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HomeMy WebLinkAboutOpening of Bids - Berlin Place #2 Electrical Mechanical and Plumbing - B.C. Mechanical Inc.CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name "Berlin Place — BP#2 Electrical, Mechanical, & Plumbing" Project No. For Bids Due 117-048R Tuesday, June 13thth by 9:30am From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check 1.41 or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBEIWBE Contacted Form [MWBE-2.1]. Acknowledge Receipt of Q Addendum(s) included with the bid. V All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either o/ printed or typed underneath signature. This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: ecNx� 1 Date: (0 l� By Authorized Representative: Signature:,o Print Name & Title: S �(16 �Q_C ' M!3 e_1C Version 4/17/2015 Contractor's Bid for Public Works -1 '"^k F POWER OF ATTORNEY Lexon Insurance Company Lx- 297254 KNOW ALL MEN BY THESE PRESENTS, that LEXON INSURANCE COMPANY, a Texas Corporation, with its principal office in Louisville, Kentucky, does hereby constitute and appoint: Michael J. Douglas, Chris Steinagel, Connie Smith, Christopher M. Kemp, Robert S. Downey its true and lawful Attorney(s)-In-Fact to make, execute, seal and deliver for, and on its behalf as surety, any and all bonds, undertakings or other writings obligatory in nature of a bond. This authority is made under and by the authority of a resolution which was passed by the Board of Directors of LEXON INSURANCE COMPANY on the I" day of July, 2003 as follows: Resolved, that the President of the Company is hereby authorized to appoint and empower any representative of the Company or other person or persons as Attomey-In-Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other writings obligatory in nature of a bond not to exceed $6,000,000.00, Six Million dollars, which the Company might execute through its duly elected officers, and affix the seal of the Company thereto. Any said execution of such documents by an Attorney -in -Fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company. Any Attomey-In- Fact, so appointed, may be removed for good cause and the authority so granted may be revoked as specified in the Power of Attorney, Resolved, that the signature of the President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Assistant Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certificate so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to be valid and binding on the Company. IN WITNESS THEREOF, LEXON INSURANCE COMPANY has caused this instrument to be signed by its President, and its Corporate Seal to be affixed this 5th day of August, 2015, LEXON INSURANCE COMPANY BY David E. Campbell President ACKNOWLEDGEMENT On this 5th day of August, 2015, before me, personally name David E. Campbell to me known, who be duly sworn, did depose and say that he is the President of LEXON INSURANCE COMPANY, the corporation described in and which executed the above instrument, that he executed said instrument on behalf of the corporation by authority of his office under the By-laws of said corporation. TAYc AMY TAYLOR ,ti. Notary Public- State of Tennessee Davidson County .... My Commission Expires 07M-19 CERTIFICATE BY 46 Amy ylor Nota Public I, the undersigned, Assistant Secretary of LEXON INSURANCE COMPANY, A Texas Insurance Company, DO HEREBY CERTIFY that the original Power of Attomey of which the forgoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as set forth are now in force. Signed and Seal at Mount Juliet, Tennessee this Day of BY __ ✓� Andrew Smith Assistant Secretary "WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties." i aP Ap w i �E T i .Y-i�^ �L _ �3h. �...4r j__ _ ._. _Y ` �� -..— _ .-'.-..ss CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK 1865._,`; %• Project Name "Berlin Place- BP#2 Electrical, Mechanical, & Plumbing" Project No. 117-048R For Bids Due Tuesday, June 13the' by 9:30am PART (Must be completed for all bids. Please type or print) t Date: � �- Bidder (Firm): 7;� 3 C t l' � u [��j 1 .+ �,►�� y Address: -12 WA Anry City/StatelZip: i'�C� � ` �'� Telephone Number: � +c# .� " � 7 Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: the City of South Bend Indiana, in accordance with plab and spe iflcations prepared by: -k all and dated for the sum of (enter the Total Bid as shown on the Proposal) [� ($ (Enter sum of Total Division A Bid on Proposal) Numerical ($ Qe, s X)) (Numerical) _ 3 (Numerical) ($ tic, ) (Enter sum of Total Division D Sid on Proposal) (!Numerical) 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 addendums 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 City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. By qVLL !�&-A ke- �-',eXXC' (Printed Name of Person Signing) ACCEPTANCE The above bid is accepted this day of Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member James A. Mueller, Member Suzanna M. Fritzberg, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk Version 4/17/2015 Contractor's Bid for Public Works - 2 20 PART II (For projects of $100,000 or more — IC 36-1-12-4) 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. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of 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. 3. If you intend to sublet any portion of the work, attach 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 City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. 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 City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 4/17/2015 Contractor's Bid for Public Works - 3 When the prospective Contractor is unable to certify to any of lire 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 ) COUNTY `tic 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: 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. Version 4/17/2015 Contractor's Bid for Public Works - 4 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 respeet 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 persons 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. 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).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. Version 4/17/2015 Contractor's Bid for Public Works - 5 I hereby affinn under the penalties of peg jury that the facts and information contained in the foregoing bid for public works are true and correct. r Dated this day of R, 20 ! Contractor/Bidder (Firm) f v�� Signature of Contractor/Bidder or Its Agent Printed Name and Title Subscribed and sworn t before me this My Commission Expires County of Residence Version 4/17/2015 Contractor's Bid for Public Works - 6 Project Name Project No. For Bids Due DIVISION A 4:oC'rri 6'+ BIDIPROPOSAL CITY OF SOUTH BEN© "Berlin Place — BP#2 Electrical, Mechanical, & Plumbing" 117-048R Tuesday, June 13th1h by 9:30am Item No. Description Quantity Unit Unit Price Total Amount 1 Provide and install full Electrical services' 1 LS 2 Provide and install full Mechanical services' 1 LS 3 Provide and install full Plumbing services' 1 1 1 LS DIVISION A BID TOTAL DIVISION B Item No. Description Quantity Unit Unit Price Total Amount 1 Provide and install full Electrical services' 1 LS DIVISION B BID TOTAL I V e'_ DIVISION C Item No. Description Quantity Unit Unit Price Total Amount 1 Provide and install full Mechanical services' 1 LS '7 cl�l DIVISION C BID TOTAL DIVISION D Item No. Description Quantity Unit Unit Price Total Amount 1 Provide and install full Plumbing services' 1 LS DIVISION D BID TOTAL Up .Z according to the intent of the plans and specifications at "The Ivy at Berlin Place" project located at the corner of Lafayette Blvd and Western Ave in South Bend, IN. Bidder (Firm): Address: City/State/Zip: �1 e t` ��12C� Telephone Number:,�`(�, By . (Signature) (Printed Name of Person Signing) Version 4/17/2015 Contractor's Bid for Public Works - 7 �,� 9 � .� ��- Y�: * � �ir�4 - ��- - r -. LL! LU N w 0.g a Lu :� H M Lu 0 p -Z z Vj N LU LL 7 Om0 LU LU Vpw �a a z a F O z E z 0 O a r' a. LU U in �a �ui � m OU. Co 2 uMi m fll 0 m o o r- 0 � C� a' C •E r 0 �E L w U 0 a) C 0 w L. CL m (n a o ca o u 3 o IL 0 ) m E 0 N o� v� C_ a> cn m c s o 3w �► a rL N 21 0 7 0) al M ` C_ al � •� '0.0 Mo 7 (i d os c �^ v, o N w= 0 0 O) o m o�: R 0 0 0. N C 0 F- CL ;li E m z U a► �o LL Ix a G T CD c cm.(6 0 0 P CO C C G CL E EV u3 �m o � t CIS 6 O CD �w CL� �. °' O T O cu 'CD 0 U Q. C .�• m C1� Q 5 api t;p A a �7 rP a a v brl a y°t3 , E Z �J Ol ��...1.. w .Q U) w N co R CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITYf`/ M t' DEVELOPMENT PROGRAM i 4`w FORM MWBE-2.0,..__ l Y�Ni '•S,af�l EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBE/WBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business as defined by the Indiana Department of Administration ("IDOA"). Project Number: 117-048R Date: Project Name: "Berlin Place - BP#2 Electrical, Mechanical, & Plumbing" Bidder: 1 , C , !`�-Le-V q Ai c,,,1 , `Y1C_ Contact Person: 4 Telephone: �Q1 Qta-� Address: esx City: State: Zip: i Email: LAIVe, To determine whether a bidder has demonstrated good faith efforts to reach the MBEIWBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: EVIDENCE OF GOOD FAITH EFFORTS MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the 1DOA approved list of Minority and Women Owned Business as found on their website (http://www.in.gov/idoa). ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Bend requires that all perspective bidders complete no less than 2 of the following: 1. Attend all pre -bid meetings scheduled by the City to inform MBE/WBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBE/WBEs reasonable time to respond. 3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBEIWBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 4. Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBEANBE firms. "Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBEIWBEs, including providing such MBE/WBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by MBEIWBEs in order to increase the likelihood of meeting the MBEMIBE goals (including breaking down contracts into smaller units to facilitate MBEMIBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE/WBE was unqualified to perform the job. *Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 4/17/2015 Contractor's Bid for Public Works - 9 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY\?� DEVELOPMENT PROGRAM FORM MWBE-2.1 ,.. MBEIWBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBEIWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE OF Project Number: 117-048R MBEANBE Participation Project Name: "Berlin Place — BP#2 Electrical, Mechanical, & Plumbing" Bidder: �ti^C t �M ��, 1 y i By: �" "1;°', wt;t f-ur ..` . -- 3 (Signature) (Titl) V. (Date) MBENVBE Firmo�z Owner or Contact at MBENUBE Firm Telephone: (S7q -')S2 Lst Fax: , 4 .W_1�037, Email: 1 WIVIS10 TYPE OF WORK SOLICITED FOR THIS PROJECT: & w", RESULTS OF CONTACT WITH THE MBENUBE FIRM: p /� MBENVBE Firms Owner or Contact at MBEIWBE Firm Telephone: S�1 Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBENVBE FIRM: Version 4/17/2015 Contractors Bid for Public Works -10