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HomeMy WebLinkAboutBid Opening - One or More 2016 or Newer One Ton Two Wheel Drive Dump Truck Spec AC - Gates ChevroletBID NAME FOR BIDS DUE pec AC — One (1) or More 2016 or Newer One Ton Two Wheel Drive Dun a.m. Bidder Date: (Firm): Address: /L I AILr.-'ti : City/State/Zip: f1l/ ti,k- (g� (p5 Telephone Number: (� %y) 2sj (� � 3406 Agent of Bidder (if Applicable): Truck When the prospective Contractor is unable to certify to any ofIli e 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 I SS: . � lsnoq 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. 4 a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by 5 the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products on this project if awarded. I understand that violations hereunder may result in forfeiture of contractual payments. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this / �' day of 4{i j ( aft lea Contractor/B idder-fFvrm) Signature 6f Contractor/Bidder or Its Agent Printed Name and Title Subscribed and sworn to before me this 13Yk day of r" C. e n4 he ✓, 20 O 1 My Commission Expires Ci --Li- 1 "7 U --, a ,1„ o Notary Public — U County of Residence _ S o 5 d0%� 6 DEBORAH E RE. ULINSKI II "�^��`'_ SC Joseph Cosr.N =;�i. =«.��� Fdy Commission Expires y ? °�""�� September 21 2017 BID/PROPOSAL , f y � CITY OF SOUTH BEND (Fn3 Spec AC — One (1) or More 2016 or Newer One Ton Two Wheel Drive Dump BID NAME Truck FOR BIDS DUE December 13. 2016 at 9:30 a.m. Description Year/Make/Model Unit Price 0 1-1 C't12, r, Sr�J�n�1�v,3_, , $ rDescription Cost Total CNG Bi-Fuel Conversion with tanks mounted under bed. $ /Z $ Estimated number of days for delivery from award p date. /� 2 cNL Bidder (Firm): �-lTe� L - /fZ. Address: 6 ;6 I0 14,11 City/State/Zip: [A;-ijj AJ,4<-+ Id Telephone Number: m BOARD OF PUBLIC WORKS Gary A. Gilot, President Suzanna M. Fritzberg, Member Fax Number' 7' Z - -70Z TSkjffiaTure) (Printed Name) (Title) Elizabeth A. Maradik, Member Therese J. Dorau, Member James Mueller, Member Attest: Linda M. Martin, Clerk 14 GATES AUTOMOTIVE GROUP Class / Item Quantity Unit Description Unit Price Amount 2017 Chevrolet Silverado $37,885 $37,885 3500 Dump Truck Exceptions: Front Suspension is 4800 #, not 5000# Tires are LT235/80R17E not LT245/75RX17E Batteries are 720 & 730 CCA not 800 CCA If CNG is added rear fuel tank will be removed leaving only a 23.5 Gal tank Recommendations: **Gates Chevrolet will not guarantee exact delivery dates for these vehicles. **Bid is for model year listed, awards after model year production will not be honored. Chris Dill Fleet / Commercial Manager cdill@gateschevyworld.com Gates Chevy World 636 W McKinley Ave Mishawaka, IN. 46545 Phone:574-256-3000 Fax:574-258-7029 www.gateschevyworld.com Prepared For: City of South Bend 1045 West Sample Street South Bend, IN 46619 Prepared By: Chris Dill Gates Fleet & Commercial 636 W McKinley Ave Mishawaka, IN 46545 Phone: (574) 256-3000 Fax: (574) 258-7029 Email: cdill@gatescommercial.com 2017 Fleet/Non-Retail Chevrolet Silverado 350OHD 2WD Reg Cab 162" WB, SELECTED MODEL & OPTIONS SELECTED MODEL - 2017 Fleet/Non-Retail CC36403 2WD Reg Cab 162" WB, 83,58" CA WT Code Description CC36403 2017 Chevrolet Silverado 350OHD 2WD Reg Cab 162" WB, 83.58" CA WT SELECTED VEHICLE COLORS - 2017 Fleet/Non-Retail CC36403 2WD Reg Cab 162" WB, 83.58" CA WT Code Description Interior: No color has been selected. Exterior 1: No color has been selected. Exterior 2: No color has been selected. SELECTED OPTIONS - 2017 Fleet/Non-Retail CC36403 2WD Reg Cab 162" WB, 83.58" CA WT Code Description FE9 EMISSIONS, FEDERAL REQUIREMENTS L96 ENGINE, VORTEC 6.OL VARIABLE VALVE TIMING V8 SFI (360 hp [268.4 kW] @ 5400 rpm, 380 lb-ft of torque [515.0 N-m] @ 4200 rpm) (STD) MYD TRANSMISSION, 6-SPEED AUTOMATIC, HEAVY-DUTY electronically controlled with overdrive and tow/haul mode. Includes Cruise Grade Braking and Powertrain Grade Braking (STD) (Requires (L96) Vortec 6.0L V8 SFI engine.) GT5 REAR AXLE, 4.10 RATIO (Requires (L96) Vortec 6.OL V8 SFI engine.) 1 WT WORK TRUCK PREFERRED EQUIPMENT GROUP includes Standard Equipment QZT TIRES, LT235/80R17E ALL -TERRAIN ZZT TIRE, SPARE LT235/80R17E ALL -TERRAIN (Requires (QZT) LT235/80R17E all -terrain tires.) ZY1 PAINT, SOLID (STD) GAZ SUMMIT WHITE Report content is based on current data version referenced. Any performance -related calculations are offered solely as guidelines. Actual unit performance will depend on your operating conditions. GM AutoBook, Data Version: 466.0, Data updated 11/22/2016 © Copyright 1986-2012 Chrome Data Solutions, LP. All rights reserved. Customer File: December 12, 2016 4:48:21 PM Page 1 Prepared For: City of South Bend 1045 West Sample Street South Bend, IN 46619 Prepared By: Chris Dill Gates Fleet & Commercial 636 W McKinley Ave Mishawaka, IN 46545 Phone: (574) 256-3000 Fax: (574)258-7029 Email: cdill@gatescommercial.com 2017 Fleet/Non-Retail Chevrolet Silverado 350OHD 2WD Reg Cab 162" WB, SELECTED MODEL & OPTIONS SELECTED OPTIONS - 2017 Fleet/Non-Retail CC36403 2WD Reg Cab 162" WB, 83.58" CA WT Code Description AE7 SEATS, FRONT 40/20/40 SPLIT -BENCH 3-passenger, driver and front passenger recline with outboard head restraints and center fold -down armrest with storage. Vinyl has fixed lumbar and cloth has manually adjustable driver lumbar. (STD) H2Q DARK ASH, VINYL includes fixed driver lumbar and Jet Black interior accents 103 AUDIO SYSTEM, 4.2" DIAGONAL COLOR DISPLAY, AM/FM STEREO with USB port and auxiliary jack (Not available with (AZ3) 40/20/40 split - bench seat. Upgradeable to (IOB) 7" diagonal color display radio with Chevrolet MyLink.) (STD) PCR WT CONVENIENCE PACKAGE includes (DPN) outside heated power - adjustable vertical camper mirrors, (DD8) inside rearview auto -dimming mirror and (AQQ) Remote Keyless Entry; Regular Cab also includes (A31) power windows. K413 BATTERY, 730 COLD -CRANKING AMPS, AUXILIARY (Not available with (L5P) Duramax 6.6L Turbo Diesel VS engine.) KW5 ALTERNATOR, 220 AMPS JL1 TRAILER BRAKE CONTROLLER, INTEGRATED RVS LPO, ASSIST STEPS - 4" BLACK ROUND (dealer -installed) (Not available with (VXJ) 4" round chrome tubular assist steps, LPO or (VXH) 6" rectangular chrome tubular assist steps, LPO.) SKP WHEEL, 17" X 6.5" (43.2 CM X 16.5 CM) FULL-SIZE, STEEL SPARE TRW PROVISION FOR CAB ROOF -MOUNTED LAMP/BEACON provides an instrument panel -mounted switch and electrical wiring tucked beneath the headliner for a body upfitter to connect a body -mounted warning or emergency lamp Report content is based on current data version referenced. Any performance -related calculations are offered solely as guidelines. Actual unit performance will depend on your operating conditions. GM AutoBook, Data Version: 466.0, Data updated 11/22/2016 ©Copyright 1986-2012 Chrome Data Solutions, LP. All rights reserved. Customer File: December 12, 2016 4:48:21 PM Page 2 Prepared For: City of South Bend 1045 West Sample Street South Bend, IN 46619 Prepared By: Chris Dill Gates Fleet & Commercial 636 W McKinley Ave Mishawaka, IN 46545 Phone: (574) 256-3000 Fax: (574) 258-7029 Email: cdill@gatescommercial.com 2017 Fleet/Non-Retail Chevrolet Silverado 350OHD 2WD Reg Cab 162" WB, SELECTED MODEL & OPTIONS SELECTED OPTIONS - 2017 Fleet/Non-Retail CC36403 2WD Reg Cab 162" WB, 83.58" CA WT Code Description DPN MIRRORS, OUTSIDE HEATED POWER -ADJUSTABLE VERTICAL TRAILERING, UPPER GLASS, MANUAL -FOLDING AND EXTENDING, BLACK. Includes integrated turn signal indicators consisting of 51 square inch flat mirror surface positioned over a 24.5 square inch convex mirror surface with a common head and lower convex spotter glass (convex glass is not heated and not power adjustable) and addition of Auxiliary cargo lamp for backing up (helps to see trailer when backing up with a trailer) and amber auxiliary clearance lamp (Included and only available with (PCR) WT Convenience Package and includes (DD8) auto -dimming inside rearview mirror.) A31 WINDOWS, POWER with driver express up and down and express down on all other windows (On Regular Cab, Included and only available with (PCR) WT Convenience Package.) AQQ REMOTE KEYLESS ENTRY (Included and only available with (PCR) WT Convenience Package.) DD8 MIRROR, INSIDE REARVIEW AUTO -DIMMING (Included and only available with (PCR) WT Convenience Package.) R9Y FLEET FREE MAINTENANCE CREDIT This option code provides a credit in lieu of the free oil changes, tire rotations and inspections (2 maximum), during the first 24 months and 24,000 miles period for this ordered vehicle. The invoice will detail the applicable credit. The customer will be responsible for all oil change, tire rotations and inspections costs for this vehicle. (Requires one of the following Fleet or Government order types: FBC, FBN, FCA, FCN, FEF, FLS, FNR, FRC or FGO. Not available with FDR order types.) VQ2 FLEET PROCESSING OPTION Report content is based on current data version referenced. Any performance -related calculations are offered solely as guidelines. Actual unit performance will depend on your operating conditions. GM AutoBook, Data Version: 466.0, Data updated 11/22/2016 © Copyright 1986-2012 Chrome Data Solutions, LP. All rights reserved. Customer File: December 12, 2016 4:48:21 PM Page 3 Prepared For: City of South Bend 1045 West Sample Street South Bend, IN 46619 Prepared By: Chris Dill Gates Fleet & Commercial 636 W McKinley Ave Mishawaka, IN 46545 Phone: (574) 256-3000 Fax: (574) 258-7029 Email: cdill@gatescommercial.com 2017 Fleet/Non-Retail Chevrolet Silverado 350OHD 2WD Reg Cab 162" WB, STANDARD EQUIPMENT STANDARD EQUIPMENT - 2017 Fleet/Non-Retail CC36403 2WD Reg Cab 162" WB, 83.58" CA WT ENTERTAINMENT • Audio system, 4.2" diagonal color display, AM/FM stereo with USB port and auxiliary jack (Not available with (AZ3) 40/20/40 split -bench seat. Upgradeable to (106) 7" diagonal color display radio with Chevrolet MyLink.) • Audio system feature, 4-speaker system on Regular Cab models EXTERIOR • Wheels, 17" (43.2 cm) painted steel • Tires, LT235/80R17E all -season highway • Wheel trim, painted trim skins and painted center caps • Bumper, front chrome • Grille, chrome surround • Headlamps, halogen projector -beam • Lamps, Smoked Amber roof marker • Lamps, cargo area, cab mounted with switch on center switch bank • Mirrors, outside high -visibility vertical camper -style, Black with manual folding and extension and lower convex spotter glass • Glass, solar absorbing, tinted • Door handles, Black Report content is based on current data version referenced. Any performance -related calculations are offered solely as guidelines. Actual unit performance will depend on your operating conditions. GM AutoBook, Data Version: 466.0, Data updated 11/22/2016 © Copyright 1986-2012 Chrome Data Solutions, LP. All rights reserved. Customer File: December 12, 2016 4:48:21 PM Page 4 Prepared For: City of South Bend 1045 West Sample Street South Bend, IN 46619 Prepared By: Chris Dill Gates Fleet & Commercial 636 W McKinley Ave Mishawaka, IN 46545 Phone: (574) 256-3000 Fax: (574) 258-7029 Email: cdill@gatescommercial.com 2017 Fleet/Non-Retail Chevrolet Silverado 350OHD 2WD Reg Cab 162" WB, STANDARD EQUIPMENT STANDARD EQUIPMENT - 2017 Fleet/Non-Retail CC36403 2WD Reg Cab 162" WB, 83.58" CA WT INTERIOR • Seats, front 40/20/40 split -bench 3-passenger, driver and front passenger recline with outboard head restraints and center fold -down armrest with storage. Vinyl has fixed lumbar and cloth has manually adjustable driver lumbar. • Seat trim, Vinyl • Floor covering, Graphite -colored rubberized -vinyl • Steering column, manual Tilt -Wheel • Steering wheel • Instrumentation 6-gauge cluster featuring speedometer, fuel level, engine temperature, tachometer, voltage and oil pressure • Driver Information Center 3.5-inch diagonal monochromatic display, provides warning messages and basic vehicle information • Door locks, power • Cruise control, steering wheel -mounted • Air conditioning, single -zone • Assist handle, front passenger and driver on A -pillars Report content is based on current data version referenced. Any performance -related calculations are offered solely as guidelines. Actual unit performance will depend on your operating conditions. GM AutoBook, Data Version: 466.0, Data updated 11/22/2016 ©Copyright 1986-2012 Chrome Data Solutions, LP. All rights reserved. Customer File: December 12, 2016 4:48:21 PM Page 5 Prepared For: City of South Bend 1045 West Sample Street South Bend, IN 46619 Prepared By: Chris Dill Gates Fleet & Commercial 636 W McKinley Ave Mishawaka, IN 46545 Phone: (574) 256-3000 Fax: (574) 258-7029 Email: cdill@gatescommercial.com 2017 Fleet/Non-Retail Chevrolet Silverado 350OHD 2WD Reg Cab 162" WB, STANDARD EQUIPMENT STANDARD EQUIPMENT - 2017 Fleet/Non-Retail CC36403 2WD Reg Cab 162" WB, 83.58" CA WT MECHANICAL • Engine, Vortec 6.01- Variable Valve Timing V8 SFI (360 hp [268.4 kW] @ 5400 rpm, 380 lb-ft of torque [515.0 N-m] @ 4200 rpm) • Transmission, 6-speed automatic, heavy-duty electronically controlled with overdrive and tow/haul mode. Includes Cruise Grade Braking and Powertrain Grade Braking (Requires (1-96) Vortec 6.01- V8 SFI engine.) • Rear axle, 4.10 ratio (Requires (1-96) Vortec 6.01- V8 SFI engine .) • Differential, heavy-duty locking rear • Air cleaner, high -capacity • Rear wheel drive • Cooling, external engine oil cooler • Cooling, auxiliary external transmission oil cooler • Battery, heavy-duty 720 cold -cranking amps/80 Amp-hr, maintenance -free with rundown protection and retained accessory power • Alternator, 150 amps • Recovery hooks, front, frame -mounted, black • Body, Chassis Cab • Frame, fully -boxed, hydroformed front section • GVWR, 13,200 lbs. (5988 kg) • Suspension Package, Standard includes 51 mm twin tube shock absorbers and 33mm front stabilizer bar • Steering, Recirculating Ball with smart flow power steering system • Fuel tank, front and rear, 63.5 gallon • Capped Fuel Fill • Exhaust, aluminized stainless -steel muffler and tailpipe • Back-up alarm calibration This calibration will allow installation of an aftermarket back up alarm. Report content is based on current data version referenced. Any performance -related calculations are offered solely as guidelines. Actual unit performance will depend on your operating conditions. GM AutoBook, Data Version: 466.0, Data updated 11/22/2016 @ Copyright 1986-2012 Chrome Data Solutions, LP. All rights reserved. Customer File: December 12, 2016 4:48:21 PM Page 6 Prepared For: City of South Bend 1045 West Sample Street South Bend, IN 46619 Prepared By: Chris Dill Gates Fleet & Commercial 636 W McKinley Ave Mishawaka, IN 46545 Phone: (574) 256-3000 Fax: (574)258-7029 Email: cdill@gatescommercial.com 2017 Fleet/Non-Retail Chevrolet Silverado 350OHD 2WD Reg Cab 162" WB, STANDARD EQUIPMENT STANDARD EQUIPMENT - 2017 Fleet/Non-Retail CC36403 2WD Reg Cab 162" WB, 83.58" CA WT SAFETY • Brakes, 4-wheel antilock, 4-wheel disc with dual rear wheel with DuraLife brake rotors • StabiliTrak, stability control system with Proactive Roll Avoidance and traction control, includes electronic trailer sway control and hill start assist • Daytime Running Lamps with automatic exterior lamp control • Air bags, frontal, driver and right front passenger (Always use safety belts and child restraints. Children are safer when properly secured in a rear seat in the appropriate child restraint. See the Owner's Manual for more information.) • Air bag deactivation switch, frontal passenger -side (Included and only available with Regular Cab modes.) • Teen Driver mode a configurable feature that lets you activate customizable vehicle settings associated with a key fob, to encourage safe driving behavior. It can limit certain vehicle features, and it prevents certain safety systems from being turned off. An in -vehicle report gives you information on your teen's driving habits and helps you to continue to coach your new driver Report content is based on current data version referenced. Any performance -related calculations are offered solely as guidelines. Actual unit performance will depend on your operating conditions. GM AutoBook, Data Version: 466.0, Data updated 11/22/2016 @ Copyright 1986-2012 Chrome Data Solutions, LP. All rights reserved. Customer File: December 12, 2016 4:48:21 PM Page 7 MTE-Zee Dump Body NEW Design Produced with Customer -Driven Enhancements! 100% Corrosion -Resistant A' Powder Coat Finish! Slot & Tab Construction with Robotic Welding Ensures a Precision Fit & Finish 50,000 PSI Yield High -Strength Steel Construction Rigid Sides:10 Gauge Floor, 10 Gauge Sides, 10 Gauge Posts Fold Down Sides: 3/16" Floor, 12 Gauge Sides, 10 Gauge Posts Heavy Duty Front Bulkhead, Tapered Cab Protector Be Tapered Laser Cut Window for Clear View to the Rear Single Panel Tailgate with Offset Handle Easily Accommodates an Optional Coal Chute Configuration Integral Dirt Shedding Top Rails & Tailgate Cast Steel Rear Tailgate Latch Increases Strength at Pivot Point FMVSS108 L.E.D. Clearance & Marker Lights & Reflectors with Weather -Resistant Wiring Harness Rubber Rear Flaps & ICC Bumper Included in Package 100% Durable Powder Coat Finish (Red/White/Black); Custom Colors Available • Powder Coated Double Acting Hoist / Body -Up Maintenance Prop Rod • Electric Powered Hyd. Power Unit w/Push-Button Controls (Simple & Dependable Operation) • Full -Height Front Board Pocket on Rigid Side Bodies (requires optional rear extension kit) • 5 Year Limited Warranty - Best in the Industry Monroe Truck Equipment, Inc. 1051 W.7th Street • Monroe, WI 53566 800-356-8134 • Fax:608-328-4278 Visit us on the web at www.monroetruck.com ma""Jae4wd do am VO4 MEMBER WCVP PR06RAM 11e Asaoobllan Io, Tie WOIN Trv..1✓ 1 Your©VM IWeY� Bond No. E122737 GREATAMERICAN. INSURANCE GROUP KNOW ALL MEN BY THESE PRESENTS, that we, Gates Automotive Group 640 W Ireland Rd, South Bend, IN as principal, and the GREAT AMERICAN INSURANCE COMPANY, a corporation existing under the laws of the State of Ohio, having its Administrative Office at 301 E. Fourth Street, Cincinnati, Ohio 45202, as surety, are held and firmly bound unto city of South Bend 1045 W Sample St, South Bend, IN as obligee, in the penal sum of Ten percent of total bid amount Dollars ($ i o � ) , lawful money of the United States of America, for the payment of which, well and truly to be made, we bind ourselves, our heirs, executors, administrator, successors and assigns, Jointly and severally, firmly by these presents. SIGNED, sealed and dated this 9th day of December WHEREAS, the said principal Gates Automotive herewith submitting a proposalfor one new one ton 4x2 dump truck 2016 e NOW, THEREFORE, the condition of this obligation is such that, if the said principal shall be awarded the said contract, and shall within ( 30 ) days after receiving notice of such award enter into a contract and give bond for the faithful performance of the contract, then this obligation shall be null and void otherwise the principal and surety will pay unto the obligee the difference in money between the amount of the principal's bid and the amount for which the obligee may legally contract with another party to perform the work, if the latter amount be in excess of the former; but in no event shall the liability hereunder exceed the penal sum hereof. Gates Automotive Group _ f� Princip GREAT AMERICAN INSURANCE COMPANY F.9116 (3/11) GREAT AMERICAN INSURANCE COMPANY® Administrative Office: 301 E 4TH STREET • CINCINNATI, OHIO 45202 • 513-369-5000 • FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than one Bond No. E122737 POWER OFATTORNEY KNOW ALL MIEN BY THESE PRESENTS: That the GREATAMERiCAN INSURANCE COMPANY, a corporation organized and existing under and by virtue of the laws of the State of Ohio, does hereby nominate, constitute and appoint the person or persons named below its true and lawful attomey-in- fact, for it and in its time, place and stead to execute on behalf of the said Company, as surety, the specific bond, undertaking or contract of suretyship referenced herein; provided that the liability of the said Company on any such bond, undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. The bond number on this Power of Attorney must match the bond number on the bond to which it is attached or it is invalid. Name Address Limit of Power Gwen Campbell 7045 College Blvd. $4879-- Overland Park, KS 66211 IN WITNESS WHEREOF the GREATAMERICAN INSURANCE CONVANYhas caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 9th day of December 1 2016 Attest GREAT AMERICAN INSURANCE COMPANY Assistant Secretary Divisional Senior Vice President STATE OF OHIO, COUNTY OF HAMILTON - ss: DAVID C. Kr CHIN (877-377-2405) On this 9th day of December 12016 , before me personally appeared DAVID C. KFICHIN, to me known, being duly sworn, deposes and says that he resides in Cincinnati, Ohio, that he is a Divisional Senior Vice President of the Bond Division of Great American Insurance Company, the Company described in and which executed the above instrmnent; that he knows the seal of the said Company; that the seal affixed to the said instrument is such corporate seal; that it was so affixed by authority of his office under the By -Laws of said Company, and that he signed his name thereto by like authority. r � r This Power ofAttomey is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company by unanimous written consent dated June 9, 2008. RESOLVED: That the Divisional President, the several Divisional Senior Vice Presidents, Divisional Hire Presidents and Divisonal Assistant Vice Presidents, or any one of there, be and hereby is authorized from time to time, to appoint one or more Attorneys -in -Fact to execute on behalf of the Company, as surety, any and all bonds, undertakings and contracts ofsuretyship, or other written obligations in the nature thereof, to prescribe their respective duties and the respective limits of their authority, and to revoke any such appointment at any time. RESOLVED FURTHER: That the Company seal and the signature of airy of the aforesaid officers and any Secretary or Assistant Secretary of the Company maybe o fixed by facsimile to any power of attornev or certficate of either given for the execution of any bond, undertaking, contract of suretyship, or other written obligation in the nature thereof. such signature and seal when soused being hereby adopted by the Company as the original signature ofsuch officer and the original seal of the Company; to be valid and binding upon the Company with the same force and effect as though manually affixed, CERTIFICATION I, STEP HEN C. BERAHA. Assistant Secretary of Great American Insurance Company, do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of June 9, 2008 have not been revoked and are now in full force and effect. Signed and sealed this 9th day of December 2016 Assistant Secretary S1194C (6/15) (To be completed only by Contractors/Bidders claiming to be a "local Indiana business "pursuant to I.C. 36-1-12-22) INDIANA LOCAL BUSINESS PREFERENCE CLAIM A 'local Indiana business" refers to any of the following: (1) A business whose principal place of business is located in an affected county. (2) A business that pays a majority of its payroll (in dollar volume) to residents of affected counties. (3) A business that employs residents of affected counties as a majority of its employees. (4) A business that makes significant capital investments in the affected counties as defined in rules adopted by the political subdivision. (5) A business that has a substantial positive economic impact on the affected counties as defined by criteria in rules adopted by the political subdivision. An "affected county" refers to St. Joseph County, Indiana, or the following counties located adjacent to St. Joseph County: Elkhart County, Marshall County, Starke County and LaPorte County There are the following price preferences for supplies purchased from a local Indiana business: • 5%for a purchase expected by the purchasing agency to be less than $50, 000 • 3%for a purchase expected by the purchasing agency to beat least $50, 000 but less than $100, 000. • 1 %for�a urchase expected by the purchasingagency to beat least $100,000. l Date: ! .2,mot �' / / b Pursuant to I.C. 36-1-12-22, Orr- �t{r�a/20tGt�l' claims a local Indiana business preference for Project �IaILL(' (Project # ) located within the City of South Bend, St. Joseph County, Indiana. The location of the principal place of business is 6A W / U vi , � A C7,Yke l L, c(63-K— (Address) <, St. Joseph County, Indiana ❑ The following county located adjacent to St. Joseph County, Indiana: ❑ The majority of the business's payroll for the 12 months prior to the date of this Bid is to residents of St. Joseph County, Indiana or the adjacent county noted above. ❑ The majority of the business's employees for the 12 months prior to the date of this Bid are residents of St. Joseph County, Indiana, or the adjacent county noted above. If the business is deemed to be the apparent lowest, responsible, responsive bidder, then it shall provide supporting documentation for the 12 month period prior to the date of the Bid of (i) the total payroll amount paid to all employees of the business, and (ii) the total payroll amount paid to employees who are residents of St. Joseph County and the adjacent county noted above. WHEN SUPPLYING SUPPORTING PAYROLL RECORDS, BIDDER SHALL REDACTALL SOCIAL SECURITYNUMBERS Dated this day of �N+ 2 , 20_1_(, 4-7'f5 6,6E -JX0oG Conti tdd"er (Firm Sign ure of Contractor/Bidder or Its Agent �t;6eur Printed Name and Title