Loading...
HomeMy WebLinkAboutOpening of Bids - 2016 Parking Garage Improvements - R Yoder Construction�SpUTtf @S O �O y CITY OF SOUTH BEND, INDIANA i CONTRACTOR'S BID FOR PUBLIC WORK v ,„c; Project Name 2016 Parking Garage Improvements Project No. 115-143 For Bids Due 9:30am November 8, 2016 PART I (Must be completed for all bids. Please type or print) Date: // 1-/6 Bidder (Firm): A Address: j/J, 40 )( Z, q City/State/Zip: /Vc�n��. /�/ ��s SJ Telephone Number: Agent of Bidder (if Applicable): /Li 114- Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: d 016 Y c Rkinc f�/ P� ct' %vnfJ2nri ?�r'.yLti the City of South Bend, Indiana, in a7prdance with plans and specifications prepared by: 4.5 and dated /p -/ ✓'/(r for the sum of (enter the Total Bid as shown on the Proposal) t, pp \\ 1 -16e, )»; j,4n !W> "4JO 6WMty i6740 0;,s aA�P Vt 1?w10t(d f�:rieCll (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a se crate attachment. By (si nature) 1 �111A-1 ica�k (Printed Narte of Person Signing) ACCEPTANCE The above bid is accepted this day of Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President David P. Relos, Member Elizabeth A. Maradik, Member J. Dorau, Member James A. Mueller, Member Attest: Linda M. Martin, Clerk Version 7/31/2015 Contractor's Bid for Public Works - 2 f'l10) 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 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 Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 7/31/2015 Contractor's Bid for Public Works - 3 CONTRACTOR: Name, legal status and address) R YODER CONSTRUCTION, INC. PO Box 69 Nappanee, IN 46550 OWNER: (Name, legal status and address) City of South Bend 227 W Jefferson Blvd South Bend, IN 46601 AINDocument A31OTM -2010 SURETY: (Name, legal status and principal place of business) Granite Re, Inc. 14001 Quailbrook Dr Oklahoma City, OK 73134 BOND AMOUNT; Five Percent of the Bid Amount (5.00% of Bid Amount) PROJECT: (Name, location or address, and Project number, if any) 2015 Parking Garage Improvements Project No. 115.143 Bid Bond No. GRO8796 This document has Important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in 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 19th day of October, 2016 J. Hansen AIA Document A310'"— 2010. Document is protected by U.S. any portion of it, may result In ht ©196 , 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This AIA )ht and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or ci it and criminal penalties, and Will be prosecuted to the maximum extent possible Under the law. The American Institute of Architects' legal counsel, conyr'ght(da'a prp, GRANITE RE, INC. GENERAL POWER OF ATTORNEY Know all Men by these Presents: That GRANITE RE, INC., a corporation organized and existing under the laws of the State of OKLAHOMA and having its principal office at the City of OKLAHOMA CITY in the State of OKLAHOMA does hereby constitute and appoint: MICHAEL J. DOUGLAS; CHRIS STEINAGEL; CHRISTOPHER M. KEMP; KARLA HEFFRON; ROBERT DOWNEY; CONNIE SMITH its true and lawful Attorney-in-Fact(s) for the following purposes, to wit: To sign its name as surety to, and to execute, seal and acknowledge any and all bonds, and to respectively do and perform any and all acts and things set forth in the resolution of the Board of Directors of the said GRANITE RE, INC. a certified copy of which is hereto annexed and made a part of this Power of Attorney; and the said GRANITE RE, INC. through us, its Board of Directors, hereby ratifies and confirms all and whatsoever the said: MICHAEL J. DOUGLAS; CHRIS STEINAGEL; CHRISTOPHER M. KEMP; KARLA HEFFRON; ROBERT DOWNEY; CONNIE SMITH may lawfully do in the premises by virtue of these presents. In Witness Whereof, the said GRANITE RE, INC. has caused this instrument to be sealed with its corporate seal, duly attested by the signatures of its President and Secretary/Treasurer, this 3rd day of July, 2013. a µ1i EPRRp, C Kenneth D. Whittin President STATE OF OKLAHOMA ) s E A L on, ) SS: L, /"r�`� COUNTYOF OKLAHOMA) Kyl . McDonald, Treasurer On this 3rd day of July, 2013, before me personally came Kenneth D. Whittington, President of the GRANITE RE, INC. Company and Kyle P. McDonald, Secretary/Treasurer of said Company, with both of whom I am personally acquainted, who being by me severally duly sworn, said, that they, the said Kenneth D. Whittington and Kyle P. McDonald were respectively the President and the Secretary/Treasurer of GRANITE RE, INC., the corporation described in and which executed the foregoing Power of Attorney; that they each knew the seal of said corporation; that the seal affixed to said Power of Attorney was such corporate seal, that it was so fixed by order of the Board of Directors of said corporation, and that they signed their name thereto by like order as President and Secretary/Treasurer, respectively, of the Company. My Commission Expires: August 8, 2017 �O Commission #: 01013257 Notai Public GRANITE RE, INC. Certificate THE UNDERSIGNED, being the duly elected and acting Secretary/Treasurer of Granite Re, Inc., an Oklahoma Corporation, HEREBY CERTIFIES that the following resolution is a true and correct excerpt from the July 15, 1987, minutes of the meeting of the Board of Directors of Granite Re, Inc. and that said Power of Attorney has not been revoked and is now in full force and effect. "RESOLVED, that the President, any Vice President, the Secretary, and any Assistant Vice President shall each have authority to appoint individuals as attorneys -in -fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the Company in the course of its business. On any instrument making or evidencing such appointment, the signatures may be affixed by facsimile. On any instrument conferring such authority or on any bond or undertaking of the Company, the seal, or a facsimile thereof, may be impressed or affixed or in any other manner reproduced; provided, however, that the seal shall not be necessary to the validity of any such instrument or undertaking." NESS WHERE F, th ndersigne as subscribed this Certificate and affixed the corporate seal of the Corporation this day of 20 SLE A'eL �,,, Kyle P. McDonald, SecretaryTfreasurer GRO800-1 When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana ) Elkhart ) SS: COUNTY ) The undersigned Contractor, being duly swom 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: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in Non -Collusion Non-Debarm as Affidavit Non Iran Form 2016 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 ("VIBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Non -Collusion Non -Debarment Affidavit Nm Iran Form 2016 Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder may result in forfeiture of contractual payments. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 8th day of Novembe,2016 Subscribed and sworn to before me this 8th My Commission Expires March 30, 2024 County of Residence Non -Collusion Non -Debarment Affidavit Non Iran Form 2016 R. Yoder Construction, Inc Contractor/Bi d6r (Firm) ignaturroder,"Sales tractor/Bidder or Its Agent Kevin Printed Name and Title .day of N/ovem�be/r 20 16 otary P i Kosciusko ........... 'P ���� �% SHELLY J BRIGHAM :o�•"'•�e NOTARY PUBLIC STATE OF INDIANA SEAL•^- +:. .+a KOSCIUSKO COUNTY %� �q" •' t• . e'�rr..... COMM.46B2724 COMM. EXPIRES 03.30• 2024 -[}I I H q� 11 BID/PROPOSAL CITY OF SOUTH BEND ' IRfiS Project Name 2016 Parking Garage Improvements Project No. 115-143 For Bids Due 9:30am November 8, 2016 BASE BID DIVISION A: Wayne Street: Northwest Tower Imorovements Item No. Description Quantity Unit Unit Price Total Amount 1 Elevator Equipment 1 LS 2 ] 2 Mechanical 1 LS 7, DUO 7, 000 3 Electrical 1 LS 4 General Trades 1 LS ] D, 1,10 f p, 1'`M 5 General Conditions 1 LS 7, 9 ] 7, H 17 BASE BID TOTAL 29 1, 357 BASE BID DIVISION B: Leighton Plaza: Stair 1 Tower Imorovements Item No. Description P Quantity Unit Unit Price Total Amount 6 Elevator Equipment 1 LS 2w,520 282,5-�& 7 Mechanical 1 LS 7 i 3 y, ] 13 8 Electrical 1 LS ) 0 / )L, RVI 9 General Trades 1 LS 1 9,1p77 q ,77 ( 10 1 General Conditions 1 LS (� , 5 2 ) (, 5 BASE BID TOTAL BASE BID DIVISION C: Wayne Street: Southeast tower Improvements It No. Description Quantity Unit Unit Price Total Amount 11 Elevator Equipment 1 LS 271, 9` 2- 27 , VY2 12 Mechanical 1 LS 7)O00 13 Electrical 1 LS )Z,ibi 14 General Trades 1 LS j U, )) 9 10. 1 ] 8 15 General Conditions 1 LS &, -Jt)0 (f , J06 BASE BID TOTAL 07, y 2,) BASE BID DIVISION D: Leighton Plaza: Stair Tower 2 Imorovements Item No. Description Quantity Unit Unit Price Total Amount 16 Elevator Equipment 1 LS,52t7 �`��, 5 �0 17 Mechanical 1 LS y, '7 y 3 y, 7 y 3 Version 7/31/2015 Contractor's Bid for Public Works - 7 18 Electrical 1 LS 12, Ap / J2, 10 19 General Trades 1 LS 9,67 7 y, (fl 7 20 General Conditions 1 LS y, 5 3 L 3 2 BASE BID TOTAL '3 1 :h, 1 3 3 ALTERNATE #1: DIVISION B ADDITIONAL Item No. Description Quantity Unit Unit Price Total Amount Remove & replace roof of Leighton 21 Plaza Stair Tower 1 as necessary to 1 LS O O replace elevator machine. ALTERNATE #1 TOTAL 0 ALTERNATE #2: DIVISION D ADDITIONAL Item No. Description Quantity Unit Unit Price Total Amount Remove & replace roof of Leighton 22 Plaza Stair Tower 2 as necessary to 1 LS © r JJ replace elevator machine. ALTERNATE #2 TOTAL C ALTERNATE #3: DIVISION A DEDUCT Item No. Description Quantity Unit Unit Price Total Amount 23 NEMA 1 elevator and electrical fixtures 1 LS - y 3, 5 12 y j in Wa ne Street Northwest Tower ,AZ ALTERNATE #3 TOTAL - y 3, 3 2 Z ALTERNATE #4: DIVISION B DEDUCT Item No. Description Quantity Unit Unit Price Total Amount 24 NEMA 1 elevator and electrical fixtures 1 LS _ 2Sut , 2ti in Leighton Plaza Stair Tower 1 ALTERNATE #4 TOTAL ` Il'3, 2!30 ALTERNATE #5: DIVISION C DEDUCT Item No. i Description Quantity Unit Unit Price Total Amount 25 NEMA 1 elevator and electrical fixtures 1 LS " y$, 22$ J�, 22 in Wayne Street Southeast Tower ALTERNATE #5 TOTAL '- y5, 229 ALTERNATE#6: DIVISION D DEDUCT Item No. Description Quantity Unit Unit Price Total Amount 26 NEMA 1 elevator and electrical fixtures 1 LS L/ 5,2 5 D - i , t S® in Leighton Plaza Stair Tower 2 ALTERNATE #6 TOTAL - 33, Z 51O Version 7/31/2015 Contractor's Bid for Public Works - 8 Bidder (Firm): R. Yoder Construction, Inc. Address: P.O. Box 69 City/State/Zip: Nappanee, IN 46550 Telephone Number: ( 574 ) 773-3502 By (Signature) Kevin Yoder - Sales (Printed Name of Person Signing) Version 7/31/2015 Contractor's Bid for Public Works - 9 - 04yoUTIJ N 0 1316 COUNTY -CITY BUILDING ,{x PHONE 574/235-9251 227 W. JEFFERSON BOULEVARD ;,�. t7 FAX 574/ 235-9171 SOUTH BEND, INDIANA 46601-1830 TDD 574/ 235-5567 1865 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: November 2, 2016 To: All Bidders From Richard Estes, Engineer, City of South Bend Subject Addendum Number: 1 Project Name: 2016 Parking Garage Improvements Project Number: 115-143 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: / / ._3 - 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: 9 - Y6.b✓ C.cPY6✓"C 6"&A Authorized Signature: Date: O d 0 0 N W a O c Q 0 0 C o- 3 a o- z N 3 CD OIL CD z 3 W a a 0 w m T m d m� O m � tD N a 0 o � � ry 0 D m o � m � s" m o n C m o F M O O �Q � N m � n �D m o n3 a o mg mD 03 3 0 ti �a 0 o m W � L p � B o � N N v m K 07 m ou W m G) 0 m 3 z O 1 z 0 m0 < K -0m m -i r'z-< oWO 3 C T UJ CO) --IyC MN2 OmW nm0 3 0 z co m O_ m y CITY OF SOUTH BEND yes° rHefy MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS 'a"' This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBENVBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business as defined by the Indiana Department of Administration ("IDOA"). Project Number: 115-143 Date: //- �- /e, Project Name: Bidder: Contact Person: Address: City: Email: 200J116 Parking Garage Improvements /ddam. {UGC/L !Q ('/:yr<T.etx ill i / / iii _C7s '�%�.✓ Telephone: 793 3soa State: 1niD1a.rf4 Zip: 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 uLl 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: 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 KI 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 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 MBEIWBEs, 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 MBENVBEs in order to increase the likelihood of meeting the MBENVBE goals (including breaking down contracts into smaller units to facilitate MBE/WBE 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 7/31/2015 Contractor's Bid for Public Works - 11 CITY OF SOUTH BEND `e , TU t MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY 'y DEVELOPMENT PROGRAM aim FORM MWBE-2.1 MBE/WBE CONTACTED Is's 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 / OF / Project Number: 115-143 Project Name: 2016 Parking Garage Improvements MBEM/BE Firm Owner or Contact at MBE/WBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: MBE/WBE Participation Goal Email: E RESULTS OF CONTACT WITH THE MBE/WBE FIRM: MBEM/BE Firm Owner or Contact at MBEM/BE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Version 7/3112015 Contractor's Bid for Public Works - 12 `,pu rx aF10 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK 180 CHECKLIST FOR BIDDERS Project Name 2016 Parking Garage Improvements Project No. 115-143 For Bids Due 9:30am November 8, 2016 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. 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 ✓ Certification of use of United States Steel Products or Foundry Products. Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted ' Form [MWBE-2.1]. Acknowledge Receipt of 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: _A.yozr Cuasirn,e'ci',n. roc: Date: ZZ-�-16 By Authorized Am Signature: Print Name & Title: Version 7/31/2015 Contractor's Bid for Public Works - 1