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HomeMy WebLinkAboutOpening of Bids - JC Lauber Site Improvements Proj No 118-083B - Ritschard Bros., Inc.CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Project No. For Bids Due JC Lauber Site Improvements 118-083B September 20, 2018 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X Certification of use of United States Steel Products or Foundry Products. Proof of MBEIWBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBEIWBE Contacted X Form [MWBE-2.1], X Acknowledge Receipt of 1 Addendum(s) included with the bid. X All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either X printed or typed underneath signature. X This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required 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: Ritschard Bros., Inc. Date: 9/20/18 By Authorized R Signature: Print Name & Title: Rachelle L. Dolniak, President Version 10/1712017 Contractor's Bid for Public Works - 1 Date CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Project No. For Bids Due JC Lauber Site Improvements 118-083 B September 20, 2018 PART (Must be completed for all bids. Please type or print) September 20, 2018 Bidder (Firm): Ritschard Bros. , Inc. Address: 1204 W. Sam. le Street City/State/Zip: South Bend, IN 46619 Telephone Number: ( 574 ) 288-4777 Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: JC Lauber Site Improvements the City of South Bend, Indiana, in accordance with plans and specifications prepared by: John W. Werntz Architect Inc. and dated August 31st, 2018 for the sum of (enter the Total Bid as shown on the Proposal) Five Hundred Thirty-six Thmqand Four Hundred Twenty—five Dollars and 75/100-------------------------- ($536,425.75 ) (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 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 b he City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be s wn on a separate aft ch nt. By . (Signature) Rachelle L. Do] ,, President The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member (Printed Name of Person Signing) ACCEPTANCE day of Suzanna M. Fritzberg, Member Therese J. Dorau, Member James A. Mueller, Member Attest: Linda M. Martin, Clerk Version 10117/2017 Contractor's Bid for Public Works - 2 20 PART II (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his/her/its bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION 11 PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 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. 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 10/17/2017 Contractor's Bid for Public Works - 3 When the prospective Contractor is unable to certify to rnry of the statements heloit,, 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 he 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 oatlu, affirms under the penalties of perjury that: 1. Contractor has not, nor has an), other member, representative, or agent of the firm, company, corporation or partnership represented by hirn, entered into any combination, collusion or agreement with Ony person relative to the price to be bid bi anyone at such letting nor to prevent any person from bidding nor to induce auyoue to refrain from bidding, and that this bid is made %without reverence to any other bid and xyithout any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, hnns, or corporation has, have or will receive directly or indirectly, any rebate, fee. gift. commission or thing of N alue on account ot'such sale; and 2. Contractor certifies by subnussion of this proposal that neither contractor nor any of its principals ore presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3, Contractor has not, nor has atuy successor to, nor an affiliate of, Contractor, engaged ill investment activities in Iran. For purposes of this Certification, `'Iran" means the government of Iran and an -, agency or ins ti-tinicntalitr of Iran. or as otherwise defined at Ind. Code -22-I6.�-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran: or 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 fork --live (45) days or more, il'that person will (1) use the credit to provides goods and services itu the energy sector in Iran; and (ii) at the tine the Financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. Version 1€ /17/2017 Contractor's Bid for Public Works - 4 4. Contractor, does not knowingly employ or contract with , unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently leams is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's nwvi,ly hired employees through the E-VeriA, Program as defined by I.C. 22-54.7-3. Contractor s documentation of enrollment and participation In the E-Verify Program is Included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subseque€ntly Karns 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 terns of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor tails 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 ventures 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, ances", 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, tabor, 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 WBEIMBF.... A finding of a discriminator' practice by the City's NME/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (l) year from the date of such determination. and such detenmination may also be grounds for terminating the contact for which the discriminatory practice 01' noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be trade 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 discrininate 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 origi€n or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). 1 hereb}' 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 or steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a jus€ificatio€n 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 found€l' is unreasonable. I understand that violations hereunder Version 10/17/2017 Contractor's Bid for Public Works - 5 may result in Forfeiture of contractual payments. rtA* I hereby affirm under the penalties of perjunT that the Pacts and information contained in the foregoing bid for public works are true and correct. Dated this 20th day of Sept. , 20 18 Ritschard Bros., Inc. ntracto , Bidder (Firm Signature of Contractor/Bidder or Its Agent Rachelle L. Dolniak, President Printed Name and Title Subscribed e this 20th day of e t tuber 20 NON, Commission No n- Public faUlotay:f Isidence St. Joseph OF /j,jj11t,+%``�� Version 1011712017 Contractor's Bid for Public Works - 6 BID/PROPOSAL CITY OF SOUTH BEND Project Name JC Lauber Site Improvements Project No. 118-083B For Bids Due September 20, 2018 Item No. Description Quantity Unit Unit Price Total Amount 1 MOBILIZATION/DEMOBILIZATION 1 LS 25,000.00 25,000.00 2 CONSTRUCTION ENGINEERING 1 LS 8,500.00 8,500.00 MAINTENANCE OF TRAFFIC: 3 SIGNAGE, BARRICADES, 1 LS 11,950.00 11,950.00 DETOUR, ETC, INCLUDING PERMIT FEES 4 NILES AVE. PAVEMENT 169 SY 12.50 2,112.50, REMOVAL 4A NILES AVE. PAVEMENT REPLACEMENT 169 SY 95. 75 16,181.75 5 COMMERCIAL DRIVEWAY 37 SY 12.50 462.50 REMOVAL 5A COMMERCIAL DRIVEWAY 37 SY 170.00 6,290.00 REPLACEMENT 6 STD. SIDEWALK REMOVAL 20 SY 12.50, 250.00 6A STD, SIDEWALK REPLACEMENT 20 SY 65.00 1,300.00 PERVIOUS CONCRETE 7 SIDEWALK REPLACEMENT (IF 100 SY 110.00 11,000.00 REQ'D) 8 ON -SITE PAVEMENT REMOVAL 160 SY 12.50 2, 000.00 8A ON -SITE PAVEMENT 160 SY 70.00 11,200.00 REPLACEMENT CUT EXISTING SANITARY LATERAL & HOOK UP NEW I LS 5,000.00 5,000.00 LATERAL INCLUDING TAP FEES. 10 4" SANITARY LATERAL 20 LF 90.00 1,800.00 11 6" SANITARY LATERAL 90 LF 90.00 8,100.00 12 1,000 GAL, GREASE TRAP 1 LS 5,000.00 5,000.00 13 SEWER CLEAN -OUT 3 EA 500.00 1,500.00 14 3" WATER TAP IN EXISTING 1 EA 4,35,0.00 4,350.00 MAIN, INCLUDING TAP FEES 15 6" WATER TAP IN EXISTING MAIN, INCLUDING TAP FEES 1 EA 4, 850. 00 4, 8�50. 00 16 3" D.I,P. 110 LF 125.00 13, 750.00 17 3" WATER SHUT-OFF VALVE 1 EA 2,000.00 2,000.00 18 6" D.I.P. 65 LF 125.00 8,125.00 19 6" WATER SHUT-OFF VALVE 1 EA 2,000.00 2,000.00 20 6" TAP INTO EXISTING STORM SEWER FOR NEW LATERAL, INCLUDING TAP FEES 1 LS 3,500.00 3,500.00 21 6" STORM SEWER 68 LF 125.00 8,500.00 22 ON -SITE WORK 1 LS 241, 331.00 241, 331.00 23 EXCAVATION OF UNSUITABLE SOILS 25 CYS 50.00 1,250.00 BASE BID TOTAL $ 407, 302.75 ALTERNATE #1 Item No. Description Quantity Unit Unit Price Total Amount 1 ORNAMENTAL FENCE AND GATES 1 LS 17,960.00 $17,960.00 ALTERNATE TOTAL $17, 960.00 ALTERNATE #2 Item No. Description Quantity Unit Unit Price Total Amount 1 CONCRETE PARKING LOT 1 LS 57103.00 $57,103.00 ALTERNATE TOTAL $57,103.00 ALTERNATE #3 item No. Description Quantity Unit Unit Price Total Amount 1 ASPHALT PARKING LOT 1 LS 54,060.00 $54,060.00 ALTERNATE TOTAL $54, 060.00 Bidder (Firm): Ritschard Bros., Inc. Address: 1204 W. Samnle Street City/State/Zip: South Bend, IN 4661%elephone Nui er; ( 5574 ) 288-4777 By (Signature) Rachell.e L. Dolniak, President (Printed Name of Person Signing) 1316 COUN'rv-CrrY BUILDING 227 W. JErVE:RSON BOULEVARD SOUTH BEND, IN©IANA 46601-1830 Date: To: From Subject Project Name: Project No.: PF[oNE 574/235-9251 FAX 57 4/ 235-917.1 TDD 5741235-5567 CITY of Sou'rFt BEND PE'rE BL!'rT1G1EG, MAYOR BOARD OF PUBLIC WORKS September 18, 2018 All Planholders Linda M. Martin, Clerk, Board of Public Works Addendum Number: 1 J.C. Lauber Site Improvements 118-083B ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: g Q 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 Si Date: q j o � i CONTRACTOR: (Name, legal status and address) Ritschard Bros., Inc. 1204 W. Sample Street South Bend, IN 46619 Bond No SURETY: Western Surety Company: South Dakota Corporation (Name, legal status and principal place of business) 151 N. Franklin Street 17th Floor Chicago, IL 60606 OWNER: (Name, legal status and address) City of South Bend, Indiana, Board of Public Works County -City Building, Room 1316 227 W. Jefferson Blvd. South Bend, IN 466601 BOND AMOUNT: Five Percent (5%) of Accompanying Bid PROJECT: (Name, location or address, and Project number, if any) J.C. Lauber Site Improvements, Project No. 118-083B %04 E. LaSalle Avenue, South Bend, Indiana This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond 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, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days, If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bo d co flitting with said statutory or legal requirement shall be deemed deleted herefrom and plovisions conforming of sw statutory ox r legal requirement shall be deemed incorporated herein, When so fu Wished, the iyNnt � this Bonds ]1 bq construed as a statutory bond and not as a common law bond. (Witness) of ,/ September 2018 schard Bros., Inc. rincip ,l) (Seal) le) Rachelle L. Dolniak, President Western Surety Company (Surety (Seal) (fit Kevin Hughes, Att ney-in-F B Printed in cooperation with the American Institute of Architects (AIA). The language in this document conforms to the language used in AIA Document A310 - Bid Bond - 2010 Edition. Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constit€€te and appoint Thomas J Mc Govern, Harold E Everett, Elaine K Miller, J Kevin Hughes, Thomas J Van Dyck, Jada M Karst, Melinda S Jagger, Tracie M Mc Bride, Connie J Messer, Laura L Diver, Individually of Fort Wayne, IN, its true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to €ire au€Itority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 9th day of August, 2018. WESTERN SURETY COMPANY ;,mQfoaPURgj1"�a = s vim: a�Jk 11?K�`s aul T. Bruflat, Vice President State of South Dakota ss County of Minnehaha On this 91h day of August, 2018, before me personally came Paul T, Brutiat, to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges saute to be the act and deed of said corporation. My commission expires J. MOHR �rrornxrvuauc� June 23, 2021 eFar SOUTH6AHorA /// 7. Mohr, Notary Public CERTIFICATE 1, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Ait(jrnry hereinabove set forth is still in force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. ii) t .stimoriv wire:;; }f 1 have hereunto subscribed my name and affixed the seal of the said corporation this 2 0th day of 52 Illllppp ....RE.... ,a WESTERN SURE=. COMPANY s,w 404?r)Rgl'''laz - ;u Ft➢ . ,�(ijN�uA��rr trr! I' /ATV L. Nelson, Assistant Secretary Form F4280-7-2012 Go to www.cnasurety.com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity. A.uthorizhig By -Law ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders of the Company. Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Pact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company, The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-1.0 M13E'1WBE PARTICIPATION This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBEIMBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. Project Number: 118-083B Project Name: JC Lauber Site Improvements Bidder: Ritschard Bros,, Inc. Total Bid Amount: $536, 425. 75 MBEANBE coal: 7.1% Page 1 of 1 Name 8 Address of MBEIWE3E Primary Contact Person (Nameffelephone) Scope of Work to be Performed (Attach scopetschedule if you need additional space) Dollar Amount of M13ENVBE Component Percentage of Total NdfPro osal Ritschard Bros.,In 1204 W. Sample St. South Bend, IN46619 .Rachelle L. Do niak 574-288-4777 Parking Lots with onsite retention & utility Hook ups and sitework & improvements $328,000.00 61% Submitted by: Rachelle L. Dolniak Print Name 4-t A A, I !. , NIA September 20, 2018 uro Date Version 1011712017 Contractor's Bid for Public Works - 10 September 20, 2018 Section I Experience {questionnaire 1. Completed Projects: Contract Amount Class of Work Completion Project Name Date and Owner $ 477,935.00 Demo/Earthwork/UtiL 8/16 Mai SN1 48 $ 379,000.00 Earthwork/Utilities 7/1.8 KRW Warehouse $ 218,000.00 Earthwork/Utilities 12/17 Panda Express $ 94,000.00 Earthwork/Utilities 6/18 New Paris Ele Sch. $ 189,941.00 Earthwork/Utilities 8/18 UND Track & Field 2. Public Works Projects in Process: Contract Amount Class of Work $387,500.00 Earthwork[Ut lities $182,627.00 Earthwork/Utilities 3. None 4. References: Gibson -Lewis, LLC / Robert Lingenfelter The Robert Henry Corporation / Stephen Henry Walsh & Kelly, Inc. / Doug Kesler Ziolkowski Construction, Inc. / Bill Favors Project Name and Owner Elk Cnty Juvenile Center Elkhart County, IN Fire Station #9 City of South Bend, IN 1204 West Sample Street ® South Bead, Indiana 46619 ® PHONE (574) 288-4777 ^ FAX (574) 288-5438 - E-,MAIL, ritli204@datacruz,.com September 20, 2018 JC Lauber Site Improvements Project No. 118-083B Section 11 Plan and Equipment Questionnaire 1. We will perform site demolition and earthwork, install site utilities and pave the site per plans. 2. Hydro-Tek Seeding, Inc. Seeding Rieth-Riley Construction Co., Inc. Paving/Concrete 3. Bertsch -Frank & Associates Staking/Layout Milestone Fence Fencing Rieth-Riley Construction Co., Inc. Paving/Concrete 4. See Enclosed Schedule of Owned Equipment 5. Yes 1204 West Sample Street - South Bend, Indiana 46619 • PHONE (574) 288-4777 - FAX (574) 288-5438 - E-MAIL: ritl204@datacruz.com RITSCHARD BROS., INC. EXCAVATING AND DEMOLITION FORM 96 (Revised 2005) SECTION H Plan and Equipment Questionnaire ITEM 3 — LIST OF OWNED EQUfPMENT 3 — Vibratory Compactors 1— D3C Caterpillar Bulldozer 2 — 650J John Deere Bulldozers 2 -- 750C John Deere Bulldozers 1— D7G Caterpillar Bulldozer -1— 450E John Deere Bulldozer Wide Track 1— 450G John Deere Bulldozer Long Track 1— 4501-1 John. Deere Long Track Dozer 1— 416C Caterpillar LoaderBackhoe Combinations 1-- 420D Caterpillar LoaderlBackhoe Combination 2 — TS 14 Terex Earthmovers 1--1200 Caterpillar Grader 1— 30B Bucyrus Erie Crawler Crane —1 yd 2 --- L70 Volvo Loaders - 2 % yd 4 — L90 Volvo Loaders - 31/4 yd 2 — L120 Volvo Loaders - 3 %2 yd 2 — Gehl Skid Steer Track Loaders 1— 595D John Deere Excavator 1— Gehl GE383Z Mini Excavator 1 -Takeuchi TB180FR Excavator 1-- ZX160LC-5 Hitachi Excavator 1— ZX35OLC-5 Hitachi Excavator 1— EX330LC-5 Hitachi Excavator 1— EC210BLC Volvo Excavator 1— EC240CLC Volvo Excavator 3 — Tri Axle Dump Trucks W4 West Sample Street - South Bend, Indiana 46619 - PHONE (674) 288-4777 - FAX (574) 288-5438 - E-MAIL: rltl204@datacruz.com DEPARTMENT OF ADMINISTRATION n,R a STATE OF I N DIANA Division of Supplier Diversity ter. Eric J. Holcomb, Governor Indiana Government Center South 402 West Washington Street, Room W469 Indianapolis, IN 46204 (317) 232 - 3061 April 11, 2018 Rachelle Dolniak Ritschard Bros., Inc. 1204 W Sample St South, Bend, IN 46619 Subject: Application for WBE Certification Dear Ms. Dolniak, Congratulations! The Indiana Department of Administration, Division of Supplier Diversity is pleased to inforin you that Ritschard Bros., Inc, is hereby certified as a Women's Business Enterprise (WBE). Your company provides a commercially useful function in the areas listed.below. Only work performed in these areas will be counted towards Women's Business Enterprise participation: UNSPSC CODE(S) Code Description 8310r1500 Water and Sewer Utilities 72153900 Building site preparation services 72141510 Demolition services 72141511 Digging services 71141500 Land preparation services On September 13, 2010, the Governor's Commission on Minority and Women's Business Enterprises approved the department's effort to streamline its recertification process. Instead of conducting an onsite visit to each company seeking recertification., the department now has the discretion to waive the visit after a thorough review of the company's file and recertification documents. We have approved your recertification and it is valid through April 30, 2021. Please note that IDOA continues to reserve the right to conduct a site visit or phone interview at any time to certified companies. Although your certification is valid for a three-year period, you are required to submit an annual Affidavit of Continued Eligibility (ACE) form, located at www.in.izov/idoa/mwbe/files/ACE Form.pdf. Please remember you must notify us immediately if any changes occur. Failure to notify us of changes or to provide an ACE form annually will result in revocation of your certification. Changes include, but are not limited to, changes in location, contact information, ownership and control. We encourage you to visit IDOA's procurement website, www.in.goy/idoa/2464.htm, and update your Business Registration Profile. It is important that you review and update your profile regularly, because state purchasing agents and prime contractors may use this information to contact you for business opportunities. For questions regarding your registration profile, you may contact our office at 317-232- 3061. Reference: Ritschard Bros., Inc. While this letter serves as notification of certification, it does not serve to prove continued eligibility. Please visit www.in.aov/idoa/mwbe/2743.httn to verify certification status. Please contact our office at (317) 232- 3061 if you have any other questions. We ask that you.please contact Amy L. Wolf, Deputy Director of Certification, at (317) 232-3061 or awolf)O,idoa.in.aoy if you have any questions or concerns about your letter. Sincerely, V�/ Amy L. Wolf. Deputy Director of Certification Indiana Department of Administration Division of Supplier Diversity ALW:yj Bidder Registration No. 0000023294 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name JC Lauber Site Improvements Project No. 118-083B For Bids Due September 20, 2018 Contractor Name: Ri.t:schard. Bros., 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 11 only. Section II acts as an application for pre -qualification. Submission of Section 11 will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") by December 315t for the upcoming calendar year, or within twelve (12) months of obtaining pre - qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal of the designation, effective January 1 of the following year, or immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 4/17/2015 General Conditions - 6 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors, 2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder and all subcontractors on a public works project are required to submit certified payroll utilizing the federal form known as 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 4/17/2015 General Conditions - 7 I. PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: W T By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter is attached. By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (b) Attachments: (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). 00 _ 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) _ Dist of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. Version 4/1712015 General Conditions - 8 II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) X By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) X By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. (iii) X By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at any time and shall be furnished upon request. (iv) X By checking this box, I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (b) Attachments: (i) X (ii) X (iii) X (iv) X (v) X (vi) X (vii) X (viii) X Version 4/17/2015 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 - 9 (ix) X 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) 2L 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. D te. September 20, 2018 Aak (Sign Here) Rachelle L. Dolniak (Print Name Here) Ritschard Bros., Inc. (Name of Company) 1204 W, Sample Street (Address of Company) Sough Bend (City) Indiana (State) 574-288-4777 (Telephone Number) Version 4/17/2015 General Conditions - 10 DEPARTMENT OF PUBLIC WORKS CITY OF SOUTH BEND, INDIANA SPECIAL PROVISIONS J.C. LAUBER SITE IMPROVEMENTS Project No. 118-083B PROJECT DESCRIPTION Work to be performed shall include furnishing all labor, services, materials, insurance and equipment to provide and install PARKING LOTS with ON SITE RETENTION & UTILITY HOOK UPS AND RELATED SITE WORK & IMPROVEMENTS for the J.C. LAUBER BUILDING & improvements according to the intent of the plans and specifications at 504 E. LaSalle AVE. SOUTH BEND, IN IL PREVAILING SPECIFICATIONS AND DESIGN & CONSTRUCTION STANDARDS The City of South Bend's PREVAILING SPECIFICATIONS, most recent version, and DESIGN & CONSTRUCTION STANDARDS, most recent version, are to be used on this project. Each Bid provider is specifically instructed to become completely familiar with the most recent version of the PREVAILING SPECIFICATIONS and the DESIGN & CONSTRUCTION STANDARDS prior to submitting a Bid. Wherever the PREVAILING SPECIFICATIONS refer to "State Specifications," it shall mean the 2018 INDOT Standard Specifications for the letting effective after September 1, 2017. These SPECIAL PROVISIONS will list only "Additions" or "Deletions" to the PREVAILING SPECIFICATIONS and are to be used only in conjunction with the PREVAILING SPECIFICATIONS. In the event of conflict between the SPECIAL PROVISIONS and the PREVAILING SPECIFICATIONS, the SPECIAL PROVISIONS will govern. III. BIDDING REQUIREMENTS A, Prevailing Specifications: 2018, INDOT Standard Specifications Section 102 B. Additions: 1. Each Bid provider shall completely execute and submit the following documents with the Bid: a. City of South Bend Contractor's Bid for Public Work Form b. Bid Bond stating 5% of the total Bid or Certified Check of 5% of the bid. c. 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. Version 7/01/2018 Special Provisions - 1 i A ra September 20, 2018 City of South Bend Board of Public Works 1316 County -City Building South Bend, IN 46601 RE: Pre -Qualification Checklist Enclosed please find the following attachments for approval: Secretary of State report showing our existence is attached. We formerly operated under the name Ritschard Brothers. An OSHA violation is, attached. We have sufficient manpower on hand to complete this project. We are signatory with the operating engineers, laborers and teamsters unions and any additional imanpower required would be obtained thru the corresponding union. All persons working on this project on our behalf will be employees that are members of the operating engineers, laborers or teamsters unions. We utilize the apprenticeship programs of the operating engineers, laborers and teamsters unions. A copy of our drug testing program is attached. Our surety company is Western Surety Company and a copy of their certification is attached. 1204 West Sample Street, - South Bend, Indiana 46619 - PHONE (574) 288-4777 - FAX (574) 288-5438 - E-MAIL: r1t1204@datacruz,com Pre -Qualification Checklist September 20, 2018 Page 2 of 2 Should you require additional information, please call. rely, nald J. Ritsc Enclosure Business Name: RITSCHARD BROS., INC. Entity Type: Domestic For -Profit Corporation Creation Date: 12/06/1961 Principal Office Address: 1204 W SAMPLE ST, SOUTH BEND, IN, 46619, USA Foreign Legal Name: Jurisdiction of Formation: TITLE President NAME RACHELLE DOLNIAK ADDRESS 2004 POPPY CT, MISHAWAKA, IN, 46544, USA BUSINESS INFORMATION CONNIE LAWSON INDIANA SECRETARY OF STATE 09/19/2018 04:23 PM Business ID: 194333-060 Business Status: Active Inactive Date: Expiration Date: Perpetual Business Entity Report Due Date: 12/31/2019 TITLE Secretary NAME DONALD RITSCHARD JR ADDRESS 23593 NORTH SHORE DRIVE, EDWARDSBURG, MI, 491 t2, USA Type: Individual Name: RACHELLE L DOLNIAK Address: 2004 POPPY CT, MISHAWAKA, IN, 46544, USA Indiana Department of Labor Advancing the safety, health and prosperity of Hoosiers in the workplace September 21, 2016 Donald J. Ritchard, Jr. Ritschard Bros Inc 1204 W. Sample St. South Bend, IN 46619 RE: Inspection Number 318014271 Dear Donald J. Ritchard, Jr.: MICHAEL R. PENCE, GOVERNOR Rick J. Ruble, Commissioner 402 West Washington Street, Room W195 Indianapolis, Indiana 46204-2751 Phone: (317) 232-2655 lTNoice: 1-800-743-3333 Fax:(317) 233-3790 Website: wwmin.govldol The recent inspection of your workplace was not initiated as a result of a fatality or a catastrophe and relevealed no instances of repeated, knowing, or failure -to -abate violations. In addition, there were not more than five (5) high -gravity serious violations or penalties issued greater than $7,500.00 for this inspection. Lastly, we do not have any record of your owing unpaid penalties due to IOSHA. Based on the above factors your firm is eligible to take advantage of an Expedited Informal Settlement Agreement (EISA). Under this program, an employer and IOSHA can enter into an Informal Settlement Agreement without going through the informal conference process in the IOSHA office. However, if you decide to enter into the Expedited Informal Settlement Agreement, you should be aware that you relinquish your right to contest the citations and penalties. The Expedited Informal Settlement Agreement can be used only where the sole issue of dispute is the dollar amount of proposed penalties. If you wish to discuss, change, or object to any other aspect of the inspection or citations, including abatement dates, validity of violations, classification of violations, then the Expedited Informal Settlement Agreement cannot be used. Under those circumstances, you may request an informal conference with me and/or exercise your contest rights as explained in the IOSHA Closing Conference Guide which details employer rights and responsibilities following an [OSHA inspection. You should carefully read the enclosed Expedited Informal Settlement Agreement to determine whether the terms of the agreement are acceptable to you. Key elements of the agreement: for IOSHA to agree to a 35 percent reduction in the total penalty amount proposed; for the employer to correct the violations by the abatement date(s) set forth in the citation(s); for the employer to provide evidence of corrective actions taken and to provide written certification that all items have been abated at the time of final abatement. Please note that failure to comply with any of the terms of this agreement will cause the penalty to revert to the initial proposed penalty. The signed agreement and full amount of the reduced penalty (65 percent of the total of initial proposed penalties) must be delivered to the Indiana Department of Labor office prior to the expiration of the 15-working day contest period. To make payment with a debit/credit card, visit http://www.payingov.com/dol/. Write money orders/checks payable to IDOL ►OSHA, and mail to ATTN: (OSHA E►SA, 402 West Washington Street Room W195, Indianapolis, Indiana, 46204. If you have any questions regarding the Expedited Informal Settlement Agreement, please contact this office aM17) 232-1979. or of Construction Safety a OSHA ,Expedifed Informal Sefilemenf Agreement Indiana Departmegt:of'Labor Occupational Safety and Health Adtriinistration 402 W. Washington Street, 'Room W195. ;Iridianapoliss, IN 46264 In the Maiter-of: Ritschard Bras Inch, Inspection Number., 318.014271 .EKPP_DIT1=D INFOVAL SETTLEMENT AGREEMENT Recelv- d WV-29 2016 indiana Dept. of Labor Thd undersigned EMPLOYER and the undersigned Indiana. Occupational Safety and Health Administration (MI-JA),..in. settlement of the -above referenced' Safety Order(s) and Wiil'ication(s) -of Penalty whidh.were issued on -September 2'I, 2016, hereby agree, as follbWe 1. The EMPLOYER agrees to correct the violations as cited in the-abbve ireferdnced safety order(;). 2. The EMPLOYER, agrees to provide evidence of the acflons taken to correct the cited violations, a. [Jpon'corractipn of ally! olations, the EMPLOYER agrees.to provide written eertlficatl0h to I0SHA that all of the violatibns have been corrected. The EMPLOYED agrees to post a copy of the written certifioation for a period of three (3) working days in the same locafibn.where the safety orders were posted as -described in paragraph 6 of this AGREEMENT. 4, IOSHA agrees that the total penalty Is amended to $9,816.15. Fail'urO of the EMPLOYER to comply with the terms of this AGREEMENT shall cause the penalty to teverf to the Initial proposed penalty. 5. in consideration of the foregoing amendinent(s),endfor modificaUon(s). to the safety drder(s), fife EMPLOYER hereby waives its right to contest said safety prder(s). it is' understgod and agreed by the Indiana -Occupational Safbty and Health Administration and the EMPLOYER that the -citaticrt(s) as amended andfor madded by this agreement shall. be. deemed a final order not. subject'to review by any court or agency,.. 6. The °EMPLOYER agrees to immediately post a copy of this Settlement Agreement in the same manner and place as the Safety Orders (Safety Orders at;e required �y taw to be posted In a prominent place.at'or near -the locatlon of the violafion(s). Safety Qrders.must remain pasted untif -that vialatii�ns cited have Been corrected, or`for three. working days (excluding weekends .and federal holidays), wbichever is longer;: 7. Each paryy UrebV agrees to bear its awn fees an-d other expenses incurred by such party in cpnnection with a#ty stage of this proceeding. iP I 1-in Title:'' WIN Date: Certificate of Correction INDIANA DEPARTMENT OF LABOR OCCUPATIONAL. SAFETY AND HEALTH ADMINISTRATION CERTIFICATE OF CORRECTION The undersigned certifies that on (date) 5/25/16 , all of the violations cited On IOSHA Inspection# 318014271 issued on (date} 5/24 - 6/03/16 , were corrected and that a copy of this Certificate of Correction was posted on (date} 5/25/16 in a manner and place for review by affected employees. Enhployer's Signature 9119/2018 Surety Bonds - Certified Companies Washington International Insurance Company (NAIL #32778) BUSINESS ADDRESS: 5200 METCALF, OVERLAND PARK, KS 66202-1391, PHONE: (913) 676-5200. UNDERWRITING LIMITATION bk $8,244,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New Hampshire, West American Insurance Company (NAIL #44393) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116, PHONE: (617) 357-9500, UNDERWRITING LIMITATION b/-. $5,12!2,000, SURETY LICENSES c,ft: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, ID, 1L, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SID, TN, TX, UT, VA, WA, WV, WI, WY. INCORPORATED IN: Indiana. WEST BEND MUTUAL INSURANCE COMPANY (NAIL #15350) BUSINESS ADDRESS: 1900 South 18th Avenue, West Bend, Wl 53095, PHONE: (262) 334-5671. UNDERWRITING LIMITATION bl: $104,114,000, SURETY LICENSES c,M IL, IN, IA, KS, KY, MI, MN, MO, NE, OH!, PA, TN, WI. INCORPORATED IN: Wisconsin. Westchester Fire Insurance Company (NAIL #10030,) BUSINESS ADDRESS: 436 Walnut Street, P.O.Bo,x 1000, Philadelphia, PA 19106. PHONE: (215) 640-1000. UNDERWRITING LIMITATION b/: $22,345,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, LIT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. Western National Mutual Insurance Company (NAIL #15377) BUSINESS ADDRESS: P0. BOX 1463, MINNEAPOLIS, MN 55440. PHONE: (952) 835-5350. UNDERWRITING LIMITATION bl: $46,9,98,000. SURETY LICENSES c,f/: AK, AZ, AR, CA, CO, DE, ID, IL, IN, IA, KS, KY, MID, MI, MN, MO, MT, NE, NV, NJ, NM, ND, OH, OK, OR, PA, RI, SD, TX, UT, WA, WI, WY. INCORPORATED IN: Minnesota. Western Surety Company (NAIL #13188) BUSINESS ADDRESS: 151 N. FRANKLIN ST., CHICAGO, IL 60606. PHONE: (312) 822-5000. UNDERWRITING LIMITATION b/: $151,958,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, C& CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, ILA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: South Dakota. Westfield Insurance Company (NAIL #24112) BUSINESS ADDRESS: R 0. Box 5001 , Westfield Center, OH 44251 - 5001, PHONE: (330) 887-01'01. UNDERWRITING LIMITATION bf: $127,843,000, SURETY LICENSES o,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, ND, NE, NV, NH, NJ, NM, NY, NC, OHI, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio. Westfield National Insurance Company (NAIL #24120) BUSINESS ADDRESS: P. 0. Box 5001 , Westfield Center, OH 44251 - 5001. PHONE: (330) 887-0101. UNDERWRITING LIMITATION b/: $31,722,000. SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, DE, FL, GA, IL, IN, 1A, KY, MD, MI, MN, NM, NC, ND, OH, OK, PA, SC, SD, TN, TX, VA, WV, WI. INCORPORATED IN: Ohio. Westport Insurance Corporation (NAIL 939845) BUSINESS ADDRESS: 5200 METCALF AVENUE, OVERLAND PARK, KS 66202 -1391, PHONE: (9,13) 676- 5200. UNDERWRITING LIMITATION b/: $121,403,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, 1A, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Missouri. ,L_Back To Tarp M XL Reinsurance America Inc. (NAIL #20583) BUSINESS ADDRESS: 70 SEAVIEW AVENUE, STAMFORD, CT 06902. PHONE: (203) 964-5200. UNDERWRITING LIMITATION b/: $173,303,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Now York. XL Specialty Insurance Company (NAIL #37885) BUSINESS ADDRESS: 70 SEAVIEW AVENUE, STAMFORD, CT 06902, PHONE: (203) 964-5200. UNDERWRITING LIMITATION b/: $31,352,000. SURETY LICENSES cjt: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, LIT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Delaware, t,--.Back To Top Y http,s://www.fiscal.treasury.gov/fsreports/ref/suretyBnd/c570—a-z.htm#w 22123 RITSCHARD BROS., INC. September 20, 2018 MAJOR COMPLETED PROJECTS Superior Building Holladay Construction Group $314,204.00 Earthwork/Site Utilities 8/2015 Martin's Super Market #8 Martin's Super Markets, Inc. $477,935.00 Demolition/Earthwork/Site Utilities 8/2016 ABC Supply Inc. Holladay Construction Group $252,259.00 Earthwork/Site Utilities 4/2017 Permanent Supportive Housing South Bend Heritage $292,771.00 Earthwork/Site Utilities 8/2017 Homes 2 Suites Shiel-Sexton Co., Inc. $578,357.00 Earthwork/Site Utilities 8/2017 LaPorte High School — Performing Arts Center Ziolkowski Construction, Inc. $614,600.00 Demolition/Earthwork/Site Utilities 8/2018 Notre Dame Badin Hall University of Notre Dame $220,400.00 Earthwork/Site Utilities 12/2017 PROJECTS COMPLETED FOR THE STATE OF INDIANA Armed Forces Reserve Center State of Indiana $1,779,200.00 Site Demolition/Earthwork/Site Utilities 11/2016