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HomeMy WebLinkAboutOpening of Bids - VPA Maintenence Storage Building Project No 118-046R - R Yoder ConstructionREM M'"W"111916JAW Project Name VPA Maintenance Storage Building Project No. 118-046R For Bids Due August 28, 2018 PART I (Must be completed for all bids. Please type or print) Bidder (Firm): R. Yoder Construction, Inc. Address: P.O., Box 69 City/State/Zip. Nappanee, IN 46550 Telephone Number: ( 574 ) 773-3502 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: VPA Maintenances Storage Building Project # 118-046R the City of South Bend, Indiana, in accordance with plans and'! specifications prepared by: Kil Architecture/Planning and dated 08-03-2018 for the sum of (enter the Total Bid as shown on the Proposal) Four hundred forty five thousand eight hundred nineteen dollars and no cents ($ 445,819,00 (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Nurnerical), 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 S end. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a s parate atta h t. By (Signa Ure) Rat der (Printed Name of Person Sig,ningi) ACCEPTANCE The above bid is accepted this day of 20 Subject to the following conditions: -1011-1 IN NX43 201 1-1 RL�111101 N W Gary A. Gilot, President Elizabeth A. Maradik, Member Suzanna M. Friitzberg, Member Therese J. Dorau, Member James A. Mueller, Member Attest: Linda M. Martin, Clerk Version 10/17/2017 Contractor's Bid for Public Works - 2 Project Name Project No., For Bids Due M A or_ Din BIDIPROPOSAL (Revised Aug 22,2018) CITY OF SOUTH BEND VPA Maintenance Storage Building 11 8-046R August 28, 2018 Item Description Quantity Unit Unit Price Total Amount No. Building Addition: pre-engineered metal 1 building addition delivered to site, I LS $154,11:3.00 $154,113.00 erection, roof panels, wall panels, insulation (superstructure) 2 Sectional OH Doors, operators, service 1 LS $26,943.00 $26,943.00 doors Excavation, Concrete foundation and LS 3 concrete floor slab (substructure) $114,945.00 $114,945,00 4 Site work: Excavation, drywells, crushed LS Stone $94,108.00 $94,108,00 5 Electrical Power and Lighting 1 LS $34,280M $34,280.00 BASE BID TOTAL $424,389.00 A! Tr.DKIATF: R4 Item, Description Quantity Unit Unit Price Total Amount Unit price for from one to three concrete I aprons, as shown on C1.1 (alternates ea LS $1,500,00 $1,500.00 1 a, 1 b, I c)V All to be 19' x 6' x 6". ALTERNATE #1 EACH $1,500.00 ALTERNATE #2 Item Description Quantity Unit Unit Price Total Amount 1 20'x 8' high gate with chain and pad lock. LS $3,060.00 $3,060.00 ALTERNATE #2 TOTAL $3-DoMp— ALTERNATE #3 Item Description Quantity Unit Unit Price Total Amount 470 LF x 6' high chain link fencing with 1 one 16' x 6' high double gate on west 470 LF $35.89 $16,870.00 side, at curb cut near Sample Street. Bidder (Firm): R- Yoder Construction, Inc. Address: P.O. Box 69 City/State/Zip: Nappanee, IN 46550 ALTERNATE #3 TOTAL $16,8,70,00 Telephone Number:,,,,, Voluntary Alternate: Revise building to have Galvalume Finish Roof Panels in lieu By of painted and revise clear height to be 13'1 " in lieu of 14'01" (Frame profile enclosed). Deduct: $17,500.00. (Printed Name of Person Signing) 06-22!-2018 Contractor's Bid for Public Works - 1 When the prospective Contractor is unable to certifp to any of 1he statements Below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF IN } SS: Elkhart COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirins under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firin, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. 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 tithe -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; Or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. Version 10/1712017 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/slue/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 perfornung 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 sliall 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 conunitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by nre 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 Slates. 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 nnade 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 contUlCtUal payments. I hereby affitin under the penalties of pekiury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 28th day of August 2018 R. Yoder Construction, inc. Cott actor/Bid , r irin) Signature of Contractor i der or Its Agent Randall E. Yoder, President Printed Name and Title Subscribed and sworn to before me this 28th dayllpf August 20 18 My Commis s ion Expires, 11-20-2020 Notary Public County of Residence Elkhart PATRICIA KAY KAYLOR Notary Public- Seal State of Indiana My Commission Expires Nov 20, 202.0 Version 10/1712017 Contractor's Bid for Public Works - 6 44 13 1000UN IY-C] IY W,HJ)INJi 227 WJJA+ERSON 110ULFVARD U! a SO[ fl I I I FN D,N DIAN A 4660 1 - 18 30 k EM TDD CITY OFSOUTH 13 E N 1) Pl'', rl," Bu'rriu 1­*111, M/%Y01Z BOARD OF PUBLIC' WORKS Date: To: From Subject Project Name: Project No.: Date Received: August 21, 2018 All Planholders Linda M. Martin, Clerk, Board of Public Works 574/ 235-925 1 574/ 235-9 171 574/ 235-5567 Addendum Number: I VPA New Maintenance Storage Building (Re -bid) VPA Proiect No 1062-2018 / Public Works Proiect No 118-046R 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. I N I 1.)JA91 11 IN NO RAW-11 211 Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Authorized Signature: Date: B/ � 31ts oork 6-0 C`7-4-,&4 C-7'7 0 A/ g A PHONF 574/235-9251 227 W,,JFFIT.RY)N BOUITVARD V�x .574/235-9M I'VACK '5: '1"1 A) 574/ 235-5567 IR65 C', Y F S 0 1 JTI 113,1 N I Pr-j'jMAYOR BOARD OF PUBLIC WORKS Date: August 22, 2018 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 2 Project Name: VP,A New Maintenance Storage Building (Re -bid) Project No.: VP,A Project No 1062-2018 / Public Works Project No 118-046R lid Date Received: 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 pail of herein, Company: �-?— laot'e (3,V �' -tq I- C, d Authorized Signature: Date: 012- 5 /1 e r-001.0 0=1 !� CONTRACTOR: Vaine, legal stalus and address) R YODER CONSTRUCTION, INC. 27453 Cty Rd 150 Nappanee, IN 46550 OWNER: (Name, legal starts and address) City of South Bend 227 W Jefferson Blvd South Bend, IN 466,01 AiA Documient A3101m - 2010 SURETY: (Name, legal status and principal place of business) Granite Re, Inc. 14001 Quailbrook Dr Oklahoma City, OK 73134 BOND AMOUNT: Five Percent of the Bid Amount (5.00% of Bid Amount) PROJECT: (Name, location or acldmss, and Project nwnbei°, ij'anj) VPA Maintenance Storage Building; Project No, 118.046R Bid Bond No, GR14269 This document has important legal consequences. Consultation with an attorney Is encouraged with respect to Its completion or modification. Any singWar 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 are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within Such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and 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 patty to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Si6idd and sealed this If 3. Hansen day of4AUU$t, 9018 Attorney -in -Fact {S-0 AIA Document A3101"— 2010. Copyrf6tht.Q19,, 1970 and 2010 by The American Institute of Architects, All rights reserved. WARNING' This AIAI" Document is protected by U.S. Copyright Law and Internahonal Treaties. unauthorized reproduction or distribution of 1:1,05 AIA11 Document, or any portion of it, may result In severe civil and criminal penalties, and will be iamsecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce en coprees o his document when completed, i o report7copyright violations of ALA contract o0cuments, e-mau The American Institute of Architects' legal Counsel, cQpyjJg_Lbt@giaa_,o_rg. 061110 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name VISA Maintenance Storage Building Project No. 118-046R For Bids Due August 28, 2018 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X executed. Contractor's Non -Collusion: and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X Certification of use of United States Steel Products or Foundry Products. Proof of MBEIWBE 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 X Form [MWBE-2.1], X City of South Bend, Indiana Contractor's Bid for Public Work Responsible Bidder Checklist. X Acknowledge Receipt of 2 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 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: R. Yoder Construction, Inc. By Authorized Rep Signature: Print Name & Title: Randall: E. Yoder, President Date: 8-28-18 Version 10/17/2017 Contractor's Bid for Public Works - 1 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 11 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 1011712017 Contractor's Bid for Public Works - 3 U) w w w CL w Z �- wi z 0 co Lu 0 U) w U) a. w h 0 z Z U =w ) LL 0 0 W w 2 > 0 z 0 z 9 IH ,i.(n 0 r = cu CL E 0 m 0 CL 0 24- 0 cU) Z,o 0 U (1) rr 2 a U) U) 0 3: E u CL 'a r E0 ol (f) 4- 0 0 0 0 E 'a Ln mm "a Q) 4) > a 0 0 CL U) E 2 O 0 E 2 0 0.0 0 4i E m z t A) w 9 co E z ma m 0 (3 w Ga mcmcL +c5 cL b CL 1 65 E 0 w O co a) 0 .2 OS E -0 0) CL (D 0 U) CL 0 U) E2 W 'CL 0 CEI Co E w 03 2 U) E m z ON Iii 2 :3 0) 72 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS Thk is 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: MBEIWBE 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 (11IDOA"). Project Number: Project Name: Bidder: Contact Person: Address: City: Email: 118-046R VPA Maintenance Storage Building R. Yoder Construction, Inc. Jason Yoder P.O. Box 69 Nappanee State: Indiana jason@ryoderconstruction.com Date: 08-28-201118 Telephone: 574-773-3502 To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: EVIDENCE OF GOOD FAITH EFFORTS MBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business 9 I/ Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their websi:lte (hftp://www.in.gov/idoa). ACTION (ADVERTISEICONTACT). In order for your bid to be deemed responsive, the City of South Bend! requires that all perspective bidders complete no less than 2 of the following: 1. Attend all pre -bid meetings scheduled by the City to inform MBEfWBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBE/WBEs reasonable time to respond, 3. Perform any and all necessary steps to provide written: notice in a manner reasonably calculated to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 4. Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBENVBE firms, "Bidder must circle or otherwise notate which of the two, (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE/WBEs, including providing such MBE/WBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBEANBEs 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 increase the likelihood of meeting the MBEANBE goals (including breaking down contracts into smaller units to facilitate MBE/WBE participation) CONTRACT RECORDS, The bidder has maintained the following records for each MBE/WBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an: agreement was reached, and if not, why not, including any reasons for concluding that the MBEIWBE was unqualified to perform the job. *Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 10117/2017 Contractor's Bid for Public Works - 10 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM XJI 5-1 FORM MWBE-2.1 MBEIWBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects' requiringi contacted MBEIWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verity whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE 1 OF Project Number: 118-046R MBE/WBE Participation Goal Project Name: 'Bidder.-�� By� (Signature) 71,11-RUNT11,10 VPA Maintenance Storage Building R. YoAer Construction, Inc. Owner or Contact at MBE/WBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: President (Title) Email:: RESULTS OF CONTACT WITH THE MBEIWBE FIRM: MBEAIVBE Firm Owner or Contact at MIBE/WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBENVBE FIRM: Version 10/17/2017 Contractor's Bid for Public Works - 11 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name: VPA Maintenance Storage Building Project No.: 118-046R For Bids Due: 08-28-18 Contractor Name: R Yoder Construction, 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 pre qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section II only. Section II acts as an application for pre -qualification. Submission of Section 11 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 a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") by December 31s' 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 -qualified 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 6-63 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. 06-16-2018 Contractor's Bid for Public Works - 12 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 information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(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 W H-347 or a similar form on a bi-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. 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 -Qualification 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. 06-18-2018 Contractor's Bid for Public Works -13 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements (I) _ By checking this box, I hereby acknowledge that I 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. _ 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 0) X Indiana Secretary of State's on-line records (ie. 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) X 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. (ill) X Evidence that I am utilizing a surety company which is on the United States Department of Treasury's Listing of Approved Sureties as required in the bid specifications or contract. (iv) X 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. 06-18-2018 Contractor's Bid for Public Works -14 II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements (i) X By checking this box, I hereby acknowledge that I am not a pre - qualified bidder with the City of South Bend. (il) 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. (iii) 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) X 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 (i) X Indiana Secretary of State's on -fine records (ie. 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). List identifying all former business names. (iii) _X 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. (iv) 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. (v) 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. (vi) 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. (vii) 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. (viii) X Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. (ix) Written Written statement of any federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years. (x) X List of projects of similar size and scope of work performed in all 06-18-2018 Contractor's Bid for Public Works -15 areas, including the State of Indiana, within three (3) years prior to the date on which the bid is due. Date' - 14018 `124(,1 (Sign Here) Randall E. Yoder (Print Name Here) R. Yoder Construction, Inc. (Name of Company) P.O. Box 69 (Address of Company) Nappanee (City) Indiana (State) 574-773-3502 (Telephone Number) 06-18-2018 Contractor's Bid for Public Works -16 www. RYOIDERCONSTRUCTION.COM TEL: 574.773.3502 - FAX: 574.773.4941 (b) 27453 CR 150 - PO Box 69 - NAPPANEE, INDIANA 46550 Prequalification Checklist Statements VPA Maintenance Storage Building Project #1 18-046IR Esta6fisfwd1978 - (i) See attached Secretary of State's on-line records business verification showing R. Yoder Construction, Inc. is in existence, current with the Indiana Secretary of State's Business Entity Report, and, eligible for a certificate of good standing. (i i) N/A (iii) (None (iv) R. Yoder Construction has sufficient labor staffing including employees on staff, subcontractors and reliable external staffing agencies to meet the requirements of this project. (v) All individuals who will perform work on this 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., (vi) 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,. (vii) See attached policy for employee drug testing (viii) See attached Department of Treasury's listing of Approved Sureties listing Granite Re as an approved surety as required in the bid specifications or contract., (ix) There are no federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years (x) See below the listing of projects of similar size and scope of work performed in areas, including the State of Indiana, within three (3) years prior to the date on which the bid is due. 1. City of Mishawaka, Mishawaka High School Alumni Plaza July 2018 2. City of Mishawaka, Mary Gibbard Park Improvements March 2018 3. Goshen Schools, Chandler Elementary May 2018 4. Mishawaka Schools, LaSalle Elementary March, 2018 5. Mishawaka Schools, John Young Innovation Lab January 201,8 Entity Type: Domestic For-Proft Corporation Creation Date: 04/14/1992 Principal Office Address: 27453 CR 150, NAPPANEE, IN, 46550 - 9308, USA Jurisdiction of Formation: Indiana Business Status: Active Inactive Date: Expiration Date: Perpetual Business Entity Report Due 04/30/2020 Date: Years Due: Title Name Address Secretary Beth E. Yoder 27453 Cr 150 R 4, NAPPANEE, IN, 46550, USA President Randall E. Yoder 27453 CR 150, NAPPANEE, IN, 46550, USA Type: Individual Name: RANDALL E. YODER Address: 27453 CR 150, NAPPANEE, IN, 46550 - 9308, USA 8/20/2018 (http://www,IN Biz.IN.gov) Miz Your one -stop source for your busiiness. Assumed Name History Business Details Business Name: R. YODER CONSTRUCTION, INC. Entity Type. Domestic For -Profit Corporation Creation, Date: 04/14/1992 Principal Office 27453 CR 150, NAPPAN EE,, IN, 46550 Address: - 9308, USA Jurisdiction of Indiana Formation: Assumed Name History Details Filing Date Effective Date Back Return to Search Filing Number Nlo records to view. Business ID: 1992040594 Business Status: Active Inactive Date: Expiration Date: Perpetual Business Entity 04/30/2020 Report Due Date: Years Due: Name Status https:llbsd.sos.in,gov/PublicBusinessSearch/BusinessAssumeNameHistory 1/1 812012018 (http://www.]NBiz,IN.gov) Miz; Your one -stop source for your business. Name History Business Details Business Name: R. YODER CONSTRUCTION, INC. Entity Type: Domestic For -Profit Corporation Creation, Date: 04/14/1992 Principal Office 27453 CR 150, NAPPANEE, IN, 46550 Address: -9308,USA Jurisdiction of Indiana Formation: Name History Details Filing Date Effective Date Back Return to Search Business ID: 1992040594 Business Status: Active Inactive Date: Expiration Date: Perpetual Business Entity 04/30/2020 Report Due Date: Years Due: Filing Number No records to view. I ki https:/Ibsd.sos.in,gov/PublicBusiinessSearch/BusinessNamelHistory 1/1 wvow .ryodereoristrLiction.coni R. YODER CONSTRUCTION INC. . ........... . Tel: 574.773.3502 -� Fax: 5'74.773.4941 27453 CR 150 - P.O. Box 69 - Nappanee, IN '46550 0 41 . 0 'k a 11111111 R. Yoder Construction, Inc. is committed to protecting the safety, health and well-being of its employees and all people who come in contact with its workplace(s) and property, and/or use its products and services. Recognizing that drug and alcohol abuse pose a direct a significant threat to this goal. R. Yoder Construction, Inc. is committed to ensuring a substance -free working environment for all its employees. R. Yoder Construction, Inc. therefore strictly prohibits the illicit use, possession, sale, conveyance, distribution, or manufacture of illegal drugs, intoxicants, or controlled substances, in any amount or in any manner in accordance to the laws of the State of Indiana (IC 4-13-18). In addition, IR. Yoder Construction, Inc. strictly prohibits the abuse of alcohol or prescriptions drugs. Additionally, the use of tobacco products on any jobsite is strictly prohibited. Any violation of this policy will result in adverse employment action up to and including dismissal and referral for criminal prosecution. All employees will be subject to random (5) panel drug testing to a minimum of one (1) random sporadic drug test per year. A failed drug test would result in termination. Drug testing will performed 'at "Medstat Urgent Care--& Occupational Health" Rehire Eligibility Requirements: Upon successfully completing a substance abuse rehabilitation program recommended by a substance abuse professional, (and) a successful positive drug screen result, the emp]oyee will become eligible for reinstatement, and will be subject to random sporadic drug testing for a period of at least one (1) year. 8120/2018 Surety Bonds - Certified Companies Financial Casualty & Surety, Inc. {NAIL #35009) BUSINESS ADDRESS: 3131 Eastside, Suite 600, Houston, TX 77098. PHONE: (800) 392-1604. UNDERWRITING LIMITATION b/: $1,651,000. SURETY LICENSES cjl: AZ, CA, CT, DE, FL, GA, ID, IN, IA, KS, LA, MD, MI, MN, MS, MO, MT, NV, NJ, NY, NC, ND, OH, PA, SC, SD, TN, TX, UT, VT, VA, WA, WV. INCORPORATED IN: Texas. Financial Pacific Insurance Company (NAIL #31453) BUSINESS ADDRESS: P.O. BOX 73909, CEDAR RAPIDS, IA 52407 - 3909. PHONE: (319) 399-5700. UNDERWRITING LIMITATION bl: $9,759,000. SURETY LICENSES c,f/: AK, AZ, AR, CA, CO, FL, ID, IL, IA, KS, MN, MO, MT, NE, NV, NM, ND, OK, OR, SD, TX, LIT, WA, WI. INCORPORATED IN: California, Fireman's Fund Insurance Company (NAIL #21873) BUSINESS ADDRESS: 225 W. WASHINGTON STREET, SUITE 1800, CHICAGO, IL 60606 - 3484. PHONE: (888) 466-7883. UNDERWRITING LIMITATION bl: $129,737,000. SURETY LICENSES e,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY INCORPORATED IN: California. First Founders Assurance Company (NAIL #12150) BUSINESS ADDRESS: 6 Mill Ridge Lane, Chester, NJ 07930 - 2486. PHOINE: (908) 879-0990� UNDERWRITING LIMITATION b/: $464,1000, SURETY LICENSES c,f/: NJ, NY INCORPORATED IN: New Jersey. First Insurance Company of Hawaii, Ltd. (INAIC #41742) BUSINESS ADDRESS. PO, Box 2866, Honolulu, Hl 96803. PHONE: (808) 527-7777, UNDERWRITING LIMITATION lak $28,154,000, SURETY LICENSES cjf: GU, HI. INCORPORATED IN: Hawaii. First Liberty Insurance Corporation (The) (NAIL #33588) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116, PHONE: (617) 357-9600. UNDERWRITING LIMITATION b/: $2,229,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, Mi, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Illinois. First Net Insurance Company (NAIC#10972) BUSINESS ADDRESS: 424 WEST O'BRIEN DRIVE, STE 202, HAGATNA, GU 96910, PHONE; (671) 477- 8613. UNDERWRITING LIMITATION b/: $1,238,000. SURETY LICENSES c,f/: GU, MP. INCORPORATED IN: Guam. Frankenmuth Mutual Insurance Company (NAIL #13986) BUSINESS ADDRESS: One Mutual Avenue, Frankenmuth, MI 48787 - 0001. PHONE: (989) 652-6121. UNDERWRITING LIMITATION bl: $60,669,000. SURETY LICENSES 01: AL, AZ, AR, CO, CT DE, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, 6H, OK, OR, PA, RI, SC, SO, TN, TX, LIT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Michigan. -,- B -.L,IcTo TOP- Ee General Casualty Company Of Wisconsin (NAIL #24414) BUSINESS ADDRESS; One General Drive, Sun Prairie, WI 535916, PHONE: (608) 825-5160. UNDERWRITING LIMITATION b/: $17,029,000., SURETY LICENSES c,fi: AL, AK, AZ, AR, CA, CO, CT, DE, DC, GA, HI, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Wisconsin. General Reinsurance Corporation (NAIL #22039) BUSINESS ADDRESS: 120 LONG RIDGE ROAD, STAMFORD, CT 06902 - 1843, PHONE: (203) 328-5000. UNDERWRITING LIMITATION b/: $1,139,255,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, ND, 01-1, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Delaware. GRANGE INSURANCE COMPANY OF MICHIGAN (NAIL #11136) BUSINESS ADDRESS: 671 South High Street, P.O. Box 1218, Columbus, OH 43216 -1218. PHONE: (614) 446-2900. UNDERWRITING LIMITATION b/: $4,441,000, SURETY LICENSES c,f/: MI, INCORPORATED IN: Ohio. GRANGE MUTUAL CASUALTY COMPANY (NAIL #14060) BUSINESS ADDRESS: 671 South High Street, Columbus, OH 43206 - 1014, PHONE- (614) 445-2900. UNDERWRITING LIMITATION bl: $118,013,000, SURETY LICENSES c,f/: AL, GA, IL, IN, IA, KS, KY, MN, MO, OH, PA, SC, TN, VA, WI. INCORPORATED IN: Ohio. GRANITE RE, INC. (NAIC #26310) BUSINESS ADDRESS: 14001 Quailbrook Drive, Oklahoma City, OK 73134. PHONE: (405) 752-2600. UNDERWRITING LIMITATION bl: $4,157,000. SURETY LICENSES c,f/: AL, AZ, AR, CO, CT, DE, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MI, MIN, MS, MO, MT, NE, NV, NM, INC, ND, OH, OK, OR, PA, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Oklahoma. Granite State Insurance Company (NAIL #23809) BUSINESS ADDRESS: 175 WATER STREET, 18TH FLOOR, NEW YORK, NY 10038. PHONE: (212) 770- https://www,fiscal.treasury.govlfsroports/ref/suretyBnd/r,570—a-z.htm 9/23 UNITED STATES DEPARTMENT OF LABOR OSHA English I Spanish Find it in OSHA Q .. .. A TO Z INDEX ABOUT OSHA - WORKERS EMPLOYERS REGULATIONS ENFORCEMENT TOPICS ® NEWS & PUBLICATIONS ® DATA ® TRAINING Enforcement Cases with Initial Penalties of $40,000 or Above (Includes citations issued starting January 1, 2015. Cases are updated weekly. There is a posting delay to ensure the parties have been notified.) Alaska State > Inspection Number Employer AK 1207997.015 BYLER CONTRACTING AK 1181198.015 Unive Indiana AK 1191326.015 Lithia AK 1155061.015 Petro Inspection State Dumber Empl AK 1105861.015 ; Eye t+ IN 1308062.015 U.S. r AK 1100664.015 Tridel Corps AK 1071374.015 Hann IN 1289396.015 Super; AK 1042302,015 WESI ForeE Prods IN 1251679.015 Miles Alabama Conti State Inspection Number AL 1309074.015 AL 1318978.015 AL 1303930.015 AL 1276309.015 AL 1269900.015 AL 1281579.015 AL 1290339.015 AL 1262947.015 AL 1263006.015 AL 1256264.015 AL 1270170.015 AL 1277381.015 AL 1247415.015 AL 1239537.015 AL 1258192,015 AL 1243642.015 AL 1228413.015 Employs IN 1252760.015 Fores Packagin IN 1218738.015 LGST Distri Arkal Au! Servii U.S. POSI IN 1135397.015 Recyi All Powe CentE Incor r Henry M Jose Ausencio 5errato Alvarez Asphalt Services, Inc. Flowerwood Nursery, Inc. Dolgencorp, LLC ABC Polymer Industries, LLC Omar Garcia Southeast Forest Products Corporation Birmingham Rail & Locomotive Co., Inc. Carl Cannon, Inc. The Southern Classic Food Group, LLC John Wallace Wood Products Randolph & Randolph, L.L.C. City WASILLA .ANCHORAGE ANCHORAGE VALDEZ ANCHORAGE KODIAK ANCHORAGE DUTCH HARBOR city OPELIKA AUBURN SYCAMORE HUNTSVILLE BUCKS BIRMINGHAM SPANISH FORT MOBILE VINEMONT HELENA PIKE ROAD MONTGOMERY BESSEMER JASPER BRUNDIDGE DEMOPOLIS :HOOVER Issuance Date 07/21/2017 03/10/2017 03/07/2017 12/08/2016 04/18/2016 04/15/2016 12/08/2015 07/24/2015 Issuance Date 07/19/2018 07/17/2018 :07/12/2018 04/30/2018 03/27/2018 03/16/2018 03/13/2018 03/06/2018 02/08/2018 02/05/2018 01/26/2018 01/25/2018 01/05/2018 12/07/2017 :10/18/2017 09/27/2017 09/27/2017 All States in Table Format Initial Penalty $56,800.00 $182,000.00 $59,500A0 $46,375.00 $75,000.00 $134,000.00 $560,000.00 $41,325.00 Initial Penalty $66,612.00 $47,857.00 $50,815,00 $139,684.00 $51,739.00 $133,604.00 $68,548.00 $56,172.00 $123,794.00 $195,144.00 $113,073.00 $60,467.00 $144,857.00 $152,099.00 $46,283.00 $57,041.00 $48,166.00 Inspection Issuance Initial State ': Number Employer City Date Penalty IL 990682.015 Aurora Metals Division, L.L.C. MONTGOMERY 02/17/2015 $53,100.00 IL 989981.015 MERCURY PRODUCTS CORP. SCHAUMBURG 02/10/2015 $40,590.00 IL 989451.015 James Michael Sherwood STOCKTON 02/06/2015 $114,800.00 IL : 989898,015 MERCURY PRODUCTS CORP. SCHAUMBURG 02/06/2015', $45,540.00 IL 987421.015 ERA VALDIVIA CONTRACTORS INC. BLUE ISLAND 01/22/2015 $287,440.00 IL 986316.015 FLINK COMPANY STREATOR 01/16/2015 $43,120.00 IL 985545.015 Grainco FS, Inc. NEWARK 01/14/2015 `. $241,500.00 Indiana State Inspection Number Employer City Issuance Date Initial Penalty IN 1308062,015 U.S. Steel Corporation GARY 05/30/2018 $44,346.00 IN 1289396.015 Superior Forest Products, LLC MONTEZUMA 03/06/2018 $98,000.00 IN 1251679.015 Milestone Contractors LP NORA 11/16/2017 $45,000.00 IN 1252760.015 Forest River MIDDLEBURY 10/10/2017 $46,000.00 IN 1218738.015 LGSTX Distribution Services, Inc. INDIANAPOLIS 06/21/2017 $45,269.00 IN 1135397.015 Recycling Center Incorporated RICHMOND 09/02/2016 $42,500.00 IN 1154065.015 U.S. Postal Service WEST BADEN SPRINGS 07/29/2016 $49,720.00 IN 1110284.015 U.S. POSTAL SERVICE INDIANAPOLIS 06/02/2016 $77,000.00 IN 1087345.015 National Railroad Passenger Corporation BEECH GROVE 02/05/2016 $98,000.00 IN 317865418 DANT CLAYTON FISHERS 10/28/2015 $45,850.00 IN 1050814.015 CORN ISLAND SHIPYARD, INC. GRANDVIEW 09/28/2015 $112,500.00 IN 317866671 EENIGENBURG ROOFING INC ST. JOHN 09/01/2015 $46,500.00 IN 317864577 CO -ALLIANCE LLP LA CROSSE 08/07/2015 $80,000.00 IN 317861870 PROGRESS RAIL SERVICES MUNCIE 05/15/2015 $55,000.00 Kansas State Inspection Number Employer city Issuance Date Initial Penalty KS 1295008.015 Spirit Aerosystems Inc WICHITA 08/03/2018 $72,062.00 KS 1285649.015 Gavilon Grain, LLC WICHITA 06/28/2018 : $464,691.00 KS 1286170.015 Gavilon Grain, LLC WICHITA 06/28/2018 $42,683.00 KS 1285091.015 Jose Barrientos DERBY 05/23/2018 $191,071.00 KS 1306780.015 Frontier AG, Inc. QUINTER 05/17/2018 $50,073.00 KS 1278109.015 Spirit Aerosystems, Inc. WICHITA 05/07/2018 $194,564.00 KS 1286294.015 Henke Manufacturing Corporation LEAVENWORTH 04/30/2018 $41,390.00 KS 1275664.015 Spirit Aerosystems, Inc. WICHITA 03/14/2018 $51,736,00 KS 1286671,015 Planet Aid, Inc. KANSAS CITY 03/05/2018 $142,270.00 KS 1261126.015 HollyFrontier Eldorado Refining, LLC EL DORADO 03/01/2018 $64,670.00 KS 1291715.015 Accurus Aerospace Wichita, LLC WICHITA 02/23/2018 $55,431.00 KS 1264084.015 Archer Daniels Midland Company SUBLETTE 01/11/2018 $88,322.00 KS 1272050,015 Resers Fine Foods Inc. TOPEKA 12/28/2017 $63,375.00 8/2112018 Establishment Search Page I Occupational Safety and Health Administration A OSHJA Engllish I Spanish MENU 10- 11! 0 M 3 M M HE =# R M =, WE 1121111 L, This page enables the user to search for OSHA enforcement inspections by the name of the establishment. Information may also be obtained for a specified inspection or iinspections within aspecified SIC. Note: Please read important information below regarding interpreting search results before using. Your 1,--stablkshment search returned 0 results,, Establishr"nent R Yoder construction, Inc. (This box can also be used to search for a State Activity Number for the following states: NC, SC, KY, IN, OR and WA) State Indiana V V Fed & State OSHA Office All Offices V Case Status f All (',/, Closed Open Violation Status All 0 With Violations 0 Without Violations Inspection Date Start Date V August 21 v 2013 v End Date August v 21 v 2018 v (!. 8 RA� CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96 State Form 5241,4 (R212-13) / Form 96 (Revised 2013) �;* Prescribed by State Board of Accounts en�e PART (To be completed for all bids. Please type or print) Date (month, day, year): August 28, 2018 1. Governmental Unit (Owner): City of South Bend, Indiana, Board of Public Works 2. County: St. Joseph 3. Bidder (Firm): R. Yoder Construction; Inc Address: 27453 CR 150 PO Box 69 City/State/ZlPcode: Nappanee/lN/46550 4. Telephone Number: 574-773-3502 5. 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 VPA Maintenance Storage Building Project # 118-046R (Governmental Unit) in accordance with plans and specifications prepared by Kil Architecture/Planning and dated August 3, 2018 for the sum of Four hundred twenty four thousand three hundred eighty nine dollars and no cents $ $424,389.00 The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the governmental unit. If the bid is to be awarded on a unit basis, the Itemization of the units shall be shown on a separate attachment. The contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant may be regarded as a material breach of the contract. CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS (if applicable) I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation to use steel products made in the United States (I.C. 5-16-8-2). 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 II (For projects of $150, 000 or more — IC 36-1-12-4) Governmental Unit: City of South Bend, Board of Public Works Bidder (Firm) R. Yoder Construction, Inc Date (month, day, year): 08/28/2018 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 514,775.00 Cemetery improvements 12/2017 Fairview Cemetery, Mishawaka, IN 283,500.00 Library Remodel 02/2018 Mishawaka Pen Harris Library, Mishawaka, IN 778,887,00 Vocational School 0312018 Wawasee Schools, Syracuse, IN 358,000.00 Secure Entrances 9/2017 Wa-nee Schools, Nappanee, IN 2. 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 169,690.00 Generator Replacement 12/2018 Indiana Toll Road, Granger, IN 430,490.00 Standby Generators 1 12/2018 City of Goshen, Goshen, IN 755,695.00 MHS Alumni Plaza 09/2018 School City of Mishawaka, Mishawaka, IN 502,418.00 DPW Project 09/2018 City of Bridgeman, Dept of PW 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. Barger Packaging Bellman Oil Company Land O' Lakes Purina Mills American Senior Communities Lippert Components SECTION It 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.) Comply with schedule to begin and complete as stated in contract using necessary equipment and manpower to complete. We have a team of tradesman fully capable of completing project on schedule and on budget. 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. Griffen P&H Anglin Electric Interior Finishes - Flooring Schrock Mason 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. Form - It Corp (Excavation & Concrete) Anglin Electric (Electric & Lighting) DC Garage Doors and Entry (Overhead Doors) American General Construction (Pole Building erection) 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. We have or have access to all equipment necessary to complete the project 5. 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. Have received proposals from all listed sub -contractors SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's capability for completing the project if awarded. SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to 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 — Nappanee, IN this 28th day of August 2018 .,—_R_,Yoqer Construction, Inc. z STATE OF IN COUNTY OF Elkhart Before me, a Notary Public, personally appeared the above -named of LPresident (Title of Person Signing) Randall E. Yoder swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 28th day of August d 2018 NotPubho My Commission Expires- 11 -20-2020 County of Residence.. Elkhart PATRICIA KAY KAYLOR Notary Public- Seat State of Indiana 0 Miy Commission Expires Nov 20, 2020 v I A Q L LO w z 6 aD m Q Q ca Z F- U W 3 ON fy IL Cl) ri O U J m ■ig It 9 00 r i L O U c c M 1� ti ■ . a .... ...... VPA Maintenance Storage Building Project #1 18-046R 1, Randall E. Yod'er, President, of R. Yoder Construction, Inc. Hereby certify and agree on behalf of the Successful Bidder as its duly authorized representative (and under penalties of perjury) that the Successful, Bidder understands and agrees a material term and consideration applicable to the award and entry into a contract with the Successful Bidder by the City of South Bend related to its VPA Maintenance Storage Building Involves the procurement and provision of work, goods and services under a procurement contract to be entered into with the Board of Public Works is the Successful Bidder's compliance with the provisions of H.R. 3547, "Consolidated Appropriations Act, 2014" commonly known as "American Iron and Steel" provisions as contained therein requiring that all of the iron and steel products used in the Project be produced in the United States ("American Iron and Steel Requirements"). The Successful Bidder hereby represents and warrants to and for the benefit of the Fulton County Airport Authority, and agrees, that the (a) Successful Bidder has reviewed and understands the American Iron and Steel Requirements, (b) all of the iron and steel products, used in the Project as provided by the Successful Bidder under its agreement related to the Project will be produces in the United States in a manner that complies with the American Iron and Steel Requirements, I SWEAR OR AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE ABOVE STATEMENTS ARE TRUE STATE OF IN SS: COUNTY OF Elkhart Date Before me, a Notary Public in and for said county and State, personally appeared Randall ' E. Yoder, the President of R. Yoder Construction, Inc, who, being first duly sworn, acknowledge the execution of the above and foregoing instrument for and on behalf of said entity. Dated this -28th . day of August , 2018 . My commission expires: County of Residence: Elkhart Patricia Kav Kaylor, Nbiary PAI, c PATRICIAAKAY KAY[ UR Notary Pu Notary Public- Seal State of Indiana Ir My Commission Expires Nov 20, 2020 IRAN INVESTMENT CERTIFICATION City of South Bend, Board of Public Works VPA Maintenance Storage Building Project # 118-046R The undersigned contractor hereby certifies in accordance with I.C. 5-22-16.5-13 et seq., to the above mentioned owner, that the undersigned is not engaged in the investment activities in Iran as defined in the above cited statute. Signature Randall E. Yoder Printed Name E-VERIFY AFFIDAVIT The undersigned, being first duly sworn, states and deposes that: He or she is a representative ofthe Company identified below, and is authorized to make this affidavit on behalf of the Company. 2. Pursuant to Indiana Code 22-5-1.7-11, a contractor, vendor or other service provider who enters into an agreement to provide work or services to The Trustees of Indiana University, Bloomington, Indiana, is required to enroll in and verify the work eligibility status of all its newly hired employees through the electronic verification of work authorization program of the Illegal Immigration Reform and Immigration Responsibility Act of 1996, as amended (the "E-Verify Program"). 3. Based on the above, the undersigned hereby confirms that: a) The Company has enrolled in, and is participating in, the E-Verify Program; and b) The Company does not knowingly employ any unauthorized aliens. I swear or affirm, under the penalties for perjury, that the foregoing statements are true. R. Yoder Construction, Inc. me Signature r Randall E. Yoder Printed Name President Title City of South Bend, Board of Public Works Project Title VPA Maintenance Storage Building Project # l 18-046R Project Title continared 16257569 STATE OF Indiana )SS: COUNTY OF Elkhart Before me, a Notary Public in and for said County and State, personally appeared Randall E. Yoder —, the President of R. Yoder Construction, Inc. —, who being first duly sworn, acknowledged the execution of this E-Verify Affidavit, and stated that the facts and rnatters therein set forth are true and correct to the best of his or her knowledge. Witness my hand and Notarial Seal this 28th day of August, 2018 My Commission Expires: 11-20-2020 My County of Residence: Elkhart County V" Noiai-y Public Patricia Kay Kaylor Pi-iriled yVame A PATRICIA =KAY KAYLOR �a Notary Public- Seal State of Indiana M omm Ission Expires 0 0. y Commission Expires Nov 20, ?020 16257569 Non -Discrimination Statement R. Yoder Construction, Inc. does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, clients, volunteers, subcontractors, vendors, and clients. R. Yoder Construction Inc. is an equal opportunity employer. We will not discriminate and will take affirmative action measures to ensure against discrimination in employment, recruitment, advertisements for employment, compensation, termination, upgrading, promotions, and other conditions of employment against any employee or job applicant on the bases of race, color, gender, national origin, age, religion, creed, disability, veteran's status, sexual orientation, gender identity or gender expression. Signature and Titl Randall E. Yoder President 08-28-2018 Date a o a Q Page 15 of 15 I I I I STEEL LINE 60' p" STEEL LINE 60' p„ 17'-625' 0" 17'-6" r r c n z r m m m > V1 x U7 � Z � � m c o o Z 'u X :E� m ul N M. C ED Z c- m m ..i (A � �, n z r cr) c m In M. z CD m O Cf) � Lr, -0 m n D C r .Z o m z N D m ( z m N CA rn C c c I ! n o0 13'-0 1/2" I I CLrAR UNDER RAFTER FLANG yy ! I i i 1y ! l ! I i ! i I 1 I i !i rr i ! J ! 1 i II 13'-0 1/2" f CL 7AR UNDER RAFTER FLAN i IN DO NOT USE FOR FINAL CONSTRUCTION VPA --- EZ SHEET TFLE- 6/27/2010 2W PY SOUTH BEND. IN r.—. a U04"A o araVir4ox PRELIMINARY FRAME CROSS SECTIONS cusrovER m E: SHEET NU48ER: 0JOTE mu17uk MOSS BUILDING PRODUCTS AND SERVICE CEN ER;^L-tf� FX 5 FORT WAYNE, IN