HomeMy WebLinkAboutOpening of Quotations - Alley Drywall Install (Near St Vincent and Notre Dame Ave) Proj No 117-101 - Rieth Riley Construction Co Inc., T� vlfrc7PlF, --Ipl
A.6 L
James A. Mueller, Member
Attest: Linda M. Martin, Clerk
Version 10/18/2016 Page - 7 Public Warks Quota
When the prospective Contractor Is (noble to eerlify to any of (lie .s(atesnen is below, it shall attack an explanation to this Affidavit,
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT,
CERTIFICATION REGARDING IN'VFSTMENT WITH IRAN, E MPLOYMENTE, LIOIBILII:TY
VERIFICATION, NUN-DISCitIMINATION 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 oadi, affirms under the penalties of perjury that:
1. Contractor has not, nor has any other member, representative, or agent of the fine,
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 § 5-22-16.5-8, as amended from time -to -time, a Contractor is
engaged in investment activities in Iran if either;
i, Contractor, its successor or its affiliate, provides goods or services of twenty million
dollars ($20,000,000) or more in value in the energy sector of Iran; or
ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty
million dollars ($20,000,000) or more in credit to another person for forty -live (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 fist 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 10/1812016 Page - 8 Public Works Quote
Contractor's newly hired employees through the E-Verify Program as defined by I.C.22-5-13-3.
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 perso&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
Version 10/10016 Page - 9 Public Works Quote
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CERTIFICATE OF QUALITICATION
to provide
CONSTRUCTION SERN ICES
for
PUBLIC WOM PROJECTS
to the
STATE OF 11'01ANA
Tnis Certification Board, having duly co-idered applicatian for qua.iitcation in terms of appar`nt e cperience ar£d financial
resources; and under the applicaole indima Coda 4-13.a 1 and adopted rules ofthis Beard, hereby issuers a
Cer:i5cate of Qualfcation to provide consinscticn se, rids to the 3t?Fz of ladiMa fcrPubUC V; or'.v Projects to:
PJETH RILEY CONSTRUCTION CO INC
36626 ELKHART RD
PO BOX 477
GOSHEPI IN 46527-0477
Phone 57"75-5183
Fax 574-875-PA05
Company Official
KEITH ROSE
for the- h'e�-seven month period stded hernia, unless revokes by this Beard for cause,
and in the eisssiucaticns of sarvicts stud 6 lov;. This cerdfcase supercedes and, previous c,�ifcate.
1811.01 Concrete Construction of Roads & Cor6ing
1611.02 Asphalt Construction of Roads and Parking Lots
1622.01 Gen ConEr-hrdgs,vdcts,elvd hwys,rh-y,tnis
1623.03 Sewers andlorVlaterl.inas
1794.01 Earthmoving and Land Clearing
1794.02 Excavation
1795,02 Demolition of Pavements and Roads
CERTIFICATION WTE 1121/2016
EX:PIi 1 i0ky Dr' T E 412112018
THIS CERTTICATE ISSUED BY THE STATE OF IigDLANA, P1:38l.lC - ryORKS blViS]ON CEitTI1 iC (), k30_ RU,
90244)STtitiASiIitiCsT01iSTREE,ROOa41R`57,L�Ti7F��tapOLLS,L�LA�'L346204,
ALSO ACTS AS TEM OFECLALrI€3TTCE OF E:�%ZATIOV.
Tracy L. Cross, ExacutNe 14cretary
Cart -meHon Board
DAPW PQ2 Stta R:=—Srew.rR Ft.1,t.07ira'
wrl-airate Jorr Quatwu-atfan
ISSUED BY
znbm4ua BrTran.9pintarwn
INDIANAPOLIS, IN June '17, 2016
TO
RIE M RII:EY CONSTRUCTIONI
G05I�i, L�r
rvho has filed with the Department a Contractor's Statement of Experience and Financial Condition as
required under Indiana Code 8-23-1 8, is hereby qualified to bid at any Department of Transportation
letting in Classes of Work and within the amount and other limitation of each classification as listed
below, for such period as the uncompleted work on hand from all sources does not exceed the Aggregate
arnounl. Classification references by narrle 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 law, if and when changes
in the financial condition of the contracting firm or other facts justify such revision Or revocation.
VaL=' d August 1, 2016 Thru .Iuly 31, 2017
AGGREGATE........... ......... .................................... :................... ....................................... .... ................ $U1qLLti11T6D
0095 CLEAT-i/MALCILACKSl70l.'iTS:PCCPAQVIAPVMT.............................................................................. S5,000,000
0103 MIDI D BOX STRUCTURE(S) W/SP'AM>20FT............. .......... ...................................... ......................... S€T' iLl' JTMD
0290 S1 WER AND PIPE CLEANL`FG ACID UNR G........ ........-.-...... .....,................,..- $5,000,000
0313 TRAFTIC CO`iTROL:S14OC4 AND ICE RE 4OVAL.................. .................................................... ............Sr-TL"il Ibi ITI'EI)
0390 UNDERSEAL wATER.PROOFING 11 ENMR At.................................................................................... SUNLIN i-MD
A(A) CONCRETE PAVE-N =NT, GENERAL .......................... .................. ............................ ........................ .,.... ST L4LiTED
A-(B) CONCRETE PAVEN1=,1MfITED...... ....................... .................... ............................. ........................... $VNU IITED
B(A) ASPI-ALT PAVING: CERT HALO PL"-T........... ................ ................................ .:.................................... SSUNLRv=D
C(A) HEAVY GRADL,IG.................................................................... .............. ............................................SUNLINTTTI DD
C(B) LIGHT GRADING .... :........ ................................. ......... -... .............................. :...................................... ...... SUNL,yTITED
D(A) HWY OR RP, BRIDGES OVER WATER ........ ................................. ............... ........................................... SUNLD&MD
1)(B) HVYORRR13RIDGESOVER HIGHWAYS ...... ................... ................ -........... ........... ......... _................. SUVTJf#ff MD
D(C) I-iWYBRIDGES REQ PROTECTION OF RR TRACKS .......... .................................................................. SUNL1hM-ED
E(Q BRIDGE DECK OVERLAY AND TYEN- OR.REPAIR...........................................:....................................-$UNL.h1+iITE-D
E(E) SNLALL STRUCTURES AND DRADL&GEf EMS ........................... .......................... ..................
............$aril I�TrD
E(F) SURFACE MASONRY AND MISC CQ ICRETE........... ....................... ........... ,............... .................... ...SUAIUMiTED
E(E) DEEP SEWER AND/OREXCAVATION....................... ........................ ................. .................. -- ............. SUNLIMITED
E(R) ROAD MILLIX(i................ ...... ......... ......... ................. ........ ............... ......................... .................... .......SUNLUI IITED
E(T) DEMOLITION, .................. .................. ....................................... ............ ......SUNL-D I]TED
...................:...........................
PREQUAL 1CATION ENGINEER
States Fcm'2OW8 (R315-05)
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