HomeMy WebLinkAboutOpening of Bids - Edison and Ironwood Rd. Corridor Rehabilitation - Walsh & Kelly, Inc.EL
TRANSVERSE MARKING,
53
THERMOPLASTIC, CROSSHATCH LINE,
183
LFT
YELLOW, 12 IN.
3.75
686.25
TRANSVERSE MARKING,
54
THERMOPLASTIC, STOP LINE, WHITE, 24
905
LFT
IN.
7.50
6,787.50
TRANSVERSE MARKING,
55
THERMOPLASTIC, CROSSWALK LINE,
3,465
LFT
WHITE, 6 IN.
2.00
6,930.00
PAVEMENT MESSAGE MARKING,
56
THERMOPLASTIC LANE INDICATION
44
EACH
ARROW
90.00
3,960.00
PAVEMENT MESSAGE MARKING,
57
23
EACH
THERMOPLASTIC ONLY
100.00
2,300.00
PAVEMENT MESSAGE MARKING,
58
2
EACH
THERMOPLASTIC R X R
650.00
1,300.Od
Bidder (Firm):
Address:
City/State/Zip
BASE BID TOTAL. $1,466,284.16
Walsh & Kelly, Inc.
24358 SR 23
South Bend, IN 46614 Telephone Number:
0%%11k�ttptto By - cs
e
�44y0'6� (Signature)
Dustin Hilary, South Bend Area Manager
�• RAT '; C� �,
. e m
(Printed Name of Person Signing)
.SEAL/�
P • ° c q
Version 10/17/2016 Contractor's Bid for Public Works - 9
'WTk ..� .
CITY OF SOUTH BEND wig a� 2
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITYt.
'(�':�°r?
DEVELOPMENT PROGRAMA[ �ry
FORM MWBE-2.0`
EVIDENCE OF GOOD FAITH EFFORTSu
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:
116-070
Date: 6/13117
Project Name: Edison Road Corridor Rehabilitation and Ironwood Corridor Rehabilitation
Bidder, Walsh & Kelly, Inc.
Contact Person
Address:
City:
Email:
Dustin Hilary Telephone:
24358 SR 23
South Bend State: IN
dustinh@walshkelly.com
574-288-4811
zip: 46614
To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE 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
M13ENVBE 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:/hvww.in.gov/Idoa).
ACTION (ADVERTISEICONTACT): In order for your bid to be deemed responsive, the City of South
Be9d'ra,quires that all perspective bidders complete no less than 2 of the following:
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 MBEIWBIs reasonable time to respond.
03. Perform any and all necessary steps to provide written notice in a manner reasonably calculated
to inform MBEMIBEs 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 MBENUBE 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 MBENVBE'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
MBEANBEs in order to increase the likelihood of meeting the MBENVBE 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
bid on the subcontracting opportunity:,
1. Name, address, and telephone number;
2. A descilption 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 MSE/VVBE 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 10/17/2016 Contractor's Bid for Public Works - I I
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
A
DEVELOPMENT PROGRAM0.1°'
FORM MWBE-2.1m�`'.:;
MBEIWBE CONTACTEDs'g�g:.�F'
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 1 OF 1
Project Number: 116-070 MBE/WBE Participation Goal
Project Name: Edison Road Corridor Rehabilitation and Ironwood Corridor Rehabilitation
Bidder: Walsh &. Kelly, Inc.
By: South Bend Area Manager 6/13/17
(Signature) Dustin Hilary (Title) (Date)
MBEANBE Firm Slusser's Green Thumb, Inc.
Owner or Contact at MBEIWBE Firm John Williams
Telephone: 800-762-7442 Fax: .74.722_2993 Email: info@_slussers.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Sodding
RESULTS OF CONTACT WITH THE MBEIWBE FIRM: Selected
MBEIWBE Firm
Owner or Contact at MBEANBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBEIWBE FIRM:
Version 10/17/2016 Contractor's Bid for Public Works -12
9
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A
1.
NECHUBB CROUP OF INSURANCE COMPANIES
Surety Department,15 Mountain View Road, P.O. Box 1615, Warren, NJ 07061-1615
C lNUBE3 Phone: (908) 903-3485 • Facsimile: (908) 903.3656
AIA DOCUMENT A31011m - 2010
BID BOND
Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable.
CONTRACTOR SURETY (Name, legal status and principal place of business):
(Name, legal status and address), Federal Insurance Company
Walsh & Kelly, Inc. 15 Mountain View Road
24358 State Road 23 Warren, N.J. 07059
South Bend, IN 46614
OWNER
(Name, legal status and address):
City of South Bend
1316 County -City Building
227 W. Jefferson Blvd.
South Bend, IN 46601
BOND AMOUNT:
In the amount of not less than five percent (5%) of the base bid plus any alternates.
PROJECT:
(Name, location or address, and Project number, if any)
Edison Rd Corridor Rehabilitation and Ironwood Rd Corridor Rehabilitation
Project No, 116-070
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 oonnection 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.
......... .
Pdnted in cooperation with the American Institute of Architects (AIA) by the Chubb Group of Insurance Companies. The language in this document
conforms to the language used in AIA Document AM w- 2010.
Form I5A2057&FED (Ed. 7-10)
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. ol���y®l/�o�'
Signed and sealed this 13th day of June, 2017. —J :' ° 0eOFATF •••
�Q; a
alowi
Walsh & Kell nc. �m • ' w
(Princlpal) (Ca'rp i;;a�l)..•°••�P °®°
(Witness) Alisha eger By
`!!!!l1111N1�`
Mtle/A46n Mary, South Bend Area Manager
(Witness) Davi iger
Federal Insurance Comnanv ,
(Federal Insurance Company)
3y:
(Attomey-in-Fact) Terry R. Hurst
►R �.�
Printed in cooperation with the American Institute ofArchitects (AIA) by the Chubb Group of Insurance Companies. The language In this document
conforms to the language used In AIA Document A310-- 2010.
Form 15-02.0575-FED (Rev. 9.10) 2
POWER Fedeyal Fend ance Company Attyi: Surety Department
Chubb Or Vigilant Insurance Company 15 Mountain Victor Road
Surety ATTORNEY Pacific Indemnity Company Warren, NJ 07059
Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC
INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint
Terry R. Hurst
as their two and lawful Attorney- In- Fact to execute under such designation In their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise, the following Surety Bond:
Surety Bond Number Bid Bond
Obligee
And the execution of such bond or obligation by such Attorney- in- Fact in the Componys name and on its behalf as surety thereon or otherwise, under its corporate seal, in
pursuance of the authority hereby conferred shall, upon delivery thereof, be valid and binding upon the Company.
In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested
these presents and affixed their corporate seals on this 'ISt day of March 2013.
Dawn M. Chloros, Assistant Secretary
STATE OF NEW JERSEY
ss.
County of Somerset
v
ice"
Richard. A. Ciullo, Vice President
On this 1 St day of March 2013 before me, a Notary Public of New Jersey, personally came Dawn M. Chloros, to me known to be Assistant Secretary of FEDERAL
INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the
said Dawn M. Chloros, being by me duly sworn, did depose and say that she Is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE
COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and
were thereto affixed by authority of the By- Laws of sold Companies; and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority; and
that she Is acquainted with Richard A. Ciullo, and knows him to be Vice President of said Companies; and that the signature of Richard A. Ciullo, subscribed to said Power of
Attorney is in the genuine handwriting of Richard A. Clullo, and was thereto subscribed by authority of said By- Laws and in deponents presence.
pfJgY
Notarial
Seal }iroTear':
:t
PU�IIG
Nd1
WENDIE WALSH
Notary Public, State of New Jersey
No. 0064604
Expires April 18, 2018
Notary
Public
CERTIFICATION
Extract from the By- Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY:
All powers of attorney for and on behalf of the Company may and shall be executed In the name and on behalf of the Company, either by the Chairman or the
President or a Vice President or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary, under their respectiva designations. The
signature of such officers may be engraved, printed or lithographed. The signature of each of the following officers: Chairman, President, any Vice President, any
Assistant Vice President, any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any
certificate relating thereto appointing Assistant Secretaries or Attorneys- in- Fact for purposes only of executing and attesting bonds and undertaldngs and other
writings obligatory In the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding
upon the Company and any such power so executed and cartilied by such facsimile signature and facsimile seal shall be valid and binding upon the Company
with respect to any fond or undertaking to which it is attached.'
I, Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the 'Companies')
do hereby certify that
(i) the foregoing extract of the By- laws of the Companies Is true and correct,
(il) the Companies are duly licensed and authorized to transact surety business In all 50 of the United States of America and the District of Columbia and are
authofized by the U.S. Treasury Department; further, Federal and Vigilant are licensed in Puerto Rico and the U.S. Virgin Islands, and Federal is licensed in
American Samoa, Guam, and each of the Provinces of Canada except Prince Edward Island; and
° :(iQ) th.e foregoing Pawarof Attorney is true, correct and In full force and effect.
,
Given'under my hond'and seals of said Companies at warren, NJ this 13rh day of June, 2017.
2—A
Mum'
Dawn M. Chloros, Assistant Secretary
IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,
PLEASE CONTACT US AT ADDRESS LISTED ABOVE, OR BY Telephone (908) 903- 3493 Fax (908) 903- 3656 e-mail,. sarety0chubb.com
Form 15-10- 01548- SurePath (Rev.03.13) CORP CONSENT
Part of State Form52414 (R212-13) Form 96 (Revised 2013)
BID OF
Walsh & Kelly, Inc.
(Contractor)
(Address)
South Bend IN 46614
FOR
PUBLIC WORKS PROJECTS
OF
City of South Bend, Board of Public Works
Edison Rd Corridor Rehabilitation and
Ironwood Rd Corridor Rehabilitation
Project No. 116-070
Filed June 13t"_,_2017
Action taken
State Form 52414 (R /9-10)
Prescribed by State Board of Accounts Form No. 96 lRevised 2013
CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96
PART
(To be completed for all bids. Please type or print)
Date (month, day, year): June 13, 2017
1. Governmental Unit (Owner): City of South Bend, Board of Public Works
2. County:
3. Bidder (Firm):
Address:
City/State:
4. Telephone Number:
5. Agent of Bidder (If applicable):
St, Joseph
Walsh & Kelly, Inc.
24358 SR 23
South Bend M 46614
574-288-4811
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of City of South Bend (Governmental Unit) in accordance with plans and specifications prepared
by I_ochmueller Group, Inc. dated June 2017 for the sum of See Attached $ See
Attached
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 Governmental Unit. If the bid is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or
applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or
indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant
may be regarded as a material breach of the contract.
CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS
(If applicable)
I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation
to use steel products made in the United States. I.C. 5-16-8-2. I hereby certify I and all subcontractors employed by me
for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in
forfeiture of contractual payments.
ACCEPTANCE
The above bid is accepted this day of
Contracting Authority Members:
subject to the following conditions:
PART 11
(For projects of $150,000 or more --- IC 36-1-12-4)
Governmental unit: City of South Bend, Board of Public Works
Bidder (Firm): Walsh & Kelly, Inc.
Date(month, day, year)
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
I . What public works projects has your organization completed for the period of one (1) year prior to the date of
the current bid?
Contract Amount
Class of Work
When Completed
Name and Address of Owner
$6,030,341
Resurface
December 2015
Lake County Hwy Dept.
$5,758,069
Resurface
November 2015
Town of St. John
$4,461,632
Reconstruction
December 2015
INDOT
$3,571,923
Reconstruction
July 2015
INDOT
2. What public works projects are now in process of construction by your organization?
Contract Amount
Class of Work
When to be Completed
Name and Address of Owner
$5,080,808
Reconstruction
November 2017
City of South Bend, M
$5,938,220
Resurface
October 2017
INDOT
$5,775,000
Reconstruction
November 2016
Town of Merrillville, IN
$3,102,502
Reconstruction
October 2016
INDOT
3. Have you ever failed to complete any work awarded to you? No If so, where and why?
4. List references from private firms for which you have performed work,
Gatlin Plumbing & Heating, Inc, I I I I E. Main St., Griffith IN Ms. Clara Mufl2by
Gou h Inc. 2200 E. 88"` Dr, Merrillville IN 46410 Mr. Raymond Gough
Dyer Construction Co. 1716 Sheffield Avenue Dyer, IN Janet Furman
Grinnner Construction Co. Inc. 261.9 Main Street Highland, IN Mr. Greg.Grimmer
SECTION Il PLAN AND EQUIPMENT QUESTIONNAIRE
1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could
begin work, completed the project, number of workers, etc. and any other information which you believe would
enable the governmental unit consider your bid.)
As required by owner
2. Please list 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.
See Attached List
3. If you intend to sublet any portion of the work, state 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 governmental unit in the event that you
subsequently determine that you will use a subcontractor on the proposed project,
Will supply upon award of contract
4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors
may also be required to be listed by the governmental unit.
QUANTITY
ITEM[
DESCRIPTION,
SIZE, CAPACITY,
ETC.
CONDITION
YEARS
OF
SERVICE
PRESENT LOCATION
5
Asphalt Plants
Various
Good
Griffith, South Bend,
Valparaiso, Lowell, LaPorte,
18
Asphalt Pavers
Various
Good
Griffith, South Bend
4
Sli form Conc. Paver
Comm II
Good
Griffith, South Bend
3
Road Widener
Various
Good
Griffith, South Bend
5
Motor Graders
CAT/J.D.
Good
Griffith, South Bend
48
Rollers
Various
Good
Griffith, South Bend
31
Rubber Tire Loaders
Various
Good
Griffith, South Bend
15
Excavators
Various
Good
Griffith, South Bend
8
Bulldozers
Various
Good
I
Griffith, South Bend
6
LowBoy Tractors
Various
Good
Griffith, South Bend
7
Flatbed Dumps
Various
Good
Griffith, South Bend
39
%Z and Y4 ton Pickups
Various
Good
Griffith, South Bend
59
1 Ton Crew Trucks
Various
Good
Griffith, South Bend
3
Cold Planers
Wirtgen 1900
DC
Good
Griffith, South Bend
3
Tri-Axle Dump
Mack
Good
South Bend
5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing
your proposal? Otherwise, please explain the rationale used which would corroborate the prices listed.
Yes, we received quotes from potential subcontractors and suppliers
4
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 governing body awarding
the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's
capability for completing the project if awarded.
SECTION IV CONTRACTOR'S NON -COLLUSION AFFIDAVIT
The undersigned biddex or agent, being duly sworn on oath, says that he has not, nor has any other member,
representative, or agent of the firm, company, corporation or partnership represented by him, entered into any
combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to
prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference
to any other bid and without any agreement, understanding or combination with any other person in reference to such
bidding.
He 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
SECTION V OATH AND AFFIRMATION
I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION
CONTAINED IN THE FOREGOING BID FOR PRBLIC WORKS ARE TRUE AND CORRECT.
Dated at South Bend this 13"` A day of June 2017.
*`,1►4{tilifd11I'd &61
W S KeIZI,1�
1 N/: /� e ame of tion)
OAPORA
�+Y P S A �
•� E L f r
• Dustin Hilga, Area Manager
0
o�i ••�''••......••'•� eo` (Title of Person Signing)
ACKNOWLEDGEMENT
STATE OF Indiana
) ss
COUNTY OF St. Joseph _ )
Before me, a Notary Public, personally appeared the above -named Dustin Hil_aryand
swore that the statements contained in the foregoing document are true and correct.
Subscribed and sworn to before me this 13' day of June 2, 017. _L
Aa Krueger, Notary Publi
My Commission Expires: June S 2022
ALISHA RVr�O��w
RUEGEFt
,`�15�14EHIf�i�/A�r���
�Y"�(.�c'` Notary Public, State of Indiana
County of Residence: St. Joseph �a�
""SEAL" "=
St. Joseph County
•, �..,�•
My CommissionExplrax
June 05, 2022
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General Form No. 96-a
Prescribed by the State Hoard of
Accounts of Indiana. Revised 1949.
Standard Questionnaires and
Financial Statement for Bidders
Prescribed by
THE STATE BOARD OF ACCOUNTS OF INDIANA
For use in investigating and determining the qualifications of bidders on public
construction when the aggregate cost of any such work or improvement will be Five Thousand
Dollars or more.
These statements to be submitted under oath by each bidder with and as a part of his bid, as provided
by Chapter 306, page 1248, Acts of 1947
Submitted to City of South Bend, Board_ of Public Works
By Walsh & Kelly,Inc.
Address 24358 SR 23 South Bend IN 46614
Date submitted June 13'h, 2017
Filed
A.E. ROYCE M, MUNCIE, IND.
IA Corporation
1
Sec. 2 of an Act entitled "AN ACT concerning the awarding of contracts for the performance of public work and
authorizing the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contractors who
submit bids for the performance of such work, providing for plans and specifications, providing for bids repealing certain laws
and declaring an emergency." (Approved March 13, 1947.)
Sec. 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000,00) or more, for
the purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which of the bidders
submitting bids for the performance of any such public work is, in the judgment of such board, commission, trustee, officer or
agent, the lowest and/or best bidder and to exercise intelligently the discretion hereby conferred on such board, commission,
trustee, officer or agent each bidder shall be required to submit under oath with and as a part of his bid a statement of his
experience, his proposed plan for performing such work and the equipment which he has available for the performance of such
work and a financial statement, The statements hereby required shall be submitted on forms which shall be prescribed by the state
board of accounts, The forms so prescribed shall be designated, respectively, as the experience questionnaire, the plan and
equipment questionnaire and the contractor's financial statement, and shall be based, so far as applicable, on the standard
questionnaires and financial statement for bidders as approved and recommended by the joint conference on construction
practices, for use in investigating the qualifications of bidders on public construction work, and the forms so prescribed are
hereby prescribed as the forms which shall hereafter be used by all such boards, commissions, trustees, officers and agents in
obtaining the information which is required in the administration of this act. If the information submitted by any bidder on the
forms herein prescribed is found, on examination, to be unsatisfactory, the bid submitted by such bidder shall not be considered.
(Burns Statutes 1933, Sec. 53-109) Sec. 2, Chapter 306, Acts of 1947.
TO THE BIDDER —
The following forms of questionnaires and financial statement are prescribed by the State Board of
Accounts in conformity with the statute set out on the preceding page.
These forms, properly filled out and attested, must accompany each bid of five thousand dollars or
more on any public work.
The forms are designed to cover all contracts for all kinds of work and the bidder is required to
answer such questions as are pertinent to the work upon which he is bidding. The purpose of the
questionnaire and financial statement, as set forth in the law, is to enable the awarding body to determine
the qualifications of the bidder to carry out successfully the contract if the same is awarded to him.
The bidder will find it to his advantage to answer fully all questions coming within the range of the
work upon which he is bidding. Particular attention should be given the "Financial Statement" and the
details relative to the assets and liabilities set out. This form is made in extensive detail so that the bidder
may explain his assets and liabilities in proper sequence and in a uniform manner.
T. M. HINDMAN,
State Examiner
Submitted by Walsh & Kelly,Inc. € x A Corporation
Principal Office at 1700 East Main Street Griffith IN 46319
To___...C......ity of South Bend, Board of Public Works
EXPERIENCE QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers
to interrogatories hereinafter made.
1. How many years has your organization been in business as a general contractor under your present
business name? 60 Years
2. How many years experience in as halt paving construction work has your organization had: (a)
As a general contractor 70 years (b) As a sub -contractor 70 Years
3. What projects has your organization completed?
Contract Amount
Class of Work
When Completed
Name and Address of Owner
$ 6,030,341
Resurface
December 2015
Lake County Hwy Dept.
$ 5,758,069
Resurface
November 2015
Town of St. John, IN
$ 4,461,632
Reconstruction
December 2015
INDOT
$ 3,571,923
Reconstruction
July 2015
INDOT
3-A. What projects has your organization now in process of construction?
CONTRACT AMY CLASS OF WORK
WHEN TO BE COMPLETED
NAME AND ADDRESS OF OWNER
$ 5,080,808
Reconstruction
November 2017
City of South Bend, IN
$ 5,938,220
Resurface
October 2017
INDOT
$ 5,775,000
Reconstruction
November 2016
Town of Merrillville, IN
$ 3,102,502
Reconstruction
October 2016
INDOT
4. Have you ever failed to complete any work awarded to you? No If so, where and why?
5. Has any officer or partner of your organization ever been an officer or partner of some other
organization that failed to complete a construction contract? No If so, state name of individual,
other organization and reason therefore
6. Has any officer or partner of your organization ever failed to complete a construction contract
handled in his own name? No If so, state name of individual, name of owner and reason therefor
7. In what other lines of business are you financially interested? None
4
For what corporation or individuals have you performed work, and to whom do you refer?_
BP AmocoWhitin Indiana
Tonn & Blank Construction 1623 Greenwood Ave. Michigan City, IN 46360
Grimmer Construction Co. Inc. 2619 Main Street Highland, IN 46322
University of Notre Dame South Bend Indiana
Gough, Inc, 1151E Summit Crown Point IN 46307
9. For what cities have you performed work and to whom do you refer?
Town of Griffith
Director of Public Works
Griffith,.IN
Town of Schererville
Town Manager
Schererville IN
Cit of Hammond
City Engineer
Hammond IN
City of South Bend
City Engineer
South Bend, IN
Town of St. John
Town Manager
St. John IN
10. For what counties have you performed work and to whom do you refer?
Lake County
Highway
Superintendent
Crown Point, IN
Porter County
Highway
Superintendent
Valparaiso, IN
St Joseph County
Highway
Superintendent
South Bend, IN
Elkhart County
Highway
Su erintendent
ElkhartIN
11. For what State bureaus or departments have you performed work and to whom do you refer?
Indiana Department of Transportation INDOT LaPorte District Laporte IN
Department of Natural Resources Indianapolis, IN
12. Have you ever performed any work for the U.S. Government Yes
If so, when and to whom do you refer?
U.S. Army Co1ps of Engineers Chicago, IL
Indiana National Guard Dept, of Administration Indianapolis, IN
Federal HighwayHighwqy Administration Sterling, VA
13_ What is the construction experience of the minciDal individual of your oreanization?
INDIVIDUAIJS NAME
PRESENT POSITION OR
OFFICE
YEARS OF
CONSTUCT
ION
EXPEREIN
CE
MAGNITUDE AND
TYPE OF WORK
IN WHAT CAPACITY
Kevin J. Kelly
President
32
All Types
General Mana er
Jeffrey L. Swan
Executive Vice President
33
All Types
Supt. Engineering
David Misirly
Vice President
30
Bituminous Paving.....Engineer
Greg Hoffman
Vice President
30
Bituminous Paving
Engineer
Lynn Bauer
South Bend Ops Mgr
22
All types
Engineer
Dustin Hilary
South Bend Area Mgr
16
All types
Engineer
Mark Krachenfels
Engineer
27
Bituminous Paving
Engineer
Douglas Kesler
Engineer
42
Bituminous Paving
Engineer
PLAN AND EQUIPMENT QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers
to interrogatories hereinafter made.
1. In what manner have you inspected this proposed work? Explain in detail.
Plans Specifications, and Site Inspections
2. Explain your plan or layout for performing the proposed work
As directed by owner/engineer
3. The work, if awarded to you, will have the personal supervision of whom?
Kevin J. Kell Jeffrey L. Swan David Misirly, Greg Hoffman Dustin Hilary, and Lynn Bauer
4. *Do you intend to do the hauling on the proposed work with your own forces? Yes
If so, give amount and type of equipment to be used As needed
5. *If you intend to sublet the hauling or perform it through an agent, state amount of sub -contract or
agent's contract, and if known, the name and address of sub -contractor or agent, amount and type of
his equipment and financial responsibility
Items 4,5,6 and 7 may not be applicable in all building contracts; if not, omit.
6. *Do you intend to do the grading on the proposed work with your own forces?
If so, give type of equipment to be used
7. *If you intend to sublet the grading or perform it through an agent, state amount of sub -contract or
agent's contract, and, if known, the name and address of sub -contractor or agent, amount and type of
his equipment and financial responsibility
8. Do you intend to sublet any other portions of the work? If so, state
amount of sub -contract, and, if known, the name and address of the sub -contractor, amount, and type
of this equipment and financial responsibility
9. From which sub -contractors or agents do you expect to require a bond? None
10. What equipment do you own that is available for the proposed work?
QUANTITY
ITEM
DESCRIPTION,
SIZE, CAPACITY,
ETC.
CONDITION
YEARS
OF
SERVICE
PRESENT LOCATION
5
Asphalt Plants
Various
Good
Griffith, South Bend,
Valparaiso, Lowell, LaPorte
18
Asphalt Pavers
Various
Good
Griffith, South Bend
4
Slipform Conc. Paver
Various
Good
Griffith, South Bend
3
Road Widener
Various
Good
Griffith, South Bend
5
Motor Graders
CAT/J.D.
Good
Griffith, South Bend
48
Rollers
Various
Good
Griffith, South Bend
31
Rubber Tire Loaders
Various
Good
Griffith, South Bend
15
Excavators
Various
Good
Griffith, South Bend
8
Bulldozers
Various
Good
Griffith, South Bend
6
LowBoy Tractors
Various
Good
Griffith, South Bend
7
Flatbed Dumps
Various
Good
Griffith, South Bend
39
'/z and 3/ ton Pickups
Various
Good
Griffith, South Bend
59
1 Ton Crew Trucks
Various
Good
Griffith, South Bend
3
Cold Planers
Wirtgen 1900
DC
Good
Griffith, South Bend
3
Tri-Axle Dump
Mack
Good
South Bend
7
11. What equipment do you intend to purchase for use on the proposed work, should the contract be
awarded to you?
QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC. I APPROXIMATE
COST
None
12. How and when will you pay for the equipment to be purchased? NIA
13. Do you propose to rent any equipment for this work?No If so, state type, quantity and reasons for
renting
14. Have you made contracts or received firm offers for all materials within prices used in preparing your
proposal?
Do not give names of dealers or manufacturers
Dated at South Bend this 13t" day
1004 t KE(Cy
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d� .LDRPOR�r eC��
'a s
SE3.8�a°a w
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STATE OF Indiai /ViD I AL`It%%%
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{ SS.
COUNTY OF St. Joseph
(Name
I:
of Person Signing)
Dustin Hilary being duly sworn deposes and says that he is Area Manager of the
above Walsh & Kelly, Inc.
(Name of Organization)
and that the answers to the questions in the foregoing questionnaires and all statements therein contained
are true and correct.
Subscribed and sworn to before me this 13t1` day f June, 2017
Alisha ge , Notary Public
My Commission expires June 5, 2022
ALISHA KRUEGEH
Notary Public. State of Indiana
$SEAL,"°
St, Joseph County
r •, r z
My Commission Expires
June05,2022
State of Indiana
Office of the Secretary of State
CERTIFICATE OF EXISTENCE
To Whom These Presents Come, Greeting:
I, CONNIE LAWSON, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of
the State of Indiana, the custodian of the corporate records and the proper official to execute this
certificate.
I further certify that records of this office disclose that
WALSH & KELLY INC
duly filed the requisite documents to commence business activities under the laws of the State of
Indiana on March 29, 1966, and was in existence or authorized to transact business in the State of
Indiana on March 06, 2017.
I further certifiy this Domestic For -Profit Corporation has filed its most recent report required by
Indiana law with the Secretary of State, or is not yet required to file such report, and that no notice of
withdrawal, dissolution, or expiration has been filed or taken place.
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City
of Indianapolis, March 06, 2017
CONNIE LAWSON
SECRETARY OF STATE
194484-057 / 2017243606
Verify this certificate:https://bsd.sos.in.gov/ValidateCertificate
MINUTES OF THE ANNUAL MEETING OF THE BOARD OF DIRECTORS OF WALSH &
KELLY, INC., HELD Wednesday, JUKE 1, 2016, AT 4:00 P.M.
A meeting of the Board of Directors of Walsh & Kelly, Inc. was held telephonically on June 1, 2016,
at 4:00 P.M., following prior telephonic notice to all Directors.
The meeting was attended by the following Directors: Kevin J. Kelly, James Fehsenfeld and
Thomas Bertsch. Directors absent with proxy provided included Fred Fehsenfeld,Jr., and John
Veremysse. Kevin J. Kelly, President and Chief Executive Officer of Walsh & Kelly, Inc. acted as
Chairman of the meeting.
The meeting was called to order by Kevin J. Kelly. The purpose of the meeting was to elect officers
and appoint those persons with authority to enter into contracts on behalf of the corporation. It was
noted that John C. Wall has been appointed as Vice President and EEO Officer.
On a motion duly made and seconded, the following resolution was unanimously adopted:
"BE IT RESOLVED, that the following persons with full knowledge and the consent of the Board of
Directors, are to serve as Officers of the Corporation until the next annual meeting of the Board of
Directors in 2017, said date and time to be determined:
Kevin J. Kelly, President and Chief Executive Officer
Jeffrey L. Swan, Executive Vice President
John M. Peisker, Vice President of Asphalt Operations
David J. Misirly, Vice President
Gregory A. Hoffman, Vice President
John C. Wall, Vice President and EEO Officer
J. Michael Schaum, Secretary and Treasurer, CFO"
On a motion duly made and seconded, the following resolution was unanimously adopted:
`BE IT RESOLVED, that the following persons with full knowledge and the consent of the Board
of Directors, are authorized to act as agents, and to execute any and all documents on behalf of Walsh
& Kelly, Inc. related to business interests of Walsh & Kelly, Inc., particularly to execute contracts on
behalf of the corporation, namely:
Kevin J. Kelly, President and Chief Executive Officer
Jeffrey L. Swan, Executive Vice President
John M. Peisker, Vice President of Asphalt Operations
David J. Misirly, Vice President
Gregory A. Hoffinan, Vice President
Dustin P. Hilary, South Bend Area Manager
Lynn J. Bauer, South Bend Operations Manager
John, C. Wall, Vice President and EEO Officer
J. Michael Schaum, Secretary and Treasurer, CFO"
There being no further business to come before the meeting, on motion duly made, seconded and
unanimously adopted, the meeting was adjourned.
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Kevin J. Kelly, President
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J. M' ael Schaum, Secretary\\� E �,.,.•.....,,°°%,���
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Walsh & GRIFFITH SOUTH BEND
1700 East Main Street 24358 State Road 23
Griffith, Indiana 46319 South Bend, Indiana Kelly.c. Phone (219) 924-5900 Phone (574) 288-4811
Fax (219) 924-8768 Fax (574) 289-7174
www.walshkeliy.com
EQUAL EMPLOYMENT OPPORTUNITY POLICY
I. It is the policy of this Company to assure that the applicants are employed, and that employees are treated
during employment, without regard to their race, religion, sex, color, national origin, age, association with
the Vietnam era or any other war, disability, genetic information, citizenship status, military status, veteran
status, ancestry, or any other status protected under applicable law. Such action shall include: employment,
upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay
or other forms of compensation; and selection for training, including apprenticeship, pre -apprenticeship,
and/or on the job training.
A. The Contractor will work with the State Highway Agency (SHA) and the Federal Government in carrying
out EEO obligations and in their review of his/her activities under the contract.
H. Vice President of Business Development; John C. Wall, shall be designated as Walsh & Kelly, Inc. Is
Equal Employment Officer. He will be responsible for all activities associated with the implementation of
all policies affecting equal employment opportunity.
III. Walsh & Kelly, Inc, assures nondiscriminatory recruitment by taking appropriate steps such as:
A. Placing employment advertisements in newspapers which serve the largest number of minority group
people in the recruiting area:
B. Recruiting through schools and vocational colleges having substantial proportions of minority
students.
C. Maintaining systematic contacts with minority and human relations organizations leaders referral of
qualified minority applicants.
D. Encourage present employees to refer minority applicants.
E. Make it known to all recruitment sources that qualified minority members are being sought whenever
there is luring.
IV. This policy is intended to comply with the Civil Rights Act of 1964, as amended, the Federal Highway Act
of 1968, the Executive Order 11246 and 11375, the Rehabilitation Act of 1973, as amended, the Disabled
Veterans and Vietnam Era Veterans Readjustment Act of 1974, as amended, the Indiana Civil Right Act,
and other Federal and State Laws and Regulations pertaining to Equality of Opportunity and Affirmative
Action Policies.
V. Forms for filing any complaints are available in the office located at 1700 E. Main Street, Griffith, IN
46319. In addition, employees can call (219) 924-5900 to report any workplace concerns under this
policy. a�0%%ttlie#10 ®
voe DEL l.Y, • �ti� o®®
WALSH & KELLY, INC.aw
w� �••'•
qf+ •• y i` Y
John C. Wall
Vice President of Business Development/EEO Offiv*1111 411'
Revised: May 18, 2016
EQUAL OPPORTUNITY EMPLOYER
-90