HomeMy WebLinkAboutOpening of Bids - SBFD Training Center Classroom Building Proj No 117-127R - The Robert Henry CorporationCITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name South Bend Fire Department Training Center Classroom Building
Project No. 117-127R
For Bids Due November 27, 2018 at 9:30 AM Local Time
PART I
(Must be completed for all bids. Please type or print)
Date: w Bidder (Firm): W vn
Address: - _S
City/State/Zip: Wd 11L lkki'TTelephone Number: 1 - CI If
Agent of Bidder (if Applicable):
Pursuant to notices given, the
public works project of:
offers to furnish labor and/or material necessary to complete the
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
1. o ck 4v-V1r)4rAu tie j ,rt ,nrm ncN
anddated ., ( for the sum
of (e ter the TotalBidas shown on the Proposal)
c
W44
(Enter sum of Total Base Bid shown on Proposal)
,,,r rical)
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in
the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance
with the notice. Any addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are
shown in the original contract if accepted by the City
basis, the itemization of the units shall be shown-or"�
By
ACCEPTANCE
The above bid is accepted this day of
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
James A. Mueller, Member
I, the cost of units must be the same as that
Bend. If the bid is to be awarded on a unit
attachment.
psi
Suzanna M. Fritzberg, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
Version 7/20/2018 Contractor's Bid for Public Works - 2
20
BIDIPROPOSAL
CITY OF SOUTH BEND
18 x
Project Name South Bend Fire Department Training Center Classroom Building
Project No. 117-127R
For Bids Due November 27, 2018
Contractor Name.
Item No. Description Total Amount
BASE BID
1 covers construction of the Classroom Addition and two vehicle
apparatus bay according to the intent of the Plans and ,
Specifications
BASE BID TOTAL $
ALTERNATE #1 ADD
Item No. Description Total Amount
Provide costs for removal of existing stone and installation of turf in
1 area designated on Site Demolition Plan and Site Grading / Utility
Plan.
ALTERNATE #1 TOTAL $ d
Item No. Description Total Amount
Provide metal roof panels in lieu of asphalt shingles.
Include addition of 30# synthetic roofing underlayment and
2 %" exterior roofing sheathing in lieu of sheathing and $ �)
underlayment shown.
Include snow guard rails at all roof overhangs.
ALTERNATE #3 (ADD)
Item No. Description
ALTERNATE #2 TOTAL -°'"
Total Amount
Provide ground face CMU wainscot and cast stone sill shown, base
3 bid to include metal panel siding and associated furring and trims to $
the base of the wall. _.
ALTERNATE #3 TOTAL $
►TSil 1.11TIN f4'_'yr irk
Item No. I Description Total Amount
Provide movable partition between Classroom A and B. 00
4 Include steel beam, columns and footings shown along with $
the framing of the opening for the partition track. Soffit
between classrooms to be part of the base bid.
00
ALTERNATE #4 TOTAL $ �3
Version 7/20/2018 Contractor's Bid for Public Works - 7
ALTERNATE #5 (ADD
Item No. Description Total Amount
5 Provide 10 floor outlet boxes and associated conduit, devices and $ 4I
wirin . 't
ALTERNATE #5 TOTAL $
ALTERNATE #6 ADD
Item No. Description Total Amount
6 Provide Classroom casework, (tall storage cabinets, base cabinets $
and counter tops along with miscellaneous fillers and trim.
ALTERNATE #6 TOTAL $..,�
ALTERNATE #7 (ADD
Item No.
Description
Total Amount
7
Provide AV Projectors and sound system and Telecommunication
co
$ 3--
head end and cablingin Classrooms A and B.
ALTERNATE #7 TOTAL
$ 00
ALTERNATE
#8 #8 ADD
Item No.
Description
Total Amount
8
Provide proximity card readers at four (4) exterior doors and
$
associated security system, keypad and wiring.
ALTERNATE #8 TOTAL $
ALTERNATE #9 ADD
Item No. Description Total Amount
9
Provide acoustical panels attached to the gypsum board ceiling as
shown on the drawinas.
$ n�
$ 60
ALTERNATE #9 TOTAL
TOTAL AMOUNT BASE BID + "Y�r
ALTERNATE 1 ,2, 3, 4, 5, 6, 7, 8 & 9
Bidder (Firm):
Address: ()
City/State/Zip: "6PIW-7
Telephone Number:�'
By
(Signature
(Printed Name of Person Signing)
Version 7/20/2018 Contractor's Bid for Public Works - 8
When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION
REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-
DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL
PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OFa, )
SS:
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that:
1. Contractor has not, nor has any other member, representative, or agent of the firm, company,
corporation or partnership represented by him, entered into any combination, collusion or agreement with
any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding
nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and
without any agreement, understanding or combination with any other person in reference to such bidding.
Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or
indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals
are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any Federal department or agency; and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in
investment activities in Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any agency
or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as
amended from time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor
is engaged in investment activities in Iran if either:
Contractor, its successor or its affiliate, provides goods or services of twenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
ii. Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more in credit to another person for
forty-five (45) days or more, if that person will (i) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration.
Version 7/20/2018 Contractor's Bid for Public Works - 4
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any
employee or contract with a person that the Contractor subsequently learns is an unauthorized alien.
Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's
newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's
documentation of enrollment and participation in the E-Verify Program is included and attached as part of
this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public contract to
certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain
any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien,
and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees
to maintain this certification throughout the term of the contract with the City of South Bend, and understands
that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision
no later than thirty (30) days after being notified by the City.
6. Persons, partnerships, corporations, associations, or joint ventures awarded a contract by the City of
South Bend through its agencies, boards, or commissions shall not discriminate against any employee or
applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions,
or privileges of employment, or any matter directly or indirectly related to employment because of race, sex,
religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or
disability that does not affect that person's ability to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any
combination of the foregoing including, but not limited to, public works contracts awarded under public
bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards,
or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors
certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise
("WBE") as a factor in determining the lowest, responsible, responsive bidder.
In no event shall persons or entities seeking the award of a City contract be required to award a subcontract
to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a
discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from
being awarded a City contract for a period of one (1) year from the date of such determination, and such
determination may also be grounds for terminating the contact for which the discriminatory practice or
noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made
a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its
agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the
performance of this contract with privileges of employment, or any matter directly or indirectly related to
employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation,
handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of
contract.
I, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1).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 made steel or foundry is unreasonable. I understand that violations hereunder
Version 7/20/2018 Contractor's Bid for Public Works - 5
may result in forfeiture of contractual payments.
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid
for public works are true and correct.
Dated this A317do _ day of 20 IS
idder (Firm)
Print d Name and Title
or Its Agent
Subscribed and sworn to before me this " day of „ 20I_S
My Commission Expires
County of Residence
Notary Public
Version 7/20/2018 Contractor's Bid for Public Works - 6
PATRICIA KNIGHT
Notary Public
St. JOOO County, State of Indlene
FXPM Sept. 5, 2024
Fidelity & Deposit Company of Maryland
9414
Document A31 TM - 2 1
Conforms with The American Institute of Architects AIA Document 310
Bid Bond
CONTRACTOR: SURETY:
(Name, legal status and address) (Name, legal status and principal place of business)
The Robert Henry Corporation Fidelity and Deposit Company of Maryland
PO Box 1407 1299 Zurich Way
South Bend, IN 46624-1407 Schaumburg, IL 60196-5870
This document has important
legal consequences.
Mailing Address for Notices
Consultation with an attorney is
OWNER:
encouraged with respect to its
(Name, legal status and address)
completion or modification.
City of South Bend
227 W Jefferson St., Ste 1200 N
Any singular reference to
Contractor, Surety, Owner or
South Bend, IN 46601-1830
other party shall be considered
plural where applicable.
BOND AMOUNT: *** Five Percent (5%) of the Accompanying Bid ***
PROJECT:
(Name, location or address, and Project number, if any)
South Bend Fire Department Training Center Classroom Building
The Contractor and Surety are bound to the Owner in the amount set tbrth above, for the paytrient 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 Owneraccepts 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 famished 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
parry to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The
Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the
bid, Waiver of notice by the Surety shailI not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond
sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be
Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been famished to comply with a statutory or other legal requirement in the location of the Project, any provision in
this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such
statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed
as a statutory bond and not as a common law bond.
Signed and sealed this 27th day of November , 2018
The Robert HepiX Corporation
i (PKneiPal) ,.. (Seal)
(W'tness)
Fidelity and Deposit C /rnpany of Maryland
.. ... ,� (Surety)
(Witness)
(7ltle i kv T. Williar tsa Attorney -in -Fact
LMS-10054 08/10
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, Atioroey hi l"act,. The Chief Executive Officer, the President, or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attomeys-in-fact with authority to execute bonds, policies,
recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attoey-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any
time.
CERTIFICATE
I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the
foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of
theBy-Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998,
SOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the 10th day of May, 1990.
SOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies,
this 27th day of ........___Na r� qr___________. 2018__ .
kmq tlta��a��r
Irmo OEM
a
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Cl .
Thomas O. McClellan, Vice President
BUILDING
BOULEVARD
SOUTH BEND, INDIANA 46601-1830
PHONE 574/235-9251
FAx 574/235-9171
TDD 574/ 235-5567
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD ''1 OF PUBLICWORKS
Date: November 21 It 2018
To: All Planholders
From Linda M. Martin Clerk Board of Public Works
Subject Addendum Number: I
Project Name: South Bend Fire Department Training Center Classroom Building
Project Number: 117-127R
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received:
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy MUST also be included with your
bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Compa
Author
Date:
Version 4/2/2015
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name South Bend Fire Department Training Center Classroom Building
Project No. 117-127R
For Bids Due November 27, 2018 at 9:30 AM Local Time
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 MBENVBE 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.
l// All required additional information is included with the bid.
f Proposal statements and other affidavits all signed by the proper party with name either
printedor typed underneath signature.
2 This checklist submitted with the Bid.
This checklist is provided for bidder's use In assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.
Bidder:
By Authi
Signatui
Print Na
Version 7/20/2018 Contractor's Bid for Public Works -1
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
These statements to be submitted under oath by each bidder with and as part of his 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
Part II — Section I — Experience Questionnaire
1. St. Joseph County Public Library
Project Completed 2009 — Contract Amount - $4,050,604.
South Bend Transportation and Maintenance Facility
Project Completed October 2010 — Contract Amount - $20,170,000.
Ft. Wayne/South Bend Catholic Diocese — Marian High School
Project Completed August 2011 - Contract Amount $557,000
Penn/Harris/Madison School Corporation
Project Completed August 2011 - Contract Amount $3,320,000
Gurley Leep Addition and Remodel
Project Completed December 2011 — Contract Amount $1,073,441
Elkhart County Library
Projected Completed March 2012 - Contract Amount - $420,000
St. Joseph High School
Project Completed June 2012 - Contract Amount - $2,000,000
Potawatomi Conservatory
Project Completed June 2012 - $1,180,000
Granger Community Medicine
Project Completed January 2013 - $904,000
Whole Foods
Project Completed March 2013 — $435,000
Roseland Animal Hospital —
Project Completed May 2013 - $780,000
St. Joseph County Library Digital Lab
Job Completed June 2014 - $188,000
St. Jude Catholic Church Renovation
Project Completed August 2013 - $3,524,000
Gurley Leep Audi
Project Completed September 2014 - $1,018,000
Saint Joseph Regional Medical Center — ER Addition Plymouth - $4,900,000
Completed July 2015
Church of Jesus Christ of Latter Day Saints — Addition — $1,465,000
Completed July 2015
Cassopolis Hight School — Interior Finishes - $312,444
Completed Summer 2016
Penn High School Football Stadium - $1,093,000
Completed Summer 2017
Gurley Leep Honda Store - $5,722,000
Completed Fall 2017
2. Current Projects in Progress:
Trinity Health PACE Project - $2,500,000
Leighton Hall Addition — University of Notre Dame - $439,994
Dowagiac Federal Credit Union - $120,684
Northwest Family Medicine - $225,260
Siemens Mishawaka - $278,149
St. Joe Regional Medical Center — Pavilion II - $383,806
University Park Family Medicine - $392,506
3. Have you ever failed to complete work awarded to you? NO
4. References from Private Firms:
• Father Michael Heintz — St Matthew's Cathedral — 574-289-5539
• Mr. Mike Stahly — South Bend Public Transportation— 574-532-6852
• Mr. Don Napoli — St. Joseph County Public Library — 574-282-4646
Part II — Section II — Plan and Equipment Questionnaire
1. A detailed quantity survey has been made from the contract plans and
specifications. Sufficient manpower is available to begin work 10 days to 2
weeks after Notice of Award. We anticipate completion per plans and
specifications.
2. A list of subcontractors will be provided within 24 hours of Notice of Award.
3. A lit of subcontractors will be provided within 24 hours of Notice of Award. It is
not anticipated that a bond will be required from subcontractors.
4. All required equipment will be provided for this project.
5. Yes.
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CITY OF SOUTH BEND'
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
0'1
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS r
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 MBEIWBE participation. It is the bidder's sole
responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority
or Women's owned business as defined by the Indiana Department of Administration ("IDOA").
Project Number: 117-127R Date: 110111AXN 31,
t5��
Project Name:
Bidder:
Contact Person:
Address:
City: aL(-i{1 1 ," State: TVJ Zip: 7
Email: 4 4»
To determine whether a bidder has onstrated good faith eftto reach the MBENVBE 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
MBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business
Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women
Owned Business as found on their website (http://www.in.gov/idoa).
ACTION (ADVERTISEICONTACT): In order for your bid to be deemed responsive, the City of South
Be quires 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
opportunitles, and allow MBE/WBEs reasonable time to respond.
OPerform any and all necessary steps to provide written notice in a manner reasonably calculated
to inform MBE1WBEs 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 MBE/WBE's with adequate information about the plans, specifications and other
1/ 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 MBEIWBE that has
bid on the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MBE/WBE was unqualified to perform the job.
*Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional Information.
Version 7/20/2018 Contractor's Bid for Public Works - 10
aq 1
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CITY OF SOUTH BENDs;;
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY;
DEVELOPMENT PROGRAMK,
FORM MWBE-2.1
MBE/WBE CONTACTED ' .: �_
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring contacted MBENVBE to obtain Good Faith Efforts. It Is the bidder's sole responsibility to verify
whether any listed minority or woman business meets the qualifications of a Minority or Women's owned
business.
PAGE OF
Project Number: 117-127R MBEMBE Participation Goal
Project Name: South Bend Fire Department Training Center Classroom Building,
Bidder:'
By. i4i at re ..,,. �. t di r"�, al�
) (Title) (Date)
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MBENVBE Firm i
Owner or Contact at MBENVBE Firm
Telephone: W-a "" }-7Fax: —.1gg _ �N Email: Q640
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TYPE OF WORK SOLICITED FOR THIS PROJECT: I
LO&
RESULTS OF CONTACT WITH THE MBENVBE FIRM:
MBENVBE Firm S f a
Owner or Contact at MBENVBE Firm (
g L Ono I
TYPE OF WORK SOLICITED R THIS PROJECT: , AcAm�� Lnds
RESULTS OF CONTACT WITH THE MBENVBE FIRM:
Version 7/20/2018 Contractor's Bid for Public Works - 11
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name South Bend Fire Department Training Center Classroom Building
Project No. 117-127R
For Bids Due November 27, 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 31 st 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 4/17/2015 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 4/17/2015 General Conditions - 7
PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowled ments:
(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.
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) j,/ 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).
Statement on staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work. It
outlines how I intend to meet the staffing needs of the work.
Evidence that I am utilizing a surety company which is on the United States
Department of Treasury's Listing of Approved Sureties as required in the bid
specifications or contract.
(iv) ✓ List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within the last three (3) years.
Version 4/17/2015 General Conditions - 8
PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowle gements:
(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 any time and shall be furnished
upon request.
(iv)
By checking this box, I hereby acknowledge and ensure that I and all sub-
contractors, from whom I have accepted a bid and/or intend to hire to perform work
on the public work project, are properly licensed. Furthermore, I acknowledge my
understanding that it is my responsibility to ensure that all sub -contractors have
the necessary licenses to undertake the work called for in this bid. If a sub-
contractor loses their license at any point, it is the responsibility of that sub-
contractor to notify the City.
(b) Attachment
(i)
Indiana Secretary of State's on-line records (i.e. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii)
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)
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 4/17/2015 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.
(Print Dame Here)kwobQli " J(:w
(Name of Company) IJ
p 'S
(Address of Company)
(City)
(State)
I
'511 . 'a -.3a -a
(Telephone Number)
Version 4/17/2015 General Conditions -10
BUSINESS INFORMiATION
CONNIE LAWSON
INDIANA SECRETARY OF STATE
08/21/2018 02:25 PM
Business Name: THE ROBERT HENRY CORPORATION Business ID: 197408-008
Entity Type: Domestic For -Profit Corporation Business Status: Active
Creation Date: 08/01/1974
Inactive Date:
Principal Office Address: 404 SFrances Street, Sol Bend, IN, 46624,
USA ExP iration Date: Perpetual
Jurisdiction of Formation: Indiana
Business Entity Report Due 08/31/2018
Date:
Years Due: 2018/2019
Title Name Address
President STEPHEN R HENRY 15524 HEARTHSTONE DRIVE, MISHAWAKA, IN, 46545, USA
Name: STEPHEN HENRY
Address: 404 S FRANCES ST, SOUTH BEND, IN, 46617 - 0000, USA
General and Utility Contractors
To whom it may concern:
The Robert Henry Corporation has the staffing capabilities including the labor reources necessary to
complete the project on time. We will be utilizing workforce form the local union hall or from our
existing workforce.
Stephen R. Henry
President
404 South Frances Street • P.O. Box 1407 -South Bend, Indiana 46624
www.roberthenrycorp.com • TeL 574-232-2091 • Fax 574-232-3979
Part II — Section I — Experience Questionnaire
1. St. Joseph County Public Library
Project Completed 2009 — Contract Amount - $4,050,604.
South Bend Transportation and Maintenance Facility
Project Completed October 2010 — Contract Amount - $20,170,000.
Ft. Wayne/South Bend Catholic Diocese — Marian High School
Project Completed August 2011 - Contract Amount $557,000
Penn/Harris/Madison School Corporation
Project Completed August 2011 - Contract Amount $3,320,000
Gurley Leep Addition and Remodel
Project Completed December 2011 — Contract Amount $1,073,441
Elkhart County Library
Projected Completed March 2012 - Contract Amount - $420,000
St. Joseph High School
Project Completed June 2012 - Contract Amount - $2,000,000
Potawatomi Conservatory
Project Completed June 2012 - $1,180,000
Granger Community Medicine
Project Completed January 2013 - $904,000
Whole Foods
Project Completed March 2013 — $435,000
Roseland Animal Hospital —
Project Completed May 2013 - $780,000
St. Joseph County Library Digital Lab
Job Completed June 2014 - $188,000
St. Jude Catholic Church Renovation
Project Completed August 2013 - $3,524,000
Gurley Leep Audi
Project Completed September 2014 - $1,018,000
Saint Joseph Regional Medical Center — ER Addition Plymouth - $4,900,000
Completed July 2015
Church of Jesus Christ of Latter Day Saints — Addition — $1,465,000
Completed July 2015
Cassopolis Hight School — Interior Finishes - $312,444
Completed Summer 2016
Penn High School Football Stadium - $1,093,000
Completed Summer 2017
Gurley Leep Honda Store - $5,722,000
Completed Fall 2017
2. Current Projects in Progress:
Trinity Health PACE Project - $2,500,000
Leighton Hall Addition — University of Notre Dame - $439,994
Dowagiac Federal Credit Union - $120,684
Northwest Family Medicine - $225,260
Siemens Mishawaka - $278,149
St. Joe Regional Medical Center — Pavilion II - $383,806
University Park Family Medicine - $392,506
3. Have you ever failed to complete work awarded to you? NO
4. References from Private Firms:
• Father Michael Heintz — St Matthew's Cathedral — 574-289-5539
• Mr. Mike Stahly — South Bend Public Transportation — 574-532-6852
• Mr. Don Napoli — St. Joseph County Public Library — 574-282-4646
Part II — Section II — Plan and Equipment Questionnaire
1. A detailed quantity survey has been made from the contract plans and
specifications. Sufficient manpower is available to begin work 10 days to 2
weeks after Notice of Award. We anticipate completion per plans and
specifications.
2. A list of subcontractors will be provided within 24 hours of Notice of Award.
3. A lit of subcontractors will be provided within 24 hours of Notice of Award. It is
not anticipated that a bond will be required from subcontractors.
4. All required equipment will be provided for this project.
5. Yes.