HomeMy WebLinkAboutOpening of Quotations - Sewer Cleaning Nozzles - USB-Sewer Equipment CorpQUOTE/PROPOSAL
CITY OF SOUTH BEND
QUOTE NAME Sewer Cleaning Nozzles
FOR QUOTES DUE August 22, 2017" at 9:00 a.m.
Est.
Est.
Qty
Item
Manufacturer
Unit Price
Two
60 GPM 6 Jet floor cleaning nozzles
t} 5
so
J 4 D 5
(2)
with 1" inlet.
$ { . Lam..
Four
80 GPM 6 Jet floor cleaning nozzles
(4)
with 1" inlet.
$ ea.
Two
60 GPM 10 Jet floor cleaning nozzles
00
(2)
with 1" inlet.
U
$, 0 7 7. e-,x.
Four
80 GPM 10 Jet floor cleaning nozzles
(4)
with 1" inlet.
5
$ 31o17, ° � ,
Two
60 GPM 10 Jet 5 forward 5 rearward
(2)
spinner type nozzles with 1" inlet.
$
Four
(4)
80 GPM 10 Jet 5 forward 5 rearward
spinner type nozzles 1" inlet.
0��
I q S It76ell
with
$
Quoter (Firm): 059 ,,weir ee? u+prrv-v - Corp
Address: wa+/.
City/State/Zip: ur + 3,,,o , --7
Telephone
Number:p 43�4b
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Suzanna M. Fritzberg, Member
Fax Number: -77 c `18 y -d 96 a
'(Signature)
-p) jf
(Prin ed Name)
(Title)
Elizabeth A. Maradik, Member
Therese J. Dorau, Member
James Mueller, Member ATTEST: Linda M. Martin, Clerk
CITY OF SOUTH BEND INDIANA
QUOTE NAME Sewer Cleaning Nozzles
Ott .o°° is
FOR QUOTES DUE Au ust 22, 2017 at 9:00 a.m.
r
Date; Firm: U 39-- s:LW� c- a l�rnen+ cc,
Address:
City/State/Zip: cwic:4 . CA . Telephone Number:
Agent of Firm (if Applicable);
When the prospective Contractor is unable to eert6 to any of the statements below, it shall aftach an explanation to this Affidavit
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT,
CERTIFICATION REGARDING INVESTMENT WITH III^ EMPLOYMENT
ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COMMITMENT AND
CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY
PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF �, )
SS:
COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that;
1. Contractor has not, nor has any other member, representative, or agent of the firm,
company, corporation or partnership represented by him, entered into any combination,
collusion or agreement with any person relative to the price to be bid by anyone at such.
letting nor to prevent any person from bidding nor to induce anyone to refrain from
bidding, and that this bid is made without reference to any other bid and without any
agreement, understanding or combination with any other person in reference to such
bidding. Contractor further says that no person or persons, firms, or corporation has, have
or will receive directly or indirectly, any rebate, fee, gift; commission or thing of value on
account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any
of its principals are presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from participation in this transaction by any Federal
department or agency; and
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:
L 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 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). 1 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 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 �_ day of , 20_I --
U S �` se.wer Eau J `a ry 1 Corp
Contrac Bidder (Firm)
Signature ofi56ractorffiidder or Its Agent
Subscribed and sworn to before me this
My Commission Expires _fc1.0 b
County of Residence
I)A4 Lo Ore i�rPS�alp/1
Printed Name nd Title
day of , 20A
No ary Public
u
ly ci,)Ih ��t.._ ;si �_ =FA 11, 2020
(To be completed only by ContractorslBidders claiming to be a "local Indiana business" pursuant to I.C. 36-1-12-22)
INDIANA LOCAL BUSINESS PREFERENCE CLAIM
A "local Indiana business" refers to any of the following:
(1) A business whose principal place of business is located in an affected county.
(2) A business that pays a majority of its payroll (in dollar volume) to residents of affected counties.
(3) A business that employs residents of affected counties as a majority of its employees.
(4) A business that makes significant capital investments in the affected counties as defined in rules adopted by the
political subdivision.
(5) A business that has a substantial positive economic impact on the affected counties as defined by criteria in rules
adopted by the political subdivision,
An "affected county" refers to St. Joseph County, Indiana, or the following counties located adjacent to St Joseph
County. Elkhart County, Marshall County, Starke County and LaPorte County
There are the following price preferences for supplies purchased from a local Indiana business:
• 5% fora purchase expected by the purchasing agency to be Less than $50,000
3% for a purchase expected by the purchasing agency to beat least $50, 000 but less than $100, 000.
• 1 % fora purchase expected by the purchasing agencyagengy to beat least $100, 000.
Date:
Pursuant to I.C. 36-1-12-22,
preference for Project
South Bend, St, Joseph County, Indiana,
a The location of the principal place of business is
claims a local Indiana business
(Project # ) located within the City of
(Address)
❑ St. Joseph County, Indiana
❑ The following county located adjacent to St. Joseph County, Indiana:
❑ The majority of the business's payroll for the 12 months prior to the date of this Bid is to residents of St,
Joseph County, Indiana or the adjacent county noted above.
❑ The majority of the business's employees for the 12 months prior to the date of this Bid are residents of St.
Joseph County, Indiana, or the adjacent county noted above.
If the business is deemed to be the apparent lowest, responsible, responsive bidder, then it shall provide
supporting documentation for the 12 month period prior to the date of the Bid of (i) the total payroll amount
paid to all employees of the business, and (il) the total payroll amount paid to employees who are residents
of St. Joseph County and the adjacent county noted above.
WHEN SUPPLYING SUPPORTING PAYROLL RECORDS,
BIDDER SHALL REDACT ALL SOCIAL SECURITY NUMBERS.
Dated this day of , 20_
Contractor/Bidder (Firm)
Signature of Contractor/Bidder or Its Agent
Printed Name and Title
SPECIFICATIONS
CITY OF SOUTH BEND
QUOTE NAME Sewer Cleaning Nozzles
FOR QUOTES DUE August 22, 2017 at 9:00 a.m.
Pursuant to notices given, the undersigned offers Quote(s) to the City_ of South Bend in accordance with
the following attachment(s) which specify the class or item number or description, quantity, unit, unit price,
They City of South Bend is requesting quotes for Sewer Cleaning Nozzles listed below:
Two (2) 60 GPM 6 Jet floor cleaning nozzles with 1" inlet.
Pour (4) 80 GPM 6 Jet floor cleaning nozzles with 1" inlet.
Two (2) 60 GPM 10 Jet floor cleaning nozzles with 1" inlet.
Four (4) 80 GPM 10 Jet floor cleaning nozzles with 1" inlet.
Two (2) 60 GPM 10 Jet 5 forward. 5 rearward spinner type nozzles with 1" inlet.
Four (4) 80 GPM 10 Jet 5 forward 5 rearward spinner type nozzles with 1" inlet.
Please return all sealed quotes by August 22, 2017 at 9:00 a.m. to:
Board of Public Works, 131h Floor
County City Building, Room 1316
227 West Jefferson Blvd,
South Bend, IN 46601
If you have any questions you can contact me at 574-235-9316.
Sincerel ,
U
Jeffrey D. Hu ak, Manager
Central Services Division
JDH/sme