HomeMy WebLinkAboutOpening of Bids - One or More 2017 or Newer Single Axle 4x4 Dump Truck with Contractor Dump Bed Spec Z - Trans Chicago Truck Groupr
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NOTICE TO BIDDERS
Notice is hereby given that the City of South Bend, Indiana, will receive sealed bids at the Office of the
Board of Public Works, 13th Floor, County -City Building, Room 1316, 227 West Jefferson, South
Bend, Indiana, until the hour of 9:30 a.m. Local Time, on September 12, 2017, for the following:
Spec Z — One (1 ) or More 2017 or Newer Single Axle 4X4 Dump Truck with Contractor Dump Bed
Specifications are available for download by visiting the City of South Bend's web page at
www.southbendin.gov:
X Click on "Business"
X Click on "City Public Bids"
X Click on "Request for Proposals, Vehicles, Equipment and Miscellaneous
Bids"
X Click on "Bid/Proposal Interest Form" and register your company to
receive updated information
X Select specification to download
X Print the specification or save it to your computer
There is no charge for the specifications. The specifications are also available for review only during
regular working hours in the Department of Public Works, 1308 County -City Building, South Bend,
Indiana 46601.
Bids received after 9:30 a.m., Local Time, on September 12, 2017, will be returned unopened.
Bids must be on the City of South Bend Bid/Proposal form provided, which includes a Non -
Debarment Affidavit, Non -Discrimination Commitment form, and a Non -Collusion Affidavit Form.
Certified Check or Bid Bond in the amount of not less than 10% must be submitted with the bid. A
refund of the bid security will be issued upon satisfaction of Bid Award. A refund of the bid
security will be issued upon satisfaction of Bid Award.
The Board may reject any bid that does not conform to these requirements as non -responsive.
The Board reserves the right to reject any or all bids or to accept a full or partial award of the bid or bids
which, in its judgment, will be to the best interest of the City of South Bend.
BOARD OF PUBLIC WORKS
Linda M. Martin, Clerk
Publish two times:
August 25, 2017
September 1, 2017
Ver. 2 — 4/16/12
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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:
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
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
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Payment will be processed once the unit is inspected and accepted as to meeting the
specifications by the Division of Central Services. This will include all manuals and warranty
documentation.
Bidder must state as accurately as possible an intended delivery date from the date of the
bid award. Due to the age of the City's existing fleet, it is imperative that the unit's be
delivered as quickly as possible. Stated delivery lead time may be included as an integral
part of our bid selection process. FOB Central Services. The unit and all related paperwork is
to be delivered to:
Central Services Division
1045 West Sample Street
South Bend, Indiana 46619
All Certificates of Origin/Title Work shall list the owner as:
The City of South Bend
1045 West Sample Street
South Bend, Indiana 46619
The Board will award the bid to the lowest responsible and responsive bidder. If the bid is not
awarded to the lowest bidder, the factors used to justify the awards will be stated in writing at the
request of any bidder.
The Board reserves the right to reject any and/or all bids or portions thereof and to waive any
irregularities or informalities.
NOTE: Vendor shall provide all information requested in specifications to qualify for bid.
If information on brochure submitted does not completely cover specifications
requested, it shall be typed and attached to brochure.
SPECIFICATIONS
SHALL BE AS SPECIFIED
(Circle One)
14' CONTRACTOR DUMP 4X4 CHASSIS SPECIFICATIONS
Chassis: Conventional cab chassis with cab -to -axle dimension of
120". Manufacturer's wheelbase necessary to achieve this
CA dimension.
Front axle: 12,000 lb. capacity front drive axle. Front gear ratio of
6,14 to 1.00. Extended lube front axle driveline with '/2
round yokes. Synthetic front axle lube, 75W-90, to be
included.
10
VINO
1i19 0
Rear axle: 23,000 lb. capacity, RS-23-186 or equivalent, geared at
6.14 to 1.00 with maximum speed of 65 mph, and be
equipped with a driver -controlled, locking differential.
Synthetic rear axle lube, 75W-90, to be included.
Front suspension:
Rear suspension:
Engine:
Transmission:
V<NO
/NO
NO
Turbo -charged, in -line six -cylinder electronically /NO
controlled diesel engine. Minimum 325 horsepower, and
750 ft Ibs torque, emergency shutdown system for low oil
pressure, high coolant temperature. Must be 2017 emission
certified. Heated fuel/water separator with water -in -fuel warning
light. Air cleaner to be dry -type, with air restriction indicator.
All hoses to be rated for 300 degrees, and have constant -tension
hose clamps. 1000 watt engine block heater included. Air on/off
engine fan clutch with driver -controlled override switch. Engine
and engine electronics warranty to be 5 years/100,000 miles.
Allison 3500RDS, six -speed electronic automatic with V49<0
PTO provision. To include transmission temperature gauge
and water -to -oil transmission cooler. Two -speed transfer case
with PTO provision, Meritor MTC4210-XP or equivalent. Must
include transfer case oil cooler Synthetic transmission fluid to
14,600 lb., taper leaf, with heavy duty shock absorbers.
23,000 lb. AWD multi -leaf rear suspension.
be TES-295 compliant. Allison extended warranty for 5
years/unlimited miles shall be included.
Fuel tank: 50-gallon minimum capacity, OEM aluminum tank 09<0
mounted on left side. Must be marked "Diesel Fuel".
Electrical: 160 amp brushless alternator on a quadramount pad, with 0
a remote battery volt sense feature. Delco 38MT 12-volt
heavy duty starter, two (2) maintenance -free batteries with
total 2,200 CCA. Jumpstart posts mounted near battery box.
Lighting per DOT specifications. Lights to be LED -type. Mega
fuse junction block and auxiliary body company interface mounted
in cab. Unit to have a 20 amp battery feed and ground wire along
with 15 amp ignition feed, all three shall run to center of dash with 2'
coiled wire. All electrical connections are to be waterproof. Backup
alarm rated at 97dba to be included.
Frame: Single 120,000 PSI "C" channel frame rails with a section 10K
modulus of 21.0 and an RBM rating of 2,500,000 lb. -in.
Front and rear tow hooks. Painted steel front bumper.
Cooling:
Radiator to be aluminum and severe -duty. Largest XVKO
capacity available.
Tires & Wheels:
Front tires: 11R22.5 14-ply Michelin XDE-MIS or VK0
equivalent.
Rear tires: 11 R22.5 14-ply Michelin XDE-MIS or
equivalent.
Wheels: 22.5"x8.25" 10-hub piloted steel disc wheels.
Wheel seals:
Oil type: front and rear. VSINO
Steering:
Single heavy-duty power steering gear, TRW THP-60 or /NO
equivalent.
Heating & A/C:
Heavy-duty factory -installed air conditioning unit, heater i6g<
and defroster, in accordance with manufacturer's
specifications. A/C must use R134A Federally -approved
refrigerant.
Cab:
Two -man, severe -service air -suspended cab with extreme VKO
climate thermal insulation, including cab floor and firewall.
Air suspended high -back driver's seat with dual armrests. High
back, non -suspended passenger seat with inboard armrest. Seats
to be covered in severe -duty cloth material. Cab to have fiberglass
forward -tilting hood with stationary grille. Cab entry assist handles
on both sides, with rubber inserts. Primary mirrors to be at least
16"x7", mounted on breakaway mirror brackets, and be heated. 8"
heated convex mirrors under primary mirrors. Tinted windshield,
intermittent windshield wipers and washer, dual sun visors, 3-point
seat belts for both seats, tilt & telescopic steering column, and heavy
duty door hinges. Single air horn under cab deck with shield, along
with dual electric horns. Electric windows and locks. Cab to include
gauges for transmission oil temperature, water temperature, fuel, oil
pressure, and engine hours. AM/FM radio with at least two speakers.
Cruise control switches that can be used for electronic RPM controls for
engine. Dome and reading lights in headliner, and door -mounted
courtesy lights. Aluminum kick plates on door panels to protect doors
from damage during entry/egress. Roof -mounted console for storage.
Exhaust:
After treatment system located under passenger side of 0/NO
cab, with vertical exhaust stack at right rear corner of cab
equipped with an elbow at the exhaust outlet. The vertical stack
must not interfere with the CA dimension for proper mounting of
dump body.
12
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Brakes:
4-Sensor, 4-modulator anti -lock brake system to include VIOZO
an 18 cu f1 air compressor, and a Wabco or equivalent brand
heated air dryer with a spin -on type desiccant cartridge. Air
dryer mounted to allow for easy maintenance. Front brakes to be
16.5"x 5" heavy-duty cast, spider cam type with cast iron brake
drums. Rear brakes to be 16.5"x7" heavy-duty cast spider cam -type
with cast iron brake drums. Automatic slack adjusters and dust
shields on front and rear. Rear brake chambers to be mounted on
the forward side of the rear axle for protection. Primary wet tank to be
equipped with a Bendix DV-2 heated, automatic moisture ejector. The
remaining tanks should have pull cables to drain moisture. 7-way
round pin plug at rear of truck, and must also have electric brake
controller with Bargman 7-way flat pin plug. Brake and accelerator
pedals to be suspended from firewall.
Paint:
Cab to be painted with base coat/clear coat process, and V40
be White. Frame to be polyurethane process, and be black.
Wheels to be powdercoat process, and be white.
Rustproofing:
Five year minimum, full repair warranty. Cab and chassis WO O
to have Ziebart rustproofing.
Safety:
Truck to conform to all State and Federal Requirements, We<
as well as O.S.H.A. and D.O.T. regulations.
14' DUMP CONTRACTOR BODY SPECIFICATIONS
Body: Body length: 168": Cubic yard capacity 4.4/6.3. Width INO
inside 84" outside width 96". Side height 18" measured
from the floor. Tailgate height 24"
Pintle Hitch: There shall be a pintle combo hitch mounted off 3/4" steel Y 10
plate. Hitch shall include D rings mounted to the hitch plate.
There shall be an electric brake controller installed and
wired to the rear of the bed and mounted on the pintle hitch
plate. The light plug and brake controller plug shall be the
same as what is in use by the City now. Bargman 7 way flat.
Sides and Head: 10 gauge hi tensile steel floor and sides. Fully welded, V<O
boxed rear corner post. Permanent 42" headboard with
2 3/4" side board gussets full height. Front bulkhead and
cab shield to be one piece, integral design, eliminating
welds. Plasma cutslotted window in bulkhead for added
visibility from the cab. Sides shall have reverse bend top
rail for added strength. Sides shall be free of horizontal
13
welds on the exterior. The sides and front and rear pillars
shall be dirt shedding design. Sides shall have 2" wide
board pockets at the front and rear with a minimum height
of 6 inches.
Floor and
Understructure: Floor shall be fabricated from 7 GA A 10 11 Grade 50 1VK0
steel, 50,000 PSI yield strength, 65,000 PSI tensile
strength. 2" floor to side radius. The understructure shall
be a western, crossmemberless design for reduced weight,
easier clean up and lower body floor height Rear apron shall
incorporate three FMVSS #108 compliant clearance lights
which shall be mounted within rubber grommets and connected
through a one-piece wiring harness wrapped in a plastic
convoluted loom for protection from abrasion.
Tailgate: Tailgate shall be double -walled design with the inner /NO
panel fabricated of 10 GA A1011 Grade 50 steel, 50,000
PSI yield strength, 65,000 The top and bottom of the
tailgate shall be formed box sections for added strength _
and rigidity. Tailgate shall be dirt shedding design. Tailgate
lower release mechanism shall be grease zerk lubricated.
The release handle shall be located at the front, left side of
the body. The tailgate shall have high strength, adjustable
3/8" chain provided to hold the tailgate open for spreading
aggregate material. Tailgate shall be double acting and be
able to lie down in flat position.
Lights and
Reflectors: There shall be four (two per side) oval rubber grommet WKO
lights, recessed and protected, complete with wiring harness.
The top shall be LED type strobes and the bottom shall be
LED bralce/turn, tail. There shall be two led strobe lights
mounted under the body cab shield facing forward. There
shall be two led strobe lights mounted under the cab shield
facing sideways. The chassis lights shall be retained and
mounted off the pintle hitch plate. For extra stop tail turn
as well as reverse lighting.
Hoist: Shall be rated NTEA performance Class F with minimum INO
of 17 ton lifting capacity. Mounting height of hoist 7".
Maximum dump angle 45 degrees. Hoist shall be power up
power down. Cylinder bore shall be 6". Cylinder shaft
diameter 2-3/8". Cylinder stroke 27-1/4". Body prop, body
up light shall be included. Hoist shall be powered by a hot shift
transmission PTO.
14
Paint: Color of body shall be Venues, Parks, & Arts Tan and we000r
Shall match the chassis.
Alternate 1:
Tarp: There shall be a tarp mounted on the body upon delivery.
Tarpaulin shall deploy manually from a roller spool, without
using any pivots or arms attached to the side of the dump
body. Complete tarping function to be performed from ground
level. Tarp system must be fully assembled and ready to install.
Tarp system shall come with all required hardware, rope
hooks, and tarp return ramps. Nuts, bolts, brackets, hardware,
and spring shaft shall be zinc plated to prevent rust. Shall be
spring -loaded and self -retracting. Tarpaulin roller spool spring
shall be enclosed in a one piece, three inch diameter galvanized
steel tube and shall be sealed from weather. Galvanized steel
tube shall have a groove for full width insertion and retention of
the tarpaulin, by means of nylon hem tube. Tarpaulin roller
spool shall have an external ratchet to adjust spring tension and
shall be under minimum tension when tarp retracted. Tarpaulin
roller spool shall pivot on sealed nylon bushings. Bushings shall
pivot on a minimum 1/2 inch diameter, zinc plated steel roller
shad:. Tarpaulin roller spool shall be designed so that the tarp
shall roll off the top or bottom of the spool by positioning the
spool in one of two horizontal positions. Unless otherwise specified
in the invitation for bids, tarp shall roll off the bottom of the spool.
The top and front of the roller spool shall be protected by a
ridged single piece welded Super Shield housing made of a
minimum 12 gauge steel enclosure which shall have minimum
12 gauge steel end plates. Steel housing enclosure shall be
supplied with steel or aluminum weld on mounting brackets
which bolt to housing of sufficient strength to secure the en closure
to the vehicle bed. Steel housing enclosure shall be of a curved design
so that air is deflected over the deployed tarpaulin, and falling debris
is deflected over the retracted tarpaulin. Steel housing enclosure
shall cover the retracted tarpaulin. Roller spool shall be secured
inside housing by means of a hex ratchet gear drive.
Tarpaulin Fabric: Tarpaulin fabric shall consist of one of the
following. Heavy duty open weave black or red PVC coated
polyester mesh. Pull rod shall be supplied with an attached rope
with bungee (for easy securing) of sufficient strength and length
to deploy the tarpaulin from the back of the vehicle bed to the front.
Pullrod shall be a one piece aluminum extrusion with integrated
hem tube groove to support the full tarp width.
15
PAINTING: The tarpaulin housing enclosure shall be painted
with a manufacture's standard lead-free baked on powder
coating black color.
WARRANTY: All moving parts, spring and torque block
shall have a no cost replacement warranty for as long as the
system is in use.
Quantity: One (1) or more. V00
16
Gary A. Gilot, President
Suzanna M. Fritzberg, Member
James A. Mueller, Member
Elizabeth A. Maradik, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
18
B. The Post Office Department will be considered agent of the Bidder in delivering the bid. The
City will not be responsible for deliveries. Any Bids received after the time specified will
be returned unopened.
C. Bids will be opened and read publicly at the time and place designated in the Notice to
Bidders. Bidders, their authorized agents, and the public are invited to be present.
D. Bidders may bid on one (1) or more item, provided however, that the bid submitted for each is
delivered in a separate, sealed envelope, with the envelope clearly labeled on the outside
as to the specific item for which the bid is being submitted. Bidders may submit separate bid
bonds for each item being bid upon OR may submit one (1) bid bond equal to 10% of the
combined total of all bids submitted.
E. The Board may reject any hid that does not conform to these requirements as non-
responsive.
5. ADDENDA — NO VERBAL INTERPRETATIONS
A. No inquiries by Bidders relative to interpretation of Plans, Specifications, Special Provisions,
or other Bidding Documents will be answered verbally. If any prospective Bidder is unable or
unwilling to comply with one or more requirements of the bidding document, such Bidder
should so inform the Board of Public Works in writing. Upon receipt of such information,
consideration will be given to the advisability of issuing an Addendum which would thereupon
become applicable to all Bidders. Any such inquiry must be submitted at least seven (7) days
prior to the bid opening date in order to give the Board sufficient time to consider any
necessary Addendum. All answers to such inquiries, in the form of Addenda, will be furnished
to all prospective Bidders who have registered with the City. All Bidders are required to
acknowledge receipt of any Addenda by inserting the Addendum number and the issuing date
on executed Proposals.
6. REJECTION OF PROPOSALS CONTAINING ALTERATION. ERASURES. INCOMPLETE BIDS
AND ETC.
A. Proposals shall be rejected if they show any alteration of form, additions not called for,
conditional or alternate bids (except when and insofar as are invited), incomplete bids,
erasures or irregularities of any kinds.
B. All blank spaces for bid prices must be filled in, in ink, with the unit price and total price for
each item (This does not apply to divisible bids). In case of incorrect totaling of amounts and
where the unit price and the extension thereof do not agree, the unit price for each item shall
govern, and the City is authorized to correct all erroneous extension and totals for the purpose
of comparing bids.
7. TRADE DISCOUNTS
A. Trade discounts shall not be shown separately, but shall be incorporated in the Bidder's unit
price, unless otherwise specified.
VEHICLE BIDS
A. Bidders may bid on one (1) or more vehicles, provided however, that the bid submitted for
each vehicle is delivered in a separate, sealed envelope, by vehicle, with the envelope clearly
labeled on Bidders may bid on one (1) or more vehicles, provided however, that the bid
submitted for each vehicle is delivered in a separate, sealed envelope, by vehicle, with the
envelope clearly labeled on the outside as to the specific vehicle for which the bid is being
submitted. Bidders may submit separate bid bonds for each vehicle being bid upon OR may
submit one (1) bid bond equal to 10% of the combined total of all vehicle bids submitted.
B. The Board may reject any bid that does not conform to these requirements as non-
responsive.
9. TAX EXEMPTIONS
A. The City of South Bend is exempt from the payment of federal excise and transportation taxes
levied under the provision of the Internal Revenue Code. It is also exempt from the Indiana
IN
State Gross Retail Tax (sales tax). The City will furnish the successful Bidder with any
certificate of exemption required.
10. WITHDRAWAL OF BIDS
A. Withdrawal of bids will be allowed only in those cases in which a written request to withdraw a
bid is received by the Board of Public Works prior to the date and hour for receiving and
opening bids. In such cases, the same will be returned to Bidder unopened.
IL ESCALATOR OR CONTINGENT CLAUSES
A. The use of escalator clauses or other contingent clauses by the Bidder is prohibited, unless
requested or permitted by the Invitation to Bid. No Proposal shall contain nor be
accompanied by any writing purporting to limit or qualify the City's right to accept such
Proposal or purporting to alter such Proposal or any Contract which may be executed
pursuant thereto.
12. PRICES MUST BE DELIVERED PRICES
A. The bid price shall be a delivered price. All materials shall be shipped F.O.B. destination as
specified in the Invitation to Bid. No fuel surcharges accepted.
13. AWARD — WAIVER OF TECHNICALITIES
A. The Award of Bid, if any award be made, will be made within sixty (60) calendar days after the
opening of Proposals to the lowest responsible and responsive Bidder who's Proposal
complies with all the requirements prescribed, exclusive of technicalities waived. Until the
final award of the Bid, however, the right is reserved by the City to reject any and all
Proposals and to waive technical errors.
14. SPLITTING OF AWARDS/DIVISIBLE BIDS
A. Bids will be awarded on the basis of the total dollar amount for all items in the Proposal unless
the bid is described by the City as a Divisible Bid. The City may award a Divisible Bid to the
lowest responsible and responsive Bidder for each item or class of items as indicated in the
bid documents.
15. BIDDER QUALIFICATION
A. The City may require any Bidder to submit evidence of qualifications, and may consider any
evidence of the financial, technical, and other qualifications and abilities of the Bidder. The
City will not award a Contract to a Bidder who, in its opinion, is not fully qualified on the basis
of financial resources and responsibility, possession of adequate equipment, personnel,
experience, and past record of performance to perform the obligations to be undertaken
competently and without delay.
16. PURCHASE ORDERS
A. A Purchase Order will be issued to the successful Bidder after formal acceptance of the bid is
made by the City.
17, NEW MANUFACTURE
A. Unless otherwise specified in the Invitation to Bid, the items offered shall all be new and the
latest model of manufacture.
18. SOURCE OF SUPPLY
A. If the Bidder is not a manufacturer, the source of supply must be shown and all sub-
contractors must be identified.
19. PACKAGING
A. All items shall be delivered strongly packed and marked according to accepted commercial
practice unless otherwise directed in the Specifications. No charge shall be made for
containers and the City shall have no obligation to return containers unless otherwise
provided by the Specifications or Special Provisions. Any items not received in good
condition will be rejected.
20. INSPECTION OF GOODS
A. The City of South Bend reserves the right to inspect and have any goods tested after delivery
for compliance with the specifications. Notice of latent defects, which would make the item
21
unfit for the purposes for which they are required, may be given at any time within one year
after discovery of the defects.
B. All items rejected must be removed immediately by the Contractor at the expense of the
Contractor. If the Contractor fails or refuses to remove the rejected items, they may be sold
by the City of South Bend.
C. In some cases, at the discretion of the City, inspection of the commodities or equipment will
be made at the factory, plant, or other establishment where they are produced before
shipment.
D. The above provision shall not be construed in limitations of any rights the City may have
under any laws including the Uniform Commercial Code.
21. ASSIGNMENTS
A. No person to whom a Contract has been awarded may assign his interest in the Contract
without the consent, in writing, of the City.
22. CANCELLATION
A. The City of South Bend reserves the right to cancel any Contract for failure or refusal of
performance, fraud, deceit, misrepresentation, collusion, conspiracy, or any other misconduct
on the part of the Contractor.
23. DEDUCTION OF DAMAGES
A. If the City cancels the contract for any cause, it shall deduct from whatever is owed the
Contractor on the Contract or any other Contract, any amount sufficient to compensate the
City for any damages suffered by it because of the Contractor's wrongdoing.
24. METHOD OF INVOICING FOR PAYMENT
A. Contractor shall bill the City of South Bend
1. On regular invoice form giving a complete and detailed description of the goods delivered,
including purchase order number.
2. If the Contractor allows a discount, the period of time in which the City must make
payment to qualify for the discounts shall be computed from the date the City received the
invoice (completely filled out), or the date the goods are delivered and accepted,
whichever may be later, and shall not be less than twenty (20) days.
3. If more than one shipment is made under the Contract and on the same purchase order,
the City will make partial payments on a basis that is agreeable to both parties.
25. OWNERSHIP OF GOODS
A. The goods which are the subject of the Contract shall remain property of the Contractor until
delivered to and accepted by the City of South Bend.
26. ESTIMATED QUANTITIES
A. If the quantity set forth in the Notice to Bidders and Proposal is approximate and represents
the estimated requirements of the City for a specified period of time, the unit price and the
extended total price thereof shall be used only as a basis for the evaluation of bids. The
actual quantities necessary may be more or less than the estimate, but the City shall neither
be obligated nor limited to any specific amount. The City will, if at all possible, restrict
increases to twenty percent (20%) of the estimated quantity and will, if at all possible, restrict
decreases to twenty percent (20%) of the estimated quantity.
27. TERM "OR EQUAL"
A. Where the term "OR EQUAL" is used in these Specifications, the Bidder deviating from
specified item shall file with his/her bid a letter fully explaining and justifying his/her proposed
article or equal. The City of South Bend shall be the sole judge in determining if the "OR
EQUAL" offered meets the Specifications.
22
28. INDEMNIFICATION CLAUSE
A. The Contractor agrees to indemnify, defend, and hold harmless the City of South Bend, its
agents, officers, and employees from all costs, losses, claims and suits, including court costs,
attorney fees, and other expenses, arising from or out of the negligent performance of this
Contract by the Bidder or because or arising out of any defect in the goods, materials or
equipment supplied by the Bidder.
NOTE: Incoming mail does not reach the Board of Public Works until after 9:30 a.m. If
you are sending your bid via Federal Express or another overnight source, please
confirm that your package will arrive before the bid opening time and date.
23
Prepared for:
Jeff Hudak
City of South Bend Board of
Public Works
227 W Jefferson Blvd
1316 Cnty Cty
South Bend, IN 46601-1830
Phone: 574-235-1751
Application Version 9.2.410
Data Version PRLA6M,019
South Bend Contractor 4x4
A proposal for
City of South Bend Board of Public Works
Prepared by
Dustin Waters
Sep 11, 2017
Freightliner M2 106
Components shown may not reflect all spec'd options and are not to scale
FREIGHTLINER
Prepared by:
Dustin Waters
2333 W 25th Ave
GARY, IN 46404
Phone:219-949-8595
09/11/2017 12:13 PM
Page 1 of 18
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Prepared for:
Prepared by:
Jeff Hudak
Dustin Waters
City of South Bend Board of
TRUCK CITY OF GARY, INC.
Public Works
2333 W 25th Ave
227 W Jefferson Blvd
GARY, IN 46404
1316 Cnty Cty
Phone: 219-949-8595
South Bend, IN 46601-1830
Phone:574-235-1751
Description
DR 12V 160 AMP 28-SI QUADRAMOUNT PAD
ALTERNATOR WITH REMOTE BATTERY VOLT
SENSE
(2) ALLIANCE MODEL 1231, GROUP 31,12 VOLT
MAINTENANCE FREE 2250 CCA THREADED
STUD BATTERIES
BATTERY BOX FRAME MOUNTED
STANDARD BATTERY JUMPERS
SINGLE BATTERY BOX FRAME MOUNTED LH
SIDE UNDER CAB
WIRE GROUND RETURN FOR BATTERY CABLES
WITH ADDITIONAL FRAME GROUND RETURN
NON -POLISHED BATTERY BOX COVER
POSITIVE LOAD DISCONNECT WITH CAB
MOUNTED CONTROL SWITCH MOUNTED
OUTBOARD DRIVER SEAT
POSITIVE AND NEGATIVE POSTS FOR
JUMPSTART CHASSIS MOUNTED LH BACK OF
CAB
CUMMINS TURBOCHARGED 18.7 CFM AIR
COMPRESSOR WITH INTERNAL SAFETY VALVE
STANDARD MECHANICAL AIR COMPRESSOR
GOVERNOR
AIR COMPRESSOR DISCHARGE LINE
ELECTRONIC ENGINE INTEGRAL WARNING AND
ITERATE PROTECTION SYSTEM
CUMMINS EXHAUST BRAKE INTEGRAL WITH
VARIABLE GEOMETRY TURBO WITH ONIOFF
DASH SWITCH, ACTIVATES STOP LAMPS
RH OUTBOARD UNDER STEP MOUNTED
HORIZONTAL AFTERTREATMENT SYSTEM
ASSEMBLY WITH RH B-PILLAR MOUNTED
VERTICAL TAILPIPE
ENGINE AFTERTREATMENT DEVICE,
AUTOMATIC OVER THE ROAD REGENERATION
AND DASH MOUNTED REGENERATION
REQUEST SWITCH
10 FOOT 00 INCH (120 INCH+01-5.9 INCH)
EXHAUST SYSTEM HEIGHT
RH CURVED VERTICAL TAILPIPE B-PILLAR
MOUNTED ROUTED FROM STEP
6 GALLON DIESEL EXHAUST FLUID TANK
100 PERCENT DIESEL EXHAUST FLUID FILL
LH MEDIUM DUTY STANDARD DIESEL EXHAUST
FLUID TANK LOCATION
Application Version .410 ® 09/11/2017 12:13 PM
16M
6M Data Version PRL-A19
South Bend Contractor 04 Page 4 of 18
I : I=
Prepared for:
Prepared by:
Jeff Hudak
Dustin Waters
City of South Bend Board of
TRUCK CITY OF GARY, INC.
Public Works
2333 W 25th Ave
227 W Jefferson Blvd
GARY, IN 46404
1316 Cnty Cty
Phone: 219-949-8595
South Bend, IN 46601-1830
Phone:574-235-1751
Description
SECONDARY MODE GEARS, LOWEST GEAR 1,
START GEAR 1, HIGHEST GEAR 6, AVAILABLE
FOR 3000/4000 PRODUCT FAMILIES ONLY
PRIMARY SHIFT SCHEDULE RECOMMENDED BY
DTNA AND ALLISON, THIS DEFINED BY ENGINE
AND VOCATIONAL USAGE
SECONDARY SHIFT SCHEDULE
RECOMMENDED BY DTNA AND ALLISON, THIS
DEFINED BY ENGINE AND VOCATIONAL USAGE
PRIMARY SHIFT SPEED RECOMMENDED BY
DTNA AND ALLISON, THIS DEFINED BY ENGINE
AND VOCATIONAL USAGE
SECONDARY SHIFT SPEED RECOMMENDED BY
DTNA AND ALLISON, THIS DEFINED BY ENGINE
AND VOCATIONAL USAGE
LOAD BASED SHIFT SCHEDULE AND VEHICLE
ACCELERATION CONTROL RECOMMENDED BY
DTNA AND ALLISON, THIS DEFINED
VOCATIONAL USAGE
NEUTRAL AT STOP - DISABLED, FUELSENSE -
DISABLED
DRIVER SWITCH INPUT - DEFAULT - NO
SWITCHES
VEHICLE INTERFACE WIRING CONNECTOR
WITHOUT BLUNT CUTS, AT BACK OF CAB
ELECTRONIC TRANSMISSION CUSTOMER
ACCESS CONNECTOR FIREWALL MOUNTED
PTO, TRANSFER CASE MOUNTED
CUSTOMER INSTALLED CHELSEA 277 SERIES
PTO
PTO MOUNTING, LH SIDE OF MAIN
TRANSMISSION
MAGNETIC PLUGS, ENGINE DRAIN,
TRANSMISSION DRAIN, AXLE(S) FILL AND
DRAIN
PUSH BUTTON ELECTRONIC SHIFT CONTROL,
DASH MOUNTED
TRANSMISSION PROGNOSTICS - ENABLED 2013
WATER TO OIL TRANSMISSION COOLER, IN
RADIATOR END TANK
MERITOR MTC-4210 AND MTC-4213 TRANSFER
CASE OIL COOLER
TRANSMISSION OIL CHECK AND FILL WITH
ELECTRONIC OIL LEVEL CHECK
MERITOR MTC 4210XP 2-SPEED TRANSFER
CASE
Application Version 9.2.410 e 09/11/2017 12:13 PM
Data Version PRL-16M.019
South Bend Contractor 4x4 Page 6 of 18
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Prepared for:
Jeff Hudak
City of South Bend Board of
Public Works
227 W Jefferson Blvd
1316 Cnty Cty
South Bend, IN 46601-1830
Phone:574-235-1751
Description
HEAVY DUTY ONBOARD DIAGNOSTICS
INTERFACE CONNECTOR LOCATED BELOW LH
DASH
2 INCH ELECTRIC FUEL GAUGE
PROGRAMMABLE RPM CONTROL -
ELECTRONIC ENGINE
ELECTRICAL ENGINE COOLANT TEMPERATURE
GAUGE
2 INCH TRANSMISSION OIL TEMPERATURE
GAUGE
ENGINE AND TRIP HOUR METERS INTEGRAL
WITHIN DRIVER DISPLAY
CUSTOMER FURNISHED AND INSTALLED PTO
CONTROLS
NO LANE DEPARTURE WARNING SYSTEM
ELECTRIC ENGINE OIL PRESSURE GAUGE
OVERHEAD INSTRUMENT PANEL
AM/FM/NB WORLD TUNER RADIO WITH
BLUETOOTH AND USB AND AUXILIARY INPUTS,
J1939
DASH MOUNTED RADIO
(2) RADIO SPEAKERS IN CAB
AMIFM ANTENNA MOUNTED ON FORWARD LH
ROOF
POWER AND GROUND WIRING PROVISION
OVERHEAD
ROOF/OVERHEAD CONSOLE CB RADIO
PROVISION
ELECTRONIC MPH SPEEDOMETER WITH
SECONDARY KPH SCALE, WITHOUT
ODOMETER
STANDARD VEHICLE SPEED SENSOR
ELECTRONIC 3000 RPM TACHOMETER
NO VEHICLE PERFORMANCE MONITOR
NO DETROIT CONNECT SERVICES SELECTED
NO ZONAR SERVICES SELECTED
IDLE LIMITER, ELECTRONIC ENGINE
(6) IGN CONTROLLED EXTRA SWITCHES WITH
IND LIGHTS WIRED TO POWER DIST BOX WITH
RELAYS PROVIDING 20 AMPS PER CIRCUIT TO
JUNCTION BLOCK AND 1 CIRCUIT AT 30 AMPS
PRE -TRIP LAMP INSPECTION, ALL OUTPUTS
FLASH, WITH SMART SWITCH
Application Version 9.2.410
Data Version PRL-16M.019
South Bend Contractor 44
Prepared by:
Dustin Waters
TRUCK CITY OF GARY, INC.
2333 W 25th Ave
GARY, IN 46404
Phone: 219-949-8595
09/11/2017 12:13 PM
Page 14 of 18
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n � , The Qhio Casualty Insurance Company
SURETY BID OR PROPOSAL BOND
KNOW ALL MEN BY THESE PRESENTS, That we, Tra sC Ica o Truck Group
of $80 N. York St., Elmhurst, IL 60126
(hereinafter called the Principal) as Prinelpat, and The Ohio Casualty insurano Company , with its principal
office In the City of Keens ,New Hampshire (herelnalier called the Surety), as Surety, are held and
firmly bound unto City of South Bend, IN
of 1308 Count -olty Buildln ,South Bend, IN 46801
(hereinafter called the Obligee) In the penal 3u111 of ---------- ........ -............... 10%.............. ,•.............. I.........
Dollars ............. 10%----- -- --- = larvfid money of the United States, for the payment of which sunn well and truly to be 3nade,
we bind ourselves, our heirs, executors, adiuinistrntors, successors, and assigns,
THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas, the Principal has submitted the accompanying
bid dated Se tember 12, 2017 for _(11 Freightliner Single Axle 4x4 Contraetar Style Dump body
NOW, THEREFORB, If the Obtlgeo shall make any award according to the terms of Mid bid and the Principal shall
enter into a contract with said Obligea in accordance with the terms of said bid and give bond for the falthtini performance
thereof within the time specified; or If no (line is specified within thirty days after the date of sold award;, or If the Principal
shot], In the case of failure.so to do, indemnify the Obligee against any loss the Obfigee may suffer directly odsing by reason
of such fallum, not exceeding the penalty of this bond, then this obligation shall be null and void; otherwise to remain in full
foree and virtue,
Signed, sealed and dated; Septaniber_11_,_ 2017
TransChicago Truck Group
(Principal)
The Ohio Casualty Insurance Company
By;
Susan Foust �" �_ _ (Attorney-In-Vaat)
8-137-Rev.
POWER OF ATTORNEY
The Ohio Casualty Insurance Company Bond Nrnnbem
Frhiclpnl:TrattsChEca o Trttak Group
Agency Namoi Shepherd Insurance LLC
Apligieo' CAY of South Bend IN Agent Code:1300V
Know All Men by These Pi-tstndsi That The Ohio Casualty Insurance Company, pursuant to the authority granted by Arilcle IV, Section 12 of the Code ofRegutations and
13y-Laws of The Ohio Casualty instiratico Company, do hcrcby nominate, constitute and appoint: Jeffrey KWeder, Tholnns Niccult, Palge N. Soxton, David P, shepherd, Susan
Cline, Douglas Art tokin, Patricia L, Shamo, Laverne 1c, Carr, DnYid R, Moore, Susan M. Itotir, Matt Smith, Alan Sclu{lte, RoWeen L. Kasper, Darleao Hinton, Jennifer Kitnbler,
Mariann Ricketis, Deirdre Fisher, Brlaii Cntldldslr, Susan Nousi, SHudy Curran, Rubin. Conleilus, Paula Crandall, Eric Walsoit,131aiue 13ilwhrnann, 3onalfer Houlh, Taylor Nikirk,
Kelly Swart, l3etither Cox, Ethssn Hall of CARMEL, Indiana IN trite and latvild ngenl(s) and attorney{le9)•in•liict, to ranke, execute, seal and deliver for and on its behalf ns Nowly,
and as its act mid deed oily raid all BONDS, UNDERTAMOS, and RECOUNIZANCES, excluding, however, any bond($) or. underiaking(s) guaratiteclug the payment ofnotes
and interest thereon.
And the oxcoution of such bonds or undertakings in pursaonoo orthese presents, sitaii be as binding upon. said Company, as Hilly and amply, to all Intents and plirposes, as If
they had been duty executed and acknowledged by lite rogtdnrly elected officers of said Company tit tho€r adlnlilfshatiYe oRlcos In Keene, Now Hampslilm, in their own propot
persons. Tile authority granted heroundcr atipersedos any previous authority llereroforogrmited the. above named attonley(in)•hr-fool.
In WITNESS WHEREOF, the undersigned officer of the aid 'file Oltio Casualty insurnuco Company has heretmto subscribed his mine and affixed the Corporalo Seal of
said Company this 26th day ofSoptctnber, 2016.
�0
nvo04f, �n
99,
Q�H� Awpo}t�D David M, Carey, Assistant Secretory
STATEOFPENNSYLVANIA
COUNTYOF MONTGOMBRY
Olt this 26th day of September, 2016 before Ule subscriber, a Notary Publie of the State of Peaosyl O111a, ia and for lite County of Monlgotnciy, duty coniulissi0110 and ilualificd,
cane David M. Carey, Assistant Secretary of The Ohio Cos unity Insuraaco Cotupally, to ilia porsonally knirtvn to 6e Vie Indivldtrnt and officerdoscribed ln, and Who execuled lite
preceding hlsinimenf, and lie tloknowle¢ged the oximmon oriho same, and being by Inc duly Sworn depos6s and says that he Is ilia officer of the "Company nforesaid, and that lite
seal affixed to tho preceding iastrutncnt is the Corporals Send of said Company, and the soli) CorpomteSeal and Ills signaturo ris officer were duty oftixed and subscribed to the said
dnitrumonl by the ntlhority and direclioll ofthe said Corporation,
IN TPsTIMONY Wf EREOF, I have hererlato set my hand and nfixcd my Offtcinl Seat at Ole City of King of Prusslo, State of Ponnsylvatlln, the day and year first above
wrilton,
P t'
r 1sO{i;�E�fi� OMMONWSALTHOAYKNrtaYLVANFA
0E Tarsee PaslnAa, Notary Peblia
rlppnrMo€an T'.MTteommyCounty
•�, i'r hSy[:anmissbn Hrptrae Match g8.2o21
4 AsrivN U Notary Public in and for County ofMoulgoinery, Stele ofPalulsylvalda
t �Ir, PMambsr,Pa s*anlpAsmgetbrlolRrLa"" My Commission expires March28.2021
This power or0orney is granted under and by antharlly of AttioN IV, Section 12 of the ByLntvs of The Ohio Casualty lusur4nco Company, 0'x(raets from which read:
ART)CLE iV -Officers: Section 12,11ower ofAttomay,
Any officer or other"of'tolal of the CorporAtdan aullmimd for that purpose in writtlig by the. Citaimral] or the President, and subject to such limilotlou as the Chalnnan or President
ruay prest:rlhe, shalt appoint such atlonleys-lit-Ihct, as rimy dxi,nceessnry to act In bull"Irorthc Corporation to rnako, excuato, sopi, ncktiowledgo and dollver as surety any iutd all
underlakings, bond, recognilaneeS ano other 311rety Obliptions. Such nttameys-bl-fact, Subject to the llnlltallons got forth in their respective pOSYer$ Of nttOmey, Sllall haYO Will
power to bled the Corporation by theirsigllntnre gild cXeoullon of any aiteh his(ramOnl3 and to alhi6li thereto ilia seal of the COrporplion, When 40 OXeettted, SHOJI hi$tn{nlOnl9 Shall
be as binding as if signed by the Presidentand attested to by the Secretary,
Any power or authority granted to any ropresontative or altorncy-in-raol under the provisions of this article may bo revoked at any thne by the Board, ilioChairrnatt, tits President
or by the officer or officers grmthig Inch power or authority,
'1'lib ceriifeoto itnd ilia abovo powor of allomey rutty be sighed by fneshnile or wcchootenlly reproduced signatures under and by authority of tite fovowii% vote oriho board of
dlreclors of ThO (Wo Casunlly br3i1rance Company efil etive on tie lSth day of Febmiy, 2011
VOTED that this facsitnllq or ineCllalllcally reproduced signature of any assistant secrOtary of ilia cornpnny, 69herever appearing upon it cartifed copy or any power of altOnley
Issued by ilia company ill comleolion uvith safety bonds, shall bovalid and binding upon the company with theaaurofarce,alid effect as thouIth manually affixed,
CBRTI PICATE
I , tits undersigned Assistant Secretary ol'The Ohio Casualty Insuratico Company, do hereby.epttlly that the forogohig power of attorney, Elie referenced By-Lnrvs of the Company
and the above resolution of their Board or Directors are fruo and correct coplas and arg lit, Hill forsta_alid affect on flits date.
IN WITNESS WHEREOF, I haw hercuil(o "I iny hand and ilia seal or tho:qajyjkj)�, hif t_�J 2017
'� y •Fee. {' F;fi1° Fr
:`' !•. ,l, ;,'.1:;rb$eeCrLleweliyo,Assistant seeretary
'.i: �•: !'!r - ,:° SAL ,,+•
rr1!/rr/,Ili{II,rVl1t'
CERTIFICATE OF LIABILITY INSURANCE
DATE (MWnDIYYYY).
0911112pW7
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY. OR NE GATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, TH18 CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER{S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certiflcate holder Is an ADDITIONAL INSURED,1hO pollcy(Iea} must have ADDITIONAL INSURED protrlslons or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, uertaln policies may require an endorsement. A Statement on
this csrtlNoate does not confer rights to the Certificate holder In Ilou of ouch endorselnent(d).
PRODUCER Paige Sexton
OADRESS,
Shepherd Insurance, LLC. ,(317846.666g464 c (317}846.4
111 Congrssslonal Boulevard cerls@shephardins.eorn
Suite 100 INSURGRI81 AFFORDING COVEftAGE NA10B
Carmel IN 46032 tusur:arr A. AMCO Ins Co I igloo
INSURED
Pateon Inc., 013A: TransChtcago Truck Group
800 N Yoik Road
Elmhurst
IL 60126
0:
EI
THIS 13 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAMED ABOV9 FOR THE POLICY PfmfoD
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 SUBJECT TO ALL THE; TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
`L
TYPEOFINBURANCR
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CLAIMS•MAUEz � OCCUR
ACPGPA3008409400
09/0112617
00/0112018
EACHOCCUARSNGE
$ 1,000,000
PRS 5 £a oxurranoo
$ 100,000
MEOSXP JAU one arson
$ 6,000
_
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OWNED 80H£DUL£0
AUTtlSONLY AUTOB'
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AOPGPA1008409400
09101/2017
0810i12018
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FACHOCOURRENO£
S 10,000,000
AGORROATE --
$ 100000
DEO I X RETENTIONS 0
�-
WQRKr3R5COMPENSATION
ANPBIAPLOYEHS'LIAEILETY YIN
ANY PROPRIETORIPAtiTNRRIEXEOUTIVE
OFFIBERrMEMOUR EXCLUDED?-
(MandatoryInNH) 11
Mop daecrldeuitder
1) 66RIPTEONOFOPERATIO1JSbetoiv
NIA
£ OTH•
6T>,}iW_ ER_
VL.EACH ACCIDENT
$
E.L.OISPASE - EA EMPLOYEE
--- —
S
E.L.DISF.ASE- POLICY LtMIT
S
A
Physical Damage (Inventory)
Garagekeapera
ACPCiPA5000409400
09/01/2017
09101/2015
Comp/Coll Ded: 2,600
Comp/Coll lied; 6,000
Dili: 31600,000
Blk. 5,400,000
DI:SCRIPT(ON OF OPERATIONS I LOCATIOlEB I VEHICLCs IACONO 1014 A401nonsl Romnrke 84110dulo, May ho altachod 11 Moro apaco Is required)
Re: Bid Bond
For: (1} Frelgh6iner Single Axle 4x4 Contractor Style pump Body
Amount of Bond; 10% of Contract Amount
City of South Bond, IN
1300 County -City Building
SHOULD ANY OF THE ABOVE DESCRIOtO POLICIES BE CANCELLED BE VORC
THE: EXPIRATION DATE. THEREOF, NOTICE WILL 66 DELIVERED IN
ACCORDAN06 WITH THE; POLICY PROVISIONS,
AUTHORIZED REPRESENTATIVA
South Bend
IN 46601
O 1000-2016 ACORD CORPORATION. All fights reserved
ACORD 25 (2010/03) Tito ACORN name and logo are registered marks of ACORD
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Rescrthed by the State Hoard M Accounts - Form No. 96 tRerised 1987)
Bid, er or Proposal for Sale or Lease of Materials
1. Governmental Unit:
2. County:
3. Bidder (Firm):
Address:
City/State:
4, Telephone Number:
5. Agent of Bidder (if applicable)
(Defined at I.C. 36-1-2-9.5)
(Please type or print)
Date
�33?
i
�
r i^•. > V �,..
7-
Pursuar-t to notices given, the undersigned offers bids) -to,.
(Governmental Unit) in accordance with the following attachment(s) which specify the class or item number or description, quantity,
unit, unit price and total amount.
The contract will be awarded by classe.s,.or items, in accordance with specifications. Any changes or alterations in the items
specified wil render such bid void as to that class or item. Bidder promises that he has not offered nor received a less price than the
price stated in his bid for the materials -included in said bid. Bidder further agrees that he will not withdraw his bid from the office in
which it is filed. A certified check or bond shall be filed with each bid if required, and liability for breach shall be enforceable upon
the contract_ the bond or certified check or both as the case may be.
sign tt a of Bi der or Agent
Bid Offer or Proposal
Attach separate sheet listing each item bid based on specifications published by governing body. Following is an example of
the bid format:
Class or Item Quantity Unit Description Unit Price �Appmount
lit i lyt� z& 'V
f 6ij ,
Non -Collusion Affidavit - I --
STATE OF IIr.DIANA ) L_ l
i 19
SS:
COUNTY OF r�il
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 induce anyone
to refrain frcm 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.
1�` -
Bidder (Firm)
Subscri-ned and sworn to before me this 1 ) day of
My Commission Expires: _ J C- G -
County of Residence:
§!gaature of Bidder or Agew"`� J 01g1V
�yPublic o`pnv ao:
i 'zN.
F4fpcom("y4 ej
TE, OF
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