HomeMy WebLinkAboutBid Opening - Fire Station #4 - Brown & Brown ConstructionCITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name Fire Station #4
Project No.
For Bids Due
165-066
December 13, 2016
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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.
t/ 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-1.01. If minimum participation goal is not
met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted
Form [MWBE-2.11.
Acknowledge Receipt of 1-3 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: Brown & Brown General Contractors, Inc.
By Authorized Representative:
Signature:
Print Name & Title: Eric Brown, President
�l
Version 10/1812016 Contractors Bid for Public Works - 1
Date: December 12, 2016
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Fire Station #4
Project No. 166-066
For Bids Due December 13, 2016
PART
(Must be completed for all bids. Please type or print)
Date: Dec. 13, 2016 Bidder (Firm): Brown & Brown General Contractors, Inc.
Address: 124 S. Elkhart St., PO Box 487
City/State/Zip: Wakarusa, IN 46573 Telephone Number: ( 574 ) 862-2171
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:
Fire Station #4
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
Epoch Architecture + Planning, 300 W. Jefferson Blvd., South Bend, IN 46601
and dated November 8, 2016 for the sum of (enter the Total Bid as shown on the Proposal)
P1 a nueu is ca s wn on erg)pShfMis
( - Umenoal)
fjrI (�
The undersigned further agrees to furnish a bond or certified ci or a o pd �tow
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 separa ttac nt.
By ¢�1�/C{��
- " - (Signature) �-
Eric Brown, President
(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, Clerk
Version 10/182016 Contractor's Bid for Public Works - 2
20
PART 11
(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 If 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 111 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.
f
Version 10/18/2016 Contractor's Bid for Public Works - 3
The above bid is accepted this
following conditions:
Contracting Authority Members:
ACCEPTANCE
day of
PART II
(For projects of $150,000 or more — IC 36-1-12-4)
Governmental Unit: City of South Bend, IN
Bidder (Firm) Brown & Brown General Contractors, Inc.
Date (month, day, year): December 13, 2016
, subject to the
These statements to be submitted under oath by each bidder with and as a part of his bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
What public works projects has your organization completed for the period of one (1) year prior to the
date of the current bid?
Contract Amount
Class of Work
1
Completion
Date
Name and Address of Owner
1,523,124.00
addition-renovation
2015
Knox Community Schools, Knox, IN
1,021,732.00
general trades
2015
Buchanan Comm Schools, Buchanan, MI
587,494.00
site pre, fdns, struct steel
2015
St. Joseph Co. Bd of Comm., South Bend, IN
373,519.00
renovation
2015 J
City of Mishawaka, IN
2. What public works projects are now in process of construction by your organization?
Contract Amount
Class of Work
Expected
Completion
Date
Name and Address of Owner
957,666.00
renovation
2016
Elkhart Public Library, Elkhart, IN
533,250.00
general trades
2016
Watervliet Public Schools, Watervliet, MI
3,034,200.00
renovation
2017
Indiana University, Bloominton IN
2,361,844.00
renovation
2016
Indiana University, Bloomington, IN
3. Have you ever failed to complete any work awarded to you? no If so, where and why?
4. List references from private firms for which you have performed work.
Dick Belcher, First Federal Savings Bank, Rochester, IN
John Metzger, Culver Duck Farm, Middlebury, IN
Jeff Ewing, 2nd AP Company L.P., Woburn, MA
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
Explain 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 governmental unit to consider your bid.)
All work to be completed in a professional, workmanlike manner according to applicable
plans, specifications and addendum.
2. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm
who have performed part of the work) that you have used on public works projects during the past five (5)
years along with a brief description of the work done by each subcontractor.
Rosema Construction, Fort Wayne, IN - interior wall/ceiling finishes
Interior Finishes, Osceola, IN - floor finishes
Edward J. White, South Bend, IN - mechanical
McLaughlin Masonry, New Carlisle, IN - masonry
Martell Electric, South Bend, IN - electrical
3. If you intend to sublet any portion of the work, state 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 governmental unit in the event that you subsequently determine that you will use a
subcontractor on the proposed project.
Names and addresses of subcontractors to be furnished as specifications require.
Equipment to be used by them is unknown to us.
Bonds from subcontractors to be determined
4. What equipment do you have available to use for the proposed project? Any equipment to be used by
subcontractors may also be required to be listed by the governmental unit.
Trucks, skid loaders; anything else we do not have will be rented.
5. Have you entered into contracts or received offers for all materials which substantiate the prices used in
preparing your proposal? If not, please explain the rationale used which would corroborate the prices
listed.
Yes
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial
statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to
the governing body awarding the contract must be specific enough in detail so that said governing body can make
a proper determination of the bidder's capability for completing the project if awarded.
BID/PROPOSAL
CITY OF SOUTH BEND
Project Name Fire Station #4
Project No. 166-066
For Bids Due December 13, 2016
Item
No. Description Total Amount
1 Base Bid
BASE BID TOTAL
No. Description Total Amount
SECOND FLOOR BATHROOM WINDOWS:
1 FURNISH AND INSTALL WINDOW TYPE "D" AT SECOND FLOOR 5�Q
BATHROOM LOCATIONS, QUANTITY: FOUR (4). G
ALTERNATE #1 TOTAL
Item
No.
Description
Total Amount
ALTERNATE LOCATION FOR SOLAR PANEL ROOF ARRAY:
2
INSTALL 325W 72 CELL SOLAR PANEL MODULE AT PITCHED (6112)
STANDING SEAM METAL ROOF LOCATION IN LIEU OF TPO ROOF
LOCATION ABOVE APPARATUS BAY. SEE ROOF PLAN 1/A1-300.
ALTERNATE #2 TOTAL L I176
Item
No.
Description
Total Amount
APPARATUfBAYOOOR SELECTION:
PROVIDE AURNISH AND INSTALL "STEEL RANGER 9000L"3 HIGH PERFOLLING
STEEL DOORS BYHORMANN FLEXONLLC
AT EAOUR (4) APPARATUS BAY APPARATUS DOORS
IN LIEU OF ID SELECTION.
ALTERNATE #3 TOTAL 10 06
Item
No.
Description
Total Amount
APPARATUS BAY DOOR SELECTION:
PROVIDE A COST TO FURNISH AND INESOLID SHEETED FOUR
4
FOLD DOORS" BY DOOR ENGINEERINANUFACTURING AT
EACH OF THE FOUR (4) APPARATUS BARATUS DOORS IN LIEU
OF THE BASE BID SELECTION.
ALTERNATE #4 TOTAL. —
6 )
Version 10/18/2016 Contractor's Bid for Public Works - 1
Description Total Amount
REMOVAL OF SITE PERIMETER CONCRETE CURB:
PROVIDE A COST TO REMOVE AND REPLACE THE CONCRETE CURB
THAT BOUNDS THE PROPERTY'S PERIMETER ALONG OLIVE STREET,
LINDEN AVENUE, AND ORANGE STREET. SEE SHEET C1.0. / 6W
ALTERNATE #5 TOTAL
Item
No. I Description I TotalAmount]
r�
SIDEWALK: -"" """ "-r^vvivL RC IC
PROVIDE A COST TO REMOVE AND REPLACE THE INDICATED
CONCRETE SIDEWALK THAT BOUNDS THE PROPERTY'S PERIMETER
ALONG OLIVE STREET, LINDEN AVENUE, AND ORANGE STREET. SEE
SHEET C1.0 FOR DEMOLITION EXTENT; SEE SHEET C1.1 FOR NEW
CONSTRUCTION (KEYNOTE #8 AND #11).
ALTERNATE #6 TOTAL Aff-I Ur
I No, I Description I Total Amount I
.+"'' ' "I'vlc I crt UKNANItN I AL FENCING:
7 PROVIDE A COST TO FURNISH AND INSTALL 4'H AND 6'H ORNAMENTAL
FENCING AS INDICATED BY KEYNOTE #10 ON SHEET C1.1.
ALTERNATE #7 TOTAL
I No, I Description I Total Amount]
_...._, ruvv vvmLL i. r
PRECAST SUBSTITUTION: \
PROVIDE A COST TO FURNISH AND INSTALL 16"H BASE, 8"H ACCENT \/1
BAND, AND 8"H WALL CAP IN CAST STONE IN LIEU OF LIMESTONE ASJ
INDICATED BY KEYNOTE #65, KEYNOTE #75, KEYNOTE #77, ANDO� -
KEYNOTE #116 AND BY ELEVATION KEYNOTES #E1 AND #FR
ALTERNATE #8 TOTAL
Item
No. Description Total Amount
lu "4ulYl1 1C Pacrcage: rnce to turnish and install all Furniture and
9 1 Equipment as indicated on the Furniture Schedule and on the Equipment `Dz,o(
Schedule both shown on Sheet 11-100.
ALTERNATE #9 TOTAL
Version 10/18/2016 Contractor's Bid for Public Works - 2
Item
No,
Description
Total Amount
Reduced Scope Solar Array: Provide a cost to install a 325W 72 cell solar
10
panel module (maxpower CS6U-325 by Canadian Solar, 77.2" x 39.1" x 1.57")
with standing seam metal roof clamps. Total system: reduce panel quantity
�q `
!�
from thirty-two 32 to twenty-four 24 panels approximately 3% renewable.
ALTERNATE #10 TOTAL
Bidder (Firm): Brown & Brown General Contractors, Inc
Address: 124 S. Elkhart St., PO Box 487
City/State/Zip: Wakarusa, IN 46573 Telephone Number: 574 862-2171
By
(Signature)
Eric Brown, President
Version 10/18/2016 Contractor's Bid for Public Works - 3
Z C40
(Printed Name of Person Signing)
JDAI
zi
.A Document A310TM -2010
Bid Bond
CONTRACTOR:
(Name, legal status and address)
Brown & Brown General Contractors, Inc.
P. O. Box 487
Wakarusa, IN 46573-0487
SURETY:
(Name, legal status and principal place
of business)
Philadelphia Indemnity Insurance Company
Bala Cynwyd, PA
OWNER:
(Name, legal status and address)
City of South Bend Board of Public Works
County -City Building Room 1316, 227 West Jefferson Blvd
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)
Fire Station 94
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 9th day of December 2016
Brown & Mwn Gen • 1 Contractors Inc.
LLS��Gi (Principal) (Seal)
(Witness)
(Title) Eric Brown, President
Philadelphia Indemnity Insurance Company
(Surety)., /y (Seal)
(Witness)
(; le) nifif erL.'Kasznia, Adomey in Fact
CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that
changes will not be obscured.
Init. AIA Document A310TM —2010. Copyright m 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 Trestles. Unauthorized reproduction or distribution of this AIAe Document, or
any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law.
/ Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail
The Amercan Institute of Architects' legal counsel, copynght@aia.org. 061110
108
PHILADELPHIA INDEMNITY INSURANCE COMPANY
One Bala Plaza, Suite 100
Bala Cynwyd, PA 19004-0950
Power of Attorney
KNOW ALL PERSONS BY THESE PRESENTS: That PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organized and
existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoint Barbara Pearson. Debra Hull. Jordan Scheiher..lenni&r
true and lawful Attorney -in -fact with full authority to execute on its behalf bonds, undertakings, recognizances and other contracts of it
y in the nature thereof, issued in the course of its business and to bind the Company thereby, in an amount not to exceed $100,000,000.00
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of
PHILADELPHIA INDEMNITY INSURANCE COMPANY at a meeting duly called the 1 s day of July, 2011.
RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the
Company to: (1) Appoint Attorney(s) in Fact and authorize the Attomey(s) in Fact to
execute on behalf of the Company bonds and undertakings, contracts of indemnity and
other writings obligatory in the nature thereof and to attach the seal of the Company
thereto; and (2) to remove, at any time, any such Attorney -in -Fact and revoke the
authority given. And, be it
FURTHER
RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any
such Power of Attorney or certificate relating thereto by facsimile, and any such Power of
Attorney so executed and certified by facsimile signatures and facsimile seal shall be
valid and binding upon the Company in the future with the respect to any bond or
undertaking to which it is attached.
IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND
ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS IOm DAY OF JUNE 2013.
1927 =
(Seal)
Robert D. O'Leary Jr., President & CEO
Philadelphia Indemnity Insurance Company
On this I0" day of June 2013, before me came the individual who executed the preceding instrument, to me personally known, and being by me duly sworn said that he
is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY; that the seat affixed to said instrument is the
Corporate seal of said Company; that the said Corporate Seal and his signature were duly affixed.
Hel A'1tA
K.MgHA NrslUi, XNiry RGc
IIIn`reels lwT RtlrtjYlefrLOv/q'
the tR SUW
xunp+Ac. �'� Notary Public: `
residing at Bala Cynwyd. PA
(Notary Seal)
My commission expires: December I8 2016
I, Edward Sayago, Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do herby certify that the foregoing resolution of the Board of
Directors and this Power of Attorney issued pursuant thereto on this I OTH day of June 2013 true and correct and are still in full force and effect. I do further certify that
Robert D. O'Leary Jr., who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attorney the duly elected President of
PHILADELPHIA INDEMNITY INSURANCE COMPANY.
In Testimony Whereof I have subscribed my time and affixed the facsimile seal of each Company this `day of
11927 r - Edward Sayago, Corporate Secretary
PHILADELPHIA INDEMNITY INSURANCE COMPANY
When theprospeclive Contractor is unable io 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)
STATEOF Indiana )
) SS:
Elkhart
COUNTY ) '
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms wider 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 refiain from bidding, and that this bid is made without reference to any otherbid 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 ofIran 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 (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 10/18/2016 Contractor's Bid for Public Works -4
C
Contractor agrees that he/she/it shallenroll in and verify the work eligibility status of all of Contractor's
newly hired employees through the E-Verify Program as claimed 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 bidlquote; 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 employeeor 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 tern 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 though 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, terns, 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 cot 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.
CIn 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 MBEIWBE Utilization Hoard 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 temninating 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). Ihereby
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 ofpublic 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 10/1812016 Contractor's Bid for Public Works - 5
I hereby affirm under the penalties of pegury that the facts and information contained in the foregoing bid
for public works are true and correct.
Dated this 12th day of Dec. 20 16
Brown & Brown General Contractors, Inc.
Contractor, e
Signature of Contra�ctorBidder or Its Agent
Eric Brown, President
Printed Name and Title
Subscribed and sworn to before me this 12th day of December2016
My Commission Expires 3/1/2019
County of Residence
W, i
St. Joseph Co., IN
Version 10/18/2016 Contractors Bid for Public Works - 6
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
i ors conipie[eo Corm snouia ne included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBEIWBE participation. It is the bidder's sole
responsibility to verity 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 ('9DOA").
Project Number: 166-066 Date: Dec. 13, 2016
Project Name:
Bidder.
Contact Person:
Address:
city.
Fire Station #4
Brown & Brown General Contractors, Inc.
Bradley A. Romine Telephone: 574-862-2171
124 S. Elkhart
PO Box 487
State: IN Zip: 46573-0487
Email: brad@bbec.us
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':
Wakarusa
EVIDENCE OF GOOD FAITH EFFORTS
MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minodty 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:/Iwww.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.
2.' Advertise in general circulation and/ortrade 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 MBE/WBEs 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 MBEIWBEs,
Including providing such MBE/WBE's with adequate information about the plans, specifications and other
requirements of the subcontract and did not reject MBE1WBEs 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
MBEIWBEs in order to increase the likelihood of meeting the MBEIWBE 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 MBEANBE was unqualified to perform the job.
• -� -. �1.1111 uon regrares your molars 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 -11
CITY OF SOUTH BEND ,;o soaTa$Ary 3
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY F°
DEVELOPMENT PROGRAM
FORM MWBE-2.1
MBEWBE CONTACTED
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.
Project Number: 166-066
PAGE 1 OF
MBE/WBE Participation Goal 7.1 %
Project Name: Fire Station #4
Bidder: w Brown General Contractors, Inc.
By: President December 13, 2016
MBE/WBE Firm Ritschard Bros.
Owner or Contact at MBElWBE Firm Don Ritschard
Telephone: 574-288-4777 Fax: 574-288-5438 Email:
ritl204@datacruz.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Earthwork
RESULTS OF CONTACT WITH THE MBEIWBE FIRM:
Bidding project
MBEfWBE Firm Essential Architectural Signs, Inc.
Owner or Contact atMBE/WBEFirm Cindy
Telephone: 317-253-6000 Fax: 317-253-6100 Email: cndy@essentialsigns.com
TYPE OF WORK SOLICITED FOR THIS PROJECT'
Signs
RESULTS OF CONTACT WITH THE MSE/WBE FIRM:
No response
Version 10/18/2016 Contractor's Bid for Public Works -12
CITY OF SOUTH BEND 9cs3
1
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY /ddF 't
DEVELOPMENT PROGRAM kV �r
FORM MWBE-1.0 �
PROOF OF MBENVBE PARTICIPATION GOAL ess F'
npleteo form should be supplied with Birds that pertaln to 1: I of South Bend Public Works Projects requiring proof of MBEIMBE
Yfon goal. It is the bidtler'a sole responsibility to verify whether any listed minority or woman business meets the qualifications of a
or Women's owned business.
Project Number.
166.066 Project Name:
Fire Station #4
Bidder:
Brown & Brown General Contr.
Total Bid Amount
MBEIWBE Goal:
7.1 %
Page 1
of 1
Nana &Address of MBEMBE Para ry Contact Person
(Nane/relephone)
Scope of Work to be Performed
(Attach soopelschedule 0you need additional space)
Dollar Amount of
MBENS
Percentage
of Tetaf
Ritschard Bros.
Don Ritschard
Earthwork
Component
BINPre psal
South Bend, IN
574-288-4777
d"
ut 5tylut'
r
Submitted by: Eric Brown I December 13, 2016
Print Name k.2 apiv,
Signature Date
Version 10/102016 Contractor's Bid for Public Works -10
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1316COUMJ -('ITN Bru.nmo z PrioNc 57-F/^_SS-9z51
'_27 W.JCFfE2SON BUULEAAkD J 7 FAX 574i 23.)-9171
Soo i i i Btt:u. INDIAN„46601-1930'i'DD 174/23:_5567
V _
R 1865 R
CITY OF SOUTH BEND PrTE BUr rRiiuc, MAYOR
BOARD OF PUBLIC WORKS
Date:
Novemb
To:
All Bidd
From
Linda M
Subject
Addendu
Project Name:
Project
Number:
Fire Station #4
Board of Public Works
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: November 28, 2016
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by faxing this sheet to the Board of Public Works at (574) 235-9171.
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: Brown & Brown General Co
Authorized Signature:
Date: November 28, 2016
Inc.
1316 COUVI Y-C'(I'Y BUILDING
227 W. JFITY,160N BOULEVARD
S0U'1'I1 Br>ND, INDIANA 46601-1830
PNoNG. 574/235-9251
FAX 574/235-9171
TDD 574/235-5567
CITY OF SOUTH BEND PCTF BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
Date: December 2, 2016
To: All Bidders
From Linda M. Martin, Clerk, Board of Public Works
Subject Addendum Number: 2
Project Name:
Project
Number:
Fire Station 44
116-066
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: December 6, 2016
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by faxing this sheet to the Board of Public Works at (574) 235-9171.
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: Brown & Brown General Contractors, Inc.
Authorized Signature:
Date: December 6, 2016
1316 GOUTY -CITY BUILDING
227 W-JEFFEMON BOULEVAIM
SOUTH BEND, INDIANA 46601-1830
PHONE 574/235-9251
F:�a 574/ 235-9171
TDD 574/ 235-5567
CITY OF SOUTH BFND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
Date:
December 8, 2016
To:
All Bidders
From
Linda M. Martin, Clerk,
Subject
Addendum Number: 3
Project Name: Fire Station #4
Project
Number: 116-066
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: December 9 2016
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by faxing this sheet to the Board of Public Works at (574) 235-9171.
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 apart of herein.
Company:
Authorized Sil
Date: December 9, 2016