HomeMy WebLinkAboutRequest to Advertise - One (1) or More New Positive Displacement Hydro-Excavating Machine with Tandem Axle Cab & Chassis - Spec Ur ... �--3-3
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BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 6/14/17
Name Jeff Hudak Department Central Services
LJ Agreement
❑ Professional Services
❑ Bid Opening
❑ Quote Opening
❑ Change Order No. _
❑ Ease/Encroach.
[� Other:
Company or Vendor Name
New Vendor
MBENVBE Contractor
MBEANBE Contractor
Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Amount of
Previous Amount
❑ No ❑ Yes Name of Company
Spec U — One (1) or more New Positive Displacement Hydro-
Excavatina Machine with Tandem Axle Cab & Chassis
2017 Water Works Capital Budget
622-0604-415-43-02
Bid Opening Date:
❑ Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination. Non -Debarment, E-Verify, Iran, etc.
❑ increase $
❑ Decrease $
Current Percent of Change:
New Amount
Total Percent of Change:
Copy
Original
®
❑
❑
❑
Dispersal After Approval
Jeff Hudak & Sheila Enos
Bob Krol, Roxanne Lawson, Al Greek
NOTICE TO BIDDERS
Notice is hereby given that the City of South Bend, Indiana, will receive sealed bids at the Office of the
Board of Public Works, 13th Floor, County -City Building, Room 1316, 227 West Jefferson, South
Bend, Indiana, until the hour of . Local Time, on , for the following:
Spec U — One (1) or More New Positive Displacement hydro -Excavating Machine with Tandem
Axle Cab & Chassis
Specifications are available for download by visiting the City of South Bend's web page at
www.southbendin.gov:
X Click on "Business"
X Click on "City Public Bids"
X Click on "Request for Proposals, Vehicles, Equipment and Miscellaneous
Bids"
X Click on "Bid/Proposal Interest Form" and register your company to
receive updated information
X Select specification to download
X Print the specification or save it to your computer
There is no charge for the specifications. The specifications are also available for review only during
regular working hours in the Department of Public Works, 1308 County -City Building, South Bend,
Indiana 46601.
Bids received after Local Time, on will be returned unopened.
Bids must be on the City of South Bend Bid/Proposal form provided, which includes a Non -
Debarment Affidavit, Non -Discrimination Commitment form, and a Non -Collusion Affidavit Form.
Certified Check or Bid Bond in the amount of not less than 10% must be submitted with the bid. A
refund of the bid security will be issued upon satisfaction of Bid Award.
The Board may reject any bid that does not conform to these requirements as non -responsive.
The Board reserves the right to reject any or all bids or to accept a full or partial award of the bid or bids
which, in its judgment, will be to the best interest of the City of South Bend.
BOARD OF PUBLIC WORKS
Linda M. Martin, Clerk
Publish two times:
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,20
Ver. 2 —4/1b112
BID NAME
FOR BIDS DUE
Date:
Address:
CITY OF SOUTH BEND, INDIANA
SELLER'S BID FOR SALE OR LEASE OF MATERIALS
AND NON -COLLUSION AND NON DEBARMENT AFFIDAVIT AND
NON-DISCRIMINATION COMMITMENT FOR SELLERS
Spec U — One (1) or More New Positive Displacement Hydro -Excavating Machine with
Tandem Axle Cab & Chassis
Bidder
(Firm):
City/State/Zip: Telephone Number:
Agent of Bidder (if Applicable):
When theprospective Contractor is unable to Certify to any of the statements belo;p, 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 )
} SS:
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
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