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Opening of Bids - SBFD Training Center Classroom Building Proj No 117-127R - Ziolkowski Construction Inc
CITY 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 at9:30 AM Local Time PART (Must be completed for all bids. Please type or print) Date: November 27, 2018 Bidder (Firm): Ziolkowski Construction, Inc,. Address: 4050 Ralph Jones Drive�....000 City/State/Zip: South Bend, IN 46628 Telephone Number: 574-287-1811 Agent of Bidder (if Applicable): n/a Pursuant to project ogiven, the undersigned offers o to furnish labor and/r material necessary to complete the public p 1 South Bend Fire Dept Training Center Classroom Building the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Epoch Architecture + Planning and dated 1/6/18 for the sum of (enter the Total Bid as shown on the Proposal) 70 � Fret sum of Total Base Bid shdwn on I rm0 0 m �...... � ... mm ... oposal) �C (Numerical) 6 The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. y (Signature) �...... ... .._.._.._ Bill Favors, President (Printed Name of Person Signing) ACCEPTANCE The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member James A. Mueller, Member day of Suzanna M. Fritzberg, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk a Version 7/20/2018 Contractor's Bid for Public Works - 2 t : +ref �MtJ BID/PROPOSAL T CITY OF SOUTH BENDM ; Project Name South Bend Fire Department Training Center Classroom Building Project No.....117-127R ...� ....... _ _.. _ �_......_ .. ._........ �..._._... _ ..._............. For Bids Due November 27, 2018 Contractor Name.��olI orii�on �MrtO.....�m .�...�_. __ BASE BID _ Item No. Description p r�..__�. ... __-m.. ...�_� ....»_.... ..� Total ..Amou...�.—..._. _ .... ....... Amount SEBID—_........_.��� _..�._- ...... .....—.,.�. � .— .� 1 covers construction of the Classroom Addition and two vehicle s7( ' apparatus bay according to the intent of the Plans and S cnfic atio s BASE BID TOTA tm L $ ALTERNATE #1 ADD Item No. Description Total Amount 'Provide cosstone ts for removal of existing �..in _...__J . ITITITITIT ne and nstallation of turf in 1 area designated on Site Demolition Plan and Site Grading / Utility $ oo Plan. t ALTERNATE #1 TOTAL $ .. _w_..... ALTERNATE #2 ADD ._._.. _..._ �_ ..... _ ........ _.. ____....ww ....... ........ Item No. Description Total Amount .... ........ ..... ............ _ __..... ........... Provide metal roof panels in lieu of asphalt shingles. • Include addition of 30# synthetic roofing underlayment and 2 3/" exterior roofing sheathing in lieu of sheathing and $ underlayment shown. • Include snow guard rails at all roof overhangs, ALTERNATE #2 TOTAL $ ~°- ALTERNATE Item No. Description Total Amount �� ����...... Provide round face � _____m�..._W.. � ._......�._.�........ � .........m......� .....�... g c CMU wainscot and cast stone sill shown, base he base of the `etal panel siding and associated furring and trims to $ the 3 bid to include m wall. � � La 5 ALTERNATE #3 TOTAL ALTERNATE #4 (AD ......... ���. _�. — �..� ..__ Item No. Descri tiop n Total Amount Provide movable partition between Classroom A and B. 4 Include steel beam, columns and footings shown along with $ the framing of the opening for the partition track. Soffit 3 Lo I° ww www�between classrooms to be�rart of them base bid, ALTERNATE #4 TOTAL $ „ Version 7/20/2018 Contractor's Bid for Public Works - 7 ALTERNATE....#5 ( D) ............ __...,,. .............. Item No. Description Total Amount Provide 10 floor outlet b �oxes and associated conduit devices . �. 5 es and $ ..... _... irin g. i ALTERNATE #5 TOTAL $ i 5 QL #6 (ADD ALTERN„AT.E............ Item No. Description tal Amount 6 Provide Classroom casework (tall storage cabinets base cabinets P t and counter tops alone with miscellaneous fillers and trim. ALTERNATE #6 TOTAL $ t�"� ALTERNATE #7 ADD �..�_. �m,..................._�....................._��u............................................._Y �.............................. — me_..................... Item No. Description Total Amount .... ....... ... _ ... 7 Provide AV Projectors and sound system and Telecommunication head end and cabling in Classrooms A and B. f ALTERNATE #7 TOTAL $ ALTERNATE #8 (ADDS _. Item No. Description Total Amount . __..... .... 8 Provide proximity card readers at four (4) exterior doors and $ associated security system, keypad and wiring. mm - a_ ALTERNATE #8 TOTAL $ mmmnn L9 q C. ._...�m. ALTERNATE #9 ADD ............... ._. ........... _ Item No. Description Total Amount .. ._ Provide acoustical panels attached to ._....o ......, W 9 p ched to the gypsum board ceiling as $ � � , shown on the drawings. _. ALTERNATE #9 TOTAL $ TOTAL AMOUNT BASE BID + ALTERNATE 1 ,2, 3, 4, 5, 6, 7, 8 & 9 $ Bidder (Firm): Ziolkowski Construction Inc. --------------- _....� �.. __ ---- Address: 4050 Ralph Jones Drive City/State/Zip: �w i` '14,,� 46628 , Telephone Number: (574 287-1811 '"90 g �,��� a By (Signature) oSEALm(ro Bill Favors, President ` •" Print ............�����. ��� ( ed Name of Person Signing) Version 7/20/2018 Contractor's Bid for Public Works - 8 Wlien 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 HZAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana ) ...... .... _ SS: St Joseph COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: 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 institUtiorr extends credit, is a person identified on list published by Ilre Indiana Department ofAdministration. 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 fmding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder Version 7/20/2018 Contractor's Bid for Public Works - 5 may result in forfeiture of contractual payments. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 1.127th _ _. day of NOV. � 20 18 b f6 z W4 %"� tam° �� Subscribed and sworn to before me this 27th My Commission Expires „a1, ,, 2p2Qw___ County of Residence Ziolkowski Construction, Inc, Contractor/Bidder (Firm) Signature of Contractor/Bidder g r or Its Agent Bill .._. President _. Printed Name and TitleITITITm day of November , 268 __... _. Notary Public Shannon Reidenbach St Joseph SHANNON REIDENBACH Notary Public- Seal State of Indiana my Commission Expires Mar 1, 2020 Version 7/20/2018 Contractor's Bid for Public Works - 6 �T� cu merit A31 -- 2 1 Conforms with The American Institute of Architects AIA Document 310 CONTRACTOR: (Name, legal status and address) Ziolkowski Construction, Inc. 4050 Ralph Jones Drive South Bend, IN 46628 OWNER: (Name, legal status and address) City of South Bend, Board of Public Works 227 West Jefferson Boulevard South Bend, IN 46601 SURETY: (Name, legal status and principal place of business) Liberty Mutual Insurance Company 175 Berkeley Street Boston, MA 02116 State of Inc: Massachusetts BOND AMOUNT: Five Percent of Amount Bid (5%) PROJECT: (Name, location or address, and Project number, if any) South Bend Fire Department Training Center Classroom Building; Project No. 117-127R This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 27th day of November , 2018 t�ttrtoaa e e��P (Witness) sec t ( ttneSS) John . Johnson Ziolkowski Construction, Inc. (Princi,�alJ �, (Seal) (Title) Bill Favors, President Lib. rt MtrCtaal Insurance Cr:m ari (Stir �..� (Seal) ( ltie Adrienne C. Stevenson„ Attorney -in -Fact State of IL County of DuPage ss: On November 27, 2018 , before me, a Notary Public in and for said County and State, residing therein, duly commissioned and sworn, personally appeared Adrienne C. Stevenson known to me to be Attorney -in -Fact of Liberty Mutual Insurance Company the corporation described in and that executed the within and foregoing instrument, and known to me to be the person who executed the said instrument in behalf of the said corporation, and he duly acknowledged to me that such corporation executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and year stated in this certificate above. My Commission Expires 6/8/2020 4 C, rnandez NotaryPublic C R HERNANDEZ Official Seal Notary Public State of Illinois My Commission Expires Jun R, 2020 This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Not valid for mortgage, note, loan, letter of credit, bank deposit, currency rate, interest rate or residual value guarantees. To confirm the validity of this Power of Attorney call 610.832.8240 between 9:00 am and 4:30 pm EST on any business day. Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, of the city of Chicaac, state of Ifinois tts true and tawfarl attorney -in -fact, with full power and authority hereby conferred to srgn, execute and acknowledge the following surety bond: Principal Name: Ziolkowski Qgn§trWCtiQn, Inc. Obligee Name: City of South Bend Board of Public Works Surety Bond Number: 001 IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 271^ day of Fe4rMo, 2017. tra �Lr„�rR . �� so,Rb�°tor"o°fit 61 1912 1919 1991 i`7gd N4'yk !'kYrMrJh'P*`'�n STATE OF PENNSYLVANIA COUNTY OF MONTGOMERY The Ohio Casualty Insurance Company Liberty Mutual Insurance Company Wes Pirerican Insurance Company By: David 0 , Carey, Assistant Secretary On this 271h day of Fkbruam 2 17 _before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of , Liberty Mutual Insurance Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. COMMONWEALTH .OFP. -----VAN ......... . i Notarial Sell I t � Teresa Pastella Notary F'ubho By: Upper MerionTwp Montgomery County Teresa PSStetta, Notary PublicMy Commission Expires March 26, 2021 Y Member, F'annsylvania ASsocia8ion or Notaries This Power of Attorney is made anti execrated pursuant to and by authority of the following By-laws and Authorizations of, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and Woo American Insurance Company which resolutions are now in full force and effect reading as follows: ARTICLE IV — OFFICERS — Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attomeys-in-tact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney - in -fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority, ARTICLE XIII — Execution of Contracts — SECTION 5, Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company, When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M, Carey, Assistant Secretary to appoint such attorneys - in -fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed, I, Renee C, Llewellyn, the undersigned, Assistant Secretary, of The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked, IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 27th t*yamatkS4t„q+ v(this ,��w kW45UOZ,9 xwroyxnorca rfr �"wrta�rr fcrar"o�n 1919 1991 1912 i r day of November' 2018 ITIT By: Renee C. LieweNtyn„ Assistant Secretary 1316 COUNTY -CITY 13tALoG r PHONE 574/ 235-9251 227 W. JEFFERSON BOU.EVARi? � ,� r FAx 574/ 235-9171 SOUTH BEND, INDIANA 46601-1830 1865 TDD 574/235-5567 CITY OF SOUTH BEND PETS BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: November 21, 2018 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number. 1R Project Name: South Bend Fire Department Training Center Classroom Building Project Number: 117-127R ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM.. Date Received: i l ! a 1 I / This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: t Authorized Signature; D u Date: Version 4/2/2015 1316 CoUN°rv-t rrY BUILDING 227 W. JEPFERsoN OULI''vaRD OUTII BEND. 1NDIAN , 46601-1 3 Cr1"'Y O SOun 1.BEND PET1 BU'1°i"1 I1 t3, Ma Ai'"OR BOARD OF PUBLIC WORKS September 5, 2018 Mr. Bill Favors Ziolkowski Construction, Inc. 4050 Ralph Jones Drive South Bend, IN 46628 RE: Pre -Qualification Verification Dear Mr. Favors: PHONE 574/235-9251 Fax 574/ 235-9171 This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you are required to re -submit a complete application for continuation of pre -qualification status prior to December 31 for the upcoming calendar year. A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, Linda M. Martin, Clerk GA,Ry Via., G1wrF DAVID P, f< LOS E-LIZAi11°: H A. MRADIK .1aMPs A.. M1.A1MLLER THERESE J. Dt RAU Z�IOLK WSKI c l General Construction & Design/ Build Buillc9ing StrwV i'' onslnlps Shme 1974 November 27, 2018 City of South Bend, Indiana Board of Public Works Reference: South Bend Fire Department Training Center Classroom Building Reference: Drug Testing of Employees of Public Works Contractors This letter is to certify our ability to comply with the required drug testing of our employees as required by IC 4-13-18 for your project. The collective bargaining agreement that covers our employees for this type of project in this area does not contain a provision for random drug testing of employees. However, it is our policy as a contractor to comply with any owner -required or state -mandated drug testing provisions on projects where we perform work. The Ziolkowski Construction, Inc Health and Safety Manual has a section which highlights this policy, a copy of which is available for your review. Ziolkowski Construction, Inc does drug test our employees through collective bargaining agreements that meet the requirements of IC 4- 13-18-5. This is for employees working in other areas that utilize programs administered by the Indiana Union Construction Substance Abuse Trust (IUCSAT) and the Building Construction Resource Center, Inc. (BCRC). If awarded this contract Ziolkowski Construction, Inc will utilize a drug testing program which complies with IC 4-13-18-6 Employee Drug Testing Program Requirements. If you have any questions, please contact me for clarification. WSKI CONSTRUCTION, INC. Keldsen Salty Director Ziolkowski Construction, Inc 574-246-4204 x. 368 jkeldsen@zbuild.com 4411lt�1pJb 9olfe�, Drive_ title Bend IN 46628 . Phone57 IT IT87 1811 i xx.. 24.1234-01 I Committed to professionalism and excellence for the benefit of our clients, employees, and shareholders Sou em TRIBtJNE The voice that connects us. -Public Notice Ad Proof - This is the proof of your ad scheduled to run on the dates indicated below. Please proof read carefully if changes are needed, please contact us prior to deadline (574) 235-6541 or email at mdunleavy@sbtinfo.com. Date: 11/15/18 Account #: 135334 Company Name: ZIOLKOWSKI CONSTRUCTION INC. Address: 4050 RALPH JONES DRIVE SOUTH BEND Telephone: (999) 287-1811 Fax: Ad ID: 580100 Copy Line: Seeking MBE/WBE Busi- nesses: Ac PO Number: Start: 11 /19/18 Stop: 11 /21 /18 Total Cost: # of Lines: 19 Total Depth: 2.361 # of Inserts: 6 Ad Class: 7650 Publications: South Bend Tribune SB Online LAB M1 Seeking MBE/WBE Business- es: Actively seeking bids from certified MBE/WBE businesses in several construction trades to participate in the construction of the South Bend Fire Depart- ment Training Center Class- room Building project located in South Bend, Indiana. Bid date is November 27, 2018. Plans are available in our planroom website (www.zplanroom.com). If questions arise, please con- tact Shannon at ZIOLKOWSKI CONSTRUCTION, INC. at 574- 287-1811 ext. 271 or in person at 4050 Ralph Jones Drive, South Bend, Hspaxlp 3t:11:19-21 SECTION I EXPERIENCE QUESTIONNAIRE I . What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount Class of Work Completion.. Date Name and Address of Owner $27,366,910 $21,355,975 General General 05/2016 06/2015 Purdue University North Central Armed Forces Reserve Center $9,020,000 General 10/2016 1 South Bend Airport- New Arrivals Termi $15,964,580 I- General 12/2016 _ Renaissance District -Phase I 2. What public works projects are now in process of construction by your organization? Expected q] Contract Amount Class of Work Completion Name and Address of Owner Date $6,528,402 General 6/2018 UND Walsh Hall Selective Renovations $5,139,150 General 8/2018 La orte High School - P ng Arts C I nter $13,208,000 General 8/2019 ,aporte Intermediate on the Kesling Camp us $3,472,000 General 8/2018 PHM Schools - Football Stadium Improv ments 3. Have you ever failed to complete any work awarded to you? No If so, where and why? 4, List references from private firms for which you have performed work. University of Notre Dame, Tony Polotto, LEED, AP, 200 Facilities Bldg., Notre Dame, IN 46556 574-631-4200 City of Mishawaka, Ken Prince, 600 East Third Street, Mishawaka, IN 574-258-1625 Fetters Construction Inc., Steven A. Fetters, 5417 County Rd 427, Auburn, Indiana 46706 260-927-8516 Memorial Hospital & Health System, Larry Lies, 615 N Michigan St., South Bend, IN 46601 574-647-1000 APPROVED AND FILED COINNE � LA W S ON' INDIANA SE CRITFARYOFSTAIT 12/2712016 04:07 PM . .. . .......... . S EN711 Y REPORT� — — ....... — . . . ............ . ............... . . . . . ............ NA W AND PIt) NCIPAI, OFFICEAT)DRESS ............. . ....... — BI1 'LNESS ID 197812-318 BITSINE SS TYPE Domestic For-PTofit Corporation 13USMSS NAME 7,10LKOWSK1 CONS'MIX7.10N, IN(I PRINCIPAL OFFICE ADDRESS 4050 RALP11 JONES W, SOIJTH BENI), rN, 46628, USA YEAR SFILEW 2016/2017 ........... REG]WERED OFFICE, AND AlDDW,SS . . . .................... . . . ........... . ..................... NAME BILL ITAV016 mW= MIEWIVITAM2 I'MON, I . . .............. . ........ �PMCIPALM TtIlLE ryryVice President NAME Chuck Lewis At DDIM SS 4050 Ralph Jones Dr., Souffi Bend, IN, 46628, USA TITLE President NAME Bill Favors ADDRESS 4050 Ralph Jones Dr., SOUTH BEND, IN, 46628, USA TITLE President NAME Bill Favors M)DRESSS 4050 RALPH JONES DR, South Bend, IN, 46628, USA APPROVMi ET) AND FELED a CONII NIE LAWSON INDIANA SECRETARY T�UAXY-41, 12/27/2016 04:07 PM .......... . ... ---- .............. SIGNATURE, . .. ....... .. .. . ......... "I P11,111111111 !!I SIGNATURE l3ill, Favon UTLE Prosident 'n. ". - 'I " j:� -) a Form SSC-01 � 4 STATE OF INDIANA CERTIFICATE IFICATE OF INCORPORATION ZIOLKOWSKI CONSTRUCTIm, m INC I" 47 , Secretary of .Mate of the 'tale of Indiana, hereby eei aftt that A rlirles of I aeorpo ahou of the above Corporation bi thefor-rrt ,irr^everi red &Y my office. prt-pri red and signcd in duplicate by the irr£or parator(s), and acknoxledged and verified ied by the same before ra .a" otar•y Public. hiur ht E n presented to rate at airy office €ac compai n ied Whe fees prescribed by fait-, • Mat f h arefound stach Article:, conform tit lafar; that 1have endor.sod rtt y approral tatrara file d ratrlieate copies of such Art iely% th(d all fees have bf-en J" z id us required ed by lato; that one copy of sveh A4Wes has been filed in iffy office; and that the rs rrrair:iray cc,l,y taf,ir�h Artie€es beva ring the endorserraent of titlf appi odfaat (trtrl filitaghas heerr rot rem ed by me to the inrorp ratorfs) arh (their) representatives, all as presrr ibed by tits pror isionsofthe ,11191A ADIERAL, COMMON -ACT « .. . NOW. TIDEREFORE, Iherebyissuetosrceli Corporation thisCert(iraateof Incorporation, rtttd jttrtherce?letr that its eaorparate existence has begun. lit €ffitateSS Tt{hrrNf, 1 haVe h rEtrr:t4 s.71 MY h401d0)-d j _rA_d Me seat of the Stag of Indiana, at the Cite of iatdiarapolis, this---........... .. .......1- ' f•........... of December r 7Q Serretia"Y of Slate9 .,.,. .. r �v N& TR" Thia loon way now Asol he used for int:orpo, atingf pursuant to the Medical Professional Corpora- tion Act, the Dental Professional Corporation Act, and the Professional Corporation Apt of 1965, as well as the GenoW Corporation Apt. It the corporation 1:0 to be foraraed Oder to the authority of one of those statutes afher than the General Corporation Act, so lair#irate In the preamble below by striking the refer. euoestothe thretaInappropriate statutes P'rofeasional Accounting Corporatira,rrs are considered to her fome—d purivant to the authority of the Indiana General corpornMrn Act, but subject to than pr^ovir4ons of IC .1-13.. and appropriate statutory raferenco should be made lra the preaanible or Article II below. Corporate 'Form No. 101 lean. 19771—Paste One ARTICLES OF INCORPORATION Larry A. Conrad. Secretary of Star of Indiana Use White Pager• --Sine 814 x f 1—For fnoerJ4 Filing Requirements -Present. 2 originally signed and fully esecu.t l copies to ertta_ry of State, Roan 155, Mate House, Indianapolis, 46204 Recordings Requirements —Recording of Artieles of Incorporation in thb Off -ice of the County Recorder Is no longer required by the Indiana Central Corporallon Act, APPRO , f AWNCLES OF INCORPORATION g a . The undersigned incorporator or incorporators, desiring to faun a corpoiation (hereinafter referred €u as the "Corporation") Pursuant to the provisions of the Indiana General Corporation Act (Medical Professional Corporation Act! Dental Professional Corporation a �ctiProfessional C€ rporalion Act of 1965). as amended (hercioaf€er referred to as the "Act"). exocute the fallowing Articles of Incorporation. s 7'he name of the Corporation is .................... ...IKQ'tNSKI CONSTRUCTION, INC•. . 0 1 _ . z TIte purposes for which the Corporation is form are: The transaction of all lawful business. .(A�rporate Form No. 101—Page Two Prescribed by Larry A. Conrad, Secretary of State (Jan. 1977) -A'y-riCLE III Period of Existenee The pulod during %vhieli the Corporation shall continue is........perpetual -- ---- --- -- -- ARTICLE IV Resident Agent and Principal Office Section L--ftC�Mdcnl �Agent. The name and adres-s of the Co-rpor.jjjojj',., Re-sident Agent for Nzrvicc of pToce-o. is - -------------- .......... ....... �19 0�5� "S .— Lafayette " Street ...... (MIMbct 'Lrd sum or 131;:14"nD South Bend Indiana .............................. ............... . I——.....,...,...,,....., ...... ... ..... (CLly) (st %tr;) f &;1 Section 2. Nincipal Mice- The post office address of the principal office of the Cotporation is ................ 1005 S, Lafayette Street South Bend Indiana 46624 ......................................... .......... ............. ........ { uttcber And stroz or DwadiP2} t Cily I S cc-jc) ARTICLE V A t Wit LQ dz-1 � —d - - S- I —ia re s Section 1, NLikiiK 4,Lr of Mates: The total numberof shares which the Corporation is to have authority to issue is--!� 000 B, The number of authorized shares which the corporation designates as without par value is-11-0-00 Section 2- Ternis of Shares (if any): None s Corporate Form No, 101--Page Three Prescribed hV Larry A. Conrad. Secretary of State (Jan. 1977) ` UALE VI The Corporation will not conirnenee Nis€ness until consideration oftlte value of <tt Ic=tst 51,i's ) (one tlt(jtt1.:tnd dollars) itaic been received for the issuance of shares. ARTICLE 11 act twotl ? P�`tr�ttler of Directors: The initial Doard of Directors is composed of_....._.�.....,....rnember(s). 'fie nurober of direettxrs may be from tinia to time fixed by the key -Laws of the Corfx)ration at any naniber, cd- post office addresgcs) Section 2_ P^tamEs and Post Office Addresses s�i.^theI)ifetogs): the name(s) an �.a�. _._. of the initial Board of Director(s) of the Corporation is (are). Idalne Number and .Street or Building Bert Zierlkovvski 100S S. Lafayette Strut Roberta Ziolkowski 100E S. Lafayette Street Section 3. ( Wtlift�ations; of Directors (if None City State Zip Code South Send Indiana 46624 South Bend Indiana 46624 CorporAte Farm No. 101—i age Four Prescribed by Larry A. Conrad. Secretary of State {inn. 19771 ARTICLE V111 Incorporator(s) The natne(s) and post office address(es) of tht incorporators) of the Corporation is (are): turn, _ _�. �. or Building City State :i a Code Name 1�rsr-►i b ..r and �tr ct._m ._ -- Ben Ziolkowski 1005 S. Lafayette Street South Bend Indiana 46624 ARTICLE I Provisions for . i Iation of Business and Conduct of Affairs of Corpora U011 ("Powers" of tine Corporation, its directors or shareholders) Section1.... All shares of this corporation issued prior to June 30, 1979, shalt be "Section 1244" stack, and shall be issued by the corporation pursuant to a certain plat) adopted by it for the purpose of so qualifying. Can or after June 30, 1979, the shares of this corporation may .be issued for such consideration and upon- such terns as the Directors may from time to time determine. - 9 Corporate Farm No. 141—Page Five Preseribed by harry A. Cnnmd. Secretary of State (Jan.1997) IN WYMESS WHEREW the undersigned, being all of the' incorporator(s) designated in Article V''II1,. exticutes these rti e i 3 of Incorporation and certify to the truth of the facts hereirt stated, this day of 19 78 ... �aitcea'�r arEnatueej �v Ban Ziolkowski ft*fir tad �Si$oaCstse}..... .... , .»...,..»». STATE OF INDIANA 'I, PILritrd slgndSul Cj ....... ...... ...... ('dafFnxfvrc) .,.,._........ ........ yf9 irrf 6i I, the undersigned, a Notary Public duly commissioned to take acknoWledgeme tts and administer oaths in the State of Indiana, certify that__ Ben Ziolkow,sk t _, zinc .......... ....... .......•------------------------ -..........--- -,--of the incorporator(s) referred to in Article Fill of ttie furgoing Articles of Incorporation, personally appeared before nte; acknowledged the execution thereof, and mmc it) the truth of the facts therein stated. .........,._ 1 Witness my hand and Notarial Seal this--- -- .,... day Ql 78., Georgia A, Lindorf (Printed Si,xtzoc$ residing in St, jos ph County, Indiana My Commission Expires Notary Public 2—IB-80 This instrument was prepared by ................. Attotney at Lasrg ir�Rrfz;- ---------------------------- 126 8,..Sco_ tt Street ....._..,._..South BQ—,,d Indiana 46625 7.—.... a... S..— nr-1uilding3..€..................................... `(5€ate}....-»......---.........._..a. ..... (ZM Codr) SAC 4IN/KY Apprenticeship & Training Program bac4apprenticeship(,�i�gmail.com 219-525-4443 Roger Jones - Mrrra igingDirt-c ior•. August 20, 20I8 C/O Ziolkowski Construction, Inc. To Whom It May Concern, This is a letter of recommendation on behalf of Ziolkowski Construction, Inc. The BAC 4 IN/KY Apprenticeship & Training Program is a statewide program that was established in I994 and is recognized by the U. S. Department of Labor and is considered in good standing. Ziolkowski Construction, Inc. has been a "signatory union contractor" since 2000 and at the present time employ enrolled apprentices. Ziolkowski Construction, Inc. has continued to follow the guidelines set forth in Collective Bargaining Agreement with BAC Local #4 IN/KY meeting the required Journeyman/Apprentice ratio on their jobs. Should you have any further questions please feel free to contact the State office at (2I9) 525-4443. Sincerely, Roger Jones Managing Director BAC 4 IN/KY Apprenticeship & Training Program INDIANA/KENTUCKY/OHIO REGIONAL COUNCIL OF CARPENTERS M'1 /// 01 r1111 JOINT APPRENTICESHIP MVa1 ro /j 1095 MARINERS DRIVE / l� ADMINISTRATION OFFICE 711 Greenwood Springs Drive Greenwood, IN 46143 Phone:317-807-1112 Fax:317-807-1115 Ashland Campus 574 Carpenters Way Grayson, KY 41143 Phone: 606-929-1378 Fax:502-996-8108 Indianapolis Campus August 20, 2018 711 Greenwood Springs Drive Greenwood, IN 46143 Phone; 317-807-1116 Fax:317-807-1131 Ziolkowskl Construction Co. Lafayette Campus 2953 South Creasy Lane 4 050 Ralph Jones Drive Lafayette, IN 47905 South Bend, IN 46628 Phone: 765-447-5959 Fax: 765-447-7676 RE: City of South Bend Bid Louisville Campus 1245 Durrett Lane To Whom It May Concern: Louisville, KY 40213 Phone;502-366-8668 Fax: 502-366-8678 This letter is in response to verification needed by Ziolkowski Construction for work to be performed for the City of South Bend/Howard Park project. Ziolkowski regularly Merrillville Campus 1565 East 70th Court employs a number of apprentices affiliated with our apprenticeship program and has Merrillville, IN 46410 done so for more than three years. We are registered with the United States Phone:219-947-3348 Department of Labor, Bureau of Apprenticeship and Training and our registration Fax: 219-947-1889 number is 020 0537. Our program also participates in the Building Trades Associate Muncie Campus Degree Program with Ivy Tech Community College and has done so since 1996. 4121 East Centennial Avenue Mun47303 Phone:,M2B8-9 Phone; 765-268-90I5 Ziolkowskl Construction Is a bona fide contractor in good standing with the g g Fax: 765-288-9298 Indlana/Kentucky/Ohio Regional Council of Carpenters Joint Apprenticeship and Fund and is eligible to employ apprentice carpenters in the future. I have Newburgh CampusTraining 5400 Covert Court enclosed copies of our certificates from the United States Department of Labor and Newburgh, IN47630 from the Indiana Department of Veterans Affairs for GI educational benefits. Phone:812-853-9312 Fax: 912-853-9316 If I can be of further assistance, please do not hesitate to give me a call. Terre Haute Campus 3099 South 6th Street Best regards, Terre Haute, IN 47802 Phone: 812-466-7899""� Fax:812-466-9840 l/i1K� Warsaw Campus 1095 Mariners Drive Dale Newlin Warsaw, IN 46582 Area Coordinator Phone: 574-267-5264 1 KORCC JATF Fax: 574-269-1464 Warsaw Campus rr-4ar— eu x; t � MWI My qs5 'r M 64 a August 23, 2018 ZIOLKOWSKI Construction, Inc. 4050 Ralph Jones Drive South Bend, IN 46628 Re: Proof of Compliance with 30 ILCS 500/30-22(6) Our File No. MI-00321 Dear Sir or Madam: At the request of ZIOLKOWSKI Construction, Inc, I am providing you with evidence of the Company's compliance with the apprenticeship requirements in 30 ILCS 500/30- 22(6) of the Illinois Procurement Code. I am submitting this letter along with apprenticeship certificates (Nos.IL012020003 and I1,008780173). As a signatory contractor with the International Union of Operating Engineers, Local 150, AFL-CIO, ZIOLKOWSKI Construction, Inc., is required by Collective Bargaining Agreement to participate in an applicable apprenticeship and training program approved by and registered with the United States Department of Labor's Bureau of Apprenticeship and Training. The attached certificates are evidence of compliance with the U.S. Department of Labor's apprenticeship requirements. Thank you for your cooperation in this matter. If you have any questions or concerns, please do not hesitate to contact me. Very truly yours, IUOE, Local 150, AFL-CIO District 1 dispatch office Caroline Lesniak Enclosures: Certificates a oo o o W a � (b N IN t-r • �I W � / t no : � d INDIANA LABORERS' TRAINING TR UST FUND David A. Frye Secretary -Treasurer Jerry J. Bolk Chris B. Guerrero Ricky Henson, Jr. Ramon Mendoza, Jr. Robert S. Wright P.O. Bog 758 - Bedford, Indiana 47421 (812) 279-9751 August 20, 2018 To Whom It May Concern: Sean Coakley, Director John A Brown Chairman Kelly Abel Brad Dreibelbis Michael Ferrara Stan Meyer Jim Wiseman FAX: (812) 279-5545 This letter is to confirm that "Ziolkowski Construction, Inc." is a signatory contractor in good standing with the Indiana Laborers' Training Trust Fund. The above mentioned company is a participant in the Joint Apprenticeship and Training Committee through this Union and has been an active participant in good standing for each of the past five plus consecutive years, and is currently eligible to use our apprentices on a project. Further, our organization's program is approved by the U.S. Veterans Administration to participate in the GI educational benefits program. A copy of our approval letters are attached along with the collective bargaining agreement stating the ratios of Journey workers to Apprentices; which is one (1) Apprentice for every five (5) Journey workers and thereafter may not employ more that (1) Apprentice for every (3) Journey workers. Sinoercly, Sean Coakley, Director SC:dc www.indianalaborerstraining.org EVA; b b tl .A LO Q 00 b A a a rQy C? d p p C] tQ d C) C) Q C5 p gin M m a r' a N d cm M .. Ln_ r b o d M O fn O Cn U) 00 r LO CV r Y N i Le n r r v fD CA T (� 4.�'SgMNNWW fie' o rkGitiSR �U 'G$. tdY."IMr'1MY/91Ly `cQ� , i �' 'SiY�A' 'N .i1J✓4�i�NR'4714WmMAsbGkC4'NY" 4' X56'tk 00 �«J(40 p m �. r q q O C► C7 N 00 llgll¢C!! C] ti ro�wxmaay N 2 o M N WWII U y- a w C N d r r d r r c- CL CL Q N �- ftf C4 C7 '� a t0 as rya a to 'LIV W C) d N q O q p d C) d O N Q6 zr I- co Y.i � N dM rA '"Ml:'bYsaR?Y S.lwc"" M'R k[ts M�PkY'ICr]A e+d'>�9'1' T.n"�'k R� N N h o _ f]` L 1 1a,�i�Yd�5AM1alNPAfi'ifYaP Gam"'", a'r,A1i0. 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Omm e rM- M tQ d N UJ N M 0 r � b O pInL, a N r N N N u7 M O LO O r � x Q � O o 0) co Ri Ln ct e- M iwj O N ,V r M O O O N 4 i 1.L.1 i C O i1, N y� .g M th 0 L M �} � ClLO r M 00 1- to CL M r M O' O N i7 O r 2 T W Q O O N U w t- tb co.�� N coLO � C6 Ao r O i, E� N C)C) C)r ---- — Z co co 0 r r N N00 Ht, In Nto �] T- V6- co r IICI La a N o J j j .J3 3 4 � �% N N O C] © a C? n tD q O o O N pa im G9 r O o A o i O Ln to N Lii fD N " GO Q e O G9 T� :t i� OD 10 L0 M r U) 12 —0 a� °oo 4 ate- N N co (p (a N d C7 O pQ M w M N r N lr w t7 CO co N CIS! >- 0 g owe a N `- cn O ui U t= LLJ w t �. 4 r r N O I0 co N r� N a �K CL LU N °,7 r q d iC 1 S F� co: O G Cq 0 W M U7 Cn r M co ev N OQ CID11l V- N N STATE OF IN IAN DEPARTMENT OF VETERANS AFFAIRS STATE APPROVING AGENCY 402 WEST WASH)NGTON STRM' Room W 469 IND ANAPOLIS, INDIANA 46204-2738 October 25, 2016 Cei tifying Official; Michael R, Pence, Governor James M. Brawn, Director �.,_ — The Indiana State Approving Agellcy wo , uld life to inform you that the Department of Veterans Affairs St. Louis Regi(mal Office has a. located. For enrollmmit certifications sent by mail, adclxoss to the Education Division as follows; Department of Veterans Affairs 9700 Page Avenue Suite 101—Ed-acation. St. Louis, MO 63132-1502 Fax number for cerUfications; To Submit OJT/APP documents: 314-253-4140 Feel free to contact the Tndiana State Approving Agency with any questions, Tara .Eggen Program Coordinator State Approving Agency Indiana Dep erit of Veterans Affairs 402 West Washington. Street RM W469 fr dianapo]is IN 46204 317-234-6062 Teggen,l @dva.in.go-r kf/ STATE OF INDIANA DEPARTMENT OF VETERANS AFFAIRS STATE APPROVING AGENCY 302 WEST WASHINGTON STREET Room �-1 20 INDIANAPOLI.S, INDIANA 46204-2738 Renae Sullivan Indiana, Laborers Training Trust Fund — Apprent, PO Box. 758 Bedford, IN 4742'1-0758 Dear Nls, Sullivan: Michael R. Penbe, Governor James M. Brown, 01rector January 27,2015 I recently conducted a compliance survey at your institution. I appreciated the professionalism, courtesy mid assistance you and your staff Wended to me, your Program with the Indiwia State Approving Agency. Thisletter will discuss the purpose of a compliarice survey, what, J review during, a survey and my findings, A compliance survey is periodically conducted for the followilig two reasons: (1) To ensure that-Depariment of Voterans Affairs (I)VA) payments to veterans and eligible dependents enrolled i", the training progyrains are based upon proper and correct enrollment inforn).atic)n furnisbed by the school (2) Assist school official.s and students in uruldrstanding the requirements of the law in order to prevent deficiencies or violations that could develop because Of MiUmderstandings or misinterpretatioljs of the law. 'Me infamiation and data reviewed clurilig the survey includes, but is not limited to, curriculum reqvirements, prior emcift evaluations, written agreements between the student and the facility, copies of the application and enrollment certifitmdons, and Copies of the Progress reports. The wage scales and work processes arc, also reviewed. Advertising materials are teviewed to ensure no erroneous, misleading, or deceptive inforniWion is conveyed to, the students, at Did Wo"flad In 0"I" Sum One discrepancy, or reporting error, was found in the records reviewed for this survey, The discrepancy is as follows: There were zero discrepancies found in therecords reviewed during the compliance survey. R—You Need Assistance This concludes the preliminary findings of our Compliance Survey. If you need any assistance or have questions regarding this survey, please contact me, directly, by, email, atjcbloo4g2od(c dva.in, y, 'if you cat 'lot email rne, you can leave, a voice mail message at (317)232-3916. The education acid traiiiing opportunities that your apprenticeship continues to provide veterans and their dependents are appreciated. sine 6'rely, ( 10 Kimberly Bloodgo d—, Program Director State Approving Agency Phow (317) 232-3910, Toll -Free (800) 400-4620 - Pax: (3117) 232-7721 Website Address: ww.jn.9oV/veteran Plasterers' & Cement Masons' Apprentice Coordinator of Local Union #692 Phone 317-508-1609 FAX 317-972-4907 Email hansen@plcmlocal692.org 0 1049-1 TO WHOM IT MAY CONCERN, AUGUST 23, 2018 THIS LETTER IS TO CERTIFY THAT ZIOLKOWSKI CONSTRUCTION INC.HAS BEEN A SIGNATORY UNION CONTRACTOR WITH THE PLASTERERS' AND CEMENT MASONS' JOINT APPRENTICESHIP TRAINING PROGRAM OF LOCAL 692, FOR AT LEAST THE LAST FIVE YEARS, AND IS IN GOOD STANDING. THEY HAVE A SIGNED CONTRACT WITH LOCAL 692 AND IS ELIGIBLE TO USE UNION PLASTERERS' APPRENTICES AND UNION CEMENT MASONS' APPRENTICES. THROUGH THIS CONTRACT AND OTHERS, THE FINANCIAL OBLIGATIONS OF TRAINING AND SAFETY ISSUES ARE MET. ALL OF THE APPRENTICES ARE REGISTERED WITH THE UNITED STATES DEPARTMENT OF LABOR, BUREAU OF APPRENTICESHIP AND TRAINING. SINCERELY, PAT HANSEN APPRENTICESHIP COORDINATOR FOR LOCAL 692 220 N. Fulton St. Indianapolis, IN 46202 4. ✓ a+ , U.S. Department of Labor 46 East Ohio St. — Room 511 Phone: 317/226-7001 Indianapolis, IN 46204 Fax: 317/226-7015 OFFICE OF APPRENTICESHIP Employment and Training Administration "Lo / Date:... Mr. Pat Hansen, Coordinator Plasterers & Cement Masons Local #692 JATC (mailing)220 N. Fulton Street, Indianapolis, IN 46202 (school) 9200 Louisiana Street— Merrillville, IN 46410 Re: EEO Compliance Review (and Quality Assessment) Dear Mr. Hansen: Our recent EEO Compliance Review (and Quality Assessment) of your registered apprenticeship program, Plasterers & Cement Masons Local #692 JATC was conducted on April 11, 2017 and October 5, 2016. This review covered the time period 08/15/2015 (date of your last review) through 10/04/2016. We are writing to inform you that our office found no apparent violations of the requirements governing registered apprenticeship programs as set forth in regulations at 29 CFR Part 29, "Labor Standards for the Registration of Apprenticeship Programs," and Part 30, "Equal Employment Opportunity in Apprenticeship and Training." Based on our review, it appears that your apprenticeship program is making good faith efforts to comply with the requirements of 29 CFR Parts 29 and 30. We note, however, that despite these efforts, there exists underutilization of women and minorities in your apprenticeship program and skilled workforce, including journeyworkers. Please be aware that Plasterers & Cement Masons Local #692 JATC remains under an obligation, pursuant to the regulations at 29 CFR Part 30 to continue with its good faith efforts to increase participation of women in its Registered Apprenticeship program. We sincerely appreciate the cooperation and courtesies extended by you and your office to the Department of Labor while we conducted the compliance review. If you have any questions or concerns, please do not hesitate to call. I can be reached at (317) 226- 7003. John Delgado State Director cc: Kathleen Sokolowski, ATR U I— L - Q uj U � cn cr W =Q= ►-+ a- F— A UJ U- .1..+ LLJ �� CU W En Z VIZ cla d c U .., IsJ _Jco ►-� �+ Q � 4 J Cl. t6tCN U w a Q U W 2 O F- U- 0� 4� a � o b h G Adrienne C. Stevenson Vice President Marsh USA Inc. 540 West Madison Street Chicago, IL 60661-3630 adrienne.c.stevenson@marsh.com +1 312 627 6772 www.marsh.com November 27, 2018 City of South Bend Public Works Re: Ziolkowski Construction, Inc. Project: South Bend Fire Department Training Center Classroom Building To Whom It May Concern: Liberty Mutual Insurance Company (Liberty) is the surety for Ziolkowski Construction, Inc. and Marsh USA, Inc. is their surety agent. Liberty Mutual Insurance Company is listed on the Department of Treasury's Listing of Certified Companies, Sincerely, Liberty Mutual Insurance Company icy Adrienne C. Stevenson Attorney -in -Fact MARSH&MCLENNAN P.IMADERRHW, KNOWLEDGE, SOLUT° 0II4S^. , ORII.DWC DII;:, COMPAINIE STATE OF ILLINOIS COUNTY OF COOK 11 C.R. Hernandez a Notary Public in and for said County, do hereby certify that Adrienne C. Stevenson as Attorney -in -Fact, who is personally known to me to be the same person whose name is subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that they signed, sealed, and delivered said instrument for and on behalf of LIBERTY MUTUAL INSURANCE COMPANY for the uses and purposed therein set forth. Given under in hand and notarial seal at stay office in the City of Chicago in said County, this 2 day of August AD2018 . otary C R HERNANDEZ Official Seal Notary Public • State of Illinois My Commission Expires Jun A, 2020°.,p THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Certificate No 80555DO Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS That The Ohio Casually Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company Is a corporation duly organized under the laws of the State of Indiana (herein collectively called the 'Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, John K.Johnsoq� Adrienne C. Stevenson Tn!ii GarciaC. R, Hernandez- Gatz I Jacquez all of the city of ,MCHICAGO_ stale of IL each Individually if there be more than one named, its true and lawful attorney -in -fact to make, execute, seal, acknowledge and deliver, for and on its behalfassurely and as its act and deed, any and all undertakings, bands, recognizances and other surety obligations, In pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 5th day of _ April .............................................. , _ 201.8........-• ;s "F,q der 1912 � " � ri;Yrlt STATE OF PENNSYLVANIA ss COUNTY OF MONTGOMERY The Ohio Casualty Insurance Company Liberty Mutual Insurance Company West,,rnerican Insurance Company ". By David M f troy, Assislant Secretary w On this Sth p y yof - Company, 2018 , before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance Company, The Ohio Casualty Com ony, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written COMMONWEALTH OF P%NNSy"l.'VANi,�; Notana " Irene Pasteiln�Notar ,r�rps V6 N Y Upper MenonTwp Montgomery County Teresa Pastella _.. ........_ ......................._. ...., „ Notary Public By: rim e* & ar 2 Notary Public " My Commission Expires March 2870 1 Mumber, i „rwardr 9maa"nor Association of Notaries 'r� This Power of Attorney is made and executed plur'suafl j i � and by authority of the following By-laws and Authorizations of The Ohio Casually Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: ARTICLE IV— OFFICERS — Section 12. Power of Attorney Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such aflomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority, ARTICLE XIII — Execution of Contracts — SECTION 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such aflomeys-m-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surely obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary, Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M, Carey, Assistant Secretary to appoint such attorneys -in - fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surely obligations, Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company In connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company. Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies Ihis22nd day of A,IT Ir4} ra, ✓era err +9,4 � a� 1919 912 �° 1991 Renee — m......_. ... " � ,,� ee C Llrty� fBswlstant Secretary G O to W >40 E 6. 3� O E aM 00 4.. 4- O C �o EN 00 00 vT— F r- 83 of 250 LMS111t2873_022017 TJ C� N° C1 CD z CDb w I o; C CD O1 Pdoc• Cn O00 C oCDx 3 �` - -t w f �- H ° o ucx�oo - D cu `xsu'o �• OQ �• .� p0 co CD CD a ° o ° ° ~. CD a. 0 a4 CD o ° o tz o , DO a C7 ; ct of � o ............... _..._ m.,......._ 0 0 - . . 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