HomeMy WebLinkAboutOpening of Quotations - West Race Emergency Repair Proj No 115-115 - HRP Construction Inc-0 �
Date:
0 0
Isle] Z I I a" 961 361V1110] I'M Rej a U I IM 0
West Race Emergency Repair
115-116
April 24, 2018 before 9:30 a.m.
(Must be completed for all quotes. Please type or print)
4/24/18 Fiirm,-, HRP CONSTRUCTION TNC.
Address: 5777 Cleveland Road; P.D. Box 266
City/State/Zip: South Bend, TN 46624 Telephone Number: ( 574 ) 271-7800
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
West Race Emergency Repair
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
The City of South Bend, Department of Public Works
and darted 4/2018 ] for the sum of (enter the Total Quote as shown on the Proposal)
See attached
(Enter Sum of Total Quote shown on Proposal)
(Numerical)
If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any
addendurns attached will be specificallly referenced at the appficable, 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
(Signature)
Matthew D. Cain, President
(Printed Name of Person Signing)
The above quote is accepted this
Subject to the following conditions:
Gary A. Gilot, President
Elizabeth A. Maradik, Member
James A. Mueller, Member
day of
Suzanna M. Fritzberg, Member
Therese J. Dorau, Member
Attest: Linda M. Martin:, Clerk
20
Version 10131/2017 Page - 8 Public Works Quote
4,
QUOTE/PROPOSAL
CITY OF SOUTH BEND
PROJECT NAME West Race Emergency Repair
PROJECT NO. 116-115
QUOTES DUE April 24,...20.18 before 9:30 a.m.
Item
No.
Description
Quaintitv
Unit
Unit Price
Total Amount
1
Mobilization & Demobilization
1
LSUM
6) oc C) 0
$ 15,ado. 00
2
Dewateri,ng and Flow Diversion
1
LSUM
DOD. DO
$ WA 000. 00
3
Construction of Cast -in -Place
Reinforced Concrete Wall at
Intake
1
LSUM
00a 00
$ 000. 0�0
4
Powerwas,h "Cascades"
1
LSUM
coo, OC)
$ Dov. 00
5
Precast Planks
1
LSUM
000. 0 0
$ 000. Coo
Total Amount of Quote
$ 00a 00
Fiirmi: HRP CONSTRUCTTON INC.
Address: 5777 Cleveland Road; P.O. Box 266
City/State/Zip: South Bend, TN 46624 Telephone Number: ( 574) 271-7800
Fax Number: 574271-0524
o
By
Olafheu, n . f,.;; i n . presi rient
(Printed N=6 of Person Sregnang)
Version 10/31/2017 Page - 12 Public Works Quote
When the prospective Contractor is unable to certify to any of the statements below, it shall attach an arplrnration to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT,
CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY
VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE
OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF Indiana )
) SS:
5t. Joseph COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that:
1. Contractor has not, nor has any other member, representative, or agent of the firm,
company, corporation or partnership represented by him, entered into any combination, collusion
or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent
any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made
without reference to any other bid and without any agreement, understanding or combination with
any other person in reference to such bidding. Contractor further says that no person or persons,
firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift,
commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its
principals are presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from participation in this transaction by any Federal department or agency;
and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment
activities in Iran.
a. For put -poses of this Certification, "Iran" means the government of Iran and any agency or
instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from
time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is
engaged in investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty million
dollars ($20,000,000) or more in value in the energy sector of Iran; 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
Version 10/31/2017 Page - 9 Public Works Quote
Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3.
Contractor's documentation of enrollment and participation in the E-Verify Program is included
and attached as part of this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public
contract to certify that the subcontractors do not knowingly employ or contract with an
unauthorized alien, nor retain any employee or contract with a person that the subcontractor
subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is
participating in the E-Verify Program. The Contractor agrees to maintain this certification
throughout the term of the contract with the City of South Bend, and understands that the City
may terminate the contract for default if the Contractor fails to cure a breach of this provision no
later than thirty (30) days after being notified by the City.
6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by
the City of South Bend through its agencies, boards, or commissions shall not discriminate against
any employee or applicant for employment in the performance of a City contract with respect to
hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly
related to employment because of race, sex, religion, color, national origin, ancestry, age, gender
expression, gender identity, sexual orientation or disability that does not affect that person's ability
to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or
any combination of the foregoing including, but not limited to, public works contracts awarded
under public bidding laws or other contracts in which public bids are not required by law, the City,
its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain
participation by those Contractors certified by the State of Indiana as a Minority Business
("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest,
responsible, responsive bidder.
In no event shall persons or entities seeking the award of a City contract be required to award a
subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said
WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board
shall prohibit that person or entity from being awarded a City contract for a period of one (1) year
from the date of such determination, and such determination may also be grounds for terminating
the contact for which the discriminatory practice or noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination commitment shall
be made a part of any contract which it may henceforth enter into with the City of South Bend,
Indiana or any of its agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for
employment in the performance of this contract with privileges of employment, or any matter
directly or indirectly related to employment, because of race, religion, color, sex, gender
expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of
this provision may be regarded as material breach of contract.
I, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-
8-1). 1 hereby certify that I and all subcontractors employed by me for this project will use steel
products or foundry products made in the United States on this project if awarded, I understand I
Version 10/31/2017 Page - 10 Public Works Quote
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.
Bated this 2th day of April20 18
Subscribed and sworn to before me this 2 4 t h
My Commission Expires 3 / 6 / 2 4
HRP CONSTRUCTION INC.
C"tor/Pi I'
Signature of Contractor/Bidder or Its ,Agent
Matthew D. Cain, President
Printed Name and Title
day of April , 20 1 8
Notary Public Cindy Vanheste
County of Residence S t . Joseph
Version 110/31/2017 Page - 11 Public works Quote
ACCORhIr CERTIFICATE OF LIABILITY INSURANCE
��
FDATE(MMIODIYIYY)
4/18/2018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. if SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
CONTACT Ellie Lloyd
NAME
Gibson Insurance Agency, Inc.
130 S Main St, Ste 400
PHCNN Ex€. (800) 814-2122 FAX AIC No: (800)936-2122
ADDRIESS,elloyd@gibsonins.com
INSURERS AFFORDING COVERAGE
NAIC it
PO Box 11177
INSURER A:Amerisure Mut Ins Co
23396
South Bend IN 46601-0177
INSURED
INSURER B
INSURERC:
HRP Construction Inc.
5777 Cleveland Rd
INSURERD:
PO Box 266
INSURERE:
South Bend IN 46624-0266 1
INSURERF;
COVERAGES CERTIFICATE NUMBER:9-1-17/18 Liability I2EVISInM NIIMRFR-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 13ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
tLNTR
TYPEOFINSURANCE
ADDL
WVD S
POLICY NUMBER
MMIDDPOLICIYYYY EFF
MMIDDNYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
CLAIMS -MADE I —XI OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 11000,000
X
MED EXP (Any one person)
$ 10,000
XCU
CPP20316441202
9/1/2017
9/1/2018
X
Contractual Liability
PERSONAL BADVINJURY
$ 1,000,000
AGGREGATE LIMIT APPLIES PER:
POLICYJEC F]LOC
GENERAL AGGREGATE
$ 2,000,000
GENT
PRODUCTS -COMPIOPAGO
S 2,000,000
S
OTHER:
AUTOMOBILE
LIABILITY
COMBINEI SINGLE LIMIT
Ea accident
$ 1,0001000
BODILY €NJURY (Per person)
$
A
Ix
ANY AUTO
AUTOS SCHEDULED
AUTOS AUTOS
CA20316451202
9/1/2017
9/1/2018
BODILY INJURY (Per
( )
-PROPERTY
$
NON -OWNED
HIRED AUTOS X AUTOS
ntDAMAGE
$
S
X
UMBRELLALIAB
X
OCCUR
EACH OCCURRENCE
$ 10,000,00o
AGGREGATE
S 10, 000, 000
A
EXCESSLIAB
CLAIMS -MADE
DEb J X I RETENTIONS 0
$
CU20-116431102
9/1/2017
9/1/2018
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 11000,000
A
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? N❑
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N I A
WC20316421102
States of IN & MI
9/1/2017
9/1/2018
E.L. DISEASE - EA EMPLOYE
$ 11000,000
E.L. DISEASE - POLICY LIMIT
$ 1, 000 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
Project Name: West Race Emergency Repair. Project No: 115-115. Certificate holder is additional insured
with respect to general liability coverages regarding work performed by the insured.
CERTIFICATE HOLDER CANCEL[ ATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of South Bend
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Board of Public Works
ACCORDANCE WITH THE POLICY PROVISIONS.
1316 County City Building
AUTHORIZED REPRESENTATIVE
227 West Jefferson Blvd.
South Bend, IN 46601
G Ins Agency/ELLIE
U 1UBB-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
INS025 (201401)