HomeMy WebLinkAboutOpening of Bids - Leighton Deck Coatings Phase II Project No 117-092 - Structural Waterproofing & Restoration LLCCITY OF SOUTH BEND, INDIAAA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name Leighton Deck Coatings - Phase 11
Project No. 117.092
For Bids Due December 12th, 2017 at 9:30 AM Local Time
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.
'Oroper 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 MBE/WBE 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 _a_ Addendum(s) included with the bid.
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
relieve the bidder of the need to ead and comply with the specifications.
Bidder: Date: A
By Authorized Repr(
Signature:
Print Name & Title:
Version 10/17/2016 Contractor's Bid for Public Works - 1
Project Name Leighton Deck Coatings - Phase 11
Project No. 117-092
For Bids Due December 12 1h 2017
PART I
(Must be completed for all bids. Please type or print)
Date: Z' Bidder (Fi m): , I
Address: 33,3- 7
City/State/Zip: Telephone Number: 011JI
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,
e
S'
the City f South, Bend , Indiana, in accorda, e with plans and specifications prepared by:
and dated /1", for the sum of (enter the Total Bid as shown on the Proposal)
0.0 ""prp ,,01) (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 addendurns attached will be specifically referenced at the applicable page.
If additional units of material 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 City of South Bend, If the bid is to be awarded on a unit
basis, the itemization of the units shall be shown on a separate ;a[tachment.
000�'
'ex
By
(Sig tore)
71
(Printed Name of Person Siqpiffg)
ACCEPTANCE
The above bid is accepted this _
Subject to the following conditions:
Gary A. Gilot, President
Elizabeth A. Maradik, Member
James A. Mueller, Member
day of 20
Suzann!a M. Fritzberg, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
Version 10117/2016 Contractor's Bid for Public Works - 2
"n 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
'el
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
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:
L 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
iL 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 10/17/2016 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 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 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 MBEIWBE 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. 5-1 b-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
Version 10/17/2016 Contractor's Bid for Public Works - 5
may result in forfeiture of contractual payments.
I hereby affinn 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
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Signature of Contractor/J,,id&For Its Agent
1"Y
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Printed Name and Title
Subscribed and sworn to before me this day of 20AY
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Version 10/1'7/2016 Contractor's Bid for Public Works - 6
Project Name
Project No.
For Bids Due
BID/PROPOSAL
CITY OF SOUTH BEND
Leighton Deck Coatings - Phase 11
117-092
December 12 1h 2017
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
I
Deck Coating
113,200
SF
.7 U10
2
Joint Repair
17,400
LIFT
cm,
1W
3
Crack Repair
600
LFT
71
'1.1q
4
Striping
7,146
LFT
5
Special Marking, Handicap Symbol
15
EAr.
6
Special Marking, Arrow
15
EA
-.1
7.
Concrete Patching and Repairs
400
SF
4)
Bidder (Firm):
Address:
City/State0p:
Version 10117/2016
Telephone Number:
Contractor's Bid for Public Works - 7
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CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
10
FORM MIWBE-2,0
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related toCityof South Ben I d Public
Works Projects requiring Good Faith Efforts to obtain MIBEIWBE 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: 117.092 Date:
Project Name:
Bidder:
Contact Person:
Address:
City:
Email:
4 2 1
/4 State: Zip:
If
Cl'/M e, 6A 4,26J, (o, --t
To determine whether a bidder has demonstrated good faith efforts to reach the MBEAA/BE 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*:
�E _H EFFORTS
,�VIDENCE OF GOOD FAITH
MBEIWBE LIST(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 website (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:
1. Attend all pre -bid meetings scheduled by the City to inform MBEAA/BEs of contracting and
subcontracting opportunities.
2. Advertise in general circulation and/or trade association publications concerning subcontracting
opportunities, and allow MBEfWBEs reasonable time to respond.
3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated
V,
to inform MBE1WBEs 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
d
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 MBEWBEs,
including providing such MBEfWBE's with adequate information about the plans, specifications and other
V"
requirements of the subcontract and did not reject MBEAA1BEs as unqualified without sound business
reasons based on a thorough investigation of their capabilities.
'VSMALLCONTRACT(S):
The bidder selected specific portions of the work to be performed by
MBE/WBEs in order to increase the likelihood' of meeting the MBE/WBE goals (including breaking down
2ntracts into smaller units to facilitate MBE/WBE participation)
CONTRACT RECORDS: The bidder has maintained the following records for each MBEIWBE that has
bid on the subcontracting opportunity:
1. Name, address, and telephone number;
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
r-FVPt2F uramunsiration OT U000 rann trrori: 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 10/17/2016 Contractors Bid for Public Works - 9
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
FORM MWBE-2.1
MBE/WBE CONTACTED
Thiscompleted-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: 117-092 MBE/WBE Participation Goal
MBE/WBE Finn
Owner or Contact at MBENVBE Firm
Telephone: q01- Fax: Emall:
-J J
TYPE OF WORK SOLICITED FOR THIS PROJECT:
sea
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
MBE/WBE Firm
Owner or Contact at MBEAAIBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
Version 10117/2016 Contractor's Bid for Public Works - 10
KRIM
Conforms with The American Institute of Architects AIA Document 3,10
CONTRACTOR:
(;Jame, legal status and address)
Structural Waterproofing & Restoration, Ll-C
335B Cumberland Street
Memphis, TN 38112
SURETY:
(dame, legal status and poiticipalplace ofbaviness)
Western Surety Company
333 S. Wabash Ave.
Chicago, IL 60604
Mailing Address for Notices
OWNER: 333 S. Wabash Ave,
(ftme, legalstants andaddres4) Chicago, IIL 60604
City of South Bend, Indiana Board of Public Works
227 West Jefferson Blvd
BOND AMOUNT: 5% Five Percent of Amount Bid
PROJECT:
(Name, location or address andilrojectnutuber, ffoiri;q
Leighton Deck Coating - Phase 11; Project No. 117-092
This document has important
legal consequences. Consultation
with an attorney Is encouraged
with respect to Its completion or
modiric,ation.
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 iniount set forth above, for the payment of which file Contractor and Surety bind
theniselves, their licirs, 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 file Contractor xvilbin 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) caters into a contract with the Owner in accordance with
the terais of such bid, and gives such bond or bonds astray be specified in the bidding orCantracl Documents, willi a surety admitted in
the jurisdiction of the I'rQicct and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt
payment of labor and material famished 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 perl'orm the work covered by said bid, then this obligation shall be null and void, otherwise to remain in hull lbirce and ell'ect. The
Surety hereby waives ally, notice ofan agreement between the Owner and Contractor to extend file finie in which the Owner may accept the
bid. Waiver ol'notice by (lie Suwtyshall not apply to ally extension exceeding sixty (00) days in the aggregate beyond the time Ibr
acceptance ol'bids speciliod in the bid dowiments, and the Owner and Contractor shall obtain the Surct)?s conscal fi)r an: c.,itcrision beyond
six
ty my (60) days.
If this Bond is issued in connection %vitlia subcontractor's bid to a Contractor, the tonn Contractor in this Bond shall bo dectined to be
Subcontractor and the loran Owner shall be deemed to be Contractor.
When this Bond has been Ilirsiishod to comply with a statutory or other legal requirement in the location ol'the Project. any provision in
I I
this Bond conflicling with said statutory or legal requirement shall be deenied deleted herefrom and provisions corilbrining to such
statutory or other legal requirement shall be deeined Incorporated herein. Whca so luniisticd, [lie intent is that this Bond %liall be construed
as a statutory bond and oot as a common law bond.
Signed and scaled this 12th day of December, 2017.
(1127111ess)
77>
tWttnesa) Larry\Br997ft
Structural Waterproofing & Restoration
(Principal)
ffille)
Western Surety Company/
611rety)
By:
(Tale i'La6fen Blair ;Attorney -in- apt
8-0054/AS 8/10
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duty organized and existing corporation
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and sea! herein affixed hereby
make, constitute and appoint
Lauren Blair, Individually
Of Memphis, TN its true and lawful Attorney -in -Fact with full power and authority hereby conferred to sign, seal and execute for and on its
behalf bonds, undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
Surety Bond No: Bid Bond
Principal: Structural Waterproofing & Restoration, LLC
obligee: City of South Bend, Indiana Board of Public Works
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by
the shareholders of the corporation.
In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be
hereto affixed on this 1st day of December, 2015.
y WESTERN SURETY COMPANY
sashAETvu..... °o
��u�PaRq}
§W:6
�i S V j Y8
*'°µµAPaul T. Bruflat, Vice President
State of South Dakota
ss
County of Minnehaha
On this 1st day of December, 2015, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that
he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which
executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so
affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and
acknowledges same to be the act and deed of said corporation.
My commission expires J..hi&k,�,
NOTAWPUWC
June 23, 2021 �SOMOM°TFS
CEIC 1FICATE
J. Mohr, Notary Public
1, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in
force, and further certify that the By -haw of the corporation printed tin the reverse hereof is still in force. In testimony whereof I have hereunto subscribed
my name and affixed the seal of the said corporation this 12th day.ot De6ornber, 2017.
`..WESTERN SURETY COMPANY
tu�40QPGgt)PIT-
fN pPµ
L. Nelson, Assistant Secretary
Form F4280-7-2012
Authorizing By -Law
ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY
This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders
of the Company,
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other
officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer
may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company.
The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the
corporation. The signature of any such officer and the corporate seal may be printed by facsimile.