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HomeMy WebLinkAboutOpening of Proposals - Water Works Utility Service Line Repair Program - Niezgodski Plumbing IncNiezgodskl* Plumbing, Inc. Plumbing and Heating Contractor PO Box 3096 South Bend, IN 46,619 Phone: (574) 233-9774 Fax: (574)233-9752 e-mail: Indiana State License #PC88701935 Established 1922 July 18, 2018 City of South Bend Board of Public Works, 13 1h Floor County City Building, Room 1316 South Bend, IN 46601, Attached please find the required documents as requested for the Water Works Utility Service Line Repair Program. Niezgodski Plumbing has been working within our community for the past 96 years. In addition we have been performing water service leak repairs and stop box repairs for the City of South Bend since 1972. Our 4" Generation family owned business employs qualified and dedicated employees. From day one, instilled in all of our employees is the ethics of hard work. It is stressed that an attitude of honesty and integrity shall always be prevalent. As representatives of the City of South Bend, during the course of performing Water Works Repairs we realize that our performance serves as a front line view of how South Bend residents judge the delivery of one of the City's most essential services. Safe drinking water available to, all city residents with minimal interruption, is of utmost essence for any city's administrative and departmental success. Niezgodski Plumbing Inc., will continue to deliver these services to the City of South Bend and view them as our highest priority. We are fully equipped to handle all Water Works repairs, including every manner of emergency service required. We have all the necessary tools and equipment and they are kept fully maintained. We meet all of the requirements called for in the specifications provided in the Board of Public Works Request for Proposals which have been provided. In addition we acknowledge that these repairs must be performed in any and all adverse weather conditions. Included please find all required Commercial General Liability Insurance information, Workers Compensation Insurance, required performance bond information and a copy of my Plumbing Contractors License and Corporate Plumbing License. Also included is the signed and notarized Non -Collusion Affidavit, Non -Debarment Affidavit, Employment Eligibility Verification and Non -Discrimination Commitment Form. I look very forward to having the opportunity to continue representing the needs of the South Bend City Water Works in every manner necessary for many further years to come. Please do not hesitate to contact me if there is anything fttrther you may require. Sincerely, David Niezgodski President, Niezgodski Plumbing Inc. 574-233-9774 niezplum@comcast.net Federated Mutuat Insurance Company Hone Office: Owatonna, MN 55060 • KNOW ALL PERSONS BY THESE PRESENTS, that we NIE GODSKI PLUMBING INC PO BOX 3096 SOUTH BEND, IN 46618-0096 as Principal and FEDERATED MUTUAL INSURANCE COMPANY OF OWATONNA, MINNESOTA , a corporation, organized and existing under the 'laws of the State of MINNESOTA and having its principal place of business at 12.1 Past Park Square, PO Box 328, Owatonna, Minnesota, as Surety, are held and firmly bound unto CITY OF SOUTH BEND BOARD OF PUBLIC WORKS 227 WW JEFFERSON SOUTH BEND, IN 46618 as Obligee, in the sure of TWENTY-FIVE THOUSAND AND NO/100 -� Collars ( 2 ',ggg•gg ) for payment of which the Principal and the Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally„ firmly by these presents. The condition of this obligation is such that WHEREAS the above named Principal, is desirous of obtaining a license from CITY OF SOUTH BEND BOARD OF PUBLIC WORKS to engage in the business of PLUMBING CONTRACTOR NOW, THEREFORE, in consideration of the issuance of such license, if said Principal shall well and truly damply with such Ordinances„ Mules and Regulations and any Amendments thereof, as require the execution of this bond, then this obligation shall be void, otherwise to be and remain in full force and effect. This obligation shall become effective on the 16TH day of JULY 2018 and shall remain in force for a one year period thereafter. The Surety, reserves the right to cancel this bond by giving THIRTY ( 80 ) days written notice to the Obligee and the Principal. Signed and sealed this 16TI-I day of JULY , 2018 NIEZOODSKl PLUMBING INC (Prinelpal) BY:. ell Write) FEDERATED MUTUAL INSURANCE COMPANY KFLLY' I-iAA at �'cey- rr• ni:l� BF-2 Ed.02-02 POWER OF ATTORNE KNOW ALL MEN BY THESE PRESENTS: That. FEDERATED MUTUAL INSURANCE COMPANY, a corporation duly organized and existing under the laws of the State of Minnesota, and having its principal office in the City of Owatonna, State of Minnesota, does hereby constitute and appoint: KELLY HAGEN of the City of OWATONNA State of MINNESOTA its true and lawful attorney for the following purposes: To sign its name as surety to, and to execute, affix the seal, acknowledge and deliver any and all surety bonds and penalties not exceeding: ONE HUNDRED THOUSAND DOLLARS ($100,000) EACH NIEZGODSKI PLUMBING INC SOUTH BEND, IN The execution of such bonds or undertakings in pursuance of these presents shall be binding upon the Company as if they had been executed and acknowledged by the regularly elected officers of the Company. This Power of Attorney granted by Federated Mutual Insurance Company shall terminate when the designee ceases to be: I ) Employed by Federated Mutual Insurance Company or 2) Employed by Federated Mutual Insurance Company in a job for which such Power of Attorney is required. IN WITNESS WHEREOF, the said FEDERATED MUTUAL INSURANCE COMPANY has caused this instrument to be signed and its corporate seal to be affixed by its Executive Vice President and Assistant Secretary this the _ 8`.t.'Hi day of ,APRIL 2016 FEDERATED MUTUAL INSURANCE COMPANY _ w BY and BY STATE OF MINNESOTA COUNTY OF STEELE On this 8TH day of APRIL 2016 personally appeared before me, the undersigned notaq public, 3ames A. Thon and Jonathan R. Hanson to me personally known, who, each being duly sworn by riie, did say that they are respectively the Executive Vice President and Assistant Secretary of the FEDERATED MUTUAL INSURANCE COMPANY and that the seal affixed to this instrument is the corporate seal of said. Corporation and that this instrument was signed and sealed of behalf of said Corporation by authority of its Board of birectors and said .lames A. Thon and Jonathan R. Hanson acknowledge said instrument to be the free act and deed of said corporation. OTA (SEAL) 4A0%-%N1, 2020 COPY OF RESOLUTION "BE IT RESOLVED that the President or any Vice President in conjunction with the Secretary is hereby authorized and empowered under the corporate seal of the Company, to appoint any person or persons as attorney or attorneys -in -fact, or agent or agents of the Company, in its name and as its act to execute and deliver, anywhere in the United States or Canada, any and all bonds and undertakings of suretyship and other documents that the ordinary course of surety business may require." "BE IT FURTHER RESOLVED that the Power of Attorney or other document appointing such person or persons as attorney or attorneys -in -fact or agent or agents of the Company may either be personally signed by the President, any Vice President, the Secretary or may be executed by said officers by means of facsimile signatures. The said personal signatures or facsimile signatures. shall not require the Company seal or any other seal and shall be valid and binding on the company if executed either by personal signature or facsimile signature and with or without the Company seal being affixed thereto." I, the undersigned, hereby certify that I am a Executive Vice President of the FEDERATED MUTUAL INSURANCE COMPANY, a Corporation duly organized and existing under the laws of the State of Minnesota and that the foregoing is a true and complete copy of the original Power of Attorney given by said Company to: KELL,Y HAGEN of OWATONNA, MINNESOTA authorizing and empowering such person to sign bonds as therein set forth, which Power of Attorney has never been revolted and is still in full force and effect. I further certify that said Power of Attorney was given in pursuance of a resolution adopted at a regular meeting of the Board of Directors of said Company duly called and held at the office of the Company in the City of Owatonna, Minnesota on the 2CO day of AMfl, 19.12 at which meeting a quorum was present and that the foregoing is a true and correct copy of -said resolution, and the whole thereof as recorded in the minutes of the said meeting. PURSUANT to the By -Laws of Federated Mutual insurance Company, Article 8, Section l; in the absence of or inability of the Secretary to act, his duties shall be performed by the Assistant Secretaries in the order of their rank. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of'the FEDERATED MUTUAL INSURANCE COMPANY this the 1tiTH day of........ JULY z018 FEDERATED MUTUAL INSURANCE COMPANY (SEAL) E ecutive Vice President ^ A �'� CERTIFICATE OF LIABILITY INSURANCE TE �) 47/11t2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 'N=ig CT ENT CONTAMCENTER gIONHo Ect : 888-333-4949 FAX No): 507-4464664 AooASS: CLIENTCONTACT ENTER FEDINS.COM OWATONNA, MN 55060 INSURERIS) AFFORDING COVERAGE NAIC # INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 230-909-4 INSURER B: FEDERATED SERVICE INSURANCE COMPANY 28304 INSURERC: NIEZGODSKI PLUMBING INC PO BOX 3096 SOUTH BEND, IN 46619-0096 INSURER P: INSURER E: INSURER F: �[�v�Rnc3t=s CERTIFICATE NUMBER: 137 REVISION NUMBER: 0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. INS R LTR TYPE OF INSURANCE ADDL g SUBR POLICY NUMBER POLICY EFF 1DD1Y Y POLICY EXP DD LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F OCCUR BUSINESS OWNER'S LIABILITY N N 9041601 08/21/2017 08/21/2018 EACH OCCURRENCE $1,000,000 PRCMIGStSE T Ea RENTED $100,000 X MED EXP (Any one person) $5,000 GEN't. X PERSONAL & ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- ❑ LOC OTHER: JECT GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPfOP AflO $2,000,000 B AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY AUTOSUEED HIRED AUTOS ONLY NON -OWNED AUTOS ONLYccirigntl N N 9041602 08/21/2017 08/21/2018 COMBINED SINGLE LIMIT E a dent $1,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accidenj PROPERTY DAMAGE A X UMBRELLA LIp8 EXCESS LIAG X OCCUR CLAIMS -MADE N N 9041603 08/21/2017 08/21/2018 EACH OCCURRENCE $2,000,000 AGGREGATE $2,0()0,()00 DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTHERIEXECUTIVE Y A N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) II yes, describe under DESCRIPTION OF OPERATIONS below NfA N 900604 08/21/2017 08/21/2018 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $540,000 E.L DISEASE - POLICY LIMIT $51)( 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) r..FRTIrI('oTF Uni nFR CANCELLATION 230-909-4 CITY OF SOUTH BEND BOARD OF PUBLIC WORKS 227 W JEFFERSON BLVD FL 13 SOUTH BEND, IN 46601-1830 1370 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE W 1bW lUlb AL:VNIJ k:VF[YVKAI IVTI. IYII 1-181II5 ►UNUMCO. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 5rlygg 3, Indiana Professional Licensing Agency CHN 402 West Washington Street, Room W072, Indianapolis, Indiana 46204 (317) 234-8800 +air+ PLUMBER CONTRACTOR PC88701935 12/31 /2019 Active DAVID L NIEZGODSKI P O BOX 3096 Welcome to Indiana Licensing Page I of 2 Payment Receipt If you paid for a certificate, it will be mailed on the next business day. You may use the certificate below as a temporary until your order arrives. If you selected the Free Certificate Printout, print and cut out the certificate below. Indiana Professional Licensing Agency 402 W. Washington Street, Roorn W072 Indianapolis, IN 46204 Niezgodski Plumbing, Inc. C089200225 has completed all requirements for licensure in Indiana as a Expiring December 31, 2019 To check the current status and expiration date for this license, please visit http://mylicense.in.clov/everification Eric J. Hol'comb Governor State of Indiana tis Indiana Professional! Licensing Agency Niezgodski Plumbing, Inc. PLUMBING CORPORATION LICENSE C089200225 i Expiration Date: 12/31/2019 To verify the current status and expiration date for this license, please visit httr)://my�icense.in.gov/eVerification Deborah J. Frye Executive Director Professional Licensing Agency l,ittps:llmylicense.in.govlegovIPaymentResult.aspx?answer--processed&payment—id=O&c... 12/21/2017 12127/20171036.07 AM License $125.00 Check24893 $125.00 kwidawsk 11157 No. 002468-18 REGISTRATION $125.00 ST. JOSEPH COUNTYAND CITY OF SOUTH BEND, INDIANA December 27, 2017 WHEREAS, DAVID L. MMZGODSKI, dba NIEZGODSKI pLUmBING, TNC. having this day paid to the Building Department the sure of One Hundred Twenty Five Dollars and Zero Cents is hereby REGISTERED to operate in the unincorporated areas of ST. JOSEPH COUNTY and the CFTX OF SOUTH BEND, as a Plumbing Contractor THIS REGISTRATION EXPIRES: December 31, 2018 Building Commissioner Charles C. Bulo P.O. BOX 3096 232 N. MAYFLOWER ROAD SOUTH BEND, IN 46619 (574)2334n4 THIS REGISTRATION IS NOT TRANSFERABLE When the prospective Contractor is unable to certify to any of the statenients belojv, 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 -1- N !Tr COUNTY SS: The undersigned Contractor, being duty sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of'value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3, Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in Non-Collusim Non -Debarment Affidavit Non trait Form the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of 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. Non -Collusion Nan -Debarment Affidavit Non Iran Form Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. 1, the undersigned bidder or agent as contractor on a public works project, understand any statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). 1 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 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 PML�'t`l aY 'O�Ic -�025 iana St os qb('00OW 0 "Gta(VPuJ e . tAIV7 ,Epqe5 MY comm�ssto Subscribed and sworn to before me this6�"_61 I I I My Commission Expires n� I aoxD County of Residence Non -Collusion Non-Debannent Affidavil Non Iran Form day of �re�lfr/ 20 If Contraci6r/Bidoer (Fir Signature of Contractor/Ifidder or Its Agent Printed Name and Tide