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Bid Opening - Fire Station #4 - Majority Builders, Inc.
CITY OF SOUTH BEND, INDIANA <=!2 CONTRACTOR'S BID FOR PUBLIC WORK 7Afi5 CHECKLIST FOR BIDDERS Project Name Project No. For Bids Due Fire Station #4 166-066 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. V/ Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and ✓ Certification of use of United States Steel Products or Foundry Products. Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted _✓ Form [MWBE-2.1[. V Acknowledge Receipt of a 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. Y 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: Maiority Builders. Inc. Date: 12/13/16 By Authorized Signature: Print Name & l Version 10/18/2016 Contractor's Bid for Public Works - 1 Project Name Project No. For Bids Due BASE BID J �ov III BID/PROPOSAL CITY OF SOUTH BEND sa> Fire Station #4 166-066 December 13, 2016 Item No. Description Total Amount 1 Base Bid 3, 43 000 ` BASE BID TOTAL ALTERNATES Item No. Description Total Amount SECOND FLOOR BATHROOM WINDOWS: 1 FURNISH AND INSTALL WINDOW TYPE "D" AT SECOND FLOOR +$2, 390.00 BATHROOM LOCATIONS, QUANTITY: FOUR (4). ALTERNATE #1 TOTAL _$2, 390, 00 Item No. Description Total Amount ALTERNATE LOCATION FOR SOLAR PANEL ROOF ARRAY: 2 INSTALL 325W 72 CELL SOLAR PANEL MODULE AT PITCHED (6/12) +$240.00 STANDING SEAM METAL ROOF LOCATION IN LIEU OF TPO ROOF LOCATION ABOVE APPARATUS BAY. SEE ROOF PLAN 1/A1-300. ALTERNATE #2 TOTAL $ 240.00 Item No. Description Total Amount APPARATUS BAY DOOR SELECTION: PROVIDE A COST TO FURNISH AND INSTALL "STEEL RANGER 9000L" (_$10, 000.00 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 (-$10, 000.00) Item No. Description P Total Amount APPARATUS BAY DOOR SELECTION: PROVIDE A COST TO FURNISH AND INSTALL "SOLID SHEETED FOUR +7, 450.00 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. ALTERNATE #4 TOTAL +$7,450.00 r Version 10/18/2016 Contractor's Bid for Public Works - 1 ALTERNATES (CONTINUED) Item No. Description Total Amount REMOVAL OF SITE PERIMETER CONCRETE CURB: PROVIDE A COST TO REMOVE AND REPLACE THE CONCRETE CURB +$51, 700.00 5 THAT BOUNDS THE PROPERTY'S PERIMETER ALONG OLIVE STREET, LINDEN AVENUE, AND ORANGE STREET. SEE SHEET C1.0. ALTERNATE #5 TOTAL +$51, 700.00 Item No. Description Total Amount REMOVAL AND REPLACEMENT OF SITE PERIMETER CONCRETE SIDEWALK: PROVIDE A COST TO REMOVE AND REPLACE THE INDICATED +$69, 500.00 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 #8 AND #11 . ALTERNATE #6 TOTAL +$69,500.00 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. +$28,400.00 ALTERNATE #7 TOTAL +$28,400.00 Item No Description Total Amount EXTERIOR WALL BASE, ACCENT BAND, WINDOW SILL, AND WALL CAP PRECAST SUBSTITUTION: 8 PROVIDE A COST TO FURNISH AND INSTALL 16"H BASE, 8"H ACCENT +$87, 500.00 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 +$87,500.00 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 +$105 , 560.00 Schedule, both shown on Sheet 11-100. ALTERNATE #9 TOTAL +$105.960.00 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") (-g5, 950.00 ) 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 (-$5,950.00) **Voluntary Alternate on Attached Page. Bidder (Firm): Majority Builders, .Inc. Address: 62900 US 31 South'. City/State/Zip: South Bend IN 46614 Telephone Number: (574 ) 291-2091 By G (Sig ti re) Rick Slagle / President (Printed Name of Person Signing) Version 10/18/2016 Contractor's Bid for Public Works - 3 South Bend Fire Station 4 VOLUNTARY ALTERNATES Voluntary alternate 1: Use INPROC PVC corner guards (160BN) in lieu of those specified because those specified have a minimum order quantity. Deduct $2,350.00 from Base bid. Voluntary alternate 2: Furnish Pella Designer Proline series windows in lieu of approved window manufacturers: Deduct $7,620.00from Base bid. A Document A310T"" -2010 CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place Majority Builders, Inc. of business) 62900 U.S. 31 South Hartford Accident and Indemnity Company This document has important legal South Bend, IN 46614 Hartford, CT consequences. Consultation with OWNER: an attorney is encouraged with (Name, legal status and address) respectto its completion or City of South Bend Board of Public Works modification. County -City Building Room 1316, 227 West Jefferson Blvd Any singular reference to South Bend IN 46601 Contractor, Surety, Owner or BOND AMOONT: other party shall be considered Five Percent of the Total Bid ( 5% of Total Bid ) plural where applicable. PROJECT: (Name, location or address, and Project number, if any) Fire Station #4; Project No. 116-066 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 terns 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 shalt 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 1st --; day of December 2016 Maioritv Builders Inc. ` (Principal) —(Seal)— ; (Witness) �p p (Title) Rick Slagle/Pr dent Hartford Accident an demnity Company (Surety) (Seal) (Witness) (Title) J n fer L. Kas ta, Atto ey in Fact CAUTION: You should sign an original AIA Contract Document, on wl�iC�this text appears in RE . An original assures that changes will not be obscured. [nit. AIA Document A310T° — 2010. Copyright ®1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copynght@aia.org. .1110 Direct inquiries/Claims to: T POWER OF ATTORNEY One EHrtRTORD Hartford Plaza Hartford, Connecticut 06155 call. 888.266-3488 orfax: 860-757-5835) KNOW ALL PERSONS BY THESE PRESENTS THAT: Agencv Code: 3 6-2125 63 F J Hartford Fife Insurance Company, a corporation duly organized under the laws of the State of Connecticut 0 Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana © Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida up to the amount of Unlimited as the "Companies") do hereby Nicole L. Bicknell, Theresa M. Burns, William J. Cerney III, Debra K. Hull, Sandra Junk, Jennifer Kasznia, Wesley Mantooth, Barbara E. Pearson, Megan E. Riesenberg, Jordan Scheiber, Mark E. Wobbe of SOUTH BEND, Indiana their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on August 1, 2009, the Companies have caused these presents to be signed by its Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affnn that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. �, (aa.n2� a � .lryOO .i+'r°y2p'•.s .. e•amNa g`lt•670 �€ ; tall s I97t Wesley W.•Cowling. Assistant Secretary M. Ross Fisher, Vice President STATE OF CONNECTICUT } SS. Hartford COUNTY OF HARTFORD j On this 12th day of July, 2012, before me personally came M. Ross Fisher, to me known, who being by me duly swom, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. �r gAtailac •� % �' Kathleen T. Maynard CERTIFICATE Notary Public My Commission Expires July 31, 2016 I, the undersigned, Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of ���L-N / Signed and sealed at the City of Hartford. ✓G�C�--/ - -.2e p , ®r) •.r.aza:''•12l:yu0r `�+wte<$" x•'WrN ��` �b!'a'e 1.9�� tl,n1 h1J'' Gary W. Stumper, Vice President POA 2012 ,e4 t,UUTN BE, CITY OF SOUTH BEND, INDIANA� CONTRACTOR'S BID FOR PUBLIC WORK Project Name Fire Station #4 Project No. For Bids Due 166-066 December 13, 2016 PART (Must be completed for all bids. Please type or print) Date: 12/13/16 Bidder (Firm): Majori Address: 62900 US 31 South City/State/Zip: South Bend IN 46F61Telephone elephoneNumber: _( 974 ) 291-2n91 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: City of South Bend Indiana Fire Station #4 the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Eooch Architecture & Planning and dated 11 /8 / 16 for the sum of (enter the Total Bid as shown on the Proposal) Tint I -low - FOvf,M4VAIVizri' on Proposa •s�xr7711AA6 ($ 3,, Y63,000 ) (Enter sum of Total Base Bid plus Alternates shown l) rW6ivf4r,Vj' (Nu erical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a secr-atee attachment. By v �K� (Si9 eture) idpnt- (Punted Name Person Signing) ACCEPTANCE The above bid is accepted this _ Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member day of Suzanna M. Fritzberg, Member Therese J. Dorau, Member James A. Mueller, Member Attest: Linda M. Martin, Clerk 20 Version 10/18/2016 Contractor's Bid for Public Works - 2 PART it (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 determination of the bidder's capability for completing the project if awarded. Version 10/18/2016 Contractor's Bid for Public Works - 3 Project Name/Owner Amount Date Barnes & Thornburg 100 North Michigan Street South Bend, IN 46601 Sarah Quinn Kuhny MGE Wholesale The Foster Group, LLC 3415 Grape Road Mishawaka, IN 46545 Brad Foster Medical Comfort Luie Real Estate Holdings, LLC 919 Garden Lane Fowlerville, MI 48836 Doug Sprague Orion Office Building Aaron Hanna Group, LLC 5770 Nimtz Parkway South Bend, IN 46628 Doug Wileman Primrose Retirement Village Primrose Retirement Communities, LLC 815 North 2°d Street Aberdeen, SD 57401 New Buffalo Township Hall 17425 Red Arrow Highway New Buffalo, MI 49117 Ignition Park/ND Turbo Lab Stull and Franklin Streets South Bend, IN 46601 Ryan Rans 395,000.00 650,000.00 2,032,000.00 982,780.00 8,782,386.00 1,630,545.00 12,473,569.00 WI 2015 2015 2015 WIN 2016 2016 Stanley Clark School 2,884,555.00 2016 Hiler Hall Addition 3123 Miami Street South Bend, IN 46614 Section I Experience Questionnaire Response to Question #2 Public Works Projects under Construction Ignition Park Site Development Project #114-050 Marriott Hotel Site Development Phase 1 Project #116-021 Non -Applicable Ancilla Domini Sisters, Inc. 9601 Union Road Donaldson, IN 46513 Susan Black Elkhart General Hospital 600 East Boulevard Elkhart, IN 46514 Tom Johnson Cross Aluminum Mayflower Road Niles, Michigan 49120 Jackie Leets South Bend, Indiana 46614 Section I Experience Questionnaire Response to Question #3 Section I Experience Questionnaire Response to Question #4 Private References Ryan Rans Toscana Park Realty, LLC 112 West Jefferson Blvd. South Bend, IN 46601 Steve Garatoni SGD,LLC 2043 South Bend Avenue South Bend, IN Stanley Clark School 3123 Miami Street South Bend, Indiana 46614 Section II Plan and Equipment Questionnaire Question #1 Response Majority Builders, Inc. intends to start work upon receipt of "Notice to Proceed". A Gantt project schedule will be generated highlighting the sequencing of work, the trades involved, and benchmark dates. Subcontractors, suppliers as well as Majority Builders' employees will coordinate under the direction of a fulltime jobsite superintendent and office project manager to complete construction of the project on time. Section II Plan and Equipment Questionnaire Question #2 Response Name Brief Description BC Mechanical, Inc. Mechanical Contractor 882 Anderson Road Niles, MI 49120 North Central Mechanical, Inc. Mechanical Contractor 1721 North Cedar Street Mishawaka, IN 46545 Ross Masonry, Inc. Masonry Contractor 2414 Autumn Trails Drive Mishawaka, IN 46544 Shambaugh & Son, LP Fire Protection Contractor 56575 Twin Branch Drive Mishawaka, IN Pritchard Mechanical, Inc. Mechanical Contractor 23598 State Road 2 South Bend, IN 46619 Section H Plan and Equipment Questionnaire Question #3 Response List of project subcontractors will be provided upon request within 48 hours. Section II Plan and Equipment Questionnaire Question #4 Response 450 Dozer 650 Dozer 850 Dozer (2) 1845-c Skid Loader Volvo Artic Dump Truck (2)580E Extended Case Backhoe Int. Dump Trucks (2) Erection Cranes Compactors Grader Semi Storage Trailers Concrete Equipment Concrete Breakers for Equipment Semi with Drop Neck Trailers Air Compressors Scaffolding Wagons Concrete Saws Misc. Steel Concrete Forms Transits with digital read outs Wood shapers, table saws, radial saws for woodworking 9030 Excavator 821Loader 644 J.D. Front End Loader Moxy Haul Truck (2) Komatsu Artic Truck 9050E Excavator Mac Flatbed Truck Forklifts 792 Excavator Landscape Grader Concrete Wall Forms (6) Hand Held Compactors Drilling Rig (4) Tag Trailers Air Gun tools for framing Scaffolding and Many types of drills & hand tools Over 15 Company trucks Trenchers Lasers for grading and Acoustical ceilings Landscape Tractor NOTE: This is by no means a complete list of our Company resources, but it does indicate our capabilities. Section II Plan and Equipment Questionnaire Question #5 Response We have received material pricing. MAJORITY BUILDERS, INC. Balance Sheet June 30, 2016 Assets Current Assets Cash $ 1,954,670 Contracts receivable: Trade (net of allowance of $50,000) 2,937,876 Retainage 1,529,969 Costs and estimated earnings in excess of billings 235,913 Other current assets 180,303 Total Current Assets 6,838,731 Property and Equipment Tools and other 475,891 Construction equipment 6,693,001 Office equipment 355,024 Less allowances for depreciation (5,254,073) Total Property and Equipment 2,269,843 Advance to Related Party 200,000 Other Assets 20,000 Total Assets $ 9,328,574 Liabilities and Shareholders' Equity Current Liabilities Accounts and subcontractors payable: Trade $ 1,870,760 Retainage 831,052 Billings in excess of costs and estimated earnings 924,969 Accrued compensation and payroll taxes 137,545 Other current liabilities 101,034 Total Current Liabilities 3,865,360 Long-term Liabilities Deferred compensation 200,000 Total Liabilities 4,065,360 Shareholders' Equity Common stock 10,000 Additional paid in capital 10,000 Retained earnings 5,243,214 Total Shareholders' Equity 5,263,214 Total Liabilities and Shareholders' Equity $ 9,328,574 See independent accountants' compilation report. 2 When theprospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana ) ) SS: St. Joseph COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding - Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government 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 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 leams 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 tenninate 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, orjohtt 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, 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 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 inthe performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that 1 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 ajustifrcation 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-1 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 13th day of Dec , 2016 Majority Builders Inc Contractor/Bidder (Firm) ' _ Signature of Contractlo idder or Its Agent Rick Slagle/President Printed Name and Title Subscribed and sworn to before me this 13th day of December 20 16 My Commission Expires 11 / 8 / 24 Notary Public Shane Blotkamp Version 10/18/2016 County of Residence Elkhart Contractor's Bid for Public Works - 6 O O ~ cD W 0 m L a w m 2 �I 'J I 5i E m z u H N 'O a` N ro P o O !o fr' �1 0 \ moo U, arc Q ¢l + c +JF a o 0 0 0� EU C O <w o b O 2w O o � 0 � � N M �f4 a N N o a 0. E E9 `o y m a 0 A H 00 oD N T w. o v y m r n m •rCi •rGi U P. 3 q d g Y N o ro t W P H m Q H W 0 U N ro O f. O SJ 00 O d o r co -zi- to C) on r4N w mo ca m Uo^o 1 ZCD E u o v N a00 E? o, U us u� aaj O O Wm JJ O AJ m 01 1 N r-4 q ul O N H H S M m JJ O d 7 i 2 ^� 6 U Z H G to IT N ^ u rZi ^ N A a1 •H 4) •rl as N M C1 v s4 .c •�+ 3 C M •� a.6 ra A � O 0)U ,� a) rn 0 � � � 0 }4 {- a1 'fi pq a)M cc ZN •r�i o 00 N r N U •rl CL �Y u N = •H 0 O p O 'O p .� 73 P. ro 0, VI :i -Ai H.__.._ a> m O sl• C w •� a y a' N ov � R1 ro a`o w o m jJ c at U N pcn E m 0 O Vy7N g :. CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY l 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 MBEIWBE 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 ('9DOA"). Project Number: 166-066 Date: 12 / 13 / 16 Project Name: Fire Station #4 Bidder: Majority Builders, Inc. Contact Person: Joe Tinervia Telephone: 574-291-2091 x208 Address: 62900 US 31 South City South Bend, State: Indiana zip: 46614 Email: joe@maloritybuilders.com 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 �j� MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business /I Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women I Owned Business as found on their website (http://www.in.gov/idoa)- ACTION (ADVERTISE/CONTACT): in order for your bid to be deemed responsive, the City of South Be quires that all perspective bidders complete no less than 2 of the fallowing: 1. Attend all pre -bid meetings scheduled by the City to inform M6E/WBEs of contracting and subcontracting opportunities. J! Advertise in general circulation and/or trade association publications concerning subcontracting (/ opportunities, and allow MBElWBEs reasonable time to respond. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBF MBEs of subcontracting opportunities and allowed sufficient time for them to participate. effectively. Utilize pre-existing services of available community organizations, small andlor disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBE/WBE firms. "Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE/WBEs, including providing such MBE/WBE'swith adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business . ( n reasons based on a thorough investigation of their capabilities. '•'_Ily SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by + J MBE/WBEs in order to increase the likelihood of meeting the MBEIWBE goals (including breaking down } f 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: • r 1. Name, address, and telephone number; l! 2. A description of information provided by the bidder or subcontractor; and / 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE/WBE was unqualified to perform the job. -rroper demonstration or Good rann rnort requires your morals 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 e OUT"Reti$ r of MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.1 MBEIWBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBEIWBE 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 1 OF 1 Project Number: 166-066 MBEIWBE Participation Goal Project Name: Fire Station #4 Bidder: _Majority Builders, Inc. By: Estimator 12/13/16 (Signature) (Title) (Date) MBENVBE Firm See enclosed spreadsheet Owner or Contact at MBE/WBE Firm See enclosed spreadsheet Telephone: see spreadsheet Fax: Email: see spreadsheet TYPE OF WORK SOLICITED FOR THIS PROJECT: See enclosed spreadsheet printout under t1NSPSC description RESULTS OF CONTACT WITH THE MBEIWBE FIRM: See deliver receipts read receipts and responses tab section inlcuded. MBENVBE Firm Owner or Contact at MBEIWBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Version 10118/2016 Contractor's Bid for Public Works - 12 tioti Tit N, ,4 _ �L 1316COUNTv-CrrYBUILDING PHONE 574/235-9251 227 W. .IEFFF.RSON BOULEVARD ;j -": FAX 574/ 235-9171 SOUTH BEND, INDIANA 46601-1830 `�'F MACF. TDD 574/ 235-5567 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: Project Number: Station #4 116-066 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: u'") V O vin �� 2 c� . 'ZQ % 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: 0+I SOU771 Y G 1316 COUNTY -CITY BUILDING PHONE 574/ 235-9251 227 W. JEFFERSON BOf TEVARD J. --- G - FAX 574/235-9171 SOUTH BEND, INDIANA 46601-1830 re^``t a:. TDD 574/ 235-5567 Ta r1.:1 865 CITY OF SOUTH BEND PETE 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: Fire Station #4 Project Number: 116-066 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM 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. Comps Author Date: �pU Tfl B�, 1316CamTY-CITY BUILDING �i' ,;� ��" PHONE 227 W. JEFFERSON BOULEVARD u o Fax SOUTH BEND, INDIANA46601-1830 W1 Pence y;; TDD y z 'e - a 1865 CITY OF SOUTH BEND IPETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: To: From Subject December 8, 2016 All Bidders Linda M. Martin, Clerk, Board of Public Works Addendum Number: 3 Project Name Project Number: Fire Station 94 116-066 574/235-9251 574/ 235-9171 574 235-5567 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM 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. CompE Author Date: