HomeMy WebLinkAboutOpening of Bids - Vietnam Veterans Memorial Relocation Proj No 117-047A - Slatile Roofing and Sheet Metal Co IncVic; bi'� '"5_•..
BIDIPROPOSAL
CITY OF SOUTH SEND
Project Name VIETNAM VETERANS MEMORIAL RELOCATION
Project No. 117.047-A
For Bids Due May 22, 2018 9.30 a.m..EST
EASE 131171
Item
No:
Description
Quantity
Unit
Unit Price
Total Amount
Furnish all labor,.serv€ces,
materials, insurance and
1
equipment for the removal and
1
Lump Sum
$
relocation of the existing Vietnam
Veterans Memorial,
Total Amount of Quote
$ (5 �2r
A)T=MtATc. a
(tern
No.
Description
Quantit
Unit
Unit Price
Total Amount
Delete removal of existing
concrete substrate.
I
Lump Sum
�
Total Amount of Quote
$�
i INIT D6Vr hu-_
Item
No.
Unit Pricing_Unit
Add Price Per Unit
A
Granite Pavers -to match existing
SF
$ 3 0 Oo
B
Granite 1-1/2 Polished Veneer
Slab -to match existing
Sr
$ 2.1/o, o
L:CE
Granite.Curb-to match existing
SF
$ 6 (D . 0 0
Firm: Slatile Roofing and Sheet Metal Co., Inc.
Address: 1703 South Ironwood Dr.
Ciiy/State/Zip: South Bend, IN 46613 Telephone Number: (574 ) 233-7485
Fax IVu tier: 574 233-7531
8y
(8ignat
Gerald Lon erot - President
Version 10/17/2017 Contractor's Bid for Public Works - 7
117-047-A Vietnam Veteran's' Memorial Relocation
7�, CITY OF SOUTH SEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name VIETNAM VETERANS MEMORIAL RELOCATION
Project No. 117-047-A
For Bids Due May 22,20189:30a.m.EST
Date-,
Address:
City/State/Zip:
PART I
(Must be completed for all bids, Please type or print)
05/21/2018 Bidder (Firm): Slatile Roofing and Sheet Metal CO,., INC.
.1703 South Ironwood Dr.
South Bend, IN 46613 Telephone Number, 574 233-7485
Agent of Bidder (it Applicable): n/a
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
07 tiljA
the City of South Bend, Indiana, in accordance with plans and specifications prepared by�
A I I L-(A iA0 ki� 1-ec.4
and dated 5/1;LLZfor the sum of (enter the Total Bid as shown on the Proposal)
0
qt eh-C-X-� lqe 77
(Entersu of oialrBase Bld plus mates shown on Proposal 7"-- (gumeric'al)
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 of South Send. If the bid Is to be awarded on a unit
basis, the itemization of the units shall be s4hown, n a separate attachinent.
By nature -
Gerald L2ngerot--..,
(Prinled Name of Parson 8lgnfF9-)-
ACCEPTANCE
The above bid is accepted this day of
Subject to the following conditions: t, tx- 1 j r,i)
B "RDOF.P B�LCW =0KP
far—yu—
Elizabeth A. Maradik, Member
James A, M-ueller, -Member
Verslon 10/17/2017
20 / X
Suzanne M. Fritzberg, Member
Thqfese J. Ddrau, Metraber
PtestLinda M. Martin, Clerk
Contractor's Bid for Public Works - 2
117-047-A Vietnam Veteran's Memorial Relocation
When the prospective Contractor is unable to certify to.any of the statements below, it $hap attach an explanation
to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION
REGARDING INVESTMENT WITH IRAN, EMPLOYMENT EdGIBILITY VERIFICATION, NON-
DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL
PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all :quotas and bids, Please type or print)
STATE OF Indiana�� )
Elkhart } 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, enteredinto any combination, collusion
or agreement with any.person relative to the price to be bid by anyone at such letting not to prevent
any person from bidding nor to induce anyone to retrain 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
f principals are presently debarred, suspended; proposed for debarment, declared ineligible, or
\. voluntarily excluded. from partiQlpatlon in this transac€ion by any Federal department or agency;
and
'S. Contractor has not, nor has any successor to, nor are affillate of, Contractor, engaged in
Investment activities in Iran.
a. For purposes of this Certif!cation,'`Iran' means the government of Iran and .any agency
or Instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22A6.5-5, 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 it 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
It. 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 (1) use the credit to provides
goods and services in the energy sector In Iran; and (€1) 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 newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7.3.
i
Version 1 ti1171201.7 Contractor's Bid forPublic works - 4
117.047-A Vietnam Veteran's Memorial Relocation
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 discriminateagainst
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 dfsability 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 Ind€ana as a Minority Business ("MBE")
or as a Women's Business Enterprise ("W'SE") as a factor in determining the lowest, responsible,
responsive bidder.
In no event shall persons or entitles seeking the award of a City contract be required to award a
subcontract town MBEIWBE,• however, it may not unlawfully discriminate against said WSENOE:
A finding of a discriminatory practice by the City's MBENVBE Utlllzatlon 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.
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-
B-1): I hereby certify that I and ail 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 bidthat 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 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.l understand that violations hereunder may result in
forfeiture of contractual payments.
Version 10117/2017 contractors Bid for Public Works - 5
117-047-A Vietnam Veteran's Memorial Relocation
hereby affirm under the penalties of.perjery that the facts and information contained in the foregoing bid
for public works are true and correct.
Dated this 21 st day of May 2018
��Nti4liflll!!1!/��
Q
Subscribed and sworn to before me this _9 st -
My Commission Expires 09/01 /2021
Version 10/17/2017
County of Residence
Slatile Roofing and Sheet Metal CO., INC
Contr 'tor/Bidder (Fir
A��—g za,—�
Signature of Contractor/Bid or Its Agent
Gerald Lonaerot - President
Printed Name and Title
Elkhart
Lou Ann Ward
Notary Public for the State of IN
County of Residence- Elkhart
Expires 9/1/2021
2018
Contractor's Bid for Publio.Works - 6
117-047 A Vietnam Veteran's Memorial Relocation
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CITY OF SOUTH SEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY Etif '
DEVELOPMENT PROGRAM n lot,
5+5 M11r.
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS .J�6�r'!
This completed form should be Included as part of the Birds documents related to City of South
Bend public Works Projects requiting. Good Faith Efforts to obtain MSEIWBE participation. It is the
bidder's sole responsibility ta. 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: 1117-047-A Date: 5/21 /2018
project Name: VIETNAM VETERANS MEMORIAL RELOCATION
Bidder: Slatile Roofing and Sheet Metal Co., INC.
Contact Person: Josh Longerot Telephone; 5742337485
Address: 1703 South Ironwood Dr.
city: South Bend state: IN dip; 46613
Email: joshual@slatileroofing.com
To determine whether a kidder has demonstrated good faith efforts to reach the MBEJWBE utilization
goals set forth in the City of South Bend Public Works.Oroject 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
MBEIWSE LIST($): The bidder reviewed the City of South Bond'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 htt :I/www.€n, ovfrdca .
ACTION (AD1/ERTISEICONTACT): Iri 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 scheduled by 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. MBEMIBEs reasonable time to respond.
3. Perform any and all necessary steps to provide written notice in a manner reasonably
calculated to Inform MBI_/WBEs of subcontracting opportunities. and allowed sufficient
time for them to participate effectively.
4. Utilize pre-existing services of available community organizations,small aridlor.
disadvantaged business assistance offices and other organizations that provided
assistance In the recruitment and placement of MBEJWBE firms.
"'Bidder must circle or otherwise notate which of the two 2 re uired actions were performed.
GOOD FAITH NEGOTIATIONS: The bidder negotiated In good faith with interested
MBEiWBEs, Including prow€ding such MBE/WBE's with adequate Information the
:."
about plans;
specifications and other requirements of the subcontract and did not reject MBE/WSEs
as
unqualified without sound business reasons based on a thorough Investigation of their
"capabilities.
MALL CONTRACT($): The bidder selected specific portions of the work to be performed by
MBE/WSEs in order to increase the likelihood of meeting the M8E/WBE
goals (Including
breaking down contracts into smaller units to facilitate MBE/WBE participation)
CONTRACT RECORDS; The bidder has maintained the' following. records for each MBEIWBE
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, wily not; Including any
*rlrrtnneficmnHn#rri�i......l
reasons for conciudin EhaE the MBEMBE was un unqualified to perform the job,
f"_•....1
.—,--• .,,..........,...... v.e va. .avVu rasuc„wt requires your inkiais nexttoall of the above boxes.
Any omissions shaft be considered grounds for rejection of the bid by the Board of Public Works:
Version 10/17/2017 Contractor's Bid for Public Works - 9
i 17-047-A Vietnam Veteran's Memorial Relocation
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM -
FORM MWBE•2.0
EVIDENCE OF GOOD FAITH EFFORTS :M�
The City of South Bend reserves the right to request additional Information.
Version 10117/2017 Contraotor's Bid for Public Works -10
117.041-A Vietnam Veteran's Memorial Relocation
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
��pli'rtrg
DEVELOPMENT PROGRAM
.
FORM MWBE-2.1
MSE/WBE CONTACTED
o-
j11* uumpietea town 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 bldder's sole
responsibility to.varify whether any listed minority or woman business. meets the qualifications of
a Minority Or Women's owned business,
Project dumber; 1.17-047-A
PAGr=_OF
MBE/WBE Participation .Goal `
Project Name: VIETNAM VETERANS MEMORIAL RELOCATION
Bidder: Slatile Roofing and Sheet Metal Co., INC
By:
tgnature) President 5/21/2018
�7 itie) (Date)
NIBEIWBE Firm
Owner or Contact at MBE/WI3E
Firm
Telephone::7q-J-37—UCH : Email: ct �1e ��tralti� fir,"c
TYPE OF WORK SOLICITED FOR THIS PROJEGTt
oq,a a fA v
RESULTS OF CONTACT WITH THE MBE/Wg.E FIRM:
MBENVBE Firm
Owner or Contact at MBF../WBE
Firrh
Telephone:.
Fax.,
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBEJWBE FIRM:
Email:
Version 10/17/2017
Contractor's Bid for Public.Works -11
117-047-A Vietnam Veteran's Memorial Retocatian
1316 COUN'ry-,(Try BUILDING PIIOM�,, 574/235-9251
227 W, JFf;f+tzs(,)N BOULEVARD FAX 574/ 235-9171
Sourii BEND, INDIANA 46601-1830 TDD 574/ 235-5567
CITY OF SOUTH BEND PETE BUTTIGIEGY, MAYOR
BOARD OF PUBLIC WORKS
Date: Mav 18. 2018
To: All Planholders
From Linda M, Martin, Clerk, Board of Public Works
Subject Addendum Number: I
ProjectName: Vietnam Veteran's Memorial Relocation
Project Number: 117-047-A
M
Date Received: 6r ;2C)l J
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: -!5 1 (,-k -4 (' R6 C) -� 'I V�
Authorized Signature:
-1-.
Date: M4 V-11",
M
Version 4/2/2015
0512212018 07:05 Slatile Roofing
TAX)5742337531
P.0011001
1316 CouNTY-CIry Hu7lwwa
227 W. JEnzwoN BouwvARD
SOUTH BEND, INDIANA 46601-1830
PHON8 574/235-9251
FAX 574/235-9171
TDD 5741235-5567
CITY OP' SovrH B1rND PETS BUTTIC im, MAYOR
BoARD of FuBuc WORKS
Date: M4y 18 2018
To: All Planholdears
From Linda M. Martin, Clerk, Board of Public Works
Subject Addendum Number: 1
ProjectName: Vietnam Veteran's Mamorial Relocation
Project Number: 917-D47 A
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received:. ;2b/ C�
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.
THIS ADDENDUM MAY AFFECT YOUR BID.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company:
.fs (a -4 1 ) e--, Ra a -�- , V. cN
Authorized
�Signature: e
Date: ! "1,q V
4aIr c4l oV`
Version 4/2/2015
Document A310 TM - 2010
Conforms with The American Institute of Architects AIA Document 310
Bid Bond
CONTRACTOR:
(Name, legal stalus and address)
Slatile Roofing & Sheet Metal, Inc.
1703 S. Ironwood Drive
South Bend, IN 46613
OWNER:
(Nacre, legal stalus and addre ss)
City Of South Bend
227 W Jefferson Blvd
South Bend, iN 46601
BOND AMOUNT: 5%
SURETY:
(Name, legal status and lnirtcllml place r f hrrslrtess)
Merchants Bonding Company (Mutual)
RO. Box 14498
Des Moines, IA 50306 - 3498
Mailing Address for Notices
Five Percent of Amount Bid
PROJECT:
(,Vame, loomlon or address. audProlectt umber, lfatitj
Project No. 117-047-A Vietnam Veterans Memorial Relocation
This document has Irnpottant
legal consequences. Consultation
w€th an attorney Is encouraged
With respect to Its completion or
modincation.
Any singular reference to
Contractor, Surety, Owner or
other party shall be considered
pluralwhere applicable.
The Contractor and Surety are bound to ilia Owner in file amount set forth above, for the payment of which the Contractor and Surety bind
themselves, their licirs, oxcculors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this
Bond are such that if the Owner accepts the bid of file Contractor within the time specified in the bid documents, or within such fine period
as may be agreed to by the Owner and Contractor, and tho Contractor tither (1) enters into a contract %vith the Owner in accordance with
the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in
the Jurisdiction of the t'ro,icct and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt
payment of labor and material furnished in the prosecution thereof; or (2) pays 10 the Owner the dif (crence, not to exceed the amount of
this Bond, between the anrount specified in said bid and such larger amount for which the Owner may in good faith contract %with another
party to perfbrttt the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full lurce and ell' ct. Tile
Surely hereby waives any notice of an agreement bethveen the Owner and Contractor to extend the time in which the Owner may accept the
bid. VVaiverol'nntice by the Surety %licit not apply to any extension exceeding sixty (60) days in the aggregate beyond the lime lbr
acceptance ol'bids specified in the bid documents, and the Owner and Contmulor shall obtain file Surety's consenl for an extension beyond
sixty (60) days,
if this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be
Subcontractor and the lcrm Owner shall be deemed to be Contractor.
When this Bond has been luntished to comply with a slatutory or other legal requirement in the location of the Project any pit wision in
this Band conflicting with said statutoryor legal requirement %hail be deemed deleted hereltom and prnvi%ians ennio n hig (o such
statutory or other legal requirement sliall be deemed incorporated herein. When so tarnished, the intent is that this Bond :,hall be construed
as a statutory bond and not as a common law bond.
Signed and sea this 22nd day of May, 2018.
Slatile Roofing & Sheet Metal, Inc. .
tprlrtalp)
{lJ7nre s)
By
�fltle)
Merchants Bonding Company (Mutual) Co
Lt GLt lSutel3j (.S�rrl) '��+� ;A..,;4'
(i tl,teatiy y^ 1833 oti
lrlc�)�Tracieouse —.Atl5orney-in- act �'%�•`;.;�.:�''
S-00541AS 8110
MERCHANTS
BONDING COMPANY,.
POWER OF ATTORNEY
Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL_) and MERCHANTS NATIONAL BONDING, INC.,
both being corporations of the State of Iowa (herein collectively called the "Companies") do hereby make, constitute and appoint, individually,
Trade House
their true and lawful Attorney -in -Fact, to sign its name as surety(tes) and to execute, seal and acknowledge any and all bonds, undertakings,
contracts and other written instruments in the nature thereof, on behalf of the Companies In their business of guaranteeing the fidelity
of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any
actions or proceedings allowed by law. Surety Bond #: Bid Bond
Principal: Slatile Roofing & Sheet Metal, Inc.
Obligee: City Of South Bend
This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board
of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors
of Merchants National Bonding, Inc., on October 16, 2015.
"The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority
to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and
undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof."
"The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney
or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the
Company, and such signature and seal when so used shall have the same force and effect as though manually fixed."
In connection with obligations In favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the
Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction
contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department
of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of
its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given
to the Attomey-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner -
Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
In Witness Whereof, the Companies have caused this instrument to be signed and sealed thls22nd day of May, 2018.
•+' Q'•[1iilVA `•' •'�O,N ,�'O�A•• MERCHANTS BONDING COMPANY (MUTUAL)
4�PD�0 0. ;'PD99.'9y' MERCHANTS NATIONAL BONDING, INC.
x a•. 1933 ' 3`
z. •
2003 r:•�t- y�7' 'cr.' By
��'•�dl/�'•••'��`•� 1'.,�Y ` .'• President
STATEOF IOWA �''•�.,..,...•+'� ' • •... • • `
COUNTY OF DALLAS ss.
On this this 22nd day of May 2018 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn
did say that he Is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the
seats affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said Instrument was signed and sealed in behalf
of the Companies by authority of their respective Boards of Directors.
EIA,ALICIAK, GRAM
Commission Number767430
My Commission Expires
April 1, 2020
Notary Public
(Expiration of notary's commission
does not invalidate this instrument)
1, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby
certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full
force and effect and has not been amended or revoked.
In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 22nd day of May, 2018.
0-., �4•�RPDA�.gy� ll�. /%
� : 2 t� : p' • y Ca Js :.t � 6c1 �/T„�•r.1�7 yrJ ,
;3•
v�. 2003 So
de••• 1933 •c; Secretary
O
LL
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PART II
(For projects of $100,000 or more -- IG 36-1-12-4)
These statements to be submitted under oath by each bidder with and as part of his/herlits.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 If 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 Bond to constder your bid.)
2. Attach a listing of the. names and addressesof 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. It you intend to sublet any portion of the work, attach the name and address of eaeh suboontractAr;
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.
5. 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 requiredby 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 thebidder's capability for completing the. project if
awarded.
Version 10117/2017 Contractor's Bid for Public Works - 3
117-047-A VletnaM Veteran's Memorial Relocation
ACCEPTANCE
The above bid is accepted this day of subject to the
following conditions:
Contracting Authority Members:
PART II
(For projects of $150,000 or more -- /C 36-1-12-4)
Governmental Unit: City of South Bend
Bidder (Firm)
Slatile Roofing and Sheet Metal Co., Inc.
Date (month, day, year):
05/21 /2018
These statements to be submitted under oath by each bidder with and as a part of his bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1, What public works projects has your organization completed for the period of one (1) year prior to the
date of the current bid?
Contract Amount
Class of Work
Completion
mate
Name and Address of Owner
650,812,00
Roofing
June 2017
Lakeland Prison Coldwater, MI
779,218.00
Roofing
April 2017
Westville Prison Westville, IN
581,102.00
Roofing
June 2017
Warsaw High School Warsaw, IN
30,000.00
Roofing
April 2017 1
South Bend Waste Water Plant South Bend
What public works projects are now in process of construction by your organization?
Contract Amount
Class of Work
Expected
Completion
Date
Name and Address of Owner
1,068,972.97
Roofing
Feb. 2018
IUSB Northside Hall Phase Il; south Bend. IN
418,000.00
Roofing and Masonry
Feb. 2018
New York Central Railroad Museum; Elkhart, IN
386,244.00
Roofing
May 2018
The Tower at Washington; South Bend, IN
199,812.00
Roofing
June 2018
Dowagiac Union High School; Dowagiac, MI
Have you ever failed to complete any work awarded to you?
NO
List references from private firms for which you have performed work.
Bob Webb 1 University Park Mall
Mark Rynders 1 Varsity Contractors
Mike Wheatly I Mid South Contractors
Dwight Noble 1 Honeywell
SECTION 11 PLAN AND EQUIPMENT QUESTIONNAIRE
If so, where and why?
Explain 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 governmental unit to consider your bid.)
Start date shall be in compliance with the scope of work. 6-12 workers would be assigned
to perform work at this site. Work would be performed as outlined in the contract documents.
Please list 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.
Edward J. White (South Bend, IN) - plumbing
Allied Mechanical (New Haven, IN) - mechanical
Scott Samuel Professional Painting (Lakeville, IN) - painting
Kost Contracting (Grand Ledge, MI) - painting, entry door replacement
CL Mahoney Co. (Kalamazoo, MI) - plumbing
If you intend to sublet any portion of the work, state 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 governmental unit in the event that you subsequently determine that you will use a
subcontractor on the proposed project.
-Tr; Cir
$ - Sg-('.w394�
4. What equipment do you have available to use for the proposed project? Any equipment to be used by
subcontractors may also be required to be listed by the governmental unit.
3 mobile truck cranes, 2 large scissor bed trucks, 1 large dump truck, (14) 112 - 1 ton trucks
various roofing equipment, complete sheet metal fabrication shop,
6 coil metal roofing manufacturing machines, various masonry restoration equipment,
$1.8 million replacement value of combined totals with fleet.
.5k—,J fomapejL�-S-
5. Have you entered into contracts or received offers for all materials which substantiate the prices used in
preparing your proposal? If not, please explain the rationale used which would corroborate the prices
listed.
Yes
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 governing body awarding the contract must be specific enough in detail so that said governing body can make
a proper determination of the bidder's capability for completing the project if awarded.
SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT
The undersigned bidder or agent, being duly sworn on oath, says that he 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 include 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.
He 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.
SECTION V OATH AND AFFIRMATION
I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION
CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE TRUE AND CORRECT.
Dated at 4:00 PM
this 21st
day of May 2018
Slatile FVoofing and Sheet Metal Co., Inc.
Gerald Longerot, President
(Titre of Person Signing)
ACKNOWLEDGEMENT
STATE OF Indiana
Elkhart ) ss
COUNTY OF }
Before me, a Notary Public, personally appeared the above -named Gerald Longerot and
urrrrr�//i
swore that the stat0VV;ontained/V. the foregoing document are true and correct.
Subscribed and vsworn to betze m'eIa.�_ 21 St day of May 2018
''//// rj C � �$ACXNotary Public for the State of IN
�rNI1��11L1J21 County of Residence- Eikhart
My Commission Expires: Expires8/1/2021
County of Residence, Elkhart
General Form No. 96-a.
Prescribed by the State
Board of Accounts of In-
dians. Revised 1949.
Standard Questionnaires and
Financial Statement for Bidders
Prescribes by
THE STATE BOARD OF ACCOUNTS OF INDIANA
For use in investigating and determining the qualifications of bidders on
public construction when the aggregate cost of any such work or improvement
will be Five Thousand Dollars or more.
These statements to be submitted under oath by each bidder with and as
a pert of his hid, as provided by Chapter 306, page 1248, Arts of 19•17
Subtted toCity of South Bend
Slatile Roofing and Sheet Metal Co., Inc. JYVtratlon
oBy---...............................................................................................a ners p
1703 S. Ironwood Dr. An Individual
Address-- -- _....,........................ _..._ ._........... --...---•- -
South Bend, IN 46613
05/21 /2018
Datesubmitted .. ........................................ .....................
...............
Filed-____..,
Sec. 2 of an Act entitled "AN ACT concerning the awarding of contracts for the performance of public work and
authorizing the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contrac-
tors who submit bids for the performance of such work, providing for plans and specifications, providing for bids re-
pealing certain laws and declaring an emergency." (Approved March 13, 1947.)
Sec. 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or
more, for the purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which
of the bidders submitting bids for the performance of any such public work is, in the judgment of such board, com-
mission, trustee, officer or agent, the lowest and/or best bidder and to exercise intelligently the discretion hereby con-
ferred on such board, commission, trustee, officer or'agent each bidder shall be required to submit under oath with
and as a part of his bid a statement of his experience, his proposed plan for performing such work and the equipment
which he has available for the performance of such work and a financial statement. The statements hereby required
shall be submitted on forms which shall be prescribed by the state board of accounts. The forms so prescribed shall
be designated, respectively, as the experience questionnaire, the plan and equipment questionnaire and the contractor's
financial statement, and shall be based, so far as applicable, on the standard questionnaires and financial statement for
bidders as approved and recommended by the joint conference on construction practices, for use in investigating the
qualifications of bidders on public construction work, and the forms so prescribed are hereby prescribed as the forme
which shall hereafter be used by all such boards, commissions, trustees, officers and agents in obtaining the informa-
tion which is required in the administration of this act. If the information submitted by any bidder on the forms here-
in prescribed is found, on examination, to be unsatisfactory, the bid submitted by such bidder shall not be considered.
(Burns Statutes 1933, Sec. 53-109) Sec. 2, Chapter 306, Acts of 1947.
TO THE BIDDER —
The following forms of questionnaires and financial statement an pre-
scribed by the State Board of Accounts in conformity with the statute set out
on the preceding page.
These forms, properly filled out and attested, must accompany each bid
of five thousand dollars or more on any public work.
The forms ate designed to cover all contracts for all kinds of work and the
bidder is required to answer such questions as are pertinent to the work upon
which he is bidding. The purpose of the questionnaire and financial statement,
as set forth in the law, is to enable the awarding body to determine the quali-
fications of the bidder to carry out successfully the contract if the same is awarded.
to him.
The bidder will find it to his advantage to answer fully all questions coning
within the range of the work upon which he is bidding. Particular attention
should be given the "Financial Statement" and the details relative to the assets
and liabilities set out. This form is made in extensive detail so that the bidder
may explain his assets and liabilities in proper sequence and in a uniform
manner.
KENNETH R. BEESLEY,
State Examiner
3
Submitted by Slatile Roofing and Sheet Metal Co., Inc.
1703 S. Ironwood Dr., South Bend, IN 46613
PrincipalOffice at.--_ .................. ....... .............................................. .......................
T,, City of South Bend
EXPERIENCE QUESTIONNAIRE
_Q a
❑ A Co-parEnershfp
❑ An Yndividual
The signatory of this questionnaire guarantees the truth and accuracy of atl statements and of afl answers to
interrogatories hereinafter made.
1. How many years has your organization been in business as a general contractor under your present business
name?._ .................... 93
2. How many years experience ui_.Roofing and Sheet Metal construction work has your organization had. a
As a general contractor..93..Years _..-contractor_ears
..
3. What projects has your organization completed?
CONTRACT AMT.
CLASS Off' WORK
WHEN COMPLETED
NAME AND ADDRESS OF OWNER
$ 393,205.00
...........................................................
Masonry
August 2017
Chase Tower, South Bend, IN
$ 981,098.00
Roofing
........................
August 2017
.............. ..................................... ...................................
Indiana UniversitySouth Bend
- --------------...... ------------------ - .......
$ 283,427,00
__......_-- - - --
Roof & Masonry
------------------
August 2017
----- ------ - -
South Bend Communit School Cor
----- - --- - .......... - ---�=- ----- ....... ._P
$ 572,530.00
-
Roofin g-
ugus t 2017
-
Penn -Harris -Madison Schools .Q
3-A. What projects has your organization now in process of construction?
CONTRACT AMT,
CLASS OF WORK
WHEN To 8E
COMPLETED
NAME AND ADDRESS OF OWNER
$1,068,972.97
.......
Roofing
----•---------------- --
Feb 2018
------
IUSB Northside Hall Phase II; South Bend, IN
$ 418,000.00
--------------------- ------
Roof & Masan
--- ------ ------ ------
---......... --------------
Feb 2018
-------------------------------
----------------------.._...-------------------- _.----------- '.................
New York Central Railroad Museum; ElkhartIt
------------.._...._......._.__._.--------------------------------- -
$ 386,244.00
Roofing
May 2018
The Tower at Washington;_South Bends IN__�
$ 199,812.00
Roofing
June 2018
Dowaiac Union School Dowagiac MI qq
4. Have you ever failed to complete any work awarded to you?__............No
N. ............................If so, where and why?
6. Has any officer or partner of your organization ever been an officer or partner of some other organization that
failed to complete a construction contract?,,, ....... __. No _.... - ....... -....... If so, state name of individual, other
organization and reason therefor --- ............................................ ... —........... ...... ............... ........ ........_
6 Has any officer or partner of your organization ever failed to complete a construction contract handled in his
own name?............ NO....................................If so, state name of individual, name of owner and reason therefor
7. In what other lines of business are you financially interested? .......................... •...................................... .......................... ...
None
4
For what corporations or individuals have you performed work, and to whom do you refer?
-Honeywell Corp, South Bend, IN
---------
Simon Malls, Mishawaka, IN
�............................
Main Source Lowes Managers
South Bend Schools, Elkhart Schools, Wa-Nee
Penn -Harris -Madison Schools
9. For what cities have you performed work and to whom do you refer? .__..___------------------------------------------------ ---- ------- _..»
South Bend, IN; Mishawaka, IN; Elkhart, IN; Warsaw, IN; Nappanee, IN; Bast Chicago, IN; Michigan City, IN; LaPorte, IN;
Portage, IN; Indianapolis, IN, Kokomo, IN; Crown Point, IN; Merrillville, IN; Wes#vine, 1N
---..�.... ............., . _..... ».....»»».....- -..,......,........._,............... ........ _.............
_»_..
Niles, Mi; Buchanan, MI; Dowagiac, MI; Benton Harbor, MI; Adrian, MI; Paw Paw, MI; South Haven, MI; Cold Water, MI
10. For what counties have you performed work and to whom do you refer? .-----...............................................................
Saint Joseph Co., IN; Elkhart Co., IN; Marshal Co., IN; LaPorte Co., In
...............................--.............-•-•--....--------------•--........--•---•-•-•••••--..........--••-.......................-- •---......................... ---------------
Barrien Co., MI; Cass Co., MI; Saint Joseph Co., MI; Branch Co., MI; Van Buren Co., MI; Kalamazoo Co., MI
11. For what State bureaus or departments have you performed work and to whom do you refer?.-_ ...............................
Indiana Department of Corrections, Indiana State Armory Department,
.»- -- - -......................................................-•-------------.-------------•---•------------•..........................
Michigan Department of Corrections Michigan Department of Transportation
12. Have you ever performed any work for the U. S. Government?.Yes....... ................... .................... ................................
If so, when and to whom do you refer?.United States..Postal..Serv.ice
» ............................»..........__.............._._.................._.,...................
13. What is the construction experience of the principal individuals of your organization?
INVIVII)VAVS NAME
on POSITION
OEn OFIriCE
YEARS OF
CONSTR'TION
EXPERIENCE
RAONITUDE AND
TYPE OF WORK
IN WHAT
CAPACITY
Gerald Longerot
--------------------- ............ .....
President
...............
47
Administrative
CEO
Ann Longerot
- --------------•----....._...........------
._.................
Secretary/Treasurer
--------------------
47
--- ......------------._.......---------...----........
.............. I ----------- ---------------------
Administrative
------------..__...----
Sec/Treasurer
................ ---------
Ken Hoy Jr.
- - -... .....
Project Manager
.-- -- ---------
30
--------------
EstimatorlProject Manager
..----------------
Roofing
..........................
Wendell Simmons
..................
Project Manager
------------------------------------
33
------------
EstimatorlProject Manager
----------- .-...,.....--------.......-----
Roofing_ _..._..
Joshua Longerot
..................................._
Project Manager
............------------------.
21
------...
Estimator/Project Mana er
...........................__..._------- q ._.
Masonry
........................
Robert Davis
.......................................................................
Super/Operation _
36
_.........-...................................---...----------....................-----.........
Safety/Work Load
Lou Ann Ward
----------------------------
Controller
--------------------------------------I---------------
10
GIL
----
Michael Albert
Assistant Project Manager
6 months
......------_...._._._.--_------.
Assistant Project Manager
PLAN AND EQUIPMENT QUESTIONNAM
The signatory of this questionnaire guarantees the truth and accuracy of aff statements and of all answers
to interrogatories hereinafter made.
1. In what manner have you inspected this proposed work? Explain in detail,
Site Visit, Google Earth(or similar), Drawings/Plans, and Specifications
2. Explain your plan or layout for performing the proposed work _ _ .__ ..... _................. .. _.. ._... .. _. , .,
Proceed as per plans, specifications, project documents, accepted alternates/unit prices, proposal, or as
._.............. -............... .......• ........ ..... _......._...�..............._ ... _. ...:......_ �.._.__._...._._. _ __..... _.
otherwise agreed upon in writing.
3. The work, if awarded to you, will have the personal supervision of wbom4. _................__ ... ___._._.,_... _.
Project Manager(s), Superintendent, and Foreman
•4. Do you intend to do the hauling on the proposed work with your own forces?_ Varies
If so, give amount and type of equipment to be used. Cranes, Dump Trucks, Pick-up Trucks, and/or
Flatbed Semi -truck as allowed and available
'5. If you intend to sublet the hauling or perform it through an agent, state amount of sub -contract or agent's
contract, and if known, the name and address of sub -contractor or agent, amount and type of his equipment and
financial responsibihity.Manufacturer, Supplier, and/or Distributer may haul material themselves or seek
..............._.......................------•--------...............----••-•.....................--._---------
other means of transporting products or equipment at their own option in order to make deliveries timely
-....., ....................... _..................,.•-•-....,.........._..._...........------..,_..................... ............................ .__............... ..................
and cost effective unless otherwise specified.
• Itema 4, 5, 6 and 7 may not be applicable in all building contracts; if not, omit.
6
*6. Do you intend to do the grading on the proposed work with your own forces? No
It so, give type of equipment to be used_- .-._._ ...T.. ..... .........
..�.___._- �.. . - ..._ . .
07. If you intend to sublet the grading or perform it through an agent, state amount of sub -contract or agent's
contract, and, if known, the name and address of sub -contractor or agent, amount and type of his equipment, and
finanoial responsibility_ _ —� r NIA_ ..�--.._.�..... �� ..__- .
8. Do you intend to sublet any other portions of the work? See Below -_ --....--..-.-.If so, state amount
of sub -contract, and, if known, the name and addre s of the sub.contractor, amount, and type of his equipment
and financial responsibility.All roofing and masonry work shall be performed in house. All other work
will be performed as stated in proposal agreement or as agreed upon during preconstruction meetings. _
All subcontractor agreements shall remain confidential unless agreed upon otherwise by� w ._
Contractor and Subcontractor or otherwise specified in contract documents,
9. From which sub -contractors or agents do you expect to require abond?.NIA-_......-_.- ..................... _....
10. What equipment do you own that is available for the proposed work?
QUANTITY
r1EM
DESCRIPTION, SIZE,
CAPACITY, ETC,
CONDITION
YEARS OF
SERVICE
PRESENT LOCATION
3
-•............
Mobile Cranes
........................................
Operational
2 --------------
Scissor Bed Trucks
--------------------------•--
- ....---- -- ------......._
-------------..-._----------.._
_..P ...__..-......•
o erational
..............
.......... _..._....... .........._...-----.......--
14
................ur
112 ton - 1 ton Truck
_
..-p-•---....-.----
O erational
--------------
----------------•------..-----..-----------------
1
p-----•ck------.........----------..-.......----
Dum Truck
-•------------
Op-.------- _---......---------_
O erational
...-.-_..------.....-----------------..........
.-• _Various
----._...---
Roofing_and
- - -
Masonry Equipment-_•_
operational
6 .__....__------------------
60,11_Metal Roofing F-
bricatinq Machines
----------------
...........
Operational
-•-•-• __ _-__
.......•-__._. ....._..._
---------------. -- --•
1
..------ --
Complete Sheet_Me
.._
I Fabrication_Shop__ _
---------------------
---p---------------
o erational
--------------
---------- —----- -------- .-------.-------•----
______________
Various Masonry Restoration
-------------------
Equipment
...----•------- ---
----------- ---
---------- --•.--------- ................. _......
$2mil -___
....... ......
TOTAL REPLACEM
----------------------------------
------- _operational
_ NT VALUE
------ -------------------------- -
- .on - -
..._.......-•-------------
- ......._.-
------- --- - --- - -- ---- -- --
..__—.-__...._-._
I L What equipment do you intend to purchase for use on the proposed work, ahonld the oontmet be awarded
to you?
12. How and when will you pay for the equipment to be purchesed?._..__.._......................................... »....................... ...........
13. Do you propose to rent any equipment for this work?. Varies .... ___ ...................... . _ 1f so, state type, quantity
and reasons for renting.We will rent dumpsters and portable restrooms as required for most commercial jobs.
----------------------............ •-____.._I._.....------- ...... _........................................ -.........................
We may also rent telehandlers, man lifts, and other equipment to supplement our own
- -....-----•-•----...»....._.................................................•--._....1.._._. ...._-,-,..... _-.................... ........
..._._.__».,.,.
equipment. There will be no additional charge for renting equipment..Any such charge will be
..........................................................
included in the bid: proposal, or change order which requires the rental equipment
14. Have you made contracts or received firm offers for all materials within prices used in preparing your proposal?
Do not give names of dealers or manufacturers_ L 2______......................................................... _......
Dated at ...............4.00 PM tinjattrt ff,� thae 21 St_..._ --•,..._.day of May
».. ,ti��.....1 �► ..
Slatile Roofinq and She t Metal Co. Inc
` By
✓J� Go, erald Longertesiden_�) t
---------.............
...... ._..........
ig oI Pen MOW -
Indiana OF.-
_ »
San
COUNTY OF- ----- Joseph
Gerald Longerot -.-.gig duly sworn, deposes and says that he is
President w » _ of the above__._,_
Roofing and Sheet Metal Co., Inc.
(Name of Ozvui"ca)
and that the answers to the questions in the foregoing questionnaires and all statements therein contained are true
and correct.
Subscribed and sworn to before me
My Commission expires 9/01 /2021
Lou Ann Ward
8 {Votary Public for the State of IN
County of Residence- Elkhart
Expires 9/1/2021