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HomeMy WebLinkAboutOpening of Bids - Gemini at Washington-Colfax Apartment Improvements - Wolf Commercial Roofing, Inc.`Nti dl J 2 CCTV OF SOUTH BEN®, INDIANA 5 CONTRACTOR'S BID FOR PUBLIC WORK lass Project Name Gemini at Washington -Colfax Apartments —IMPROVEMENTS Project No, 118-080A For Bids Due September 11, 2018 PART I (Must be completed for all bids. Please type or print) Date: 9/10/2018 Bidder (Firm): Wolf Commercial Roofing, Inc. Address: City/Statelzip: Agent of Bidder (if Pursuant to notice public works projei Gemini at Washir 319 N Iowa St. Bend, IN 46628 Telephone Number: ( 574 ) 234-9455 given, the undersigned offers to furnish labor and/or material necessary to complete the of: -Colfax Apartments -IMPROVEMENTS the City of South Bend, Indiana, in accordance with plans and specifications prepared by: South Bend Heritage Foundation, Inc. and dated September11 th 2018 for the sum of (enter the Total Bid as shown on the Proposal) )ne Hundred Thirty Nine Thousand Seven Hundred Fifty Dollars ($ 139,750.00 (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical) The undersigned fu:Oer agrees to furnish a bond or certified check with this bid for an amount specified in the notice of tho 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 cant at are needed, the cost of units must be the same as that shown in the original contract if accepts by e City of South Bend. If the bid is to be awarded on a unit basis, the itemisation of the units shall be sho on ep rate at#achm nt. By The above bid is Subject to the fol BOARD OF PUF Gary A. Gilot, Pres Elizabeth A, James A. Mueller, lV opted this ig conditions: WORKS Mark A. Wolf (Printed Name ACCEPTANCE day of Suzanna M. Fritzberg, Member ember Therese J. Dorau, Member der Attest: Linda M. Martin, Clerk Version 7120/201$ Contractor's Sid for Public Works - 2 20 Project Nami Project Numbe For Bids Dui BIDIPROPOSAL CITY OF SOUTH BEND Gemini at Washington -Colfax Apts — IMPROVEMENTS 118-080A : September 11, 2018 Contractor Name: Wolf Commercial Roofing, Inc. BASE BID item No. Description Quantity Unit unit Price Total Amount 1 Roof remove and replacement. 1 !_S 139 750.00 2 Deck repair 100 SF 4.50 3 } 4 5 Bidder (Firm): Address: City/StatelZip: Version 7/20/20 i8 1Contractor's Bid for Public Works - 8 When the prospective Contrdctor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, 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 Indiana } } SS. St. Joseph CO: LJNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporationor 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, oi- voluntarily excluded from participation in this transaction by any Federal department or agency; and a. 4. C employee itractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in 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. As provided by Ind. Code § 5-22-16,5-5, as amended from tune -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 hventy million dollars ($20,000,000) or snore 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. ractor does not knowingly employ or contract with an unauthorized alien; nor retain any contract with a person that the Contractor subsequently learns is an unauthorized alien. Version 7/20/2098 Contractor's Bid for Public Works - 6 Contractor newly hin this b reel that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's a of enrollment and participation in the E-Verify Program is included and attached as part of 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 Ithat 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 Bead 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 MBEIWBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBEIWBE 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 perforrance of this contract with privileges of employment, or any matter directly or indirectly related to employrrient, 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 obligationsto the use of steel products or foundry products made in the United States (1.C. 5-16-8-1). 1 hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the united States. 1 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 orfoundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable_ I understand that violations hereunder may result in forfeiture of contractual payments_ Version 7/20/2018 Contractor's Bid for Public Works - 6 I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 1 Qth day of septembe, 2018 Subscribed and sworn to before me this 10th My Commission EKcpires 1/26/26 County of Residence If Commercial Roofing, Inc. act4l3ie}der (Firth) Signature of ContractorA3 d or Its Agent Mark \\A. Wolf President Printed Name and Title -day of September 2018 aw" Notary Public Marshall Version 712012018 Contractor's Bid for Public Works - 7 Document A31 OTM -2010 Conforms with The American Institute of Architects AIA Document 310 CONTRACTOR: (Name, legal slates and address) Wolf Commercial Roofing, Inc 1319 North Iowa St South Bend, IIN 46628 OWNER: (Natne, legal status and address) City of South Bend, Indiana Board of Public Works 227 West Jefferson Blvd South Bend, IN 46601 BOND AMOUNT: 5% SURETY: (Name, legal status and principal place ofbitsiness) The Ohio Casualty Insurance Company 62 Maple Avenue Keene, New Hampshire 03431 Mailing Address for Notices Liberty Mutual Surety Claims P.O. Box 34526 Seattle, WA 98124 PROJECT: (Name, location or address, and Project number, if are}) Gemini at Washington-Cotfax Apartment Improvements 617 West Washington St., South Bend, IN 46601 This document has important legal consequences. Consultation with an attorney is encouraged with respect to its complation or modification. Any singular reference to Contractor, Surety, Owner or other party shall be, considered plural where applicable. The Contractor and Surety are bound to the Owner in the amount set forth above, for tile 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 party to perform the work covered by said bid, (lien 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 tile Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond tile 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. Signed and scaled this 6 day of September 2018 z The Ohio Roofi Insurance (Surety) ffitlej- "CaftSoyer ttorney in fact POWER OF ATTORNEY The Ohio Casualty Insurance Company Bond Number: Principal: Wolf Commercial Roofing Agency Name-.MCGOWAN INSURANCE GROUP INC Obligee: City of South Bend Indiana Board Public Works Agent Code:130279 Know All Men by These Presents: That The Ohio Casualty Insurance Company, pursuant to the authority granted by Article IV, Section 12 of the Code of Regulations and By -Laws of The Ohio Casualty Insurance Company, do hereby nominate, constitute and appoint: Carl Boyer; Elaine Alexander; Hugh M. McGowan; Kathleen A. Hoyer; Tammy Hartz of Indianapolis, Indiana its true and lawful agent(s) and attorney(ics)-in-fact, to make, execute, seal and deliver for and on its behalf as surety, and as its act and deed any and all BONDS, UNDERTAKINGS, and RECOGNIZANCES, excluding, however, any bond(s) or undertaking(s) guaranteeing the payment of notes and interest thereon. And the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Company, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of said Company at their administrative offices in Keene, New Hampshire, in their own proper persons. The authority granted hereunder supersedes any previous authority heretofore granted the above named attomey(ies)-in-fact, In WITNESS WHEREOF, the undersigned officer of the said The Ohio Casually Insurance Company has hereunto subscribed his name and affixed the Corporate Seal of said Company this 26th day of September, 2016. v'(Y INS&� =paPoq,A ? 0 4 David M. Carey, Assistant Secretary STATE OF PENNSYLVANIA COUNTY OF MONTGOMERY On this 261h day of September, 2016 before the subscriber, a Notary Public of the State of Pennsylvania, in and for the County of Montgomery, duly commissioned and qualified, came David M. Carey, Assistant Secretary of The Ohio Casualty Insurance Company, to me personally known to be the individual and officer described in, and who executed the preceding instrument, and he acknowledged the execution of the same, and being by me duly sworn deposes and says that lit is the officer of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal at the City of King of Prussia, State of Pennsylvania, the day and year first above written. yp PAST COMMONWPALTH OF PENNSYLVANIA /J Nairmal Seal OF Teresa Pastella, Notary Aabilc T� Upper MerionTwp., Montgomery County M Commission Expires March 26, 2021 y h'Syt.�?At1 `v y Notary Pubic in and for County of Montgomery, State of Pennsylvania �Rv� Member, PennsylvaniaAssocfaGon of Notaries My Commission expires March 28, 2021 .................... This power of attorney is granted under and by authority of Article IV, Section 12 of the By -Laws of The Ohio Casualty Insurance Company, extracts from which read: ARTICLE IV - Officers: Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to snake, execute, seal, acknowledge and deliver as surety any and all undertakings, bond, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attomey, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. This certificate and the above power of attorney may be signed by facsimile or mechanically reproduced signatures under and by authority of the following vote of the board of directors of The Ohio Casualty Insurance Company effective on the 15th day of February, 2011: VOTED that the facsimile or mechanically reproduced signature of any assistant secretary of the company, wherever appearing upon a certified copy of any power ofattorney issued by the company in connection with surety bonds, shall be valid and binding upon the company with the samo force and effect as though manually affixed. CERTIFICATE I , the undersigned Assistant Secretary of The Ohio Casually Insurance Company, do hereby certify that the foregoing power of attorney, the referenced By -Laws of the Company and the above resolution of their Board of Directors are true and correct copies and are in fal I force and effect on this date. IN WITNESS WHEREOF, I have hereunto set my hand and the seal of the Company this v.(`t INSj' _ tits 0 PU�r� Ox1919wo y0 HameB� dad day of September 1 2018 Renee C. Llewellyn, Assistant Secretary 1316 COUNTY -CITY BUILDING 227 W. JuiI rERSON BOULEVARD SOUTH BrND, INDIANA 46601-1930 Date: To: From Subject Project Name Project No.: P[ioNE, 5741235-9251 FAX 5741235-9171 TDD 574/ 235-5567 CITY OF SOUTH BENT) PETF, BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS September 10, 2018 All Planholders Linda M. Martin, Clerk, Board of Public Works Addendum Number: 1 _Gemini at Washington -Colfax Apartment Improvements 118-080A ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM 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. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Authorized Signature: Date: C/ /// /I t Project Ni Project For Bids = 4 0 (: CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Gemini Washington -Colfax Apartments — IMPROVEMENTS .._....... . . 118-080A September 11, 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 V or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractors Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products, Proof of MBEIWBE Participation Goal Form [MWBE-1,O]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form jMWBE-2.0] and MBEIWBE Contacted Form [MWBE-2.1]. V. Acknowledge Receipt of 1 Addendum(s) included with the bid. All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either printed or',typed underneath signature. V 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: Wolf''Cammerci Roofing, Inc.Date: 9/10/18 By Authorized ReprefA Signature:Print Name & Title: MWolf President Version 7/20/2018 ' Contractor's Bid for Pub€ic Wbrks - 1 This completed fon Works Projects re responsibility to ve or Women's owned Project Number: Project Name: Bidder: Contact Person Address: City: Email: To determine whethe forth in the City of So commissions. REQU1 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS SDUTR�C'. should be included as part of the Bids documents related to City of South Bond Public uiring Good Faith Efforts to obtain MBEIWBE participation. It is the bidder's sole fy whether any listed minority or woman business meets the qualifications of a Minority rusiness as defined by the Indiana Department of Administration ("IDOA"). 118-080A Date: 9/10/2018 Gemini Washington -Colfax Apartments —IMPROVEMENTS Wolf Commercial Roofing, Inc. Adam Tener Telephone: 574-234-9455 1319 N Iowa St. South Bend state: Indiana zip: 46628 atener@wolfcroof.com a bidder has demonstrated good faith efforts to reach the MBENV13E utilization goals set h Bend Public Works Project Specifications, the City and its agencies, boards, or E ALL of the followinq Good Faith Efforts as listed in the table below*: EVIDENCE OF GOOD FAITH EFFORTS MSENVBi LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise; Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (http://www,in.goviidoa). ACTION (ADVERTISEICONTACT): In order for your bid to be deemed responsive, the City of South Ben.t ires that all perspective bidders complete no less than 2 of the following: end all 1pre-bid meetings scheduled by the City to inform MBENdBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBEANBEs reasonable time to respond. 3. Perform any and all necessary steps to provide written notice in a manner reasonably s calculated to inform MBEANBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 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 MBEIWBE 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 MBEANBEs, including providing such MBEANBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBEiWBEs 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 MBEANBEs in order to increase the likelihood of meeting the MBEIWBE goals (including breaking , down contracts into smaller units to facilitate MBEANBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBEIWBE 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 MBEAVBE was unqualified to perform the job. "Proper demonstration of G000 raltn trrort requires your initials next to an or the auove uumue . mny 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 712012018 Contractor's Bid for Public Works - 10 This completed forjn should be supplied with Bids that pertain to City of South Bend 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 OF Project N mber: 118-080A MBE/WBE Participation Goal Pro' ct me: ;Gemini_Washington -Colfax Apartments — IMPROVEMENTS Bid r: Wolf CpTyflercial Roofing, Inc. By: President 9/10/2018 (Si ature) (Title) (Date) MBE/WBE Firm Robert I - fisher Enterprise Unlimited Owner or Contact at MBEtWBE Fi Robert Fisher Telephone: 608-216-7476 Fax: 847-78978611 Email: bobfisher72@msn.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Roofing material supplier RESULTS OF CONTACT WITH THE MBEMBE FIRM: Quote was higher priced. MBEIWBE Firm Owner or Contact at MBE/WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBEIWBE FIRM: Version 712012018 sContractor's Bid for Public Works - 11 if. Pf (a) Ac (€) (b) Attache (i) (Iv) {v) (vi) (vii) (viii) Version 7/20/2018 FICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) ents: By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. 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. By checking this box, € 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. 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 mire 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. 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). List identifying all former business names. 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. 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. 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. 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. 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. 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. General Conditions - 10 (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 which the bid is due. 012018 (Sign H-1--) Mark A. Wolf (Print Name Here) Wolf Commercial Roofing, Inc. (Name of Company) 1319 N Iowa St. (Address of Company) South Bend (C ity) Indiana (State) 574-234-9455 (Telephone Numb Version 7/20/2018 General Conditions - 11 ACCEPTANCE The above bid is accepted this I day of , subject to the following conditions: None Contracting Authority Members: Mark A. Wolf PART II (For projects of $150,000 or more — IC 36-1-12-4) Governmental Unit: Bidder (Firm) Wolf Commercial Roofing, Inc. Date (month, day, year): 9/10/2018 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 900,000.00 Roofing 812017 Wa-nee Community Schools 1,000,000.00 Roofing 10/2017 Concord Community Schools 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 63,000.00 Roofing 412018 City of Plymouth 336,500.00 Roofing 5/2018 City of South Bend 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. Gibson -Lewis Michiana Contracting Majority Builders Tire Rack Newmark Grubb/Cressy & Everett SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the governmental unit to consider your bid.) We will begin work as instructed by the contract documents or earlier (if allowed). We will utilize one crew of 8-10 men to tear off the existing roof membrane and install the new roof system. We plan to complete the work within the time frame allowed by the contract documents. 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. Rk Hydrovac, 322 Wyndham Way, Piqua, OH 45356 - ballast removal 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. 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 own or have complete access to all necessary roofing and sheet metal equipment to perform standard roofing practices. 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. Yes 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.