH BEND oti40iry$�ry
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY F
DEVELOPMENT PROGRAM
FORM MWBE-2.1
MBE/WBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring contacted MBEMIBE 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.
Project Number: 116-029A
MBENVBE Firm
Owner or Contact at MBENVBE Firm
PAGE OF.
MBEANBE Participation Goal 7.1%
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
MBENJBE Firm
Owner or Contact at MBENVBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBEMBE FIRM:
Version 7/28/2016 Contractor's Bid for Public Works - 11
o� tia
1316COUNTY-CrrY BUILDING PHONE 574/235-9251
227 W. JEFFERSDN BOGLEb"ARD--.`2 FAY 574/ 235-9171
SouTH BEND, INDIANA 46601-1830 PHAf'e TDD 574/ 235-5567
y 1N65
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
Date: October 24, 2016
To: All Bidders
From Linda M. Martin, Clerk, Board of Public Works
Subject Addendum Number: 1
Project Name: 2016 Curt
Project
Number: 116-029A
Sidewalk Construction Phase 11
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received:
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by faxing this sheet to the Board of Public Works at (574) 235-9171.
A copy MUST also be included with your bid package upon
submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Note:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: Premium
Authorized Signature:
Date: 11 /8/2016
INC.
Version 4/07/2015 Special Provisions -I
Section 1 Experience Questionnaire
1) Information regarding projects Premium Concrete has completed this year are:
• 2016 Curb and Sidewalk Construction for the City of South Bend.
• Many ADA Sidewalk programs for the City of Elkhart, IN. Which included Sidewalk,
Approaches, ADA Curb Ramps, and Curb.
• RS-34926-A which is a project done for the City of Lagrange, IN. This project included
Engineering, Sidewalk, Curb Ramps, and Curb.
• R-37499-B which is a project done for the City of South Bend. It included Premium
Concrete doing ADA Curb Ramps.
2) Public works project currently in process.
• 16-18: ADA Downtown Parking Improvements- City Of Elkhart
• Hill Street Community Gardens- City of Mishawaka
3) Premium Concrete Services, INC. has always completed all projects.
4) Private firm references.
• Alpha Systems
• IU Goshen Hospital
• Key Bank
• Lozier
• Notre Dame
• Hospice
PREMIUM
CONCRETE
SERVICES, INC.
SECTION II PLAN AND EQUIPMENT QUESTIONAIRE
1) After given the notice to proceed Premium Concrete Services, Inc. will contact Indiana 811 to
locate all utility lines within construction limits. Traffic maintenance will begin, including use of
barrels and signage supplied by State Barricading and/or Premium Concrete Services, INC. Layout
and staking of site will be next. Then the excavation and grading will begin, including tree
removal, clearing of right away, common excavation, borrow placement and compaction, with a
crew consisting of 3-5 workers. After excavation and grading phases are complete, concrete work
will commence. Crews of 4-6 workers will install curb, sidewalk and approaches. Black dirt and
sod will be placed as soon as concrete in that section has been poured. Project with be completed
by July 7, 2017.
2) a) State Barricading — 24963 US 20 West South Bend, IN 46628 —Traffic Maintenance and Signs.
b) Acorn Landscaping —3680 W Sample St South Bend, IN 46619 — Sodding, seeding, and general
landscaping.
c) Kachur Tree Service, LLC- 316 Fulkerson Rd Niles, MI 49210-Tree Removal
d) Weaver Consultants Group —7121 Grape Road Granger, IN 46530 — Materials testing.
e) Walsh & Kelly —24358 IN-23 South Bend, IN 46614 — Asphalt
f) Niblock Excavating —906 Maple St Bristol, IN 46507 — Asphalt and Excavation
3) Premium Concrete Services, Inc. Does not require bonding for its subcontractors
a) State Barricading — 24963 US 20 West South Bend, IN 46628
b) Weaver Consultants Group — 7121 Grape Road Granger, IN 46530
c) Bertsch -Frank & Associates LLC-811 Lawrence Drive Fort Wayne, IN 46804
4) Equipment use for project: Bobcat, Mini Excavator, Excavator, Curb Machine, Compactor, Roller,
Walk -behind Saw, Cut-off Saw, Vibra Strike, Stump Grinder, Hi -Ranger, Dump Truck
5) Yes, Premium Concrete Services, Inc. has quotes for all materials in proposal.
PROPOSAL
E PREMIUM CONCRETE SERVICES, INC.
PREMIUM 712 Richmond Street
COWRETE Elkhart, IN 46516
SERVICES, INC.
Contact: Jeremy Jankoviak
Phone: 574-264-0196
Cell: 574-612-6405
Quote To: City of South Bend Job Name: 2016 Curb and Sidewalk
Construction Phase 2
HCSS #: 4529
Phone: Revision Date:
Email:
Fax: Date:
PREMIUM CONCRETE IS DBE / WBE CERTIFIED
ITEM
DESCRIPTION
QUANTITY
UNIT
UNIT PRICE
AMOUNT
10
Concrete Sidewalk, 4-inch
285.00
SYS
95.00
27,075.00
20
Removal, Tree, 48-Inch
1.00
EACH
1,995.00
1,995.00
30
Fence, Chain Link, 48-Inch
10.00
LF
97.00
970.00
100
Alternate #1 Concrete Approach, 6-inch
88.00
SYS
165.00
14,520.00
Division E Base Bid + Alternate #1
$44,560.00
201
Concrete Sidewalk, 4-inch
320.00
SYS
112.00
35,840.00
202
One -Way Perpendicular Curb Ramp
15.00
SYS
250.00
3,750.00
203
Depressed Corner Curb Ramp
8.00
SYS
280.00
2,240.00
204
Concrete Approach, 6-inch
30.00
SYS
168.00
5,040.00
205
B Borrow
33.00
CYS
65.00
2,145.00
206
Grading, Topsoil, and Sodding
96.00
SYS
107.00
10,272.00
207
Removal, Tree, 6-Inch
1.00
EACH
125.00
125.00
210
Alternate #1 Concrete Sidewalk, 4-inch
40.00
SYS
105.00
4,200.00
Division F Base Bid + Alternate #1
$63,612.00
301
Concrete Sidewalk, 4-inch
150.00
SYS
127.00
19,050.00
302
Paired Perpendicular Curb Ramp
9.00
SYS
296.00
2,664.00
303
Concrete Approach, 6-inch
14.00
SYS
255.00
3,570.00
304
B Borrow
15.00
CYS
65.00
975.00
306
Grading, Topsoil, and Sodding
45.00
SYS
140.00
6,300.00
Division G--Wilber from Sibley to Fassnacht
$32,559.00
401
Concrete Sidewalk, 4-inch
143.00
SYS
135.00
19,305.00
402
One -Way Perpendicular Curb Ramp
7.00
SYS
374.00
2,618.00
403
Depressed Comer Curb Ramp
10.001
SYS 1
264.00
2,640.00
'V/6 V6
`l, 40
Page 1 of 2
ITEM
DESCRIPTION
QUANTITY
UNIT
UNIT PRICE
j AMOUNT
404
Concrete Approach, 6-inch
14.00
SYS
254.00
3,556.00
405
B Borrow
14.00
CYS
65.00
910.00
407
Grading, Topsoil, and Sodding
43.00
SYS
145.00
6,235.00
Division H--Wilber from Fassnacht to Langley
$35,264.00
501
Concrete Sidewalk, 4-inch
142.00
SYS
117.00
16,614.00
502
One -Way Perpendicular Curb Ramp
9.00
SYS
220.00
1,980.00
504
Concrete Approach, 6-inch
27.00
SYS
100.00
2,700.00
505
Concrete Curb, Modified
365.00
LFT
60.00
21,900.00
506
B Borrow
20.00
CYS
65.00
1,300.00
507
Grading, Topsoil, and Sodding
134.00
SYS
50.00
6,700.00
Division 1--Woodward Ave
$51,194.00
510
Concrete Sidewalk, 4-inch
100.00
SYS
100.00
10,000.00
516
B Borrow
14.00
CYS
65.00
910.00
517
Grading, Topsoil, and Sodding
100.00
SYS
86.00
8,600.00
Woodward Alternate #1--Division 1
Page 2 of 2
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name 2016 Curb and Sidewalk Construction Phase If
Project No.
For Bids Due
116-029A
November 8th, 2016
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1865
From time to time the South Bend Board of Public Works finds it necessary to reject a bid because
it does not comply with statutory requirements. In preparing your bid, please use the following
checklist in order to make sure that your bid is done in the proper manner.
Proper bid security included. The bidder has the option of providing either a Certified Check
or Bid Bond.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
iv Certification of use of United States Steel Products or Foundry Products.
/ Proof of MBEANBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not
met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted
VVV Form [MWBE-2.1].
Acknowledge Receipt of I Addendum(s) included with the bid.
✓ All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
printed or typed underneath signature.
This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications. / /
Bidder: prr—MI UJn C6Pr{p t�P �_ V�, f,LL Date: EI"0g —0?0/
By Authorized
Signature:
Print Name &
Version 7/28/2016 Contractor's Bid for Public Works - 1