The URL can be used to link to this page

Home My WebLink AboutOpening of Bids - Marriott Hotel Site Development at Hall of Fame, Phase 3 Project No. 117-064 - Walsh & Kellyg H e 3 � _ V�--A M..� _ _ac �:.J � �� .,yurS s..::.;y+a:'.di. _ ?,h--'YI_-i-�'►=�.,=..,. ,,i",�--t..;,_r. PART i! (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. 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 Affidaw, CONTRACTOR'S NON -COLLUSION AND NEON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IIIZAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- IDISCRIMINATION 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: St. Joseph 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 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 § 5-22-16.5-5, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: 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 10/17/2016 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 ofthe 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 I REVISION 2 BASE BID PART B (Jefferson Boulevard) Item No. Description Quantity Unit Unit Price Total Amount 1 Construction Engineering 1 LS 4,500.00 4,500.00 2 Video Record 1 LS 500.00 500.00 3 Inspection Hale 2 EACH 1,375.00 2,750.00 4 Mobilization and Demobilization 1 LS 4,000.00 4,000.00 5 Clearing of Right of Way 1 LS 2,900.00 2,900.00 6 Pavement, Remove 163 SYS 21.50 3,504.50 7 Curb, Concrete, Remove 128 LFT 18.00 2,304.00 8 Structure, Remove 1 EACH 1,875.00 1,875.00 9 Excavation, Common 60 CYS 35.00 2,100.00 10 Temporary Erosion Control 1 LS 1,000.00 1,000.00 11 Temporary Inlet Protection 2 EACH 385.00 770.00 12 HMA Surface 10 TON 284.00 2,840.00 13 HMA Intermediate 17 TON 249.00 4,233.00 14 HMA Base 55 TON 120.00 6,600.00 15 Compacted Aggregate, No 53 88 TON 30.00 2,640.00 16 Sidewalk, PCCP, 5 IN 190 SYS 90.00 17,100.00 17 Brick, Decorative, Permeable 24 SYS 196.74 4,721.76 18 Curb Ramp, Concrete 8 SYS 230.00 1,840.00 19 Curb and Gutter, Type B 126 LFT 57.00 7,182.00 20 Light Standard, Type F, Install 3 EACH 750.00 2,250.00 21 Light Pole Foundation 3 EACH 600.00 1,800.00 22 Conduit, PVC, Schedule 80,2 1N 120 LFT 4.50 540.00 23 No. 4 Wire 135 LFT 5.50 742.50 24 Line, Thermoplastic, Solid White, 4 IN 128 LFT 10.00 1,280.00 25 Tree Grate 1 EACH 2,907.90 2,907.90 26 Overstory Tree, 2 IN Caliper 1 EACH 600.00 600.00 27 Maintaining Traffic 1 LS 1 1,000.00 1,000.00 BASE BID PART B BID TOTAL $84,480.66 Version 10/17/2016 Contractor's Bid for Public Works - 9 REVISION 2 BASE BID PART C (Derue Court and Hotel Site) Item No. Description Quantity Unit Unit Price Total Amount 1 Construction Engineering 1 LS 5,000.00 5,000.00 2 Video Record 1 LS 500.00 500.00 3 Inspection Hole 2 EACH 1,375.00 2,750.00 4 Mobilization and Demobilization 1 LS 10,000.00 10,000.00 5 Clearing of Right of Way 1 LS 5,000.00 5,000.00 6 Structure, Remove 2 EACH 500.00 1,000.00 7 Pipe, Abandon 83 LFT 40.00 3,320.00 8 Excavation, Common 263 CYS 25.00 6,575.00 9 Temporary Erosion Control 1 LS 1,000.00 1,000.00 10 Temporary Inlet Protection 7 EACH 375.00 2.625.00 11 Surface Milling, Asphalt 672 SYS 6.70 4,502.40 12 HMA Patching, Type A 37 TON 285.00 10,545.00 13 HMA Surface 55 TON 154.00 8,470.00 14 Compacted Aggregate, No 53 652 TON 23.00 14,99600 15 Sidewalk, PCCP, 5 IN 387 SYS 67.00 16 Sidewalk, Decorative, 5 IN 75 SYS 114,00 8,550.00 17 Sidewalk, PCCP, Radiant 226 SYS 222.00 50 172.00 18 Concrete, PCCP, Reinforced, 6 IN 1120 SYS 95.00 106,400.00 19 Concrete, PCCP, Reinforced, Colored, 6 IN 165 SYS 115.00 18,975.00 20 Curb Ramp, Concrete 35 SYS 250.00 8,750.00 21 Standard Curb, Concrete 868 LFT 27.00 23 436.00 22 Storm Sewer Pipe, 24 IN, Perforated 120 LFT 129.00 15 480.00 23 Storm Sewer Pipe, 12 IN 13 LFT 205.00 2,665.00 24 Drywell, 6 FT Diameter 3 EACH 2,6p0.00 7,800.00 25 Storm Trench, INDOT No. 8 Aggregate 80 CYS 65.00 5,200.00 26 Geotextile Fabric 6,864 SFT 0.08 549.12 27 Light Standard, Type C 2 EACH 1,890.00 3,780.00 28 Light Standard, Type D 1 EACH 2,0%00 2,010.00 29 Light Standard, Type E 2 EACH 1,850.00 3,700.00 30 Light Pole Foundation 3 EACH 600.00 1,800.00 31 Conduit, PVC, Schedule 80, 2 IN 338 1 LFT 1 4.50 1,521.00 Version 10/17/2016 Contractor's Bid for Public Works - 10 REVISION 2 32 No. 4 Wire 358 LIFT 5.50 1,969.00 33 Bollards, Decorative 7 EACH 1,620.00 11,340.00 34 Bollards, Standard 6 EACH 8'550.00 35 Trash Enclosure 1 LS 35 000.00 36 Parking Lot Signs 6 EACH 90.00 540.00 37 Sign Post 58 LIFT 7.00 406.00 38 Line, Thermoplastic, Stop Bar, 24 IN 23 LIFT 25.00 575.00 39 Line, Epoxy, Solid, Blue, 4 IN 65 LFT 5.00 325.00 40 Line, Epoxy, Solid, White, 4 IN 395 LIFT 5.00 1,975.00 41 Pavement Message Marking, Epoxy, HandicapSymbol 1 EACH 300.00 300.00 42 Pavement Message Marking, Thermo lastic, Do Not Enter 1 EACH 500.00 500.00 43 Flagpole, 25' 1 EACH 2,600.00 2,600.00 44 Flagpole, 20' 2 EACH 2,000.00 4,000.00 45 Shrub, No. 3 Container 29 EACH 75.00 2,175.0 46 Ornamental Grass, No. 1 Container 44 EACH 30.00 1,320.00 47 Nursery, Sodding and Topsoil 101 SYS 15.80 1,595.80 48 Hardwood Mulch, 3 1N 6 CYS 90.00 540.00 49 Maintaining Traffic 1 LS 2 000.00 2,000.00 BASE BID PART C BID TOTAL $419,211.32 Version 10/17/2016 Contractor's Bid for Public Works - 11 HM:A \ 4 4 W «y w w ,...�� s c - � : h � N - a � ?A� � � m�3 ' N � ��y� � �i �..M L..�"j1Wi4 R��1"` �� -fi. a"?e ��T ��i� .J A� ��n,: -7-�- ..:� �r�.,e�-..� vsp�`•V _1c. ar .��Y.:. 'v n. _. .. .� - .. l,' ., ' r. .� � 2� .. �..4T'_ _ '. �%' _irn ae III. - u i rm, ,. -:.. �.�; .._ 1 ..... ..i ..... .. .. � a _� - - � �, a �� f � .'�� n � �`� r, � a .... 47 r "4t IECHUBB GROUP OF INSURANCE COMPANIES Surety Department, 16 Mountain View Road, P.O. Box 1616, Warren, NJ 07061-1615 CHUBE3 Phone: (908) 903-3485 . Facsimile: (908) 903-3656 AIA DOCUMENT A31 OTm - 2010 BID BOND Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. CONTRACTOR SURETY (!Name, legal status and principal place of business): (Name, legal status and address): Federal Insurance Company Walsh & Kelly, Inc. 15 Mountain View Road 24358 State Road 23 Warren, N.J. 07059 South Bend, IN 46614 OWNER (Name, legal status and address): City of South Bend Board of Public Works County -City Building, Room 1316 227 W. Jefiferson Blvd. South Bend, IN 46601 BOND AMOUNT: In the of not less than five percent (5%) of he base bid plus any alternates. PROJECT: (Name, location or address, and Project number, if any) Marriott Hotel Site Development at Hall of Fame, Phase 3 Project No. 117-064 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 lime period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters Into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished In the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bld, then this obligation shalt 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 to be Contractor. Printed in cooperation with the American Institute ofArchltects (A(A) by the Chubb Group orinsurance Companies. The language in this document conforms to the language used in AIA Document A310 -- 2010. Form 15-02.057&FED (Ed, 7.10) AIM6.7 M "44 POW7ER Federal_ TY7sulue nce Company Pttn: Surety DoParctment ILI Chubb or Vigilant Insurance Comparty. 35 Mountain View Road Surety ATTORNEY Pacific Indemnity Company Warr", NJ 07059 Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Terry R. Hurst as their two and lawful Attorney- in- Fact to execute under such deslgnaflon in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise, the fbllowing Surety Bond: Surety Bond Number Bid Bond Obligee And the execution of such bond or obligation by such Attorney- in- Fact in the Company's name and on Its behalf as surety thereon or otherwise, under Its corporate seal, in pursuance of the authority hereby conferred shall, upon delivery thereof, be valid and binding upon the Company. In Witness Whereof, said FEDERAL. INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seats on this 1St day of March 2013. ZVIIxYYl. 0,�_ Dawn H. Chloros, Assistant Secretary STATE OF NEW JERSEY as. County of Somerset v Richard A. Ciullo, Vice President On this 1st day of March 2013 before me, a Notary Public of New Jersey, personally came Dawn M, Chloros, to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Dawn M. Chloros, being by me duly sworn, did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attomey are such corporate seals and ware thereto affixed by authority of the By- Laws of said Companies; and that she signed said Power of Attomay as Assistant Secretary of said Companies by like authority; and that she Is acquainted with Richard A. Ciullo, and knows him to be Vice President of said Companies; and that the signature of Richard A. Ciullo, subscribed to said Power of Attorney is In the genulne handwriting of Richard A. Ciullo, and was thereto subscribed by authority of said By- Laws and in deponent's presence. Ap? wo- NotarialyyENpfE iRiALSH Seal Notary Public, State of Now Jersey rueue No. 006004 N� Expires April 18, 2018 G" C Notary Public CERTIFICATION Extract from the By- Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY; "All powers of attorney for and on behalf of the Company may and shall be executed In the name and on behalf of the Company, either by the Chairman or the President or a Vice President or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary, under their respective designations. The signature of such officers may be engraved, printed or lithographed. The signature of each of the following officers: Chairman, President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys- In- Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.` I, Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the 'Companies) do hereby certify that (i) the foregoing extract of the By- Laws of the Companies Is true and correct, (4) the Companies are duty licensed and authorized to transact surety business In all 50 of the United States of America and the District of Columbia and are authorized by the U.S. Treasury Department; further, Federal and Vigilant are licensed In Puerto Rloo and the U.S. Virgin Islands, and Federal is licensed in American Samoa, Guam, and each of the Provinces of Canada except Prince Edward Island; and (1II) the iofqoing Power of Attorney is true, correct and in full force and effect. .Given`under 'my hand aitd seals of said Companies at Warren, NJ this day of Dawn M. Chloros, Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE, OR BY Telephone (908) 903- 3493 Fax (908) 903- 3656 e-mail: surety@dnrbb.com Fort 15-10. 01546- SurePath ( Rev. 03-13) CORP CONSENT i m HI4[`kJ m ■ tji-m m Part of State Form52414 (R212-13) Form 96 (Revised 2013) BID OF Walsh & Kelly,Inc. (Contractor) (Address) South Bend IN 46614 FOR PUBLIC WORKS PROJECTS OF City,of South Bend Board of Public Works Marriott Hotel Site Development at Hall of Fame, Phase 3 Proiect No. 117-064 Filed Auoust 22nd. 2017 Action taken State Form 52414 (R 19-10) Prescribed by State Board of Accounts Form No. 9„6 (Revised 2013) CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96 PART 1 (To be completed for all bids. Please type or print) Date (month, day, year): August22 2017 1. Governmental Unit (owner): City of South Bend, Board of Public Works 2. County: St. Joseph 3. Bidder (Firm): Address: City/State: 4. Telephone Number: 5. Agent of Bidder (If applicable): Walsh & Kelly, Inc. 24358 SR 23 South Bend, IN 46614 574-288-4811 Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of City of South Bend — Board of Public Works (Governmental Unit) in accordance with plans and specifications prepared by Jones Petrie Rafmski dated August 2017 for the sum of See Attached $ See Attached The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the Governmental Unit. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant may be regarded as a material breach of the contract. CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS (If applicable) I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation to use steel products made in the United States. I.C. 5-16-8-2. I hereby certify I and all subcontractors employed by me for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in forfeiture of contractual payments. ACCEPTANCE The above bid is accepted this day of Contracting Authority Members: subject to the following conditions: PART 11 (For projects of $150,000 or more — IC 36-1-12-4) Governmental unit: City of South Bend — Board of Public Works Bidder (Firm): Walsh & Kelly, Inc. Date(month, day, year)�. August 22, 2017 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 What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount Class of Work When Completed Name and Address of Owner $6,030,341 Resurface December 2015 Lake County Hwy De t. $5,758,069 Resurface November 2015 Town of St. John $4,461,632 Reconstruction December 2015 INDOT $3,571,923 Reconstruction July 2015 INDOT 2. What public works projects are now in process of construction by your organization? Contract Amount Class of Work When to be Completed Name and Address of Owner $5,080,808 Reconstruction November 2017 City of South Bend, IN $5,938,220 Resurface October 2017 INDOT $5,775,000 Reconstruction November 2016 Town of Merrillville, IN $3,102,502 Reconstruction October 2016 INDOT 3. Have you ever failed to complete any work awarded to you? No — If so, where and why? 4. List references from private firms for which you have performed work. Gatlin Plumbing & Heating, Inc. 1111 E. Main St., Griffith IN Ms. Clara Mulphy Gouj4h, Inc. 2200 E. 881h Dr, Merrillville IN 46410 Mr. Raymond Gough Dyer Construction Co., 1716 Sheffield Avenue, Dyer, IN Janet Furman Grimmer Construction Co. Inc. 2619 Main Street Highland, IN Mr. Grey Grimmer SECTION Il PLAN AND EQUIPMENT QUESTIONNAIRE I . Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, completed the project, number of workers, etc, and any other information which you believe would enable the governmental unit consider your bid.) As required by owner 2. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. See Attached List 3. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the governmental unit in the event that you subsequently determine that you will use a subcontractor on the proposed project. Will supply upon award of contract 4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC, CONDITION YEARS OF SERVICE PRESENT LOCATION 5 Asphalt Plants Various Good Griffith, South Bend, Valparaiso, Lowell, LaPorte, 181 Asphalt Pavers Various Good Griffith, South Bend 4 Sli form Cone. Paver Comm II Good Griffith, South Bend 3 Road Widener Various Good Griffith, South Bend 5 Motor Graders CAT/J,D. Good Griffith, South Bend 48 Rollers Various Good Griffith, South Bend 31 Rubber Tire Loaders Various Good Griffith, South Bend 15 Excavators Various Good Griffith, South Bend 8 Bulldozers Various Good Griffith, South Bend 6 LowBoy Tractors Various Good Griffith, South Bend 7 Flatbed Dumps Various Good Griffith, South Bend 39 %2 and 3/ ton Pickups Various Good Griffith, South Bend 59 1 Ton Crew Trucks Various Good Griffith, South Bend 3 Cold Planers Wirtgen 1900 DC Good Griffith, South Bend 3 Tri-Axle Dump Mack Good South Bend 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? Otherwise, please explain the rationale used which would corroborate the prices listed. Yes, we received quotes from potential subcontractors and suppliers ;!. "rt — x�ir �j� t� � E ':�I u cf x ire �' `i s , _ g` a k h a u � , a� YAi e.. gi �.w'_54ti �4y.. M LoQI_`�w y. :i'd,. � 5�3 kr �.€a .�'eSL. �+, IO �v`GT< a-` Jr� .u^� ��e FM _ �v�*��+„g,a q pS � `�F� � .�„ u b y 11�*4, '� [yA' i�,� q S'y}z} N g� e t r y r i k_ — t General Form No. 96-a Prescribed by the Stale Board of Accounts of Indiana. Revised 1949. Standard Questionnaires and Financial Statement for Bidders Prescribed by THE STATE BOARD OF ACCOUNTS OF INDIANA For use in investigating and determining the qualifications of bidders on public construction when the aggregate cost of any such work or improvement will be Five Thousand Dollars or more. These statements to be submitted under oath by each bidder with and as a part of his bid, as provided by Chapter 306, page 1248, Acts of 1947 Submitted to City of South Bend — Board of Public Works By Walsh & Kelly, Inc. Address 24358 SR 23 South Bend IN 46614 Date submitted August 22, 2017 Filed A.H. BOYCE CO., MUNCIE, IND. tA Corporation l Sec. 2 of an Act entitled "AN ACT concerning the awarding of contracts for the performance of public work and authorizing the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contractors who submit bids for the performance of such work, providing for plans and specifications, providing for bids repealing certain laws and declaring an emergency." (Approved March 13, 1947.) Sec. 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or more, for the purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which of the bidders submitting bids for the performance of any such public work is, in the judgment of such board, commission, trustee, officer or agent, the lowest and/or best bidder and to exercise intelligently the discretion hereby conferred on such board, commission, trustee, officer or agent each bidder shall be required to submit under oath with and as a part of his bid a statement of his experience, his proposed plan for performing such work and the equipment which he has available for the performance of such work and a financial statement. The statements hereby required shall be submitted on forms which shall be prescribed by the state board of accounts. The forms so prescribed shall be designated, respectively, as the experience questionnaire, the plan and equipment questionnaire and the contractor's financial statement, and shall be based, so far as applicable, on the standard questionnaires and financial statement for bidders as approved and recommended by the joint conference on construction practices, for use in investigating the qualifications of bidders on public construction work, and the forms so prescribed are hereby prescribed as the forms which shall hereafter be used by all such boards, commissions, trustees, officers and agents in obtaining the information which is required in the administration of this act. If the information submitted by any bidder on the forms herein prescribed is found, on examination, to be unsatisfactory, the bid submitted by such bidder shall not be considered, (Burns Statutes 1933, Sec. 53-109) Sec. 2, Chapter 306, Acts of 1947. TO THE BIDDER — The following forms of questionnaires and financial statement are prescribed by the State Board of Accounts in conformity with the statute set out on the preceding page. These forms, properly filled out and attested, must accompany each bid of five thousand dollars or more on any public work. The forms are designed to cover all contracts for all kinds of work and the bidder is required to answer such questions as are pertinent to the work upon which he is bidding. The purpose of the questionnaire and financial statement, as set forth in the law, is to enable the awarding body to determine the qualifications of the bidder to carry out successfully the contract if the same is awarded to him. The bidder will find it to his advantage to answer fully all questions coming within the range of the work upon which he is bidding. Particular attention should be given the "Financial Statement" and the details relative to the assets and liabilities set out. This form is made in extensive detail so that the bidder may explain his assets and liabilities in proper sequence and in a uniform manner. T. M. HINDMAN, State Examiner 3 Submitted by Walsh & Kelly, Inc. f x A Corporation Principal Office at 1700 East Main Street Griffith IN 46319 To City of South Bend — Board of Public Works EXPERIENCE QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 1. How many years has your organization been in business as a general contractor under your present business name? 60 Years 2. How many years of experience in asphalt paving construction work has your organization had: (a) As a general contractor 70 years (b) As a sub -contractor 70 Years 3. What projects has your organization completed? Contract Amount Class of Work When Completed Narne and Address of Owner $ 6,030,341 Resurface December 2015 Lake County Hwy Dept. $ 5,758,069 Resurface November 2015 Town of St. John, IN $ 4,461,632 Reconstruction December 2015 INDOT $ 3,571,923 Reconstruction July 2015 INDOT 3-A. What projects has your organization now in process of construction? CONTRACT AMT, CLASS OF WORK WHEN TO BE COMPLETED NAME AND ADDRESS OF OWNER $ 5,080,808 Reconstruction November 2017 City of South Bend, IN $ 5,938,220 Resurface October 2017 INDOT $ 5,775,000 Reconstruction November 2016 Town of Merrillville, IN $ 3,102,502 Reconstruction October 2016 INDOT 4. Have you ever failed to complete any work awarded to you? No If so, where and wiry? 5. Has any officer or partner of your organization ever been an officer or partner of some other organization that failed to complete a construction contract? No If so, state name of individual, other organization and reason therefore 6. Has any officer or partner of your organization ever failed to complete a construction contract handled in his own name? No If so, state name of individual, name of owner and reason therefor 7. In what other lines of business are you financially interested? None 8. , For what corporation or individuals have you performed work, and to whom do you refer?_ BP Amoco Whiting, Indiana Tonn & Blank Construction 1623 Greenwood Ave., Michigany, IN 46360 Grimmer Construction Co., Inc. 2619 Main Street, Highland, IN 46322 University of Notre Dame South Bend Indiana Gough, Inc., 1151 E. Summit, Crown Point, IN 46307 9. For what cities have you performed work and to whom do you refer? Town of Griffith Director of Public Works Griffith IN Town of Schererville Town Manager Schererville, IN City of Hammond City Engineer.. Hammond IN City of South Bend City Engineer South Bend, IN Town of St. John Town Manager St. John, IN 10. For what counties have you performed work and to whom do you refer? Lake Couply Highway Su erintendent Crown Point IN Porter County Highway Superintendent Valparaiso, IN St. Joseph County Highway Superintendent South Bend, IN Elkhart Count Hi hwa Su erintendent ElkhartIN 11. For what State bureaus or departments have you performed work and to whom do you refer? Indiana Department of Transportation INDOT LaPorte District Laporte IN Department of Natural Resources Indianapolis, IN 12, Have you ever performed any work for the US. Government Yes If so, when and to whom do you refer? U.S. Army Corps of Engineers Chicago, IL Indiana National Guard Dept. of Administration Indianapolis, IN Federal Highway Administration Sterling, VA 13. What is the construction experience of the principal individual of your organization? INDIVIDUAUS NAME PRESENT POSITION OR OFFICE YEARS OF CONSTUCT ION EXPEREIN CE MAGNITUDE AND TYPE OF WORK IN WHAT CAPACITY Kevin J. Kelly President 32 All Types General Manager Jeffrey L. Swan Executive Vice President 33 All Types Supt. Engineering David Misirly Vice President 30 Bituminous Paving Engineer Greg Hoffman Vice President 30 Bituminous Paving Engineer Lynn Bauer South Bend Ops Mgr 22 All types Engineer Dustin Hilary South Bend Area M r 16 All types Engineer Mark Krachenfels Engineer 27 Bituminous Paving Engineer Douglas Kesler Engineer 42 Bituminous Paving Engineer PLAN AND EQUIPMENT QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 1. In what manner have you inspected this proposed work? Explain in detail. Plans Specifications, and Site Inspections 2, Explain your plan or layout for performing the proposed work As directed by owner/engineer The work, if awarded to you, will have the personal supervision of whom? Kevin J. Kelly, Jeffrey L. Swan David MisjKly, Greg Hoffman Dustin Hilar Yand Lynn Bauer 4. *Do you intend to do the hauling on the proposed work with your own forces? Yes If so, give amount and type of equipment to be used As needed W *If you intend to sublet the hauling or perform it through an agent, state amount of sub -contract or agent's contract, and if known, the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility Items 4,5,6 and 7 may not be applicable in all building contracts; if not, omit. 6 6, *Do you intend to do the grading on the proposed work with your own forces? If so, give type of equipment to be used 7, *If you intend to sublet the grading or perform it through an agent, state amount of sub -contract or agent's contract, and, if known, the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility 8. Do you intend to sublet any other portions of the work? If so, state amount of sub -contract, and, if known, the name and address of the sub -contractor, amount, and type of this equipment and financial responsibility 9. From which sub -contractors or agents do you expect to require a bond? None 10. What equipment do you own that is available for the proposed work? QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC, CONDITION YEARS OF SERVICE PRESENT LOCATION 5 Asphalt Plants Various Good Griffith, South Bend, Valparaiso, Lowell, LaPorte 18 Asphalt Pavers Various Good Griffith, South Bend 4 Slipform Conc. Paver Various Good Griffith, South Bend 3 Road Widener Various Good Griffith, South Bend 5 Motor Graders CAT/J.D. Good Griffith, South Bend 48 Rollers Various Good Griffith, South Bend 31 Rubber Tire Loaders Various Good Griffith, South Bend 15 Excavators Various Good Griffith, South Bend 8 Bulldozers Various Good Griffith, South Bend 6 LowBo Tractors Various Good Griffith, South Bend 7 Flatbed Dumps Various Good Griffith, South Bend 39 '/z and % ton Pickups Various Good Griffith, South Bend 59 1 Ton Crew Trucks Various Good Griffith, South Bend 3 Cold Planers Wirtgen 1900 DC Good Griffith, South Bend 3 Tri-Axle Dum Mack Good South Bend 7 State of Indiana Office of the Secretary of State CERTIFICATE OF EXISTENCE To Whom These Presents Come, Greeting. I, CONNIE LAWSON, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of the State of Indiana, the custodian of the corporate records and the proper official to execute this certificate. I further certify that records of this office disclose that WALSH &:KELLY INC duly filed the requisite documents to commence business activities under the laws of the State of Indiana on March 29, 1966, and was in existence or authorized to transact business in.the State of Indiana on March 06, 2017. I further certifiy this Domestic For -Profit Corporation has filed its most recent report required by Indiana law with the Secretary of State, or is not yet required to file such report, and that no notice of withdrawal, dissolution, or expiration has been filed or taken place. In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, March 06, 2017 &M44�� c%-: ""M CONNIE LAWSON SECRETARY OF STATE 194484-057 / 2017243606 Verify this certificate:https://bsd.sos.in.gov/ValidateCertificate MINUTES OF THE ANNUAL MEETING OF THE BOARD OF DIRECTORS OF WALSH & KELLY, INC., HELD ''Wednesday, JUNE 1, 2016, AT 4:00 P.M. A meeting of the Board of Directors of Walsh & Kelly, Inc. was held telephonically on June 1, 2016, at 4:00 P.M., following prior telephonic notice to all Directors. The meeting was attended by the following Directors: Kevin J. Kelly, James Fehsenfeld and Thomas Bertsch. Directors absent with proxy provided included Fred Fehsenfeld,Jr., and John Vereruysse. Kevin J. Kelly, President and Chief Executive Officer of Walsh & Kelly, Inc. acted as Chairman of the meeting. The meeting was called to order by Kevin J. Kelly. The purpose of the meeting was to elect officers and appoint those persons with authority to enter into contracts on behalf of the corporation. It was noted that John C. Wail has been appointed as Vice President and EEO Officer. On a motion duly made and seconded, the following resolution was unanimously adopted: `BE IT RESOLVED, that the following persons with full knowledge and the consent of the Board of Directors, are to serve as Officers of the Corporation until the next annual meeting of the Board of Directors in 2017, said date and time to be determined: Kevin J. Kelly, President and Chief Executive Officer Jeffrey L. Swan, Executive Vice President John M. Peisker, Vice President of Asphalt Operations David J. Misirly, Vice President Gregory A. Hoffman, Vice President John C. Wall, Vice President and EEO Officer J. Michael Schaum, Secretary and Treasurer, CFO„ On a motion duly made and seconded, the following resolution was unanimously adopted: "BE IT RESOLVED, that the following persons with full knowledge and the consent of the Board of Directors, are authorized to act as agents, and to execute any and all documents on behalf of Walsh & Kelly, Inc. related to business interests of Walsh & Kelly, Inc., particularly to execute contracts on behalf of the corporation, namely: Kevin J. Kelly, President and Chief Executive Officer Jeffrey L. Swan, Executive Vice President John M. Peisker, Vice President of Asphalt Operations David J. Misirly, Vice President Gregory A. Hoffman., Vice President Dustin P. Hilary, South Bend Area Manager Lynn J. Bauer, South Bend Operations Manager John C. Wall, Vice President and EEO Officer J. Michael Schaum, Secretary and Treasurer, CFO" There being no fiuther business to come before the meeting, on motion duly made, seconded and unanimously adopted, the meeting was adjourned. Kevin J. Kelly, President Atte J. M' ael Schaum, Secretary � . � � � { spa � � �• - � d Y 3 _. �.•- ,�: - -r �Tv- �,:r.. �� -,,.� � ,� :._., mot.. ,�.. _.�- - i�-_- -