HomeMy WebLinkAboutOpening of Quotations - Vietnam Veterans Memorial Relocation - C&S Masonry Restoration LLCznn:t,�
CITY OF SOUTH BEND, INDIANA
CONTRACTORIS-OVOTE-FOR PUBLIC WORK
PROJECT NAME.
PROJECT NO.
QUOTES DUE
VIETNAM VETERANS MEMORIAL RELOCATION
117-047-A
April 24, 2018 9:30am EST
(Must be completed for all quotes. Please type or print)
Date: f zo ,� Firm: C.4 S W'45v�� o�/ L. LC
Address: 7,'Z2 l0 . C-�D —CAK i Ot 13
City/State/Zip: S, SeJ Z0 gUZZ Telephone Number:
Agent of Bidder (if Applicable): IU /A -
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
The City of South Bend, Department of Public Works
and dated 1171Aq1" r t I for the sum of (enter the Total Quote as shown on the Proposal)
��ec, (� 2//, 425 , `' p )
(Enter Sum of Tota`l'Quote plus Alternates shown on Proposal) L' (Numerical)
If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any
addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that shown
in the original contract if accepted by the City of South Bend. If the quote Is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment. _
BY
�-•� t�.s.5 � �---t Cam. � �.�.� � �.
(Printed Name of Person Signing)
The above quote is accepted this
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Giiot, President
Elizabeth A. Maradik, Member
ames A. Mueller, Member
Version 10/31/2017
ACCEPTANCE
day of 20
Suzanna M. Fritzberg, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
Page - 7 Public Works Quote
i 17-447-A Vietnam Veterans Memorial Relocation
Uu if,
QUOTE/PROPOSALi P si
CITY OF SOUTH BEND ...� .F
1865
\�iucm'air
PROJECT NAME VIETNAM VETERANS MEMORIAL RELOCATION
PROJECT NO. 117-047-A
QUOTES DUE April 24, 2018 9:30am EST
BASE BID
Item
No,
Description
Quantity
Unit
Unit Price
Total Amount
Furnish all labor, services,
materials, insurance and
1
equipment for the removal and
1
LumpSum
&0
2'4 I SM
$ � a
�^`} (I �Az '
relocation of the existing Vietnam
Veterans Memorial.
Total Amount of Quote
$ Zy 11(Z5".0s
ALTERNATE #1
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
1
Delete removal of existing
1
Lump Sum
- po
(� 2,
$ `�S e-
, {
concrete substrate.
I
t
Total Amount of Quote
$ 0! ppp .A0
ItNIT PRICINry
Item
No.
Unit Pricing
Unit
Add Price Per Unit
A
Granite Pavers -to match existing
SF
$ c'
i
B
Granite 1-1/2 Polished Veneer
SF
$ �q
Slab -to match existing
�
c
Granite Curb -to match existing
SF
$ 5- + �__)
Firm: Ck S MA-)OA)L -.-
Address: 3 i 2S �\) . �,"A 0, i ►�,� c7.c-
City/State/Zip: . 9"4 f Telephone Number: ZoQa " 1B-f 12 {
W Fax Number: 57L1
By
(Signature)
`Tee< �tieVAS
Version 10/31/2017 Page - 11 Public Works Quote
117-047-A Vietnam Veterans Memorial Relocation
When the prospective Contractor is unable to certify to a11y of the statements belolp, it shall attach an explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT,
CERTIFICATION REGARDING ,INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY
VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE
OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF J �yrltNj )
STr ) 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:
i. Contractor, its successor or its affiliate, provides goods or services of twenty million
dollars ($20,000,000) or wore 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
Version 10/31/2017 Page - 8 Public Works Quote
117-047-A Viatnam Voteronq MomQrial RoloGallon
8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel
products or foundry products made in the United States on this project if awarded. I understand I
have an affirmative duty to notify the City in my bid that my proposal does not include the use of
steel products or foundry products made in the United States. I understand it is my sole obligation
and responsibility to provide a justification to the City, subject to review and approval, why the
cost of United States made steel or foundry products is unreasonable, Prior to award and upon
submission of bid which does not use steel products or foundry products made in the United States,
the City, through its director of public works, shall make a determination if the price of United
States made steel or foundry is unreasonable. I understand that violations hereunder may result in
forfeiture of contractual payments.
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 i h,, 1 day of -Z 3 , 20 / co;'
OM 4'5aAll- �tS r,,49f fi aar
Contractor/Bidder (Firm)
Az� aeov_
Signature of Contractor/Bidder or Its Agent p
Printed Name and Title
Subscribed and sworn to befor me this -? 3 day of Olrl ( OlLffl
My Commission Expires -0,6y .2
Notary Public
County of Residence
MARSHA L. BROWN
NOTARY PUBLIC
STATE OF 1NNANA
COUNTY OF ST JOSEPH
MY Commission Expires June 28, 2021 -
Version 10/31/2017 Page - 10 Public Works Quote
117-047-A Vietnam Va/erana Momorial Fielocetivn