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Home My WebLink AboutOpening of Bids - 2017 Street and Sewer Dept Materials Proj No. 117-023 - Walsh & Kelly, Inc (2)BID/PROPOSAL CITY OF SOUTH BEND BID NAME 2017 Street Materials FOR BIDS DUE March 28, 2017, 9:30 a.m., Local Time Item No. Description Est. City. Unit Unit Price Total PART A —ASPHALT MATERIALS A-1 HMA Surface 11L 7,500 TON 60.00 $ 450,000 A-3 HMA Surface 11L MAC HD 3,500 TON 70.00 $ 245,000 A-4 HMA Surface 1IS 1,000 TON 61.00 $ 61,000 A-6 HMA Binder 8/9 1,000 TON 45.00 $ 45,000 A-7 HMA Binder 11 3,500 TON 55.00 $ 192,500 A-8 HMA Binder 11 MAC 3,000 TON 60.00 $ 180,000 A-9 HMA Base 5D 1,000 TON 45.00 $ 45,000 A-10 CMA Patch AE-300 HP 500 TON 105.00 $ 52 500 Part ATotal $ 1,271,000 PART B — PCC MATERIALS B-1 Class A Concrete 1,800 CY No Bid $ No Bid B-2 Class A High Early 600 CY No Bid $ No Bid B-3 High Early Concrete w/Integral Color - Black 160 CY No Bid $ No Bid B-4 Flowable Fill, Removable 300 CY No Bid $ No Bid B-8 Non -Chloride Accelerator added to concrete — 0.6 /o 250 EACH CY No Bid $ No Bid B-10 Non -Chloride Acceeerator added to concrete — 1 /o 750 EACH CY No Bid $ No Bid B-11 Non -Chloride Accelerator added to concrete — 2% 500 EACH CY 1 No Bid $ No Bid Part B Total $ PART C — AGGREGATE MATERIALS C-1 No. 23 Sand 5,000 TON No Bid $ No Bid C-2 No. 53 Gravel 1,000 TON No Bid $ No Bid C-3 No. 63 Recycled Concrete 4,000 TON No Bid $ No Bid C-4 No. 53 Slag 1,000 TON No Bid $ No Bid C-5 Topsoil 100 CY No Bid $ No Bid C-7 No. 11 Slag Chip Stone 800 TON No Bid $ No Bid Part C Total $ No Bid Bidder Name: Walsh & Kelly, Inc. Addendum No. 1 3/21/17 Page 3 Item Description Est. Unit Unit Total No. Qty. Price PART D — SEWER MATERIALS D-1 Manhole Cover & Frame 300 EACH $ No Bid No Bid D-2 Catch Basin Cover & Frame 300 EACH $ No Bid No Bid D-3 MH Riser 20 3/4" D —1 "R — 7/8"L 40 EACH $ No Bid No Bid D-4 MH Riser 20 3/4" D — 1 1/2"R — 7/81 40 EACH $ No Bid No Bid D-5 MH Riser 20 3/4" D — 2"R — 7/8"L 20 EACH $ No Bid No Bid D-6 MH Riser 20 3/4" D — 2 1/2"R — 7/8"L 10 EACH $ No Bid No Bid D-10 MH Riser 21 3/4" D —1"R — 1 3/8"L 20 EACH No Bid $ No Bid D-11 MH Riser 21 314" D — 1 1/2"R —1 3/8"L 30 EACH $ No Bid No Bid D-12 MH Riser 21 3/4" D — 2"R — 1 3/8"L 30 EACH $ No Bid No Bid D-19 MH Riser 22 1/8" D — 2"R — 1 1/4"L 20 EACH $ No Bid No Bid D-21 MH Riser 22 1/8" D — 3"R — 1 1/41 5 EACH $ No Bid No Bid D-24 MH Riser 22 1/4" D — 1"R — 1 1/2"L 30 EACH $ No Bid No Bid D-25 MH Riser 22 1/4" D — 1 1/2"R —1 1/21 30 EACH $ No Bid No Bid D-31 MH Riser 23" D —1"R — 1 3/4"L 30 EACH $ No Bid No Bid D-32 MH Riser 23" D — 1 1/2"R —1 3/4"L 20 EACH $ No Bid No Bid D-33 MH Riser 23" D — 2"R —1 3/41 40 EACH $ No Bid No Bid D-39 MH Riser 23 5/8" D —1 1/2"R — 1 1/8"L 10 EACH $ No Bid No Bid D-40 MH Riser 23 5/8" D — 2"R —1 1/8"L 10 EACH $ No Bid No Bid D-45 MH Riser 23 5/8" D — 1"R — 1 1/2"L 20 EACH $ No Bid No Bid D-46 MH Riser 23 5/8" D — 1 1/2"R —1 1/2"L 25 EACH $ No Bid No Bid D-47 MH Riser 23 5/8" D — 2"R —1 1/2"L 20 EACH $ No Bid No Bid D-48 MH Riser 23 5/8" D — 2 1/2"R —1 1/2"L 20 EACH $ No Bid No Bid Part D Total $ No Bid PART E —TRAFFIC MATERIALS Liquid Thermoplastic Traffic Marking Paint E-1 — White 2200 GAL $ No Bid No Bid Liquid Thermoplastic Traffic Marking Paint E-2 — Yellow 1100 GAL $ No Bid No Bid E-3 Liquid Thermoplastic Traffic Marking Paint 50 GAL $ — Blue No Bid No Bid E-4 Liquid Thermoplastic Traffic Marking Paint 50 GAL $ — Green No Bid No Bid E-5 Pavement Marking Beads, Standard 15000 LBS $ No Bid No Bid Part E Total $ No Bid Bidder Name: Walsh & Kelly, Inc. Addendum No. 1 3/21/17 Page 4 Item No. Description Est. City. Unit Unit Price Total PART F — SNOW REMOVAL MATERIALS F 1 Curved Double Bevel Carbon Steel 500 EACH $ Underbody Blade 51 x 67 x 5/8"Th No Bid No Bid Curved Single Bevel Carbon Steel F-2 Underbody Blade 51 x 6"T x 3/4"Th 100 EACH $ Heat Treated — Hardened No Bid No Bid Curved Single Bevel Carbon Steel F-3 Underbody Blade 6'L x 6"T x 3/4"Th 50 EACH $ Heat Treated — Hardened No Bid No Bid Part F Total $ No Bid PART G — DELIVERY OF HMA MATERIALS BY TRI-AXLE TRUCK G-1 Driver and Truck 576 HOURS 1 $ 115.00 66,240 Part G Total $ 2 40 PART H-ASPHALT MATERIALS H-1 AE-T Tack 30,000 GAL No Bid $ No Bid H-2 RS-2 30,000 GAL No Bid $ No Bid H-3 MAC 20 Crack Seal 2,500 GAL $ No Bid No Bid Part H Total $ Bidder (Firm): Walsh & Kelly, Inc. Address: 24358 SR 23 City/State/Zip: South Bend, IN 46614 Telephone Number: 574-288-4811 BOARD OF PUBLIC WORKS Gary A. Gilot, President Suzanna M. Fritzberg, Member James A. Mueller, Member 1111I111 � 74 �� fir' •••• e 4 Dustin H South Bend Area Manager (Title) Therese J. Dorau, Member Elizabeth A. Maradik, Member Attest: Linda M. Martin, Clerk till Addendum No, 1 3/21/17 Page 5 BID NAME FOR BIDS DUE Date: Address: CITY OF SOUTH BEND, INDIANA SELLER'S BID FOR SALE OR LEASE OF MATERIALS 3/28/2017 24358 SR 23 Bidder (Firm): Materials Walsh & Kelly, Inc. City/State/Zip: South Bend, IN 46614 Telephone Number: _ ( 574 ) 288-4811 Agent of Bidder (if Applicable): Wien the prospective Contractor is unable to certify to any of the statements below, U shall attach an explanation to Ibis Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana ) St. Joseph COUNTY ) SS: 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 purposes ofthis 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. Ver. 13 — 6101115 b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the' financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by 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 Ver. 13 — 6101115 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 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 ofpublic 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. Ver. 13 — 6101115 I hereby affirm under the penalties of perjury that the facts and information contained in the foreO1j6lNiye for public works are true and correct. LL y ��' Dated this 28th day of March ° 2017 �` e Q;' OVORATF Walsh ly, Inc. Contr o idder o ✓� o® i re of Contractor/Bidder or Its Agitttt�� Subscribed and sworn to before me this 28th My Commission Expires 6/5/22 Hilary, South Bend Area Manager Printed Name and Title _ day of Mar h j 20 17 Notary is Alisha Kr egei County of Residence St. Joseph �e ALISHA KRUEGER ,o""""'•o, a0.- �@ Wary Public, Stele of Indiana =='SEAL."= St. Joseph Coun ty `*•'• •' *� My Commission Expire, ... June 06. 2022 Ver.13-610111S (To be completed only by Contractors/BldderS claiming to be a 'local Indiana business"pursuant to I.C. 36-1-12-22) INDIANA LOCAL BUSINESS PREFERENCE CLAIM (1) A business whose principal place of business is located in an affected county. (2) A business that pays a majority of its payroll (in dollar volume) to residents of affected counties. (3) A business that employs residents of affected counties as a majority of its employees. (4) A business that makes significant capital investments in the affected counties as defined in rules adopted by the political subdivision. (5) A business that has a substantial positive economic impact on the affected counties as defined by criteria in rules adopted by the political subdivision. An "affected county" refers to St Joseph County, Indiana, or the following counties located adjacent to St. Joseph County: Elkhart County, Marshall County, Starke County and LaPorte County There are the following price preferences for supplies purchased from a local Indiana business. • 5% for a purchase expected by the purchasing agency to be less than $50,000 • 3% for a purchase expected by the purchasing agency to beat least $50,000 but less than $100, 000. • 1 % for a purchase expected by the purchasing agency to beat least $100.000, Date: 3/28/2017 Pursuant to I.C. 36-1-12-22, Walsh & Kelly, Inc. claims a local Indiana business preference for Project _ 2017 Street and Sewer Department Materials (Project # 117-023 ) located within the City of South Bend, St. Joseph County, Indiana. ❑ The location of the principal place of business is 24358 SR 23, South Bend, IN 46614 (Address) St. Joseph County, Indiana ❑ The following county located adjacent to St. Joseph County, Indiana: ❑ The majority of the business's payroll for the 12 months prior to the date of this Bid is to residents of St. Joseph County, Indiana or the adjacent county noted above. ❑ The majority of the business's employees for the 12 months prior to the date of this Bid are residents of St. Joseph County, Indiana, or the adjacent county noted above. If the business is deemed to be the apparent lowest, responsible, responsive bidder, then it shall provide supporting documentation for the 12 month period prior to the date of the Bid of (i) the total payroll amount paid to all employees of the business, and (ii) the total payroll amount paid to employees who are residents of St. Joseph County and the adjacent county noted above. WHEN SUPPLYING SUPPORTING PAYROLL RECORDS, BIDDER SHALL REDACT ALL SOCIAL SECURITY NUMBERS. ```t t t t t UIIf1 Dated thiZ day of March , 20� & KE�t y>r� `ate C6 • •••• e�✓ Wals, In v�' OR tTF'2o s Cont t r/Bidder irm) o ®eA�y tiL S' ture ofContractor/Bidder or Its AgdV Dustin Hilary, South Bend Area Manac3%B//NDIANP`>�� Yer. 13 — 6101115 1316 COUNTY -CITY BUiwmi 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235.9251 FAx 574/235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIOIEO, MAYOR BOARD OF PUBLIC WORKS Date: March 21, 2017 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: 2017 Street and Sewer Department Materials Project Number: 117-023 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 3/28/2017 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 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. �%% ALLY, Company: Walsh & Kelly, In .` q� t' �QpRATf Authorized Signature; ,IO i u n Hilary, So Bend Area Manager o� Date: 3/28/2017 '•.. Qj�p' 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235.9251 FAX 574/ 235.9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUT owo, MAYOR BOARD OF PUBLIC WORKS 2017 STREET AND SEWER DEPARTMENT MATERIALS PROJECT NO.117-023 ADDENDUM NO. 1 Date: March 21, 2017 To: All Plan Holders `%� ) From: Roger T. Nawrot, PE & PLS, Assistant City Engineer J ` / /v The following information highlights the changes to the contract documents: 1. Items A-10, A-11, and A-13, which are the AE-T Tack, RS-2, and MAC 20 Crack Seal will be removed from Palo A of the Bid/Proposal sheet. 2. Part H, which includes AE-T Tack, RS-2, and MAC 20 Crack Seal, will be added to the Bid/Proposal sheet. The following shall be replaced, amended, or added to the special provisions: 1. Section I, DESCRIPTION: a. REVISE: I. This project includes the furnishing of materials to be used by the Street Department, Sewer Department, and other City of South Bend agencies for the year 2017. This is a divisible bid (parts A- GH) with each part being awarded in its entirety. The quantities shown for each item are approximate quantities only. Actual quantities purchased may be greater or less than the quantities shown on the bid tab. The contract(s) pursuant to these specifications shall be awarded to the lowest responsible and responsive bidder. 2. Section VIII, PART A: ASPHALT MATERIALS a. REVISE: VIII. PARTS A & H: ASPHALT MATERIALS Addendum No. 1 3/21/17 Page 1 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 rAx 574/235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIOIEO, MAYOR BOARD OF PUBLIC WORKS 2017 STREET AND SEWER DEPARTMENT MATERIALS PROJECT NO.117-023 ADDENDUM NO.1 10. MAC 20 crack seal material in Part H shall be MAC 20 (PO 64-22) base, with a minimum of 3.2% Styrene-Butadiene-Styrene (SBS) and cross -linked with B- 720 where no separation will take place. 12. The requirements for AE-T Tack in Part H are as follows: Sa bolt-Furol Viscosity, 25°C, IS Max 100 Residue from Res. By Dist. % Min 54 Max 62 Portion, from Res. By Dist. ml Oil per 100 . Emul. Min 4.0 Demulsibility, % Min 75 Sieve Test % Max 0.10 Res. By Dist. Float Test 1200 Penetration 50-200 Solubility in Or . Soly. % Min. 97.5 Ductility, 26°C, mm Min 400 13. The requirements for RS-2 in Part H are as follows: Sa bolt-Furol Viscosity,25°C, s 76.400 Residue from Res. by Dist. % Min 68 Portion from Res, by Dist. ml Oil per 100 . Emul. Max 4.0 Settlement, 5 days % Max 5 Demulsibilit , % Min 50 Sieve Test % Max 0.10 Penetration 100-200 Solubility in Or . Solv., % Min 97.5 Ductility, 25°C mm Min 400 Three pages of the Bid/Proposal issued as part of this addendum. You must acknowledge receipt of this addendum by signing the first page, returning it via facsimile to (574) 235-9171, and a copy of the first page must be included with your bid. — This addendum consists of a total of 5 pages — END OF ADDENDUM Addendum No. 1 3/21/17 Page 2 CHUBB GROUP OF INSURANCE COMPANIES Surely Department, 15 Mountain View Road, P.O. Box 1615, Warren, NJ 07061-1615 CI-IUBB Phone: (908) 903-3485 a Facsimile: (908) 903-3656 AIA DOCUMENT A31OTe - 2010 BID BOND Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. CONTRACTOR (Name, legal status and address): Walsh & Kelly, Inc. 24358 State Road 23 South Bend, IN 46614 OWNER (Name, legal status and address): City of South Bend, Board of Public Works 13th Floor, County -City Building Room 1316 227 Jefferson Boulevard South Bend, IN46601 BOND AMOUNT: Not less than 10% of the toal amount of the bid PROJECT: (Name, location or address, and Project number, If any) 2017 Street and Sewer Department Materials Project No. 117-023 SURETY (Name, legal status and principal place of business): Federal Insurance Company 15 Mountain View Road Warren, N.J. 07059 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 Surely 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. Printed in cooperation with the American Institute of Architects (AIA) by the Chubb Group of Insurance Companies. The language in this document conforms to the language used In AIA Document A310 w- 2010. ram 1502-0575-FED (Ed. 7.10) 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 conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the Intent is that this `BWAiph I be construed as a statutory bond and not as a common law bond. & KE(4 y c ..,........ Signed and sealed this 28th day of March, 2 ) 7. 3`r LOgPORgTF e . Walsh 8 Kel Inc �1 �" (Principal (Cs e'al eaf (Witness) a Krueger - I/IIIII i110\\ `AgJ0ANpF � v (Witness) Tia A. Boice w t �DIANP , South Bend Area Manager Federal Insurance Company (Federal insurance company, (Corporate Seal) By: (Attorney -In -Fact) Terry R. Hurst Printed In cooperation with the American Institute of Architects (AIA) by the Chubb Group of Insurance Companies. The language in this document conforms to the language used In ALA Document A310 w- 2010. Form 1"2.0575-FED(Ed. 7.10) Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY Pacific Indemnity Company Warren, NJ 07059 naa�r Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Tia A. Bocce, Terry R. Hurst, Brian T. Morton, Robert M. Rutigliano, Liana M. Shelton and Eric M. Wahlstrom of Indianapolis, Indiana ---------------- ----------------- ------ -----_----"--------------------------------_-_----_-------_------------------.-------------- each as their true and lawful Attorney- In, Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds) given or executed in the course of business, and any Instruments amending or altering the Same, and consents to the modification or alteration of any instrument referred to In said bonds or obligations. In Witness Whereof, sold FEDERAL INSURANCE COM9ANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executQd and attested these presents and affixed their corporate seals onthis 8l day of February,2016. Dawn M. C1110TOS. Assistant Secretary 000 STATE OF NEW JERSEY as. County of Somerset On this Bob day of February, 2016 before me, a Notary Public of New Jersey, personalty came Dawn M. Chloros, to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Daum M. Chloros, being by me duly sworn, did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authodty of the Sy- Laws of said Companies; and that she signed said Power of Attorney as Assistant Secretary of said Companles by like authority; and that She Is acquainted with David B. Norris, Jr., and knows him to be Vice President of sold Companies; and that the signature of David B. Norris, Jc, subscribed to said Power of Attorney Is In the genuine handwriting of David B. Norris, Jr., and was thereto Subscribed by authority of said By- Lawn and In deponenl's presence. Notarial Seal KATHERINEJ.ADEL AR taOTAR y NOTARY PUBLIC OF NEW JERSEY No.231B686 PUBLIC Commission Expires July 16.2019 !N yJEP CERTIFICATION Notary Public Extract from the By- Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY: 'Except as otherwise provided in these By -Laws or by law or as otherwise directed by the Board of Directors, the President or any Vice President shall be authorized to execute and deliver, in the name and on behalf of the Corporation, all agreements, bonds, contracts, deeds, mortgages, and other Instruments, either for the Corporation's own account or In a fiduciary or other capacity, and the seal of the Corporation, If appropriate, shall be affixed thereto by any of such officers or the Secretary of an Assistant Secretary. The Board of Directors, the President or any Vice President designated by the Board of Directors may authorize any other officer, employee or agent to execute and deliver, in the name and on behalf of the Corporation, agreements, bonds, contracts, deeds, mortgages, and other instruments, either for the Corporation's own account or in a fiduciary or other capacity, and, if appropriate, to affix the seal of the Corporation thereto. The grant of such authority by the Board or any such officer may be general or confined to specific Instances.' 1, Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "CompanleC) do hereby certify that (q the foregoing extract of the By- Laws of the Companies is true and coned, (ii) the Companies are duly licensed and authorized to transact surety business In all 60 of the United Stales of America and the District of Columbia and are authorized by the U.S. Treasury Department; further, Federal and Vigilant are licensed in the U.S. Virgin Islands, and Federal is licensed in Guam, Puerto Rico, and each of the Provinces of Canada except Prince Edward Island; and (III) the foregoing Power of Attorney is two, correct and in full force and effect. Given under my hand and seals of said Companies at Warren, NJ this 28th day of March, 2017. I�JV Y v� Dawn M. Chloros, Assistant Secret IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT ADDRESS FOIhnl!51060226B-U OEN CONSENT (rev. 07-18) Part of State Form52414 (R2l 2-13) Form 96 (Revised 2013) Walsh & Kelly. Inc. (Contractor) 24358 SR 23 (Address) South Bend, IN 46614 FOR PUBLIC WORKS PROJECTS OF City of South Bend Board of Public Works 2017 Street and Sewer Department Materials Project No. 117-023 Filed March 28, 2017 Action State Form 52414 (R 19-10) Prescribed by State Board of Accounts Form No. 96 (Revised 2013) CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96 PART 1 (To be completed for all bids. Please type or print) I. Governmental Unit (Owner): 2. County: 3. Bidder (Firm): Address: City/State: 4. Telephone Number: 5. Agent of Bidder (If applicable): Date (month, day, year): March 28 2017 City of South Bend, Board of Public Works Walsh & Kelly, Inc. 24358 SR 23 South Bend IN 46614 574-288-4811 Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of City of South Bend, Board of Public Works (Governmental Unit) in accordance with plans and specifications prepared by N/A and dated N/A for the sum of N/A $ N/A 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 addendurns 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 Governmental Unit. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant may be regarded as a material breach of the contract. CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS (If applicable) 1, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation to use steel products made in the United States. I.C. 5-16-8-2. I hereby certify I and all subcontractors employed by me for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in forfeiture of contractual payments. ACCEPTANCE The above bid is accepted this day of _ subject to the following conditions: Contracting Authority Members: PART II (For projects of $150,000 or more — IC 36-1-12-4) Governmental Unit: City of South Bend, Board of Public Works Bidder (Firm): Walsh & Kelly, Inc. Date(month, day, year): March 28, 2017 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. What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount Class of Work When Completed Name and Address of Owner $6,030,341 Resurface December 2015 Lake County Hwy Dept. $5,758,069 Resurface November 2015 Town of St. John $4,461,632 Reconstruction December 2015 INDOT $3,571,923 Reconstruction July 2015 INDOT 2. What public works projects are now in process of construction by your organization? Contract Amount Class of Work When to be Completed Name and Address of Owner $5,080,808 Reconstruction November 2017 City of South Bend, IN $5,938,220 Resurface October 2017 INDOT $5,775,000 Reconstruction November 2016 Town of Merrillville, IN $3,102,502 Reconstruction October 2016 INDOT Have you ever failed to complete any work awarded to you? No If so, where and why? 4. List references from private firms for which you have performed work. Dyer Construction Co 1716 Sheffield Avenue Dyer IN Janet Furman Grimmer Construction Co Inc 2619 Main Street Highland IN Mr. Greg Grimmer SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE I. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, completed the project, number of workers, etc. and any other information which you believe would enable the governmental unit consider your bid.) As required by owner 2. Please list 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. See Attached List 3. 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 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 governmental unit in the event that you subsequently determine that you will use a subcontractor on the proposed project. Will supply upon award of contract 4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC, CONDITION YEARS OF SERVICE PRESENT LOCATION 5 Asphalt Plants Various Good Griffith, South Bend, Valparaiso, Lowell, LaPorte, 18 Asphalt Pavers Various Good Griffith, South Bend 4 Sli form Cone. Paver Comm II Good Griffith, South Bend 3 Road Widener Various Good Griffith, South Bend 5 1 Motor Graders CAT/J.D. Good Griffith, South Bend 48 Rollers Various Good Griffith, South Bend 31 Rubber Tire Loaders Various Good Griffith, South Bend 15 Excavators Various Good Griffith, South Bend 8 Bulldozers Various Good Griffith, South Bend 6 LowBoy Tractors Various Good Griffith, South Bend 7 Flatbed Dumps Various Good Griffith, South Bend 39 % and ton Pickups Various Good Griffith, South Bend 59 1 Ton Crew Trucks Various Good Griffith, South Bend 3 Cold Planers Wirtgen 1900 DC Good Griffith, South Bend 3 Tri-Axle Dum Mack I Good South Bend 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? Otherwise, please explain the rationale used which would corroborate the prices listed. Yes, we received quotes from potential subcontractors and suppliers 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 governing body awarding the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's capability for completing the project if awarded. SECTION IV CONTRACTOR'S NON -COLLUSION AFFIDAVIT The undersigned bidder or agent, being duly sworn on oath, says that he 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. He 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 SECTION V OATH AND AFFIRMATION I HEREBY AFFIRM UNDER THE PENALTIES CONTAINED N THE FOREGOING ID FOR PRBLIC WORKS ARE TRUE AND CORRECTPERJURY THAT THE FACTS AND ORMA ``O\\1&LtKEF4��'e'r V� • . , /ems Dated at South Bend this 28ft' ay of M rch 2017:S��r LORPOR"I tZCt Dustin Hilary, Area Manager (Title of Person Signing) STATE OF Indiana 1 ss COUNTY OF St. Joseph ) Before me, a Notary Public, personally appeared the above -named Dustin Hilary and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 28th day of March, 2017. My Commission Expires: June 5, 2022 Alish rueger, Notary Public PY�p`,,, ALISHA KRUEGER �P•"'••19 s Notary Public, State of Indialo County of Residence: St. Joseph ?afSEAL;0=_ St. Joseph CounIV My Commission Expires 'g •,/,ti o"pNP`` June 05, 2022 1 Form 96 Section II, #2 Subcontractors Used on Public Works Contracts During the Past 5 Years SUBCONTRACTORS COMPANY ADDRESS CITY/STATE/ZIP PHONE FAX SEWER B & D Sewer 531 Winston Ct Schererville, IN 46375 (219)322-2300 (219)865-0065 Deboer Egolf 5772 Melton Road Portage, IN 46368 (219)763-9700 (219)763-9703 Delta III 2063 W 1250 S Hanna, IN 46340 (219)797-4004 (219)797-3008 Dyer Construction 1716 Sheffield Avenue Dyer, IN 46311 (219)865-2961 (219)865-2963 Gatlin Plumbing & Heating 1111 E. Main Street Griffith, IN 46319 (219)924-6972 (219)924-1401 Gough, Inc. 2200 E. 88th Drive Merrillville, IN 46410 (219)756-2200 (219)756-2202 Grimmer Construction 2619 Main Street Highland, IN 46322 (219)924-1623 (219)924-0328 Hasse Construction 10 Lincoln Avenue ICalumet City, IL 60409 (219)932-1611 (219)932-6829 HRP Construction 5777 Cleveland Rd. South Bend, IN 46624 (574)271-7800 (574)271-0524 Rex Construction 700 Schiller Avenue Schererville, IN 46375 (219)322-8090 (219)322-0031 Wirtz & Yates, Inc. P.O. Box 41 Kentland, IN 47951 (219)474-6542 Woodruff & Sons P.O. Box 450 Michigan City, IN 46361 (219)872-8605 (219)8795339 MILLING C.E. Hughes Milling, Inc. 3113 Holmans Lane Jeffresonville, IN 47130 (812)725-8665 (812)725-8672 Javelins Construction, Inc. 13476 Britton Park Rd. Fishers, IN 46038 (317)841-8364 (317)841-0075 Mid America Milling Co. 6200 W. Hwy 62, Ste 400 Jeffersonville, IN 47130 (812)282-2751 (812)283-9846 McCrite Milling 209 Quality Ave. Ste 9 New Albany, IN 47150 (812)941-0252 (812)941-0852 Specialties Company 9350 E. 30th St. Indianapolis, IN 46229 (317)594-0291 (317)594-0271 ELECTRICAL INSTALLATION Hawk Enterprises 1850 E. North St Crown Point, IN 46307 (219)662-8090 (219)662-8093 Midwestern Electric 1620 E. Chicago Ave East Chicago, IN 46312 (219)397-4444 (219)397-8888 S/T Bancroft Electric 25020 State Road 2 South Bend, IN 46619 (574)287-6490 Sweney Electric Company 9111 Louisiana St. Merrillville, IN 46410 (219)769-6007 (219)769-0565 Trans Tech Electric 4601 Cleveland Road South Bend, IN 46619 (574)272-9673 (574)271-0144 SIGN INSTALLATION Hawk Enterprises 1850 E. North St Crown Point, IN 46307 (219)662-8090 (219)662-8093 Midwestern Electric 1620 E. Chicago Ave East Chicago, IN 46312 (219)397-4444 (219)397-8888 RoadSafe Traffic Systems 3519 Harding Street Indianapolis, IN 46217 (317)780-1825 State Barricading, Inc. 24963 U.S. Highway 20 South Bend, IN 46628 (574)287-2078 Traffic Control Specialists, Inc. 305 W. Hamilton Dr. Knox, IN 46534 (574)772-7001 (574)772-7002 PAVEMENT MARKINGS The Airmarking Company P.O. Box 526 Rochester, IUN 46975 (574)223-5817 (574)223-7959 Blackout Sealcoating 7440 W. 87th Place Bridgeview, IL 60455 (219)864-2300 (708)430-6910 RoadSafe Traffic Systems 3519 Harding Street Indianapolis, IN 46217 (317)780-1825 State Barricading, Inc. 24963 U.S. Highway 20 South Bend, IN 46628 (574)287-2078 Traffic Control Specialists, Inc. 305 W. Hamilton Dr. Knox, IN 46534 (574)772-7001 (574)772-7002 Traffic Management Company 3542 Highway Avenue Highland, IN 46322 (219)746-2433 LANDSCAPE Great American Landscape P.O. Box 235 Dyer, IN 46311 (219)322-7033 (219)322-4419 Hubinger Landscape 210 E. 113th Avenue Crown Point, IN 46307 (219)662-9911 (219)662-6206 Meier's Landscaping 6809 Columbia Ave Ste A Hammond, IN 46324 (219)989-9070 (219)989-9073 Site Restoration 5225 E. 145th Avenue Crown Point, IN 46307 (219)743-8180 (219)661-1818 Slusser's Green Thumb, Inc. 125 Montgomery Street Logansport, IN 46947 (574)722-3102 (574)722-1628 T & J Landscape Service 8253 Wicker Avenue St. John, IN 46373 (219)374-9000 (219)374-9950 Form 96 Section II, #2 Subcontractors Used on Public Works Contracts During the Past 5 Years — Page 2 COMPANY ADDRESS CITY/STATE/ZIP PHONE FAX GUARDRAIL/FENCING Acorn Fence 2041 164th Street Hammond, IN 46320 (219)844-8400 (219)844-8441 C Tech Corporation 5300 W. 100 North Boggstown, IN 46110 (317)835-2745 (317)835-2781 James H. Drew Company 8701 Zionsville Rd. Indianapolis, IN 46268 (317)876-3739 (317)876-3829 Security Industries 1000 Georgiana St. Hobart, IN 46342 (219)942-9447 (219)942-9448 Specialties Company 9350 E. 30th St. Indianapolis, IN 46229 (317)594-0291 (317)594-0271 TRUCKING/HAULING C. Lee Construction Services 1200 W. Main Street Griffith, IN 46319 (219)922-7733 (219)924-8609 Condon Trucking, LLC 18245 Amberley Ln South Bend, IN 46637 (574)360-4326 (574)271-8984 Fanio Services 28015 SR 23 North Liberty, IN 46554 (574)233-3236 Glimer Trucking 20390 New Road South Bend, IN 46614 (574)229-3233 J. Jarrett Trucking. Inc. 3316 W. 45 1h Avenue Gary, IN 46408 (219)902-6660 (219)884-8292 Material Transfer Inc. 7811 West 101stAve. Crown Point, IN 46307 (219)865-9575 V & R Trucking, Inc. 1845 Elmer St. South Bend, IN 46628 (574)329-2102 SRPM'S K & S Marekers, Inc. 12189 N 600 W IThorntown, IN 46071 (765)482-6184 (765)482-6284 M.A.S. Markers, Inc. 11625 S 400 E Lebanon, IN 46052 (317)769-7200 UNDERSEAL Rieth-Riley Construction Co Inc 12454 West CR 450 North jLaPorte, IN 46350 (219)362-6178 TREE REMOVAL Dave's Tree Service 11555 Park West Circle Munster, IN 46321 (219)922-1819 Homer Tree Service 114000 S. Archer Ave ILockport, IL 60441 (815)838-0320 Timber Masters LLC P.O. Box 245 IDyer, IN 46311 (219)864-8733 LIME STABILIZATION Mt. Carmel Sand & Gravel 1611 College Dr. IMt. Carmel, IL 62863 (618)262-5118 (618)263-4084 Rock Solid Stabilization 15104 Mann Drive IRingwood, IL 60072 (815)653-2585 (815)653-2583 Specialties Company 19350 E. 30th St. Indianapolis, IN 46229 (317)594-0291 (317)594-0271 PIPE LINING Indiana Reline, Inc. 1312 E. Main Street ISulphur Springs, IN 47388 765-766-5040 765-533-5831 SAW CUTTING Diamond Coring Co., Inc. 111800 S Ewing Ave IChicago, IL 60617 773-978-5000 Quality Saw & Seal, Inc. 17600 W. 79th Street lBridgeview, IL 60455 773-767-9300 General Form No. 96-a Prescribed by the State Board of Accounts of Indiana. Revised 1949. Standard Questionnaires and Financial Statement for Bidders Prescribed by THE STATE BOARD OF ACCOUNTS OF INDIANA For use in investigating and determining the qualifications of bidders on public construction when the aggregate cost of any such work or improvement will be Five Thousand Dollars or more. These statements to be submitted under oath by each bidder with and as a part of his bid, as provided by Chapter 306, page 1248, Acts of 1947 Submitted to Cit of South Bend Board of Public Works By Walsh & Kelly, Inc. {A Corporation Address 24358 SR 23 South Bend IN 46614 Date submitted March 28d', 2017 A.B. BOYCE CO., Sec. 2 of an Act entitled "AN ACT concerning the awarding of contracts for the performance of public work and authorizing the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contractors who submit bids for the performance of such work, providing for plans and specifications, providing for bids repealing certain laws and declaring an emergency." (Approved March 13, 1947.) Sec, 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or more, for the purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which of the bidders submitting bids for the performance of any such public work is, in the judgment of such board, commission, trustee, officer or agent, the lowest and/or best bidder and to exercise intelligently the discretion hereby conferred on such board, commission, trustee, officer or agent each bidder shall be required to submit under oath with and as a part of his bid a statement of his experience, his proposed plan for performing such work and the equipment which he has available for the performance of such work and a financial statement. The statements hereby required shall be submitted on forms which shall be prescribed by the state board of accounts. The forms so prescribed shall be designated, respectively, as the experience questionnaire, the plan and equipment questionnaire and the contractor's financial statement, and shall be based, so far as applicable, on the standard questionnaires and financial statement for bidders as approved and recommended by the joint conference on construction practices, for use in investigating the qualifications of bidders on public construction work, and the forms so prescribed are hereby prescribed as the forms which shall hereafter be used by all such boards, commissions, trustees, officers and agents in obtaining the information which is required in the administration of this act. If the information submitted by any bidder on the forms herein prescribed is found, on examination, to be unsatisfactory, the bid submitted by such bidder shall not be considered, (Burns Statutes 1933, Sec. 53-109) See. 2, Chapter 306, Acts of 1947. TO THE BIDDER — The following forms of questionnaires and financial statement are prescribed by the State Board of Accounts in conformity with the statute set out on the preceding page. These forms, properly filled out and attested, must accompany each bid of five thousand dollars or more on any public work. The forms are designed to cover all contracts for all kinds of work and the bidder is required to answer such questions as are pertinent to the work upon which he is bidding. The purpose of the questionnaire and financial statement, as set forth in the law, is to enable the awarding body to determine the qualifications of the bidder to carry out successfully the contract if the same is awarded to him. The bidder will find it to his advantage to answer fully all questions coming within the range of the work upon which he is bidding. Particular attention should be given the "Financial Statement' and the details relative to the assets and liabilities set out. This form is made in extensive detail so that the bidder may explain his assets and liabilities in proper sequence and in a uniform manner. T. M. HINDMAN, State Examiner fit Submitted by Walsh & Kelly, Inc. { x A Corporation Principal Office at 1700 East Main Street Griffith IN 46319 To City of South Bend. Board of Public Works EXPERIENCE QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. I . How many years has your organization been in business as a general contractor under your present business name? 60 Years 2. How many years experience in asphalt paving construction work has your organization had: (a) As a general contractor 70 years (b) As a sub -contractor 70 Years 3. What projects has your organization completed? Contract Amount Class of Work When Completed Name and Address of Owner $ 6,030,341 Resurface December 2015 Lake County Hwy Dept. $ 5,758,069 Resurface November 2015 Town of St. John, IN $ 4,461,632 Reconstruction December 2015 INDOT $ 3,571,923 Reconstruction July 2015 INDOT 3-A. What projects has your organization now in process of construction? CONTRACT AMT. CLASS OF WORK WHEN TO BE COMPLETED NAME AND ADDRESS OF OWNER $ 5,080,808 Reconstruction November 2017 City of South Bend, IN $ 5,938,220 Resurface October 2017 INDOT $ 5,775,000 Reconstruction November 2016 Town of Merrillville, IN $ 3,102,502 Reconstruction October 2016 INDOT 4. Have you ever failed to complete any work awarded to you? No If so, where and why? 5. Has any officer or partner of your organization ever been an officer or partner of some other organization that failed to complete a construction contract? No If so, state name of individual, other organization and reason therefore 6. Has any officer or partner of your organization ever failed to complete a construction contract handled in his own name? No If so, state name of individual, name of owner and reason therefor 7. In what other lines of business are you financially interested? None 8: For what corporation or individuals have you performed work, and to whom do you refer?_ BP Amoco, Whiting, Indiana Torn & Blank Construction 1623 Greenwood Ave., Michigan City, IN 46360 Grimmer Construction Co., Inc. 2619 Main Street, Highland, IN 46322 University of Notre Dame, South Bend, Indiana Gough, Inc., 1151 E. Summit, Crown Point, IN 46307 9. For what cities have you performed work and to whom do you refer? Town of Griffith Director of Public Works Griffith IN Town of Schererville Town Manager Schererville, IN City of Hammond City Engineer Hammond, IN City of South Bend City Engineer South Bend, IN Town of St. John Town Manager St. John, IN 10. For what counties have you performed work and to whom do you refer? Lake County Highway Superintendent Crown Point, IN Porter County Highway Superintendent Valparaiso, IN St. Joseph County Highway_ Superintendent South Bend, IN Elkhart County Highway Superintendent Elkhart, IN 11. For what State bureaus or departments have you performed work and to whom do you refer? Indiana Department of Transportation (INDOT) LaPorte District Laporte IN Department of Natural Resources Indianapolis, IN 12. Have you ever performed any work for the U.S. Government Yes If so, when and to whom do you refer? U.S. Army Corps of Engineers Chicago, IL Indiana National Guard, Dept. of Administration Indianapolis, IN Federal Highway Administration Sterling, VA 13. What is the construction experience of the principal individual of your organization? INDIVIDUAL'S NAME PRESENT POSITION OR OFFICE YEARS OF CONSTUCr ION EXPEREIN CE MAGNITUDE AND TYPE OF WORK IN WHAT CAPACITY Kevin J. Kelly President 32 All Types General Manager Jeffrey L. Swan Executive Vice President 33 All Types Supt. Engineering David Misirly Vice President 30 Bituminous Paving Engineer Greg Hoffman Vice President 30 Bituminous Paving Engineer Lynn Bauer South Bend O s Mgr 22 All types Engineer Dustin Hilary South Bend Area Mgr 16 All types Engineer Mark Krachenfels Engineer 27 Bituminous Paving Engineer Douglas Kesler Engineer 42 Bituminous Paving Engineer PLAN AND EQUIPMENT QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 1. In what manner have you inspected this proposed work? Explain in detail. Plans, Specifications, and Site Inspections 2. Explain your plan or layout for performing the proposed work As directed by owner/engineer 3. The work, if awarded to you, will have the personal supervision of whom? Kevin J. Kelly, Jeffrey L. Swan, David Misirly, Greg Hoffman, Dustin Hilary, and Lynn Bauer 4. *Do you intend to do the hauling on the proposed work with your own forces? Yes If so, give amount and type of equipment to be used As needed 5. *If you intend to sublet the hauling or perform it through an agent, state amount of sub -contract or agent's contract, and if known, the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility Items 4,5,6 and 7 may not be applicable in all building contracts; if not, omit. H. What equipment do you intend to purchase for use on the proposed work, should the contract be awarded to you? QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC. I APPROXIMATE None 12. How and when will you pay for the equipment to be purchased? N/A 13. Do you propose to rent any equipment for this work?No If so, state type, quantity and reasons for renting 14. Have you made contracts or received firm offers for all materials within prices used in preparing your proposal? Do not give names of dealers or manufacturers Dated at South Bend this 28"' day of Marc 20 7 Wal & ell Inc � Q iGn: (Name f ganizatio ®,Aq�7 _ ° SEAL.* °B®BOi AND I ANP �a®��0 ustin Hila Area Mana er h jjjj10�� ( tle of Person Signing) STATE OF Indiana { Ss. COUNTY OF St. Joseph Dustin Hilary being duly sworn deposes and says that he is Area Mana eg r of the above Walsh & Kelly, Inc. (Name of Organization) and that the answers to the questions in the foregoing questionnaires and all statements therein contained are true and correct. Subscribed and sworn to before me this 281h day of AlishaYKrfieger, Notary My Commission expires June 5, 2022 ALISHA KRUEGEP Notary Public, SOW of 100 St. Joseph County My commission Expires June05,2022 6. *Do you intend to do the grading on the proposed work with your own forces? If so, give type of equipment to be used 7. *If you intend to sublet the grading or perform it through an agent, state amount of sub -contract or agent's contract, and, if known, the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility 8. Do you intend to sublet any other portions of the work? If so, state amount of sub -contract, and, if known, the name and address of the sub -contractor, amount, and type of this equipment and financial responsibility 9. From which sub -contractors or agents do you expect to require a bond? None 10. What equipment do you own that is available for the proposed work? QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC. CONDITION YEARS OF SERVICE, PRESENT LOCATION 5 Asphalt Plants Various Good Griffith, South Bend, Val araiso, Lowell, LaPorte 18 Asphalt Pavers Various Good Griffith, South Bend 4 Sli form Cone. Paver Various Good Griffith, South Bend 3 Road Widener Various Good Griffith, South Bend 5 Motor Graders CAT/J.D. Good Griffith, South Bend 48 Rollers Various Good Griffith, South Bend 31 Rubber Tire Loaders Various Good Griffith, South Bend 15 Excavators Various Good Griffith, South Bend 8 Bulldozers Various Good Griffith, South Bend 6 LowBoy Tractors Various Good Griffith, South Bend 7 Flatbed Dumps Various Good Griffith, South Bend 39 '/z and'/<ton Pickups Various Good Griffith, South Bend 59 1 Ton Crew Trucks Various Good Griffith, South Bend 3 Cold Planers Wirtgen 1900 DC Good Griffith, South Bend 3 Tri-Axle Dump Mack Good South Bend (ardifu tte of qunliflim iou .rt P-40111iWa r: M It a 1 a II a INDIANAPOLIS, IN TO WALSH & KELLY INC April 11, 2016 GRIFFITH, IN who has filed with the Department a Contractor's Statement of Experience and Financial Condition as required under Indiana Code 8-23-10, is hereby qualified to bid at any Department of Transportation letting in Classes of Work and within the amount and other limitation of each classification as listed below, for such period as the uncompleted work on hand from all sources does not exceed the Aggregate amount. Classification references by name or symbol are in accordance with the definitions in the Contractor's Statement of Experience and Financial Condition. This certificate supersedes any certificate previously issued, but is subject to revision or revocation according to the law, if and when changes in the financial condition of the contracting firm or other facts justify such revision or revocation. Valid May 1, 2016 Thm April 30, 2017 AGGREGATE................................................................... A(B) CONCRETE PAVEMENT, LIMITED ............................ B(A) ASPHALT PAVING: CERT HMA PLANT .................... C(B) LIGHT GRADING........................................................... D(A) HWY OR RR BRIDGES OVER WATER ._._................. D(B) HWY OR RR 13RIDGES OVER HIGHWAYS ................ D(C) HWY BRIDGES REQ PROTECTION OF RR TRACKS RE) SMALL STRUCTURES AND DRAINAGE ITEMS ....... E(F) SURFACE MASONRY AND MISC CONCRETE ......... E(Q) CONCRETE PAVEMENT REPAIRS ............................. E(R) ROAD MILLING E(7) DEMOLITION.... " u & . did PREQUALIFICATION ENGINEER State Form 20508 (R315-05) 6 ,COMMISSIONER $UNLIM[TED $25,000,000 $25,000,000 $2,000,000 $2,000,000 $2,000,000 $25,000,000 $25,000,000 $25,000,000 $5,000,000 $5,000,000 CERTIFICATE OF QUALIFICATION to provide CONSTRUCTION SERVICES for PUBLIC WORKS PROJECTS to the STATE OF INDIANA This Certification Board, having duly considered application for qualification in terms of apparent experience and financial resources; and under the applicable Indiana Code 4-13.6-4 and adopted rules of this Board, hereby issues a Certificate of Qualification to provide construction services to the State of Indiana for Public Works Projects to: WALSH & KELLY INC 1700 E MAIN ST GRIFFITH IN 46319 Phone 219-924-5900 Fax 219-924-8768 Company Official KEVIN KELLY for the twenty-seven month period stated herein, unless revoked by this Board for cause, and in the classifications of services stated below. This certificate supercedes any previous certificate. 1611.01 Concrete Construction of Roads & Curbing 1611.02 Asphalt Construction of Roads and Parking Lots CERTIFICATION DATE 6112/2016 EXPIRATION DATE 8/12/2017 THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD, 402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS, INDIANA 46204, ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION. '�v. CUILX'4� Tracy L. Cross, Exec tiuv Secretary Certifcation Board DAPW P02 State Form 3083R Rev. 07106 EQUAL EMPLOYMENT OPPORTUNITY POLICY I. It is the policy of this Company to assure that the applicants are employed, and that employees are treated during employment, without regard to their race, religion, sex, color, national origin, age, association with the Vietnam era or any other war, disability, genetic information, citizenship status, military status, veteran status, ancestry, or any other status protected under applicable law. Such action shall include: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, pre -apprenticeship, and/or on the job training. A. The Contractor will work with the State Highway Agency (SHA) and the Federal Government in carrying out EEO obligations and in their review of his/her activities under the contract. II. Vice President of Business Development; John C. Wall, shall be designated as Walsh & Kelly, Inc.'s Equal Employment Officer. He will be responsible for all activities associated with the implementation of all policies affecting equal employment opportunity. III. Walsh & Kelly, Inc. assures nondiscriminatory recruitment by taking appropriate steps such as: A. Placing employment advertisements in newspapers which serve the largest number of minority group people in the recruiting area. B. Recruiting through schools and vocational colleges having substantial proportions of minority students. C. Maintaining systematic contacts with minority and human relations organizations leaders referral of qualified minority applicants. D. Encourage present employees to refer minority applicants. E. Make it known to all recruitment sources that qualified minority members are being sought whenever there is hiring. IV. This policy is intended to comply with the Civil Rights Act of 1964, as amended, the Federal Highway Act of 1968, the Executive Order 11246 and 11375, the Rehabilitation Act of 1973, as amended, the Disabled Veterans and Vietnam Era Veterans Readjustment Act of 1974, as amended, the Indiana Civil Right Act, and other Federal and State Laws and Regulations pertaining to Equality of Opportunity and Affirmative Action Policies. V. Forms for riling any complaints are available in the office located at 1700 E. Main Street, Griffith, IN 46319. In addition, e`me)p3# <itig% call (219) 924-5900 to report any workplace concerns under this policy. r WALSH & KELLY, INC. f'LORPORq,,'�ZtlrP SEAT, . John C. Wall, Vice President of Business Developrii'cMtti�Officer Revised: May 18, 2016 State of Indiana Office of the Secretary of State CERTIFICATE OF EXISTENCE To Whom These Presents Come, Greeting: I, CONNIE LAWSON, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of the State of Indiana, the custodian of the corporate records and the proper official to execute this certificate. I further certify that records of this office disclose that WALSH &`KELLY INC duly filed the requisite documents to commence business activities under the laws of the State of Indiana on March 29, 1966, and was in existence or authorized to transact business in the State of Indiana on March 06, 2017. 1 further certifiy this Domestic For -Profit Corporation has filed its most recent report required by Indiana law with the Secretary of State, or is not yet required to file such report, and that no notice of withdrawal, dissolution, or expiration has been filed or taken place. In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, March 06, 2017 CONNIE LAWSON SECRETARY OF STATE 194484-057 / 2017243606 Verify this certificate:https:Hbsd.sos.in.gov/ValidateCertificate MINUTES OF THE ANNUAL MEETING OF THE BOARD OF DIRECTORS OF WALSH & KELLY, INC., HELD Wednesday, JUNE 1, 2016, AT 4:00 P.M. A meeting of the Board of Directors of Walsh & Kelly, Inc. was held telephonically on June 1, 2016, at 4:00 P.M., following prior telephonic notice to all Directors. The meeting was attended by the following Directors: Kevin J. Kelly, James Fehsenfeld and Thomas Bertsch. Directors absent with proxy provided included Fred Fehsenfeld,Jr., and John Vercruysse. Kevin J. Kelly, President and Chief Executive Officer of Walsh & Kelly, Inc. acted as Chairman of the meeting. The meeting was called to order by Kevin J. Kelly. The purpose of the meeting was to elect officers and appoint those persons with authority to enter into contracts on behalf of the corporation. It was noted that John C. Wall has been appointed as Vice President and EEO Officer. On a motion duly made and seconded, the following resolution was unanimously adopted: `BE IT RESOLVED, that the following persons with full knowledge and the consent of the Board of Directors, are to serve as Officers of the Corporation until the next annual meeting of the Board of Directors in 2017, said date and time to be determined: Kevin J. Kelly, President and Chief Executive Officer Jeffrey L. Swan, Executive Vice President John M. Peisker, Vice President of Asphalt Operations David J. Misirly, Vice President Gregory A. Hoffinan, Vice President John C. Wall, Vice President and EEO Officer J. Michael Schaum, Secretary and Treasurer, CFO" On a motion duly made and seconded, the following resolution was unanimously adopted: "BE IT RESOLVED, that the following persons with full knowledge and the consent of the Board of Directors, are authorized to act as agents, and to execute any and all documents on behalf of Walsh & Kelly, hic. related to business interests of Walsh & Kelly, Inc., particularly to execute contracts on behalf of the corporation, namely: Kevin J. Kelly, President and Chief Executive Officer Jeffrey L. Swan, Executive Vice President John M. Peisker, Vice President of Asphalt Operations David J. Misirly, Vice President Gregory A. Hoffman, Vice President Dustin P. Hilary, South Bend Area Manager Lynn J. Bauer, South Bend Operations Manager John C. Wall, Vice President and EEO Officer J. Michael Schaum, Secretary and Treasurer, CFO" There being no further business to come before the meeting, on motion duly made, seconded and unanimously adopted, the meeting was adjourned. Kevin J. Kelly, President KELL% ` �iL �i ........... .. or O�,pORA TF a �NDIP�P`� 1nn1n1a`