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HomeMy WebLinkAboutOpening of Bids - WWTP Belt Filter Press #1 Rehab - Alfa Laval Inc - Financials Submitted, Not ScannedProject Name Project No. For Bids Due Wastewater Treatment Plant Belt Filter Press #1 Rehabilitation 118-019 April 24, 2018 PART I (Must be completed for all bids. Please type or, print) Date: April 19,2018 — Bidder (Firm): Alfa Laval Inc. Address: 10470 Deer Trail Drive City/State/Zip: Houston, TX 77038 Telephone Number: ( 281 ) 449-0322 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: Wastewater Treatment Plant Belt Filter Press #1 Rehabilitation the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Donohue & Associates, Inc. and dated March 2018 for the slum of (enter the Total Bid as shown on the Proposal) Two hundred three thousand one hundred thirty-one dollars and zero cents ($ 203,131.00 (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City Hof South 6 nd. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown n separai� ach ' nt. , t B y nature) Larry Packard Contracts and ]Bid Manager (Printed Name of Person Signing) The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member ACCEPTANCE day of Suzanne.M. Fritzberg, Member Therese J. Dorau, Member James A. Mueller, IMemlber Attest: Linda M. Martin, Clerk 108 Version 10/17/2016 Contractor's Bid for Public Works - 2 A, - rz BID/PROPOSAL PRA CITY OF' SOUTH BEND Phuoi- Project Name Wastewater Treatment Plant Belt Filter Press #1 Rehabilitation Project No. 118-019 For Bids Due April 24, 2018 Item Description Quantity Unit Unit Price Total Amount No. 1 Base Bid 1 LS $ 198,131.00 198,131 MO 2 Allowance: AddifionM Refurbishment 1 LS $5,000.00 $5,01001,00 Items Bidder (Firm): Address: city/State/zip: Alfa Laval Inc. 10470 Deer Trail Drive Houston, TX 77038 BASE BID TOTAL $ 203,13 1,00 Telephone Number: 81 ) 449-0322 By (Signature) Larry Packard / Contracts and Bid Manager (Printed Name of Person Signing) Version 10/17/2016 Contractor's IBid for Public Works - 7 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 Texas ) ) SS: Harris 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 refi•ain 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 fiom 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 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 Version 10/17/2016 Contractor's Bid for Public Works - 4 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 froin 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. 5-16-5-1). 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. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid Version 10/17/2016 Contractor's Bid for Public Works - 5 for public works are true and correct. Dated this 19th day of April 12018 Alfa Laval Inc. Contract Bidder (�irj Signature of Contractor/Bidder or Its Agent Larry Packard / Contracts and Bid Manager Printed Name and Title Subscribed and sworn to before me this 1,,1V' day of 20 \T, My Commission Expires o,� w CD Notary Public County of Residence =V P6. SHERYL BELLMYER Notary Public, State of Texas Comm. Expires 09-03-2020 ON Notary ID 126648822 O=M Version 10/17/2016 Contractor's Bid for Public Works - 6 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 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.) 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. 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. When the prospective Contractor is unable to certify to airy of the statements below, it shall attach an explanation to this Affidavit. 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YC E v (U N� QS O 7 N O O O O a, T7 C O YC � 0 M t'2% 3 O C C C c C m m O (Afn +' 2U O o..�N (V O 1- (d L co L f6 L C6 U 0 a7 L N � c Nc .F V a) C n i C U O c O U E U TJ E C E _O > C p rp � a) Or= C (0 a) Q Q Q. c ° Cf fSS a� + O c ui °o c� Lm,o >- E ° Q E o Z o m C -0 tf (j c c Q n O a"iQ c nE a3 5U)Q) c�a a 3 a� m in 0) °°moo ay 2(D c - c c -moo a P�u)0UJCJ 0.0 Q 1 6, (6 Dorn Q PENAL SUM FORM Any singular reference to Bidder, Surety, Owner or other party shall be considered plural whereapplicable. BIDDER (Name and Address): F-111115.11WIM. 11111104 5400 International Trade Drive, Richmond, VA 23231 SURETY (Name, and Address of Principal Place of Business): Western Surety Company 333 S. Wabash, Ave., Chicago, IL 60604 OWNER (Name and Address): City of South Bend', Indiana, Board of Public Works 227 West Jefferson Blvd',, South Bend, IN 46601 M Bid Due Date: April 24, 2018 Description (Project Name— Include Location): Rehabilitation; Project No. 118-019 BOND Bond Number: Bid Bond Date: April 24, 2018 LUTREMM. M-11MI1111 �-, 1115. 1011-n- 111112111=11MMIN Penal SUM Five Percent of Amount Bid $ 5% (Words) (Figures), Surety and Bidder, intending to be legally bound hereby, subject to the terms set forth below, do each cause this Bid Bond to be duly executed by an authorized officer, agent, or representative. BIDDER SURETY Alfa Laval Inc. (Seal) Western Surety Company Bidder's Name and Corporate Seal Surety's Nark and Corporate Seal By: V -�A- By: 1�m Signatury S ghiaure Power of -J-,, ki L Print Name Title Attest: Signature Title J. Winfree Print Name Attorney -in -Fact Title Attest: Sigy(iture John Stanchina Title Attorney -in -Fact Atote. Addresses are to be used fear giving any required notice. Provide execution by any additional parties, such as joint venturers, if necessary. EJCDC10 C-430, Bid Bond (Penal Sum Form). Published 2013. Prepared by the Engineers Joint Contract Documents Committee. Page 1 of 2 Appendix C EJC WE PENAL. SUM FORM 1. Bidder and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors, and assigns to pay to Owner upon default of Bidder the penal sum set forth on the face of this Bond. Payment of the penal sum is the extent of Bidder's and Surety's liability. Recovery of such penal sum under the terms of this Bond shall be Owner's sole and exclusive remedy upon default of Bidder. 2. Default of Bidder shall occur upon the failure of Bidder to deliver within the time required by the Bidding Documents (or any extension thereof agreed to in writing by Owner) the executed Agreement required by the Bidding Documents and any performance and payment bonds required by the Bidding Documents. 3. This obligation shall be null and void if: 3.1 Owner accepts Bidder's Bid and Bidder delivers within the time required by the Bidding Documents (or any extension thereof agreed to In writing by Owner) the executed Agreement required by the Bidding Documents and any performance and payment bonds required by the Bidding Documents, or 3.2 All Bids are rejected by Owner, or 3.3 Owner fails to issue a Notice of Award to Bidder within the time specified in the Bidding Documents (or any extension thereof agreed to in writing by Bidder and, if applicable, consented to by Surety when required by Paragraph 5 hereof). 4. Payment under this Bond will be due and payable upon default of Bidder and within 30 calendar days after receipt by Bidder and Surety of written notice of default from Owner, which notice will be given with reasonable promptness, identifying this Bond and the Project and including a statement of the amount due. 5. Surety waives notice of any and all defenses based on or arising out of any time extension to issue Notice of Award agreed to in writing by Owner and Bidder, provided that the total time for issuing Notice of Award including extensions shall not in the aggregate exceed 120 days from the Bid due date without Surety's written consent. 6. No suit or action shall be commenced under this Bond prior to 30 calendar days after the notice of default required in Paragraph 4 above is received by Bidder and Surety and in no case later than one year after the Bid due date. 7. Any suit or action under this Bond shall be commenced only in a court of competent jurisdiction located in the state in which the Project is located. 8. Notices required hereunder shall be in writing and sent to Bidder and Surety at their respective addresses shown on the face of this Bond. Such notices may be sent by personal delivery, commercial courier, or by United States Registered or Certified Mail, return receipt requested, postage pre -paid, and shall be deemed to be effective upon receipt by the party concerned. 9. Surety shall cause to be attached to this Bond a current and effective Power of Attorney evidencing the authority of the officer, agent, or representative who executed this Bond on behalf of Surety to execute, seal, and deliver such Bond and bind the Surety thereby. 10. This Bond is intended to conform to all applicable statutory requirements. Any applicable requirement of any applicable statute that has been omitted from this Bond shall be deemed to be included herein as if set forth at length. if any provision of this Bond conflicts with any applicable statute, then the provision of said statute shall govern and the remainder of this Bond that is not in conflict therewith shall continue in full force and effect. 11. The term "Bid" as used herein includes a Bid, offer, or proposal as applicable. EJCDC® C-430, Bid Bond (Penal Sum Form}. published 2013. Prepared by the Engineers Joint Contract Documents Committee. Page 2 of 2 W uUj ) a LU z �- uj z 0 co w 0 0. OZZ (j) W U. n 0 a. Z 0 LU W 'o z 0 z 0 0 z 0 0. L) uj CL O UJ LL U. 0 U- 0 0 w CL w (a C)Q 4- 5 0 W M o lim lt� 4- 0 cr 4- CL 0) Co r-r (D E 0 0 0 c w m a. M o E 0 0 -0 0 E in ol CO 0 M, 0 (D r 0 >CD 0 U) ca 0 CL 0. En U) M U) M'o 0 = W 0 0 E 0 CL.0 E 1- 0 lu o mz� 0 -E Oc �- CL 6 E m n C3 CY) 2 c QY o 0 � CL K=l C> o 0 E 0 kr� < W =0 w OL #A .2 o (D 0 0 (D a_ 0 .r_ O. m -T 1� a) 0 % o E .E xl 46 cd E m z cd cL) 00 CD I. u E z j OL A n 0 0 0 To- r. CD c 0 CITY OF SOUTH BENDa. MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY )f — , 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 MBENVBE 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: 118-019 Date: April 19, 2018 Wastewater Treatment Plant Belt Filter Press #1 Rehabilitation Alfa Laval Inc. Contact Person: Larry Packard Address: 10470 Deer Trail Drive City: I touston State: TX Telephone: 281-9,85-4405 Zip: 77038 Email: larry,packard@alfalaval com To determine whether a bidder has demonstrated good faith efforts to reach the MBEMBE 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 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 (hftp://www.in.gov/idoa). 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 scheduledby the City to inform MBE/WBEs 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 MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 4. Utifize 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. 20 "Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE/WBEs, including providing such MBEBE's with adequate information about the plans, specifications and other /W �X requirements of the subcontract and did not reject MBEIWBEs as unqualified without sound business reasons based on a thorough iinvestigation of their capabilities. SMALL CONTRACT(S): The bidder s,eiected specific portions of the work to be performed by MBEfWBEs in order to increase the likelihood of meeting the MBEIWBE goals (including breaking down contracts into smaller units to facilitate MBEIWBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE 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 MBE/WBE 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 10/17/2016 Contractor's Bid for Public Works - 9 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY A DEVELOPMENT PROGRAM FORM MWBE-2.1 MBEIWBE CONTACTED J, 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 Minority or Women's owned business. PAGE I OF 2 Project Number: 118-019 MBEIWBE Participation Goal Project Name: Wastewater Treatment Plant Belt Filter Press #1 Rehabilitation �Bidder: �y Layl Inc. BY: Contracts and Bid Manager April 20,2018 o (Signature) -Larry Packard (Title) (Date) MBEIWBE Firm Odyssian Technology Inc. Owner or Contact at MBEMBE Firm Burton Bennett Telephone: 574-257-7565 Fax: 574-257-7580 Email: iiifo@odyssian.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Supply of bull gears and pinion gear. RESULTS OF CONTACT WITH THE MBENVBE FIRM: Unable to provide parts. No quote. MBEIWBE Firm SE Supply Cornpnay LLC Owner or Contact at MBE/WBE Firm Slaes Group Telephone: 800-840-1843 Fax: unknown Email: sales@scstipplyco.cot-n TYPE OF WORK SOLICITED FOR THIS PROJECT: Supply of bull gears and pinion gear. RESULTS OF CONTACT WITH THE MBENVBE FIRM: Unable to provide parts. No cluote. Version 10/17/2016 Contractor's Bid for Public Works - 10 MBEMBE CONTACTED LIST (Page 2 of 2) The following addition MBEIWBE Firms were contacted for supplying parts on this project. MBEIWBE Firm: S & R Solution Owner or Contact at MBE/WBE Firm: Let Messagg for Representative Telephone: 574-850-2 813 Fax: unknown :E-mail: unknown TYPE OF WORK SOLICITED FOR THIS PROJECT: Supply of drive pinion and bull gears. RESULTS OF CONTACT WITH MBE/WBE FIRM: Vendor unable to provide requested parts. MBEIWBE Finn: Sibley Machine & Foundry Corporation Owner or Contact at MBE/WBE Firm: Bill Voll Telephone: 574-288-4611 Fax: unknown TYPE OF WORK SOLICITED FOR THIS PROJECT: Saply of drive pinion and bull gears. RESULTS OF CONTACT WITH MBE/WBE FIRM: E-mail: vhvoll a,sibleymachine.cozn Vendor is unable to rovided requested parts. Vendor supplies only general casting, No quote. MBEIWBE Firm: Powell Tool Supply Inc. Owner or Contact at MBEIWBE Firm: Doug Debree Telephone: 574-284-481 lext 2588 Fax: unknown :E-mail: unknown TYPE OF WORK SOLICITED FOR THIS PROJECT: Supply of drive pinion and bull gears. RESULTS OF CONTACT WITH MBE/WBE FIRM: Vendor is unable to quote the requested parts. Bidder: Alfa Laval Inc. 10470 Deer Trail Drive Houston, TX 77038 (281) 449-0322 Project: Filter Press #1 Rehabilitation Project No.: 118-019 Plant Location: City of South, Bend South Wastewater Treatment Plant South Bend, IN. AIN Laval Inc. 10470 Deer Trail Drive Houston, TX 77038 USA Tel: +1 800-362-9041 Fax: +1 281'-449-1324 www.alfalavaLus www.as-h.com Below list cover Alfa Laval's current active rebuild projects (non -construction projects): 1) Denali Water Northeast Water Purification Plant Houston, TX Contact: Mike Wertz Phone: 832-795-5409 Project: Site rehabilitation of (1) one Klampress 2.0 meter belt filter press. 2) City of Durham - North WWTP Durham, NC Contact: Brian Merritt Phone: 919-560-4384 Project: Site rehabilitation of (2) two Klampress 2.0 meter belt filter press and (2) two Aquabelt gravity belt thickeners. 3) Orange County Sanitary District WWTP Plant 2 Huntington Beach, CA Contact: Kevin Schuler Phone: 714-861-2674 Project: Site rehabilitation of (4) four Winklepress 2.0 meter belt filter press. 4) Flower Mound WWTP Flower Mound, TX Contact: Steven Surnmerkarrip, Phone: 972-578-0127 Project: Site rehabilitation of (1) one Klampress 2.0 meter belt filter press. BIDDERS — SUBCONTRACTOR LIST PAST 5 YEARS Bidder: Alfa Laval Inc. 10470 Deer Trail Drive Houston, TX 77038 (281) 449-0322 Project: Filter Press 41 Rehabilitation Project No.: 118-019 Plant Location: City of South Bend South Wastewater Treatment Plant South Bend, IN. LIM Alfa Laval inc. 10470 Deer Trail Drive Houston, TX 77038 USA Tel: +1 800-362-9041 Fax: +1 281-449-1324 wwwalfalaval.us www,as-h.com Alfa Laval has had no rehabilitation projects over the past 5 years which required a subcontractor. All rehabilitation projects, which are similar in nature as this bid, have been performed utilizing only Alfa Laval factory trained field service technicians. BIDDERS QUALIFICATIONS Bidder: Alfa Laval Inc. 10470 Deer Trail Drive Houston, TX 77038 (281) 449-0322 Project: Filter Press 41 Rehabilitation Project No.: 118-019 Plant Location: City of South Bend South Wastewater Treatment Plant South Bend, IN. M Alfa Laval Inc. 10470 Deer Trail Drive Houston, TX 77038 USA Tel: +1 800-362-9041 Fax: +128,1-449,-1324 www.alfallavalus www.as-h.com Experience Record: Alfa Laval Ine.is the Original Equipment Manufacturer (O.E.M.) of Belt Filter Press (Klampress Type 85) located at the City of South Bend's South Wastewater Treatment Facility requiring rehabilitation modifications and repairs. Alfa Laval has been in the business of manufacturing Belt Filter Presses since 1977. All parts supplied by Alfa Laval shall meet Alfa Laval's latest O.E.M. design standards. All parts will be made to Alfa Laval's standard level of quality procedures. All labor shall be performed by qualified Alfa Laval trained service technicians who are experienced in the disassembly/reassembly of the Klampress. Equipment/Facilities, Alfa Laval is a complete manufacturing facility capable of manufacturing and purchasing parts required for all modifications and repairs. Field Equipment: Alfa Laval has the necessary equipment and tools to perform the specified site work- on this project. Alfa Laval has gang -boxes which contain hand tools, roll carts, portable electric hoists, corne-a-longs, slings and chains. Alfa Laval has a variety of portable gantries with a range of "I" beams to assist with the site work. Site rental equipment will be utilized (fork-lift) to assist with movement of parts on site. I g I-11 11grij 1 III a L911Y4 14 12 Of 1-11 M 0 Bidder: Alfa Laval Inc. 10470 Deer Trail Drive Houston, TX 77038 (281) 449-0322 Project: Filter Press #1 Rehabilitation Project No.: 11 B-01 9 Plant Location: City of South Bend South Wastewater Treatment Plant South Bend, IN. Alfa Laval Inc. 10470 Deer Trail Drive Houston, TX 77038 USA Tel: +1 800-362-9041 Fax: +1281-449-1324 www.alfalaval.us www.as-h.com Factory/Site Set -vice Technicians: The below listed Ashbrook employees can be utilized in performing the site rebuild of the Klampress at the above referenced Plant location. Employee Title Years of Experienc Steve Garza Field Service Technician 18 Able Salazar Field Service Technician 16 Kregg Ford Field Service Technician 26 Jason Beltran Field Service Technician 13 Richic, Cabarubio Service/Start-up Technician 19 John Moceiro Service/Start-up Technician 10 Paul Phares Service/Start-up Technician 25 Contractor Affidavit under O.C.G.A. § 13-10-91(b)(1) By executing this affidavit, the undersigned contractor verifies its compliance with O.C.G.A. § 13-10-91, stating affirmatively that the individual, firm or corporation which is engaged in the physical performance of services on behalf of City of South Bend, Indiana name of public employ ) has registered with, is authorized to use and uses the federal work authorization program commonly known as E-Verify, or any subsequent replacement program, in accordance with the applicable provisions and deadlines established in O.C.G.A. § 13-10-91. Furthermore, the undersigned contractor will continue to use the federal work authorization program throughout the contract period and the undersigned contractor will contract for the physical performance of services in satisfaction of such contract only with subcontractors who present an affidavit to the contractor with the information required by O.C.G.A. § 13-10-91 (b). Contractor hereby attests that its federal work, authorization user identification number and date of authorization are as follows-. 13398 Federal Work Authorization User Identification Number 03-23-2005 Date of Authorization Alfa Laval Inc. Narne of Contractor IFB # 11 8-019: Belt Filter Press #I Rehabilitation Name of Project City of South. Bend, IN. Name of Public Employer I hereby declare under penalty of perjury that the foregoing is true and correct. Execute A r' 19 2 1 1 (city), X 8 in Houston I_(state). Signature of Authorized Officer, or Agent Larry Packard 1 Contracts &Bid Manager Printed Name and Title of Authorized Officer or Agent SUBSCRIBED AND SWORN BEFORE ME ON THIS THE�a�DAY OF 1201ve-- NOTARY PUBLIC My Commission Expires: SHERYLBELLMYER No tary Pub1lo, State of Texas �10$ Comm. Expires 09-03.2020 Notary ID 126648,822 Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Jessica J. Winfree , Individually of Richmond, VA its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - Surety Bond.No.: Bid Bond Principal: Alfa Laval Inc. Obligee: City of South Bend, Indiana, Board of Public Works and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 27th day of February, 2018. A,+�SURETY""N, WESTERN SURETY COMPANY ;�u `rEAV i 1 �rk °:�� aul T. Sruflat, Vice President State of South Dakota ss County of Minnehaha On this 27th day of February, 2018, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his narne thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires J. MOHR rmr�mrausuc June 23, 2021 SOUTH OAWTA� J. Mohr, Notary Public CERTIFICATE 1, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 24th day of April, 2018. WESTERN SURETY COMPANY �'aSuaErr-c,� x_ �nuwnn � L. Nelson, Assistant Secretary Form F4280-7-2012 Go to www.cnasurety.com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity. Authorizing By -Low ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders of the Company. Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. -lu N*4 Board of Public Works County -City Building — Room 1316 227 West Jefferson Blvd. South Bend, fN 46601 Alfa Laval Inc. Reference: South Bend Wastewaterr Treatment Plant 10470 Deer Trail Drive South Bend, IN Houston, TX 77038 USA Belt Press # I Rehabilitation Tel: +1 800-362-9041 ProjectNo: 118-019 Fax: +1 281-449-1324 Bid Date: April 24,2018 @ 9:30 A.M. www,alfalaval.us www,as-h.com Alfa. Laval Inc. is pleased to offer our bid package for your consideration for Belt Press #1 Rehabilitation of customer's existing belt filter presses located at the above referenced jobsite. Alfa. Laval's experience in designing and building new belt filter presses and repairing/rebuilding earlier model belt filter presses can only enhance our position in providing the services and pails specified. Alfa Laval is the leading belt filter press manufacturer and has over'3,000 belt filter presses/thickeners installed across the United States and abroad, Alfa Laval has designed belt presses, gravity belt thickeners and other process equipment for nearly 26 years. Our record of performance is well known in the Water and Wastewater Industries. Alfa Laval started our "Rebuild Program"' to provide customers with "'today's technology" on earlier model belt filter presses and provide customers with an alternative to purchasing new replacement equipment, Alfa Laval has on staff Register Professional Engineers, with expertise in the fields of engineering, design, electrical and process, to meet any need on this prqject. Alfa Laval offers the following as additional qualifications for supplying the level of standards of parts and services as defined in the Bid specifications. • Alfa Laval is the sole source supplier of all original equipment manufacture parts (O.E.M.) and is the original equipment manufacturer of the Klampresses located at South Bend South WWTP. • The manufacturer/brand name of manufactured components being offers is Alfa Laval. • Your original press parts have faithfully performed for over 27 years which proves the high standard that is required in your operation. • Any new changes in design improvements have been completed by licensed professional engineers, • Alfa Laval's factory has total manufacturing capabilities, which ensure consistency in the high quality of products produced. • Alfa Laval takes no exceptions to the bid specifications. • Alfa Laval has provided a Bid Bond in the amount of 5% of our bid amount and all other documents reqwired by the bid specifications. Page 2 "Bid --- South Bend, IN" Project No.: 118-019 Project Approach {CEork Plan): If Alfa lava] is awarded the Contract to perform the work as specified, the following sequence of events would occur. 1. Execute Contract. 2. Execute Performance/Payment/Maintenance Bonds. 1 Execute Insurance Certificate, 4. Attend preconstruction Meeting, if required. 5. Submit project schedule meeting completion date. G. Perform all site work. Site crew will consist of (2) two qualified factory traing set -vice technicians. 7. Execute close-out forms. The bid specifications covers the rehabilitation of an exisitng belt filter press. There is no construction work being performed resulting in no subcontract work required on this project. To meet the requirements of the specifications, requires providing OEM parts and qualified service technicians to perform the site rehabilitation work. To ensure proper operations of the belt filter press, the OEM parts and services can only be performed or supplied by the OEM. Alfa Laval has document our Good Faith Efforts showing our attempled to source parts from local MBE/WBE's. Alfa Laval will attempt to utilize a minority trucking company for transporting parts to and from the jobsite. We wish to thank you for the opportunity of offering our Bid Package. Should you have any questions regarding Alfa Laval's, Bid or any of the attachments please feel free to call. ...� Regards Larry Packard, Contracts and Bid Manager Ph: 281-985-4405 www.alfalaval.us REBUILT BELT FILTER PRESS INSTALLATION LIST KLAMPRESS CUSTOMER EQUIPMENT Altamonte Springs WWTP Klampress 950 Keller Road Altamonte Springs, FL 32714 Andrew Lobban 407-571-8634 TYQ !SIZE DATE (1) Size 3 2017 Scope: Complete site rebuild. Work consisted of new roller assemblies, new stainless steel drainage pans, new fiberglass cylinders, new electrical system, new stainless steel washboxes, new washtubes, new drive gears and new filter belts. All site labor performed by Alfa Laval personnel. Leavenworth WWTP Klampress (1) Size 3 2017 1800 South 2"J Street Leavenworth, KS 66048 Chuck Staples 913-758-6646 Scope: Complete site rebuild. Work consisted of new roller assemblies, new stainless steel drainage pans, new fiberglass cylinders, new electrical system, new stainless steel washboxes, recondition washtubes, new drive gears, single stage hydraulic retrofit and new filter belts. All site labor performed by Alfa Laval personnel. Manheim WWTP Klampress (1) Size 3 2017 18 East High Street Manheim, PA 17454 Terry Shaffer 717-665-2737 ext 3 Scope: Complete site rebuild. Work consisted of new roller assemblies, fiberglass cylinders, new electrical system, recondition washtubcs, new drive gears, single stage hydraulic retrofit and new filter belts. All site labor performed by Alfa Laval personnel. Rivanna Water & Sewer Klampress (1) Size 3 2017 1695 Moores Creek Lane Charlottesville, NC 22902 Dave Tungate 434-906-0771 Scope: Complete site rebuild. Work consisted of new roller assemblies, fiberglass cylinders, new electrical system, recondition washtubes, all new wear parts, new drive gears, single stage hydraulic retrofit, new mixer assembly and new filter belts. All site labor performed by Alfa Laval personnel. Installation List Page 2 of 6 CUSTOMER City of Salisbury WWTP 1142 Marine Road Salisbury, MD 21801 Bill Dotson 410-548-3180 EQUIPMENT TYQ /SIZE DATE Klampress (2) Size 3 2017 Scope: Complete site rebuild. Work consisted of new roller assemblies, fiberglass cylinders, new electrical system, recondition washtubes, new drive gears, all new wear parts, tension yoke bearings, retrofit and new filter belts. All site labor performed by Alfa Laval personnel. City of Scranton WWTP Klampress (2) Size 3 2017 Cedar Ave, and Breck Street Scranton, PA 18505 Charles Piekanski 570-371-2646 Scope: Complete site rebuild. Work consisted of new roller assemblies, fiberglass cylinders, new electrical system, recondition washtubes, new washboxes, new drive gears, all new wear parts, tension yoke bearings, retrofit hydraulic lid assembly and new filter belts. All site labor performed by Alfa Laval personnel. City of South Bend WWTP Klampress (1) Size 3 2017 3113 Riverside Drive South Bend, IN 46628 Jacob Klonsinsl-,i574-235-9496 Scope: Complete site rebuild. Work consisted of new roller assemblies, fiberglass cylinders, new electrical system, recondition washtubes, new washboxes, new drain pans, new dual shaft mount gearmotors, all new wear parts, tension yoke bearings, retrofit hydraulic lid assembly, new filter belts and panel upgrades. All site labor performed by Alfa Laval personnel. Texas City WWTP Klampress (2) Size 3 2016 3901 Bay Street Extensio Texas City, TX 77592 Ronnie Aven 409-682-6838 Scope: Complete site rebuild. Work consisted of re -galvanizing all carbon steel machine components, new roller assemblies, new stainless steel drainage pans, new fiberglass cylinders, new hydraulic system, new electrical system, new stainless steel washboxes, new washtubes, new gravity drainage grids, new drive gears, new filter belts and new Control Panel. All site labor performed by Alfa Laval's personnel. City of South Bend WWTP Klampress (1) Size 3 2016 3113 Riverside Drive South Bend,1N 46628 Jacob Klonsinsld574-235-9496 Installation List Page 3 of 6 CUSTOMER EQUIPMENT TYISIZE DATE Scope: Complete site rebuild. Work consisted of new roller assemblies, fiberglass cylinders, new electrical system, recondition washtubes, new washboxes, new drain pans, new dual shaft mount gearmotors, all new wear parts, tension yoke bearings, retrofit hydraulic lid assembly, new filter belts and panel upgrades. All site labor performed by Alfa Laval personnel. Altamonte Springs WWTP Klampress (1) Size 3 2016 950 Keller Road Altamonte Springs, FL 32714 Andrew Lobban 407-571-8634 Scope: Complete site rebuild. Work consisted of new roller assemblies, new stainless steel drainage parrs, new fiberglass cylinders, new electrical system, new stainless steel washboxes, new washtubes, new drive gears and new filter belts. All site labor performed by Alfa Laval personnel. Hot Springs WWTP Klampress (1) Size 3 2016 320 Davidson Drive Hot Springs, AR 71901 Gordon Yates 501-262-1882 Scope: Complete site rebuild. Work consisted of new roller assemblies, new fiberglass cylinders, new electrical system, new wear parts, new stainless steel washboxes, new washtubes, new drive gears and new filter belts. All site labor performed by Alfa Laval personnel. New Shoreham WWTP Klampress (1) Size 1 2014 1 Spring Street Block Island, RI 02807 Ray Boucher 401-466-3231 Scope: Complete site rebuild. Work consisted of new roller assemblies, new stainless steel drainage pans, new fiberglass cylinders, new electrical system, new stainless steel washboxes, new washtubes, new gravity drainage grids, new drive gears, new Main BFP Control Panel and new filter belts. All site labor performed by Alfa Laval's personnel. Chelford City WWTP Klampress (2) Size 3 2014 15027 Alief Clodine Road Houston, TX 77082 Ramon Castillo 832-435-1872 Scope: Complete site rebuild. Work consisted of re -galvanizing all carbon steel machine components, rework roller assemblies, new stainless steel drainage pans, new fiberglass cylinders, new hydraulic system, new electrical system, new stainless steel washboxes, new washtubes, new gravity drainage grids, new drive gears, new filter belts and new Main BFP Control Panels. All site labor performed by Alfa Laval's personnel. Installation List Page 4 of 6 CUSTOMER EQUIPMENT QTY/SIZE DATE West Chicago, IL Klampress (2) Size 3 2014 725 Dayton Street West Chicago, IL John Bowman 630-293-2260 Scope: Complete site rebuild. Work consisted of re -galvanizing all carbon steel machine components, rework roller assemblies, new stainless steel drainage pans, new fiberglass cylinders, new hydraulic system, new electrical system, new stainless steel washboxes, new washtubes, new gravity drainage grids, new drive gears and new filter belts. All site labor performed by Alfa Laval's personnel. Brevard County, FL Klampress (1) Size 3 2013 2800 S. Highway A1A Melbourne Beach, FL 32591 Glenn Siler 321-952-4550 Scope: Complete site rebuild. Work consisted of new roller assemblies, new stainless steel drainage pans, new fiberglass cylinders, new electrical system, new stainless steel washboxes, new washtubes, new gravity drainage grids, new drive gears and new filter belts. All site labor performed by Alfa Laval's personnel. Deland, FL Klampress (1) Size 3 2013 1101 South Amelia Ave. DeLand, FL 32724 Jody Hansen 386-740-6855 Scope: Site rebuild to "like new" condition consisting of new 2 9/16" roller assemblies, all new wear parts, new hydraulic system, new electrical system, new drive gearing, new set of filter belts and new hydraulic unit retrofit lid assembly. All Moundsville, WV Klampress (1) Size 2 2013 1700 Lafayette Ave. Moundsville, WV 26041 Tim Minor 304-845-8973 Scope: Complete site rebuild. Work consisted of reconditioned roller assemblies, new fiberglass cylinders, new electrical system, new stainless steel washboxes, new washtubes, new gravity drainage grids, new drive gears and new filter belts. All site labor performed by AIfa Laval's personnel. Installation List Page 5 of 6 CUSTOMER EQUIPMENT QTY/SIZE DATE Palmetto, FL Klampress (1) Size 2 2013 1310 28 h Avenue West Palmetto, FL 34221 Ray D'Aiuto 941-723-6106 Scope: Complete site rebuild. Work consisted of new roller assemblies, new fiberglass cylinders, new electrical system, new stainless steel washboxes, new washtubes, new gravity drainage grids, new drive gears and new filter belts. All site labor performed by Alfa Laval's personnel. Brazos River Authority Klampress (1) Size 1 2012 Richwood/Clute WWTP Clute, TX Greg Graf 281-795-8420 Scope: Complete site rebuild. Work consisted of re -galvanizing all carbon steel machine components, rework roller assemblies, new stainless steel drainage pans, new fiberglass cylinders, new hydraulic system, new electrical system, new stainless steel washboxes, new washtubes, new gravity drainage grids, new drive gears and new filter belts. All site labor performed by Alfa Laval's personnel. City of Toledo Klampress (2) Size 3 2012 Bayview Park W.W.T.P. Toledo, Oh Dave Schroeder 419-727-2611 Scope: Complete site rebuild. Work consisted of new roller assemblies, new stainless steel drainage pans, new Fiberglass cylinders, new hydraulic system, new electrical system, new stainless steel washboxes, new washtubes, new gravity drainage grids, new drive gears and new filter belts. All site labor performed by Alfa Laval's personnel. Manatee County Klampress Southwest WWTP 5160 65`h Street West Bradenton, FL 34210 Tom Burke 941-792-8811 ext 5179 (1) Size 3 2012 Scope: Site rebuild to "like new" condition consisting of new 2 9/16" roller assemblies, all new wear pants, new hydraulic system, new electrical system, new drive gearing, new set of filter belts and new hydraulic unit assembly. All site labor performed by Alfa Laval's personnel. Installation List Page 6 of 6 CUSTOMER Bayshore Regional Auth. W.W.T.P. 100 Oak Street Union Beach, NJ 07735 Pete Canal 732-739-1095 EQUIPMENT QTY/SIZE DATE Klampress (1) Size 3 2012 Scope: Site rebuild to "like new" condition consisting of new 2 9/16" roller assemblies, all new wear parts, new hydraulic system, new stainless steel drain pans, new electrical system, new drive gearing, new set of filter belts and new hydraulic unit retrofit lid assembly. All site labor performed by Alfa Laval's personnel. Deland, FL Klampress (1) Size 3 2012 1101 South Amelia Ave. DeLand, FL 32724 Jody Hansen 386-740-6855 Scope: Site rebuild to "like new" condition consisting of new 2 9/16" roller assemblies, all new wear parts, new hydraulic system, new electrical system, new drive gearing, new set of filter belts and new hydraulic unit retrofit lid assembly. All site labor performed by Alfa Laval's personnel. Apopka, FL Klampress (1) Size 3 2012 748 east Cleveland Street Apopka, FL 32703 Kevin Burgess 407-703-1731 Scope: Site rebuild to "like new" condition consisting of new 2 9/16" roller assemblies, all new wear parts, new hydraulic system, new electrical system, new drive gearing, new set of filter belts and new hydraulic unit retrofit lid assembly. All site labor performed by Alfa Laval's personnel. Gloucester County WWTP Klampress (1) Size 3 2011 2 Paradise Road West Deptford, NJ 08066 Robert Gezzi 856-423-3500 Scope: Site rebuild to "like new" condition consisting of new 2 9/16" roller assemblies, new main frames, all new wear parts, new hydraulic system, new stainless steel drain pans, new stainless steel washboxes, new electrical system, new drive gearing, new set of filter belts and new hydraulic unit retrofit lid assembly. All site labor performed by Alfa Laval's personnel. CHECKLIST FOR BIDDERS Project Name Wastewater Treatment Plant Belt Filter Press #1 Rehabilitation Project No., 118-019 For Bids Due April 24, 2018 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 MBEIWBE Participation Goal Form [MWBE-1,0], If minimum participation goal is not met, also provide Evidence of Good Faith, Efforts Form [MWB,E-2.0] and MBE/WBE Contacted X Form [MWBE-2.1]. X Acknowledge Receipt of Addendum(s) included with the bid. X All required additional information is included with the bid. Proposal statements and other affidavits all signed Iby the proper party with, name either X printed or typed underneath signature. X 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: Alfa Laval Inc. Date: April 19,2018 By Authorized Representative: Signature: 0 Print Name & Title: Larry Packard / Contracts and Bid Manager Version 10/17/2016 Contractor's Bid for Public Works - 1