HomeMy WebLinkAboutQuote Opening & Award - Potawatomi Zoo Parking Lot Striping Proj No. 115-129B - DBL Services, Inc.INTER -OFFICE MEMORANDUM
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
TO: Linda M. Martin, Clerk
Board of Public Works
FROM: Richard Estes, Engineer I
SUBJECT: Potawatomi Zoo Parking Lot Striping
Project No. 115-129B
DATE: December 13, 2016
On December 13, 2016, the Board of Public Works opened and read bids for the above
project. The bidders ranked as follows:
Bidder Bid Amount
1. DBL Services Inc. $4,598.75
The Division of Engineering has reviewed all of the quotes and recommends that the
Board award the contract to the lowest responsive / responsible bidder, DBL Services Inc.. in
the amount of $4,598.75.
The Parks Department has appropriated sufficient funds from the Parks 403 Fund.
Please call with your questions. (5896)
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CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S QUOTE FOR PUBLIC WORK
'li
PROJECT NAME: Potawatomi Zoo Parking Lot St
PROJECT NO. 115-129B
QUOTES DUE December 13, 2016 at 9:30 a.m.
(Must be completed for all quotes. Please type or print)
Date: 012p1& Firm: DBi- SERVICES /A(C7.
Address: /g// 'eLoyEx
City/State/Zip: M15(7• l/kI YLc51F Telephone Number: (5 ) ,-3n2--"y 2 _ 3
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works prof t of:
of� r,)cx�tl�i Zoo A412k/n'1r, L .S'>z2rnrnn
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
The City of South Bend, Department of Public Works
and dated `'k ` . ] for the sum of (enter the Total Quote as shown on the Proposal)
aueTylbus40-r) ' erg At, trtt'ir t�{ (z►5 r)($ 41599•'7S )
(Enter Sum of Total Quote plus Alternates sh wn o Proposal) (Numerical)
vs
If alternative quotes apply, the undersigned submits 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 quote is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
By J CA—� ljl�
VIU
11 (Signature)
(Printed Name of Person Signing)
ACCEPTANCE
The above quote is accepted this day of 20
Subject to the following conditions:
Suzannnaa]M ritzberg, mber i
Therese J. Dorau, r�l 1be
Attest: Linda M. Martin, Clerk
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When the prospective Contractor is unable to certify to any of the statements below, it shall attach an
explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AFFIDAVIT, NON -DEBARMENT AFFIDAVIT,
EMPLOYMENT ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COMMITMENT FOR
CONTRACTORS 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:
9T_305J9A{ COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties
of perjury that:
Contractor has not, nor has any other member, representative, or agent of the firm,
company, corporation or partnership represented by him, entered into any combination,
collusion or agreement with any person relative to the price to be bid by anyone at such
letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding,
and that this bid is made without reference to any other bid and without any agreement,
understanding or combination with any other person in reference to such bidding.
Contractor further says that no person or persons, firms, or corporation has, have or will
receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account
of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its
principals are presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from participation in this transaction by any Federal
department or agency; and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in
investment activities in Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any agency
or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as
amended from time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor
is engaged in investment activities in Iran if either:
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
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
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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 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). 1 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
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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 F+ A day of bfze.elbl be-r , 20_�&
0 8 L SW( -ES -Z>�)c
Contractor/Bi der i
N"
Signature of Contractor/Bidder or Its Agent
Printed Name and Title
Subscribed and sworn to before me this 3� �� day of pt? flo M be r 20It,
My Commission Expires /U �, i �'�
Notary PGblic L
County of Residence 6L JO 5 E 13 L
MEREDITH REIF
.NorgR.
Notary Public, State of Indiana
_
Saint Joseph County
SEAI
,'%lAdinr`"o
Commission# 639359
My Commission Expires
October 23, 2020
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QUOTE/PROPOSAL i
CITY OF SOUTH BEND
i kh5
PROJECT NAME Potawatomi Zoo Parking Lot Stripi
PROJECT NO. 115-129B
QUOTES DUE December 13, 2016 at 9:30 a.m. Local Time
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
1
LINE, TRAFFIC PAINT, SOLID,
4925
LF
WHITE, 4"
PAVEMENT MESSAGE
2
MARKING,TRAFFICPAINT,
9
EA
/-�
L40 00
,cc��^/�
$ .36D,W
ARROW
3
LINE, REMOVE
3400
LF
/ �5
$ J
Total Amount of Quote
$ 0 5 CI (J•75
Firm: ��l.I SE2U ff s n—T, tll
P Address: ���/ /Olfu/a /C6Q
City/State/Zip: q-AO /(A IA/Telephone Number: (5`4/) 3Q�, -rJQ23
Fax Number: (Jr 4/) 2 55
By Y_ 1 L,6 c tV1
(Signature)
!)c,\rf 4 1 o -FAG r r
(Printed Name of Person Signing)
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