HomeMy WebLinkAboutOpening of Quotations - Morris Bistro-Palais Lobby Improvements - Brown & Brown General Contractors IncCITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Morris Performing Arts Center
Morris Bistro/Palais Lobby Improvements
Project No.
For Bids Due
Date:
Address:
City/State/Zip:
1031-2017
December 21, 2017 9:30 AM
(Must be completed for all bids. Please type or print)
Dec. 21, 2017 Bidder (Firm): Brown & Brown General Contractors, Inc.
124 S. Elkhart St.. PO Box 487
Wakarusa, IN 46573
Telephone Number: ( 574 ) 862-2171
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:
Morris Bistro/Palais Lobby Improvements #1031-2017
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
Alliance Architects, 929 Lincolnway E., South Bend, IN
and dated Nov. 27, 201 % for the sum of (enter the Total Bid as shown on the Proposal)
One hundred fifty-six thousand five hundred and 00/100 ($ 156,500.00 )
(Enter sum of Total Base 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 addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units 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 ttacttme
By
(Signature)
Eric Brown
The above bid is accepted this
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
ACCEPTANCE
day of
(Printed Name of Person Signing)
Suzanna M. Fritzberg, Member
Therese J. Dorau, Member
20
Version 10/17/2016 Contractor's Bid for Public Works - 2
QUOTE/PROPOSAL
CITY OF SOUTH BEND
PROJECT NAME Morris Performing Arts Center
PROJECT NO.
QUOTES DUE
BASE BID
Morris Bistro/Palais Lobby Improvements
1031-2017
December 21. 2017 9:30 AM
Item
Description
Quantity
Unit
gTotal
mount
Furnish all labor, services, materials, insurance and equipment for the Morris
1
Bistro Improvements as described in Special Provisions -Project Description
1
Sump
219, 300.00
and Plans / Specifications Sheets D1; Al-A4.
Furnish all labor, services, materials, insurance and equipment for the Palais
2
Lobby Improvements as described in Special Provisions -Project Description
1
Sump
38,100.00
and Plans / Specifications Sheets 61-135.
TOTAL OF ITEM 1 AND ITEM 2
257,400.00
ALTERNATE #1
Item
No.Amount
Description
Quantity
Unit
Total
Delete all Demolition from Scope of Work as detailed in Drawing Sheet D1 with
1
the exception of the mechanical and electrical Work as described in Keynotes
1
Sump
(81100.00)
No. 2, 12, and 13.
ALTERNATE #2
Item
Description
Quantity
Unit
No
Amoual
nt
1
Drawing Sheet D1-Keynote No. 4: Delete patch and repair from Scope of
Lump
Work; Prep surface for new carpet CPT-1 installation.
1
Sum
(14,400.00)
ALTERNATE #3
INo
Description
Description
Quantity
Unit
Amount
1
Substitute Partial Floor Plan 1A/A1 for Partial Floor Plan 1/Al on Drawing Sheet
1
Lump
Al.
Sum
44,900.00)
ALTERNATE #4
Item
Description
Quantity
Unit
Total
Amount
1
Delete new wood platform, drapery/track and electrical from Scope of Work,
1
Lump
(13, 400.00 )
described onDrawin Sheets Al, A2, A3, A4.
Sum
ALTERNATE #5
Item
No
Description
Quantity
Unit
Amoual
nt
1
Delete new picture and panel mold from Scope of Work, Detail 3/A1, an
1
Lump
(3,000.00)
Drawings Sheets Al, A2.
Sum
Version 10/17/2016 Contractor's Bid for Public Works - 6
ALTERNATE #6
Item
No.
Description
Quantity
Unit
Total
Amount
1
Delete decorative mirrors from Scope of Work as described on Drawing Sheets
1
Lump
A2, A3.
Sum
{4,700.00}
ALTERNATE #7
IltVeo
Description
Quantity
Unit
Amount
1
Substitute paint PS-2 and PS-3 for the specified wall covering and ceiling
1
Lump
(9,300.00)
covering as described on Drawing Sheets Al, A2, A3.
Sum
ALTERNATE #8
Item
No.1
Description
Quantity
Unit
Aunt T otal
Substitute VCT-1 for PT-1 in Bar 005 and Storage 006 as described on Drawing
1
Lump
Sheets Al, A3.
Sum
(1,800.00)
ALTERNATE #9
Item
Description
Quantity
Unit
Total
Amount
1
Delete decorative wall sconces (DF-1) from Scope of Work as described on
1
Lump
(1,300.00)
Drawing Sheets A2, A4.
Sum
Firm: Brown & Brown General Contractors, Inc.
Address: 124 S. Elkhart St., PO Box 487
City/State/Zip: Wakarusa, IN 46573 Telephone Number: ( 574) 862-2171
Fax Number: 574 862-3930
By
(Signature)
Eric Brown, President
(Printed Name of Person Signing)
Version 10/17/2016 Contractor's Bid for Public Works - 7
James A. Mueller, Member
Attest: Linda M. Martin, Clerk
When the prospective Contractor is curable 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:
Elkhart 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.
Version 10/17/2016
Contractor's Bid for Public Works - 3
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
Version 10/17/2016 Contractor's Bid for Public Works - 4
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 21 st day of Dec , 20 17
Brown & Brown General Contractors, Inc.
Contractor/Bi er (Fxrm)
Signature of Contractor/Bidder or Its Agent
Eric Brown, President
Printed Name and Title
Subscribed and sworn to before me this 21 St dayof
Dec. 2+0- 1177
My Commission Expires 4/3/2025
County of Residence
Notary Public
Marshall
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Version 10/17/2016 Contractor's Bid for Public Works - 5
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CITY OF SOUTH BEND QvT"0�
; .
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY / ;.;
DEVELOPMENT PROGRAM
ff 1'kACF �:!j
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBEIWBE 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:
Project Name:
Bidder:
1031-2017
Date:
Morris Performing Arts Center, Morris Bistro/Palais Lobby Improvements
Brown & Brown General Contractors, Inc.
Contact Person: Todd Marek
Address: 124 S. Elkhart St., PO Box 487
City:
Email:
Wakarusa State: IN
Telephone: 574-862-2171
Zip:
46573
To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE utilization goals set
forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or
commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below':
EVIDENCE OF GOOD FAITH EFFORTS
MBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business
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 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 MBENVBEs 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
MBEIWBEs in order to increase the likelihood of meeting the MBEIWBE goals (including breaking down
contracts into smaller units to facilitate MBENVBE 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.
*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 10/1712016 Contractor's Bid for Public Works - 9
CITY OF SOUTH BEND ,
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY ,w
DEVELOPMENT PROGRAM FORM MWBE-2.1
MBEIWBE CONTACTED abs
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 1 OF 3
Project Number:
Project Name:
Bidder:
By:
1031-2017
MBE/WBE Participation Goal
Morris Performing Arts Center, Morris BistrolPalais Lobby Improvements
rowry4 Brown General Contractors, Inc.
President
Dec. 21, 2017
(SignatLKY " `f (Title) (Date)
MBEIWBE Firm Chisholm Lumber & Supply
Owner or Contact at MBE/WBE Firm Doua Chisholm
Telephone: Fax: Email: doug.chisholm.sr@chisholmmillwork.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
doors, hardware supplier
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
Did not bid
MBEANBE Firm Circle R Mechanical
Owner or Contact at MBENVBE Firm Linda
Telephone: Fax: Email: linda@cirelermechanlcal.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
plumbing subcontractor
RESULTS OF CONTACT WITH THE MBEIWBE FIRM:
Did not bid
Version 10/17/2016 Contractor's Bid for Public Works - 10
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
FORM MWBE»2.1
MBEIWBE 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 2 OF 3
Project Number: 1031-2017 MBENIIBE Participation Goal
Project Name: Morris Performing Arts Center, Morris Bistro/Palais Lobby Improvements
Bidder: Bro n & Brown General Contractors, Inc.
By. President Dec. 21, 2017
(Signature) (Title) ( Date)
MBEIWBE Firm D. A. Dodd
Owner or Contact at MBENVBE Firm Julie Blackwood
Telephone: Fax: Email: julieblackwood@dadodd.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
plumbing subcontractor
RESULTS OF CONTACT WITH THE MBEIWBE FIRM:
Did not bid
MBEIWBE Firm McMann Electric
Owner or Contact at MBE/WBE Firm Terri McMann
Telephone: Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
electrical subcontractor
RESULTS OF CONTACT WITH THE MBEIWBE FIRM:
Did not bid
Email: terrimemann@mcmannelectric.com
Version 10/17/2016 Contractor's Bid for Public Works - 10
CITY OF SOUTH BEND k5 °
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
x
DEVELOPMENT PROGRAM01
S PY.AI'F ;l y?j
FORM MWBE-2.1
MBE/WBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring contacted MBEIWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify
whether any listed minority or woman business meets the qualifications of a Minority or Women's owned
business.
PAGE 3 OF 3
Project Number: 1031-2017 MBEIWBE Participation Goal
Project Name: Morris Performing Arts Center, Morris Bistro/Palais Lobby Improvements
Bidder: Brow & Brown General Contractors, Inc.
By: President Dec. 21, 2017
(Signature) (Title) (Date)
MBENVBE Firm DRC Carp
Owner or Contact at MBENVBE Firm Doug Chambers
Telephone: Fax: Email: biddre@sbcglobal.net
TYPE OF WORK SOLICITED FOR THIS PROJECT:
plumbing subcontractor
RESULTS OF CONTACT WITH THE MBEIWBE FIRM:
Did not bid
MBEIWBE Firm
Owner or Contact at MBENVBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBENVBE FIRM:
Version 10/17/2016 Contractor's Bid for Public Works - 10
IPAIA Documenit A31 OTM - 2011
CONTRACTOR:
(Name, legal status and address)
Brown & Brown General Contractors, Inc.
SURETY:
(Name, legal status and principal place
of business)
P. O. Box 487 Philadelphia Indemnity Insurance Company
This document has important legal
Wakarusa, IN 46573-0487 Bala Cynwyd, PA
consequences. Consultation with
OWNER:
an attorney is encouraged with
(Name, legal status and address)
respect to its completion or
City of South Bend Board of Public Works
modification.
County -City Building Room 1316, 227 West Jefferson Blvd
Any singular reference to
South Bend, IN 46601
Contractor, Surety, Owner or
BOND AMOUNT:
other party shall be considered:
Five Percent of the Total Bid 5% of Total Bid
plural where applicable.
PROJECT:
(Name, location or address, and Project number, if any)
Morris Performing Arts Center, Morris Bistro/Palais Lobby Improvements; Project No. 1031-2017
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the
Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and
severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor
within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and
Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such
bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted
in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract
and for the prompt payment of labor and material furnished in the prosecution thereof-, or (2) pays to the Owner the
difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount
for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this
obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of
an agreement between the Owner and Contractor to 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 sealed this 5th day of December 2017
Brown & Brown General Contractors, Inc.
(Principal) (Seal)
Wmess itness)
(TitIJ--Eric' Brown,--pres i dent -
Philadelphia Indemnity Insurance Company
(Surety) '2
(Seal)
(Witness)
0 le
(Title),'J6nifer 1, orney in Fact
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chaingeswi1l not be obscured.
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333
PHILADELPHIA INDEMNITY INSURANCE COMPANY
One Bala Plaza, Suite 100
Bala Cynwyd, PA 19004-0950
Power of Attorney
KNOW ALL PERSONS BY THESE PRESENTS: That PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organized and
existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoint Barbara Pearson, Debra Flull, Jordan Scheiber, Jennifer
Kasznhi, Mark.,Wobbe, Megan Riesenberg, Nicole Bicknell, Sandra Junk, Theresa Burns, Wesley Mantooth and William Cerney III of Gibson Insurance
Auency, Inc.,, its true and [awful Attorney -in -fact with full authority to execute on its behalf bonds, undertakings, recognizances and other contracts of indemnity and
writings obligatory in the nature thereof, issued in the course of its business and to bind the Company thereby, in an amount not to exceed $100,000,000.00.
This Power of Attorney is granted and is signed and sealed by facsimile Linder and by the authority of the following Rescitition adopted by the Board ot'Directors of
PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 140'of November, 2016.
RESOLVED- That the Board of Directors hereby authorizes the President or any Vice President of the
Company: (1) Appoint Attorney(s) in Fact and authorize the Attorney(s) in Fact to
execute on behalf of the Company bonds and undertakings, contracts of indemnity and
other writings obligatory in the nature thereof and to attach the seal of the Company
thereto;, and (2) to, remove, at any time, any such Attomey-in-Fact and revoke the
authority given. And, be it
FURTHER
RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any
such Power of Attorney or certificate relating thereto by facsimile, and any such Power of
Attorney so executed and certified by facsimile signatures and facsimile seat shall be
valid and binding upon the Company in the future with respect to any bond or
undertaking to which it is attached,
IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENTTO BE SIGNED AND
ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS W" DAY OF NOVEMBER, 2016.
(Seal)
Robert D. O'Leary Jr., President & CEO
Philadelphia Indemnity Insurance Company
On this 14�` day of November, 2016, before me came the individual who executed the preceding instrument, to me personally known, and being by me duly sworn said
that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY; that the seat affixed to said instrument is
the Corporate seal of said Company; that the said Corporate Seal and his signature were duly affixed.
crimmil. TN bf 1414MLYAW
PoW
foacy
(Notary Seal)
Notary Public:
residing at:
My commission expires:
Bala Cynwyd, PA
January 8, 2018
1, Edward Sayago, Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do hereby certify that the foregoing resolution of the Board of
Directors and this Power of Attorney issued pursuant thereto on this 10' day of November, 2016 are true and correct and are still in full force and effect. I do further
certify that Robert D, O'Leary Jr., who executed the Power of Attorney as President, was oil the date of execution of the attached Power of Attorney the duly elected
President of PHILADELPHIA INDEMNITY INSURANCE COMPANY,
In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this,.::). 6t day of 20L-1
Edward Sayago, Corporate Secretary
211
PHILADELPHIA INDEMNITY INSURANCE COMPANY
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name Morris Performing Arts Center
Project No.
For Bids Due
Morris Bistro/Palais Lobby Improvements
1031-2017
December 21, 2017 9:30 AM
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 -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 MBEIWBE Contacted
Form [MWBE-2.1].
Acknowledge Receipt of 0 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 read and comply with the specifications.
Bidder: Brown & Brown General Contractors. Inc.
By Authorized Representative:
Signature:
Print Name & Title: Eric Brown, President
Date: Dec. 21, 2017
Version 10/17/2016 Contractor's Bid for Public Works - 1