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HomeMy WebLinkAboutOpening of Bids - Berlin Place #2 Electrical Mechanical and Plumbing - Herrman & Goetz, 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. 117-048R For Bids Due Tuesday, June 13th1h 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 X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X 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 X Form [MWBE-2.1]. X Acknowledge Receipt of I Addendum(s) included with the bid. X All required additional information is included with the bid. . Proposal statements and other affidavits all signed by the proper party with name either X 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: Herrman. & Goetz. Inc. By Authorized Representative: Signature: Print Name & Title: e. Power-of-Attorne Date: .Tune 13, 2017 Version 4/17/2015 Contractor's Bid for Public Works - 1 ,;cat"r'ar rrf, CITY OF SOUTH BEND, INDIANA F.P.°`' CONTRACTOR'S BID FOR PUBLIC WORK ,Hrs x Project Name "Berlin Place — BP#2 Electrical, Mechanical, & Plumbing" Project No. 117-048R For Bids Due Tuesday, June 13thl" by 9:30am PART (Must be completed for all bids. Please type or print) Date: .Tune 1*1- 2017 L Bidder(Firm): T Herrman & Goetz, Inc.^ Address: 225 S. Lafayette Blvd. City/State/Zip: South Bend, IN 46601Telephone Number: ( 574 ) 282-2.596 Agent of Bidder (if Applicable): NSA 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 plans and specifications prepared by: TWG Construction LLC and dated May 19, 20 j 7 for the sum of (enter the Total Bid as shown on the Proposal) (Enter sum of Total Division A Bid on Proposal) (Numerical) (Enter sum of Total Division B Bid on Proposal) (Numerical) {Enter sum of Total Division C Bid on Proposal} (Numerical) TWn million six hundred sixty eight thousand seven ($ 2,668,789.00 ) (Enter sum of Total Division D Bid on Proposal) hundred eighty nine Dollars (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 addendum$ 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 aw ed on a unit basis, the itemization of the units shall be shown on a separate attachment. �fJ The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member ACCEPTANCE day of Suzanna M. Fritzberg, Member Therese J. Dorau, Member James A. Mueller, Member Attest: Linda M. Martin, Clerk Version 4/17/2015 Contractor's Bid for Public Works - 2 20 P/\RI'Q <Cwmp|ok:xCx|i000 |. i|.ond |I| |'orxU S(mcnod |oc/l puNicworks pn!'ICOs) T0scx|uienncn\x in 6esuhmiUn| ondcrnnih ky each hiJde,*iUh and as x pori o1Fhix hit (/\/�/oh oddi|iono| pages Arcuoh x*wimn as nocdo?) S V,CAA �N0 N/Ky<PF,RI F, N(`F,Q\/1-.-,.S'[|0N N AXRK |VVhu| puNic pxxks pmjoC|x hxsym/r oomp|ded'/ Amount Work Conipletcd Owner $2,781,321. Mechanical 2/2016 Buchanan Schools —Middle School. ZVVhu< puh|in xxOrkx pn4�!L* has you/orjxxiaminn nnw in process w[oons(n/odnn: $ 834,30130 Electrical 9/2017 Niles Community Schools —Ring Lardi l� Hpvuym/ �vcr [xi|�d k`uwnp|��: nny x«./� own^1cJ u` ynu?no[fzu` "Mere and why?_�_�����____________________ St � J h k� 1onal MrJ C,r. 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Please list Me nanies and addres es of cell subm 0 aalcon (i.e. Wsons or limns c,uisiN your oven tlrrl-I who have pedormecl part of Me v+W) Mat you have IISW on public work,—, projects nixing the mast fivcc (5) year airing with a brief deacrlWon of the wcwk. done 13y _ach siA_-)c(:jntl-alaor ;ice Attached sheet ft yl.-)rl irltrrrlrl to SU061;_{rly I:rIll lun r:;I tlar vvClrl:, ''I II( the IIli{t= al Id HCI<1rlr:.: frf !aI,!I ;ill-r{, !Iltr(u.;tuo F'c.1l_jlhnl(-Vl1 tLr I,1� 1.1'S(-11 Loy tiIC '_,Uilr.nIifI;_frtoi, ,clnll vdll-'[MCI vwill Ii_cllllr(' a l.ON(I. hluwl�ver, if YOU �yrr 1_ulable to r +_hn: slily I- wvhl_le a hym lr-). Wase I Inn hrni, "A a Ih ;fnlg rail lei. be 1_,iovoed prior to conirw approval. t)rhEII thl( c"upoku ad Ate I)II`11.1U:::ed Il!'L" 1 ynu amp Llllf'IE='f a f.nntll ung ONjawn to Hilllledi.-ltl y ISVill�! III,.. r.ar-rJr-llli+l+_�jll;al 1_11;11 In ill .;'VI-:111 Iil,:ir y(_1I1 ;hltl',4.�i'.IIII-'fitly dlF+=riEllhle dILI1 YOU Wll} U%"i 5 il'he pllali(,;lil.i J:II th is time. ?mr;•- `'- What eLILlhlimaA cc you lKwe ;_ nl;wpe tG u, 0, Me 1Jr11IJ'=ed pnjod? Arly wgI_j PHIe1l to be IISed by '_>l_I}7C011tral.aUrS Ihh:.ly nou W r(;I_It.NlN tU he Wind IN Un[' r_IlnValanoh'll:_Il VWO Z�s' r rW�_I�i i 3 'CI . Have you O1lend Won -.[)I111,_i(. n ill i'I.Vived "TA" by ..ill Ilt,;ill'rlms 11111�� i ';.l.lij':.�-�EIfEi;�lil,'. thl - I_liep.mg yms prnl-I(, al? I nut l,lr���l.�( e;;Pi."a l [he r,_ h m IJk toed whw h vv;;rrU crlrnAu_lr-_It(; we pox,-,-, listed. Yes f: CT K)N 111 (AYA T RAC1.i.();: `F lN/. WC lAf_ :-;..f.A j f::Nit f`J!- Attachrile m c)i bIc divi's fn lollacl,:rl st;litnrenj is m nal_L i "I Any Lod subl)lltted wIlhout said fin mcol steltonent as required by s5hain shall thereby be nmidewd OWN The hmndal . 1aten-Ient provided hereunder I() the goverining body away nng this conlr;n.i mist be s.pr. chfic r:ili_u-,j in detail so Mat said timprning hody can l detNrrninairon of ilie f[u c rrl?a1:)iCiulr I II1(_, plojeuil I€ :_IW'Ilded 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 FLAN 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 Conti -actor is unable to certifj? to any of 1he statements below, it shall attach an erplanatiojt 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 Indiana ) SS: St _ .Tn..ph COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of pe1jury that: I. Contractor has not, not, 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 firom 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 ofthis 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 tithe -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 -rive (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 ifthe 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, orjoint 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 ofa 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 Wornen'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 fi•om 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 corn et€ssions. 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 (lie 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 ajustifcation 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 affirm Under the penalties of pe1ju1-y that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 1 It-h day of june, 20 17 Herrman_&_Goetz, Inc. Contractor/Bidder (Firm) ignature of ontract idder or Its Agent Larry Cripe, Power -of --Attorney. Printed Name and Title Subscribed and sworn to before nie this 13th day of , 20 17 My Commission Expires 7113/2022 96"Av Notary Public Catherine J. Gruber County of residence St. Joseph Version 4/17/2015 Contractor's Bid for Public Works - 6 BID/PROPOSAL CITY OF SOUTH BEND Project Name "Berlin Place — BP#2 Electrical, Mechanical, & Plumbing" Project No. 117-048R For Bids Due Tuesday, June 13tht" by 9:30am DIVISION A 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 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 DIVISION C Item No. Description Quantity Unit Unit Price Total Amount 1 Provide and install full Mechanical services' 1 LS DIVISION C BID TOTAL DIVISION D Item No. Description Quantity Unit Unit Price Total Amount 1 Provide and install full Plumbing services' 1 LS $2,668,789. .7 DIVISION D BID TOTAL $2,668, 789.00 ' 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: South fiend, IN 4660)1elephone Number: ( 574) 282-2596 By Signature) Larry Crfpe, P. O.A. (Printed Name of Person Signing) Version 4/17/2015 Contractor's Bid for Public Works - 7 r W W I� w Z W Z Q d]W© JCL �cna WU ❑ W o?z NewLL 0 Im LU yy. L IOLL W W W U0ui 0© Z Q O Z 9 LU M CO 0'. 4- O m 2:3 C cr �. 41 tm C 'a' L V � 0 C a`a . M o` E o � 3 O a� a O c C L1L1 E CO A a ro a� U 0 % r Q. , n � a m V} C CL d y � N Q W rn N QS i..E C n1 Q 70 C C � � 3 N N O IA �a E 0 07 O a C E 6 O Q Q V L N C cc H O.� N E c� z U W O d 714 w C r W a. l6 ID Ewa O U � m p O Q. 7 O p E U w (4 � 0 � CO U a o EM a 4 d w of _ .n � O T w a o � m (Lj Qu) 8@ �OL cpi W z L p C a> _ o ca m N 0 U � m E E d w 00 m 0 0) a Q oP5 E co z v a E A (n m co s, CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM a '' FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS i8fis 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 MBEIWBE 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: Project Name: Bidder: 117-048R Date: june 13, 2017 "Berlin Place — BP#2 Electrical, Mechanical, & Plumbing" Herrman & Goetz, Inc. Contact Person: Tom Cappert: Telephone: (574) 982-596 Address: 995 S Lafayette Blvd. City: n] I State: IN Zip: 4661.4 Email: trapp.e_r-t0bgservices-.con To determine whether a bidder has demonstrated good faith efforts to reach the MBE/WBE 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 MBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA 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 MBENVBEs 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 MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. r V 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 MBEIWBE 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 MBE/WBEs, 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 MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down contracts into smaller units to facilitate MBE/VVBE 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 a` 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 MBEIWBE Participation Project Name: "Berlin Place - BP#2 Electrical, Mechanical, & Plumbing" Bidder: rman & Goetz, Inc. 4- Larry C-Ape, Power--of--Attorney June 13, 2017 (S ii ature (Title) {pate) MBE BE Firm Owner or Contact at MBEWWBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBEIWBE FIRM: MBEIWBE Firm Owner or Contact at MBEIWBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBEIWBE FIRM: Version 4/17/2015 Contractor's Bid for Public Works - 10 CNA SURETY CONTRACTOR: (Name, legal status and address) Herrman & Goetz, Inc. 225 S. Lafayette Blvd. South Bend, IN 46601 OWNER: (Name, legal status and address) City of South Bend - Ofice of Board of Public VAbrks 1316 County -City Building, 227 W Jefferson Blvd South Bend, IN 46601 Bond No. Bid Bond SURETY: Continental Casualty Company : IL Corporation (Name, legal status and principal place of business) 333 S. Wabash Avenue 41st Floor Chicago, IL 60604 BOND AMOUNT: 5% Five Percent of Amount Bid PROJECT: (Name, location or address, and Project number, if any) Berlin Place #2 Division D Plumbing This document has Important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 13th day of June 2017 Herrman & G tz, Inc. M�t _ (Seal) (Witness) �� a onr�pnAT (Tit e hoJ HerppSn President q Continental sualty Company n 4 ( (Surma (Seal) (Witness) 1 9 e Tracle House Attorney -in -Fact Printed in cooperation with the American institute of Architects (AlA). The language in this document conforms to the language used in AlA DocumentA310 - Bid Bond - 2010 Edition. POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hanford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called "the CNA Companies"), are duly organized and existing insurance companies having their principal offices in the City of Chicago, and State of Illinois, and that they do by virtue of the signatures and seals herein affixed hereby make, constitute and appoint Tracie House , Individually of South Bend, IN their true and lawful Attorney -in -Fact with full power and authority hereby conferred to sign, seal and execute for and on their behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - Surety Bond No.: Bid Bond Principal: Herrman & Goetz, Inc. Obligee: City of South Bend -Office of Board of Public Works and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duly adopted, as indicated, by the Boards of Directors of the insurance companies. In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this 5th day of April, 2017. �cAs GDi�POgAi(� 5EAL ft1S7 ,� of Continental Casualty Company National Fire Insurance Company of Hartford g �Ncasar�o American Ca ally Company of Re ding, Pennsylvania Muir si. � 1100 r � Paul T. Bruilat ce President State of South Dakota, County of Minnehaha, ss: On this 5th day of April, 2017, before me personally came Paul T. Bruflat to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company described in and which executed the above instrument; that he knows the seals of said insurance companies; that the seals affixed to the said instrument are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance companies. J. MOHR MWAI "14 { svun+mu�orn My Commission Expires June 23, 2021 J. Mohr Notary Public CERTIFICATE I, D. Johnson, Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company do hereby certify that the Power ofAttorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance companies printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance companies this 13th day of June , 2017. %NSUIV4 t waNr0A E' y °o SEAL 1g97 � HAiitEtY''� '�' Form F6853-4/2012 Continental Casualty Company National Fire Insurance Company of Hartford American Casualty Company of Reading, Pennsylvania <--0— . jvv�� D. Johnson Assistant Secretary Authorizing By -Laws and Resolutions ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Hoard of Directors of the Company at a meeting held on May I2, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of Continental Casualty Company. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25' day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company. " ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of National Fire Insurance Company of Hanford. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 251 day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers" )to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company. " ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of American Casualty Company of Reading, Pennsylvania, This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 2501 day of April, 2012., "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company. " 1865 1316CouN'i Y-CfiY Bulu)i 7 Sou'1'I I BEND P1;'I'I'; BU'1"flCill;Ci, NION1 5711l235-9251 227 Nr. Jerrr:I SON BOULEVARD FAX 574/ 235-9 17 1 ti01Jr1I BEND, INDIANA 4000 1 -1930 O.AJZD OF I- UEluc WORK '1'DD-5711l235-5567 Date: June 7, 2017 To: All Bidders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Project Number: Berlin Place - BP#2 Electrical, Mechanical, & Plumbing 117-048 R ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 4 -9'f 7 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9.171. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Note: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. company: lx- L{-. Authorized Signature: Date: zq POWER OF ATTORNEY 1, Thomas J. Herrman, President and Resident Agent of an Indiana Corporation in good standing known as Herrman & Goetz, Inc., do hereby nominate and appoint Larry Cripe, an employee of said Corporation, who resides at 67050 Yankee Lane, Edwardsburg, Michigan to act as attorney -in -fact to do the following acts for me in my name, as President and Resident Agent. 1. To possess the full powers to execute and enter into, all business related contracts on behalf of the Corporation, as any other authorized agent of said Corporation would have the ability to sign/execute, including myself. 2. The powers granted by this document shall begin on July 1, 2016 and conclude/expire on June 30, 2017 or to such other extended time as shall be made by written faxed extension executed by me to this authorization. 3. The powers extended by this document may be filed for record in any public office as just circumstances might dictate and the original and all executed duplicates shall have equal force, validity and effect. I declare, as President and Resident Agent of Herrman & Goetz, Inc. that any lawful act or thing done under the powers granted by this Power of Attorney, shall be binding on the Corporation. IN WITNESS WHEREOF, I, Thomas J. Herrman, President and Resident Agent of Herrman & Goetz, Inc. have signed this instrument on this the 23rd day of June, 2016. Thomas J. Herrman President and Resident Agent Herrman & Goetz, Inc. Subscribed and sworn to before me, a Notary Public, residing in St. Joseph County, State of Indiana, this the 23rd day of June, 2016 r Catherine J. Gr ber Notary Public Residing in St. Joseph County, State of IN My Commission Expires 7/13/2022 CNASURETY CONTRACTOR: (Name, legal status and address) Herrman & Goetz, Inc. 225 S. Lafayette Blvd. South Bend, IN 46601 OWNER: (Name, legal status and address) City of South Bend - Ofice of Board of Public Vlbrks 1316 County -City Building, 227 W Jefferson Blvd South Bend, IN 46601 Bond No. Bid Bond SURETY: Continental Casualty Company : IL Corporation (Name, legal status and principal place of business) 333 S. Wabash Avenue 41st Floor Chicago, IL 60604 BOND AMOUNT: 5% Five Percent of Amount Bid PROJECT: (Name, location or address, and Project number, if any) Berlin Place #2 Division C Mechanical This document has important legal consequences. Consultation with an attorney Is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such Iarger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 13th day of June 2017 Herrman & Goetz, Inc. ASU (Prin ' -(Seat) (Witness) �,Val' as an Fresident Con in nta, asualty Company t2l 1 (Suretpf (Seal) (Witness) 1 9 (Tk e)Tracie House Attorney -in -Fact Printed in cooperation with the American Institute of Architects (AIA). The language in this document conforms to the language used in AIA Document A310 - Bid Bond - 2010 Edition. POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT I{tiow All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called "the CNA Companies"), are duly organized and existing insurance companies having their principal offices in the City of Chicago, and State of Illinois, and that they do by virtue of the signatures and seals herein affixed hereby make, constitute and appoint Tracie House , Individually of South Bend, IN their true and lawful Attorney -in -Fact with full power and authority hereby conferred to sign, seat and execute for and on their behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - Surety BondNo.: Bid Bond Principal: Herrman & Goetz, Inc. Obligee: City of South Bend -Office of Board of Public Works and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duly adopted, as indicated, by the Boards of Directors of the insurance companies. In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this 5th day of April, 2017. CASU.�r} P� NY of UoaroF Are l � ` tMPpAq��B _ 7 JULY 11., OJ SEAL i8B7 HAM Continental Casualty Company National Fire Insurance Company of Hartford American Ca lty Company of Reading, Pennsylvania { Paul T. Bruflat ce President State of South Dakota, County ofMinnehaha, ss: On this Sth day of April, 2017, before me personally came Paul T. Bruflat to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of Continental Casualty Company, an IIlinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company described in and which executed the above instrument; that he knows the seals of said insurance companies; that the seals affixed to the said instrument are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance companies. d.MaHR SQMVAKWAS My Commission Expires June 23, 2021 J. Mohr Notary Public CERTIFICATE I, D. Johnson, Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company do hereby certify that the Power of Attorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance companies printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance companies this 13th day of June , 2017. %usUR,t'ttcwANY Qe l[' tit conaoaV np � � pAtoRgrEO 1=ac is JUkY 11, SEAL s l8g7 RAN14 • Form F6853-4/2012 Continental Casualty Company National Fire Insurance Company of Hartford American Casualty Company of Reading, Pennsylvania D. Johnson Assistant Secretary Authorizing By -Laws and Resolutions ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company at a meeting held on May 12,1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of Continental Casualty Company. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25`s day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officere)to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company. " ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bruffat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of National Fire Insurance Company of Hartford. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 251h day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company. " ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bruffat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of American Casualty Company of Reading, Pennsylvania, This Power of Attorney is signed and seated by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 251' day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company. " 1316Couu-rv-Crry 13uu.D1NG Soirri 1 BEND P1;'i't;13LI'I"I'I(;ll?C;, Iliiom,, 574/235.9251 227 FAX 574/ 235-9171 SOIJ,-1I BbAl fNDIAN-,, 40601-1830 OARD OF I'U131AC WORK TDD 574/ 235-5567 Date: To: From Subject Jape 7, 2017 All Bidders Linda M. Mat -tin, Cleric, Board of Public Works Addendum NUmber: 1 Project Name: Berlin Place - BP92 Electrical, Mechanical, & Plumbing Project Number: 117-048 R ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: /0 -q-1 i This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Note: The attached documents are hereby added to the Specifications and Contract Documents and become a pact of herein. Company: Authorized Signature: Date: i q " 17 POWER OF ATTORNEY I, Thomas J. Herrman, President and Resident Agent of an Indiana Corporation in good standing known as Herrman & Goetz, Inc., do hereby nominate and appoint Larry Cripe, an employee of said Corporation, who resides at 67950 Yankee Lane, Edwardsburg, Michigan to act as attorney -in -fact to do the following acts for me in my name, as President and Resident Agent. 1. To possess the full powers to execute and enter into. all business related contracts on behalf of the Corporation, as any other authorized agent of said Corporation would have the ability to sign/execute, including myself. 2. The powers granted by this document shall begin on July 1, 2016 and conclude/expire on June 30, 2017 or to such other extended time as shall be made by written faxed extension executed by me to this authorization. 3. The powers extended by this document may be filed for record in any public office as just circumstances might dictate and the original and all executed duplicates shall have equal force, validity and effect. I declare, as President and Resident Agent of Herrman & Goetz, Inc. that any lawful act or thing done under the powers granted by this Power of Attorney, shall be binding on the Corporation. IN WITNESS WHEREOF, I, Thomas J. Herrman, President and Resident Agent of Herrman & Goetz, Inc. have signed this instrument on this the 23rd day of June, 2016. AL ----- Thomas J. Herrman President and Resident Agent Herrman & Goetz, Inc. Subscribed and sworn to before me, a Notary Public, residing in St. Joseph County, State of Indiana, this the 23rd day of June, 2016 / A Catherine J. Gr ber Notary Public Residing in St. Joseph County, State of IN My Commission Expires 7/13/2022 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project dame Project No. For Bids Due "Berlin Place -- BP#2 Electrical, Mechanical, & Plumbing" 117-048R Tuesday, June 13th1" 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 x or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X 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 MBENVBE 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 x Form [MWBE-2.1]. x Acknowledge Receipt of 1 Addendum(s) included with the bid. x All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either x printed or typed underneath signature. X 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: Herrman & Goetz By Authorized Representative Signature: Print Name & Title: Larry Gripe, Power —of —Actor Date: June 13, 2017 Version 4/17/2015 Contractor's Bid for public Works - 1 411!'E'1! Its, J'IG CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name "Berlin Place --BP#2 Electrical, Mechanical, & Plumbing" Project No. 117-048R For Bids Duo Tuesday, June 13th" by 9:30am PART (Must be completed for all bids. Please type or print) date: ,711ne 13', 2017 Bidder(Firm): Herrman- & Goetz, Inc. m Address: 225 S. Lafayette Blvd. City/State/Zip: South Bend, IN 46601Telephone Number: ( 574 ) 282-2596 Agent of Bidder (if Applicable): NSA Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: R P r l i n 2J— c2e.:--l3M the City of South Bend, Indiana, in accordance with plans and specifications prepared by: and dated May 19, 2017 for the sum of (enter the Total Bid as shown on the Proposal) Enter sum of Total Division A Bid on Proposal) (Numerical) (Enter sum of Total Division B Bid on Proposal) (Numerical) Enter sum of Total Division C Bid on Pro osal (Numerical) flnp mi 1 i nn nips h�o rarl thniiGanr� it k] ara {$ 1 , 9€ 0, €l00-00 ) (Enter sum of Total Division D Bid 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 (signal ( rinsed Name of Person Signing) The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member James A. Mueller, Member ACCEPTANCE day of Suzanna M. Fritzberg, Member Dorau, Member Attest Linda M. Martin, Clerk 20 Version 4/17/2015 Contractor's Bid for Public Works - 2 14111, It (('oniplete seclions U Land III 1'oo aH smW and loc1I puI)Iic works hrojcc;ts) These s€atern nN to he suhniked under oath by ends hid[ler with nml os 21 hurt (4his hid. (Attach additional Tinges Or each swoWn as needed.) SEUVION I r{',XPEI II+,NCE ()lll+;STU)NNA11` E I . VOW huh(ic WAS larojccts h,sS yosu- orgmniz Ilion conlhlCle.ei`? connac-t Class of When Mnne;. �1nd Address elf Amount. Work (oniplctcd Owner $2, 781 .321.. Mechanical 2/201 6 Buchanan Schools ---Middle. School. $ 689,037, -.._.-...E 1 e c r< r. i s ,a 1 '� 4---------. _._ /.:: C)16 Elkhart CSO 6 & 7.._ _....-------•----.....^._----�---. __.._.__--_._. _-__...� .. _ _...__ ^.. '_ 38�,,000._= .-_ __-• Me.chanicaL-- -------T�_/2U1.5__..__._._,. Rochester _Commun:[:ty...5ch.00l.T.s ....�T^ 2. What puhlic. ,,vt�rks I)t'OjeCt,s has yelur or,.;nliz,,snoi� i no", in i&constru(.tioi,: ConUnct Oss of "Oul N£Inw llnd Addi-L+ss of Amount Wr)rlti ( illlll]lctc'CI Owner E l e c t r i c a l_..__....._._. _ ..-.School .�H. S?. -- — $ 834,301.60 Electrical 9/2017 Niles Community Schools -Ring la Mechanical ..._..._.._.-^_(o.._mn^u._ _.i_v._.y._:._S-_c._�hools-:-H..—S--.-.- ;.. Ave you e,vt,r bailed to c(1111111etC al)y Vvrnl< �Iwar'ded 1.0 ynu:'__ __110___ f scl, `�hcfe. and wily? 1. --------- Um rr,fcrcnce-s frorn pdvate lilt which yols h,Ive perfor111l--d wVork. �_..Hos_1D. t: 'L.�r - Ouli1.._B _nd_ - - _ .. St, Joseph Regional Med Ctr. Mi.sh & Plymouth Bethel. College 1tti.limaster l.lni f rax h r `1'! 215161 laid I{ovvi, '�svv on 01131 IRW i t,Jc' 'yrl.ui I vI I i.iiic li EI I I,IIIf'Ir It ry ,Jvi.ni' r,'.ull'li Ir, rr.,u'-' Etc.,_ li ':.r.,, y lll:l' ::ulCl vvlly'., ill>w ior,JLJl- ljfmr, kji ',nlii E.11 yl.+fl h,.IV'.: L+i-:Iii.ilElll�C[ WIJlIt I1tarcr.r.i_;tl. li ,,s}�i r, 1,- c 1 ol.tl ll B,-!f1d licin{ ywe1.l B,eth( 1 College ... ' Util i.naastei I— D:ueyfus Asir: i.cul tur.a.l U 11 i f T.a:; IIc_,ly Cross Collecje wart' ;}lltcial Metals �F (..: I ii_;}`•I it f�i-/';I'•+ ,1f�I i JI;- /f[�['J I U(JI I IC}NfvAll- l= 1. CXIAf im yriLll' plan ctr I,-tyout ll=ii I:i4:'iiClrllillll=j propc)`_;�t'I'•PJOI'i (E an —if les c i_IiCI 1f1Gil.lial j 11;ctlrGltly Cli 4lilt ll YOU t_orlira begin work, c:urllI)Ii tt_ till; l�rojl ca, nLlnilll-,r of workers, elc. aflrl .any nth(z�l infolin;alion which yc)l.l believe would enable=: LI ,S rlt.tvt'rrirrlr,r-IG,Ji I.It'Ilt to a Isil_I(r I:i� ) In cuVt1nCC7.Or1 with cnnsLrucLi.on manager and other trades. file pef suss I:)r flrrrl: outside Yow Own fli I II who have perfarnied part of the work) [hat you have wseci (VI public' work; projects during fhe past five (- j yelDl-s alol-Id will" 1-I b, ief ciesl: riptitin of the wcjr}•. done. by each I sul ic:i>ntraraor See attached :sl-te.e t It you iritHld lu suUl :t ally purliou of tlir: walk. il'it_ li,�Init ��ncl ;aCllal�-�',5: r,f I,'aih :;Llk�l��Illtl,'It:ttJl'• eq uf�n�t nt to be i-I F:it by thk�s,ulil:r�rlir lciur, ;.Irld whL-'[Ifcn you will r,'gLEiri a f:iund However, if yclk-i arN f-m,ibl lo c:ul rr-nfly I:iri ivlClC <, II' llnl_:i. I_,G-as,n i-Indi-fI l,�ll u.-t ::i II• Iing rnust. he I.:irovided prior to contra(-.i approvjl Urllil thf_r of Hie prc pu!t F-l'i taf i:ljl_ r: i yl irI Jrh Lu�t:ll=a .� ra_illtiriuirlct 1 shlitiatic-,lj to il71111r'llFah'I� 130[li)' lei,' �tC.avl lfirlliaii;ai llfNt III Ihl_ ._'vi-,Ill 111':f, h/I:II 1iIII)'.£::.III<:-rtrly C)i l�'iII-hill' th,_it yULI WIII '-.I_IIJI'.I:11 I II cif.: U:71I:if i I Ilt-' i irrll }l1'.,t1il laE (.11 r:'I: �I J I)n)ti.now Ci 3i. t".}7:iS tliiit•. �f. What e(:luiprll nt c}o yOU haul.:-lv4nlai)Ica tr:; lh,l it -,I isle. L11r)I,I:,:;'r I:,rl_,I,al;l'> Any agI_nl:nrhr€t [0 b: 1-IS(:ra by , l si_II:rCUlltl'clCilJl'S 111 3y ;al'{a l:?; iE. Pl-t_llll.Clto be l l.ry ii5',`le>'rtilr i.li_trF'nlli€I_'111:_II L}fili As L'r_'I_p tlll-ed . /e y[iL'Itt?(Od I116.) 1.CiE'kil,.i(:I'., ill i,.,t:t`I`J(:31:f i ifi�rf `; Ilsr ..III Ili.-it�'rl�ll':� wl l€I:II '.Llij`;Iclnil;ait:' tliF' 11rll�t_F I!'�Ir.l.i ff'! I_reparing your l:nCfl:u:}';_ft'? If nlil, ple,,:I o l:;;l_ilain [If(.,, r:_iliurl,all rlti,f i.i whit:h wrfull_I rorrr7blar:atl: lllr f�ricc:s listed. Yes � CT fC:)i'1 ill A( i A-,"-' 1 (NIIAf`\Il l/1L Attachmeili of !�Icict+ l's ful Ilic:I,:+I st,ai 'm(vni !s €r zritaihry. Any bid ubfllitted WIMOUt said finarlrr;:il statement as required by statute shell H)e;eby be rend(-,ri <(:I invalid The fin,3nr-.ial statement provided heret_lrlder to the governing body awl-w:11rig the ccinir;.n.a I'lii.ls i I:,e r:'l-Iou(Jl-I ill cleL,-.ill so Uiat said r;Iove.rninc) 1:1ndy car! make ,-I plolil!r 01 the I,icidwri's� i.:s,t;,:ib€Illy fol Iht. plojel:t if awarded 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 itnable to eerlify to an 7 Of the stittements heloly, it shall attach an explanittion 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 PRODUC'rs OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana ) ) SS: st. Jose} 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 not, 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 fi'om participation in this transaction by any Federal department or agency; and 1 Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. 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 fr'orn 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' COrltr'aetOr, 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 Coil tractor agrees that he/she/it shall enroll in and verify the work eligibility status of all o1' Contractor's newly hired employees through the E-Verity Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the IF -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 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 Wornen'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 (I) 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. 'file 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). 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. 1 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 4/1712015 Contractor's Bid for Public Works - 5 I hereby affirm under the penalties of perjut•y that the facts and infonnation contained in the foregoing bid for public worts are true and correet. Dated this 13t-h _ day of jiine, 20_t7 Herrman & Goetz Inc Conti•actoi-Midder (Firm) Si nature 7ont or/Bidder or Its Agent Larry Cripe, Power-of-Attorne Printed Name and Title Subscribed and sworn to before the this 1 '1th day of .11inP , 2017 My Commission Exph,es 7/13/2022 O � ��kj' Notary .Public Catherine J . Gruber County of Residence St. Joseph Version 4/17/2015 Contractor's Bid for Public Works - 6 Project Name Project No. For Bids Due DIVISION A BID/PROPOSAL CITY OF SOUTH BEND �xa5 "Berlin Place - BP#2 Electrical, Mechanical, & Plumbing" 117-048R Tuesday, June 13tht" by 9:30am Ilt�eom 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 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 DIVISION C Item Description Quantity Unit Unit Price Total Amount No. 1 Provide and install full Mechanical services' 1 LS 1 00 000. DIVISION D x DIVISION C BID TOTAL 1. , q{f0, nno . f�0 Item No. Description Quantity Unit Unit Price Total Amount 1 Provide and install full Plumbing services' 1 LS DIVISION D BID TOTAL 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): Herrman__& GnPt?, Tnr.. Address: City/State/Zip: Souith Bend, TN 4660TIelephone Number: ( 574 ) 282-2596 r BJ (Signature} Tarry Cripe, P. 0. A. (Printed Name of Person Signing) Version 4/17/2015 Contractor's Bid for Public Works - 7 W 7 W IL z I� wUJ O ILUZ`� �¢ ra W O 0. jco ai mU � uj H 0ZZ SAG W �a O Of1 0 uj O m . } Z J LL FWW! a32> �uj co © 2 In (ya r_ O Z_ 9 W to oci '�- O C 03 O 0 ;F O O C Q W 0) m r� i N L' E Le N N V d �O �N d C d O `n G -p O C m E m µ' Q; 3 0 N A O U.� O d Q > J= N— ',a .Q m C -� O �3 •p � .� Q1 a O u, rL N N N y N ` C d O N N N o E +, m E 0 0 O a C m -0 O O. O 4) E m Z 2 fl u Z, Cd p 0i LL. Ln romp.-i C a o cq C) w M a C7 O c d p 0o p � E CD ch O 0 E C) c 1 0 ¢ to cv fg `G 0 4sa- p w co N U T6 : CL 4J (0 u c CH m y U o a A o w cd u 9.1 u c oC � a 0 U N U m C O Cf. O DOD •rl 00 0 v U a 4J �,O LL O tV P=i 60 w . m v co 0 fn w 41 o M � Edc 00 " o44Iq m >H 41 N ¢ 4J 4J .O m Q H '0 Z H d -[ � q A En v 7*1 V_ .0 a. w .0 Fn 0 C O U N m z c a` LO a o !n CITY OF SOUTH BEN©ti4ut MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY, DEVELOPMENT PROGRAM FORM MWBE-2.0 x x y ' EVIDENCE OF GOOD FAITH EFFORTS FxRs 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 MBEIWBE 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: june 13, 2017 Project Name: "Berlin Place — BP#2 Electrical, Mechanical, & Plumbing" Bidder: Herrman & Goetz, Inc. Contact Person: Nate Hershberger Address: Telephone: (574) 989-596 City Sauth Rend State: IN Zip: 46614 Email: rvjceG - cnm To determine whether a bidder has demonstrated good faith efforts to reach the MBE/WBE 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 MBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA 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 MBENVBEs 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. A \ VV 3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated !� to inform MBEM/BEs 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 MBE/WBE 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 MBE/WBEs, including providing such MBE/WBE's with adequate information about the plans, specifications and other �J 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 MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down contracts into smaller units to facilitate MBE/WBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has �j 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 s. W NY l av h R . ... ...... ....... ........ 1 R 1 CONTRACTOR: (Name, legal status and address) Herrman & Goetz, Inc. 225 S. Lafayette Blvd. South Bend, IN 46601 OWNER: (Name, legal status and address) City of South Bend - Ofice of Board of Public Vlbrks 1316 County -City Building, 227 W Jefferson Blvd South Bend, IN 46601 ]Bond No. Bid Bond SURETY: Continental Casualty Company : IL Corporation (Name, legal status and principal place of business) 333 S. Wabash Avenue 41st Floor Chicago, IL 60604 BOND AMOUNT: 5% Five Percent of Amount Bid PROJECT: (Name, location or address, and Project number, if any) Berlin Place #2 Division B Electrical This document has important legal consequences. Consultation with an attorney Is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of thin Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 13th day of June 2017 Atj. Herrman & Goetz, Inc. jQ,ttJ.SU (Print' (Seal) (Witness) oRa� (Title) o as an President $ 26 Conti 01 Casualty Company L1 (S ty) (seal) f®g7 le)Tracie House , to ne -in-Fat Printed in cooperation with the American Institute of Architects (AIA). The language In this document conforms to the language used In AIA Document A310 - Bid Bond - 2010 Edition. POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire insurance Company of Hartford, rm IlIinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called "the CNA Companles"), are duly organized and existing insurance companies having their principal offices in the City of Chicago, and State of Illinois, and that they do by virtue of the signatures and seals herein affixed hereby make, constitute and appoint Traciie House , Individually of South Bend, IN their true and lawful Attorney -in -Fact with full power and authority hereby conferred to sign, seal and execute for and on their behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - SuretyBondNo.: Bid Bond Principal: Herrman & Goetz, Inc. Obligee: City of South Bend - Office of Board of Public Works and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duly adopted, as indicated, by the Boards of Directors of the insurance companies. In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this 5th day of April, 2017. �pA5ugtT� 1HSURt,t,C� Cymv10o.� Q GOAVOA.IFE'oRPaRQr4t Z0 SEAL Pa ,� f uisYl3i ro 7 01 MAP • Continental Casualty Company National Fire Insurance Company of Hartford American Camialty Company of Re ding, Pennsylvania Paul T. Bruflat Wee President State of South Dakota, County of Minnehaha, ss: On this Sth day of April, 2017, before me personally came Paul T. Bruflat to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company described in and which executed the above instrument; that he knows the seals of said insurance companies; that the seals affixed to the said instrument are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that be signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance companies. I MOHR RMA PUBM WVMVMAWTA My Commission Expires June 23, 2021 J. Mohr Notary Public CERTIFICATE I, D. Johnson, Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company do hereby certify that the Power of Attorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance companies printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance companies this 13th day of Jane , 2017, l aP~ Gi t4py � kust; t �� may` arofi GOR►':MTB 10 `� `t�Q9PCRQr t�v SEAL I JuiYz 1, F 1897 �� HAii�F� • Form F6853-4/2012 Continental Casualty Company National Fire Insurance Company of Hartford American Casualty Company of Reading, Pennsylvania D. Johnson 00 Seoretary Authorizing Sy -Laws and Resolutions ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company at a meeting held on May 12, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of Continental Casualty Company. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25'11 day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company. " ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May I0, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of National Fire Insurance Company of Hartford. This Power of Attorney is signed and seated by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25°i day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers')to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company, " ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of American Casualty Company of Reading, Pennsylvania. This Power of Attorney is signed and seated by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 251s day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company. " 'I ry i R PART 11 (Complete sections 1, 11. and Ill for all State and local [)ethic works projects} These statements to be submitted under oath by each bidder with and as a part of -his bid. (Attach additional pages for each section as needed.) SECTION I EXPERIENCI? QIIESTi®NNAIRE 1, What public %V01-kS projects has ynur car aniza[inn coniplcted? Contract Amount Class of Wort: When Completed Name and Addt•ess of Owner $2,781,321. Mechanical 2/2016 Buchanan Schools -Middle School $ 689,037. Electrical 4/2016 Elkhart CSO 6 & 7 384, 000. Mechanical 2 2015 Rochester Community Schools 2. What public works projects has ynut- organisation now in proccsS O('conStruction: contract AiIiount Class of When Wol-k Completed Name and Address (if Owner $,2 AL8,_ Electrical 4/201.7 E. Pulaski. Schoo_.l $ 834,301.60 Electrical 9/2017 Niles Community Schools -Ring bard 4 627 066. Mechanical 12/2017 Rochester Community Schools-H.S. 3. Have; you eves- failed to complete any Nvmrl< awarded to you? no l('so, where ancf Why? 4. List mfcrcnces from private firms for which you have perfi61-11led work. MernQiaLQ�pz��._of _South Bend .`_f___ ___-._.-._Nonywel_1-__. St. Joseph Regional Med Ctr. Mish & Plymouth Bethel College Utilimaster Uuifrax er `I'SC 215161 Bid Form Section 00 31 00-7 2 I 4 a I-twe yoI+ c V,2r I;AIIc"d to c. nal le le' ::any work aw,:aidr-rl to you rro If so, wPrf re and why'1 List i efers ni.es frorrI pnvaf terra lot whicII you haver peifoiiIred work 0 [_.south mend lion eywe].l —c azz�r &cami-- ---......__. _...-----.. _ _. __. Bethel College utilimaster T.,.. Dreyfus Agricultural Unifrax Holy Cross College Waste Management Special Metals SECTION it PLAN AND EQUIPMENT QUESTIONNAIRE Explain your plan or layout for pee owning proposed worts. (Examples could mclude a narrative o€ when YOU could begin work, complete tfae project, number of workers, etc. and any other inforrnation which you believe would enable the governmental unit to consider your bid ) In con.unction with construction manager and other trades. Please list the navies 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 see attached sheet If you intend to sublet any potion of the work, state the name and address of each subcontractor. equipment to be used by the subcontrEactor, and Whec her you will require a bond. However, if you are unable to currently provide a listing, please understand a listir-ag must be provided prior to contracl approval. Until the completion of the proposed project, you are cinder a continuing obligation to immediately notify the r.-IovE. mmc- rWal crrait iri the event th at you subS(?CJuently determine that you will use sr.ibGontractor on the proposed I.)roject. unknown at this time. What equipment clo you have avaiiable to use for the proposed project? Any equipment to be used by subcontractors may ialso be regUil&-.1 to be fisted I;y the tjovernrnentai umt As rec ired_ Have you eiraitered into t ortrLo: j or , {.:clued offl_:rs ro= ,all rn.aterials which substantiate [lie pi-wes risr d in preparing your proposal'] If not, please explain the rationale used which wrruld corroborate the pr6'-'s listed. Yes SECTION Oil CONTRACTOR'S FINANIICIAL STATEMENT Attachment of bidder's fmaiacial statement is naandatory. Any bid submitted without said financial statement as rec;uired by statute shall thereby be rendered invafid. The financial statement provided hereunder to the governing body awarding the contract musi fie specific enough in detail so that said governing body can rraal e a proper determination of the bidder's capability for completinq the project if awarded. 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. 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 rumble 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 Indiana } ) SS: Sr - .TosPpL COUNTY } The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: I. 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 refi-ain 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. Version 4/1712015 Contractor's Bid for Public Works - 4 Contractor agrees that he/sbe/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1).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 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 t 3rh day of Tina, 2017 Herrman & Goetz, Inc. Contractor/Bidder (Firm) rgnaturc o ontra ir or ddeIts Agent Larry Cripe, Power -of -Attorney Printed Name and Title Subscribed and sworn to before me thisy ith day of .r,,,,a 520 17 My Commission Expires 7 / 1312022 2 .dam Notary Public Catherine J . Gruber County of Residence St. Joseph Version 4/17/2015 Contractor's Bid for Public Works - 6 a IN � rl re © » �x� 6v©- 2J�x*:c : � /� � . � �w2 �� t� � ;�2 G �� u POWER OF ATTORNEY 1, Thomas J. Herrman, President and Resident Agent of an Indiana Corporation in good standing known as Herrman & Goetz, Inc., do hereby nominate and appoint Larry Cripe, an employee of said Corporation, who resides at 67050 Yankee Lane, Edwardsburg, Michigan to act as attorney -in -fact to do the following acts for me in my name, as President and Resident Agent. 1. To possess the full powers to execute and enter into. all business related contracts on behalf of the Corporation, as any other authorized agent of said Corporation would have the ability to sign/execute, including myself. 2. The powers granted by this document shall begin on July 1, 2016 and conclude/expire on June 30, 2017 or to such other extended time as shall be made by written faxed extension executed by me to this authorization. 3. The powers extended by this document may be filed for record in any public office as just circumstances might dictate and the original and all executed duplicates shall have equal force, validity and effect. I declare, as President and Resident Agent of Herrman & Goetz, Inc. that any lawful act or thing done under the powers granted by this Power of Attorney, shall be binding on the Corporation. IN WITNESS WHEREOF, I, Thomas J. Herrman, President and Resident Agent of Herrman & Goetz, Inc. have signed this instrument on this the 23rd day of June, 2016. Thomas J. Herrman President and Resident Agent Herrman & Goetz, Inc. Subscribed and sworn to before me, a Notary Public, residing in St. Joseph County, State of Indiana, this the 23rd day of June, 2016 c44 Catherine J. Gr ber Notary Public Residing in St. Joseph County, State of IN My Commission Expires 7/13/2022 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 13tht" 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 X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X 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 MBEANBE 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 X Form [MWBE-2.1]. X Acknowledge Receipt of 1 Addendum(s) included with the bid. x All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either X printed or typed underneath signature. X 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: Herrman & Goetz, Inc. Date: June 13, 2017 By Authorized Representative: Signature: Print Name & Title: rry Crive, Power -of -Attorney Version 4/17/2015 Contractor's Bid for Public Works - 1 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name "Berlin Place -- BP#2 Electrical, Mechanical, & Plumbing" Project No. 117-048R For Bids Due Tuesday, June 13th1, by 9:30am PART (Must be completed for all bids. Please type or print) Date: .Lune 13, 20I7 Bidder (Firm): Herrman & Goetz, Inc. Address: 225 S. Lafayette Blvd. Citylstate/zip: South Bend, IN 4660tTelephoneNumber: ( 574 ) 282-2596 Agent of Bidder (if Applicable): N/A Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: RPr1 I" P1 ara—RPJ/2 F.l art rl ral , MPrhani ral & Pl ttmh [_ng the City of South Bend, Indiana, in accordance with plans and specifications prepared by: TWG ConstructiQn..LLC and dated May 19, 2017 for the sum of (enter the Total Bid as shown on the Proposal) Six million four hundred seven two thousand ninety six ($ 6,472,096.00 ) (Enter sum of Total Division A Bid on Proposal) Dollars (Numerical) (Enter sum of Total Division B Bid on Pr000sah (Numerical) Enter sum of Total Division C Bid on Proposal) (Numerical) (Enter sum of Total Division D Bid 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. 91 By {Signs ure} ( rinsed Name of Person Signing} The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member ACCEPTANCE day of Suzanna M. Fritzberg, Member Therese J. Dorau, Member James A. Mueller, Member Attest: Linda M. Martin, me Version 4/17/2015 Contractor's Bid for Public Works - 2 (0)II-1plek: !;eutiow. L 11- and I I I Cor A man and bc,d plihlk: jwccts-) I'llesc sfalem41 1s to be SubillittOd LflldeF oath by CNCh bid&i- %vith and as a parr ol' his bid. (Attach additional pages Or nadi section as nccdcdj Sl,',("1'1()N I UAPUTIVACE, QIJESTIONNAMF i. What public Conli-ilct works pt-oit"as 11".1's C I a Ss ill your kwgani/(Iioll When con)plclod? Nan)c and Addi,css of An -count Wol-k . ......... - ('0111pk2led Ownw $2,7S1,321. -- ------ Mechanical . . .... ............... .. 2/2016 ----- - Buchanan Schools -Middle School. $ 689,03V ecLrical 4/2016 Elkhart CSO 6 & 7 J_3 S 4 . QQQ1_ Commun"YAN22,11-E! W11,'11 j)L11')hC NVO110, 1)t'Oji�els has ynur orpu­6/,n(ion novv in pi,cwos�� of consti-tiedon: ";,q o w, I I Nnnic and cal' A111OU11( wnvk (:oj11p1(.1Cd Oowner t r is11_ j Pulaski School. Corp-H.S. $ 834,301.60 Electrical 9/2011 Niles Community Schools -Ring lardi Rochester Community Schools-H.S. i. Ave you ever RAW h) =jdew any Nwak owaRkd ki ..-,,jr so, w1wre and List 1-cicrences froul priwao hrills Ioj' which You h"we p(xlorul�_..d wol-k. 0 f , Kul h Tand. wayel )-.1 - - St, Q12RKRegional Ned Ct)-. Mish & Plymouth Bethel College — - --------- ------ Urilimaster UniFrax e 1, TSC 215161 Rid Vorgn Secko4g 01131 00-7 I( LJ o., if I Y VV I. i I I, , It . Ii Id VVI IV, " Bend Ho.. .neywell ....... Bethel ----- College L. Dreyfus Agricultural unifrax Holy Cross Collegil Waste ManmemprIt Special Metals 'LA.� I KA%l h /VIL.) FC)OW, - _1 Iq r- I 'j I ( -) U 17 :. -" 11( -) rd N A I FE ExWa& ywo pon or ayoul Q pp%n Hny proppo,.;e+ I v'jnrl' ( E �a I C (­;IjI: j j E I C, I ( I d rL, a I ­i:d['["7 tEvt-.. ()t vd)�- I -f YOU ISOM begui vwnlk. o I,.,, ploje'ct, ilunihi�r of ovorkers, ell-, and any oll-opinKmallon voidn yyj beleve would enaWe To guvennnentil unit K unnsIder your Ad In Conjunction with construction manager and other trades, 2. Rease HA to names and iddress s of aH subuy Kown s (I e persons or hnns Mode your ormi Nol ,who have Peaurwd Pat of Hie work) that you have used an jxUr vywhs pnqeds Airing the past five (5) yams alcog moh a bK0 rhan It mn it the kNork clone by each suNimtraclor See attached shee� YOU H'11011d to Met ally p0bul I W the vvuil• ' Ilx! We I Q n a and sojyss q pach 9 ; hcultralQ 'quipmen! Io he by tll(-; 'A:" I. -II ld v5111ljo-f VVlll Iequwt - a bcjnd. I-Iowa-ver' if you ar': Unable K a"erilly klruvulea irsnng, please 1-I0nvond a H&Wg MUSt Q ;Aovided prior to contract approval. Ufiit th(-, coifll:jl(!Ion of lhe jAnposed ondall YcH-1 ol! obllgalic)T io jntinedi�][(-ly IloNy •Illy YOJIwill unknown at this time. 4 Mat eqkpmeM do you hclvl.-_::I,! rII 1I11t' to be: U 1 -)y noy ahn ba nquired to be Iniad ley1110 Y"WISH011011VII Wi As required - Have you Mend HE) um% j05 of "UNVed 1=1 1 hV .Ili H kdOnah %M 110 SWVLWh&e U W I MUS I MAI 1i paparog ymy prop)IN? H rQ expl�lfjl IJ iL:- ratiuii,IlE I r-.;e.cj which W(fLif(i GC11 the pjjcc­,� listed Yes SECTM H! 5(A TIEMFNT ARachment of ma s wusicaii waomylt is nandskyy Any bid subimlled without said fir anaal Moment as reqwnsd by wakde shall Hiseby be roiclemd HMO The hii,--incial stalemp_rlt provided hereunder 10 the gova Ong body awadling Hoe contract m, at J-)[; sl)ecifo-, I detail so that said governing bady can make. -3 pfopl-_?i deten-ninahan of the KOO -,I :s 1ft' Ly for Ifaw�-'Irded 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. 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 prosImetive Contractor is unable to eertify to any of the stafeutents below, it shall attrreit an eLlVanation 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 Indiana ) ) SS: St _ .TnPph 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 rnernber, representative, or agent of the firm, company, corporation or partnership represented by hirn, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting not, 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, tee, 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 oftliis Certification, "Iran" means the government of lraat atad any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time-to-tirne. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -tithe, a Contractor is engaged in investment activities ill 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 pet -son for forty-five (45) clays 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 all unauthorized alien, nor retain any ernployee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Version 4/17/2015 Contractor's Sid 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 lmowingly 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 put -chase 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 ofsteel 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. 1 understand that violations hereunder may result in forfeiture of contractual payments. Version 4/17/2015 Contractor's Bid for Public Works - 5 ! hereby aftir111 under the penalties of per jury that the facts and information contained in the foregoing bid for public works are tare and correct. Dated this 13th day of June, 20_L7 Herrman & Goetz Inc. Contractor/Bidder (Finn) Signature Contr r/Bidder or Its Agent _Larry Cripe, Power —of —Attorney Printed Narne and Title Subscribed and sworn to before me this i ` th day of TnnL- , 20--17 My Cornrnission Expires 7/ 13/2022 Notary Public Catherine J. Gruber County of Residence St.Joseph Version 4/17/2015 Contractor's Bid for Public Works - 6 BIDIPROPOSAL CITY OF SOUTH BEND Project Name "Berlin Place — BP#2 Electrical, Mechanical, & Plumbing" Project No. 117-048R For Bids Due Tuesday, June 13tht" by 9:30am DIVISION A Item No. Description Quantity Unit Unit Price Total Amount 1 Provide and install full Electrical services' 1 LS $2,153, 650. 2 Provide and install full Mechanical services' 1 LS 1,850,000. 3 Provide and install full Plumbing services' 1 LS 2,468,446. DIVISION A BID TOTAL $6,472,096.00 DIVISION B Item Description Quantity Unit Unit Price Total Amount No. 1 Provide and install full Electrical services' 1 LS DIVISION B BID TOTAL DIVISION C Item No. Description Quantity Unit Unit Price Total Amount 1 Provide and install full Mechanical services' 1 LS 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 ' 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): Herrman & Goetz, Inc. Address: 225 S. Lafayette Blvd. City/State/Zip: Smith Rend, IN 4660T1elephone Number:282-2596 By--..... (Signature) L ry Cripe, P. 0. A. (Printed Name of Person Signing) Version 4/17/2015 Contractor's Bid for Public Works - 7 [3: W LU [l: ❑ LLLI Q 0 ulz� QQ mw00 �a F- U) m U mw�- �:F- 0zZ Q fA a. m O O LU m F- � W L^ Unw w m 93 in rQ w 0 _z W to ma m O O 4- 4M O m O O L CL Q CD C 7 O' E LO to N CU1 C Y � O E 6 CL ' 'd c . w ._ m � y'd 4- 0 O O c 3 c� Z CL 9 M N m N t 0 = O 3 5D Cl y Q N N 3 N G7 N -L.E (D O N -0-a .O :2 M 10 O 41) coO E 4o m O tm O � C Q..Q L E m� 7 O Q a-+ 0 L IM CL i way N E (B z U US .O 0. Td i O1 � m_ m m�uo M� CL a a n ro m c N D 0 E EO ¢W ❑m m m -o 0 �a a � -a ID a °1 O T O N r a U N O N t U a O � n � m C U � � m E Z d w m m a bl O `o Q v m Z r n C N Q1 E (4 z O r CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY - DEVELOPMENT PROGRAM' FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS 1865 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 MBEIWBE 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: Project Name: Bidder: Contact Person: Address: City: Email: 117-048R Date: Y..._... 13, 2917 "Berlin Place -- BP#2 Electrical. Mechanical. & Plumbina" Herrman & Goetz, Inc. Telephone: (574)28-59 6 995-Sfafayefr�Rlird 2n,Irh R,-nrl State: I N Zip: 46614 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 MBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA 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 r subcontracting opportunities. �j 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 MBE/WBEs 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 MBEIWBE 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 MBE/WBEs, 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 MBE/WBEs in order to increase the likelihood of meeting the MBEIWBE goals (including breaking down contracts into smaller units to facilitate MBENVBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBEIWBE that has i bid on the subcontracting opportunity: 1. Name, address, and telephone number; �V 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 MBEM/BE 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 r )Mr ,�. rnrr. 'b FORM MWBE-2.1 MBEIWBE CONTACTED 0465 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. PACE OF Project Number: 117-048R MBEIWBE Participation Project Name: "Berlin Place - BP#2 Electrical, Mechanical, & Plumbing" Bidder: rman & Goetz, Inc. B rry Cripe, Power -of -Attorney .tune 13, 2017 (Si atur (Title) (Date) MBE BE Firm SEE`,?INDIVIDUAL BID PACKAGES Owner or Contact at MBEIWBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: MBEIWBE Firm Owner or. Contact at MBE/WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBEIWBE FIRM: Version 4/17/2015 Contractor's Bid for Public Works - 10 1316 Couw-Y-Crry Bujr.urNE; 5{}UTI I BEND PI:'I'1 131F1" 1uai,, ;, PILO Ni; 574/235-9251 227 W-11T ITSON IIOU iNARD FAX 574/ 235-9171 Souru 131]Nu, INWANA 46601-1930 OARD OF I)MILI ' vV ORK TDD 574/ 235.5567 Date: To: From Subject June 7, 2017 All Bidders Linda M, Martin, Clerk, Board of Public Works Addendum Number: 1 Project Name: Berlin Place - BP92 Electrical, Mechanical, & Plumbing Project Number: 1 17-048 R ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: This addendl_1111 is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Note: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: P Authorized Signature: Date: �29 - / 7 POWER OF ATTORNEY I, Thomas J. Herrman, President and Resident Agent of an Indiana Corporation in good standing known as Herrman & Goetz, Inc., do hereby nominate and appoint Larry Cripe, an employee of said Corporation, who resides at 67050 Yankee Lane, Edwardsburg, Michigan to act as attorney -in -fact to do the following acts for me in my name, as President and Resident Agent. 1. To possess the full powers to execute and enter into, all business related contracts on behalf of the Corporation, as any other authorized agent of said Corporation would have the ability to sign/execute, including myself. 2. The powers granted by this document shall begin on July 1, 2016 and conclude/expire on June 30, 2017 or to such other extended time as shall be made by written faxed extension executed by me to this authorization. 3. The powers extended by this document may be filed for record in any public office as just circumstances might dictate and the original and all executed duplicates shall have equal force, validity and effect. I declare, as President and Resident Agent of Herrman & Goetz, Inc. that any lawful act or thing done under the powers granted by this Power of Attorney, shall be binding on the Corporation. IN WITNESS WHEREOF, I, Thomas J. Herrman, President and Resident Agent of Herrman & Goetz, Inc. have signed this instrument on this the 23rd day of June, 2016. Thomas J. Herrman President and Resident Agent Herrman & Goetz, Inc. Subscribed and sworn to before me, a Notary Public, residing in St. Joseph County, State of Indiana, this the 23rd day of June, 2016 Catherine J. Gr ber Notary Public Residing in St. Joseph County, State of IN My Commission Expires 7/13/2022