HomeMy WebLinkAboutOpening of Bids - LWW and Charles Martin Sr Drive Improvements Proj No 117-072A - Walsh & Kelly Inc0 0 1 : 11 ii9wi I
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Project Name Lincoln Way West and Charles Martin Sr. Drive Improvements
Project No. 117-072A
For Bids Due June 12, 2018
PART I
(Must be completed for all bids. Please type or print)
Date: 6/12/18 — Bidder (Firm): Walsh & Kelly, Inc.
Address: 24358 SR 23
City/State/Zip: South Bend, IN 46614 Telephone Number: ( 574 ) 288-4811
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:
Lincoln Way West and Charles Martin Sr. Drive Improvements
the City of South Bend, Indiana, in accordance with plains and specifications prepared by:
Abonni Consultants
and dated 5/18/18 for the sum of (enter the Total Bid as shown on the Proposal)
One million one hundred forty seven thousand one hundred forty dollars & four cents ($ 1,139,261.44
(Enter sum of Total Base Bid shown on Proposal) (Nuni
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 ad'dendums attached will be specifically referenced at the applicable
page.
If additional units I ilaterial included in the contract are needed, the cost of units must be the same as
that shown irk,
1� 0eq .,ntract if accepted by the City of South Bend. If the bid is to be awarded on a
unit basisjlNte zaplrn� units shall be shown attachmen .
N I
S; By
(Signature)
LJoKn-"M. Peisker, VP of Asphalt Operations
CA,
(Printed Name of Person Signing)
ACCEPTANCE
The above 6111d" atc io"Mis day of 20
OP01111111
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
Suzanna M. Fritzberg, Member
Therese J. Dorau, Member
James A. Mueller, Member Attest: Linda M. Martin, Clerk
Version 10/17/2016 Contractor's Bid for Public Works - 2
When the prospective Contractor is unable to certify to any of floe statements below, it shah 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 Indiana )
) SS:
St. Joseph COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that:
I. 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 refi•ain 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.
Version 10/1712016 Contractor's Bid for Public Works - 4
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. 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 conmissions 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 detenmining 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
deterrination 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 conunissions,
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). 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, wiry 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
Version 10/17/2016 Contractor's Bid for Public Works - 5
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 12th day of June , 2018
Subscribed and sworn to before nee this 12th
My Commission Expires
6/5/22
Walsh & Kelly, Inc.
C or/Biddcr (Finn
Sig re of Contractor/Bidder or Its Agent
John M. Peisker. VP of Asohalt Operations
Printed Name and Title
CA" a
day of June 12018
Notary lie allsha Krueger
County of Residence St. Joseph
ALISHA KRUEGEFi
�p�S Noiary Public, state o1 Indiana
�ySEAL ^
at. Joseph county
*' *�
My commlasloc Expires
June 06, 2022
u:nu+`�
Version 10/17/2016 Contractor's Bid for Public Works - 6
Contractor's Bid for Public Work - City of South Bend
Project No. 11 7-072A
Base
Bid
Addendum No. 1
June, 2018
BID/PROPOSAL
CITY OF SOUTH BEND
PROJECT NAME Lincoln Way West and Charles
Martin Sr. Dr. Intersection Improvements
PROJECT NUMBER 117-072A
FOR BIDS DUE June 12, 2018
Item
No.
I Description
Quantity
Unit
Unit Price
Total Amount —
1.
I Construction Engineering
I
LS
16,7010.00
16,700.00
2.
Mob! lization/Demobilization
I
LS
44,600.00
44,600,00
3.
CPM Schedule
i
LS
1,100.00
1,100.00
4.
CPM Monthly Update
7
Mo
75.00
525.00
5.
Maintenance of Traffic
1
LS
15,000.00
15,000.00
6.
Erosion Control
1
LS
7,5001.00
7,500,00
7. IlClearing
I
LS
6,500.00
6:500.100
8.
Common Excavation
3,350
CYS
45.00
15,0,750.00
9,
Borrow
460
CYS
15.00
6,900.00
10.
Fence, Remove
430
LFT
15.00
6,450.00
11,
1 Tree, Remove, 18"
9
EA
750.00
6,750-00
12.
13.
Tree, Remove, 30"
Cantilever, Post and Founidaflon, Remove and Salvage
4
4
EA
EA
975.00
500.00
3,900.00
2,0100.00
14.
TESCO Cabinet, Remove
1
EA
350.00
350.00
15.
Pipe, Remove/Abandon,
480
LFT
24.25
11,640.00
16.
Structures, Remove
16
EA
675.00
10,800.00
17,
Concrete Sidewalk and Approaches, Remove
1,060
SYD
15.00
15,900.00
18.
Concrete Curb, Remove
3,560
LFT
7.00
24,920,00
19.
Compacted Aggregate, No, 53
1.415
1 TON
28.010
39,620.00
Bidder's Name: Walsh Kefly, Inc.
Version 7-31/2015 Contractor's Bid For Public Works-7
Contractor's Bid for Public Work - City of South Bend
Project No. 117-072A
Addendum No. 1
June 2018
20.
Pavement Patch, Brick
140
SYD
120.00
16,800.00
21.
HMA Surface, 9.5mm, Type B
305
TON
85.00
25,925.00
22.
HMA Intermediate, 19.5mm, Type B
480
TON
63.00
30,240.00
23.
HMA Base, 25.0mm, Type B
1,155
TON
60.00
69,300.00
24,
Joint Adhesive, Surface
990
LFT
2.25
2,227.50
25,
PCCP, 8"
95
SYD
120.00
11,400.00
26.
PCCP for Approaches
425
SYD
60.00
25,500.00
27.
Concrete Curb, 6"
785
LFT
27.00
21,195.00
28.
Concrete Curb and Gutter
1,395
LFT
24.00
33,480.00
29,
Concrete Sidewalk, 4"
970
SYD
45.00
43,650.00
30,
Curb Ramp with Detectable Warning Surface
140
SYD
140.00
19,600.00
31.
Tree, Homestead Elm, 2.5" cal.
24
EA
462.00
11,088.00
32.
Tree, Northwood Red Maple, 2.5" cal.
17
EA
462.00
7,854.00
33.
Seeding and Topsoil
3,300
SYD
6.84
22,572.00
34.
Sodding and Topsoil
3,100
SYD
15.20
47,120.00
35.
Bike Hitch
2
EA
585.00
1,170.00
36.
Curb Identification Markers
40
EA
175.00
7,000.00
37.
Standard Catch Basin
18
EA
2,100.00
37,800.00
38.
Standard Storm Sewer Manhole
2
EA
3,920.00
7,840.00
39.
Storm Sewer Manhole, 60"
1
EA
4,950.00
4,950.00
40.
Storm Sewer Pipe, 12"
820
LFT
38.00
31,160.00
41.
Storm Sewer Pipe, Water Main Grade, 12"
220
LFT
37.00
8,140.00
42.
Connect to Existing Structure
5
EA
1,425.00
7,125.00
43.
Water Service, 2"
90
LFT
115.00
10,350.00
44.
Water Service, Fire Suppression, 6"
90
LFT
210.00
18,900.00
45,
Sanitary Sewer Lateral, 8"
90
LFT
98.00
8,820.00
46.
Adjust Casting to Grade
17
EA
165.00
2,805.00
47.
Adjust Valve to Grade
2
EA
45.00
90.00
48.
Construction Sign, Wayfinding (Undistributed)
60
SFT
75.00
4,500.00
Bidder's Name: Walsh Kelly. Inc.
Version 7-31/2015 Contractor's Bid For Public Works-8
Contractors Bid for Public Work - City of South Bend
Project No. 117-072A
Addendum No. 1
June 2018
49.
Sheet Sign, 0.80"
12.5
SFT
5.50
68.75
50.
Sheet Sign, 0.125"
130.7
SFT
8.20
1,071.74
51.
Sign Post, Reinforced Anchor Base
26
LFT
12.00
312.00
52.
4-1c, No. 4 Copper Cable
927
LFT
6.50
6,025.50
53.
Lighting Conduit, 2" PVC Schedule 80
899
LFT
5.80
5,214.20
54.
Light Pole Foundation
9
EA
650.00
5,850.00
55.
Light Pole and Luminaire, LED, Type 1, Furnish and Install
7
EA
5,500.00
38,500.00
56.
Light Pole and Luminaire, LED, 1, Furnish
2
EA
4,600.00
9,200.00
57.
(Deleted)
-
58.
(Deleted)
-
59.
lHandhole, Lighting
2
EA
1,200.00
2,400.00
60,
Miscellaneous Equipment for Lighting
1
LS
1,000.00
1,000.00
61.
TESCO Cabinet and P-1 Foundation
1
EA
8,900.00
8,900.00
62.
Signal Strain Pole, Steel, 30 ft
4
EA
5,870.00
23,480.00
63.
Signal Strain Pole Foundation
4
EA
2,100.00
8,400.00
64.
Span, Catenary, and Tether
1
EA
2,450.00
2,450.00
65,
Mast Arm for Detection Camera, 20 ft.
4
EA
1,450.00
5,800.00
66.
Thermal Detection Camera
4
EA
8,950.00
35,800.00
67.
Thermal Detection System
4
EA
1,800.00
7,200.00
68.
Traffic Signal Head, 3 Section, 12" Red Amber Green
8
EA
850.00
6,800.00
69.
Pedestrian Signal Head
4
EA
710.00
2,840.00
70,
Pedestrian Push Button, APS
4
EA
1,000.00
4,000.00
71,
Disconnect Hanger
4
EA
300.00
1,200.00
72.
Handhole, Traffic
2
EA
1,200.00
2,400.00
73.
Signal Cable, 5C, 14 GA.
1,829
LFT
2.10
3,840.90
74.
Signal Cable, 3C, 14 GA. And Coax
628
LFT
2.60
1,632.80
75.
Signal Cable, 1 C, 8GA,
8
LFT
1.80
14.40
76.
Miscellaneous Equipment for Traffic Signals
1
LS
250.00
250.00
77.
4" Solid White Line, Thermoplastic
2,180
LFT
0.69
1,504.20
Bidder's Name; Walsh Kelly, Inc.
Version 7-31/2015 Contractor's Bid For Public Works-9
Contractor's Bid for Public Work - City of South Bend
Project No. 117-072A
Addendum No. 1
June 2018
78.
6" Solid White Line, Thermoplastic
1,000
LFT
2.10
2,100.00
79.
4" Solid Yellow Line, Thermoplastic
2,685
LFT
0.69
1,852.65
80.
8" Solid Yellow Line, Thermoplastic
130
LFT
2.55
331.50
81.
12' Solid Yellow Line, Thermoplastic
20
LFT
3.10
62.00
82,
24" Solid Stop Line, Thermoplastic
250
LFT
5.90
1,475.00
83.
24" Transverse Marking, Thermoplastic, Crosshatch
320
LFT
5.90
1,888.00
84.
Grooving for Pavement Markings
4,935
LFT
0.80
3,948.00
85.
Left Turn Arrow Pavement Message Marking, Thermoplastic
9
EA
125.00
1,125.00
86,
"ONLY" Pavement Message Marking, Thermoplastic
5
EA
150.00
750.00
87,
Sharrow Pavement Message Marking, Thermoplastic
3
EA
295.00
885.00
88.
Pavement Markings, Remove
3,625
LFT
1.00
3,625.00
89.
Contoller Cabinet, TS-2
1
EA
20,000.00
20,000.00
90.
Luminaire, Remove and Mount on Strain Pole
2
EA
350.00
700.00
91.
4" Broken Yellow Line, Thermoplastic
70
LFT
0.69
48.30
92.
Trash Receptacle, Furnish
2
LFT
1,900.00
3,800.00
Total Amount of Base Bid (Items 1 through 92)
Bidder (Firm): Walsh & Kelly, Inc.
Address: 24358 SR 23
City/State/Zip
South Bend. IN 46614
By
$ 1,139,251.44
Telephone Number: 574 288-4811
John M. Pelsker. VP of Asphalt Operations
(Printed Name of Person Submitting)
�a®" r r
° d
°
e
Bidder's Name: Walsh Kelly, Inc.
Version 7-31/2015 Contractor's Bid For Public Works-10
07,11
13 16 COUNTY-4,TJ Y Bui,imo
227 W. JITI-TIRSON BOULEVARD
SOUTH BENI), INDIANI�\ 46601-18,30
Date:
To:
From
Subject
Cn,Yoj,'Sou'riiBEND
BOARD OFPUBIAC WORKS
June 8, 2018
All Bidders
Linda M, Martin, Clerk, Board of Public Works
Addendum Number: 1
Nwir, 574/ 235-92 51
FAX 5'74/ 2 35-917 1
TD D 574/ 2,35-5567
Project Name: Lincoln Way West and Charles Martin Sr. Dr. Intersection Improvements
Project
Number: 117-072A
Date Received: 6/8/18
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. A copy
MUST also be included with your bid package upon submittal.
Note:
The attached documents are hereby Add to the Specifications and Contract
Documents and become a part of herein.
Company: Walsh & Kel
Authorized Signature:
n
roc.
ker, VP of Asphalt Operations
..J ;' r Ell Surety 0 +908.903.3485
202E tlalis Mill Road, PO Box 1650 1: + 908,903,3656
Whitehouse Station, Ig 08889.1650
Federal Insurance Company
x, IA Document A3101111-2010 Bid Bond
Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable.
CONTRACTOR
T% legal status and address):
Walsh t& Kelly, Inc.
24358 State Road 23
South Bend, IN 46614
OWNER
(Name, legal status and address):
City of South Bend, Indiana
227 W. Jefferson Blvd,
South Bend, IN 46601
BOND AMOUNT
SURETY
(Narue, legal status and principal place ofbusiness):
Federal Insurance Company
2€32B Halls gl W Rd., PO Box 11650
Whitehouse Station, M 08889-1650
In an amount not less than five percent (5%) of the base bid plus any alternates.
PROJECT
(Name, location or address, andProject number, if any)
Lincoln Way West and Charles Martin Sr. Drive Improvements
Project No. 117-072A
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the
Contractor and Surety bind themselves, their heirs, executors, 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 the Contractor
within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and
Contractor, and the Contractor either (1) enters into a contract with 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 Docurnents, with a surety admitted
in the jurisdiction of the Project 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 to the Owner the
difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount
for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this
obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of
an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver
of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent 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 terra Owner shall be deemed to be Contractor.
Printed in cooperation with theAmmican institrate ofArchitects (Ail) by Chubb. The language in this document conforms to the language used irl
AFA Document A310 rar• 2010.
Porm 15-02-0575-FED (Rev.3/l7)
When this Bond has been furnished to complywith a statutory or other legal requirement in the location ofthe Project,
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here
from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.
When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law
bond.
Signed and sealed this 12th
(Witness) bl'sha Seger
clay of June,
Walsh /Kellnc.
B.
of South Bead Area
(Title) C6�Y� .......�?"�R
�D � �ORPORATF '° �
(Vorpo e
XaL
Y. Sp
R
.Y YdsYY�� p 0.
4td1 �®
ZL�� I
By:
(witness) David M. Oliget`
Insurance Company
�c�/S2G
IM10IT, ATi+I -1filr I.
Printed in cooperation with theAmerican Institute of Architects (ALA) by Chubb. The language in this document conforms to the language used in
AIA Ilocument A310 "'r- 2010.
Farm 1"2.057S-FO (Rm 3117)
CHUBB'
Power of Attorney
Federal Insurance Company i Vigilant Insurance Company I Pacific Indemnity Company
Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC
INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Tia A. Bo€ce, Terry R. Hurst, Brian T. Morton, David M. f)llger,
Robert M. Rutigliano, Christina Marie Schmitter, Tina N. Senefeld and Eric M. Wahlstrom of Indianapolis, Indiana
each as their true and lawful Atlnmeydn-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise, bonds and undertakings and other writings obligatory In the nature thereof (other than bail bonds) given or executed In the course of business, and any
Instruments amendfngor altering the same, and consents to the modification or alteration ofany instrument referred to in said hands or obligations,
in Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these
presents and affixed their corporate seals on this 1911 day ofian uary, 2017.
Dawn M. Chloros, Assistant Secretary '-' Catherine A. Do—T"hta tWVlce President
STATE OF NEW JERSEY
County of Ntmlerdon
on this 1911 day of January, 2017 before roe, a Notary Public of Newlersey, personally tame Dawn M. Chloros, to me known to be Assistant Secretary of FLDRRAL INSURANCE
COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the compantes which executed the foregaltiR Power of Attorney, and the said Dawn M.
Chloros, being by me duly sworn, did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC
INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by
authority of said Companies; and that she stgtled said Power of Attorney as Assistant Secretary of said Companies by like authority; and that she Is acquainted with Catherine A.
Donahue, and knows him to he Vice President of said Companies; and that the signature of Catherine A. Donahm subscribed to said Power of Attorney Is in the genuine
handwritingofCatherin a and was thereto subscribed byauthority ofsaldGompaniesand Indeponent'spresence-
Notarial Seal h UTAR r'r KATHERINEE J, ADELAAR
17 Y NOTARY PUBLIC OF NEW JERSEY Notary Public
No- 2316885Y 16 pig
PUBl~14 Commission Explre R77iPICAhiO€V
Resolutions adopted by Dir6ctots of FEDERAL INSURANCF. COMPANY, VIGILANT INSURANCE comPANY, and PACIFIC INDEMNITY COMPANY on August 30, 201G:
'RESOLVED. that the followlng audhodrauons relate to the execudDia, for and an behaif of dx 0ampany, orboiu1% undertakings, recoplzancm oontram% and other written eommltmems; of the Company
entered into In the ordinary course of business (each a'Wrinen Commitment"):
O) Each of the Chairman, the President and the Wee Presidents of the Companyls hereby authorized taexecuteanyWrhteo(bmmitment forandoobeha£fofthcCompany, under the
seal of the company or olberwVe.
(2) Eadh duly appointed auomey-In•raa of the Company is hereby authotized to exetatte any WHLien comml(ment for and on britair of the Company, under the seat of the Company or
otherwis"_ to the extent that such action is authorized by the grant of powers provided for In such persons written appointment as such attorney -In -fact.
(3) Farh of the (chairman, the Prexidenx and the Vice Presidents of the Companytvherebyauthorized,for and an ItehalfortheCompany. toappointin"ang any person ate attorney -
In -fact of the ❑ompany with furl power and auNxhtity to exeatte, rot and on behalf of the Company, under the seal of the Company or otherwise, such Written Commitments of the
Company as may be spetaRed in such written appointment, which MxcjAcalIon may be by general type or dam of Written Commitments at byspecifltmton of one or more particular
Written Commitments.
(4) Each of the Chairman, the President and the Vice FreAdents of the Company is hereby authoriw&ItarandonbehalfoftheCompany,todelegateinwritingtoanyotheroficerathe
Company the authority toexecvte for and on behalf of the Company, under the Campanys sea) or otherwim, such Wriuctr Commitments ofthe Company aaare specified in such
writtendelegasion,which SpedliCaLion may be by general typear darsd Written CanmluneMu or byspeeincationofoneotmorepartialarWrlttenCommltmente.
(5) The regnaithre of atryalneer or other person extotangany Written Commitment or appointment or ddegatkon pursuant to this Resolution, and the sral orthe Company, maybe affixed by
faedinne on such written Commilment or mitten appointment or delegation,
FURTHER RESOLVED, that the foregoing Resolution stwli not be deemed to bean exdwivestatement ofthe porversandauthorityOrOM en,emplayeasandotherperaonstoan(orandoilbehalfof
the Company. andsudh Resolution shad not Ihnn or otherwise affect the exerctu ofany such power or authority otherwise validly granted or vested."
1, Dawn M, Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the 'Companies) do hereby
certify that
(i) the foregoing Resolutions adopted by the Board of Directnts of the Companies are true, correct and In Nil force and effect,
(1l) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are
authorized by the US. Treasury Department; further, Federal and Vigilant are licensed In (he US. Virgin Islands. and Federal is licensed in Cuam, Puerto Rico,
and eachofthe Provinces of Canada except Prince Edward Island: and
(Ili) theforegofng Power of Attorney Is true, correct and in full force and effem
Given under tnybajnd and seals of said Companies at Whitehouse Station, NJ. this 12th day of .June, 2018.
Dawn M. Chloros, Assistant Secretary
t11,THE$VNN)YOtIW15[t7ONOi1hYUSOEACIAIM. VERIFY THRAItrtiRNTIMY6FTHI5itOADORA07iFYU50FANY pTiiHRMAiT$R PILA5EC0ATACTUSAT
TelMhone(900903-3493 Fax(9W)903.3GSG &mail: suretypthubbarm
For mr t; t la 0,2 0-1I GEN-CUt ENT (rev. 12-16)
0 0 1 : :: a 19 i li
L619J2 1I gaa"Lej 0M I!J lei 301am [ORTITLe
CHECKLIST FOR BIDDERS
Project Name Lincoln Way West and Charles Martin Sr. Drive improvements
Project No. 117-072A
For Bid's Due June 12, 2018
From time to time the South Bend Board of Public Works finds it necessary to reject, a bid
because it does not comply with statutory requirements. In preparing your bid, please use the
following checklist in order to make sure that your bid is done in the proper manner.
Proper bid security included. The bidder has the option of providing either a Certified Check
X or Bid Bond.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
X executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
x Certification of use of United States Steel Products or Foundry Products.
Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal its not
met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted
X Form [MWBE-2.1],
X Acknowledge Receipt of _1_ Addendum(s) included with the bid.
X All required additional information is iincluded with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
X printed or typed underneath signature.
This checklist submitted with the Bid.
This checklist is provided for bidlider's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.
Bidder: Walsh & Kelly, Inc. Date:
By Authorized Represe
-12
Signature: /
Print Name & Title: 0.1r)hnPPkkPr \/P of A.qnhnlf C)nPrqfinn.q
Version 10/17/2016 Contractor's Bid for Public Works - 1
6/12/18
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
These statements to be submitted under oath by each bidder with and as part of his 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 II 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 Bend to
consider your bid.)
2. Attach a listing of 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.
3. If you intend to sublet any portion of the work, attach 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 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 required by 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 the
bidder's capability for completing the project if awarded.
Version 10/17/2016 Contractor's Bid for Public Works - 3
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CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
�15
lea,
DEVELOPMENT PROGRAM
FORM MWBE.2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bond Public
Works Projects requiring Good Faith Efforts to obtain MBE/WBE participation. It Is the bidder's sole
responsibility to 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;
Project Name::
Bidder:
Contact Person:
Address::
City:
Email::
117-072A
Date: 6/12/18
- Lincoln Way West and Charles Martin Sr. Drive Improvements
Walsh & Kelly, Inc.
.IDustin Hilary Telephone: 574-288-48,11
24358 SR 23
South Bend State: Indiana Zile: 46614
clustinh@walshkell
To determine whether a bidder has demonstrated good faith efforts to reach the MIBEMBE utilization goals set
forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or
commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table Il
EVIDENCE OF GOOD FAITH EFFORTS
MBE/WBE LISTIl The bidder reviewed the City of South Bend'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 (http://www,ini.gov/idoa).
ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South
Be quires that all perspective bidders complete no less than 2 of the following:
Attend all pro -bid meetings scheduled by the City to inform MBEIWBEs of contracting and
F
subcontracting opportunities.
2. Advertise In general circulation and/or trade association publications concerning
subcontracting opportunities, and allow MBENVBEs reasonable time to respond.
)3 Perform any and all necessary steps to provide written notice in a manner reasonably
(
calculated to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for
them to participate effectively.
4. Utilize pre-existing services of available community organizations, small] and/or disadvantaged
business assistance offices and other organizations that provided assistance in the
recruitment and placement of MBE/WBE firms.
"Bidder must circle or otherwise notate which of the two (2) required actions were performed.
GOOD FAITH NEGOTIATIONS: The bidder negotiated In good faith with interested M,BE/WBEs,
including providing such MBE/WBE's with adequate information about the plans, specifications and
other requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound
business reasons based on a thorough Investigation of their capabilities.,
SMALL CONTRACT($): The bidder selected specific portions of the work to be performed by
MBEIWB,Es In order to increase the likeilhood of meeting the MBE/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, MBE/WBE 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, why not, including any reasons for
concluding that the MBE/WBE was unqualified to perform the job.
*Proper demonstration of Good Faith, Effort requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version, 10117/2016 Contractor's Bid for Pubic Works - 12
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
V
DEVELOPMENT PROGRAM
ACTTti � J;(
FORM MWBE-2.1
MBEIWBE CONTACTED
This completed! form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring contacted MBEfWBE to obtain Good Faith Efforts. It Is the bidder's sole responsibility to verify
whether any listed minority or woman business meets the qualifications of a Minority or Women's owned
business.
Project Number: 117-072A
PACE 1 0 F
MBE/WBE Participation Goal
Project Name: Lincoln Way West and Charles Martin Sr. Drive Improvements
Bidder: Walsh& KeIIyAiy,,. WkMefid"..
By: �ohaltOnerati ,,6/12/18
igna re) John M. Peiskeir (title) ' Sate)
A r�
z -4
M[140B�E Firm =
State Barricading, Inc.
Owner or Contact at MBE/WBE Firm James Michalski 11 %
Z
Telephone: 5,74-287-2078 IFax: 574-287-1744 Emal
ate Akl.com I
TYPE OF WORK SOLICITED FOR THIS PROJECT: ",logo
Maintaining of Traffic and traffic control devices
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
Subcontractor will Iperform the work.
MBE/WBE Firm Traffic Control Specialists, Inc.
Owner or Contact at MBE/WBE Firm Barry Triska
Telephone: 5,74-772-7001 Fax; Email: kerry@tcspecialists.net
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Pavement Markin
RESULTS OF CONTACT WITH THE MBEIWBE FIRM:
Subcontractor will perform the work.
Version 10/17/2016 Contractor's Bid for Public Works - 13
Part of State Form52414 (R2I 2-13) Form 96 (Revised 2013)
BID OF
Walsh & Kelly, Inc.__________
(Contractor)
(Address)
South Bend IN 46614
FOR
PUBLIC WORKS PROJECTS
OF
City of South Bend, Indiana
Lincoln Way West and Charles Martin Sr. Drive
Improvements
Project No. 117-072A
Filed June 121h. 2018
Action taken
State Form 52414 (R 19-10)
Prescribed by State Board of Accounts Form No. 96 Revised 2013
CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96
PART 1
(To be completed for all bids. Please type or print)
Date (month, day, year): June 12th 2018
1. Governmental Unit (Owner): City of South Bend, Indiana
2. County: St.,_ Joseph
3. Bidder (Finn):
Address:
City/State:
4. Telephone Number:
5. Agent of Bidder (If applicable):
Walsh & Kelly, Inc.
24358 SR 23
South Bend, IN 46614
288-4811
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of City of South Bend Indiana (Governmental Unit) in accordance with plans and
specifications prepared by Abonzaraarche Consultants and dated May 18, 2018 for the sum of See
Attached $ See Attached
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 Governmental Unit. If the bid is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or
applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or
indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant
may be regarded as a material breach of the contract.
CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS
(If applicable)
I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation
to use steel products made in the United States. I.C. 5-16-8-2. I hereby certify I and all subcontractors employed by me
for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in
forfeiture of contractual payments.
ACCEPTANCE
The above bid is accepted this day of
Contracting Authority Members:
subject to the following conditions:
PART II
(For projects of $150,000 or more — IC 36-1-12-4)
Governmental Unit: City of South Bend, Indiana
Bidder (Firm): Walsh & Kelly, Inc.
Date(month, day, year)• Tune 12, 2019
These statements to be submitted under oath by each bidder with and as part of his bid. Attach additional pages
for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
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
When Completed
Name and Address of Owner
$12,926,200
Reconstruction
October 2017
INDOT
$ 5,970,162
Reconstruction
May 2017
Town of Merrillville
$ 5,521,779
Resurface
December 2017
City of Mishawaka
$ 2,646,574
Reconstruction
September 2017
St. Joseph Cty Hwy Dept
2. What public works projects are now in process of construction by your organization?
Contract Amount
Class of Work
When to be Completed
Name and Address of Owner
$10,695,118
Reconstruction
November 2018
Walsh Construction
$ 8,146,239
Resurface
May 2018
INDOT
$ 4,073,719
Reconstruction
July 2018
City of East Chicago, IN
$ 2,662,813
Reconstruction
October 2018
INDOT
3. Have you ever failed to complete any work awarded to you? No If so, where and why?
3
4. List references from private firms for which you have performed work.
Gatlin Plumbin & Heating, Inc, l I I l E. Main St., Griffith IN Ms. Clara Mur h
Gough, Inc. 2200 E. 88'h Dr., Merrillville, IN 46410 Mr. Raymond Gough
D er Construction Co. 1716 Sheffield Avenue Dyer, IN Janet Furman
Grimmer Construction Co. Inc. 2619 Main Street Highland, IN Mr. Greg Grimmer
SECTION 11 PLAN AND EQUIPMENT QUESTIONNAIRE
1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could
begin work, completed the project, number of workers, etc. and any other information which you believe would
enable the governmental unit consider your bid.)
As required by owner
2. 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.
See Attached List
3. 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.
Will supply upon award of contract
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.
QUANTITY
ITEM
DESCRIPTION,
SIZE, CAPACITY,
ETC.
CONDITION
YEARS
OF
SERVICE
PRESENT LOCATION
5
Asphalt Plants
Various
Good
Griffith, South Bend,
Valparaiso, Lowell, LaPorte
19
Asphalt Pavers
Various
Good
Griffith, South Bend
4
Sli form Conc. Paver
Various
Good
Griffith, South Bend
3
Road Widener
Various
Good
Griffith, South Bend
5
Motor Graders
CAT/J.D.
Good
Griffith, South Bend
54
Rollers
Various
Good
Griffith, South Bend
30
Rubber Tire Loaders
Various
Good
Griffith, South Bend
15
Excavators
Various
Good
Griffith., South Bend
9
Bulldozers
Various
Good
Griffith, South Bend
6
LowBoy Tractors
Various
Good
Griffith, South Bend
8
Flatbed Dumps
Various
Good
Griffith, South Bend
48
% and 3/ ton Pickups
Various
Good
Griffith, South Bend
65
1 Ton Crew Trucks
Various
Good
Griffith, South Bend
3
Cold Planers
Wirtgen 1900
DC
Good
Griffith, South Bend
3
Tii-Axle Dump
Mack
Good
South Bend
5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing
your proposal? Otherwise, please explain the rationale used which would corroborate the prices listed.
Yes, we received quotes from potential subcontractors and suppliers
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 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.
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 PRBLIC WORKS ARE TRUE AND CORRECT.
Dated at South Bend this 12"' day of June, 2018
N�a`�
Walsh & Kelly,Inc.
v.: °•••••• °•�'�� . (Na of Organization)
�oy,QoaarF
• • B
� 4
A �
SEA Q"4L110hn M. Peisker, VP of Asphalt Operations
IAt l �� ����� (Title of Person Signing)
011111144�
ACKNOWLEDGEMENT
STATE OF Indiana
) ss
COUNTY OF St. Joseph _)
Before me, a Notary Public, personally appeared the above -named John M. Peisker and
swore that the statements contained in the foregoing document are true and correct.
Subscribed and sworn to before me this 12"' day of June 2018
Altsha Krueger, Notary Public
My Commission Expires: June 5 2022 r<<ii ALISHA KHUEGER
rHI AG
Notary Public, state of Indiana
County of Residence: St. Joseph z;SEAL;"=
St. Joseph Counly
•
`oIANP ``
My Commission Expires
%,,,,,�„+„a
June 06, 2022
Form 96 Section II, #2
NuDeontractors usea on Yumic Works Uontracts vuring the Past 5 Years
SUBCONTRACTORS
COMPANY I ADDRESS I CITY/STATEIZIiP PHONE Ii=A
,SEWER
B & U Sewer
Deboer Egolf
Delta III
Dyer Construction
Gatlin Plumbing & Heating
Gough, Inc.
Grimmer Construction
Hasse Construction
HRP Construction
Rex Construction
Wirtz & Yates, Inc.
Woodruff & Sons
MILLING
C.E. Hughes Milling, Inc.
Javelina Construction, Inc,
Mid America. Milling Co.
McCrite Milling
Specialties Company
ELECTRICAL INSTALLATION
Hawk Enterprises
Midwestern Electric
S/T Bancroft. Electric
Sweney Electric Company
Trans Tech Electric
SIGN INSTALLATION
Hawk Enterprises
Midwestern Electric
RoadSafe Traffic Systems
State Barricading, Inc.
Traffic Control Specialists, Inc.
PAVEMENT MARKINGS
The Airmarking Company
Blackout Sealcoating
RoadSafe Traffic Systems
State Barricading, Inc.
Traffic Control Specialists, Inc
Traffic Management Compan)
TRAFFIC CONTROL
RoadSafe Traffic Systems
Traffic Control Specialists, Inc
Traffic Management Company
LANDSCAPE
American Landscape
Hubinger Landscape
Slusser's Green Thumb, Inc
T & J Landscape Service
531 Winston Ct
5772 Melton Road
2063 W 1250 S
1716 Sheffield Avenue
1111 E. Main Street
2200 E. 88th Drive
2619 Main Street
10 Lincoln Avenue
5777 Cleveland Rd.
700 Schiller Avenue
P.O. Box 41
P.O. Box 450
Schererville, IN 46375
Portage, IN 46368
Hanna, IN I 46340
Dyer, IN 46311
Griffith, IN 46319
Merrillville, IN 46410
Highland, IN 46322
Calumet City, IL 60409
South Bend, IN 46624
Schererville, IN 46375
Kentland, IN 47951
Michigan City, IN 46361
(219) 322-2300
(219) 763-9700
(219) 797-4004
(219) 865-2961
(219) 924-6972
(219) 756-2200
(219) 924-1623
(219 )932-1611
(574)271-7800
(219) 322-8090
(219) 474-6542
(219) 872-8605
(219) 865-0065
(219) 763-9703
(219) 797-3008
(219) 865-2963
(21'9) 924-1401
(219) 756-2202
(219) 924-0328
(219) 932-6829
(574) 271-0524
(219) 322-0031
8795339
3113 Holmans Lane
Jeffersonville, IN 47130
(812) 725-8665
(812) 725-8672
13476 Britton Park Rd.
Fishers, IN 46038
(317) 841-8364
(317) 841-0075
6200 W. Hwy 62, Ste 400 Jeffersonville, IN 47130
(812) 282-2751
(812) 283-9846
209 Quality Ave. Ste 9
New Albany, IN 47150
(812) 941-0252
(812) 941-0852
9350 E. 30th St.
Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
1850 E. North St
1620 E. Chicago Ave
25020 State Road 2
911' 1 Louisiana St.
4601 Cleveland Road
1850 E, North St
1620 E. Chiicago Ave
3122 Olympia Dr
24963 U.S. Highway 20
1810 W Pacific Avenue
P.O. Box 526
7440 W. 87th Place
3122 Olympia Dr
24963 U.S. Highway 20
1810 W Pacific Avenue
3542 Hiahwav Avenue
3122 Olympia Dr
1810 W Pacific Avenue
3542 Hiahwav Avenue
Crown Point, IN 46307
East Chicago, IN 46312
South Bend, IN 46619
Merrillville, IN 46410
South Bend, IN 46619
Crown Point, IN 46307
East Chicago, IN 46312
Lafayette, IN 47909
South Bend, IN 46628
Knox, IN 46534
Rochester, IN 46975
Bridgview, IL 60455
Lafayette, IN 47909
South Bend, IN 46628
Knox, IN 46534
Highland, IN 46322
Lafayette, IN 47909
Knox, IN 46534
Highland, IN 46322
(219) 662-8090
(219) 397-4444
(574) 287-6490
(219) 769-6007
(574) 272-9673
(219) 662-8090
(219) 397-4444
(317) 780-1825
(574) 287-2078
(574)772-7001
(219) 662-8093
(21' 9) 397-8888
(219) 769-0565
(574) 271-0144
(219) 662-8093
(219) 397-8888
574) 772-7002
(574) 223-5817 (574) 223 7959
(219) 864-2300 (708) 430-6910
(317) 780-1 825
(574) 287-2078
(574) 772-70011 (574) 772-7002
(291) 746-2433
(317) 780-1825
(574) 772-7001 (574) 772-7002
(219) 746-2433
P,O. Box 235 Dyer, IN 46311 (219) 322-7033 (219) 322-4419
210 E. 113th Avenue Crown Point, IN 46307 (219) 662-991' 1 (219) 662-6206
125 Montgomery Street Logansport, IN', 46947 (574) 722-3102 (574) 722-1628
8253 Wicker Avenue St. John, IN 46373 (219) 374-9900 (219) 374-9950
6
GUARDRAIL/FENCING
Acorn Fence
2041 164th Street
Hammond, IN 46320
(219) 844-8400
(219) 844-8441
C Tech Corporation
5300 W, 100 North
Boggstown, IN 46110
(317) 835-2745
(317) 835-2781
James H. Grew Company
8701 Zionsvifle Rd.
Indianapolis, IN 46268
(317) 876-3739
(317) 876-3829
Security Industries
1000 Georglana St..
Hobart, IN 46342
(219) 942-9447
(219) 942-9448
Specialties Company
9350 E. 30th St.
Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
TRUCKING/HAULING
C. Lee Construction Services
1011 S. Lake St
Gary, IN 46403
(2119) 888-9554
(219) 888-9564
Condon Trucking, LLC
18245 Amberley Ln
South Bend, IN 46637
(574) 360-4326
(574) 271-8984
Fanio Services
28015 SR 23
North Liberty, IN 46554
(574) 233-3236
Gilmer Trucking
20390 New Road
South Bend, IN 46614
(574) 229-3233
Material Transfer Inc.
7811 West 101 st Ave.
Crown Point, IN 46307
(219) 865-9575
Morris Motor Service, Inc.
10525 W US Hwy 30 Bid
Wanatah, IN 46390
(219) 733-9430
7
P & C Trucking
4410 Ross Road
Gary, IN 46408
(219) 972-0193
Superior Construction Co., Inc.
1455 Louis Sullivan Dr
Portage, IN 46368
(219) 787-0850
V & R Trucking, Inc.
1845 Elmer St.
South Bend, IN 46628
(574) 329-2102
SRPM'S
K & S Markers, Inca
2189 N 600 W
Thorntown, IN 46071
(765) 482-6184
(765) 482-6284
UNDERSIEAL
Rieth-Rilley Construction Co.,
2454 West CR 450 North
LaPorte, IN 46350
(219) 362-61178
Inc.
TREE REMOVAL
Dave's Tree Service
1555 Park West Circle
Munster, IN 46321
(219) 922-9829
(219) 922-9843
Homer Tree Service
14000 S. Archer Ave
Lockport, IL 60441
(815) 838-0320
Timber Masters LLC
P.O. Box 245
Dyer, IN 46311
(219) 864-8733
(219) 322-9391
LIME STABILi ATION
Mt. Carmel Sand & Gravel
1611 College Dr.
Mt. Carmel, IL 62863
(618) 262-5118
(618) 263-4084
Rock Solid Stabilization
5104 (Mann Drive
Ringwood, IL 60072
(815) 653-2585
(815) 653-2583
Specialties Company
9350 E. 30th St.
Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
PIPE LINING
Indiana Reline, Inc.
312 E. Main Street
Sulphur Springs, IN
(765) 766-5040
(765) 533-5831
47388
SAW CUTTING
Diamond Caring Co., Inc.
11800 S Ewing Ave
Chicago, IL 60617
(773) 978-5000
Quality Saw & Seal, Inc.
7600 W. 79th Street
Bridgeview, IL 60455
(773) 767=9300
SEAL COATIINGISTRIPING
Site Services, Inc.
10117 Kennedy Ave
Highland, IN 46322
(219) 924-9944
Blackout Sealcoating
7440 W. 87th Place
Bridgview, IL 60455
(219) 864-2300
(708) 430-691,10
UNDERDRAIN
3D Company, inc.
3200 East CR 350 North
Muncie, IN 47303
(765) 288-3326
(765) 288 3344
General Form No. 96-a
Prescribed by like State Board of
Accounts of Indiana. Revised 1949.
Standard Questionnaires and
Financial Statement for Bidders
Prescribed 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 part of his bid, as provided
by Chapter 306, page 1248, Acts of 1947
Submitted to City of South Bend Indiana
By Walsh & Kelly,Inc,
Address 24358 SR 23 South Bend IN 46614
Date submitted June 12, 2018
Filed
A.E. BOYCE CO., MUNCIE,1ND,
tA Corporation
1
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 contractors who
submit bids for the performance of such work, providing for plans and specifications, providing for bids repealing 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, commission, trustee, officer or
agent, the lowest and/or best bidder and to exercise intelligently the discretion hereby conferred 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 bidder's on public construction work, and the forms so prescribed are
hereby prescribed as the forms which shall hereafter be used by all such boards, commissions, trustees, officers and agents in
obtaining the information which is required in the administration of this act. If the information submitted by any bidder on the
forms herein 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.
2
TO THE BIDDER —
The following forms of questionnaires and financial statement are prescribed 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 are 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 qualifications 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 coming 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.
T. M. HINDMAN,
State Examiner
Submitted by Walsh & Kelly, Inc. { x A Corporation
Principal Office at 1700 East Main Street Griffith IN 46319
To City of South Bend, Indiana
EXPERIENCE QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers
to interrogatories hereinafter made.
I. How many years has your organization been in business as a general contractor under your present
business name? 52 Years
2. How many years' experience in asphalt paving_ construction work has your organization had: (a)
As a general contractor 71 years (b) As a sub -contractor 71 Years
3. What projects has your organization completed?
Contract Amount
Class of Work
When Completed
Name and Address of Owner
$ 12,926,200
Reconstruction
October 2017
INDOT
$ 5,970,162
Reconstruction
May 2017
Town of Merrillville, IN
$ 5,521,799
Resurface
December 2017
City of Mishawaka, IN
$ 2,646,574
Reconstruction
September 2017
St. Joseph County Hwy
Department
3-A. What projects has your organization now in process of construction?
CONTRACT AMT. CLASS OF WORK
WHFN TO BE COMPLETED
NAME AND ADDRESS OF OWNER
$ 10,695,118
Reconstruction
November 2018
Walsh Construction
$ 8,146,239
Resurface
May 2018
INDOT
$ 4,073,719
Reconstruction
July 2018
City of East Chicago, IN
$ 2,662,813
Reconstruction
October 2018
INDOT
4. Have you ever failed to complete any work awarded to you? No If so, where and why?
5. 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 naive of individual,
other organization and reason therefore
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
For what corporation or individuals have you performed work, and to whom do you refer?�
BP Amoco,.Whiting, Indiana
Torn & Blank Construction 1623 Greenwood Ave. Michigan City, IN 46360
Grimmer Construction Co. Inc. 2619 Main Street Highland, IN 46322
University of Notre Dame South Bend Indiana
Gough Inc. 1151 E. Summit, Crown Point, IN 46307
9. For what cities have you performed work and to whom do you refer?
Town of Griffith
Director of Public Works
Griffith IN
Town of Schererville
Town Manager_
Schererville IN
City of Hammond
City Engineer
Hammond IN
Cjty of South Bend
City Engineer
South Bend IN
Town of St. John
Town Manai4er
St. John IN
10. For what counties have you performed work and to whom do you refer?
Lake County Highway
Superintendent
Crown Point IN
Porter County Highway
Superintendent
Valparaiso, IN
St. Joseph County Hi hwa
Su erintendent
South Bend IN
Elkhart Count Highway
Su erintendent
ElkhartIN
Laporte County Highway
Superintendent
Laporte, IN
11. For what State bureaus or departments have you performed work and to whom do you refer?
Indiana Department of Transportation INDOT LaPorte District Laporte IN
Department of Natural Resources
Indianapolis, IN
12. Have you ever performed any work for the U.S. Government Yes
If so, when and to whom do you refer?
U.S. Anny Corps of Engineers Chica a IL
Indiana National Guard De t. of Administration Indianapolis, IN
Federal Highway Administration Sterling, VA
11. What is the construction experience of the principal individual of vour omanization?
INDIVIDUAUS NAME
PRESENT POSITION OR
OFFICE
YEARS OF
CONSTUCTION
EXPEREINCE
MAGNITUDE AND
TYPE OF WORK
IN WHAT CAPACITY
Kevin J. Kelly
President
33
All Types
General Manager
Jeffrey L. Swan
Executive Vice President
34
All Types
Supt. Engineering
David J. Misirly
Vice President
33
Bituminous
Paving
Engineer
Greg A. Hoffman
Vice President
31
Bituminous
Paving
Engineer
John C. Wall
Vice President
41
All types
Engineer
John M. Peisker
Vice President
33
All types
General Manager
J. Michael
Schaum
Secretary/Treasurer
46
Administration
General Manager
Jamie L. Tancos
Controller
14
Administration
General Manager
Lynn J. Bauer
South Bend Ops Mgr
23
All t es
Engineer
Dustin P. Hilary
South Bend Area Mgr
18
All types
Engineer
Mark E.
Krachenfels
Engineer
28
All types
Engineer
Keith A. Gardina
Engineer
23
All types
Engineer
Nikolas G. Relias
Engineer
16
Bituminous
Engineer
Paving
PLAN AND EQUIPMENT QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers
to interrogatories hereinafter made.
1. In what manner have you inspected this proposed work? Explain in detail.
Plans Specifications, and Site inspections
2. Explain your plan or layout for performing the proposed work
As directed by owner/engineer
The work, if awarded to you, will have the personal supervision of whom?
Kevin J. Kelly, Jeffrey L. Swan, David J. Misirly, Gregory A. Hoffman, Dustin P. Hilary, and L,
1-3 - _
4. *Do you intend to do the hauling on the proposed work with your own forces? Yes
If so, give amount and type of equipment to be used As needed
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 responsibility
Items 4,5,6 and 7 may not be applicable in all building contracts; if not, omit.
6. *Do you intend to do the grading on the proposed work with your own forces?
If so, give type of equipment to be used
7. *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 financial responsibility
8. Do you intend to sublet any other portions of the work? If so, state
amount of sub -contract, and, if known, the name and address of the sub -contractor, amount, and type
of this equipment and financial responsibility
9. From which sub -contractors or agents do you expect to require a bond? None
10. What equipment do you own that is available for the proposed work?
QUANTITY
ITEM
DESCRIPTION,
SIZE, CAPACITY,
ETC.
CONDITION
YEARS
OF
SERVICE
PRESENT LOCATION
5
Asphalt Plants
Various
Good
Griffith, South Bend,
Valparaiso, Lowell, LaPorte
19
Asphalt Pavers
Various
Good
Griffith, South Bend
4
Slipform Cone, Paver
Various
Good
Griffith, South Bend
3
Road Widener
Various
Good
Griffith, South Bend
5
Motor Graders
CAT/J.D.
Good
Griffith, South Bend
54
Rollers
Various
Good
Griffith, South Bend
30
Rubber Tire Loaders
Various
Good
Griffith, South Bend
15
Excavators
Various
Good
Griffith, South Bend
9
Bulldozers
Various
Good
Griffith, South Bend
6
LowBoy Tractors
Various
Good
Griffith, South Bend
8
Flatbed Dumps
Various
Good
Griffith, South Bend
48
'/2 and Y4 ton Pickups
Various
Good
Griffith, South Bend
65
1 Ton Crew Trucks
Various
Good
Griffith, South Bend
3
Cold Planers
Wirtgen 1900
DC
Good
Griffith, South Bend
3
Tri-Axle Dump
Mack
Good
South Bend
7
11. What equipment do you intend to purchase for use on the proposed work, should the contract be
awarded to you?
QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC. APPROXIMATE
COST
None
12. How and when will you pay for the equipment to be purchased? NIA
13. Do you propose to rent any equipment for this work?No If so, state type, quantity and reasons for
renting
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
Dated at South Bend this 12t"
KE��Y
�ORA
s _
m 0 �
�. . SEAS. d. Ba
a°0 ,l
STATE OF Indiana ',,,,, fV®IAO1�°���
f ss.
COUNTY OF St. Joseph
day of June, 2018
Walsh & Kelly, Inc.
(Name Organization)
By
M. Peisker. VP of Asphalt Operations
(Title of Person Signing)
John M. Peisker being duly sworn deposes and says that he is VP of Asphalt Operations
of the above Walsh & Kelly, Inc.
(Name of Organization)
and that the answers to the questions in the foregoing questiormaires and all statements therein contained
are true and correct.
Subscribed and sworn to before me this 12"` day of June 2018
t J� jd���
Alisha Krueger, otary Public
My Commission expires _ _ June 5, 2022
` ,1411i1Irl
ALESHA K€3UEGER
q .•' "' ;�^ Notary Public, State of Indiana
" z;SEAL: �' = St, Joseph County
* '• r
r,,��,yBisA����``• My
,€una 05,o2022ires