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Award Bid - Spec AA - Two More or Less 2017 or Newer Utility Crew Trucks - Martin Country Chevrolet dba Country Auto Center
BIDIPROPOSAL CITY OF SOUTH BEND Bib NAME Spec AA — Two (2) More or Less 2017 or viewer Utility Crew Trucks FOR BIDS DUE October 10, 2017 at 9:30 a.m. Description Year]Make/Model Unit Price Y5 UV' 2-o) � AAM 55©0 Crew $ Year Make/Model - Trade In Unit Price 2001 SN471, Chevy C350OHD Pick up, -Q VIN## 3GBKC34FIIM116830 $ �� _--- 2001 . SN477, Freightliner Repair Tiuck, co V1N41FVABPBWIIHH69657 $ �� Estimated number of days for delivery from award date. 150- Bidder (Firm): Address: Y+ b5 N Hich( ran 5f-ee+ i PO City/State/Zip: P1 H rw ooA l .1-I' 4&56�3 538 Telephone Number(511 03 &- 21 1-5 Fax Number: 'q3&- 755 4P By a14�"Ih4 (signature) einnl `r D Mgr n ii(Printed flame) �1(e SI tl Cn� (Title) BOARD OF PUBLIC WORKS I QC,h 17 James A. Mueller, Member 18 Elizabeth A. Maradik, Member Th gese J. Dorau, Mcmbcr test: Linda M. Martin, Cl rlc fir- _ � M_ .�__.�_w_.-._�__. _ wa __�-=-v_ � E� _. `'� -�-� -. � r:.. �� Date Name BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM 10/24/17 Jeff Hudak H Agreement ❑ Professional Services ❑ Bid Opening ❑ Quote Opening ❑ Change Order No. ❑ Ease/Encroach. 1-1 Other: Company or Vendor Name New Vendor MBE/WBE Contractor MBENVBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Previous Amount Current Percent of Change: New Amount Total Percent of Change: Copy Original ❑ ❑ ® ❑ ❑ ❑ U Contract ❑ Resolution ® Bid Award ❑ Quote Award ❑ CIO & PCA No. ❑ Traffic Control Department Central Services Proposal Martin Country Chevrolet, Inc. dba: Country Auto Center ® Yes No Ll If Yes, Approved by Purchasing 1-1 MBE R WBE Addendum ❑ No ❑ Yes Name of Compan Spec AA — Two 2 more or less 2017 or Newer Utility Crew Trucks p Capital Budget 7 ewer Department C .... _ ....,...._ , 642-0621-415-43-02 $ 114,312.00 (2 @ $57,156 each) Dispersal After Approval Jeff Hudak & Sheila Enos Derick Roberts, Dale Helpingstine, Terri Swift CITY OF SOUTH BEND INDIANA SELLER'S BID FOR SALE OR LEASE OF MATERIALS AND NON -COLLUSION AND NON DEBARMENT AFFIDAVIT AND NON-DISCRIMINATION COMMITMENT FOR SELLERS BID NAME Spec AA - Two (2) More or Less 2017 or Newer Utility Crew Trucks FOR BIDS DUE October 10, 2017 at 9:30 a.m. Date: to I & /,?,D r -I Address: 2-705 Al- M i C City/State/Zip: t 14 MOA, -M Bidder NW Caok+-,, ,A fi (Firm): M04 in coukhri C hevra lC fly` Ce��er a� 5�, / JP0 Bp53 0 r<P3 Telephone Number: __574) 93 & - Z 1 fS Agent of Bidder (if Applicable): 0e_ HC Ckiy)._�, When the prospective Contractor is unable to certify to any of the statements belo;v, 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 J ►" SS: M Qrsha 1 j 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 lean. M a. For puiposes 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 § 5-22-16.5-5, 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 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 awaxded 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, seiwices, 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,publie bids are not required by law, the City, its agencies, boards, or commissions may consider the 5 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 ii2 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. I, 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-I). 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 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. JJ I y �C Vber2q Dated this day of M QY'+lt'1 C1)9 fr Ckeo o1e A —r7c- Contractor/Bidder (Firm) IMA ; c000fJ A(1 Ce-i4�-1 M 0�'Im '44m � Si Lure of tractor/Bidder or Its Agent Printed Name and Fide l�4NP Subscribed and sworn b fore me this My Commission Expires �� lic County of Residence H..S' W LYNN SAMUELSON Notary Public, State of Indiana Commission Explree November 11, 7 (To be completed only by ContractorsBidders claiming to be a "local Indiana business" pursuant to LC. 36-I-12-22) IliDIANA LOCAL BUSINESS PREFERENCE CLAIM A "local Indiana business"refers to any of the following. (])A business whose 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),4 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, Indiana, or the following counties located adjacent to St. Joseph County; Elkhart County, Marshall County), Starke County and LaPorte County There are the following price preferences for supplies pur-chased 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 less than $100, 000. • I % for a purchase expected by the purchasing agency to be at least $100, 000. 9 Date: )0 t b 120 ►1 f- `_ Pursuant to T.C. 36-1-12-22, 1 1C�1��v-, Guy &I(WtZk r)-'Yxc— claims a local Indiana business preference for Project 5 CC NN (Project # ) located within the City of South Bend, St. Joseph County, Indiana. ❑ The location of the principal place of business is 210,5 N. M Gk" Z aO 5+) i1i0A:)--tJJ OmssJ ❑ St. Joseph County, Indiana ` t Ix The following county located adjacent to St. Joseph County, Indiana: N (5h1 11 ❑ 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 SUPPLYING SUPPORTING PAYROLL RECORDS, BIDDER SHALL REDACT ALL SOML SECURITY NUMBERS. Dated this day of 120 I � [ f� ',6A : c��nfi21 MaAyi CGUKI+ Cheilolei -11-n c. ' Contractor/Bidder (Finn) s ,--m�ature o ontractorBidder or Its Agent v�/11�11 mQ"ni ! rC°SI de Printed Nance and Title 0