HomeMy WebLinkAboutQuotation Award - Emergency Sewer Lining Notre Dame Avenue Project No 116-139 - Insituform Technologies USA1316 C011MY-CU-Y BUILDING
227 W. JEeFERsoN BOULEVARD
Sou i D BEND. INDIANA 46661-1836
CFTY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
December 22, 2016
Jana Lause
Insituform Technologies USA, LLC
17988 Edison Avenue
Chesterfield, MO 63005
RE: Quotation Award — Emergency Sewer Lining — Notre Dame Avenue
Project No. 116-139
Dear Ms. Lause:
PRONE 574/235-9251
FAX 5741235-9171
The Board of Public Works at its meeting held on December 22, 2016, awarded the above
referenced quotation to you in the amount of $25,310.30.
Please forward the following documents in one submittal by January 5.2017 to my attention
for Board of Public Works approval:
1) One (1) original of the Contract (enclosed); and
2) Certificate of Insurance naming the City of South Bend as an additional insured.
If you have any further questions regarding this matter, please call this office at (574) 235-
9251.
Sincerely,
Linda M. Martin, Clerk
c: Roger Nawrot, Engineering
Terri Swift, Streets
GARY A. GiLoT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMEs A. MUELLER THERESE J. DORAU
BOARD OF PUBLIC WORKS
CITY OF SOUTH BEND, INDIANA
PUBLIC WORKS CONTRACT
THIS AGREEMENT, made and entered into this 22nd Day of December, 2016, by and between,
Insituform Technologies USA, LLC, 17988 Edison Avenue, Chesterfield, MO 63005,
HEREINAFTER called the Contractor, and the Board of Public Works herein called the 'Board".
WITNESSETH: That the Contractor covenants and agrees to make the following improvement,
as fully set out in the Request for Quotations, Standard Specifications, Special Provisions, Plans,
and Bid Proposals, all of which are set forth as a part of this Contract, for:
PROJECT NO. 116-139
DESCRIPTION: EMERGENCY SEWER LINING — NOTRE DAME AVENUE
COMPLETION DATE: SEE SPECIFICATIONS
AMOUNT: $25,310.30
FUNDING: CONTRACTUAL SERVICES
The unit prices for this improvement were those prices as received and accepted by the Board on
the 13th Day of December, 2016.
The Contractor further agrees to notify the Engineer when this improvement is completed. This
notification shall be in the form of a Completion Affidavit, signed by the Contractor. Upon final
acceptance of the improvement by the Engineer, the Contractors final estimate will be presented
to the Board for final Payment with one (1) copy of the Completion Affidavit and one (1) copy of
Waiver of Lien.
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Suzanna M. Fritzberg,
Memb
Therese J. D rau, Member
Clerk
eth A. Maradik, Member
4 q11
A. Mueller, Member
Linda
INSITUFORM TECHNOLOGIES
USA, LLC
Printed Name
Signature
CERTIFICATION (To be completed if Contractor is a Corporation)
I, certify that I am Secretary of the Corporation named as
Contractor herein; that who signed this Agreement on behalf of the Contractor
was then of said Corporation; that said agreement was duly signed for and in
behalf of said Corporation by authority of its governing body, and is within the scope of its
corporate powers.
Secretary
Corporate
Seal
Date:
Address:
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S QUOTE FOR PUBLIC WORK
PROJECT NAME: Emergency Sewer Lining — Notre Dame Avenue
PROJECT NO. 116-139
QUOTES DUE December 13, 2016 at 9:30 am local time
(Must be completed for all quotes. Please type or print)
December 13, 2016 Firm: Insituform Technologies USA, LLC
17988 Edison Avenue
City/State/Zip: Chesterfield, MO 63005 Telephone Number: ( 636 ) 530-8000
Agent of Bidder (if Applicable): N/A
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
The
and
of Public Works
y/t Z/{o ] for the sum of (enter the Total Quote as shown on the Proposal)
/./i,44a 560 70i I 4' ��d.'S ($ 'LSi 3/0 , 30 )
Alternates shown on Proposal) (Numerical)
If alternative quotes 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 quote is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
By2 2
J Att((Signature)
Jana Louse, Contracting & esting Officer
(Printed Name of Person Signing)
The above quote is accepted this
Subject to the following conditions:
BO,AARRDD'�O�F�PUBLIC WO S
Gary' A. Gilot, President
Elizabeth A. Maradik, Member
1�,--
Jame A. Mueller, Member
ACCEPTANCE
J �4 day of " 20 `C.
Suzanna M. Fritzberg, Member
Theyese J. DorauLNbrilber
test: Linda M. Marti , Clerk
Version 10118/2016
*bNr6 1' ...itcr FovL avoi-su vhi gccjr
Page -15
Public Works Quote
QUOTE/PROPOSAL
CITY OF SOUTH BEND
PROJECT NAME Emergency Sewer Lining — Notre Dame Avenue
PROJECT NO. 116-139
QUOTES DUE December 13, 2016 at 9:30 am local time
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
CURE -IN -PLACE (CIPP) 16 inch
1
SEWER LINING 1100 Block of
Lump
$
Notre Dame Avenue -Complete
Sum
2S 3 to •3
0
Total Amount of Quote
$ 25� gil0 Sa
Firm:
Address:
City/State/Zip:
Insitufoim Technologies USA, LLC
17988 Edison Avenue
Chesterfield, MO 63005 Telephone Number: ( 636 } 530-8000
Fax Number: ( 636) 530-8701
By � � : R ; r?C c���
/ (Signature)
Jana Lause, Contracting & Attesting Officer
(Printed Name of Person Signing)
Version 10/18/2016 Page - 19 Public Works Quote
Own the prospective Contractor is unable to certify to any of the staterneids beloip, it shall attack an explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT,
CERTIFICATION REGARDING INVESTMENT WITH MAN, 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 MISSOURI )
) SS:
ST. LOUIS 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 proposes of this Certification, "Iran" means the government of Iran and any agency or
instrumentality of h•an, 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
Version 10/18/2016 Page - 16 Public Works Quote
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). I 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
Version 10/18/2016 Page - 17 Public Works Quote
have an affirmative duty to notify the City in my bid that my proposal does not include the use of
steel products or foundry products made in the United States. I understand it is my sole obligation
and responsibility to provide a justification to the City, subject to review and approval, why the
cost of United States made steel or foundry products is unreasonable. Prior to award and upon
submission of bid which does not use steel products or foundry products made in the United States,
the City, through its director 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 of contractual payments.
I hereby affirm under the penalties of peijury that the facts and information contained in the foregoing bid for public
works are true and correct.
Dated this 13 day of December 20 16
Insitufoim Technologies USA, LLC
Contractor/Bidder (7*
% t�
SigWature of Contractor/Bidder or Its Agent
Tana Lause, Contracting & Attesting Officer
Printed Name and Title
Subscribed and sworn to before me this 13 day of December 2016
My CommissionExpires 1l10V / ' Ul8 f
Notary Public
County of Residence
a.aa . C..-v 4fle jr
FDE61 r\ K. JFlSPLR
NOYary Pu61ic -Nat=uy Seal
STATE Ot= MISSCURI
St Charles County
My Comrission Expires: Nay. 17, 2018
Commission !6 1R9E�5�t4
cPc:.�c��ry�-:ycr-c�crac�STc^
Version 10/18/2016 Page -18 Public Works Quote
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date December 14, 2016
Department Public Works
Name Roger Nawrot Engineering Division
BPW Date December 22, 2016 Phone Extension 9251
Legal ❑ Attorney Name
Controller ❑ Controller review is required for all Contracts $5,000.00 or more and
greater than one year in length per the City Purchasing Policy
Purchasing ❑
Professional Services
Bid Opening
Quote Opening
Change Order No.
Ease/Encroach.
Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
MBE/WBE Contractor
Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Amount of
❑ Contract ❑ Proposal ❑ Addendum
❑ Resolution
❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet
® Quote Award
❑ C/O & PCA No. ❑ PCA
❑ Traffic Control
Required Information
Instiuform Technologies USA, LLC
❑ Yes ® No ❑ If Yes, Approved by Purchasing
❑ MBE ❑ WBE
❑ No ❑ Yes Name of Company
Emergency Sewer Lining — Notre Dame Ave.
116-139
Contractual Services
641 0621 792 6335
Lining a section of leaking pipe on Notre Dame Ave.
❑ Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non -Debarment. E-Verifv. Iran. etc
Increase
Decrease
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Chanae:
Copy
Original
®
❑
®
❑
❑
❑
Roger Nawrot, P.E.
Terri Swift
INTER -OFFICE MEMORANDUM
DEPARTMENT OF PUBLIC WORKS
DIVISION OF STREETS
TO: Linda M. Martin, Clerk
Board of Public Works '',
FROM: Roger T. Nawrot, PE & PLS, Assistant City Engineer ,®<,i
SUBJECT: Emergency Sewer Lining — Notre Dame Avenue
Project No. 116-139
DATE: December 14, 2016
On December 13, 2016 the Board of Public Works opened and read quotes for the above project.
All quotes were found to be correct.
The quotes ranked as follows:
Bidder
Amount
Instiuform Technologies USA, LLC
$25,310.30
Preform Lining Co., Inc.
No Quote
IPR Great Lakes
No Qoute
I recommend award of contract for Emergency Sewer Lining —Notre Dame Avenue project to
the lowest responsive/responsible bidder, Instiuform Technologies USA, LLC in the amount of
$25,310.30.
The funds have been appropriated through Contractual Services account, funding number 641
0621 792 6335.
Please call if you have any questions.
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