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BOARD OF PUBLIC WORKS
CITY OF SOUTH BEND INDIANA
PUBLIC WORKS CONTRACT
THIS AGREEMENT, made and entered into this 26th Day of September, 2017, by and between,
Industrial Door of Northern Indiana, 3839 S. Main St., South Bend, IN 46614, HEREINAFTER
called the Contractor, and the Board of Public Works herein called the "Board".
WITNESSETH: That the Contractor covenants and agrees to make the following improvement,
as fully set out in the Request for Quotations, Standard Specifications, Special Provisions, Plans,
and Bid Proposals, all of which are set forth as a part of this Contract, for:
DESCRIPTION: HOWARD PARK LODGE DOOR REPLACEMENT
COMPLETION DATE: SEE SPECIFICATIONS
AMOUNT: $4,143.00; INCLUDE ONLY OPTION 1
FUNDING: PARK BOND
The unit prices for this improvement were those prices as received and accepted by the Board on
the 26th Day of September, 2017.
The Contractor further agrees to notify the Engineer when this improvement is completed. This
notification shall be in the form of a Completion Affidavit, signed by the Contractor. Upon final
acceptance of the improvement by the Engineer, the Contractors final estimate will be presented
to the Board for final Payment with one (1) copy of the Completion Affidavit and one (1) copy of
a Waiver of Lien.
NORTHERN INDIANA
Gary A. Gilot, President Elizabeth A. Maradik, Member Printed Name
Suzanna M. Fritzberg, James A. Mueller, Member Signature
Member
Therese J. Dorau, Member Attest: Linda M. Martin,
Clerk
CERTIFICATION (To be completed if Contractor is a Corporation)
I, , certify that I am Secretary of the Corporation named as
Contractor herein; that who signed this Agreement on behalf of the Contractor
was then of said Corporation; that said agreement was duly signed for and in
behalf of said Corporation by authority of its governing body, and is within the scope of its
corporate powers.
Secretary
Corporate
Seal
fr.
i
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S QUOTE FOR PUBLIC WORK
PROJECT NAME: Howard Park Lodge Door Replacement
PROJECT NO. 1020-2017
QUOTES DUE September 26th, 2017 (cD_ 9:30am
(Must be completed for all quotes. Please type or print)
Date: _,j; d 17 Firm: a/.7 1- 4:,7 r 04,
Address: 3 S 9 --r- ." '-7 IA.? s t
City/State/Zip: .5.3 Y tv c, r y Telephone Number: (� � `/) � �' `' 9 T'Y3
Agent of Bidder (if Applicable): C,-,-L c' may; e /L!�
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
The City of South Bend, department of Public Works
and dated I,— � S- /-7 I for the sum of (enter the Total Quote as shown on the Proposal)
(Enter Sum of Total Quote plus Alternates shown on Proposal) (Numerical)
If alternative quotes 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 City of South Bend. If the quote is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
By
(Signature)
C /Ui : r
(Printed Name of Person Signing)
1_t+ia_�liiT1►Is] 4
The above quote is accepted this 2 ( dray of
��.� e� 20
Subject to the following conditions: —Q ,i �L_ �' U�-�?1,- / f/M ,&V , ( C/_3,&,->
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
James A. Mueller, Member
Suzanna M. Fritzberg, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
Version 10/18/2016 Page - 12 Public Works Quote
When the prospective Contractor is unable to certify to any of the statenrents below, it shall attach an evplanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT,
CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY
VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE
OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF S A-0 }
SS:
s5t, J04 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 § 5-22-16.54, 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 -13 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 Iimited 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
Version 10/18/2016 Page - 14 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. 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 j'_;?
Contracto • idder (Firm)
Signature of Contractor/Bidder or Its Agent
Printed Name and Title
��
Subscribed and sworn to before me this �5� da Ie-J �' 20�
My Commission Expires �� U���
Notary Public
PATRICIA M. KNOWLES, Notary Public
County of Residence L t���Y r'� A Resident of Elkhart County, IN
My Commission Expires 12/9/2020
Version 10118/2016 Page - 16 Public Works Quote
QUOTEIPROPOSAL
CITY OF SOUTH BEND
PROJECT NAME Howard Park Lodge Door Replacement
PROJECT NO. 1020-2017
QUOTES DUE September 261h, 2017 @a 9:30am
Item
Quantity
No.
Description
Total Amount
Installation of an overhead door in basement of 301
1
S. St. Louis, Including removal and delivery of
1
$ 3
existin door.
Total Amount of Quote
$ b It °
4
Firm: 4+ V u>7,rl. �'!q L_
Address: k 3 q s. ."
City/State/Zip: s -;X. F," y "6'��/Telephone Number: (5717 ) 3 f'o Its 93
Fax Number: 09' 1 -4-9 9 - L/ y e 7
By
(Signature)
(Printed Name of Person Signing)
Version 10/18/2016 Page -16 Public Works Quote
x r 3839 South Main St.
1..%.. , IndustrialDoor South Bend, IN 46614
L of �IrtCrIn1 is Phone: 888-653-3667 Fax: 574-�289-4587
Proposal
September 20, 2017
City of South Bend
Howard Park Lodge
301 S. St. Louis
South Bend, In 46617
Project: Double Entry Door Replacement (New Full View Sectional Door)
We propose to furnish and install the following:
Project #1020-2017
Remove existing double full view entry door with side lights and install one (1) Commercial full view overhead
door: MODEL # 3295 as manufactured by "C.H.I," Measuring: 8'0" wide x 7'0" high Low headroom radius to
include the following:
➢ 2" clear Anodized Aluminum stile and rail frame construction.
➢ '/2" Insulated Tempered glass in all sections.
➢ Through bolted stiles.
➢ Tongue and groove section joints.
➢ Low headroom double track.
➢ Full perimeter seals.
➢ Oil Tempered Torsion Spring Counterbalance System.
➢ 2" Low headroom double track.
➢ Operation: Manual.
➢ Locking: Interior slide lock.
➢ Deliverer existing double entry door to 1020 High St, Location.
Note: till frame work and opening prep to install sectional door to be done by others.
For the sum of Three Thousand Six Hundred Thirtv Six Dollars 00/100: ($3,668.00
Option_#1
Add to total° or (Motorized LiftMaster model 8550 with battety back-up) $475.00
***Power to operator or conduit needed for low voltage by others. ***
Option #2
Add to total (Appearance packaze, powder coated track and hinizes) $200.00
Terms & Conditions:
Amount due 30 day net.
Electrical: conduit, wiring, and hook-ups by others at no cost to Industrial boor of Northern Indiana.
Openings ready to receive our product to be finished and prepared by others at no cost to us.
Unloading of doors upon arrival at job site by: ______ others X Industrial Door of Northern Indiana.
All work to he performed during regular daytime working hours of the trade.
All permits if required are to be taken out and paid by others.
Our standard coverage and limits of insurance apply.
The above prices includes X do not include sales tax.
Delivery shall be 2-4 weeks after receipt of final approved drawings guaranteeing design and dimensions or final field verification of the openings
Material guaranteed for one year against defects in material and workmanship (if installed).
Quote good for 30 days
Proposal Submitted By: Corey Miller
Sales & Estimating
X