HomeMy WebLinkAboutOpening of Bids - Century Center Lower Level Restroom Remodel Proj No 118-082A - Brown & Brown General Contractors IncCITY OF SOUTH BEND, INDIANA `"i"`
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Century Center — South Bend, Lower Level Restroom Remodel
Project No. 118-082A
............... .....__
For Bids Due November 27, 2018 at 9:30 am
. ....... _ .........
PART I
(Must be completed for all bids. Please type or print)
Date: Nov. 27 2018 Bidder (Firm), Brown & Brown General Contractors,_ Inc.
Address: 124 S. Elkhart St.. PO Box 487
City/State/Zip: Wakarusa, INS 46573 Telephone Number: 574 862-2.171
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:
Century Center - South Bend, Lower Level Restroom Remodel
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
DLZ LLC
and dated Oct. 22, 2018 for the sum of (enter the Total Bid as shown on the Proposal)
&�6'
(Enter sum of Total Base Bid 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 South Bend. If the bid is to be awarded on a unit
basis, the itemization of the units shall be shown on a s=gi�
By
g
Eric Brown, President
(Printed Name of Person Signing)
ACCEPTANCE
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
Suzanna M. Fritzberg, Member
Therese J. Dorau, Member
James A. Mueller, Member Attest: Linda M. Martin, Clerk
20
Version 7/20/2018 Contractor's Bid for Public Works - 14
BID/PROPOSALm�u.9
CITY OF SOUTH BEND`
Project Name: Century Center — South Bend, Lower Level Restroom Remodel 1;1�
MAIT
Project Number: 118-082A
For Bids Due: November 27, 2018 at 9:30 am --
Contractor Name: (Name Here) Brown & Brown General Contractors, Inc.
BASE BID
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
All work as noted in Drawing set and
1
Project Manual to complete in its
1
Lump
N/A
entirety, with the exception of alternative
sum
Bid Item
Allowance
2
(toilet accessories and Toilet/Urinal
1
Lump
$5,000.00
$5,000.00
Partition Replacement, including
sum
brackets and pilasters andpanels)
3
4
5
BASE BID TOTAL
ALTERNATE #1
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
All work as noted in Drawing set and
6
Project Manual to complete Alternative 1
in its entirety, with the exception of Base
Bid work
7
8
9
10
ALTERNATE #1 TOTAL
Bidder (Firm): Brown & Brown General Contractors, Inc.
Address: 124 S. Elkhart St., PO Box 487
City/State/Zip: Wakarusa, IN 46573 Telephone Number: 1 574 1 862-2171
By
(Signature)
Eric Brown, President
(Printed Name of Person Signing)
Version 7/20/2018 Contractor's Bid for Public Works - 19
When the prospective Contractor is unable to certify to any of Cite 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:
Elkhart COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, arms 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:
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 Contractors 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. 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 ventures awarded a contract by the City of
South Bend through its agencies, boards, or commissions shall not discriminate against any employee or
applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions,
or privileges of employment, or any matter directly or indirectly related to employment because of race, sex,
religion, color, national origin, 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 Contractors 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 26th day of Nov , 20 18
Brown & Brown General Contractors Inc.
Contractor/ `dder (Firm)
Signature of Contractor/Bidder of Its Agent
Br' n Presi
Printed Name and Title
Subscribed and sworn to before me this 26th day of Nov. , 20 18
My Commission Expires, 3/1/2019
Notary Pulpic
County of Residence St. Joseph Co. Indiana
ftoedt + Allen Rov
Notary Public
SEAL
t, Jamphw County„ atatt'
MV (toTli lselon Expiios M'
t' Inmieslon Wrnbw
Version 7/20/2018 Contractor's Bid for Public Works - 6
Init.
A Doicu�m�ent A31 OITM - 2010
Bid Bond
CONTRACTOR:
(Name, legal status and address)
Brown & Brown General Contractors, Inc.
11. C. Box 487
Wakarusa, IN 46573-0487
SURETY:
(Name, legal status and principal place
of business)
Philadelphia Indemnity Insurance Company
Bala Cynwyd, PA
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 5% of Total Bid
PROJECT:
(Name, location or address, and Project number, if any)
Century Center - South Bend Lower Level Restroom Remodel; Project No. 118-082A
This document has important legal
consequences. Consultation with
an attorney is encouraged with
respect to its completion or
modification.
Any singular reference to
Contractor, Surety, Owner or
other party shall be considered
plural where applicable.
The Contractor and Surety are: bound to the Owner in the amount set forth above, for the payment of which the
Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and
severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor
within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and
Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such
bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted
in the jurisdiction of the Project and otherwise acceptable to the: Owner, for the faithful performance of such Contract
and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the
difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount
for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this
obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of
an agreement between the Owner and Contractor to "tend 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 famished 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 19th day of November 2018
Brow town encral Contractors Inc.
(Principal) (Seal)
(Title) Eric Brown, President
Philadell)[tia Indemnity insurance Company
(,Surety) (Seal)
(Witness)
(Title),xj6nitcr L. Kas nia, Xno ey in Fact
CAU11OPC You s1houlld sligin an ortg1linall A11A Cointract Document, oin w1hic'1h this b?xt a1ppears in RIE111 Ani orliglinall assuires that
c1hainges wfll inct be albscured,
. .. .............. . . . ....
AIA Document A31011,1- 2010, CopyrightO 1963,1970 and 2010 by The Ame4can Institute ofArnfiltecls. All rightsvesened.WAMING, ThIs AW,
D(Mgimeint is protected by US . CalpyrIlght Law au"ll Illnmteirmmatlonall I reafles, Unauthoirlized reproducton or, dMfluitloin of Mks AY0 Document, of
any poirlhxni of lt, unay uresullf lin severe cilvU and cr11vntinM peinaHlles, and w11111111 be prosecuted to H w nnaxilrimunn extent possillNe under time law.
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@aia.org. 061110
410
PHILADELPHIA INDEMNITY INSURANCE COMPANY
One Bala Plaza, Suite 100
Bala Cynwyd, PA 19004-0950
Power of Attorney
KNOW ALL PERSONS BY THESE PRESENTS: That PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organized and
existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoint Barbara Pearson Jordan Scbelber. lennlfer Kaszula ark.
15 bl e Meg-all fUel-24 berg, Nicole Htcicnell. SandrajunI6 TtIgreso Burns, Wesley Mantgoth, W111tain Corney III and. Chetyl Alldn 46lbsIm Inst rance
Agency. Inc. its true and lawfid Attomey-in-fact with full authority to execute on its behalf bonds, undertakings, recognizances and other contracts of indemnity
and writings obligatory in the nature thereof, issued in the course of its business and to bind the Company thereby, in an amount not to exceed Slott 04)0,Q00.!411.
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of
PHILADELPHIA INDEMNITY INSURANCE COMPANY on the G0' of November„ 2016,
RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the
Company: (1) Appoint Attomey(s) in Fact and authorize the Attomey(s) in Fact to
execute on behalf of the Company bonds and undertakings, contracts of indemnity and
other writings obligatory in the nature thereof and to attach the seal of the Company
thereto; and (2) to remove, at any time, any such Attorney -in -Fact and revoke the
authority given. And, be it
FURTHER
RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any
such Power of Attorney or certificate relating thereto by facsimile, and any such Power of
Attorney so executed and certified by facsimile signatures and facsimile seal shall be
valid and binding upon the Company in the future with respect to any bond or
undertaking to which it is attached.
IN TESTIMONY W 111 REOF, PI11LADF:LPIIIA INDEMNITY INSURANCE COMPANY IIA.S CAUSED THIS 'INSTRUMENT 'ro BI; SIGNED AND ITS
CORPORATE SEALTO BE AFFIXED BY ITS AUTHOII [ZED OFFICE THIS 27T11 DAY OF OCTOBER, 2017.
(Seal)
Robert D. O'Leary Jr., President & CEO
Philadelphia Indemnity Insurance Company
On this 27' day of October, 2017, before me came the individual who executed the preceding instrument, to me personally known, and being by me duly sworn said
that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY; that the seal affixed to said instrument is
the Corporate seal of said Company; that the said Corporate Seal and his signature were duly affixed.
Note Public:
Notary
era t,a+n»rxinmwrvm a� �, sepu a� xcaau
s
residing at:
(Notary Seal)
My commission expires:
Bala (' �wvd.
Sej2yq)]bcr 25, 2021 ....... ......
I, Edward Sayago, Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do hereby certify that the foregoing resolution of the Board of
Directors and the Power of Attorney issued pursuant thereto on the 27 s day of October, 2017 are true and correct and are still in full force and effect. I do further certify
that Robert D. O'Leary Jr., who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attorney the duly elected President
of PHILADELPHIA INDEMNITY INSURANCE COMPANY.
In Testimoxwy W» hercof I have subscribed my name and a1'fxed the facsimile seal ofcach Company this &A day ol" �r.a4 20
Edward Sayago, Corporate Secretary
PHILADELPHIA INDEMNITY INSURANCE COMPANY
ra-'
1316 COUNTY -CITY BUILDING 'HONE 5574/ 235-9251
227 W. JEFFERSON BOULEVARD F
FAx 574/ 235-9171
SOUTH BEND, 1NDIANA 46601-1830, TDD 574/ 235-5567
r
C1"ry dui', 1}1. ri-1 BENI) Pr,,"j..1"' Wr f mlw, MAYOR
BOARD OF PUBLIC WORKS
Date:
November 21, 2018
To:
All Planholders
From
Linda M. Martin, Clerk, Board of Public Works
Subject
Addendum Number: 1
........
Project Name: Century Center Lower Level Restroom Remodel
Project Number: Project No. 118-082A
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: November 21, 2018
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: Brown & Brown General Contractors, Inc.
Authorized Signature:.
Date: November 21, 2018
Version 4/2/2015
1316 COUNTY -CITY BUILDING
227 1N N^F'IsNdSO N BoLi.r.,V'RD
SONaTfrAMEX INDIAN'A46601-1 3
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
September 5, 2018
Mr. Eric Brown
Brown & Brown General Contractors, Inc.
124 S. Elkhart St., PO Box 487
Wakarusa, IN 46573
RE: Pre -Qualification Verification
Dear Mr. Brown:
PHONE 574/235-9251
Fax 574/ 235-9171
This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South
Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you
are required to re -submit a complete application for continuation of pre -qualification status prior to December 31
for the upcoming calendar year.
A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of
South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments.
If you have any further questions regarding this matter, please call this office at (574) 235-9251.
Sincerely,
Linda M. Martin, Clerk
GallGAI,ly A. G11 ' "1" Dav'ID 11, 1a�..0S JMI�1RZ.�'�e1�:1tt "1`19 A. �uw�lat r 111 h 1w 1.5 , .. IvC1II 1�1,.I�1 1'I11.1I1. 1� 1. (1'6 s :C.,"
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
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 - 15
The above bid is accepted this
following conditions:
Contracting Authority Members:
ACCEPTANCE
day of
PART II
(For projects of $150, 000 or more — /C 36-1-12-4)
Governmental Unit: City of South Bend, IN
Bidder (Firm) Brown & Brown General Contractors, Inc.
Date (month, day, year):
November 272 2018
subject to the
These statements to be submitted under oath by each bidder with and as a part of his bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
What public works projects has your organization completed for the period of one (1) year prior to the
date of the current bid?
Contract Amount
Class of Work
Completion
Date
Name and Address of Owner
3,481,450.00
renovation
2017
Indiana University, Bloomington, IN
226,429.00
1,141, 066.00
renov/addition
new
2018
2018
Elkhart Comm Schools, Elkhart, IN
Walkerton Lincoln Twp Library, Walkerton, IN
6,109,490.00
new
2018
WaNee Comm Schools, Nappanee, IN
2. What public works projects are now in process of construction by your organization?
Expected
Contract Amount
Class of Work
Completion
Name and Address of Owner
Date
1,213,300.00
renovation
2019
Concord Comm Schools, Elkhart, IN
2,985,000.00
new
2019
Elkhart Comm Schools, Elkhart, IN
7,550,000.00
new
2019
Elkhart Co Bd of Comm, Goshen, IN
359,400.00
renovation
2018
Mishawaka Penn Harris Pub Lib, Mishawaka IN
Have you ever failed to complete any work awarded to you? no If so, where and why?
4. List references from private firms for which you have performed work.
Dick Belcher, First Federal Savings Bank, Rochester, IN
John Metzger, Culver Duck Farm, Middlebury, IN
Jeff Ewing, 2nd AP Company L.P., Woburn, MA
Samantha Hale, Holladay Properties, South Bend, IN
Patti Toering, Matthews LLC, Notre Dame, IN
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
Explain your plan or layout for performing proposed work. (Examples could include a narrative of when
you could begin work, complete the project, number of workers, etc. and any other information which you
believe would enable the governmental unit to consider your bid.)
All work to be completed in a professional, workmanlike manner according to applicable
plans, specifications and addendum.
2. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm
who have performed part of the work) that you have used on public works projects during the past five (5)
years along with a brief description of the work done by each subcontractor.
Art Mosaic & Tile, South Bend, IN - specialized floor finishes
Interior Finishes, South Bend, IN - floor finishes
Edward J. White, South Bend, IN - mechanical
DeMuyt Masonry, Rome City, IN - masonry
Martell Electric, South Bend, IN - electrical
3. If you intend to sublet any portion of the work, state the name and address of each subcontractor,
equipment to be used by the subcontractor, and whether you will require a bond. However, if you are
unable to currently provide a listing, please understand a listing must be provided prior to contract
approval. Until the completion of the proposed project, you are under a continuing obligation to
immediately notify the governmental unit in the event that you subsequently determine that you will use a
subcontractor on the proposed project.
Names and addresses of subcontractors to be furnished as specifications require.
Equipment to be used by them is unknown to us.
Bonds from subcontractors to be determined
4. What equipment do you have available to use for the proposed project? Any equipment to be used by
subcontractors may also be required to be listed by the governmental unit.
Trucks, skid loaders; anything else we do not have will be rented.
5. Have you entered into contracts or received offers for all materials which substantiate the prices used in
preparing your proposal? If not, please explain the rationale used which would corroborate the prices
listed.
Yes
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial
statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to
the governing body awarding the contract must be specific enough in detail so that said governing body can make
a proper determination of the bidder's capability for completing the project if awarded.
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CITY OF SOUTH BEND °�`�'��"�M
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM ot"'
FORM MWBE-2.0 '
EVIDENCE OF GOOD FAITH EFFORTS ISO
I,
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: 118-082A
Date:
Project Name: Century Center — South Bend, Lower Level Restroom Remodel
Bidder:
Contact Person
Address:
City:
Email:
Brown & Brown General Contractors Inc.
Eric Brown
124 S. Elkhart St., PO Box 487
Wakarusa State: IN
eric@bbec.us
Telephone: 574-862-2171
Zip: 46573
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
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 MBE/WBEs of contracting and
subcontracting opportunities.
2. 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 Goad 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 - 21
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY!�
DEVELOPMENT PROGRAM '
FORM MWBE-2.1 �
MBENVBE CONTACTED `"' '"44
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring contacted MBE/WBE 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 1
Project Number: 118-082A
Project Name:
Bidder:
By:
MBE/WBE Participation Goal
Century Center — South Bend Lower Level Restroom Remodel
Brown & Brown General Contractors, Inc.
President
11 /26/2018
(Signature) (Title) (Date)
MBE/WBE Firm McMann Electric
Owner or Contact at MBE/WBE Firm Terri McMann
Telephone:574-64-5748 Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT: electrical
Email: terrimcmann@mcmannelectric.com
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
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:.
Version 7/20/2018 Contractor's Bid for Public Works - 22
PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
(i) X 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) X 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) X Indiana Secretary of State's on-line records (i.e. 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) X 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) X 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) X 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
Entity Type: Domestic For -Profit Corporation Business Status: Active
Creation Date: 06/02/1960 Inactive Date:
Principal Office Address: 124 S. Elkhart St., Wakarusa, IN, 46573 -
p 0487, USA Expiration Date: Perpetual
Jurisdiction of Formation: Indiana Business Entity Report Due 06/30/2020
Date:
Title
Name
Secretary
Hannah M Aitken
President
Eric Brown
Type: Individual
Name: MARITA KREPS
Years Due:
Address
PO Box 487, WAKARUSA, IN, 46573, USA
PO Box 487, WAKARUSA, IN, 46573, USA
Address: 124 S. ELKHART ST., WAKARUSA, IN, 46573 - 0487, USA
SINGE 9839
I rown andA pow
MEN RAL CO TRAWTORS. INC.
124 S. ELKHART ST.
P.O. BOX 487
WAKARUSA. INDIANA 4857343487
PHONE: (574) 888•5171 FAX: (574) 88Z-3930
Statement of staffing capabilities:
In-house Eric Brown, President
Marita Kreps, Vice -President
Bradley Romine, Project Manager
Todd Marek, Project Manager
On -site Eric Romine, Site Superintendent
Adam Loucks, Site Superintendent
Matthew Hilty, Site Superintendent
James Downing, Site Superintendent
Rob Reinhold, Site Superintendent
Labor sources: Carpenter's local 413
Cement finishers local 101
Painters local 91
U "; IBS N
October 3, 2018
RE: Brown & Brown General Contractors, Inc.
To Whom It May Concern:
In compliance with the United States Department of Treasury's Listing of Certified
Companies, this letter will serve to confirm that at this time the surety company
Philadelphia Indemnity Insurance Company is listed with the United States
Department of Treasury's Listing of Approved Sureties according to Department
Circular 570.
PHILADELPHIA INDEMNITY INSURANCE COMPANY
Jennifer L. Kasznia
Attorney in Fact
]ild
www.Gibsonlns.com
t (800) 814-2122
f (600) 836-2122
M,
South Bend, IN
Plymouth, IN
Indianapolis, IN
Fort Wayne, IN
Elkhart, IN
Kalamazoo, MI
395
PHILADELPHIA INDEMNITY INSURANCE COMPANY
One Bala Plaza, Suite 100
Bala Cynwyd, PA 19004-0950
Power of Attorney
KNOW ALL PERSONS BY TliESE PRESENTS: Tim PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organi:zed:rtta'l
existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoint Barbara. eaa I chel6er laws YCE KBRLIAAAAMMA
wolik, mssan fflusallsrit. Nicole 111chns1l, .591jilrae o s We A1111MR,Cgr1joye, AlWrS of Glftj2p l aarar ce
Aaancv, Inc., its true and lawful Attorneyµin-fact with full authority to execute on its behalf bonds, undertakings„ recognizances and other contracts of indemnity
and writings obligatory in the nature thereof, issued in the course of its business and to bind the Company thereby,, in an amount not to exceed 1C100,000;00II..
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of
PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 10 of November, 2016.
RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the
Company: (1) Appoint Attomey(s) in Fact and authorize the Attomey(s) in Fact to
execute on behalf of the Company bonds and undertakings, contracts of indemnity and
other writings obligatory in the nature thereof and to attach the seal of the Company
thereto; and (2) to remove, at any time, any such Attomey-in-Fact and revoke the
authority given. And, be it
FURTHER
RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any
such Power of Attorney or certificate relating thereto by facsimile, and any such Power of
Attorney so executed and certified by facsimile signatures and facsimile seal shall be
valid and binding upon the Company in the future with respect to any bond or
undertaking to which it is attached.
IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS
CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 27"' DAY OF OCTOBER, 2017.
12�
(Seal) �^
Robert D. O'Leary Jr., President & CEO
Philadelphia Indemnity Insurance Company
On this 27'' day of October, 2017, before me came the individual who executed the preceding instrument, to me personally known, and being by me duly sworn said
that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY; that the seal affixed to said instrument is
the Corporate seal of said Company; that the said Corporate Seal and his signature were duly affixed.
rna
M Note Public:
Notary
residing at:
(Notary Seal)
My commission expires:
y
1, Edward Sayago, Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do hereby certify that the foregoing resolution of the Board of
Directors and the Power of Attorney issued pursuant thereto on the 27's day of October, 2017 are true and correct; and are still in fall force and offect. I do further oarti r
that Robert D. O'Leary Jr., who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attorney the duly elected. President
of PHILADELPHIA INDEMNITY INSURANCE COMPANY.
in Testimony Whereof I have subscribed my name and affixed the racgintile seal of each Company this � d elay of �" " � (�"ate 20 L ,
..
1 9,27
Edward Sayago, Corporate Secretary
�
PHILADELPHIA INDEMNITY INSURANCE COMPANY
SINCE 1939
Arown and'I rown
N ERAL CQ!MJAAWTOO�
N-101
124 S. ELKHART ST.
P.O. BOX 487
WAKARUSA, INDIANA 46573-0487
PHOM 1574) 862-2171 FAX- (574) 8623930
List of Projects in past three years
Description
Amount
Walkerton Library, Walkerton, IN ............. ...........
$1,143,906
IUSB Riverside Hall, South Bend, IN ..............
3,254,451
IUSB Northside Hall, South Bend, IN ............... .......
3,482,671
Elkhart Memorial High School Commissary, Elkhart, IN ....... —
— 1,164,280
Howard Ellis Elementary, Niles, MI ........... .......... .......
935,100
Ring Lardner Middle School, Niles, MI ...............................
765,272
Northwood High School Athletic Center, Nappanee, IN .............
$6,104,700
Woodlawn Hospital Pharmacy, Rochester, IN ........................
286,229
Watervliet Middle & High Schools, Watervliet, MI ...................
557,494
Elkhart Public Library, Elkhart, IN ..................................
979,298
Culver Duck Form, Middlebury, IN ....... .................. --
112,316
Peru Housing Authority, Peru, IN ..................................
342,533
Pennway Alternative School, Osceola, IN ................... .........
119,299
Stratford Commons, Elkhart, IN ..................................
1,014,298
Buchanan Middle School, Buchanan, MI ........ ................. 1.
1,025,471
Gurley Leep Kia, Mishawaka, IN ................ ..........
358,939
St. Joseph County PSAP, Mishawaka, IN ........ ...................
587,494
Success Academy, South Bend, IN ... ......... ..................
209,905
Knox Elementary School, Knox, IN ...................... 1,523,524
.. . . ... ......... ....