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HomeMy WebLinkAboutOpening of Quotations - Howard Park Lodge HVAC Installation - D.A. Dodd, LLCWhen the prospective Contractor is unable 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: LA PORTE 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 hint, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies. by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty mullion dollars (S20,000,000) 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 (1) 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. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Version 10/18/2016 Page - 12 Public Works Quote 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 tern 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). 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 Version 10/18/2016 Page -13 Public Works Quote a Mi 1. 0 _�. mpg#, -4, gl GREAT AMERICAN INSURANCE COMPANVO Administrative Office: 301 E 4TH STREET a CINCINNATI, OHIO 45202 • 513-369-5000 • FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than 1 Bond No. Bid Bond POWER Oki ATTORNEY KNOW ALL MEN BYTIIESE PRESENTS: That the GREATAMERICAN INSURANCE COMPANY, a corporation organized and existing under and by virtue of the laws of the State of Ohio, does hereby nominate, constitute and appoint the person or persons named below its true and lawful attorney -in - fact, for it and in its name, place and stead to execute on behalf ofthe said Company, as surety, the specific bond, undertaking or contract ofsuretyship referenced herein; provided that the liability of the said Company on any such bond, undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. The bond number on this Power ofAttorney must match the bond number on the bond to which it is attached or it is invalid. Name Address Limit of Power Tracie House 340 Columbia Place $100,000,000.00 South Bend, IN 46601 Principal: D.A. Dodd, LLC Obligee: City Of South Bend, Board of Public Works IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate officers and its corporate sea] hereunto affixed this 8th day of August, 2017. Attest yW*' e'f Assistant Secretary GREAT AMERICAN INSURANCE COMPANY awde. /&4 Divisional Senior Vice President STATEOF OH10, COUNTY OF HAMILTON - ss: DAAD C. KITCHIN (877-377.2405) On this 8th day of August 2017 , before me personally appeared DAVID C. KITCHIN, to me, known, being duty sworn, deposes and says that he resides in Cincinnati, Ohio, that he is a Divisional Senior Vice President of the Bond Division of Great American Insurance Company, the Company described in and which executed the above instrument; that he knows the seal of the said Company; that the seal affixed to the said instrument is such corporate seal; that it was so affixed by authority of his office under the By -Laws of said Company, and that he signed his name thereto by like authority. w � C0111It�f IOill �1 ���i�2U This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company by unanimous written consent dated June 9, 2008. RESOLVED: That the Divisional President, the several Divisional Senior Vice Presidents, Divisional Vice Presidents and Divisonal Assistant Vice Presidents, or any one of them, be and hereby is authorized, from time to time, to appoint one or more Attorneys -in -Fact to execute on behalf of the Company, as surety, any and all bonds, undertakings and contracts ofsurelyship, or other written obligations in the nature thereof, to prescribe their respective ditties and the respective litnits oflheir authority; and to revoke any such appointment at any time. RESOLVED FURTHER: That the Company seal and the signature of any of rite aforesaid officers and any Secretary or Assistant Secretary of the Company may be affixed by facsimile to any power of attorney or ceriiflcate of either given for the execution ofany bond, undertaking, contract of suretyship, or other written obligation in the nature thereof, such signature and seal when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION 1, STEPHEN C. BERAHA, Assistant Secretary of Great American Insurance Company, do hereby certify that the foregoing Power ofAttorney and the Resolutions of the Board of Directors of June 9, 2008 have not been revoked and are now in full force and effect, Signed and scaled this 8th day of August, 2017. Assistant Secretary 511940(6115) DEPARTMENT OF ADMINISTRATION STATE OF INDIANA Division of Supplier Diversity Indiana Government Center South Michael R. Pence, Governor 402 West Washington Street, Room W478 Indianapolis, IN 46204 (317) 232 - 3061 3123/2016 wo_$NIADSON Tribe D. A. Dodd, LLC. P.O. Box 430 Rolling Prairie, IN 46371 Subject: Application for MBE Certification Dear MNO-BMADSON Tribe, Congratuladnnsl The Indiana Department of ,Administration, Division of Supplier Diversity Is pleased to inform you that D. A. Dodd, LLC. is hereby certified as a Minority Business Eaxterpris.e (MBE). Your company provides a commercially useful function in the areas listed below. Only work performed in these areas will be counted towards Minority Business Enterprise (MBE) participation: Code ...,.. 72151200 Heating and cooling and air conditioning HVAC construction and maintenance services 72151100 Plumbing construction services 72151000 Boiler and furnace construction -and maintenance services 72151206 _ HVAC heatin stem construction service This certification is valid through 3/31/2019. Although your certification is valid for a three-year period, you are required to submit an annual Affidavit of Continued Eligibility (ACE) form, located at http://Www•in.gov/idoa/files/ACE Form pdf Please remember you must notify us immediately if any changes occur. Failure to notify us of changes or to provide the ACE form annually will result in revocation of your certification, Changes include, but are not limited to, changes in location, contact information, ownership or control. We encourage you to visit IDOA's procurement website, http://www.in.gov/idoa/2463.hM and update your Business Registration Profile. It is important that you review and update your profile regularly, because state purchasing agents and prime contractors may use this information to contact you for business opportunities. For questions regarding your registration profile, you may contact our office at 317-232-3061. While this letter serves as notification of certification, it does not serve to prove continued eligibility. Please visit http://www.in.govlidoalminority/Cortifications.xls to verify certification status. Please contact our office at (317) 232-3061 if you have any other questions. Reference: D. A. Dodd, LLC. We ask that you please contact our office at (317) 232-3061 if you have any questions or concerns about your letter. Sincerely, Terrie F. Daniel, Deputy Commissioner Indiana Department of Administration Division of Supplier Diversity TFD13W 14 E 00igan- StMet 0, 430' -Roffln4.Prable,'IN 40371 A64� (219) 7784302 FAX (2k) 718-2981 Septernber.2,2015 1251 Pave Paw Av#nue BeAn Hathor,'01 4943 phor a (2 69) 926-7873- FAX Td: CustpMers of O.A. Dodd, LLC Re, aid s.1goqture Authority for Employees of D. A. Dodd,.LLC 729 Mourn Drive -Lafakoftsi IN 4i'904 I?Whe (765) 4*3405 FAX (765j 440-7965 Effective Immediately the following employees are authorized to sign, subunit and exetifte bid docu metitatfort on .-behalf of `6,4. 0044,. LC, Hate qf'Emp(pyee A ythorized to Bid n tunes T.kol.and V. Clay, Chief ExecutIve'Officer Joe olujjc,, Chief operating Officer 1. Mark. McKnight,,President Steve A. Leaegue, Vice President jason R, QoMqer, Vice Prol4ont Julie 5. Bladkwdod,. Controifor At%thqny'0.'Bqr.patt., Senior Project Manager Kevin A. Tucker, operations Coordinator. App . t.i Oland ay, 4akte, &L Jrrik[TVC 4120.N. Home Street Mishawake, W 48545 Fhone (674) 96&0589 . FAX (574) 08-0590 ❑ 14 E Michigan Street ❑ 1251 Paw Paw Avenue P.O. Box 430 Benton Harbor, Ml 49023 Rolling Prairie, IN 46371 Phone (269) 926-7873 Phone (219) 778-4302 FAX (269) 926-7871 FAX (219) 778-2981 729 Navco Drive ❑ 4120 N. Nome Street Lafayette, IN 47905 Mishawaka,.tN 46545 . . . Phone (765) 448-3405 Phone (574) 968-0589 FAX (765) 448-7955 FAX (574) 966-0590 Completed Construction Proiects Proiect Name Date Completed- Contract Amount Starke County Jail - New Prison March 2015 $563,202.00 Starke County Commissioners The Skillman Corporation Berrien County - Schroeder Building April 2015 $787,969.55 Berrien County, Michigan Pearson Construction LMC - Freeze Protecction June 2015 $157,907.00 Lake Michigan College PSI South Central HVAC Renovation September 2015 $1,008,991.00 South Central School Corporation Performance Services UFCU - Main Branch Remodel January 2016 $841,274,75 United Federal Credit Union The Redmond Company Watervliet Elementary Schools January 2016 $2,093,714.00 Watervliet Public Schools Miller -Davis Company Porter Healthcare System February 2016 $560,416.98 Valparaiso Medical Campus Walsh Construction Co. PU Lynn Hall April 2016 $651,964.00 Purdue University Glenroy Contruction Co., Inc. SMC ©'leary-Daughterty Halls Renovation April 2016 $1,458,694.64 Southwest Michigan College Beckering Construction Hesburgh Library Renovations, Phase II June 2016 $734,635.76 Universtiy of Notre Dame Miller -Davis Co. PNC Student Services Activity Center June 2016 $4,367,463.00 Purdue University Ziolkowski Construction Co., Inc. Westminster Wellness Center Westminster Village Kettelhut Construction Berrien County Animal Control Berrien County, Michigan Pearson Construction June 2016 June 2016 $875,302.00 $704,047.83 South Central Phase li Renovations August 2016 $483,543.00 South Central Community School Corporation Performance Services o,. ❑ 14 E. Michigan Street ❑ 1251 Paw Paw Avenue P.O. Box 430 Benton Harbor, MI 49023.. Rolling Prairie, IN 46371 Phone (269) 926-7873 Phone (219) 778-4302 FAX (269) 926-7871 FAX (219) 778-2981 0 729 Navco Drive 0 4120 N, Home Street Lafayette, IN 47905 Mishawaka, IN 46545 Phone (765) 448-3405 Phone (574) 968-0589 FAX (765) 448-7955 FAX (574) 968-0590 Current Project Cost Completion UND McCourtney Hall $11,561,803.00 8/1/16 Four Winds Casino — South Bend $14,574,074.00 7/28/17 Hammond Gavit High School $1,397,940.00 11/25/16 Valparaiso High School $5,632,460.00 10/1/18 Purdue Active Learning Center $6,961,739.00 3/1/17 Purdue Football. Complex $2,026,745.00 9/1/17 Old National Bank $429,700.00 10/20/17 Perry Township Elementary Renovation $985,000.00 6/1/17 South Haven HS Pool $446,250.00 8/31/17 Whirlpool Riverview Phase 3 $2,468,964.88 11/15/16 Howard -Ellis Elementary $1,486,625.00 8/31/17 Ring-Lardner Middle School $2,10.5,243.00 8/31/17 a Indiana Professional Licensing Agency 402 W. Washington Street, Room W072 Indianapolis, IN 46204 D.A. DODD, LLC CO19900673 has completed all requirements for licensure In Indiana as a PLUMBING CORPORATION Expiring December 31, 2017 To check the current status and expiration date for this license, please visit hkk m llcense.f ov eV rificat1on Michael. R.Pence. Governor State,of Indiana Deborah 3. Frye Executive Director Professional Licensing Agency Indiana Professional Licensing Agency 402 W. Washington Street; Room W072 Indianapolis, IN 46204 David A Dodd PC88700426 has completed all requirements -for licensure in Indiana as a PLUMBER CONTRACTOR Expiring December 31, 2017 To check the current status and expiration date for this license, please visit. http://mylicense.in.gov/eV4irification Michael R. Pence Governor State of Indiana 'Deborah 3. Frye Executive. Di rector Professional Licensing Agency