The URL can be used to link to this page

Home My WebLink AboutOpening of Bids - Fat Daddy's Building Demolition Proj No 118-066 - Green Demolition ContractorsCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Fat Daddy's Building Demolition Project No. 118-066 For Bids Due November 27, 2018 Date: Address: City/State/Zip: PART I Must be completed for all bids ,D4l—) Bidder (Firm) Please type or print) /d / ., Telephone Number: (J)—) ) c ........ .J 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: L�,j Y/ 7") "7 S� the City of Sputh Bend, Indiana, in accordance with plans and specifications prepared by: 1Lz ..._u ._...... _ and dated ( id as shown on the Proposal) �' � Total B or the sum � �o enterthe, �(Enter a Bid plus Alternates shown on Proposal) '✓ .,,,. � Nume �-.IT ( Enter sum of Total B (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 acp r'dance with the notice. Any addendums attached will be specifically referenced at the applicable pa If additional units of material included in the contract are needed, th units m e the same as that shown in the original contract if accepted l,y.,,the Ci Vfiu th„, a bid " o be awarded on a unit basis, the itemization of the units shall l e` at c ent, 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 S gnatur )" nae of Person. Signing) ACCEPTANCE day of �_......_ 20 ...... .......... Suzanna M. Fritzberg, Member Therese J. Dorau, Member ......... Attest: Linda M. Martin, Clerk Version 7/20/2018 Contractor's Bid for Public Works - 2 (Revised, Addendum No. 1) BID/PROPOSAL_ REVISED � -r'i4r z, CITY OF SOUTH BENDProject Name: Fat r,k: ^ Pro ect Number: 118 066Daddy's BuildingDemolition � d J �J ,. For Bids Due: No ember 27, 2018 Contractor Name:.,��. BASE BID Item _._. _._. FDescriptionNo. Quantity Unit Unit Price Total Amount 1 MOBILIZATION/DEMOLITION 1 LSUM ..._w ASBESTOS ABATEMENT 1 LSUM 3 MAINTENANCE OF TRAFFIC 1 LSUM 4 BELOW -GRADE DEMOLITION _. 1 ......... LSUM ........ //D ® DU 5 BUILDING MATERIAL REMOVAL AND 1 LSUM DISPOSAL "LL CKFI AND COMPACTION ._.. .........._ 1 LSUM o C� 7 "" _ SITE RESTORATION ......._..... 1 LSUM 8 . FLOWABLE FILL 60 CYS _.. 9 ENVIRONMENTAL ALLOWANCE 1 ALL I� $30,000.00 $30,000.00 BASE BID TOTAL 6, °�/' 'n cb ENVIRONMENTAL ALLOWANCE UNIT PRICES Item No. Description Unit Unit Price �._.. _._... ......... .._._. CONTAMINATED SOIL REMOVAL 1 AND DISPOSAL TON ASBESTSOS CONTAINING THERMAL 2 SYSTEM PIPE INSULATION LFTa REMOVAL AND DIPOSAL ALTERNATE #1 Description Quantity Unit Unit Price Total A __._.._............ _ Item ', No mount �... ....... ....... ._.._ EXTERIOR MEDALLIOM SALVAGE 1 ITEMS (MANDATORY) 1 LSUM ��r o �? .._._. _ ...... " ALTERNATE NO. 1 TOTALDESC o �..' �� "1 � I�� ENT MAC ERIALS AND LABOR PLANNED TO M1�L�ETE ALTERNAT Version 7/20/2018 Contractor's Bid for Public Works - 7 (Revised, Addendum No. 1) BID/PROPOSAL_ REVISED CITY OF SOUTH BEND Project Name: Fat Daddy's Building Demolition ..m..............................�..........rw. �.m,,, .... Project Number: 118-066 For Bids Due: November 27, 2018 Contractor Name:% ALTERNATE #2 �. ....... Item No. Description Quantity Unit Unit Price Total Amount 1 505 SOUTH INFG M CHIGAN STREET STREET ........._ --LSU.M......... J.._ .............................. BUILD ONROE DECORATIVE FLOOR FRAME SALVAGE ITEMS (MANDATORY) __ ......._........ uuuu _..... ; ALTERNATE NO. 2 TOTAL ALTERNATE #3 �.. �_. _ ............... _._._. Item Description Quantity Unit Unit Price Total Amount No. EXTERIOR FACADE SALVAGE ITEMS 1 —YELLOW HIGHLIGHTED ITEMS 1 LSUM 1L7 �C3 MANDATORY .... ALTERNATE NO. 3 TOTAL c �� D � COMPLETE ALTERNATE 3: DESRIB QUIPM NT) A RALS A�D LABOR PL NNED�C ALTERNATE #4 Item Description _No. EXTERIOR FACADE SALVAGE ITEMS 1 — GREEN HIGHLIGHTED ITEMS (MANDATORY) DESCRIBE IPMENT MATERIALS Quantity Unit Unit Price Total Amount 1 LSUM ..___ ALTERNATE NO. 4 TOTAL � IR1PLANNED r' ,CO;MPLLETE ALTE7f E #4: Version 7/20/2018 Contractor's Bid for Public Works - 8 (Revised, Addendum No. 1) BID/PROPOSAL REVISED CITY OF SOUTH BEND Project Name: Fat Daddy's Building Demolition ......... . . . Project Number: 118066 �V .. ..................... -- ... . ............ For Bids Contractor Na Bidder (Firm): Address: City/State/Zip: (Printed Name of Pers6n Signing) Version 7/20/2018 Contractor's Bid for Public Works - 9 (Revised, Addendum No. 1) 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, NOW 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 ) 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. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Version 7/20/2018 Contractor's Bid for Public Works - 4 (Revised, Addendum No. 1) 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 MBENVBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBENVBE 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). 1 hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand 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 Version 7/20/2018 Contractor's Bid for Public Works - 5 (Revised, Addendum No. 1) 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 worms ,are tare and correct. Dated this 11 day of j? °�""' 60 )wt., der or Its Agent Name and Title Subscribed and sworn to before me thin day of 21Y� My Commission Expires ! 10 Ay Notary Public County of Residence NOTARY PUBLIC. - OF FICIAL State of -x; aP JSEAL Version 7/20/2018 Contractor's Bid for Public Works - 6 (Revised, Addendum No. 1) VAIA Docuiment A31 OTM 2010 CONTRACTOR: (Name, legal stains and address) Green Demolition Contractors, Inc. 4640 S St Louis Ave Suite 100 Chicago, IL 60632 OWNER: (Name, legal slates and address) City of South Bend - Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, Indiana 46601 SURETY: (Name, legal stales and principal place of business) Developers Surety and Indemnity Company PO Box 19725 Irvine, CA 92623 BOND AMOUNT: 5% not to exceed Forty -Two Thousand Dollars PROJECT: (Name, location or address, and Proiecl number, if any) Wreck & Remove Complete - Fat Daddy's Building Demolition - City Project No. 118-066 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 retrain 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 an.d- provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. Whe ,80 furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bo>i I, " Signed,rtd sealed this 26th day of Green Inc. (Seal) (I ifness) s � l �Irl ��i u nd Indemnity I ro )(�. try � r Company - ®. (Title-) D vj- t? J. r - ZEE c is y-In-fi' m Y . CAV.t"N'"Qhk You should slgua an I,uginall AIIA 4"t !iut4uact D113cuamo ill, On wP W'11 Illhtiit. tent al3pealS luro IIRlll A, A,a�a eS Mue.l3 th-At ctiiianges ruriilll not be anflmciiiiiioii�E 1"— o ri hit @ 1963 1970 and 2010 b The American Institute of Architects. All ri hts reserved, zhdh' I+IrBVllg(, iIh4 Aa � Init. AIA Document A310 2010 C py g y g t 4a�s�r,.u.Auirrmura i,p�biraa�,u.4¢br,„P 4uru VU `,. °=,eltynivllPat Il.,mr�a+ xuuott IuaflA uu,u7lliwiruawl lu+uMWunfu. uhr,aaattiauiAu�.y.a.p:uir rrioai.wirau� n~A� wr3r.;l:oulro��t�rrireP'tlrAi^r, �I„.�, il:t,ie.r,inri tiA�s, r,;�i any pr,au'tirtuu of Afl., may oesullf In *um!v err cv'ii4 "'And a;rt'ou°iru nal p era lfle., rand,will Our^ 1lpuio,,c� ^+tcd to Ole rnaxiirru ni mux4cnl iiura•siblu^ i�irrMari P,h^i�. anv, r 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 POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725, IRVINE. CA 92623 (949) 263-3300 KNO'N ALL BYTHESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each hereby make, constitute and appoint: ***Robert H, Walker, Meredith C. Covell!, David Parrilli, Susan M. Preissing, Jennifer D. Allard, Kathleen A. Munoz, jointly or severally — as their true and lawful Attomey(s)-in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings and contracts of suretyship giving and granting unto said Attorey(s)-in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as each of said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and all of the acts of said Attomey(s)-in-Fact, pursuant to these presents, are hereby ratified and confirmed. This Power ofAhorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January 1st, 2008, RESOLVED, that a combination of any two of the Chairman of the Board, the President, Executive Vice -President, Senior Vice -President or any Vice President of the corporations be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attorney(s) named in the Power of Attorney to execute, on behalf of the corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of either of the corporations be, and each of them hereby is, authorized to attest the execution of any such Power of Attorney; RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond, undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF, DEVELOPERS SURETYAND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective of icers and attested by their respective Secretary or Assislant Secretary this 61h day of February, 2017, By; " S.0ANO yr g)t 4 Daniel Young, 5e pNor Vice President o 1936'?c�a By: Mark Lan sdon Vice- President A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the trutlnfulnoss, accuracy, or vaflditZ ofthat document. State of California County of Orange before rice, _ _.. ..�._ ...,.. .. Name andTileary Public ...... ....... . .... __.n_ On w ...m.._,FebfugDale 017m „ Here Inset Mond, Tole the orccer personally appeared _ , m _ v ....... ... Daniel Your fq and Mark Lansdcm d. wavamr;�t who proved to me on the basis of satisfactory evidence to be the persons) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/shelthey executed the same in his/herltheir authorized capacity(ies), and that by hislhedtheir signalore(s) on the instrument the person(s), or the enlily upon behalf of LUCILLERAYMOND which the porson(s) acted, executed the instrument Commission # 2081945 = Notary Public - California I certify under PENALTY OF PERJURY under the laws of the Slate of California that the foregoing paragraph is Orange County true and correct, My Comm. Expires Cat 1"J, 2018 , WITNESS my hand and official seal Place Notary Seal Above Signature Lucille �by end, Notary Public CERTIFICATE The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Power ofAltorney are in force as of the dale of this Certificate Tha�s rs N*xec;Nulpd NCN the City (A hvine, Cahfrrmr,l. thm � w" � � day of %a &, e " w B 1936 .urf ard, Asss��tan? S _... r ATS-1002 (02117) & > /6Prr) 1316 COUNTY -CITY BUILDING " r` r",dT° PHONE 574/ 235-9251 227 W. JEFFERSON BOULEVARD ,t�`�� „�)" FAx 574/ 235-9171 SOUTH BEND, INDIANA 46601-1830 F86 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: November 21, 2018 To: All Planholders From LindaM. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Fat Daddy's Building Demolition Project Number: 118-066 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: l t9 Y /, _-'1Zq l 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 herei:tV/' Company: Authorized SigT tt1 Date: Version 4/2/2015 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Fat Daddy's Building Demolition Project No. 118-066 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 / Addendum(s) included with the bid, All required additional information is included with the bid. M 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 Bidder jthe ply h the specifications. �`l �� relieve a er o ee to read and I with By Authorisem,rte*A Signature: Print Name & Title. Version 7/20/2018 Contractor's Bid for Public Works - 1 (Revised, Addendum No. 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 (Revised, Addendum No. 1) 0 0 0 o� 0 a 0 c c cn c 0 W � a O a CD 0 z c 3 a - CD 1 w O C1 m a 0 m' 0 z m 3 R -I m K co m Co m m I c� o v 1e Q a OCD —I CD N aCD 0 �?3 U' Em a cD u0CD + ' a y y H O eD 3 g U) N 3 a 0 O c 3 O. W rr Cr CD H �G = O 'a < F CD O. K i =r W ..a d� CD ID CL o 3' o O o, O C 3 =r su W CD tr= c Q• U). CD tr U) n 3 � ID O CD r% y >: a CD CD. c ar U _ y lu < = O O < N 7 O to D) � m 3 O W m O m O F 3 CD su f/r 3 z 0 a z v <30 r z 0w0 3CO) cn cm m— Zzo imc avix pmm 0zm � ;a 3a X cn m v m ran•,,, a ` CITY OF SOUTH BEND�'�"" MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM fz a 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 as "DOA"). oPro Project Numberne business e'.... y p Date 1 defined e Indiana Department o Administration ("I DOA"). Bidder: ectName: Fat Daddy's B ildin Demolition '+` �i U7t— �0 Contact Person: _ le /eD0� Telephone: Address: c,✓ Woe_ ....._ / City: %Y% / J State: -i—/V"_ Zip: To determine whether a bidder has demonstrated� good faith efforts to reach the/ MBE/WBE � � io 4 ) g BENVBE 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 (hftp://www.in.gov/idoa). _.. ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Bequires that all perspective bidders complete no less than 2 of the following: 1 Attend all pre -bid meetings scheduled by the City to inform MBENVBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting 0opportunities, 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 MBENVBEs 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 MBENVBE firms. **Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBENVBEs, including providing such MBENVBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBENVBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by MBENVBEs 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 MBENVBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBENVBE was unqualified to perform the job. *P� roper demonstration of Good Faith Effort requires our initials next t .A �_._.. q y o 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 - 11 (Revised, Addendum No. 1) CITY OF SOUTH BEND 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 1F Proiect Number: 118-066 MBE/WBE Participation Goal �1 r MBE/VVBE Firm "a6kS 0 t ? ' ,✓ 7 Owner or Contact at MBE/WBE Firm X/� f' _. Telephone: Fax: TYPE OF WORK O T. SOLICITED FOR THIS PROJECT: - — Email: �. r -. XA .. _. ....... RESULTS OF CONTACT WITH THE MBENUBE FIRM: M MBEM/BE Firm Owner or Contact at MBE/WBE Firm' Telephone: Fax: Email. -' TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBENVBE FIRM: l � .:. 7'11?.r" ate.,..,' ..✓'/ C"" , _._ Version 7/20/2018 Contractor's Bid for Public Works - 12 (Revised, Addendum No. 1) Laura Hayes From: Laura Hayes Sent: Wednesday, November 21, 2018 11:03 AM To: 'kimj.trucksrus@yahoo.com' Subject: Fat Daddy's Demolition South Bend Indiana Participation Hi Kim: We will be bidding on the Fat Daddy's Project South Bend Indiana and would like to utilize Kennedy Express / Trucks R Us in helping make our goals and the overall project a success for the City of South Bend as we have on past projects. Thank you, Laura Hayes Green Demolition Contractors 523 Northbrook Drive Michigan City, Indiana 46360 773-477-7160 direct 773-477-7149 fax Laura Hayes From: Laura Hayes Sent: Wednesday, November 21, 2018 11:11 AM To: 'Mark Williams' Subject: Fat Daddy's Demolition South Bend Indiana Participation Mr. Williams: We are bidding the Fat Daddy's Demolition Project South bend Indiana. We would like to utilize Shoreline Environment Inc in helping obtain our goals and ensuring the overall success of the project on behalf of the City of South Bend. Thank you, Laura Hayes Green Demolition Contractors 523 Northbrook Drive Michigan City, Indiana 46360 773-477-7160 direct 773-477-7149 fax DEPARTMENT OF ADMINISTRATION STATE O INDIANA Division of Supplier Diversity Eric J. Holcomb, Governor Indiana Government Center South 402 West Washington Street, Room W478 Indianapolis, IN 46204 November 1, 2017 (317) 232 - 3061 Mr. Mark Williams Shoreline Environment Inc. 1453 Pleasant Springs Dyer, IN 46311 Subject: Application for MBE Certification Dear Mr. Mark Williams, Congrarlula donsl The Indiana Department of Admiaistration, Division of Supplier Diversity is pleased to inform you that Shoreline Environment Inc. is hereby certified as a Minority Business Enterprise (MBE). . Your company provides a commercially useful funcpon in the areas listed below. Only work performed in these areas will be counted towards Minority Business Enterprise (MBE) participation: UNSPSC COD S Code Desc ' Non 76101602 Asbestos removal or encapsulation This certification is valid through November 30, 2020. Although your certification is valid for a three-year period, you are required to submit an annual Affidavit of Continued Eligibility (ACE) form, located at www.in.gov/idoa/mwbe/files/ACP, Form.pdf. Please rememberyou must notify us immediately if any changes occur. Failure to notify us of changes or to provide the ACE form annually will result in revocation of your certification. Changes include, but are not limited to, changes in location, contact information, ownership or control. We encourage you to visit IDOA's procurement website, http://www.in.gov/idoa/2464.htm, and update your Business Registration Profile. It is important that you review and update your profile regularly, because state purchasing agents and prime contractors may use this information to contact you for business opportunities. For questions regarding your registration profile, you may contact our office at 317-232-3061. While this letter serves as notification of certification, it does not serve to prove continued eligibility. Please visit http://www.in.gov/idoa/certification—UsLxls to verify certification status. Please contact our office at (317) 23 2-3 061 if you have any other questions. Reference: Shoreline Environment Inc. We ask that you please contact Amy Wolf, Director of Certification, at (317) 232-3061 or awolf@idoa.in.gov if you have any questions or concerns about your letter. Sincerely, 1 Amy L. Wolf, DJ' for of Certification Indiana Department of Administration Division of Supplier Diversity ALW/jw CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/16/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTA' T David S. Parrilli Parrilli, David PHONE (312) 621-5182 FAX (312) 621-2288 AM. No JAYC No'„ The Rockwood Company IL ADDRESS: dparrilli@rockwoodco.com 20 N Wacker Drive, Suite 960 INSURER(S) AFFORDING COVERAGE NAIC # Chicago IL 60606 INSURER A : Navigators Specialty Ins Co, 36056 INSURED INSURERS: Star tone National Insurance CO„ 25496 Green Demolition Contractors Incorporated, LLC INSURER C : 523 Northbrook Drive INSURER D : INSURER E t.. Michigan City IN 46360 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, WW_ LTR TYPE OF INSURANCE ADM INSIDPOLICY NUMBER POLICY EFF 'Mmmorym PO MMIDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY _ EACH OCCURRENCE 1$ 1,000,000 s PRE h1ISFSw.TCraanca.� $ 50,000 CLAIMS-MADE IROCCUR MED EXP (Anv one person) $ 5,000 A X IS18CGLI328961C 10/01/2018 10/01/2019 1,000,000 PERSONAL &ADV INJURY $ +:OENLAGGREGATE, LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 I POLICMIPRO- p LOG u—I� PRODUCTS '.$ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY L.OMFTdNEO Ea �daSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED (SCHEDULED AUTOS ONLY '..AUTOS IS18CGL1328981C 10/01/2018 10/01/2019 BODILY INJURY (Per accident) $ HIRED NON -OWNED UJFTOPERT'y DAMAGE 'Pen a.Cdr1[pW14' AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 10,000,000 B EXCESS LIAB CLAIMSMADE 59095B186ALI 10/01/2018 10/01/2019 AGGREGATE $ 10,000,000 10,000 DE'D1X1 RETENTION $ $ WORKERS COMPENSATION ,. . ,,.. PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A "'* E.. L. EACH ACCIDENT $ 0., OFFICERIMEMBER EXCLUDED? „ ., (Mandatory Mandain NH ) w E.L. DISEASE - EA EMPLOYEE $ If yesascribe under DESCRIPTION OF OPERATIONS below" °„ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached ,,.,Oro space is required) Additional Insured when required by written contract per ISO Form CG 2010 (10/01) and CG 2037 (10/01) Oldched) City of South Bend Indiana City of South Bend Indiana Department of Public Works 227 West Jefferson South Bend IN 46601 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 9)1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: IS18CGL132696IC COMMERCIAL GENERAL LIABILITY CG20101001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • .1 III U-41IN4ilk 14.• • , • "" • •' This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any Person or organization for whom you are performing operations during the policy period have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to "bodily in- jury" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the addi- tional insured(s) at the site of the cov- ered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another con- tractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 10 01 © ISO Properties, Inc., 2000 Page 1 of 1 0 POLICY NUMBER: IS18CGLI326961C COMMERCIAL GENERAL LIABILITY CG20371001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED C OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any Person or organization for whom you are performing operations during the police period have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Location And Description of Completed Operations: Additional Premium: (If no entry appears above, information required to complete applicable to this endorsement.) will be shown in the Declarations as Section II — Who Is An Insured is amended to include as an insulVd the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" t t, a location designated and described in the schedule of this endorsement performed for that insured and inciud in the "products -completed operations haz- ard". CG 20 37 10 01 © ISO Properties, Inc., 2000 Page 1 of 1 ❑ DATE (MWODNYYY) 11 /16/201 B 1%.�-. CGFRTIFICATE OF LIABILITY INSURANCE E ACCt 24,94064 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAM6dCT Lockton Companies, LLC - FAx PHONE 2100 Ross Ave., Suite 1400 AJC Ne Eap 214.71 +td1( 111 (A/c No) Dallas, TX 75201 E. REss we@resourcm.- d com INSURER A : Indemnity Insurance Co. of North America INSURED INSURER B Resourcing Edge I, LLC INSURER C 1309 Ridge Rd., Suite 200 Rockwall, TX 75067 wsuaEa„o , --------- 'SEE BELOW INSURER E : COVERAGES CERTIFICATE NUMBER: AFVlglnN NIIURr-R- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR.,. TYPE OF INSURANCE _._.-._... ADD SUER ,.., ,.POLICY EFF 0160CY tXP .... ,.... LTR INSD WVD POLICY NUMBER (MMIDD/VYYY) (MM/DDIYYYY) LIMBS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ .. DAMA�iE TO RENTED .... .. CLAIMS- OCCUR [ PREMISESLEactucurrenael. ,„$.... MED EXP (Any one persona $ ...... PERSQ L,&ADVINJURY GENL AGG TfL LIMPE.PEY,R: � PIP�1Of r.T 4PGLICY ... PRODUCTS COMP/OP AGG $ THEW $ AUTOMOBILE LIABILITY , COMBINED SINGLE DUN— $ ..,,... t w f.Ea accident) .,, .......... - ,..,.,.. ......... ANY AUTO ....., -- -- � BODILY INJURY (Per person) .................. $ -------- .... WNED SCHEDULED ,,.,,..,... AOUTOS ONLY ,% AUTOS '^m BODILY INJURY (Per accident ( $ HIRED NON -OWNED .... .........) I�ROPERTYDAMAGE $ �� ---- .,........,. AUTOS ONLY ........_ AUTOS ONLY µ, ..(Per accidenU ... ............. ......... ----- .,... „ UMBRELLA LAB OCCUR ,mm EACH OCCURRENCE $ EXCESS LIAB CLAiMS44ADE ... ,N;3 .......... --- AGGREGATE .... _................. ... .......--------- ....... ._-. DED � R "T .. TI N' $ 'WORKERS COMPENSATION �/ P R.... OTH AND EMPLOYERS LIARII_ITV Y X 6TaT.UTZ ,..... A ANYPROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? N / A C65660799 �01a20118 10/01/2019 E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) . I1 yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more sp a Is required) Green Demolition Contractors Inc. (2496) is included as a named Insured through endorsement. A overage provided for all leased employees but not subcontractors of: Green Demolition Contractors Inc. E: JOB: PREOUAL GREEN DEMOLITION CONTRACTORS INCORPORATED, LLC 'b23 NORTHBROOK DRIVE MICHIGAN CITY, IN 46360 rrcnlirwriir- nvLUCn GANGtLLAIIUN 2494064 CITY OF SOUTH BEND INDIANA DEPT. OF PUBLIC WORKS 227 WEST JEFFERSON MICHIGAN CITY, IN 46360 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE q00 ©1 The ACORD name and logo are registered marks of ACORD r>rr•��f�_�rrrf��a 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 Section II Plan and Equipment Questionnaire 1. Green Demolition Contractors Incorporated will mobilize at the site and perform inspections. We will confirm utilities are disconnected, abatement is complete (if applicable), and the building is free of pedestrians. Then, we will demolish the structure. We will salvage and recycle materials to meet specifications/qualifications and load out debris. Concrete and brick will be demolished and loaded out. We will backfill and compact site and deliver and spread black dirt. This will be repeated at each property. After all property is complete, we will seed. 2. Waste Management Disposal/Recycling 2221 W. Mt. Pleasant Muncie, Indiana Interstate Enviornmental Services Abatement when applicable 337 West 806 North Valparaiso, Indiana 46385 Kennedy Express Line / Trucks R Us 24831 W. Highway 20 South Bend, Indiana 3. Not Applicable 4. (2) Two CAT 320 Excavators (2) Two T-300 Skid Steer (1) One Mack Semi 65 yard Roll Off (1) One Mack 6 Wheeler 40 yard Roll Off (1) One Mack Semi Low Boy 5. Yes "Recycflng Today r A GreenerTomorrow" 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 Incorporated in the State of Illinois in the Year 2007 Union Shop References with Contract Amounts City of South Bend Indiana 1316 County -City Bldg. Rm. 1316 South Bend, Indiana 46601 Mr. Toy Villa 574-235-5920 Demolition of 103 Abandoned Properties Phase V Scope of Work: Wreck and Remove Complete with Grading and Seeding of 103 Properties City of South Bend Indiana 1316 County -City Bldg. Rm. 1316 South Bend, Indiana 46601 Mr. Toy Villa 574-235-5920 Demolition of 11 Abandoned Properties Phase 9 Scope of Work: Wreck and Remove Complete with Grading and Seeding of I lProperties City of South Bend Indiana 1316 County -City Bldg. Rm. 1316 South Bend, Indiana 46601 Mr. Toy Villa 574-235-5920 Polish National Alliance Building Wreck and Remove Building Complete Backfill and Seed 2015 $ 1,609,090.00 2016 $ 196,857.00 2016 $ 72,800.00 "RecycHing Today For A Greener'Tomorrow" Tonn & Blank Construction LLC 1623 Greenwood Ave. Michigan City, IN 46360 Joel Gonzales 219 877-8174 Uptown Artist Lofts 717 Franklin Michigan City, IN Scope of Work: 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax:773-477-7149 February 2016 $611,086.00 Interior Selective Finish / Abatement and Structural Removals of Multi Level Facility Amereco Engineering November 2015 54 Michigan Avenue Valparaiso, IN 46383 Mr. John Blosky $ 271,385.00 219.531.0531 701-705 Franklin Street Michigan City, IN 46360 Wreck and Remove Building Complete Rockford Construction July 2014 Grand Rapids, MI 49508 Brock Burgess 616-437-4226 LaPorte, In Meijer $787,000.00 Scope of Work: Complete 100% gut re -habilitation project with Bobcat machines of an existing Big Box facility consisting of ceilings, drywall partition walls, storefronts, facades, floorings, concrete removals, M.E.P. and portion of structure removals. h„ , 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 Doherty Construction 163 N. Valley Hill Road Woodstock, Illinois 60098 Mr. Vern Anderson 815-334-8500 West Leyden High School Wreck Removal Portion of School Building Selective Interior Demolition Z3 Solutions 1350 E. Touhy Des Plaines, Illinois 60018 847-730-3945 Mr. Pete Zouras Lincoln Hall Middle School Additions and Renovations Phs 3 Selective Removals School Building Z3 Solutions 1350 E. Touhy Des Plaines, Illinois 60018 847-730-3945 Mr. Pete Zouras Lincoln Hall Middle School Additions and Renovations Phs 2 Selective Removals School Building Vision Construction & Consulting 1733 N.33rd Stone Park, Illinois 60165 Mr. Pete Griffin 708-488-1926 J. Morton Sterling High School Administration Building Selective Structural Removal throughout School Building 2017-2018 $ 719,375.00 2018 $ 573,742.00 2017 $ 295,554.19 2018 $ 829,705.00 "Recyclilinr A GreenerTomorrow" 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 Vision Construction & Consulting 1733 N. 33rd Stone Park, Illinois 60165 Mr. Pete Griffin 708-488-1926 J. Morton Sterling High School Freshman Academy School Building Selective Structural Removal throughout School Building Cook County Land Bank Authority 69 W. Washington Suite 2938 Chicago, IL 60602 Mr. Mustafaa Saleh 312-603-8015 Scope of Work: 2018 $ 786,000.00 $925,000.00 to date Open Ended Contract ongoing through the depletion of Grants/Funds Demolition of Abandoned / Vacant Homes throughout Chicago and Cook County. Brown & Momen, Inc. 823 E. Drexel Square Chicago, IL 60615 Mr. David Clark 312-788-0770 Marshall Field Garden Apartments Building 5 Chicago. IL Scope of Work: Interior selective removals of all finishes multi story level HUD Building November 2015 $744,000.00 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 City of Chicago/Wight Co. 2500 North Frontage Road Darien, IL 60561 Dennis Podzimek 630-918-9428 City Hall Space Consolidation Scope of Work: Multiple Interior Floor Selective Removals of Finishes and Furnishings. Working in strict adherence with Municipal Building — Security Procedures IHC Companies 1500 Executive Dr. Elgin, IL 60123 Tom Carrano 847-841-7713 Niles North HS 2014Summer Renovation Skokie, II Scope of Work: Selective and gut removals of Locker Rooms - Kitchen Cafeteria- Entrances and other various areas Lee & Ryan Construction 1707 Melody Ln. Greenfield, IN 46140 Ryan Keane 317-467-6577 Edward Hines VA Hines, Il Scope of Work: August 2014 $498,800.00 July 2015 $524,000.00 October 2014 $190,000.00 Main Hospital North Entrance removal of Front Structural Facade, floors and roof with all adjoining finishes. "Recycling r A GreeinerTamoarraw" Barton Malow Company 150 N Upper Wacker Dr #1650 Chicago, IL 60606 Brian Courtney 312-281-0821 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 January 2015 Argonne National Laboratory $212,000.00 Argonne National Lab — Materials Engineering Building 370 Building 360 Expansion Scope of Work: Green Demolition performed wreck removals within Building 370 adjacent to an ongoing Phosphorous Experiment working in direct conjunction with electric, communications systems, sprinkler systems, natural gas and steam while performing lead and asbestos abatement. Green Demolition performed a Building Wreck within 10 feet of a Linear Accelerator without service interruptions to the electric, water, sewer, natural gas, steam and communications systems. A Demolition olition .Plan November 27, 2018 City of South Bend Department of Public Works 227 Jefferson Boulevard South Bend, Indiana 46601 Re: Fat Daddy's Building Demolition Project # 118-066 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 Green Demolition Contractors Incorporated will procure Insurance Certificates, Bonding and all other Start-up Paperwork i.e. Permits, etc necessary to Mobilize and Secure the Facility upon Contract Award and Notice to Proceed as follows: Coordinate, perform and verify Utility Disconnects Coordinate and Perform Universal Waste Removal Coordinate and Perform Abatement Removals Salvage per Specifications Demolish and Remove Debris from Buildings Demolish and Remove Concrete Backfill Buildings as they are completed Remove all Debris from Site and Dispose of at a Legal Landfill Perform all Site Restoration Work Final Grade Demobilize Green De 'volition Contractors, Inc. Wftcyclhirig "Tbday For A Gireener Tomorrow" „ t F ( "t '! 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 Field Men / Equipment Outline November 27, 2018 City of South Bend Indiana Department of Public Works 227 Jefferson Boulevard South bend, Indiana 46601 Re: Fat Daddy's Building Demolition Project 118-066 Green Demolition Contractors Incorporated proposed to complete their work utilizing the following Number of Men and Equipment: One (1) Union Operating Engineer Two (2) Union Laborers One (1) Union Foreman One (1) Caterpiller 320 Excavator with One (1) S300 Bobcat with Grapple I .gh, President ition Contractors, Inc. "Recycifing Today For A Greener,Tomorrow” (" f, f we r " 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 November 27, 2018 PROJECTS IN PROGRESS Chicago Transit Authority S 468,000.00 Selective Demolition of the East Lake - Illinois and Milwaukee Substations November 27, 2018 City of South Bend Department of Public Works 227 Jefferson Boulevard South Bend, Indiana Re: Fat Daddy's Building Demolition Project # 118-066 Green Demolition Contractors has never had any oefformance. Thank Michael h, r dent Green olitio Contractors Inc. 523 Northbrook Drive Michigan City, IN 46260 Office: 312-409-4771 Fax: 773-477-7149 any kind cancelled for non- r - References Private CR Realty Advisors 325 West Huron Chicago, I160654 Cell: 847.721.7906 Office: 312.332.7100 Brown & Momen, Inc. 823 East Drexel Square Chicago, IL 60615 Mr. David Clark 312-788-0770 Rockford Construction Grand Rapids, MI 49508 Darren Gort 616-437-4226 LaPorte, In Meijer 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 Green Demolition Contractors Incorporated recognizes that all businesses can have a direct or indirect impact on their local, regional, and global environment. As a result Green Demolition Contractors Incorporated has developed a Green Policy in order to minimize their environmental impact. Efficient Use of Energy Green Demolition Contractors Incorporated and its staff use and purchase energy star -compliant hardware whenever possible. Encourage Conservation Green Demolition Contractors Incorporated staff and employees are encouraged to conserve energy whenever possible. Minimize Waste Green Demolition Contractors Incorporated staff sends sales quote via email unless the customer specifically requests that the quote be sent using an alternate communication channel. This is done in order to minimize paper waste. Recycle All Green Demolition Contractors Incorporated employees are encouraged to reuse paper for note -taking where appropriate refurbished equipment or parts are considered. ESD Option All of Green Demolition Contractors Incorporated titles are available electronically, unless the customer chooses to receive physical media Green Demolition Contractors Incorporated software and key codes are delivered electronically via download and email. Telecommuting Many Green Demolition Contractors Incorporated staff members telecommute, to help reduce our corporate carbon emissions. Spread the Word Green Demolition Contractors Incorporated has added a Green Tips section to the Green Demolition Contractors Safety Manuals and Haz-Com Material Handouts to share their tips for being green. Green Demolition Contractors Incorporated is primarily an e-business. The vast majority of customer contact is virtual. Green Demolition Contractors Incorporated encourages all staff to conserve, reuse and recycle, Green Demolition Contractors Incorporated makes every effort to be an environmentally responsible CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Fat Daddy's Building Demolition Project No. 118-066 For Bids Due 19pvember27, 2018 Contractor Name: 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 315' 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) 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 State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. (iii) Evidence that I am utilizing a surety company which is on the United States Department of Treasury's Listing of Approved Sureties as required in the bid specifications or contract. (iv) List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. Version 7/20/2018 General Conditions - 8 PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) �� By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. (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 anytime 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 (ii) proprietors or partnerships). 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 I am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (vi)y 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. -. D (State) .Y/, - I' (Telephone Number) Version 7/20/2018 General Conditions - 10 N Entity Type: Domestic Limited Liability Company Creation Date: 06/11/2015 Principal Office Address: 523 NORTHBROOK DRIVE, MICHIGAN CITY, IN, 46360, USA Jurisdiction of Formation: Indiana Title Name Address Business Status: Active Inactive Date: Expiration Date: Perpetual Business Entity Report Due 06/30/2019 Date: Years Due: President Michael Brough 523 Northbrook Drive, Mich City, IN, 46360, USA Type: Individual Name: MICHAEL BROUGH Address: 523 NORTHBROOK DRIVE, MICHIGAN CITY, IN, 46360, USA APPROVED AND FILED CONNIE LAWSON INDIANA SECRETARY OF STATE 04/06/2017 07:54 AM BUSINESS ID 2015061100177 BUSINESS TYPE Domestic Limited Liability Company BUSINESS NAME GREEN DEMOLITION CONTRACTORS INCORPORATED PRINCIPAL OFFICE ADDRESS 523 NORTHBROOK DRIVE, MICHIGAN CITY, IN, 46360, USA YEARS 2017/2018 NAME MICHAEL BROUGH ADDRESS 523 NORTHBROOK DRIVE, MICHIGAN CITY, IN, 46360, USA TITLE President NAME Michael Brough ADDRESS 523 Northbrook Drive, Mich City, IN, 46360, USA IN WITNESS WHEREOF, THE UNDERSIGNED HEREBY VERIFIES, SUBJECT TO THE PENALTIES OF PERJURY, THAT THE STATEMENTS CONTAINED HEREIN ARE TRUE, THIS DAY April 6, 2017. SIGNATURE TITLE Michael J Brough Registered Agent Business ID : 2015061100177 Filing No.: 7567738 Page 4 Of 4 CertificateID:10667147 -Page 1 of 1 - M1 State of Indiana Office of the Secretary of State Certified Copies To Whom These Presents Come, Greeting: I, CONNIE LAWSON, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of the State of Indiana, the custodian of the corporate records and the proper official to execute this certificate. I further certify that this is a true and complete copy of this 3 page document consisting of the following records filed in this office: Certification Date; November 15, 2018 ru�T In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, November 15, 2018 CONNIE LAWSON SECRETARY OF STATE OF 11� 11-- 2015061100177/10667147 All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate Expires on December 15, 2018. Page 1 Of 4 CertificateID:10667147 State of In(hana (-)Mee of the Secretary- of State CERTIFICATE OF ORGANIZATION of GREEN DEMOLITION C:'ONTRAC'TORS IN(A)RPORaTED I, Coiuue Lawson, Secretaii! of State of Indiana, herebv certif- that Articles of Orcanization of the above Domestic Limited Liability CompanN7 (LLQ has been presented to me at nay office, accompanied by the fees prescribed by law and that the documentation presented conforms to law as prescribed by the provisions of the hidiana Business Fle-ibilit-v Act. NOW, THEREFORE. with this document I certify that said tr uisaction «ill become effective Thursday. ,Tune 11. 2015. In Witness Whereof. I have caused to be affixed my signature and the seal of the State of Indiana, at the Cite- of Indianapolis, June 11.20 15 CONNIE LAWSON, SECRETARY OF STATE 2o15o611o01__ "01i0611001" INN Z ON ar's, 0iu:-wP ID 17fniu7H7 RECEIVED.06/1112015 09:55 AM APPROVED AND FILED CONNIE LAWSON INDIANA SECRETARY OF STATE 6/11 /2015 11:09 AM ARTICLES OF ORGANIZATION Formed pursuant to the provisions of the Indiana Business Flexibility Act. ARTICLE I - NAME AND PRINCIPAL OFFICE GREEN DEMOLITION CONTRACTORS INCORPORATED 523 NORTHBROOK DRIVE, MICHIGAN CITY, IN 46360 ARTICLE II - REGISTERED OFFICE AND AGENT MICHAEL BROUGH 523 NORTHBROOK DRIVE, MICHIGAN CITY, IN 46360 The Signator represents that the registered agent named in the application has consented to the appointment of registered agent. ARTICLE III — GENERAL INFORMATION What is the latest date upon which the entity is to Perpetual dissolve?: Who will the entity be managed by?: Members Effective Date: 6/11 /2015 Electronic Signature: MICHAEL JAMES BROUGH Page 1 of 1 Transaction Id TR15061100023 Ppp 3 Of 4 Wfi66fl' P Control Number 20150611001771 DCN 2015061148096 T � 1 n L � c 0 (D n S .: t. z N 3 rD N O F D V, u, C m o_ z w 3 (D 2 r' r-r O X CD CD N lD a to CD 7 rt d c O rD LA Ln 3 N " Q O w O z 2 C• O m C = W 0o G O C O x = L„ N w z O 0- 0 O 77 ID li < n n 6 � z rn w rn 0 c Ln 'D y D C1 v O W N W c c v O T Ln O O_ n r*• m f D D o rt L D) _ 0LA 3 n N p z X d w nm O m Z N o Z 00 of f+ m c T O O m p LAX r O ap' d z ni •' z n 0 a IA IA a GI O 70 `^ z W c ut Ln LA X W m j r r rt (D a) C ` O G Vf Vt Vf = v, (D A (D LA (D Ln c O '+ c (D (D rt (D (D in ~ w � A c � r F, EL r o � O V V m 0 (D v :1 z W N z th O N OD z co N� 0 O 7 1p 0 co O c m 0 0 Q m I, f r f% , I; 4 ;. 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 November 19, 2018 City of South Bend Indiana Board of Public Works 1316 City County Building 227 West Jefferson Boulevard South Bend, Indiana 46601 Re: Prequalification Responsible Bidder Green Demolition Contractors Incorporated has no former business names. R Mic a6l'Br;fUition , President m Green DeContractors, Inc. "Recycling Fair A GreenerTomorrow" 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 November 19, 2018 City of South Bend Indiana Board of Public Works 1316 City County Building 227 West Jefferson Boulevard South Bend, Indiana 46601 Re: Prequalification Violations/Determinations Green Demolition Contractors Incorporated has had no 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. Re pectfully sub -d .,.,. 1l l Brou vsident Green Demolition Contractors, Inc.. "Recycling Today For A GireemierTbinorrow" 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 November 19, 2018 City of South Bend Indiana Board of Public Works 1316 City County Building 227 West Jefferson Boulevard South Bend, Indiana 46601 Re: Staffing Statement Green Demolition Contractors Incorporated is a fully licensed, bonded and insured Union Signatory Demolition Contractor. Green Demolition Contractors currently employs Thirty Two (32) Field Employees made up of employees of The International Laborers Unions as well as Local 150 Midwest Operating Engineers. Green Demolition Contractors employs Five (5) Office Employees made up of Estimators / Project Managers / Controller / Safety Professional and General Superintendent. Respectfully stx K Brous h, President Demolition Contractors, Inc. 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 November 19, 2018 City of South Bend Indiana Board of Public Works 1316 City County Building 227 West Jefferson Boulevard South Bend, Indiana 46601 Re: Competent Persons On Site Green Demolition Contractors Incorporated is Signatory to the International Laborers Union as well as Local 150 Midwest Operating Engineers. Our Field Foreman / Employees and General Superintendent are fully trained Journeyman with combined Field Experience of over 80 years R spectfilly st itted, - Michael. Brough, President Green Demolition Contractors, Inc. Qty Description 2 2 1 1 1 2 2 1 8 2 8 6 1 1 1 1 1 1 1 2 1 4 2 2 4 1 1 1 1 1 2 1 5 1 14 EQUIPMENT LIST 330 Excavators Caterpillar 320 Excavators Caterpillar 331 Excavator 432 Excavator 2011 Galbreath Semi Roll Off Trailer 65 Yard Roll Off Boxes Excavator Hammers Excavator Grapple Overseas Containers Converted for Roll Off Truck 40 Yard Roll Off Boxes 30 Yard Roll Off Boxes 20 Yard Roll Off Boxes Flat Deck for Roll Off w/ Built In Wench 20 Ton Flat Deck Trailer 10 Ton Flat Deck Trailer Bobcat Tag Trailer Tilt Deck Trailer Flat Deck Single Axel 963 Bobcat 863 Bobcats 5-185 Bobcat 5-250 Bobcats 5-300 Bobcats 5-70 Bobcats 463 Bobcats 553 Bobcat 763 Bobcat T300 Bobcat 853 Bobcat Ingersoll Rand Mason Lull Lull Conversion Brackets 320 excavator Wrecking Pole Wrecking Poles 80" Root Grapple Bucket Grapple Buckets • :312-409-4771 Fax: 773-477-7149 "'Recycling Today For A Greenerw° r°uiw 523 Northbrook Drive Michigan46360 • -312-409-4771 Fax: 773-477-7149 2 2015 Ford One Ton Dually Dump Trucks 1 2005 Mack Tractor 1 2006 Mack Six Wheeler Roll Off Truck 1 Semi Roll Off Trailer 4 Bobcat Hammers 15 Misc. Buckets for Bobcat 2 Terminators 1 Atlas Capco 185 Air Compressor 1 Ingersoll Rand 185 Air Compressor 1 Ingersoll Rand 250 Air Compressor 10 Cargo Trailers 1 Water Trailer 1 Lowboy Trailer Misc. Inventory Steel I Beams Misc. Inventory Lumber Misc Hand Tools, Boxes, Equip i.e. Saw, Air Hammers, etc. Any and all equipment and tools listed above are free of encumbrances, none of the above listed Brough, President Green Demolition " Iiuii, Today For A Greeneiiii� T mu°r 1 14/2014 0 8 : 21 1 FA); 7, Q, 0 4 m Ln v w 91 ra ," (off 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 EMPLOYEE DRUG POLICY The past success and future growth of the Company are a direct result of our most important asset: Our people. Consequently, the Company is concerned about the use of alcohol, illegal drugs or controlled substances as it affects the workplace. Use of these substances, whether on or off the job, can adversely affect an employee's work performance, efficiency, safety and health, and may therefore seriously impair his or her value to the Company. In addition, the use or possession of these substances on the job constitutes a potential danger to the welfare and safety of other employees and exposes the Company to risks of property loss or damage, or injury to other persons. The Company has a vital interest in maintaining safe and efficient working conditions for its employees and ensuring that all the Company vehicles are properly maintained and operated in a safe manner. Furthermore, the use of prescription drugs and/or over-the-counter drugs may affect an employee's job performance and seriously impair the employee's value to the Company. Any employee who is using prescription and/or over-the-counter drugs that may impair the employee's ability to safely perform the job, or affect the safety or well-being of others, should not report for work during the time the employee is using the medication. You may be required to provide a doctor's note validating your need for time off due to the use of medication which interferes with your ability to safely perform your duties. The employee should use any accrued vacation or sick leave during this time period. If the employee does not have accrued leave, the employee should discuss their need for time off with their supervisor or Human Resources to determine if an accommodation may be made. Proper use of prescription drugs directly prescribed to the employee is exempt from these restrictions so long as the employee is complying with physician orders and does not create a safety hazard for the employee or his/her co-workers. Contact Green Demolition Contractors Human Resources when an employee has been prescribed drugs from a complying physician. The following rules and standards of conduct apply to all employees either on the Company property (owned or leased or off premises job site) or during the workday (including meals and rest periods). The following are strictly prohibited by the Company; however this section does not apply to the legal use of prescription drugs. Possession or use of alcohol, or being under the influence of alcohol while on the job. Driving a company vehicle while under the influence of alcohol or a controlled substance. 3 Distribution, sale or purchase of an illegal or controlled substance. 4. Possession or use of an illegal or controlled substance or being under the influence of an illegal or controlled substance while on the job. J r. 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 Violation of the above rules and standards of conduct will not be tolerated. The Company may also bring the matter to the attention of appropriate law enforcement authorities. Drug Testing Each employee, as a condition of employment, may be required to participate in pre- employment, reasonable suspicion, and follow-up testing upon selection or request of management. Any employee who refuses to submit to drug or alcohol testing requested by management will be subject to disciplinary action, up to and including immediate termination. Altered samples, substituted samples and negative dilutes constitute employee failure to cooperate with a management investigation in violation of The Company business conduct policy. Any employee submitting such a sample will be subject to disciplinary action, up to and including immediate termination. Drug or alcohol testing required or requested by the Company will be conducted at the Company expense. Testing for the presence of alcohol will be conducted by analysis of breath. Testing for the presence of the metabolites of drugs will be conducted by the analysis of urine. To ensure the accuracy and fairness of our testing program, all testing will be conducted according to DHHS/SAMHSA guidelines where applicable and will include a screening test; a confirmation test; the opportunity for a split sample; review by a Medical Review Officer, including the opportunity for employees who test positive to provide a legitimate medical explanation, such as a physician's prescription, for the positive result; and a documented chain of custody. Testing Based on Reasonable Suspicion Employees may be referred by a supervisor to a company -approved physician or medical group for evaluation when a supervisor has reason to believe that the employee is intoxicated or using controlled substances or other illegal drugs during work hours or at a time which may affect job performance or safety. Evidence of such behavior may include, but is not limited to: slurred speech, uneven gait, mood swings, violent temper, or excessive absenteeism and/or tardiness. 3. Employee Consent to Release Chemical Analysis When the Company requires an employee to submit body fluids for chemical analysis, the employee must sign an Employee Consent Form authorizing the results to be forwarded to Green Demolition Contractors HR Representative . An employee who refuses to submit body fluid samples upon request of the Company or who refuses to execute the Employee Consent Form has failed to cooperate with a management investigation in violation of the Company business conduct policy. Such conduct will subject the employee to disciplinary action, up to and including immediate termination of employment. "I'lecycling Today For A Greeirver lroiTiorr 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 4. Confidentiality of Test Results Test results of the chemical analysis of body fluids for substance abuse will be kept confidential in the same manner that all other confidential personnel records and confidential medical records are kept. Upon written request, the employee will be furnished with a copy of his or her substance abuse test results. 5. Analysis of Test Results Being under the influence of drugs or alcohol on the job or during work hours will be presumed by the Company to pose a serious safety and health risk. Additionally, any use of alcohol or drugs during non -work time which results in a positive test of the employee during work hours may result in a similar presumption that the use of the drugs or alcohol poses serious safety and health risks. 6. Positive Test The Company reserves the right to impose discipline, up to and including immediate termination of employment, upon any employee who tests positive. The Company reserves the right to require, as a condition of reinstatement and continued employment, completion of an approved rehabilitation program, at employee expense, which shall include but not be limited to: • A period of inpatient care • A return to work test, prior to reinstatement • Follow-up testing Any employee testing pc five during o7sub i_ent. to a rehabilitation program will be subject to immediate ter�ninatio tmpp�I Sig Supervisor / Witness Signature Date Date THE "1ZCO`KWO-')DCOMPANY David S. Parrilli Senior Vice President Phone (312) 621-5182 Fax (3 12) 621-2288 Email dpan-i ljij�,,rlLc com November 16, 2018 City of South Bend Indiana Dept of Public Works 227 West Jefferson South Bend, Indiana 46601 Subject: Contract Bonding Company Re: US Dept. of Treasury's Approved Securities Listing To Whom It May Concern; This letter will confirm that Green Demolition's Contract Bonding company, Developers Surety and Indemnity Company (NAIC #12718), is listed on the US Department of Treasury's Approved Securities l,isting, Best regard; David S. Parrilli Senior Vice President Suite 960 - 20 North Wacker Drive - Chicago IL 60606-2900 Insurance Since 1896 KIM AmTrust Surety September 20, 2018 Re: Green Demolition Contractors Incorporated To whom it may concern: Developers Surety and Indemnity Company, a division of AmTrust Financial Group is the current surety for Green Demolition Contractors, Inc.We have maintained a bonding relationship with this contractor since 2010. Developers Surety and Indemnity Company holds an A (Excellent) XIII Financial Rating by AM Best and has a United States Department of Treasury listing in excess of $7,446,000. Based on our underwriting review and this contractor's past history, we hold this firm in high regards and we are confident in their ability to complete their work. We currently have in place a bond line of $1,500,000 single over a bonded aggregate program of $4,000,000. Please note that a line is established for convenience purposes only and is not indicative as to how high we may consider. We have approved, on a case by case basis up to $2,200,000. If, Green Demolition Contractors, Inc. should be awarded a project with The City of Chicago, Developers Surety and Indemnity Company would be willing to write the performance and payment bonds subject to an acceptable contract. Sincerely, Ronald B. Gengler Director of Underwriting AmTrust Surety 1038 Oak Street Sugar Grove, IL 60554 630.466.4860 office rer1e10 geragls`r@ad'>ltraz reup cQ. www.amtru„sts„u„rety com 17771 Cowan, Suite 100• Irvine, CA 92614 (p) 800.782.1546• (f 800.251.1955•www.AmTrustSurety.com 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax:773-477-7149 November 19, 2018 City of South Bend Indiana Board of Public Works 1316 City County Building 227 West Jefferson Boulevard South Bend, Indiana 46601 Re: Tax Lien Statement Green Demolition Contractors has no outstanding Tax Liens Federal - State nor Local and has had none since its inception/incorporation. 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax:773-477-7149 Incorporated in the State of Illinois in the Year 2007 Union Shop References with Contract Amounts City of South Bend Indiana 1316 County -City Bldg. Rm. 1316 South Bend, Indiana 46601 Mr. Toy Villa 574-235-5920 Demolition of 103 Abandoned Properties Phase V Scope of Work: Wreck and Remove Complete with Grading and Seeding of 103 Properties City of South Bend Indiana 1316 County -City Bldg. Rm. 1316 South Bend, Indiana 46601 Mr. Toy Villa 574-235-5920 Demolition of 11 Abandoned Properties Phase 9 Scope of Work: Wreck and Remove Complete with Grading and Seeding of 11Proper-ties City of South Bend Indiana 1316 County -City Bldg. Rm. 1316 South Bend, Indiana 46601 Mr. Toy Villa 574-235-5920 Polish National Alliance Building Wreck and Remove Building Complete Backfill and Seed 2015 $ 1,609,090.00 2016 $ 196,857.00 2016 $ 72,800.00 rME H,Rom U"'1 Tonn & Blank Construction LLC 1623 Greenwood Ave. Michigan City, IN 46360 Joel Gonzales 219 877-8174 Uptown Artist Lofts 717 Franklin Michigan City, IN Scope of Work: 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 February 2016 $611,086.00 Interior Selective Finish / Abatement and Structural Removals of Multi Level Facility Amereco Engineering November 2015 54 Michigan Avenue Valparaiso, IN 46383 Mr. John Blosky $ 271,385.00 219.531.0531 701-705 Franklin Street Michigan City, IN 46360 Wreck and Remove Building Complete Rockford Construction July 2014 Grand Rapids, MI 49508 Brock Burgess 616-437-4226 LaPorte, In Meijer $787,000.00 Scope of Work: Complete 100% gut re -habilitation project with Bobcat machines of an existing Big Box facility consisting of ceilings, drywall partition walls, storefronts, facades, floorings, concrete removals, M.E.P. and portion of structure removals. 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 Doherty Construction 163 N. Valley Hill Road Woodstock, Illinois 60098 Mr. Vern Anderson 815-334-8500 West Leyden High School Wreck Removal Portion of School Building Selective Interior Demolition Z3 Solutions 1350 E. Touhy Des Plaines, Illinois 60018 847-730-3945 Mr. Pete Zouras Lincoln Hall Middle School Additions and Renovations Phs 3 Selective Removals School Building Z3 Solutions 1350 E. Touhy Des Plaines, Illinois 60018 847-730-3945 Mr. Pete Zouras Lincoln Hall Middle School Additions and Renovations Phs 2 Selective Removals School Building Vision Construction & Consulting 1733 N.33rd Stone Park, Illinois 60165 Mr. Pete Griffin 708-488-1926 J. Morton Sterling High School Administration Building Selective Structural Removal throughout School Building 2017-2018 $ 719,375.00 2018 $ 573,742.00 2017 $ 295,554.19 2018 $ 829,705.00 " l i it A Greeiner Tomorrow" 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 Vision Construction & Consulting 1733 N. 33rd Stone Park, Illinois 60165 Mr. Pete Griffin 708-488-1926 J. Morton Sterling High School Freshman Academy School Building Selective Structural Removal throughout School Building Cook County Land Bank Authority 69 W. Washington Suite 2938 Chicago, IL 60602 Mr. Mustafaa Saleh 312-603-8015 Scope of Work: 2018 $ 786,000.00 $925,000.00 to date Open Ended Contract ongoing through the depletion of Grants/Funds Demolition of Abandoned / Vacant Homes throughout Chicago and Cook County. Brown & Momen, Inc. 823 E. Drexel Square Chicago, IL 60615 Mr. David Clark 312-788-0770 Marshall Field Garden Apartments Building 5 Chicago. IL Scope of Work: Interior selective removals of all finishes multi story level HUD Building November 2015 $744,000.00 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 City of Chicago/Wight Co. 2500 North Frontage Road Darien, IL 60561 Dennis Podzimek 630-918-9428 City Hall Space Consolidation Scope of Work: Multiple Interior Floor Selective Removals of Finishes and Furnishings. Working in strict adherence with Municipal Building — Security Procedures IHC Companies 1500 Executive Dr. Elgin, IL 60123 Tom Carrano 847-841-7713 Niles North HS 2014Summer Renovation Skokie, Il Scope of Work: Selective and gut removals of Locker Rooms - Kitchen Cafeteria- Entrances and other various areas Lee & Ryan Construction 1707 Melody Ln. Greenfield, IN 46140 Ryan Keane 317-467-6577 Edward Hines VA Hines, II Scope of Work: August 2014 $498,800.00 July 2015 $524,000.00 October 2014 $190,000.00 Main Hospital North Entrance removal of Front Structural Fagade, floors and roof with all adjoining finishes. "Recycling For A Greener" Barton Malow Company 150 N Upper Wacker Dr #1650 Chicago, IL 60606 Brian Courtney 312-281-0821 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 January 2015 Argonne National Laboratory $212,000.00 Argonne National Lab — Materials Engineering Building 370 Building 360 Expansion Scope of Work: Green Demolition performed wreck removals within Building 370 adjacent to an ongoing Phosphorous Experiment working in direct conjunction with electric, communications systems, sprinkler systems, natural gas and steam while performing lead and asbestos abatement. Green Demolition performed a Building Wreck within 10 feet of a Linear Accelerator without service interruptions to the electric, water, sewer, natural gas, steam and communications systems. Demolition Plan November 27, 2018 City of South Bend Department of Public Works 227 Jefferson Boulevard South Bend, Indiana 46601 Re: Fat Daddy's Building Demolition Project # 118-066 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 Green Demolition Contractors Incorporated will procure Insurance Certificates, Bonding and all other Start-up Paperwork i.e. Permits, etc necessary to Mobilize and Secure the Facility upon Contract Award and Notice to Proceed as follows: Coordinate, perform and verify Utility Disconnects Coordinate and Perform Universal Waste Removal Coordinate and Perform Abatement Removals Salvage per Specifications Demolish and Remove Debris from Buildings Demolish and Remove Concrete Backfill Buildings as they are completed Remove all Debris from Site and Dispose of at a Legal Landfill Perform all Site Restoration Work Final Grade Demobilize Michael° 1 Aigh.'President Green De aolitiora Contractors, Inc. �Mftcy6ling Toqia,y For A Groeoii°wer'Ti�orwwcjlovllolwl" TNT„ 1�' (' J 1w IS. 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 Field Men. / Equipment Outline November 27, 2018 City of South Bend Indiana Department of Public Works 227 Jefferson Boulevard South bend, Indiana 46601 Re: Fat Daddy's Building Demolition Project 118-066 Green Demolition Contractors Incorporated proposed to complete their work utilizing the following Number of Men and Equipment: One (1) Union Operating Engineer Two (2) Union Laborers One (1) Union Foreman One (1) Caterpiller 320 Excavator with Grapp One (1) S300 Bobcat with Grapple ,gh, President ration Contractors, Inc.. "Rocyciing Today For A Giiiiiiiiiieener r� 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 MISSION STATEMENT Green Demolition Contractors Incorporated LLC is a fully licensed, bonded, and insured demolition company servicing the Midwest. Our management team possess over 50 years of field experience. We are a proud signatory contractor with the International Laborer's Union of North America and the International Union of Operating Engineers, as well as a member of the National Association Demolition Contractors. We are LEED experienced and a lead -safe certified firm. Green Demolition specializes in a variety of services including: • Selective Demolition • Total Building Demolition • Mechanical Demolition • Structural Demolition • Selective Excavation • Concrete Crushing • Scrap Recovery • Fire and Disaster Relief Work • Waste Hauling • 24-Hour Emergency Service We service Industrial, Manufacturing, Commercial, Schools, Hospitals, Public, Municipal and Government Sectors. Our mission is to provide every client with safe, innovative, cost-effective and environmentally sound solutions while promoting a standard of excellence with our trained Union Field personnel. Green Demolition Contractors Incorporated LLC strives to reuse and repurpose our demolition material by utilizing sustainable deconstruction practices minimizing waste and recycling all material possible in order to ensure a positive impact on the environment. 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 EEO STATEMENT It is the policy of Green Demolition Contractors Incorporated LLC to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic that is protected by Federal, State or Local Law. In addition, Green Demolition Contractors Incorporated will provide reasonable accommodations for qualified individuals with disabilities. Green Demolition Contractors Incorporated LLC goal is to increase representation of women, people of color, veterans and individuals with disabilities. Our programs and training are designed to apply to all applicable federal, state and local laws, ordinances and regulations and cover all human resource actions including employment, compensation, benefits, training, education, tuition aid, transfers, promotions and social/recreational programs. Green Demolition Contractors Incorporated LLC CEO and senior leadership along with Local Branches of International Operating Engineers Union and International Brotherhood of Laborer's Union regularly receive and review affirmative action reports and monitor progress, reinforce policies and hold the organization accountable to meet objectives. Michael Brough, President and Norman Bennett, Business Manager are responsible for leading Green Demolition Contractors Incorporated LLC affirmative action efforts and ensuring that the principle of equal employment opportunity is understood and followed. The Human Resource head, is responsible for local efforts. All members and management must be familiar with this policy, must fully support it and are responsible for applying these principals in good faith. All employees are responsible for conduct consistent to demonstrate respect for all co-workers. All statements are 4 caws and 13 R4MIAN the Corporate Office and in the HR Office and may be reviewed by on week J>ays'during normal working hours. dent and Chief Executive Officer W. i s • 1 4416141"Al OT11,51 ETJ 1 10, A Green Demolition Contractors Incorporated recognizes that all businesses can have a direct or indirect impact on their local, regional, and global environment. As a result Green Demolition Contractors Incorporated has developed a Green Policy in order to minimize their environmental impact. Efficient Use of Energy Green Demolition Contractors Incorporated and its staff use and purchase energy star -compliant hardware whenever possible. Encourage Conservation Green Demolition Contractors Incorporated staff and employees are encouraged to conserve energy whenever possible. Minimize Waste Green Demolition Contractors Incorporated staff sends sales quote via email unless the customer specifically requests that the quote be sent using an alternate communication channel. This is done in order to minimize paper waste. Recycle All Green Demolition Contractors Incorporated employees are encouraged to reuse paper for note -taking where appropriate refurbished equipment or parts are considered. ESD Option All of Green Demolition Contractors Incorporated titles are available electronically, unless the customer chooses to receive physical media Green Demolition Contractors Incorporated software and key codes are delivered electronically via download and email. Telecommuting Many Green Demolition Contractors Incorporated staff members telecommute, to help reduce our corporate carbon emissions. Spread the Word Green Demolition Contractors Incorporated has added a Green Tips section to the Green Demolition Contractors Safety Manuals and Haz-Com Material Handouts to share their tips for being green. Green Demolition Contractors Incorporated is primarily an e-business. The vast majority of customer contact is virtual. Green Demolition Contractors Incorporated encourages all staff to conserve, reuse and recycle, Green Demolition Contractors Incorporated makes every effort to be an environmentally responsible il'ri, iJ r 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 Project: Recycling Scope: Green Demolition will and is currently pursuing a recycling at Green Demolition is using it owns dumpsters to recycle all metals which may include any all of the following, desks, file cabinets, pipe, conduit, tee grid from the ceilings, and wiring. Green Demolition is also using it owns dumpsters to recycle all concrete, brick and block, etc that we will be removing and disposing of. a contracted waste hauler will also be segregating materials at a transfer site that were hauled from . Materials that will salvage for reuse are paper, cardboard, wood, plastics, metals, brick, block, and concrete. End of month reports will be generated showing percentages of recycled materials to waste disposed of in an approved land fill. A final report will be generated at the end of the project showing a combined report for the demolition debris at Respectfully, Green Demolition, Inc. Laura ' es laura@greendemolitioninc. com 773-477-7160 direct 773-477-7149 fax " llimi o F: r, A GreeiiiI I r ma° 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 Statement of Purpose This shall be known as the Green Demolition Contractors Incorporated LLC, Purchasing Policy. Its purpose is to ensure that Green Demolition Contractors Inc., purchases recycled and other environmentally preferable products whenever they meet cost and performance requirements. Definitions "Environmentally Preferable Products" means products that have a lesser impact on human health and the environment when compared with competing products. This comparison may consider raw materials acquisition, production, manufacturing, packaging, distribution, reuse, operation, maintenance, or disposal of the product. "Recycled Products" are products manufactured with waste material that has been recovered or diverted from solid waste. "Practicable" means sufficient in performance and available at a reasonable cost. "Cost" means the total expense of the product including the initial price, lifecycle costs, and disposal costs. "Price" means the initial expense to acquire the product. Statement of Policy Green Demolition Contractors Incorporated LLC, shall purchase recycled and other environmentally preferable products whenever practicable. Green Demolition Contractors Incorporated LLC, shall require contractors and consultants to use recycled and other environmentally preferable products whenever practicable. Statement of Procedure Green Demolition Contractors Incorporated LLC, shall be responsible for coordinating implementation of this policy as follows: 1. Assign appropriate personnel to fulfill the requirements of this policy. 20 Research opportunities for procurement of recycled and other environmentally preferable products and communicate these to purchasing decision makers for evaluation and purchase. 3. Collaborate with specifying agencies to prepare or revise bid documents and contract language where necessary to implement this chapter. 4. Collect data on purchases by Green Demolition Contractors Incorporated LLC, of recycled and other environmentally preferable products. '9II1iff IlllF iiiY° A Gireeffieiiiu Ills iimoirr " 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 5. Prepare and submit an annual report to Green Demolition Contractors Incorporated LLC, by Jan 30th of each year, describing the progress of Green Demolition Contractors Incorporated LLC, in implementation of the policy, including the following elements: a. Quantities, costs, and types of recycled and other environmentally preferable products purchased; b. A summary of savings achieved through the purchase of recycled and other environmentally preferable products; c. A summary of program promotional efforts; d. Recommendations for changes in procurement policy. 6. Promote the use of recycled and other environmentally preferable products by publicizing its environmental purchasing policy and its implementation. 7. Educating staff about the policy and listening to staff comments and suggestions. Exemptions Nothing in this policy shall be construed as requiring the purchase of products that do not perform adequately or are not available at a reasonable cost. Implementation This policy shall be effective immediately from the -date of signature. "Recyclicig TodayIlFouiw A Greeirier " or r DATE (MMIDDIYYYY) +e✓ [ s CERTIFICATE OF LIABILITY INSURANCE 11/16/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CO E7 NAM.'T David S, Parrllll Parrilli, David PHONE (312) 621-5182 1 � Ne ,, (312) 621-2288 The Rockwood Company FE-MAILS5a dparrilli@rockwoodco.com 20 N Wacker Drive, Suite 960 INSURER($) AFFORDING COVERAGE NAIC # Chicago IL 60606 INSURERA : Navigators Specialty Ins Co., 36056 INSURED .. StarStone National Insurance Co., 25496 Green Demolition Contractors Incorporated, LLC INSURER C 523 Northbrook Drive INSURER D INSURER E t Michigan City !N 46360 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. fiCY 4.:Tfd TYPE OF INSURANCE v..........�M.m-�. I, POLICY NUMBER MY EPF MMIDDIYYYY EXP MMIO DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE NOCCUR _P PR. MI S E u__rra, nice..... $ 50,000 MED EXP (Any one person) $ 5,000 i Ll A X IS18CGL1326961C 10/01/2018 10/01/2019 PERSONAL& ADV INJURY $ 1,000,000 -'L AGGREg7c LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 I 1„pCy" NaR1,y. LOG R'J PRODUCTS - COMP/OP AGG $ 2,000 000 OTHER: $ AUTOMOBILE LIABILITY �d111'SINGLr UMfT $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED ISI8CGL1326961C 10/01/2018 10/01/2019 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE, $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Peon aC,e„or�oxat UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE .... $ 10,000,000 B '.. EXCESS LIAB [1.CLAIMS-MADE 590956186ALI 10/01/2018 10/01/2019 DED I Xi RETENTION S. 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN -.. STATUTE. EORH ANY P'ROPRIETOR)PARTNCRiEkECUTIVE EL EACH ACCIDENT $ EXCLUDED? ❑ N/A {Marrdatoryin NH) EL, DISEASE- EA EMPLOYEE '.... $ ,O1rlrE11IMEM1Jf:R If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional Insured when required by written contract per ISO Form CG 2010 (10/01) and CG 2037 (10101) (attached): City of South Bend Indiana City of South Bend Indiana Department of Public Works 227 West Jefferson South Bend IN 46601 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 4 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: IS18CGL132696IC COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. we ffil, INZETIA• • . This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any Person or organization for whom you are performing operations during the policy period have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to "bodily in- jury" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the addi- tional insured(s) at the site of the cov- ered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another con- tractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 110 01 © ISO Properties, Inc., 2000 Page 1 of 1 0 POLICY NUMBER: IS18CGL1326961C COMMERCIAL GENERAL LIABILITY CG20371001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any Person or organization for whom you are performing operations during the policy period have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Location And Description of Completed Operations: Additional Premium: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products -completed operations haz- ard". CG 20 37 10 01 © ISO Properties, Inc., 2000 Page 1 of 1 0 DATE (MWDD/VYYY) 11/16/2018 OHM 11 A � ,1 I Pill THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies, LLC 2100 Ross Ave., Suite 1400 Dallas, TX 75201 INSURED Resourcing Edge I, LLC 1309 Ridge Rd., Suite 200 Rockwall, TX 75087 'SEE BELOW E-MAIL ADDRESS: INSURER A: Indemnity Insurance Co. of North America INSURER B : FAX (A/C, No): COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ............. .......-...-,POLIC'V�EFF,..._. P LT�EAf7.F�. �..._..........., .......__. IINSR' ..,n.m,n............... d4pfiL 3�iY'__ . ... ...,..._m,..,.......... .,.... BR. TYPE OF INSURANCE POLICY.. LTR INSD WVD NUMBER (MMIDD/YYYY) (MMIDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO �I�ENTED ,,,,. �... CLAIMS- OCCUR PRFMISFS !Fa occurrenrei ......,- $ MCD FXP (Aoy wte paiuoip) $_.. PERSONAL &. ADV IN„NURY _..._.$ ___.............. '',4„+I L AGGEa;,lakTN" LIMP"I" I P�"S PEW Ol PRO I pLOC L ENEHAI AGGA b __ PRODUCTS COMPIOP AGG $ .. AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED I PROPERTY DAMAGE y ., ,._.. AUTOS ONLY ,,.,.V AUTOS I�I & Y 6 6P_aa aca:idaDU ... $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ ........ _..-- -.. ............. EXCESS LIAB CLAIMS -MADE .. ........ --- AGGREGATE. $ -. _.$ _... DEB RETENTION WORKERS COMPENSATION x PER OTH AND EMPLOYERS uABlury Y A �T�T TF �R OFFICER/MEMBER EXCLUDED? /l,Ul IVE NH N IA C65880799 10I01/2018 10/01I2019 E.L EACH ACCIDENT $ 1,000,000 (Mandatory ) ........ ............... -- - — — ,, ...... If yes, describe under 'iDESCRIPTION OF OPERATIONS below DISEASE EA EMPLOYEE $ 1 t)00 t)00 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 1.01„ Additional ffsmarks' ckodulo, may be attooh#4 Il mio-re space is required) Green Demolition Contraclors Inc. (2496) Is included as a named Insured lbrou�gh endarsemenl. Coverage Provided for all leased employees but not subconlreclors of: Green De�rnolilon Contractors Inc. RE: JOB: PREOUAL GREEN DEMOLITION CONTRACTORS INCORPORATED, LLC Va NORTHBROOK DRIVE ICHIGAN CITY, IN 4636e CERTIFICATE 2494064 CITY OF SOUTH BEND INDIANA DEPT. OF PUBLIC WORKS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 227 WEST CITY, I 463 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ON MICHIGAN CITY, IN 46360 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CITY OF SOUTH BEND STATEMENT OF POLICY The Board of Public Works of the City of South Bend has adopted the following policy regarding the receipt of sealed bids: All sealed bids submitted to the Board of Public Works must be received in the Board of Public Works Office, 1316 County -City Building, South Bend, Indiana, no later than the advertised time on the advertised date of the bid opening. It shall be the responsibility of the bidder to see that his/her bid is received prior to the deadline stipulated in the bid advertisement. Bids submitted by mail and received after the advertised time deadline will not be considered by the Board. CITY OF SOUTH BEND BOARD OF PUBLIC WORKS Linda M. Martin, Clerk NOTE: Incoming mail does not reach the Board of Public Works until after 9:30 a.m. Local Time. If you are sending your bid via Federal Express or another overnight source, please confirm that your package will arrive before the bid opening date and time. Version 7/20/2018 General Conditions - 1 CITY OF SOUTH BEND EQUAL EMPLOYMENT OPPORTUNITY CONTRACTING PROVISIONS DIVERSITY UTILIZATION It is the policy of the City of South Bend to provide equal employment and business opportunity for all persons, partnerships, companies, and corporations in accordance with the rules, regulations and guidelines of the applicable federal, state and local laws. This policy of equal employment and business opportunity shall apply to every contractor or subcontractor bidding or holding a public contract with the City of South Bend. In furtherance of this policy, the following Equal Opportunity Clauses are hereby made a part of every construction contract entered into by the City of South Bend and all subcontractors entered into pursuant to any such contract and the bidder hereby certifies that it/he/she will abide by these provisions. The contractor will not discriminate against any applicant or employee because of race, color, religion, sex, national origin, or handicap. The contractor will take affirmative action to ensure that all applicants or employees are treated fairly and equitably. Such action shall include but not be limited to the following: hiring, up- grading, demotion or transfer, recruitment, advertising, lay-offs or termination, rates of pay or other forms of compensation and selection for training including apprenticeship programs. The contractor shall agree to post in conspicuous places available to employees and applicants, notices to be provided setting forth the provisions of the Non -Discrimination Clause. The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. The contractor will send to each labor union or representative of workers with which it/ he/she has a bargaining agreement or other contract or understanding, a notice to be provided, advising the labor union or worker's representatives of the contractor's commitment under this section, and shall post copies of the notices in conspicuous places available to applicants and employees. The contractor will comply with all provisions of Executive Order 11246 (as amended by 11375) and of the rules, regulations and relevant orders of the Department of Labor. Subpart B -- Contractors' Agreements Sec. 202. Except in contracts exempted in accordance with Section 204 of this Order, all Government contracting agencies shall include in every Government contract hereinafter entered into the following provisions: "During the performance of this contract, the contractor agrees as follows:" "(1) The contractor will not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated equally during employment, without regard to their race, color, religion, sex or national origin. Such action will include, but not be limited to the following: employment, upgrading, demotion, or transfer; recruitment or Version 7/20/2018 General Conditions - 2 recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause." "(2) The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex or national origin." "(3) The contractor will send to each labor union or representative of workers with which it/ he/she has a collective bargaining agreement or other contract of understanding, a notice, to be provided by the agency contracting officer, advising the labor union or workers' representative of the contractor's commitments under Section 202 of Executive Order No. 11246 of September 24, 1965, and shall post copies of the notice in conspicuous places available to employees and applicants for employment." "(4) The contractor will comply with all provisions of Executive Order No. 11246 of September 24, 1965, and of the rules and regulations, and relevant orders of the Secretary of Labor." "(5) The contractor will furnish all information and reports required by Executive Order No. 11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the contracting agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders." "(6) In the event of the contractor's noncompliance with the nondiscrimination clauses of this contract or with any of such rules, regulations, or orders, in this contract may be cancelled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further Government contracts in accordance with procedures authorized in Executive Order No. 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked* as provided in Executive Order No 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law." "(7) The contractor will include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontractor or vendor. The contractor will take such action with respect to any subcontract or purchase order as the administering agency may direct as a means of enforcing such provisions including sanctions for noncompliance: Provided, however, that in the event a contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency the contractor may request the United States to enter into such litigation to protect the interests of the United States." The applicant further agrees that it will be bound by the above equal opportunity clause with respect to its own employment practices when it participates in federally assisted construction work: Provided, that if the applicant so participating is a State or local government, the above equal opportunity clause is not applicable to any agency, instrumentality or subdivision of such government which does not participate Version 7/20/2018 General Conditions - 3 in work on or under the contract. The applicant agrees that it will assist and cooperate actively with the administering agency and the Secretary of Labor in obtaining the compliance of contractors and subcontractors with the equal opportunity clause and the rules, regulations, and relevant orders of the Secretary of Labor, that it will furnish the administering agency and the Secretary of Labor such information as they may require for the supervision of such compliance, and that it will otherwise assist the administering agency in the discharge of the agency's primary responsibility for securing compliance. The applicant further agrees that it will refrain from entering into any contract or contract modification subject to Executive Order 11246 of September 24, 1965, with a contractor debarred from, or who has not demonstrated eligibility for, Government contracts and federally assisted construction contracts pursuant to the Executive Order and will carry out such sanctions and penalties for violation of the equal opportunity clause as may be imposed upon contractors and subcontractors by the administering agency or the Secretary of Labor pursuant to Part II, Subpart D of the Executive Order. In addition, the applicant agrees that if it fails or refuses to comply with these undertakings, the administering agency may take any or all of the following actions: Cancel, terminate, or suspend in whole or in part this grant (contract, loan, insurance, guarantee); refrain from extending any further assistance to the applicant under the program with respect to which the failure or refund occurred until satisfactory assurance of future compliance has been received from such applicant; and refer the case to the Department of Justice for appropriate legal proceedings. * Corrected to read "invoked". In the original text the word "involved" was printed in error. Version 7/20/2018 General Conditions - 4 MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM The City of South Bend, Indiana has shown its commitment to addressing Minority Business ("MBE") and Women's Business Enterprise ("WBE") participation in public contracting through the adoption of the City of South Bend Ordinance No. 10081-11. 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 or disability that does not affect that person's ability to perform work. Minority and Women's Businesses are described on the Indiana Department of Administration website: http://www.in.gov/idoa/. 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. Documentation shall be provided with the bid that states the MBE/WBE that will be contracted, the dollar amount of the work that will be performed on the project and the percentage of the dollar amount as it relates to the total bid amount by using Form MWBE-1.0, MBEAMBE Participation Form. The City, its agencies, boards, or commissions requires the Contractor's good faith efforts to obtain participation by those Contractors classified as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE"). Failure to provide ALL the required evidence of good faith efforts with the bid will be grounds for rejecting a bid as non -responsive. The requirements that bidders shall supply as good faith efforts to have active participation from MBEs and/or WBEs on this Project is written documentation evidencing the efforts by using Form MWBE-2.0, Evidence of Good Faith Efforts and Form MWBE-2.1, MBE/WBE Contacted. Such documentation shall include but is not limited to the following items: a. A listing of all MBE/WBEs contacted including: (1) the name and address of the MBE/WBE; (2) the date of contact; (3) the type of contact (i.e. phone call, written solicitation, etc.); (4) the nature or type services or goods requested; and (5) the result of the contact. b. Written evidence of outreach and copies of email exchanges inviting and receiving quotes or other responses from MBE/WBE businesses or other documentations of efforts to encourage and secure competitive quotes from MBE/WBE and local businesses to be included in the benefits of building this Project. c. Written documentation of letters of introduction, invitations to forging majority/minority strategic alliances for capacity building including but not limited to mentoring, extensions of assistance on payroll, insurance, bonding, line of credit, technical skills or business skills. All bidders are actively encouraged to reach out to the MBE/WBE businesses in St. Joseph County, Indiana and other local Indiana counties to utilize a good faith effort to forge constructive and lasting business partnerships. Notwithstanding the foregoing, the award and performance of all City contracts shall comply with applicable federal, state, and local laws. Version 7/20/2018 General Conditions - 5