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REVISION 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, Cleric
Version 1 OM 7/2016 Contractor's Bid for Public Works - 3
REVISION 3
When the prospective Contractor Is unable to certify to any of the statements 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, 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, Indiana )
........... .
)SS..
St. Joseph 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 anyother member, representative, oragent 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 anyoneto 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 § 5-22-16.5-8, as amended from time -to -time, a
Contractor Is engaged in investment activities in Iran if either:
1. 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
il. 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 (1) use the credit to provides
goods and services in the energy sector in Iran; and (h) at the time the
Version 10117/2016 Contractor's Bid for Public Works - 5
REVISION 3
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. Contractorshail require his/her/its subcontractors performingwork underthis publiccontract
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 malntai n 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.
1n 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 entitles 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 applicantfor 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,
Version 10117/2016 Contractor's Bid for Public Works - 6
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REVISION 3
BIDIPROPOSAL
CITY OF SOUTH BEND
Project Name Hibberd Building Site Demolition and Plaza Improvements
Project No. 117-063
For Bids Due September 261", 2017
BASE BID
Item
Description
Quantity
Unit
Unit
Total
No.
Price
Amount
1
Mobilization and Demobilization
1
LS
$34,873.35
$ 34,873.35
2
Site Demolition
1
LS
$20,000.00
$ 20,000.00
3
Maintaining Traffic
1
LS
$ 4,281.35
$ 4,281.35
4
Construction Engineering
1
LS
$ 5,602.85
$ 5,602.85
5
Concrete Sidewalk
74
SYS
$ 71.35
$ 5,279.90
6
Concrete Curb and Gutter, combined
64
LF
$ 120.25
$ 7,696.00
Decorative Concrete Pavers & Soldier Course
$ 26.85
$108,527.70
7
4042
SFT
(Plaza), Complete
Decorative Concrete Pavers & Soldier Course
$ 27.60
$ 24,867.60
8
901
SET
(Alley), Complete
ADA Concrete Ramp with side walls,
1
LS
$44,757.80
$ 44,757.80
9
Complete (without railing)
Concrete Steps,
1
LS
$25,062,45
$ 25,062.45
10
Complete (without
11
Steel handrails for Steps and ADA Ramp
140
LE
$ 195.95
$ 27,433.00
12
Ornamental Tree Grate
8
EA
$ 3,056.40
$ 24,451.20
13
Ornamental Lighted Bollard
11
EA
$ 3,871.05
$ 42,581.55
14
Ornamental Litter Container
2
EA
$ 3,165.55
$ 6,331.10
15
Ornamental Benches with Concrete Pad
5
EA
$ 2,186.10
$ 10,930.50
16
Bike Rack
1
EA
$ 1,414.70
$ 1,414.70
17
Decorative Planters
8
EA
$ 1,528.05
$ 12,224.40
18
Removable Bollard
4
EA
$ 1,273.35
$ 5,093.40
Version 10/17/2016 Contractor's Bid for Public Works - 8
REVISION 3
19
Stationary Pipe Bollard
5
EA
$ 865.90
$ 4,329.50
20
Bocce Ball Court, Complete
1
LS
$24,898.60
$ 24,898.60
21
Landscape Plantings, complete
1
LS
$ 9,864.80
$ 9,864.80
$ 5,959.35
$ 5,959.35
22
Landscape Irrigation, Complete
1
LS
23
DUmpster Enclosure, Complete
1
LS
$22,674.20
$ 22,674.20
24
Concrete Pavement (Alley)
85
SYS
$ 101.30
$ 8,610.50
25
HMA Surface, 1.5"
12.5
TON
$ 240.95
$ 3,011.88
26
HMA Base, 5.5"
45.6
TON
198.85
$ 9,067.56
27
Compacted Aggregate, No. 53, Base
62.3
TON
$ 74.25
$ 4,625.78
28
HMA for Right -of -Way, Full Depth
66
SYS
$ 98.05
$ 6,471.30
29
Decorative Pavers, Install
204
SFT
$ 16.30
$ 3,325.20
30
Concrete Light Wells, Complete
48
LF
$ 180.40
$ 8,659.20
31
Concrete Planter at Stairs
24
LF
$ 597.90
$ 14,349.60
32
Common Excavation
1
LS
$21,392.60
$ 21,392.60
33
StormTech Storm Water Storage System,
1
LS
$55,722.65
$ 55,722.65
Complete
34
Sanitary Sewer, PVC SDR 35, 8 IN
60
LF
$ 136.50
$ 8,190.00
35
Sanitary Sewer, PVC SDR 35, 4 IN
155
LF
$ 61.10
$ 9,470.50
36
Roof Drains, PVC SDR 35, 6 IN
50
LF
$ 89.65
$ 4,482.50
37
Domestic Water Line, Class 52, 4" DIP, Complete
86
LF
$ 148.75
$ 12,792.50
38
Fire Protection Water Line, Class 52, 6" DIP,
87
LF
$ 283.20
$ 24,638.40
Complete
39
Clearing Right -of -Way
1
LS
$ 6,823.60
$ 6,823.60
40
Clean -Outs for Sanitary Sewer
6
EA
$ 1,155.20
$ 6,931.20
41
Clean -Outs for Roof Drains
4
EA
$ 916'85
$ 3,667.40
42
Grease Trap
1
LS
$ 8,862.65
$ 8,862.65
43
6" X 6" Timber Retaining Wall
1
LS
$ 8,913.60
$ 8,913.60
Version 10/17/2016 Contractor's Bid for Public Works - 9
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REVISION 3 CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This Completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBENVBE participation. It Is the bidder's sole
responsibility to verity whether any listed minority or woman business meets the qualifications of a Minority
or Women's owned business as defined by the Indiana Department of Administration (11IDOAf1).
Project Number.
Project Name:
Bidder.
Contact Person:
Address;
City:
117-063 Date: 9/26/17
Hibberd Building Site Demolition and Plaza Improvements
Rieth-Riley Construction Co., Inc.
Joshua A. McCormick Telephone: 574-288-8321
25200 State Road 23
South Bend
state: Indiana zip: 46614
Email: imccormick@rieth-riley.com
To determine whether a bidder has demonstrated good faith efforts to reach the M
BEMIBE utilization goals set
forth In the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or
commissions, REQUIRE ALL of the following Good Faith Efforts as listed In the table below':
EVIDENCE OF GOOD FAITH EFFORTS
MBEIWBE LIST(S); The bidder reviewed the City of South Bend's Minority and Women Business
Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women
X
Owned Business as found on their website (http:ttwww.in.gov/idoa).
ACTION (ADVERTISElCONTACT): In order for your bid to be deemed responsive, the City of South
Send requires that all perspective bidders complete no toss than 2 of the following:
1. Attend all pre -bid meetings scheduled by the City to Inform MBENVBEs of contracting and
subcontracting opportunities.
2. Advertise in general circulation and/or trade association publications concerning subcontracting
opportunities, and allow MBEANBEs reasonable time to respond.
Perform any and all necessary steps to provide written notice in a manner reasonably calculated
to inform MBFJWBEs of subcontracting opportunities and allowed sufficient time for them to
participate effectively.
4. Utilize pre-existing services of available community organizations, small and/or disadvantaged
business assistance offices and other organizations that provided assistance in the recruitment
and placement of MBENVBE firms.
X
"Bidder must circle or otherwise notate which of the two (2) required actions were performed.
GOOD FAITH NEGOTIATIONS: The bidder negotiated In good faith with Interested MBE/WBEs,
including providing such MBENVBE's with adequate information about the plans, specifications and other
requirements of the subcontract and did not reject MBENVBEs as unqualified without sound business
X
reasons based on a thorough Investigation of their capabilities.
SMALL_ CONTRACT(S): The bidder selected specific portions of the work to be performed by
MBENVBEs in order to increase the likelihood of meeting the MBEIWSE goals (including breaking down
contracts into smaller units to facilitate MBENVBE participation)
CONTRACT RECORDS: The bidder has maintained the following records for each MBENVBE that has
bid on the subcontracting opportunity:
I. Name, address, and telephone number;
2. A description of Information provided by the bidder or subcontractor; and
3, A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MBENVBE was unqualified to perform the job.
'Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any
omissions small be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional Information.
Version 10/17/2016 Contractor's Bid for Public Works -12
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seep o CONTRACTOR'S BID FOR. PUBLIC WORK - FORM.96
" — Slate Farm 52414 (R212-13)1 Form 96 (Revised 2013)
Prescribed by State Board of Accounts
re a
PART
(To be completed for all bids. Please type or print)
Date (month, day, year): Sept. 26, 2017
1. Governmental Unit (Owner): City of South Bend„ Indiana
2. County: St. Joseph
3. Bidder (Firm): Rieth-Riley Construction Co., Inc.
Address: 25200 State Road 23
CitylStatelZlPcode: South Bend, In. 46614
4. Telephone Number: (574) 288-8321
5. Agent of Bidder (if applicable): Joshua A. McCormick
Pursuant to notices given, the undersigned offers to furnish labor anchor material necessary to complete
the public works project of Hibberd Building Site Demolition & Plaza Im r. Project
Project No. 117-063
(Governmental Unit) In accordance with plans and specifications prepared by nla
and dated nla for the sum of
see itemized proposal $ see itemized proposal
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 tie 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). t hereby certify that I and all
subcontractors employed by me for this project will use U.S. steel products on this project if awarded.
understand that violations hereunder may result in forfeiture of contractual payments.
ACCEPTANCE
The above bid is accepted this day of , subject to the
following conditions:
Contracting Authority Members:
PART ll
(For projects of $150,000 or more -- tC 36-1-12-4)
Governmental Unit: City of South Bend, Indiana
Bidder (Firm) RIETH-RILEY CONSTRUCTION CO., INC.
Date (month, day, year): Sept. 26, 2017
These statements to be submitted under oath by each bidder with and as a part of his bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1. 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
Completion
Date
Name and Address of Owner
$30,801,449.00
HVY HWY
2016
INDOT Indianapolis, Indiana
$24,786,070.00
HVY HWY
2016
INDOT, Indianapolis, Indiana
$21,326,125.00
HVY HWY
2016
INDOT Indianapolis, Indiana
$20,554,775.00
HVY HWY
2016
INDOT Indianapolis, Indiana
2. What public works projects are now In process of construction by your organization?
Contract Amount
.... ... . . .
Class of Work
Expected'
Completion
Date
Name and Address of Owner
$8 947 369,00
HVY HWY
2017
INDOT Indianapolis, Indiana
$16,131 908.00
HVY HWY
2017
City of South Bend, Indiana
$11,264,460.00
HVY HWY
2017
INDOT, Indianapolis, Indiana
$8,700,680.00
1 HVY HWY
2017
Elkhart County, Indiana
3. Have you ever failed to complete any work awarded to you?
Me
4. List references from private firms for which you have performed work.
If so, where and why?
AM General Mishawaka Indiana 574-284-2728
Navistar South Bend Indiana 574-654-2400
ITR Concessons LLC Granger, Indiana 574-674-5836
University of Notre Dame South Bend, Indiana 574-631-7356
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
Explain 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 governmental unit to consider your bid.)
"According to plan specifications"
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.
Roadsafe Traffic Systems 3519 Harding St., Indianapolis, IN Traffic Maint/Markings
V&R Truckin 1845 North Elmer Street, South Bend, IN. Trucking
Hawk Enter rises 1850 E. North St., Crown Point, IN Electrical/Signs e
Slussers Green Thumb P.O. Box 33 Lo ans ort IN Landscaping/Erosion Control
C-Tech Corporation 5300 W. 100 North, Boggstown, IN. Guard rail/Fencing
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.
"Subcontractor list will be provided upon award"
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.
"As required"
Have you entered into contracts or received offers for all materials which substantiate the prices used in
preparing your proposal? If not, please explain the rationale used which would corroborate the prices
listed.
"As necessary"
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 governing body awarding the contract must be specific enough in detail so that said governing body can make
a proper determination of the bidder's capability for completing the project if awarded.
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CERTIFICATE OF QUALMCATTON
to provide
CONSTRUCTION SERv'TCES
for
PUBLTC WORKS PROJECTS
to the
STATE OF L�,x IANA
This Certrtiratioo Board, h ing duly considered applie4;on for quaUcation in term of apparent experia= and financial
resources; artd under the applicable Tndiana Code 4-13.6-- and adopted rules of this Board, hereby issues a
rtifi Cecate Qualification Qacation to provide constnsctiou s;., lices to the State of tndi:na fcrPubGc or'.v Projec to:
RIETH RILEY CONSTRUCTION CO INC
$a"26 ELKHART Pfi
PO SOX 477
GOSHEN IN 46527-0477
Phone 574--875-5183
Fax 574-8754405
Company Ofi9cial
KEM: ROSE
for the ty, ity-seven month ezriod stated herein, unless revokes by this Eoard for cause,
and in the clas3i5cations of sezvi--s stafcd b lo;,. 'Phis certificate superedes any pre,ious c�cate.
1611.01 Concrete Co)nstnictior of Roads & Curbing
1611,02 Asphalt Construction of Roads and Parking Lob;
1622-01 Gen Contr-brdgs,vdcts,9tvd hvvyrs,rhvy,tnls
1623-03 Sawers andlorMiatarLines
1794.01 Earihmoving and Land Clearing
1794.02 Excavation
1795.02 Demolition otPavements and Roads
CERTIFICAT10N DATE 112U2016
E) t?[ ATiON DATE 412112018
T US CERTIFTC-1'1 b'SSLTED By =i STATE OF LTMk\A, PUMIC !FORM DM51ON CERTIE ATIOAi BDA_aD,
40?VESTWASTWO10iFSTREET, ROO,dli'!u^/, L411-1POL-T5,p�E)jAK-k 46204,
SO ACTS AS TFIE OFFTCLAL No-nCE OF EiPEZ A.TION..
CvL�
Tracy L. Cross, E:K5-.L a Cretary
CortSfcation Board
RAr" 1tV'Q3 SL=ie Rr.- 3M.R R-1. f3 X8
Idy
wrdifk* Jorf (QualwU-9tan
ISStIM BY
Mna
INDIANAPOLIS, IN June 17, 2016
001
RIET PREY CONSTRUCTIOxr
Gos1iE\I, LN
who has fled v iih the Department a Contractor's Statement of Experience and Financial Condition as
required under Indiana Code 8-23-10, is hereby qualified to bid at any Department of Transportat[on
letting in Classes of Work and within the amount and other [irritation of each classification as listed
below, forsuch period as the uncompleted work on hand from all sources does not exceed theAggregate
amount. Classification references by name or symbol are in accordance with the definitions in the
Contractor's Statement of Experience and Financial Condition. This certificate supersedes any certificate
previously issued, but is subject to revision or revocation according to the Ia�ra, if and when changes
in the financial condition of the contracting firm or other facts justify such revision or revocation -
Valid August 1, 2016 Thru July 31, 2017
AGGREGATE........................................ .....'.......... :.................. ........................... .................
SUNLP& ED
0083
................
CLEAN-13EALCRACKS/JOINI'S:PCCPM1APVtiiT..............................................................................
$5,000,000
0103
MIDEDBOX STRUCTURE(S)w/SP&N>20FT........................... ................... ................. .......................
SUNLEM7ED
0290
SEVTR AND PIPE CLE ANL TO AND T.Tt IXG..........................................................................................
S5,000,000
0313
TRAFFIC CONTROL-:SNTM AND ICE REMOVAL...........................................................:.....................$UNLLY1If1
D
0390
U iDERSEAI IFATERPRQQF1NCzhiFlil3ItANI....................................................................................
b"UNIsTibfPTED
A(A)
CONCRETE PAVE` ri , GPNER-AL..............................................-.........................,.......... ...............$CIITLIMI'CED
A(B)
CONCRPTE PAVF Mr15NNT, LIMITED ................... .......... _.................................. ...........:..................SLri
II L�iITED
B(A)
ASPHALT PAVING: CERT 1114A PLANT .................................................................. ............ ...................
$L�i Fi 241i77 D
C(A)
HEAVY GRADNG... ..................................... ..................................... I .............
Siin4 hY ED
C(B)
LIGHTER 1DINCr....:.......................................................... ........................... :.................... ........................
$UNLI1fiIET1
D(A)
HWY ORRRnRMGES OVER `VATER...................................................................................................SUNL
- M-ED
D(B)
HWY ORRRBRIDGESOVER HIGHWAYS ..........................................................................................3iJi�LL�IIiED
D(C)
HWYBRIDGES REQ PROTECTIOiT OF RR TRACKS ............................ ......._.,.....................................
513,N'LL,flTJ D
E(C}
BRIDGE DECK OVERLAY AND IvINOR REPAIR .................. ...................... .......... -..................... ..,.._,3UNLIM.ITEn
E(E)
SMALL STRUCTURES A2,M DRALVAG$ ITFI ls.................. .................................... ........ .................. ...$UNL
MITPD
E(F)
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