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Home My WebLink AboutOpening of Quotations - Engineering Office Improvements Project No 118-107 - Ziolkowski Construction IncCITY OF SOUTH BEND, INDIANA CONTRACT' 'QUOTE FOR EUBLIC WORK PROJECT NAME: Engineering Office Improvements PROJECT NO. 118-107 ........ ......_.................. ......... _ QUOTES DUE November 13, 2018. 9:30 a.m.. Local Time (Must be completed for all quotes. Please type or print) Date: November 13, 2018 Firm: Ziolkowski Construction, Inc. Address: 4050 Ralph Jones Drive �...r _ p 574 287-1811 City/State/Zip:outh Bend IN 46628 Telephone Number: Agent of Bidder (if Applicable): n/a Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: Enqineerinq Office Improvements the City of South Bend, Indiana, in accordance with plans and specifications prepared by: The Ci of South Bend, Department of Public Works and dated n/a for the sum of (enter the Total Quote as shown on the Proposal) Seven Thousand Eight hundred Dollars ($ 7,800 (Enter Sum of Total Quote shown on Proposal) _ (Numerical) If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the quote is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. 041 By (Signature) Bill Favors President (Printed Name of Person Signing) The above quote is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member James A. Mueller, Member ACCEPTANCE day of 20 Suzanna M. Fritzberg, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk Version 10/18/2016 Page - 1 Public Works Quote QUOTE/PROPOSAL CITY OF SOUTH BEND PROJECT NAME Engineering Office Improvements PROJECT NO. 118-107 QUOTES DUE November 13, 2018, 9:30 a.m., Local Time Item No. Description Quantity Unit Total Amount 1 Miscellaneous work on the 13th Engineering 1 LS $ 7,800 floor of the County -City building. Total Amount of Quote 1 $ 7,800 Firm: Ziolkowski Construction, Inc. Address: 4050 Ralph Jones Drive South Bend IN 46628 574 287-1811 City/State/Zip: � Telephone Number: ( ) ron� F�yrobr r rp nrs Cn�uroa 01 SAM � m a AL * n,. Fax Number: ( 574 ) 234-0151 By (Signature) Bill Favors, President (Printed Name of Person Signing) Version 10/18/2016 Page - 2 Public Works Quote When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit MIN1: 1 M*16014 1 W.11 1 (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana___ ) St Joseph ) COUNTY SS: _.................��.. ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, 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 instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from 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 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 Version 10/18/2016 Page - 3 Public Works Quote alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-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 with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. 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- Version 10/18/2016 Page - 4 Public Works Quote 8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. 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. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 13th day of Nov. , 2018 Ziolkowski Construction, Inc. C �,� �� ry Y ° Contractor/Bidder (Firm) o. m a Signature of Contractor/Bidder or Its Agent G~ G, d h Gdu Bill Favors, President � dW� % Printed Name and Title Subscribed and sworn to before me this 13th day of. November 2018 My Commission Expires March 1, 2020 Notary Public Shannon Reidenbach County of Residence St Joseph SHANNON REIDENBACH Notary Public- Seal State of Indiana My Commission Expires Mar 1, 2020 Version 10/18/2016 Page - 5 Public Works Quote This Memorandum of Understanding (MOU) sets forth the points of agreement between the Department of Homeland Security (DHS) and Ziolkowski O al trl tictrn fn . (Employer) regarding the Employer's participation in the Employment Eligibility Verification Program (E- Verify). This MOU explains certain features of the E-Verify program and enumerates specific responsibilities of DHS, the Social Security Administration (SSA), and the Employer. E-Verify is a program that electronically confirms an employee's eligibility to work in the United States after completion of the Employment Eligibility Verification Form (Form 1-9). For covered government contractors, E-Verify is used to verify the employment eligibility of all newly hired employees and all existing employees assigned to Federal contracts or to verify the entire workforce if the contractor so chooses. Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C. § 1324a note). Authority for use of the E-Verify program by Federal contractors and subcontractors covered by the terms of Subpart 22.18, "Employment Eligibility Verification", of the Federal Acquisition Regulation (FAR) (hereinafter referred to in this MOU as a "Federal contractor with the FAR E-Verify clause") to verify the employment eligibility of certain employees working on Federal contracts is also found in Subpart 22.18 and in Executive Order 12989, as amended. ARTICLE II C• • 1. SSA agrees to provide the Employer with available information that allows the Employer to confirm the accuracy of Social Security Numbers provided by all employees verified under this MOU and the employment authorization of U.S. citizens. 2. SSA agrees to provide to the Employer appropriate assistance with operational problems that may arise during the Employer's participation in the E-Verify program. SSA agrees to provide the Employer with names, titles, addresses, and telephone numbers of SSA representatives to be contacted during the E-Verify process. 3. SSA agrees to safeguard the information provided by the Employer through the E-Verify program procedures, and to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security Numbers and for evaluation of the E-Verify program or such other persons or entities who may be authorized by SSA as governed Page 1 of 13 1 E-Verify MOU for Employer I Revision Date 09/01/09 vvwvv.dhs.gov1E-Ve4ff1y Company ID Number: 486671 To be accepted as a participant in E-Verify, you should only sign the Employer's Section of the signature page. If you have any questions, contact E-Verify at 888-464-4218. Employer Ziolkowskll __....... . _ ... .�._...�._ Construction, Inc. Dill Favors Name (Please Type or Print) Title Electranicall Siggned 1/10/2012 Signature Date Department of Homeland Security - Verification Division USCIS Verification Division Name (Please Type or Print) _ itle Electronically Signed 1/10/2012 .._.......�... ..�........ — .. _........ Signature Date _ .._ ._: _ ....... Information Required for the E-Verify Program Information relating to our Comany: _ _. ..... ...�.�.............._�......._..� Company Name: l' iolkowski Construction, Inc I Company FacilityRalph Jones Dr. Address: 050 .. p South Bend, IN 46628 Company Alternate Address: ITITITCounty or -.._S .EPH �wm ......w_. Pans T JOS _�...��...__._ - � ._....__....�...�. ,_, Employer Identification Number: 351445992 Page 12 of 13 1 E-Verify IAOU for Employer I Revision Date 09/01/09 iAmftAt.dhs.gov/E-�/p.rit'y Company ID Number:466671 North American Industry Classification Systems Code: 236 Administrator: Number of Employees: 100 to 499 Number of Sites Verified for: 1 Are you verifying for more than 1 site. If yes, please provide the number of sites verified for in each State: M ANA 1 site(s) -information relating to -the Program Administrator(s) for your Company on policy questions or operational problems: Name: James Keldsen Telephone Number: (574) 287 -1811 ext. 368 Fax Number: (574) 344 - 5533 E-mail Address: jkeldsen@zbuild.com Page 13 of 13 1 E-Verify MOU for Employer I Revision Date 09/01/09 dwt9t?'.dhs.gov1E-.Va ify E-Verify: Employer Wizard - Company Information Company Information Company Name Ziolkowski Construction, Inc. Company ID Number 486671 Doing Business As (DBA) Name DUNS Number Physical Location Address t 4050 Ralph Jones Dr. Address 2 City South Bend state IN Zip Code 46628 County STJOSEPH Mailing Address Address 1 Address 2 City State Zip Code Additional Information Employer Identification Number 351445992 Total Number of Employees 100 to 499 Parent Organization Administrator Organization Designation Employer Cotegory None of these categories apply View / Edit 1 NAICSCode 236 - CONSTRUCTION OF BUILDINGS View! Edit Total Hiring Sites httpsJ/e-verify.uscis.gov/web/EmployerW izard.aspx MENU