HomeMy WebLinkAboutOpening of Bids - 2017 Demolitions Phase 2 Project No 117-121 - Indiana Earth IncCITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name 2017 Demolitions, Phase 2
Project No. 117-121
For Bids Due December 12, 2017
From time to time the South Bend Board of Public Works finds it necessary to reject a bid because
it does not comply with statutory requirements. In preparing your bid, please use the following
checklist in order to make sure that your bid is done in the proper manner.
VProper bid security included. The bidder has the option of providing either a Certified Check
or Bid Bond.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
Certification of use of United States Steel Products or Foundry Products.
Proof of MBE1WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not
met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted
Form [MWBE-2.1].
V Acknowledge Receipt of _a_ Addendum(s) included with the bid.
YAll required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
printed or typed underneath signature.
This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.
Bidder: Z�r"cr &r—4,/�.7", ,` Date:
By Authorized Representative:
Signature:
Print !'Jame & Title: r—c- tTV
Version 10/17/2018 Contractor's Bid for Public Works - 1
�ou rri ec,
CITY OF SOUTH BEND INDIANA�\r
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CONTRACTOR'S BID FOR PUBLIC WORKhkrjs_`,
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Project Name 2017 Demolitions, Phase 2
Project No. 117.121
For Bids Due December 12, 2017
PART
(Must be completed for all bids. Please type or print)
[late: --/ _ Bidder (Firm): �'n [5z'r n5, �ra ���+ :T _.._e.............._.. .
Address: p l0 /
City/State/Zip: (���� Lf f,`SY Telephone Number,
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor arid/or material necessary to complete the
public works project of:
l t L, X/On r cc
re —
the City
11 of South Bend, Indiana, in accordance with plans and specifications prepared by:
and dated 11—" for the sum of (enter the Total Bid as shown on the Proposal)
L L
(Enter sum of Total id, all divisions included, shown on Proposal) (Numerical)
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in
the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance
with the notice. Any addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units m t be the same as that
shown in the original contract if accepted by the City of South rBend. It the bid is o be awarded on a unit
basis, the itemization of the units shall be shown on a separa[e attachment.
By
The above bid is accepted this
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
James A. Mueller, Member
ACCEPTANCE
day of
Name
Suzanna M. Fritzberg, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
Version 10/17/2018 Contractor's Bid for Public Works - 2
Q11
PART II
(For projects of $100,000 or more — IC 35-1-12-4)
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
1. Attach information regarding projects your organization has completed for the period of one
(1) year prior to the date of the current bid.
2. Attach a listing of public works projects currently in process of construction by your
organization.
3. Attach information regarding any failure to complete any work awarded to you and the
location thereof.
4. Attach references from private firms for which you have performed work.
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
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.)
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.
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.
4. Attach a listing of equipment you have available to use for the proposed project.
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.
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
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 10/17/2018 Contractor's Bid for Public Works - 3
When 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, 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 }
} SS:
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 ol'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 lran 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,
Version 10/17/2018 Contractor's Bid for Public Works - 4
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 persons 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 W'omen's Business Enterprise
(--WBF") 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 trade 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
Version 10/17/2018 Contractor's Bid for Public Works - 5
may result in forfeiture of contractual payunenis.
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 _ U - 4,k day of ° ; 20 17
`1;ttJ1111111111JI/
§§\OS1ON" -` vx Contrac r/Bidder (F'
SEAL d Signaturc ofContret r Bidder or Its gent
pp
t-i-nted Name and Title
!!IN
Subscribed and sworn to before me this day of f „ 20 (
k %
My Commission Expires ►
N6iary ublic r
County of Residence " w
Version 10/17/2018 Contractor's Bid for Public Works - 6
BID/PROPOSAL
CITY OF SOUTH BEND
Project Name 2017 Demolitions, Phase 2
Project No. 117-121
For Bids Due December 12, 2017
DIVISION A:
Asbestos
Item
Description
Abatement
Demolition
Total Amount
No.
[LSUM]
[LSUM
Demolition of 639 N. Brookfield St.
A-01
House and Fence
**Duct Tape
$ 8oa 00
$ j q
$ C Lt �
Demolition of 824 College St.
A-02
Multi -Unit and Garage
**Duct
$ c�aa , ov
$a y,,cu
$ a,S`, 5, co
Tape and Wrap
,
Demolition of 1132 Diamond Ave.
A-03
House and Garage
$ 3 t
$1�1 5wxa
$ 1 ej 1?00, qO
**Duct Tape and Window Glazing
Demolition of 1308 Woodward Ave.
A-04
House
$ faxo.oO
$ 1 , .3w• oo
$ j 5 b� 00
** Duct Wrap
Demolition of 1033 W. Rose St.
A-05
House and Fence
$ (�FOo,a0
$ Ni 5WOO
$ 1 -) ICU, 00
** Tile, Adhesive+, and Floor Covering
A-06
NOT INCLUDED IN BID
1
Demolition of 1230 N. Brookfield St.
A-07
House
$ r i lw-. p
$ 1 S, C7
$ �(p? /C , dC)
"Floor, Mastic+, Tape, and Air Return
Demolition of 1124 N. Kentucky St
Lkv.00
A-08
House and Garage
**Duct
$
$ j jjo�
$ f 3t` 00
Wrap
Demolition of 1025 Lawndale Ave.
A-09
House
$ �i 7ba .®0
$ i 1 cw,(b
$ f qr 9r 00
**Ceiling, Wall+, and Sidingr
.
Demolition of 1106 Beale St.
A-10
House and Fence
$ (D.00
$ ftf r.JG,CU
$ I ` , fv0 t?o
Demolition of 1240 Queen St.
A-11
House
$ Ck04)
$ t5
i ���a
$ C .
Sr �o , oU
A-12
Demolition of 805 Leland Ave.
**pipe Wrap and Siding
$ -7, sZb,otg
$ 300,00
$ �, �'� �'Qa,QD
A-13
Environmental Allowance
-
-
$ 10,000
DIVISION A TOTAL
$ a �%
**Denotes Homes with Asbestos Material. Verify with inspections & reports for proper disposal.
+Point Count Attached
Bidder (Firm) Name: 7 c ` FC, r � Zlcl
Version 10/17/2018 Contractor's Bid for Public Works - 7 ADDENDUM 2
DIVISION B:
Asbestos
Item
Description
Abatement
Demolition
Total Amount
No.
LSUM
LSUM]
Demolition of 1521 W. Fisher St.
B-01
House and Garage
**
$
$
��
$
��
Duct Wrap, Tile, and Floor
B-Q2
Demolition of 1525 W. Fisher St.
House and Shed
$ C�.cc�
$ f4 1n6,0U
$
B-D3
Demolition of 321 McPherson St.
$ �, ct)
$ J\3) Jcb.co
a ���
$ 3J qj
Houses
13-04
NOT INCLUDED IN BID
Demolition of 309 Laurel St.
B-05
House, Shed, Fence, and Doghouse
$
$ lyr5tuw
$ yj 100t O(D
Duct Tape
B 06
Demolition of 214 S. Kentucky St.
House Shed
$ U�A�
$
��,(U
$ �
and
Demolition of 230 Birdsell St.
B-07
House and Fence
**Siding, Duct Wrap, Duct Tape, and
$ 7���c�
r�
$ ��
a+�
$ I OW, <0
Floor Covering
B-08
NOT INCLUDED 1N BID
.............
Demolition of 314 N Walnut St.
B-09
House and Shed
$ (�
$
$
**Duct Wrap and Duct Tape
B-10
Demolition of 319 LaPorte St.
House Fence
$ (�,ac�
$ ! �,,Sa�
$ ��o Si, Cxj
and
Demolition of 528 Euclid St.
B-11
House, Garage, and Fence
$ 1;300,CY]
**Duct Tape
B-12
Environmental Allowance
-
-
$ 10,000
DIVISION B TOTAL $ (p
**Denotes Homes with Asbestos Material. Verify with inspections & reports for proper disposal,
+Point Count Attached
Bidder (Firm) Name: r1 Ca
Version 10/17/2018 Contractor's Bid for Public Works - 8 ADDENDUM 2
DIVISION C:
Asbestos
Item
Description
Abatement
Demolition
Total Amount
No.
LSUM
LSUM
C-01
NOT INCLUDED IN BID
C-02
Demolition of 1601 Leer St.
House, Fence, Retaining Wall
$ �• OC7.
$ 17, qW a)
$ j 7
and
G(7
C-03
NOT INCLUDED IN BID
.........:...........: ....
Demolition of 618 Dubaii Ave.
C-04
House, Fence, and Wall
$ ai .uo
I71 /00,cu
$ ;� a 7jo,co
Duct Wrap
Demolition of 1804 S. Michigan St.
C-05
House, Garage, and Fence
$ 't t oc o.q-1
$ 191 coo. (V
$ C1 � (� QD
*API a Insulation
C-06
Demolition of 2223 Catalpa Ave.
House, Garage, and Fence
$ 9Xo.t'
$ 1 9,100"o
$ q
`* Duct Wrap and Floor Covering
C-07
NOT INCLUDED IN BID
Demolition of 1618 Prairie Ave.
C-08
House
$ C),CD
$ 17j k10,00
$ 17, !Lu,
House has been gutted
Demolition of 1222 Miner St.
C-09
House, Garage, and Fence
**
$
$ %,
$
Mastic, Tile, Plaster+, Duct Wrap,
Lu.
and Duct Tape
C-10
NOT INCLUDED IN BID
Demolition of 314 E. Milton St.
C-11
House, Fence, and Wall
Floor Covering+, Siding, Duct Wrap,
7 j 3
$ co
and Tile
F12
Environmental Allowance
-
-
$ 10,000
DIVISION C TOTAL
$ Lis-)
"Denotes Homes with Asbestos Material. Verify with inspections & reports for proper disposal.
+Point Count Attached
Bidder (Firm) Name: j7n �iazji & ✓ J(
ht1
Version 10/17/2018 Contractor's Bid for Public Works - 9 ADDENDUM 2
DIVISION A TOTAL:
DIVISION B TOTAL:
DIVISION C TOTAL:
c� . ti
c) ,, )(j
co
BID TOTAL (ALL DIVISIONS): .... � � r too go
ASBESTOS ABATEMENT UNIT PRICING (required for all bids):
Item No.
Unit Pricing if Required
Unit
Add Per Unit Price
Removal, Management, and Disposal of
Linear Feet
$
Duct Tape Material Containing Asbestos
II.
Removal, Management, and Disposal of
Duct WrapMaterial ContainingAsbestos
Square Feet
$ �('� aj
Removal, Management, and Disposal of
III.
Floor Tile and Mastic Material Containing
Square Feet
$
Asbestos
. C
IV
Removal, Management, and Disposal of
Plaster Material ContainingAsbestos
Square Feet
$
Removal, Management, and Disposal of
V.
Corrugated Sheet Material Containing
Square Feet
$
Asbestos
Removal, Management, and Disposal of
VI.
Attic Insulation Material Containing
Square Feet
$
Asbestos
Removal, Management, and Disposal of
VII.
Transite Siding Material Containing
Square Feet
$
Asbestos
Bidder (Firm): -1 ` ct r T
Address: %(7 2L,G ? 1, _ L.L. , .
City/State/Zip:
(Telephone Number: �- 7
By
(Signature)
-tclv�
(Printed Name of Person Signing)
Version 1011712018 Contractor's Bid for Public Works - 10 ADDENDUM 2
7oupt
6i
1'316 Cotfw'Y-Cr�,Y B01HANG
111ow
JI 'VARD
227 WJF'1,1;r11vwN FAX
Soi rrii BEND, I NPJANA 4660 1 - 1930 11W. A C k'
TDD
CITY OF Sou'rii BEND PETE BUT'JIGUIX!, MAYOR
Date:
To:
From
Subject
Project Name:
Project No.:
BOARD OF PIJBLIC'WORKS
December 6, 2017
An riannowers
Linda M. Martin, Clerk, Board of Public Works
Addendum Number: I
201.7 Demolitions, Phase 2
117-121
574/ 235-9251
574/ 235-9171
574/235-5567
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 1;-71-11 - 117
This addendum is being forwarded to-ou for the above referenced project,
'J
Please sign below and acknowledge receipt of this Addendum by
faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy MUST also be included with your
bid package upon submittal.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become apart of herein,
Company, T
L-
Authorized Signature:
Date:
1316 COUM,Y-Crry BuILDIN'
227 W JITITINsm BouiT VARD
Soirrii Bum), NDIANA 46601 -1830,
Date:
To:
From
Subject
Project Name:
Project No.:
PHONr� 574/235-9251
FAx 574/ 235-9171
TDD 574/ 235-5567
CITY 0IF SOLYM Br�,Ni) P1,37TE BUITIGIEG, MAYOR
BOARD OF P'[,.JBL,I(." WORKS
December 7, 2017
All Planholders
Linda K Martin, ClerV, Board of Public Works
Addendum Number: 2
2017 Demolitions,, Phase 2
11.7-121
1111 li;:I DES 1, 11 1 �iliil, ,i 11�� I 1111 M I 040,m j 04 1 &a i 1� �� � ii:rlliii li11
Date: Received: 1/— —11-
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum by
faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy MUST also be included with your
bid package upon submittal.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company. zafros%q L'alk
Authorized Signature:
Date: // /J—//—
8, AIA Document A31011 - 2011
CONTRACTOR: SURETY:
(Naine, legal slams and address) (Maine, legal status and principal place
Indiana Earth, Inc. of business)
10343 McKinley Highway
North American Specialty Insurance CompsnYhls document has important legal
Osceola, IN 46561
650 Elm Street consequences, Consultation with
Manchester, NIH 03101
OWNER:
an attorney Is encouraged with
(Maine, legal staters and address)
respect to its completion or
City of South Bend
modification.
227 West Jefferson Boulevard
Any singular reference to
South Bend, IN 46601
Contractor, Surety, Owner or
BOND AMOUNT: ***FIVE PERCENT OF AMOUNT BID*** other party shall be considered
plural where applicable,
PROJECT:
YVaine, location or address, and Project man ber, of any)
House Demo's located through South Bend
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the
Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and
severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor
within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and
Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such
bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted
in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract
and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the
difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount
for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this
obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of
an agreement between the Owner and Contractor to "tend the time in which the Owner may accept the bid. Waiver of
notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for
acceptance of bids specified in the bid documents, and the Owner and Conti -actor shelf obtain the Surety's consent for
an extension beyond sixty (60),days.
If this, Bond is issued in conneefion with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall
be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and
provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so
furnished, th"titent is that this and shall be construed as a statutory bond and not as a common law bond.
Sigaled 621 sealed this 12th day of December 1 Z7
lrh:19�eho
(S, a 1)
(PprIcIpal)
(Title)
North AM/erican SWialty Insurance Company
On 1) 2,111, 1 cl,"ryl (Seal)
ollness)
......
'titleArhomas 0. Chambers, AttorintiAri-Fact,
AIA Document A31011 — 2010. Copyright 01963. 197�D and 2010 by The American Institute of Architects. All rights reserved, WARNING: This AIA'
init. Document Is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA" Document, or
any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law.
Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations ofAIA Contract Documents, e-mail
The American Insillute of Architects' legal counsel, copyright@aie.org. GwIlo
NA5 SURETY GROUP
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
WASHINGTON INTERNATII'7i'NAL INSURANCE COMPANY
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under
laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington International
Insurance Company, a corporation organized and existing under the laws of"the State of New Hampshire and having its principal office in the City of
Schaumburg, Illinois, each does hereby make„ constitute and appoint:
THOMAS 0. CHAMBERS, TODD SCHAAP
and KIMBERLY S. RASCH
joimrL.Y OR SEVERALLY
Its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver„ for and on its behalf and as its act and deed, bonds or other writings
obligatory in the nature of a bond oil behalf of each of said Companies, as surety„ on contracts of suretyship as are or may be required or permitted by
law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the
amount of: FIFTY MILLION ($50,000„000:00) DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and field
on the 9d' of May, 201 Z
"RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice (president, any Assistant Vice president,
the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named
in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them
hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is
FURTHER RESOLVED, that the signaturc of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any
certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be
binding upon the Company when so affixed and in the fixture with regard to any bond, undertaking or contract of surety to which it is attached."
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Steven P. Anderson 'Senior Vice President of Washington International Insurance Company
1 SEAL
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& Senior vice President of Norih American Specialty Insurance Company
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Michael A. Ito, zaemor cures r ent of Washington Intern at on nsurance a parry
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& Senior Vice President of North A:mericau Specialty Insurance Company
IN WITNESS WHEREOF„ North American Specialty Insurance Company and Washington International Insurance Company have caused their
official seals to be hereunto affixed, and these presents to be signed by their authorized officers this I4th day of April , 2016 .
North American Specialty Insurance Company
Washington International Insurance Company
State of Illinois
County of Cook ss:
On this 14th day of _ Aprtt , 20I6 , before me, a Notary Public personally appeared Steven P. Anderson , Senior Vice President of
Washington International. Insurance Company and Senior Vice President of North American Specialty Insurance Company and. Michael A. Ito
Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance
Company, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and
acknowledged said instrument to be the voluntary act and deed of their respective companies.
OFFICIAL SEAL
M KENNY
NOTARY PUBLIC, STATE OF IWNOIS
MY COMMISSION EXPIRES 12Pt'Ft12p117,
k � ,,, '� .
M. Kenny,Notary Public
1, Jeffrey Goldberg the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington
International Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North
American Specialty Insurance Company and Washington International Insurance Company, which is still in full force and effect.
IN WITNESS WHEREOF, I have set my hand and affixed the seats of the Companies this 121th day of December , 2017
! a
Jeffrey Goldberg, Vice president & Assistant Secretary of
Washington International Insurance Company & North. American Specaalty instimnce Company
STATE OF WISCONSIN )
COUNTY OF Kenosha
ON THIS 12th day of December , 2017
before me, a notary public, within and for said County and State, personally appeared
Thomas G. Chambers to me personally known, who being duly sworn,
upon oath did say that he is the Attorney -in -Fact of and for the
North American Specialty Insurance Company a corporation
of New Hampshire , created, organized and existing under and
by virtue of the laws of the State of New Hampshire -_ _; that the corporate seal
affixed to the foregoing within instrument is the seal of the said Company; that the seal
was affixed and the said instrument was executed by authority of its Board of Directors;
and the said Thomas O. Chambers did acknowledge that he/she
executed the said instrument as the free act and deed of said Company.
Notary Public, K(
My Commission
INDIANA EARTH, INC.
10343 MCKINLEY HWY
OSCEOLA, IN 46561
Section 1
Public Projects completed in the last year:
1) Demolition — Houses for the City of South Bend
2) Excavation & Utility —City of Portage, IN
3) Demolition -- City of South Bend
4) Excavation & Utility— Indiana Dept. of Corrections
Public Works in Process:
1) Excavation & Utility CR 38- City of Goshen, IN
2) Demolition —Jonesville School, Michigan
3) Utility— Nappanee WWTP, Nappanee, IN
4) Excavation & Utility — St Marys College, South Bend, IN
5) Demolition —Akron Schools, Akron, IN
Completed all work awarded to our firm.
References of Private Firms
1)
Rieth Riley Construction
574-288-8321
2)
Gibson Lewis LLC
574-259-8581
3)
Larson Danielson
219-362-2127
4)
Holladay Group
574-234-2073
5)
Robert Henry Const.
574-232-2091
Section 2
Plan of proposed work
1) Preconstruction meeting and pull permits
2) Mobilize
3) Erosion Control Measures
4) Remove House
5) Backfill Basement
6) Clearing and Grubbing
7) Spread Topsoil
8) Place seeding
$145,930 Spring 2016
$56,000 Spring 2016
$551,369 Fall 2016
$220,000 Fall 2016
$2,491,277 Fall 2017
$329,585 Spring 2017
$519,020 Summer 2017
$900,000 Fall 2017
$180,000 Late Summer 2017
Subcontractors Utilized on Past Projects
1) Hydroseed —Osceola, IN, Hydro seeding
2) HydroTek —Nappanee, IN, Hydro seeding
3) Weaver Boos —South Bend, IN, Compaction Testing
4) Bob's landscaping —Granger, IN, Sodding
5) JPR — South Bend, IN, Surveying
6) Rieth Riley —Goshen, IN, Paving
Subcontractors to Utilize on this Project — Possible subs listed, will determine prior to contract approval
1) Reith Riley
2) Abonmarche
3) Pemberton Davis
4) Hydroseed
List of our Equipment Owned:
1)
13 Excavators
2)
4 Dozers
3)
3 Dump Trucks
4)
2 Semi Trucks with dump trailers
5)
2 Rollers
6)
5 Loaders
7)
2 Skidsteers
We have received pricing for services and materials by potential subcontractors.
CITY OF SOUTH BEND 4SquTn�F,
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY'.., 4�
DEVELOPMENT PROGRAM;
FORM MWBE-2.1
MBE/WBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring contacted MBEIWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify
whether any listed minority or woman business meets the qualifications of a Minority or Women's owned
business.
PAGE__L___OF__r
Project Number: 117-121 MBElWBE Par#icipetian "oat
Project Name: 2017 Demolitions, Phase 2
Bidder: 1` -T ., A _ v -c- _�
By:
(Signature) I , f. 7
(Title, (Date)
MBEMBE Firm
Owner or Contact at MBFJWSE Firm If J r
Telephone: y`f - Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
rEca�� Vr wN I ACT WITH THE MBE/WBE FIRM:
MSEMIBE= Finn/�. e- I) A k. J %� r9
Owner or Contact at MBEMIBE Firm f M _ .
Telephone: �" % ,7..._ �� .-2.L Fax: Email:
TYPE OF WORK SOUCi T ED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
Version 10/17/2018 Contractor's Bid for Public Works - 13
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
FORM M WBE-2,If
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBE/WBE participation. It is the bidder's sole
responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority
or Women's owned business as defined by the Indiana Department of Administration ("IDOA").
Project Number: 117-121 Date: L
Project Name: 2017 Demolitions, Phase 2
Bidder; , J , n
Contact Person:
/�C. 7` Se.. -� Telephone: �` ��
�;
7�
Address: 3 44 >~
City:
State: Zip:
Email: ;•
To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE utilization goals set
forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or
commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below`:
EVIDENCE OF GOOD FAITH EFFORTS
MBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business
J Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women
Owned Business as found on their website (http:/Avvvw.in.gov/idos).
ACTION (ADVERTISEICONTACT): In order for your bid to be deemed responsive, the City of South
en equires that all perspective bidders complete no less than 2 of the following:
Attend all pre -bid meetings scheduled by the City to inforrn ItMBE/WBEs of contracting and
subcontracting opportunities.
2. Advertise in general circulation and/or trade association publications concerning subcontracting
opportunities, and allow MBEIWSEs reasonable time to respond.
t..i Perform any and all necessary steps to provide written notice in a manner reasonably calculated
to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to
GParticipate effectively.
Utilize pre-existing services of available community organizations, small and/or disadvantaged
business assistance offices and other organizations that provided assistance in the recruitment
and placement of MBENVOE firms.
"Bidder must circle or otherwise notate which of the two (2) required actions were performed.
GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE/WBEs,
including providing such MBE7 's with adequate information about the plans, specifications and other
requirements of the subcontract and did not reject MBENVBEs as unqualified without sound business
reasons based on a thorough investigation of their capabilities.
SMALL COf+lTRAGT(S): The bidder selected specific portions of the work to be performed by
MBEIWf3Es in order to increase the likelihood of meeting the MBENVBE goals (including breaking down
contracts into smaller units to facilitate MBE/WBE participation)
CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has
'- - bid on the subcontracting opportunity:
{1. Name, address, and telephone number;
�J 2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MBENVBE was unqualified to perform the job.
omissions shall be considered grounds for rejection of the bid by the Board of P"Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes, Any
ub
South Bend reserves the right to request additional information. lie Works. the City of
Version 10/17/2018 Contractor's Bid for Public Works - 12
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