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HomeMy WebLinkAboutOpening of Bids - Demo of Howard Park Rec Center Project No. 117-058 - Green Demolition Contractors, Inc.O"r CITY OF SOUTH BEND, INDIANA Y MACK CONTRACTOR'S BID FOR PUBLIC WORK 865 CHECKLIST FOR BIDDERS Project Name Demolition of Howard Park Recreation Center Project No. 117-058 For Bids Due a A u -,4 1�1 , g-0I —7 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 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 MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted Form [MWBE-2.1]. Acknowledge Receipt of Addendum s included with the bid. All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. v 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 a oes not relieve the bidder of the need to read and comply with the specifications. eve IJ �yw o i � �-� icr►-i C� f1�-waofa rs � U Bidder: coJ o ^ f� LG-L? Date: By Authorized ep en iv Signatures,/ 1 Print Name & T e: M{ e hl a i F r©o e ti Press i d en+ Version 10/17/2016 Contractor's Bid for Public Works - 1 �qti'rrr rep:0. . CITY OF SOUTH BEND, INDIANA "{ CONTRACTOR'S BID FOR PUBLIC WORK Project Name Demolition of Howard Park Recreation Center Project No. 117-058 For Bids Due ARTI (Must be completed for all bids. Please type or print) Date: `7 /Q 6- fi- 7 Bidder (Firm): 6-f e.e-y� Oeko o l r + o ilt 641,ac4ors "DrAed Address: City/State/Zip: A CAA ktx C+ IN Telephone Number: -Mee Agent of Bidder (if Applicable): [p r° �q , ,4 Pursuant to notices given, the undersigned offers to furnis labor and/or material necessary to complete the public works project of: Demolition of Howard Park Recreation Center the City of South Bernd, Indiana, in accordance with plans and specifications prepared by City of South Bend. and dated � oc I� for the sum of (enter the Total Bid as shown on the Proposal) lyio huAdred -b6 e c-hk +hovyig d c:i )ti} hviikr (Enter sum of Base Bid shown on Propo al) (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 cos of units t be the sa s that shown in the original contract if accepted by the C' of South BeV-M�81 e i o be a ed on a unit basis, the itemization of the units shall be show on a s parat MA The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A, Gilot, President Elizabeth A. Maradik, Member James A. Mueller, Member �cI (Printed ACCEPTANCE day of Person Signing) Suzanna M. Fritzberg, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk PART II (For projects of $100,000 or more — IC 36-1-12-4) Version 10/17/2016 Contractor's Bid for Public Works - 2 W do u, T'N 4, CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK x CHECKLIST FOR BIDDERS Project Name Demolition of Howard Park Recreation Center Project No. 117-058 For Bids Due (',LvA a -�A S' , �Lof i 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. ZProper bid security included. The bidder has the option of providing either a Certified Check or Sid 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 t! Form [MWBE-2.1]. /fir .._ Acknowledge Receipt of a Addendum(s) included with the bid. All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements a _does not relieve the bidder of the need to read and comply with the specifications. I) V20% o 6 }-i 0l-k Ca Akf-1z-of01rs Bidder: LC_.(_ Date: By Authorize ep en lv Signature - Print Name & Ti e: I &h a ( F ro o ct lit es id fn- Version 10/17/2016 Contractor's Bid for Public Works - 1 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 (Le, persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 10/17/2016 Contractor's Bid for Public Works - 3 When 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 I Vl di (K t4_ } T ) SS: cs F' FL 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. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or 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 10/17/201 B Contractor's Bid for Public Works - 4 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. 1, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. 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 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 <94�k day of �crilst , 20� 7 Subscribed and sworn to before me this My Commission Expires i t":nnYrar r/Ririrl�Fir� -- �-_-�-� C-- Signature 6f"ContractgWdder or Its Agent Printed Name and Title S+�- da, 20 y of a��y}� ) % Notary,ublic County of Residence Version 10/17/2016 Contractor's Bid for Public Works - 6 BIDIPROPOSAL CITY OF SOUTH BEND Project Name Demolition of Howard Park Recreation Center Project No. 117-068 For Bids Due der e47`-- &vr, 0 5� 5 _ 90 I-7 BASE BID Item No. Description Quantity Unit Total Amount 1 1 ASBESTOS ABATEMENT 1 LS 800 2 DEMOLITION 1 LS 01 pg 000 3 FENCE 1 LS i1q,PO® 4 ENVIRONMENTAL ALLOWANCE 1 LS $10,000 BASE BID TOTAL_ , !�[vq Asbestos Abatement Unit Pricina Item No. Unit Pricing if Required Unit Add Per Unit price I Removal, Management, and Disposal of Duct Tape Linear Feet $ Material Containing Asbestos II Removal, Management, and Disposal of Duct Wrap Square Feet $ L01 1-F Material Containing Asbestos .94 Ill Removal, Management, and Disposal of Floor Tile and Square Feet $q Mastic Material ContainingAsbestos IV. Removal, Management, and Disposal of Plaster Material Square Feet $ LJ-9q L ContainingAsbestos V. Removal, Management, and Disposal of Corrugated Square Feet $ +� i ~ L Sheet Material ContainingAsbestos , VI Removal, Management, and Disposal of Attic Insulation Square Feet $ f� LF Material ContainingAsbestos VII. offal 1, Management,and Disposal of Transite Siding Square Feet $ 7- 9? LF Mat ing Bidder (Firm): t onf—rtC-( offs LL_a Address: 0 G> City/State/Zip: jlllic-�� r�Avl Gi y Tel one umber: 7 y 3LP U (Printed Name of Person Signing) Version 10/17/2016 Contractor's Bid for Public Works - 7 F LU 0 Lu W as LL1 a MLuu0 w a o?Z W U) LEI LL :) omIL F}- LU L j U 0 W z a } F- O z_ i z O o~ _Q LU U m p EL LU O mi LL� LU in E M z U N o co U* h 0 c 0 E Q 0 F-- S D7 Q m N N b � CDO � V O C rL p O V Cuj V 40 m m a N is � m� a cu CO r o0>1 o 'm 1 0 U U Q U) o U N U y W c a L C�c3 E rc1 y1 E W W w'" Z, o cn �n N a E � m Z A W Q4 im E -0 n Cn CO 0 2 co cn L U_ a 0 m N L 0 C 0 T f 9 CITY OF SOUTH BEND avrrr'rFt MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY _ 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 MBEIWBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business as defined by the Indiana Department of Administration ("IDOA"). Project Number: 117-068 Date: Project Name Bidder: Contact Person: Demolition of Howard Park Recreation Center %-r�e.►� Dewiof i�-�a� Iltl'c a ( grov!�k Address; 59S N of-vtkh000 Telephone, City: State: Zip: Py Email: --- lrli_ke 6 c,r-cen dfepo-otti)vic.0yvA To determine whether a bidder has demonstrated good faith efforts to reach the MBEIWBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: EVIDENCE OF GOOD FAITH EFFORTS MBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (hitp://www.in.gov/idoa). ACTION (ADVERTISEICONTACT): In order for your bid to be deemed responsive, the City of South Ben equires that all perspective bidders complete no less than 2 of the following: Attend all pre -bid meetings scheduled by the City to inform MBE/WBEs 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 MBENVBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 4. Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBE/WBE firms. *"Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBEIWBEs, 91"3 including providing such MBE/WBE'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($): The bidder selected specific portions of the work to be performed by MBE1WBEs in order to increase the likelihood of meeting the MBEIWBE goals (including breaking down contracts into smaller units to facilitate MBEIWBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2, A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE/WBE was unqualified to perform the job. *Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 10/17/2016 Contractor's Bid for Public Works - 9 CITY OF SOUTH BEND 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 rnber. -058 ,;B r 'ect Na a on ward Park eation Center idder �' i pVl 6 f1� -d d,-5 hV'a011 GQ ZL� Ignatur (Title) (Date) MBE/WBE Firm 1 V Owner or Contact at MBEANBE Firm G Telephoner r -i) 01 Fax: Email: -S�.6 �,4)CiAvv- TYPE OF WORK SOLICITED FOR THIS PROJECT: rk" K&� 6Q RESULTS OF CONTACT WITH THE MBEANBE FIRM: MBEMIBE Firm Owner or Contact at MBEANBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Version 10/17/2016 Contractor's Bid for Public Works - 10 �o-!M .7 FEW F, 77A 7-- ------- -- — -- ---- -1777- '777-777 1 ■ J ■ 1 - -_- - - 1 lJ - - �- �-„ - - -' ■_- ■ L -ice - _ ,- -- _ '1 ■ - - Y 7 HE ` -�, lti� 1 Ir :l_l ■ J'l I � �• r ■ ■'i-�■S� _y f� _ - ��• ,r.-icy r ■ �{I - - - - � ,'j I r ' ' ° f, .r- ■~ r ' r ■�i".I� _ - r• R - - _ 1- +�- r=i r r ry ;..s.:aa� "i+y. ,a:r ycuv?x: axiYs f z�: — - ■ _ _ — / J L I -�t� � i 4�-"L fir- ■ i-- i �-�' ' -F IF 0 EL ■ r'■ _ r _ L- _ IL IN If _ _ - - IF r�'` i■_ [E'n D. �_ - �� 1 loll i~ � 1�4 :- n •i.._ 1' - ` I _ _ �; ._- - III ` I _ � ��■iT-`s ! � If 711 [7� YJI ■II _■ - , .. �� _ ter- - -- -' � - - it - - • F p�� •�..y, 1 I Ar IL No I No EL 0 Ell 0 AA t a _ ear: ■ - '- r ' �ci I ■ . .,�,.=m=iri... 4i�ni+a`"'h � Pf "'. JIC � ri�tiL � .:.. n�`• _ _ __ I �llt}'rfll��; I-I4 . 1r iA%' i'h:ACF: .2, 180 1316 COUNTY -CITY BuIu)wc, CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR PHONE 574/235-9251 227 W. JEFFERSON BOULrVARD FAX 574/ 235-9171 SOUTH BEND, INDIANA 46601-1830 BOARD OF PUBLIC WORKS TDD 574/ 235-5567 Date: July 19, 2017 To: All Bidders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: l Project Name: Project Number: Demolition of Howard Park Rec.Center 117-058 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: -7/ t q / / -7 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171. 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: Date: fJ - 0 ,�pU'rit jfl iK u-r.,:.` r865 1316 CoUNrv-0'ry BUILDING CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR PHONE 574/ 235-9251 227 W. JEFFERSON BOULEVARD FAX 574/ 235-9171 SOUTH BEND, INDIANA 46601-1830 BOARD OF PUBLIC WORKS TDD 574/ 235-5567 Date: July 20, 2017 To: All Bidders From Linda M. Mailin, Cleric, Board of Public Works Subject Addendum Number; 2 Project Name: Demolition of Howard Park Rec Center Project Number; 117-058 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received:-19,011-7 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171. 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: e-y `QLLe— Authori zqd" S i gnature; AUG-17-2017(THU) 09:53 (F'AX)773 477 7149 P.002/004 1316 Coumv-GYY BUILD= CITY OFSOUTH H B17-ND PrTG BUTTTGIEG, MAY0R l'piow 5741235-9251 227 W. krFrmsoN 1;OI)O❑ARo FAX 5741235-9171 SOUTH REND, INDIANA46601-1630 BOARD OF PU13LIC WORKS TUD 574/235-5567 ]date: August 3. 2017 To: All Bidders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 3 Project Name: Demolition of Howard Park Rec Center Project Number: 117-058 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: F 6 -3 // - 7 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT 'S OUR :AID. Note: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Gomp� Author Date: RUG-17-2017(THU) 09:53 (FRX)773 477 7149 P.003/004 1316 03UNTY-CITY BI JI DINCI 227 W_ Ju.i-m soN lloui.rVARD SOMI's Dr:Nn, WDIAW1 46601.1830 -��.-- . - ,,y CITY OF SOUTH BEND PETL 'BUTTIGH-G. MAYOR PHONE 574/233-9251 17AX 5741235-9171 BOARD OF PUBLIC WORKS TDD 574/235-5567 Date: Aul;ust 4. 2017 To: All Bidders From Linda M. Martin, Clerk Board of Public Works Subject Addendum Number: 4 Project Name: Demolition of Howard Park Rec Center Project Number: 117-05 S ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: r:5�f a (-JZi -7 This addendum is being forwarded to you forthe 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. TIR 1 S 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: (y r r_ Authorized Signature: Date- �-� ah C'a n.�-J'a.GfQw" � 1 r�or-� �_rr•�'�ae � �. °(� RUG-21-2017(M0N) 07:35 (FnX)773 477 7149 P.002/003 �z,„M,alrllnn5.ari'� 1316 COUNT -CITY BUILDING CrrY of Sou-11a 131rND ' PT3TE BL} r'noIr-G, MAYOR PHoMe 574/235-9251 227 W. Jf?FPf3R9oN BOULEVARD TAX 574/235-9171 SOUTH BFND, INDIANA 46601-1830 BOAPD OF PUBLIC WORKS TDD 574/2�5.5567 Gate: August 16, 2017 To: All Bidders Froln Linda. M. Mal tin, Clerk. Board of ftblic Works Subject Addendum Number: 5 project Name: Demolitlon of Howard Park Rec Center Project Number: 1 17-05 8 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received; 0 1115117 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 B.1.1). Note: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: 6-i-eeo, Authorized Signature: Date, F'/ 91 Zi �a6 'RAi'P CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96 Stale Form 52414 (R2 / 2-13)1 Form 96 (Revised 2013) Prescribed by State Board of Accounts PART (To be completed for all bids. Please type or print) Date (month, day, year): ' 0 -� 1. Governmental Unit (Owner): c4 U 0-F :50 -4 k 2. County e 3. Bidder (Firm): Green Demolition Contractors Incorporated LLC nrirlTpc,z• 523 Northbrook Drive CitylState/ZlPcode: Michigan City, Indiana 46360 4. Telephone Number: 773-477-7160 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 e r `! o-IF -:So j4—k Pe-gd , 11V. (Governmental Unit) in accordance with plans and specifications prepared by C44 U -'� 50 J�- (Re-K ' and dated for the sum of iWa Icwcfr4 � —x3i�ik 'fhaysAkid &-�ht blur red $ 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. understand that violations hereunder may result in forfeiture of contractual payments. ACCEPTANCE The above bid is accepted this day of subject to the following conditions: Contracting Authority Members: PART II (For projects of $100,000 or more — IC 36-1-12-4) Governmental Unit: CAN U-f !�011+o Bidder (Firm) 6-t-icevi vaa i i i, ov1 Ccrxt-gee-fov � I tACcvr 6 t-r-ed k� (, - Date: 9 0"6—1- 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? ContractAmount Class of Work Completion Date Name and Address of Owner What public works projects are now in process of construction by your organization? Contract Amount I Class of Work I Completion I Name and Address of Owner C Have you ever failed to complete any work awarded to you? No List references from private firms for which you have performed work. See attached SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE If so, where and why? 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.) 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. 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 Field Men / Equipment Outline To: City of South Bend, Indiana Board of Public Works Re: Demolition of Howard Park Recreation Center Green Demolition Contractors Incorporated proposes to complete their work utilizing the following Number of Men and Equipment: One (1) Union Operating Engineer One (1) Union Laborer One (1) Foreman One (1) Caterpillar 320 Excavators with Grapples One (1) S300 Bobcats with Grapples Respectfully submitted, Michael Brough, President Green Demolition Contractors, Inc. 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 Demolition Plan To: City of South Bend, Indiana Board of Public Works Re: Demolition of Howard Park Recreation Center Green Demolition Contractors Incorporated will procure Insurance Certificates, Bonding and all other Start-up Paperwork necessary to Mobilize and Secure the facility upon Contract Award and Notice to Proceed as follows: Coordinate, perform and verify Utility Disconnects. Coordinate and perform Universal Waste Removal, if applicable. Coordinate and perform Abatement Removals, if applicable.. Demolish and Remove Debris from Buildings. Backiill Buildings as they are completed. Remove all Debris from Site. Final Grade and Seed, Demobilize Respectfully submitted, Michael Brough, President Green Demolition Contractors, Inc. GREEN DEMOLITION 523 Northbrook Drive Michigan City, IN 46360 Office; 312-409-4771 Fax: 773-477-7149 References Private CR Realty Advisors 325 West Huron Chicago, 1160654 Cell; 847.721.7906 Office: 312.332,7100 Brown & Momen, Inc. 823 East Drexel Square Chicago, IL 60615 . Mr. David Clark 312-788-0770 Rockford Construction Grand Rapids, MI 49508 Brock Burgess 616-437-4226 LaPorte, In Meijer Cook County Land Bank Authority 69 W. Washington Suite 2938 Chicago, IL 60602 Mr. Mustafaa Saleh 312-603-8015 "Recycling Today For A Greener Tomorrow' %) GREEN DEMOLITION 523 Northbrook Drive Michigan City, IN 46360 Office: 812-400-4771 Fax; 773-477-7149 Current Projects Cook County Land Bank Authority Mr. Mustafaa Saleh 69 West Washington Suite 2938 Chicago, Illinois 60606 Various Complete Building Wrecks $925,000,00 to date Open Ended Contract on going through depletion of Grants/Funds Gilhane Co, Mr, Christopher Urban 8550 West Bryn Mawr Chicago, Illinois 60631 Grass Lake School District 36 Addition and Renovations to Grass Lake School Release 1 Wreck and Remove 1 Story School Building Vision Construction Mr. Matt Brokenshire 1733 North 33rd Ave Stone Park, Illinois 60165 Interior and Exterior Removals Two Schools Wight Co. Mr. Scott Richards 2500 Frontage Road Darien, Illinois 60156 Interior Renovations Administration Building "Recycling Today For A Greener Tomorrow,, GREEN DEMOLITION 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 Section 11 Plan Subcontractors In Environmental Services, Inc, 337 W 806 N Valparaiso, IN 46385 Republic Service 3300 Charlotte Avenue Elkhart, IN 46517 MerkPak, Inc. 6655 N. Avondale Avenue Chicago, 1160631 Abatement Disposal / Hauling Universal Waste Removal/Disposal "Recycling Today For A Greener To ooirrow" 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. See- a,: -Hoc k 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. 5. 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. j a I ��. C 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. GREEN DEMOLITION 523 Northbrook Drive Michigan City, Indiana 46360 Of#Ice: 312-409-4771 Fax; 773-477-7149 Section II Plan and Equipment Questionnaire 1. Green Demolition Contractors Incorporated will mobilize at the site and perform inspections. We will confirm utilities are disconnected, abatement is complete (if applicable), and the building is free of pedestrians. Then, we will demolish the structure. We will salvage and recycle materials to meet qualifications and load out debris. Concrete and brick will be demolished and loaded out. We will backfill and compact site and deliver and spread black dirt. This will be repeated at each property, After all properties are complete, we will confirm the seeding at each property, 2. Waste Management Disposal 2221 W. Mt. pleasant Muncie; Indiana Air Management Techniques Abatement if applicable 2650 Kilgore Muncie, Indiana 3. Not Applicable 4. (2) Two CAT 320 Excavators (2) Two T-300 Skid Steer (1) One Mack Semi 65 yard Roll Off (1) One Mack 6 Wheeler 40 yard Roll Off (1) One Mack Sethi Low Boy 5. Yes " Aecycling Torbay For A Greener TomorrowPl 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 �GL this day of��' Green Demolition ntract n rporated ame Organizatia By Michael Brough, Presw�_t�_ (Title of Person Signing) ACKNOWLEDGEMENT STATE OF�`� ) ) ss COUNTY OFFS') !—/ Before me, a Notary Public, personally appeared the above -named /AA L (A e_ [Jroffl k and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me thisday of ivotaAdpubric My Commission Expires: County of Residence: Gf.tl'� NOTARY PLIBLIC �� t,3te of iracl,' :i Lcz} oil:., Co€.ir7ty �'ry ornrr�i ,i� x?irccy C?c«3cr Y I r u I O LL O cll C 7 .� cu 0 _0 Y o � U a z a' M U L O 'D cIr LL L Incorporated in the State of Indiana Union Shop PROJECT EXPERIENCE Tonn & Blank Construction LLC 1623 Greenwood Ave. Michigan City, IN 46360 Joel Gonzales 219 877-8174 Uptown Artist Lofts Michigan City, IN Scope of Work: GREEN DEMOLITION 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 $611,086.00 Interior Selective Finish / Abatement and Structural Removals of Multi Level Facility Rockford Construction Grand Rapids, MI 49508 Brock Burgess 616-437-4226 LaPorte, In Meijer $787,000.00 Scope of Work: Complete 100% gut re -habilitation project with Bobcat machines of an existing Sig Box facility consisting of ceilings, drywall partition walls, storefronts, facades, floorings, concrete removals, M.E.P. and portion of structure removals. IHC Companies 1500 Executive Dr. Elgin, IL 60123 Tom Carrano 847-841-7713 Niles North IIS 2014Surnmer Renovation Skokie, Il Scope of Work: Selective and gut removals of Locker Rooms - Kitchen Cafeteria- Entrances and other various areas $524,000.00 "Recyelinq Today For A Greener Tomorrow" BOWA Group 7050 S. Stony Island Ave, Chicago, IL, 60649-1906 Nose Ehi 773-577-3845 University of Chicago Neuroscience Chicago, IL Scope of Work: Interior finishes removals of current Laboratory Spaces, Barton Malow Company 150 N Upper Wacker Dr #1650 Chicago, IL 60606 Brian Courtney 312-281-0821 GREEN DEMOLITION 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409.4771 Fax: 773-477-7149 $521,000,00 Argonne National Laboratory $212,000.00 Argonne National Lab — Materials Engineering Building 370 Building 360 Expansion Scope of Work: Green Demolition performed wreck removals within Building 370 adjacent to an ongoing Phosphorous Experiment working in direct conjunction with electric, communications systems, sprinkler systems, natural gas and steam while performing lead and asbestos abatement. Green Demolition performed a Building Wreck within 10 feet of a Linear Accelerator without service interruptions to the electric, water, sewer, natural gas, steam and communications systems. "Recycling Today For A Greener TomorroWw i_.,•-_ -APPROVED AND FILED CONNIE LAWSON INDIANA SECRETARY OF STATE 04/06/2017 07:54 AM BUSINESS ID 2015061 100177 13USTNBSS TYPE Domestic Limited Liability Company BUSINESS NAME GREEN DEMOLITION CONTRACTORS INCORPORATED PRINCIPAL OFFICE ADDRESS 523 NORTHBROOK DRIVE, MICHIGAN CITY, IN, 46360, USA YEARS 2017/201 8 NAME MICHAEL BROUGH ADDRESS 523 NORTHBROOK DRIVE, MICHIGAN CITY, IN, 46360, USA TITLE President NAME Michael $rough ADDRESS .123 Northbrook Drive, Mich City, IN, 46360, USA IN WITNESS WHEREOF, THE UNDERSIGNED HEREBY VERIFLES, SUBJECT TO THE PENALTIES OF PERJURY, THAT THE STATEMENTS CONTAINED HEREIN ARE TRUE, THIS DAY April 6, 2017. SIGNATURE TITLE Michael J $rough Registered Agent Business ID: 2015061100177 Piling No. ; 7567738 ,Stote, of 111iin11n f.3ftIce of the Secreta1',l' of Suite CERTIFICATE ()F C}RC'ANIZATI()N of GREEN DEMOLITION C. ONTRAC:TOR,S INC.'ORPOR ATED L Coluiie Lawson. ,Secrettljv of ,State of IUClialiil;'Ile1-011y certify that Al'ticles of 0r anizt�tioll of the �illc��,. f)onlestic Liillited Liability Coillpally (LLC)11w." beefs presented to file tit Il1V offlGe, £ICcc7111I7iof tit a iol,_' fete>s prescri0ed by law and that the Cloctilllentatioll I,ll'eyellted collfol'lllti to law. Lis prescri0ed by the pro�'isiolls cif the 11lClin11a 'Ellsllless Fletiibi]ity Act, NOW, THEREFORE, wjt1a :t11is rloc:iti11ei1t I certifv tllitt , &1icl trallstic#ion 11ri%1 l�ecotlie. effective G Tln�t',�cl�z�' Jalaie 11. 20I5. g wo +f ;jfk �r,�t'_ ­���' Ill Witll""; W11el'eof. 111ti1'e C8LNCC1 to be nffiteCj 111V 4i11�lkut'e tlllcl file seEi1 of the St��te of Il1C1it111r1, t1t the Itic'litultipolis, ,Tulle I I , 2015 G C)NNIE LA W,S ON, SECRETARY OF STATE ?I;�Isfl(il I[sf11?7 r.riJ<17(iJ Il;n�. RECEIVED 06M 1/2015 OMS AM FAPPROVED AND FILED CONNIE LAWSON INDIANASIECRETARY OF STATE 6/11/2015 11:09 AM ARTICLi=S Ot� QfQpNfZATION Formed pursuant to the praVlslons of the Indlana Business Flexibility Act. ARTICLE I -NAME AND PRINCIPAL OFFICE GREEN DEMOLITION CONTRACTORS INCORPORATED 523 NORTHBROOK DRIVE., MICHIGAN CITY, IN 46360 ARTICLE II - REGISTERED OFFICE AND AGENT MICHAEL BROUGH 523 NORTHBROOK DRIVE; MICHIGAN CITY, IN 46360. The Signator represents that the registered agent named In the application has consented to the appointment of registered agent, ART(C).E Ili GENERAL INFORMATION What Is the Latest date upon which the entity Is to Perpetual dlssolve?: ' Who will the entity be managed by?: Members Effective Date; 6/11/2015 Electronlo Signature; MICHAEL JAMES BROUGH Page 1 of 1 . TransaGUM 10 TR15081100023 Control Number DEW 4016OG11 GREEN DEMOLITION 523 Northbrook Drive Michigan City, IN 46360 Office; 312.409-4771 Fax; 773-477-7149 Qty Description EQUIPMENT LIST 2 330 Excavators Caterpillar 2 320 Excavators Caterpillar 1 331 Excavator 1 432 Excavator 1 2011 Galbreath Semi Roll Off Trailer 2 65 Yard Roll Off' Boxes 2 Excavator Hammers 1 Excavator Grapple 8 Overseas Containers Converted for Roll Off Truck 2 40 Yard Roll Off Boxes 8 30 Yard Roll Off Boxes 6 20 Yard Roll Off Boxes 1 Flat Deck for Roll Off w/ Built In Wench 1 20 Ton Flat Deck Trailer 1 10 Ton Flat Deck Trailer I Bobcat Tags Trailer 1 Tilt Deck Trailer I Flat Deck Single Axel 1 963 Bobcat 2 863 Bobcats I S-185 Bobcat 4 S-250 Bobcats 2 S-300 Bobcats 2 S-70 Bobcats 4 463 Bobcats 1 553 Bobcat 1 763 Bobcat I T300 Bobcat l 853 Bobcat I Ingersoll Rand Mason Lull 2 Lull Conversion Brackets 1 320 excavator Wrecking Pole 5 Wrecking Poles 1 80" Root Grapple Bucket 14 Grapple Buckets "Recycling Today For A GrOener Tomorrow" GREEN DEMOLITION 523 Northbrook Drive Michigan City, IN 46360 Office; 312.409-4771 Fax: 773-477-7149 2 2015 Ford One Torn Dually Dump Trucks 1 2005 Mack Tractor 1 2006 Mack Six Wheeler Roll Off Truck 1 Semi Roll Off Trailer 4 Bobcat Hammers 15 Misc, Buckets for Bobcat 2 Terminators 1 Atlas Capco 185 Air Compressor 1 Ingersoll Rand 185 Air Compressor 1 Ingersoll Rand 250 Air Compressor 10 Cargo Trailers 1 Water Trailer I Lowboy Trailer Misc. Inventory Steel I Beams Misc, Inventory Lumber Misc Hand Tools, Boxes, Equip Le. Saw, Air Hammers, etc. Any and all equipment and tools listed above are free of encumbrances, none of the above listed items are leased, all equipment is owned by Michael Brough, President Green Demolition Contractors, Incorporated LLC Michael Brough, President "Recycling Today For A [greener Tomorrow" GREEN DEMOLITION 523 Northbrook Drive Michigan City, TN 46360 Office: 312.409-4771 Fax: 773-47,7.7149 MISSION STATEMENT Green Demolition Contractors Incorporated LLC is a fully licensed, bonded, and insured demolition company servicing the Midwest. Our management team possess over 50 years of field experience, We are a proud signatory contractor with the International Laborer's Union of North America and the International Union of Operating Engineers, as well as a member of the National Association Demolition Contractors. We are LEED experienced and a lead -safe certified firm. Green Demolition specializes in a variety of services including: • Selective Demolition • Total Building Demolition • Mechanical Demolition • Structural Demolition • Selective Excavation • Concrete Crushing • Scrap Recovery • Fire and Disaster Relief Work • Waste hauling • 24-Hour Emergency Service We service Industrial, Manufacturing, Commercial, Schools, Hospitals, Public, Municipal and Government Sectors. Our mission is to provide every client with safe, innovative, cost-effective and environmentally sound solutions while promoting a standard of excellence with our trained Union Field personnel. Green Demolition Contractors Incorporated LLC strives to reuse and repurpose our demolition material by utilizing sustainable deconstruction practices minimizing waste and recycling all material possible In order to ensure a positive impact on the environment, "Recycling Today For A Greener Tomorrow)) GREEN DEMOLITION 523 Northbrook Drive Michigan City, W 46360 Office: 312-409-4771 Fax: 773-477-7149 EMPLOYEE DRUG POLICY The past success and future growth: of the Company are a direct result of our most important asset; Our people, Consequently, the Company is concerned about the use of alcohol, illegal drugs or controlled substances as it affects the workplace. Use of these substances, whether on or off the job, can adversely affect an employee's work performance, efficiency, safety and health, and may therefore seriously impair his or her value to the Company. In addition, the ,use or possession of these substances on the job constitutes a potential danger to the welfare and safety of other employees and exposes the Company to risks of property loss or damage, or injury to other persons. The Company has a vital interest in maintaining safe and efficient working conditions for its employees and ensuring that all the Company vehicles are properly maintained and operated in a safe manner. Furthermore, the use of prescription drugs and/or over-the-counter drugs may affect an employee's job performance and seriously impair the employee's value to the Company. Any employee who is using prescription and/or over-the-counter drugs that may impair the employee's ability to safely perform the job, or affect the safety or well-being of others, should not report for work during the time the employee is using the medication. You may be required to provide a doctor's note validating your need for time off due to the use of medication which interferes with your ability to safely perform your duties. The employee should use any accrued vacation or sick leave during this time period, If the employee does not have accrued leave, the employee should discuss their need for time off with their supervisor or Human Resources to determine if an accommodation may be made. Proper use of prescription drugs directly prescribed to the employee is exempt from these restrictions so long as the employee is complying with physician orders and does not create a safety hazard for the employee or his/her co-workers. Contact Green Demolition Contractors Human Resources when an employee has been prescribed drugs from a complying physician. The following rules and standards of conduct apply to all employees either on the Company property (owned or leased or off premises job site) or during the workday (including meals and rest periods). The following are strictly prohibited by the Company; however this section does not apply to the legal use of prescription drugs. 1, Possession or use of alcohol, or being under the influence of alcohol while on the job, 2. Driving a company vehicle while under the influence of alcohol or a controlled substance. 3. Distribution, sale or purchase of an illegal or controlled substance. 4. Possession or use of an illegal or controlled substance or being tinder the influence of an illegal or controlled substance while on the job. "Recycling Today, For A Groener Tomorrow" GREEN DEMOLITION 523 Northbrook Drive Michigan City, IN 46360 Office; 312-409-4771 Fax: 773-477-7149 Violation of the above rules and standards of conduct will not be tolerated, The Company may also bring the matter to the attention of appropriate law enforcement authorities, 1 Drug Testing Each employee, as a condition of employment, may be required to participate in pre- employment, reasonable suspicion; and follow-up testing upon selection or request of management. Any employee who refuses to submit to drug or alcohol testing requested by management will be subject to disciplinary action, up to and including immediate termination. Altered samples, substituted samples and negative dilutes constitute employe failure to cooperate with a management investigation in violation of The Company e business conduct policy. Any employee submitting such a sample will be subject to disciplinary action, up to and including immediate termination, Drug or alcohol testing required or requested by the Company will be conducted at the Company expertise. Testing for the presence of alcohol will be conducted by analysis of breath. Testing for the presence of the metabolites of drugs will be conducted by the analysis of urine. To ensure the accuracy and fairness of our testing program, all testing will be conducted according to DHHS/SAMHSA guidelines where applicable and will include a screening test; a confirmation test; the opportunity for a split sample, review by a Medical Review Officer, including the opportunity for employees who test positive to provide a legitimate medical explanation, such as a physician's prescription, for the positive result; and a documented chain of custody. 2, Testing Based on Reasonable Suspicion Employees may be referred by a supervisor to a company -approved physician or medical group for evaluation when a supervisor has reason to believe that the employee is intoxicated or using controlled substances or other illegal drugs during work hours or at a time which may affect job performance or safety. Evidence of such behavior may include, but is not limited to, slurred speech, uneven gait, mood swings, violent temper, or exccssive absenteeism and/or tardiness, Employee Consent to Release Chemical Analysis When the Company requires an employee to submit body fluids for chemical analysis, the employee must sign an Employee Consent Form authorizing the results to be forwarded to Green Demolition Contractors FIR Representative. An employee who refuses to submit body fluid samples upon request of the Company or who refuses to execute the Employee Consent Form has failed to cooperate with a management investigation in violation of the Company business conduct policy, Such conduct will subject the employee to disciplinary action, up to and including immediate termination of employment. iRRecycling Today For .A Greener Tomorrow" GREEN DEMOLITION TION 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 a• Confidentiality of Test Results Test results of the chemical analysis of body fluids for substance abuse will be kept confidential in the same manner that all other confidential personnel records and confidential medical records are kept. Upon written request, the employee will be furnished with a copy of his or her substance abuse test results. Analysis of Test Results Being under the influence of drugs or alcohol on the job or during work hours will be presumed by the Company to pose a serious safety and health risk. Additionally, any use of alcohol or drugs during non -work time which results in a positive test of the employee during work hours may result in a similar presumption that the use of the drugs or alcohol poses serious safety and health risks. ro• Positive Test The Company reserves the right to impose discipline, up to and including immediate termination of employment, upon any employee who tests positive, The Company reserves the right to require, as a condition of reinstatement and continued employment, completion of an approved rehabilitation program, at employee expense, which shall include but not be limited to: • A period of inpatient care • A return to work test, prior to reinstatement • Follow-up testing Any employee testing positive during or subsequent to a rehabilitation program will be subject to immediate termination. Employee Signature Supervisor / Witness Signature Date Date "Recycling Today For A Greener Tomorrow" GREEN DEMOLITION 523 Northbrook Drive Michigan City, IN 46360 office; 312-409-4771 Fax: 773-477-7149 EEO STATEMENT It is the policy of Green Demolition Contractors Incorporated LLC to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic that is protected by Federal, State or Local Law, In addition, Green. Demolition Contractors Incorporated will provide reasonable accommodations for qualified individuals with disabilities. Green Demolition Contractors Incorporated LLC goal is to increase representation of women, people of color, veterans and individuals with disabilities. Our programs and training are designed to apply to all applicable federal, state and local laws, ordinances and regulations and cover all human resource actions including employment, compensation, benefits, training, education, tuition aid, transfers, promotions and social/recreational programs, Green Demolition Contractors Incorporated LLC CEO and senior leadership- along with Local Branches of International Operating Engineers Union and International Brotherhood of Laborer's Union regularly receive and review affirmative action reports and monitor progress, reinforce policies and hold the organization accountable to meet objectives. Michael Brough, President and Norman Bennett, Business Manager are responsible for leading Green Demolition Contractors Incorporated LLC affirmative action efforts and ensuring that the principle of equal employment opportunity is understood and followed. The Human Resource head, is responsible for local efforts. All members and management must be familiar with this Policy, must fully support it and are responsible for applying these principals in good faith. All employees are responsible for conduct consistent to demonstrate respect for all co-workers. All statements are posted in the Corporate Office and in the HR Office and may be reviewed by applicants and employees on weekdays during normal working hours. Michael J. Brough President and Chief Executive Officer "Recycling Today For A Greener 'Tornorro.w n GREEN DEMOLITION 523 Northbrook Drive Michigan City, IN 46360 Office; 312-409-4771 Fax; 773-477-7149 Purchasing Policy Statement of Purpose This shall be known as the Green Demolition Contractors Incorporated LLC, Purchasing Policy. Its purpose is �„ ensure that Green Demolition Contractors In w enever they rneet cost and performance requiternents. e a e pro guts Definitions "Environmentally Preferable Products" means products that have a lesser impact on human health and the environment when compared with competing products, production, manufacturing, packaging, distribThis comparison may consider raw materials acquisition, ution, reuse, operation, maintenance, or disposal of the product, "Recycled Products" are products manufactured with waste material that has been recovered ar diverted from solid waste. "Practicable" means sufficient in performance and available at a reasonable cost. "Cost means the total expense of the product including the initial price, lifecycle costs, and disposal costs. "Price" means the initial expense to acquire the product, Statement of Policy Green Demolition Contractors Incorporated LLC, shall purchase recycled and other environmentally preferable products whenever practicable. Green Demolition Contractors Incorporated LLC, shall require contractors and consultants to use recycled and other environmentally preferable products whenever practicable, Statement of Procedure Green Demolition Contractors Incorporated LLC, shall be responsible policy as follows; for coordinating implementation of this 1. Assign appropriate personnel to fulfill the requirements of this policy, 2, Research opportunities for procurement of recycled and other environmentally preferable products and communicate these to purchasing decision makers for evaluation and purchase. 3, Collaborate with specifying agencies to prepare or revise bid documents and contract to implement this chapter, language where necessary Collect data on purchases by Green Demolition Contractors Incorporated LLC, of recycled and other environmentally preferable products, "Recycling Today For A Greener Tomorrow» GREEN DEMOLITION 523 Northbrook Drive Michigan City, IN 46360 Office; 312-409-4771 Fax; 773.477.7149 5. Prepare and submit an annual report to Green Demolition Contractors Incorporated LLC, by jan 30th of each year, describing the progress of Green Demolition Contractors Incorporated LLC, in implementation of the policy, including the following elements: a. Quantities, costs, and types of recycled and other environmentally preferable products purchased; b. A summary of savings achieved through the purchase of recycled and other environmentally preferable products; c. A summary of program promotional efforts; d. Recommendations for changes in procurement policy. 6. Promote the use of recycled and other environmentally preferable products by publicizing its environmental purchasing policy and its implementation, 7. Educating staff about the policy and listening to staff comments and suggestions. Exemptions Nothing in this policy shall be construed as requiring the purchase of products that do not perform adequately or are not available at a reasonable cost. Implementation This policy shall be effective immediately from the date of signature. Dated the day of 2015 Signature "Recyoling Today For A Greener Tomorrorw's GREEN DEMOLITION 523 Northbrook Drive Michigan City, IN 46360 Office; 312.409.4771 F= 773-477-7149 Project; Recycling Scope; Green Demolition will and is currently pursuing a recycling at Green Demolition .is using it owns dumpsters to recycle all metals which may include any all of the following, desks, file cabinets, pipe, conduit, tee grid from the ceilings, and wiring. Green Demolition is also using it owns dumpsters to recycle all concrete, brick and block, etc that we will be removing and disposing of. a contracted waste hauler will also be segregating materials at a transfer site that were hauled from . Materials that will salvage for reuse are paper, cardboard, woad, plastics, metals, brick, block, and concrete, End of month reports will be generated showing percentages of recycled materials to waste disposed of in an approved land fill. A final report will be generated at the end of the project showing a combined report for the demolition debris at Respectfully, Green Demolition, Inc. Laura Hayes laura@greende-molitioililie. core 773-477-7160 direct 773-477-7149 :fax "Recycling Today For A [greener Tornorrornr"