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Home My WebLink AboutOpening of Bids - 2018 Curb and Sidewalk Construction Proj No 118-007 - Premium Concrete ServicesBID/PROPOSAL CITY OF SOUTH BEND Project Name 2018 Curb and Sidewalk Construction Project No, 118-007 For Bids Due June 26th, 2018 at 9:30 am Local Time DIVISION' Al Item No. Description Quantity Unit Unit Price Total Amount I CONCRETE SIDEWALK, REMOVE 807 SY 2 CONCRETE SIDEWALK, 4-IN 818 Sy 3>r,,2 3 CONCRETE CURB, REMOVE 1017 LF , -7 3 e, 4 CONCRETE CURB, MODIFIED 1017 LF 5 CONCRETE APPROACH, REMOVE 102 Sy 2 6 PCCP FOR APPROACHES, 6-IN 79 SY 1341 to" 7 TOPSOIL AND SEEDING 783 SY /5- It 02 V5- 10 TREE, REMOVE, 18 IN 4 EA 11 TREE, REMOVE, 30 IN 3 EA 12 TREE, REMOVE, 48 IN 1 EA 14 PLANT, DECIDUOUS TREE, SINGLE STEM, 2-IN TO 2,5 IN 8 EA :46 15 CURB RAMP, REMOVE 39 SY 16 RAMP ONE-WAY PERPENDICULAR CURB 26, SY ell le 18 PAIRED PERPENDICULAR CURB RAMP 23 Sy 19 REMOVAL, MULBERRY BRUSH, 60-1INCH 1 EA DIVISION -Al TOTAL# DIVISION A2 Item No. 1 Description CONCRETE SIDEWALK, REMOVE Quantity 150 Unit Sy Unit Price Total Amount 2 CONCRETE SIDEWALK, 4-IN 150 SY 3 CONCRETE CURB, REMOVE 158 LF 4 CONCRETE CURB, MODIFIED 158 LF Ci - 5 CONCRETE APPROACH, REMOVE 34 SY 6 PCCP FOR APPROACHES, 6-IN 34 SY 7 TOPSOIL AND SEEDING 76 SY eve" e�a, 3'el -,e 9 TREE, REMOVE, 10 INI I EA 10 TREE, REMOVE, 18 IN 2 EA ex, 11 13 TREE,. REMOVE, 30 IN STUMP, REMOVE 1 3 EA EA;„ 1�- 4 14 PLANT, DECIDUOUS TREE, SINGLE STEM, 2-IN TO 2.5 IN 4 EA 200 15 CURB RAMP, REMOVE 11 Sy 18 PAIRED PERPENDICULAR CURB RAMP 11 SY 2 35" e22 00 DIVISION A2 TOTAL, 4 Bidder (Firm): A. 5'o 1 0 1 011 4 /, 0 /c. Version 10/17/2017 Contractor's Bid for Public Works - 7 AIDDENDUUI #1 7eAT1Pr*1'kT ": Item No. Description Quantity Unit Unit Price Total Amount 1 CONCRETE S,IDEWALK, REMOVE 63 SY 2 CONCRETE SIDEWALK, 4-IN 63 Sy 3 CONCRETE CURB, REMOVE 175 LF 315 Ao 4 CONCRETE CURB, MODIFIED 175 LF r /0 "P5- 5 1 CONCRETE APPROACH, REMOVE 49 SY 6 PCCP FOR APPROACHES, 6-IN 49: SY 7 TOPSOIL AND SEEDING 100 SY L2 12 TREE, REMOVE, 48 IN 1 EA 2c;Co,� ;Z eiM-> 14 PLANT, DECIDUOUIS TREE, SINGLE STEM, 2-IN TO 2.5 IN 1 EA 0, t,-e, 425! DIVISION 131 TOTAL # 311� ri66r'�' DIVISION 132 Item No. Description Quantity Unit Unit Price Total Amount 1 CONCRETE SIDEWALK, REMOVE 191 SY 2 CONCRETE SIDEWALK, 4-IN 191 SY 3 CONCRETE CURB, REMOVE 146 LF 2 212 4 CONCRETE CURB, MODIFIED 146 LF? 7 TOPSOIL AND SEEDING 139 SY DIVISION 132 TOTALY FIRT51prer, I R Item No. Description Quantity Unit Unit Price Total Amount 1 CONCRETE SIDEWALK, REMOVE 607 Sy ---- L2 OC"'5", /o 2 CONCRETE SIDEWALK, 4-IN 607 SY wk j,� 7 6, 3 CONCRETE CURB, REMOVE 38 LF 4 CONCRETE CURB, MODIFIED 38, LF V . ............ 7 TOPSOIL AND SEEDING 11 sy I qC), ��%E o 9 TREE, REMOVE, 10 IN 1 EA "7, -e, 2 �Le) 10 TREE, REMOVE, 18 IIN 5 EA 11 TREE, REMOVE, 30 IN 5 EA MA5 13 STUMP, REMOVE 1 EA 14 PLANT, DECIDUOUS TREE, SINGLE STEM, 2-1 N TO, 2.5 IN 11 EA Z 700 15 CURB RAMP, REMOVE 37 SY fit;eo 16 ONE-WAY PERPENDICULAR CURB RAMP 5 Sy 70 � ° j 35t? 18 PAIRED PERPENDICULAR CURB RAMP 291 SY 2125-1 DIVISION C TOTAL Bidder (Firm): Version 10/17/2017 Contractor's Bid for Public Works - 8 AD D E14 N1 Di U M # I DIVISION DI Item No. Description I Quantity Unit Unit Price Total Amount 1 CONCRETE SIDEWALK, REMOVE 306 SY 2 CONCRETE SIDEWALK, 4-IN 306 SY 3 CONCRETE CURB, REMOVE 859 LF 4 CONCRETE CURB, MODIFIED 859 LF 5 CONCRETE APPROACH, REMOVE 99 SY 6 PCCP FOR APPROACHES, 64N 89 SY 7 TOPSOIL AND SEEDING 312 SY a s'c/(,> 11 TREE, REMOVE, 30 IN 2 EA r Woo 12 TREE, REMOVE, 48 IN 2 EA 13 STUMP, REMOVE 1 EA 14 PLANT, DECIDUOUS TREE, SINGLE STEM, 2-IN TO 2.5 IN 4 EA '2ev 15 CURB RAMP, REMOVE 19 SY 16 ONE-WAY PERPENDICULAR CURB RAMP 5 Sy 0, f 5 18 PAIRED PERPENDICULAR CURB RAMP 12 SY 9 ep A rinTINIT61111 "10 21OA;L- DIVISION D1 ;� Z TOTAL' / " Item No. Description Quantity Unit Unit Price, Total Amount I CONCRETE SIDEWALK, REMOVE 225 SY 2 CONCRETE SIDEWALK, 4-IN 225 SY 3 CONCRETE CURB, REMOVE 305 LF 4 CONCRETE CURB, MODIFIED 305 LF 0? 5 CONCRETE APPROACH, REMOVE 80 sy e5W: 6 PCCP FOR APPROACHES, 6-IN 80 SY ,X9 7 TOPSOIL AND SEEDING 219 SY pen dt 11 TREE, REMOVE, 30 IN 1 EA r i 2-OCk) 13 STUMP, REMOVE 1 EA 14 PLANT, DECIDUOUS TREE, SINGLE STEM, 1 EA 2-IN TO 2.6 IN DIVISION D2 TOTAL;f oe- Bidder (Firm): Version 10117/2017 Contractor's Bid for Pubfic Works - 9 ADDENDUM #1 Item No. Description Quantity Unit Unit Price Total Amount 1 CONCRETE SIDEWALK, REMOVE 233 SY 722 2 CONCRETE SIDEWALK, 4-IN 233 Sy 3 CONCRETE CURB, REMOVE 243 LF 4 CONCRETE CURB, MODIFIED 115 LF 7 TOPSOIL AND SEEDING 170 SY L 7260 S? a-� 11 TREE, REMOVE, 30 IN 1 EA e1v 2,000 12 TREE, REMOVE, 48 IN 1 EA 13 STUMP, REMOVE 1 EA 52"� 37CY,> 14 PLANT, DECIDUOUS TREE, SINGLE STEM, 2-IN TO 2.5 IN 2 EA 2 0 CONCRETE CURB, TYPE A 128 DIVISION E TOTAL# 5'5- 1,29 i 1 -0 Item No. Description Quantity Unit Unit Price Total Amount I CONCRETE SIDEWALK, REMOVE 273 Sy 2 CONCRETE SIDEWALK, 4-IN 273 SY 11 TREE, REMOVE, 30 IN 5 EA 'e,,,�, ('5 14 PLANT, DECIDUOUS TREE, SINGLE EA 5-�X> STEM, 2-IN TO 2.5 IN 5 15 CURB RAMP, REMOVE 22 SY &0 2 ?61 18 PAIRED PERPENDICULAR CURB RAMP 22 _ Sy ,220 (/6110 DIVISION F TOTAL f 1 01 kyj 61 Is] = Item No. Description I Quantity Unit Unit Price Total Amount 1 CONCRETE SIDEWALK, REMOVE 60 SY 2 CONCRETE SIDEWALK, 4-IN 280 SY 7 TOPSOIL AND SEEDING 350 SY 16 ONE-WAY PERPENDICULAR CURB RAMP 5 s,y 10 21 CLEARING AND GRUBBING 60,00 SF 02 �eO r,-5�e 4>,n 22 EXCAVATION, COMMON 40 CY 6,X1 I 11Won 23 COMPACTED AGGREGATE, No. 53 36 TON 1;?C> 24 25 BACKFILL TEMPORARY EROSION CONTROL 20 1 CY LS f. 0 2 oer ,> CAO CV DIVISION G1 TOTAL Bidder (Firm): Version 10/17/2017 Contractor's Bid for Public Works - 10 A1D1)P4DJM 91 DIVISION G2 Itern No. Description Quantity Unit Unit Price Total Amount 1 CONCRETE SIDEWALK, REMOVE 8 SY 2 CONCRETE SIDEWALK, 4-IN 176 SY - �- x, / / e,/ q 7 TOPSOIL AND SEEDING 220 SY e 1116 ONE-WAY PERPENDICULAR CURB RAMP 9 SY 21 CLEARINGS AND GRUBBING 3800 SF 22 EXCAVATION, COMMON 32 CY 23 COMPACTED AGGREGATE, No. 53 24 TON 00 24 BACKFILL 12 CY 25 TEMPORARY EROSION CONTROL 1 LS ek 6 DIVISION Al TOTAL , DIVISION A2 TOTAL q5y DIVISION 131 TOTAL 3-71 969 DIVISION 132 TOTAL 3 6,0 DIVISION C TOTAL DIVISION DI TOTAL'S DIVISION G2 TOTAL DIVISION D2 TOTAL DIVISION E TOTAL DIVISION F TOTAL DIVISION G1 TOTAL DIVISION G2 TOTAL e/� '0 / q1 5-1 C , izo TOTAL ALL DIVISIONS 2,)j 69N 7 Bidder (Firm): k—, 5e1, L))c�e,,�> 27A)4�' Address: 5JrecA City/State/Zip: Telephone Number: By Signaturemm t aR (Printed' Warne of Person Signing) Version 10/17/2017 Contractor's Bid for Public Works - 11 ADDENDUM 91 Nil :14 Tly role] ki I 9:14FA01111 991 :4.-1 :111 IN as] :A Uffim Project Name 2018 Curb and Sidewalk Construction Project No. 118-007 For Bids Due June 2,6th, 2018 at 9:30 am Local Time PART I pPp Date: austomBidder rint) (Firm)7kErniUm I LCS, INC Address: I I I 11WMWD STUtT City/State/Zip: E�A qtp5'J (.0 Telephone Number: Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: the City of South Bend, Indiana, in accordance with plans and specifications prepared by PeAn b 4- &Jol and dated for the sum of (enter the Total Bid as shown on the Proposal) ,5e oeo 11aqd,,eJ5, e uel, "thal"a wy,4,e ) ($ ? V, (Enter sum of Total Bid including all divisions shown on Proposal) (Numerical) 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 adde,nidums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are ineeded, the cost of units must Ibe the same as that shown in the original contract if accepted by the City Of SoutBend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a s attachment. 4, By e'� 0 (Signature) (Printed Nime of Person Signing) The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS ACCEPTANCE day of Gary A. Gilot, President Suzanna M. Fritzberg, Member Elizabeth A. Maradik, Member Therese J. Dorau, Member James A. Mueller, Member Attest: Linda IM. Martin, Clerk Version 10/17/2047 contractor's Bid for Public Works - 2 0 When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF 01 0 ) ) SS: �..C- COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of ]ran 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: 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 10/17/2017 Contractor's Biel 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 commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). 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, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable, I understand that violations hereunder Version 10/17/2017 Contractor's Bid for Public Works - 5 may result in forfeiture of contractual payments. I hereby affirin under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this Aa (0 20f% day ofi4t—z' JAREE M TOWNER NOTARY PUBLIC M. SEAL ELKHART COUNTY, STATE OF INDIANA f�wm I U Contractor/Bid (Finn) S?KatLu'e of Contractor/Bidder or Its Agent MAX 8KEq Printed Name and Title Subscribed and sworn to before me this ot 01, day of J'd M'G� '20 1W, My Commission Expires County of Residence K(gary Public ■ Version 10/17/2017 Contractor's Bid for Public Works - 6 Init. A"" AIA Document A31 OTM -2010 CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place Premium Concrete Services, Inc. of business) 712 Richmond St Old Republic Insurance Company This document has important legal Elkhart, IN 46516 Brookfield, WI consequences. Consultation with OWNER: an attorney is encouraged with (Name, legal status and address) respect to its completion or City of South Bend Board of Public Works modification. County -City Building Room 1316, 227 West Jefferson Blvd Any singular reference to South Bend IN 46601 Contractor, Surety, owner or BOND AMOONT: other party shall be considered Five Percent of the Total Bid 5% of Total Bid plural where applicable. PROJECT: (Name, location or address, and Project number, if any) 2018 Curb and Sidewalk Construction, Project No, 11 8-007 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 Documents, with a surety admitted in the jurisdiction of the Project and other -wise 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 term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom 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 scaled this 21st day of June 2018 Premium ttncrete Services, Inc. -- ----- -(Principal) (Seal) 081- CO (Wit C, 01" (Title) Old Republic Insurance Company (Sure Seal (Witness) ty) (Titfe),Annifer L. Kaszma, Adorney in Fact CAUT]ON: YOU should silgin ail"N oirlglnM MA Contract IDocument, qpKwo oa. te,t appears in RED. An ofiginall as,surc% that changes MH not he obscured. AIA Document A3110T —2010. Copyright@ 1963,1970 and 2010byThe American Institute of Architects. All rights reserved. WARNIM11'hIs A[A rra Elomanent Is piratected by 19 S, Copydght Lawand InternatilonalTirGafies, Ur[aifthofted mreproducUon ordWgitibution OMN MA"Docinnent, or arly porafolin of !lit, May resulft In sevare chil1l) and cfln*tal penaffies, anid wili1i be prosecuted to the rnexilirrium extenit possible undel the taw. Purchasers are permUted to reproduce ten (10) copies of this document when completed. To report copyright violations of AlA Contract Documents, e-maid The American Institute of Architects' legal counsel, copyright@aia.org. 061110 ()1,D RE1111JBLJC INSURANCE COMPANY ............. ............ ..... . . POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC INSURANCE COMPANY, a Pennsylvania stock insurance corporation, does make, constitute and appoint: NICOLE L BICKNELL, MEGAN E RIESENBERG, MARK EDWARD WOBBE, DEBRA K HULL, BARBARA E PEARSON, JENNIFER L KASZNIIA, SANDRA L JUNK, WILLIAM J CERNEY, 1111, WESLEY MANTOOTH, THERESA BURNS, JORDAN SCHEIBCR, OF SOUTH BEND, IN Its true and lawful Attorneys) -in -Fact, with full power and authority, not exceeding $50,0100,000, for and on behalf of the Company as surety, to execute and deliver and affix the seal of the Company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof, mend bonds, hazafdous was�,e reip�-,diaflon b(HrI(IS (p IbW,1k king bonds), as follows: ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED FOUR MILLION DOLLARS($4,000,000) ......................... FOR ANY SINGLE OBLIGATION. and to bind OLD REPUBLIC INSURANCE COMPANY thereby. and all of the acts of said Attorneys -in -Fact, pursuant to these presents, are ratified and confirmed. This document is not valid unless printed on colored background and is mufti -colored. This appointment is made under and by authority of the board of directors at a meeting heid on March 14, 2014. This Power of Attorney is signed and seated by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC INSURANCE COMPANY on March 14, 2014. RESOLVED FURTHER, that the chairman, president or any vice president of the Company's surety division, in conjunction with the secretary or any assistant secretary of the Company, be and hereby are authorized and directed to execute and deliver, to such persons as such officers of the Company may deem appropriate, Powers of Attorney in the form presented to and attached to the minutes of this meeting, authorizing such persons to execute and deliver and affix the seal of the Company to bonds, undertakings, recognizances, and suretyship obligations of all kinds, other thanbA born inds, bank depository bonds, ortgage deficiency bonds, niortgage gUamllty Ond% guarantees o ins akn,ient papeirand note quaran,ybond s, The said officers may revoke any Power of Attorney previously granted to any such person. The authority of any Power of Attorney granted by any such officer of the Company as aforesaid shall not exceed fifty million dollars ($50,000,000,00). except (a) bonds required to be filed as open penalty bonds, and (b)bonds filed with any court or governmental authority`requiring, an unfimited penalty In bonds filed in that court, RESOLVED FURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company (1) when signed by the chairman, president or any vice president of the Company's surety division and attested and sealed (if a seal be required) by any secretary or assistant secretary; or (I!) when signed by a duty authorized Attorney-ini-Fact and sealed with the seal of the Company (if a seal be required). RESOLVED FURTHER, that the signature of any officer designated above, and the seal of the Company, may be affixed by facsimile 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 affixed. IN WITNESS WHEREOF, OLD REPUBLIC INSURANCE COMPANY Ihas caused these presents to be signed by Its proper officer, and its corporate seal to be affixed this 2 9TH day of JULY, 2016. „ Isar OLD REPUBLIC INSURANCE COMPANY A SEAL STATE OF WISCONSIN, COUNTY OF WAUKESHA - SS Vice President On this 29TH day of JULY, 2016 personally came before me, ALAN PAVLIC and JANE E CHERNLYto me known to be the individuals and officers of the OLD REPUBLIC INSURANCE COMPANY who executed the above !instrument, and they each acknowledged the execution of the same, and lbeing by me duly, sworn, did severally depose and say; that they are said officers of the corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said organization. I .-*014 — X 4000L Notary Public My commission expires: 9/28/18 CERTIFICATE (Expiration of notary commission does not invalidate this instrument) 1, the undersigned, assistant secretary of the OLD REPUBLIC INSURANCE COMPANY, a Pennsylvania corporation, CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked; and furthermore, that the Resolutions of the board of directors set forth In the Power of Attorney, are now in force. 45-5314 "OlMn", -ASOR Signed sealed at the City of Brookfield, WI this day ()f_/A1,.1,;��_._. W; SEAL 22851-13 11 006-R (5.10) 1316 COUN1 Y-C' a I Y BI HI-DINU 227 W. JEFFERSON Boun-'xmm SOU'l If BEND, INDIANA 46601-1830 Date: To: From Subject Project Name: Project No.: Crryoi,'Souriffll,"ND BOARD OF PUBLIC WORKS June 14, 2018 All Planholders Linda M. Martin, Clerk, Board of Public Works Addendum Number: 1 2018 Curb and Sidewalk Construction. 118-007 PHONF, 574/235-925t F,,%x 574/ 235-9171 IT) D 574/ 235�-5567 I Date Received: &Z/V/l8 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. A Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Authorized Signature: Date: I I YA" IN MaM IMM A MU] M r-4 CHECKLIST FOR BIDDERS Project Marne 20�18 Curb and Sidewalk Construction Project No. 118-007 For Bids Due June 26th, 2018 at 9:30 am Local Time 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 or Bid Bond'. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and V Certification of use of United States Steel Products or Foundry Products. Proof of MBENVBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.10] and MBE/WBE Contacted Form [MWBE-2.1]. Acknowledge Receipt of i Addendum(s) included with the bid. All required additional information is included with the bid., Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. / This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with requiired 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. 0 P'M U t (Y&UEEE& (ZV K ES t 7-`C - Bjdder:-PM -I.- N Date: (Pb-Alaoll 10. 1 t By Authorized Representative: Signature: Print Name & Title: Version 10/17/2017 Contractor's Bid for Public Works - 1 U) w LU w(1) iR IL W z I-- w z 0 co: ui 0 w M U) (L O=) ui ZZ U) W 0 2 CO 0. 0 Z i F- LU w Z3 E > 0 w z it 2 0 z ci �� 0 a 9 4E' CL C. (a 0 CL , LU 4>1 IMI 0 o 0 = > as Cr' U as Cr 0 W 0 4) E U) o) m 0 0 0) 4-1 0 0 0,9 ab 4) — CL O r.L CL th E as .0 0 0 rL E2 0 E:5 ME 0 W-0 Q w T) = 0 MEN m iCf ICI 0 c: (U 0 CL E 0 0 E () W eyD CO CL *0 C: a)— E dJ (D C: =1 20 ca ow Q. 0 0 co 0 LO t c IL o CL si X- m ay t (D 0 0as E E .0 OL w za 06 co co z Ica 0 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY 4wh ht( 7� DEVELOPMENT PROGRAMrrrya FORM MIWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS M ^xis. This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBEMBE 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: 118-0017 Date: (0, 1 a3-[C)PI Q Project Name: Bidder: Contact Person: Address: 2018 Curb and Sidewalk Construction Telephone:5,7q -.—koq :oLq_( �0 City: state: Zip: 4Q El (4 Email: P um ofy rp,+e- nr) ripuzft) vuo� To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE 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 below*: EVIDENCE OF GOOD FAITH EFFORTS M�BE/WBE LIST(S). 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.in.gov/idoa). ACTION (ADVE RTIIS E/C ON TACT). In 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 MBEMBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBE/WBEs 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 MBEANBE 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 MBE)WBEs, including providing such MBEIWBE's with adequate infoirmadon about the plans, specifications and other requirements of the subcontract and did not reject MBENVB,Es as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by MBE/WBEs fin order to increase the likelihood of meeting the MBEANBE goals (including breaking down contracts into smaller unfts to facilitate MB,EANBE 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 MBENVBE was unqualified to perform the job. *Proper demonstration of Good Faith Effort requiires 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 10/17/2017 Contractor's Bid for Public Works - 12 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.1 MBE/WBE CONTACTED This completed form 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 bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE I OF_] Project Number: 118-007 MBE/WBE Participation Goal Project Name: Bidder: 2018 Curb and Sidewalk Construction By: . . . . ......................... VIP. w. Wdnature) (Title) (Date) MBEANBE Firm PkEM(UPY) &Cei--M SFP-V1C-PC,.,TMC. Owner or Contact at MBEANBE Firm Telephone:" Fax: ,5Jq-AUr5,-AA.� Email: &reJn*1 Uncoardw) ine- wn TYPE, OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBEfWBE FIRM: MBEANBE Firm Owner or Contact at MBEA/VBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBEANBE FIRM: Version 10/17/2017 Contractor's Bid for Public Works - 13 DEPARTMENT OF ADMINISTRATION STATE OF INDIAINA division of Supplier Diversity s Eric J. Holcomb, Governor Indiana Government Center South 402 West Washington Street, Room W478 Indianapolis, IN 46204 9/12/2017 (317) 232 - 3061 Becky L. YM(ey Premium Concrete Services Inc. 712 Richmond Street Elkhart, Indiana 46516 Subject. Application for W13E Certification Dear Ms. Yeakey Congratulations! The Indiana Department of Administration, Division of Supplier Diversity is pleased to inform you that Premium Concrete Services Inc. is hereby certified as a Women's Business Enterprise (WBE), Your company provides a commercially useful function in the areas listed below. Only work performed in these areas will be counted towards Women's Business Enterprise participation: UNSPSC CODE(S) Code Description 95121500 Comtnercial and Entertainment Building Structures 72152700 Concrete Instatlation and Repair Services On September 13, 2010, the Governor's Commission. on Minority and Women's Business Enterprises approved the department's effort to streamline its recertification process. Instead of conducting an onsite visit to each company seeking recertification, the department now has the discretion to waive the visit after a thorough review of the company's file and recertification documents. We have approved your recertification and it is valid through 9/30/2020. Please note that IDOA continues to reserve the right to conduct a site visit or phone interview at any time to certified companies, Although your certification is valid for a three-year period, you are required to submit an annual Affidavit of Coiitin ued Eligibilioi (ACE) form, Iocated at rNnnnv.iri.gov/idoa/mwbe/files/ACE Forjxi.pdf Reference: Nemium Cuncrete Services file. Please remember you must notify us immediately if any changes occur. Failure to notify us of changes or to provide an ACE form annually will result in revocation of your certification. Changes include, but are not limited to, changes in location, contact information, ownership and control. We encourage you to visit IDOA's procurement website, ",ww.in.gov/idoa/2464.htm, and update your Business Registration Profile. It is important that you review and update your profile regularly, because state purchasing agents and prime contractors may use this information to contact you for business opportunities. For questions regarding your registration profile, you may contact our office at 317-232-3061. While this letter serves as notification of certification, it does not serve to prove continued eligibility. Please visit wAw.in.gov/idoa/i3-twbe/2743.htm to verify certification status. Please contact our office at (317) 232-3061 if you have any other questions. We ask that you please contact Amy L. Wolf, Director of Certification, at (317) 232-3061 or awolf@idoa.in..gov if you have any questions or concenis about your letter, Sincerely, Any L. Wolf, Director of Certification Indiana Department of Administration Division of Supplier Diversity ALW/TAK 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/her/its 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. 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 10/17/2017 Contractor's Bid for Public Works - 3 Premium Concrete Services, Inc. 712 Richmond Street Elkhart, IN 46516 (574) 264-0196 SECTION I EXPERIENCE QUESTIONAIRE 1) PUBLIC WORKS PROJECTS COMPLETED IN PAST YEAR: CONTRACT AMOUNT $105,219 CLASS OF WORK COMPLETION DATE 10-01-2017 NAME & ADDRESS OF OWNER CITY OF SOUTH BEND $112,154 7-21-2017 CITY OF KENDALLVILLE $56,150 8-03-2017 CITY OF ELKHART $357,478 11-21-2017 INDOT 2) PUBLIC WORKS PROJECTS IN PROCESS CONTRACT AMOUNT $71,43,1 CLASS OF WORK COMPLETION DATE 11-30-2018 NAME & ADDRESS OF OWNER INDOT $44,940 8-31-2018 City of Nappanee 3) HAVE NEVER FAILED TO COMPLETE ANY WORK THAT WAS AWARDED TO US. 4) REFERENCES: a. N ISO URCE — MR. Luke Bradley — 1039 PENNSYLVANIA AVE SOUTH BEND, IN 46601 b. LOZIER MANUFACTURING— MR. KEN MURR-402 N MAIN MIDDLEBURY, IN 46540 2 Premium Concrete Services, Inc. 712 Richmond Street Elkhart, IN 46516 (574) 264-0196 SECTION II PLAN AND EQUIPMENT QUESTIONAIRE 1) Project No. 118-007 2018 Curb & Sidewalk Construction - Schedule: After given the notice to proceed Premium Concrete Services, Inc. will contact Indiana 811 to locate all utility lines within construction limits. Layout and staking of site will be next. Then removals, excavation, grading & subgrade will begin for concrete work. After excavation and grading phases are complete, concrete work will commence. Crews of 4-6 workers will install. Project with be completed on schedule. 2) a) TCS Inc. —1810 W. Pacific Ave. Knox, IN 46534 — Traffic Maintenance, Signs and Thermoplastic Lines. b) Acorn Landscaping — 3680 W Sample St South Bend, IN 46619 —Top Soil and Sodding. c) Kachur Tree Service, LLC- 316 Fulkerson Rd Niles, MI 49210-Tree Removal. d) Walsh & Kelly Inc. -- 24358 IN-23 South Bend, IN 46614 — Asphalt Paving. e) Ritschard Brothers, Inc. —1204 W. Sample St. South Bend, IN 46619 — Removals f) KC Tree, Inc — 8913 East US Hwy 20 New Carlisle, IN 46552 — Tree Removal Premium Concrete Services, Inc. Does not require bonding for its subcontractors 3) Will supply list of subcontractors soon after award of project. 4) Equipment use for project: Bobcat, Mini Excavator, Excavator, Compactor, Roller, Walk -behind Saw, Cut-off Saw, Vibra Strike, Dump Truck. Current plan is to used owned equipment, however depending on workload some rental equipment may be necessary. 5) Yes, Premium Concrete Services, Inc. has quotes for all materials in proposal.