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Home My WebLink AboutOpening of Quotations - 2017 Tree Plantings Project No. 117-009B - Fuerbringer Landscaping & Design, Inc.� = r.r�� r -_ err � � � tarr�� _ _ _ _ ;�•� -,� -, - 3g e �. �'� �.a'..�� ,U,Cs.'.,.71 `-7774 .,A ;t_,iaaim n „a� _" ` A _ _ _ Ain ''r �� al��„ a: '"� �x� fr-W fir✓' » LF_ _3. e Vq �.��•� �3�5 f.. �..s,» � s � _ _ Li W i- i zWk, ."i When the prospective Contractor is unable to certify to any of the statennents 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, NONDISCRIMINATION 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 Al Ar ) ) SS: .J tvty F _ 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 arnended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Version 10/18/2016 Page - 9 Public Works Quote Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the 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 fiom being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16- 8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I Version 10/18/2016 Page -10 Public Works Quote 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. 1 understand that violations hereunder 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 IG day of it_o 208 �uER32�n14 LANos&A-PiAl4 4-DESt( 4)z04C - Contrac r/ idder (Finn Jz- -§ignature of Contra or/Bid er or Its Agent , t�fL+�c 5 c ti �nfi~ Printed Name and Title Subscribed and sworn to before me this day of "Lts-r , 2017 My Commission Expires a /YQz K./ Notary Public [\—NOTARY � ,�+ rw S., OFFICIAL SEAL ALICE M. McKINLEY PUBLIC - INDIANACounty T S l� JOSEPH COUNTY of Residence CJ • �J E oSi, .,a . mm. Expires 912612024 Version 10/18/2016 Page - 11 Public Works Quote FUERLAN-01 LD131Y -- CERTIFICATE OF LIABILITY INSURANCE DATall., D1YYYYI 08/1712017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pallcy 05) must have ADDITIONAL INSURED provisions or he endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this Certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CT Linda Driver, AAI The Healy Group, Inc. -� 17636 GBnoration9 Drive {n' $ No, Ext ; S7 2271-$000 , No :(574 243r321 South Send, IN 46636 9:KAIL__ _ INSURED Fuerbringor Landscaping & Design, Inc. 22530 Brick Rd. South Bend, IN 46628 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS. EXCLUSIONS AND (r)NnlTlnnlc nF c11ru nor ir'1=0 a Mire c>,�,.,....., .... ILTR NSR - - TYPE OF INSURANCE DDL SUBR - i-i-ir POLICY NUMBER nr-:i..v+..cv aT PD ICY EFF 03/0112017 0310112017 03101/2017 03/01/2017 03101/2017 1"ri!V l.Wi1Ma7• POLICY EXP 03/01/2018 0310112018 031011201$ 03/0112018 03/0112018 11-eased/Rented V LIMITS FVACH A A A A A X COMMERCiA1. GENERAL LlAB1LITY CLAIMS•MAUE � OCCUR X NIA CPP6102833 CV6102634 ULCO102638 (, 610263g CPP6102633 OCCURRENCE 1,000,040 OAMA ETOR N D �' _MED EXP (Anv ono rg aonj 100,000 S 1fl,$0i) PERSONAL&ADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: — POLICY ❑X j LOG OTHER: AUTOMOBILE LIABILITY X ANYAUTO AWNED 3CHEDULEO A�U��T��OppS ONLY AUaTNOSWnr x AUTOS ONLY AUTO ONY X UMBRELLALtA6 X OCCUR EXCESS LIAB CLAIMS -MADE GENERALAGQRZO E $ 2,000,000 _ PRQDUCT3-COMPlOPAGG S 2i000,000 CQMBINED SINGLE LIMIT 1,000,000 BODILYINJURY(Per arson 3 BODILY I URY Pere�cldenl _ eQaceR1AMAGE $ EACW OCCURRENCE $ 6000sOQQ AGGREGATE $ 5,000,000 DED X RETENTIQN$ 0 WORKERSCOMPENSATIppN AND BMPLOYERV LIABILITY ANY PR�OPRIETO INCgTNER/EXECUTIVE YIN (Maridalalryn�CLUDEO7 If yyes dsaaiboundaI DESLtRi TIQN OF OPERATIONS below Property X P Q E.L. EACH ACCIDENT —,- 1,000,000 E.L. DISEASE -EA EMPLOYEE 1,000,000 � + L. DISEASE -POLICY LIMIT Equip 11000,000 26,000 v+.v • i,v..n iiwro venetii.x� 1Ativnu 1-1 PraA001110nal Remarks Schaduto, may be attached It more apace Is requtred) jeat Nam®: 2017 Tree Pianfings Project # 117-OgBt'3 rho City of South Bend is named an additional insured with rospect to this project. City of South Bend 125 S Lafayette Blvd. Suite 100 South Bond, IN 46601 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 91938.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD