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HomeMy WebLinkAboutOpening of Bids - Century Center Lower Level Restroom Remodel Proj No 118-082A - The Robert Henry CorporationCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBIC WORK 4 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 (Must be completed for all bids. Please type or print) Date: 63idder (Firm): -ffy. �j -tGr► Address: City/State/Zip: elephone Number: Agent of Bidder (if Applicable): Pursuant to notices given, theYudAerigned offers to furnish labor and/or material necessary to complete the public works project of: h 01P.n4-f-r - ,tl t rA f U tl / I P 00 . r A te► the City of South Bend, Indiana, in accordance with plans and specifications prepared by: .D°1 �L and dated for the sum of (enter the Total Bid as shown on the Proposal) 76-V 774csf&sal�a" (Enter sum of Total B e Bid plus Alternates shown on Pr osal) (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 shown in the original contract if accepted by the Ci01 basis, the itemization of the units shall be shover By 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 ACCEPTANCE day of ed, the cost of units must be the same as that h Bend. If the bid is to be awarded on a unit t attachment. Signing) Suzanna M. Fritzberg, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk Version 7/20/2018 Contractor's Bid for Public Works - 14 20 BID/PROPOSALa:rr CITY OF SOUTH BEND o Project Name: Century Center— South Bend Lower Level Restroom Remodel i �, Project Number: 118-082A For Bids Due: November 27, 2018 at 9:30 am Contractor Name: (Name Here) BASE BID Item Description No. All work as noted in Drawing set and 1 Project Manual to complete in its entirety, with the exception of alternative Bid Item Allowance 2 (toilet accessories and Toilet/Urinal Partition Replacement, including brackets and pilasters andpanels) 3 4 5 ALTERNATE #1 Item Description No. All work as noted in Drawing set and W 6 Project Manual to complete Alternative 1 in its entirety, with the exception of Base Bid work 7 8 9 10 Bidder (Firm): Address: City/State/Zip: Quantity J Unit 1I Unit Price I Total Amount 1Lu sum N/A 1Lum sump $5,000.00 $5,000.00 BASE BID TOTA Quantity Unit Unit Price Total Amount l d ALTERNATE #1 OTAL UaA �(�PrinNedam Pf eosnSigning) Version 7/20/2018 Contractor's Bid for Public Works - 19 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 ) C( )SS. 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 - 16 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 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 Version 7/20/2018 Contractor's Bid for Public Works - 17 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 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 day of�OQ1 kf 20 CorttrcdorJ dole `" 4siga .c ' actoawlliticler is Agent Printe Name and Title Subscribed and sworn to before me this 3I day ter My Commission Expires County of Residence m Notary Public 4'4FPATROIDIA KNIGHT 7 ' r 8110110 of Indian, 0 890. 5, 2024 Version 7/20/2018 Contractor's Bid for Public Works - 18 Fidelity & Deposit Company of Maryland Document tr31,TM - ^010 Conforms with The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place of business) The Robert Henry Corporation Fidelity and Deposit Company of Maryland PO Box 1407 1299 Zurich Way South Bend, IN 46624-1407 Schaumburg, IL 60196-5870 This document has important legal consequences. Mailing Address for Notices Consultation with an attomey is OWNER: encouraged with respect to its (Name, legal status and address) completion or modification. City of South Bend, Board of Public Works Any singular reference to 227 W Jefferson Blvd, County City Building Room1316 Contractor, Surety, Owner or South Bend, IN 46601 other party shall be considered plural where applicable. BOND AMOUNT: *** Five Percent (5%) of the Accompanying Bid *** PROJECT: (Name, location or address, and Project number, if any) Century Center South Bend, Lower Level Restroom Remodel Project No, 118-082A The Contractor and Surety are bound to the Owner in the amount set tortb above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and ;severally, as provided ltercin. 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 sp ilied in the bidding or Contract Itatcumems„ with a surety admitted in the jurisdiction of the Projer;t 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 acceplauce of bads specified in the bad 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 27th day of November (Witness) u a (Witness) LMS-10054 08/10 2018 The Robert Henry Corporation (l ritscipm (Seal).. Fidelity and Deposit. Company of Maryland (Surety) (Title) T%a tyT. Willi Attorney -in -Fact EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attorncvs-irn-1 `aa 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, recognizces, 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. SOLVED: "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 AERICAN 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 1 Oth day of May, 1990. SOLVED: "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 ............No_v_ernber__,_,_._._,.+ 20 9 . wrw Thomas O. McClellan, Vice President 1316 COUNTY -CITY BUILDING 227 W. Jr,F E SON BOULEVARD SOUTDi BEND, INDIANA 46601..1830 MACK t PHONE, 574/ 235-9251 FAX 5'74/ 235-9171 '1C]CDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, 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: 0 1 9 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. Compa Author Date: Version 4/2/2015 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK„ CHECKLIST FOR BIDDERS Project Name Century Center- South Bend, Lower Level Restroom Remodel Project No. 118-082A For Bids Due November 27, 2018 at 9:30 am 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 Addendum(s) included with the bid.. All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either printed 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: Brown & Brown General Contractors, Inc, Date: Nov. 27, 2018 By Authorized Representative: Signature: Print Name & Title: Eric Brown, President Version 7/20/2018 Contractor's Bid for Public Works - 13 CITY OF SOUTH BEND, INDIANA ; CONTRACTORS BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Century Center- South Bend, Lower Level Restroom Remodel Project No. 118-082A For Bids Due November 27, 2018 at 9:30 am 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 A- Addendum(s) included with the bid. f/ All required additional information is included with the bid. / Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. v This checklist submitted with the Bid,. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Date: A By Authorized Re Signature: Print Name & Title: Version 7/20/2018 Contractor's Bid for Public Works - 13 PART u A4 (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. 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 Part II — Section I — Experience Questionnaire 1. St. Joseph County Public Library Project Completed 2009 — Contract Amount - $4,050,604. South Bend Transportation and Maintenance Facility Project Completed October 2010 — Contract Amount - $20,170,000. Ft. Wayne/South Bend Catholic Diocese — Marian High School Project Completed August 2011 - Contract Amount $557,000 Penn/Harris/Madison School Corporation Project Completed August 2011 - Contract Amount $3,320,000 Gurley Leep Addition and Remodel Project Completed December 2011 — Contract Amount $1,073,441 Elkhart County Library Projected Completed March 2012 - Contract Amount - $420,000 St. Joseph High School Project Completed June 2012 - Contract Amount - $2,000,000 Potawatomi Conservatory Project Completed June 2012 - $1,180,000 Granger Community Medicine Project Completed January 2013 - $904,000 Whole Foods Project Completed March 2013 — $435,000 Roseland Animal Hospital — Project Completed May 2013 - $780,000 St. Joseph County Library Digital Lab Job Completed June 2014 - $188,000 St. Jude Catholic Church Renovation Project Completed August 2013 - $3,524,000 Gurley Leep Audi Project Completed September 2014 - $1,018,000 Saint Joseph Regional Medical Center — ER Addition Plymouth - $4,900,000 Completed July 2015 Church of Jesus Christ of Latter Day Saints — Addition — $1,465,000 Completed July 2015 Cassopolis Hight School — Interior Finishes - $312,444 Completed Summer 2016 Penn High School Football Stadium - $1,093,000 Completed Summer 2017 Gurley Leep Honda Store - $5,722,000 Completed Fall 2017 2. Current Projects in Progress: Trinity Health PACE Project - $2,500,000 Leighton Hall Addition — University of Notre Dame - $439,994 Dowagiac Federal Credit Union - $120,684 Northwest Family Medicine - $225,260 Siemens Mishawaka - $278,149 St. Joe Regional Medical Center — Pavilion II - $383,806 University Park Family Medicine - $392,506 3. Have you ever failed to complete work awarded to you? NO 4. References from Private Firms: • Father Michael Heintz — St Matthew's Cathedral — 574-289-5539 • Mr. Mike Stahly — South Bend Public Transportation — 574-532-6852 e Mr. Don Napoli — St. Joseph County Public Library — 574-282-4646 Part II — Section II — Plan and Equipment Questionnaire A detailed quantity survey has been made from the contract plans and specifications. Sufficient manpower is available to begin work 10 days to 2 weeks after Notice of Award. We anticipate completion per plans and specifications. 2. A list of subcontractors will be provided within 24 hours of Notice of Award. 3. A lit of subcontractors will be provided within 24 hours of Notice of Award. It is not anticipated that a bond will be required from subcontractors. 4. All required equipment will be provided for this project. 5. Yes. CITY OF SOUTH BENDwrcarxrw MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM iu FORM MWBE-1.0 MBE/WBE PARTICIPATION This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects Involving MBE/MBE 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. . ry Remodel Center — South Bend, Lower l evel Restroom Project Number: Project Name: Centu Bidder: ��tal Bid Amount: MBENVBE Goal: Page of Primary Contact Person Scope of Work to be Performed Dollar Amount of Percentage Name 8 Address of MBEIWBE ... p ( P o. of Tolal-^ (Name(rele hone Attach scope/schedule If you need additional space) MBEIWBE Com of „e AU SCi11,I -+P�pi C 4 Submitted by: 5 1�n R ham Me Version 7/20/2018 Contractor's Bid for Public Works - 20 CITY OF SOUTH BENDr, ry1% 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: 118-082A Date: Mouu ►(pbu A6T Project Name: Bidder: Contact Person: Address: City: Email: Century Center — South Bend, Lower Level Restroom Remodel `4I A a n r' 0 To determine whether a bidder has d onstrated good faith a rts 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 VJ< 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 Ben,d r�equires that all perspective bidders complete no less than 2 of the following: (1:J 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. 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 MBENVBE goals (including breaking down contracts into smaller units to facilitate MBENVBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the 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 7/20/201 B Contractor's Bid for Public Works - 21 CITY OF SOUTH BEND�r�r° MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM', ! FORM MWBE-2.1 ' MBE/WBE CONTACTED 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 OF Project Number: 118-082A Project Name: Century Center - South Bidder: IbL 6 bULA-n-K By: (Signature) MBE/WBE Firm Owner or Contact at MBE/WBE Firm MBENVBE Participation Goal Lower Level Restroom Remodel Fax: (ArEmail: ° TYPE OF WORK SOLICITED F o n t -cn C � OR THIS PROJECT: � � RESULTS OF CONTACT WITH THE MBE/WBE FIRM: MBE/WBE Firm Owner or Contact at MBE/WBE Firm Telephone: a`q- -J(0a51Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Email: Version 7/20/2018 Contractor's Bid for Public Works - 22 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Century Center- South Bend Lower Level Restroom Remodel Project No. 118-082A For Bids Due November 27, 2018 at 9:30 am Contractor Name: (Name here) ` 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. 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 315t for the upcoming calendar year, or within twelve (12) months of obtaining pre - qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal of the designation, effective January 1 of the following year, or immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 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 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledg ents: (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) A'/ 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) Attachment ; (i) 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) 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) _1,_/ 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 I (a) Ack (i) (b) (v) (vi) hments:. CATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at anytime and shall be furnished upon request. 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. 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). List identifying all former business names. Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to meet the staffing needs of the work. Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. Evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. 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. Me OR11111ORINVI (Address of Company) (City) ►a oL (State) 1' (Telephone Number) Version 7/20/2018 General Conditions - 10 Entity Type: Domestic For -Profit Corporation Business Status: Active Creation Date: 08/01/1974 Inactive Date: DRIVE, �; �r,�4 1 1 �' i m" r. ,:r,!Y/ IV(YY./�' " YiwmN'IIf�7 /,NiY�i,W�i'I�J Rim" , 11�r„i dType: Individual Name: STEPHEN HENRY Address: 404 S FRANCES ST, SOUTH BEND, IN, 46617 - 0000, USA General and Utility Contractors To whom it may concern: The Robert Henry Corporation has the staffing capabilities including the labor reources necessary to complete the project on time. We will be utilizing workforce form the local union hall or from our existing workforce. Stephen R. Henry President 404 South Frances Street • P.O. Box 1407 -South Bend, Indiana 46624 www.roberthenrycorp.com • TeL 574-232-2091 - Fax 574-232-3979 Part II — Section I — Experience Questionnaire 1. St. Joseph County Public Library Project Completed 2009 — Contract Amount - $4,050,604. South Bend Transportation and Maintenance Facility Project Completed October 2010 — Contract Amount - $20,170,000. Ft. Wayne/South Bend Catholic Diocese — Marian High School Project Completed August 2011 - Contract Amount $557,000 Penn/Harris/Madison School Corporation Project Completed August 2011 - Contract Amount $3,320,000 Gurley Leep Addition and Remodel Project Completed December 2011 — Contract Amount $1,073,441 Elkhart County Library Projected Completed March 2012 - Contract Amount - $420,000 St. Joseph High School Project Completed June 2012 - Contract Amount - $2,000,000 Potawatomi Conservatory Project Completed June 2012 - $1,180,000 Granger Community Medicine Project Completed January 2013 - $904,000 Whole Foods Project Completed March 2013 — $435,000 Roseland Animal Hospital — Project Completed May 2013 - $780,000 St. Joseph County Library Digital Lab Job Completed June 2014 - $188,000 St. Jude Catholic Church Renovation Project Completed August 2013 - $3,524,000 Gurley Leep Audi Project Completed September 2014 - $1,018,000 Saint Joseph Regional Medical Center — ER Addition Plymouth - $4,900,000 Completed July 2015 Church of Jesus Christ of Latter Day Saints — Addition — $1,465,000 Completed July 2015 Cassopolis Hight School — Interior Finishes - $312,444 Completed Summer 2016 Penn High School Football Stadium - $1,093,000 Completed Summer 2017 Gurley Leep Honda Store - $5,722,000 Completed Fall 2017 2. Current Projects in Progress: Trinity Health PACE Project - $2,500,000 Leighton Hall Addition — University of Notre Dame - $439,994 Dowagiac Federal Credit Union - $120,684 Northwest Family Medicine - $225,260 Siemens Mishawaka - $278,149 St. Joe Regional Medical Center — Pavilion II - $383,806 University Park Family Medicine - $392,506 3. Have you ever failed to complete work awarded to you? NO 4. References from Private Firms: • Father Michael Heintz — St Matthew's Cathedral — 574-289-5539 • Mr. Mike Stahly — South Bend Public Transportation — 574-532-6852 • Mr. Don Napoli — St. Joseph County Public Library — 574-282-4646 Part II — Section II — Plan and Equipment Questionnaire A detailed quantity survey has been made from the contract plans and specifications. Sufficient manpower is available to begin work 10 days to 2 weeks after Notice of Award. We anticipate completion per plans and specifications. 2. A list of subcontractors will be provided within 24 hours of Notice of Award. 3. A lit of subcontractors will be provided within 24 hours of Notice of Award. It is not anticipated that a bond will be required from subcontractors. 4. All required equipment will be provided for this project. 5. Yes.