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Home My WebLink AboutOpening of Bids - 2018 Street Paving Project No 118-070 - Rieth Riley Construction Co Inc4.1 CITY OF SOUTH BEND, INDIANA 4 4A CONTRACTOR'S BID FOR PUBLIC WORK ProjectName 201E Street Paving Project No. 118-070 For BldsDue August 9, 2018 at 9:30 am Local Time PART I (Must be completed for all bids. Please type or print) Date: August 9, 2018 Bidder (Firm): Rieth-Riley Construction Co., Inc. Address: 25200 State Road 23 City/State/Zip: South Bend, IN. 46614 Telephone Number: (574 ) 288-8321 Agent of Bidder (if Applicable): - Joshua A. McCormick Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: 2018 Street Paving the City of South Bend, Indiana, In accordance with plans and specifications prepared by: The City of South Bend, Department of Public Works and dated August 9, 2018 for the sum of (enter the Total Bid as shown on the Proposal) One rniflion, twenty elight thousand, two hundred ninety three dollars and eightieen cents ($ 1,028,293.18 (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an arniount 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 K accepted by the City of South end. If the bid Is to be awarded on a unit basis, the Itemization of the units shelf be shown on- - - attachment. The above bid Is accepted this Joshua A Name of ACCEPTANCE day of 20 Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Suzanna M, Fritzberg, Member Elizabeth A. Maradik, Member Therese J. Dorau, Member James A. Mueller, Member Attest: Linda M. Martin, Clerk Version 10117/20,17 Contractors Bid for Public Works - 2 BID/PROPOSAL CITY OF SOUTH BEND Project Name 2018 Street Paving — ADDENDUM #1 Project No. 118-070 For Bids Due August 9, 2018 at 9:30 am Local Time Contractor Name BASE BID Ilt�eom Description Quantity Unit Unit Total Amount 1 MAINTENANCE OFTRAFFIC 1 LS $ 15,000.00 $ 15,000.00 2 MOBILIZATION AND DEMOBILIZATION 1 LS $ 17,165,00 $ 17,165.00 3 MILLING, VARIES 1.5 TO 2.5INCHES 34,448 SY $ 1.89 $ 65,106.72 4 HMA SURFACE, 9.5 MM —TYPE B 2,842 TONS $ 82.50 $ 234,465.00 5 HMA WEDGE AND COVER —TYPE B 231 TONS $ 82.50 $ 19,057.50 6 TACK COAT 14 TONS $ 1.00 $ 14.00 7 JOINT ADHESIVE, SURFACE 23,156 LF $ 0.10 $ 2,315.60 8 ADJUST MANHOLE TO GRADE 24 EA $ 250.00 $ 6,000.00 9 ADJUST WATER LINE STRUCTURE TO GRADE 7 EA $ 100.00 $ 700.00 10 ADJUST INLET TO GRADE 18 EA $ 100.00 $ 1,800.00 TRAFFIC LOOP REAPLCEMENT, 6-FOOT $ 400.00 $ 6,400.00 11 16 EA DIAMETER CIRCULAR 12 SIGNAL CABLE, 2C 16 GA, SHIELDED 100 LF $ 3.00 $ 300.00 13 2-INCH CONDUIT 40 LF $ 21.00 $ 840.00 14 TRAFFIC DETECTOR HOUSING 4 EA $ 580.00 $ 2,320.00 15 PAVEMENT MESSAGE MARKINGS, 30 EA $ 100.00 $ 3,000.00 THERMOPLASTIC, WHITE, TURN ARROW 16 PAVEMENT MESSAGE MARKING, 2 EA $ 150.00 $ 300.00 THERMOPLASTIC, WHITE, "ONLY" PAVEMENT MESSAGE MARKING, $ 275.00 $ 1,650.00 17 THERMOPLASTIC, WHITE, BICYCLE AND 6 EA ARROW LINE, THERMOPLASTIC, BROKEN, WHITE,4 $ 0.52 $ 57.20 18 110 LF INCHES 19 LINE, THERMOPLASTIC, STOP LINE, SOLID, 425 LF $ 5.50 $ 2,337.50 WHITE, 24 INCHES TRANSVERSE LINE, THERMOPLASTIC, $ 0.52 $ 182.52 20 PARALLEL PARKING SPACES, SOLID, WHITE, 4 351 LF INCHES Version 10/17/2017 Contractor's Bid for Public Works - 1 BID/PROPOSAL CITY OF SOUTH BEND Project Name 2018 Street Paving — ADDENDUM #1 Project No. 118-070 For Bids Due August 9, 2018 at 9:30 am Local Time Contractor Name BASE BID Iltveo Description Quantity Unit Unit Price Total Amount LINE, THERMOPLASTIC, SOLID, WHITE, 4 $ 0.52 $ 2,111.20 21 4,060 LF INCHES LINE, THERMOPLASTIC, DIAGONAL, SOLID, 260 LF $ 0.52 $ 135.20 22 WHITE, 4INCHES LINE, THERMOPLASTIC, LADDER CROSSWALK, $ 5.50 $ 3,685.00 23 670 LF SOLID, WHITE, 24 INCHES LINE, THERMOPLASTIC, CROSS WALKS, SOLID, $ 2.10 $ 2,709.00 24 1,290 LF WHITE, 6 INCHES LINE, THERMOPLASTIC, SOLID, YELLOW,4 $ 0.52 $ 4,032.60 25 7,755 ' LF INCHES LINE, THERMOPLASTIC, BROKEN, YELLOW,4 $ 0.52 $ 208.00 26 400 LF INCHES LINE, THERMOPLASTIC, PEDESTRIAN OASIS $ 2.10 $ 325.50 27 155 LF BOUNDARY, WHITE, 6 INCHES 28 PAVEMENT GROOVING FOR 4-INCH 12,325 LF $ 0.42 $ 5,176,50 THERMOPLASTIC LINES BASE BID TOTAL: $397,394.04 The contractor must bid on both the base bid and gI alternates. Version 10/17/2017 Contractor's Bid for Public Works - 2 BIDIPROPOSAL CITY OF SOUTH BEND Project Name 2018 Street Paving -- ADDENDUM #1 Project No. 118-070 For Bids Due August 9, 2018 at 9:30 am Local Time Contractor Name ALTERNATE A (Jade Crossing Subdivision) BID Item No. Description Quantit Unit Unit Price Total Amount 1 MAINTENANCE OF TRAFFIC 1 LS $ 2,500,00 $ 2,500.00 2 MOBILIZATION AND DEMOBILIZATION 1 LS $ 7,000.00 $ 7,000.00 3 MILLING, VARIES 1.5 TO 2.5INCHES 8,628 Sy $ 1.70 $ 14,667.60 4 HMA SURFACE, 9.5 MM —TYPE B 1,170 TONS $ 83.61 $ 97,823.70 5 TACK COAT 5 TONS $ 1.00 $ 5.00 6 JOINT ADHESIVE, SURFACE 7,407 LF $ 0.10 $ 740.70 7 ADJUST MANHOLE TO GRADE 5 EA $ 100.00 $ 500.00 8 ADJUST WATER LINE STRUCTURE TO GRADE 5 EA $ 200.00 $ 1,000.00 9 ADJUST INLET TO GRADE 5 EA $ 50.00 $ 250.00 ALTERNATE A BID TOTAL: $124,487.00 ALTERNATE B (The Oaks Subdivision) BID Item No. Description Quantity Unit Unit Price Total Amount 1 MAINTENANCE OF TRAFFIC 1 LS $ 1,051.10 $ 1,051.10 2 MOBILIZATION AND DEMOBILIZATION 1 LS $ 4,000,00 $ 4,000.00 3 MILLING, VARIES 1.5 TO 2.5 INCHES 3,762 Sy $ 1.81 $ 6,809.22 4 HMA SURFACE, 9.5 MM —TYPE B 514 TONS $ 87.74 $ 45,098.36 5 TACK COAT 2 TONS $ 1.00 $ 2.00 6 JOINT ADHESIVE, SURFACE 3,269 LF $ 0.10 $ 326.90 7 ADJUST MANHOLE TO GRADE 3 EA $ 100.00 $ 300,00 E8 ADJUST WATER LINE STRUCTURE TO GRADE 3 EA $ 200.00 $ 600.00 9 ADJUST INLET TO GRADE 3 EA $ 50.00 $ 150.00 ALTERNATE B BID TOTAL: $58,337,58 Version 10/17/2017 Contractor's Bid for Public Works - 3 BID/PROPOSAL CITY OF SOUTH BEND Project Name 2018 Street Paving -- ADDENDUM #1 Project No. 118-070 For Bids Due August 9, 2018 at 9:30 am Local Time Contractor Name R:0Lkt,- Cov s4tu , ' UV- ALTERNATE C (Dinan's Subdivision) BID INo. tem Description Quantity Unit Price Total Amount 1 MAINTENANCE OF TRAFFIC 1 LS $ 1,167.90 $ 1,167.90 2 MOBILIZATION AND DEMOBILIZATION 1 LS $ 4,100.00 $ 4,100.00 3 MILLING, VARIES 1.5 TO 2.5INCHES 3,101 Sy $ 3.21 $ 9,954.21 4 HMA SURFACE, 9.5 MM - TYPE B 418 TONS $ 88.71 $ 37,080.78 5 TACK COAT 3 TONS $ 1.00 $ 3.00 6 JOINT ADHESIVE, SURFACE 2,628 LF $ 0.10 $ 262.80 7 ADJUST MANHOLE TO GRADE 3 EA $ 250.00 $ 750.00 8 ADJUST WATER LINE STRUCTURE TOGRADE 3 EA $ 250.00 $ 750.00 9 ADJUST INLET TO GRADE 3 EA $ 100.00 $ 300.00 ALTERNATE C BID TOTAL: $54,368.69 ALTERNATE D (Deer Hollow Subdivision) BID Item No. Description Quantity Unit Unit Price Total Amount 1 MAINTENANCE OF TRAFFC 1 LS $ 1,401.47 $ 1,401.47 2 MOBILIZATION AND DEMOBILIZATION 1 LS $ 5,448.00 $ 5,448.00 3 MILLING, VARIES 1.5 TO 2.5 INCHES 4,962 SY $ 1.43 $ 7,095.66 4 HMA SURFACE, 9.5 MM - TYPE B 686 TONS $ 87.32 $ 59,901.52 5 TACK COAT 4 TONS $ 1.00 $ 4.00 6 JOINT ADHESIVE, SURFACE 4,404 LF $ 0.10 $ 440.40 7 ADJUST MANHOLE TO GRADE 5 EA $ 250.00 $ 1,250.00 8 ADJUST WATERLINE STRUCTURE TO GRADE 5 EA $ 250A0 $ 1,250.00 9 ADJUST INLET TO GRADE 5 EA $ 50.00 $ 250.00 ALTERNATE D BID TOTAL: $77,041.05 Version 10/1712017 Contractor's Bid for Public Works - 4 BID/PROPOSAL CITY OF SOUTH BEND i"iwl � tr` Project Name 2018 Street Paving —ADDENDUM #1 w� }A �a Project No. 118-070 „, \ For Bids Due August 9, 2018 at 9:30 am Local Time ;>;",7H"s"s,;.„• Contractor Name lzi eoviSA-YLLC o O ALTERNATE E (Southfield Subdivisionl BID Ilteom Description Quantity Unit Unit Total Amount 1 MAINTENANCE OF TRAFFIC 1 LS $ 934.32 $ 934.32 2 MOBILIZATION AND DEMOBILIZATION 1 LS $ 3,823.00 $ 3,823.00 3 MILLING, VARIES 1.5 TO 2.5 INCHES 2,916 SY $ 2,16 $ 6,298.56 4 HMA SURFACE, 9.5 MM --TYPE B 436 TONS $ 87.94 $ 38,341.84 5 TACK COAT 2 TONS $ 1.00 $ 2.00 6 JOINT ADHESIVE, SURFACE 2,948 LF $ 0.10 $ 294.80 7 ADJUST MANHOLE TO GRADE 3 EA $ 100.00 $ 300.00 8 ADJUST WATER LINE STRUCTURE TO GRADE 3 EA $ 250.00 $ 750.00 9 ADJUST INLET TO GRADE 3 EA $ 50.00 $ 150.00 ALTERNATE E BID TOTAL: $50,894.52 ALTERNATE F (Southfield Lake Subdivision] BID IltVeom Description Quantity Unit Price Total 1 MAINTENANCE OFTRAFFIC 1 LS $ 934.32 $ 934.32 2 MOBILIZATION AND DEMOBILIZATION 1 LS $ 4,308.00 $ 4,308.00 3 MILLING, VARIES 1,5 TO 2.5 INCHES 3,488 Sy $ 2,16 $ 7,534.08 4 HMA SURFACE, 9.5 MM —TYPE B 485 TONS $ 86.10 $ 41,758.50 5 TACK COAT 3 TONS $ 1.00 $ 3.00 6 JOINT ADHESIVE, SURFACE 3,127 LF $ 0.10 $ 312.70 7 ADJUST MANHOLE TO GRADE 3 EA $ 100.00 $ 300.00 8 ADJUST WATER LINE STRUCTURE TO GRADE 3 EA $ 250.00 $ 750.00 9 ADJUST INLET TO GRADE 3 EA $ 50.00 $ 150.00. ALTERNATE F BID TOTAL: $56,050.60 Version 10/17/2017 Contractor's Bid for Public Works - 6 BID/PROPOSAL CITY OF SOUTH BEND Project Name 2018 Street Paving - ADDENDUM #F1 Project No. 118-070 For Bids Due August 9, 2018 at 9:30 am Local Time Contractor Name ALTERNATE G (Villas at Ireland Subdivision) -BID x rr:an: IltVeom Description Quantity Unit UnCe it Total Amount 1 MAINTENANCE OF TRAFFIC 1 LS $ 467.16 $ 467.16 2 MOBILIZATION AND DEMOBILIZATION 1 LS $ 2,048.00 $ 2,048.00 3 MILLING, VARIES 1.5 TO 2.5INCHES 886 Sy $ 4.49 $ 3,978.14 4 HMA SURFACE, 9.5 MM - TYPE B 111 TONS $ 109.15 $ 12,115.65 5 TACKCOAT 1 TONS $ 1.00 $ 1.00 6 JOINT ADHESIVE, SURFACE 660 LF $ 0.10 $ 66.00 7 ADJUST MANHOLE TO GRADE 3 EA $ 250.00 $ 750.00 8 ADJUST WATER LINE STRUCTURETO GRADE 3 EA $ 250.00 $ 750.00 9 ADJUST INLET TO GRADE 3 EA $ 50.00 $ 150.00 ALTERNATE G BID TOTAL: $20,325.95 ALTERNATE H (Indiana Avenue) BID Item O.JNo. Description Quantity Unit Unit Price Total Amount 1 MAINTENANCE OFTRAFFIC 1 LS $ 1,200.00 $ 1,200.00 2 MOBILIZATION AND DEMOBILIZATION 1 LS $ 6,260.00 $ 6,260.00 3 MILLING, VARIES 1.5 TO 2.5 INCHES 7,008 Sy $ 2.05 $ 14,366.40 4 HMA SURFACE, 9.5 MM -TYPE B 789 TONS $ 77.73 $ 61,328.97 5 HMA WEDGE AND COVER -TYPE B 99 TONS $ 77.73 $ 7,695.27 6 TACK COAT 3 TONS $ 1.00 $ 3.00 7 JOINT ADHESIVE, SURFACE 4,133 LF $ 0.10 $ 413.30 8 ADJUST MANHOLE TO GRADE 8 EA $ 250.00 $ 2,000.00 9 ADJUST WATER LINE STRUCTURE TO GRADE 2 EA $ 250.00 $ 500.00 10 ADJUST INLET TO GRADE 13 EA $ 50.00 $ 650.00 ALTERNATE H BID TOTAL: $93,766.94_________ Version 10/17/2017 Contractor's Bid for Public Works - 6 BIDIPROPOSAL CITY OF SOUTH BEND Project Name 2018 Street Paving — ADDENDUM #1 Project No. 118-070 For Bids Due August 9, 2018 at 9:30 am Local Time Contractor Name ALTERNATE I (Char)in Street) BID Item Description Quantity Unit Unit Price Total Amount No. 1 MAINTENANCE OF TRAFFIC 1 LS $ 1,401.47 $ 1,401.47 2 MOBILIZATION AND DEMOBILIZATION 1 LS $ 7,022.00 $ 7,022.00 3 MILLING, VARIES 1.5 TO 2.51NCH ES 9,133 Sy $ 1,45 $ 13,242.85 4 HMA SURFACE, 9.5 MM — TYPE B 754 TONS $ 85.27 $ 64,293.58 5 HMA WEDGE AND COVER —TYPEB 33 TONS $ 85.27 $ 2,813.91 6 TACK COAT 4 TONS $ 1.00 $ 4.00 7 JOINT ADHESIVE, SURFACE 6,850 LF $ 0.10 $ 685.00 PAVEMENT MESSAGE MARKINGS, $ 150.00 $ 300.00 15 2 EA THERMOPLASTIC, WHITE, TURN ARROW PAVEMENT MESSAGE MARKING, $ 175.00 $ 175.00 16 THERMOPLASTIC, WHITE, "ONLY" 1 EA LINE, THERMOPLASTIC, BROKEN, WHITE,4 $ 0.64 $ 288.00 18 450 LF INCHES LINE, THERMOPLASTIC, STOP LINE, SOLID, $ 5.50 $ 330.00 19 60 LF WHITE, 24 INCHES TRANSVERSE LINE, THERMOPLASTIC, $ 2.00 $ 96.00 20 PARALLEL PARKING SPACES, SOLID, WHITE, 4 48 LF INCHES LINE, THERMOPLASTIC, SOLID, WHITE,4 350 LF $ 0.64 $ 224.00 21 INCHES LINE, THERMOPLASTIC, DIAGONAL, SOLID, 65 LF $ 0.64 $ 41.60 22 WHITE, 4 INCHES LINE, THERMOPLASTIC, LADDERCROSS $ 5.50 $ 35750 23 65 LF WALK, SOLID, WHITE, 24 INCHES LINE, THERMOPLASTIC, SOLID, YELLOW,4 $ 0.64 $ 1,075.20 25 1,680 LF INCHES LINE, THERMOPLASTIC, PEDESTRIAN OASIS 155 SY $ 2.10 $ 325.50 27 BOUNDARY, WHITE, 6INCHES 28 PAVEMENT GROOVING FOR 4-INCH 2,480 ' LF $ 1.19 $ 2,951.20 THERMOPLASTIC LINES ALTERNATE I BID TOTAL: $95,626.81 Version 10/17/2017 Contractor's Bid for Public Works - 7 BID/PROPOSAL CITY OF SOUTH BEND --A; "" t4�J - Project Name 2018 Street Paving 7 '4�' " Project No. 118-070 A MACK For Bids Due August 9, 2018 at 9:30 am Local Time Ilk Contractor Name Meth -Riley Construction Co., Inc. TOTAL BASE BID & ALTERNATES BASE 131D TOTAL $397,394.04 ALTERNATE BIDS A — I TOTAL $6-3-0,899.14 The contractor must bid on both the base bid and all alternates. Bidder (Firm): Rieth-Riley Construction Go., Inc. Address: 25200 State Road 23 Citylstate/zip: South Bend, In, 46614 Telephone Number: ( 574 ) 288-8321 By (Signature) Joshua A. McCormick, Sales Manager (Printed Name of Person Signing) Version 10/17t2017 Contractor's Bid for Public Works - 7 Moen the prospective Contractor is unable to certify to any of the statements beloiv, it shall allaeh an explanation to this Affrllavil. CONTRACTOR'S NON -COLLUSION AND NON-DEBARAIENT AFFIDAVIT, CERTITICATION REGARDING INVESTMENT WITH IItAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NOy- 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 rnernber, 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 not to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii, Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. Version 10117/2017 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 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. 1, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (LC. 5-16-5-1).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 Version 10/17/2017 Contractor's Bid for Public Works - 5 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 9th day of -�A—UgU St 20 18 Reth-Riley Construction Co., Inc. Contractor/Bidder ,SWa6ic, of ConfiiabrMdde'—r or Its Agent re Joshua A. McCormick, Sales Manager Printed Name and Title Subscribed and swom to before me this 9th daq�o`f )�Ugust '.." ) My Commission Expires 4/18/23 116, Notary publid.-Dawn E. Armstrong County of Residence LaPorte DAVV4 MoNo Y VuNw, P B wi X �ftu ArnH 18, Version 10/17/2017 Contractor's Bid for Public Works - 6 2r6jE11M Fffi �kb KNOW ALL MEN BY THESE PRESENTS, TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA Hartford, Connecticut 06183 That we, RIETH-RILEY CONSTRUCTION CO- INC. as Principal, hereinafter called the Principal, and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, of Hartford, Connecticut, a corporation duly organized under the laws of the State of Connecticut, as Surety, hereinafter called the Surety, are held and firmly bound unto City of South Bend, Indiana as Obligee, hereinafter called the Obligee, in the sum of Five Percent (5%) of total F5121 Dollars ($ 5% of bid ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for 2018 Street Paving Project No. 118-070 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obkgee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bidl, then this obligation shall be null and void, otherwise to remain in fulil force and effect. sealed this 9th DawrL,E. Armstrong day of August 2018 RIETH-RILEY CONSTRUCTION CO., INC. (Principal) (Seal) U te i0th, a amive-, Sales Manager TRAVELERS CASUALTY AND INSURANCE COMPANY Sandra M. Nowak, Att6r-hey-i n- Fact ACKNOWLEDGEMENT BY SURETY STATE OF ILLINOIS COUNTY OF COOK On this of 4before me, Diane M. O'Leary, a �5 Notary Public, w4ithi and for said County and State personally appeared Sandra M. Nowak to me personally known to be the Attorney -in -Fact of and for Travelers Casualty and Surety CQ=any of America and acknowledged that she executed the said instrument as the free act and deed of said Company. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, at my office in the aforesaid County, the day and year in this certificate first above written. Notary Public in the State of linois OFFICIAL SEAL DIANE M O'LEARY C 5T 0 County of Cook OFFICIAL- PUBLI MYCOMM C, STATE OF ILLINOIS EXPI S 01 MY COMMISSION =eXP1RES104jq20121 01/04/2021 Travelers Casualty and Surety Company of America A01k Travelers Casualty and Surety Company TRAVELERS,J St. Paull Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively c0ed the "Companies"), and that the Companies do hereby make, constitute and appoint Sandra M. Nowak of Chicago Illinois , their true and lawful Attorney -in -Fact to sign, execute, seal and acknowledge any and ail bonds, recognizances, conditional undertakings and' other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and! undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 3rd day of February, 2017, "at,, .0V A&, Zv CONN, o ram. State of Connecticut By: City of Hartford ss. . Robert L. Raney, SeMbir Vice President On this the 3rd day of February, 2017, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duty authorized officer. In Witness Whereof, I hereunto set my hand and official seal, My Commission expires the 30th day of June, 2021 Mane C. Tetreault, Notary Public This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and Agents to act for and on behalf of the Company and may give such appointee such; authority as his or her certificate of authority may prescribe to sign with, the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditio,nial undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed: with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Atto rneys-i n- Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each, of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsi'miille signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. 1, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers, Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which remains in full force and effect. Dated this day of 0�Mr CONMRTFORD. CON. CAI"" Kevin E. Hughes, Assi&ant Secretary To verify the authenticity ofthis Power of Attorney, please cal us at 1-800-421-3880, Please refer to the above-namedAttorney4n-Pact and the details of the bond to which the power is attached. 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAX 574/ 235-91711 TDD 574/ 235.5567 CITY OF SOUTH BEND PETE BurrjoiEo, MAYOR BOARD OF PUBLIC WORKS Date: August 6, 2018 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: I Project Name: 2018 Street Paving Project Number: 118.0170 Date Received: August 6, 2018 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' ork at (574) 235-9171 within 48 hours of receipt. A copy bid package upon submittal. Notes: MUST'also be included with your The attached documents are hereby added to the Specifications and Contract Documents and become a part, of herein. Company: Rieth-Riley Construction Co., Inc. Authorized Signature: Date: August 6, 2018 . . . .... .... . Versian 4/212015 CITY OF SOUTH BEND, INDIANA r"M CONTRACTOR'S 131D FOR IPUBLIC WORK CHECKLIST FOR BIDDERS X& ProjectName 2M Street Paving Project No. 118-070 For Bids Due August 9, 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 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 MBENVBE Participation Goal Form [MWBE-1.01], If minimum participation goal Is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0) and MBEJWBIE Contacted X Form [MWBE-2.1]. X Acknowledge Receipt of #1 Addendum(s) included with the bid.. X All required additional Information Is Included with the bid,. Proposal statements and other affidavits all signed by the proper party with name either X printed or typed underneath signature. X This checklist submitted with the Bid. This checklist Is provided' for bidder's use In assuring compliance: with required documentatlon; 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: Rieth-Riley Construction Co., Inc. Date: August 9, 2018 By Authorized Representative: Signature: Print Name & Title: Joshua ck, Sales Ma er Version 1011712017 Contractor's Bid for Public Works - I See attached 96 form 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 Il 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 1 R11712017 Contractor's Bid for Public Works - 3 0 0 T c 0 M T co Iwr 0 " I CCD 00T.000 0 m 0 " ow Fn m z 0 z 0 (D I., -ate M 00 > q -a Z37 cy) w 0 m (n (D > < (D CD m r%) C- -A 0 cri (P 0) co 0 (P C) (0 CD 0 m (D 0 CD Z CD 57 a -G9 P CA) -4 g C) -0. m 90 C) 0 35 �fD 13 F-9- (D X W C) -4 CD 0 o 5 CD (-) 5z o Z CD 0 0 C� a" — 00 Co ICA > 0 "V K U3 Co CD M 0 CL 0 0 c r-r -3 (A CLI m (D AL (D (A (n (n CL m a (A 'a 0, o 0- (D (A 4y"ur "a 1+ o < M M z 0 M m w M 0 < E n 0— p rn z =0 00 0 — ;o m 0 It m Cn oo -01 (A En " > mio z cn ;o, i m r- 0 03 > tr m -4 OZM = -4 z m a r CM X r cr 0 m 0 M Z M 0 0 M M o -rD IW cn �O DI 9 ell, xt i" 0 CITY OF SOUTH BEND Aq F uvlrk� ; MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY jr/ DEVELOPMENT PROGRAM �� r�„rr r Pr 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 Bend Public Works Projects requiring Good Faith Efforts to obtain MBEM/BE 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 definedby the Indiana Department of Administration ("iDOA"). Project Number. Project Name: Bidder: Contact Person, Address: City: Email: 1 t 8-070 Date. August2018 2018 Street Pavia Rieth-Riley Construction Co., Inc. Robert A. Nichols Telephone: 574- 288-8321 25200 State Road 23 South Bend state: Indiana rnichols rieth-rile .com To determine whether,a bidder has demonstrated good faith efforts to reach the MBE/WBE 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 MBEM/BE 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 X Owned Business as found on their website (htfp://www.In,gov/idoa). ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Be T quires that all perspective bidders complete no less than 2 of the following: 1. Attend all pre -bid meetings scheduled by the City to Inform MBEAWVBEs of contracting and subcontracting opportunities. 2- Advertise In general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBEIWBEs 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/ W'BE 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/WBIEs, Including providing such MBE/WVBE's with adequate Information about the plans, specifications and other requirements of the subcontract and did not reject MBENVBEs as unqualified without sound business x reasons based on a thoroughinvestigation of their capabilities. SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by MBE/WBEs in order to Increase the likelihood of meeting the MBENVBE goals (including breaking down contracts into smaller units to facilitate MBE/W BE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MSEANBE 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 MBEl1 VB'E 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 1' 01'17/2017 Contractor's Bid for Public Works - 9 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY �k7 (..C;, DEVELOPMENT PROGRAM g FORM MWBE-2.1 �b MBEtWBE CONTACTED tco` This completed form should be supplied with Bids that pertain to City of South Bond Public Works Projects requiring contacted MBEIWBE 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 Wom,en's owned business. PAGEOF Project Number, 118.070 MBE/WBE Participation Goal Project Name: 2018 Street Paving Bidder: Rieth7Rflev Construction Co., Inc. By: cCormick Sales Manager August 9, 2018 MBEIWBFirrn- Owner or Contact at IMBEIWBE Firm Telephone: Fax, Email: TYPE OF WORK SOLICITED FORTH IS PROJECT: RESULTS OF CONTACT WITH THE MIBEIWBE FIRM: MBE/WBE Firm Owner or Contact at MBENVBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT:. RESULTS OF CONTACT WITH THE MBENVBE FIRM, Version 10117=17 Contractor's Bid for Public Works - 10 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name: 2018 Street Paving Project No:: 118-070 For Bids Due: August 9, 2018 Contractor Name: Rieth-Riley Construction Co., Inc. The City seeks to enhance Its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements In compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. INSTRUCTIONS: If you are a pro -qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section 11 only. Section It acts as an application for pre -qualification. Submission of Section li will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. pre. qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on is form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") by December 31e1 for the upcoming calendar year, or within twelve (12) months of obtaining pre - qualified standing. If the status of any item changes within the twelve (12) months, it Is the responsibility of the contractor to notify the City. Failure by any pre -qualified contractor to submit Its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result In automatic removal of the designation, effective January 1 of the following year, or Immediately following the twelve (12) months of pre-qual€fied standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under "3 until "pre -qualified" status Is re-established. Please Note: The City reserves the right to request supplemental Information from the bidder, additional verification of any Information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It Is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 411712015 General Conditions - 6 POST BID SUBMISSIONS: Post -bid submissions must be submitted In accordance with Section 6-64 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or Intends to hire on any part of the public work project, Including Individuals performing work as Independent contractors, 2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required Information (including the name, address, and type of work) to the successful bidder prior to the commencement of work, 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required Information and the City approves such informalion. 4. The disclosure of a subcontractor list ("Disclosed 5ubcontractor(s)") to the City by a bidder shall not create any rights In the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder and all subcontractors on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bl-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall Identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, Incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information In the submission requirements, determine whether a bidder Is responsive and responsible, and provide a Pre-Quallfication Verification letter. The City specifically reserves the right to utilize all Information provided in the contractor's submission and any Information obtained by the City through its own independent verification of the Information provided by the contractor. Version 411712015 General Conditions - 7 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements (a) By checking this box, I hereby acknowledge that t am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter Is attached. (it) By checking this box, I hereby acknowledge that the City reserves the right to request supplemental Information, additional verification of any information provided by me, and may also conduct random Inquiries of my current and prior customers. (b) Attachments (i) _ Indiana Secretary of State's on-line records (le. Business verification) dated within sixty (60) days of the submission of said document showing that business is In existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to Individuals, sole proprietors or partnerships). (ii) Statement on staffing capabilities, Including labor sources. This statement Indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I Intend to meet the staffing needs of the work. (iia) Evidence that I am utilizing a surety company which Is on the United States Department of Treasury's Lasting of Approved Sureties as required in the bid specifications or contract, (iv) _- _ List of projects of similar size and scope of work performed In all areas, including the State of Indiana, within the last three (3) years. Version 4/1712015 General Conditions - 8 PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements (I) X By checking this box, l hereby acknowledge that I am not a pre - qualified bidder with the City of South Band. (ii) x By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any Information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided In this submission and all Information obtained In inquiries or requests to determine If a bidder Is responsive and responsible. Additionally, I acknowledge that all Information provided to the City shall be regarded as public records, (I11) X By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at any time and shall be furnished upon request. (iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub -contractors, from whom I have accepted a bid and/or Intend to hire to perform work on the public work project, are properly licensed, Furthermore, I acknowledge my understanding that It Is my responsibility to ensure that all sub- contractors have the necessary licenses to undertake the work called for in this bid. If a sub -contractor loses their license at any point, it Is the responsibility of that sub -contractor to notify the City. (b) Attachments (v) x Indiana Secretary of State's on-line records (le. Business verification) dated within sixty (60) days of the submission of said document showing that business is In existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to Individuals, sole proprietors or partnerships), (1) N A List identifying all former business names. (ii) WA Any determinations by a court or governmental agency any violations of federal state, or local laws Including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. (ill) X Statement about staffing capabilities, Including labor sources. This statement Indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I Intend to meet the staffing needs of the work. (tv) X Statement that Individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an Independent contractor under all applicable state and federal laws and local ordinances, (v) X Evidence of participation In apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. (vi) x Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth In IC 4-13-18-5 or IC 4-13.18-6. (vit) x Evidence that I am utilizing a surety company which is on the Bureau Version 4/17/2015 General Conditions - 9 of Fiscal Service *Department of Treasurys Listing of Approved Surelleso as required In the bid specifications or contract, (vili) Written statement of any federal, state or local tax lions or lax delinquencies owed to any federal, state or local taxing body In: the preceding three years, (ix) x List of projects of similar size and scope of work performed In all, areas. Including the State of Indiana, within three (3) years prior to the date on which the bid Is due, Date. -August 9, 2018 (Sign Hr Joshua A. McCormick, Sales Manager (Print Name Here) Rieth-Riley Construction Co., Inc. (Name of Company) 25200, State Road 23 (Address of Company) South Bend (City) Indiana (State) 574-288-8321 (Telephone Number) Version 41171201'5 General Conditions - 10 Entity Type: Domestic For -Profit Corporation Business Status: Active Creation Date: 08/08/1952 Inactive Date: Principal Office Address: 3626 Elkhart Road, POST OFFICE BOX Expiration Date: Perpetual 477, GOSHEN, IN, 46527 - 0477, USA Jurisdiction of Formation: Indiana Business Entity Report Due 08/31/2020 Date: Years Due: Title Name Address Vice President BRIAN A. INNIGER 3626 ELKHAR ROAD, P. 0. BOX 477, GOSHEN, IN, 46527 - 0477, USA Director RONALD G. POPE 1124 BARON DRIVE, MYRTLE BEACH, SC, 29577, USA Vice President Eugene E. Yarkie 3626 Elkhart Road, Goshen, IN, 46527 - 0477, USA Vice President Paul J. Tate 1751 W. Minnesota Street, Indianapolis, IN, 46221, USA Director Robert L. McCormick 3205 Wakefield Drive, Goshen, IN, 46528, USA Director WILLIAM P. JOHNSON 6310 TRUSDALE AVENUE, SYRACUSE, IN, 46567, USA Director Jack K. Matthys 57457 Pine Road, South Bend, IN, 46619, USA Director William J. Sehmahl, Jr. 1421 Honan Drive, South Bend, IN, 46614, USA President A. KEITH ROSE 3626 ELKHART ROAD, P. 0. BOX 477, GOSHEN, IN, 46527 - 0477, USA Secretary ROBERT L. KONOPINSKI 3626 ELKHART ROAD, P. 0. BOX 477, GOSHEN, IN, 46527 - 0477, USA Type: Individual Naive: ROBERT L. KONOPINSKI Address: 3626 ELKHART RD., GOSHEN, IN, 46526, USA Quality Employee 00% * 100% ylmmed RE: City of South Bencl, IN Contractor's Bid for Public Work: Pre -qualification Checklist / prequa|ificatiomCheck|ist b> Attachments Over 100 Years, |0. RUeth_R|levConstruction Co., Inc, is 100% union contractor, and recruits through union halls as necessary tocomplete the work required, iv. AN individuals working for Rieth-R|Uey Construction Co., Inc. are subject to our policies and procedures, Rieth-RileyConstrmcUnm Co., Inc. participates in E-Vedfy, and requires all employees tnpresent proper identification, V. Rietb-RiUeyConstrwct|on Co., Inc. is 100%mmion contractor, and recruits through union hall apprenticeship programs which are registered through the United States Department ofLabor Office nfApprenticeship. Sales Manager fhwms(574)288-8321~www./ieth-filencom a�'�ILEY CONSTRUCTION CO., INC. 100% Quality • 100% Employee Owned • Over 100 Years DRUG AND ALCOHOL TESTING POLICY 0.0 DEFINITIONS. In addition to the definitions below, the definitions found in 49 CFR Part 40 and 49 CFR Parts 382 and 383, as amended, shall apply to this Drug and Alcohol Testing Policy. Contact the Human Resource ("HR") Department, if you have any questions pertaining to the regulations. 0.1 The terms "Company," "Rieth-Riley' or "Employer" as used herein refer to Rieth-Riley Construction Co., Inc. and its wholly owned subsidiaries. 0.2 Company Official / Management means officer, department manager, group or area manager, office manager, project manager, supervisor or foreman. 0.3 CBA means Collective Bargaining Agreement. 0.4 CDL means Commercial Driver's Incense. 0.5 CMV means Commercial Motor Vehicle. 0.6 DER means Designated Employer Representative. 0.7 EAP means Employee Assistance Program. 0.8 EAP Administrator refers to the Human Resource Department (also known as the "HRD"). 0.9 ESOP means an employee who is a participant in the Rieth-Riley Construction Co., Inc. Employees' Stock Ownership Plan and Trust. 0.10 Legal Drug means drugs prescribed by a licensed medical practitioner and over-the-counter drugs which have been legally obtained and are being used solely for the purpose for which they were prescribed or manufactured. 0.11 MRO means Medical Review Officer. 0.12 Prohibited Use means the usage of any drug which: • Is not legally obtainable; • May be legally obtainable, but has not been legally obtained; or • May have been legally obtained, but is being used in a manner, or for a purpose, other than as prescribed or intended. 0.13 SAP means Substance Abuse Professional. 0.14 Scope of Employment means whenever an employee is engaged in activities that are related to his/her work or that are logically and naturally connected with it. This includes, but is not limited to, activities while on Rieth-Riley's property, while on a construction job site, while driving to and from Rieth-Riley offices, job sites, or other job related locations, while attending business - related activities or while operating a vehicle or machine leased or owned by Rieth-Riley. 0.15 Screening Test (initial test) means in alcohol testing: a procedure to determine if an employee has a prohibited concentration of alcohol in his or her system. In controlled substance testing: a screen to eliminate `negative' urine specimens from further consideration. Note: This definition is distinct in meaning from Rieth-Riley's Post Event: Drug and Alcohol Screening Policy. 0.16 Under The Influence means the physical and/or mental impairment resulting from the consumption, ingestion, injection or any other means of intake, of drugs or alcoholic beverages into the body WHAT DRUG AND ALCOHOL TESTING POLICY APPLIES: 1. If the employee is non„ -union, then Rieth-Riley's Drug and Alcohol Testing Policy applies. the employee is union, then: 2.1 If there is a drug and alcohol testing policy that is part of the CBA, then that policy applies. 2.2 If the union employee has a CDL and is authorized to drive a Rieth-Riley CMV, then Rieth-Riley's policy will govern over any CBA drug and alcohol policy that is inconsistent with the Federal Motor Carrier Safety regulations dealing with drug and alcohol testing involving CDLs. 2.3 If neither 2.1 nor 2.2 apply, then Rieth-Riley's policy applies, but only with respect to post -accident and reasonable suspicion testing. Rieth-Riley cannot test a union employee on a random basis without a CBA drug and alcohol testing provision. 3. CONSULT THE CBA to determine if the CBA contains specific drug and alcohol testing provisions. With respect to Operating Engineers, unless specifically noted, the provisions apply to all union employees in the geographical area, including plant and shop employees. 4. RIETH-RILEY'S POLICY 4.1 Employees are an extremely valuable resource for Rieth-Riley's business, and their business, and their health and safety is a serious concern of the Company. To this end, Rieth-Riley is committed to provide and maintain a drug free, alcohol free, safe and healthy work environment for our employees. Employees who abuse alcohol or drugs are a danger to themselves and their coworkers and create potential liabilities for Rieth-Riley that are unacceptable. Specifically, it is the policy of Rieth- Riley that the use, sale, purchase, transfer, possession or presence in one's system of any controlled substance (except medically prescribed drugs) or the possession of alcohol by any employee while on Company premises or projects, engaged in Company business, while operating Company vehicles and equipment, or performing any work within the employee's scope of employment, is strictly prohibited and could, depending on the circumstances, lead to immediate termination. Additionally, it is also the policy of Rieth-Riley that the use or presence of alcohol in an employee's system shall not be in a concentration of any measurable level, excepting those employees who are subject to the U.S. Department of Transportation (49 CFR Part 40) 3.2-2 01116 and the Federal Motor Carrier Safety Administration (49 CFR Parts 382 and 383), as amended whom shall not have the presence of alcohol in their system in a concentration 0.04 or greater, all while on Company premises or projects, engaged in Company business, while operating Company vehicles and equipment, or performing any work within the employee's scope of employment, and such behavior is strictly prohibited and could, depending upon the circumstances, lead to immediate termination. 4.2 This policy sets forth the procedures for the implementation of controlled substance and alcohol testing of applicants who have been given a conditional offer of employment and current employees. The administrator designated to monitor, facilitate, and answer questions pertaining to this policy and these procedures is the HRD, which can be reached at (574) 875-5183. 4.3 This policy shall govern with respect to all Rieth-Riley employees, except with respect to union employees, whose CBA contains a drug and alcohol testing policy, in which case, the terms of the CBA drug and alcohol testing provision shall apply, to the extent not inconsistent with applicable law and/or regulations, and/or as otherwise denoted herein. 4.4 This policy is based substantially on regulations issued by the U.S. Department of Transportation (49 CFR Part 40) and the Federal Motor Carrier Safety Administration (49 CFR Parts 382 and 383), as amended and the relevant portions of Indiana Code 4-13-18, et seq. as amended. A complete copy of this policy, including the applicable CBA provisions that deal with drug and alcohol testing procedures and the foregoing regulations may be reviewed upon request at the Rieth-Riley Area Office. 4.5 Rieth-Riley requires pre -employment drug testing after a conditional job offer has been extended to an ESOP or non -union job candidate. The Company also requires a drug and alcohol test for any applicant being considered for a position which requires a CDL in order to drive a CMV. Any job candidate with a confirmed drug test failure will not be hired. 4.6 It is possible that ESOP employees could be part of more than one (1) testing pool, e.g. random pool and DOT pool. Each pool is managed separately and thus it is possible to be required to report for a random test more than once in any given month. Additionally, because of the nature of random draws from pools, it is possible to be required to test in consecutive months or frequently over the course of the year. 4.7 It is Rieth-Riley's intent that this policy will at all times be in complete compliance with applicable federal, state, and local statutes, ordinances, regulations and laws. Therefore, this policy shall be automatically amended to comply with applicable laws and regulations, and shall be read and construed as if said amendments were expressly provided for herein. 3.2-3 01116 4.8 Recognizing that there may be employees who have a drug or alcohol problem, Rieth-Riley wants to assist any such employee in overcoming that problem and encourages employees to seek help through its EAP, which is administered by the HRD. See Section 6.0 herein. In addition the employee will be advised of any insurance that may be provided by Rieth-Riley that covers drug treatment or rehabilitation programs. 4.9 Nothing in this policy restricts, limits, or changes the employment at -will relationship between Rieth-Riley and the employee. Neither this policy nor any of its terms create or are intended to create a contract of employment. Rieth- Riley reserves the sole right to change, amend or modify any term or provision of this policy at any time without notice to the employee. This policy supersedes the January 2013 policy and all prior policies and statements relating to alcohol or drugs. 5. ALCOHOL AND DRUG TESTING PROCEDURES 5.1 Prohibited Conduct - The following shall be considered "prohibited conduct" for purposes of this policy: 5.1.1 No employee shall report, perform duties within the scope of his/her employment or remain at work while under the influence of alcohol or drugs. 5.1.2 With respect to safety -sensitive functions, no employee shall report for duty or remain on duty requiring the performance of safety -sensitive functions while having an alcohol concentration greater than those limits set forth in Section 4.1 herein. An employee is considered to be performing a safety -sensitive function if he/she is actually performing, ready to perform or immediately available to perform any of the following functions: A. All time spent at facility waiting to be dispatched; B. All time inspecting, servicing, or conducting any CMV at any time; C. All driving time or time spent at the driving controls of any CMV in operation; D. All time spent loading or unloading a vehicle, supervising, or assisting in the loading or unloading, attending a vehicle being loaded or unloaded, including completion of any related paperwork; and remaining in readiness to operate the vehicle. E. All time performing those duties required of an employee involved in a vehicle accident; or 3.2-4 01 /16 F. All time spent repairing, assisting, or attending to a disabled motor vehicle. 5.1.3 No employee shall be on duty or operate a CMV while the employee possesses or is under the influence of alcohol. 5.1.4 No employee shall use alcohol while performing safety -sensitive functions, 5.1.5 No employee shall perform safety -sensitive functions within four (4) hours after using alcohol. 5.1.6 No employee required to take a post -accident test shall use alcohol for eight (8) hours following the accident or until he or she undergoes a post - accident test, whichever occurs first. 5.1.7 No employee shall refuse to submit to a post -accident, random, reasonable suspicion, return -to -duty, dilute or follow-up alcohol or drug test. If however, an employee is screened per the terms of Rieth-Riley's Post Event Drug and Alcohol Screening Policy and the result is negative, then the employee will not be required to submit to the test prescribed hereunder post - accident. 5.2 Prescription Medication and/or Other Medication Use 5.2.1 An employee is prohibited from reporting for duty or remaining on duty when the employee uses any controlled substance, except when the use is pursuant to the written instruction of a physician who has advised the employee that the substance will not adversely affect their ability to safely perform their duties. The employee must provide the Company with proof of such medical advice. The Company will decide if the employee can remain at work or on the Company premises and what work restrictions, if any, are deemed necessary. 5.2.2 Any employee who is using a prescribed drug, other medication or any other substance, which is known or advertised as possibly affecting or impairing judgment, coordination or other senses, (including dizziness or drowsiness), or which may adversely affect the employee's ability to perform work in a safe and productive manner, must notify the Company prior to starting work or entering any Company premises. The Company will decide if the employee can remain at work or on the Company premises and what work restrictions, if any, are deemed necessary. 5.2.3 Ingestion of products that contain hemp will not be an acceptable explanation for testing positive for marijuana. 5.3 Refusal to Test Refusal to submit to the types of drug and alcohol tests employed 3.2-5 01 /16 by the Company will be grounds for refusal to hire employee/applicant(s) and to discipline existing employee(s) up to and including termination. A refusal to test would include any of the following situations: 5.3.1 Failing to appear for any test within a reasonable time after being directed to do so. 5.3.2 Failing to remain at the testing site until the testing process is completed 5.3.3 Failure to provide a breath sample, saliva sample or urine sample as directed or in some isolated cases, a sample as directed by the Service Agent. 5.3.4 Failure to permit, if the situation requires, the observation or monitoring of providing a urine specimen. 5.3.5 Failure to provide a specimen, as directed, within required time frames may be considered a refusal. If an employee cannot provide a sufficient quantity of urine or breath, he/she will be directed to be evaluated by a physician of the Company's choice. If the physician cannot find a legitimate medical explanation for the inability to provide a specimen, (either breath or urine), it will be considered a refusal to test. 5.3.6 Failure to undergo a medical examination or evaluation as directed by the MRO as part of the verification process, or as directed by the DER as part of a "shy bladder" or "insufficient breath" situation. 5.3.7 Failing to take or declining to take a second test as required by this policy or DOT regulations. 5.3.8 Failure to cooperate with any part of the testing process and/or conduct that would obstruct the proper administration of a test (e.g., refusing to empty pockets when so directed by the collector, behave in a confrontational way that disrupts the collection process). 5.3.9 Refusing to sign Step 2 of the Alcohol Testing Form as found in Appendix 6 to 49CFR Part 40 5.3.10 A report from the MRO that you have a verified adulterated or substituted test result. 5.3.11 For an observed collection, failure to follow the observer's instruction to raise your clothing above the waist, lower clothing and underpants, and to turn around to permit the observer to determine if you have any type of prosthetic or other device that could be used to interfere with the collection process. 5.3.12 Possess or wear a prosthetic or other device that could be used to interfere 3.2-6 01 /16 with the collection process. 5.3.13 Admission to the collector or MRO by the employee that they adulterated or substituted their specimen. 5.4 Types of„Tests There are seven (7) circumstances for drug and alcohol testing: • Pre -employment testing; • Random testing; • Post -accident testing, • Reasonable suspicion testing, • Return -to -duty testing, • Follow-up testing; and • Dilute retesting. 5.5 Pre -employment Testing After a job offer has been extended, all ESOP and non- union job applicants must submit to a urine drug test. Applicants, ESOP, non -union and union employees who are required to have or obtain a CDL license in order to drive a CMV for Rieth-Riley must submit to a urine drug and alcohol test unless a qualifying pre- employment exemption can be documented. 5.5.1 A qualifying pre -employment exemption will be granted if satisfactory documentation demonstrating that he/she has participated in a controlled substances testing program within the last thirty (30) days and the applicant, while participating in that program, was either tested in the last six (6) months or was subject to a random testing program for the last twelve (12) month period. 5.6 Random Testing 5.6.1 ESOP and Non -Union Employees. Rieth-Riley conducts random drug testing with the assistance and coordination of the Service Agent. The random selection system provides an equal chance for each Area employee to be selected each time random selection occurs. All employees are subject to annual random drug testing; in addition, at least two percent (2%) of the employees subject to testing must be randomly tested each month. Random selections will be reasonably spread throughout the year. Random selection, by its very nature, may result in employees being selected for random testing more than once a calendar year. Once the MRO advises the HRD of the names (ESOP and non -union employees) selected for the random test: A. The HRD will notify the Office Manager and Group or Area Manager of the selection. Such notification shall not occur more than twenty-four (24) hours in advance of the scheduled date of testing. B. The HRD will provide the names of the employees to be tested to the Office Manager and Group or Area Manager. 3.2-7 01116 C. It is the Office Manager and Group or Area Manager's responsibility to ensure that the employees assigned to the Area report to the collection site at the scheduled time. D. The HRD must approve exceptions to the testing schedule. E. The MRO will contact the HRD with employee names not tested. If an employee does not go to the HRD, such failure may be considered a refusal to test and will be dealt with in accordance with Paragraph 5.3. 5.6.2 CMV Drivers (Whether ESOP, Non -Union or Union) Rieth-Riley conducts random drug and alcohol testing in accordance with the applicable regulations. Rieth-Riley will submit the names of all employees who have a CDi_ and who drive a CMV as part of their job description ("CMV Drivers") to a random selection system. The random selection system provides an equal chance for each employee to be selected each time random selection occurs. Random selections will be reasonably spread throughout the year. Rieth-Riley will drug test, at a minimum, fifty percent (50%) of the average number of CMV Drivers in each calendar year or at a rate established by the DOT for the given year. Rieth-Riley will select, at a minimum, ten percent (10%) of the average number of CMV Drivers in each calendar year for random alcohol testing, or at the rate established by the DOT for the given year. Random selection by its very nature may result in employees being selected for random testing more than once a calendar year. If a CMV Driver is selected at random, for either drug or alcohol testing, a Company official will notify the employee. Once notified, the employee must proceed to the designated collection site immediately. If the employee does not go to the collection site as soon as possible after notification, such conduct may be considered a refusal to test and will be dealt with in accordance with Paragraph 5.3. 5.6.3 Union Employees If Paragraph 5.6.2 is not applicable and there is no applicable CBA drug and alcohol testing provision, this policy as it relates to ESOP employees shall govern to the extent it is not inconsistent with applicable law and/or regulations. 5.7 Post -Accident Testing For employees who are not CMV Drivers, or CMV Drivers who are involved in an accident that did not involve a CMV, post -accident testing (drug and alcohol) will be required when management judges an employee to have been the direct, or indirect, cause of an event that resulted in injury to a person or damage to property, or if an employee is required to receive offsite medical treatment, unless however it is determined by management under Rieth-Riley's Post Event Drug and Alcohol Screening Policy that such testing is not required because the screening result was negative. The Service Agent will notify the HRD of the results. Employees who are CMV Drivers must submit to a drug and alcohol test any time he or she is involved in an 31-5 01116 accident where 1) a fatality is involved; or 2) the employee receives a citation for a moving violation arising from the accident that involved: • Injury requiring medical treatment away from the scene; or • One or more vehicles having to be towed from the scene. 5.7.1. Any time a post -accident drug or alcohol test is required, it must be performed as soon as practical. if no alcohol test can be made within eight (8) hours, attempts to perform an alcohol test shall cease. If no urine collection can be obtained for the purpose of post -accident drug testing within thirty-two (32) hours, attempts to make such collection shall cease. An employee is prohibited from consuming alcohol between the time of the accident and the test. 5.7.2 In the event that federal, state, or local officials conduct breath or blood test for the use of alcohol and/or urine tests for the use of controlled substances following an accident, employees must comply with law enforcement personnel requests. Rieth-Riley may request testing documentation from such agencies, and may ask the employee to sign a release allowing it to obtain such test results. 5.7.3 For non-CMV Drivers, in the event an employee is so seriously injured that the employee cannot provide a sample of urine, breath or saliva at the time of the accident, the employee must provide necessary authorization for Rieth-Riley to obtain hospital records or other documents that would indicate the presence of controlled substances or alcohol in the employee's system at the time of the accident. 5.8 Reasonable Suspicion Testing Reasonable suspicion for requiring an employee to submit to drug and/or alcohol testing shall be deemed to exist when a trained supervisor or company official observes an employee manifesting physical, behavioral, speech or performance symptoms or reactions commonly attributed to the use of or being under the influence of controlled substances or alcohol. With respect to a CMV Driver, an alcohol test is authorized only, if the circumstances that gave rise to reasonable suspicion were observed when the CMV Driver is about to perform, is performing or has just completed the performance of safety -sensitive functions. 5.8.1 Any trained supervisor or company official observing such conditions will take the following actions immediately: A. Contact your supervisor or DER. B. Confront the employee involved, and keep under direct observation until the situation is resolved. C. Secure the DER's concurrence to observations. After discussing the circumstances with the DER, arrangements will be made to observe or talk with the employee. If he/she believes, after observing or talking to 3.2-9 01 Yi 6 the employee, that the conduct or performance problem could be due to the illegal use of a controlled substance and/or the use of alcohol, the employee will be immediately required to submit to a breath test or urinalysis. If the employee refuses to submit to testing for any reason, the employee will then be informed that continued refusal will result in disqualification from performing his/her job and possible disciplinary action up to and including termination. D. Employees will be asked to release any evidence relating to the observation for further testing. Failure to comply may subject the employee to subsequent discipline or suspension from driving or other duties. All confiscated evidence will be receipted for with signatures of both the receiving supervisor, as well as the provider. E. Within twenty-four (24) hours or before the results of the controlled substance test and/or alcohol test are released, the DER shall document in writing the particular facts related to the employee's suspect behavior or performance problems that led to the reasonable suspicion test; and shall maintain this documentation in appropriate DOT and/or non -DOT files. F. The DER shall remove or cause the removal of the employee from the Company -owned vehicle, equipment and/or property and ensure that the employee is transported to an appropriate collection site and thereafter to the employee's residence or, where appropriate, to a place of lodging. Under no circumstances will that employee be allowed to continue to operate or drive a Company vehicle or piece of equipment until a confirmed negative test is received. G. If an alcohol test cannot be administered within two (2) hours after it is determined that reasonable suspicion exists, Rieth-Riley will maintain a file stating the reasons for the delay. If the alcohol test is not administered within eight (8) hours after it is determined that reasonable suspicion exists, then Rieth-Riley will cease efforts to administer the test and will record the reasons why the test was not administered. 5.9 Return to Duty Testing A return to duty test will be required for all employees who have violated this policy (test positive or refuse to test). The employee may not return to duty until he or she passes (tests negative) a drug test and/or tests below any measurable level for breath alcohol and the MRO, or SAP, and Rieth-Riley have determined that the employee may return to duty. 5.10 Follow-up Testing Any employee who has returned to work following a violation of this policy will be subject to follow-up testing. The employer will require, at a minimum, six (6) follow-up tests within the first twelve (12) months following an employee's return to work. Frequency of testing thereafter will be based on the recommendations of the 3.2-10 01116 SAP. CMV Drivers will be tested in accordance with DOT regulations and the recommendations of the SAP. 5.11 Dilute Retesting 5.11.1 If a pre -employment dilute drug test result, regulated (DOT) or non - regulated, is reported by the MRO, it is required that all job candidates submit to another drug test as soon as the HRD can arrange it. A second dilute will be considered a positive and the job candidate will not be hired. 5.11.2 If an employee submits to a non -regulated (DOT) drug test and it is reported by the MRO as a dilute test, then it is required that the employee submit to another drug test as soon as the HRD can arrange it. The employee will be provided with a Dilute Form and the employee will be required to sign the form. A second dilute will result in the termination of the employee. 5.11.3 If an employee submits to a regulated (DOT) drug test and it is reported by the MRO as a dilute test, the results of the test will be the results of record. If negative but dilute, no further action will be required. If positive but dilute, the test will be treated as a positive and all policy requirements for a positive test will be followed. 6. EMPLOYEE ASSISTANCE PROGRAM "EAP" 6.1 Initial Evaluation 6.1.1 The SAP will provide a comprehensive face-to-face assessment and clinical evaluation and recommend a course of education and/or treatment with which the employee must demonstrate successful compliance prior to returning to DOT safety -sensitive duty. 6.1.2 Neither Rieth-Riley nor an employee may seek or rely upon a second SAP evaluation, if the employee already has been evaluated by a qualified SAP. 6.1.3 No one may change the SAP's initial evaluation, except that the SAP who made the evaluation may modify the evaluation based on new or additional information. 6.2 Referral The SAP will serve as a referral source to assist the employee's entry into an education and/or treatment program. 6.3 Fallow -Up Evaluation 6.3.1 The SAP will re-evaluate the employee to determine if the employee has successfully carried out the SAP's education and/or treatment recommendations. In order to do so, the SAP must: 3.2-11 01 /16 A. Confer with or obtain appropriate documentation from the appropriate education and/or treatment program professionals where the employee was referred; and B. Conduct a face-to-face clinical interview with the employee to determine if the employee demonstrates successful compliance with the SAP's initial evaluation recommendations. 6.3.2 If the employee has demonstrated provide a written report directly to the determination that the employee has recommendation. successful compliance, the SAP shall DER, highlighting the SAP's clinical complied with the initial evaluation 6.3.3 If the employee has not demonstrated successful compliance with the SAP's recommendations, the SAP will provide written notice directly to the DER. After receiving the SAP's written notice, Rieth-Riley will not return the employee to the performance of safety -sensitive duties. 6.3.4 The SAP may conduct additional follow-up evaluations if Rieth-Riley determines that doing so is consistent with the employee's progress as the SAP has reported it and with Rieth-Riley's policy and the CBAs with the unions. 6.4 Additional Treatment, Aftercare or Support Group Services 6.4.1 If the SAP believes that ongoing services (in addition to follow-up tests) are needed to assist an employee to maintain sobriety or abstinence from drug use after the employee resumes the performance of safety -sensitive duties, the SAP must provide recommendations for these services in the follow-up evaluation report. 6.4.2 As an employer receiving a recommendation for these services from a SAP, Rieth-Riley may, as part of a return -to -duty agreement with the employee, require the employee to participate in the recommended services. The SAP may monitor and document the employee's participation in the recommended services. Rieth- Riley may make use of EAP services in assisting and monitoring employees' compliance with SAP recommendations. 6.4.3 Employees are obligated to comply with SAP recommendations for these services. If the employee fails or refuses to comply, the employee may be subject to disciplinary action up to and including termination. 7. DISCIPLINARY PROCEDURES 7.1 Any employee testing positive for alcohol or who has a positive controlled substance test is considered in violation of this policy, and is not qualified to drive a CMV, 3.2-12 01116 operate any equipment, perform any duties and will be immediately removed from service and suspended, without pay, for a period of no less than thirty (30) days and will be offered the opportunity to participate in the EAP as long as the positive test result is the first time. If a negative return to duty drug test result is received from the MRO, Rieth-Riley will decide if continued employment of the individual is in the best interests of the company. If an employee either. a) provided a specimen that is determined by the MRO to be either adulterated or substituted; or b) previously tested positive, completed the EAP prescribed by the counselor, and tests positive a second time at any time in the future, then it will result in his/her immediate termination with no opportunity for re -hire in the future at any Rieth-Riley location. If an employee has refused to test, the employee will be considered in violation of this policy and will be dealt with in accordance with Paragraph 5.3. 7.2 To be able to be returned to a CDL position the employee must complete the steps outlined in Paragraphs 5.9 and 5.10 and Section 6.0. 8. VOLUNTARY DISCLOSURE Rieth-Riley encourages employees to seek help if they feel they have a problem with drug or alcohol misuse before it becomes a matter of discipline with the Company. Rieth-Riley will assist any employee in seeking professional help to address their problem, who voluntary discloses to the Company that he/she believes that he/she has a drug and/or alcohol problem. This voluntary step of self -identification is the responsibility of the employee; and with the exception of certain conditions, will alleviate the requirement for disciplinary action if brought to Rieth-Riley's attention prior to any testing conducted by Rieth-Riley. Upon disclosure of a problem to Company personnel, the employee will be removed from all duties, including safety -sensitive duties without pay until completion of all steps outlined in Section 6.0 of this policy. The employee will be responsible for costs associated with this process in the same manner as any other employee. If the employee makes no commitment to overcoming the problem and achieving a satisfactory level of performance, attendance, or behavior, then termination of employment will result. 9. CONFIDENTIALITY AND RELEASE OF INFORMATION 9.1 Under no circumstances, unless required or authorized by law, will alcohol or drug testing information or results for any employee or applicant be released without written request from the applicable employee. 9.2 However, Rieth-Riley may release information as follows: 9.2.1 Copies of the results of alcohol or drug testing to an identified person provided the employee has provided written consent. 9.2.2 Copies of information requested by the Secretary of Transportation, any DOT agency, or any State or local official with regulatory control over Rieth-Riley or any of its employees. 3.2-13 01116 9.2.3 The results of post -accident testing when requested by the National Transportation Safety Board as part of an accident investigation. 9.3 Employees are entitled, upon written request, to obtain copies of any records pertaining to their use of alcohol or controlled substances, including any records pertaining to his or her alcohol or controlled substance tests. 9.4 The HRD will maintain a list of all former employees who have tested positive and refused to participate in any EAP regimen of treatment or who have refused to take a test. Prior to hiring a person into a non -union or ESOP position, that person's name must be checked against this list by contacting the HRD. 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O z op 7 m M m m (pll M M r m a y a z TRAVELERS) Infurunte.Ivsgnth'" April 25, 2018. RIE: Rieth-Riley Construction Co., Inc. To Whom it May Concern: It has been the privilege of Aon Surety and Travelers Casualty and Surety Company of America to provide surety bonds on behalf of Rieth-Riley Construction Co., Inc. for over thirty-six years, during Which time Rieth-Riley Construction Co., Inc. has performed and we have issued performance and payment bonds for contracts valued in excess of $35,000,000.00. In our opinion, Rieth-Riley Construction Co., Inc. remains properly financed, well equipped, and capably managed. At the present time, Travelers Casualty and Surety Company of America provides a. $50,000,000 single project/$400,000,0.00 aggregate surety program to Rieth-Riley Construction Co., Inc. As always, Travelers Casualty and Surety Company of America reserves. the right to perform normal underwriting at the time of any bond request, including, without limitation, prior review and approval of relevant contract documents, bond forms, and project financing. We assume no liability to EDP Renewables North America LLC or its affiliates if for any reason we do not execute such bonds, Travelers Casualty and Surety Company of America is listed on the U.S. Treasury Department's Listing of approved Sureties (Department Circular 570), and is rated A+ XV by A.M. Best Company. Very truly yours, Aon Surety As agent for Travelers Casualty and Surety Company of America Sandra M. Nowak, Attorney -In -Fact ACKNOWLEDGEMENT BY SURETY STATE OF ILLINOIS COUNTY OF WILL On this 25th of April, 2018, before me, Debra J. Doyle, a Notary Public, within and for said County and State, personally appeared Sandra.M. Nowak to me personally known to be the Attorney -in -Fact of and for Travelers Casualty and Surety Company of America and acknowledged that she executed the said instrument as the fi-ee act and deed of said Company. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, at my office in the aforesaid County, the day and. year in this certificate first above written. Notary Public in th6 State o Illinois County of Will OFFICIAL SEAL DEBRA J DOYLE NOTARY PUBLIC; STATE OF ILLINOIS MY COMMISSION EXPIRES 0111BI2022 Travelers Casualty and Surety Company of America Travelers Casualty and Surety Company TRAVELERS J St. Paul Fire and Marine insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectivelycalled the "Companies"), and that the Companies do hereby make, constitute and appoint Sandra M. Nowak of Chicago Illinois , their true and lawful Attorney-€n-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory In the nature thereof on behalf of the Companies in their business. of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this Instrument to be signed, and their corporate seals to be hereto affixed, this 3rd day of February, 2017. 00", State of Connecticut City of Hartford ss. Robert L. Raney, Se or Vice President On this the 3rd day of February, 2.017, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof, I hereunto set my hand and official seal. �, kT M Commission expires the 30th day of June, 202t L'fl a Marre C. Teti C„ y A Y � TNt� mClJi�.ltr *� eault, Notary Public This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the. President; any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it Is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers oremployees of this Company, provided that each such delegation Is In writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory In the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company wheri (a).signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice: President; the Treasurer, any Assistant Treasurer, the. Corporate Secretary or any Assistant Secretary and duty attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof; and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shalt be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which It is attached. 1, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which remains in full force and effect. Dated this day of `��l *�{Y AHpk VA • �+ ' �$ * Kevin E. Hughes, AssE ?annt Secretary To verify the authenticity of this Pdwer ofAttoraey, please call us at 1-800-421 39= Please refer to the aftove-named Attorney In -fact and the details of the bond to which the power Is attached. O U z O tL F- O Dli L10 Ul z 0 L!J J Z Li! of m N Q Ci 111 Q f%3 O O N N iI z w C� O 00 O N h— W � O C {p X u., O p cxa rn 7 cu a O oo LA N m U) Z Q N :3 x Q. O QO V C U N CL !% CONTRACTOR'S BID FOR PUBLIC WORK - FORM"96 State Form 5204 (R212.13) i Form 96 (Revised 201E3) Prescribed by State Hoard of Accounts e�e PART I (To be completed for all bids. Please type or print) Date (month, day, year): August 9, 2018 1. Governmental Unit (Owner)- City of South Bend, Indiana 2. County, St Joseph 3. Bidder (Firm): Rieth-Riley Construction Co., Inc. Address: 25200 State Road 23 city/State/ZIPcode: South Bend, In. 46614 4. Telephone Number: (574) 288-8321 5. Agent of Bidder (ifapplicable): Joshua A. McCormick Pursuant to notices given, the undersigned otters to furnish labor andlor material necessary to complete the public works project of 2018 Street Paving, Project No. 118-070 (Governmental Unit) in accordance with plans and specifications prepared by The City of South Bend, Department of Public Works and dated August 9, 2018 for the sum of see itemized proposal s see itemized proposal 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 he 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). 1 hereby certify that 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 , subject to the following conditions: Contracting Authority Members: PART 11 (For projects of $150, 000 or more -- /C 36-1-12-4) Governmental Unit: City of South Bend, Indiana Bidder (Firm) RIETH-RILEY CONSTRUCTION CO., INC. Date (month, day, year): August 9, 2018 These statements to be submitted under oath by each bidder with and as a part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount Class of Work Completion Date Name and Address of Owner $8,947,369,00 HVY HWY 2017 INDOT, Indianapolis, Indiana $16,131,908.00 HVY HWY 2017 INDOT, Indianapolis, Indiana $3,228,358.00 HVY HWY 2017 City of South Bend Indiana $4,043,323.00 HVY HWY 2017 St. Joseph County,Indiana 2, What public works projects are now in process of construction by your organization? Contract Amount Class of Work Expeded.. Completion Date .... ..... . Name and Address of Owner $2 950 000.00 HVY HWY 2018 INDOT Indianapolis, Indiana $1 399,625.00 HVY HWY 2018 City of South Bend, Indiana $11,264,460.00 HVY HWY 2018 INDOT Indianapolis, Indiana $8,700,680.00 HVY HWY 2018 Elkhart Count , Indiana 3. Have you ever failed to complete any work awarded to you? NO If so, where and why? 4. List references from private firms for which you have performed work. AM General Mishawaka Indiana 574-284-2728 Navistar South Bend Indiana 574-654-2400 ITR Concessons LLC Granger, Indiana 574-674-5836 University of Notre Dame South Bend, Indiana 574-631-7356 SECTION II 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, complete the project, number of workers, etc, and any other information which you believe would enable the governmental unit to consideryour bid.) "According to plan specifications" 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. Roadsafe Traffic Systems 3519 Harding St., Indianapolis, IN Traffic Maint/Markings V&R Trucking_ _ 1845 North Elmer Street, South Bend, IN. Trucking , Hawk Enterprises 1850 E. North St., Crown Point, IN Electrical/Signage Slussers Green Thumb P.O. Box 33 Logansport, IN Landscaping/Erosion Control C-Tech Corporation 5300 W. 100 North, Boggstown, IN. Guard rail/Fencing 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, "Subcontractor list will be provided upon award" 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. "As required" S. Have you entered into contracts or received offers for all materials which substantiate the prices used preparing your proposal? If not, please explain the rationale used which would corroborate the prices listed. "As necessa " 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 CONTRACTORS, NON — COLLUSION AFFIDAVIT The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered Into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to include anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. He further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale. SECTION V OATH AND AFFIRMATION I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE -TRUE AND CORRECT, Dated at South Bend, In. this 9th day of August 2018 F-0111110 �k I _ Z STATE OF Indiana ) COUNTY OF St. Joseph ss Before me, a Notary Public, personally appeared the above -named Joshua A. McCormick and swore that the statements contained in, the foregoing document are true and correct. Subscribed and sworn to before me this of 9th dai, "U ust My Commission Expires: 4/18/23 County of Residence: LaPorte Dawn E. Armstrong ti A ViV ij .... ...... 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McCormick, Sales, Manager, has, full power and authority to make, execute, sea], if required by law, and deliver for and on its behalf, and as its act and deed any and all bids, proposals or contracts, said bids, proposals or contracts not to exceed $2,000,000.00 which bids, proposals or contracts call for work, services, or materials to be furnished by Rieth-Riley Construction Co., Inc., whether such bids, proposals or contracts are being submitted to an individual or entity, public or private, and to bind Rieth-Riley Construction Co,, Inc. thereby as fully and to the, same extent as if such bids, proposals or contracts were signed by an Executive Officer of Rieth-Riley Construction Co.. Inc., and sealed, if required by law, and attested by one of such officers, and hereby ratifies and confirms all that the above named designee may do in pursuance hereof. The authority granted to the above named designee is pursuant to Section 6.03 of the Restated By -Laws of Rieth-Riley Construction Co., Inc., as amended, which Restated By -Laws were effective February 9, 2010, and which Restated By -Laws, as amended, and the authority granted to the above named designee continue in full force and effect. This Certificate of Authority is issued, signed and sealed, if required by law, by facsimile under and by authority of the following standing resolutions adopted by the Board of Directors of Rieth-Riley Construction Co., Inc., at a meeting held on the 16th day of February, 1996, at which a quorum was present, and which resolutions have not been amended or repealed and continue in full force and effect: "Resolved that for purposes of clarification and in furtherance of the intent of Section 6.03 of the By -Laws of the Company the authority granted in Section 6.03 shall extend to the making, execution, sealing, if required by law, and delivery on behalf of the Company of all documents required as part of any bid, proposal or contract, which is for work, services or materials to be furnished by Company and which is being submitted to an individual or entity, public or private," "Resolved that in carrying out the provisions of Section 6.03 of the By -Laws of the Company the signatures of such directors and officers and, if required by law, the seal of the Company may be affixed to any such Certificate of Authority or any certificate relating thereto by facsimile, and any such Certificate of Authority or certificate hearing such facsimile signatures or facsimile sea/ shall be valid and binding upon the Company and any such Certificate of Authority so executed and certified by facsimile signature and facsimile seal shall be valid and binding upon the Company, with respect to any bid, proposal or contract to which it is attached. " IN WITNESS WHEREOF, Rieth-Riley Construction Co., Inc., has Caused these presents to be signed by its President and! its corporate seal to be hereto affixed, this 23th day of March, 2016. SEAL � STATE OF INDIANA )SS: COUNTY OF ELKHART RIETH-RILEY CONSTRUCTION CO., INC, A. Keith Rose, President On this 23th day of March, 2016, before me personally C2Me A. Keith Rose, to me known, who, being by me sworn, did depose and say: that he is President of Rieth-Riley Construction Co,, Inc., the corporation described in and which executed the above Instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is Such corporate seal; and that he executed the said instrument on behalf of the corporation by authority of his office pursuant to corporation's Restated By -Laws and standing resolutions. My Commission Expires: May 8, 2016 AL _F F E—AL Paula K. Frizsell, Notary Pub%c Residing in Elkhart County, Indiana 1, Robert L. Konopinski, do hereby certify that I am the duly appointed and acting Secretary of Rieth-Riley Construction Co., Inc., a corporation duly organized, validly existing and in good standing under the laws of the State of Indiana; that the foregoing Certificate of Authority has neither been amended or rescinded and remains in full force and effect; and furthermore, that the Restated By -Laws and standing resolutions of the corporation, as referred to and set forth in this Certificate of uthority, continue in full force and effect. sdI d at the Corpro'r N ce of Rieth-Riley Construction Co., Inc., in the City of Goshen, State of Indiana, Dated thiay of L-M1,3 ou low LAI ZE � � � � �} _ j~•�� ;may � N CERTIFICATE OF QUALIFICATION to PI'ovide CONSTRUCTION SERVICES to] - PUBLIC WORKS PROJECTS to tite STATE OF INDIANA This Certification Board, having duly considered application for qualification in terms of apparent experience and financial resources; and under the applicable Indiana Code 4-13.6-4 and adopted rules of this Board, hereby issues a Certificate of Qualification to provide construction services to the State of Indiana for Public Works Projects to: RIETH RILEY CONSTRUCTION CO INC 3626 ELKHART RD PO BOX 477 GOSHEN IN 46527-0477 Phone 574-875-5183 Fax 574-875-8405 Company Official KEITH ROSE for the twenty-seven month period stated herein, unless revoked by this Board for cause, and in the classifications of services stated below. This certificate supercedes any previous certificate. 1611.01 Concrete Construction of Roads & Curbing 1611.02 Asphalt Construction of Roads and Parking Lots 1622.01 Gen Contr-brdgs,vdcts,elvd hwys,rlwy,tn€s 1623.03 Sewers and/or Water Lines 1794,01 Earthmoving and Land Clearing 1794.02 Excavation 1795,02 demolition of Pavements and Roads CERTIFICATION DATE 12/6/2017 EXPIRATION DATE 3/6/2020 THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD, 402 WEST WASHINGTON STREET, ROOM W467, iNDIANAPOLIS, INDIANA 46204, ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION. Tracy L. Cross, Executiv -S cretary Certification Board 6APIN Pot State Form 3983R Rev. 07106 TO aIETomILP-YCONSTRUCTION GOaHFnIN who has filed with the Department a Contractor's Statement of Experience and Financial Condition as required unde,r Indiana Code 8-23-10, is hereby qualified to bid at any Department of Transportation lefting in Classes of Work and within the amount and other limitation of each classification as listed below, for such period as the uncompleted work on hand from all sources does not exceed the Aggregate amount. Classification references by name or symbol are in accordance with the definitions in the Contractor's Statement of Experience and Financial Condition. This certificate supersedes any certificate previously issued, but is subject to revision"or revocation according to the law, if and when changes in the financial condition of the contracting firm or other facts justify such revision or revocation, AGGREGATE ................... ---... ............................... ....... —'--------__'_'-yDnu�o�m 0035 cxxsANIos4LcnAcKyDVoNTS:eccp/*xArvmo.......................... ---......... --___---- $5,000,00 o/m a-SzoEoBOX azRoozomE(S)v*Spam>xasz-.... -... ................. --........ ................. ............ Sowzz»mooso 0290 SHAVER AND PIPE CLEANING ANDoN1NG ................... ---.............. --....... ..................... ..... $5,000.000 mm TRAFFIC CONTROL SNOW AND ICE uFuIOvuL.... --.................. -................. _-................ $Wumuzso oayncNzosuEALIfG ... ..................................... ............ ... ---................... ............. --_-- ... .......... sonukmna» A(A) CONCRETE PAVEMENT: m*aEouu._... ............. ........ ........ _---................... ........... ___ ---.$cNozvfIzEo B(A) ASPHALT rVMrmvumDoTCERTIFIED MIA rL^rr ...... --.................................. ........ - .............. ScNzMTnD C(A) HEAVY maxDomG........ -............. ---__-_------_-........................... ............... ...... -'SoMPYenno D(A) HIGHWAY VmRAILROAD BRIDGE OVER vmmEu--_.... ----........................... ..... ........ ...... SemoM�oEo o(13) HIGHWAY ouRAILROAD BRIDGE OVER BIGH`WAr.............. ...... ................... ..... -.---nwaL�zED D(C) smrnmaBRIDGE sEQuuTRACK PROTECTION -............. ...... ----__--.......... -...... -_�awm�ors� E(C) BRIDGE DECK {nEmLxr&»ILw{uRBRIDGE REPAIR ............ ......... ........... ....... ........................ mnwom��a� E(E) SMALL STRUCTURES AND DRAINAGE ITsuIS........ -... ......... ............... -........ ____ ...... ........ �nmmzo�muo F(F) SURFACE muocmomrAND &oarEUANEouscxN,CoE....... ...... -.......................... ____ ....... UmzJtxmRo E(H) DEEP SEWER »NoIORsXoAvArnzN.... ........ ___ .............. .... ---_............ ................... -...... .*umumoEo E(R) ASPHALT euanFTIEm7MILLING ........................... -----.............. ____ .......... -............... ---SnmLIm11cao 8