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HomeMy WebLinkAboutAward Quotation - Twenty Five (25) More or Less Setina Single Prisoner Transport Cages - Waymire Fleet Equipmenti �� ..� „ �: - - �, ,�� Oil, -_ x xA _ \ .. .�� \f \� J � }�\ �\� t �� ed\\ �*%�/��)���J�• �z � +�,�� y��:�3��� ayd2 QUOTE NAME FOR QUOTES DUE Date: /-1r.r, r C?' %� a(1Firm: V Hf.C1' ro n 1' Address: J© l CitylStatelZip:_:14„rti,�1, C fit yd 'phone Number: G 17 K-3 Agent of Firm (if Applicable): Wlreli the prospective Contractor is unable to cert j& to any of dw ° ,, ­iwWs belumo, it sliall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION Ai'�ll NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH llt-AN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PROT)TT( TS. (Must be completed for all quote• l bids. Please type or print) STATE OF� ) SS: Ma r r a to COUNTY ) The undersigned Contractor, being duly sworn upon! !}cr/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any o »liner, representative, or agent of the firm, company, corporation or partnership iv; d by him,'entered into any combination, collusion or agreement with any person °,�c to the price to be bid by anyone at such letting nor to prevent any person from �;i,icliug nor to induce anyone to refrain from bidding, and that this bid is made withwit rcl'crence to any other bid and without any agreement, undearstanding or combination �%.,ith any other person in reference to such bidding. Contractor further says that no 1'' i or persons, firms, or corporation has, have or will receive directly or indirectly, any c:, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submissi proposal that neither contractor nor any of its principals are presently debacc' tIdcd, proposed for debarment, declared rr ineligible, or voluntarily excluded frow �patioa in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any sw- (o, nor an uFliliate of, Contractor, engaged in - investment activities in Iran. a. For purposes ofthis 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. 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. 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 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 16 day ofA 11� (.1 20 ]:7 r Contracto /Bidder (Firm) ' I• Signature of Contractor/Bidder or Its Agent Printed Name and Title Subscribed and sworn to before me this da f , 20/ My Commission Expires J �i d 018 o ry Public � ,,,, e s t) yJ Of/ County of Residence A)4 A //1 A2 Date Name BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM 11/7/17 Jeff Hudak Department Central Services LJ Agreement Ll Contract LJ Proposal Addendum ❑ Professional Services ❑ Resolution ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ® Quote Award ❑ Change Order No. ❑ C/O & PCA No. ❑ PCA ❑ Ease/Encroach. ❑ Traffic Control n Other: Company or Vendor Name New Vendor MBENVBE Contractor MBE/WBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Amount of Waymire Fleet Equipment ❑ Yes ® No If Yes, Approved by Purchasing n MBE n WBE ❑ No ❑ Yes Name of Company Quotes for Twenty -Five (25) More or Less Setina Single Prisoner Transport Cages 2017 Police Department Capital Principal 404-0401-415-37-11 & Interest 404-0401-415-37-12 (subiect to lease fundinq) $ 29,131.25 (25 @ $1,165.25 each) Bid Opening Date: 8/22/17 ❑ Required Contractor's Certification Form Attached (Non - Collusion. Non -Discrimination. Non -Debarment, E-Verifv. Iran, etc. Increase Decrease Previous Amount Current Percent of Change: New Amount Total Percent of Change: Copy Original ® ❑ ® ❑ ❑ ❑ Dispersal After Approval Jeff Hudak & Sheila Enos Chris Voros & Ken Glowacki III 4 'It