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Home My WebLink AboutQuotation Opening - Ironwood Drive Repairs Proj No. 115-099 - Rieth-Riley Construction Co., Inc�. I When the prospective Contractor is unable to certify to any of the statentents below, it shall attach art explanation to this Af datit. 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 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 Version 10/18/2016 Page -11 Public Works Quote 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- 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 Version 10/18/2016 Page - 12 Public Works Quote ela � 9:: 34F e - - 1 �.� ��_ -- . _ � . ��_ ■�: f 9s. aid STa`AA ' »s �d e ^f � ,��'�..at�'�;nr .sew `�. v``� g � "� "E.'� 4 _ _. x7 : �.. a ^ a s ■i�— � nrVa _ 4 x 9 ,.. A71 77 e w �` "'� �� is 4 j �' �`% ■ as"<}.;r-r+'sKr�+"r�e;•y�:.s .A r' - •�.- kfiF `�' "'fe; ae_ -;; .�� 3 .,a:':•:� 'v '3�.,�y 'i57�� _. ��,"%'°i-�° �-- � f x -_ �A- r "H,�9,'r a '� ,� � — f.;:154N PE .k%y'a Y.: :7, f7 s, ilk nk a-z 0- 4!� trill CD CERTIFICATE OF QUALIFICATION toprovide CONSTRUCTION SERIUCES for PUBLIC WORKS PROTECTS to the STATE OF LNDI-ANA 1 ni3 Certification Board, liaAn3 duly considered application for qualification in terns of appar- experience and financial resourc s; and under the applicable Indiana Code 4-13.64 and adopted rules of this Board, hereby issues a Certificate of Qualification to provide construction services to the State of indisna for Pub,uc V7orks Projects tn_ RIETH RILEY CONSTRUCTION CO INC 3626 ELKHART RD PO SOX477 GOSHEN llv 4-527-Q477 Phone 574-875-5183 Fax 574-875-8405 Company Ofncia[ MTH ROSE for the hvznty-seven month period stated herein, unless revoked by this Board for cause, and in the classi5cai4cns of services stated belo:y_ This certificate supersedes any previous cart ficate.. 1611.01 Concrete Construction of Roads $, Curving 1811.02 Asphalt Construction of Roads and Parking tots 1622.01 Gen Contr-hrdgs,vdcts,elvd hvvys,riwy,tnls 1623.03 Sewers andlorYJaterLines 1794.01 EarthmoAng and Land Clearing 1794.02 Excavadon 1795.02 demolition of Pavements and Roads CERTIFICA-RONDATE 1t lMi6 E-PIRATiON MTE 4f2112018 TIIIS CERTIFICATE ISSUED BY THE STATE OF INDLX4A, PTJBIdC V1ORXS IBIVISM CERTIFICAT40i� BOARD, 402 FYISI WASI-lN91-0IT ST1ZEI,I', ROOINf W467, lMDLA--3AP0Ll.S, EgDL-Ltik 46204, ALSO ACTS AS = OFFICIAL rIOTICE OF EXTiRATIO� i. Tracy L. Cross, Executrae crotery Certfcaticn Board DAM oo, SL7a Fcr.,i 3:83R Rer. 07e"C6 Trrlirumte of Qualiffi-atian ISSUED BY INDIANAPOLIS, IN June 17, 2016 TO RIET'1•I RMEY CONSTRUUnON GOSHEN, 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 August 1, 2016 Thiu July 31, 2017 AGGREGATE........................................................:... . $UNLIMnED 0085 CLEANISEALCRACKS/JOINTS:PCCPALYLA,1I.—.......... .............._.._._............_...........---.--.-........... $5,000,000 0103 3SIDED BOX STRUCTURE(S) W/SPAN>20FT...................................:.................................................-$IJNL1Ny=D 0290 SEWER AND PIPE CLEANNG AND LWI IG _-.... ............................. ..................................................... $5,000,000 0318 TRAFFIC CONTROL -SNOW AND WE REMOVAL....................................................... ......... ..................$UNLIMITED 0390 UNDERSEAL R'ATERPROOPING MENMRANE............ ....... --......... ........................ ............................SUNt RV1I't'ED A(A) CONCRETE PAVEMENT, GENERAL ............... .......................... ............. --... ................ ......................... $TJMMITED A(B) CONCRETE PAVEM) TIT, LIMITED ............. ........ I. ............ STJ1 umfrED B(A) ASPHALT PAVING: CERT BMA PLANT.................................................................................................SUNLIMITED C(A) EEAVY GRADING .... .............................. :.................... ............................................................... ...$UNLINITCI D C(B) LIGHT GRADING ....:........................ ................ .......... .................................. .:........................................... STJNLINIITED D(A) H" OR RR BRIDGES OVER WATER ................................... ...................... ......................................... SUNLI[MITED D(B) HWY OR RR BRIDGES OVER MIGHWAYS......... ................................. ........... .......................................$UNLI YMD D(C) HWY BRIDGES REQ PROTECTION OF RR TRACKS ..................... ............... ................................... .....$UNLIMIIED E(C} BRIDGE DECK OVERLAY AND MMORREPAIR........................ --............................. ............ .............. .$UNLIMITED E(E) S-,' LL STRUCTURES AND DRAINAGE ITEMS...................................................................................SUNLIIIATED E(F) SURFACE MASONRY AND NUSC CO; ICRETI........................ ................. ........... ..:...... .. ... ...... .............. SUMARTED E(H) DEEP SEWER AND/OR EXCAVATION ......... ................................ ............... ............ ......................... ...... $UNLR IT'EI) E(R) ROAD MILLING ..................................... ...................... ......................... .................................. ....... ............ SUNLTlvMD E(T) DEMOLMON................ .............................. --..................... ........ .............. ........ ........................................ $UNLLNi €1TED PREQUALI ICATION ENGINEER State Fcrm'20508 (R3I5-0) ��*t 0- ��MMISSIONER