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Home My WebLink AboutOpening of Bids - Howard Park Redevelopment Project No 117-047B - Gibson Lewis LLCCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK VAC Project Name HOWARD PARK REDEVELOPMENT Project No. I I 7-047-B For Bids Due August 28, 2018 9:30 a.m. EST PART I (Must be completed for all bids. Please type or print) Date: 8/28/18 — Bidder (Firm): Gibson -Lewis, LLC Address: 1001 W. I I th Street City/State/Zip: Mishawaka, IN 46544 — Telephone Number: ( 574) 259-8581 Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: Howard Park Redevelopmet - Project #I 17-047-B the City of South (Bend, Indiana, in accordance with plans and specifications prepared by: Alliance Architects, 929 Lincolnway East, STE 2010, South Bend, IN 46601 and dated July 20, 2018 for the sum of (enter the Total Bid as shown on the Proposal) 't. Y\ <,-r,\J Y, orzcs F,- -Sc V C ($ -S -1, uk�� (Enter surn-eMtal Base Bid plus Alternates shown on P1) (Nunierical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. if alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page, If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the bid! is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attach By: (Signature) Robert A. L,ingenfelter, President The above bid is accepted this Subjecttothefollo,wingi conditions: 1 #10-11 1"] JX01 a a I II --] I IQ "TT C ;1 Gary A. Gillot, President Elizabeth A. Maradik, Member James A, Mueller, Member ACCEPTANCE day of (Printed Name of Person Signing) 0201 Suzanna M. Fritzberg, Member Therese J. Dorau, Member Attest: Linda M,, Martin, Clerk HOWARD PARK REDEVELOPMENT Project No. 11 7-047-B 00, 40 00-2 CONTRACTOR'S BID FOR PUBLIC WOIE�C. BID/PROPOSAL M =- CITY OF SOUTH BEND I IZ:j Project Name HOWARD PARK REDEVELOPMENT Project No. 11 7-047-B For Bids Due August 28, 2018 9:30 a.m. EST BASE BID NO. 1 Item No. Description 1 HOWARD PARK IMPROVEMENTS ------------ 2 ALLOWANCE NO. 1 - UNFORESEEN CONDITIONS 3 ALLOWANCE NO. 2 - INTERIOR SIGNAGE 4 ALLOWANCE NO. 3 - VISUAL DISPLAY UNITS 5 ALLOWANCE NO. 4 - CONCESSION EQUIPMENT 6 ALLOWANCE NO. 5 - SITE LIGHTING FIXTURES TOTAL BASE BID NO, 1 BASE BID N10,2 Item No. Description 1 RIVERFRONT TRAIL IMPROVEMENTS 2 ALLOWANCE NO. 1 - UNFORESEEN CONDITIONS Total Amount $ 50,000 12,000 6,000 12,000 175,0100 TOTAL BASE BID NO. 2 $ BASE BID NO. 3 Item No. Description Total Amount Ills- -Q.k- 10,000 MIUM Total Amount 1 ST. LOUIS BOULEVARD IMPROVEMENTS $ 2 ALLOWANCE NO, 1 u UNFORESEEN CONDITIONS 10,000 TOTAL BASE BID NO, 3 TOTAL AMOUNT' BASE BID NOS. 1, 2,3 $ The Bidder is required to respond to each of the three (3) Base Bid totals. Firm: Gibson -Lewis, LLC Address: 1001 W. 11 th Street City/State/Zip: Mishawaka, IN 46544 Telephone Number: ( 574 ) 259-858,1 _ Fax Nur�b 3 : (_514) 258-01932 By: wil (Signature) Robert A. Lingenfelter, President HOWARD PARK REDEVELOPMENT Project No, 117-047-B 004000-7 Bidder: Gibson -Lewis, LLC When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NOW 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 ) ST. JOSEPH ) SS: COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, 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 norto 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 § 5-22-16.5-5, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (1) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and HOWARD PARK REDEVELOPMENT 00 40 00-4 Project No. 117-047-B CONTRACTOR'S BID FOR PUBLIC WORK Bidder: Gibson -Lewis, LLC 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certifythat 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 prohibitthat person or entityfrom being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products orfoundry products made in the United States (I.C. 5-16-8-1).1 hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder may result in forfeiture of contractual payments. HOWARD PARK REDEVELOPMENT 00 40 00-5 Project No. 117-047-B CONTRACTOR'S BID FOR PUBLIC WORK I hereby affirm under the penaltles of perjury that the facts and information contained in the foregoing bid for public ,works are true and correct. Dated this 28th day of August 20 18 Subscribed and sworn to before me this My Commission, Expires 08/05/2023 Gibson -Lewis, LLC Contractor/Bidder (Firm) Signature of Contractor/Bidder or Its Agent Robert A. Lingenfelter, President Pdnted Name and Title day of August _, 2O 18 Public J St. Joseph County of Residence HOWARD PARK REDEVELOPMENT Project No, 11 7-047-B 00 40 00-6 CONTRACTOR'S BID FOR PUBLIC WORK Document A31 OTMI — 2010 Conforms with The American Institute of Architects AIA Document 310 CONTRACTOR: (Name, legal slatits and adelress) Gfton-Lewis, LLC 1001 West 11th Street Mishawaka, IN 46544 OWNER: (Nance,, legal slams and address) City of South Bend, Board of Public Works 227 West Jefferson Blvd. South Bend, IN 46601 Bond Number: 03992-CNA-18-129 SURETY: (Name, legal starts and principal place of business) The Continental Insurance Company 151 N Franklin Street Chicago, IL 60606 State of Inc: Pennsylvania BOND AMOUNT: Five Percent of Amount Bid (5%) 1:1001g]KOM (Name, location or address, (aid Projeet number, if aia),) Howard Park Redevellopment - Project #1 17-047-B This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable, The Contractor and Surety are bound to the Owner, in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein, The conditions of this Bond arc such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owncr and Contractor, and the Contractor either (I) enters into a contract with the Owner in accordance with the terms Of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Protect and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect, The Surety hereby waives any notice of an agreement between the Owner- and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in (his Bond shall be deemed to be Subcontractor and the term Owner shall he deemed to he Contractor, When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Pro,ject, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefroni and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. gned and sealed this 3rd day of August 2018 (Principal) Gibson -Lewis, LLC (Seal) jitneSS) 'tne5$) Juli Hodowaniec! o (Title) 4obert A. Lingenfelter, President (Seal) L. STATE OF MICHIGAN COUNTY OF OAICLAND Onthis,,._-)4' dayof 2018, before me personally came Kathy L. DelGreco wino, being by me duly sworn, did depose and say that she is an Attorney -in -Fact of the The Continental Insurance Company and knows the corporate seal thereof", that the seal affixed to said annexed instrument is such corporate seal, and was thereto affixed by authority of the Power of Attorney of said Company, of which a Certified Copy is hereto attached, and that she signed said instrument as an Attorney - in -Fact of said Company by like authority. A cknowledged and Sworn to before rave on the date above written My Commission Expires Jamie M Laurencelle Notary public, Oakland County, Michigan My Commission Expires: Fehr nary 2, 2024 POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That The Continental Insurance Company, a Pennsylvania insurance company, is a duly organized and existing insurance company having its principal office in the City of Chicago, and State of Illinois, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Kathy L. DelGreco , Individually of Southfield, MI , its true and lawful Attorncy(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature — In Unlimited Amounts — Surety Bond Number: 03992-CNA-18-129 Principal: Gibson -Lewis, LLC Obligee: City of South Bend, Board of Public Works and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the insurance company and all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority ofthe By -Law and Resolutions, printed on the reverse hereof, duly adopted, as indicated, by the Board of Directors of the insurance company. In Witness Whereof, The Continental Insurance Company has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 3rd day of June, 2015. *X '1N$' ,, The Continental Insurance Company «"',• Paul T. Bruflat Agice President State of South Dakota, County of Minnehaha, ss: Oct this 3rd day of June, 2015, before me personally came Paul T. Bruflat to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is it Vice President of The Continental Insurance Company, a Pennsylvania insurance company, described in and which executed the above instrument; that he knows the seal of said insurance company; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said insurance company and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance company. I(MISOUTH wmny PuaUC DAWTA f +4A4\R44YYYY4h44Yh444444� My Commission Expires February 12, 2021 S. Eich Notary Public CERTIFICATE 1, D. Bult, Assistant Secretary of The Continental Insurance Company, a Pennsylvania insurance company, do hereby certify that the Power of Attorney herein above set forth is stilt in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance company printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance company this 3rd day of August , 2018 . .•.10.. The Continental insurance Company • '"'�"'' D. Bult Assistant Secretary Fonn F6650-4-2012 EQUAL EMPLOYMENT OPPORTUNITY/ AFFIRMATIVE ACTION POLICY STATEMENT Gibson -Lewis, LLC is committed to non-discrimination in employment. Any person who applies for a position with this company will not be discriminated against because of race, color, religion, sex, age, ancestry, veteran's status, national origin, handicap (as defined by Section 504 of the Rehabilitation Act of 1973) or disability (as defined by the American with Disabilities Act of 1990). The company is committed to this policy by our status as a Federal Government contractor. We are far more strongly bound to the policy by the fact that adherence to the principles involved is the only acceptable American way of life, Therefore, this company will take affirmative action to ensure that we will: (1) Recruit, hire and promote all job classifications without regard to race, color, religion, sex or national origin. (2) Base decisions on employment so as to further the principle of Equal Employment Opportunity. (3) Ensure that promotion decisions are in accordance with principles of Equal Employment Opportunity by imposing only valid Requirements for promotional opportunities. (4) Ensure that all personnel actions, such as compensation, benefits, transfers, layoffs, return from layoff, company sponsored training, education, tuition assistance, social and recreational programs will be administered without regard to race, color, religion, sex or national origin. Additionally, Gibson -Lewis, LLC intends full compliance with Handicapped and Veteran Affirmative Action requirements. The successful achievement of non-discriminatory employment program requires a maximum of cooperation between management and employees. In fulfilling its part in this cooperative effort, management is obliged to lead the way by establishing and implementing affirmative procedures and practices which will ensure our objective; namely equitable employment opportunity for all. Minority and female employees are encouraged to participate in all company activities and refer applicants. 1 have designated Ed Finley to direct the establishment of and to monitor the implementation of personnel procedures to guide our Affirmative Action Program. This official is charged with designing and implementing audit and reporting systems that will keep management informed on a regular basis of the status of Equal Employment and Affirmative Action. Supervision has been made to understand that their work performance is being evaluated on the basis of their equal employment opportunity efforts and results, as well as other criteria. It shall be responsibility of supervisors to take actions to prevent harassment of employees placed through affirmative action efforts. 8/28/ 18 Robert A. Lingenfelter, President Date 1316 COUNTY-CiTy BuH,DING 227 W. JEFF'ERsoN BOULEVARD SOUTH BEND, INDIANA 46601-1830 Date: To: From Subject PHONF, 574/ 235-9251 FAX 574/ 235-9171 TDD 574/235-5567 CITY OF SOUTH BEND PETEBUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS August 7, 2018 All Planholders, Linda M. Martin, Clerk, Board of Public Works Addendum Number: 1 Project Name: Howard Park Redevelopment Project Number: I 17-047-13 Date Received: 8/9/18 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. N rd-RM 1'11 11 Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Gibson -Lewis, LLC Authorized Signature: Date: 8/9/18 Version 4/2/2015 1316 COUNTY-Crry BUILDING 227 W. JEFFIERSON BOULEVARD SOUTH BEND, INDIANA 4660,1-1830 PHONE 574/235-9251 FAX 574/ 235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: August 16, 2018 To: All Planiholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 2 Project Name: Howard Park Redevelopment Project Number: 117-047-13 Date Received: 8/16/18 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Gibson -Lewis, LLC Authorized Signature: Robert A. Lingenfelter, President Date: 8/16/18 Version 4/2/2015 1316,COUNTY-CITY BUILDING 227 W. JEFFERSON BouLEVARD Sou'rH BEND, INDIANA 46601-1830 Date: To: From Subj ect PHONE 574/235-9251 FAX 574/ 235-9171 TIN) 574/ 235-5567 CITY OF SOUTH BEND PETS BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS August 17, 2018 All Planiholdeirs Linda M. Martin, Clerk, Board of Public Works Addendum Number: 3 Proj ect Name: Howard Park Redevelopment Project Number: 117-047-B Date Received: 8/22/18 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. KEA 11,111 Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Gibson -Lewis, LLC Authorized Signature-, Robert A. Lingentelter, President Date: 8/22/18 Versim 4/2/2015 PuACP 1316 COUNry-CITY BUILDING PHONE 574/235-9251 227 W. JEFFERSON BOULEVARD FAX 574/ 235-9171 SOUTH BEND, INDIANA 46601-1830 crjTDD 574/ 235-5567 CITY OF SOUTH BEND PETS BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: August 21, 2018 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 4 Project Name: Howard Park Redevelopment Project Number: 117-047-13 Date Received: 8/22/18 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works, at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your I bid package upon submittal. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Authorized Signature: Robert A, Lingenfelter, President Date: 8/22/18 Version 4/2/2015 1316 COUNTY-Crry BUILDING 227 W, JEFFERSON BOULEVARD SOUTH BEND, INDJANA 46601-1830 PHONE' 574/ 235-9251 FAX 574/ 235-9171 TDD 5741235-5567 CITY OFSOUTH BEND PE,rEBuTTiG1EG,MAY0R BOARD OF PUBLIC WORKS Date: August 23, 2018 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 5 Project Name: Howard Park Redevelopment Project Number: 117-047-B Date Received: 8/23/18 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. Notes. The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Authorized Si Date: 8/23/18 Version 4/2/2015 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name HOWARD PARK REDEVELOPMENT Project No. 117-047-B For Bids Due August 28, 2018 9:30 a.m. EST 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. X Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond. X Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. X Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non-Discrilmination Commitment, and Certification of use of United States Steel Products or Foundry Products. X Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted Form [MWBE-2.11]. 1,2,3,4,5 X Acknowledge Receipt of _ Addendum(s) included with the bid, X All required! additional information is included with the bid. X Proposal statements and other affidavits all signed by the proper party with name either 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 documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Gibson -Lewis, LLC By Authorized Representative: Signature: Print Name & Title: Robert A. Lingenfelter, President Date: 8/28/18 HOWARD PARK REDEVELOPMENT 00 40 00-1 Project No. 11 7-047-B CONTRACTOR'S BID FOR PUBLIC WORK Bidder: Gibson -Lewis, LLC PART 11 (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 Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION If PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South 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. *See attached Financial Statement HOWARD PARK REDEVELOPMENT 00 40 00-3 Project No, 117-047-B CONTRACTOR'S BID FOR PUBLIC WORK ACCEPTANCE The above bid is accepted this day of following conditions: Contracting Authority Members: PART II (For projects of $150,000 or more — IC 36-1-12-4) Governmental Unit: City of South Bend, Indiana Bidder (Firm) Gibson -Lewis, LLC Date (month, day, year); August 28, 2018 subject to the These statements to be submitted under oath by each bidder with and as a part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount Class of Work Completion Date Name and Address of Owner 3,175,000.00 2017 Michigan City Prison- Michigan City, IN . 1,880,000.00 2017 LaPorte Public Library - LaPorte, IN 4,830,000.00 2017 VA Outpatient Clinic - Mishawaka, IN 1,780,000.00 2017 Rolling Prairie Library - Rolling Prairie, IN What public works projects are now in process of construction by your organization? Contract Amount Class of Work Expected Completion Date Name and Address of Owner 2,543,000.00 2018 ND McCourtney - Notre Dame, IN 3,796,000.00 2018 1 Charles Black Center - South Send, IN 3,057, 000.00 2019 ND Hesburgh Phase 4 - Notre Dame, IN 4,261,000.00 2020 Columbia City HS - Columbia City, IN Bidder: Gibson -Lewis, LLC 3. Have you ever failed to complete any work awarded to you? 2. No If so, where and why? List references from private firms for which you have performed work. University of Notre Dame - Notre Dame, Indiana Memorial Hospital of South Bend - South Bend, Indiana St. Joseph Regional Medical Center - South Bend, Indiana 1st Source Bank - South Bend, Indiana SECTION 11 PLAN AND EQUIPMENT QUESTIONNAIRE Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the governmental unit to consider your bid.) Apply adequate personnel to complete the work 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. Please see attached listi RV SUTTON, INC. 160 W RAIL ROAD UNIT 1 CHESTERTON, IN 46304 WALSH & KELLY 24358 STATE ROAD 23 SOUTH SEND, IN 46614 ZIOLKOWSKI CONSTRUCTION 1005 S LAFAYETTE STREET" SOUTH SEND, IN 46601 STEVENS IRON WORKS, INC PA BOX 730 DEMOTTE, IN 46310 EC BABILLA 3914 HARRISON STREET GARY, IN 46409 WERNTZ SUPPLY 1002 KERR STREET SOUTH BEND, IN 46601 OVERHEAD DOOR COMPANY P.O. BOX 907 MISHAWAKA, IN 46546 MASTER TILE 1205 WEST LINCOLN HIGHWAY MERRILLVILLE, IN 46410 KROPP FIRE PROTECTION 59685 MARKET STREET SOUTH BEND, IN 46614 DA DODD, INC P.O. SOX 430 ROLLING PRAIRIE, IN 46371 MARTELL ELECTRIC 4601 CLEVEL*ID ROAD SOUTH BEND, IN 46628 SELECTED SUBS FOR FORM 96 EXCAVATING RITSCHARD BROS,, INC. 1204 W SAMPLE STREET SOUTH BEND, IN 46619 PAVING RIETH RILEY CONSTRUCTION 25200 STATE ROAD 23 SOUTH BEND, IN 46614 MASONRY MCkAUGHLIN MASONRY 56110 TIMOTHY ROAD NEW CARLISLE, IN 46552 STRUCTURAL STEEL CRANE INDUSTRIAL SERVICES 11035 ANDERSON ROAD GRANGER, IN 40530 ROOFING DUDECK ROOFING & SHEET METAL 1634 SOUTH FRANKLIN STREET SOUTH BEND, IN 46814 GLASS & GLAZING PRECISION WALL 3801 S MAIN STREET SOUTH BEND, IN 46614 OVERHEAD DOOR INDUSTRIAL DOOR OF NORTHERN IN 3839 S. MAIN STREET SOUTH BEND, IN 46614 FLOORING INTERIOR FINISHES, INC. 1616 W THIRD STREET OSCEOLA, IN 46561 FIRE PROTECTION RYAN FIRE PROTECTION 9740 EAST 148TH STREET NOBLESVILLE, IN 46060 PLUMBING & HVAC EDWARD J WHITE 1011 S. MICHIGAN STREET SOUTH BEND, IN 46601 ELECTRIC MCMANN ELECTRIC, INC 1454 THIRD STREET OSCEOLA, IN 46661 Bidder: Gibson -Lewis, LLC 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. Unresolved 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. All necessary Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, please explain the rationale used which would corroborate the prices listed, [LC 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. *Please see attached Financial Statement r U) cc uj w ac (1) im C3 UJ z P cc w z 0 m w 0 U) cc (1) a. w F- 0 z Z W uj 0 Ca M Z 0 ww i 0 z 0 z 5 .2 4 r -E m 0 CL -f- uj 4) a co E 0 In 0 0 0 a > .0) cL .2 o Cr ill 4) 23 E r 0 -0 CL 0 S V E 0 r m c?. &- CL (D 0 0 0 E CL 0 0 urn tU m ll, M, I R. CO. 0 2 IL m 0 E 0 0 E 0 cef mw as ca 'a a) (L (D o a) 75 CL 0- ca 0 CL 0 10 0 CL 0 0 C) ?-, 5 co z E w w m 7-5 16 as ) E ,d z RAW 00 Q co M, E .0 a) E 0 z CL C? v 0 ry C) 0 0 a. rr 0 LL z 0 CITY OF SOUTH BEND oux�iir MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBE/WBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business as defined by the Indiana Department of Administration ("IDOA" ). Project Number: 117-047-8 Date: 8/28/18 Project Name: HOWARD PARK REDEVELOPMENT Bidder: Contact Person: Address: City: Email: Gibson -Lewis LLC Robert A. Lingenfelter, President Telephone: 574-259-8581 1001 W. 1 Ith Street Mishawaka rlingenfeltcr@gl.nceusa.com State: IN Zip; 46544 To determine whether a bidder has demonstrated good faith efforts to reach the MBEIWBE 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 ED N ECEC OF GOOD FAITH EFFORTS MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their X website (http:.Uwww.in.gov/idoa). ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Bend requires at all perspective bidders complete no less than 2 of the following: Attend all pre -bid meetings scheduled by the City to inform MBE/WBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/ortrade association publications concerning subcontracting opportunities, and X allow MBE/WBEs reasonable time to respond. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 4. Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBE/WBE firms. **Bidder must circle or otherwise notate which of the two (2) required actions were performed. ....--------......_.._.. _._- - --_ _........._......_. -- GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE/WBEs, including providing i such MBE/WBE's with adequate information about the plans, specifications and other requirements of the subcontract X and did not reject MBE/WBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by MBE/WBEs in order to X increase the likelihood of meeting the MBE/WBE goals (including breaking down contracts into smaller units to facilitate MBE/WBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; X 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE/WBE was unqualified to perform the job. *Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. HOWARD PARK REDEVELOPMENT 00 40 00-9 Project No. 117-047-B CONTRACTOR'S BID FOR PUBLIC WORK CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY wa DEVELOPMENT PROGRAM FORM MWBE-2.1 MBE/WBE CONTACTED . .. .... ,X This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE I OF 2 Project Number: 117-047-B MBE/WBE Participation Goak Project Name:: HOWARD PARK REDEVELOPMENT Bidder: LLC By: President (Signature) Robert A. Lingenfelter (Title) (Date) MBE/WBEFlrm: Prerniurn Concrete Owner or Contact at MBE/WBE Firm: Telephone: 574-264-0196 — l: Fax: 574-266-5392 Emai TYPE OF WORK SOLICITED FOR THIS PROJECT: Concrete RESULTS OF CONTACT WITH THE MBE/WBE FIRM: MBE/WBE Firm: Dudeck Roofing Owner or Contact at MBE/WBE Firm: Telephone: 574-234-7912 Fax: 574-234-2471 Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: HOWARD PARK REDEVELOPMENT 00 40 00-10 Project No. 11 7-047-B CONTRACTOR'S BID FOR PUBLIC WORK CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM ......... . . . . . . . . FORM MWBE-2.1 MBE/WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBE/WBE to obtain Good Faith Efforts, It is the bidder's sole responsibility to verify whether any listed minority or woman busliness imeets the qualifications of a Minority or Women's owned business. PACE 2 OF 2 Project Number: 11 7-047-B MBE/WBE Participation Goal: Project Name: HOWARD PARK REDEVELOPMENT Bidder: .9&on-Lewin, LLC 0 President 8/28/18 (SignVature) Robert —A. Lingenfelter (Title) (Date) MBE/WBE Firm: D.A. Dodd Owner or Contact at MBE/WBE Firm: Telephone: 219-778-4302 Fax: 219-778-2981 Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: Plumbing & HVAC RESULTS OF CONTACT WITH THE MBE/WBE FIRM: MBE/WBE Firm: RitschardBros Owner or Contact at MBE/WBE A= Telephone: 574-288-4777 Fax: 574-288-5438 Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: Excavatina & Site Utilities & Earthwork RESULTS OF CONTACT WITH THE MBE/WBE FIRM: HOWARD PARK REDEVELOPMENT 00 40 00-10 Project No. 1 17-047-B CONTRACTOR'S BID FOR PUBLIC WORK General Form No. 96-a Prescribed by the State Board of Accounts oflndiana Revised 1949 STANDARD OUESTIONNAIRES AND FINANCIAL STATEMENT FOR BIDDERS Prescribed by THE STATE BOARD OF ACCOUNTS OF INDIANA For use in investigating and determining the qualifications of bidders on public Finance construction when the aggregate cost of any such work or improvement will be Five Thousand Dollars or more. These statements to be submitted under oath by each bidder with and as a part of his bid, as provided by Chapter 306, page 1248, Acts of 1947. OWNER: City of South Bend, IN 227 West Jefferson Blvd South Bend, IN 46601 PROJECT: Howard Park Redevelopment Project #117-047-B South Bend, IN Submitted by: GIBSON-LEWIS, LLC () A Corporation 1001 W. 11t". Street (} A Co -partnership Mishawaka, Ind. 46544 (} An Individual (X) A Limited Liability Company DATE: August 28, 2018 Filed: i! 01 C it ' The following forms of questionnaires and financial statement are prescribed by the State Board of Accounts in conformity, with the statute set o-at on the proceeding page. These forms, properly filled out and attested, must accompany each bid of Five Thousand Dollars or more on any public work. The forms are designed to cover all contracts for all kinds of work and the bidder is required to answer such questions as are pertinent to the work upon which he is bidding. The purpose of the questionnaire and financial statement, as set forth in the law, is to enable the awarding body to determine the qualifications of the bidder to carry out successfully the contract if the same is awarded to him. The bidder will find it to his advantage to answer fully all questions coining within the range of the work upon which he is bidding. Particular attention should be given the "Financial Statement" aad the details relative to the assets and liabilities set out. This form is made in extensive detail so that the bidden' may explain his assets and liabilities in proper sequence and in a uniform. manner. Section 2 of an Act entitled "An ACT concerning the awarding for the performance of public work and authorizing the board of accounts to prescribe certain forms to be used in ascertaining the respousibility of contractors who submit bids for the performance of such work, providing for plans and specifications, providing forbids repealing certain laws and declaring an emergency". Section 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or more, for the purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which of the bidders submitting bids for the performance of any such public work is, in the judgement of such board, commission, trustee, officer or agent, the lowest anchor best bidder and to exercise intelligently the discretion hereby conferred on such board, commission, trustee, officer or agent, each bidder shall be required to submit under oath with and as a part of his bid, a statement of his experience, his proposed plan for performing such work and the equipment which he has available for the perfon nance of such work and a financial statement. The statements, hereby required shall be submitted on forms which shall be prescribed by the state board of accounts. The forms so prescribed shall be designated, respectively, as the experience questionnaire, the plan and equipment questionnaire and the contractor's financial statement, and shall be based, so far as applicable, on the standard questionnaires and financial statement for the bidders as approved and recommended by the joint conference on construction practices, for use in investigating the qualifications of bidders on public construction work, and the forms so prescribed are, hereby, prescribed as the forms which shall, hereafter, be used by all such boards, commissions, trustees, officers and agents in obtaining the information which is required in the administration of this act. If the information submitted by any bidder on the forms herein prescribed is found, on examination, to be unsatisfactory, the bid submitted by such bidder shall not be considered. Submitted by Gibson -Lewis, LLC Principal Office at 1001 W. 11th Street, Mishawaka, IN To City of South Bend, IN EXPERIENCE QUESTIONNAIRE ❑ A Corporation ❑ A Co -partnership An Individual X lmited Liability Compan The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 1. How many years has your organization been in business as a general contractor under your present business name? 2. How many years' experience in Specialty construction work has your organization had: (a) As a general contractor Thirty -Nine (39) years 3. What projects has your organization completed? (b) as a sub -contractor Fifty (50) years CONTRACT AMOUNT CLASS OF WORK WHEN COMPLETED NAME AND ADDRESS OF OWNER 3,175,000 2017 Michigan City Prison - Michigan City, IN 1,880,000 2017 LaPorte Public Librat - LaPorte IN 4,830,000 2017 VA Outpatient Clinic - Mishawaka, IN 1,780,000 2017 holling Prairie Libra! - Rolling Prairie IN 3A What projects has your organization now in process of construction? CONTRACT AMOUNT CLASS OF WORK WHEN TO BE COMPLETED NAME AND ADDRESS OF OWNER 2,543,000 2018 ND McCourtney - Notre Dame IN 3,796,000 2018 Charles Black Center - South Bend IN 3,057,000 2019 ND Hesbur h Phase 4 - Notre Dame IN 4,261,000 2020 Columbia City HS - Columbia City, IN 4. Have you ever failed to complete any work awarded to you? No If so, where and why? 5. Has any offer or partner of your organization ever been an officer or partner of some other organization that failed to complete a construction contract? NO If so, state name of individual, other organization and reason therefor. 6. Has any officer or partner of your organization ever failed to complete a construction contract handled in his own name? No If so, state name of individual, name of owner and therefor. -2- Gibson -Lewis, LLC 7. In what other lines of business are you financially interested? 8. For what corporation or individuals have you performed work, and to whom do you refer? Memorial Hospital of South Bend IN Lar Lies - 574-647-1474 Indiana University - South Bend Mike Prater- 574-520-4319 First Source Bank, South Bend, IN Doug Way - 574-286-651.4 9. For what cities have you performed work and to whole do you refer? South Bend Indiana (County -City Building)___574-235-9554 Mishawaka, Indiana 574-258-1607 LaPorte, Indiana 219-326-6808 Elkhart, Indiana 574-535-6775 10. For what countries have you performed work and to whom do you refer? St. Joseph County 574-235-9554 Elkhart County 574-535-6775 11. For what State bureaus or departments have you performed work and to whom do you refer? Purdue University - Indiana 765-494-7342 Indiana University - South Bend, Indiana 574-520-4319 12. Have you ever performed any work for the U.S. Government? Yes If so, when and to whom do you refer? Hammond Courthouse & Andrews Library was a federal building 13. What is the construction experience of the principal individual of your organization? INDIVIDUAL'S NAME PRESENT POSITION OR OFFICE YEARS OF CONSTRUCTION EXPERIENCE MAGNITUDE AND 'TYPE OF WORK IN WHAT CAPACITY Robert A. Lingenfelter President 28 Supv. & Mgmt bupervision James Nagle Vice President 32 Supv. & Mgmt Supervision Nicholas Gurbick Vice President 5 Supv. & Mgmt Supervision Randall H. Rice Secretary 32 su v. &.-Mgmt Supervision David Folck Superintendent 47 Supv. & Mgmt Supervision -3- Gibson -Lewis, LLC PLAN AND EQUIPMENT QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 1. In what manner have you inspected this proposed work? Explain in detail. Site Visit 2. Explain your plan or layout for performing the proposed work Review shipping dates for all material suppliers and subcontractors and develop a detailed construction schedule. Provide sufficient qualified manpower to meet the schedule. 3. The work, if awarded to you, will have the personal supervision of whom? A Foreman/Superintendent will be drawn from our pool of qualified personnel when a start date is established * 4. Do you intend to do the hauling on the proposed work with your own forces? If so, give amount and type of equipment used Undetermined until detailed * 5. If you intend to sublet the hauling or perform it through an agent, state amount of sub -contract or agent's contract, and if known, the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility * Items 4, 5, 6, and 7 may not be applicable in all building contracts; if not, omit. -4- Gibson -Lewis, LLC * G. Do you intend to do the grading on the proposed work with your own forces? If so, give type of equipment to be used * 7. if you intend to sublet the grading or perform it through an agent, state amount of subcontract or agent's contract, and if known, the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility. 8. Do you intend to sublet any other portions of the work? If so, state amount of sub -contract, and if known, the name and address of the sub -contractor, whether subcontract is a minority and/or women's business enterprise, amount, and type of his equipment and financial responsibility. 9. From which sub -contractors or agents do you expect to require a bond? 10. What equipment do you own that is available for the proposed work? QUANTITY ITEM DESCRIPTION, SIZE CAPACITY, ETC. CONDITION YEARS OF SERVICE PRESENT LOCATION 2 Fork Lifts Shop Type Good Various Warehouse 2 Skid Streer 4 Wheel r1Ve Good Various Various Jobs 1000 Scaffold Sets Various Good Various Various Jobs 10 Trucks Various Good Various Various Jobs 1 All Terrian Fork Lift 22' RWD Good Various Various Jobs j Laser Screed Copperhead Good Various Various Jobs 1 Reach Forklift 44" Reach 4WD Good Various Various Jobs 1 Street Sweeper Skid Steer Attachment Good Various Various Jobs -5- Gibson -Lewis, LLC 11. What equipment do..you intend to purchase for use on the proposed work, should the contract be awarded j2_you?. -mPTION, SIZE, CAPACITY, ETC. I APPROXIMATL cos'r 12. How and when will you pay for the equipment to be purchased? 13. Do you propose to rent any equipment for this work? if so, state type, quantity and reasons for renting. 14. Have you made contracts or received firm offers for all materials within prices used in preparing your proposal? Do not give names of dealers or manufacturers 15. List all permits, licenses, or registrations, which you have and are required by law to maintain in order to bid on this work, Please include the type of the permit, license, or registration; the name of the issuing entity; the number of the licenses, permit, or registration; and the expiration date. Dated at Mishawaka, IN - this 28th day of August _, 20 18 STATE OF INDIANA COUNTY OF STJOSEPH Gibson -Lewis, LLC By (Name of Organization) Robert A. Lingenfelter, President (Title of Person Signing) SS: Robert A. Ungenfelter Being duly sworn, deposes and says that he is President —oftheabove Gibson -Lewis, LLC the above (Name of Organization) and that the answers to the questions in the foregoing questionnaires and all statements therein contained are true and correct. Subscribed and sworn to before me this 28th My Commission expires - 8/05/2023 Residing in St. Joseph County day of August 120 18 Notary Public -6- Julhi odowaniec