HomeMy WebLinkAboutOpening of Bids - Gemini at Washington-Colfax Apartments - Project No 118-080B - Pauls Welding Inc - Bid Security Chk SubmittedDate:
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CITY OF SOUTH BEND, INDIANA JO
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Gemini at Washington -Colfax Apartments — MASONRY & STAIR REPAIR
Project No. 118.080B
For Kids Due October 4, 2018
PART I
(Must be completed for alll bids
1015/18 Bidder (Firm):
Address: 7930 West 1000 North
City/State/Zip: Nappanee, IN 465
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersig
public works project of:
Please type or print)
PWI
Telephone Number: ( 574 ) 646-2015
is to furnish labor and/or material necessary to complete the
Fire Stair Demolition(2.02) anid Fire Stair Installation Division 13
the City of South Bend, Indiana, in accordance with, plans and specifications prepared by:
South Bend Heritage Foundation, linc,
and dated 10/5/18
for the sum of (enter the Total Bid as shown on the Proposal)
one hundred and sixty-eight thousand eight hundred and forty-four dollars ($ 168,844
(Enter sum of Total Base Bid plus Alternates shown on Proposals) (Numerical)
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified
!in the notice of the leffing. If alternative bids apply, the undersigned submits a proposal for each in
accordance with the notice. Any addendurns attached will be specifically referenced at the applicable
page.
If additional units of material included in the contract are needed', , the cost of units must be the same as
that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a
unit basis, the itemization of the units shall b h separate attachment.
By � , Kvle D, Miller (Signature)
IiAyffkvr�
The above bid is accepted this day of
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
(Printed Name of Person Signing)
Suzanna M. Fritzberg, Member
Therese J, Dorau, Member
James A. Mueller, Member Attest: Linda M. Martin, Clerk
017
Version 7/20/2018 Contractor's Bid for Public Works - 2
BIDIPROPOSAL
CITY OF SOUTH BEND
Project Name: Gemini at Washington -Colfax Apts — MASONRY & STAIR REPAIR
Project Number: 118-080B
For Bids Due. October 99 2018
Contractor Name:
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
Masonry Repair section A (see drawing
1
page A2.4) — rebuild parapet including
1
LS
reset 2 finials
Masonry Repair section B (see drawing
2
page A2.4) — rebuild parapet including
1
LS,
reset 2 finials
UNIT PRICES — Division A
Item
Description,
Quantity
Unit
Unit Price
Total Amount
I
Unit price: replace one 3rd floor lintel
EA
below a section of rebuilt para2et,.'.'..,
2
unit price: replace deteriorated 1 lineal
EA
foot of structural terra cotta with CMU
3
Unit Price: credit to repoint each 1 lineal
EA
foot of paraet in lieu of rebuilding
Item
No.
Description
Quantity
Unit
Unit Price
Division B Base Bid: replace
1
LS
southernmost 2 fire stairs.
2
Division B Add Alternate:replace
LS
r.,1-2
-1
northern most 2 fire stairs
1
Bidder (Firm): W J�
Address: 0 I/V 0 0 o
City/State/Zip: DV '/ 6 '50 Telephone Number: ( f'7'1) 6#61 20 IS
By
(Signature)
1<
/ (Printed Name of Person Signing)
'Version 7/20/2016 Contradoi's Bid fOf Public Works - 6
Ha
B, 1',; 4 6 1 8 3 PFACY T D F �74,2 1 S -S:; 7
I, k"K Le k J 1, '1 x Ot-Al- 11 1"0 st A,I�11
Date:
To:
From
Subject
Project Narne:
Project No.:
ACKNO
Date Received:
October 4, 2018
All Planholders
Linda M. Martin, Clerk, Board of Public Works
Addendum Number: I
GEMINI APARTMENTS ATWASHINGTON-COLFAX
MASONRY AND STAIR REPAIR
1,18-080B
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.
11,6141,11
Notes:
The attached documents are hereby added to the Specifications and Contract Documents and
become part of herein.
Company: P W
Authorized Signature:
Date:
GEMINI APARTMENTS AT WASHINGTON-COLFAX
MASONRY & STAIR REPAIR
PROJECT NO. 118-080B
ADDENDUM NO. 1
Date: October 4, 2018
To: All Plan Holders
From: Patrick Lynch
You must acknowledge receipt of this addendum by signing the first page and returning a copy
with your bid.
The following clarifications of the special provisions are offered in response to questions and
comments received via email and at the Pre -Bid Meeting held on October 1, 2018:
The items included in the addendum are to become apart of the Original Plans and
Specifications as if included therein. Only these items are to be altered. The remainder of the
Original Plans and Specifications remain valid in their entirety.
The Special Provisions are modified as follows:
1) Document: Responsible Bidder Checklist.
Page: General Conditions-7
Change: date indicated on the "For Bids Due" line is changed from Oct. 4, 2018 to Oct.
9, 2018.
2) Document: Contractor's Bid for Public Work - Checklist for Bidders
Page: Contractor's Bid for Public Work —1
Change: date indicated on the "For Bids Due" lure is changed from Oct. 4, 2018 to Oct.
9, 2018.
3) Document: Contractor's Bid for Public Work
Page: Contractor's Bid for Public Work ---- 2
Change: date indicated on the "For Bids Dike" line is changed from Oct. 4, 2018 to Oct.
9, 2018.
4) Document: Special Provisions
Page: Special Provisions —1
Change: Replace the first paragraph in its entirety with:
PROJECT DESCRIPTION
Division A: Masonry parapet repair and/or repoinf. Provide a lump sum price to rebuild
brick veneer at each of the Section A and Section B parapet walls indicated on drawing
sheet A2.4 as revised in this addendum. Assume that the structural terra cotta behind
the brick veneer is intact and sound. Provide unit price to replace 1 LF of structural terra
cotta with CMU block if deterioration is encountered when rebuilding the brick veneer.
Provide a credit unit price to repoint 7LF section of wall in lieu of rebuilding. Provide a
unit price to replace and flash a third floor window lintel below a section of wall that is
being rebuilt.
5) Document:
Page: Contractor's Bid for Public Work — 8
Change: Page 8 of the bid form document is changed in its entirety and is replaced as
follows:
6) Document: Drawing set, Roof Plan
Sheet: A2.2
Change: Roof plan now divides the parapet rebuild work into two sections. Section A
and Section B. Each section is referenced as a lump sum line item on the bid form.
These two sections of parapet brick/limestone veneer are to be rebuilt as described in the
specifications. Additionally, contractor shall provide unit prices to accommodate any
deteriorated structural terra cotta block, sections of wall that only require repointing, and
deteriorated steel window lintels.
-- end of addendum I --
I WMITOA 1011c9a ":s lia;-Wis Xviloods3M gza-Lig , 9
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117hetr the prospective Contractor is rtttrrGle to certify to aikj} of'the statements below, it shall attack an r_,rplanation to this Affi(lrrrit.
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:
Koskiusko COUNTY }
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of pequry
that:
1. Contractor has not, nor has any other member, representative, or agent of the finn, company,
corporation or partnership represented by him, entered into any combination, collusion or agreement with
any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding
nor to induce anyone to refrain from bidding. and that this bid is made without reference to any other bid
and without any agreement, understanding or combination with any other person in reference to such
bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive
directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals
are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded
from participation in this transaction by any Federal department or agency; and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in
investment activities in Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any
agency or itastrurnentality of Iran, or as otherwise defined at hid, Code § 5-22-16.5-5,
as amended from time -to -time.
b. As provided by hid. 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 oftwenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
ii. Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more in credit to another person for
forty-five (45) days or more, if that person will (i) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration.
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any
employee or contract with a person that the Contractor subsequently learns is an unauthorized alien.
Version 7/20/2018 Contractor's Bid for Public Works - 5
Contractor agrees that he/she/it shall enroll in and verify (lie work eligibility status of all of Contractor's
newly hired employees through the E-Verily Program as defined by I.C. 22-5-1.7-3. Contractor's
documentation of enrollment and participation in the E-Verify Program is included and attached as part of
this bid/quote; and
5. Contractor shall require his/her/its subcontractors 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 i-vith (he City of South Bend, and
understands that the City may terminate the contract for default if the Contractor fails to cure a breach of
this provision no later than thirty (30) days after being notified by the City.
b. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City
of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or
applicant for employment in the performance of a City contract with respect to hire, tenure, terms,
conditions, or privileges of employment, or any matter directly or indirectly related to employment because
of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity; sexual
orientation or disability that does not affect that person's ability to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any
combination of the foregoing including, but not limited to, public works contracts awarded under public
bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards,
or commissions may consider the Contractor's good faith efforts to obtain participation by those
Contractors certified by (lie 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 inay not unlawfully discriminate against said WBE/MBE. A finding of a
discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from
being awarded a City contract for a period of one (1) year from the date of such determination, and such
determination may also be grounds for terminating the contact for Nvbich the discriminatory practice or
noncornpliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination commitment shall be
made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any
of its agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in
the performance of this contract with privileges of employment, or any matter directly or indirectly related
to employment, because of race, religion, color, sex, gender- expression, gender identity, sexual orientation,
handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of
contract.
1, the undersigned Bidder- or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). 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 1 have an affirmative
duty to notify the City in my bid that my proposal does not include the use of steel products or foundry
products made in the United States, I understand it is my sole obligation and responsibility to provide a
justification to the City, subject to review and approval, why the cost of United States made steel or
foundry products is unreasonable. Prior- to award and upon submission of bid which does not use steel
products or foundry products made in the United States, the City, through its director- of public works, shall
make a determination if the price of United States made steel or foundry is unreasonable. I understand that
violations hereunder may result in forfeiture of contractual payments.
Version 7/20/2018 Contractor's Bid for Public Works - 6
I hereby affirru under the penalties of perjury that the facts and infonuation contained in the foregoing bid
for public works are true and correct.
Dated this 5 day of October 20 18
KENDRA GINGERICW
Notary Public
SEAT.
State of Indiana
MY Commission Expirea February 15, 2025
Subscribed and sworn to before me this
My Commissioa Expires (O• ���
County of Residence
PWI
Contractor/Bidder (Finu)
Le,L�
Signature of Contract ' er or Its Agent
_Kyle D. Miller - Project Manager / Sales
Printed Name and Title
. day of QCk • , 20 1
V, Id C, z A 01,e jd
Notar), Public
E (Knav+
Version 7/20/2018 Contractor's Bid for Public Works - 7
N EM TieTTEM
Project Name Gemini Washington -Colfax Apartments — MASONRY& STAIR REPAIR
Project No. 118-08013
For Bids Due October 4, 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 requ�irements. In preparing your blid, please use the
following checklist in order to make sure that your bid is done in the proper manner.
Proper bid security iincluded, The bidder has the option of providing either a Certified Check
or Bid Bondl.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
V execulted.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
V Certification of use of United States Steel Products or Foundry Products.
Proof Of IMBEANBE Participation Goal Form [MWBE-1.0]. If milnimuirn participation goal is not
met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted
NA Form [MWBE-2.1].
NA Acknowledge Receipt of Addendum(s) included with the bid.
V All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
V 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
refieve the bidder of the need to read and comply with the specifications.
Bidder: PWI Date: 10/5/18
By Authorized Repr
Signature:
Print Name & Title: Kyle Miller - Project Manganer / Sales
Version 7/20/2018 Contractor's Bid for (Public Works - 1
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name Gemini Washington -Colfax Apts. — MASONRY & STAIR REPAIR
Project No. 118-080B
For Bids Due October 4, 2018
Contractor Name: PWI (Paul's Welding Inc.)
The City seeks to enhance its ability to identify responsive and responsible bidders on all City public
works projects by institution of comprehensive submission requirements in compliance with State law.
Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders
meet certain minimum requirements to be responsive and responsible bidders.
THIS FORM MUST BE SUBMITTED WITH YOUR BID.
INSTRUCTIONS:
If you are a pre -qualified bidder, complete Section I only.
If you are not a pre -qualified bidder, complete Section II only.
Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be
considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre -
qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6-
63 of The Responsible Bidding Ordinance No. 10694-18 (hereinafter, "Responsible Bidding Ordinance")
for a period of twelve (12) months.
Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre -
qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified
Bidders") by December 31 si 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 7/20/2018 General Conditions - 7
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 7/20/2018 General Conditions - 8
PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
W By checking this box, I hereby acknowledge that I am a pre -qualified bidder with
the City of South Bend and that I have met the pre -qualification requirements
within the last twelve (12) months. A copy of my Pre -Qualification verification
letter is attached.
(ii) By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided by me, and may also conduct random inquiries of my current and prior
customers.
(b) Attachments:
0 Indiana Secretary of State's on-line records (ie. Business verification) dated
within sixty (60) days of the submission of said document showing that business
is in existence, current with the Indiana Secretary of State's Business Entity
Report, and eligible for a certificate of good standing. (Not applicable to
individuals, sole proprietors or partnerships).
(ii) Statement on staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work.
It outlines how I intend to meet the staffing needs of the work.
(iii) _ Evidence that I am utilizing a surety company which is on the United States
Department of Treasury's Listing of Approved Sureties as required in the bid
specifications or contract.
(iv) _ List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within the last three (3) years.
Version 7/20/2018 General Conditions - 9
Ill. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements:
(i) By checking this box, I hereby acknowledge that I am not a pre -qualified bidder
with the City of South Bend.
(ii) 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, I hereby acknowledge that copies of all Applicable
apprenticeship certificates or standards for training programs applicable to the
work performed on the project may be requested at any time and shall be
furnished upon request.
(iv) By checking this box, I hereby acknowledge and ensure that I and all sub-
contractors, from whom I have accepted a bid and/or intend to hire to perform
work on the public work project, are properly licensed. Furthermore, I
acknowledge my understanding that it is my responsibility to ensure that all sub-
contractors have the necessary licenses to undertake the work called for in this
bid. If a sub -contractor loses their license at any point, it is the responsibility of
that sub -contractor to notify the City.
(b) Attachments:
(i)
Indiana Secretary of State's on-line records (ie. Business verification) dated
within sixty (60) days of the submission of said document showing that business
is in existence, current with the Indiana Secretary of State's Business Entity
Report, and eligible for a certificate of good standing. (Not applicable to
individuals, sole proprietors or partnerships).
(ii) _V
List identifying all former business names.
(iii) NA
Any determinations by a court or governmental agency any violations of federal
state, or local laws including, but not limited to, violations of contracting or
antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and
Health Act (OSHA), or federal Davis -Bacon and related Acts, within the
preceding five (5) years.
(iv) A/_
Statement about staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work I
am bidding on OR outlines how I intend to meet the staffing needs of the work.
(v)
Statement that individuals who will perform work on the public work project on my
behalf will be properly classified as an employee or as an independent contractor
under all applicable state and federal laws and local ordinances.
NO NA
Evidence of participation in apprenticeship and training programs, applicable to
the work to be performed on the project, which are approved by and registered
with the United States Department of Labor's Office of Apprenticeship, or its
successor organization.
(vii)
Copy of a written plan for employee drug testing that covers all of my employees
who will perform work on the public work project and meets or exceeds the
requirements set forth in IC 4-13-18-5 or IC 4-13-18-6.
(viii) NA
Evidence that I am utilizing a surety company which is on the Bureau of Fiscal
Service "Department of Treasury's Listing of Approved Sureties" as required in
the bid specifications or contract.
Version 7/20/2018 General Conditions - 10
(ix) NA 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.
(0 '�4 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.
Date: 10/5/18
4
(Sign ere)
Kyle D, Miller
(Print Name Here)
PWI
(Name of Company)
7930 West 1000 North
(Address of Company)
Nappanee
(City)
Indiana
(State)
1 (574) 646-2015
(Telephone Number)
Version 7/20/2018 General Conditions - 11
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 II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Attach an explanation of your plan or layout for performing proposed work. (Examples could
include a narrative of when you could begin work, complete the project, number of workers,
etc. and any other information which you believe would enable the City of South Bend to
consider your bid.)
2. Attach a listing of the names and addresses of ail subcontractors (i.e. persons or firms
outside your own firm who have performed part of the work) that you have used on public
works projects during the past five (5) years along with a brief description of the work done
by each subcontractor.
3. If you intend to sublet any portion of the work, attach the name and address of each
subcontractor, equipment to be used by the subcontractor, and whether you will require a
bond. However, if you are unable to currently provide a listing, please understand a listing
must be provided prior to contract approval. Until the completion of the proposed project,
you are under a continuing obligation to immediately notify the City of South Bend in the
event that you subsequently determine that you will use a subcontractor on the proposed
project.
4. Attach a listing of equipment you have available to use for the proposed project.
5. Have you entered into contracts or received offers for all materials which substantiate the
prices used in preparing your proposal? If not, attach an explanation for the rationale used
which would corroborate the prices listed.
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said
financial statement as required by statute shall thereby be rendered invalid. The financial
statement provided hereunder to the City of South Bend awarding the contract must be specific
enough in detail so that said City of South. Bend can make a proper determination of the
bidder's capability for completing the project if awarded.
Version 7/20/2018 Contractor's Bid for Public Works - 3
Version 7/20/2018 Contractor's Bid for Public Works - 4
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CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS Igo
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBEfVVBE participation. It is the bidder's sole
responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority
or Women's owned business as defined by the Indiana Department of Administration ("IDO-5"). )
Project Number-, 118-080B Date:
Project Name: Gemini Washington -Colfax. Apartments.. —..MASONRY & STAIR REPAIR
Bidder:
Contact Person:
Address:
City:
Kyle Miller Telephone: 574-221-9225
0 �60 0 IMILA
Nappanee state: Indiana
Email: kmiller@pwiworks.com
EWA•
To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE utilization goals set
forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or
commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*-.
EVIDENCE OF GOOD FAITH EFFORTS
MBEIWIBE 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.gov/idoa).
ACTION (ADVERTISEICONTACT): In order for your bid to be deemed responsive, the City of South
Bend requires that all, perspective bidders complete no less than 2 of the following:
1. Attend all pre -bid meetings scheduled by the City to inform MBENVBEs of contracting and
subcontracting opportunities.
2. Advertise in general circulation and/or trade association publications concerning
subcontracting opportunities, and allow MBENVBEs reasonable time to respond.
3. Perform any and all necessary steps to provide written notice in a manner reasonably
calculated to inform MBENVBEs of subcontracting opportunities and allowed sufficient time for
them to participate effectively.
4. Utilize pro -existing services of available community organizations, small and/or disadvantaged
business assistance offices and other organizations that provided assistance in, the
recruitment and placement of MBENVBE firms.
"Bidder must circle or otherwise notate which of the two (2) required actions were performed.
GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with, interested MBE/WBES,
including providing such MBE/WBE's with adequate information about the plans, specifications and
other requirements of the subcontract and did not reject MBENVBEs 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 MBENVBE goals (including breaking
down contracts into smaller units to facilitate MBENVBE participation)
CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has
bid on the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MBENVBE was unqualified to perform the job.
*Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version, 7/20/2018 Contractor's Bid for Public Works - 10
This completed form 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.
Project Number: 118-080B
PAGE OF,
MBEIWBE Participation Goal
Project Name: Gemini Washington -Colfax Apartments — MASONRY & STAIR REPAIR
Bidder: PWI - Kyle Miller
By: Project Manager 1 Sales 10/5118
(Signature) (Title) (Date)
MBENVBE Firm
Owner or Contact at MBENVBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBENVBE FIRM:
MBEIWBE Firm
Owner or Contact at MBEIWBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBEIWBE FIRM:
Version 7/20/2018 Contractor's Bid for Public Works - 11
DIVISION 2 — DEMOLITION
2.01 Masonry Demolition
1. Before work begins, conduct through inspection of existing parapet. In coordination with
SBH, determine which sections of parapet must be rebuilt and which sections can be
repointed. Determine which, if any, third floor steel lintels should be replaced. Priority is to be
given to the most decayed areas and the efficient allocation of the unit prices. Contractor to
provide a written schedule, staging, and plan for completing the designated work.
New 60 mil EPDM roof membrane will not be secured to parapet. Roof work will leave the
membrane edge in a configuration that may be folded back to complete the adjacent coping
and wall work. Mason must protect the roof membrane from damage during masonry work. It
is the mason's responsibility to not puncture, tear, or in any way damage the EPDM
membrane. Mason to provide night and weekend weather protection to the underlying
structure. After masonry work is complete, roof contractor will return to secure membrane to
coping and install aluminum coping cap.
3. Carefully remove existing masonry units, clean, and stack for reuse.
4. Contractor is responsible for removing waste generated by their work from the job -site,
Coordinate dumpster location with SBH. Coordinate truck and/or lift access with SBH.
2.02 Fire Stair Demolition
Remove existing fire steel fire stairs from the east side of the building including landings,
rails, treads, and support posts. Care must be taken to either cut or carefully remove any
steel elements built into the existing masonry walls. Notify SBH of any new or existing
damage to surrounding masonry walls.
2. Equipment access to east side of the building is limited. SBH will arrange lift and crane
access with the adjacent property owner.
3. Assess suitability of existing concrete piers for reuse. SBH to remove and replace any piers
determined to be unusable. Location of any replacement piers and type of anchors to be
indicated on fabrication shop drawings.
DIVISION 4 - MASONRY
SECTION 040100 - MAINTENANCE OF MASONRY
PART 1 GENERAL
1.1 SECTION INCLUDES
C. Repointing mortar joints, rebuilding of deteriorated masonry, and decorative finial restoration.
1.2 REFERENCE STANDARDS
A. ACI 530/530.11ERTA - Building Code Requirements and Specification for Masonry Structures;
American Concrete Institute International; 2009.
1.3 ADMINISTRATIVE REQUIREMENTS
A. Preinstallation Meeting: Convene one week prior to commencing work of this section.
1. Require attendance of parties directly affecting work of this section.
2. Review conditions of installation, installation procedures, and coordination with related
work.
B. Scheduling:
1. Perform cleaning and washing of masonry between the hours of 7 am to 6 pm only.
1.6 SUBMITTALS
A. See Special Provisions section - Submittals for submittal procedures
C. Product Data: Provide data on cleaning compounds.
E. Manufacturer's Instructions: For cleaning materials, indicate special procedures, conditions
requiring special attention.
1.7 MOCK-UP
A. 3' x 3' area or rebuilt or repointed masonry to assess mortar color. Approved mock up may
become part of the finished work.
1.8 DELIVERY, STORAGE, AND HANDLING
A. Deliver masonry neatly stacked and tied on pallets. Store clear of ground with adequate
waterproof covering.
PART 2 PRODUCTS
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A. Restoration and Cleaning Chemicals:
1. Diedrich Technologies, Inc : www.&edri h q�qh qL �e corn, or approved equal,
__.g.1L -.!I- 0(mi
2. PROSOCO ; Product BioKlean and EK Restoration Cleaner: VAwj,2osoco.corn. or approved
equal,
3, Masonry sealant: Prosoco or approved equal water based penetrating siloxane clear sealant,
4. Flashing at new steel lintel: HB TeXtroflash or approved equal.
2.2 MASONRY UNITS
1. Existing intact brick and limestone units to be cleaned and reused.
2. Assume that all stone and cast decorative pieces can be reused.
3. Replacement brick blend to be determined.
4. Four existing decorative cast concrete urns to be carefully removed, cleaned, patched, and
reset as part of a unit price. New limestone block below reset urns per detail.
5. Replacement terra-cotta structural block — any damaged and removed terra cotta structural
blocks to be replaced with new CMU masonry units. Thickness of new units to be compatible
with existing adjacent terra cotta blocks.
2.3 MORTAR MATERIALS
A. For repointing, provide type "0"' Lime Putty Mix Mortar, with sieved and grades clean,
aggregate to match existing mortar, or approved equal. Provide mock-up sample for
Owner/Architect review and approval.
B. For rebuilt walls, provide type "N" mortar.
C. Aggregate for Mortar: ASTIM C 1144.
1. Colored -Mortar Aggregate: Natural or manufactured sand selected to produce mortar
color indicated.
5. For pointing mortar, provide sand with rounded edges.
3. Match size, texture, and gradation of existing mortar as closely as possible.
MAINTENANCE OF MASONRY 040100-3
2.3 CAST STONE CEMENTITIOUS PATCHING MATERIAL
A. Cathedral Stone Products, Inc.: www.cathedralstone.com Jahn "M90" for precast concrete at
cracked cast concrete features or approved equal.
PART 3 EXECUTION
3.1 EXAMINATION
A. Verify that surfaces to be cleaned are ready for work of this section,
3.2 PREPARATION
A. Protect surrounding elements from damage due to restoration procedures.
B. Carefully remove and store removable items located in areas to be restored, including fixtures,
fittings, finish hardware, and accessories; reinstall upon completion.
C. Separate areas to be protected from restoration areas using means adequate to prevent damage.
D. Cover existing landscaping with tarpaulins or similar covers.
E. Mask immediately adjacent surfaces with material that will withstand cleaning and restoration
procedures.
F. Protect roof membrane and fiashings from damage with 112 inch plywood laid on roof surfaces
over full extent of work area and traffic route.
G. When using cleaning methods that involve water or other liquids, install drainage devices to
prevent runoff over adjacent surfaces unless those surfaces are imperious to damage from
runoff.
H. Do not allow cleaning runoff to drain into sanitary or storm sewers.
3.3 REPOINTING
A. Perform repointing prior to cleaning masonry surfaces.
B. Cut out loose or disintegrated mortar in joints to minimum 112 inch to % inch depth or until
sound mortar is reached.
C. Use power tools only after test cuts determine no damage to masonry units will result.
D. Do not damage masonry units.
E. When cutting is complete, remove dust and loose material by brushing.
F. Premoisten joint and apply mortar. Pack tightly in maximum 114 inch layers. Form a smooth,
compact concave joint to match existing.
G. Moist cure for 72 hours.
H. Re -pointed head joints of stone band with a soft caulked joint to match color of stone with sand
finish broadcast while sealant has not set and is still wet (do not use standard lime putty mortar
joint). Level of brick masonry damage requiring brick replacement include: spalled brick
(beyond'/" depth and 1 " x 1" square, cracked brick (crack running completely through the
unit).
3.4 REBUILD MASONRY PARAPET
A. Carefully fold back and temporarily secure EPDM roof membrane at work area. Protect
membrane and roof deck from damage during masonry work with plywood. Do not puncture
EPDM membrane. Use separate tarp or other means for rain/night protection.
B. Support roof structure as necessary in advance of removing parapet masonry.
C. Remove limestone coping cap and inspect condition of masonry wall below coping cap. Remove
decorative limestone urn and connection bar where occurs. Carefully remove face masonry
down to and including limestone trim band. Notify Owner if structural terra cotta substrate is
deteriorated. Notify Owner if joists behind or bearing into the terra cotta are damaged or
unsupported.
D. Inspect condition of steel lintels immediately below work area. Recommend to Owner if further
masonry disassembly and replacement of lintel is recommended.
E. Clean individual masonry units of old mortar and prepare for reuse. Stack carefully and protect
from damage. All limestone trim and quoins to be reinstalled in the same location removed from.
P. Replace damaged or deteriorated structural terra cotta with new CMU masonry of same thickness
as intact adjacent terra cotta blocks.
G. Relay original limestone trim band, any mist. limestone trim pieces, original bricks, and limestone
coping into their original configuration to match and align with existing, with joints and coursing
true and level, faces plumb and in line. If decorative limestone urn was removed reinstall with
new steel connection bar. Build in all openings, accessories and fittings.
H. Mortar used to relay parapet masonry to be of appropriate softness to be compatible with historic
masonry units. Color and proportion to match existing work. Match aggregate sand in mortar to
obtain similar color and texture as original mortar.
I. Backer rod and elastomeric sealant at limestone coping head joints. Sonoborne NP-1 or
approved equal. Color to match limestone.
J. Secure EPDM membrane to top of limestone coping when finished with parapet section using the
same interim method employed by the roofing contractor. Roofing contractor will return and
install aluminum coping cap over limestone coping per detail. Carefully inspect and vacuum
clean decking/insulation of any loose masonry or mortar before securing EPDM.
3.6 CLEANING REPOINTED & REBUILT MASONRY
A. Verify mortar is fully set and cured.
B. Clean surfaces and remove large particles with wood scrapers, brass or nylon wire brushes.
C. Scrub walls with muriatic acid cleaning solution using stiff brush. Thoroughly rinse and wash off
cleaning solution, dirt and mortar crumbs using clean, pressurized water.
D. Before solution dries, rinse and remove acid solution and dissolved mortar, using clean,
pressurized water.
3.7 CLEANING
A. Immediately remove stains, efflorescence, or other excess resulting from the work of this Section.
B. Remove excess mortar, smears, and droppings as work proceeds and upon completion.
C. Clean surrounding and adjacent masonry surfaces.
3.8 SEALANT
A. Apply clear siloxane sealant to repaired precast concrete finial urns.
DIVISION 13 — SPECIAL. CONSTRUCTION
13.01 Fire stairs - General
1. Base Bid: Provide and install 4 sets of fire stairs as indicated on the drawings, New stairs to
match general tread & riser configuration of the existing fire stairs.
2. Alternate bid: In lieu of replacing the 4 fire stairs on the east side of the building, replace
only the two southern fire stairs on the east side of the building.
3. For purposed of this bid, assume that any adjustments or repairs required to the concrete
flatwork or supporting piers at finish grade will be made by other.
6. Assume truck and lift access to east elevation via adjacent property will be available. SBH
will coordinate this access with adjacent property owner.
7. Storage, overnight staging, dumpsters or other similar items shall not be set on adjacent
property.
8, Removal of existing wood fence to facilitate stairway work will be by SBH.
13.02 Demolition — refer to Division 2.
13.03 Building code
Building code InBC 2014 (IBC 2012 + Indiana amendments).
IBC Chapter 34 Section 3404 exception 1 allows for the new stair tread & riser configuration to
match the existing (to be replaced) configuration. Other than stair treads and risers, new stair
must comply with IBC Section 1009. Risers shall be solid. Handrails and guards shall comply
with IBC Section 1012 except in cases where full extension of handrails would create a hazard.
13.03 Tread and Landing Materials
8 518" bar grate stair treads (excluding winders) with checker plate nosing. Treads to be 1 1/"
bar height and 3116" bar thickness.
Winder treads may be bar grate wl diamond plate nosing or plain 118" thick checker plate at
contractor's option.
Solid risers from checker plate.
Landings to be 1.25" bar grate with checker plate nosing at top riser. 1 '/4" bar height and
3/16" bar thickness.
8" steel channel construction for stair stringers. 7" steel channel for landings.
1.6" OD Round Tubular Handrail on both sides of stairway and at 36" from top of tread and as
otherwise required by code.
13.04 Finish: Black ext paint — primer + 2 coats black epoxy finish. Touch up in the field after erection.
13.05 Submittals
1. Shop drawings indicating profiles, sizes, connection attachments, reinforcing, anchorage,
size and type of fasteners, and accessories. Include erection drawings and connections
using standard AWS A2.0 welding symbols. Indicate net weld lengths.
END OF SECTION
Page I of I
PWI Staffing Information
October 5, 2018
7930 W. 1000 N.
Nappanee, IN 46550
574-646-2015 fax 574-646-2203
pw1wo4o'com
PWI will perform all work for SBH Washington Colfax project using its existing workforce of 60
employees. No shop work or on -site work will be performed by or outsourced to any other sub.
contractors. PWI employees approximately 25 personnel for shop work and crews with a
total of 20 on -site personnel. All personnel working on project are licensed to work in the state
of Indiana and are AWS Qualified Welders.
Page I of I
PWI Similar Projects
October 5, 2018
7930 W. 1000 N" ' Nappanee, IN 46550
574-646-20 15 fax 574-646-2203
pwiwotks.com
Grand Design RV Bldg. 6, 7, 8, and 9.
Jayco RV 80 and 82
Thor Motorcoach 240
Each building had 3-8 stairways similarly constructed to Ibid job
Numerous stairway jobs for local houses of worship including Northview Church
We currently have (70) stairs on queue to fabricate and install
Page I of I
Previous Company Names
Ocfober 5, 2018
7930 W. 1000 N.
Nappanee, IN 46550
574-646-2015 fax 574-646-2203
pw1works,cam
Year 1979: Established Name: Paul's Welding and Repair
Year 2004: Changed Name: Paul's Welding Inc.
Year 2018: Paul's Welding Inc, ( Doing Business As: PWI)
State of Indiana
Office of the Secretary of State
Certificate of Assumed Business Name
of
PAUL'S WELDING, INC.
In Witness Whereof, I have caused to be affixed my
signature and the sea[ of the State of Indiana, at the City of
Indianapolis, January 05, 2017.
CONNIE LAWSON
SECRETARY OF STATE
2004072000013 / 7470S57
To ensure the certificate's validity, go to https://bsd.sos.in.gov/PubiicBusinessSearch
PENDING APPROVAL.
CONNIE LAWSON
INDIANA SECRETARY OF STATE
05/07/2018 07:38 AM
BUSINESS ID 2004072000013
BUSINESS TYPE Domestic For -Profit Corporation
BUSINESS NAME PAUL`S WELDING, INC.
ENTITY CREATION DATE 07/19/2004
JURISDICTION OF FORMATION Indiana
PRINCIPAL OFFICE ADDRESS 7930 W 1000 N. Nappanee, IN, 465509 USA
YEARS 2018/2019
EFFECTIVE DATE 05/07/2018
EFFECTIVE TIME 739 AM
REGISTERED AGENT TYPE Individual
NAME Ryan Miller
ADDRESS 7930 W 1000 N, Nappanee, IN, 46500, USA
SERVICE OF PROCESS EMAIL rmillera pwiworks,com
I acknowledge that the Service of Process email provided above is (he email address at which clectronic service of process may be accepted and
is publicly viewable,
A.
L0
Substance Abuse Policy
For
Paul's Welding Inc
DBA: PWi
7930 W 1000 N
Nappanee, IN 4646550
Forward
Paul's Welding inc most vital concerns are the safety, health, and well being of
its employees and all people who come into contact with its workforce, property,
and/or its products, and services. It is our goal to provide a healthy, satisfying
work environment that promotes personal opportunities for growth Furthermore,
our employees have the right to work with persons free from the effects of
alcohol and/or drugs.
Paul's Welding inc does not intend to intrude into the private lives of its
employees and recognizes the employees' off -the -job as well as on -the -job -
involvement with illegal drugs can have a negative impact on the workplace,
fellow employees and customers. Employees are expected to report for work
with no illegal drugs in their bodies and free of all adverse effects of alcohol
misuse. Paul's Welding Inc encourages employees to seek professional
assistance any time for personal problems, including alcohol or drug dependency
that adversely affects their ability to perform their assigned duties.
Supervisors are dedicated to the fair and equitable application of this policy.
They are required to apply all aspects of this policy and to use it in an unbiased
and impartial manner.
Purpose
The purpose of this policy is to comply with the
Regulations (DOT) 49 CFR Part 40, Procedure
Drug Testing Programs, 49 CFR Part 382,
Alcohol use and Testing -Federal Motor Carrier
CFR Part 29, Drug -Free Workplace Act of 1988.
regulations for safety sensitive employees.
C. Applicability
s
Department of Transportation
for Transportation Workplace
Controlled Substances and
Safety Administration, and 49
This policy incorporates these
This policy applies to all employees that are required to have a Commercial
Driver's License (CDL), or are considered by the DOT to be in a safety -sensitive
position, full or part-time, contract employees and contractors when they are on
Paul's Welding Inc property or when performing any safety -sensitive function for
Paul's Welding Inc.
Performing a safety -sensitive function means from the time an employee is ready
to work, begins work, and is relieved from all responsibility for performing work.
Safety -sensitive functions may include, however, are not limited to the following
items:
(i) All time on Paul's Welding Inc property, or shipper property, terminal,
facility, or other property, or on any public property, waiting to be
dispatched, unless the driver has been relieved from duty by Paul's
Welding inc.
(ii) All time inspecting equipment as required by 49 CFR Part 392 (392.7 &
392.8) or otherwise inspecting, servicing, or conditioning any Commercial
Motor Vehicle (CMV) at any time.
(iii) All time spent at the driving controls of a CMV.
(iv) All time, other than driving time, in or upon any CMV except time spent
resting in a sleeper berth (the berth must conform to the requirements of
49 CFR Part 393.7.)
(v) All time loading or unloading, attending a CMV being loaded or unloaded,
remaining in readiness to operate the CMV or in giving or receiving
receipts for shipments loaded or unloaded.
(vi) All time repairing, obtaining assistance, or remaining in the attendance of
a disabled CMV.
D. Legal Drugs
For a drug to be legally prescribed the employee must have a prescription or
other written approval in his/her name from a licensed physician for the use of
the drug in the course of medical treatment. The prescription or written document
must also contain the name of the substance, the quantity/amount to be taken,
and the period of authorized use. Any abuse or misuse of legal drugs while
performing a safety -sensitive function is prohibited by Paul's Welding Inc.
The appropriate use of legally prescribed drugs and non-prescription medications
is not prohibited by Paul's Welding inc. However, the use of any substance
which carries a warning label that indicates that motor skills, mental functioning,
or judgment may be affected; the employee must report this to supervisory
personnel immediately.
An employee must obtain a written release from the attending physician
releasing the employee from performing safety -sensitive duties any time the
employee is using a performance altering prescription.
2
E. Prohibited Substances
In accordance with DOT rules, testing will be conducted for the presence of the
following substances:
ALCOHOL
AMPHETAMINES
COCAINE
MARIJUANA
OPIATE METABOLITES
PHENCYCLIDINE (PCP)
Detection levels requiring a determination of a positive result shall be in accordance
with the guidelines adopted by the DOT in accordance with the recommendations
established by the Substance Abuse and Mental Health Services Administration
(DHHS; formerly "DHHS'}.
The Designated Employee Representative (DER) will, when possible, confer with
the medical review officer, and in the sole discretion of the Designated Employee
Representative (DER), in consultation with the medical review officer, should the
effect of these medications adversely affect an employee in a federally regulated
(DOT/CDL) position, that Employee may be temporarily removed or reassigned
from the federally regulated (DOT/CDL) position if deemed appropriate.
F. Prohibited Conduct
Alcohol concentration
No driver shall report for duty or remain on duty requiring the performance of safety -
sensitive functions while having an alcohol concentration of 0.04 or greater. No
employer having actual knowledge that a driver has an alcohol concentration of 0.04 or
greater shall permit the driver to perform or continue to perform safety -sensitive
functions.
On -duty use:
No driver shall use alcohol while performing safety -sensitive functions. No employer
having actual knowledge that a driver is using alcohol while performing safety -sensitive
functions shall permit the driver to perform or continue to perform safety -sensitive
functions.
Pre -duty use:
No driver shall perform safety -sensitive functions within four hours after using alcohol.
No employer having actual knowledge that a driver has used alcohol within four hours
shall permit a driver to perform or continue to perform safety -sensitive functions.
Use following an accident.
No driver required to take a post -accident alcohol test under 382.303 shall use alcohol
for eight hours following the accident, or until he/she undergoes a post -accident alcohol
test, whichever occurs first.
Refusal to submit to a required alcohol or controlled substances test
(1) Fail to appear for any test (except a pre -employment test) within a reasonable time,
as determined by the employer, consistent with applicable DOT agency regulations,
after being directed to do so by the employer. This includes the failure of an employee
(including an owner -operator) to appear for a test when called by a CITPA (see
40.61 a of this title);
(2) Fall to remain at the testing site until the testing process is complete. Provided, that
an employee who leaves the testing site before the testing process commences (see
40.63 c of this title) a pre- employment test is not deemed to have refused to test;
(3) Fail to provide a urine specimen for any drug test required by this part or DOT
agency regulations. Provided, that an employee who does not provide a urine specimen
because he or she has left the testing site before the testing process commences (see
40.63 c of this title) for a pre -employment test is not deemed to have refused to test;
(4) In the case of a directly observed or monitored collection in a drug test, fails to
permit the observation or monitoring of the driver's provision of a specimen (see
40.67 I and 40.69(p) of this title);
(5) Fail to provide a sufficient amount of urine when directed, and it has been
determined, through a required medical evaluation, that there was no adequate medical
explanation for the failure (see §40.193(d)(2) of this title);
(6) Fail or declines to take a second test the employer or collector has directed the
driver to take;
(7) Fail to undergo a medical examination or evaluation, as directed by the MRO as part
of the verification process, or as directed by the DER under §40.193(d) of this title. In
the case of a pre- employment drug test, the employee is deemed to have refused to
test on this basis only if the pre -employment test is conducted following a contingent
offer of employment;
4
(8) Fail to cooperate with any part of the testing process (e.g., refuse to empty pockets
when so directed by the collector, behave in a confrontational way that disrupts the
collection process), or
(9) Is reported by the MRO as having a verified adulterated or substituted test result.
Controlled substances use:
No driver shall report for duty or remain on duty requiring the performance of safety -
sensitive functions when the driver uses any controlled substance, except when the use
is pursuant to the instructions of a licensed medical practitioner, as defined in 38§ 2.107,
who has advised the driver that the substance will not adversely affect the driver's ability
to safely operate a commercial motor vehicle.
(b) No employer having actual knowledge that a driver has used a controlled substance
shall permit the driver to perform or continue to perform a safety -sensitive function.
(c) An employer may require a driver to inform the employer of any therapeutic drug
use.
Controlled substances testing:
No driver shall report for duty, remain on duty or perform a safety -sensitive function, if
the driver tests positive or has adulterated or substituted a test specimen for controlled
substances. No employer having actual knowledge that a driver has tested positive or
has adulterated or substituted a test specimen for controlled substances shall permit the
driver to perform or continue to perform safety -sensitive functions.
Engaging in unlawful manufacture, distribution, dispensing, possession, or use of
prohibited substances is prohibited by any safety -sensitive employee of Paul's
Welding Inc employees who violate this provision will be terminated.
All employees of Paul's Welding Inc are required to notify their supervisor within
five (5) days of any criminal drug statue conviction. Failure to comply with this
provision shall result in termination.
G. Compliance with Testing Requirements
All employees in safety -sensitive positions will be subject to urine drug testing
and breath alcohol testing. A refusal to test is considered a positive test result
and will lead to immediate removal from duty, referral to a Substance Abuse
Professional (SAP), and termination of employment. The following items
constitute a refusal to test.
5
(i} Failure to appear or remain at the test site.
(ii) Failure to provide urine specimen when required.
(iii) Failure to permit direct observation or monitored collection.
(iv) Declines to take a second test when directed.
(v) Failure to provide sufficient urine or breath without a valid medical
explanation.
(vi) Failure to undergo a medical evaluation.
(vii) Failure to cooperate with the testing process.
(viii) Attempt to dilute, substitute, or tamper with a specimen.
(ix) Failure to sign the Custody Control Form or Breath Alcohol Form.
H. Testing Procedures
Federal regulations required analytical urine drug testing and breath alcohol
testing to be conducted when circumstances warrant or as outlined in the
regulations. Paul's Welding Inc affirms the need to protect individual dignity,
privacy, and confidentiality throughout the testing process. If at any time the
integrity of the testing procedures or the validity of the tests results are
compromised, the test will be cancelled.
Drug _Tests
The drugs that will be tested for include marijuana (THC), cocaine, opiates,
amphetamines, and phencyclidine (PCP). Urine specimens will be conducted
using the split specimen sample method as described in 49 CFR Part 40. Each
specimen will be accompanied by a DOT Chain of Custody and Control Form
(CCF) and identified using a unique identification number that attributes the
specimen to the correct individual.
The specimen will be sent to a laboratory where a validity test will be performed
to ensure that it is non -adulterated human urine. Then an initial drug screen test
will be conducted on the primary specimen. For the primary specimen that is
not negative, a confirmatory Gas Chromatography/Mass Spectrometry (GC/MS)
test will be performed. The primary test will be considered positive if the
amounts present are above the minimum thresholds established in 49 CFR Part
40.
All test results from the laboratory will be reported to a Medical Review Officer
(MRO). The MRO is a licensed physician with detailed knowledge of substance
abuse disorders and drug testing. The MRO will be knowledgeable in the DOT
regulations and MRO guidelines, DOT operating administration regulations and
any changes to any of these. The MRO must obtain the appropriate qualification
training as mandated in 49 CFR Part 40.
The MRO will review all test results to ensure the scientific validity of the test and
to determine whether there is a legitimate medical explanation for a confirmed
positive test result. The MRO will contact the employee, notify him/her of the
positive laboratory result, and provide the employee with an opportunity to
0
explain the confirmed test result. The MRO will subsequently review the
employee's medical history/records to determine whether there is a legitimate
medical explanation for the positive test result. If no legitimate medical
explanation is found, the test will be verified positive and reported to the Paul's
Welding inc Designated Employee Representative (DER). If a legitimate medical
explanation is found, the MRO will report the test result as negative.
The split specimen sample will be stored at the initial laboratory until the analysis
of the primary specimen is complete. If the primary specimen is negative, the
split sample will be discarded. However, if the primary specimen is positive, the
split sample specimen will be retained by the initial laboratory for testing if so
requested by the employee through the MRO within 72 hours of being notified.
The split sample specimen, if requested to be tested, will be sent to an alternate
certified laboratory for testing, at the expense of the employee or applicant.
Safeguards for Controlled Substance Testing
• The Collector must complete mandated qualification training as defined in
49 CFR Part 44 to be able to perform collections.
• The Collector must obtain photo identification from the employee or be
identified by a Paul's Welding Inc representative prior to administering the
test.
• The Collector will ask the employee to display the contents of their
pockets prior to the test being taken.
• The Collector will ask the employee to wash their hands only with water.
• The Collector and employee will check the identification numbers of the
seals with the number on the CCF.
• The Collector will ask the employee to sign the CCF signifying the
correctness of the data for test reporting.
• The Collector will unwrap and wrap the specimen containers in the
presence of the employee.
• After the specimen is collected, the Collector will inspect the specimen for
sufficient volume, temperature and signs of tampering.
• The specimen sample containers are placed in a shipping container,
sealed with tamper proof seals in the presence of the employee. The
employee will be asked to initial the seals on the specimen sample
containers.
• The Laboratory will check the seals on the specimen bottles upon receipt
to ensure they are not broken, if they are broken, the laboratory will report
the test as cancelled.
• The Laboratory will report the results to the MRO by electronic
communication.
7
Direct Observation Collection is Mandatory in the Following Circumstances
• The Laboratory reports an invalid test and the MRO reports there isn't a
medical reason for it.
• The test results are reported as positive adulterated or substituted
cancelled with no split specimen sample available.
• The Collector observed signs that indicate an attempt was made to tamper
with the specimen.
• The Collector notes that the temperature of the specimen is not within
range. Note: The Collector is NOT required to take the employee's body
temperature. The DER from Paul's Welding Inc will be notified of the out
of temperature specimen after the direct observation test is completed.
• Direct observation testing for return -to -duty and/or follow-up testing. The
observer must be the same gender as the employee. The observer may
be someone other than the collector to ensure the same gender; however,
this individual may not handle the specimen.
Shy Bladder Procedure
If the employee cannot provide a specimen at the initial attempt, the employee
will be urged to drink up to 40 oz of water. The amount of water is to be spaced
out over a three hour period. The employee is not required to drink the water by
49 CFR Part 40 regulations.
If the employee does not provide a specimen, or refuses to provide a specimen,
the test will be marked as a "Refusal to Test" and considered a positive test
result. The employee will be sent to a physician with expertise in the field, within
five (5) days for an evaluation as to why the individual was not able to provide a
specimen. If there is a valid medical reason, the test result will be changed to
"Cancelled. "
Breath Alcohol Test
All tests for breath alcohol will be conducted using a National Highway Traffic
Safety Administration (NHTSA) approved Evidential Breath Testing (EBT) device.
The device must be operated by a certified trained Breath Alcohol Technician
(BAT), The certified training must meet the qualification as defined in 49 CFR
Part 40.
A blank air test will be administered prior to the initial test and the confirmation
test. This indicates the EBT chamber is clear.
An initial breath test will be given, if the results are less than a concentration of
0.02, the test results is negative. No additional tests will be required. If the initial
test results in a concentration of 0.02 or higher, a second confirmation test will be
1.1
L
J.
conducted. A waiting period of at least 15 minutes but no longer than 30 minutes
after completion of the initial test must be completed before the confirmation test
is done. If the results of the confirmation test are between 0.020-0.039; the
employee must be removed from the safety sensitive position for at least 24
hours. If the result is 0.040 or higher the employee is considered under the
influence of alcohol and the employee must be removed from service, referred to
a Substance Abuse Professional (SAP). Any result on the confirmation test of
0.020 or higher is considered a positive test result. The confirmation test will be
completed using the same EBT as the screening test. Each test will have its own
unique sequential number. A printout of each test will be provided and attached
to the Alcohol Test Form. The printout will also include the time the test was
taken, and EBT identification number. The test will be performed in a private,
confidential manner as required by 49 CFR Part 40.
Safeguards for Alcohol Testing
• The BAT will request photo identification form the employee or be
identified by a Paul's Welding Inc representative prior to administering the
test.
• The Employee will select an individually sealed mouthpiece and it will be
opened by the BAT while in the presence of the employee for the initial
test.
• Calibration checks will be frequently performed to insure the EBT is
working efficiently. The employee may ask to see the last calibration.
• The Employee will select an individually sealed mouthpiece and it will be
opened by the BAT while in the presence of the employee for the
confirmation test_
Positive Test Results
Any employee of Paul's Welding Inc that has a confirmed positive drug or alcohol
test will be terminated from his/her safety sensitive position, informed of the
educational and rehabilitation programs available, and referred to a Substance
Abuse Professional (SAP) for assessment.
Compliance with the Treatment Program Requirements
Employees are encouraged to make use of the available resources for treatment
of alcohol misuse and/or illegal drug use problems. Under certain circumstances,
employees may be required to undergo treatment for substance abuse or alcohol
misuse. Any employee of Paul's Welding Inc who refuses or fails to comply with
a SAP's requirements for treatment, after care or return -to -duty shall be subject
to termination. The cost of treatment will be paid by the employee or their
insurance provider.
I7
K. Types of Testing
Pre -Employment Testing
Any individual that seeks employment with or transfers into a DOT safety -
sensitive position will be required to take and pass a urine drug test. The receipt
of a negative urine drug test is required. If the results of the urine drug test are
negative -diluted, the result will be considered negative. If the test was cancelled,
Paul's Welding Inc requires the applicant to take and pass a second urine drug
test.
Anytime an employee of Paul's Welding Inc is off work for 30 consecutive days or
more, the employee will be required to take and pass another pre -employment
urine drug test.
Reasonable Cause Tesfin_g
Reasonable Cause referral testing will be made on the basis of documented
objective facts and circumstances, which are consistent with the short-term
effects of substance abuse.
At least one supervisor that has been trained in Reasonable Cause detection is
needed to make a Reasonable Cause referral for testing. The training must
include ways to determine the signs and symptoms of drug and alcohol use. The
supervisor must conclude that the employee is impaired in his/her work
performance. Documentation as to the physical appearance, behavioral and
performance indicators, speech and body odors of the employee must be
completed prior to the test result being received.
Examples of Reasonable Cause include, but are not limited to, the following:
Physical signs and symptoms consistent with prohibited substance use or alcohol
misuse.
Evidence of the manufacture, distribution, dispensing, possession, or use of
controlled substances, drugs, alcohol, or other prohibited substances.
Occurrence of a serious or potentially serious accident that may have been
caused by prohibited substance abuse or alcohol misuse.
Physical contact (meaning fights), assaults, and flagrant disregard or violations of
established safety, security, or other operating procedures.
IN
Post Accident Testing
All employees of Paul's Welding Inc are required to undergo urine drug testing
and breath alcohol testing if they are involved in an accident with a vehicle
owned or Leasingd by Paul's Welding Inc .if one or all to the following conditions
are met.
(i) The accident resulted in a fatality.
(ii) The employee of Paul's Welding Inc was issued a moving citation and a
vehicle was towed from the scene of the accident.
(iii) The employee of Paul's Welding Inc was issued a moving citation and an
individual involved in the accident received bodily injury requiring
immediate medical treatment away from the scene of the accident.
The surviving employee that operated the vehicle or any other employee whose
performance cannot be completely discounted as contributing to the accident
must be tested.
Following the accident, the employee(s) must be tested as soon as possible, but
not to exceed eight (8) hours for alcohol testing and thirty-two (32) hours for urine
drug testing. Any employee of Paul's Welding Inc involved in an accident must
refrain from alcohol use for eight (8) hours following the accident or until he/she
has completed an alcohol test or released from duty. Any employee of Paul's
Welding Inc who voluntarily leaves the scene of an accident prior to submission
to drug and alcohol testing will be considered to have refused the test and the
employee will be terminated.
An alcohol test should be administered within two (2) hours of the accident. If this
has not been done, Paul's Welding Inc will document the reason the test was not
completed within two (2) hours of the accident and will continue to attempt to
obtain a test and document their attempts within the eight (8) hour period. At the
end of the eight (8) hours, Paul's Welding inc will cease the attempt to administer
the test and document why the test was not completed.
The employee must remain readily available for testing, until they are released
from the scene of the accident. If the employee is required to leave the scene
under the authority of medical or police personnel, they must notify Paul's
Welding Inc as to their whereabouts.
If Paul's Welding Inc is unable to perform a urine drug test and a breath alcohol
test, (i.e., employee is unconscious, employee is detained by a police agency),
Paul's Welding Inc may use drug and alcohol post -accident test results
administered by the State and/or Local law enforcement officials if they were
completed. Paul's Welding Inc will obtain the results in conformance with State
and Local law.
11
Testing for Non -DOT Circumstances
Paul's Welding Inc requires an employee to submit to drug and alcohol tests
following a motor vehicle accident or property damage accident involving injury to
any individual involved in the accident not requiring immediate medical treatment
away from the scene, serious damage to any motor vehicle or equipment
involved in the accident, or serious property damage even if the employee did not
receive a moving citation. Any employee having a physical injury that requires
immediate medical attention away from the work site will be required to submit to
drug and alcohol tests. Tests will not be required if the supervisor in charge
determines, using the best information available at the time of the decision, that
the employee's performance can be completely discounted as a contributing
factor to the accident. The CCF used will be a Non -DOT form. At the discretion
of management for Paul's Welding Inc, a driver or employee may be tested under
these guidelines if a complaint is filed or if any of the above circumstances apply.
If a positive result returns, it will be treated in the same manner as a "positive" in
the DOT regulations.
Random DrLtq and Alcohol Testin
All employees of Paul's Welding inc that work in safety -sensitive positions will be
subject to random unannounced testing. The selection of these employees for
random testing of drug and alcohol will be made using a scientifically valid
method that ensures each covered employee will have an equal chance of being
selected each time selections are made. The random test will spread throughout
the year. Tests can be conducted at any time during an employee's shift.
Employees are required to proceed immediately to the collection site upon
notification of their random selection_ There is no discretion on the part of
management in the selection and notification of employee who are to be tested.
The percentages of the number of safety -sensitive employees in the random
program are established by 49 CFR Part 40 on an annual basis. Currently the
rates are 50% for drug testing and 10% for alcohol testing.
Return -to -Duty Testing
Employees of Paul's Welding Inc, under certain circumstance, that previously
tested positive on a drug and/or alcohol test must be evaluated and released by
a Substance Abuse Professional (SAP) before returning to work. A SAP is a
licensed physician, certified psychologist, social worker, employee assistance
professional, or addiction counselor. The SAP must also have clinical
experience in the diagnosis and treatment of drug and alcohol related diseases.
The SAP must have completed the required qualification training and completed
the continuing education trainings as detailed in 49 CFR Part 40. Before the
return -to -duty test, the SAP must assess the employee and determine if the
required treatment has been completed.
12
Follow -Up Testin_g
Under certain circumstances employees of Paul's Welding Inc will be required to
undergo frequent unannounced random urine and/or breath testing following their
return -to -duty test. Follow-up testing on an employee will be performed for a
period of one (1) to five (5) years with a minimum number of six tests performed
the first year. The employee will remain in the random testing program. A
qualified SAP will determine the frequency and duration of the follow-up tests,
beyond the minimum number.
L. Confidential Result Record Keeping
The results of all drug and alcohol testing results will be maintained in a secure
confidential manner by the employer, laboratory, collection site, MRO, SAP, and
the Consortium/Third Party Administrator (CTPA). information can only be
released in the following circumstances and with the employee being notified in
writing of the release.
(i) To a third party only as directed by specific written instructions of the
employee.
(ii) To the decision -maker in a lawsuit, grievance, or other proceeding initiated
by or on behalf of the employed tested.
(N) To a subsequent employer upon receipt of a written request from the
employee as required by 49 CFR Part 40 of the DOT regulations.
(iv) To the National Transportation Safety Board during an accident
investigation.
(v) To the DOT or any DOT agency with regulatory authority over the
employer or any of its employees, or to a State agency with oversight.
(vi) To the employee upon written request.
M. Employee/Supervisor Training
All employees of Paul's Welding inc in a safety -sensitive position will undergo a
minimum of 60 minutes of training on the signs and symptoms of drug use
including the effects and consequences of drug use on personal health, safety,
and the work environment. The training must include manifestations and
behavioral cues that may indicate prohibited drug use. In addition, all employees
will also receive a minimum of 60 minutes of training on the signs and symptoms
of alcohol misuse including the effects and consequences on personal health,
safety, and work environment.
13
N. Employee Contract for Policy Violations
Under certain circumstances, employees of Paul's Welding Inc who re-enter the
workforce must agree to a re-entry contract. The contract may include, but is not
limited, to the following items:
(i) A release to return to work statement from the SAP.
(ii) A negative test result for drugs and/or alcohol.
(iii) An agreement to unannounced frequent follow-up testing for a period of
one (1) to five (5) years with at least six (6) tests performed the first year.
(iv) A statement of expected work -related behaviors of the employee.
(v) An agreement to follow specified after care requirements with the
understanding that a violation of the re-entry contract is grounds for
termination.
O. System Contacts
Employer.
Name: Paul's Welding Inc
Address: 7930 W 1000 N
Nappanee, IN 46528
Telephone: 574-646-2015
Fax: 574-646-2203
Medstat
1001 N Main St Suite One,
Nappanee, IN 46550
Telephone. 574-646-2509
Fax: 574-773-2512
Designated Employee Representative:
Name: Ryan Miller Title: President
Cell Telephone: 574-356-6095
Name: Kendra Gingerich Title: Office Manager
Cell Telephone: 574-354-1241
14
BID/PROPOSAL . ...... i , )11 1 "
CITY OF SOUTH BEND
Project Name: Gemini at Wash in gto n-Co lfax Apts — MASONRY& STAIR REPAIR!,
Project Number: 118-0808
For Bids Due: October 4, 2,018
Contractor Name: P\All
BASE BID — Division A
Item
No.
Description
Quantity
Unit
Unit Price
'Total Amount
1
Division A: Masonry Repair — rebuild
20
LF
2
Division A: Masonry Repair — repoint
10
LF
3
Division A: Masonry Repair — new lintel
1
lintel
4
Division k Masonry Repair — reset all 4
1
all
finials
finials
BASE BID TOTAL
BASE BID — Division B
Item
No,.
Description
Quantity
Unit
Ulnit Price
Total Amount
Division B Base Bid: replace
1
LS
southernmost 2 fire, stairs.
$84,422
$84,422
2
Division B Add Alternate: replace
LS
$84,422
$84,422
northern most 2 fire stairs
1
Bidder (Firm):
PWl
Address: 7930 West 1000 North,
City/State/Zip: Nappanee, IN 46550 Telephone Number
M
A'z'ASE BID TOTAL $168,844 E
574 ) 646-2015
(Signature)
(Printed Name of Person Signing)
Version 7/20/2018 Contractor's Bid for Public Works - 8