HomeMy WebLinkAboutOpening of Quotations - 2018 Tree and Stump Removal Proj No 118-048A - Kachur Tree Service LLCPROJECT NAME 2018 Tree and Stump Removal
PROJECT NO. 118-048A
QUOTES DUE May 8, 2018
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
1
TREE, REMOVE, 10-IN
2
EA
r
$ c) 0
2
TREE, REMOVE, 18-IN
5
EA
3
TREE, REMOVE, 30-IN
6
EA
4
TREE, REMOVE, 48-IN
3
EA
'22
5
STUMP, REMOVE
3
EA
Firm
U51I
City/State/Zip:
Total Amount of Quote
1 $ If-7 C`0
llt'?cyl L�"J, ,
Telephone Number:
Fax Number:-(
By
(Signature)
(Printed Name of Person Signing)
Version 10/31/2017 Page - 12 Public Works Quote
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PROJECT NAME: Tree and Stiump Removal
PROJECT NO. 118-048A
QUOTES DUE May 8, 2018
(Must be completed for all quotes. Please type or print)
Date: Firm: (2 V k
Address:
City/State/Zip: LN IL. I 112—t) Telephone Number: (1-t6k,11
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:
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 C)�/ Vim/ � 17
for the sum of (enter the Total Quote as shown on the Proposal)
')T)
oY' �uitlllfj (76vndo-fiw duvu'(" ($� 1 '2 -J-
(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
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 4'Wddltbu
1
(S-T naturl) ,1211/1 Vmrhu'l tA
(Printed Name of Person Signing)
ACCEPTANCE
The above quote is accepted this day of
Subject to the following conditions:
BOARD OF PUBLIC WORKS
A. Gilot, President
Elizabeth A, Maradik, Member
James A. Mueller, Member
Suzanna M. Fritzberg, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
IMP
Version 10/31/2017 Page - 8 Public Works Quote
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 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 )
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 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
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 tl f1w day of G , 20111
Contractor/Bidder (Firm)
Signature of Contractor/Bidder or Its Agent
IfAll VAIIUY kiiuio A7�-(A
Printed Name and Title
Subscribed and sworn to before me this day of 20
My Commission Expires
County of Residence
Notary Public
Verskon 10131/2017 Page - 11 Pubfic Works Quote
1316 COUNTY -CITY BUILDING
227 W. JErFERSON BOULEVARD
SOUTH BEND, INDIANA -146601 -1830
Date:
To:
From
Subject
Project Name:
Project No.:
CITY OF SOUT]
May 4, 2018
I Planholders
Tara Weigand, Project Engineer
Addendum Number: I
2018 Tree and Stump Removal
118-048,A
PHONE 574/235-9251
FAX 574/ 235-9171
TDD 574/ 235-5567
i-riww, MAYOR
Z
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.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: VIAUIRIVI IYer", 41,52f"Y'vitlei LLC'
Authorized Signature: � 1?'itll�l_ atltvuv
Date: C
1316 COUNTY -CITY BUiLD1NO
227 W,JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
Date: May 4, 2018
To: All Planholders
PHONE 574/235-9251
FAX 5741235-9171
TDD 5741235-5567
CITY OF SOUTH BEND PETE BUTTioiEG, MAYOR
BOARD OF PUBLIC WORKS
2018 Tree and Stump Removal
118-048A
Addendum No. 1
From: Tara Weigand, Project Engineer'
The following information is to be changed/added to the contract documents:
1. Summary of Revisions
1, Five tree/stump removals have been added to the quote.
11. Special Provisions
1. REPLACE, Section XVIII. REMOVAL SCHEDULE
Removal
No.
House
No.
Street Name
Tree/Stump
Diameter (in.)
Pay Item
Diameter in.
1
1440
Sunn mede Ave
Tree
24
30
2
1246
E Madison St
Tree
16
18
3
1246
E Madison St
Tree
30
30
4
1304
Lee erAve
Tree
12
10
5
1304
Lee erAve
Tree
18
18
6
1304
Lee erAve
Tree
28
30
7
1304
Lee erAve
Tree
36
48
8
726
S Edison Ave
Tree
36
48
9
726
S Edison Ave
Stump
36
Stump
10
746
S Edison Ave
Stump
28
Stump
11
834
S Edison Ave
Tree
20
18
12
834
S Edison Ave
Tree
26
30
13
850
S Edison Ave
Tree
12
10
14
2618
Grace St
Tree
18
18
15
809
E Fairview Ave
Tree
35
30
16
822
E Fairview Ave
Tree
26
30
17
918
E Fairview Ave
Stump
48
Stump
18
930
E Fairview Ave
Tree
36
48
19
930
E Fairview Ave
Tree
23
18
111. Quote/Proposal
2. REPLACE Quote/Proposal form with the attached revision.
Attachments:
Revised Quote/Proposal Form (l page)
-This addendum consists of a total 4 pages inclusive of "Acknowledgement of Receipt of
Addendum" sheet-