HomeMy WebLinkAboutAward Bid - Spec Y - One or More 2017 or Newer One Ton Four Wheel Drive Pick Up Truck including Animal Transport - Jordan FordpJ
BID/PROPOSAL,
CITY OF SOUTH BEND
Spec Y -- One (1) or More 2017 or Newer One Ton Four Wheel Drive Pickup
BID NAME Truck Including Animal Transport Module
FOR BIDS DUE September 12, 2017 at 9:30 a.m.
Description
Year/Make/Model
Unit Price
SPORT
2018 FORD F350 4X4 REGULAR CAB PICKUP
$ 72,627.00 EA.
Alternate#
Description
Cost
Total
1
CNG -- Bi-fuel conversion with tanks
mounted under bed.
$ 9900 . oo
$ 9900.00
Estimated number of days for delivery from award TRUCK: 98-1.1.2
date. MAVRON: 210-250
TOTAL: 308 0
Bidder (Firm): JORDAN FORD
Address: 609 E. JEFFERSON BLVD.
City/State/Zip: MISHAWAKA, IN 46545
Telephone Number: 574/259-1981 Fax Number: 574/254-2777
By
(Signature)
BOARD OF PUBLIC WORKS
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Gary A. Gilot, Pres; ent
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Suzi nna 1Mf ritzberg, Member
DEBRA STARKWEATHER
(Printed Name)
COMMERCIAL FLEET SALES MANAGER
(Title)
Elizabeth A. Maradik, Member
Therese J. Dorau, Member
IA
James A. Mueller, Member Attest: Linda M. Marlin, Cler
17
CITY OF SOUTH BEND, IN_DIANA
SELLER'S BID FOR SALE OR LEASE OF MATERIALS
AND NON -COLLUSION AND NON DEBARMENT AFFIDAVIT AND
NON-DISCRIMINATION COMMITMENT FOR SELLERS
Spec Y — One (1) or More 2017 or Newer One Ton Four Wheel Drive Pickup Truck Including
BID NAME Animal Transport Module
FOR BIDS DUE September 12, 2017 at 9:30 a.m.
Date:
Address
Bidder
SEPTEMBER 12, 20prm):
609 E. JEFFERSON BLVD.
JORDAN FORD
City/State/Zip: MISHAWAKA, IN 46545Telephone Number: ( 574) 259--1981 , : EXT 317
Agent of Bidder (if Applicable): N/A
When lire prospective Contractor is unable to certify to any ofthe 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 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
4
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, "Trap" 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 fi•om 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 Contractor's newly hired employees through the E-Verify
Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and
participation in the E-Verify Program is included and attached as part of this bid/quote;
and
5. Contractor shall require his/her/its subcontractors performing work under this
public contract to certify that the subcontractors do not knowingly employ or contract
with an unauthorized alien, nor retain any employee or contract with a person that the
subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has
enrolled in and is participating in the E-Verify Program. The Contractor agrees to
maintain this certification throughout the term of the contract with the City of South
Bend, and understands that the City may terminate the contract for default if the
Contractor fails to cure a breach of this provision no later than thirty (30) days after being
notified by the City.
6. Persons, partnerships, corporations, associations, or joint venturers awarded a
contract by the City of South Bend through its agencies, boards, or commissions shall not
discriminate against any employee or applicant for employment in the performance of a
City contract with respect to hire, tenure, terms, conditions, or privileges of employment,
or any matter directly or indirectly related to employment because of race, sex, religion,
color, national origin, ancestry, age, gender expression, gender identity, sexual
orientation or disability that does not affect that person's ability to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment,
materials, or any combination of the foregoing including, but not limited to, public works
contracts awarded under public bidding laws or other contracts in which public bids are
not required by law, the City, its agencies, boards, or commissions may consider the
Contractor's good faith efforts to obtain participation by those Contractors certified by
the State of Indiana as a Minority Business ("MBE") or as a Women's Business
Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive
bidder.
In no event shall persons or entities seeking the award of a City contract be required to
award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate
against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE
Utilization Board shall prohibit that person or entity from being awarded a City contract
for a period of one (1) year from the date of such determination, and such determination
may also be grounds for terminating the contact for which the discriminatory practice or
noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination
commitment shall be made a part of any contract which it may henceforth enter into with
the City of South Bend, Indiana or any of its agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for
employment in the performance of this contract with privileges of employment, or any
matter directly or indirectly related to employment, because of race, religion, color, sex,
gender expression, gender identity, sexual orientation, handicap, national origin or
ancestry. Breach of this provision may be regarded as material breach of contract.
1, the undersigned bidder or agent as contractor on a public works project, understand my
statutory obligations to the use of steel products or foundry products made in the United
States (I.C. 5-16-8-1). 1 hereby certify that I and all subcontractors employed by me for
this project will use steel products or foundry products made in the United States on this
project if awarded. 1 understand I have an affirmative duty to notify the City in my bid
that my proposal does not include the use of steel products or foundry products made in
the United States. I understand it is my sole obligation and responsibility to provide a
justification to the City, subject to review and approval, why the cost of United States
made steel or foundry products is unreasonable. Prior to award and upon submission of
bid which does not use steel products or foundry products made in the United States, the
City, through its director of public works, shall make a determination if the price of
United States made steel or foundry is unreasonable. I understand that violations
hereunder may result in forfeiture of contractual payments.
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid
for public works are true and correct.
Dated this 12TH day of SEPT , 20 17
JORDAN FORD
Contractor/Bidder (Firm)
71
Signature of Contractor/Bidder or Its Agent
DEBRA STARKWEATHER
COMMERCIAL FLEET SALES MANAGER
Printed Name and Title
Subscribed and sworn to before me this 12TH day of SEPTEMBER , 20 t 17
My Commission Expires -15 1
Notary Pub c
County of Residence
EMILY S, NEED, Notary Public
Cr N(Y Of Marshall, State of Indiana
My COMM'"'On Exgires 05/15/2021
7
(To be completed only by Contractors(Bidders claiming to bea " local I ndiana business' pursuant to I .C. 36-1-12-22)
INDIANA LOCAL BUSINESS PREFERENCE CLAIM
A 'local Indiana business " refers to any of the following:
(1) A business a hose principal place of business is located in an affected county-
(2) A business that pays a majority of its payroll (in dollar volume) to residents of affected counties.
(3) A business that employs residents of affected counties as a majority of its employees.
(4) A business that makes significant capital investments in the affected counties as defined in rules adopted by the political
subdivision.
(5) A business that has a substantial positive economic impact on the affected counties as defined by criteria in rules adopted by
the political subdivision.
An " affected county' refers to St. Joseph County, I ndi ana, or the fol I owl ng counti es I ocated adjacent to St. Joseph County:
Elkhart Counry, Marshall County, Starke County and LaPorte County
There are the folloiving price preferences for supplies purchased from a local Indiana business:
• 5% for a purchase expected by the purchasing agency to be less than $50, 000
• 3% for a purchase expected by the purchasing agency to beat least $50,000 but I ess than $100, 000.
• 1 % for a purchase expected by the purchasing agency to beat least $100,000.
Date: SEPTEMBER 12, 2017
Pursuant to T.C. 36-1-12-22, JORDAN FORD claims a local Indiana business
preference for Project 4X4 TRUCK FOR ANIMAL TRANSPORT (Project #SPEC Y) located within the City of
South Bend, St. Joseph County, Indiana.
ER The location of the principal place of business is609 E JEFFERSON BLVD, MISHAWAKA, IN: 46545
X❑ St. Joseph County, Indiana
❑ The following county located adjacent to St. Joseph County, Indiana:
® The majority of the business's payroll for the 12 months prior to the date of this Bid is to residents of St.
Joseph County, Indiana or the adjacent county noted above.
® The majority of the business's employees for the 12 months prior to the date of this Bid are residents of
St. Joseph County, Indiana, or the adjacent county noted above.
If the business is deemed to be the apparent lowest, responsible, responsive bidder, then it shall provide
supporting documentation for the 12 month period prior to the date of the Bid of (i) the total payroll
amount paid to all employees of the business, and (ii) the total payroll amount paid to employees who are
residents of St. Joseph County and the adjacent county noted above.
WHEN SUPPL YING SUPPORTING PA YROLL RECORDS, BIDDER SHALL REDACT ALL
SOCIAL SECURITY NUMBERS.
Dated this 12TH day ofSEPT'EMBER 2017
JORDAN FORD
Co tractor/Bidder (Firm)
Signature of Contractor/Bidder or Its Agent
DEBRA STARKWEATHER
MANAGERCOMMERCIAL FLEET SAIES
Printed Name and Title
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