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HomeMy WebLinkAboutOpening of Proposals - Lawn Maintenance and Mentorship Program - Caretaker Landscaping & LawnS 7�,' STATE OF INDIANA OFFICE OF THE SECRETARY OF STATE CERTIFICATE OF EXISTENCE To Whom These Presents Come, Greetings: 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 proper official to execute this certificate. I further certify that records of this office disclose that CARETAKER LANDSCAPING & LAWN LLC duty filed the requisite documents to commence business activities under the laws of State of Indiana on April 21, 2014, and was in existence or authorized to transact business in the State of Indiana on December 28, 2014. I further certify this Domestic Limited Liability Company (LLC) 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. 5 In Witness Whereof, I have hereunto set my hand and affixed the seal of the State of Indiana, at the city of Indianapolis, this Twenty -Eighth Day of December, 2014. or Connie Lawson, Secretary of State 2014042100391 / 2014122892385 Equipment John Deere Tractor 6120 John Deere Tractor 5085 4 Gravley 36" ride -on mowers 3 Gravley 52" ride -on mowers 2 Gravley 60" mowers 3 Gravley 72" mowers Rhino Brushhog Mower Woods Brushhog Mower 2012 Barlow Trailer 12' equipment trailer 24' Heavy equipment trailer 6 STHL weed -eaters 6 STHL BR600 backpack blowers 8 Backpack sprayers 2 STHL Hedgetrimmers Edgers Rakes Shovels Brushbandit Treechipper Rayco Stump Grinder 1842 Chain saws 4 Snowplows 4 Snowblowers 2 Snowpusher boxes 5 Storage Sheds Gator Utility Vehicle Bobcat 2016 Honda CRF Computer Printer Copier 21-Pad Mini's Verizon Smart phones Vehicles 2007 GMC Sierra 1997 Chevy GMT-400 K2500 3/a ton pickup 1999 Ford F-250 Superduty 1996 GMC 2500 2004 Chevy Trailblazer 2005 Inteimational 7000 7400 Bucket Truck 1994 F800 F Bucket Truck 1997 Chevy GMT-400 K3500 Dump Truck 1976 Dodge D800 Dump Truck 1988 Ford 1 ton Dump Truck 2002 GMC Sierra C3500 Heavy Duty Dump Truck iY p v » tl �1 When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, 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_FA)&af } )SS-, 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 @ use the credit to provides goods and services in Non -Collusion Non-Debanirm Affidavit Non Iran Fonzi the energy sector in Iran; and (it) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4, Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5- 1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included 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 Progran-L 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 MBEIWBE; however, it may not unlawfully discriminate against said WBEIMBE. 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 comrnitment 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. �bfl-;0J]USloll Non-©c6amxnt Affidavit Non Irpi Fann 2016.doe Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the perfolmance 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. S •-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 Unified 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 pe Jury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this A day of 20 &AVLO-L C u)(1 do ttor/Bidder (Firm) %Q n VN� k Signature of Contractor/Bidder or Its Agent Printed Name and Title Subscribed and sworn to before me this day of , 20� My Comm iss ion Expires r AI 11. ;*—r'CT -- \ - -, Z: &zF-- Nota Pblir ,, I County ofResidence LA POR te JOSUH E. WAMRSM II .4 ,anuH .� e w� LA Polb County ley C011Y11DIi F.d AF � �ay�, 7A24 Ikon -Collusion Non-Debmwitt Affidavit Non Iran Fonn I IN' "s VA I @r;ki9"MM a `443NWilk I CARET-1 OP ID: COME 1141 Rp CERTIFICATE OF LIABILITY INSURANCE DATE 012016Y) 04/20/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Snyder insurance Agency Inc. PO Box 767 Michigan City, IN 46361 Kevin Snyder CONTACT Kevin Snyder PHONE FAX C. No. Ell: 219-879-4343 (AIC�No): 219-874-7480 E-MAIL ss: snyinsks@sbcglabal.net — INSURER(S)AFFORDING COVERAGE NAIC 11 INSURER A : Erle 26263 _ INSURED Caretaker Landscape & Lawn LLC Jeff & Kathleen Pritchard INSURERB: PO Box 324 INSURERC: INSURERD; Michigan City, IN 46360 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE DEyffnnf POLICY NUMBER POLICY EFF MMIDD POLICY ExP MMIDDI LIMITS A GENERAL LIABILITY X COMMERCIAL_ GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR 1 Q98-3301902 03/0412017 03104/2018 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED — PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL ADV INJURY $ 1,000,00 _& GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO-JFrT LOC PRODUCTS - COMPIOP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS Q03-1430916 0311412017 03M412018 COMBINED SINGLE LIMIT Ea accident 500,000 ____ _ BODILY INJURY (Perperson) $ BODILY INJURY {Per accident} $ PROPERTY DAMAGE PER ACCIDENT) $ _�....._..._..,... $ UMBRELLA LIAR EXCESS LIA$ OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DEO I I RETENTION$ $� A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y 1 N OFFICERIMEMBER FXCWDED? (Mandatory In NH) IF yes, describe under DESCRIPTION OF OPERATIONSbe$aw N I A Q98-640316 03/04/2017 03/04/2018 WC STATU- OTH- TORY LIMITS ER- E.L. EACH ACCIDENT $ 10D,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE -POLICY LIMIT $ 300,000 A Inland Marine RENTED EQUIPMENT 03104/2117 03104/2018 rented eq 110,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 11 more space Is required) CERTIFICATE HOLDER CANCELLATION SOUTHB1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of South Bend/St Joseph p THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN County ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept AUTHORIZED REPRESENTATIVE 125 S Lafayette Blvd Ste 100 South Bend, IN 46601 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD