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HomeMy WebLinkAboutOpening of Bids - Fire Station #9 Project No 116-012 - Ziolkowski Construction IncProject Name Fire Station #9 Project No. 116-012 For Bids Due February 27, 2018 at9:30 AM Local Time PART I (Must be completed for all bids. Please type or print) Date: February 27,2p1'8_ Bidder (Firm): ZiQlkowaki C nstruction. Inc. Address: 4050 Ralph Jones Drive City/StatelZip: South Bend, IN 46628 Telephone Number: ( 574 ) 287-1811 Agent of Bidder (if Applicable): n/a Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to, complete the public works project of: Fire Station #9 the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Epoch Architecture + Planni and dated 1 /31 /18 — for the sum of (enter the Total Bid as shown on the Proposal) nln4 ef- yvv" 'Six 4 1 V� 9 ta UM&O- aX1--ffiQ-12$6k ($ 3, (oC) ..3.000 (Enter sum of Total Base Bid shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with thi's 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 attachment. The above bid is accepted this Subject to the following conditions: Gary A. Gilot, President By (Signature) Bill Favors, President (Printed Name of Person Signing) ACCEPTANCE day of Suzanna M. Fritzberg, Member Elizabeth A. Maradik, Member Therese J. Dorau, Member James A. Mueller, Member Attest: Linda M. Martin, Clerk NEI Version 10/1712017 Contractors Bid for Public Works - 2 BID/PROPOSAL CITY OF SOUTH BEND Project Name Fire Station #9 Project No. 116-012 For Bids Dote February 27, 2018 at 9:30 AM Local Time BASE BID Item No. Description Total Amount I Base Bid -0�`ASE BID TOTAL t to 0 G 1� Q M FTV I cul In 014 il I lot in Item No. Description Total Amount 1 Provide price provide and install turf in lieu of streetscape rain gardens along 21st Street. ALTERNATE #1 TOTAL < a ALTERNATE #2 1ADD1 1 1 Auo Item No. Description Total Amount Provide Iprice to provide and install two digital LED signs. The digital signage box assembly would mount on the face of brick base. 2 Electrical contractor to provide power to digital signage. Electrical contractor to provide power to digital signage. ALTERNATE #2 TOTAL C)CDC) ALTERNATE #3 (DEDUCTI Item No. Description Total Amount Provide price to provide and install epoxy paint in lieu of tiled walls in the following locations: 3 a. Decon Room 114. A full, accessible, shower surrounds in lieu of the alcove tile walls. b. Bath 2A, Bath 2B, Bath 2C, and Bath 2D. A full shower surround in lieu of the alcove tile walls. ALTERNATE #3 TOTAL \> ALTERNATE #4(ADD), I Item No. Description Total Amount Provide price to, provide and install two roof dormers on the West 4 elevation of the building on the residence roof. This should include the over -build framing, flashings, trim, siding, roofing assembly and windows for the two dormers. ALTERNATE#4 TOTAL � k 1 41,14 Bidder (Firm): Ziolkowski Construction, Inc. Version 10/1712017 Contractor's Bid for Public Works - 7 ALTERNATE #5 (ADD) Item No. Description Total Amount Provide price to provide and install four skylights on the residence 5 roof. This should include the skylight, flashings, solar tube ducts and ceiling trim kits for the four skylights. ALTERNATE#61ADDI ALTERNATE #5 TOTAL I I I J-k Q-CD— Item No. Description Total Amount Provide price to provide and install two skylights on the apparatus 6 bay roof. This should include the skylight, curb, flashinigs, segment of solar tube duct for the two skylights, ALTERNATE #6 TOTAL 6 S c) o ALTERNATE #7 IDEDUCTI Item No. Description Total Amount 7 Provide price to provide and install prefinished aluminum copings in lieu, of cast stone copings. ALTERNATE #7 TOTAL ALTERNATE #8 IDEDUCTI Item No. Description Total Amount Provide price to provide and install premium vinyl siding and trim in 8 lieu of fiber cement board siding and trim on the second -floor bump - out dormer on the West elevation, ALTERNATE #8 TOTAL ...< ALTERNATE' #91DEDUCTI Item No. Description Total Amount Provide price to provide and install face brick — standard modular, 9 running bond pattern, stretcher position. (base level) in lieu of "Cast Stone Panel 4" and "Cast Stone Panel 5". E)DAJA ALTERNATE #91 TOTAL < I I � ALTERNATE #10 IDdCTI Item No. I Description Total Amount Provide price to provide and install rigid insulation in lieu of spray, foam insulation in masonry wall cavity. Assembly from CMU wall 10 outward shall consists of the following: a. Fluid -applied weather barrier. b. 2" Extruded Polystyrene Insulation (XPS)— R-101 Minimum ALTERNATE, #10 TOTAL a JS 1 6 C)o Bidder (Firm): Ziolkowski Construction , Inc. Version 10/17/2017 Contract&s Bid for Public Works - 8 k�A ALTERNATE#11(DE hd CTI— MUST SELECT ALTERNATE #12 IF SELECTED Item No. Description Total Amount Provide price to provide and install rigid insulation assembly in lieu of spray -foam insulation in pitched roof attic spaces, Assembly from metal roof panel inward shall consist of the, following: a. Synthetic roofing underlayment & roofing felt; no change between base bid and alternate. b. Roof sheathing; no change between base bid and alternate. 11 c. 2x pressure treated sleepers 24" O.C. for ventilation, d. 2" Extruded Polystyrene Rigid insulation (XPS) — R-1 5 Minimum e. 3" Polyisocyanurate Rigid Insulation — R-1 6.8 Minimum f. 5/8" plywood sheathing'. g. Metal roof trusses; no change between, base bid and alternate, **If alternate is selected Alternate 12 must also be selected, ALTERNATE #11 'TOTAL &I _,:y 00 ALTERNATE #12 (ADDI — SELECT ONLY IF ALTERNATE #11 IS SELECTED Item No. Description Total Amount Provide price to provide and install vented aluminum soffit in lieu of 12 non -vented and vented hip/ridge vents in lieu of non -vented. "This alternate must be selected if Alternate 11 is selected, otherwise: Base Bid remains as detailed and specified. ALTERNATE #12 TOTAL i , auc Fill 111111121.1111 r!% If" Item No. Description Total Amount Provide price to provide and install batt insulation in lieu of spray - foam, insulation under second -floor at rear porch ceiling area and at the second -floor bump -out dormer on the West elevation of the 13 building. a. 12" batt insulation between Joists, Tight friction fit, b, 5/8" exterior grade sheathing. c. Air in-filltration barrier; vapor permeable, ALTERNATE #13 TOTAL < I (D(D.00 N1. ALTERNATE #14 1ADD1 Item No. Description Total Amount Provide price to provide, and install insulated aluminum doors with aluminum frames in lieu of insulated steel doors and hollow metal 14 frames, for the following: a. Door 100A; including transom, framingi. b. Door,108; including transom framing. c. Door ST-1; including transom framing. ALTERNATE #14 TOTAL , Bidder (Firm): Ziolkowski Construction, Inc, Version 10/1712017 Contractor's Bid for Public Works - 9 ALTERNATE #15 (ADD) Hem No. Description Total Amount 15 Provide price to provide and install aluminum storefront framiing in lieu of hollow metal door and si Lelightj mming at Door 111. ALTERNATE #15 TOTAL Bidder (Firm),: Ziolkowski Construction, Inc. Address: 4050 Ralph Jones Drive City/State/Zip: South Bend, IN 46628 Telephone Number: 5714 1 287-1811 By (Signature), Bill Favors, President (Printed Name of Person Signing) Version 10/17/2017 Contractor's Bid for Public Works - 10 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: 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 bid. 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 -tine, 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. Version 10/17/2017 Contractor's Bid for Public Works - 4 Contractor agrees that lie/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). 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 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. Version 10117/2017 Contractor's Bid for Public Works - 5 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 27th day of tFebbruap po 2018 Subscribed and sworn to before me this 27th My Commission Expires March 1, 2020 County of Residence Ziolkowski Construction, Inc. Contractor/Bidder (Firm) Signature of Contractor/Bidder or Its Agent Bill Favors, President Printed Name and 'title day of February 2018 Notary Public bhannon Reidenbach StJoser)h SHANNON REIDENBACH Notary Public- Sea, State of tnaiana MY COMMSSW Exp¢res Mar 1, 2020 Version 10/17/2017 Contractor's Bid for Pubflc Works - 6, M Ma -1" CHECKLIST FOR BIDDERS, Project Name Fire Station #9 For Bids Due February 27, 2018 at 9:30 AM Local Time From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check X or Bid Bond, Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X 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,O] and MBE/WBE Contacted X Form [MWBE-2.1 ]. _X_ Acknowledge Receipt of 1,2,3 Addendum(s) included with the bid. X All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either X 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: - Ziolkowski Construction, Inc., Date: February 27, 2018 By Authorized Representative: Signature: Print Name & Title: Bill Favors, President Version 10/1712017 Contractor's Bid for Public Works - 1 PART II (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his bid. Attach additional pages for each section as needed. "Please see attached* SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) As directed by the Arch itect/Construction Manager 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. If Subcontractors will be used we will submit this information 24 hours after notification. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. If Subcontractors will be used we will submit this information 24 hours after notification. 4. Attach a listing of equipment you have available to use for the proposed project. Whatever is required to complete the project properly and on time. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. Yes SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 10/1712017 Contractor's Bid for Public Works - 3 "'N ui ui Z, C) 0 ui Z F- ui z C) cio uj 0 (L X Co CL ui U) 03 LLI F- 0 z Z (1) V5 w jL U. 0 co a. w Im 0 0 Z i LJ. w uj Z3 n > U, 0 LU z 0 z 9 w m CO 4- 50 LU ca 5.2 :3 > rr o 4) 0 CL E w 0 E L 0 -0 0 Im 4" = 0 0 r- U) E 0 0 0 4) > 0 0 0 = CL CL 0 CL 0 = L. 0 CD 0 0 �O C S 4) 0 M E 0 0 Q E 0 0 CE 'a 0 r= Z; 0 0 m 0 0 CL ff 0 E 0 4-- 0 CD 'ru 0Zn OL 2 0-, Fn 0 CL E 0 0 E 0 w in 0 mLu CL (n 7-0 a) .2 0 0 CL U) CL 0 -0 as c 0 w ca 00 06 a) E 'm z FS a) L.L. 4- a a) o co L.L. KA: E U) I a) E m z 9! See News CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM 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 MBEANBE 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: 116-012 Fire Station #9 Zio,lkowski Construction, Inc. Contact Person: Richard Freeman Date: February 27, 2018 Telephone: 574-287-1811 ext 226 Address: 4050 Ralph Jones Drive City: South Bend — State: Indiana zip: 46628 Email: rfreeman@zbuild.com To determine whether a bidder has demonstrated good faith efforts to reach, the MBEANBE 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 MBEfWBE 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/ldoa). ACTION (ADVERTISE/CONTACT): 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 MBEANBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation andl/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 MBEANBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively, 4. Utilize pre-existing services of available community organizations, small andlor disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBEANBE firms. "Bidder imust circle or otherwise notate which of the two (2) required actions were performed. Attached GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBEMBEs, paper Ad including providing such MBEMBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBEANBEs 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 Iby MBENVBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down contracts into smaller units to facilitate MBEANBE (participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBEANBE 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 MBEANBE was unqualified to perform the job. *Prover demonstration of Good Faith Effort reauires vour initials next to all of the above boxes. Anv omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 10/17/2017 Contractor's Bid for Public Works - 12 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 MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listedminority or woman business meets the qualifications of a Minority or Women's owned business. PAGE OF Project Number: 116-012 MBEIWBE Participation Goal Project Name: Fire Station, #9 Bidder: Ziokowski Oonstruction, Inc. By: President February 27, 2018 /(Signature) (Title) (Date) MBEANBE Firm Owner or Contact at MBENVBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS, OF CONTACT WITH THE MBE/WBE FIRM: MBEIWBE Firm Owner or Contact at MBE/WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS, OF CONTACT WITH THE MBE/WBE FIRM: Version 10/17/2017 Contractor"s Bid for Public Works - 13 AIA Document A31 OTM -2011, CONTRACTOR: (Name, legal staters and address) Ziolkowski Construction, Inc. 4050 Ralph Jones Drive South Bend, Indiana 46628 OWNER: (Nante, legal status and address) City of South Bend, Board of Public Works 227 West Jefferson Boulevard South Bend, Indiana 46601 BOND AMOUNT: SURETY: (,Vanie, legal status and principal place of business) Liberty Mutual Insurance Company 175 Berkeley Street Boston, MA 02116 Five Percent of Accompanying Bid 15% of Accompanying Bid) PROJECT: (Name, location or address, and Project number, ifany) Fire Station # 9 Project No. 116-012 ThIs document has Important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singutar reference to Contractor, Surety, Owner or other party shall be considered plural where applicable, The Contractor and Surety are bound to the Owner in tile amount set forth above, for the payment of which tile Contractor and Surety bind themselvestheir heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such dial if the Owner accepts the bid of the Contractor Nvid-lin 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 terins of such bid, amid gives such bond or bonds as may be specified in tile 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 matcrial furnished in tile prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the ainount specified in said bid and such larger arnount for which the Owner may in good faith contract with another party to perfonn the work covered by said bid, then this obligation shall be mill and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of all agreement between the Owner and Conti -actor 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 Conti -actor shall obtain the Surcty'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 teen Owner shall be deeined to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in tile location of tile Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deerned deleted lierefroin and provisions conf6rafing to such statutory or other legal requirement shall be dectned incorporated herein. When so funrislied, tile intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and scaled this 27th day of February, 2018 Ziolkowsk( Construction, Inc. V� X �'�K "Z CL_4"_)(x'C'V' (Princip, 'I) (Seal)_ (7 , i*)Bill Favors, President Liberty Mutual Insurance Company (Bern (Seal (H'7tne88) Shannon Reidenbach �1 L11Z ess) iniy Garcia (ff , itle) Adrienne C. Stevenson, Attorney-Iln-Fact STATE OF ILLINOIS COUNTY OF COOK I, C.R. Hernandez a Notary Public in and for said County, do hereby certify that Adrienne C. Stevenson as Attorney -in -Fact, who is personally known to me to be the same person whose name is subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that they signed, sealed, and delivered said instrument for and on behalf of LIBERTY MUTUAL INSURANCE COMPANY for the uses and purposed therein set forth. Given under my hand and notarial seal at my office in the City of Chicago in said County, this 27`1' day of February A.D. 2018 f*lotar �.W C R HERNANDEZ Official Seat Notary Public - State of Illinois 1, My Commission Expires Jun H, 2020 ,�� THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. 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. . Certificate No. 7963685 Liberty Mutual Insurance Company The Ohio Casualty Insurance Company . West American Insurance Company . POWER.OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of. Massachusetts, and .West American Insurance Company is a corporation duly. . organized under the laws of the State of.lndiana.(herein collectively called the"Compantes"), pursuant.to and by authority. herein set forth, does hereby name, constitute and appoint, .` Katherine J: Foreit John K. Johnson; Adrienne C. Stevenson; Trtni Garcia C: R, Hernandez• Gabriel Jac uez• Amy B. Wickett all of the city of CHICAGO state of IL each individually it there be more than one named, its true and lawful attorney in-factio make, execute, seal, acknowledge. and deliver, for and on its behalf as surely and.as.ils act and deed,: any and all undertakings, bonds, :recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested bythe secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed -by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed. thereto this 14th day of December 2017 �5Y tNlSU >-4n StrR� �t ti'1 err . The Ohio Casualty Insurance Company m r , Liberty Mutual Insurance Company "ts N cu 1991 West merican Insurance Company b �.^ C � � 8 y David M. Care , Assistant Secretary. STATE OF PENNSYLVANIA $s h0 co COUNTY OF MONTGOMERY _ C A 0) On this 14th day of December 2017 before.me personally appeared David M, Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance v v d! Company, The. Ohio Casualty Company, and.West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes > Ul O t<s therein contained by signing on behalf of the corporations by himself as a duly authorized officer. - s�..E 0 ;v > IN WITNESS WHEREOF, I have hereunto subscriped my name and affixed my notarial seal at .King of Prussia, Pennsylvania, on the day and year first above written. O I'A5T COMMONWEALTH OF PENNSYLVANIA s.grrrc Nolarrai Saai Q d /�/ BY. ' i ^ Teresa Pastena, Notary Puwic q(. Upper MerioriTwp.. Montclomery Cuunly Teresa Pastella, Notary Public I L Z 4) r_ O L d ,r My Commission Expires March 2a,2021 : � � ntYt-'lr� �C3 �. :; - :t4 d _ G- y r41Cn1tlCr, Pennsylvania /5556CiailOn Pr No{arios -'. - ' . �' �.i�Q $ si This Power of Attorney is made and executed pursuant io and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual .00 i Insurance. Company, and West American. insurance Company which resolutions are now in full force.and effect reading as follows:. 4) ARTICLE IV- OFFICERS =Section 12. Power of Attorney. Any officer.or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject. Ch O j' m to such limitation as the Chairman or the President may prescribe, shalt appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal; + 4) 4 acknowledge and deliver as surely any and all undertakings, bonds, recognizances and other.surely obligations. Such attorneys -in -fact, subject to the limi€ations.set forth in their respective powers of attorney, shall have.fuli power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporalion. When so. > executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under c ip the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority, ARTICLE XIII —. Execution of Contracts — SECTION 5. Surety Bonds and Undertakings, Any officer of the Company authorized for that purpose in writing by the chairman or the president;. � > L and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys -in -fact, as may be necessary.lo act in behalf of the Company to make, execute, rz o seal, acknowledge and deliver.as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys in -fact subject to. the limitations set forth in their :o respective powers of attorney, shall have full power to bind the Company by their signature.and execution of any such instruments and to attach thereto the seal of the Company. When so ca — executed such instruments shall be as binding as if signed by the president and attested by the secretary. p Certificate of Designation — The President. of the Company; acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in- F fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any.and all undertakings; bonds, recognizances and other surety obligations. Authorization - By unanimous consent of the Companys Board of Directors, the Company consehls that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be. valid and binding upon the Company with the same force and effect as though manually. affixod. I, Renee C. Llewellyn, the -undersigned, Assistalit Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance :Company, and West American Insurance Company do hereby certify that the original power of attorney .of wi!ich the foregoing is a full, true and correct copy of the Power of Altorney executed by said Companies, is in full force and effect and. has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of.said Companies this 27 day of 20g \ ) Z BY: 1919 1911 r 1991 v A Renee C. Llewe , ssistant Secretary z 31 of 250 -- 13 16 COUNI Y-("ITY BUIDING, Pi ioi,4� 574/ 235-925 1 227 W. Ji.,ji+xsori 1401JITVARD FAX 574/ 235-91)1 V/ TDD 5'74/ 235-5567 SOUT1 I INDIANA 46601-1830 01ACE �e, C'Try oj,, Sou'rij BEND 1"1`1,'1"F' 13U]"NUEG, MAN'M, BOARD OF PUBLIC WORKS Date: February 12, 2018 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Fire Station 99 Project No.: 116-012 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM I: Date Received: , / i S, This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company- 0 01 (1111.) IS Authorized Signature: 4h Date: r - 13 1 S< 13 1 �6 COUN IN -CITY BUILDING PI IOW 574/ 235-9251 227 W. JEFFERSON BOULFWARD . . . . ...... FAX 574/ 235-9171 8011TH IIHNI), INDMNA 46601 - 1830 I�VACV, 'I'D D 5741235-5567 Cirry Sotrrj i l3E.,,ND PE�'T'E BUTTIGIEG, MAYOR BOARD OF I'UBIAC WORKS Date: February 15, 2018 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 2 Project Name: Fire Station #9 Project No.: 116-012 FA,T , i'Ll e Iffli 0 Date Received: This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. -7 1, Company: /-- t 0 (IA—) Is Authorized Signature: -AR, P) c ;4, — U-,, � -, c-L, Iq - Date: "'. I.- 'I to — I 13 6 C',01M] Y--(',ITY BUILDING Pwin,, 574/2.35-9251 FAX 574/ 235-9 171 227 W. JFFERSON BULEVARD Sni B ouI:NED, INDIA NAO4666 1- 1830 �A- TDD 574/ 235-5567 le, J865 CITY OF Sm.n'i i ffiw) PE: E BLATIGIEIG, MAYOR BOARD 01-? 14.1fill"I WORIcs Date: February 21, 2018 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 3 Project Name: Fire Station #9 Project No.: 116-012 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. Notes: The attached documents are hereby added to, the Specifications and Contract Documents and become a part of herein. Company: e,- k c> t) Authorized Signature: Date: F-K 0, WIM -on WA soudli, 13'end ,rRI BUIN11 The voice that connects us. Date: 02/12/18 Account #:: 135334 Company Name: ZIOLKOWSKI CONSTRUCTION INC, Contact: Address: 4050 RALPH JONES DRIVE City: SOUTH BEND State: IN Telephone: (999) 287-1811 Payments: Method Card Type 419293 02/16/18 to 02/19/18 Other Legals 1 118 $9032 Susan Mahoney (574) 235-6216 legals@sb,tinfo.com Publications: South Bend Tribune SB Online Last 4 Digits Check Amount Gross: $90.72 Paid Amount: - $0.00 Amount Due: $90.72 Seeking MBE/WBE Businesses: Actively seeking bids from cer- tified MBE/WBE businesses in several construction trades to participate in the construction of Fire Station #9 located at 2100 Mishawaka Ave in South Bend, IN. Bid date is February 27, 2018. Plans are available in our planroom website (www.zplan- room.com). if questions arise, please contact Shannon at Zl- OLKOWSKI CONSTRUCTION, INC. at 574-287-1811 ext. 271 or in person at 4050 Ralph Jones Drive, South Bend Hspaxlp 3t 2:16,17&19 s SEG TION I EXPERIENCE QUESTION NAIRE I . What public works projects has your organization completed for the period off one (1) year prior to the state of the current bid? Contract Amount Class of Work Completion Date Name- and Address of Owner $16,473,549 General. 01/2012, IUSB Cancer Research Center $12,274,292 General 01/2016 Lake Central High School $16,920,600 General 08/2011 Kankakee Valley New Middle School $7,663,700 General 02/2013 Mishawaka River Center Apartments 2 What public works projects are now in process of construction by your organization? ContractAmunt Class ofWork Expected Completion Date Name and Address of Owner $27,366,910 General. 05/2016 Purdue University North Central $21,355,975 General 06/2015 Armed Forces Reserve Center $4,824,179 General 08/2015 Mishawaka Central park $9,020,000 General 10/2016 South Bend Airport- New Axrivals Te S. Have you ever failed to complete any work awarded to you? No rl If so, where and why? 4List references from private firms for which you have performed work_ University of Notre Dame, Tony Polotto, LEER, AP, 200 Facilities Bldg., Notre Dame, IN 46556 574-631-4200 City of Mishawaka, Ken Prince, 600 East Third Street, Mishawaka, IN 574-258-1625 Fetters Construction Ina, Steven A. betters, 5417 County Rd 427, Auburn, Indiana 46706 260-927-8516 Memorial Hospital of Health System, Larry Lies, 615 N Michigan St., South Bend, IN 46601 574-647-1000 z Company ID Number: 486671 THE E-VERIFY PROGRAM FOR EMPLOYMENT VERIFICATION MEMORANDUM OF UNDERSTANDING ARTICLE PURPOSE AND AUTHORITY This Memorandum of Understanding (MOU) sets forth the points of agreement between the Department of Homeland Security (DHS) and Ziolkowski C'onstr(Employer) regarding the Employer's participation in the Employment Eligibility Verification Program (E- Verify). This MOU explains certain features of the E-Verify program and enumerates specific responsibilities of DHS, the Social Security Administration (SSA), and the Employer. E-Verify is a program that electronically confirms an employee's eligibility to work in the United States after completion of the Employment Eligibility Verification Form (Form 1-9). For covered government contractors, E-Verify is used to verify the employment eligibility of all newly hired employees and all existing employees assigned to Federal contracts or to verify the entire workforce if the contractor so chooses. Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C. § 1324a note). Authority for use of the E-Verify program by Federal contractors and subcontractors covered by the terms of Subpart 22.18, "Employment Eligibility Verification", of the Federal Acquisition Regulation (FAR) (hereinafter referred to in this MOU as a "Federal contractor with the FAR E-Verify clause") to verify the employment eligibility of certain employees working on Federal contracts is also found in Subpart 22.18 and in Executive Order 12989, as amended. ARTICLE 11 FUNCTIONS TO DE PERFORMED A. RESPONSIBILITIES OF SSA 1. SSA agrees to provide the Employer with available information that allows the Employer to confirm the accuracy of Social Security Numbers provided by all employees verified under this MOU and the employment authorization of U.S. citizens. 2. SSA agrees to provide to the Employer appropriate assistance with operational problems that may arise during the Employer's participation in the E-Verify program. SSA agrees to provide the Employer with names, titles, addresses, and telephone numbers of SSA representatives to be contacted during the E-Verify process. 3. SSA agrees to safeguard the information" provided by the Employer through the E-Verify program procedures, and to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security Numbers and for evaluation of the E-Verify program or such other persons or entities who may be authorized by SSA as governed Page 1 of 13 1 E-Verify MOU for Employer I Revision rate 09/01/09 V.-Vg f.dhs.g©v1E-Verify Company I® Number: 486671 To be accepted as a participant in EVerify, you should only sign the Employer's Section of the signature page. If you have any questions, contact E Verify at 388-464-4218. Employer Ziolkowski Construction, Inc. Hill Favors Name (Please Type or Print) Electronically Signed itle 1/10/2012 Signature Hate Department of l-lomeland Security -- Verification Division CIS Verification Division Name (Please Type or Print) _ Electronically Signed iEle a111012012 Signature Date Information required for the E-Verily Program Information relating to your Company: Company Name: ioikowski Construction, Inc. Company Facility Address: 406D Ralph Jones Dr. South Bend, IM 46628 Company Alternate Address: County or Parish: ST JOSBPH Employer Identification Number: P51445992 Page U of 13 1 E-Verify NOU for Employer I Revision Date 09/01/09 mmm.€ hs.gov1E Verify y �,4 SECL Unt - Ve r 'i FY oK exs �mc4 Company ID Number: 486671 North American Industry Classification Systems Code: 36 Administrator: Number of Employees. 100 to 499 Number of Sites Verified for: I £ Q, -p {. .¢ �y p, y ,.g Are you verifying for more than I sate: If yes, please provide the number of sites verified for in each Mate: a ENM NA 1 site(s) information relating to -the Program Administrat®r(s) for your Company on policy questions or operational problems: Name: James Keldsen Telephone Number: (574) 287 -1811 ext. 368 Fax Number: (574) 344 - 5533 1;-maii Adchess: ,jkeldsen�7a zbuijd.eom Page 13 of 13 1 E-Verify MOLL for Employer i Revision Date 09/01/09 wtr w.d1-1S.gOVjE-Verify 6ti212017 E-Verify: Employer Wizard - Company Information erify Welcome James Keldsen Company Information Company Name Zlolkowski Construction, Inc. Company lD Number 486671 Doing Business As (DBA) Name DUNS Number Physical location Address 1 j ', 4050 Ralph Jones Dr. Address 2 City E South Bend state IN Zip Code 46628 County STJOSEPH +i i Mailing Address Address 1 Address 2 i -- City State Zip Code Additional Information Employer ldentincation Number 351445992 Total Number of Employees 100 to 499 Parent Organization j Administrator Organization Designation Employer Category None of these categories apply View! Edit NAICS Code 236 -CONSTRUCTION OF BUILDINGS View! Edit Total Hiring S€tes hitpslle-verify.uscis.govlweblEmployerWizard.aspx MENU