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HomeMy WebLinkAboutOpening of Bids - Spec G - One or More 2017 or Newer One Ton Four Wheel Drive Pickup Truck - Gates ChevroletBID/PROPOSAL CITY OF SOUTH BEND Spec G-- One (1) or More 2017 or Newer One Ton Four Wheel Drive Pick BID NAME Up Truck FOR BIDS DUE April 11, 2017 at 9:30 a.m. Description Year/Make/Model Unit Price i / 7 �c4vu L $ Alternate# Description Cost Total l Front mounted western 8' pro -plus $ $ power angling left and right. Plow to� come equipped with safety approvedI .� lights and markers, and snow deflector. 2 Front mounted Western MVP Plus. Plow to come equipped with safety $ $ approved lights, markers, and snow r r deflector and shoes. 3 CNG -- Bi-fuel conversion with tanks $ $ mounted under bed. I Estimated number of days for delivery from award g date, q0_jj6 100 Bidder (Firm): Address: Z14c,��7 City/State/zip: ��5�.4-��- CA 1d�1 `t`7y ��� Telephone Number: Fax Fax Numy��� 7�Z By (Signature) - (Printed Name) Gary A. Gilot, President Suzanna M. Fritzberg, Member James A. Mueller, Member Elizabeth A. Maradik, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk P, �V. �:� far T i Y SPECIFICATIONS CITY OF SOUTH BEND Spec G — One (1) or more 2017 or Newer One Ton Four Wheel Drive BID NAME Pickup Truck FOR BIDS DUE April 11, 2017 at 9:30 a.m. Pursuant to notices given, the undersigned offers bid(s) to the City of South Bend in accordance with the following attachment(s) which specify the class or item number or description, quantity, unit, unit price. SPEC G — ONE (1) OR MORE 2017 OR NEWER ONE TON FOUR WHEEL DRIVE PICKUP TRUCK It is the intent of these specifications to describe a vehicle or piece of equipment for the City of South Bend. The unit shall be bid as a fully equipped complete unit as set out in the attached specifications. No partial or split bids will be accepted. Unit to be bid with and without trade-in if applicable. Vendor to complete bid proposal contained in this bid specification and attach to the submitted bid. These are minimum specifications. Any variation from the specifications must be spelled out on a separate deviation list in order for the bid to be valid. Any items not listed on the deviation sheet will be assumed to be part of the unit. Proprietary products or specific manufacturers may be referenced herein. Such references are only made to demonstrate minimum scope, quality, and style of the equipment desired. Equipment that is bid pursuant to these specifications shall be of equal quality and size, or greater, to those referenced, and are subject to approval by the South Bend Board of Public Works. Vendor shall provide all information requested in specifications to qualify for bid. If information on brochure submitted does not completely cover specifications requested, it shall be typed and attached to brochure. If an Option is included within these specifications, please be advised that, optional items placed in the specifications are to determine the best configuration of the item within a budgeted amount and may be included in the award criteria. If the Board elects to award one or more option(s), the base bid price and the option bid price(s) will be totaled and compared for all bidders offering the final configuration. Award will be made based on the lowest responsible/responsive bid prices submitted for the base bid with selected option(s), if applicable. Failure to submit a bid on an option may result in the entire bid being non -responsive, depending on the final configuration of the product. Payment will be processed once the unit is inspected and accepted as to meeting the specifications by the Division of Central Services. This will include all manuals and warranty documentation. Bidder must state as accurately as possible an intended delivery date from the date of the bid award. Due to the age of the City's existing fleet, it is imperative that the unit's be delivered as quickly as possible. Stated delivery lead time may be included as an integral part of our bid selection process. FOB Central Services. The unit and all related paperwork is to be delivered to: Central Services Division 1045. West Sample Street , South Bend, Indiana 46619 All Certificates of Origin/Title Work shall list the owner as: The City of South Bend 1045 West Sample Street South Bend, Indiana 46619 The Board will award the bid to the lowest responsible and responsive bidder. If the bid is not awarded to the Iowest bidder, the factors used to justify the awards will be stated in writing at the request of any bidder. The Board reserves the right to reject any and/or all bids or portions thereof and to waive any irregularities or informalities. Chassis: Standard heavy duty cab, GVWR 11,400# minimum. 8' fleet side bed. Wheelbase: 131" minimum Engine: 8 cylinder, 6.0 liter minimum, gasoline powered with HD oil cooler. Transmission: Automatic with overdrive and HD cooler Front Suspension: 4400# minimum capacity with HD shocks Rear Suspension: 7050# minimum capacity with HD shocks Brakes: 4-wheel anti -lock, front disc, rear drum type, 4 wheel disc preferred. Steering: Power assist Tires: LT265/70RI8E all terrain radials, minimum. Dealer shall equip truck with a full size tire as a spare. The spare tire will be wheel mounted. Space saver tires WILL NOT be accepted as the fifth tire and wheel. Electrical: 125 amp alternator HD, 600 CCA battery HD minimum. Manuals: One (1) complete set of repair manuals or CD's. Cooling: Heavy duty radiator Heater & Air Conditioning: Heavy duty factory installed air conditioning unit, heater and defroster, in accordance with manufacturer's specifications. Cab & Accessories: AM/FM radio, power outlet, tinted windshield and clearly visible calibrated dash mounted gauges. Exterior mirrors on both left and right sides of vehicle. Dealer to include HD rear step bumper capable of handling potentially heavy towing. Heavy duty vinyl covered bench seat. Electric windows and locks. Must include full length cab steps Plow Package: Tow Package: Rust Proofing: Spray In Liner: Color: Warranty: Quantity: Alternates: Unit to come with factory plow prep package including dual batteries. Trailer Towing Package with electric brake controller and trailer towing mirrors. 5 year unlimited mileage factory warranty Sprayed in bed liner. White Minimum 3/36 bumper to bumper 5 Year, 100,000 mile powertrain One (1) or more Alternate 1: Front mounted western 8' pro -plus power angling left and right. Plow to come equipped with safety approved lights and markers, and snow deflector. Alternate 2: Front mounted Western MVP Plus. Plow to come equipped with safety approved lights, markers, and snow deflector and shoes. Alternate 3: CNG — Bi-fuel conversion with tanks mounted under bed. General Product Type: Complete turnkey bi-fuel compressed natural gas/gasoline vehicle conversion which is Department of Transportation, Environmental Protection Agency, and National Fire Protection Agency 52 compliant. Certification: Installation facility shall have a certified gaseous fuel system inspector on staff. Installer to be factory trained and certified by conversion kit manufacturer. Copies of certifications shall be included. Minimum 3 references available upon request. Cylinder enclosures: Any cylinders mounted outside of vehicle shall be enclosed. Cylinder enclosures to be made of a minimum 14 gauge steel or equivalent strength material. Any cylinders mounted inside of vehicle shall be enclosed also to keep tanks, valves, plumbing, etc. protected from damage. The material may be wood, aluminum, or plastic finished to match vehicle interior. Cylinder cradles: Cylinder cradles to be made of A36 Iow carbon steel with a tensile strength of 58,000 PSI. Tank brackets and hangers to meet or exceed NFPA52 standards. Plumbing: A minimum of 3/8" seamless stainless steel tubing with a .049 wall thickness with a 4800 P.S.I. working rating and a 20,000 P.S.I. burst pressure is to be used. All high pressure tubing is constructed of stainless steel. All lines are supported with either split block high pressure retaining devices or rubber insulated steel clamps. Wherever movement may be present high pressure hoses that comply with ANSVIAS, NGV4.2-1999, CSA 12.52 shall be used. Safety check valves to be installed downstream from the fill receptacle and before the cylinders. Manual 1/4 turn shut-off valve and mechanical high pressure gauge must be used. Unit shall also have an electrically operated valve at tank. Wiring: All wiring, internal and external, shall be loomed, and properly secured and routed in a professional manner. Any necessary wire splices and or connections shall be soldered and shrink-wrapped, or finished using crimped connectors and shrink-wrapped. Loom to be securely fastened and supported to the inside of compartment walls using properly sized cushion clamps, metal clips, or other industry accepted supporting hardware. Tie -wraps shall only be used in between primary wiring supports as necessary to aid in securing wire bundles. Tie -wraps SHALL NOT be used for the primary supporting or securing of wiring. General Provisions: All cylinder mounting fasteners are constructed with Grade 8 material and installed in a manner that is compliant with NFPA-52 regulations and are tightened to S.A.E. specifications. All attaching hardware to be corrosion resistant and incorporate self-locking nuts, or either a lock washer or star washer at the minimum., Where the attaching hardware passes thru the body, bed or cargo area of the vehicle, a substantial plate or large fender washer shall be used to properly distribute the load. Plain washers to be incorporated under the head of hex -head bolts. Storage Tank: Tanks to be type IV 20 GGE nominal. Vendor shall provide pricing for tank size options. All tanks to be certified for 20 years and manufactured in the same year as bid. Vendor to consult with Fleet Manager for exact size and placement. Fuel Gauge: Methane Detector: Controls: Training: Unit to include a dash mounted fuel gauge to allow for metering of CNG usage. Shall also include way to monitor CNG fuel versus gasoline usage. Must include self-contained methane detector to be powered by vehicle electrical system. Main on off controls shall be dash mounted. Vendor to provide all necessary training to operators, and maintenance technicians. General service training. 11 Transportation: All transportation to and from bidders facility shall be the responsibility of the successful bidder. Must specify location of installation and nearest repair facility. Warranty: Parts and labor warranty to match original OEM drive train and cover any consequential damages caused by CNG system. Bidder shall supply proof of warranty. Successful bidder is responsible for all warranty repairs. Vendor to state nearest warranty dealer. If travel outside the City of South Bend is required for warranty repairs, transportation of the unit is the .responsibility of the successful bidder. All warranty repairs to take place within 48 hours or vendor to pay $100 a day penalty. (To be completed only by Contractors/Bidders clainsing to be a "local Indiana business"pursuant to LC. 36-1-12-22) INDIANA LOCAL BUSINESS PREFERENCE CLAIM A "local Indiana business " refers to any of thefollowing: (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 Count; 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 purchasnm, aQencv to beat least $100, 000. Date: Pursuant to I.C. 36-1-12-22, ,4 1-e'1)t� claims a local Indiana business preference for Project (Project # } located within the City of South Bend, St. Joseph County, Indiana. The location of the principal place of business is (Addy s) .Q--- 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 REDACTALL SOCIAL SECURITY NUMBERS Dated this P day of r , 2d or Its Agent tI Name and Title CITY OF SOUTH BEND INSTRUCTIONS TO BIDDERS BID FORMS AND EXECUTION A. Bidders are expected to examine the Drawings, Specifications, Proposal and all Instructions. Failure to do so will be at the Bidder's risk. B. Each Bidder shall furnish all information required by the Notice, Instructions to Bidders and Specifications. Bids must be made on the form provided. The Bidder shall sign the Proposal and Non -Collusion Affidavit, which is a part of the provided form, where indicated, provide a notary signature and provide all other information required. C. The Bidder shall sign the Proposal in the following manner: If the Proposal is made by an individual, his/her name and post office address must be shown. If made by a partnership or joint venture, the name and post office address of each member of the partnership or joint venture must be shown. If made by a corporation, the Proposal must be signed by an officer of the corporation or by a representative duly authorized by the corporation to execute the Proposal in its behalf. 2. SEALED BIDS ONLY A. Bids, Proposals, Guaranty, and other required documents must be submitted in a sealed envelope marked on the outside with the general classification of material bids, i.e.. "Bid for Computer Equipment," "Bid for Front End Loader," or "Bid for Office Supplies." B. When samples are required, such samples shall be delivered or shipped at the bidder's expense to the address specified in the Invitation to Bid. Samples must be shipped separately from bid documents and labeled clearly with the Bidder's name, address and the commodity or equipment classifications and documents, the item (and item number, if any), and Material Safety Data Sheets (if applicable). All samples must be representative of the commodities or equipment which will be supplied by the successful Bidder. All samples will become the property of the City of South Bend and none will be returned, unless otherwise stated in the Specifications. C. In the event of an inconsistency between provisions of the contract documents, the inconsistency shall be resolved by giving precedence in the following order: 3. ORDER OF PRECEDENCE A. Bid Form attached Proposal B. Amendments to Specifications C. Specifications D. Special Provision E. Instructions to Bidders F. Notice to Bidders 4. DELIVERY OF BIDS A. Bids must be delivered to the Office of the Board of Public Works, 13th Floor, County -City Building, Room 1316, 227 West Jefferson Boulevard, South Bend, Indiana 46601 (574) 235- 9251, by the time specified (local time) in the Notice to Bidders. If not delivered personally, the sealed envelope containing the Bid must be mailed to the following address: City of South Bend Clerk of the Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, Indiana 46601 B. The Post Office Department will be considered agent of the Bidder in delivering the bid. The City will not be responsible for deliveries. Any Bids received after the time specified will be returned unopened. C. Bids will be opened and read publicly at the time and place designated in the Notice to Bidders. Bidders, their authorized agents, and the public are invited to be present. D. Bidders may bid on one (1) or more item, provided however, that the bid submitted for each is delivered in a separate, sealed envelope, with the envelope clearly labeled on the outside as to the specific item for which the bid is being submitted. Bidders may submit separate bid bonds for each item being bid upon OR may submit one (1) bid bond equal to 10% of the combined total of all bids submitted. E. The Board may reject any bid that does not conform to these requirements as non- responsive. 5. ADDENDA — NO VERBAL INTERPRETATIONS A. No inquiries by Bidders relative to interpretation of Plans, Specifications, Special Provisions, or other Bidding Documents will be answered verbally. If any prospective Bidder is unable or unwilling to comply with one or more requirements of the bidding document, such Bidder should so inform the Board of Public Works in writing. Upon receipt of such information, consideration will be given to the advisability of issuing an Addendum which would thereupon become applicable to all Bidders. Any such inquiry must be submitted at least seven (7) days prior to the bid opening date in order to give the Board sufficient time to consider any necessary Addendum. All answers to such inquiries, in the form of Addenda, will be furnished to all prospective Bidders who have registered with the City. All Bidders are required to acknowledge receipt of any Addenda by inserting the Addendum number and the issuing date on executed Proposals. 6. REJECTION OF PROPOSALS CONTAINING ALTERATION ERASURES INCOMPLETE BIDS AND ETC. A. Proposals shall be rejected if they show any alteration of form, additions not called for, conditional or alternate bids (except when and insofar as are invited), incomplete. bids, erasures or irregularities of any kinds. B. All blank spaces for bid prices must be filled in, in ink, with the unit price and total price for each item (This does not apply to divisible bids). In case of incorrect totaling of amounts and where the unit price and the extension thereof do not agree, the unit price for each item shall govern, and the City is authorized to correct all erroneous extension and totals for the purpose of comparing bids. 7. TRADE DISCOUNTS A. Trade discounts shall not be shown separately, but shall be incorporated in the Bidder's unit price, unless otherwise specified. VEHICLE BIDS A. Bidders may bid on one (1) or more vehicles, provided however, that the bid submitted for each vehicle is delivered in a separate, sealed envelope, by vehicle, with the envelope clearly labeled on Bidders may bid on one (1) or more vehicles, provided however, that the bid submitted for each vehicle is delivered in a separate, sealed envelope, by vehicle, with the envelope clearly labeled on the outside as to the specific vehicle for which the bid is being submitted. Bidders may submit separate bid bonds for each vehicle being bid upon OR may submit one (1) bid bond equal to 10% of the combined total of all vehicle bids submitted. B. The Board may reject any bid that does not conform to these requirements.as non- responsive. TAX EXEMPTIONS A. The City of South Bend is exempt from the payment of federal excise and transportation taxes levied under the provision of the Internal Revenue Code. It is also exempt from the Indiana State Gross Retail Tax (sales tax). The City will furnish the successful Bidder with any certificate of exemption required. 10. WITHDRAWAL OF BIDS A. Withdrawal of bids will be allowed only in those cases in which a written request to withdraw a bid is received by the Board of Public Works prior to the date and hour for receiving and opening bids. In such cases, the same will be returned to Bidder unopened. 11. ESCALATOR OR CONTINGENT CLAUSES A. The use of escalator clauses or other contingent clauses by the Bidder is prohibited, unless requested or permitted by the Invitation to Bid. No Proposal shall contain nor be' accompanied by any writing purporting to limit or qualify the City's right to accept such Proposal or purporting to alter such Proposal or any Contract which may be executed pursuant thereto. 12. PRICES MUST BE DELIVERED PRICES A. The bid price shall be a delivered price. All materials shall be shipped F.O.B. destination as specified in the Invitation to Bid. No fuel surcharges accepted. 13. AWARD —WAIVER OF TECHNICALITIES A. The Award of Bid, if any award be made, will be made within sixty (60) calendar days after the opening of Proposals to the lowest responsible and responsive Bidder who's Proposal complies with all the requirements prescribed, exclusive of technicalities waived. Until the final award of the Bid, however, the right is reserved by the City to reject any and all Proposals and to waive technical errors. 14. SPLITTING OF AWARDS/DIVISIBLE BIDS A. Bids will be awarded on the basis of the total dollar amount for all items in the Proposal unless the bid is described by the City as a Divisible Bid. The City may award a Divisible Bid to the lowest responsible and responsive Bidder for each item or class of items as indicated in the bid documents. 15. BIDDER QUALIFICATION A. The City may require any Bidder to submit evidence of qualifications, and may consider any evidence of the financial, technical, and other qualifications and abilities of the Bidder. The City will not award a Contract to a Bidder who, in its opinion, is not fully qualified on the basis of financial resources and responsibility, possession of adequate equipment, personnel, experience, and past record of performance to perform the obligations to be undertaken competently and without delay. 16. PURCHASE ORDERS A, A Purchase Order will be issued to the successful Bidder after formal acceptance of the bid is made by the City. 17, NEW MANUFACTURE A. Unless otherwise specified in the Invitation to Bid, the items offered shall all be new and the latest model of manufacture. 18. SOURCE OF SUPPLY A. If the Bidder is not a manufacturer, the source of supply must be shown and all sub- contractors must be identified. 19. PACKAGING A. All items shall be delivered strongly packed and marked according to accepted commercial practice unless otherwise directed in the Specifications. No charge shall be made for containers and the City shall have no obligation to return containers unless otherwise provided by the Specifications or Special Provisions. Any items not received in good condition will be rejected. 20. INSPECTION OF GOODS A. The City of South Bend reserves the right to inspect and have any goods tested after delivery for compliance with the specifications. Notice of latent defects, which would make the item unfit for the purposes for which they are required, may be given at any time within one year after discovery of the defects. B. All items rejected must be removed immediately by the Contractor at the expense of the Contractor. If the Contractor falls or refuses to remove the rejected items, they may be sold by the City of South Bend. C. In some cases, at the discretion of the City, inspection of the commodities or equipment will be made at the factory, plant, or other establishment where they are produced before shipment. D. The above provision shall not be construed in limitations of any rights the City may have under any laws including the Uniform Commercial Code. 21. ASSIGNMENTS A. No person to whom a Contract has been awarded may assign his interest in the Contract without the consent, in writing, of the City. 22, CANCELLATION A. The City of South Bend reserves the right to cancel any Contract for failure or refusal of performance, fraud, deceit, misrepresentation, collusion, conspiracy, or any other misconduct on the part of the Contractor. 23. DEDUCTION OF DAMAGES A. If the City cancels the contract for any cause, it shall deduct from whatever is owed the Contractor on the Contract or any other Contract, any amount sufficient to compensate the City for any damages suffered by it because of the Contractor's wrongdoing. 24. METHOD OF INVOICING FOR PAYMENT A. Contractor shall bill the City of South Bend 1. On regular invoice form giving a complete and detailed description of the goods delivered, including purchase order number. 2. If the Contractor allows a discount, the period of time in which the City must make. payment to qualify for the discounts shall be computed from the date the City received the invoice (completely filled out), or the date the goods are delivered and accepted, whichever may be later, and shall not be less than twenty (20) days. 3. If more than one shipment is made under the Contract and on the same purchase order, the City will make partial payments on a basis that is agreeable to both parties. 25. OWNERSHIP OF GOODS A. The goods which are the subject of the Contract shall remain property of the Contractor until delivered to and accepted by the City of South Bend. 26, ESTIMATED QUANTITIES A. If the quantity set forth in the Notice to Bidders and Proposal is approximate and represents the estimated requirements of the City for a specified period of time, the unit price and the extended total price thereof shall be used only as a basis for the evaluation of bids. The actual quantities necessary may be more or less than the estimate, but the City shall neither be obligated nor limited to any specific amount. The City will, if at all possible, restrict increases to twenty percent (20%) of the estimated quantity and will, if at all possible, restrict decreases to twenty percent (20%) of the estimated quantity. 27. TERM "OR EQUAL" A. Where the term "OR EQUAL" is used in these Specifications, the Bidder deviating from specified item shall file with his/her bid a letter fully explaining and justifying his/her proposed article or equal, The City of South Bend shall be the sole judge in determining if the "OR EQUAL" offered meets the Specifications. 28. INDEMNIFICATION CLAUSE A. The Contractor agrees to indemnify, defend, and hold harmless the City of South Bend, its agents, officers, and employees from all costs, losses, claims and suits, including court costs, attorney fees, and other expenses, arising from or out of the negligent performance of this Contract by the Bidder or because or arising out of any defect in the goods, materials or equipment supplied by the Bidder. NOTE: Incoming mail does not reach the Board of Public Works until after 9:30 a.m. If you are sending your bid via Federal Express or another overnight source, please confirm that your package will arrive before the bid opening time and date. NOTICE TO BIDDERS Notice is hereby given that the City of South Bend, Indiana, will receive sealed bids at the Office of the Board of Public Works, 13th Floor, County -City Building, Room 1316, 227 West Jefferson, South Bend, Indiana, until the hour of 9:30 a.m. Local Time, on April 11, 2017, for the following: Spec G -- One (1) or more 2017 or Newer One Ton Four Wheel Drive Pickup Truck Specifications are available for download by visiting the City of South Bend's web page at www.southbendin.gov: X Click on "Business" X Click on "City Public Bids" X Click on "Vehicles, Equipment and Miscellaneous Rids" X Click on "Specification Sets & Bid Award Info" X Select specification to download X A pop up screen will appear; input company information (add resslphonelfaxle-mail) where indicated X Click on "Submit Responses" X Print the specification or save it to your computer There is no charge for the specifications. The specifications are also available for review only during regular working hours in the Department of Public Works, 1308 County -City Building, South Bend, Indiana 46601. Bids received after 9:30 a.m., Local Time, on April 11, 2017, will be returned unopened. Bids must be on the City of South Bend Bid/Proposal form provided, which includes a Non - Debarment Affidavit, Non -Discrimination Commitment form, and a Non -Collusion Affidavit Form. Certified Check or Bid Bond in the amount of not less than 10% must be submitted with:the bid. A refund of the bid security will be issued upon satisfaction of Bid Award. The Board may reject any bid that does not conform to these requirements as non -responsive. The Board reserves the right to reject any or all bids or to accept a full or partial award of the bid or bids which, in its judgment, will be to the best interest of the City of South Bend. BOARD OF PUBLIC WORKS Linda M. Martin, Clerk Publish two times: March 17, 2017 March 24, 2017 Ver. 2 — 4/16/12 BID NAME FOR BIDS DUE CITY OF SOUTH BEND INDIANA SELLER'S BID FOR SALE OR LEASE OF MATERIALS AND NON -COLLUSION AND NON DEBARMENT AFFIDAVIT AND NON-DISCRIMINATION COMMITMENT FOR SELLERS Spec G -- One (1) or more 2017 or Newer One Ton Four Wheel Drive Pickup Truck April 11, 2017 at 9:30 a.m. Bidder Date: D , (Firm): Address: (D� {� �,� NU " k' Cc City/State/Zip: &,,� A&e4 kL �,(l . qk!2� 5_ Telephone Number: 1 3(&� Agent of Bidder (if Applicable): When the prospective Contractor is unable to certify to any of the statements below, it shall attaeh 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 } } SS: y }r 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 i4to 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. 1, 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 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 day of ,.r° , 20 Contra tor7�,,F�� S' e of Contractor/ idder or Its Agent Printed Name and Title Subscribed and sworn to before me this r (J:�� day of rr , , 20 j My Commission Expires 9 - 21-1 1 Notary Public County of Residence t:•'"P °4 : DEBORAH E. HEG(j INSKI ='• St Jbsoph Cv, 5F^` .` �?rFaF My Commission Expires i�Pe�. September 21 2017 It U iliq R v gym_ „r 'if d �. s.:. , im 1, as w� �, :�, 10 -14' WMA, A 1 �111 GREAT AMERICAN INSURANCE COMPANY® Administrative Office: 301 E 4TH STREET • CINCINNATI, OHIO 45202 • 513-369-5000 • FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than one POWER OF ATTORNEY Bond No. E066791 KNOW ALL MEN BY THESE PRESENTS: That the GREATAMERICAN INSURANCE COMPANY, a corporation organized and existing under and by virtue of the laws of the State of Ohio, does hereby nominate, constitute and appoint the person or persons named below its true and lawful attorney -in - fact, for it and in its name, place and stead to execute on behalf of the said Company, as surety, the specific bond, undertaking or contract of suretyship referenced herein; provided that the liability of the said Company on any such bond, undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. The bond number on this Power of Attorney must match the bond number on the bond to which it is attached or it is invalid. Name Address Limit of Power Gwen Campbell 7045 College Blvd. $2991--- Overland Park, KS 66211 IN WITNESS WHEREOF the GREATAMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 6th day of April 1 2017 Attest GREATAMERICAN INSURANCE COMPANY r Assistant Secretary Divisional Senior Vice President STATE OF 01410, COUNTY OF HAMILTON - ss: DAVID C. KITCHIN (877-377-2405) On this 6th day of April 12017 , before me personally appeared DAVID C. KITCHIN, to me known, being duly sworn, deposes and says that he resides in Cincinnati, Ohio, that he is a Divisional Senior Vice President of the Bond Division of Great American Insurance Company, the Company described in and which executed the above instrument; that he knows the seal of the said Company; that the seal affixed to the said instrument is such corporate seal; that it was so affixed by authority of his office under the By -Laws of said Company, and that he signed his name thereto by like authority. y /t Wad This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company by unanimous written consent dated June 9, 2008. RESOLVED: That the Divisional President, the several Divisional Senior Vice Presidents, Divisional bite Presidents and Divisonal Assistant Vice Presidents, or any one of them, be and hereby is authorized, from time to time, to appoint one or more Attorneys -in -Fact to execute on behalf of the Company as surety, any and all bands, undertakings and contracts ofsta-voiship, or other written obligations in the nature thereof, to prescribe their respective duties and the respective limits of their authority; and to revoke any such appointment at any time. RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond, undertaking, contract of suretyship, or other written obligation in the nature thereof, such signature and seal when so used being hereby adopted by the Company as the original signature ofsuch officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION I, STEPHEN C. BERAHA, Assistant Secretary of Great American Insurance Company, do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of June 9, 2008 have not been revoked and are now in full force and effect. Signed and scaled this 6th day of April 2017 6 Assistant Secretary S1194C (6/15)