HomeMy WebLinkAboutOpening of Quotes - Mishawaka Ave Tree Replacement Proj No 118-111 - Acorn Landscaping LLC$7r parr
CITY OF SOUTH BEND, INDIANA
CONTRACTQR'S QUOTE FOR PUB C WORK
PROJECT NAME: Mishawaka Avenue Tree Replacement
PROJECT NO. 118-111
QUOTES DUE November w27� 201w8 9 30 a.m ,, Local Time
(Must be completed for all quotes. Please type or print)
Date: ... Firm: ZZ ('
....
Address:
City/State/Zip:Telephone Number:?...��
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
The Ci of South Bend Department of Public Works
wwW
and dated // —11161'lf a for the sum of (enter the Total Quote as shown on the Proposal)
(Enter Sum of Total Quote plus Alternates shown on Proposal) (Numerical)
If alternative quotes 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, t e cost of nits must be the same as that shown
in the original contract if accepted by the City of South Bend. If hd quote i to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
The above quote is accepted this
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
James A. Mueller, Member
By
(Printed Name of Person Signing)
ACCEPTANCE
day of 20
Suzanna M. Fritzberg, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
Version 10/18/2016 Page - 4 Public Works Quote
El
QUOTE/PROPOSAL�a
CITY OF SOUTH BEND �
PROJECT NAME Mishawaka Avenue Tree Replacement
�.........__. .. ._ .__
PROJECT NO. 118-111_
._ _... , ... L __
QUOTES DUE November 2018, 9:30 a.m., Local Time
Item
No.
DescriptionITmmmmmmm
m Quantit
Unit
Unit Price
Total Amount
1
Tree Grate
5
EA
2
Sidewalk Remove
50
SYS
1/7
$��
.u_ ....._.
3
Tree Stump Remove
5
EA
���
$ l0 �.
4
New Tree, 2" Caliper
5
EA
5
Sidewalk Replace
... ....................... __. _!t..o
50
SYS
//
$ J o r
Total Amount
of Quote
$/�&% �,
Firm: j
ux_
Address: l% �G� 1..........�i ! v . i
City/State/Zip: de-k l jo f °elepho
F
JIM
(Printed Name of Person Signing)
Version 10/18/2016 Page - 5 Public Works Quote
When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION
REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-
DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL
PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF
SS:
fT ijOcJ�/�if 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
in Iran.
Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities
a. For purposes of this Certification, "Iran" means the government of Iran and any agency or
instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -
time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in
investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars
($20,000,000) or more in value in the energy sector of Iran; or
ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million
dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if
that person will (i) use the credit to provides goods and services in the energy sector in Iran;
and (ii) at the time the financial institution extends credit, is a person identified on list
published by the Indiana Department of Administration.
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
Version 10/18/2016 Page - 6 Public Works Quote
newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's
documentation of enrollment and participation in the E-Verify Program is included and attached as part
of this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public contract to
certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain
any employee or contract with a person that the subcontractor subsequently learns is an unauthorized
alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The
Contractor agrees to maintain this certification throughout the term of the contract with the City of South
Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure
a breach of this provision no later than thirty (30) days after being notified by the City.
6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City
of South Bend through its agencies, boards, or commissions shall not discriminate against any employee
or applicant for employment in the performance of a City contract with respect to hire, tenure, terms,
conditions, or privileges of employment, or any matter directly or indirectly related to employment
because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity,
sexual orientation or disability that does not affect that person's ability to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any
combination of the foregoing including, but not limited to, public works contracts awarded under public
bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards,
or commissions may consider the Contractor's good faith efforts to obtain participation by those
Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business
Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder.
In no event shall persons or entities seeking the award of a City contract be required to award a
subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A
finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person
or entity from being awarded a City contract for a period of one (1) year from the date of such
determination, and such determination may also be grounds for terminating the contact for which the
discriminatory practice or noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination commitment shall be
made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or
any of its agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in
the performance of this contract with privileges of employment, or any matter directly or indirectly
related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual
orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material
breach of contract.
I, the undersigned bidder or agent as contractor on a public works project, understand my statutory
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
Version 10/18/2016 Page - 7 Public Works Quote
products made in the United States. I understand it is my sole obligation and responsibility to provide a
justification to the City, subject to review and approval, why the cost of United States made steel or
foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel
products or foundry products made in the United States, the City, through its director of public works,
shall make a determination if the price of United States made steel or foundry is unreasonable. I
understand that violations hereunder may result in forfeiture of contractual payments.
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works
are true and correct.
Dated this day ot,6&21 0JQP
LINDA J GILRQY
Notary
Public, State of Indiana
EA�p
St, Joseph County
W r * s
Commission # 629162
Uan4aR.
My Commission Expires
" ler40031"
August 31,2019
Bidder or Its Agent
Printed Name and Title --
Subscribed and sworn to before me this c40 day of 20 ��
My Commission Expires
Notary Pabliti,
County of Residence ( '- JaXX
Version 10/18/2016 Page - 8 Public Works Quote
3680 W. SaKAple St., Soutk Send, IN 46619
TREE SPECIES INCLUDED IN THE ACORN LANDSCAPING BID
• Prairiefire Crabapple
• Redman Linden
• Northern Red Oak
• Sweetgum
Phone: 574-288-69SO Fax: 574-289-1096 Mobile: 574-292-6s19