HomeMy WebLinkAboutOpening of Bids - Spec AK - Two More or Less 2018 or Newer 18,000lb Four Wheel Drive Chassis with Dump Beds - Jordan FordCITY OF SOUTH BEND, INDIANA
SELLER'S BID FOR SALE OR LEASE OF MATERIALS
AND NON -COLLUSION AND NON DEBARMENT AFFIDAVIT AND
NON-DISCRIMINATION COMMITMENT FOR SELLERS
Spec AK — Two (2) more or less 2018 or Newer 18,000 lb. Four Wheel Drive Chassis with
BID NAME Dump Beds
FOR BIDS DUE December 12, 2017 at 9:30 a.m. T
Bidder
Date: DECEMBER 12, 2017 (Firm): JORDAN FORD
Address: 609 E JEFFERSON BLVD.
City/State/Zip: MISHAWAKA, IN 46545Telephone Number: (574 )259— 1981
Agent of Bidder (if Applicable): N/A
When the prospective Contractor is ratable 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 INDIANA )
) SS:
ST JOSEPH 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 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:
i. Contractor, its successor or its affiliate, provides goods or services of twenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
ii. Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more in credit to another person for
forty-five (45) days or more, if that person will (i) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration.
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor
retain any employee or contract with a person that the Contractor subsequently learns is
an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work
eligibility status of all of Contractor's newly hired employees through the E-Verify
Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and
participation in the E-Verify Program is included and attached as part of this bid/quote;
and
5. Contractor shall require his/her/its subcontractors performing work under this
public contract to certify that the subcontractors do not knowingly employ or contract
with an unauthorized alien, nor retain any employee or contract with a person that the
subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has
enrolled in and is participating in the E-Verify Program. The Contractor agrees to
maintain this certification throughout the term of the contract with the City of South
Bend, and understands that the City may terminate the contract for default if the
Contractor fails to cure a breach of this provision no later than thirty (30) days after being
notified by the City.
6. Persons, partnerships, corporations, associations, or joint venturers awarded a
contract by the City of South Bend through its agencies, boards, or commissions shall not
discriminate against any employee or applicant for employment in the performance of a
City contract with respect to hire, tenure, terms, conditions, or privileges of employment,
or any matter directly or indirectly related to employment because of race, sex, religion,
color, national origin, ancestry, age, gender expression, gender identity, sexual
orientation or disability that does not affect that person's ability to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment,
materials, or any combination of the foregoing including, but not limited to, public works
contracts awarded under public bidding laws or other contracts in which public bids are
not required by law, the City, its agencies, boards, or commissions may consider the
Contractor's good faith efforts to obtain participation by those Contractors certified by
the State of Indiana as a Minority Business ("MBE") or as a Women's Business
Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive
bidder.
In no event shall persons or entities seeking the award of a City contract be required to
award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate
against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE
Utilization Board shall prohibit that person or entity from being awarded a City contract
for a period of one (1) year from the date of such determination, and such determination
may also be grounds for terminating the contact for which the discriminatory practice or
noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination
commitment shall be made a part of any contract which it may henceforth enter into with
the City of South Bend, Indiana or any of its agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for
employment in the performance of this contract with privileges of employment, or any
matter directly or indirectly related to employment, because of race, religion, color, sex,
gender expression, gender identity, sexual orientation, handicap, national origin or
ancestry. Breach of this provision may be regarded as material breach of contract.
I, the undersigned bidder or agent as contractor on a public works project, understand my
statutory obligations to the use of steel products or foundry products made in the United
States (I.C. 5-16-8-1). 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 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 12TH day of ECEMBE�,20 17
JORDAN FORD
R
Contractor/Bidder (Firm)
Signature of Contractor/Bidder or Its Agent
DEBRA STARKWEATHER
COMMERCIAL FLEET SALES MANAGER
Printed Name and Title
Subscribed and sworn to before me this 12TH day of T)F.CFMRF R , 20--U
My Commission Expires I1011'20Z1
Notary Public
County of Residence
7
WHITNEY R. PYLE, Notary Public
County of St. Joseph, State of Indiana
My Commission Expires 01/09/2021
(To be completer) only by Contractors/Bidders claiming to be a "localludiana business"pursuant to I.C. 36-1-12-22)
INDIANA LOCAL BUSINESS PREFERENCE CLAIM
A "local Indiana business" refers to any of thefollowing;
(I) A business whose principal place of business is located in an affected county.
(2) A business that pays a majority of its payroll (in dollar volume) to residents of affected counties.
(3) A business that employs residents of affected counties as a majority of its employees.
(4) A business that makes significant capital investments in the affected counties as defined in rules adopted by the political
subdivision.
(5) A business that has a substantial positive economic impact on the affected counties as defined by criteria in rules adopted by
the political subdivision.
An "affected county" refers to St. Joseph County, Indiana, or the following counties located adjacent to St. Joseph County:
Elkhart County, Marshall County, Starke County and LaPorte County
There are the following price preferences for supplies purchased from a local Indiana business:
5% for a purchase expected by the purchasing agency to be less than $50, 000
3% far a purchase expected by the purchasing agency to beat least $50, 000 but less than $ / 00, 000.
• 1 % for a purchase expected by the purchasing agency to beat least $100, 000.
Date: DECEMBER 12, 2017
Pursuant to I.C. 36-1-12-22, JORDAN FORD
preference for Project SpFc AT< t ROnn# 4X4 1)11Mp 'TRUCK
South Bend, St. Joseph County, Indiana.
claims a local Indiana business
(Project # ) located within the City of
S❑ The location of the principal place of business is609 E JEFFERSON MISHAWAKA IN 6
(Address)
E3 St. Joseph County, Indiana
❑ The following county located adjacent to St. Joseph County, Indiana:
® The majority of the business's payroll for the 12 months prior to the date of this Bid is to residents of St.
Joseph County, Indiana or the adjacent county noted above.
® The majority of the business's employees for the 12 months prior to the date of this Bid are residents of
St. Joseph County, Indiana, or the adjacent county noted above.
If the business is deemed to be the apparent lowest, responsible, responsive bidder, then it shall provide
supporting documentation for the 12 month period prior to the date of the Bid of (i) the total payroll
amount paid to all employees of the business, and (ii) the total payroll amount paid to employees who are
residents of St. Joseph County and the adjacent county noted above.
WHEN SUPPL YING SUPPORTING PAYROLL RECORDS, BIDDER SHALL REDACT ALL
SOCIAL SECURITYNUMBERS
Dated this 12TH day of DECEMBER , 20 17
JORDANFORD
Contractor/Bidder (Fir )—
Sa Ks e gW?& yJT4Bfdder or Its Agent
i
COMMERCIAL FLEET SALES MANAGER
Printed Name and Title
BID/PROPOSAL
CITY OF SOUTH BEND
Spec AK — Two (2) more or less 2018 or Newer 18,000 lb. Four Wheel Drive
BID NAME Chassis with Dump Beds
FOR BIDS DUE December 12, 2017 at 9:30 a.m.
Description
Year/Make/Model
Unit Price
WITH 11' DUMP
2018 FORD F550 4X4 REGULAR CAB
$64,460.00 EAC
Alternate#
Description
Cost
Total
1
Plow Package: Front mounted western
$
$5584.00 EACH
8 %' pro -plus or equal power angling
left and right. Plow to come equipped
with safety approved lights and
markers, and snow deflector.
2
Front mounted 8 '/z' Western PVP Plus
$
$6085.00 EACH
or equal. Plow to come equipped with
safety approved lights, markers, and
snow deflector.
3
Dedicated CNG package with minimum
$
$ 17,433.00 EA
34 GGE tanks.
4
10'flatbed mounted behind CNG tank
$ (DUMP $ 26 , 9 7 2
$ ' $ 21, 038.00
cabinet on an 84" CA. chassis.
ILESS 5845 FLATBED
Estimated number of days for delivery from award CHASSIS & DUMP BODS
date. 140 TO 154 DAYS
Bidder (Firm): JORDAN FORD
Address: 609 E JEFFERSON BLVD
City/State/Zip: MISHAWAKA, IN 46545
Telephone Number: 574/259-1981 Fax Number: .�574/254-2777
By A
(Signature)
DEBRA STARKWEATHER
(Printed Name)
COMMERCIAL FLEET SALES MANAAGER
(Title)
14
I
NCH
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Suzanna M. Fritzberg, Member
James A. Mueller, Member
15
Elizabeth A. Maradik, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
South Bend Central Services Phone: 574-235-9316 Quote III MAGQ4244
Matt Chlebowski
1045 W. Sample St. Fax: 574-236-9007 Date: 11 /3012017
South Bend, IN 46619 Delivery: Sallesman:
E-Mail: mc:hlebow@southbendin.gov Denny McIntyre
Description Qty Unit Price Ext. Price
Provide And Install Following: Specifications Ak 18,000 Gvw Units
Dump Body Package Consisting Of 11' Imp Stainless Dump Body
304 7 Gauge Stainless Steel
18" Sides Double Panel Side Walls
Board Pockets
25" Double Acting Tailgate
Bulkhead With 1/2 Cab Shield And Slotted Window
3" Structural Steel Crossmembers On 12" Centers
Under Body Hoist Champion C615 With Sub Frame
Receiver Type Hitch With Trailer Plug
Led Light Package To Consist Of 2 Oval Led Strobes Facing Forward I Two Led Strobes Facing
Sides / 21 Led Strobes In Rear Corner Post / 2 Led Stop Tail Turn Reverse Combos
Mud Flaps Front And Rear Of Tires
Central Hydraulic System To Be Pto/pump Combo To Operate Off The Transmission / 15 Gallon
Hydraulic Tank/ Vales Located Between The Chassis Frame I Spreader Control To Be Certified
Power Freedom Controller 2.1 / Cables And All Miscellaneous Items Included.
Spreader To Be Undertaillgate Monroe Or Flink Ms966 Stainless
Alternate 1: Western 8 1/2 Pro Plus Plow With Markers And Snow Deflector With Shoes Included
Alternate 2: Western 8 1/2 Mvp- V Plow With Snow Deflector, Markers
Note Shoes Are An Optional Item On V- Plows Please Add $120 if Shoes Are Desired:
Alternate 4: 10' Flatbed Or 11 Customers Choice 'Unit Provided And Installed With Following Imp
Body With Steel Tread Plate Floor / 40" Bulkhead With Slotted Window I Stake Pockets And Rub
Rial On Sides I Top Mounted Bracket For Strobe Light (light Not Included) I Reece Type Receiver
With Trailer Plug / Mud Flaps Front And Rear I Led Stop Tail Turn Reverse Combo At The Rear
Optional Items For Cities Consideration On Platform:
Optional Item On Platform Top Mounted 15" Led Strobe Light Bar Add $593
Optional Item Reece Type Receiver Hitch Wit Trailer Plug Add $746
optional Item Stainless, Platform In Lieu Of Steel Add $1522.00 -
1
$26,872.00
$26,872.00
1
$5,584.100
Jkl$5,584.00
1
$6,085.,00
W
kil 1085.00
1
$5,834.00
i L+
00'$51,834,00
SubTotal $44,375,00
Sales Tax $0.00
Total $44,375.00
We appreciate, the opportunity to submit this quoation. Please review it carefully. If there are any errors or changes please advise
us. This quote shall be valid for a period not to exceed 30 days. THANK YOU. W. A. ,PONES TRUCK BODIES & EQUIPMENT
Columbia city offlre
Indianapolis Office
Nov Haven office Page
1171 ;>WI1mrn%$tfPPt,
2102 (,Atly "Itreet
P 0 M3 x 56A
0okirnhra Oty, ON 0725
Iridianapolrs, IN 4645
NwHavon., IN 4t 774
Phono888MO766,1
Phone317-377-(AO7
Pk an&,: 2 W-748- 4 1 CY1
Fax. 2C0744-7662
Fax: 317-377,042i
Sax 260,7484121
1 of I
Distributed By:
OPTIONS
• Direct lift or Scissors lift hoists
• Full one piece bulkhead
• Smooth steel floor
• Rear pockets and rub rail
• Outside width increase: 96" or 102"
• Finish gloss black
• 50/50 bulkhead (steel and expanded metal)
• Tapered bulkhead
The INDUSTRIAL flatbed is manufactured with Quality and is designed to be
Versatile, durable, dependable, yet Economical.
Manufacturer reserves the right to change design specifications C'autioni The combined weights of the truck chassis, hoist,
and furnish products so altered without prior notice. body and cargo must not exceed the 6N.W.R. of the truck
Features that are optional on other dump bodies are standard on
the INDUSTRIAL- PRO SERIES.
These features add to the durability and long life of the dump beds.
These durable bodies are ideal for contractors, municipalities, landscapers and many others where a ragged and
dependable body is required
SPECIFICATIONS
LENGTHS 8' 4", 9' 4", 10' 4", 11' 4", 12' 4"
UNDERSTRUCTURE 3" (A-36) structural steel channel cross members
5" (A-36) structural steel channel long mernbers
SIDES Sloped rub rail
Boxed top side rails
Side stil7eners
Fall depth rear comer posts
TAILGATE S a1' 4,A'1V11 'lrs lrts; la it ��a �t
Double acting
Manually controlled lever control
Sloped inward (straight back option available)
Rear light apron
CAB SHIELD Adjustable height for various chassis
Contour cut end plates
18" overhang
9" x 21" - 9 gauge expanded metal window
HOIST UNIT Direct push with sub frame
Class 10 hoist (5" cylinder)
7.() tons (i , 2500 psi (8' bed)
Optional: Larger Direct Lift, Scissors Lift or
Twin arm under body hoist
Narrow
Standard
19" sides
Pick Up
13" sides
13" sides
Outside Width,
inches
881,
94„
96„
8217
Inside Width,
inches
78"
84°'
86"
72"
Sides Height,
inches
13"
13"
19"
13"
Tailgate Height
inches
19"
19"
25"
19"
Standard Features
10 gauge steel
construction
throughout
Boxed perimeter
tailgate
Double Martel side wall
Boxed top side rail
LED marker light kit
Adjustable calf shield
for various mounting
heights
SHOWN WITH CUSTOM HEADACHE
RACK AND 3 PANEL TAILGATE
Options Available: 7 gauge floor, AR plate one piece floor, gloss black finish, and many others
Manufacturer reserves the right to change design specifications Owl iow The combined weights of the truck chassis, hoist,
and furnish products so altered without prior notice. body and cargo must riot exceed the G. V.W.R. of the truck
Ery
A (ternative
Euet'Systems
Fresno, CA'" Elkhart, IN
Will Gutilfa 569-289-8522
will@alalffuels.com +tiiiiitti at
DATE QUOTE
11/30/2017 171130WG2
NAME I ADRESS
Deb Starkweather
Jordan Automotive Group
Mishawaka, IN
P.0, NO.
TERIMS,
DROP SHIP
REP
END USER
FOB
Due on Completion
88MNZ4
WG
South Send—
Elkhart, IN
ITEM
DESCRIPTION
OTY
PRICE EA.
Back -of -Carib
EPA Certified Dedicated CNG System
F560-W$4-BTC
34 GCE 2018 Ford F-560 6.81L
$16,90f). -A,
oo
Two tanks mounted in storage cabinet behind cab
Per Unit
*Allow 24" of depth space behind cab' 1"N
Frame -Mount
EPA Certified Dedicated CNG System
F550-W36-FM
36 GGE 201'8 Ford F-550 6,8L
$18,400,00
Two tanks mounted along outer frame rails, one on each side
Per Unit
between axles; 65" of clear outer frame rail space required on
0
each sift Tanks will extend above top of frame approximately
*Al1l items in Alternate 3 and Alternate 4 sections of South Bend
41
bid sent by D Starkweather on 11, 1-27-17 are mcl uded in quote*
6
INote: Vehicle must be ordered with Ford's Gaseous Fuel Prep Engine option.
Note, Quote is good 60 days and is FOB Elkhart, IN.
Note- After receipt of purchase order, vehicles will be put into production schedule.
Note: Quote is contingent on EPA certification.
Note: Tank package is subject to engineering confirmation.
Note: After parts and vehicle arrive please allow 20 working days for, delivery of first vehicle, and approximately 5 days
for each additional unit.
Note: Cabinet will be powdercoated black or white; for alternate color paint match, contact A-1. Fill panel will be
located on street side integrated into CNG compartment.
BUYER AUTHORIZATION : Buyer's signature below is acceptance to purchase the product identified above
and acceptance of A-I's Standard Terms and Conditions.
Signature.................... I ........................... ........... Date: .............................
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F—
CNGP530 VEHICLE ORDER CONFIRMATION 11/27/17 16:37:42
Dealer: F48207
2018 F'SERIES So Page: 1 of 2
order NO: 1111 Priority: Al Ord FIN: QA587 order Type: 5B Price Level: 820
Ord Code: 660A CU.St/Fl�t Name: SOUTH BEND PO Number:
RETAIL DLR INV RETAIL DLR INV
F5H F550 4x4 CHAS/C $41950 $39644.00 18000# GVWR PKG
169" WHEELBASE 425 50•STATE EMISS NC NC
ZI OXFORD WHITE 473 SNOW PLOW PKG 185 171.00
A VINYL 40/20/40
512 SPARE TIRE/WHL2 350 323.00
s MEDIUM EARTH! GR 52B BRAKE CONTROLLR 270 249.00
660A PREF EQUIP PKG 613 JACK NC NC
.XL TRIM 62R TRANS PTO PROV 280 257.00
572 AIR CONDITIONER NC NC 65Z AFT AXLE TANK NC, NC
99Y 6.8L EFI V10 EN NC NC
44P 6-SPD AUTOMATIC NC NC TOTAL BASE AND OPTIONS 46140 40597.84
TGB 225 MAX TRAC 215 197.00 TOTAL 46140 40597.84
X48 4.88 REG AXLE NC NC *THIS IS NOT AN INVOICE*
90L PWR EQUIP GROUP 915 841.00
TELE TT MIR-PWR MORE ORDER INFO NEXT PAGE
LESS TPMS F8=NeXt
CNGP530 VEHICLE ORDER CONFIRMATION 11127117 16:37:47
==> Dealer: F48207
2018 F-SERIES SO Page: 2 of 2
order NO: 1111 Priority: Al Ord FIN: QA587 order Ty 5B Price Level: 820
Ord Code: 660A CUSt/Flt Name: SOUTH BEND Po NumCeI
RETAIL DLR INV RETAIL DLR INV
91M SYNC SYSTEM $365 $336.00
.AMFM/CD/CLK
98G GASEOUS FUEL 315 289.00
SP DLR ACCT AD] (1795.00)
SP FLT ACCT CR (1234.00)
FUEL CHARGE 17.84
B4A NET INV FLT OPT NC 7.00
DEST AND DELIV 1295 1295.00
TOTAL BASE AND OPTIONS 46140 40597.84
TOTAL 46140 40597.84
*THIS IS NOT AIN INVOICE*
F7=Pr'ev
F1=HelP F2=Return to Order F3/Fl2=veh Ord menu
F4=5ubmit F5=Add to Library
S099 - PRESS F4 TO SUBMIT QC04755
CITY OF SOUTH BEND
BID FOR SPEC AK -- TWO MORE OR LESS
2018 OR NEWER 18,000 LB. FOUR WHEEL DRIVE CHASSIS
WITH DUMP BED
BID DUE DATE: DECEMBER 12, 2017
NOTES & EXCEPTION PAGE
CNG DEDICATED SYSTEM - IF YOU PREFER FRAME -MOUNT 36 GGE
INSEAD OF BACK -OF -CAB AS QUOTED ON ALTERNATE #3, PRICE
WOULD BE $18,778 INSTEAD OF $17,433
FOR FLATBED, PLEASE NOTE OPTIONS LISTED ON W.A. JONES QUOTE.
YOU HAVE REQUESTED "COMPLETE ACCESS TO FACTORY TECHNICAL
REPAIR WEBSITE WITH ACCESS BEING LIFETIME WITH NO
SUBSCRIPTION COSTS." WE CANNOT GUARANTEE LIFETIME WITH NO
FEES. AS LONG AS FORD OFFERS IT AT NO CHARGE, WE WILL EXTEND
TO YOU. YOU MAY WANT TO CONSIDER THE CD-ROM FOR
ELECTRONIC SERVICE INFORMATION, WHICH IS $233 FOR THIS F550.
YOU MAY WANT TO CONSIDER 19,500 LB. GVWR INSTEAD OF
QUOTED 18,000, FOR AN ADDITIONAL $1291.
PAYMENT IS DUE WITHIN 30 DAYS OF DELIVERY TO YOU.
I I I
Conforms with The, American Institute of Architects AIA Document 310
Bid Bond
CONTRACTOR: SURETY:
A'aina , legalsfairrs and adelrv.vti) (Nama, legalsurfus andpyinciluilplava ofbaviness)
Jordan Automotive Group dba Jordan Ford The Hanover Insurance Company This document has important
609 E. Jefferson Boulevard 440 Lincoln Street legal consequences. Consultation
with an attorney is encouraged
Mishawaka, IN 46545 Worcester, MA 01653 with respect to its completion or
modification.
OWNER:
(Name, legalsialusatidadtiress) Any singular reference to
Contractor, Surety, Owner or
City of South Bend other party shall be considered
13th Floor, County -City Building, IRoom 1316, 227 West Jlefferson plural where applicable.
South Bend, IN 46601
BOND AMOUNT: $ 10% Ten Percent of Amount Bid
PROJECT:
(Nanio, locaflonor address, andill-qjectnumbei-, tfaltl)
Spec AK - Two (2) more or less 2018 or Newer 18,000 lb, Four Wheel Drive Chassis with Dump Beds
The Contractor and Surety are bound to the Owner in tire amount set forth above, for ilia payment of which the Contractor and. Surety bind
themselves, their hairs, excentors, administrators, successors and assigns, jointly and severally, as provided harcin, The conditions of this
Bond are strch that if ilia Owner accepts the bid of ilia Contractor wilhin the thric specified in the bid documents, or within such time period
as Illay be agreed to by tile Owner and Contractor,, and tile Contractor cither(l) 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 Doctilliclits, willi a surety admitted inn
file jurisdiction of tile llrqicct and otherwise acceptable to the Owner, for tile faithful perroniiancc of such Contract and for ilie prompt
payment of labor and material furnished in the prosecution ilicreot, or (2) pays to the Owner the difference, not to exceed the amount of
this Botid, between tho, amount specified in said bid aird such larger aniount for which tire Owner may in good faith contract willi another
party to porlbrill (lie work covered bysaid bid, their this obligation sliall be IMII and void, Otherwise it) reiriain in fill force and ell`cct, Tile
Surety hereby waives any notice ofall agreenicni between the Owner and Contractor to extend the time in wbiull tile Owner may accept the
bid. Waiver ol'notice by, the Surety shall not apply to tiny extension exceeding Sixty (60) days in the aggregate beyond the tilile lbr
acceptance ol'bids.specifed in the bid dOGUrnell(S', and the Owner and Contrac(orshall obtain the Surety's consent lair air extension beyond
sixty (60) days.
If lbis Bond is issued in connection wilh a subcontractor's bid to a Contractor, t1rc torn Contractor in this Bond shill be deemed to be
Subcontractor and the term Owner shall be deeniod to be Contractor.
When this T)oiid has been furnished to comply xvith a smuloD,, or Other legal requirement in tire location ol'the Project. any provision in
this Bond conflicting Nvitli said 8111111IOry Or legal requirement shall be deenicd deleted lierefrom and provisions confimning, to such
staftilory or other legal recikkenient shall be, deemed incorporated llerein• When so I'timistied, tile intent is that this blond shall be construed
us a statutory bond and not as a common law bond.
Signed and scaled this 1 2th day of December, 2017
Uriarlssa U. Lecuye?'
Jordan Automotive Group dba Jordan Ford
(Principal) (804
By:
(TT ao) C b,,--\ r~aa (2
The Hanover Insurance Company
By(
maq)Chrik_M_ Braile Attorney -in -Fact
Surety hone No. 508-853-72010
S-00541AS 8110
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
PV m:K VY A ! ! u ivt r
THIS Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in
the manner and to the extent herein stated.
KNOW ALL PERSONS BY THESE PRESENTS:
That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations
organized and existing under the laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a
corporation organized and existing under the laws of the State of Michigan, (hereinafter individually and collectively the "Company") does
hereby constitute and appoint,
Jeffrey C. Carey, Mary T. Flanigan, Christy M. Braile, Patrick T. Pribyl, Debra J. Scarborough, Laura M. Buhrmester, Charles R. Teter, III,
Charissa D. Lecuyer, Evan D. Sizemore, Larissa Smith, Rebecca S. Leal, C. Stephens Griggs, Tahitia M. Fry and/or Megan L. Burns -Hasty
Of Lockton Companies of Kansas City, MO each individually, if there be more than one named, as its true and lawful attorney(s)-in-
fact to sign, execute, seal, acknowledge and deliver for, and on its behalf, and as its act and deed any place within the United States,
any and all surety bonds, recognizances, undertakings, or other surety obligations. The execution of such surety bonds, recognizances,
undertakings or surety obligations, in pursuance of these presents, shall be as binding upon the Company as if they had been duly
signed by the president and attested by the secretary of the Company, in their own proper persons. Provided however, that this power of
attorney limits the acts of those named herein; and they have no authority to bind the Company except in the manner stated and to the
extent of any limitation stated below;
Any such obligations in the united States, not to exceed Fifty Million and Noll 00 ($50,000,000) in any single instance
That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said
Company, and said Resolutions remain in full force and effect:
RESOLVED: That the President or any VICO President, in conjunction with any Vice President, be and they hereby are authorized and
empowered to appoint Attorneys -in -fact of the Company, in its name and as it acts, to execute and acknowledge for and on its behalf as surety,
any and all bonds, recognizances, contracts of indemnity, waivers of citation and all other writings obligatory in the nature thereof, with power to
attach thereto the seal of the Company. Any such writings so executed by such Attorneys -in -fact shall be binding upon the Company as it they
had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons.
RESOLVED: That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto, granted
and executed by the President or Vice President in conjunction with any Vice President of the Company, shall be binding on the Company to the
same extent as if all signatures therein were manually affixed, even though one or more of any such signatures thereon may be facsimile.
(Adopted October 7, 1981 — The Hanover Insurance Company; Adopted April 14, 1982 — Massachusetts Bay insurance Company; Adopted
September 7, 2001 — Citizens Insurance Company of America)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS
INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals, duly attested by
two Vice Presidents, this 15th day of November, 2016.
F�
S
!sO�J
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE coMPANY
CITIZENS SURANCE OM NY OF AMERICA
,�.�_
Ro—bert'rhumm Vise Prasidrnt
THE HANOVER INSURANCE COMPANY
FSABETT SAVI RA. C£COMPANYSUR ICEOFAMERICA
THE COMMONWEALTH OF MASSACHUSETTSCOUNTY OF WORCESTER )ss.On this 15th day of November 2016 before me came the above named Vice PresidentsHanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Companyof America, to me personally known to be the individuals and
officers described herein, and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover
Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, respectively, and that the
said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument bythe authority and direction of
said Corporations.
OIANE J. ifAMINO
N1M cowwarwnunr OF wA%Luup wu...•��
M' CanmiOm EgWN p"sane J. , a w, Nulary Public
I,Mdt t• = My Com,m"ion Sachir Munch i, 2022
I, the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance
Company of America, hereby certify that the above and foregoing is a full, true and correct copy of the Original Powerof Attorney issued
by said Companies, and do hereby further certify that the said Powers of Attorney are still in force and effect.
GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this day of EC .I '- �: V � �
CERTIFIED COPY==- '��- '
, .,
ro v� w4�• « � <� uN Theodore G. Manino�% Vice Presidvt
C..