HomeMy WebLinkAboutOpening of Bids - Michiana Brick Site Demolition Proj No 116-138 - Ritschard Bros. Inc.�U
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CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name Michiana Brick Site Demolition
Project No. 116-138
For Bids Due 9:30 AM on February 14'h, 2017
From time to time the South Bend Board of Public Works finds it necessary to reject a bid because
it does not comply with statutory requirements. In preparing your bid, please use the following
checklist in order to make sure that your bid is done in the proper manner.
Proper bid security included. The bidder has the option of providing either a Certified Check
X or Bid Bond.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
X executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
X Certification of use of United States Steel Products or Foundry Products.
Proof of MBE/W BE 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 MBEANBE Contacted
X Form[MWBE-2.1].
X Acknowledge Receipt of 1 Addendum(s) included with the bid.
X All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
'X 'printed or typed underneath signature.
X This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.
Bidder: Ritschard Bros., Inc. Date: 2/14/17
By Authorized Repre tative: (' ' -
Signature:
Print Name & Title: Rachelle L. Dolniak, President
Version 10/17/2016 Contractor's Bid for Public Works - 1
.44VUTif p +.
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK a.
� ixcs
Project Name Michiana Brick Site Demolition
Project No. 116-138
For Bids Due 9:30 AM on February 141h, 2017
PART
(Must be completed for all bids. Please type or print)
Date: February 14, 2017 Bidder (Firm): Ritschard Bros., Inc'.
Address: 1204 W. Sample Street
City/State/Zip: South Bend, IN 46619 Telephone Number: (574 ) 288-4777
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:
Michiana Brick Site Demolition
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
The City of South Bend Department of Public Works Division of Engineering
and dated 1 / 11 / 17 for the sum of (enter the Total Bid as shown on the Proposal)
Forty—eight Thousand Six Hundred Thirty-eight Dollars ($ 48,638.00 )
(Enter sum of Total Base Bid shown on Proposal) (Numerical)
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 c tract are needed, the cost of units must be the same as that
shown in the original contract if accepted b ee City of South Bend. If the bid is to be awarded on a unit
basis, the itemization of the units shall be s n o a separate att chr a t.
By \
(Signature)
Rachelle L. Dolniak President
(Printed Name of Person Signing).
ACCEPTANCE
The above bid is accepted this day of 20
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President Suzanna M. Fritzberg, Member
Elizabeth A. Maradik, Member Therese J. Dorau, Member
James A. Mueller, Member Attest: Linda M. Martin, Clerk
Version 10/17/2016 Contractor's Bid for Public Works- 2
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
Thesestatements 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 11 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 10/17/2016 Contractor's Bid for Public Works - 3
When the prospectlre Contractor is rumble to certify to any of the statements Belong it shall attach an explanation to this Afftdtrrit.
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 COL1NTy )
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 refiain 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
voltmtarily 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 instr unentality 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
Version 10/17/2016 Contractor's Bid for Public Works - 4
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 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.
Version 10/17/2016 Contractor's Bid for Public Works - 5
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
have an affirmative duty to notify the City in my bid that my proposal does not include the rise 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 violalions 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 14th day of Feb . 20_17
P,itschard Bros., Inc.
o tractorBidder (Firm)
Si afore of Contractor/Bidder or Its Agent
Rachelle L. Dolniak, President
Printed Name and Title
Subscribed and sworn to before me this 14th day of bruary Zp
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My Commission Expires 9 / 21�4}
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Version 10/17/2016 Contractor's Bid for Public Works - 6
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BID/PROPOSAL xl J3 J
CITY OF SOUTH BEND
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Project Name Michiana Brick Site Demolition
Project No. 116-138
For Bids Due 9:30 AM on February 141', 2017
BASE BID
Item
Description
Quantity
Unit
Unit Price
Total Amount
No.
1 '
SITE DEMOLITION
1
LS
48, 638.00
BASE BID TOTAL$48, 638.00
ALTERNATE A
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
1
PAVEMENT AND STORM
1
LS
11,061.00
STRUCTURE REMOVAL
ALTERNATE A TOTAL$11, 061.00
Bidder (Firm): Ritschard Bros., Inc.
Address: 1204 W. Sample Street
City/State/Zip: South Bend, IN 46619Telephone Nu er: ( 574 ) 288-4777
By
(Signature)
Rachelle L. Dolniak, President
(Printed Name of Person Signing)
Version 10/17/2016 Contractor's Bid for Public Works - 7
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CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM w` N1
FORM MWBE-2.0 �� t>>' 4
EVIDENCE OF GOOD FAITH EFFORTS "`.' 10'
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBENVBE participation. It is the bidder's sole
responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority
or Women's owned business as defined by the Indiana Department of Administration ("IDOA").
Project Number: 116-138 Date:
Project Name: Michiana Brick Site Demolition
Bidder:
Contact Person: Telephone:
Address:
City: State: Zip:
Email
To determine whether abidder has demonstrated good faith efforts to reach the MBENVBE utilization goals set
forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or
commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below':
EVIDENCE OF GOOD FAITH EFFORTS
MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business
Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women
Owned Business as found on their website (http:/Iwww.in.gov/idoa).
ACTION. (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South
Bend requires that all perspective bidders complete no less than 2 of the following:
1. Attend :all .pre -bid meetings scheduled by the City to inform MBE/WBEs of contracting and
subcontracting. opportunities.
2. Advertise in general circulation and/or trade association publications concerning subcontracting
,opportunities, and allow MBE/WBEs reasonable time to respond.
'. 3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated
to inform.MBENVBEs of subcontracting opportunities and allowed sufficient time for them to
participate effectively.
4. Utilize pre-existing services of available community organizations, small and/or disadvantaged
business assistance offices and other organizations that provided assistance in the recruitment
and placement of MBENVBE firms.
`*Bidder must circle or otherwise notate which of the two (2) required actions were performed.
GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBENVBEs,
including providing such MBE/W BE's with adequate information about the plans, specifications and other
requirements of the subcontract and did not reject MBENVBEs as unqualified without sound business
reasons based on a thorough investigation of their capabilities.
SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by
MBENVBEs in order to increase the likelihood of meeting the MBENVBE goals (including breaking down
contracts into smaller units to facilitate MBENVBE participation)
CONTRACT RECORDS: The bidder has maintained the following records for each MBENVBE that has
bid on the subcontracting opportunity:
1. Name, address, and telephone number;
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 MBENVBE was unqualified to perform the job.
*Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version 10/17/2016 Contractor's Bid for Public Works - 9
CITY OF SOUTH BEND o44OUT"°c���
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM j sly
FORM MWBE-2.1��''�°�o
MBE/WBE CONTACTED "6s
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring contacted MBEfWBE 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 aMinority or Women's owned
business.
PAGE —OF —
Project Number: 116-138 MBEiWBE Participation Goal
Project Name: Michiana Brick Site Demolition
Bidder:
By:
(Signature) (Title) (Date)
MBENVBE Firm
Owner or Contact at MBE/WBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBENVBE FIRM:
MBENVBE Firm
Owner or Contact at MBENVBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBENVBE FIRM:
Version 10/17/2016
Contractor's Bid for Public Works - 10
1316 COUNTY -CITY BUILDING
F
227 W. JEFFERSON BOULEVARD U`
SOUTH BEND, INDIANA 46601-1830
Date:
To:
From
Subject
PHONE 574/235.9251
FAX 574/235-9171
TDD 574/ 235-5567
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
February 7, 2017
All Bidders
Linda M. Martin, Clerk, Board of Public Works
Addendum Number: 1
Project Name:
Project
Number:
Michiana Brick Site Demolition
116-138
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: February 7, 2017
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:
Bros.. Inc.
Date: February 14, 2017
RITSCHARD
BROS., INC.
EXCAVATING AND DEMOLITION
February 17, 2017
Section I Experience Questionnaire
1. Completed Projects:
Contract Amount Class of Work
$ 192,844.00
$ 98,050.00
$ 307,562.00
$1,591,577.00
Demolition
Demolition
Demolition
Earthwork/Utilities
$ 94,926.00 Demolition
2. Public Works Projects in Process:
Contract Amount Class of Work
$195,520.05 Pavement Removal
$400,000.00 Earthwork
Completion Project Name
Date
and Owner
5115
City of South Bend
8/15
City of Elkhart
11115
City of South Bend
12/15
State of IN -Armed
Forces Reserve
4/16 City of South Bend
Project Name
and Owner
Olive/Sample St./INDOT
Permanent Supp. Housing
South Bend Heritage
3. None
4. References:
Gibson -Lewis, LLC / Robert Lingenfelter
The Robert Henry Corporation / Stephen Henry
Larson -Danielson Construction Co., Inc. / Pat Lockwood
JJ White, Inc. / Steve Zornig
Ziolkowski Construction, Inc. / Ron Lockwood
1204 West Sample Street • South Bend, Indiana 46619 • PHONE (574) 288-4777 • FAX (574) 288-5438 • E-MAIL: rit1204@datacruz.com
RITSCHARD
BROS., INC.
EXCAVATING AND DEMOLITION
February 14,2017
Michiana Brick Site Demolition
Project No. 116-138
Section H Plan and Equipment Questionnaire
1. Demolish buildings, pavements, trees and
fences and dispose of same off site.
2. Hydro-Tek Seeding, Inc. Seeding
3. Hydo-Tek Seeding, Inc. Seeding
4. See Enclosed Schedule of Owned Equipment
5. Yes
1204 West Sample Street • South Bend, Indiana 46619 • PHONE (574) 288.4777 • FAX (574) 288-5438 • E-MAIL: ritl204@datacruz.com
RITSCHARD
BROS., INC.
EXCAVATING AND DEMOLITION
FORM 96 (Revised 2005)
SECTION H Plan and Equipment Questionnaire
ITEM 3 — LIST OF OWNED EQUIPMENT
3 — Vibratory Compactors
1— D3C Caterpillar Bulldozer
2 — 650J John Deere Bulldozers
2 — 750C John Deere Bulldozers
1— D7G Caterpillar Bulldozer
1— 450E John Deere Bulldozer Wide Track
1-45OG John Deere Bulldozer Long Track
1— 450H John Deere Long Track Dozer
1— 416C Caterpillar Loader/Backhoe Combinations
1— 420D Caterpillar LoaderBackhoe Combination
2 — TS 14 Terex Earthmovers
1-120G Caterpillar Grader
1— 30B Bucyrus Erie Crawler Crane —1 yd
2 — L70 Volvo Loaders - 2 % yd
4 — L90 Volvo Loaders - 3 '/4 yd
2 — L120 Volvo Loaders - 3 %2 yd
2 — Gehl Skid Steer Track Loaders
1— 595D John Deere Excavator
1— Gehl GE383Z Mini Excavator
1 - Takeuchi TB 180FR Excavator
1— ZX160LC-5 Hitachi Excavator
1—ZX35OLC-5 Hitachi Excavator
1—EX330LC-5 Hitachi Excavator
1—EC210BLC Volvo Excavator
1— EC240CLC Volvo Excavator
3 — Tri Axle Dump Trucks
204 West Sample Street • South Bend, Indiana 46619 • PHONE (574) 288-4777 • FAX (574) 288-5438 • E-MAIL: ritl204@datacruz.com
CONTRACTOR:
(Name, legal status and address)
Ritschard Bros., Inc.
1204 W. Sample Street
South Bend, IN 46619
Bond No
SURETY: Western Surety Company: South Dakota Corporation
(Name, legal status and principal place
of business)
333 S. Wabash Avenue
41st Floor
Chicago, IL 60604
OWNER:
(Name, legal status and address)
City of South Bend, Indiana, Board of Public
Works
County -City Building, Room 316
227 West Jefferson Blvd.
South Bend, IN 46601
BOND AMOUNT: Five Percent (5%) of Accompanying Bid
PROJECT:
(Name, location or address, and Project number, if any)
Michiana Brick Site Demolition - Project No. 116-138
This document has important legal
consequences. Consultation with
an attorney is encouraged with
respect to its completion or
modification.
Any singular reference to
Contractor, Surety, Owner or
other party shall be considered
plural where applicable.
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the
Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and
severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor
within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and
Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such
bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted
in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract
and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the
difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount
for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this
obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of
an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of
notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for
an extension beyond sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall
be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and
provisions conforminry to such statutory or other legal requirement shall be deemed incorporated herein. When so
to nished, the intends that this BoAshall be construed as a statutory bond and not as a common law bond.
of February 2017
(Witness)
/� p4hVur1T C2ldlCCc(� —
(Witnes, )
i chard Bros., Inc. _
'ncip 'I) �. V (Seal)
( le) Rachelle 1. Dolniak, President
Western Swety Company
(Seal)
(jt�<evin Hughes, Attorney in -Fact
Printed in cooperation with the American Institute of Architects (AIA).
The language in this document conforms to the language used in AIA Document A310 - Bid Bond - 2010 Edition.
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby
make, constitute and appoint
Thomas J Mc Govern, Harold E Everett, Elaine K Miller, J Kevin Hughes, Thomas
J Van Dyck, Melody S Hoerl, Jada M Karst, Melinda S Jagger, Tracie M Mc Bride, Connie
J Messer, Individually
of Fort Wayne, IN, its true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf
bonds, undertakings and other obligatory instruments of similar nature -
- In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duty adopted, as indicated, by
the shareholders of the corporation.
In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be
hereto affixed on this 12th day of October, 2016.
�aFr WESTERN SURETY COMPANY
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.....
aul T. Bmfla[, Vice President
State of South Dakota l
JT SS
County of Minnehaha
On this 12th day of October, 2016, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that
he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which
executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so
affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and
acknowledges sane to be the act and deed of said corporation.
My commission expires
J. MOHR
June 23, 2021 xorarcruauc
�SOnlHO/J(OLP �'
CERTIFICATE
J. Mohr, Notary Public
I, L, Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that, Ih, Power Of Attorney hereinabove set forth is still in
force, and further certify that the By -Law of the corporation printed on the reverse hereof is still ih. force. In testifucnywhereof I have hereunto subscribed
my name and affixed the seal of the said corporation this 1 4 th day of _February y 2017.
WESTF I%N SURETY COMPANY
wa'pPYOggJriz
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L. Assistant Secretary
Form F4280-7-2012
Authorizing By -Law
ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY
This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders
of the Company.
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other
officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer
may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company.
The corporate seat is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the
corporation. The signature of any such officer and the corporate seal may be printed by facsimile.
R� STATE y®t6�8�i� DEPARTMENT OF ADMINISTRATION
� d t 8� Minority and Women's Business Enterprises Division
Michael R. Pence., Governor
Indiana Government Center South
)YC4 402 West Washington Street, Room W478
Indianapolis, IN 46204
(317) 232 - 3061
April 27, 2015
Rachelle Dolmak
Ristchard Bros., Inc.
1204 W. Sample St.
Sought Bend, DN' 46619
Subject: Application for WBE certification
Dear Rachelle Dolniak,
Congratulations! The .Indiana Department of Administration. Minority and Women's Business Enterprises
Division is pleased to inform you that Ristchard Bros., Inc. is hereby certified as a Women Business Enterprise
(6VBE).
Your company provides a commercially useful function in the areas listed below. Only work performed in these
areas wHI be counted towards Women's Business Enterprise participation: -
UNSPSC CODE(S)
Code
Description
72103000
Site Preparation Services
72103001
Land Clearing Services
72103002
Land Leveling Services
72103003
Demolition Services
72103004
Digging Services
83101500
Water and Sewer Utilities
On September 13. 2010, the Governor's Commission on Minority and Women's Business Enterprises approved the
department's effort to streamline its recertification process. Instead of conducting an onsite visit to each company
seeking recertification, the department now has the discretion to waive the visit after a thorough review of the
company's file and recertification documents. We have approved your recertification and it is valid through
May 'a 1. 2019. Please note that JDOA continues to reserve the right to conduct a site visit or phone interview at any
time to certified companies.
Although your certification is valid for a three-year period, you are required to submit an annual Affidavit of
Continued Edigibiliq: (ACE) form, located at bttp://www.in.gov/idoa/files/ACE_Form.pdf. Please remember you
must notify us immediately if any changes occur. Failure to notif;^ us of changes or to provide an ACE form
annually will result in revocation ofyour certification. Changes include, but are not limited to, changes in location,
contact information, ownership and control.
We encourage you to visit IDOA's procurement website, bttp://w A Ae .in.gov/idoa/2463.htm; and update your
Business Registration Profile. It is important that you review and update your profile regularly, because state
purchasing agents and prime contractors may use this information to contact you for business opportunities. For
questions regarding your registration profile, you may contact our office at 317-232-3061.
Reference: Ristchard Bros., Inc.
While this letter serves as notification of certification, it does not serve to prove continued eligibility. Please visit
htq):H%vww.in.gov/ido&tminority/Certifications.vAs to verify cerdficatiou status. Please contact our office at (317)
232-3061 if you have any other questions.
We ask that you please contact Luther Taylor, Deputy Director of Certification and Operations, at
(317) 234-3424 or Itaylor@idoadn.gov if you have any questions or concerns about your letter.
Sincerely,
Terrie F. Daniel, Deputy Commissioner
Indiana Department of Administration
Minority and Women's Business Enterprises Division
TFD:LT
Bidder Registration Number: 0000023294