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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 YA on -a r. R1 6: 1 a 6: W= "ORNSIZ-4:101111111101114;U9 :401--laVy 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-