HomeMy WebLinkAboutOpening of Bids - Newman Center Window & Door Repair Proj No 117-001 - J.W.Werntz & Son, Inc.CITY OF SOUTH BEND, INDIANA
Contractor's Bid for Public Work
CHECKLIST FOR BIDDERS
Project Name Newman Center: Window and Door Repair
Project No. 117-001
For Bids Due 9:30 am, March 14, 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
or Bid Bond.
V Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
_ executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
Certification of use of United States Steel Products or Foundry Products.
\ Proof of MBEIWBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not
v met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted
\1 Form [MWBE-2.1].
Acknowledge Receipt of - Addendum(s) included with the bid.
All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
printed or typed underneath signature.
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: _ �, - �//✓!/g T,c�n Z4( Date: 1-13-ZO)7
By Authorized
Signature:
Print Name & 1
Version 10/17/2016
Contractor's Bid for Public Works - 1
Project Name
Project No.
For Bids Due
Date:
Address:
City of South Bend, Indiana
Contractor's Bid for Public Work
Newman Center: Window and Door Repair
117-001
9:30 am. March 14, 2017
PART
(Must be completed for all bids. Please type or print)
City/State/Zip: S,[i /H L16601 Telephone Number: (J'/y
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: /V ,�l
ealo o,h �en�Cr
the City of South Bend, Indiana, in accordance with plans and specifications prepared by
and dated _3 'I 3 '20! 7 for the sum of (enter the otal Bid as shown on the Proposal)
NE/t/uJc�R�foR,yyo&mw&0eie- /aAldked -f �o ($ 13"6�%66',Oo )
(Enter sum of Total Base Bid plus Alternates 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 contract are needed, the cost of units must be the same as
that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a
unit basis, the itemization of the units shall be sh#n on a separate attachment.
By
The above bid is accepted this
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
ACCEPTANCE
day of
20
Suzanne M. Fritzberg, 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
t�
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
These statements to be submitted under oath by each bidder with and as part of his bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1. Attach information regarding projects your organization has completed for the period of one (1)
year prior to the date of the current bid.
2. Attach a listing of public works projects currently in process of construction by your organization.
3. Attach information regarding any failure to complete any work awarded to you and the location
thereof.
4. Attach references from private firms for which you have performed work.
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Attach an explanation of your plan or layout for performing proposed work. (Examples could
include a narrative of when you could begin work, complete the project, number of workers, etc.
and any other information which you believe would enable the City of South Bend to consider
your bid.)
2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside
your own firm who have performed part of the work) that you have used on public works projects
during the past five (5) years along with a brief description of the work done by each
% subcontractor.
3. If you intend to sublet any portion of the work, attach the name and address of each
subcontractor, equipment to be used by the subcontractor, and whether you will require a bond.
However, if you are unable to currently provide a listing, please understand a listing must be
provided prior to contract approval. Until the completion of the proposed project, you are under a
continuing obligation to immediately notify the City of South Bend in the event that you
subsequently determine that you will use a subcontractor on the proposed project.
4. Attach a listing of equipment you have available to use for the proposed project.
5. Have you entered into contracts or received offers for all materials which substantiate the prices
used in preparing your proposal? If not, attach an explanation for the rationale used which would
corroborate the prices listed.
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
1. 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 prospective Contractor is unable to certify to any of the statements below, it shall attach an
explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION
REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NOW
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 .l-W iA,UA
,5' Jo E 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
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 (it) 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
Version 10/17/2016 Contractor's Bid for Public Works - 4
r
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 falls 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
C 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 dale 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). 1
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 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 perjury that the facts and information contained in the foregoing bid
for public works are true and correct.
Dated this /& 7t-4 day of INRC/, , 201
p�HARRY P SINGLETON
�Aa�A1E
I`iNo ,tary Publlo, Stale of Indiono
j*
�'NOrARY �k_
$1. Joseph County
'. SEA,�
commission S 678559
��
January
21r, 2024s
V. &) !AI FRA/%z 5f o T c
Cont ctor/B•dder (Firm)
iLL
S��ijJgnature oF Co',ntlIractor/Bidder or Its Agent
Printed Name and Title
Subscribed and sworn to before me this /32-4 day ofW,4A chi 20L
My Commission Expires /1a?/11s9'iy Z&gdd:f� G�4��i°cgx
Notary P c
County of Residence -TT C—o.l c,.)I(
Version 10/17/2016 Contractor's Bid for Public Works - 6
1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
Sour" BEND, INDIANA 46601-1830
PHONE 574/235-9251
FAX 574/ 235-9171
TDD 574/ 235-5567
CITY OF SOUTH BEND PETE BUTPIGIm, MAYOR
BOARD OF PUBLIC WORKS
Date: March 9, 2017
To: All Bidders
From Linda M. Martin, Clerk, Board of Public Works
Subject Addendum Number: 1
Project Name:
Project Number:
Newman Center: Window & Door Repair
117-001
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 items and attached documents of this Addendum shall modify and become a part of the Contract
Documents for this project. Failure to acknowledge this Addendum will be grounds for rejection of Bid.
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received:
Company:
Authorized Signature:
-1,v-2o
Newman Center: Window & Door Repair J Addendum 01
Project No. 117-001
March 9, 2017
Project Name
Project No.
For Bids Due
BASE BID
BID/PROPOSAL
CITY OF SOUTH BEND
Newman Center: Window and Door Repair
117-001
9:30 am, March 14, 2017
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
Remove existing windows and , provide
f Y 0 7 90
1
and install new windows and doors, and
Sump
1
provide and install door hardware.
BASE BID TOTAL
ALTERNATES
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
Reframe existing clerestory openings for
1
larger windows, provide and install larger
Sump
1
windows.
J
Remove existing wood door and frame
2
and provide and install new aluminum
Lump
1
00
framed entrance with wood -look
Sum
8J ���+
fiberglass door.
Provide and install factory assembled
3
pre -finished aluminum windows in lieu of
Sump
1
I Qn ,
aluminum storefront system.
BID TOTAL WITH ALTERNATES
Bidder (Firm):
Address:
City/State/Zip:
By
Telephone Number: (ray ) 23 2— yIaSi I
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
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
1.... T4
r �SOu�l10�N�,
0
�V� tort
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 MBE/WBE 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 ("IDOX).
Project Number:
Project Name:
Bidder:
Contact Person:
Address:
City:
Email:
To determine whethi
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
helnw*•
117-001 Date: 1-13 -21 j,
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.,/twww.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:
-Attend all pre -bid meetings scheduled by the City to Inform MBE/WBEs of contracting and
subcontracting opportunities.
-Advertise in general circulation and/or trade association publications concerning subcontracting
opportunities, and allow MBE/WBEs reasonable time to respond.
Perform any and all necessary steps to provide written notice in a manner reasonably calculated to
inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to participate
effectively.
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 MBEIWBE firms.
r*Bidder must circle or otherwise notate which of the two (2) required actions were performed.
GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE/WBEs,
including providing such MBE/WBE's with adequate Information about the plans, specifications and
other requirements of the subcontract and did not reject MBE/WBEs 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
MBE/WBEs in order to increase the likelihood of meeting the MBEM/BE goals (including breaking
down contracts into smaller units to facilitate MBEWBE participation)
CONTRACT RECORDS: The bidder has maintained the following records for each MBEIWBE 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 MBEIWBE 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
fo4 j"uri\ry�
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
FORM MWBE-2.1
MBEIWBE CONTACTED
co396.,�
This completed form should be supplied with Bids that pertain to City of South Bend Public Works
Projects requiring contacted MBEIWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to
verify whether any listed minority or woman business meets the qualifications of a Minority or Women's
owned business.
PAGE ) OF
Project Number: 117-001 MBE/WBE Participation Goal
Project Name: Newman Center: Window and Door Repair
Bidder: �
By: kA1rk wer&tt� T- 3'00)'2
(Signature)
(Title)
(Date)
L
MBEIWBE Firm 7 6&7er lo,h ( LGl �72/20000
Owner or Contact at MBEIWBE
Firm
Telephone: % J - 2 p � Fax: Email: C/)n
TYPE OF WORK SOLICITED FOR THIS PROJECT:
/ P ✓
RESULTS OF CONTACT WITH THE MBEMBE FIRM:
MBE/WBE Firm
Owner or Contact at MBEIWBE
Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBEIWBE FIRM:
I �
Version 10/17/2016 Contractor's Bid for Public Works - 10
PART II
(Complete sections I, II, and III for all state and local public works projects)
These statements to be submitted under oath by each bidder with and as a part of his bid. (Attach
additional pages for each section as needed.)
SECTION I EXPERIENCE QUESTIONNAIRE
1. What public works projects has your organization completed?
Contract
Amount
Class of
Work,
When
Completed
Name and Address of
Owner
&0100
CM2-)rl
7o14
L4 keCe rRL.1,
/ 00
201�
1A
�Flf
2. What public wor Is projects has your organization now in process of construction:
Contract
Amount
Class
W
of
rk
When
Completed
Name and Address of
Owner
50' 000
2010
000D9
2o1Q
Q
2 206000
201 o
3. Have you ever failed to complete any work awarded to you? /l/0 If so, where and
why?
4. List references from private firms for which you have performed work.
/VCIAI /Yl,o n
TSC 214176 Bid Form Section 00 3100-6
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Explain your plan or layout for performing proposed Work.
2. If you intend to sublet any portion of the Work, state the name and address of each
subcontractor, equipment to be used by the subcontractor, and whether you expect to require
a bond.
What equipment do you intend to use for the proposed Project?
4. Have you made contracts or received offers for all materials within prices used in preparing
your proposal? —:*-- yes no.
nlU�/I`io Y1
TSC 214176 Bid Form Section 00 3100-7
Bond No.: Bid Bond
Bid Bond
CONTRACTOR:
(,Jenne, lagal mates and address)
J. W. Werntz & Sons, Inc.
1002 Kerr St.
South Bend, IN 46601
OWNER:
(,Houle, (ega(staots and address)
City Of South Bend
227 W Jefferson
South Bend. IN 46601
Document A310 TM - 2010
Conforms with The American Institute of Architects AIA Document 310
SURETY:
(?1Vowa, leg(r(d't[rtnF[I1/d(117geI/)ldf7IRClS Ifbavines1s)
Developers Surety and Indemnity Company
P. O. Box 19725
Irvine, CA 92623
Mailing Address for Notices
BOND AMOUNT: $ 5% Five Percent of Amount Bid
PROJECT:
(,tine, location or address; andPtrolectvmmber, jfo l}
Project 117-001 Newman Center Window and Door Repair
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 fire amount set forth above, for file 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 aro such that if ilia Owner accepts the bid of the Contractor within lho tine specified in the bid documents, or within such tine period
as may, be agreed to by the Owner and Contractor, and Iho Contractor either(l) enters into a contract with the Owner in accordance with
the terns of such bid, and gives such bond or bonds as may be specified in the bidding or Contract documents, with a surety admitted in
the jurisdiction of the project and otherwise acceptable to the Owner, for tiro faithful performance of such Contract and for the prompt
payment of labor and material furnished in the prosecution thereof, or (2) pays to ilia Owner the ditTerence, not to exceed tiro amount of
this Bond, between Ilia amount specified in said bid and such larger annount for which the Owner may in good faith contract with another
party to pertbrm the work covered by suid bid, then this obligation shall be null and void, otherwise to remain in full three and eliecl. The
Surely hereby waives any notice of all agreement between the Owner and Contractor to extend the limn in which the Owner may, accept the
bid. Waiver ol'notice by the Surety shall not apply h7 any extension exceeding sixty (60) days in ilia aggregate beyond the lime liar
acceptance ol'bids specified in the bid documents, and the Owtner and Contactor shall obtain the Surety's consent lbr all extension beyond
sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the lean Contractor in this Bond shall be deemed to be
Subcontractor and the tcnn Owner shall be deemed to be Contractor.
When this Bond has been lurnished to comply with a statutory orother legal requirement in the location of the project, unv provision in
lhis Bond conflicting with said stanlory or legal requirement shall be deenned deleted hereliom and provisions con irnuing to such
Ntathlory or other legal requirement shall be deenned incorporated herein. When soli nnished, the intent is that this Bond shall be construed
as astatutoy bond and not as a common law bond.
Signed and scaled this 14th day of March, 2017
J. W. Werntz & Sons, Inc.
(P/!nclpnl) (Seal)
f"'al pResi �/—
„.. AND .'"'•
Develope Surety and Indemnity Company ew1••"o...
F J: • oP➢ Rq
ltig/xt (,Seal)LC4
n anessJ o. 1936 ,s
rl) e racle liouseorney-I - ac .. " %.',d .*' ,',.•�
� .. nna T?
S•0054/AS 8/10
POWER OFATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO Box 19725, IRVINE, CA 92623 (949) 263-3300
KNOWALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each
hereby make, constitute and appoint
Tracte House
as their true and lawfulAltomey-in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings and contracts of
suretyship giving and granting unto saidAltorney-in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as
each of said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and all of the acts of said Attorney -in -Fact, pursuant to these
presents, are hereby ratified and confirmed.
Bond No. Bid Bond
Principal: J. W, Werntz & Sons, Inc.
Obligee: City Of South Bend
This PowerofAttomey is granted and Is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY
AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January 1st, 2008.
RESOLVED, that a combination of any two of the Chairman of the Board, the President, Executive Vice -President, Senior Vice -President or any Vice President of the
corporations be, and that each of them hereby Is, authorized to execute this Power of Attorney, qualifying the attorney named in the Power of Attorney to execute, on behalf of the
corporations, bonds, undertakings and contracts of suretyship; and that the Secretary oranyAssistant Secretary of either of the corporations be, and each of them hereby is, authorized
to attest the execution of any such PowerofAttomey;
RESOLVED, FURTHER, thatthe signatures ofsuch officers maybe affixed to any such Power ofAttomey or to any certificate relating thereto by facsimile, and any such
Power ofAtlorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond, undertaking
or contract of suretyship to which it Is attached.
IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by
their respective officers and attested by their respective Secretary or Assistant Secretary this 61h day of February, 2017.
• t4 ANO/4,'''• N,PANYO
By: ' /iZ.r r-"/ o`�QO....... o O
Daniel Young, Senior Vice -President `F �O OpPOryrr�p,
9
€ di 1936 �= 2 OCT. ° o
1867
Mark Lansdon, Vico-President •'... .o'*'t`�;.•`� � �CIfOFt�
"I,..,q..P", #
A notary public or other officer completing this certificate verifies only the identity of the Individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Orange
On February 6. 2011 before me, Lucille Raymond Notary Public
Dale Here Insen Name aM TAeofthe Olfar
personally appeared Daniel Young and Mark Lansdon
Name(s)aleiiineds)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) islare subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/(heir authorized
copacily(les), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
LUCILLE RAYMOND which the person(s) acted, executed the instrument.
Commission N 2D81915�
$ ti Notary Public - Callfortrla I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
z Orange County true and correct.
�My Comm. Expires Oct 13, 2018+
WITNESS my hand and official seal.
Place Notary Seal Above Signature
Lucliltoyii1iond, Notary Public
CERTIFICATE
The undersigned, as Secretary orAssistant Secretary of DEVELOPERS SURETYAND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby
certify that the foregoing Power of Attorney remains in full force and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards of Directors of
said corporations set forth in the Power of Attorney are in force as of the date of this Certificate.
This Certificate is executed In the City of Irvine, California, this 14th day of March 2017 ;0"-JANO two 4pkNPPYY0
, 'o
y�,ay°esoRsr �J, VOA lit o
1936 ?�" z ? OCT.5 Fri p
Cassle It/
. rdsford, Assistant sectmary - gerFow�': 41pOP��� _
ATS-1002 (02/17) "",nna.o�P #