HomeMy WebLinkAboutOpening of Quotations - Morris Bistro-Palais Lobby Improvements - M&V Pro Services - Bid Security Check SubmittedM��dkj•
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Project Name Morris Performing Arts Center
Morris Bistro/Palais Lobby Improvements
Project No. 1031-2017
For Bids Cue December 21,2017 9:30 AM
(Must be completed for all bids, Please type or print)
1 4�
Date: / 7""';?y Bidder (Firm):
Address: IZZ i W UIF-9-612Av )qVE
City/State/Zip: S a Telephone Number:
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:
the City of South Bend, Indiana, in accordance with plans andspecifications prepared by:
d0 /
b6ee W1174 A, Z1
and dated 2 Z for the sum of (enter the Total Bid as shown on the Proposal)
'Ve Z917e 2��J 61" 0/
($
(Enter sum of TotarBase Bid plus Alternates sffown on Proposal) I (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 S th lend. lf-lhe-bid is to be awarded on a unit
basis, the itemization of the units shall be shown on a Xar; i 4chment-,)
The above bid is accepted this
Subject to the following conditions:
Gary A. Gilot, President
By
(Sign re)
(Printed NO�t"ergQn S16ning)'
ACCEPTANCE
day of 20
Suzanna M. Fritzberg, Member
Elizabeth A. Maradik, Member Therese J. Dorau, Member
Version 10/17/2016 Contractor's Bid: for Public Works - 2
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Project Name Morris Performing Arts Center
Morris �Bistro/Palais Lobby Improvements
Project No. 1031.2017
For Bids Due December 21, 2017 9:30 AM
(Must be completed for all bids. Please type or print)
Date: 12,1 Bidder (Firm):
Address:
City/State/Zip: Sil, _'Z-Al Telephone Number: (5'pl
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish
public works project of:
bor and/or material necessary to campI t the
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
and dated V 2Z Ze))for the sum of (enter the Total Bid as shown on the Proposal)
(Enter sum of Total Befsus Alternate's 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
shown in the original contract if accepted by the City of
basis, the itemization of the units shall be shown on a
M
The above bid is accepted this
Subject to the following conditions:
Gary A. Gilot, President
Elizabeth A. Maradik, Member
ACCEPTANCE
day of
1,, the cost of units must be the same as that
is to be awarded on a unit
a a 7a c h m ent.
S iA n atp re)
inlec(N*ne of Person Signing)
20
Suzanna: M. Fdtzberg, Member
Therese J. Dorau, Member
Version 10/17/2016 Contractor's Bid for Public Works - 2
��U a I iiii I I I
1161:43-al I NJ ICA 0 1".] 1 MY ATO
Project Name Morris Performing Arts Center
Morris Bistro/Palais Lobby Improvements
Project No. 1031.2017
For B!dsDue December 2l,2017 9:30 AM
(Must be completed for ail bids. Please type or print
Gate:.- h17 Bidder (Firm):
Address: UU wlES7-EaA; AV-=
City/State/,dip: °` Telephone Number: (57Y) 9 37 0
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:
A�� 9 7— 117-Jrl"I AM 71eleli Z - 4 c�/ lel, z�� C,4R2,e
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
and dated AL 2 Z6?1,Z - for the sum of (enter the Total Bid as shown on the Proposal)
xd, ($
(Enter gum of Total Base Bid plu's 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 acceptedby the City of Softd,--1f-4ke-bid is to be awarded on a unit
_
basis, the itemization of the units shall be shown on a, sepi6r 6 tachment,-)
The above bid is accepted this
Subject to the following conditions:
Gary A. Gilot, President
By
(Signa re)
vzer
(Print erne of Person signing)
ACCEPTANCE
day of 20
Suzanna M. Fritzberg, Member
Elizabeth A. Maradik, Member Therese J. Dorau, Member
Version 10/17/2016 Contractor's Bid for Public Works - 2
U
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK 1865
Project Name Morris Performing Arts Center
Morris Bistro/Palais Lobby Improvements
Project No. 1031-2017
FoirBids Due December 2l,2017 9:30 AM
(Must be completed for all bids. Please type or print)
Date: Z? /47 Bidder (Firm):
Address: //? 1A) WEL57-ri-dilZ gliz,,E
City/State/Zip: s i) VZ Z"�) Telephone Number: (57V ) 2JV--5370
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:
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
and dated &U/ 2 7, 2 e for the sum of (ent;e the Total Bid as shown on the Proposal)
4 Z)Z t, 2
(Enter sum of Total Base BiLfpluis 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 lettinig. 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 S, th Bend'' 'If t116-N'd-V'to-J)e awarded on a unit
basis, the itemization of the units shall be shown on =�42a6ckment.--
The above bid is accepted this
Subject to the following conditions:
Gary A. Gilot, President
By
gnat
/1"Ir 7,w a-,
(Printed
4 of Person Signhng)
ACCEPTANCE
day of 20
Suzanna M. Frit - i6 erg, Member
Elizabeth A. Maraclik, Member Therese J. Dorau, Member
Version 10/17/2016 Contractor's Bid for Public Works - 2
14KO] mom to] a" :]IBM as] :4:111 :111 TV•
Project Name Morris Performing Arts Center
Morris Bistro/Palais Lobby Improvements
Project No. 1031-2017
For Bids true December 21, 2017 9:30 AM
(Must be completed for all bids. Please type or print)
Date: k' A/ 2 Bidder (Firm): ,L /V
Address: dZe ik . ........ wz�ALI-r--
City/State/Zip. Telephone Number: 7YJ 3 Z11 - 90-?Y- 03,Y-9326
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: 5wrF
�
1 6-,
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
and dated AZZ 2dz-7 for the sum of (enter the Total Bid as shown on the Proposal)
1�Pry
kv ZV ve- ($
(Enter sum of Total Base Blid, plus Alternates shown ori Pr6posal) (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,
shown in the original contract if accepted by the City of S,, 'tr basis, the itemization of the units shall be shown on a 61 e,,,,
IVA
The above bid is accepted this, _
Subject to the following conditions:
Gary A. Gilot, President
Elizabeth A. Maradik, Member
ACCEPTANCE
-..- day of
)5LPf units must be the same as that
If th "J) is to be awarded on a unit
e of Person
Suzanna M. F'ritzberg, Member
Therese J. Dorau, Member
KES
Version 10/17/2016 Contractor's Bid for Public Works - 2
0] Z41:1 IMM :4991:1 a I Ityl
Project Name Morris Performing Arts Center
Morris Bistro/Palais Lobby Improvements
Project No.
For Bids Due
1031-2017
December 21, 2017 9:30 AM
19
1865
(Must be completed for all bids. Please type or print)
Date,: � / 1"/ ,, "/, :,2 Bidder (Firm): ZL&L e?z'�p )2 V? 1'/V C.
Address: 112L Lt/ U/,F67-f-,Z W AvE
City/State/Zip: Telephone Number: 2 3c/ 9-12-0
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or
public works project of:
necessary to complete
the Cityof South Bend, Indiana, in accordance with pla'Ks and specifications prepared by:
and dated 2, 20for the sum of (enter the Total Bid as shown on the Proposal)
$ 'Zo
I Ild
I / V, !V�Z Z
(Enter sum of Total Base Bid plus Alternates shown dh 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 addenclums 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 Sourt ezd. If the bid is to be awarded on a unit
2t,
basis, the itemization of the units shall be shown on a se, ttachrn-ant.
M
The above bid is accepted this
Subject to the following conditions:
BOARD OF PUBLIC WORKS
(Printed Name of Person Signing)
ACCEPTANCE
day of
Gary A. Gilot, President Suzanna M, Fritzberg, Member
Elizabeth A. Maradik, Member Therese J, IDorau, Member
RE
Version 10/17/20�16 Contractor's Bid for Public Works - 2
QUOTEYPROPOSAL. toT,
ary OF'SOUTH BEND
PROJECT NAME Morris Pertorming Arts Center
PROJECT'NO..
— - ------------
QUOTES DUE December 2t 2017 9:30 AM
BASE 010
Item
arar
No. Oescdpdon Quardidy Unit !I Total
Fumish ag faboir, serviGes, matermls, irasurmce and equ,"xneiM for
131stro Iniprovenwnts, ado r s descrfbed i' S1, eclal
I � ILI, ap
F)7-ov�skuts,Proj)ect Dew wars I
"""s au in
2
Fur e p4a�s
,nb l-ump
Lob Y)I-op'
and Pk4ns� SUM
TOTAL OF FTEM 1, AND ITEM 2
ALTERNATE #1
Tdca,Description QualdI
uy ln"t
"Itil1
Annount
taik-A in Drawing'Sheel D 11 kviah _.._Lump
I Ifie exception of the vnechwkcall aand ek-c*kal Wedik as desmAibecl in K.".ndles I ej
No,?, 12, qtA 13, um
ALTERNATE #2
fie
Desciription Quantity Unit Total
Amount
Dra wi ng S �vel D I - Keynole NW 4: —Dalel"& —pa, Ich, --5—nW —�J —
1 paii, r�rop,,, Sc4Ve 4q
q�,4 UMI h
ALTERNATE #3
Item
"V, Description
No. U nit
Amount
ubstilule Partial 172ooT Man WAI fm PwffiM Bw Phan Uhl on 1Dxrw�,xfijg S�j eet " u -
Al�
11T� I Sony
--.--.ALTERNAT
.E #4
Item otal
Descflpflon mbarunill, I
No.
te- -i- Ap!ount
Date twpf mqAi dmp 7&—�6
,p ,p pe"44 vvml 00,0�0g.#i ftvn �kq fvlk,
!qdescqibed cmi Di-mv,,!M_§jjeets AjJkZ .,
sum
ALTERNATE #5
Item . ...... . . ......
No. Descoiption QuanI4 unit I Total
— . .... ... Amount
Det to mw pictune and Iyanel vndld trorn Sopetv
e , e ol u , WG4 Na,q�nM WAII, or Lump
Dra�viqqs 1jeets Al, X2- li
_ §_ --r SWIM
Version 10/1762016 Contoactw`s Uld fw Pubfic Wwks- - 6
ALTERNATE #6
Item, Desc6pflon Quanfily unit
RO. aunt
Delete frotm $kope offMck as eescoibed am Mawhi Lump
,A Sum
ALTERNAM #7
Total
Descliption qRsanfity Unit
Asnount
Su T e pairA PS-2 andfair the vpeuified waVI caveiiiing and o6ifing Lump
C,3
wring as desaribed on A2, A3,-
ALTERNATE #8
Item
Descelption Quantity Unit 11, 'Total
No. i Amount
Substitute VCTA for PT- I ini, W, ir 005 and Skmag Me M as desaTibed on Dirawing Lump
Sheets A 1, A3d1 Suffl)
ALTERNATE #,9
Item Total
No. Description Quanfity Unlit
Amount
Deleorafive wM11 swores (DF4)) grorn Soppe cVVVa* as &-scKlHied an Lump
DraMi�q Sheets A2, A4,
Suix,
M
WIMM
ME=
Tef,epPw)ne Numben
Version 1011712016 Conlyactues Did for Public Worts - 7
CIT'Y OFSOUTH BEND
A"
MINOR11Y ANU WOMEN BUSINESS ENTERPRISE OWERSITY
DEVELOPMENT PROGRAM
FORM MWSE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed Form should be included as part o,f the Bids docuntents; rehated to City of -SavAh Bend Public
Works Projects requiring C. Faith Efforts to obUin NBEJWBE paAidjmfion. It is Am Ividdees solp
responsibility to verify wheffier any listed minocity or woman bufaness amels the qualifications of a Minar,et
y
or Women's ovaied business as defined by Ow Indiana epadinent of Administration (900A"I.
Project Nurnber: 1031-2017 -- Date
Project Name-. Morris Pejfonr�nq Anfts Celer, Mwriis DskF&;1P1a3ais Ldbby Inprovemnets
Bidder:,
Contact Person: A-111w Z Telepbone.- <2
Address:
City: f, 17r& sitale.: Zip:
—ZE 2
Email: IV
To determine whether staid' as denionstrated $Wud failh efforts to reach the MBEMiBE tA14,zali6n,"hs set
forth in the City otsvothiBend its ervc:,� aq. es, bTi) -wds, Im
commissions, REQUIRE ALL of the folMowing Gpad Faft Eftts as Listed iirn Me IaWe,
EVIDENCE OF GOOD FAffH EFFQR'TS
MBEMBE LIST(S): -nie biddler revdewed the Oly of South BeM's Kirvirity and Women Business
Enterprise Diversity Develbpfvent Progrann, wh[ch uses the [00A approved fist of Minority and Women
Owned Brisiness as found oanf their wei bsile (NMpleowwr in.gavhdoa),
ACTION (ADVERTLSEICONTACT): lift (xxter for ycuir Nd to be deeimed responsive, the City of Smith
Bend requires, tfnst a(f peospee6ve Ndders cmmpCete no loss Man 2 of the f0w1ingi-
I . Attend aH pre —bid meetings srhe&led Rvy the it to indaqm MBEMBEs ul conilffading and
Subconlrarfing qppodurt1ies,
2. Advertise in generAl diroirilff4ion and"or hadassmdatbn IpmWicalbarts cancenroing subt)oinbrarting
0,mpartuinAies, mWaSopw MBEPWBEs rear miable., time to resporiyd.
Perform any and all nece-ssr-avy steps to pruviidevritten inotice in a
01-1
to Worm MBFANBEs of suIxuatrading oppouturioities, grad aftii suffident 0ifrne foT thleyn to
paTtzirmte effectively.
Utffize pre-existkTg semIces oq availlalVe cornmurtity, organIzations, smallil andlor disadVarTtaged,
9
business asslistance offices myril edier oTgaywizatims Mal 1pwMi pd assistance in Me reCarlo ifivent
and pharmimnit of NBENVOE ftins.
—Bidder must drde or oJberdise nolate' wbJeb op The two wry) required actions were peilm-nvd.
GOOD FAITH NEGOTIATIONS: The bidder negpbated in gped falh twhlh inteaested MOFONBEs,
including providing such MBFJWBE`s With adequiale inifferniggion wort the plarts, sipe6fic.-Aiams wwd other
requirernents of the subcmntradt and did not r*edt h48ENVBEs as mPqu4Nfkk1 w0mul smitrd h4jisliness
reasons based on a dimfough inves6gatiam of fireiffcaphddles.
SMALL CONTRACT(S): The �Mdar seecled specibc pmitians of the wwk to be pedmwed by
MBEfWBEs in order to huipAse the 9,kcAhiovd of mRefing Me RIBOWBE its (including bredkihq down
contawAs into smaller to its to bedUale MBEW$BE paflktpadion)
CONTRACT RECORDS- The tgddeT has fiffai�ntaiwed We fd3avvitV mmrds fkN- each MSEYWBE aud has
1xid (m the saboDntraz0yg oppzxtui!6ly.:
1 . Name, address,, and teleplione Mflnber-,
2. A description of informaftn provided by the bidder off submilreduu, and
3. A statement of whether an agmequeni upas ffeaulred, and il frict, why not, induchng any ffeamas for..
canctudikag that the RNBE1WRE oms unquatified, fm p,pedbimiil the �(ab.
*Proper demonstration of Good Faith Effort requiffes your inifials next to a0l of the above boxes. Ally
omis,sions shall be considered gvounft foc woefion of the bid by the Board of Public Works. T'tw City of
South Bend reserves the right to request aiddifional information.
Version 10/170-016 coffAracloir's, 9140 foAr pub4c wvfks - 9
CRY OFSOUTH BEND
MINORFrY ANO WOMEN BUSINESS ENTERPRISE DWER&TY
OEVELOPMENT PROGRAM
FORM MWBE-2.1 J.
MBEIWBE CONTACTEO
T�qllc p�.eled n" hE��5 d da —Pu �Mic Wo �ks P�tojoc7
0 4 acp 0 a �end Ole fesj3o';� b53! 4ty to
'om nt '0 s B "pp 7G E It �l %it bidir'- a J�
lr� - t �dmM E bir O� ft "OAS S 0 S
wit e Iny lis OuW m a I btl in 5 els tile �uaji lio f Mi i
bu eth r� to in s "s m rwa a s a ji y of ejn�s 0 0
sirless. no d
In
MBE Rnm
Owner or Contact at MBEANBE Fiim
Telephone:
Fax:
TYPE OF WORKSOMITED FOR THM PROJECM
RESULTS OF CONTACT WITH THE IABFJWBE RRM �
MBFJWBE Fhm
Um=
um
TYPE OF WORK SOLICiTE-0 FOR THIS PROJECT:
RESULTS OF CONTACT W4TH THE MBEMBE F9R#4'_
PAGE —,—I ___PF`_/
MBEIWBE Participation Goall
EmAk�
Versaorr 101,17V2016 colorzymm"s few fcq saleevi , sic Vzolik'_ , 110
CUT "- SCRI11H BE
JURNORYTY AMID WORMER SUSNESS E14TERFIESE 19NEIRWIV MN,
UYEVELOWNEW,j
FGM,g NWBEA.0
USEMBE PARTXHPATKM9
This completed form should be supplied with Bids thaA pedaifn to CiAy of Saufffi Bend PWdijc WovkS Pxojecls involvpars q UJIBUMPLE Padickpation.
It is the bidder's sale responsibility to verb wttether any Usled mimwtky orwaman Ibusi4wss amets ahe q1NArdicaticas of a minwiv orwonna's
owned business.
Noject Ndjrnbet; 11031-2017 Rqjazt Navr*e� Uk&y
T�OAWAIAmvmit�
Bidder: PABE M"BE, C"aaa.
fgana & Address, 10 6AREWBE IPNM2V,Y CATIflad PWSWII8 S MpEd 5ye/afk fto b, 6� Pedurn ved
!� #N&T,,FfTFJ 14ph ma) 'rkbadhw+ r, F�Y.,mI i.u.#u.i aU ym tn&md abdfincri 11 Onnniporno)
tv,�r 0e-
SubmR,led bmR,led �Yyr�
asne
Voision 1017rA116 Centart n'J's &d ke PAV VAAG - FA
CV, t1t12JU
/Z
raof.j, I
James A. Mueller, Merribw
Attest- [Aida M., MaTfin, Clerk
IP'hen ffie pimyeeefive ( ipdraekpr h; unable 9do tywqq r its dqp el"Ilde INlow, id "Whall amocli wo exl4awfidon #o AA A lidee vie.
(,"ONTRACTOR'S NOIN-COLL L'SION AND NON-VERARAVENTAFFIDwil', CERTIFICATION
REGARDING INVESTMENT WITH IRAN,, ENIPLOVMENT ELIGIBILITY VERIFICA'HON, NON-
DISCRI51INATION COMMITMENTAND CERTIFICAT90N OFUSE OFUNITED STATES STEEL
PRODUCIS Oft VOUNDRV PRODR.W"S
I'Wuv be eop??P�Cwd tin, "d) quojes aW bh1y, a)qw ox print)
STATE OF-
)SSS:
2�_ COUNTY
The k1n&rSig"ed G iffllg dfAfiy SWW" VIrAM wJ0111, 'Aff'ijv1T(' the ryen'Mflics of rfz�jlory
that.
I , Contraclor has not, nor has arty 0101CIF Iftlenflyer, wilruseploaltive, Or agent of 11W finnan, company,
corporation or parlpimship represeuded 1by hion, cntemA into any comm Notafion, collusion or agwenDent wiffi
any person 1-clalive to the gy.fice w The Wid 1by anyone &Lsuch it ift.'ing Tim to 1 rewull any PCISson from bid"drng
P
nor to induce anyone to refrain fivnn biddtoig-wki tbag this Will fs rju& without reference to any another' in and
without any agxremeral, understanding or coanbination widD any oq1ter person in refeFence ro such bidding.
Contractor fiarther says that no person or pffsons, fomDs, or, corixtrafion: has, have or will m6ve diffectly or
indirectly, any reb.hle, fe, gifi, cognunission or AingojrN.fiRuE�e 04M 2L �Cejabna of such safe l and
2. Contracgor cerfifirs by subanission olf ahis jpwpod (hat neither cankactiar nor any of i4s pfiincipals
are prescittly debarred, suspoided, pixygmsed fordebanurnt, declaned inefigible, or vounlafilyexclufded fium
participation in this transaction by any FcdcrM dcparmwnli or agetwy; and
3. Conkfactoir [vais not, nor hzs' any ""u"Ceessfalf tva, iam, aam ;&DRUate ef, Conftaktmr, (engaged in
investment activities in frin.
a. For purposes of this C,'ertification, "iran" nwarts the governawnt of Iran a#-vJ any agency,
or insirtruncoda1hy of inan, or, as offitrwisic defincd at Ind. 0xRe § 5-22-165-5, as
amended froan fialw-W-fialne,
b. As provided by Ind. Code§ 5-22-16.5-8�, as apnended fix)m tint e-lo-fione, as Contractor
is engaged in investment activifics, in Iffan ifeiaher-
1. Contractor, its Slocces&ox oi- ids "affiliate, pmvides geods oo- seivices of Twerily
million dollars- (S20,M.,(W) OT 11AW9V ion value in file claqgy sector, of Iran;
or
tL Contractor, itssuiccessar or its aftikiaxe. isat financiat jVJSLfittjafion drat exlends
twenty Aniffion dollars (S20,0(W,040� or on in crrdit to anoffici- 11nn'on Iror
forty-five (45) days, or nioTe, if flyM perAin wifl (i) use the credit to provides
goods and services in the cnergysec4or in Inin-11 and (ii) at the 4hre dhe
fin,ancial insfionion extends ewdit, is a pctson idcnfified on list published by
Aw Indiana Depailmerift, of
Version AWIP2016 CvP&q?e,,cT's Bk& ter' PkNk WcwVs - 3
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any
employee or contract with a person that lhie Contractor s-rtbscquuendy learns is an unauthorized alien.
Contractor agrees that he)sheii't sllrall cnro91 iin and verify t11rc w,iwik •tligibility status of all of Contraclor's
newly hired entployees through the E-Veuify Programs as defamed by LC. 22-5-I_7-3. Contractor's
documentation of ernrollnnwnt and pailicipatiorn in the E-Verify ho arse as included and attached as Pram of
this bid/quote; and
S. Contras for small T*quuira hisil;erlits sw, ornt .t rs 1przsfi®rr!nivag work ufWer tl& prablie courgact to
certify that the subcontractors do not k nouinglyemploy or contraa with an unauthorized alien, nor retain
any employee or contract with a persona that the subcontractor subsequently learns is an unaundtorized Qahen,
and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees
to maintain this certification throughout the terns of the contract with 69nae City of South Bernd, and understands
that the City may terminate the conttact fear defaaalfl if the Contractor fails to cure a; breach, of this prevision
no later than thirty 00) days .after being notified by the City..
6_ Persons, partnerships, corporations, associations, oryoin6 ventuurerss awarded a contract by the City
of South Beni through its ;agencies, boards, or commissions shall ROI discrirlinak agauirns9 any emmployee or
applicant for employment in the perforua m-e of a City contract with respect to hire, tenure, temTs, ctradieions,
or privileges of employrnena, or any ntuater ulirmtly or indirectly related to employment because of race, sex,
religion, color, national origin(, ancestry, ate., gerrder expressianun, gender identity, sexual orientation or
disability that does riot affect that person's ability to pe€-fornt the work.
In awarding contracts for the purchase of work, labor, services, supplies, cc-lnripownt, matcrials, or any
combination of the foregoing including, but not Knifed to, panlaliia wwvrks contracts awarded under public
bidding laws or other contracts in which public bids are not required by law, the City, its age ie* boards,
or commissions may consider the Contmdoi s good faith efforts to obi aian fma iiifaation by, those Contractors
certified by the State of Indiana as a Minority Busincss ("MBE") or as a Women's Business Enterprise
("WBE") as a factor in determining the lowest, responsib9e, rcWnsive (bidder.
In no evert(. steal$ Persons or cndaties seeking the auwvaW of City contract The required to award a subcontract
to an MBE/WBE; however, it nmy riot unlawfully discrrirunnr,aate against said WBEIMBE, A finding of a
discriminatory practice by the City's• MBEf'`n BE Utilization Board shall prolnibiit that person or, entity fins]
being awarded a City contract for a period ofonc (1) year from the data of such determianation, and such
deterunination may also be gcounds for ter'urninati,ng the contact flrnr- Whrucb the da-Criminatstry practice or
noncompliance pertains.
i. The undersigned contractor agrees that lire following nondiscrimination cort milmetnt shall be made
a (tart of any contract which it may henceforth eater into witlir the City of South Benin, lurdiana or any of its
a gel 6es, FjYOAxds Ur Cum.l4rissiDns.
Contractor agmcs root to discrimmiaza c a inst or- "rrutimidaile any cunnpHoyec or applicant for employment in the
performance of this contract with privileges of employment, or any nutter directly or indirectly aclated to
employment, because of me, religion, color, suer gender expression, gender idmlity, sexunal o ienta,6ion,
handicap, cnatioa a1 urrigin or wwestury.. Brc@r-h faf tlroiifi Plovisik n nmiy The regarded as wateda;l breach of
contract.
1, the undersigned bidder or agent as contractor can a public 4%,mks; project, understand nay statutory
obligations to (lie use of sleet produucts or lrouundzyr products made in flue United States (I,C. 5-16-8-1)..1 hereby
certify that I and all subcontractors enipRoyred by me for this pruiect will use steel products or foundry
products made in the United States on dhis proje+c6 if awwmr-ded. 9 under -stand I have an affirnmiive duty to
notify the City in my bid that rnny proposal dares rung include the use of steel products or Foundry prod acts
made in (lie United States. I uunders¢aand it is uny sale obligation and. responsibility to provide a justification
to the City, subject to review and approval, why the cowl of United States nmde steel or fonundty products is
unreasonable. Prior to award and upon submission of bid which d not use steel products or foundry
products made, in the United Stales, dne City, thffo ugh its disector' oflnaullnlic works, shall make a deterrmrirnation
if the price of United Stages urtadc steel or foundry is a rnmwiannau(ble. I understand that violations hercunder
Version 10117t2016 CorntraAzto,`s l< d for Public Works - 4
may result in fimfeiture ofcoNjjarac#�raq
EM
I hereby affirm tinder the lwnallies of perjury that the Cacks and infogamfion contained in the foregoing bid
for public works are Ifix and cosireq.
Datcd this 0 /--. d;ay oft '-A1G, 201:7
j s
taorlltigtrut
-IF
ai i� /Bidder or Oils A,
//CIL
I Nam= andTille
0 k
Subscrik-xd and sworn w bef6re aw, I�Ijs Z_ I day of`D_QP_-tffl�)QV_ 20
Aff
Nab[y Public
County of Residence
traiq Mamela Galvan 4
'a
rl
Notary Pubkc SeW Statc, of Indiana
St. Joseph County 7,12 1 i5
Commission A 702616
6
My 0 16 0
My Commission Expi(es 07116t2O2.6
F�� lOcAoylrm
Version 1011712016 OMIlkWtOf'S Dd lbr Public Wcfks 5
proj,ect Narne Morris Performing Arts Center
Morris Bistro/Palms Improvements
proieet NQ_ 1031-2017
For Bids Due December 21, 2017 9:30 AM
Frorn time to time the South Bend Brkmd of Public, or finds it newssary to reJecq a bid because
it does not compty vwth statutory irequire ments. In preparkig Vattr bid, please use the foRowing
checklist in order to make sure that. your mid us done in the proper manner.
Proper bid securdy included. The Wdder has the ophon of providing eigher a Cedifted Ctwck
or Bid Bond.
Bid prepared on 11he City d Suuth Bend Conlract(Ws Bid for Public Work FoTm. (=npletely
execute,d.
Contractars Non -Collusion and Non -Debarment Affidavil, Ceylification Regarding Inveshvients,
with Iran, Employmen! Efiq'jUlhy VehficaWvon, Nora- D4sr,6jwD1n&Won Commalmena, and
Certification of use of United States Steel Products or Foundiy Paxlurcls.
Proof of MBEIWBE Parlicipation Gael Form it aiin(rnum participaVon goal is not
met, also provide Eviklenre of Gnud Faith Effods Form JMWBE-22.01 and MBEMBE Contacted
Form [MWBE-2.11.
V" Acknowledge Receipt of Addendunn(s), included rug h the bid..
All required addiflonall ijinfomnnaWi it rnrOuded wiM Me Md.
Proposal statements and Wier affidavits alil signedi by the Proper party with name either
print or typed auto devmalh!Mro ,;natlme.
This checklist submitted with the Did
This checklist its provided for b,iddees amse in assufring compliance Walb required
documentation; however, it does not include all spy ecNications requirements and does not
relieve the bidder of the need to fead ;and comply with the speci,fications.
Bidder: Dalw
By Authorized Representafiv�&:
Signature,
Print Narne& Title-
:X iAb A3.,.-A
Version 10/17'12016 Conhadei"s Did for PoWc Vecgks - 11