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Home My WebLink AboutOpening of Quotations - 2017 Central Services Remodel Proj No 117-118 - Ziolkowski Construction Incmf When the prospective Contractor is unable to certfbp to any of the statements below, it shall attach an ex-planadall to Ads Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT ENT AFFIDAVIT, CC,CRTIFICATION IMGA.R]DING DWESTMEN.t WITH RZAN, EMPLOYMENT ELIGIBILITY E V RMCATION, NQN-DISCRIMINATION COXEMTMENT 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 � St Joseph COUNTY ) The undersigned Contractor-, being duly sworn upon his/her/its oath, affirms under the penalties of perjuty that: 1. Contractor• has not, nor has any other iinember, representative, or agent of the fiinn, 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 froin bidding nor to induce anyone to refrain from bidding, and that this bid is inade without referennce 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, faros, or corporation has, have or will receive directly or indirectly, airy 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 fi•om participation in this transaction by any Federal departnnent 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" meads the governnnient of Ir mi grid 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 -true, a Contractor is engaged in investnieit activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or innore in value in the energy sector of Iran; or ii. Contractor, its successor of its affiliate, is a financial institution that extends twenty Brillion 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 Fran; 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 Version 11/0912017 page - S Public Works Quote Contractor's newly hired employees through the E-Verily Program as dcfmcd by I.C. 22-5-1.7-3. Contractor's documentation of ennrollrnent and participation in the E-Verify Program is included and attached. as part of this bid/quote; and 5. Contractor shall requite 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 tenm of the contract with the City of South Bead, 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 perfo-miance 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 affectthatperson's ability to perfornn the work. In awarding contracts for the purchaseof work, labor, services, supplies, equipment, materials, or any connbination of the foregoing including, but not limited to, public woxlcs 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/WISE; 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 fiorn the date of such dotermination, and such determination may also be grounds for terminating the contact for which the disexh ninatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a pact of any contract which it may henceforth enter into with the City of South Bernd, 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, sensual orientation, harndicap, national origin or ancestry. Breach 'of this provision may be regarded as material breach of contract. I, the undemigned bidder or agent as contractor on a public works project, understand nay 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 rare for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I Version 11/09/2017 Page - 9 P€abfic Works Quote ' � !' �' ^` _ _1_____ _ �. i--'��'1L" � _ _ ,. �._ -�-Y it � °\ Q� k ~ � :�#_« . :� \ w� � « . �� °� »��