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HomeMy WebLinkAboutOpening of Bids - Ironwood Dr Sidewalk Edison Road to SR 23 Project No 117-033A - Premium Concrete Services IncProject Name Ironwood Drive Sidewalk Edison Road to S.R. 23 Project No. 117-033A 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. Proper 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-Discriminiation Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of MBEANBE 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]. / Acknowledge (Receipt of I Addendum(s) included with the bid. %0111, All 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 rellieve the bidder of the need to read and comply with the specifications. Bidder: 1"M � k A ba CouiAe S-6olicel Date: _ J2_1L2_1Q?O_ 17 By Authorized Signature SMAMP, �11_ I - Version 10/17/2016 Contractor's Bid for Public Works - 1 z C) a a ¢ � o a _U ((j a.. a 3e zw S a > o z QU w z h W Qz I2I 0 52 a a3 OVI z�N: q Cl C a m Ir of Y E E m m E m o Eu'_ s °f 'rm E m W�ffi m ffia�Q a $ Eo E m uj zo m Eaj F� $� cc som$ �E E a$ o 8c iD __m Mn c .5 $S '0 ` Q a .E m � m� gh z 0 Q O O c i�LF � R' �Q � � H1 �QQ Zc7�N x � m 2 U N � � } m � C i � d' W O o�w �o 4 Q = � � F (7 y = E E z � O n W w � � C7 � Q U �` � � O � y W O a � � o � � z d U [3 C IL 0} O V 0 1 A NOUMEA I 1 '1101 zwl -.11 oil iuo ;A ip I: 14 Ift Project Name Ironwood Drive Sidewalk Edison Road to S.R. 23 Project No. 117mm033A For Bids Due, December 12, 2017 PART I (Must be completed for all bids. Please type or print) Date: Z/ J 2, J71) J Bidder (Firm): Pte..M I Lkiv) (bvt'11- Address: '771 City/State/Zip: Telephone Number: (5`7q ( )6116 Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: I i V� o 11 1�anwuad kC - �Idv-,,W(L(l fzLk�&' OQJ -l'T) the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Abonmarche Consultants, Inc, 0and dated jtt;t / 1-7 for the sum of (enter the Total0B,id as shown on the Proposal) Y 4e Awodeed R-� " -rAvusaJ 446 444W Avi I-PVC01ke3 -A 1&q191V$--O6 (Enter sum of Total 13ase Bid plus Alternates 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 addend u rnsattached will be specifically referenced at the applicable page. If additional units of imaterial included in the contract are needed, the cost of units must be, the same as that shown in the original contract if accepted by the i So, to be awarded on a unitbasis, the iternization of the units shall be shown r By P 'I w i� 1 '191'mature) ee"( I/, '(z (Printed Name of Pefson Signing) ACCEPTANCE The above bid is accepted this day of 20 Subject to the following conditions: Gary A. Gilot, President Elizabeth, A. Maradik, Member James A. Mueller, Member PART 11 Suzanna M, Fritzberg, Member Therese J. Dorau, Member Attest: Linda M. IMartin, Clerk Version 10/1712016 Contractor's Bid for Public Works - 2 (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 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 11 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. 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 10/17/2016 Contractor's Bid for Public Works - 3 Alen 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 IWESTMENT WITH IRAN, EMPLOVMENT 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: The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: I , 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 1 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 It -an 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 tist published by the Indiana Department of Administration. Version 10/17/2016 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 1-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 throughoutthe term afthe 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. 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). 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 Version 10/17/2016 Contractor's Bid for Public Works - 5 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 ............... day of, 20 _LI 14 ......... ...... O.tejeL`Y ea- Printed MarneandTitle Subscribed and sworn to before me this /98 day "of jbCCAO(6ft, 2017 My Commission Expires O-A- Notary Public County of Residence 6 6k� 7' Version 10/17/2016 Contractor's Bid for Public Works - 6 Project Name Project No. For Bids Due [X )MOLM BIDIPROPOSAL CITY OF SOUTH BEND Ironwood Drive Sidewalk Edison Road to S.R. 23 11 7-033A December 12, 2017 Item No. Description Quantity Unit Unit Price Total Amount 1 Mobilization/Demobilization 1 LS l,o AX>,eo 4 1p^ob 2 Construction Engineering 1 LS 40 —4 1 3 Maintenance of Traffic I LS d. 4 Flashing Arrow Sign 45 Days 5 Construction Sign, Type "A" 16 EA 6 Curb, Remove 560 LFT 40 7 Concrete Sidewalk/Approach, Remove 250 SYD 8 Tree, Remove, 48" 1 EA 9 Sign, Sheet, Relocate 5 EA ;Z26,00 t100- 00 10 Common Excavation— 300 CYS .40 13,840.06 11 Compacted Aggregate, No, 53 150 TON 570-40 po^ 60 12 HMA for Approaches 150 SYS lo .06 1, 3, 00. 13 Sidewalk, Concrete, 4" SYS qg-aa. 14 Curb Ramp, Concrete .850 35 SYS 10,0,0 15 Concrete Curb and Gutter, 6", Type B 300 LFT Y3SO /4 00-00, 16 Concrete Approach, 6" 450 SYS ('7-64 kf5"o-M 17 High -Early Concrete Additive 350 SYS Y,010 18 Sodding 550 SYS 29-00 1 !F, 4,00. go 19, Fire HydrantAssembly, Relocate 1 EA .60 20 Casting, Adjust to Grade 4------ EA 'goo. 00 &ftao 21 Line, Epoxy, Solid, White . 6" 115 LFT o6 22 Transverse Marking, Thermoplastic, White, 24" 25 LFT 40 Bidder (Firm): Address: City/State/Zip: M Telephone N 0 Version 10/17/2016 Contractor's Bid for Public Works - 7 z uj 0 uj 0 LL al w w 0 i-u 2 210 ,41 u 0 4- 0 m 2 0 CL Cr r.r Lo �E U) (0) 10) AD E o E 0 o CL -0 0 c w E M in 0 0 r CL(D > 0 rL m a) (D rL (4 0. (n 0 U) (D U) 0 a) 4) = = c W 0 m E ,a 0 (D M 0 t a 3� ECL 0 o 0. 0 CL i3j E m z As El E D z as 0 6 �— 2 CL 0 _2 a) 0 CL 00 �Q QA uj co 0 co Zt QKS vs CO ay CL 75 C: KD .2 ID c 0 0 00 0 (D rL 12 (U C (L 0 .r- CL C) 2� E co Co CL w co 6A W < zx E co z —NC I v (D E cu z co No- 0 N r: 0 '-, CITY OF SOUTH BEND L6 r� MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWB,E-2.0 EVIDENCE OF GOOD FAITH EFFORTS g65 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 MBENVBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority orWomen's owned business as defined by the Indiana Department of Administration ("IDOA"). Project Number: 11 7-033A Date: Z 7 Project Name: INnwood Drive Sidewalk Edison Road to S.R. 23 Bidder: to vnPA te Is V Contact Person: Address: I I A 14114 (1 11 City: Email: To determine whether t 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*: Telephone d / IL/ ) 1)6 1/0) �") A I EVIDENCE OF GOOD FAITH EFFORTS IST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their websfte (http://www.in.gov/idoa). ACTION (ADVERTISEICONTACT): In order for your bid to be deemed responsive, the City of South Bend requires that all perspective bidders complete no less than 2 of the following: v1"Attend all pre -bid meetings scheduled by the City to inform MBENVBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBEIWBEs reasonable time to respond. 3. 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 participate effectively. 4. 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 MBENVBE 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 MBENVBEs, including providing: such MBE/WBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL CONTRACT(S): The bidder selected specific portions of the work to, be performed by MBENVBEs in order to increase the likelihood of meeting the MBEIWBE goals (including breaking down contracts into smaller units to facilitate MBEANBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBEiWBE that has A bid on the subcontracting opportunity: 1. Name, address, and telephone number; Z 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 MBE/WBE was unqualified to perform the job. *Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 10117/2016 Contractor's, Bid for Public Works - 9 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.1 MBENVBE 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 OF Project Number: 117-033A MBE/\NBE Participation Goal Project Name: Ironwood Drive Sidewalk Edison Road to S.R. 23 MBENVBE Firm Owner or Contact at MBENVBE Firm Telephone: 451(4) 1 Fax: )e,61J"';,';--),),�maiI: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: et MBE/WBE Firm Owner or Contact at MBENVBE Firm Telephone: ')Vjl 772- '7,V I Fax:(pV) 77A-700,a Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBEIWBE FIIRM: k)0'11 be- iAf 01,447 1"r4;A*e— Version 10/17/2016 Contractor's Bid for Public Works - 10 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BouLEVARD MOUTH BEND, INDIAN\ 46601-1830 Date: To: From Subject PHONE 574/235-9251 FAX 574/ 235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS December 7, 2017 All Planholders Linda M. Mai -tin, Clerk, Board of Public Works Addendum Number: I Project Name: Ironwood Road Sidewalk, Edison Road to S.R. 23 Project Number: 117-033A Date Received: 1A /9 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. I Flo URi ill 1 1 11 11111, MY1,111 I I 111�ii4 111! 11 111111 � ill'' � IENVEITM 11 Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. COMPE Author Date:: VAIA Document A31 OTM -2011 CONTRACTOR, (Name, legal status and address) Premium Concrete Services, Inc. 712 Richmond St SURETY: (Name, legal status and principal place of business) Old Republic Insurance Company Elkhart, IN 46516 Brookfield, 111T OWNER: (Name, legal status and address) City of South Bend Board of Public Works County -City Building Room 1316, 227 West Jefferson Blvd South Bend, IN 46601 BOND AMOUNT, Five Percent of the Total Bid 5% of Total Bid PROJECT: (Name, location or address, and Project number, if any) Ironwood Drive Sidewalk, Edison Road to S.R. 23; Project No. 117-033A This document has important legal consequences. Consultation with an attorney is encouraged with respect to !its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. 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 Conti -actor 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 extend 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 Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection 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, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and scaled this 5th day of December 2017 P ml ITIC cat Se ces,lnc, (Witness) (Princi (Seat) (Title) fee4u,1 Old Republic Insurance Company (Surety) �?(Seal) (Witness) Titlee i(ir L. Kaszna,Attodey n Fact CAU'liM Yhould sign an or4jiywall AAA Contract DOCLffneint, on whit wiH not ou sibe obviurod. thlis text appeare, in RED. An ofiginall assuires that changes AIA DocumentA3107m — 2010. Copyright 1963,1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: Tivs AIA" Unit, AIA is protected by UZ, Copyright Law and Internationai Treaties, UnarithorIzeld repiraduction or Mstributlom oftHs AlAo Document, or any portion of It, may resuft in aWvere crvill mtd crMnW penWHas, and WU be prosackgtmM to the umaxImun'i extent possibte underfAe law, purchasers are permitted to reproduce ten (10) copies of this document when compIeted. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copy6ght@aiia.org. 061170 A OLD REPUBLIC INSURANCE COMPANY ........ ... POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC INSURANCE COMPANY, a Pennsylvania stock insurance corporation, does make, constitute and appoint: NICOLE L BICKNELL, MEGAN E RIESENIBERG, MARK EDWARD WOBBE, DEBRA K HULL, BARBARA E PEARSON, JENNIFER L KASZNIA, SANDRA L JUNK, WILLIAM J CERNEY, 111, WESLEY MANTOOTH, THERESA BURNS, JORDAN SCHOBER, OF SOUTH BEND, IN its true and lawful Attorney(s)-in-Fact, with full power and authority, not exceeding $50,000,000, for and on behalf of the Company as surety, to execute and deliver and affix the seal of the Company thereto (if a seat is required), bonds, undertakings, reGognizances or other written obligations In the nature thereof, (other than seANnsurance workers c(.)rnpensatk,m bands givaranteellng jmyurnlajorjt,apt l`)�,wiofltsij, msbestos abatomevvt (xir*act bonds, ante Tytarmlge rnent bonds, hazardous waste rernedliaton l or blackhmg bu'nds), as follows: ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED FOUR MILLION DOLLARS($4,000,000) ......................... FOR ANY SINGLE OBLIGATION. and to bind OLD REPUBLIC INSURANCE COMPANY thereby, and all of the acts of said Attomeys-in-Fact, pursuant to these presents, are ratified and confirmed. This document is not valid runless printed on colored background and is multi -colored. This appointment is made under and by authority of the board of directors at a meeting held on March 14, 2014. This Power of Attorney Is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC INSURANCE COMPANY on March 14, 2014. RESOLVED FURTHER, that the chairman, president or any vice president of the Company's surety division, In conjunction with the secretary or any assistant secretary of the Company, be and hereby are authorized and directed to execute and deliver, to such persons as such officers of the Company may deem appropriate, Powers of Attorney in the form presented to and attached to the minutes of this meeting, authorizing such persons to execute and deliver and affix the seal of the Company to bonds, undertakings, recopnizances, and suretyship obligations of all kinds, ffi oei� than bawd bonds, iciank deposftory bonds, ma1gage deficlermy bonds, mortgage gkjarw�ty onds, quarantees o lns, alllrneM paper and note, guars rqy bomis. The said officers may revoke any Power of Attorney previously granted to any such person. The authority of any Power of Attorney granted by any such officer of the Company as aforesaid shall not exceed fifty million dollars ($50,000,000.00). except (a) bonds required to be filed as open penalty bonds, and (b) bonds filed with any court or governmental authority requiring an unlimited penalty in bonds filed in that court. RESOLVED FURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company (i) when signed by the chairman,, president or any vice president of the Company's surety division and attested and sealed (if a seal be required) by any secretary or assistant secretary; or (it) when signed by a duly authorized Attorney-! n-Fact and sealed with the seat of the Company (if a seal be required), RESOLVED FURTHER. that the signature of any officer designated above, and the seal of the Company, may be affixed by facsimile 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 affixed. IN WITNESS WHEREOF, OLD REPUBLIC INSURANCE COMPANY has caused these presents to, be signed, by its proper officer, and its corporate seat to be affixed this 29TH day of JU14�Y, 2016. OLD REPUBLIC INSURANCE COMPANY SEAL "AIL 00 0 STATE OF WISCONSIN, COUNTY OF WAUKESHA - SSrr` Vice President On this 29TH day of JULY, 2016 personally came before me, ALAN, PAVLIC and JANE E CHERNEYto me known to The the Individuals and officers of the OLD REPUBLIC INSURANCE COMPANY who executed the above instrument, and they each acknowledged the execution of the same, and being by me dully sworn, did severally depose and say; that they are said officers of the corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said Instrument by the authority of the board of directors of said organization, C Kak 6__. Notary Public My commission expires: 9/28/18 CERTIFICATE (Expiration of notary commission does not Invalidate this instrument) 1, the undersigned, assistant secretary of the OLD REPUBLIC INSURANCE COMPANY, a Pennsylvania corporation, CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked; and furthermore, that the Resolutions of the board of directors set forth in the Power of Attorney, are now in force. 45-5314 Signed and sealed at the City of Brookfield, WI this day of . . . . . . SEAL G:l INSURANCE AGENCY. INC. I 22851-13 1 1006-R (5-10) EO Premium Concrete Services, Inc 712 Richmond Street Elkhart, IN 46516 574-264-0196 fax 574-266-5392 City of South Bend Ironwood Drive Sidewalk Project 117-033A Bid 12/12/2017 PUBLIC WORKS PROJECTS IN PROCESS INDOT R-37326-A Kendallville contract amount $414,337.00, scheduled completion 05/31/2018 PUBLIC WORKS PROJECTS COMPLETED IN 2017 City of Kendallville $112,153 completed 07/21/2017 City of Elkhart Sewer $56,150 completed 08/03/2017 City of South Bend 116-001A $107,461 completed 09/22/2017 INDOT B-35076-A $24,532 completed 09/29/2017 City of Elkhart McNaughton Park 45,591 completed 08/15/2017 INDOT R-37501-A $16,542 completed 09/20/2017 City of Elkhart High Dive Park $25,005 completed 06/15/2017 City of Mishawaka $19,945 completed 04/12/2017 City of Elkhart Franklin St Alley $36,077 completed 04/11/2017 City of Elkhart ADA's $75,795 completed 04/26/2017 INDOTT-35157-A $36,285 completed 05/31/2017 INDOT #-38498-A $25,836 completed11/15/2017 INDOT R-37633-A $45,020 completed 11/02/2017 City of Elkhart 2017 Material Bid $262,060 completed 12/01/2017 N G) ` m 0 M.-90 to n c 0 � Z O m O' m z: z: O O (A.: 20 M.. z G to m m C .. z 00.; m m: 0 0 C z m m z 0 Ln 0 C m m z 0 ri n 0 m N 0 c S m m z a C/1 -p m Cm rniy c z n n 0 z n m m m m r 0 00 r i o m G) z m? b O m O O m: n S G) O r S A n a n N a: S z n ;__ z c 0 *u to MO a `m' <Zm Af "ME TI m to m r 0 r O r m T nD y o m z z z C z z z m 0 O n O O I Z CD O 0 O "S ALO D w W W =' o o A 00 lD Ul z -I m 7v O n n ;° m W n O n m ran OC z .i Z N z v, a m a C m ;v m 0 C a y C W z [n a rr-- DV) a �o m 0 C z p n 0. n m m n 0 a r m a m C a n C 0 n O n '0 m o z 90 O CD 0 a C r C � V N O z z � n S m m z p mz z a m U h I" m rn z n N O v N INIE - I 6©1 V' D W m lPU Wn t~ii A D rn p D� nW. o O O n y m r O rrt m � D O Z r m71 p S C po r z E n D N v 7n a� n P O O o cn m O M. ro n r n r m a v m po vi m m M. c n n n z i�TF O m m n m Z m m Jr. `,` i,, � to � ► o Ln Ln N w a o 00 n n: ZG nv no. i ma Z Z m n `=' p m N o z n n tn.: �,. 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M 2 ai a~i m In .� 00 cc : m o~a o C N 0O �C cn { C7 m : to x Co S O r m � m C : N, N : C7 W z a m C p O D m vt N o z m — O r m � � rn Q 0 M. � � Z DO ?a s a o L z o N n 22ul o LA m O v m Cm C m C m C O 7z m z n n z n � w 0 o pi m v n:n V) m m d T r m C_ O m - z z -� � PU C7 rnD Co O Po �:m C O mLn D O m a c O O O n i'?.`� a m a n m .Z n O m W ©z mO 03 W m © m Ln Ln r O C9 0 3 CD -4 If <D {7 0 z 0 aL i cn -o m Cm n � m C � n n O z n PU m n E: O Z n n m rn m� :E z m O O �o C 7�1 tA 7u M. K . N UI x m 7a r+ . ul -.: cn �a m cn Um ;,, :. O M w �' O N V w: r m LA n Z cn in D z z'a z m ;; 0.. m Q C6 m u o n m 7z V3 D . w o O . z O in m cn m PJ m ... M W 0 C C cn Z 76 rn C m p0 -n< n O n x rn.. en n co to �m n o n m m C m C m c m O z W V W (D }a P c O b O n ti7 n cn p 0, .N p: m x w D z n m co o rC o. .; n Cpu � D r- m .n --4 D M. Zr `T. .�� :� F ' m 0 m m O O ?' n m 00 ..S to n0 v' m Z as m n m m m mNJ u. O 0 C Z,m 12 POD a M. `o (A z M `z O �v ? W A W d d O � X c n m C 2 m m p Z m Z � C7 Z Z `Z PO p d D d C n m M � v X m m m C rn C m m m m v} 00 N 4N W Ul 00 Y O O O `C7 0 C M. 'D O Q to C m n C > m m © 0 G) O i c D :m O m Q 0 `n z S .'Z p m m to X m D'—I m M. m m O D m cn r .: w T 0 0 r 0 0 0 3 R CD O 0 O It PREMIUM CONCRETE SERVICES, INC. REFERENCES C & E Excavating 53767 County Road 9 Elkhart, IN 46514 (574)262-4346 Lozier Manufacturing Mr. Ken Muff 402 N Main St Middlebury, IN 46540 Anlaan Corporation P.O. Box 333 Ferrysburg, MI 49409 (616)846-8442 NiSource Mr. Tony Lopez 1039 Pennsylvania Ave South Bend, IN 46601 712 Richmond St Elkhart, Indiana 46516 Office: (574) 264-0196 Fax: (574) 266-5392 :2 Premium Concrete Services, Inc. 712N1chrnond Street Elkhart, |04G516, [57'4)264-0198 SECTION 11 PLAN AND EQUIPMENTQUESTIONAIRE 1] Ironwood Drive, Sidewalk Project (1ZY-033A) Schedule: After given the notice to proceed Premium Concrete Services, Inc. will contact Indiana 811 to locate all utility lines within construction limits. Sidewalk traffic maintenance will begin, including use mfarrow board and siQna8esupplied! bvTCS,Inc. Layout and staking ofsite, will be, next. Then the excavation (including tree removal) and gra�ing will begin in base bid area, removal will be by Premium Concrete and KachurTree Service, After excavation and grading phases are complete, concrete and HK8Awork will commence. Crews of4-6workers will install. Top S,ni|and sodding will be placed as soon as concrete and HIVI4vvork is complete. Project with he completed vv|th|m 4Sdayo. 2) m\ TCSInc. —181QW.Pacific Ave. Knox, IN 46534—Traffic Ma|mteman��Signs and Thermoplastic Lines. h> Acorn Landscaping— 3688VVSample St South 0emd, IN 46619—Top Soil and Sodding. c> KachurTree Service, LLC-3I6 Fu|heoom Rd Niles, KH| 49210-Tree Removal. d) VVa|sh & Kelly Inc. —24358 |N-23 South Bend, IN 46614—AsphaU1 Paving. e) 0tschand Brothers, Inc. —12O4 W. Sample St. South Bend, IN 46619— Removals Premium Concrete Services, Inc. Does not require bonding for its subcontractors 3} Will supply list ofsubcontractors soon after award ofproject. 4) Equipment use for project: Bobcat, Mini Excavator, Excavator, Compactor, �Ro|her,VVa|k-beh|nd Saw, Cut-off Saw, VlbmaStrike, Dump Truck. Current plan istoused owned equipment, however depending unworkload some rental equipment may benecessary. 5) Yes, Premium Concrete Services, Inc. has, quotes for all materials in proposal,