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Award Bid - Spec AC - One or More 2018 or Newer 3-4 Ton Extended Cab Four Wheel Drive Pickup Truck - Jordan Ford
1 f :..`7'; �*��-.�.�?n� p1 `'i�,r'.+�', .�___i� ���' �. �1 -Cis'-�f�-'y�nW: _ _ �. _ r�lAxti ..�- 4F .,.�_. __ —' < �"-_ t ,� v . _.._ -� - -- - - _ - - i ,� - - < <�. �, ,� - - ., - �� � � I . �_, BID/PROPOSAL CITY OF SOUTH BEND r Spec AC — One (1) or More 2018 or Newer % Ton Extended Cab Four Wheel BID NAME Drive Pick Up Truck FOR BIDS DUE November 14, 2017 at 9:30 a.m. Description Year/Make/Model Unit Price XL PICKUP 2018 FORD F250 4X4 SUPERCAB $ 30,765.00 EAC Alternate# Description Cost Total 1 Front mounted western 8' pro -plus $ 5,584.00 EA $ 5 , 584.00 EACH power angling left and right. Plow to come equipped with safety approved li hts and markers, and snow deflector. 2 Front mounted Western MVP Plus. $ 6,089.00 EACH $ 6 , 089.00 EACH Plow to come equipped with safety approved lights, markers, and snow deflector and shoes. 3 CNG — Bi-fuel conversion with tanks $ 9,943.00 EACH $ 9 , 943.00 EACH mounted under bed. 4 Roof mounted strobe light with $ 2,431.00 EACH $ 2 , 431.00 EACH controller, Federal Signal 53" Legend LPX orequal. Estimated number of days for delivery from award 70 — 84; ADDITIONAL date. FOR ALTERNATES Bidder (Firm): Address: City/State/Zip: JORDAN FORD 609 E. JEFFERSON BLVD. MISHAWAKA, IN 46545 Telephone Number: 574/259-1981 X317 Fax Number: 574/254-2777 By (Signature) (Printed Name) COMMERCIAL FLEET SALES MANAGER (Title) 14 1 ■• ■ - it I 'l� --- _ -_ -_ ■- : _ _ :.� ' , - JL- r 1 - _ — - �- ... - Gin - ■l _ _ ■ - F■ - - ti ■-■ _ r ■ - ■- ■ 1 - IF0 INC - - r ■ r r _ ■� ■�■-_ - ■ ' ■ -_ - - _ } - • �� L1 _ r 3 r 6 - f ir_. Ir IL it - Y - - ■ - - • ` - - JL .- ■ r■ ,,ice■ _ _� -� -- � _ _-�; � -:- �_ ■-,��•IFr_--T ic IL Sir or � - - ■ '_L 11_' � _ �•_ `yr■—.•� :�' 4 - ACC_ � In 0. _ __ i' _ _ _■_ _L _Y1 �_1�_� _ 1 _ _■•r_ ■ •-•'— - _ _ 1 - 1 ■-_ �_ - I ■ _ 1 1 J b CO CITY OF SOUTH BEND, INDIANA E: SELLER'S BID FOR SALE OR LEASE OF MATERIALS AND NON -COLLUSION AND NON DEBARMENT AFFIDAVIT AND 1865 NON-DISCRIMINATION COMMITMENT FOR SELLERS Spec AC - One (1) or More 2018 or Newer % Ton Extended Cab Four Wheel Drive Pick Up BID NAME Truck FOR BIDS DUE November 14, 2017 at 9:30 a.m. Bidder Date: NOVEMBER 14 , 2017(Firm): JORDAN FORD Address: 609 E JEFFERSON BLVD. City/State/Zip: MISHAWAKA, IN 46545Telephone Number: ( 574 ) 259-1981 EXT 317 Agent of Bidder (if Applicable) N/A When the prospective Contractor is unable to certify to any of the statements below, it shall attach air 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, "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 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. b. 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 E 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 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 14TH day of NOVEMBEtp 17 0 rcQa n r r &( Contractor/Bidder (Firm) Signature of Contractor/Bidder or Its Agent DEBRA STARKWEATHER COMMERCIAL FLEET SALES MANAGER Printed Name and Title Subscribed and sworn to before me this 14TH day of NOVEMBER , 20—iL My Commission Expires I Iz.b21 County of Residence 7 Notary Public �+. doup, WHITNEY R. PYLE, Notary Public C.bu* Of 81, Joseph, State of Indiana My COMMISsIon Expires 01/09/2021 (To be completed only by Contractors/Bidders clahning to be a `Ibeallndiaua 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 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) A business that einploys 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 folloii,ing counties located adjacent to St. Joseph County: Elkhart County, Mat -shall County, Starke County and LaPorte Counj)� There are the following 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 less than $100,000. I %for a purchase_ expected bythe piirchasing gency to be at least $100,000, Date: NOVEM Pursuant to I.C. 36-1-12-22, JORDAN FORD claims a local Indiana business preference for Project F250 (Project # AC } located within the City of South Bend, St. Joseph County, Indiana. ® The location of the principal place of business is 609 E JEFFERSON, MISHAWAKA IN (Address) © 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 SUPPLYINGSUPPORTING PAYROLL RECORDS, BIDDER SHALL REDACTALL SOCIAL SECURITY NUMBERS. Dated this I4TH day of NOVEMBER , 20 17 JORDAN FORD C nWctor/Bidder (Fir Signature of Contractor/Bidder or Its Agent DEBRA STARKWEATHER COMMERCIAL FLEET SALES MANAGER Printed Name and Title 8 2-7 F 1r { � k 3i ' i6 1 Q g it me3'rwr'k�IM L e's' W �,. �ffi{`ti&Aa, —i to ILL IL a 0