HomeMy WebLinkAboutOpening of Quotations - FLIR Traffic Camera Replacements Proj No 118-006 - Hawk Enterprises Inc-131
CITY OF SOUTH BEND, INDIANA
CONTRACTQRYS!QUOTE FOR PUBLIC., WORK
PROJECT NAME- FUR T'raffic Camera Replacements
PROJECT NO. 118-006
QUOTESIDUE Jlanui�!ry-23,20118at9:30am
(Must be completed for all quotes. Please type or print)
Date: 01/23/18 — Firm: Hawk Enterprises, Inc.
Address: 1850 E. North Street
City/State/Zip: Crown Point, IN 46307 Telephone Number: 219 662-8090
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:
FUR Traffic Camera Replacements, Project NA 18-006
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
The City of South Bend, Department of Public Works
and dated 01/23/18 ] . for the sum of (enter the Total Quote as shown on the Proposal)
One hundred sixteen thousand, four hundred seventy and 010/100 ($ 116,470.00
(Enter Sum of Total Quote on Proposal) (Numerical)
If alternative quotes 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 quote is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachna".
The above quote is accepted this 23rd
Subject to the following conditions: N/A
0 11 0, "1 ,
Cary A. Gilot, President
Elizabeth A. Maradik, Member
James A. Mueller, Member
MIIIIIIIIIIIIII11
Plank, President
(Printed Name
day of January 20 18
Suzanna M. FrItzberg, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
Version 10131/2017 Page - 7 Public Works Quote
QUOTEIPROPOSAL,
PROjECT NAME FLIR Traffic Camera Replacements
PROJECT NO. 118-006
*UOTES DUE January 23, 2018 at 9:30, am
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
1
Maintaining Traffic
1
LS
$5,700.00
$ 5,700.00
2
Vehicle Video Detection System
11
EA
$10,070.00
$ 110,770,00
Total Amount of Quote
116,470.00
Firm; Hawk Enterprises, Inc.
Address: 1850 E. North Street
City/State/Zip: Crown Point, IN 46307 Telephone Number: (219 ) 66 -
Fax Num r: C 219 )/662-
By K
(Signattre7
Johanna Rank, President
(Printed Name of Person Signing)
Version 10/311/2017 Page - 11 Public Works Quote
When 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 Indiana )
) SS:
Lake 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
tune -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
Version 10/31/2017 Page - 8 Public Works Quote
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). I hereby certify that I and all subcontractors employed by me for this project will use steel
products or foundry products made in the United States on this project if awarded. I understand I
Version 10/31/2017 Page - 9 Public Works Quote
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 23rd day of January, 2018
Subscribed and sworn to before me this 23rd
My Commission Expires 10/14/23
County of Residence
Hawk Enterprises, Inc.
Contra rBidder {Fi
Sivkiuyof Contract rBidder or Its Agent
Johanna Plank, President
Printed Name and Title
day of Janua , 2018
atary Public
LaPorte
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`�`,k''�,
G REGORY PAUL NEULIEB
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Notary Public, Siaie of Indiana
taPorle Counly
'. sIAL :
Commission # 674263
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My Commission Expires
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October 14, 2023
Version 10/31/2017 Page - 10 Public Works Quote
Ate= V CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDmYY)
113012017
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsements .
PRODUCER
Arthur J. Gallagher Risk Management Services, Inc.
650 E. Carmel Drive, Suite 400
Carmel IN 46032
ry'MEACT Joni Linhart
PHaNe 317-587-1330 FAX 317-810-4930
E-MAIL joni_linhart@ajg.com
INSURERS AFFORDING COVERAGE
NAIC N
INSURER A; Phoenix Insurance Company
25623
INSURED
INSURER B: Charter Oak Fire Insurance Company
25615
INSURERC:Travelers Indemnity Company
25658
Hawk Enterprises, Inc.
1850 East North Street
Crown Point, IN 46307-8566
INSURER D :Travelers Property Casualty Co of A
25674
INSURER E
INSURER F :
CnVFRArIFS CERTIFICATE NIIMRFR- 1497747967 REVISION NUMBER --
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
INSD
D
POLICY NUMBER
POLICY EFF
MMfDD1YYYY
POLICY EXP
MMIDDIYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE �X OCCUR
DT-CO.91-1818638•PHX-17
2/1/2017
2/1/2018
EACH OCCURRENCE
$1,000,000
A AGE ToRNTED
PRIM SES EaEoccurrence)
$300,000
MED EXP (Any one person)
$5,000
PERSONAL & ADV INJURY
$1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY JE'CT- [XI LOC
OTHER:
GENERAL AGGREGATE
$2,000,000
PRODUCTS -COMPIOPAGG
$2,000,000
$
B
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
DT-810-OJ382147-COF-17
2/1/2017
211/2018
Ea accident
$1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
$
C
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
CUP-DJ675D73-17-2fi
211/2017
21112D18
EACH OCCURRENCE
$9,000,000
X
[1
AGGREGATE
$9,000,000
DED X RETENTION$10,000
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE —N
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
IT yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
UB-OJ675602-17-2fi-G
2I112017
2/1/2018
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE - POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
RE: Contractors License
ULK I Irtl:A I L MUL L]ILK
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
St Joseph County/City of South Bend Building THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
& Permit Department ACCORDANCE WITH THE POLICY PROVISIONS.
125 S Lafayette Blvd, Ste 100
South Bend IN 46601
USA AUTHORIZED REPRESENTATIVE
'�'z14-
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