HomeMy WebLinkAboutOpening of Bids - Airport Annexation Area Sanitary Sewer Extension Proj No 117-108 - HRP Construction IncCITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Airport Annexation Area Sanitary Sewer Extension
Project No. 117-108
For Bids Due November 27, 2018
PART I
(Must be completed for all bids. Please type or print)
Date: Nov. 27, 2018 Bidder (Firm): HRP CONSTRUCTIONIINC.
Address: _..U27 U,l elanri Road P.O. Box 266
City/State/Zip: South Bend, IN 46624-Telephone Number: ( 574 ) 271 -7800
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
Airport Annexation Area Sanitary Sewer Extension
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
A & Z Engineering LLC
and dated 1.0 _ 31 / 1 8 for the sum of (enter the Total Bid as shown on the Proposal)
e Enter sum e Attached ) ..
( Total Base Bid plus Alternates shown on Proposal) (Numerical)
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in
the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance
with the notice. Any addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that
shown in the original contract if accepted by the City of Sout nd, If t i is to be awarded on a unit
basis, the itemization of the units shall be shown o a sepa ` t. -
By
:Signalur
Matthew D. Cain, res ent
(Printed Name of Person Signing)
ACCEPTANCE
The above bid is accepted this
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
James A. Mueller, Member
day of
Suzanna M. Fritzberg, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
20
Version 7/20/2018
Contractor's Bid for Public Works- 2
BID/PROPOSAL
CITY OF SOUTH BEND
Project Name: Airlport Annexation Area Sanitary Sewer Exten.Won
Project Number: 117-108
For Bids Due: November 27, 2018
Contractor Name: H R P
CONSTRUCTION
BASE. BID
Item Description quantity Unit Unit Price Total Amount
No
yp
1 I HMA f e B Surface 37 Tons
2 HMA Type B, Intermediate 1
.rW..
61 Tons
3 HMA Type B Base 22 Tons
4 Asphalt for Tack Coat _ 53 186
.._._...70�...mmSYs
5 Co
_99 No
�86 Tons ���QD_ ._. _7,..a���?•�4...,
mpacted A regate, .
6 1 StrtJst614a1-Ra4*W 400 Tens
P/0w wo Tons
1 Plain Cement Concrete Pavement, 97 s S
Apiroach, 6 inches Y
8 Combination Curb and Gutter Type A 30 �Lft O
!a Concrete Median 9 Sys
_a...__m..._... __........ _ ._. _...._....... ._? _5�0
10 Mulched Seeding, Type R 6000 Sys
1 LL Pipe, Sanitary Sevver, PVC SDRJ35, 12" 2797 __. Lftmm
I? Pipe, Sanitary Sevver, PVC SDR 21, 12 1600 Lft
12A Pipe, SeorMmy Sewer, t'VC SDI? 2', 8" 28 Lft
13 Pipe Type 3 Circular, '12" 162 Lft n ® ®o
14 Abandon Existing
Pi
_ _... p
e 310 Lft
. 15 Manhole, Remove 2 Each�•�� �_�.��,.�
16 Modify
tPO
ExistirManhole
h1 Each
17 Existing 48 SanitaryManhole, Convert 1 Each
to[)oManole
IS—._D,D ,.._.._. w
D �
18 48" Sanitary Manhole w/Solid Casting 9 Each
__ _ _... ..... .µ. .... ...W lc151 QD..,
19 3 Each
Castinr�itarY.Drop_Manholew/Solid...,. ....... .. .._ ._. ' 4185 Lft v_
5�oTernF'orary Inlet Protection
Silt Fence
p Each
�2 FilterSock ��-... ._ 900_
. � W._�..�r �.�.R� .._._ 4_.'. larger �.Lft__�.
3 Tree Removal, 8 and la m. ..2..... ._.__Each ...,,. ..
} d lar er .. ... �.b.._ Each._..Poo
4 Tree Removal, 36" an g D
HRP CONSTRUCTION INC.
Version '7/20/2019 Contractor's Bid for Public Works - 7
I t
BASE HID
25 ? Tree Rewovai, f "and iaigei
770.
...a....
�-6 wee Rerneyal, 6" and lafW
4
_.Each
EaGh
.�6 Cona � tiucfion Eni ineerin
r g
f
LS11M
��--_—
7 Clearing Right of Way
1
LSum.
28 Pot H ole for LJtilitiea
, ._..
2
Each
._ ___ ___-___
2
_ 9_. aMobilization and Demobilization
1
LSum'9
BASE HID TO'r,RL ....�._.� (o!v 9 57. 0 0
_....., ...x...�_.......�..��..
Bidder (Firm): HRP CONSTRUCTION INC.
Address: 5777 Cleveland Road, P.O. Box 266
City/State/Zip: South aBend, _IN 46622FelephoneNumber: 57 271-7800
By
(Signature)
Matthew 0Cain., President
(Printed Name of Person Signing)
Version 7/20/2018 Contractor's Bid for Public Works - 8
When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION
REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-
DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL
PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF Indiana )
) SS:
St, Joseph COUNTY
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.
Version 7/20/2018 Contractor's Bid for Public Works - 4
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any
employee or contract with a person that the Contractor subsequently learns is an unauthorized alien.
Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's
newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's
documentation of enrollment and participation in the E-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. TheContractor 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. 5-16-8-1). 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
Version 7/20/2018 Contractor's Bid for Public Works- 5
may result in forfeiture of contractual payments.
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid
for public works are true and correct.
Dated this 2 7 t h day of Nov , 20 18
HRP CONSTRUCTION INC.
Contractor/Bid
Signature of Contractor/Bidder or Its Agent
Matthew D. Cain, President
Printed Name and Title
Subscribed and sworn to before me this 2 7 t h day of Nov. „ 20, 18
l ,
My Commission Expires 3L ?4
Notary Publi Cindy Uanheste
County of Residence St. Joseph
Version 7/20/2018 Contractor's Bid for Public Works- 6
Init.
�!®rOTM
1 AIA Document A311 -2010
Bid Bond
CONTRACTOR:
(Name, legal status and address)
BRP Construction Inc.
P.O. Box 266
South Bend, IN 46624-0266
SURETY:
(Name, legal status and principal place
of business)
Fidelity and Deposit Company of Maryland
Baltimore, MD
OWNER:
(Name, legal status and address)
City of South Bend Board of Public Works
County -City Building Room 1316, 227 West Jefferson Blvd
South Bend, IN 46601
BOND AMOUNT:
Five Percent of the Total Bid
PROJECT:
(Name, location or address, and Project number, if any)
Airport Annexation Area Sanitary Sewer Extension; Project No. 117-108
This document has important legal
consequences. Consultation with
an attorney is encouraged with
respect to its completion or
modification.
Any singular reference to
Contractor, Surety, Owner or
other party shall be considered
5% of Total Bid ) plural where applicable.
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the
Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and
severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor
within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and
Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such
bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted
in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract
and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the
difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount
for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this
obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of
an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of
notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for
an extension beyond sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall
be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and
provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so
furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond.
Signed and sealed this 6th day of November 2018
4r
...................
......... (i'r )............._ .._ ....... (Seal)
........... .........
(Witness) c y kSec/Treasurer .....
t (Tit ) Matthew D. Cain, P e MryFtdeliand Deposit Company Maryland (Witness) Sure (Seal)
(Title) anir„r L. laata„tcy in Fact
CAD'"'llr'lllf�t ; You sou atlttunu airorltllrmalll AIA, Contract III':1mnm� a mmmaurmt, amrm w1th this text faulnllfweaurs Irn HIRED. An orlgiriatlll atssuir ms thiia�at
r.Ilhmainges vtlllllll rmot be a.rllbsr,wr°seat
AIA Document A310 2010. Copyright 1963, 1970 and 2010 by The American institute
of Arc t ,_ . ed. ARN ___ _.....e....
n"" �. nslpfote of Archktect�s. All rlgh�� reserved. v�PAUf i9Mt &nms Ad.A'rt
Document is protected Iby US CopyrB¢,tllnt Law avid IIrntein"ado nai Treaties. tUnaauathorioed repu°aadaucfion or Wstdbtuiiomn ofthis A$0 Document, or
any paarborm of IR, mnnay resuUt in severe civil and crllimllinn v Ipmeinnalities, ai nd wHf line prosecuted to the unaaxllm urmn mexteint possIllhote under the taw.
Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail
The American Institute of Architects' legal counsel, copyright@ala.org. 061110
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by
MICHAEL BOND, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which
are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate,
constitute, and appoint Barbara E. PEARSON, Nicole L. BICKNELL, Mark E. WOBBE, Cheryl E. ALKIRE, Jennifer L. KASZNIA,
William J. CERNEY, III, Theresa M. BURNS and Megan E. RIESENBERG, all of South Bend, Indiana, EACH its true and lawful
agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds
and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies,
as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the
ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL
AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By -Laws of said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 19th day of June, A.D. 2018.
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
Secretary Vice President
Michael McKibben Michael Bond
State of Maryland
County of Baltimore
On this 19th day of June, A.D. 2018, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, MICHAEL
BOND, Vice President, and MICHAEL MCKIBBEN, Secretary, of the Companies, to me personally known to be the individuals and officers described in
and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said
officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate
Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written.
I,
,� '
ad �y
yap'+ypP F"Nti by"wn
Constance A. Dunn, Notary Public
My Commission Expires: July 9, 2019
POA-F 044-4495
1316 COUNTY -CITY BUILDING
227 W.JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1330
PHONE 574.!235-9251
FAX 5741235-9171
TDD 574 235-5567
CITY OF SOIJTI-I BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
Date: November 19, 2018
To: All Planholders
From Linda M. Martin, Clerk, Board of Public Works
Subject Addendum Number: 1
Project Name: Airport Annexation Area Sanitary Sewer Extension
Project Number: 117-108
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received:
N9rc1'�..4'FW1pX�11iWiUb'N4MNN'NMI.111�41MIINWMN0.'IMN�.p19 MFMAIIPfMiiFW�p'..NWX4i�KtMMMN'MilNMMM Crl'WAIMINYW,WMR'PWM4MIpMNRMAWMNpWkpM/tlpF1Y�1W.'kgNNlkll'I�GI�fiW.
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by faxim), this sheet to the Board of Public Works at (574) 235-•9171
wiill:hin 413 hours of receipt. A copy
bid package upon submittal.
Note
UST also be included withi your
THIS ADDENDUM MAY AFFECT YOUR BID.
The attached documents are hereby added to the Specifications and Contract
Documents and become a pant of herein.
Company:.._ -
Authorized Signature:
Date: I / /
Version 4/2/2015
1316 COUNTY -CITY BUILDING •'� "° w d PHONE 574/ 235-9251
227 W. JEFFERSON BOULEVARD �� i" d i� Jd � FAX 574/ 235-9171
SouTiI BEND, INDIANA46601-1830 + 186 TDD 574/ 235-5567
CITY OF SOUTI-I BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
Date: November 20, 2018
To: All Planholders
From Linda M. Martin Clerk Board of Public Works
Subject Addendum Number: 2
Project Name: Airport Annexation Area Sanitary Sewer Extension
Project Number: 117-108
ACKNOWLEDGEMENT OF RE CEIPT OF ADDENDUM
Date Received: a
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy .MUST also be included with your
bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: ...�� J-C....G'.
Authorized Signature:
Date: 1/ _Q I Ilk
Version 4/2/2015
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name Airport Annexation Area Sanitary Sewer Extension
Project No. 117-108
For Bids Due November 27, 2018
From time to time the South Bend Board of Public Works finds it necessary to reject a bid because
it does not comply with statutory requirements. In preparing your bid, please use the following
checklist in order to make sure that your bid is done in the proper manner.
✓' Proper bid security included. The bidder has the option of providing either a Certified Check
or Bid Bond.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
_✓ Certification of use of United States Steel Products or Foundry Products.
Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not
/ met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted
Form [MWBE-2.1].
Acknowledge Receipt of 1 , 2 Addendum(s) included with the bid.
i/ All required additional information is included with the bid.
/ Proposal statements and other affidavits all signed by the proper party with name either
Zprinted or typed underneath signature.
✓ This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.
Bidder: HRP CONSTRUCTION INC. Date: November 27, 2018
By Authorized Repr(
Signature:
Print Name &Title: Matthew�p
. Cain, Preside
Version 7/20/2018 Contractor's Bid for Public Works- 1
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 all subcontractors (i.e. persons or firms outside
your own firm who have performed part of the work) that you have used on public works
projects during the past five (5) years along with a brief description of the work done by each
subcontractor.
3. If you intend to sublet any portion of the work, attach the name and address of each
subcontractor, equipment to be used by the subcontractor, and whether you will require a
bond. However, if you are unable to currently provide a listing, please understand a listing
must be provided prior to contract approval. Until the completion of the proposed project, you
are under a continuing obligation to immediately notify the City of South Bend in the event that
you subsequently determine that you will use a subcontractor on the proposed project.
4. Attach a listing of equipment you have available to use for the proposed project.
5. Have you entered into contracts or received offers for all materials which substantiate the
prices used in preparing your proposal? If not, attach an explanation for the rationale used
which would corroborate the prices listed.
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said
financial statement as required by statute shall thereby be rendered invalid. The financial
statement provided hereunder to the City of South Bend awarding the contract must be specific
enough in detail so that said City of South Bend can make a proper determination of the bidder's
capability for completing the project if awarded.
Version 7/20/2018 Contractor's Bid for Public Works- 3
CITY OF SOUTH BEND �
�41
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
FORM MWBE-1.0
MBEIWBE PARTICIPATION
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBEIMBE participation.
It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's
owned business.
Project Number: 117-108 Project Name: Airport Annexation Area Sanitary Sewer Extension
Bidder: H R P CONSTRUCTION INC. Total Bid Amount: MBENME Goal:
_................. _ _........._...._ Page 1 of
Primary Contact Person Scope of Work to be Performed Dollar Amount of Percentage
Name &Address of MBElWBE Namerrele hone ( p ) (Attach scope/schedule if you need additional space) MBEANBE Component of TotalBid/Pro oral
5lusser's Green Thtmb
P.O. Box 33 John William on Seeding
Logansport, IN 800-762-7442 28,800.00
46947
State Barricading James Michb ski
P.O. Box 3751 Traffic Control 5,000.00
South n.? _IN466119574-287-207'3
...... ......... ..._.....
Submitted by: Matthew D. Cain, Presiden November 27,,ITIT-201,8m
Print Name Signature Date
Version 7/20/2018 Contractor's Bid for Public Works- 9
CITY OF SOUTH BEND ors
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
FORM MWBE-2.0`��
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBE/WBE 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 ("IDOA").
Project Number: 117-108 Date: November 27, 2018
Project Name: Airport Annexation Area Sanitary Sewer Extension
Bidder: HRP CONSTRUCTION INC.
Contact Person: Matthew D. Cain, Piesident Telephone: (574) 271-7800
Address: 5777 Cleveland Road, P.O. Box 266
City: South Bend State: IN Zip: 46624-0266
Email: mattc@hrpconstruction.com
To determine whether a bidder has demonstrated good faith efforts to reach the MBE/WBE 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
MBE/WBE 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 (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South
Bead requires that all perspective bidders complete no less than 2 of the following:
Attend all pre -bid meetings scheduled by the City to inform MBE/WBEs of contracting and
subcontracting opportunities.
Advertise in general circulation and/or trade association publications concerning subcontracting
opportunities, and allow MBE/WBEs reasonable time to respond.
3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated
to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to
participate effectively.
4. Utilize pre-existing services of available community organizations, small and/or disadvantaged
business assistance offices and other organizations that provided assistance in the recruitment
and placement of MBE/WBE 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 MBE/WBEs 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
MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down
contracts into smaller units to facilitate MBE/WBE 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 MBE/WBE 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
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tunities! www.lstsource.com
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November 7, 2018 1 D3
HRP Construction Inc., an EEO
Employer, is seeking propos-
als from qualified MBE/WBE/
DBE businesses for the City
of South Bend, IN; Airport An-
nexation Area Sanitary Sewer
Extension, Project No. 117-108.
This project bids on Tuesday,
November 27, 2018 at 9:30 a.m.
All proposals must be received
prior to noon on November 26,
2018 and must be per the con-
tract documents. Anyone inter-
ested in bidding on any part of
this project should contact Jeff
Wells by phone at 574-271-7800
or by fax at 574-271-0524. Proj-
ect documents are available for
review at our office with prior ar-
rangements at 5777 Cleveland
Rd, South Bend, IN 46628 or
e-mail Jeff at estimatingQhrp-
construction.com
Hspaxlp It 11:7
Legal Notice
Cause No. 45159
PETITION OF NORTHERN IN-
CITY OF SOUTH BENDS
d
,
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM'
FORM MWBE-2.1
MBEIWBE CONTACTED
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.
PAGE
1 OF
Project Number: 117-108� MBE/WBE Participation Goal
Project Name: Airport Annexation Area Sanitary Sewer Extension
Bidder:
r TRUUIT 0 INC.
ew
MBE/WBE Firm See Attached
Owner or Contact at MBE/WBE Firm
Telephone: Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBEANBE FIRM:
President
(Title)
Email:
MBE/WBE Firm
Owner or Contact at MBE/WBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:.
n
Version 7/20/2018 Contractor's Bid for Public Works-11
November 27,,2018
(Date)
Airport Annexation Area Sanitary Sewer Extension
COMPANY
OWNER or CONTACT
PHONE
FAX
Email
Type of Work
Results
AT MANBE FIRM
C-Tech Corporation
D. Sherwood
317-835-2745
317-835-2781
4s LqML>Uc Qq-jechincjiet
Traffic Control
No quote
'Earth Images, Inc.
Laura Yurs
800-325-2543
317-885-1529
Lail(gyLl (,�Cftplaj 1, corn
Landscaping
No quote
Highway Safety Service, Inc.
Mike Madrid
765-474-1000
inike,nadridj2aL �jqjqc)LqqM
Traffic Control
No quote
Indiana Sign & Barricade
Kirby Faulkner
317-377-8000
317-377-8008
_qkfauikner Liq
Traffic Control
No quote
LaPorte Construction
Lori Schrad
219-393-5555
219-393-5556
IschraLj dz la ortecoirstmrirtior ccrrtt
Structural Walls
No quote
Premium Concrete Services, Inc.
Max Yea key
574.264-0196
574-266-5392
max Mgmiun-
�@ ...... tconcreteonlne.corn
Concrete work
No quote
Slussers Green Thumb
Nelson Slusser
800-762-7442
574-722-2993
MQ&L,uLsaf!,coo
Landscaping
Yes -Using in
bid
State Barricading, Inc.
Mary Michalski
574-287-2078
574-287-1744
,tatebarrjf4d_e.1@ao1&pnj
Traffic Control
Yes -Using in
4id
Traffic Control Specialists, Inc,
Kerry Kopka
574-772-7001
574-772-7002
esfirnafin i _pLP Wisligijet
Traffic Control
No quote
V & R Trucking, Inc.
Veda Godette
574-234-1268
574-234-0748
ffnflLin. q�Lisq&.qqL _ ��L)m
Trucking
Yes - Using
Airport Annexation RFQ Tracking
11/28/2O18
o M m/ cmMpAmv
pnoms
FAX
Email
a o o
s s s
AbonmarcheConsultarts. Inc.
574 32-8700
574-2514440
Acorn Landscaping
574-288-6850
574'289'1090
8VVPArea Wide Protective
269'683'1499
268'083'1494
Bertsch -Frank & Associates, LLC
280459'3388
260'459'8303
Core &Main
574'231'8739
574'231'8794
Jorge. a(n;1qLgaco
l | C'ToohCorpomdon
817'835'2745
317'835'2781
DBLGemiceo
574'868'2028
574'255'8406
DewindDowmtering.Inc.
616'875'7580
018'875'7834
DiQocoConce«o
708'754'5681
708'754'5132
sJ.Pveocott
200'482'2100
260-482'2121
X | Earth Images, Inc,
800'325'2543
317'885'1529
Ferguson Waterworks
574'282'2323
574'287'8523
FuorbringorLandeoaping
574'271'9714
574'271'2861
� | Highway Safety Service, Inc,
765'474'1000
U | Indiana Sign &Barricade
817'377'8000
317'377'8008
JameoH Drew Corporation
317'878'3739
817'876'3829
JC| Bridge Group, Inc.
219'324'9393
218'824'8762Lj
JPRJones Petrie RafinskiCorp.
574'232'4388
574'2324338
KCTree, Inc.
574'674'7722
574'074'7721
Klink Trucking, Inc.
574'287'9000
574'287'2300
| } LaPorte Construction
219'393'5555
218'383'5556
Lowell Concrete Products
219'696'3338
219'090'3937
K8ichianaAggregates Inc
288'685'7669
269'695'1229
Midwest Tile & Concrete Products
260'749'5178
200'498'2477
Milestone Fence
574'259'3101
574'259'3104
Neenah Foundry
317'875'7245
317'875'8637
Phond&Brown
800'898'4234
574'858'4584
Phoenix Services
219'787'0010
219'787'0010
| Pioneer Associates, Inc
260'638'3000
260'636'3001
| I Premium Concrete Services, Inc.
574'284'0198
574'286'5392
Rieth'Ri|eyConotmction
574'288'8321
574'238'3464
RoadGofeTraffic Systems
785471'8891
785'471'8882
LsrnithAroadsafetraf fie, cam
Robert Henry Corporation
574'232'2091
574'232'3879
8ohueUFonoa
574'272'8200
574'271'8156
/ 8|uuaomGreen Thumb
800'762'7442
574'722'2993
Soil Solutions Company
574'320'2825
574'389'0668
South Lake Stone
574'532'2353
Specialties Company, LLC
317'594'0291
317'594'0271
U | State Barricading, Inc.
574'287'2078
574'2874744
V ] Traffic Control Specialists, Inc.
574'772'7001
574'772'7002
U88ggego0eu'Fnonceovi||e
219'507'8155
219'567'8942qL
V [ V& RTmoking. Inc.
574'234'1268
574'234'0748
Walsh &Kelly, Inc.
574'2884811
574'289'7174
dtiiLtt�Lti@w-ai-sL,�e-![Y,.qo-m—LnLo-@mLalst—lkel!ys in
Watson's Tree Service
268'083'5305
288'688'7385
Yellow Creek Gravel Services
574'862'3196
574'862'1567
Page 1of1
HRP
CONSTRUCTION$
EXCAVATING•SEWERS•WATERMAINS
REQUEST FOR QUOTE
Jeff Wells PHONE: 574 271 7800
.....
EMAIL: je
ffw@hrpconstruction.com
_�..
ffw hrpconstruction.com FAX: 574 271 0524
Please quote any work in our field associated with the followr rr
wt
PROJECT: Airport Annexation Area Sanitary Sewer Extension
TYPE OF PROJECT: .Construction Wof. a.sanita,ry sewer
LOCATION: South Bend, IN
ENGJARCH: A&Z Enmmmmmineerin , LLC, 260-485-7077
QUOTES DUE: Mon.day.� ...e � ........... 6th.....a�..._... �......
da November 26 b 1w000 am
BIDS: November 27, 2018
Plans and specs may be downloaded from Dropbox. Click HERE for access, or call/email our
office for download instructions.
This bid has the following DBE goals, please do your part to meet these goals.
% MBE % WBE % DBE None (See below)
Notes/Comments:
Good faith efforts for M/WBE aoals reauired per specs.
IF YOU ARE RECEIVING THIS RFQ VIA FAX AND WOULD PREFER EMAIL, PLEASE
INDICATE YOUR EMAIL ADDRESS BELOW
PLEASE COMPLETE INFORMATION BELOW AND FAX OR EMAIL BACK ASAP.
COMPANY: PHONE:
CONTACT: FAX:
EMAIL:
❑ We plan on bidding the following on this project:
Please provide a scope sheet as soon as possible.
We will NOT be bidding on this project.
We are a state qualified MBE WBE 0 DBE
Shipping: 5777 Cleveland Road South Bend, IN 46628-9418 Phone 574-271-7800
Mailing: P.O. Box 266 South Bend, IN 46624-0266 FAX 574-271-0524
HRP
CONSTRUCTION
EXCAVATING •SEWERS •WA TERMAINS
!,' VVO'Ll2LI2Q JO JI& D _�-SE7(JL0E1I
NOTICE OF ADDE14DUM 1
FROM: Jeff Wells PHONE: 574-271-7800
EMAIL: leffw a�hrpconstruction.com FAX: 574 271 0524
Please quote any work
PROJECT:
TYPE OF PROJECT:
LOCATION:
ENGJARCH:
QUOTES DUE:
BIDS:
In your rlela associatea wim the TOliowing pr9jeci.
Airport Annexation Area Sanitary Sewer Extension
Construction of a sanitary sewer
South Bend, IN
........................................................................................._......._._..................................................................................................................................................................................
A&Z En�c ineerina, mLLC, 260-485-7077
_._._..........._._._........................................_._----�
Ifi
Monday, November 26 b 10:00 am
......................................... _...
November 27, 2018
Plans, specs, and addenda may be downloaded from Dropbox. Click HERE for access, or
call/email our office for download instructions.
This bid has the following DBE goals, please do your part to meet these goals.
% MBE % WBE % DBE None (See below)
Notes/Comments:
Good faith efforts for M/WBE aoals reauired per s
IF YOU ARE RECEIVING THIS RFQ VIA FAX AND WOULD PREFER EMAIL, PLEASE
INDICATE YOUR EMAIL ADDRESS BELOW
PLEASE COMPLETE INFORMATION BELOW AND FAX OR EMAIL BACK ASAP.
COMPANY: PHONE:
CONTACT: FAX:
EMAIL:
We plan on bidding the following on this project:
Please provide a scope sheet as soon as possible.
We will NOT be bidding on this project.
We are a state qualified F] MBE WBE DBE
Shipping: 5777 Cleveland Road South Bend, IN 46628-9418 Phone 574-271-7800
Mailing: P.O. Box 266 South Bend, IN 46624-0266 FAX 574-271-0524
HRP
CONSTRUCTION
"( VV04i"3 _ "-&- IJf'SE4Vi0E-"
0 11Q1
fw_h��.�._._�......._._�_..... ............................
FROM:�.... ... Jeff Wells PHONE: [--574-271-7800
EMAIL: Jef � r construction .co FAX: 574 271-0524
Please quote any work in your field associated with the following ojo'ect
PROJECT: Airport Annexation Area Sanitary SewerExtension
TYPE OF PROJECT: Construction of a sanitary sewer
LOCATION: South Bend, IN
Engineering,
QUOTES DUE: Monda November 26 �'6b�480:00mammmmmm�mm������mmmm��mm��mmmmm�mm�� m
BIDS: PNovember 27, 2018 .......
Plans, specs, and addenda may be downloaded from Dropbox. Click HERE for access, or
call/email our office for download instructions.
This bid has the following DBE goals, please do your part to meet these goals.
% MBE % WBE % DBE None (See below)
Notes/Comments:
Good faith efforts for M/WBE goals required per specs.
IF YOU ARE RECEIVING THIS RFQ VIA FAX AND WOULD PREFER EMAIL, PLEASE
INDICATE YOUR EMAIL ADDRESS BELOW
PLEASE COMPLETE INFORMATION BELOW AND FAX OR EMAIL BACK ASAP.
---. �--- ................_...-�..�............................�_�_�_�_�.�...
COMPANY: PHONE:
...........................................................................
CONTACT: FAX:
EMAIL:
We plan on bidding the following on this project:
Please provide a scope sheet as soon as possible.
We will NOT be bidding on this project.
We are a state qualified
M:
Shipping: 5777 Cleveland Road South Bend, IN 46628-9418 Phone 574-271-7800
Mailing: P.O. Box 266 South Bend, IN 46624-0266 FAX 574-271-0524
SECTION I EXPERIENCE QUESTIONNAIRE
What public works projects has your organization completed for the period of one (1) year prior to the date
of the current bid?
When
Contract Amount
Class of Work
Completedmm
Name and Address of Owner
1,937,254.00
Utility & Excavation
..
2017
CSO 6 & 7 Storage and Pump Facility,
....._
....._50,410.00
W&
WetWork
Grand River Construction
3,4
avation
2016
Watson CSF Phase II, City-of
....�ry_.._......
Sit
.............._ .�w...... ........u.
ka
1,929,485.00
a Utility
2017
Goshen 5 ' Street Phase II, City of
Replacement em
Goshen
ri'�01,438 00
Road & Utility
����...................................
2017
..gym.........
4 St LTCP Improvements, City of
a
Replacement
Mishawaka
What public works projects are now in process of construction by your organization?
When to be
..
Contract Amount
of Wor........
Completed
Name and Address of Owner
3,894,289.00
pClass
Water Main
2018
mm
Monroe St., Logan St., WM
Replacement, C� ity„of Goshen
1,163,781.00
Site Utilities
2018
R-36881, Boland Drive, South Bend
... ............... .............. ... ........
8,142,841....
00
................................... ..............._....._.
Combined Sewer
2018
Nappanee LTCP Div A, City of
Nappanee
5,662,029.00
Storm/Sewer
2018
R-37480-A McKinley and Ash, INDOT
Have you ever failed to complete any work awarded to you? No If so, where and why?
4. List referenced from private firms for which you have performed work.
Shiel Sexton; Indianapolis, IN
JJ White Incorporated; Philadelphia, PA
Edward Rose of Indiana; Kalamazoo MI
Skillman Corporation, Indianapolis, IN
Pepper Construction; Dublin OH
HRP CONSTRUCTION INC.
responses to
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Our intent would be to start the work after receiving a contract and Notice to Proceed per project
documents. We would perform our work per a schedule approved by the owner and/or owner's
representative.
2. A partial listing of subcontractors used in the past five (5) years. Further information will be
submitted if deemed necessary.
Asphalt and Concrete
Brooks Construction
E&B Paving
Premium Concrete
Pioneer Associates
Rieth-Riley Construction
Walsh & Kelly, Inc.
Bores & Directional Drilling
H&G Underground Utilities
Lowe Construction
Midwest Mole
Electrical & Traffic Controls
Bender Electric
Current Electric
J&J Electric of Indiana
Michiana Construction
State Barricading
Traffic Control Specialists
Hauling
Bettcher Trucking
J&R Trucking
Nowacki Trucking
Nowatzke Farms Trucking
Radabaugh Truck Service
V&R Trucking
Landscaping
Fuerbringer Landscaping
Hydro-Tek Seeding Inc.
Slusser's Green Thumb
Acorn Landscaping
Dewatering
Contract Dewatering Service
Griffin Dewatering
Kelly Dewatering
Mersino Dewatering
3. We do intend to sublet various portions of this work. However, at this time, we are not certain
who the subcontractors would be. If we are awarded this contract, we would furnish you with the
names of all subcontractors.
4. We intend to first use equipment from our fleet of fifteen excavators, nine front-end loaders, etc.
To the extent necessary, we would rent, lease, or purchase any other equipment needed.
5. We have received offers for all materials within pricing used in preparing for bid.
~ CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name Airport Annexation Area Sanitary Sewer Extension
Project No. 117-108
For Bids Due November 27, 2018
Contractor Name: HRP CONSTRUCTION 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. 10594-18 (hereinafter, "Responsible Bidding Ordinance")
for a period of twelve (12) months.
Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre -
qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -qualified'.
Bidders") by December 311" 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 - 6
POST BID SUBMISSIONS:
Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding
Ordinance. The post -bid submission requirements are as follows:
1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the
name, address, licensing status, and type of work for any subcontractor from whom the bidder has
accepted a bid and/or intends to hire on any part of the public work project, including individuals
performing work as independent contractors.
2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty
thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the
Responsible Bidder Ordinance as though it were bidding directly to the City, except that the
subcontractor shall submit the required information (including the name, address, and type of work)
to the successful bidder prior to the commencement of work.
3. Failure of a subcontractor to submit the required information shall not disqualify the successful
bidder from performing work on the project and shall not constitute a contractual default and/or
breach by the successful bidder. However, the City may withhold all payment otherwise due for
work performed by a subcontractor, until the subcontractor submits the required information and
the City approves such information.
4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall
not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another
subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the
name, address, licensing status, and type of work of the substitute subcontractor.
5. The successful bidder and all subcontractors on a public works project are required to submit
certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis,
submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall
identify the job title and craft for each employee. Certified payrolls shall be submitted
electronically.
Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in
the automatic disqualification, of the bid.
The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into
account all information in the submission requirements, determine whether a bidder is responsive and
responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to
utilize all information provided in the contractor's submission and any information obtained by the City
through its own independent verification of the information provided by the contractor.
Version 7/20/2018 General Conditions - 7
I. PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
(i) _ 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:
(i) _ Indiana Secretary of Skate's on -:line records (ie. Business verification) dated within
sixty (Bg) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Deport,
and eligible for a certificate of good standing. (loot applicable to individuals, sole
proprietors or partnerships).
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.
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 - 8
PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowled ments:
(i) By checking this box, I hereby acknowledge that I am not a pre -qualified bidder
with the City of South Bend.
(ii) _V_ By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided, and may also conduct random inquiries of my current and prior
customers. The City reserved the right to utilize all information provided in this
submission and all information obtained in inquiries or requests to determine if a
bidder is responsive and responsible. Additionally, I acknowledge that all
/ information provided to the City shall be regarded as public records.
(iii) ✓ By checking this box, I hereby acknowledge that copies of all Applicable
apprenticeship certificates or standards for training programs applicable to the
work performed on the project may be requested at any time and shall be furnished
upon request.
(iv) By checking this box, I hereby acknowledge and ensure that I and all sub-
contractors, from whom I have accepted a bid and/or intend to hire to perform work
on the public work project, are properly licensed. Furthermore, I acknowledge my
understanding that it is my responsibility to ensure that all sub -contractors have
the necessary licenses to undertake the work called for in this bid. If a sub-
contractor loses their license at any point, it is the responsibility of that sub-
contractor to notify the City.
(b) Attachments-
(i)
Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii)
List identifying all former business names.
(iii)
Any determinations by a court or governmental agency any violations of federal
state, or local laws including, but not limited to, violations of contracting or antitrust
laws, tax or licensing laws, environmental laws, Occupational Safety and Health
Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5)
✓
years.
(iv)
Statement about staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work 1
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.
(vi)
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) '�
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 - 9
(ix) '/ Written statement of any federal, state or local tax liens or tax delinquencies owed
to any federal, state or local taxing body in the preceding three years.
(i) List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within three (3) years prior to the date on which the bid is due.
Date: Novem- ,2 ,
(Sign Here)
Matthew D. Cain, President
(Print Name Here)
HRP CONSTRUCTION INC.
(Name of Company)
5777 Cleveland Road, P.O. Box 266
(Address of Company)
South Bend
(City)
Indiana
(State)
46624-0266
574 271-7800
(Telephone Number)
Version 7/20/2018 General Conditions - 10
BUSINESS INFORMATION
CONNIE LAWSON
INDIANA SECRETARY OF STATE
07/12/2017 10:09 AM
4' w
Tsr�e��r� 4 r ai r ?� l� f r� i
� u� E�a�
Business Name: HRP CONSTRUCTION INC. Business ID: 1989051420
Entity Type: Domestic For -Profit Corporation Business Status: Active
Creation Date: 06/01/1989
Inactive Date:
Principal Office Address: 5777 Cleveland Road, P.O. Box 266, SOUTH Expiration Date: Perpetual
BEND, IN, 46624, USA
Report Due Business Entity Rep
Domicile State: Indiana 06/30/2019
Date:
Years Due:
&`i'tLlPmtl�'1tuf9rmxa,�Inttti r r
a , �m'i
Title Name Address
Secretary NANCY KNAPIK 57337 MARY BETH COURT, SOUTH BEND, IN, 46619, USA
President MATTHEW DAVID CAIN 53200 LEHNER COURT, Granger, IN, 46530, USA
VICE PRESIDENT - SPECIAL PROJECTS PAUL J FALLON 63600 BIRCH ROAD, Vandalia, Ml, 49095, USA
'RN s er,�`dha�'9.�'it�1ji6,fi,14' 11.it�+�zda��4 ' ��, r�r� tie i va e �ap � „ i� � ;�k. � i � "�'�° � 'i.._.. _._��
Type: Individual
Name: MATTHEW D. CAIN
Address: 53200 LEHNER COURT, Granger, IN, 46530, USA
HRP
CONSTRUCTION
EXCAVATING•SEWERS•WATERMAINS
"cK' iin9 go is, vjeSs¢v1eErf
Responsible Bidder Checklist
Airport Annexation Area Sanitary Sewer Extension
November 27, 2018
Pre -Qualification Checklist (For Bidders That Are Not Pre -Qualified)
Section II
(b) (ii) HRP Construction Inc. former names:
June 25, 1980 known as H.R.D. Corp.
May 31, 1991 known as HRP Construction, Inc.
May 25, 1994 known as HPR Construction Inc.
(b) (iii) HRP Construction Inc. has no court or governmental agency violations of
federal, state or local laws within the preceding five (5) years.
(b) (iv) HRP Construction Inc. will have a qualified senior project manager,
senior field supervisor, project manager, field supervisor along with
qualified union operators and laborers.
(b) (v) Individuals who perform work on the public works project for HRP
Construction Inc. will be properly classified as an employee or as an
independent contractor under all applicable state and federal laws and
local ordinances.
(b) (ix) HRP Construction Inc. has no federal, state or local liens or tax
delinquencies owed to any federal, state or local taxing body in the
preceding three years.
Equal Dpportunitt E-P&YF"
Shipping: 5777 Cleveland Road South Bend, IN 46628-9418
Mailing: P.O. Box 266 South Bend, IN 46624-0266
Phone 574-271-7800
FAX 574-271-0524
HRP
CONSTRUCTION
EXCAVATING•SEWERS•WATERMAINS
9" _s v f , S&Tviaz If
November 27, 2018
To Whom It May Concern
Re: Drug and Alcohol Testing
Airport Annexation Area Sanitary Sewer Extension
We have a long standing tradition of requiring all new employees to be tested for drugs and
retaining the right to require further tests at random or for cause.
In 2006 a new state law went into effect requiring any contractor that works for the state (which
includes INDOT) to have a much more formal and rigid program, and to certify that this
program is in place at the time of their bid.
June 1, 2007 we signed an agreement with BCRC to provide our drug testing program.
We selected the BCRC, Building and Construction Resource Center Inc., for a number of
reasons:
a) They are approved by the State.
b) Their program is the one included by addendum in the 150 Heavy Highway
Contract.
c) Their program's allowed by the State Laborers Council.
d) They will also accept our non -union employees (who also, by statute, must be
included).
e) All of our employees will be subject to the same rules and regulations.
f) BCRC's plan also includes an EAP (Employee Assistance Program).
ElUaf DPP0aEunit3 �in��ot�ez
Shipping: 5777 Cleveland Road South Bend, IN 46628-9418 Phone 574-271-7800
Mailing: P.O. Box 266 South Bend, IN 46624-0266 FAX 574-271-0524
October 17, 2018
To Whom It May Concern,
Please be advised that HRP Construction, located at 5777 Cleveland Rd., South Bend, IN 46628
is a participating employer in good standing with BCRC. All of HRP Construction's Employees
are subject to the terms and conditions of the BCRC Drug Testing Policy which meets or exceeds
the requirements of IC 5-16-13-11 or IC 4-13-18-6.
Please direct any questions regarding this correspondence to me.
Thank you,
Tish Roach
Executive Director
BCRC Administrator, Inc.
219-764-1488
Promoting the Safety and Well -Being of Employees in the Workplace
Building & Construction Resource Center, Inc. • Phone: (219) 764-9500 • Fax: (219) 764-9505
6050 Southport Road, Suite B'# Portage, Indiana 46368 • www.bcrcnet.com b
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INDIANA LABOREJO TRAIY NG TR UST FUND
David A. i}ye
Secretary -Treasurer
JenyJ. Balk
Ciuis L, Guerrero
Ricky Henson, Jr.
Ramon Mendoza, Jr.
Robert S.. Wright
P.O. Box 758 - Bedford, Indiana 47421
(8I2) 279.-; 51
November 27, 2018
To Whom It May Concern:
Sean Coakley, Director
John P. frown
Chainnan
Kelly Abel
Brad Dreibelbis
Michael Ferrara
Stan Meyer
Jim Wiseman
FAX: (812) 279-5545
This letter is to confirm that "TIRP Construction, Inc." is a signatory contractor in good standing
with the Indiana laborers' Training Trust .patted.
"lie above mentioned company is a participant in the ioint Apprenticeship and. Training
Committee through this Union and ha been in active participant in good standing for each of the
past five plus consecutive years, and is currently eligible to use oaar apprentices on a project,
Further, our organization's pro,grana is approved by the U.S. "Veterans Admiaaistxatioal to
participate in the Cl, educational benefits program. A copy of our approval letters are attached
along vddl the collective bargaining agreement stating the ratios of Journey Workers to
Apprentices; which, is one (1) Apprentice for every live () Journey workers and, thereafter may
'lot employ galore that (1) apprentice for every Journey workers.
Sincerely,
Sean. Coakley,
Director
SC:dc
www. indianalaborerstraining. org
N
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INDIANA DEPARTMENT OF TRANSPORTATION
Driving Indiana's Economic Growth
23
100 North Senate Avenue PHONE: (317) 233-2412 Eric Holcomb, Governor
Room N750 Joe McGuinness, Commissioner
Indianapolis, Indiana 46204
January 8, 2018
Nancy Knapik
Controller
HRP Construction Inc
Re: 2018 OJT Training Program Agreement
HRP Construction Inc:
Enclosed you will find a copy of the approved 2018 OJT Program and Partnership Agreement, The primary objective of the
program is to provide training and advancement opportunities to minorities and women toward journey level positions in all
phases of the highway construction Industry. Thank you in advance for your participation in the Program and I look forward
to working with you this year.
Please feel free to contact me at 317-233-2412 or kdaniels2@indot.in.gov if you have any questions.
Respe Lilly
Katle Daniels
Contract Compliance Specialist
Indiana Department of Transportation - Economic Opportunity Division
Enclosure
Www.in.gov/dot/
An Equal Opportunity Employer
I.16 Araaaitaa�I "1"i1^ai>raiirag+da��at 'la:talatroat aiattt 1'z�i°`�ner�Faa�i A��temaatnt .
Step 1: Determine the total number of hours worked in the highway couastl`taction trades on INDOT
federaat-aid, contracts (cither as a prime contractor or subcontractor) during the past three years,
Do not include hours worked on state -funded and private work,
HOURS WORKED DURING 2015 HOURS
_. 2016HOURS 2017 HOURS
TOTAL `"\�. -. 4� \%4 31. o0
Step 2: Add the total number of hours from each year and divide by three (3):
1�.Sc3 + "`-4,� + 3=
2015 2016 2017 Average Hours
Step 3: Multiply the "Average Hours" by five percent (5%):
X 1 .05
Average Hours
2018 Training
Goal
I hereby agree to all of the terns and conditions contained herein and affirm under penalty and perjury
that the information stated above is true and accurate.
FOR CONTRACTOR USE
FOR INDOT USE
n\A �.,k, o—
C
Please detach Section 1.16 and return to INDOT clo Katie DaWels at lydcrnielamkrloa:in. near
7
ILI
Nancy Kna ik
NOWNENWO
From: Daniels, Kathryn <KDaniels2@indot.IN.gov>
Sent: Monday, January 8, 2018 11:52 AM
To: Nancy Knapik
Subject: 2018 OJT Partnership Agreement Approval
Attachments: HRP 2018 OJT Partnership Agreement Approval..pdf
Importance: High
HRP Construction:
Please see the attached 2018 On -the -Job Training Program and Partnership Agreement approved for your
company. Listed below are some resources which you may find helpful in administering your company's OJT Program
this year.
Approved Apprenticeship Pro ram:.
I. Companies must utilize an apprenticeship program which has been approved. An approved program is one
that has been registered with the U.S. Department of Labor (USDOL) or approved by the appropriate Federal
Highway Administration (FHWA).
2. The point of contact for obtaining a registered program with the USDOL is John Delgado, USDOL
Apprenticeship Training Representative, 317-226-7003.
3. Once a registered program or "Standards of Apprenticeship" is obtained from the USDOL, it is the
responsibility of your company to administer the program accordingly.
Journe worker to A rentice Trainee Ratios:
1. The Journeyworker to Apprentice (Trainee) Ratio is available in the Standards of Apprenticeship, see item 1
above. Ratio example: If the ratio of journeyworkers to apprentices for an occupation classification is 4:1;
then, for every four (4) journeyworkers on a given project, there can be one (1) apprentice working in that
same classification on that same project.
Recruiting Agencies:
1. An Indiana RecruitiDg A
yencyList is available as a reference on the Econorni
�c O ortun`rt Division website
under the Contract Compliance Section, under On -the -Job Training. Your company can reference this list
when recruiting potential apprentices.
I look forward to working with you this year.
Katie Daniels
Contract Compliance Specialist & OJT Lead
Indiana Department of Transportation
100 N. Senate Ave., IGCN 750
Indianapolis, IN 46204
Office: (317) 233-2412
Email: kdaniels2@indot.in
y a r01ndiina.
DA A DEPARTMENT OF TRANSPORTATION
100 North Senate Avenue PHONE: (317) 233-2412 Eric Holcomb, Governor
Room N750 Joe McGuinness, Commissioner
Indianapolis, Indiana 46204
January 22, 2018
Nancy Knapik
Controller
HRP Construction Inc
Re: 2017 On -the -Job Training (OJT) Review
Dear Ms. Knapik:
Enclosed is our review of your company's 2017 OJT program. As indicated on the spreadsheet, your company has met its 2017 OJT
goal.
Please feel free to contact me at 317-233-2412 or kdaniels2 indot.in.gv regarding any questions you may have.
Respe ully,
Katie Daniels
Contract Compliance Specialist & OJT Lead
Indiana Department of Transportation — Economic Opportunity Division
Enclosures
www.in.gov/dot/
An Equal Opportunity Employer 0
Indiana
nsu�em�wor
0
ZURICH
November 27, 2018
City of South Bend
Re: HRP Construction Inc., 5777 Cleveland Road, PO Box 266, South Bend, IN 46624
Prequalification
To whom it may concern:
Zurich American Insurance Company and/or its subsidiary, Fidelity and Deposit Company
of Maryland, have provided surety credit to HRP Construction Inc. for single projects of
$12,000,000 and an aggregate uncompleted backlog of $$20,000,000. Zurich/F&D is
Zurich North America Surety rated "A+" (Superior) with a financial size category of XV ($2 billion +) by AM Best and has
300 S. Riverside PI, Suite 2100 a US Treasury Limit exceeding $300 million.
Chicago, IL 60606
http://www.zudch.com If HRP Construction Inc. is awarded a contract with the City of South Bend and requests
Direct Phone 317-753-3076 that we provide the necessary Performance and/or Payment Bonds, we will be prepared to
execute the bonds subject to our acceptable review of the contract terms and conditions,
bond forms, appropriate contract funding and any other underwriting considerations at the
time of the request.
Our consideration and issuance of bonds is a matter solely between HRP Construction Inc.
and ourselves, and we assume no liability to third parties or to you by the issuance of this
letter.
We trust that this information meets with your satisfaction. If there are further questions,
please feel free to contact me.
Sincerely
Zurich American Insurance Company
Fidelity and Deposit Comp any of Maryland
icle L. Bicknell
Attorney in Fact
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by
Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are
set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute,
and appoint Barbara E. PEARSON, Nicole L. BICKNELL, Mark E. WOBBE, Cheryl E. ALKIRE, Jennifer L. KASZNIA,
William J. CERNEY, III, Theresa M. BURNS and Megan E. RIESENBERG, all of South Bend, Indiana, EACH its true and
lawful agent and Attomey-in-Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all
bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said
Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected
officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected
officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper
persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By -Laws of said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 24th day of September, A.D. 2018.
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By: Robert D. Murray
Vice President
t%ray"d,�r-
By: Dawn E. Brown
Secretary
State of Maryland
County of Baltimore
On this 24tb day of September, A.D. 2018, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert
D. Murray, Vice President and Dawn E. Brown, Secretary of the Companies, to me personally known to be the individuals and officers described in and
who executed the preceding instrument, and acknowledged the execution of same, and being by the duly sworn, deposeth and saith, that he/she is the said
officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate
Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written.
Constance A. Dunn, Notary Public
A�bppbt
My Commission Expires: July 9, 2019
Ydytii*
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, tIT;. The Chief Executive Officer, the President, or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies,
recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any
time."
CERTIFICATE
I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the
foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of
the By -Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney ... Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the 10th day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies,
this 27th day of November 2ot8
...... � 2
Michael C. Fay Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRH'TION
OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT
INFORMATION TO:
Zurich Surety Claims
1299 Zurich Way
Schaumburg, IL 60196-1056
y .regort,t' It uni@gurtchna.co(ri
800-626-4577