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HomeMy WebLinkAboutOpening of Bids - Calvert St. Lift Station Replacement - Proj No. 116-053 - Haskins Underground, Inc.CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Calvert Street Lift Station Replacement Project No. For Bids Due 116-053 November 22, 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. S Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely V 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]. v Acknowledge Receipt of 2 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: Ask", Uq� �� </� Date: 4),12ho/d By Authorized Representative: Signature: , Print Name & Title: �qr f�llS%f'ihS �reS�Je�f Version 10/18/2016 Contractor's Bid for Public Works - 1 OYynt' Ty 6��J 0 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK axes Project Name Calvert Street Lift Station Replacement Project No. 116-053 For Bids Due November 22, 2016 PART (Must be completed for all bids. Please type or /p/ri�n/t) Date: L941,Lb/6 Bidder (Firm): Wa4y&r t�'�I erall2 � l o Address: </// 9B i6d City/State/Zip: X'*O.A _ .tN Telephone Number: { 6 7y) 93 V -6 k 5—k 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: the City of South Bend, Indiana, in accordance with plans and specifications prepared by: and dated tLou `1F 4011b for the sum of (enter the Total Bid as shown on the Proposal) e' ". Aweif � /a .✓ e -%�l.�arorlr/ ($ 4 /73,So0. — ) (Enter sum of Total Base -Bid on Prop al)(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 shalt be shown separate attachment. By —/7/�ly/ " A// �" (Signature) (Printed Name 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 Elizabeth A. Maradik, Member Suzanna M. Fritzberg, Member Therese J. Dorau, Member James A. Mueller, Member Attest: Linda M. Martin, Version 10/18/2016 Contractors Bid for Public Works - 2 ie 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. �4eloS fj Version 10/18/2016 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) r M A KaWne S. Whey STATE OF 9113I )JA ) Notary Pabno, Ebb 01Indim SS: f esmont of Marshall Co., IN , J&2A$L COUNTY ) My wmmhlsIN egIM Odebw 20, 2023 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: 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 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 10/1812016 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 (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. 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. 5-16-5-1). 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. Iunderstand 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 obligationand 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. Version 10/18/2016 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 day of A&AA, 2016 Contractor/Bidder (Firm Signature of Contractor/Bidder or Its Agent Printed Name and Title Subscribed and sworn to before me this day ofQ'Cewbt�' , 201Q My Commission Expires 0(:-h)bel?- 2D, Q 3 otary Public County of Residence // /H 1lzaA Z. --- --, Esrnr: - - - - - VO W Seal"- , i KamMM E. Whey r ° 1181011Y Public, >t ba of Indlans f Resident of ilgraMll Co., w ; My canuals" expires r 2023 Version 10/18/2016 Contractor's Bid for Public Works - 6 BID/PROPOSAL CITY OF SOUTH BEND �. 1N65 Project Name Calvert Street Lift Station Project No. 116-053 For Bids Due November 22, 2016 BASE BID Item No. Description Quantity Unit Unit Price Total Amount 1 Mobilization and Demobilization 1 LS 50 OQ7,— SO 000. 2 Maintaining Traffic 1 LS $ /OUD _ / 0d0. — 3 Clearing Right of Way 1 LS tad ply 1/29,OW — 4 Construction Engineering 1 LS /$000, /S�OLW- 5 Temporary Erosion and Sediment Control 1 LS S J 0t7� f 001J 6 Maintaining Flow 1 LS /S b00.� } /$ 000,E 7 Dewatering 1 LS /(,�� X4 8 Curb and Gutter, Type 'B' 20 LFT ,j S, — 5b0, — 9 Compacted Aggregate, No. 53, Base 120 TON 3 S, ~ yRoo, 10 Concrete Pavement Patching 80 SYS I y d00. — 11 PCCP for Drive, 9" 280 SYS so • � key 000. 12 Chain Link Fence, PVC Coated, 6' Ht 296 LFT yp �— 13 Chain Link Swing Gate, 16' Opening, Double Leaf 1 LS (1G1�• �� Old9• 14 Top Soil 320 CYS %, 15 Mulch Seeding 2800 SYS 'Y d` �Q J i 16 Doghouse Manhole, 6' Dia. 2 EA ,01000 ' 10, 000. 17 Manhole, Drop Type, 6' Dia. 1 EA 000,— ,`'000. 18 Manhole, 6' Dia. 1 EA /J! aJ, SiY7�, — 19 Force Main, 8" Dia. 114 LFT %s 7 p 20 Sanitary Sewer, 24" Dia, 108 LFT 21 Sanitary Sewer, 30" Dia. 92 LFT FIT SQ UOb, 22 Lift Station 1 " 23 Lift Station Electrical 1 LS 24 Lift Station Abandonment 1 LS 5.00, /Z Soa, — BASE BID TOTA 5 s'O, Bidder (Firm): Version 10/18/2016 Contractor's Bid for Public Works - 7 Address: all/ YD /S Lw City/State/Zip: )Q66U?% I/V Telephone Number: (Vy) 130 ^ to f( S 8 ByL✓ (Signature) %"!lank Hasx�r (Printed Name of Person Signing) Version 10/18/2016 Contractor's Bid for Public Works - 8 HASKINS UNDERGROUND, INC. UTILITIES • SITE WORK • EROSION CONTROL 8111 9B Road Plymouth, IN 46563 RE: Form 96 Section I 1. Project that Haskins Underground, Inc. has completed are as follows: Tel- 574.935.3151 Description Amount Owner Lake Pleasant Sanitary Sewer 1.1 mil Steuben County Regional Waste District SR 19 Water Main $288,050.00 City of Nappanee East Lake Shore Storm Sewer 1.03 mil Town of Culver 2. Public Works Projects that Haskins Underground Currently have contracts for are Description Amount Owner Stony Run Bank Stabilization $99,000.00 City of Ft. Wayne Water Main Extension $515,000.00 City of Plymouth 3. Haskins Underground, Inc. has completed all contracts that have been awarded 4. Private References are as follows Michiana Contracting P.O. Box 929, Plymouth, IN 46563 Banner Electric, 1515 W. Jefferson St., Plymouth, IN 46563 Section II Start date would be February of 2017 weather permitting and after all shop drawings are submitted and approved. Work would begin by installation of erosion control measures and clearing and grubbing of site. Then dewatering would progress with the excavation of the bottom of the new wet well to follow. While excavating steel would be tied. The majority of the tank would be poured within 6 weeks. Piping would follow after. Then building of the interior of pump station, along with electrical and controls. Once new station is active it would be tested per specifications before old iron is taken out of service. 2. Contractors that we have used are as follows Michiana Contracting P.O. Box 929, Plymouth, IN 46563 used for Electrical Banner Electric, 1515 W. Jefferson St., Plymouth, IN 46563 used for Electrical Rensberger Construction, 8530 6B Road, Plymouth, IN 46563 used for carpenters Haskins Inc, 2520 Oak Road, Plymouth, IN 46563 used for additional labor and operators Jeff Gustafson Farms, 18871 W. 4B Road Walkerton, IN 46574 used for trucking 3. Concrete / Rebar, Electrical, Coatings, along with shoring and possible dewater/bypass pumping will be sublet. 3. Haskins Underground has various equipment to compete the project including excavators and loaders. pumps trench boxes 4. Material price quotes have been received for this project. Mark Haskins Jr. President Haskins Underground, Inc. CITY OF SOUTH BEND tiyot rx RFC MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITYLL rx DEVELOPMENT PROGRAM nj Z Y FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS 1865 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 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: 116-053 Date: Project Name: Calvert Street Lift Station Replacement Bidder: yAia; �i,,� oL,2gv / zi- Contact Person: /i/ptK Telephone: 51`/ ?o -6$S'y Address: gz/z l'B Aaff l City A60;� State: TN zip: Email: m4r -a hQs/(!os b//derarnc Q1 40fi 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 J Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (http:/Jwww.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 MBE/WBEs of contracting and subcontracting opportunities. Advertise in general circulation and/or trade association publications concerning J 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 MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBE/WBE firms. "Bidder must circle or otherwisenotate 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 MBEANBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. The bidder selected specific portions of the work to be performed by s in order to increase the likelihood of meeting the MBEIWBE goals (including breaking down into smaller units to facilitate MBE/WBE participation) F�WON7RACT(S): T RECORDS: The bidder has maintained the following records for each MBE/UVBE that has subcontracting opportunity: ddress, and telephone number;iption 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. ..aper ucdwusueuon or Good Farm 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 10/18/2016 Contractor's Bid for Public Works - 10 awl $ � w . o \ � 0FL & $ \ 0 Ej � ¥ � 0042 7 0 ! r $ » 7 _ \ \) a \ \ » � \ � / - { \ / \ CITY OF SOUTH BEND C4 YOl Tk OAt MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY 4 It y DEVELOPMENT PROGRAM - FORM MWBE-2.1 MBEIWBE CONTACTED 105 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: 116-053 MBEIWBE Participation Goal Proji E 0 MBE/WBE Firm S74fe Owner or Contact at MBE/WBE Firm Telephone: V (-a 0 % -20 )f Fax: Email: &C,-k rricadV -0 01 CO M TYPE OF WORK SOLICITED FOR THIS PROJECT: 9J i rit f-oa CO h fro RESULTS OF CONTACT WITH THE MBEANBE FIRM: ICC/wiLeJ Q.a1e MBEIWBE Firm G q, r- e� Sit./yey0i5 Owner or Contact at MBEIWBE Firm Rtt 3A� n c on Telephone: I(,0- QC10 -83P7 Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: y Ov.r RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Ot ckc Re�-P(,U" Email: f0 W,0,) @ 3q rC1'agSk i vetipt's , C0^1 Version 10/18/2016 Contractor's Bid for Public Works - 11 Liberty MUtUdIo The Ohio Casualty Insurance Company SURETY BID OR PROPOSAL BOND KNOW ALL MEN BY THESE PRESENTS, That we, Haskins Underground, Inc. of 8111 9B Road. Plymouth IN 46563 (hereinafter called the Principal) as Principal, and The Ohio Casualty Insurance Company , with its principal office in the City of Keene , New Hampshire (hereinafter called the Surety), as Surety, are held and firmly bound unto City of South Bend, Department of Public Works of 227 West Jefferson St., Room 1316, South Bend, IN 46601 (hereinafter called the Obligee) in the penal sum of 5% Dollars 5% lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns. THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas, the Principal has submitted the accompanying bid dated December 8, 2016 for Calvert Street Lift Station Replacement Project; Project No. 116-053 NOW, THEREFORE, if the Obligee shall make any award according to the terms of said bid and the Principal shall enter into a contract with said Obligee in accordance with the terms of said bid and give bond for the faithful performance thereof within the time specified; or if no time is specified within thirty days after the date of said award; or if the Principal shall, in the case of failure so to do, indemnify the Obligee against any loss the Obligee may suffer directly arising by reason of such failure, not exceeding the penalty of this bond, then this obligation shall be null and void: otherwise to remain in full force and virtue. Signed, sealed and dated: December 5, 2016 Haskins Underground,lnc. (Principal) By: //�/ j/ Mark Haskins, Jr. The Ohio Casualty Insurance Company By:hx0t..& kge�:2 Gregory S. NIler ' (Attorney -in -Fact) S-137-Rev. POWER OF ATTORNEY The Ohio Casualty Insurance Company Bond Number: Principal: Haskins Underground,Inc. Agency Name: RICHARD S. MILLER & SONS INC. Obligee: CitV of South Bend, Department of Public Works Agent Code: 133847 Know All Men by These Presents: That The Ohio Casualty Insurance Company, pursuant to the authority granted by Article IV, Section 12 of the Code of Regulations and By -Laws of The Ohio Casualty Insurance Company, do hereby nominate, constitute and appoint: Gregory S. Miller, Christian L. Barnes of BREMEN, Indiana its true and lawful agent(s) and attorney(ies)-in-fact, to make, execute, seal and deliver for and on its behalf as surety, and as its act and deed any and all BONDS, UNDERTAKINGS, and RECOGNIZANCES, excluding, however, any bond(s) or undertaking(s) guaranteeing the payment of notes and interest thereon. And the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Company, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of said Company at their administrative offices in Keene, New Hampshire, in their own proper persons. The authority granted hereunder supersedes any previous authority heretofore granted the above named attorney(im)-in-fact. In WITNESS WHEREOF, the undersigned officer of the said The Ohio Casualty Insurance Company has hereunto subscribed his name and affixed the Corporate Seal of said Company this 26th day of September, 2016. VtY INS[,qq i ?p0.POggjYy� 0�1919Wp __ 4�Z17' �- ��y1 A*Pe ddaa David M. Carey, Assistant Secretary STATE OF PENNSYLVANIA COUNTY OF MONTGOMERY On this 26th day of September, 2016 before the subscriber, a Notary Public of the State of Pennsylvania, in and for the County of Montgomery, duly commissioned and qualified, came David M. Carey, Assistant Secretary of The Ohio Casualty Insurance Company, to me personally known to be the individual and officer described in, and who executed the preceding instrument, and he acknowledged the execution of the same, and being by me duly sworn deposes and says that he is the officer of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal at the City of King of Prussia, State of Pennsylvania, the day and year first above written. $p PA3? COMMONWEALTH OF PENNSYLVANIA seal '/�/ OF Teresa la,, Notary Public •i.(��.R, �1 ate db24� IlpDer Merlon aTwpwIefl Twp., Montgomery County My Commission Expires March 28,2017 Notary Public in and for County of Montgomery, State of Pennsylvania Member. Peon My Commission expires March 28, 2017 This power of attorney is granted under and by authority of Article IV, Section 12 of the By -Laws of The Ohio Casualty Insurance Company, extracts from which read: ARTICLE IV - Officers: Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bond, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. This certificate and the above power of attorney may be signed by facsimile or mechanically reproduced signatures under and by authority of the following vote of the board of directors of The Ohio Casualty Insurance Company effective on the 15th day of February, 2011: VOTED that the facsimile or mechanically reproduced signature of any assistant secretary of the company, wherever appearing upon a certified copy of any power of attorney issued by the company in connection with surety bonds, shall be valid and binding upon the company with the same force and effect as though manually affixed. CERTIFICATE I , the undersigned Assistant Secretary of The Ohio Casualty Insurance Company, do hereby certify that the foregoing power of attorney, the referenced By -Laws of the Company and the above resolution of their Board of Directors are true and Correa copies and are in full force and effect on this date. IN WITNESS WHEREOF, I have hereunto set my hand and the seal of the Company this Sth day of December 1 2016 VTY INSUp �JP`oarogsr -Y o m1919 mW a / � 5 =O 2NAMP9a L �yl ` "�Ir F� Renee C. Llewellyn, Assistant Secretary 1316COUNTY-CITY BUILDING 227 W JEFFERSON BOULEVARD SOUTH BEND, IND} NA 46601- 1830 Date: To: From Subject Project Name: Project No.: PHONE 574235-9251 FLK 574 235-9171 TDD 57,t' 235-5567 CITY OF SOUTH BLND PETL BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS November 16, 2016 All Planholders LindaM. Martin, Clerk, Board ofPublic Works Addendum Number: 1 Calvert Street Lift Station Replacement 116-053 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 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become apart of herein. Company: Authorized Signature: 7-pz7ez Date: /2/ y 13160'pUNTY-CITY BUILDING PHONE. 227 W. JEFFERSON BOHLEVARD U� \ %< C FAX SOUTH BEND, INDIANA46601-1830 TDD CITY OF SOUTH BEND FETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: To: From Subject Project Name: Project No.: November 30, 2016 All Planholders Linda M. Martin, Clerk, Board of Public Works Addendum Number:2 574/235 -9251 574, 235-9171 574/235-5567 Cahert Street Lift Station Replacement 116-053 -- 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 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Authorized Signature: Date: r