HomeMy WebLinkAboutOpening of Bids - 2018 Contract for the Trucking of Belt Pressed Biosolids for Land Application - Truck R Us Inc.��(ti� 'ram •,
BID/PROPOSAL`
CITY OF SOUTH BEND
k
2018 Contract for the Trucking of Belt Pressed Biosolids for land
BID NAME Application
FOR BIDS DUE March 13, 2018 at 9:30 a.m.
Item
No.
Est. Qty.
Item
Unit
Unit Price
TBD
Trucking of Belt Pressed
Per Truck 1
1
on call"
Biosolids for Land Application
Per Hour
$ 105.00
Bidder (Firm)
Address
TRUCKS R US. INC
23942 STATE ROAD 2
City/State/Zip: SOUTH BEND, IN 46619
Telephone Number: 574-340-8470
Fax ber: 574-232-3810
By
( ignature)
JAMES BURGER
(Printed Name)
PRESIDENT
(Title)
BOARD OF PUBLIC WORKS
Gary A. Gilot, President Therese J. Dorau, Member
Suzanna M. Fritzberg, Member Elizabeth A. Maradik, Member
James A. Mueller, Member Attest: Linda M. Martin, Clerk
Vei•. 13 -- 6101115
CITY OF SOUTH BEND, INDIANA
SELLER'S BID FOR SALE OR LEASE OF MATERIALS �f `
2018 Contract for the Trucking of Belt Pressed Biosolids for Land
BID NAME Application
FOR BIDS DUE March 13, 2018 at 9.30 a.m.
Bidder
Date: 03/23/2018 (Firm): TRUCKS R US, INC
Address: 23942 STATE ROAD 2
SOUTH BEND, IN
City/State/Zip. 46619 Telephone Number: 574-340-8470
Agent of Bidder (if Applicable): JAMES BURGER PRESIDENT
When the prospeclive Contractor is rmable to certify to any of the statements below, it shrill attach an explanalion to this Affr(lavit.
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 COUN`ry )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that:
t. 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 not, 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.
Ver. 13 — 6101115
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;
o1•
ii. Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more in credit to another person for
forty-five (45) days or more, if that person will (i) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration,
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor
retain any employee or contract with a person that the Contractor subsequently learns is
an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work
eligibility status of all of Contractor's newly hired employees through the E-Verify
Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and
participation in the E-Verify Program is included and attached as part of this bid/quote;
and
5. Contractor shall require his/her/its subcontractors performing work under this
public contract to certify that the subcontractors do not knowingly employ or contract
with an unauthorized alien, nor retain any employee or contract with a person that the
subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has
enrolled in and is participating in the E-Verify Program. The Contractor agrees to
maintain this certification throughout the term of the contract with the City of South
Bend, and understands that the City may terminate the contract for default if the
Contractor fails to cure a breach of this provision no later than thirty (30) days after being
notified by the City.
6. Persons, partnerships, corporations, associations, or joint venturers awarded a
contract by the City of South Bend through its agencies, boards, or commissions shall not
discriminate against any employee or applicant for employment in the performance of a
City contract with respect to hire, tenure, terms, conditions, or privileges of employment,
or any matter directly or indirectly related to employment because of race, sex, religion,
color, national origin, ancestry, age, gender expression, gender identity, sexual
orientation or disability that does not affect that person's ability to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment,
materials, or any combination of the foregoing including, but not limited to, public works
contracts awarded under public bidding laws or other contracts in which public bids are
not required by law, the City, its agencies, boards, or commissions may consider the
Contractor's good faith efforts to obtain participation by those Contractors certified by
the State of Indiana as a Minority Business ("MBE") or as a Women's Business
Vey°, 13 — 6101115
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.
1, the undersigned bidder or agent as contractor on a public works project, understand my
statutory obligations to the use of steel products or foundry products made in the United
States (I.C. 5-16-8-1). 1 hereby certify that I and all subcontractors employed by me for
this project will use steel products or foundry products made in the United States on this
project if awarded. I understand I have an affirmative duty to notify the City in my bid
that my proposal does not include the use of steel products or foundry products made in
the United States. I understand it is my sole obligation and responsibility to provide a
justification to the City, subject to review and approval, why the cost of United States
made steel or foundry products is unreasonable. Prior to award and upon submission of
bid which does not use steel products or foundry products made in the United States, the
City, through its director of public works, shall make a determination if the price of
United States made steel or foundry is unreasonable. I understand that violations
hereunder may result in forfeiture of contractual payments.
yer. 13 — 6101115
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 February , 2018
TRUC R US INC
Con act r/Bidder (Fire l)
LjfA�— kz
Sigr tore of Contractor/Bidder or Its Agent
JAMES BURGER - PRESIDENT
Printed Name and Title
Subscribed and sworn to before me this 23rd day of February 20 18
My Commission Expires 10/15/24
Notary
County ofResidenee LaPorte
srtiz �:
KIMBERLEY R JOHNSON
La Porte County
My Commission Expires
October 15, 2024
Ver. 13 --- 6101115
(To be completed only by Contractors/Bidders claiming to be a 'local Indiana business" pursuant to I.C. 36-1-12-22)
INDIANA LOCAL BUSINESS PREFERENCE CLAIM
A "local Indiana business" refers to any of the following:
(1) A business whose principal place of business is located in an affected county.
(2) A business that pays a majority of its payroll (in dollar volume) to residents of affected counties.
(3) A business that employs residents of affected counties as a majority of its employees.
(4) A business that makes significant capital investments in the affected counties as defined in rules adopted by the
political subdivision.
(5) A business that has a substantial positive economic impact on the affected counties as defined by criteria in rules
adopted by the political subdivision.
An "affected county" refers to St, Joseph County, Indiana, or the following counties located adjacent to St. Joseph
County., Elkhart County, Marshall County, Starke County and LaPorte County
There are the following price preferences for supplies purchased from a local Indiana business:
• 5% for a purchase expected by the purchasing agency to be less than $50, 000
• 3 % for a purchase expected by the purchasing agency to beat least $50, 000 but less than $100, 000.
• 1 % for a purchase expected by the purchasing agency to ,beat least $100 000,
Date: 02/23/2018
Pursuant to I.C. 36-1-12-22, TRUCKS R US INC claims a local Indiana business
preference for Project _Belt Pressed Biosolids for land application_ (Project # ) located within the City of
South Bend, St. Joseph County, Indiana.
The location of the principal place of business is 23942 State Road 2 South Bend IN 46619
Mooress)
X St. Joseph County, Indiana
❑ The following county located adjacent to St, Joseph County, Indiana;
X The majority of the business's payroll for the 12 months prior to the date of this Bid is to residents of St.
Joseph County, Indiana or the adjacent county noted above.
X The majority of the business's employees for the 12 months prior to the date of this Bid are residents of
St. Joseph County, Indiana, or the adjacent county noted above.
If the business is deemed to be the apparent lowest, responsible, responsive bidder, then it shall provide
supporting documentation for the 12 month period prior to the date of the Bid of (i) the total payroll
amount paid to all employees of the business, and (il) the total payroll amount paid to employees who are
residents of St. Joseph County and the adjacent county noted above.
WHEN SUPPLYING SUPPORTING PAYROLL RECORDS,
BIDDER SHALL REDACT ALL SOCIAL SECURITY NUMBERS.
Dated this 23rd day of February, 2018 .
Trucks,R-Js, Inc
rlBidder (Firm)
Signatfire of Confract6r/Bidder or Its Agent
Jamds Burger - President
Printed Name and Title
Yet.13-610111S
SPECIFICATIONS
CITY OF SOUTH BEND
2018 Contract for the Trucking of Belt Pressed Biosolids for
BID NAME Land Application
FOR BIDS DUE March 13, 2018 at 9:30 a.m.
Pursuant to notices given, the undersigned offers bid(s) to the City of South Bend in accordance with the
following attachment(s) which specify the class or item number or description, quantity, unit, unit price.
GENERAL. CONDITIONS
It is the City of South Bend intent of these specifications to describe a request for bids
for trucking and hauling services required by the City of South Bend. Between one (1)
and ten (10) trucks shall be required per day at various dates throughout the 2018
calendar year, The trucks and drivers supplied by the bidder will be used to haul belt
pressed, wastewater biosolids from the City's Organic Resources Facility, 4340 Trade
Drive, South Bend, Indiana 46628 to various sites within a fifty (50) mile radius of the
Organic Resources Facility.
Since the trucking will take place as field and crop conditions become ready, it is
impossible to anticipate the exact dates when the trucking services will be required. The
number of trucks contracted per day will vary based upon the amount of hauling
required. This determination will be made by the Superintendent of the Organic
Resources Facility.
The wastewater biosolids to be transported have between twelve (12) percent and forty
(40) percent solids content. All trucks will be loaded by an employee of the Organic
Resources Facility, The trucks will be required to travel to a specific location (to be
determined) and unload the biosolids in a designated area. Each driver will be supplied
with paperwork and instructions that will need to be filled out accordingly for proper
record of delivery.
Il. TRUCK 1 VEHICLE REQUIREMENTS
The trucks shall have a minimum load capacity of fifteen (15) cubic yards each. Tri-axle
or Quad -axle vehicles are the preferred type of trucks for this contract. It shall be the
contractor's responsibility to prevent any spillage of biosolids due to tailgate failure. Two
(2) mechanical locking devices, standard and mechanical, shall be used as a safety
measure. Trucks shall be equipped with a tarpaulin to cover the bed of the truck. Each
truck shall cover its truck bed with the tarpaulin prior to leaving the Organic Resource
Facility. It shall also be the contractor's responsibility to shovel off tailgate aprons, if
needed, and to keep the truck tires reasonably clean to prevent spillage on road
surfaces. The successful bidder will be required to have all transport vehicles inspected
by the City of South Bend Organic Resources Superintendent at the Organic Resources
Facility and schedule an appointment to have their fleet inspected prior to work.
Vehicles that do not meet the minimum requirements for biosolids transport may not be
used. The City of South Bend may terminate a contract if the successful bidder fails to
provide adequate transportation equipment.
All drivers, fuel, supplies, and maintenance of the vehicle related to the hauling shall be
provided by the contractor and the costs of these items shall be incorporated into the bid
price. Fuel surcharges will not be accepted.
Eight (8) trucks are normally used per day for hauling biosolids. Occasionally, fewer
Ilex, 13 -- 0101115
trucks may be contracted for shorter hauls and more for longer hauls.
III. TRUCKING I HAULING PERIODS
It shall be the responsibility of the Superintendent of the Organic Resources Facility to
determine the schedule and duration for land application activities.
Normal working hours for hauling will be from 6:00 A.M. to 6:00 P.M. Local Time.
A minimum of twelve (12) hours advance notice will be given by the Superintendent of
the Organic Resources Facility to the successful bidder each time that hauling is
required.
The number of days per month hauling takes place will be dependent on field conditions,
weather, and customer demand for the City's biosolids product.
The Superintendent of the Organic Resources Facility will notify the successful bidder of
all schedule changes. Should inclement weather become a factor prior to the start of
land application activities or during land application activities, the Superintendent shall
be responsible for notifying the Contractor of any changes in schedule due to weather,
Inclement weather and changing field conditions may factor into the number of hours
worked per truck on a given day. The City desires to maintain a continuous land
application operation when weather and field conditions are favorable to place biosolids.
IV. BASIS FOR BIDDING
All bids shall be stated on a "per truck, per hour" basis for work performed Mondays
through Sundays. Trip time originates and ends at the Organic Resources Facility.
Please include bid price on the Bid Form.
This bid is a unit price bid and bids shall be evaluated on the basis of lowest, responsive,
responsible bidder.
V. BID BOND REQUIREMENT
All bidders shall provide a Bid Bond or Certified Check in the amount of $5,000.00 with
the submission of their unit price bid. A refund of the bid security will be issued upon
satisfaction of Bid Award.
VI. SUBCONTRACTORS
Subcontractors may not be utilized on the project without prior approval from the City
Purchasing and Public Works Departments. If the bidder intends to use subcontractors
to assist with hauling biosolids, the bidder shall supply a list of subcontractor trucking
companies that it plans to employ. Use of disadvantaged business enterprises, such as
minority business enterprise (MBE) or women's business enterprise (WBE) is
encouraged.
If the City approves the use of subcontractors, sufficient proof of insurance shall be
submitted by all subcontractors. Truck inspections shall be required, as noted above,
prior to beginning work. Refer to other sections in the Specifications for insurance
requirements.
VII. TRUCK DELIVERY RECORDS
The Contractor shall provide truck delivery trip tickets each day for each truck. The
tickets shall be used to record hours worked and the number of loads hauled by each
truck. The trip tickets shall be signed at the end of each day by the driver of the truck
V(,i., 13 — 6101115
and the Superintendent of the Organic Resources Facility or an authorized
representative of the Organic Resources Facility. Since record keeping is required, it is
imperative that accurate and correct records are recorded every day that land
application activities occur.
Vill. BILLING PROCEDURES
The Contractor shall send all invoices to the Superintendent of the Organic Resources
Facility at 4340 Trade Drive, South Bend, Indiana 46628 at the end of each month in
which land application activities occur. The Superintendent shall review the pay
application for completeness and forward information to the City Purchasing Department
for processing payment(s). The Contractor shall submit a copy of all Truck Delivery
Records from the month of hauling with the pay application for City records.
IX. LIABILITY/ INSURANCE REQUIREMENTS
All Contractors and subcontractors doing business with the City of South Bend shall
present a Certificate of Insurance showing coverage in the following minimum amounts:
a. General Liability: Premises -Completed Operations or Products and Bodily Injury
Combined Single limit — $5,000,000 or $750,000 per person. Property Damage
Combined Single Limit - $6,000,000 or $1,000,000 per occurrence.
b. There shall be no exclusion for explosion, collapse or underground hazard.
c. Workmen's Compensation: Statutory State of Indiana Employer's Liability --
$100,00a
d. Auto Liability: Bodily Injury and Property Damage Combined Single Limit —
$5,000,000 or $1,000,000 per occurrence.
e. The City of South Bend shall be named as additional insured on the Certificate.
The Contractor shall be responsible for complying with all laws and limitations set forth
by the Indiana Department of Motor Vehicles relative to the condition and operation of
the trucks, including loaded weight. All truck drivers employed by the contractor shall be
licensed to operate the trucks used for transporting biosolids through the duration of the
project.
It shall be the Contractor's responsibility for any damage to public or private property
caused by accidental spillage of the biosolids after the biosolids have been deposited
into the Contractor's trucks.
The award of the contract pursuant to these specifications is subject to the Contractor's
agreement to indemnify, defend, and hold harmless the City of South Bend, its agents,
officers, and employees from any and all claims and suits, including court costs, attorney
fees, and other expenses, arising from or out of the performance of this contract by the
Contractor.
X. BIOSOLIDS SPILLS
The Contractor is responsible for providing trucks sufficient for the transport of biosolids
materials as mentioned in Article 11. Truck 1 Vehicle Requirements. The Contractor or
truck driver(s) shall immediately contact the Superintendent of the Organic Resources
Facility in the event of a spill. The Contractor shall be responsible for the clean-up and
removal of all biosolids spills and any damage to public or private property caused while
transporting biosolids materials from the Organic Resources Facility to the identified land
application site(s).
The City of South Bend reserves the right to terminate the contract in the event that the
Contractor is determined to be non -responsive to cleaning up an identified spill or
negligent by failing to report a spill, The Contractor shall be responsible for reimbursing
Ver•. 13 — 0101115
the City of South Bend for all costs associated with efforts to clean-up spills resulting
from the Contractor, Subcontractors, or its agents.
XI. MISCELLANEOUS PROVISIONS
The City of South Bend, upon recommendation by the Director of Utilities or the City's
designated Project Representative, reserves the right to terminate the contract in the
event of non-compliance or unsatisfactory performance of the Contractor.
Neither Party shall be liable to the other Party for breach or for failure or delay in the
performance of its obligations hereunder caused by any act or occurrence beyond its
reasonable control, including, but not limited to: fires; floods; strikes (except any strikes
involving a Party's personnel); a change in Federal, State, or local law or ordinance;
orders or judgments of any Federal, State, or local court, administrative agency or
governmental body; change in permit conditions or requirements; accidents; extreme
weather conditions including, for example, hurricanes, tornadoes, unusually high
amounts of precipitation, unusual extremes of temperature or wind, unusually extended
periods of adverse weather conditions; acts of war, aggression or terrorism (foreign or
domestic); equipment failure (other than due to inadequate maintenance thereof); and
acts of God.
It is specifically understood that, without limitation, none of the following acts, events or
circumstances shall constitute an act or occurrence beyond a Party's reasonable control:
(i) reasonably anticipated weather conditions normal for the region in which the work is
performed or (ii) any failure to pay any sums in accordance with the terms of this
Agreement. Whenever the provisions of this Section are believed to apply, the Party
relying thereon shall give prompt notice to the other Party of the circumstances, the
basis for applicability of this Section and the time required to cure such breach or delay.
Contractor shall promptly provide notice of the need, if any, for additional compensation
or for renegotiation of terms in order to mitigate the effects of such event or to comply
with a change in law or regulation or interpretation thereof. Contractor shall be entitled
to additional time and compensation if such event delays performance into a season
different from that assumed when this Agreement was executed, Contractor and the
City shall use reasonable best efforts to agree on appropriate mitigating actions under
the circumstances.
The tender of a bid to the Board of Public Works of the City of South Bend on the basis of these
specifications constitutes an agreement and an acceptance of all of the terms and requirements
of the said specifications.
Ver•. 13 -- 6101115
OP ID: I
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYYP
1 0212312018
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 pollicy(ies) must be endorsed. It 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 endorsoment(s). I
PRODUCER
R.S. Miller& Sons, Inc.
P.O. Box 229
109 W. Plymouth Street
Bremen, IN 46506
Gregory S. Miller, CPCU,CIC
regory S'Miller, CPCU,.CIC
574-546-3341
TRUCK-1
57,4-546-2687
SURER S AFFORDING COVERAGE NA$C 9 1
INSURED Trucks R Us, Inc, INSURER A: West Bend Mutual Insurance 15350
Lake Effect Excavating, Inc INSURERS:
Lake Effect Snow Removal INSURERC:
Lake Effect Auto Sales
23300 State Road 23 INSURER D z
South Bend, IN 466114 INSURER E:
I . INSURER F :
f'1=0TIl=!e'ATr- 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.
EFF _J5_0_UCYFxP
ffl�
F R]
LTR
TYPE OF INSURANCE
A7D _gUeR
IN DL
R
V1JVD
POLICY NUMBER
P-0—L16Y
(MM/DDIYYYYI
MMIDDIYYYYI
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
FZ71 OCCUR
CLAIMS -MADE I A ]
A040137
0710512017
0710612018
EACH OCCURRENCE
$ 1,000,00
-UXM—AGETO —RENTEff—
200,000
MED FXP (Any one person)
PERSONAL & ADV INJURY
$ 6,000
A 1,000,000
-GENERAL AGGREGATE
00,
$ 2,00000,00
GEN'L AGGREGATE LIMIT APPLIES PER:
RL] POLICY [ X1 SEC0j LOC
PRODUCTS - COMPIOP AGG
$ 2,000,000
L
$COMBINED
.7
A
AUTOMOBILE
LIABILITY
ANY AUTO
A040137
0710512017
07105/2018
SINGLE LIMIT
(Ea acclident)
BODILY INJURY (Per person)
$ 1,0010,000
$
X
ALL OWNED AUTOS
BODILY INJURY (Per accident)
$
SCHEDULED AUTOS
HIRED AUTOS
PROPERTY DAMAGE
(PER ACCIDENT)
$
. .... .
NON -OWNED AUTOS
�1
A
—
UMBRELLA LIAR
EXCES!.LLJA8!.=(LAIMS-MADE
I X OCCUR
A040137
0710512017
0710512018
EACH OCCURRENCE
$ 2,000,000
-AG—q—REGATE
$ _ 2,0100,000
$
—
DEDUCTIBLE
X RETENTION $ 10,000
WORKERS COMPENSATION
W
WU- OTH-
C STATOR IMITS_J ER
OR LL 1
1 A
A
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNER/EXECUTIVF
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
If yes describe under
DESCRIPTION OFOPERATIONS.below
Motor Truck Cargo
NIA
7
A040149
040137
r
07105/2017
07105/2017
0710612018
071061201 8
E.L, EACH ACCIDENT
$ 500,000
E.L. DISEASE - EA EMPLOYEE
ICY LIMIT
E. Lr DISEASE -POLICY
IMTCargo
ded
$ 5,0(),000
$ 600,000
100,000
1:,0001
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mora space Is required) 1
I
SOUTHISE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED, BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of South Bend
Department of Public Works AUTHORIZED, REPRESENTATIVE
13th Floor Gregory S. Miller, CP U,CIC
227 W. Jefferson I I ll
@ *6-200,9 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks OT A(;UKU
Selective Insurance Company of America
40 Wantage Avenue
Branchville, New Jersey 07890
973-948-3000
B 1197481
BID BOND
KNOW ALL MEN BY THESE PRESENTS:
That Trucks R Us, Inc.
23942 State Road 2 South REnd, IN 46619 (hereinafter called the Principal)
as Principal, and the SELECTIVE INSURANCE COMPANY OF AMERICA, a corporation created and
existing under the laws of the State of New Jersey, with its principal office in Branchville, New Jersey
(hereinafter called the Surety), as Surety,
are held and firmly bound ?Kato City of South Bend - Board of Pubtic Works
County City Buiding South Bend, IN 46601
in the full and just sum of
Five Thousand Dollars
(hereinafter called the Obligee)
($ 5,000.0q), good and lawful money of the United States of America, to the payments of which sum of
money well and truly to be made, the said Principal and Surety bind themselves, their and each of their heirs,
executors, administrators, successors and assigns, jointly and severally, firmly by these presents.
Signed, sealed and dated this 23rd day of February A.D. 2018
THE CONDITION OF THIS OBLIGATION IS SUCH, That, if the Obligee shall make any award within 60
days to the Principal forTrucking of Belt Pressed Biosolids for Land Application
according to the terms of the proposal or bid made by the Principal therefor, and the Principal shall duly make
and enter into a contract with the Obligee in accordance with the terms of said proposal or bid and award and
shall give bond for the faithful performance thereof with Surety or Sureties approved by the Obligee; or if the
Principal shall, in case of failure so to do, pay to the Obligee the damages which the Obligee may suffer by
reason of such failure, not exceeding the penalty of this bond, then this obligation shall be null and void;
otherwise it shall be and remain in full force and effect.
In Testimony Whereof, the Principal and Surety have caused t se presents to be duly signed and scaled.
Tru Us, Inc.
WI SS: (SEAL)
(If in iv dual or irm) (SEAL)
p
2(� i r'&."d (SEAL)
Principal
EST:
(If Corporation)
SEL C VE IlVSURA CO PANY OF AMERICA
Attorney -in -Fact
Gregory S. Miller
B-201 (1186)
SEI.ECTM
Selective Insurance Company of America
40 Wantage Avenue
Branchville, New Jersey 07890 13ondNo.B 1197481
973-948-3000
POWER OF ATTORNEY
Public laid
SELECTIVE INSURANCE COMPANY OF AMERICA, a New Jersey corporation having its principal office at 40
Wantage Avenue, in Branchville, State of New Jersey ("SICA"), pursuant to Article VII, Section 1 of its By -Laws, which
state in pertinent part:
The Chairman of the Board, President, Chief Executive Officer, any Executive Vice President,
any Senior Vice President or any Corporate Secretary may, from time to time, appoint attorneys
in fact, and agents to act for and on behalf of the Corporation and they may give such appointee
such authority, as his/her certificate of authority may prescribe, to sign with the Corporation's
name and seal with the Corporation's seal, bonds, recognizances, contracts of indemnity and
other writings obligatory in the nature of a bond, recognizance or conditional undertaking, and
any of said Officers may, at any time, remove any such appointee and revoke the power and
authority given him/her.
does hereby appoint Gregory S. Miller
, its true and lawful attorney(s)-in-fact, full authority to execute on SICA's behalf fidelity and surety bonds or undertakings
and other documents of a similar character issued by SICA in the course of its business, and to bind SICA thereby as fully
as if such instruments had been duly executed by SICA's regularly elected officers at its principal office, in amounts or
penalties not exceeding the sum of: Fifty Thousand Dollars ($50,000.00)
Signed this 23rd day of February , 2018
SELECTIVE INS
By:
STATE OF NEW JERSEY :
:ss. Branchville
COUNTY OF SUSSEX
Its SVP,
4CE COMPANY OF A 4�
4pPOt�
�• � SEAk.
2$
Business Units, CommISCM
On this 23rd day, of February, 2018 before me, the undersigned officer, personally appeared
acknowledged himself to be the Sr. Vice President of SICA, and that he, as such Sr. Vice President,/
do, executed the foregoing instrument for the purposes therein contained, by signing the name of the
as Sr. Vice President and that the same was his free act and deed a94.1 le free act and deed of SICA.
N, Fl1. Mi.. * �l�y
Cfll WWII Notary Public
The power of attorney is signed and sealed by facsimile under and by the authority of the followingI
the Board of Directors of SICA at a meeting duly called and held on the 6th of February 1987, to wit
eilan C,,Sarisl 'ho
}
: ,EW.
esolutt6ft �0100 by .
"RESOLVED, the Board of Directors of Selective Insurance Company of America authorizes and approves the use of a
facsimile corporate seal, facsimile signatures of corporate officers and notarial acknowledgements thereof on powers of
attorney for the execution of bonds, recognizances, contracts of indemnity and other writing obligatory in the nature of a
bond, recognizance or conditional undertaking."
CERTIFICATION (;Q
Yam=
I do hereby certify as SICA's Corporate Secretary that the foregoing extract of SICA's By -Laws and Reso
force and effect and this Power of Attorney issued pursuant to and in accordance with the By -Laws is val' SEAL
Signed this 23rd day of February 2018 . .� � t
926
�n1.4—
Important Notice: if the bond number embedded within the Notary Seal
right-hand corner of this Power of Attorney, contact us at 973-948-3000.
in the upper IB91 (4-14)
ACKNOWLEDGMENT OF PRINCIPAL
(Individual or Partnership)
STATE OFTG� c Gl rl
COUNTY OF J I } ss:
On this
appeared the above named
day of
,before me personally
to me known and known to me to be the same described in and who executed the above instrument and dully acknowledged
the execution of the same.
Notary Public County
j
STATE OF oI Cana (Corporation)
-� �_� 0, ss:
COUNTY OF s . I
On this 2 tD day of �[7 iL ,before me personally
appeared 1� y ii e--r
W
to me known who, being by me dilly sworn, did depose and say the he resides in �Gt
that l"sir® is the Pr , f of -Tract /rE ks C
the corporation described in and which executed the foregoing instrument; that he/she knows the seal of said corporation; that
the seal affixed to said instrument is such corporate seal; that it was affixed b order of the Board of Directors of said
corporation and that he/she signed his/her name thereto by like order,/1) , /%y /% j
Notary public
V VIP r
f r+e- County
ak.'.�: CIMBERLEYRJOHNSON
?`T�+
La Porte County
sup My Comm!sslon Expires
��;4;,�
ACKNOWLEDGMENT OF SURETY
? October 15, 2024
STATE OF f ICI D IA 0A
COUNTY OF L f� S 1.1 'u- ss:
Ot this -�)-3 rk day of ,before me personally
appeared Gregory S. Miller Ito me known, who, being by me
duly sworn, did depose and say that he/she resides in l 11j IMPA lk �.
that he/she is the Attorney -in -Fact of the
Selective Insurance Company of America
the corporation described in and which executed the foregoing instrument; that he/she knows the seal of said corporation; that
the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said
corporation and that he/she signed his/her name thereto by like order; and deponent further says that he/she is acquainted
with Gregory S. Miller and knows him/hor to be the
Attorney -in -Fact subscribed to the within instrument is in the genuine handwriting of the said Gregory S. Miller
and was subscribed thereto by like order of the Board of Directors in the presence of deponent„
,t 1)._N1 i L 2- L LI-A-iLL -
otary Public _ /a. LL— County
B-70 (2 97) (For use in New York ONLY)