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HomeMy WebLinkAboutOpening of Bids - Lincoln Way East Corridor Improvements Proj No 117-055A - Rieth Riley ConstructionCITY OF SOUTH BEND, INDIANA WA Cc CONTRACTOR'S BID FOR PUBLIC WORK Project Name Lincoln Way East (SR 933) Corridor Improvements — Sample Street To TMckenh,am Drive -Pro)ectNo.' 117-056A - - For Bids Due September 61', 2018 PART I (Must be completed for all bids. Please, type or print) Date, 9/06/18 Bidder (Firm)�: Rieth-Riley Construction Co,, Inc, Address: 2520�O State Road 23 City/State/Zip: South Bend, In, 46614 Telephone Number: ( 574 ) 288-8321 Agent of Bidder (if Applicable): Joshua A, McCormick Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: Lincoln Way East (SR 933,) Corridor Improvements Sample SttoTear yckenham 117-055A the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Lochmuefler Group, Inc, and dated 8/23/18, 8/30/18 for the sum of (enter the Total BA as shown an the Proposal), Flour hundred ninety five thousand dollars ($ 495,000.00 (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits: a 1propos,al'for each in accordance with the notice. Any addenclums 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 separa!2'attectijnew By nature) Jos Ua A. gGerhi6, gales Manager ­ (Hinted Name of Person SBgnlng) ACCEPTANCE The above bid is accepted this day of Subject to the following conditions, BOARD OF PUBLIC WORKS Gary A. (34ot, President Elizabeth A. Maradik, Member Suzanna M. Fritzberg, Member Therese J. Dorau, Member James A, Mueller, Member Attest: Linda M. Martin, Clerk Version 7/20/2018 Contractor's Did for Public Works - 2 NX oo BID/PROPOSAL CITY OF SOUTH BEND Project Nome Lincoln Way East (SR 933) Corridor Improvements - Sample Street to Twyckenham Drive Project No. 117-055-A For Bids Due September 6, 2018 Item No. Description Quantity Unit Unit Price Total Amount 1 2 CONSTRUCTION ENGINEERING MOBILIZATION AND DEMOBILIZATION I 1 LS LS $14,000.00 $71,060.85 $14,000.00 $71,0610.85 3 CLEARING RIGHT OF WAY I LS $5,000.00 $5,00,0.00 4 PAVEMENT REMOVAL 1723 SYS $15.00 $25,845.00� 5 CURB, CONCRETE, REMOVE 3875 LFT $5.00 $19,375.00 6 SIDEWALK CONCRETE, REMOVE 115 SYS $24.00 $2,760.00 7 INLET, REMOVE 7 EACH $500.00 $3,500.00 8 COMMON EXCAVA110N 250 CYS $36.00 $9,000.00 9 DESIGN BUILD EROSION AND SEDIMENT CONTROL 1 LSUM $3,000.00 $3,000.00 10 TEMPORARY SILT l"ENCE, IUNDlS i M&UTED 500 1 UFT $,3.60 $1,800.00 11 B BORR'-BORROW 860 CYS $35.00 $30,100.00 12 PCCP PATCHING, FULL DEPTH 200 SYS $140.00 $28,000.00 13 GUARDRAIL, REMOVE 3023 LFT $3.00 $9,069.00 14 MODIFIED 1 EACH $3,700.00 $3,700.00 15 �GUARDRAIL, W-BEAM, MODIFIED, 6 FT 3 IN POSTSPACING 2450 LFT $29.00 $71,050.00 16 IGUARDRAIL, 17 END TREATMENT, OS SIDEWALK, CONCRETE, 4" 7 280 EACH SYS $3,3010.00 $50.00 $23,100.00 $14,000.00 18 19 SIDEWALK, CONCRETE, 6- CURB RAMP, CONCRETE 28 33.5 SYS SYS $75.00 $185.00 $2,1001.00 $6,197.50 20 CURB, CONCRETE 921 LFT $21.00 $19,341.00 21 CURB, CONCRETE, B 2954 LFT $15.00 $44,310.00 22 PCCP FOR APPROACHES, 8 IN 81.8 SYS $76.00 $6,216.80 23 MULCHING MATERIAL 1.5 TON $1,655.00 $2,482.50 24 SEED MIXTURE, R 310 LBS $7.80 $2,418D0 25 SODDING, UNDISTIBUTED 100 SYS $28.33 $2,833.00 26 1 PIPE, CONNECT TO EXISTING I 6 EACH $1,100.00 $6,600.00 1 Version 10/17/2016 Contractor's Bid for Public Works - 7 27 PIPE, TYPE 2, CIRCULAR, 12 IN 57 LFT $80.00 $4,560.00 28 PIPE, TYPE 2, CIRCULAR, 18 IN 4 LFT $135.00 $,540.00 29 INLET M-10 1 EACH $2,500.00 $2,50'0.00 30 CATCH BASIN, J-10 4 EACH $3,00'0.00 $12,000.00 31 INLET, B-15 2 EACH $3,000.00 $6,000.00 32 TEMPORARY PAVEMENT MARKING, 4 16000 LFT $0.80 $12,800.0'0 IN, REMOVABLE 33 TEMPORARY TRANSVERSE PAVEMENT 60 LFT $4.80 $288.00 MARKING, 24 IN, REMOVABLE 34 FLAGGING PROTEC110N 2 DAY $1,100.00 $2,200.00 35 CONSTRUCTION SIGN, A 12 EACH $124.00 $1,488.00 36 CONSTRUCTION SIGN, B 2 EACH $42.00 $84.00 37 FLASHING ARROW SIGN 60 DAY $9.00 $540.00 38 MAINTAINING TRAFFIC 1 LSUM $7,956.00 $7,956.00 39 SIGNAL HEAD RELOCATE 8 EACH $400.0'0 $3,200.00 40 SIGN, SHEET, RELOCATE 17 EACH $210.00 $3,570.00 41 LINE, PAINT, BROKEN, WHITE, 4 IN. 2325 LFT $0.21 $488.,25 42 LINE, PAINT, SOLID, WHITE, 4 IN. 2210 LIFT $0.21 $46.,20 43 LINE, PAINT, SOLID, YELLOW, 4 IN. 92910 LFT $0.21 $1,950.90 44 LINE, REMOVE 16000 LFT $0.38 $6,080.00 45 PAVEMENT MESSAGE MARKING, 4 EACH $125.00 $500.00 PAINT, LANE INDICATION ARROW 46 PAVEMENT MESSAGE MARKING, 2 EACH $150.00 $300.00 PAINT "ONLY" 47 TRANSVERSE MARKING, PAINT, STOP 70 LFT $5.00 $350.00 LINE, WHITE, 24 IN. 48 TRANSVERSE MARKING, PAINT, STOP 280 LFT $2.50 $700.00 LINE, WHITE, 12 IN. I F- BASE BID TOTAL Bidder (Firm): Rieth-Riley Construction Co., Inc Address: 25200 State Road 23 City/State/Zip: South Bend, IN 46614 Telephone Number: 574 ) 288-8321 By "x (Signature) Joshua McCormick - Sales Manager (Printed Name of Person Signing) Version 10/17/2016 Contractor's Bid for Public Works - 8 When the prospective Contractor is unable to certif} to ariv of the statements below, it shall attach an ewplartation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH (RAN, EMPLOYhIENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMM ITNIENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCT'S OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana ) SS: St. Joseph COUNTY } The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: I. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals arepresently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from titre -to -time, a Contractor is engaged in investment activities in Iran if either: L 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 -live (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 7/20/2018 Contractor's Bid for Public Works - 4 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22.5-1.7-3. Contractor's documentation of enrollment and participation in the E-Vcrify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 5. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE, however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. 1, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-15-8-1).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. 1 understand 1 have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder Version 7/20/2018 Contractor's Bid for Public Works - 5 may result in forfeiture, of contractual payments. I hereby affirm under the penalties of periury that the facts and information contained in the foregoing bid for public'Vorks are true -and correct. - Dated this 6th day of Sept 20 18 Rieth-Riley Construdon Co, Inc. Contractor/Bidder (Firm)' Signature of a tdd-er or Its Agent Joshua, Mdc'Co'rmick , Sales Manager Printed Name and Title Subscribed and sworn to before me this 6th ,d'ia'v of Septembe My Commission Expires 4/18/2 Public P,awn E, Armstrong County of Residence LaPorte 1) A VY N M A R M S I '0N� G N' "Aciqv ll"k Wic' "flok-" pA Indi,ono A 8 , 20 2 Version 7/20/2018 Contractor's Bid for Public Works - 6 1316 COUNTY-CrrY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 Date: To: From Subject PHONE 574/ 235-9251 FAX 574/ 235-9171 TDD 574/ 235-5567 CITY OF SOUTIi BLNI)i PETF BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Sqtcrnbcr 04, 2018 All Bidders Linda M. Martin, Clerk, Board of Public Works Addendum Number: I Lincoln Way East (SR 933) Corridor Improvements — Sample Street to Project Name: Twyckenham Drive Project Number: 117-055A Date Received: 'e7 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. A copy MUST also be included with your bid package upon submittal. ly,891'"1 1,111 11 11[�iiilr1 Note: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Rieth-Riley Construction Co., Inc. Authorized Signature-, Date: September 4, 2018 Josh McCormick Version 4/07/2015 Addendum #1 No. 1083 TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA Hartford, Connecticut 061:83 KNOW ALL MEN BY THESE PRESENTS, That we, RI ETH-RI LEY CONSTRUCTION CI tAQ. .as, Principal, hereinafter called the Principal, and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, of Hartford, Connecticut, a corporation duly organized under the laws of the State of Connecticut, as Surety, hereinafter called the Surety, are held and firmly bound unto City of South Bend Indiana T I as Obligee, hereinafter called the Obligee, in the sum of Five Percent (5%) of total i -T—d— Dollars ($ 5% of bid ), for the payment of wNch sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents,. WHEREAS, the Principal has submitted a bid for Lincoln Way East (SR 933 ) Corridor Improvements —Sample Street to Twyckenham Drive Rehabilitation Project No. 117-055A NOW, THEREFORE, if the Obligee shall accept the bld of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to, perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. d sealed this 6th day of September 2 0 1'8 Witness Dawn CE. Armstrong Witness K Hannigan RIETH-RILEY CONSTRUCTION CO., INC. (Principal:) (Sea]) e& t ormick, Sales Manager TRAVELERS CASUALTY AND INSURANCE COMPANY Sandra M, Nowak, Attorney -in -Fact ACKNOWLEDGEMENT BY SURETY STATE OF ILLINOIS COUNTY OF COOK f On thisL�'_�—o before me, Diane M. O'Learv. a Notary Public, within and for said County and State, �personally appeared Sandra M. Nowak to me personally known to be the Attorney -in -Fact of and for Travelers Casualty and Surety Company of America and acknowledged that she executed the said instrument as the free act and deed of said Company. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, at my office in the aforesaid County, the day and year in this certificate first above written. Notary Public in the State` of Illinois OFFICIAL SEAL DIANE M OLEARY B C' County of Cook NOTARY OFFICIAL STATE OF ILLINOIS M My COMMISSION EXPIRES 01/DG4/2021 Travelers Casualty and Surety Company of America AW Travelers Casualty and Surety Company -TRAVELER'SJ St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Sandra M. Nowak of Chicago Illinois , their true and lawful Attorney -in -Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in, the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 3rd day of February, 2017. yti HMFORD, CON .4 sm State of Connecticut City of Hartford ss. By: Robert L. Raney, Sefilbr Vice President On this the 3rd day of February, 2017, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof, I hereunto set my hand and off iciat seal. My Commission expires the 30th day of June, 2021 This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company"s seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President maydelegatealll or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required') by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. 1, Kevin IE. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which remains in full force and effect. Dated this day of it FA 1 2 RMfOww. coN. Kevin E. Hughes, Assiltant Secretary To verity the authenticity of this Power of Attorney, please call us at 1-800-421-3880 Please refer to the above -named Attorney4n-Fact and the details of the bond to which the power is attached. 1316 CouNTY-CITY BUILDING 227 W. JEFFERsoN BOULEVARD SOUTH BEND. INDIANA 46601-1830 CITY OF SOUTH BEND PETB BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS August 17, 2018 Mr. Joshua McCormick Rieth-Riley Construction Co., Inc. 25200 State Road 23 South Bend, IN 46614 RE: Pre -Qualification Verification — 2018 Street Paving Dear Mr. McCormick: PHONE 574/235-9251 FAx 574/ 235-9171 This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you are required to re -submit a complete application for continuation of pre -qualification status prior to December 31 for the upcoming calendar year. A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, .cAA Lin a M. Martin, Clerk GARY A. GILOT DAVID P. RELOs ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU 0 CITY OF SOUTH BEND, INDIANA MACK V CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project, Name Lincoln Way East (SR 933) Corridor Improvements — Sample Street To - Twyckenham Drive Project No. 117-OSSA For Bids Due September 61h, 2018 From time to time the South Send 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-Colluslon 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 MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, aiso provide Evidence of Good Faith Efforts Form [MWBE-2.01 and MBEIWBE Contacted X Form tMWBE-2.11. X Acknowledge Receipt of #1 Addendum(s) Included with the biid. X Ali 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 doles not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Rieth-Riley Construction Co., Inc. Date-, September 6, 2018 By Authorized Representative: Signature: Print Name & Title: Jos4X_Mcp , ltk, Sales Manager Version 7120/2018 Contractor's Bid for Public Works - 1 see attached form 96 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 hislherlits bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid, 2. Attach a listing of public works projects currently in process of construction by your organization. 3, Attach information regarding any failure to complete any work awarded to you and the location thereof. 4, Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc, and any other information which you believe would enable the City of South fiend 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 712 =18 Contractor's Bid for Public Works - 3 w w n. Z w 0 MWO CL w �- 0 7: zw (0 U) LL D o in CL I- w w i3* > 0 W > 0 z 0 z 2 z 0 Lb U p iL Lli 0 LL.�r- ui m c Y) .2 EL o m 0 O. W 0 m 246 0 CL a. E 0 0 0 4- 0 2 E .5'a CL a Vp Mz, 0 0 0 0 w T M 0 0 od w 4) eli W) Ln 9 E -7 z CL m �-o 46� co '5 o 0 �U C? 0) w � CO 0 6c' 2 16 16 V t 8, in 0 0 w -2 (D c LO N ?, (D CO co 0? ca E 0. w 0 ss 0 Z 0-C, o 0 < ed G 7 E m z 0 U) (1) C) 0 co a) E (U z CL I 00 CITY OF SOUTH BEND lay' l MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY WA DEVELOPMENT PROGRAM FORM MWBE-2.0 v te�, ;�w 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 MBEIWBE participation. It is the bidder's sole responsibility to verify whether any listed' minority or woman business meats the qualifications of a Minority or Women's owned business as definedby the Indiana Department of Administration ("IDOA"). Project Number: 117-065A Date: Lincoln Way East (SR 933) Corridor Improvements — Sample Street To Project Name: TLNyckenham Drive Bidder. Rieth-Riley Construction CO., Inc. Contact Person: Johsua A. McCormick Telephone: 574-28,8-8321 Address: 25200 State Road 23 City: South Bend state: Indiana Zip: 46614 Email: jmccormick@rieth,-riley.com To determine whether a bidder has demonstrated good faith efforts to reach the MBEJWBE 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 followings Good Faith Efforts as listed In the table below*: EVIDENCE OF GOOD FAITH EFFORTS MBEIW13E LIST(S); The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which, uses the IDOA approved list of Minority and Women X Owned Business as found on their website (http:/Mww, In, gov/idoa), ACTION (ADVERTISEICONTACT): In order for your bid to be deemed responsive, the City of South Ban quires that all perspective bidders complete no less than 2 of the following; 1. Attend all pre -bid meetings scheduled by the City to inform MBEANBEs of contracting and opportunities. ( ?")subcontracting Advertise in general circulation andlor trade association publications concerning subcontracting opportunities, and allow MBEIWBEs reasonable time to respond, "-/to (,Perform any and all necessary steps to provide written notice in a manner reasonably calculated inform MOENVBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively, 4. Utilize pre-existing services of available rcommunity organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBEANBE firms, X "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 plains, specifications and other requirements of the subcontract and did not reject MBENVBEs as unqualified without sound business X reasons based on a thorough investigation, of their capabilities. SMALL CONTRACT(S)., The bidder selected specific portions of the work to be performed by MBENVBEs in order to increase the likelihood of meeting the MBEANBE goals (including breaking down contracts into smaller units to facilitate MBEJWBE participation) RECORDS: The bidder has maintained the following records for each MBEIWBE that has bCONTRACT id on the subcontracting opportunity, 1. Name, address, and teiaphono 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 X concluding that the MBENVOE 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 Bond reserves the right to request additional Information, Version 7t2M2018 Contractor's Bid for Public Works - 10 ri CITY OF SOUTH BEND blu MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY - DEVELOPMENT PROGRAM (01 FORM MWBE-2.1 MBEfWBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Elend Public Works Projects requiring contacted MBEIWBE to obtain Good Faith Efforts,. It is the bidder's :sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE 1 OF Project Number., 117.055A MBE/WBE Participation, Goal N/A Lincoln Way East (SR 933) Corridor Improvements — Sample Street To Project Name: —Twyckenham Drive �Bidder: Rieth-Riley uction Co., Inc. By: — I Sales Manager September 6, 2018 MBEMBE Firm- wC-Tech Corooration Owner or Contact at MBE/WBE Firm Jeff Bently Telephone: 317-835-2745 Fax: 317-835-2781 Email; TYPE OF WORK SOLICITED FOR THIS PROJECT: Guardrail RESULTS OF CONTACT WITH THE MBENVBE FIRM: doing sub work for quardirails MBEIWBE Firm Owner or Contact at MIBENVBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE1WBE FIRM: Version 7/2012018 Contractor's Bid for Public Works - I I CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.1 MBElWBE CONTACTED Version 7/20/2018 Contractor's Bid for Public Works -12 w ;rI:e CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Lincoln Way East (SR 933) Corridor Improvement -- Sample Street to _Twyckenham Drive Project No. 117-OSSA T For Bids Due September 6", 2018 Contractor Name: _Rieth-Rilev Construction Co.. Inc. The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements in compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. INSTRUCTIONS: If you are a 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 II 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. 10694-18 (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 31 °' 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 "3 until 'pre -qualified' status is re-established. Please Mote: The City reserves the right to request supplemental Information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 7/24/2018 General Conditions - 6 MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM The City of South Bend, Indiana has shown its commitment to addressing Minority Business ("MBE.) and Women's Business Enterprise ("WBE") participation in public contracting through the adoption of the City of South Bend Ordinance No. 10081-11. Persons, partnerships, corporations, associations, or joint ventures awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employft 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 or disability that does not affect that person's ability to perform work. Minority and Women's Businesses are described on the Indiana Department of Administration website; hHp:ffiM.ln.gov/idoa . 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. Documentation shall be provided with the bid that states the MBEIWBE that will be contracted, the dollar amount of the work that will be performed on the project and the percentage of the dollar amount as it relates to the total bid amount by using Form MWBE-1.0, MBE/WBE Participation Form. The City, its agencies, boards, or commissions requires the Contractor's good faith efforts to obtain participation by those Contractors classified as a Minority Business ("MBE") or as a Women's Business Enterprise ('WBE'). Failure to provide ALL the required evidence of good faith efforts with the bid will be grounds for rejecting a bid as non -responsive. The requirements that bidders shall supply as good faith efforts to have active participation from MBEs and/or WBEs on this Project is mitten documentation evidencing the efforts by using Form MWBE-2.0, Evidence of Good Faith Efforts and Form MWBE-2.1, MBE/WBE Contacted. Such documentation shall Include but is not limited to the following items: a. A listing of all MBENVBEs contacted including: (1) the name and address of the MBEANBE; (2) the date of contact; (3) the type of contact (i.e. phone call, written solicitation, etc.); (4) the nature or type services or goods requested; and (5) the result of the contact. b. Written evidence of outreach and copies of email exchanges inviting and receiving quotes or other responses from MBE/WBE businesses or other documentations of efforts to encourage and secure competitive quotes from MBE/WBE and local businesses to be included in the benefits of building this Project. c, Written documentation of letters of introduction, invitations to forging majority/minority strategic alliances for capacity building including but not limited to mentoring, extensions of assistance on payroll, insurance, bonding, line of credit, technical skills or business skills. All bidders are actively encouraged to reach out to the MSE/WBE businesses in St. Joseph County, Indiana and other local Indiana counties to utilize a good faith effort to forge constructive and lasting business partnerships. Notwithstanding the foregoing, the award and performance of all City contracts shall comply with applicable federal, state, and local laws. Version 7120/2010 General Conditions - 5 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 Subcontractors)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder and all subcontractors on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a 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. Certified payrolls shall be submitted electronically, Please Note: Submissions deemed Inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -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. Version 7/20/2018 General Conditions - 7 I. PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: (i) X 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. - - - - (ii) x By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random Inquiries of my current and prior customers. (b) Attachments: (i) Indiana Secretary of State's on-line records (le. business verification) dated within sixty (60) days of the submission of said document showing that business is In existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (il) _ 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. (iii) 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) _ List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the fast three (3) years. Version 70012018 General Conditions - 8 PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: 0) By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Send. pi) — 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) _ By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at any time and shall be furnished upon request, (iv) By checking this box, I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid, If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (b) Attachments, (I) _ 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) _ List identifying all former business names, (iii) _ 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) _ 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) Statement that individuals who will perform work on the public work project on my behalf will be properly classed 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 tothe 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) 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) _ 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. Version 712012018 General Conditions - 9 (ix) 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, (i) List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within three (3) years prior to the date on whiich the bid is due. Date: September 6, 2018 (Sign Joshua-k"M'cCormick, Sales Manager (Print Name Here) Rieth-Riley Construction Co., Inc. (Name of Company) 25200 State Road 23 (Address of Company) South Bend (City) Indiana (State) 574-288-8321 (Telephone Number) Version 7/20/2018 General Conditions - 10 Z a M CV: O w w Q H 0 O N N 0 U) j-- C) w O X O J pf] CL I ri L- O O U 00 C) 4 r C 0 CO a) Q. m C (D N 7 O Q OD r 0 N 0 L C� 3 T W O U '6 CONTRACTOWS BID FOR PUBLIC WORK - FORM.'96 stale Form 62414 (R212-13) I Form 96 (Revised 2013) Prescribed by State Board of Accounts 44? PART I (To be completed for all bids. Please type or print) Date (month, day, year): September 6, 2018 1, Governmental Unit (Owner): City of South Bend, Indiana 2. County: St. Joseph 3. Bidder (firm): Rieth-Riley Construction Co., Inc. 25200 State Road 23 City/State2ipcode; South Bend, In. 46614 4. Telephone Number: (574) 288-8321 5. Agent of Bidder (if applicable): Joshua A. McCormick Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of Lincoln Way East Corridor Improvements Project No. 117-055A (Governmental Unit) in accordance with plans and specifications prepared by n/n and dated nla see itemized proposal see itemized proposal for the sum of 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 publlc 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. 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, Indiana Bidder (Firm) RIETH-RILEY CONSTRUCTION CO., INC. Date (month, day, year), September 6, 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 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 $8 947,369.00 HVY HWY 2017 INDOT, Indianapolis, Indiana $16,131,908.00 HVY HWY 2017 INDOT, Indianapolis, Indiana $3,228,358.00 HVY HWY 2017 Cit of South Bend Indiana $4,043,323.00 HVY HWY 2017 St. Joseph County,Indiana 2. What public works projects are now in process of construction by your organization? ... _..... ...... Contract Amount .... . Class of Work Expecfed.. Complot[on Date .. _. .... . Name and Address of Owner $2,950,000.00 HVY HWY 2018 INDOT, Indianapolis, Indiana $1,399,625.00 HVY HWY 2018 City of South Bend, Indiana $11,264,460.00 HVY HWY 2018 INDOT, Indianapolis, Indiana $8,700,680.00 HVY HWY 2018 Elkhart County, Indiana r 4: 3. Have you ever failed to complete any work awarded to you? NO If so, where and why? 4. List references from private firms for which you have performed work. AM General Mishawaka Indiana 574-284-2728 Navistar South Bend Indiana 574-654-2400 ITR Concessons LLC Gran er, , Indiana 574-674-5836 University of Notre Dame South Bend, Indiana 574-631-7356 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.) "According to plan specifications" 2. Please fist 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 fvo (5) years along with a brief description of the work done by each subcontractor. Roadsafe Traffic Systems 3519 Harding St., Indianapolis, IN Traffic MaintlMarkings V&R Trucking 1845 North Elmer Street, South Bend, IN. Trucking Hawk Enter rises 1850 E. North St., Crown Point, IN Electrical/Signage Slussers Green Thumb P.O. Box 33 Logansport, IN Land scapin /Erosion Control C-Tech Corporation 5300 W. 100 North, Boggstown, IN. Guard rail/Fencing 3. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a [luting must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the governmental unit In the event that you subsequently determine that you will use a subcontractor on the proposed project. "Subcontractor list: will be provided upon award" What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. "As required" 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. "As necessary" 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 bidders capability for completing the project if awarded. SECTION 1V 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 South Bend, In. this 6th day of September 2018 Rieth-Riley Constructioa,,C-Q,, Inc. (�p4e of organization) By_ Joshul�_ccorrru,. es Manager ACKNOWLEDGEMENT STATE OF Indiana I COUNTY OF St. Joseph )ss Before me, a Notary Public, personally appeared the above -named Joshua A. McCormick I - and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 6th! 'ayof stember 2 Dawn E. ArmsArmstrongNotary Pubhc My Commission Expires: 4/18/23 A IE. Pk N �'Q "A' S I 1'�kdtl County of Residence: LaPorte u o 4 c' u I E A iv� Y' [�"qAros l M�' T 100% Quality - 100% Employee Owned Over 100 Years KNOW ALL MEN BY THESE PRESENTS, that the undersigned President of Rieth-Riley Construction Co., Inc., a corporation duly organized and existing under the laws of the State of Indiana, hereby represents and confirms that Joshua A. McCormick, Sales Manager, has full power and authority to make:, execute, sea], if required by law, and deliver for and on its behalf, and as its act and deed any and all bids, proposals or contracts, said bids, proposals or contracts not to exceed $2,000,000.00 which bids, proposals or contracts Call for work, services, or materials to be furnished by Rieth-Riley Construction Co., Inc., whether such bids, proposals or contracts are being submitted to an individual or entity, public or private, and to bind Rieth-Riley Construction Co., Inc. thereby as fully and to the same extent as if such bids, proposals or contracts were signed by an Executive Officer Of Rieth-Riley Construction Co., Inc., and sealed, if required by law, and attested by one of such officers, and hereby raffes and confirms 211 that the above named designee may do in pursuance hereof. The authority granted to the above named designee is pursuant to Section 6.03 of the Restated By -Laws of Rieth-Riley Construction Co., Inc,, as amended, which Restated By -Laws were effective February 9, 2010, and which Restated By -Laws, as amended, and the authority granted to the above named designee continue in full force and effect. This Certificate of Authority is issued, signed and sealed, if required by law, by facsimile under and by authority of the following standing resolutions adopted by the Board of Directors of Rieth-Riley Construction Co., Inc., at a meeting held on the 16th day of February, 1996, at which 2 quorum was present, and which resolutions have not been amended or repealed and continue in full force and effect: 'Resolved that for purposes of clarification and in furtherance of the intent of Section 6.03 of the By -Laws of the Company the authority granted in Section 6.03 shall extend to the making, execution, sealing, if required by law, and delivery on behalf of the Company of all documents required as part of any bid, proposal or contract, which is for work, services or materials to be furnished by Company and which is being submitted to an individual or entity, public or private.'" "Resolved that in carrying out the provisions of Section 6,03 of the By -Laws of the Company the signatures Of such directors and officers and, if required by law, the sea] of the_ Company may be affixed to any such Certificate of Authority or any certificate relating thereto by facsimile, and any such Certificate of Authority or certificate bearing such facsimile signatures or facsimile seal shall he valid and binding upon the Company and any such Certificate of Authority so executed and certified by facsimile signature and facsimile seal shall be valid and binding upon the Company, with respect to any bid, proposal or contract to which it is attached".,' IN WITNESS WHEREOF, Rieth-Riley Construction Co,, Inc., has caused these presents to be signed by its President and its corporate seal to be hereto affixed, this 23th day of March, 2016. SEAL STATE OF IN DIANA )SS: COUNTY OF ELKHART RIETH-RILEY CONSTRUCTION CO,, INC, A, Keith Rose, President On this 23th day of March, 2016, before me personally came A. Keith Rose, to me known, who, being by me sworn, did depose and say: that he is President of Rieth-Riley Construction Co., Inc., the corporation described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the sand instrument is such corporate seal; and that he executed the said instrument on behalf of the corporation by authority of his office pursuant to corporation's Restated By -Laws and standing resolutions. kly Commission Expires: May 8, 2016 5t 1P SEAL iA Paula K. Frizseh, Notary Pub is Residing in, Elkhart County, Indiana 11, Robert L, Konopinski, do hereby certify that I am the duly appointed and acting Secretary of Rieth-Riley Construction Co., Inc., a corporation duly organized, validly existing and in good standing under the laws of the State of Indiana; that the foregoing Certificate of Authority has neither been amended or rescinded and remains in full force and effect; and furthermore, that the Restated By -Laws and standing resolutions of the corporation, as referred to and set forth in this Certificate of Authority, continue in full force and effect. f Sidh�d ant alpd at the Cor o , o T i of Rjeth-Riley Construction Co., Inc., in the City of Goshen, State of Indiana. Dated this day of P.O. 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" , I , N CERTIFICATE OF QUALIFICATION to provide CONSTRUCTION SERVICES for PUBLIC WORKS PROJECTS to the STATE OF INDIANA This Certification Board, having (July considered application for qualification in terms of apparent experience and financial 0 resources; and under ffie applicabJe Indiana Code 4-116-4 and adopted rules of this Board, hereby issues a Certiflcate of Qunlification to provide construction services to tile State of Indiana for Public Works Projects to: RIETH RILEY CONSTRUCTION GO INC 3626 ELKHART RD PO BOX 477 GOSHEN IN 46527-0477 Phone 674-875-5183 Fax 674-875-8405 Company Official KEITH ROSE for the hyenty-seven month period stated herein, unless revoked by this Board for cause, and in the classifications of services stated belo�v. This cerlificate supercedes any previous cerlificate. 1611.01 Concrete Construction of Roads & Curbing 1611.02 Asphalt Construction of Roads and Parking Lots 1622.01 Gen Contr-brdgsvdcts,elvd hwys,rIwy,tnIs 1623.03 Sewers andlor Water Ll nos 1794-01 Earthmoving and Land Clearing 1794.02 Excavation 1795.02 Demolition of Pavements and Roads CERTIFICATION DATE 1216/2017 EXPIRATION DATE 316/2020 THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD, 402 WEST WASHINGTOI STREET, ROO&I W467, It',TDIANAPOLIS, INDIANA 46204, ALSO ACTS AS THE OFFICIAL NOTICE OF E-,,�TIRATIOq. Tracy L. Cross, Executivd4�cretary Certification Board DAPW PQ2 Stata Fann �983R Rev, 07X6 CD ra: (D Ji DR c! 1Rs� �' . Ot v a -Nii INDIANAPOLIS, IN August 7, 2018 TO RIETH RILEY CONSTRUCTION GOSHEN, rN who has filed with the Department a Contractor's Statement of Experience and Financial Condition as required under Indiana Code 8-23-10, is hereby qualified to bid at any Department of Transportation letting in Classes of Work and within the amount and other limitation of each classification as listed below, for such period as the uncompleted work on hand from all sources does not exceed the Aggregate arnount. Classification references by name or symbol are in accordance with the definitions in the Contractor's Statement of Experience and Financial Condition. This certificate supersedes any certificate previously issued, but is subject to revision or revocation according to the law, if and when changes in the financial condition of the contracting firm or other facts justify such revision or revocation, Vilid August 1, 2018 Thru July3l,2011.) AGGRFCTATE .... ...................................... -- .... -- ...................................... ...... -- ......... -- -- ..... -- SUNLIMITED 0085 CLEANISEAL CRACKSIJOINTST IICCP/Ffi\dA PV?v]T ............... ...... ............... ....... ......... ............ $10,000,000 0103 3 SIDED BOX STRUCTURES OVER 20 FOOT SPAN .................................................... ......... .......... SUNLIMITED 0290 SEWER AND PIPE CLEANING AND L WING.- ..... .................. -- ......................... ....... ....... ..... -.- $10,000,000 0318 TRAFFIC COINTROL:SNOW AND ICE REMOVAL... ........... ........ - ..................... $10,000,000 0390 UNDERSEALING ............... - ............ ....................... ....... - ............. ...................... ....... $10,000,000 A(A) CONCRETE PAVE-iMENT: GENERAL ................................... ............ ........................ -- ............... $UNLPvirrED B(A) ASPHALT PVMT�WIINDOT CERTIFIED HMA PLANT ...................... ........ ........ - ............. -- .... $UNLIMITED C(A) HEAVY GRADWO ....... ......................... .................... ........ ............ ................................................. ....... $UNLIMITED D(A) HIGHWAY OR RAILROAD BRIDOEOVER WATER .................. -- ......................... ........ - ........ ... -$UNLIMITED D(B) ITIGHWAY OR RATLROAD BRIDCrL OVER HIGHWAY ..... .............. - ................ - ...... -.- ....... ............ sUN1LI,,o1TED D(C) HWY/RR BRIDGEREQ RR TRACK PROTECTION ................ - ... .................................. ...................... $UNLILAITED E(C) BRIDGE DECK OVERLAY& MINOR BRIDOE REPAIR ........... -1-111--111-1-1-11-1 .............. ... -- ...... ­- $10,000,000 E(E) SMALL STRUCTURES AND DRAINAGE rFEMS .................................... ......... ........... ............... ......... $10,000,000 E(F) SURFACE MASONRY AND MISCELLANEOUS CONCRE .................................................................... $UNLIMITED E(H) DEEP SEWER AND/OR EXCAVATION .......................... ............... ................. — . ................. -- ......... ..$UNLIrV11TFD E(R) ASPHALT PAVEMENT MILLING ...... - ......................... ..................... ............. ..................... $UNLITV11TED E(T) DEMOLITION ........ ............................. - ............. ............ ............. --- ...................................... ...... $UNLIMITED PREQUALIFICATION ENGINEER COMMISSIONER Stato Form 20508 (133 15-05) CERTIFICATE OF QUALIFICATION to pi-ovide CONSTRUCTION SERVICES for PUBLIC WORKS PROJECTS to the STATE OF INDIANA This Certification Board, having duty considered application for qualification in terms of apparent experience and financial resources; and under the applicable Indiana Code 4-13.6-4 and adopted rules of this Board, hereby issues a Certificate of Qualification to provide construction services to the State of tridiana. for Public Works Projects to: RIETH RILEY CONSTRUCTION CO ING 3626 ELKHART RD PO BOX 477 GOSHEN IN 46527-0477 Phone 574-875-5183 Fax 574-875-8405 Company Official KEITH ROSE for the t-Wenty-seven nionth period stated herein, unlessrevoked by this Board for cause, and in the chissifications of services stated beloNy. This certificate supercedes any previous certificate, 1611.01 Concrete Construction of Roads & Curbing 1611.02 Aspbalt Construction of Roads and Parking Lots 1622.01 Gen Contr-brdgsvdcts,eIvd hwys,rlwy,tnis 1623.03 Sewers andlor Water Lines 1794.01 Ear-thmoving and Land Clearing M4.02 Excavation 1795.02 Demolition of Pavements and Roads CERTIFICATION DATE 121612017 EXPIRATION DATE 31612020 THIS CERTIFICATE ISSUED BY = STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD, 402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS, INDIANA 46204, ALSO ACTS AS T14E OFFTCIAL NOTICE OF EXPIRATION. Tracy L. Cross, ExecurivIAretary Certification Board DAMN P02 State Form 3953R Rrv. OM6