The URL can be used to link to this page

Home My WebLink AboutOpening of Bids - Two Way Conversion of Colfax Avenue Proj No 115-053A - Indiana Earth Inc - Financials Submitted, Not Scanned�m,atrx.�r aatrgF� BIDIPROPOSAL CITY OF SOUTH BEND �8G5 Project Name Two -Way Conversion of Colfax Avenue Project No. 115-063A For Bids Due April 24, 2018, Due at 9:30 AM Local Time BASE BID Item No. Description p Quantity Unit Unit Price Total Amount 1 CONSTRUCTION ENGINEERING 1 LSUM 6, 7w.— 3-7 — 2 MOBILIZATION AND DEMOBILIZATION 1 LSUM 30.1& 30,300.._ 3 CLEARING RIGHT OF WAY 1 LSUM oZ 4, 300 ,_ � z 4 PAVEMENT, REMOVE 858 SYS 16,45- W1 tly,« 5 CURB, CONCRETE, REMOVE 1,977 LFT S j0 /6j 110�t'lo 6 SIDEWALK CONCRETE, REMOVE 534 SYSa, 7 BUILDING DEMOLITION 1 LSUM -- 8 BORROW 1,326 CYS 9 EXCAVATION, COMMON 667 CYS A02 JO 0 10 TEMPORARY INLET PROTECTION 23 EA pis, 11 NO.2STONE 48 TON 12 TEMPORARY GEOTEXTILE 160 SYS- 13 STRUCTURE BACKFILL, TYPE 1 74 CYS 77.c S7, 0/7, r 14 COMPACTED AGGREGATE, NO. 53, BASE 454 TON 15 MILLING, ASPHALT, 11/2 IN. 1,310 SYS 16 JOINT ADHESIVE, SURFACE 1,037 LFT 17 HMA, SURFACE, TYPE B 171 TON j� f Bidder(Firm): 1-� rcYmu 4�1V- -1-a :7;,c Version 10/17/2017 Contractor's Bid for Public Works - 7 tr s BIDIPROPOSAL CITY OF SOUTH BEND Project Name Two -Way Conversion of Colfax Avenue Project No. 115-053A For Bids Due April 24, 2018, Due at 9.30 AM Local Time BASE BID Item No. Description Quantity Unit Unit Price Total Amount 18 HMA, INTERMEDIATE, TYPE B 79 TON �'s _ 5, C9b'S', r 19 ASPHALT FOR TACK COAT 2 TON a 20 PCCP, 10 IN. 1,139 SYS �OL, _ 755 171. _ 21 RETROFITTED TIE BARS 137 EA 3.S._ 4, 79s, 22 PCCP FOR PATCHING, 10 IN. 66 SYS 23 BLACK, VINYL COATED, CHAIN LINK GATE, 12 FT. 2 EA 24 BLACK, VINYL COATED, CHAIN LINK FENCE, 6 FT. 109 LFT 25 BRICK PAVERS, INSTALL 115 SYS 390 26 CURB RAMP, CONCRETE 121 SYS 27 DETECTABLE WARNING SURFACES 18 SYS If 28 SIDEWALK, CONCRETE, 4 IN. 558 SYS y6 ' 29 CONCRETE CURB AND GUTTER 170 LFT 30 CONCRETE CURB AND GUTTER, MODIFIED 709 LFT 31 CURB, INTEGRAL, CONCRETE 620 LFT 32 COMBINED CONCRETE CURB AND GUTTER, MODIFIED 89 LFT- tX 33 CURB, TURNOUT 1 EA 34 PCCP FOR APPROACHES, 6IN. 94 SYS ��`$�� _ Bidder (Firm): 7zh e 4 e- -� 1�r 7"!Q Version 10/17/2017 Contractor's Bid for Public Works - 8 BID/PROPOSAL CITY OF SOUTH BEND Project Name Two -Way Conversion of Colfax Avenue Project No. 115.063A For Bids Due April 24, 2018, Due at 9:30 AM Local Time BASE BID Item No. Description Quantity Unit Unit Price Total Amount 35 D-1 CONTRACTION JOINTS 722 LFT tG._ ll 3 36 TEMPORARY PERIMETER PROTECTION, FIBER ROLL 1,121 LFT It.1.5— qj 37 SODDING, NURSERY WITH 41N. TOPSOIL 2,218 SYS It.4rA 1 J 38 DECIDUOUS TREE, 2" CAL. 2 EA I', cxv ` 39 SHREDDED HARDWOOD MULCH 1 CYSAv- 40 ADJUST WATER VALVE TO GRADE 14 EA - 41 PIPE, CIRCULAR, 101N. 4 LFT J 7S _ 7w` 42 PIPE, CIRCULAR, 12 IN. 301 LFT yn 43 PIPE, CIRCULAR, 8 IN. 145 LFT 44 STANDARD INLET 1 EA 45 STANDARD CATCH BASIN 10 EA 46 DRYWELL, 1800 GAL. 4 EA` 47 CASTING, ADJUST TO GRADE 1 EA 48 CASTING, FURNISH AND ADJUST TO GRADE 7 EA �lSS 49 MAINTAINING TRAFFIC 1 LSUM /5 5va I� — 50 TEMPORARY PAVEMENT MARKING, REMOVEABLE, 4 IN. 6,513 LFT / 51 TEMPORARY PAVEMENT MARKING, STOP BAR, REMOVABLE, 24 IN. 103 LFT 3 Bidder (Firm): C4r-t/ � : t2c� Version 10/17/2017 Contractor's Bid for Public Works - 9 �Ta�ahn . :�yourrllr BID/PROPOSAL l CITY OF SOUTH BEND,"'�,� Project Name Two -Way Conversion of Colfax Avenue Project No. 115.063A For Bids Due April 24, 2018, Due at 9:30 AM Local Time BASE BID Item No. Description Quantity Unit Unit Price Total Amount 52 CONSTRUCTION SIGN, A 21 EA .- 53 CONSTRUCTION SIGN, B 26 EA 54 BARRICADE, IIl-B 144 LFT 55 DETOUR ROUTE MARKER ASSEMBLY 4 EA 56 SIGN, SHEET, SHEETING TYPE IV, WITH LEGEND 0.080 IN. 108 SFT cam,- �, ciao - 57 SIGN POST, SQUARE, 2, UNREINFORCED 216 LFT, ANCHOR BASE 58 TRAFFIC SIGNAL EQUIPMENT, REMOVE 1 EA 7 59 CONDUIT, SCHEDULE 80, PVC, 2 IN. 105 LFT 60 LUMINAIRE 3 EA 1XV.7J0„� 61 LIGHT POLE 3 EA 62 LIGHT POLE FOUNDATION, 3' x 8' 3 EA 11 ( y 63 WIRE, NO.4 COPPER, IN PLASTIC DUCT, IN TRENCH 41/C 394 LFT 64 CABLE, POLE CIRCUIT, THWN, NO. 10 180 LFT _ �4 COPPER, STRANDED 1/C 65 MULTIPLE COMPRESSION FITTINGS, NON- WATERPROOF 8 EA - 66 CONNECTOR KIT, UNFUSED 3 EA 67 CONNECTOR KIT, FUSED 3 EA 68 INSULATION LINK, WATERPROOFED 8 EA Bidder (Firm): Z, 6 rv. le C4 V' 1.41 -Tr-<- Version 10/1712017 Contractor's Bid for Public Works -10 (yet' ,- BID/PROPOSAL lti 4K ' y CITY OF SOUTH BEND Project Name Two -Way Conversion of Colfax Avenue Project No. 116-053A For Bids Due April 24, 2018, Due at 9,30 AM Local Time BASE BID Item No. Description Quantity Unit Unit Price Total Amount 69 INSULATION LINK, NON -WATERPROOFED 4 EA kv. , 70 HANDHOLE 3 EA L ✓ 71 SERVICE POINT, I 1 EA Nib.= cy, OCO« 72 PAVEMENT MESSAGE MARKING, REMOVE 2 EA 73 LINE, THERMOPLASTIC, SOLI D,. YE LLOW, 4" 2,834 LFT 74 LINE, THERMOPLASTIC, SOLID, WHITE, 4" 168 LFT 1 Ali 75 TRANSVERSE MARKING, THERMOPLASTIC, CROSSWALK 391 LFT LINE, 6" 76 TRANSVERSE MARKING, THERMOPLASTIC, 73 LFT STOP LINE, 24" 3�. 77 PAVEMENT MESSAGE MARKING, 7 EA THERMOPLASTIC, BIKE SYMBOLS 78 PAVEMENT MESSAGE MARKING, MULTI - COMPONENT, BIKE SYMBOL 3 EA rr— 3b, , 79 PAVEMENT MESSAGE MARKING, 1 EA THERMOPLASTIC, LANE INDICATION ARROW 80 LINE, THERMOPLASTIC, SOLID, YELLOW, 12" 105 LFT 81 LINE, THERMOPLASTIC, SOLID, YELLOW, 8" 115 LFT (.l 1 3,t 82 LINE, MULTI -COMPONENT, SOLID, WHITE, 4 IN. 659 LFT 5_03, , s 83 LINE, MULTI -COMPONENT, SOLID, YELLOW, 4 IN. 518 LFT 6_ c� 84 TRANSVERSE MARKING, MULTI- COMPONENT, 64 LFT CROSSWALK LINE, 6 IN. 85 TRANSVERSE MARKING, MULTI-`� COMPONENT, STOPLINE, 24 IN. 13 LFT Bidder (Firm):r}^i Version 10/17/2017 Contractor's Bid for Public Works -11 BID/PROPOSAL CITY OF SOUTH' BEND Project Name Two -Way Conversion of Colfax Avenue Project No. 115-053A For Bids Due April! 24,2018, Due at9:30AM Local Time Item No. Description Quantity Unit Unit Price Total Amount GROOVING FOR CENTERLINE PAVEMENT 86 MARKINGS 4,071 LFT . �o 87 ASBESTOS REMOVAL 1 ALL $3,000.00 $3,000.00 ASBESTOS REMOVAL UNIT PRICES Item No. Description Unit Unit Price I THERMAL SYSTEM PIPE INSULATION 1 LFT 3, 00 2 FLOORING MATERIAL SFT 6�20 3 TRANSITE SIDING SFT 7,co Bidder (Firm): Address City/State/Zip: 04ccdZ /4/,-) 66,s-6 / Telep A BASE 1311) TOTAL 7t), (2, 70 (Printed Namie of Person Signing) Version 10/17/2017 Contractor's Bd for Public Works - 12 0 0 0 : I I A 11 A lots] k" I I zu" to] -43 1 " Lej ;A - -a Project Name Two -Way Conversion of Colfax Avenue Project No. 115-053A ForBids Due April 24,2018, Due at9:30AM Local Time PART I (Must be completed for all bids. Please type or print) Date: 4e—Bidder (Firm): o,'4,va ,,4 4, 7, Address: City/State/Zip: �c;,,k Telephone Number: 0' 2, 6 6 9 Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor andlor material necessary to complete the public works project of: T(1,10 - L(-, W.4 Cc r% g.- f., 0% V I' eart 0,P co /Al, x/,", t the City of South Bend, Indiana, in accordance with plans and specifications prepared by: and dated 16 - 4, � for the sum of (enter the Total Bid as shown on the Proposal) ($ 3 e4n �-Lwz. J Can J h 1"loz 1,1-"4 J,1,1 J 0- (Enter sum of Total 43ase Bid plus Alternates shown on Proposall) 441-, J,7 st-,, .j (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page, If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of S th � . bid is to be awarded on a unit basis, the itemization of the units shall be shown on axWwolt ttac VeTt. -2 The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS (nor J Y( (Printed Name of Pdrson Signing) ACCEPTANCE day of Gary A. Gilot, President Suzanina M. Fritzberg, Member Elizabeth A. Maradik, Member Therese J. Dorau, Member James A. Mueller, Member Attest: Linda M. Martin, Clerk 911 Version 10117/2017 Contractor's Bid for Public Works - 2 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. 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 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.) 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. 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. 4. Attach a listing of equipment you have available to use for the proposed project. 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. 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 10/17/2017 Contractor's Bid for Public Works - 3 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 CEWHFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF SS: COUNTY The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership, represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: L 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 Ad ministration. Version 10/17/2017 Contractor's Bid for Public Works - 4 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 ventures 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. 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). 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 ajustification 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 10/17/2017 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 D44L day of 20_a Co tract 1 der( Signature of Contractor/Bidder r Its Agent Printed Name and Title Subscribed and sworn to before me this day ot 20 CS 9 1 My Commission Expires fis /),I vikJ1111110, --T-TNotary Public SEAL LASEPN G � 41C County of Residence erl I Version 10/17/2017 Contractor's Bid for Public Works - 6 VAIA Document 31 OTM - ,, CONTRACTOR: SURETY: (Nance, legal status and address) (Nape, legal slahis and principal place Indiana Earth, Inc. of business) 10343 McKinley Highway North American Spedaity Insurance Compa North document has important legal Osceola, IN 4ti561' 650 Elm Street consequences. Consultation with Manchester, NH 03101 OWNER: an attorney is encouraged with (Name, legal status and address) respect to its completion Or City of South Bend n7odlttoati0n. 227 West Jefferson Boulevard Any singular reference to South Bend, IN 46001 Contractor, Surety, owner or BOND AMOUNT: ***FIVE PERCENT OF AMOUNT' BID*** other party shall be considered plural where applicable. PROJECT: ((NNeittie, location or- address, and Project number, l(any) load Project - Colfax Ave and LaSalle The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Band are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (I) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for: the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect, The Surety hereby waives any notice of an agreement between the Owner and 'Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (6'0) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a. Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such furnished, the yntent is that this Signed an ,#'sealed this iry or other legal requirement shall be deemed incorporated herein. When so shall be construed as a statutory bond and not as a common late bond. day of April Rol Indiana , I (Princlpai) tc)L fieF"' (,Seal) (Title) el North Americ ti Specialt 4urance Company (Surety) (Seal) (Title) Todd Sch,aaD. Attornev-in-Fact init. AIA Document A31011 -� 2010. Copyright (b 1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: Thls At Document Is protected by U.S. Copyright Law and international Treaties. Unauthorized' reproduction or distribution of this AIAO Document, or any portion of it, may result In severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. t purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copydght@aoa.org. OSrr Ac SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Overland Park, Kansas, and Washington International Insurance Company, a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Overland Park, Kansas, each does hereby make, constitute and appoint: THOMAS 0. CHAMBERS, TODD SCHAAP and KIMBERLY S. RASCH JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact, to make, execute, sea] and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount Of, FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 0 of May, 2012: "RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power ofAttorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." ♦VN\�41yA1.{rY�pj4i i/r 1 ""'� ,,� I�.- a 2' Ik•:yi • By rri'GoiiPr)i 9 SlerenP.Anderson,Senior Vice President at\YashingtonlnternatlanallnsuranceCampanY SEAL s &Senior vice President arNonh American Specialty tmunnce Company '1i Im By r Aficbael A. no, Sen or�T—Vioo Prpfdeol o!'S4as ngioo WernalloRal Insurance 'ampaoy & Senlor Vice Presldeni ar mIlt American specialty Insurance Company IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this I Ith day of April , 2018 . North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook SS: On this l lth day of April 20 i8 , before me, a Notary Public personally appeared Steven P. Anderson , Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty insurance Company and Michael A. Ito . Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be, the voluntary act and deed of their respective companies. OFFICIAL SEAL V. NENIfY� . �� + Notary 1741le • Slale of allsmir +� 'L♦ My commission FaplrcY M. Kenny, Notnry Public i. 17X10421 1, Jeffrey Goldberg , the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company, do hereby certify that the above and foregoing is a (rue and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington Intemalionat Insurance Company, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 24th day of April , 2016 Jeffrey Goldberg, Vice President & Assistant secretary or Washinglan Inwraotinnal lasurmme Company& North Amoku specialty, rnsuranco Company STATE OF WISCONSIN ) COUNTY OF Kenosha ON THIS 24th day of April 5 2018 9 before me, a notary public, within and for said County and State, personally appeared Todd Schaap to me personally known, who being duty sworn, upon oath did say that he is the Attorney -in -Fact of and for the North American Specialty Insurance Corm an a corporation of New Hampshire , created, organized and existing under and by virtue of the laws of the State of New Hampshire - _; that the corporate seal affixed to the foregoing within instrument is the seal of the said Company; that the seal was affixed and the said instrument was executed by authority of its Board of Directors; and the said Todd SchaaP did acknowledge that he/she executed the said instrument as the free act and deed of said Company. Notary Public W K Wisconsin My Commis j .4ires �Uk. IMSERLYS," MSC 1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAX 5741235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIBG, MAYOR BOARD OF PUBLIC WORKS Date: April 19, 2018 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Two Way Conversion of Colfax Avenue Project Number: 115.063A 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, THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: -7n c "e, r, Authorized Signature: Date:-� �-{--� Version 4/2/2015 11,;4� " 14gi CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK 1865 CHECKLIST FOR BIDDERS Project Name Two -Way Conversion of Colfax Avenue Project No. 115-053A For Bids Due April 24,,2018, Due 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 or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of MBENVBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is, not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted Form [MWBE-2.1]. _L/ Acknowledge Receipt of / Addendum(s) included with the bid. All required additional information is included with the bid. 1, Proposal statements and other affidavits all signed by the proper party with name either V/printed or typed underneath signature. V/ 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. el — Bidder: �,_Lke "At), Zlc�_ Date: By Authorized Repr( Signature: Print Name & Title: t�._ �LL,7 - lk Version 10/17/2017 Contractor's Bid for Public Works - 1 CITY OF SOUTH BEND 0u_ MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS ixbs 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 MB,EIWBE participation. It i's the bidder's sole responsibility to verify whether any listed minority or woman, business meets the qualifications of a Mlinority or Women's owned business as defined by the Indiana Department of Administration ("IDOA"). Project Number: —1 15-053A Date: '-t —Jk., — lj> Project Name: —Two-Way Conversion of Colfax Avenue Bidder: Tiro, CFCI I A �14 Contact Person: a -e, Telephone: Address: (0!!Z City: State: r y zip: -14,(� Email: /a To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE utilization goals set forth in the City of South Bend Public Works Project Specificaflons, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: EVIDENCE OF GOOD FAITH EFFORTS MBEIWBE LIST(S): The bidder reviewed the City of South, Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (http://www.in.gov/idoa), ACTION (ADVERTISEICONTACT). In order for your bid to be deemed responsive, the City of South Bend requires that all perspective bidders complete no less than 2 of the following: 1. Attend all pre -bid meetings scheduled by the City to inform MBE/VVBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBEMBEs reasonable time to respond. (3!) Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform, MBEMBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 04 Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBENVBE firms. **Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOO'NEGOTIATIONS: The bidder negotiated in good faith with interested MBENVBEs, including providing such MBE/VVBE's with adequate information about the plans, specificationsand other requirements of the subcontract and did not reject MBEMBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by MBE/WBEs in order to increase the likelihood of meeting the MBEANBE goals (including breaking down contracts into smaller units to facilitate MBEANBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBEIWBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBEIWBE was unqualified to perform the job. *Proper demonstration of Good Faith Effort requires your initials next to all of the, above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 10/17/2017 Contractor's Bid for Public Works - 14 t U) w w w to 2 CL g a ww z �— w z 0 ED w 0 x U) U) oz w z U) LL D 0 M 0 �Z j ww m > 0 W Li 0 z 9 z 0 w CL W 0 m LL. � w ci0 !n m E Y. 0 0 CL w 0 w co m 24- cm 0 0. > CU of 4) cr CL 0 4) E wo CL -a r ril m 00 0 CO) 0 ,6 0 E CL 41 CL 27 75 0 0 CL E to to 4) M E 0 .a 4) 0 = 4) .o E f- = 0 E :3 Z W, 0 a) m m 1so ns 04 CL 2 (D CL E 00 �w k- -4 �a co 0 0 to U) 75 r 0 2 0 0 a) o No 0 0 CL 0 Z C co o- I 0 E2 4) c o 00 A L- E co Co E Z— IL -o w m ca E cu z S CGc,) I a) E z C) 0 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.1 MBE/WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the (bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Mlinority or Women's owned business. PAGE OF JL Project Number: 11 5-053A MBEMBE Participation Goal Project Name: Two -Way Conversion of Colfax Avenue Bidder: - 411 M (Title) MBE/WBE Firm TIV�14'10,% Owner or Contact at MB,EMBE Firm J & JCA,t,- Telephone: 6r"yy- JJq-/",Z Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACTWITH THE MBEMBE FIRM: MBEANBE Firm k"CA Owner or Contact at MBENVBE Firm ( yl Telephone: Mom.70--)L Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: Tv , -; ,e nel 9 RESULTS OF CONTACT WITH THE M BEMB E FIRM: M Version 10/17/2017 Contractor's Bid for Public Works - 15 INDIANA EARTH, INC. 10343 MCKINLEY HWY OSCEOLA, IN 46561 Section 1 Public Projects completed: 1) Demolition —Akron Schools, Akron, IN 2) Demolition —Jonesville School, Michigan 3) Excavation & Utility --St Marys College, South Bend, IN 4) Northwood High School Phase B—Nappanee, IN Public Works in Process: 1) Excavation & Utility CR 38- City of Goshen,IN 2) Utility— Nappanee WWTP, Nappanee, IN 3) Northwood High School Athletic Center, Nappanee, IN Completed all work awarded to our firm. References of Private Firms 1) Rieth Riley Construction 574-288-8321 2) Gibson Lewis LLC 574-259-8581 3) Larson Danielson 219-362-2127 4) Holladay Group 574-234-2073 5) Robert Henry Const. 574-232-2091 Section 2 Plan of proposed work 1) Pre -construction meeting 2) Place traffic barricades and signs 3) Place temporary street markings 4) Place erosion control measures 5) Remove residence 6) Remove pavements, curbs, walks, mill asphalt 7) Strip topsoil 8) Install utilities 9) Install electrical 10) Excavate and establish subgrades 11) Place curbs, pavement, walks, fence, brick pavers 12) Place permanent pavement markings 13) Place topsoil $180,000 Summer 2017 $329,585 Spring 2017 $900,000 Fall 2017 $168,900 Fall 2017 $2,491,277 Fall 2017 $519,020 Summer 2017 $1,233,500 Fall2018 Subcontractors Utilized on Past Projects 1) Hydroseed —Osceola, IN, Hydra seeding 2) HydroTek— Nappanee, IN, Hydro seeding 3) Weaver Boos —South Bend, IN, Compaction Testing 4) Bob's Landscaping —Granger, IN, Sodding 5) JPR—South Bend, IN, Surveying 6) Rieth Riley — Goshen, IN, Paving Subcontractors to Utilize on this Project — Possible subs listed, will determine prior to contract approval 1) JPR 2) Reith Riley 3) Pemberton Davis 4) Furbringer Landscaping 5) The Airmarking Company 6) Milestone Fencing List of our Equipment Owned: 1) 13 Excavators 2) 4 Dozers 3) 3 Dump Trucks 4) 2 Semi Trucks with dump trailers 5) 2 Rollers 6) 5 Loaders 7) 2 Skidsteers We have received pricing for services and materials by potential subcontractors.