HomeMy WebLinkAboutOpening of Bids - Spec F Three More or Less 2017 or Newer Four Door Hybrid Utility Vehicle - Jordan FordCITY OF SOUTH BEND, INDIANA
SELLER'S BID FOR SALE OR LEASE OF MATERIALS
AND NON -COLLUSION AND NON DEBARMENT AFFIDAVIT AND
1865
NON-DISCRIMINATION COMMITMENT FOR SELLERS
BID NAME Sec F - Three 3 more or less 2017 or Newer Four Door Hybrid Utility Vehicles
FOR BIDS DUE April 11, 2017 at 9:30 a.m.
Bidder
Date: APRIL 11, 2017 (Firm): JORDAN FORD
Address: 609 E. JEFFERSON BLVD.
City/State/,Zip: MISHAWAKA, IN 46545 Telephone Number: ( 574 ) 259-1981 EXT. 317
Agent of Bidder (if Applicable): N/A
When the prospective Contractor is unable to certify to any of the statenrents below, it shrill attach an explanation to this 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 TNpTANA
} SS:
ST. JOSEPH COUNTY }
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that:
1. Contractor has not, nor has any other member, representative, or agent of the firm,
company, corporation or partnership represented by him, entered into any combination,
collusion or agreement with any person relative to the price to be bid by anyone at such
letting nor to prevent any person from bidding nor to induce anyone to refrain from
bidding, and that this bid is made without reference to any other bid and without any
agreement, understanding or combination with any other person in reference to such
bidding. Contractor further says that no person or persons, firms, or corporation has, have
or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value
on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any
of its principals are presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from participation in this transaction by any Federal
department or agency; and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in
investment activities in Iran.
a. For 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:
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
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. 5-16-5-1). 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 11TH day of APRIL , 2017
Subscribed and sworn to before me this 11TH
My Commission Expires 1191202-1
County of Residence
JORDAN FORD
Contractor/Bidder (Firm)
�.
Signature of Contractor/Bidder or Its Agent
DEBRA STARKWEATHER
COMMERCIAL FL GR
Printed Name and Title
day of APRIL , 2017
Notary Public
S4 .'4bStv h
WHITNEY R. PYLE, Notary Public
.County of St. Joseph, State of Indiana
My Commission Expires 01/09/2021
(To be completed only by Contractors/Bidders claiming to be a `local Indiana business " pursuant to I.C. 36-1-12-22)
INDIANA LOCAL BUSINESS PREFERENCE CLAIM.
A "local Indiana business " refers to any of the following:
(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%far apurchase expected by the purchasing agency to beat least $100,000.
Date: APRIL 11, 2017
Pursuant to I.C. 36-1-12-22, JORDAN FORD claims a local Indiana business
preference for Project SPEC F 3 OR MORE'+4 DOOR HYBRID (Project # ) located within the City of
South Bend, St. Joseph County, Indiana.
❑ The location of the principal place of business is 609 E. JEFFERSON BLVD, MISHAWAKA, IN 46545
EJ 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.
❑X 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 REDACTALL
SOCIAL SECURITYNUMBERS.
Dated this 11TH day of APRIL , 2017
JORDAN FORD
Contractor/Bidder Firm)
A -A, f rA-L -c a.� Z C,
Signature of Contractor/Bidder or Its Agent
DEBRA STARKWEATHER
COMMERCIAL FLEET SALES MANAGER
Printed Name and Title
BID/PROPOSAL
CITY OF SOUTH BEND
Spec F - Three (3) more or less 2017 or Newer Four Door Hybrid Utility
BID NAME Vehicles
FOR BIDS DUE April 11, 2017 at 9:30 a.m.
Description
Year/Make/Model
Unit Price
4 DOOR
2017 FORD C-MAX HYBRID
$22,499.00 EAC
Estimated number of days for delivery from award
date. 85 - 100 DAYS
Bidder (Firm): JORDAN FORD
Address: 609 E. JEFFERSON BLVD.
City/State/Zip: MISHAWAKA, IN 46545
Telephone Number:
574 259-1981 K317 Fax Number: 574 254-2777
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Suzanna M. Fritzberg, Member
James A. Mueller, Member
By
(Signature)
DEBRA STARKWEATHER
(Printed Name)
COMMERCIAL FLEET SALES MANAGER
(Title)
Elizabeth A. Maradik, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
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THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWER OF ATTORNEY
THIS Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in
the manner and to the extent herein stated.
KNOW ALL PERSONS BY THESE PRESENTS:
That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations
organized and existing under the laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a
corporation organized and existing under the laws of the State of Michigan, (hereinafter individually and collectively the "Company") does
hereby constitute and appoint,
Jeffrey C. Carey, Mary T. Flanigan, Christy M. Braille, Patrick T. Pribyl, Debra J. Scarborough, Laura M. Buhrmester, Charles R. Teter, III,
Charissa D. Lecuyer, Evan D. Sizemore, Larissa Smith, Rebecca S. Leal, C. Stephens Griggs, Tahitia M. Fry and/or Megan L. Burns -Hasty
Of Lockton Companies of Kansas City, MO each individually, if there be more than one named, as its true and lawful attorney(s)-in-
fact to sign, execute, seal, acknowledge and deliver for, and on its behalf, and as its act and deed any place within the United States,
any and all surety bonds, recognizances, undertakings, or other surety obligations. The execution of such surety bonds, recognizances,
undertakings or surety obligations, in pursuance of these presents, shall be as binding upon the Company as if they had been duly
signed by the president and attested by the secretary of the Company, in their own proper persons. Provided however, that this power of
attorney limits the acts of those named herein; and they have no authority to bind the Company except in the manner stated and to the
extent of any limitation stated below:
Any such obligations in the United States, not to exceed Fifty Million and NoI100 ($50,000,000) in any single instance
That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said
Company, and said Resolutions remain in full force and effect:
RESOLVED: That the President or any Vice President, in conjunction with any Vice President, be and they hereby are authorized and
empowered to appoint Attorneys -in -fact of the Company, in its name and as it acts, to execute and acknowledge for and on its behalf as surety,
any and all bonds, recognizances, contracts of indemnity, waivers of citation and all other writings obligatory in the nature thereof, with powerto
attach thereto the seal of the Company. Any such writings so executed by such Attorneys -in -fact shall be binding upon the Company as if they
had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons.
RESOLVED: That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto, granted
and executed by the President or Vice President in conjunction with any Vice President of the Company, shall be binding on the Company to the
same extent as if all signatures therein were manually affixed, even though one or more of any such signatures thereon may be facsimile.
(Adopted October 7, 1981 — The Hanover Insurance Company; Adopted April 14, 1982 — Massachusetts Bay Insurance Company: Adopted
September 7, 2001 — Citizens Insurance Company of America)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS
INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals, duly attested by
two Vice Presidents, this 151h day of November, 2016.
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BEAL��
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THE HANOVER (NSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CrrtzrNS URANCE'POMPANY OF AMERICA
R-*,< Thnmws, Vice Proident
THE NANOVEa INSURANCE COMPANY
iNA SA HUSErr M,-1.
RA CE COMPARY
Cli EN I SUR !OF AMERi GA
THE COMMONWEALTH OF MASSACHUSETTS )
COUNTY OF WORCESTER ) ss. h t y
On this15t" day of November 2016 before me came the above named Vice Presidents f The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America, to me pe sonally known to be the individuals and
officers described herein, and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover
Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, respectively, and that the
said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of
said Corporations.
12LDIANR J. MAp1N0
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I, the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance
Company of America, hereby certify that the above and foregoing is a full, true and correct copy of the Original Power of Attorney issued
by said Companies, and do hereby further certify that the said Powers of Attorney are still in force and effect.
GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this day of
CERTIFIED COPY
'nieodore G. h�f.'irtino, Vicc Presidcnt,;
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