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HomeMy WebLinkAboutBid Opening - Fire Station #4 - Gibson-Lewis LLCpl I 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 - PARTI viust be completed for all bids. Please 'type or print) Date: 12/13/16 Bidder (Fi rm). Glbson-Lewis, LLC Address: 1001 W. I Ith Street City/State/Zip: Mishawaka, IN 46544 Telephone Number: ( 574_) 259-8581 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 - Project # 116-066 the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Epoch Architecture + Planning and dated 1 1/8/ 16 for the sum of (enter the Total Bid as shown on the Proposal) c<Mrtllca t��l r+v1' 1 +"u"% .F, 4 .� _($3,1'{ atS00 p0 ) (Enter sum of Total Base aidshown on Proposal) (N I Alternates umerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be show4py a separate attachment. By —A Si ature Robert A. Lingenfelte�, �restgent (Pnnted 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 10/18/2016 Contractor's Bid for Public Works - 2 20 Bidder: Gibson -Lewis, LLC PART If (For projects of $100,000 or more - IC 36-1-124) 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 determinatlon of the bidder's capability for completing the project if awarded. Version 10/18/2016 Contractor's Bid for Public Works - 3 ACCEPTANCE The above bid is accepted this day of , subject to the following conditions: Contracting Authority Members: PART II (For projects of $150,000 or more — IC 36-1-12-4) Governmental Unit: City of South Bend, Indiana Board of Public Works Bidder (Firm) Gibson -Lewis, LLC Date (month, day, year): December 13 2016 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 Completion Date Name and Address of Owner 4,000,000.00 2015 PSAP 911 Call Center, Mishawaka, IN 6,402,000.00 2015 Elk Comm Schools, Elkhart, IN 1,400,000.00 2015 Whiting Comm Schools- Whiting, IN 350,000.00 2015 DeMotte Elementary - DeMotte, 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 2,535,000.00 2016 Lakeshore HS - Stevensville, MI 1,700,000,00 2016 St. Joseph County Courts - South Bend, IN 297,000.00 2016 SB Regional Airport Anti Pass - South Bend, IN 508,000.00 2016 Three Creeks Elementary - Lowell, IN Bidder: Gibson -Lewis, LLC 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. University of Notre Dame Notre Dame, Indiana Memorial Hospital of South Bend South Bend, Indiana St. Joseph Regional Medical Center South Bend, Indiana 1 st Source Bank South Bend, Indiana SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the governmental unit to consider your bid.) Apply adequate personnel to complete the work 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. Please see attached listing SELECTED SUBS FOR FORM 96 RV SLITTON, INC. EXCAVATING RITSCHARD BROS_ INC. 160 W RAIL ROAD UNIT 1 1204 W SAMPLE STREET CHESTERTON. IN 46304 SOUTH BEND, IN 46619 WALSH & KELLY PAVING RIETH RILEY CONSTRUCTION 24350 STATE ROAD 23 25200 STATE ROAD 23 SOUTH BEND, IN 46614 SOUTH BEND, IN 46614 ZIOLKOWSKI CONSTRUCTION MASONRY MCLAUGHLIN MASONRY 1005 S LAFAYETTE STREET 56110 TIMOTHY ROAD SOUTH BEND, IN 46601 NEW CARLISLE. IN 48552 STEVENS IRON WORKS, INC STRUCTURAL STEEL CRANE INDUSTRIAL SERVICES P.O. BOX 730 11035 ANDERSON ROAD DEMOTTE, IN 46310 GRANGER, IN 46530 EC BABILLA ROOFING DUDECK ROOFING & SHEET METAL 3974 HARRISON STREET 1634 SOUTH FRANKLIN STREET GARY, IN 46409 SOUTH BEND, IN 46614 WERNTZ SUPPLY GLASS & GLAZING PRECISION WALL 1002 KERR STREET 3801 S MAIN STREET SOUTH BEND, IN 46601 SOUTH BEND, IN 46614 OVERHEAD DOOR COMPANY OVERHEAD DOOR INDUSTRIAL DOOR OF NORTHERN IN P.O. BOX 907 3839 S. MAIN STREET MISHAWAKA, IN 46546 SOUTH BEND, IN 46614 MASTER TILE FLOORING INTERIOR FINISHES, INC. 1205 WEST LINCOLN HIGHWAY 1610 W THIRD STREET MERRILLVILLE, IN 46410 OSCEOLA, IN 46561 KROPP FIRE PROTECTION FIRE PROTECTION RYAN FIRE PROTECTION 59685 MARKET STREET 9740 EAST 148TH STREET SOUTH BEND, IN 46614 NOBLESVILLE, IN 46060 DA DODD, INC PLUMBING & HVAC EDWARD J WHITE P.O. BOX 430 1011 S. MICHIGAN STREET ROLLING PRAIRIE, IN 46371 SOUTH BEND. IN 46601 MARTELL ELECTRIC ELECTRIC MCMANN ELECTRIC, INC 4601 CLEVELAND ROAD 1454 THIRD STREET SOUTH BEND, IN 46628 OSCEOLA. IN 46561 Bidder: Gibson -Lewis, LLC 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. Unresolved 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. All necessary 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. No 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. *Please see attached Financial Statement Bidder: Gibson -Lewis, LLC When the prospective Contractor is amble to certify to any of the statements below, it shall attach an explanation la 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 liar all quotes and bids. Please type or print) STATE OF Indiana ) St. Joseph COUNTY ) SS: 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 Gum 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. Forpurposes of this Certification, "Iran" means the government ofIranand 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 Ion; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million doiiars 020,000;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 Imo: 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 Bidder: Gibson -Lewis, LLC Contractor agrees that he/she/it shall enroll in and verify the work eligibility scams 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/quow 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 lite subcontractor subsequently looms is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the F.-Verify Program. The Contractor agrees to maintain this certification throughout the tern of the contract with the City ol'Sornb Bend, and understands that the City may terminate the contract for default if the Contractor fails to core 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 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 afTect that person's ability to perform the work. In awarding contracts for the purelime 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 Stale 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 MBEMBF; however, it may not unlawfully discriminate against said WBE./MBF. A finding of a discriminatory practice by the City's MBE/WBL Utilization Board shall prohibit that person or entity front 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 peribrmance 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 stanuory obligations to the use of steel products or foundry products made in the Untied Stales (LC. 5- I6.8- 1). 1 hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why die 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 of 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 ofcontractual payments. ♦kf Version 10/18/2016 Contractor's Bid for Public Works - 5 Bidder: Gibson -Lewis, LLC I hereby affirm under the penalties of pedury that the facts and information contained in the foregoing bid for public works are true and correct. 13th December Dated this day of , 2016 Gibson -Lewis, LLC Contract idder (Firmj Signature of Contractor/Bidder of Its Agent Robert A. Lingenfelter, President Printed Name and Title Subscribed and sworn to before me this 13t of D cember , 20 16 My Commission Expires 08/05/2023 of Public Juli Hodowamec 4 County of Residence St. Joseph Version 10/18J2016 Contractor's Bid for Public Works - 6 Bidder: Gibson -Lewis, LLC Project Name Project No. For Bids Due BASE BID coll�Y� d BID/PROPOSAL CITY OF SOUTH BEND ` Ins Fire Station #4 166-066 December 13, 2016 Item No. Description Total Amount 1 I Base Bid BASE BID TOTAL Zg431 (OD ALTERNATES Item No. Description Total Amount SECOND FLOOR BATHROOM WINDOWS: 1 FURNISH AND INSTALL WINDOW TYPE "D" AT SECOND FLOOR BATHROOM LOCATIONS, QUANTITY: FOUR (4). ALTERNATE #1 TOTAL ADAI Q00.g919 Item No. Description Total Amount ALTERNATE LOCATION FOR SOLAR PANEL ROOF ARRAY: 2 INSTALL 325W 72 CELL SOLAR PANEL MODULE AT PITCHED (6/12) STANDING SEAM METAL ROOF LOCATION IN LIEU OF TPO ROOF LOCATION ABOVE APPARATUS BAY. SEE ROOF PLAN 1/A1-300. ALTERNATE #2 TOTAL bUc� Item No. Description Total Amount APPARATUS BAY DOOR SELECTION: PROVIDE A COST TO FURNISH AND INSTALL "STEEL RANGER 9000L" 3 HIGH PERFORMANCE ROLLING STEEL DOORS BY HORMANN FLEXON LLC AT EACH OF THE FOUR (4) APPARATUS BAY APPARATUS DOORS IN LIEU OF THE BASE BID SELECTION. ALTERNATE #3 TOTAL QG10 c� Item No. Description Total Amount APPARATUS BAY DOOR SELECTION: PROVIDE A COST TO FURNISH AND INSTALL "SOLID SHEETED FOUR 4 FOLD DOORS" BY DOOR ENGINEERING AND MANUFACTURING AT EACH OF THE FOUR (4) APPARATUS BAY APPARATUS DOORS IN LIEU OF THE BASE BID SELECTION. pD ALTERNATE #4 TOTAL & : 100. Version 10/18/2016 Contractor's Bid for Public Works - 1 Bidder: Gibson -Lewis, LLC ALTERNATES (CONTINUED) No. Description Total Amount REMOVAL OF SITE PERIMETER CONCRETE CURB: 7Item PROVIDE A COST TO REMOVE AND REPLACE THE CONCRETE CURB 5 THAT BOUNDS THE PROPERTY'S PERIMETER ALONG OLIVE STREET, LINDEN AVENUE, AND ORANGE STREET. SEE SHEET C1.0. ALTERNATE #5 TOTAL A Dh t{ Ov. `DD Item No. Description Total Amount REMOVAL AND REPLACEMENT OF SITE PERIMETER CONCRETE SIDEWALK: PROVIDE A COST TO REMOVE AND REPLACE THE INDICATED 6 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 48 AND ALTERNATE #6 TOTAL Qj h y D, 3pp �— Item No. Description Total Amount NEW SITE PERIMETER ORNAMENTAL 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 TOTALS aQ, 900 4ZL>- Item No. Description Total Amount EXTERIOR WALL BASE, ACCENT BAND, WINDOWSILL, AND WALL CAP PRECAST SUBSTITUTION: 8 PROVIDE A COST TO FURNISH AND INSTALL 16"H BASE, 8"H ACCENT BAND, AND 8"H WALL CAP IN CAST STONE IN LIEU OF LIMESTONE AS INDICATED BY KEYNOTE #65, KEYNOTE #75, KEYNOTE #77, AND KEYNOTE #116 AND BY ELEVATION KEYNOTES #E1 AND #E8. ALTERNATE #8 TOTAL�,4�o0p 0,9 Item No. Description Total Amount Furniture and Equipment package: Price to furnish and install all Furniture and 9 Equipment as indicated on the Furniture Schedule and on the Equipment Schedule, both shown on Sheet 11-100. ALTERNATE #9 TOTAL Ano1 15, $ pp. — Version 10/18/2016 Contractor's Bid for Public Works - 2 Bidder: Gibson -Lewis, LLC 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 from thirty-two 32 to twenty-four 24panels @ approximately 3% renewable. ALTERNATE #10 TOTAL'gm,,,,t 1,Czl iO Bidder (Firm): Gibson -Lewis, LLC Address: 1001 W. I Ith Street City/State/Zip: Mishawaka, IN 46544 Telephone Number: ( 574 )�259--g5R1 BY �J2 ! A (Signature) Robert A. Lingenfelter, President (Printed Name of Person Signing) Version 10/18/2016 Contractor's Bid for Public Works - 3 3 \�I�It V4 r?� l N Q: w 0 w co a� g C1 m w0 Fyaa C OZZ W W U. ma O �ww V0W c z F O z 2 0 w m f 0 O LL I � c o y p doa $I a d 0 n 0o a QV m m� om C-I M V n m o �w L a$ a� o T CD : 0 3 o $ 6 o N a S a o L Oe VE m w EZ aV w m w ' m Q `o m d a 2 0 E z" n E m Ul pt pF. CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM '- FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain 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 166-066 Date: 12/13/16 Project Name: Fire Station #4 Bidder. Gibson -Lewis, LLC Contact Person: Robert A. Lineenfelter, President Telephone: 574-259-8581 Address: 1001 W. I Ith Street city. Mishawaka State: IN zip: 46544 Email: rlineenfeltergial.nceusa.com To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below': EVIDENCE OF GOOD FAITH EFFORTS MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business X Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (http:UwwwJn.gov/idoa). ACTION (ADVERTISElCONTACT): In order for your bid to be deemed responsive, the City of South Bend requires that all perspective bidders complete no less than 2 of the following: 1. Attend all pre -bid meetings scheduled by the City to inform MBENVBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation andlor trade association publications concerning subcontracting opportunities, and allow MBENVBEs reasonable time to respond. 3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated X 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 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 MBENVBEs, including providing such MBE/WBE's with adequate information about the plans, specifications and other X requirements of the subcontract and did not reject MBE/WSEs 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 X MBEIWBEs in order to increase the likelihood of meeting the MBENVBE goals (including breaking down contracts into smaller units to facilitate MBENVBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has • bid on the subcontracting opportunity: 1. Name, address, and telephone number; X 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE/WBE was unqualified to perform the job. '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 10/1812016 Contractors Bid for Public Works - 11 Bidder: Gibson -Lewis. LLC CITY OF SOUTH BEND "vN, r. MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM a FORM MWBE 2.1 MBEMBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBENVBE 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 j OF j Project Number: 166-066 _ MBE/WBE Participation Goal _ Project Name: Fire Station #4 MB BE Owner or Contact at MBEPNBE Firm OF WORK SOLICITED FOR THIS PROJECT: 0 RESULTS OF CONTACT WITH THE MBE/WBE FIRM: L--0 L,) L� rTJnY (- MSEM/BE Firm Owner or Contact a -MBE VBE Finn Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Ir S r e ?_ cC_ `. FatZ fVlsrc Version 1 Oil8/2016 Contractor's Bid for Public Works - 12 ypl'. rp 4F. CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Fire Station #4 Project No. 166-066 For Bids Due December 13, 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 X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X_ 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-2-01 and MBE/WBE Contacted X Form [MWBE-2.1]. X Acknowledge Receipt of 1ddendum(s) included with the bid. X All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either X printed or typed underneath signature. X 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: Gibson -Lewis. LLC By Authorized Representati Signature: 5 Print Name & Title. Robert A. Lingenfelter. President Version 10/18/2016 Contractor's Bid for Public Works - 1 Date: 12/13/16 Document A310TM - 2010 Conforms with The American Institute of Architects AIA Document 310 U.- o -070 CONTRACTOR: (Name, legal status and address) Gibson -Lewis, LLC 1001 West 11th Street Mishawaka, IN 46544 OWNER: (Name, legal status and address) City of South Bend, Indiana - Board of Public Works 227 W. Jefferson Blvd. South Bend, IN 46601 Bond Number: 0399216-137 SURETY: (Name, legal status and principal place of business) The Continental Insurance Company 333 South Wabash Avenue Chicago, IL 60685 State of Inc: Pennsylvania BOND AMOUNT: Five Percent of Amount Bid (5%) PROJECT: (Name, location or address, and Project number, if any) Fire Station #4 Project #116-066 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. qgned and sealed this 22nd day of November 2016 Gibson -Lewis, LLC (Principal) (Seal)mess) Juli Hodowaniec 1 (Title) Robert A. Lingenfelter, President The Continental Insurance company 41 JL� (Surety)•.. � (Seal) (W�nesS) Latrecia R. Scott s ,F ,z. (/Y, ��� - (Title) isa. Wilmot, Attorney -in -Fact ACKNOWLEDGMENT OF SURETY STATE OF MICHIGAN COUNTY OF OAKLAND On this 22nd day of came Lisa M. Wilmot November 2016, before me personally who, being by me duly sworn, did depose and say that she is an Attorney -in -Fact of the Continental Insurance Company and knows the corporate seal thereof, that the seal affixed to said annexed instrument is such corporate seal, and was thereto affixed by authority of the Power of Attorney of said Company, of which a Certified Copy is hereto attached, and that she signed said instrument as an Attorney - in -Fact of said Company by like authority. Acknowledged and Sworn to before me on the date above written My Commission Expires Kathy DelGreco Notary Public, Oakland County, Michigan My Commission Expires: September 3, 2020 (No aryPublic) POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That The Continental Insurance Company, a Pennsylvania insurance company, is a duly organized and existing insurance company having its principal office in the City of Chicago, and State of Illinois, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Lisa M. Wilmot , Individually of Southfield, MI , its tree and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature —In Unlimited Amounts — Surety Bond Number: 0399216-137 Principal: Gibson -Lewis, LLC Obligee: City of South Bend, Indiana - Board of Public Works and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the insurance company and all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duly adopted, as indicated, by the Board of Directors of the insurance company. In Witness Whereof, The Continental insurance Company has caused these presents to be signed by its Vice ]'resident and its corporate seal to be hereto affixed on this 3rd day of June, 2015. INS (i The Continental Insurance Company •z r.e �� ••••"� • Paul T. Bruflat A ice President State of South Dakota, County of Minnehaha, ss: On this 3rd day of June, 2015, before me personally came Paul T. Bruflat to lue known, who, being by me duly swore, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of The Continental Insurance Company, a Pennsylvania insurance company, described in and which executed the above instrument; that he knows the seal of said insurance company; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of'said insurance company and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance company. �.\w\Nwlhr4wwY'.\4\N\\ S. EICH I!MNOTARY pubuc(mi SOUTH DARMA •\r\rr\\.\rrrrrrrr..r.w My Commission Expires February 12, 2021 S. Eich Notary Public CERTIFICATE 1, D. Bolt, Assistant Secretary of The Continental Insurance Company, a Pennsylvania insurance company, do hereby certify that the Power of Attorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance company printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my time and affixed the seal of the said insurance company this 22nd day of November , 2016 . The Continental Insurance Company '& a« iu •••••"'� D. Bult Assistant'Jyec [ary Fonn F685c-4-2012 ek q0T%TH iF. 1316 COUNTY -CITY BUILDING i�<' 2PHONE 574/235-9251 227 W. JEFFERSON BOULEVARD y O h FAX 574/ 235.9171 SOUTH BEND, INDIANA 46601-1830 TDD 574/235-5567 .. . a2.•1 1865 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: November 23, 2016 To: All Bidders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Fire Station #4 Project Number: 116-066 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: Authorized Signature: Robert A. Lingenfelter, President Date: 11/28/16 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAX 574/235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: December 2, 2016 To: All Bidders From Linda M. Mwtin, Cleric, Board of Public Works Subject Addendum Number: 2 Project Name: Fire Station #4 Project Number: 116-066 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Note: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Authorized Signature: Date: LLC Lingenfelter, ;�rz`TH rr�: 1316 COUNTY -CITY BUILDING r PHONE 574/ 235-9251 227 W. JEFFERSON BOULEVARDv p FAX 574/ 235-9171 SOUTH BEND, INDIANA 46601-1830 TDD 574/ 235-5567 x 1865 CITY OF SOUTH BEND PETS BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: December 8, 2016 To: All Bidders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 3 Project Name: Fire Station #4 Project Number: 116-066 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Note: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Authorized Si Date: