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Home My WebLink AboutOpening of Bids - Farmington Lift Station 14A Rehabilitation Project No 117-027 - Selge Construction Co Inc4 9 s I , , VWl Al. bilsiou vmw� PART 11 (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. See attached. 2. Attach a listing of public works projects currently in process of construction by your organization. See attached. 3. Attach information regarding any failure to complete any work awarded to you and the location thereofWe have never failed to complete a project. 4. Attach references from private firms for which you have performed work. See attached. aSECTi01111 !! PLAIN AND Ir QN-111.PIIN E.I"1 CQ 11 ESTI CONv N'rAsin.�_. 1. Attach an explanation of 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 City of South Bend to consider your bid.) Work will be completed in an orderly manner, according to specifications and as best suits the owner and its engineer. 2. Attach a listing of 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. See attached. 3. If you intend to sublet any portion of the work, attach 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 City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. See attached; subcontractors have all equipment necessary; bonds not -required. 4. Attach a listing of equipment you have available to use for the proposed project. See attached. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. Yes. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Please see attached. 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 City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 8/22/2017 Contractor's Bid for Public Works - 3 1 'hen 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, NOW 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 MICHIGAN ) ) SS: BERRIEN COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: f. 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 § 5-22-16.5-8, 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-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 Version 8/22/2017 Contractor's Bid for Public Works - 4 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/shelit 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 LC. 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 ar 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, F Percnnc nartnarchinc rrnrnn.ratinnc accnrinfinnc nr ininf v=nfiirac zxwardari m rnnfrrrf hit 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 MBENVBE; however, it may not unlawfully discriminate against said WBE/MBE. A lin using Cif a discriminatory practice by the City's MBEPVNBE 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- 8-1). I 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 8/22/2017 Contractor's Bid for Public Works - 5 7_W ki t� . R L vi i iJ iAto j TmT v7 MOK Ak ........... t m2m 3=2, &M MERCHANTS BONDING COMPANY. POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Connie J Messer; Dawn M Pequignot; Elaine K Miller; Harold E Everett; J Kevin Hughes; Jade M Karst; Jessica K Callahan; Marie E Comparet; Melinda Jagger; Thomas J VanDyck; Tom McGovern their true and lawful Atto rney(s)-i n -Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 14th day of July 2017 •'' ION `'. .•• `•. pt A[ `'•• • • Cph•• •••• p�NG `• (iPOjQ0•+ `p� ' Rp0 A9 •• h�r40 MERCHANTS BONDING COMPANY (MUTUAL) . MERCHANTS NATIONAL BONDING, INC. _ 2003 ;,� : y 1933 �; By .............�W. ', • ...... ;;, •,• •� l••• President STATE OF IOWA *`�`'•,.....,►,•+•a `• • •... COUNTY OF DALLAS ss. On this this 14th day of July 2017 before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seats affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. s ALICIA K. GRAM �PRtA� z° o o n a Commission Number 767430 My Commission Expires ,nwP April 1, 2020 Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 14th day of November 2017 o P11 O N4 ` LNG Cp ;; j'.y 2003 ;"� 1933 �' secretary ,rr�� ;� V 1� PART II -- SECTION I — EXPERIENCE QUESTIONNAIRE 2. Attach a listing of public works projects currently in process of construction by your organization. Contract Amount 1 550 681 Class of Work Force Main & Sewer Expected Completion Date Fall 2017 Name and Address of Owner Village of Paw Paw 542 4 348 378 Sewer & Water Improvements Fall 2017 City of New Carlisle 543 1 037 911 Wastewater Collection System Fall 2017 Village of Casso olis 554 821 084 Underground Utilities/Pavement Fall 2017 City of Mishawaka 557 873 600 Water Main Replacement Fall 2019 Ci of Niles 558/559 821 084 Sewer & Water Im rovements Spring 2018 City of Mishawaka 557 293 350 Curb & Sidewalk Replacement Fall 2017 City of Mishawaka 560 585 182 Bike/Pedestrian Path Fall 2017 INDOT R37501A 562 2 686 151 Under round Utilities/Pavement Fall 2017 City of South Bend 564 1 273 287 Sewer & Water Improvements S rin 2018 Berrien Cty Drain Comm 565 1 116 500 Foundsy Site Improvements Fall 2017 City of Elkhart 567 . 537 476 WM/Services Install & Remove Fall 2017 City of Elkhart 568 569 570 292 000 Lift Station Im provements Winter 2017 Cass Count MI 570 2 591 189 Sewer Street Reconstruction Winter 2018 Cit of Warsaw 572 1 938 001 Sidewalks Spring 2018 INDOT 39513A ENGINEERING REFERENCES Rich Zielinski Kenneth Jones 317-547-5580 574-293-7762 American Structurepoint Jones, Petrie, Rafinski, Inc. 7260 Shadeland Station, Suite 100 4703 Chester Drive Indianapolis, IN 46256 Elkhart, IN 46516 Mark Sullivan 317-888-1177 Commonwealth Engineers, Inc. 7256 Company Drive Indianapolis, IN 46237-9212 Andy Lemberis 574-236-4400 DLZ Indiana, LLC 2211 East Jefferson Blvd. South Bend, IN 46615 Paul Hummel 574-234-3167 Lawson Fisher Associates, P.C. 525 West Washington Avenue South Bend, IN 46601 Steve Henschen 260-969-8800 GAI Consultants, Inc. 1502 Magnavox Way Fort Wayne, IN 46804 Rick Keller 574-272-3525 Keller Engineering, Inc. 54365 30th Street South Bend, IN 46635 Tom Deneau 269-927-0100 Wightman and Associates, Inc. 2303 Pipestone Road Benton Harbor, MI 49022 Jason Durr 574-282-8001 Christopher B. Burke Engineering, LLC 220 West Colfax Avenue, Suite 500 South Bend, IN 46601 John Linn 574-232-8700 Abonmarche Consultants of IN, Inc. 750 Lincolnway East South Bend, IN 46601 David Harvey Fleis & Vanderbrink Engineering, Inc. 2960 Lucerne Drive, S.E. Grand Rapids, MI 49546 John Olsen 269-428-4424 Merritt Engineering, Inc. 4568 Red Arrow Highway Stevensville, MI 49127 GOVERNMENTAL REFERENCES Eric Horvath, Director of Public Works 574-235-9251 City of South Bend 227 W. Jefferson Blvd. Suite 1300 N. South Bend, IN 46601 Toy Villa, Construction Manager 574-235-9251 City of South Bend 227 W. Jefferson Blvd. 1316 County -City Building South Bend, IN 46601 Jessica ularK, Engineer 574-235-9626 St. Joseph County 227 W. Jcffcrson Blvd. South Bend, IN 46601 Wayne Fox 260-894-4113 City of Ligonier 103 West Third Street Ligonier, IN 46767 Mike Monahan, Construction Engineer 219-362-6125 INDOT, LaPorte District PO Box 429 LaPorte, IN 46352 James Robinson, President 269-663-8484 Village of Edwardsburg PO Box 596 26296 U.S. 12 Edwardsburg, MI 49112 Jim Keefer, Construction Engineer 260-484-9541 INDOT, Fort Wayne District 5333 Hatfield Road Fort Wayne, IN 46805 ** Over ** Gary West, Director of Engineering 574-258-1619 City of Mishawaka 600 East Third Street Mishawaka, IN 46546-0363 Michael Machlan, Engineering Service Mgr. 574-293-2572 City of Elkhart Municipal Building 229 S. Second Street Elkhart, IN 46516 iviary Gripe, engineer 574-534-2201 City of Goshen 204 E. Jefferson St., Suite 1 Goshen, IN 46526 Patrick Cummings, Public Works Director 574-654-3733 Town of New Carlisle PO Box 6 124 E. Michigan Street New Carlisle, IN 46552 Joe Ray 269-683-4100 City of Niles 333 N. Second Street Niles, MI 49120 Paul Warnke, Board President 574-586-7249 Koontz Lake Regional Sewer District 10870 Cherokee Rd. PO Box 204 Walkerton, IN 46574 SECTION II - PLAN AND EQUIPMENT QUESTIONNAIRE 2. SUBCONTRACTORS LIST WORK PERFORMED: Bailey Aggregates Aggregate Trucking 12609 Indianapolis Rd Yoder, IN 46798-9733 Brusky Construction Aggregate Trucking 70569 Elizabeth St Niles, MI 49120 V & R Trucking Aggregate Trucking 1845 Elmer St South Bend, IN46628 Niblock Excavating, Inc. Asphalt Construction PO Box 211 Bristol, IN 46507 Rieth-Riley Construction Co., Inc. Asphalt Construction PO Box 477 Goshen, IN 46527-0477 Walsh & Kelly, Inc. Asphalt Construction 1700 E. Main St. Griffith, IN 46319-2999 Michigan Paving & Materials Co. Asphalt Construction 2300 Gendenning Kalamazoo, MI 49003 Baker Corporation ByPass Pump Rental 2205 E. Lincoln Hwy Chicago, IL 60411 Concrete Sawing & Coring, LLC Concrete Coring Cutting PO Box 907 Niles, MI 49120 Abonmarche Consultants, LLC. Construction Engineering 750 Lincolnway East South Bend, IN 46601 I Jones Petrie Rafinski, Inc. Construction Engineering 412 S. Lafayette Blvd South Bend, IN 46601 Wightman & Associates Construction Engineering 2303 Pipestone Rd Benton Harbor, MI 49022 Dewind Dewatering Dewatering 9150 96th Ave. Zeeland, MI 49464 Kelley DeWatering Dewatering 5175 Clay Ave., S.W. Wyoming, MI 49548 Bender Electric Electrical Wiring PO Box 143 Cassopolis, MI 49031 Hawk Enterprises, Inc. Electrical/Signal/Signage 1850 E. North Street Crown Point, IN 46307 Custom Fence Co Fencing PO Box 526 Niles, MI 49120 Mike's Fencing Fencing 68021 SR 19 North Nappanee, IN 46550 Milestone Fence Fencing 13399 McKinley Hwy Mishawaka, IN 46545 Specialties Company, LLC Fencing/Subgrade Treatment 9350 East 301h Street Indianapolis, IN 46229 Pioneer Associates, Inc. Face Panels, Wall Erection PO Box 145 Leo, IN 46765 2 C-Tech Corporation Guard Rails 5300 W. 100 N. Boggstown, IN 46110-9706 Lowe Construction Jack and Bore 2535 Bader Road Horton, MI 49246 Weaver Consultants, LLC Laboratory Testing 7121 Grape Rd Granger, IN 46530 Acorn Landscaping, LLC Landscape/Restoration 24930 Kern Rd. South Bend, IN 46614-9787 Fuerbringer Landscaping & Design, Inc. Landscape/Restoration 25530 Brick Road South Bend, IN 46628 Slussers Green Thumb, Inc. Landscape/Restoration PO Box 33 Logansport, IN 46947-0033 Turf Services Landscape/Restoration 57780 Sink Road Dowagiac, Ml 49047 Ferguson Waterworks ## 1934 Lift Station Installation 1077 Oliver Plow Ct South Bend, IN 46601 Best Sweeping Specialists, Inc. Road Sweeping/Dust Control 632 S. Sixth Street Goshen, IN 46526 A -I Striping Service, Inc. Road Striping 56825 Spirea Rd. New Carlisle, IN 46552 The Airmarking Co., Inc. Road Striping 1544 North State Road 25 Rochester, IN 46975 3 Michiana Contracting, Inc. Traffic Signal Work PO Box 929 Plymouth, IN 46563 Rathco Traffic Control 6742 Lovers Lane Portage, MI 49002 Give `Em A Brake Traffic Control 2610 Sanford Ave Grandville, MI 49418 State Barricading, Inc. Traffic Control 24963 U.S. 20 West South Bend, IN 46628 KC Tree Tree Removal 1320 Third ,Street Osceola, IN 46561 Payne's Services Tree Removal 30296 Redfield St Niles, MI 49120 3-D Company, Inc. Video Taping 3200 E. CR 350 North Muncie, IN 47303 Construction Video Media Video Taping I 1 I E. Newberry St. Romeo, MI 48065 March 2017 4 Selge Construction Co., Inc. SECTION II - PLAN AND EQUIPMENT QUESTIONNAIRE 4. What equipment do you have available to use for the proposed project? QUANTITY DESCRIPTION AND CAPACITY OF ITEMS YEAR 1 CATERPILLAR HYD. EXCAVATOR MODEL 325L 1994 1 CATERPILLAR HYD EXCAVATOR MODEL 330L 3CY 1994 1 KOEHRING 6644 HYD. EXCAVATOR 3 112 YD. 1988 1 KOEHRING 866 HYD. BACK HOE 4 YD. 1979 2 KOEHRING 505 HYD. BACK HOE 2 112 YD. 1969&70 1 BANTAM TRUCK CRANE 1 JOHN DEERE 455G CRAWLER LOADER 1989 3 RUBBER TIRE LOADERS 2 112 TO 5 YD. MACHINES 1 JOHN DEERE 544 RUBBER TIRE LOADERS 1990 1 JOHN DEERE 624G LOADER 3 112 YD. 1994 1 JOHN DEERE 570A ROAD GRADER 1980 1 INTERNATIONAL T,D, DOZER 1972 1 CATERPILLAR D5C DOZER 1992 1 CATERPILLAR D4C DOZER SERIES 3 1979 1 FORD F800 UTILITY TRAILER WITH HI RANGER 1985 1 MACK CL713 DUMP TRUCK 1996 1 MACK CL713 TRACTOR 1997 1 FERGUSON TANDEM DRUM VIBRATOR ROLLER 1979 1 FORD TRACTOR MODEL LN 8000 1993 1 MACK RD68 TRACTOR 1996 1 FORD F800 DUMP TRUCK 1998 1 MACK DUMP TRUCK MODEL GU813 2015 PAGE 2 - SECTION II, PLAN AND EQUIPMENT QUESTIONNAIRE QUANTITY DESCRIPTION AND CAPACITY OF ITEMS YEAR 1 MACK TRACTOR, MODEL CL713 1995 1 MACK TRACTOR MODEL CL713 1996 1 JOHN DEERE 955 TRACTOR W/TILLER, BOX SCRAPER, BROi 1991 1 JOHN DEERE 955 4WD TRACTOR W/TILLER AND BROOM 1994 1 CATERPILLAR MODEL CS433 COMPACTOR 1996 1 PEMBERTON 72" DITCH CL. BUCKET FOR CAT 30OLE 1996 1 HARTMAN FABCO CONVEYOR 1979 1 FELCO ROLLER BEDDING CONVEYOR W16 CY HOPPER 1991 1 FELCO BEDDING CONVEYOR, STAND. SLIDER, W12' EXTENS 1994 WITH 6 CYLINDER HOPPER 1 150 KW CAT. GENERATOR, ELECTRIC PUMPS, DEEP WELLS, HYDRAULIC CLAM, ETC., COMPLETE 1 ONAN 30 KW STANDBY POWER ENGINE GENERATOR, TRAILER MOUNTED, WICABLE & DIESEL FUEL TANKS, SUBMERSIBLE SEWER PUMP 1 EARTH BORING MACHINE 48" AND ACCESSORIES 1975 1 VERMEER 4" LW HAMMERHEAD MOLE 1995 1 VERMEER 3" HAMMERHEAD MOLE 1995 1 DITCH WITCH DIRECTIONAL BORE SYSTEM 1995 1 MELROE 853C BOBCAT 1995 1 VERMEER D-24x40 NAVIGATOR DIRECTIONAL BORE SYSTEh 1997 1 FINN HYDROSEEDER WI ATTACH., GROUNDHOG 1997 1 CLEAN EARTH SFE-JET-VAC 1998 1 MCELROY #412 HYDRAULIC FUSION UNIT 1998 1 BELSHE T9 TRAILER 1998 2 928G CATERPILLAR WHEEL LOADERS 1998 1 PC200-6 KOMATSU EXCAVATOR 1996 1 VS 63-20-D Grout Machine 2016 PAGE 3 - SECTION 11, PLAN AND EQUIPMENT QUESTIONNAIRE QUANTITY DESCRIPTION AND CAPACITY OF ITEMS YEAR 1 NPK 8XA HYDRAULIC HAMMER 1998 1 EX750 - HITACHI EXCAVATOR 1998 1 FELCO VIBRATORY COMPACTOR BUCKET 1998 1 JCB 411 TOOL CARRIER, WITH FORKS 1998 1 DITCH WITCH JET TRAC MODEL 920L WI MUD MIXER, SUBSI 1999 1 ROSCO RB48 SWEEPER, WITH SNOW PLOW 1999 1 STERLING L8513 DUMP TRUCK 1999 1 920L DITCH WITCH DIRECTION BORE SYSTEM 1999 1 FREIGHTLINER FL80 DUMP TRUCK 2000 1 FREIGHTLINER FL112 DUMP TRUCK 2000 1 PMD 800 VAC -IRON VACUUM 2000 1 VERMEER T-555 TRACK TRENCHER 2000 1 DITCH WITCH JT7020 BORING UNIT 2000 1 MCS-325 PORTABLE BENTONITE MIXING & RECYCLING SYS' 2000 1 VOLVO L70D WHEEL LOADER 2000 1 CATERPILLAR 930 WHEEL LOADER 2000 1 KOMATSU WA250-3 WHEEL LOADER 2001 1 KOMATSU WA120-3 WHEEL LOADER 2001 1 EASI-POUR COMPACT 880 SLIPFORM TRIMMER/PAVER 2001 INCLUDES FORMS AND CONCRETE TOOLS 1 KOMATSU PC128US -2 006487 EXCAVATOR 2001 1 KOMATSU PC228US LC-3 020533 EXCAVATOR 2001 1 BLAW-KNOX RW 195 ROAD WIDNER 1970 1 CHAMPION 730A VHP MOTOR GRADER 1999 1 BOBCAT SKID STEER LOADER, MODEL 773K 2001 1 TREMIX COMPACTOR MODEL MV80 2001 PAGE 4 - SECTION II, PLAN AND EQUIPMENT QUESTIONNAIRE QUANTITY DESCRIPTION AND CAPACITY OF ITEMS YEAR 1 CMI SF3002 SLIPFORM PAVER 1999 3 JOHN DEERE 1-650H, 2-550H CRAWLER DOZERS 2001 1 GMC WHITE TRACTOR TRUCK 1993 1 KOMATSU PC300LC-6LE EXCAVATOR 2001 1 KUBOTA L3010HST TRACTOR 2002 1 TRAILER EXPESS 18' FLATBED TANDEM AXLE TRAILER 2002 1 TC-600 TEXTURE/CURE MACHINE & ACCESSORIES 2002 1 CURB FORM C55629 2002 1 FELCO 30 X 60 COMPACTOR BUCKET 2002 1 CATERPILLAR CH85 CHALLENGER TRACTOR 2003 2 MISKIN SP-C17 SCRAPERS 2003 1 DYNA-PACK MODEL CC122 VIBRATORY ROLLER 2003 1 AMERICAN AUGER BORING MACHINE 2003 1 DITCH WITCH SK500 UNIT WIAUGER & TRENCHER 2004 2 FELCO COMPACTION BUCKETS 2004 1 SCISSOR LIFT 2004 1 DITCH WITCH JT27T2 WITH ATTACH,/PIPE 2005 1 DITCH WITCH JT2020 WITH ATTACH./PIPE 2005 1 VERMEER D36X50 NAVIGATOR WIATTACH. 2005 1 YANMAR V1080 MINI EXCAVATOR 2016 3 JOHN DEERE LOADERS MODEL 544J 2005 1 FELCO MINI CONVEYOR 2005 1 D36X50 NAVIGATOR 2006 1 DUAL ELECTRIC MAST SYSTEM (LAZER FOR DOZER 2006 PAGE 5 - SECTION II, PLAN AND EQUIPMENT QUESTIONNAIRE QUANTITY DESCRIPTION AND CAPACITY OF ITEMS YEAR 2 DITCH WITCH VAC SYSTEM WITRAILER 2006 1 ROADTEC RX700-4 MILLING MACHINE 2006 1 IHI IC30-2 CRAWLER CARRIER 2006 1 JOHN DEERE 450D EXCAVATOR 2006 1 INTERNATIONAL 4900 6 X 6 WATER TRUCK 1998 1 CATERPILLAR 328D EXCAVATOR 2007 1 CATERPILLAR 321CLCR EXCAVATOR 2007 1 CATERPILLAR 314 CLCR EXCAVATOR 2007 1 YAN MAR V1075 EXCAVATOR 2008 1 MR MANHOLE CUTTER EXTRACTOR & AUGER 2008 1 INGERSOLL RAND VIBRATORY COMPACTOR SD100D 2008 1 12" - 36" BUTT FUSION MACHINE 2009 1 VERMEER D100 X 120 NAVIGATOR W. ATTACHMENTS 2009 1 CATERPILLAR CH 85E TRACTOR 2010 2 ROME SCRAPER PANS 2010 1 KOMATSU PC49OLC-10 EXCAVATOR 2012 1 KOMATSU PC39OLC-10 EXCAVATOR 2012 1 JOHN DEERE 700K DOZER 2012 1 JOHN DEERE 650K DOZER 2012 3 JOHN DEERE 544K LOADERS 2012 2 MOVAX-SP60 HAMMERS 2013 1 ISCO FUSION MACHINE 2014 2 JOHN DEERE 245 LC EXCAVATOR 2014 1 JOHN DEERE 544K 4WD LOADER 2014 PAGE 6 - SECTION II, PLAN AND EQUIPMENT QUESTIONNAIRE QUANTITY DESCRIPTION AND CAPACITY OF ITEMS YEAR 1 KENWORTH DUMP TRUCK 2001 1 KENWORTH T-800 CUMMINS TRACTOR 2016 1 ETNYRE TRAILER WITH 4TH FLIP AXLE 2015 1 JOHN DEERE 245 LC EXCAVATOR 2015 3 ARTIC SNOW PUSHER PLOWS WIQUICK COUPLERS 2015 2 YANMAR V1055 MINI EXCAVATOR 2015 3 WESTERN PLOWS 2015 1 DITCH WITCH TRACKER WITH BEACON/DISPLAY 2016 9 CATERPILLAR COMPACT TRACK LOADERS 2016 1 PERCUSSION DRILL 2016 2 YANMAR Vio35-6 MINI EXCAVATORS 2016 1 YANMAR Vio45 MINI EXCAVATOR 2016 1 KENWORTH DUMP TRUCK 2006 1 ROFHDR ROADWIDENER 2017 CEMENT SAWS, AIR COMPRESSORS, WELL POINT PUMPS, WELL POINTING EQUIPMENT, 4000 GAL. WATER TANKER & JET PUMP, BROOMS, SHOP TRAILERS, 3 FIELD OFFICE TRAILERS, COMPACTORS, POWER MORTAR MIXERS, TAMPERS, LASER BEAMS, SMALL TOOLS, 3 TANDEM DUMP TRUCKS, 1 SEMI - DUMP TRAILER, 4 LOWBOY TRAILERS, 3 TRUCK TRACTORS, PORTABLE TRAFFIC LIGHTS, PORTABLE FLASHING SIGN, STEEL SHEETS, GENERATORS, PAVING BREAKERS, ROCK DRILLS, TRENCH BOXES, WELLS CARGO PUMP TRAILER, 3 WELLS CARGO TOOL TRAILERS, WELLS CARGO CYCLE WAGON, 1 FRUEHAUF TRAILER, HENDERSON BLADE RAKE, PROSSER PUMPS, VIBRATORY ASPHALT PLATE, 1255HP DIALGRADE LASERS, INGERSOLL-RAND LIGHT TOWER, TAG TRAILER, ROSCO SWEEPER, FORKLIFT, CURB FORMS, DITCH WITCH SUB SITES, GENERATORS, VARIOUS BUCKETS, DUAL ELECTRIC MAST SYSTEM (LAZER FOR DOZER), VARIOUS TRAILERS, TEREX PAVING KIT, REROUND TOOL, SCRAPER TOOL, ELECTRIC PROCESSOR, 24" DIPS INSERT SET, HEATER ASSEMBLY FOR FUSION MACHINE, AUGER VERMEER DIRECTIONAL DRILL, LOCATORS Fart B, section I experience L,ttIestionnaire SL:HkUULt b 3 1. What public works projects has your organization completed for the period of five (5) years prior to the date of the current bid? CONTRACT WHEN NAME AND ADDRESS AMOUNT CLASS OF WORK COMPLETED OF OWNER $575.000.00 GRADING I RESTORATION 2016 POKAGON BAND OF POTAWATOMI INDIANSlDOWAGIAC, MI $6,163,664.31 WASTEWATER COLLECTION SYSTEM 2016 NORTH WEBSTER LAKELAND RSD WASTEWATER COLLECTION "B" $30,339.00 SEWER REPAIR 2016 GOSHEN THEATRE SEWER REPAIR $74,890,00 SHARED USE PATH 2O16 MDOT & CASS COUNTYIGUMWOOD TO STATELINE ROADS $290,716.00 CDBG ADA INFRASTRUCTURE IMRPV 2016 MISHAWAKA 2015 CDBG ADA INFRASTRUCTURE IMPROVEMENTS $118.817.00 INFRASTRUCTURE IMPROVEMENTS 2016 SOUTH BEND CHASE PLASTICS INFRASTRUCTURE $29,218.00 SITE IMPROVEMENTS 2016 LAGRANGE DOMETIC II CORP $105,701.00 ROAD IMPROVEMENTS 2016 MISHAWAKA FRONT STREET ROUNDABOUT $1.490,864.00 WATER MAIN 2016 MISHAWAKA BRICK FIR ROAD WATER MAIN $257,718.00 CURB & SIDEWALK RENOVATIONS 2016 SOUTH BEND 2015 CURBISIDEWALK DIVISION B $257,718,00 SEWER CLEANOUT 2016 WARSAW CENTRAL PARK SEWER CLEANOUT $1,218,351.00 FORCE MAIN IMPROVEMENTS 2016 SYRACUSE TURKEY CREEK RSD FORCE MAIN $641,406.00 WASTEWATER LIFT STATION 2016 GOSHEN WASTEWATER LIFT STATION $53,525.00 PARKING LOT IMPROVEMENTS 2016 GOSHEN 3RD STREET PARKING LOT $1,818.027.95 STORM SEWER SYSTEM IMPROVEMENTS 2016 SOUTH BEND NOBLE AMERICAS ETHANOL PLANT $131,550.00 LIFT STATION RENOVATION 2016 CASSOPOLIS LIFT STATION #1 RENOVATION $510.690.00 WASTEWATER TREATMENT LAGOON 2016 DOWAGIAC POKAGON BAND RODGERS LAKE $64,000,00 ADA RAMP INSTALLATION 2016 GOSHEN COLONIAL MANOR ADA $72.410.00 ACCESS ROADWAY IMPROVEMENTS 2016 SOUTH BEND GEYER ROAD RENOVATION $15,660.00 ACCESS ROADWAY IMPROVEMENTS 2010 SOUTH BEND EDISON ROAD $161,100.00 SANITARY SEWER POND REPAIR 2016 SOUTH BEND NOBLE AMERICAS ETHANOL PLANT - UPV $137,695.00 STORM SEWER IMPROVEMENTS 2016 SOUTH BEND PRECISION WALL SYSTEMS STORM SEWER & LOT $365,881.00 SANITARY SEWER IMPROVEMENTS 2016 SOUTH BEND ETHANOL SANITARY SEWER $80,000.00 SNOW PLOWING 2016 SOUTH BEND I MISHAWAKA MEIJER STORE SNOW PLOWING $96,694,00 NORTH AREA SITE IMPROVEMENTS 2016 LAGRANGE DOMETIC III $92,815.00 SEWER IMPROVEMENTS 2016 NILES 2016 SEWER IMPROVEMENTS $62.590.00 MANHOLE REPAIRS 2010 NILES TWP MANHOLE REPAIRS $167.850.00 SANITARY SEWER IMPROVEMENTS 2016 SOUTH BEND IIN TEK IIN KOTE SANITARY SEWER $14,435.00 ADA PARKING LOT IMPROVEMENTS 2016 ELKHART ADA DOWNTOWN PARKING IMPROVEMENTS $143,730,00 CONCRETE APRON EXPANSION 2016 ELKHART INDIANA FLIGHT CENTER $299,880.29 SIDEWALK PROJECT 2016 MIDDLEBURY EAST WARREN RD $166,333,00 LOT DRAINAGEIEROSION PROTECTION 2016 SOUTH BEND ST. PAUUS ASSISTED LIVING CENTER PARKING LOT $100,970.00 WATER VALVE REPLACEMENT 2016 MISHAWAKA BODINE STATE PARK FISH HATCHERY Part 11, Section I Experience Questionnaire SCHEDULE B 2 1. Whal public works projects has your organization completed for the period of five (S)years prior to the date of the current bid? CONTRACT WHEN NAME AND ADDRESS AMOUNT CLASS OF WORK COMPLETED OF OWNER $809,763.01 FULMER RD DRAINAGE iMPROVEMENT 2014 CITY OF MISHAWAKA / 600 E 3RD ST., MISHAWAKA, IN 46545 - 574-258-1618 $1,199.446.00 CEDAR LAKE WW SYSTEM 2014 CASS CTYI 120 N BROAD, CASSOPOLIS, MI 49031 $57,535.92 M-51 GATE VALVE INSERTION 2014 CITY OF NILES/ 1345 E. MAIN ST., NILES, MI 49120- 269-683-4700 $130,415,00 HOWARD TWP LIFT STATION UPGRADE 2014 HOWARD TWPI 1345 BARRON LK RD., NILES, Ml 49120 / 269-604-0072 $90,068.75 RIVERSIDE DR SEWER EXTENSION 2014 CITY OF ELKHART I229 S. 2ND ST., ELKHART, IN 46516 574-294-5471 $938,479.70 BLUE JAY DRAIN DIV III 2014 BERRIEN CTY DRAIN COMM/ 701 MAIN, ST. JOSEPH, MI 49085 / 269-983-7111 $1,180,67134 MIAMI COMMUNITY RSD WASTEWATER 2014 MIAMI CTYI25 N. BROADWAY, PERU, IN 469701765-472-3901 $868,079.00 UNIVERSITY DRIVE LS IMPROVEMENTS 2014 CITY OF MISHAWAKA / 60D E 3RD ST., MISHAWAKA, IN 46545 - 574-258-1618 $1,603,688.20 JEFFERSON BLVD STREETSCAPES 2014 CITY OF SOUTH BEND 1227 W. JEFFERSON BLVD., SOUTH BEND, IN 46601 -574-235-9216 $279,762.26 INDOT - NORTH LIBERTY SIDEWALK IMPRC 2014 INDOT R34775I LOCATED: NORTH LIBERTY, IN $867,25160 MIDDLEBURY'C' LIFT STATION 2014 TOWN OF MIDDLEBURY, 418 N. MAIN ST.. MIDDLEBURY, IN 46540 / 574-825-1499 $801,658,08 FULMER RD AREA DRAINAGE 2014 CITY OF MISHAWAKA 1600 E 3RD ST., MISHAWAKA, IN 46545 - 574-258-1618 $39,950.00 PEAVINE ST LIFT STATION 2014 VILLAGE OF CASSOPOLIS, 117 S. BROADWAY, MI 49031 $204,576.00 CITY SIDEWALKS & CURBS 2014 CITY OF MISHAWAKA 1600 E 3RD ST., MISHAWAKA, IN 46545 - 574-258-161 B $596,566.D6 EAST GATE LIFT STATION 2014 CITY OF SOUTH BEND 1227 W. JEFFERSON BLVD., SOUTH BEND, IN 46601 -574-235-9216 $430,763,00 HOUSING DEMOLITION 2015 CITY OF SOUTH BEND 1227 W. JEFFERSON BLVD., SOUTH BEND, IN 46601 -574-235-9216 $285,393.00 INDOT - TWIN BRANCH SIDEWALK IMPROV 2015 INDOT # 364811 LOCATION: MISHAWAKA, IN $547,827.00 WASTE WATER PUMP STATION INSTALL 2015 TOWN OF WINONA LAKE, PO BOX 338, WINONA LAKE, IN 46590 $670,979.00 BIKE PATH CONSTRUCTION 2015 CITY OF ELKHART / 229 S. 2ND ST., ELKHART, IN 46516 574-294-5471 $112,681.00 WATER TREATMENT PLT UPGRADES 2015 TOWN OF MIDDLEBURY, 418 N. MAIN ST., MIDDLEBURY, IN 46540 / 574-825-1499 $150,048.00 ADA CURBISIDEWALK REPLACEMENT 2015 CITY OF ELKHART! 229 S. 2ND ST., ELKHART, IN 46516 574-234-5471 $470.682.00 BOOSTER STATION RECONSTRUCTION 2015 NEW BUFFALO TWP.117655 CLAY ST_ NEW BUFFALO, MI 49117 $3,895,111.00 DRAINAGE AND TRAVEL LANES 2015 INDOT 34216 / LOCATION: MISHAWAKA, IN $4,156.813.00 ROAD IMPROVEMENTS 2015 CITY OF MISHAWAKA 1600 E 3RD ST., MISHAWAKA, IN 46545 - 574-258-1618 $30.340.00 SEWER REPAIR 2015 CITY OF GOSHEN, 220 S. MAIN ST., GOSHEN. IN $290.715.00 ADA INFRASTRUCTURE IMPROVEMENTS 2015 CITY OF MISHAWAKA 1600 E 3RD ST., MISHAWAKA, IN 46545 - 574-258-1618 $118,817.00 MANUFACTURE INFRASTRUCTURE 2015 CITY OF SOUTH BEND 1227 W. JEFFERSON BLVD., SOUTH BEND, IN 46601 -574-235-9216 $105,701.00 ROADIROUNDABOUT INSTALLATION 2015 CITY OF MISHAWAKA/600 E 3RD ST., MISHAWAKA, IN 46545 -574-258-1818 $1,564,622.00 WATER MAIN INSTALLATION 2015 CITY OF MISHAWAKA 1600 E 3RD ST., MISHAWAKA, IN 46545 -574-258-1618 $267,718.00 CURB/SIDEWALK INSTALLATION 2016 CITY OF SOUTH BEND / 227 W. JEFFERSON BLVD., SOUTH BEND, IN 46601 -574-235-9216 $42,050.00 SEWER CLEAN OUT 2015 CITY OF WARSAW/ PO BOX 817, WARSAW, IN 46581 - 574-372-9545+ $53,525,00 PARKING LOT IMPROVEMENTS 2015 CITY OF GOSHEN, 220 S. MAIN ST., GOSHEN, IN $131,550.00 LIFT STATION RENOVATION 2015 VILLAGE OF CASSOPOLIS 1117 S. BROADWAY, CASSOPOLIS, Ml 49031 $72,410.00 ROAD RENOVATIONS 2015 CITY OF SOUTH BEND 1227 W. JEFFERSON BLVD., SOUTH BEND, IN 46601 -574-235-9216 $15,660.00 ROAD RENOVATIONS 2015 CITY OF SOUTH BEND / 227 W. JEFFERSON BLVD., SOUTH BEND, IN 46601 -574-235-9216 $3,819,947.UU SEWER AND ROAD INSTALLATION 2016 INDOT, #302911 LOCATION: MISHAWAKA, IN $4.463,900.00 SEWER AND ROADISIDEWALK INSTALLATI, 2016 INDOT 33572I LOCATION: MISHAWAKA, IN $75.000.00 SHARED PATH 2O15 MDOT # 123212A1 CASS COUNTY, MICHIGAN "Attachment 4. List references of private firms for which you have performed work. Environmental Restoration Geocel Holding Corporation 1668 Fabrick Drive PO Box 398 St. Louis, MO 63026 Elkhart, IN 46516 Siemens Medical Solutions Diagnostics AM General Mr. Tom Lienczewski Rolland Miller 3400 Middlebury Street 13200 McKinley Highway Elkhart, IN 46516 Mishawaka, IN 46545 South Bend Orthopedics Noble Americas South Bend Ethanol Elm Road Medical Campus 3201 W. Calvert Street 53880 Carmichael Drive South Bend, IN 46613 South Bend, IN 46635 Brandywine Community Schools Dometic Corporation John H. Jarpe, Ed. D., Superintendent Glenn Kimmerly 1830 S. Third Street 509 S. Poplar Street Niles, Mf 49120 LaGrange, IN 46761 Gateway Development Notre Dame Federal Credit Union Mr. Dan Brekke Bob Green 56199 Parkway Ave., Suite 1 PO Box 7818 Elkhart, IN 46516 Notre Dame, IN 46556 Palisades Park Country Club Arbor Lakes Apartments 79336 Ravine Way Edward Rose Development Covert, MI 49043 6100 Newport Rd Kalamazoo, mi 49003 Arnmerson Shores Cooperative 4508 Denali Cove Chicago Trail Farms Ft. Wayne, IN 46845 Robert L. Runkle 27551 US 12 Remington Park Subdivision Edwardsburg, MI 49112 Wagner Land Development 3325 Middlebury Coorman Real Estate Group Elkhart, IN 46516 Steve Cooreman 2454 Brick Road Augustine Lakes Subdivision South Bend, IN 46628 c/o Miller Builders PO Box 229 Aeroplex Granger, IN 41530 FM Stone Real Estate 421 S. Second St, Elkhart, IN 46516 ** Over ** 4. List references of private firms for which you have performed work, continued. Corder Hones Royal Oaks Subdivision LeRoy Yoder Sohn Boettcher 17874 SR 23 3305 N. Home Street South Bend, IN 46635 Mishawaka, IN 46545 Van. Vooren Constructian Co, Inc. 55667 Currant Road Mishawsaka, IN 46545 EIkl1 �Q1k. 4ei 5l 1liS4111 S� J1.11V V1� 2720 California Road Elkhart, IN 46514 U RS Cur pora isIon Anthony J. Limke 36 E. Seventh St., Suite 2300 Cincinnati, OH 45202 Overlook Apartments Signature Construction 8888 Keystone Crossing Indianapolis, IN 466244 Pleasant -Shores Front Lot Developmeqr John Wilhelm 2020 E. Washington Blvd., Suite 400 Ft, Wayne, IN 46803 Pokagon Gaming Authority 1111 Wilson Road New €3uI< ,lull