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HomeMy WebLinkAboutOpening of Bids - Fellows Streetscape Phase II Project No. 116-041B - LaPorte Construction Co., Inc.CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Fellows Streetscape Project No. 116-041 B For Bids Due June 27, 2017 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 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 MBEIWBE 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 t 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: LaPorte Construction Co., Inc. Date: June 27, 2017 By Authorized Represent ' . Signature: Print Name & Title: Lori President Version 10/17/2016 Contractor's Bid for Public Works - 1 Addendum 1 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name 2017 Curb and Sidewalk Construction Project No. 116-041 B For Bids Due June 27, 2017 PART I (Must be completed for all bids. Please type or print) Date: June 27, 2017 Bidder (Firm), LaPorte Construction Co., Inc. Address: PO Box 577 City/State/.Zip: LaPorte, IN 46352 Telephone Number: ( 219 ) 39 i-5555 Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: Fellows Streetsca e the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Division of Engineering,City of South Bend Department of Public Works and dated 05/ 18/17 for the sum of (enter the Total Bid as shown on the Proposal) Five hundred sixty-seven thousand three hundred forty-five dollars and no cents. $ 567,345,00 (Enter sum of Total Base Bid shown 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 it2mization of the units shall be shown on a separate attachment. By oti (Signature) Lori Schrad, President (Printed Name of Person Signing) ACCEPTANCE The above bid is accepted this day of Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member Suzanna M, Fritzberg, Member Therese J. Dorau, Member James A. Mueller, Member Attest: Linda M. Martin, Clerk 20 Version 10/17/2016 Contractor's Bid for Public Works - 2 Addendum 1 PART 11 (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. See �i c,},c� �I 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 10/1712016 Contractor's Bid for Public Works - 3 Addendum 1 When the prospective Contractor is unable to certify to any of the statements below, it shall attach air explanation to this Aff davit. 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: LAPORTE COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or, agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor- further says that no person or, persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. For purposes of this Certification, "Iran" means the government oflran 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. Version 1011712016 Contractor's Sid for Public Works - 4 Addendum 1 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify 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. 5-16-5-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the 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 Version 10/17/2016 Contractor's Bid for Public Works - 5 Addendum 1 may result in forfeiture of contractual payments. 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 27th day of June 2017 LaPorte Construction Co,, Inc, Con o • Bidder ir) Signature of Contractor/Bidder or Its Agent Lori 5chrad, President Printed Name and Title Subscribed and sworn to before me this 27th day of June , 2017 My Commission Expires 01/24/24 _ _._. __ No ublie , Jason R, D -Iaven County of Residence LaPorte Version 10/17/2016 Contractor's Bid for Public Works - 6 Addendum 1 BID/PROPOSAL CITY OF SOUTH BEND Project Name Fellows Streetscape Project No. 116-041 B For Bids Due June 27, 2017 Item No. Description Quantity Unit Unit Price Total Amount 1 CONCRETE SIDEWALK, REMOVE 1450 SY 20.00 29,000.00 2 CONCRETE SIDEWALK, 4-IN 1450 SY 50.00 72,500.00 3 CONCRETE APPROACH, REMOVE 565 SY 20.00 11,300.00 4 PCCP FOR APPROACHES, 6-IN 510 SY 140.00 71,400.00 5 CONCRETE CURB, REMOVE 3100 FT 15.00 46,500.00 6 CONCRETE CURB, MODIFIED 3100 FT 61.00 189,100.00 7 CURB RAMP, REMOVE 330 SY 28.00 9,240.00 8 CONCRETE CURB, WALL 150 FT 90.00 13,500,00 9 ONE-WAY PERPENDICULAR CURB RAMP 45 SY 125.00 5,625.00 10 PAIRED PERPENDICULAR CURB RAMP 275 EA 126.00 34,650.00 11 STAIR, REPAIR 4 EA 3,500.00 14,000.00 12 STUMP, REMOVE 3 EA 500.00 1,500.00 13 TREE, REMOVE, 30-IN 4 EA 1,500.00 6,000.00 14 PLANT, DECIDUOUS TREE, SINGLE STEM, 2-IN TO 2.5-IN 99 EA 450,oa 44,55o.ao 15 TOPSOIL AND SOD 1680 SY 11.00 b 18,480.00 Bidder (Firm): Address: LaPorte Constriction Co., Inc. BASE BID TOTAL $ 567,345.00 City/State/Zip: LaPorte, IN46352, Telephone Number: ( 219 ) 393-5555 By (Signature) Lori Schrad, President (Printed Name of Person Signing) Version 10/17/2016 Contractor's Bid for Public Works - 7 Addendum 1 CITY OF SOUTH BEND o46ourr[uE4a MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM -e FORM MWBE-1.0 MBEIWBE PARTICIPATION ee6s This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBEIMBE 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. Project Number: 116-041B Project Name: Fellows Streetsca e Bidder: LaPorte Construction Co., Inc. Total Bid Amount: $ 567,345.00 Page , of Name 8 Address of #NBEMlBB Primary Contact Person (NamefTelephon Scope of Work to be Performed (Attach scvpelschedule if you need additional space) Dollar Amount of MBENVBE Component Percentage of Total Bid/Pro osal 'y / t� LAMA*' Grv�s irac�t o1 (f lk, Jo eo% 577 U�4etP D1 6(0352 ye) LQ1�j SG�rgn 5V(V�,w5 ay, tqj J(k4t,4VkI r mvlit 1001/1 Submitted by: Lori Schrad, President (;��- Print Name Signature Version 10/17/2016 Contractor's Bid for Public Works - 8 Addendum 1 6/27/17 CITY OF SOUTH BEND ads"urx MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY 3U a1, DEVELOPMENT PROGRAM FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBElWBE 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: 116-041 B Fellows Streetsca LaPorte Construction Co Inc Contact Person: Lori Schrad Date: 6/27/ 17 Telephone: 219-393-5555 Address: PO Box 57 City: LaPorte State: IN Zip: 46352 Email: lschrad@laporteconstruction.com To determine whether a bidder has demonstrated good faith efforts to reach the MBElWBE 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 MBElWBE 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 (ADVERTISEICONTACT): 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 MBEIWBEs 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. 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 MBElWBE firms. **Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBEIWBEs, including providing such MBEIWBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBEIWBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by MBEIWBEs in order to increase the likelihood of meeting the MBElWBE goals (including breaking down contracts into smaller units to facilitate MBElWBE 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 MBElWBE 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 - 9 Addendum 1 CITY OF SOUTH BEND pAy:�; MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY(, DEVELOPMENT PROGRAM FORM MWBE-2.1 MBEIWBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBEIWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE OF Project Number: 116-041 B Project Name: Fellows Streetscape :.. By: MBEMIBE Firm Owner or Contact at MBEANBE 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 10117/2016 Contractor's Bid for Public Works - 10 Addendum 1 State Form 52414 (10-05) Prescribed by State Board of Accounts Form No. 96 (Revised 2005) CONTRACTOR'S BID FOR PUBLIC WORK -- FORM 96 PART I (To be completed for all bids. Please type or print) Date: )une 27th, 2017 1. Governmental Unit (Owner): City of South Bend Board of Public Works 2. County: st. Io,,,ph 3. Bidder (Firm): LaPorte Construction Co., Inc. Address: P.O. Box 577/4999 S. U.S. Highway 35 City/State: LaPorte, IN 46350 4. Telephone Number: 219-393-5555 5. Agent of Bidder (if applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of Fellow Streetscape: Broadway Street to Ewing Avenue; Project No. 116-041B (Governmental Unit) in accordance with plans and specifications prepared by Department of Public Works, Division of Engineering, City of South Bend, Indiana and dated 05/18/17 for the sum of Five Hundred Sixty -Seven Thousand Three Hundred Forty -Five Dollars and No Cents $ 567,345.00 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). 1 hereby certify that 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. F-1 The above bid is accepted this 27th following conditions: Contracting Authority Members: ACCEPTANCE day of .rune 2017 , subject to the PART II (For projects of $100,000 or more — IC 36-1-12-4) Governmental Unit: City of South Bend, Department of Public Works, Division of Engineering Bidder (Firm) LaPorte Construction Co., Ine. Date: June 27. 2017 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 EXPERIENCE QUESTIONNAIRE 1. 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 Completion Date Name and Address of Owner $ 1,652,482 Bridge Replacement 11/15/16 INDOT R-34509-A $ 713,565 Concrete Work 12/15/16 1NDOT T-34250-B $ 529,295 Bridge Repair 9/15/16 1NDOT B-37388-A $ 290,624 Bridge Repair 1 1/30/16 White County Bridge 104 2. What public works projects are now in process of construction by your organization? Contract Amount Class of Work Expected Completion Date Name and Address of Owner $ 449,695 Concrete Work I1/15/17 T-33899-A $ 249,975 Concrete Work 10/30/17 T-39132-A $ 228,323 Sidewalk Work 11/1/17 R-34820-A $ 274,775 Bridge Repair 11130/ 17 Marshall County Bridge $ 230,450 Side%valk Work 11/30/17 R-39614-A $ 391,600 BILL Shelters 12/01/17 R-34439-A $ 160,714) pedestrian Bridge 11/30/17 R-37346-A $ 110,750 Modular Block Wall F-2 11/30/17 R-36488-A 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. Rieth-Riley Construction, South Bend, IN Michiana Contracting, Plymouth, IN Dyer Construction, Dyer, IN Walsh & Kelly Construction, South Bend, rN SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE Explain 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 governmental unit to consider your bid.) 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. 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 alisting 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. 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. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, please explain 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 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. F-3 FORM 96 ATTACHMENT Section II: PLAN AND EQUIPMENT QUESTIONNAIRE 1. Our plan for performing the proposed work is as prescribed by the plan and bid documents as developed through reviewing the plans, standard specifications and having previously completed similar work. 2. We have used the following subcontractors on public works projects during the past five years: Slusser's Green Thumb P.O. Box 33 Landscape, Sod Items Logansport, IN 46947 State Barricading, Inc 24963 U.S. 20 West Traffic Items South Bend, IN 46628 C-Tech Corporation, Inc. 5300 West 100 Norte Guardrail Items Boggstown, IN 46110 Brooks Construction Co., Inc P.O. Box 9560 HMA Items Fort Wayne, IN 46899 3. It is not known at this time if any portion of the work will be sublet or if a bond would be required. 4. We have the following equipment available to use: American Crane 50 Ton Case Skidsteer Case 550 Dozer Gehl Mini Excavator Gehl RS5-19 Telehandler Ground Heater (2) Hamm 3305 Roller JD 650JC Dozer JD 790 D Excavator wlhydraulic thumb JD 270 Excavator JD 200 LC Excavator Kobelco Blade Runner Komatsu CK30 Track Skidsteer (2) Service Trucks, Kruz Dump Trailer and various other trailers Semi -Truck and 50 Ton Lowboy Mack Hook Truck Various Pick-up Trucks and small tools 5. We have solicited and received material prices for this job. Signed: v 0 Lori A. Schrad, President SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT The undersigned bidder 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 include 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 PUBLIC WORKS ARE TRUE AND CORRECT. Dated at h-nn A-M. this 27fh day of jime , .2012� By STATE OF Indiana ) ss COUNTY OF LaPorte LaPorte Construction Co., Inc. Lori Schrad, President { ame of Organization) (Title of Person Signing) ACKNOWLEDGEMENT Before me, a Notary Public, personally appeared the above -named Lori Schrad swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 27th My Commission Expires: January 24, 2024 County of Residence: LaPorte day of June , 2017 and F-4 I w O LL U) U W O /e'1 AJ ry O U m CL Q Ei F-5 AIA Document 310 - 2010 Bid Bond CONTRACTOR (Name, legal status and address): SURETY (Name, legal status and principal place of business): LaPorte Construction Co., Inc. Fidelity and Deposit Company of Maryland P. O. Box 577 9465 Counselors Row, Suite 200 LaPorte, IN 46352 Indianapolis, IN 46240 OWNER (Name, legal status and address): City of South Bend, Indiana Board of Public Works County -City Building Room 1316 227 West Jefferson Blvd., South Bend, IN 46601 BOND AMOUNT: Five Percent of the Base Bid Plus Any Alternates (5% of the Base Bid Plus Any Alternates) PROJECT: (Name, location or address, and Project number, if any): Fellows Streetscape: Broadway Street to Ewing,Avenue Project No. 116-041 B 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 in to 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 by the 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 this27thday of June , 2017 Witn (witness) Robin L. Young Language confamis to AIA Document A310 Bid Bond, 2010 edition. BID700OIZZOI I If LaPorte Construction Co., Inc. (Princ�fftj�. �G/ � p (Seal) (Tale) Fidelity and Deposit Company of Maryland (Surety) (Seal) (Ti eith Cor ttorney-ln-Fact ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY "THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by MICHAEL BOND, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Daniel C. APPEL, Kathleen T. DEVITO, Brenda RHYMER, Lora L. YOUNG, Genia M. STEPP, Lakisa L. MASON, Keith CORDER and Robin L. YOUNG, all of Indianapolis, Indiana, EACH its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 19th day of June, A.D. 2017. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND SSA 109t}�r��� '"..... 5. d� Assistant Secl,eta)y Vice President Dawn E. Brown Michael Bond State of Maryland County of Baltimore On this 19th day of June, AD, 2017, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, MICHAEL BOND, Vice President, and DAWN E. BROWN, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of saute, and being by me duty sworn, deposeth and saith, that he/site is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. Constance A. Dunn, Notary Public My Commission Expires: July 9, 2019 POA-F 044-0193 1316 COUNTY -CITY BUILDING CITY OF SOUTH BEND PETE BUTrIGIEG, MAYOR PHONE 574/ 235-9251 227 W. JHrFrRSON BOULEVARD FAX 574/ 235-9171 SOUTH BEND, INDIANA 46601-1830 BOARD OF PUBLIC WORKS TDD 574/ 235-5567 Date: To: From Subject June 21, 2017 All Bidders Linda M. Martin, Clerk, Board of Public Works Addendum Number: 1 Project Name: Fellows Streetscape, Phase It Project Number: 116-04 I B ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 6/23/17 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 part of herein. Company: Authorized Signature: LaPorte Construction Co., Inc. Date: 6/23/ 17