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Home My WebLink AboutOpening of Bids - Small Drainage Design and Repair Project No 118-063 - Selge Construction Co IncCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Small Drainage Design and Repair ProjectNo. 118-063 For Bids Due December 11, 2018 before 9:30 AM Local Time Date: Address City/State/Zip-, PART I (Must be completed for all bids. Please type or print) 12/11/18 Bidder (Firm): Selge Construction Co., Inc. 2833 S. 11th Street ._ . .... . ......... . .. ..... Niles, MI 49120 Telephone Number: ( 269� 684-0842 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: Small Drainage Design and Repair the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Danch, Harner & Associates . . . ......... and dated for the sum of (enter the Total Bid as shown on the Proposal) Six-iltuidred-Zi-ft-t Seven Thousand -Five -Hundred Seventy Six—($ 657,576.35) (EntersumofTotall ase Bid plus Alternates showh_on_P J) ,,r000sal) (Nume0= Dollars and Thirty Five Cents 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 addendurns 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, By Robert.��s, Pr __EpOLES t neer (Printed Name �i Person S_i`6_nTn—g)" . ..... 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 Version 7/20/2018 Contractor's Bid for Public Works - 2 101 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Small Drainage Design and Repair Project Number: 118-063 For Bids Due: December 11, 2018 before 9:30 AM Local Time Contractor Name: SQ-199 g_Qpg 1:11c ±Lipn Co.. Inc. DIVISION A, HAWBAKER Item No. 1: Description Quantity Unit Unit Price Total Amount 1 Construction Engineering I LS 06) 2 Maintenance of Traffic I LS o5, (x) X) 3 Mobilization and Demobilization 1 LS g 00 ow bo � f 4 Clearing and Grubbing 1 LS L016 ), 07) -3 "R2 A) 5 Excavation, Common 590 CYS 06 f 1 )Joe), 6E 6 I Fence, Chain -Link, Reset 223 i LFT #/ s — *./� 7 Std. Inlet, Beehive Grate I EA 8 Std. Manhole, Shallow, Beehive Grate 1 EA Ito 9 Pipe, 12", RCP 117 LFT 10 Pipe, 15", RCP 7030 LFT d 66 11 Pipe, 12", Ductile Iron 40 LFT f /Coo, Oe�) 12 Pipe End Section, 12" Dia. 8 EA 06 1#3 Av 60 13 Core Connection, for, StFUStUF8, 15" Dia. Mpe 1 EA 1 — 30, e)u 1 S/ &3a foo 14 Remove/Replace Concrete Approach 199 SYS 98" 0?) . . . ............... . f 5 f 15 Maflbox AssemNy, Reset I EA 16 Sodding 1576 SYS 14�14. W,11_i 14 17 Erosion Control . .... 1 . LS 3 7co- o. � . I I -) " � I IZZ) Utility Allowance I LS e $21,000.00 $21,000.00 '16 3) 241 Z 3 HAWBAKER DIVISION A TOTAL d' ALTERNATE #A1 (STREET PAVEMENT REMOVAL/REPLACEMENT) Item No. I Description Quantity Unit Unit Price Total Amount 1 9 Pavement Removal 1 LS (XI 20 HMA Surface, 1 1/2" 175 T 2-1-- HMA, Intermediate, 2 %" 292 T 1) 01 -3, 31d), 0 22 HMA, Base, 4" 466 T DO 00 23 6" Compacted Agg., #53, Base 353 CYS $770, 0() 24 � Pipe, 12", RCP _�6 Version 7/20/2018 Contractor's Bid for Public Works - 7 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Small Drainage Design and Repair Project Number: 118-063 For Bids Due: December 11, 2018 before 9:30 AM Local Time Contractor Name: - J canstn Ict i on CO. Tnr-. ALTERNATE #A1 (STREET PAVEMENT REMOVAL/REPLACEMENT) 25 Pipe End Section, 12" Dia. 42 ##/0, 6U . . ........... 0, -)E) 26 Remove/Replace Concrete AppEgach 6 1 tEA i y SYS 0o "I on 27 Casfing, Adjust to Grade t3 EA L #6", "oo 06 ALTERNATE #A1 TOTAL 0/ ALTERNATE #A2 (ADDITIONAL SWALEISEWER ON NORTH SIDE) Item No. Description I . .. .............. Quantity - Unit Unit Price Total Amount 28 Clearing and Grubbing 1 LS $24 9-Ps"s-1 29 Remove/Replace Concrete 236 SYS fqo, Approach 30 Excavation, Common 215 CYS f"TO, '756 (11, 31 Fence, Chain Link, Reset 164 LFT t4 Lq 32 Std Inlet, Beehive Grate 1 EA 7 70 33 Std MH, Shallow, Beehive Grate 2 EA 06 34 Pipe, 12", RCP 667 LFT . . ............ -,L) 0, 35 Pipe End Section, 12" Dia., 4 EA 4 (0 Zx) Jr 4-L 36 . .. ........ . Maftox AssemblV, Reset 2 EA z) e?D 37 "i Sodding 1273 SYS 4±j 38 Erosion Control-- 1 LS f# 4 &a5-, C)D 39 Utilitv Allowance I LS $22,000.00 22,000.00 1147, ALTERNATE #A2 TOTAL I Version 7/20/2018 Contractor's Bid for Public Works - 8 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Small Drainage Design and Repair Project Number: 118-063 IMS For Bids Due: December 11, 2018 before 9:30 AM Local Time 14A Contractor Name: Selge Construction Co., Inc. DIVISION B, OLIVIA CIRCLE Item No. — ---- . ..... Description . ........... Quantity Unit Unit Price Total Amount 1 Construction Engineering 1 LS 3, 1.1 cK 0 C, L) 2 Maintenance of Traffic 1 LS WEDC) 00 3 Mobilization and Demobilization ......... . . . . - . . 1 . . . . . .......... LS 3 Clearing and Grubbing 1 LS 0� DM),Do b U) 5 Excavation, Common 755 CYS 0 6 qJ& 6 HMA, Surface, 1 W 2 T 7 HMA, Intermediate, 2 W 2 T 8 . . .................. HM& BaseL 4" 3 T Flowable Fill 3 CyS l _31 S 10 Std Inlet, Sto rm, Rolled 2 EA 14 4- RA Remove/Replace Curb and Guie--r, 10 LFT Roll Curb 12 Pipe, 12" RCP 26 LFT 1-1 -7, 13 Pipe, Ductile Iron, 12" Dia. 23 LFT 14 ��e E�nid Section. 12" Dia., 1 EA t4i D C0 . D, W, 1 5 Topsoil 4 IN. 151 CyS D ...... 16 Wched Seeding Gra.�s 2. 361356 SYSL438 17 Erosion Control 1 LS 18 core, Concrete Structure, 1 EA 19 Reset River Rock 1 LS ISM R_" 20 Riprap, Revetme t 13 T 21 Geotextile for River Rock, Rigrap 61 SY 22 CastingA�just tq rade 1 EA b DO 23 Utility Allowance 1 LS $18,000.00 $18,000.00 OLIVIA CIRCLE DIVISION B TOTAI_coq�,/ Version 7/20/2018 Contractor's Bid for Public Works - 9 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Small Drainage Design and Repair Project Number: 118-063 For Bids Due: December 11, 2018 before 9:30 AM Local Time Contractor Name: q .... . ............. DIVISION C, CREEKWATER Item No. Description Quantity Unit Unit Price Total Amount I Maintenance of Traffic 1 LS 2 Mobilization and Demobilization ...................... . . . 1 LS f '2� drl() 21Q100 4 3 Pavement Removal 62 SYS :v 3f 6 Q, 17(3,06 4 HMA, Surface, 1.5 inches 5 T t-'3 5m 5 HMA, Base, 6.5 inches 22 T f A-o oo 3 0 00 6 Remove/Replace Curb and Gutter, Roll Curb 36 LFT 7 Core-f Connecti;Trf 12" Dia. Mpe tG 1 EA 0 8 Pipe, 12" RCP 7410 IFT ,9 Pipe, 12" Ductiie 11ron . .............. . . 28 LFT 10 Manhole, Standard I EA P4, 191P SAL) $I-/-, 11 Drywall, 6' Dia., 3 sections 2 EA -T f [7, 0 6 12 Reset Sign and Post 1 EA ............... .2 (,y 13 Utility Allowance 1 LS 1 $104000 00 $10000000 CREEK WATER DIVISION C TOTAL ALTERNATE #C1 (STREET MILL/FILL & CURB RAMPS) Item No. Description Quantity Unit Unit Price Total Amount 14 Mobilization and Demobilization 1 LS I.S 15 Remove/Replace Curb and Gutter, Roll 14 LFT Curb, Depressed 16 Remove/Replace Concrete Sidewalk & .......... 22 YS 4 3, 3 4 Curb Ramp LY) 0 17 Milling, Asphalt, 1.6 to 2.5 inches 268 SYS N.) (01Z 18 HMA, Surface, 1.5 to 2.5 inches 330 T W'DO -7()() CY-) 19 Utility Allowance LS $65,000.00 $65,000.00 .... . . .................... ....... ALTERNATE #C1 TOTAL"' n(- oc) Version 7/20/2018 Contractors Bid for Public Works - 10 BIDIPROPOSAL a,,WNW�,- CITY OF SOUTH BEND Project Name: Small Drainage Design and Repair Project Number: 1'1'8-0'63 For Bids Due: December 11, 2018 before 9:30 AM Local Time ............ Contractor Name: . ...... . . DIVISION A + B + C TqT��L - taa-�-,,A44' 11 NOTE: CONTRACTORS ARE REQUIRED TO BID ON ALL DIVISIONS AND ALTERNATES. UNIT PRICES SHALL BE PROVIDED FOR ALL ITEMS IN DIVISIONS AND ALTERNATES. Bidder (Firm): �el e qo --qq InC . ..... Address: .��n S1�1�t City/State/Zip: Niles, MI 491T26iphone Number. J-��6�84-Q�42 By (Signature) Robert -KuhnS L o _�!� neer (Printed Name of Person Signing) When theprospective 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 MIC.H.IGAN ) SS: BERRIEN COUNTY The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: I . 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 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 perfon-nance 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/N4BE. A finding of a discriminatory practice by the City's N1BE/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 perfon-nance 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. 1, 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 11 th dav of Dp�e�cmbe 18 go_ —Selge Construction Co., Inc. Contractor/Bidder (Finn) Signature of Contractor/Bidder or Its Agent Robert Kuhns, Project Engineer Printed Name and Title Subscribed and sworn to before me this 11 th day of Decmeber 2018 ka My Commission Expires 07/25/2020 L4:A, �-- Notary Public Vicki A. Priest County of Residence Berrien 011111 It to I) "0 my GcmwsstoN 1 Z Z4 F 0 rolfw ItW%% Version 7/20/2018 Contractor's Bid for Public Works - 6 i A MERCHANTS BONDING COMPANY,. MERCHANTS BONDING COMPANY (MUTUAL) P.O. BOX 14498, DES MOINES, lowA 50306-3498 Bid Bond PHONE: (800) 678-8171 FAX: (515) 243-3854 Bond Number: CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status andprincipal place Selge Construction Co,, Inc, of business) 2833 S I I th Street Merchants Bonding Company (Mutual) Niles, MI 49120 A Cor ioration 6700 Cstown Parkway, West Des Moines, IA 50266 OWNER: (Name, legal status and address) City of South Bend, Indiana Board of Public Works This document has important legal County City Bldg, Room 1316, 227 W. Jefferson Blvd. consequences. Consultation with South Bend, IN 46601 an attorney is encouraged with BOND AMOUNT: Five Percent (5%) of the Accompanying Bid respect to its completion or modification. PROJECT: Any singular reference to (7Vame, location or address, and Project number, if any) Contractor, Surety, Owner or Small Drainage Design and Repair No. 118-063 other party shall be considered City Streets, South Bend, Indiana 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 Pro9ect 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 perforrn 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 famished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this I Ith day of December, 2018 Selge Construction Co , Inc, 1--4 (Principal) (Seal) (111MIess) Robert Kuhns, Project Engineer (Title) 0--- / I Merchants Bonding Cornpan)� (Mutual) k4kl "'U- (Sure1j) (Seal) 'Iness) &122� <,3/7/�94�17DP (Title) J'. 11 ufvin Hughes, Afforney-in-rlyet CON 0657 (2/15) Printed in cooperation with Aniericv6,46s"titutc of Architects (AIA). Th/languagc in this document conforms exactly to the language used in AIA Document A310-Bid Bond-2010 A, A NVERCHANTS BONDING COMPANY,. POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Connie J Messer; Dawn M Pequignot; Elaine K Miller; Harold E Everett; J Kevin Hughes; Jada M Karst; Jessica K Callahan; Marie E Comparet; Melinda Jagger; Thomas J VanDyck; Tom McGovern their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney-i n -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 1 4th day of July 2017 %P 0# :k lik MERCHANTS BONDING COMPANY (MUTUAL) MERCHANT NATIONAL BONDING, INC. *Qr % A% .4 —0— 0'. ox - 2003 fm 1933 By STATE OF IOWA too$$ COUNTY OF DALLAS ss. On this this 14th day of July 2017 before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. ALICIA K. GRAM 10 Commission Number 767430 My Commission Expires April 1, 2020 Notary Public (Expiration of notary's commission does not invalidate this instrument) 1, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this I 1th day of December 12018 �OG Co 2003 lo 1933 Secretary POA 00 18 (3/17) 1316 CouNTY-CiTy BUILDING 227 W. JEFFERSON 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 OF PUBLIC WORKS Date: December 3, 2018 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: I Project Name: Small Drainage Design and Repair ProjectNumber: 118-063 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 1'f 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: Authorized Signature: Date: 14, Version 4/2/2015 Y" 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON 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 OF PUBLIC WORKS Date: December 7, 2018 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 2 Project Name: Small Drainage Design and Repair Project Number: 118-063 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: Now 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: Authorized Signature: Date: Version 4/2/2015 1316 COUNTY -CITY BUILDING 227 W, JEff-ERSON BOULLVARD SouTH BEm. INDIANA 46601-1830 CITY OF SOUTH BFND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS October 2, 2018 Mr. Robert: Kuhns Selge Construction Co., Inc. 2833 S. 11" St. Niles, MI 49120 RE: Pre-QUalifiCati011 Verification Dear Mr. Kuhns: PHoNLP 574/235-9251 FAX 374/ 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 applicationfor continuation of prc-qualification status prior to December 31 forthe 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) 235-925 1. Sincerely, Linda, Martin, Clerk GARY A. GILOT DAvID P. RELOS ELIZABUH A. MARADIK JAMEs A. MLJr-U,FR THERESE J. DORAU CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Small Drainage Design and Repair ProjectNo. 118-063 For Bids Due December 11, 2018 before 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 X 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-Discrim i nation Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not X met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBENVBE Contacted Form [MWBE-2.1]. X Acknowledge Receipt of 1,F2 Addendum(s) included with the bid. .. X All required additional information is included with the bid. X Proposal statements and other affidavits all signed by the proper party with name either — printed or typed underneath signature. X 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: Selge Construction Co., Inc. Date: 12111/18 By Authorized Representative: Signature: Print Name & Title: Robertr Kuhn�g, Prgjpat_Zngineer_ Version 7/20/2018 Contractor's Bid for Public Works - I PART 11 (For projects of $100,000 or more - IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his/her/its bid, Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE I . Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. See attached. 2. Attach a listing of public works projects currently in process of construction by your organization. See attached. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. Wehave never failed to complete.a. project. 4. Attach references from private firms for which you have performed work. SE�%AWEWAND 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.) Work will be completed in an orderly manner, according to specifications and as best suits the owner and its engineer. 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. See attached. 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. See attached- subs h ve al�l ece' vga agg�oneceps Bond pot reauired. 4. Aftach a listing o(equipmeni you ave use or% �ropose projecr See attached. 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. Yes. SECTION III CONTRACTOR'S FINANCIAL STATEMENT See attached. 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 ",V" CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-11.0 Pl,�� MBEIWBE PARTICIPATION This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE/MBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business, Project Number: 118-063 Project Name: Smail Drain _Mag& Design and Repair Bidder: Selge Con_aU_(;ti_Q_n_QQ,j TotalBidAmount: $ 657,576.35 MBE/WBE Goal: 7.1% ........... Inc. Page 1 of 1 Name & Address of MBEMBE Primary Contact Person (Namerrelephone) Scope of Work to be Performed (Attach scope/schedule if you need additional space) . ........ Dollar Amount Of IMBENVIBE Component Percentage of Total i t e rrica ing . . . . ........... .... .......... . . Pi ropasal Box 3751 James 0. Bend, IN 46628 Michalski Traffic Control $ 5,255.00 1% 574-287-2078 Slusers Green Thurro PO Box 33 John L09anSPOrt, IN 46947 Seeding & Sod $15,972.00 2 to ..... . . ..... 57 .4=722=31-02- Submitted by: ......... . . . . ............... ... ........ P--� . ........... . . .... ......... 12/11/18 Prkit Name Engineer Signature Date Version 7/20/2018 Contractor's Bid for Public Works - 12 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY d14,,';PW ift s') DEVELOPMENT PROGRAM FORM MWBE-2.0 ;Z,; EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain 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: - Small Drainage Design and Repair Date: 12/11 Z1 8 Project Name: 118-063 Bidder: ___SeJgP . ..... fC9M.tructixm_jCb_, Tnr- Contact Person: Robert Kuhns. Prolect Encrineer Telephone: q-6R4_nR49 Address: 2833 S. 11th Stret City: Niles State'. MI Zip: -------- 4MD— Email: bkuhns@selgeconstruction.com To determine whether a bidder has demonstrated good faith efforts to 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 MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (hftp://www.in.gov/idoa). ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Bend requires 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 �7 subcontracting opportunities. 20 Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and aliow MBEANBEs reasonable time to respond. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBEANBEs 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 MBE/WBEs, including providing such MBE/WBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by I MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down contracts into smaller units to facilitate MBEANBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE/WBE was unqualified to perform the job. *Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 7/20/2018 Contractor's Bid for Public Works - 13 s1v , � I I;,- � � rf , , I I OUT" 462�1 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.1 MBE/WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBEIWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE 1 OF 1 Small Drainage Design and Project Number: Repair MBEANBE Participation Goal 7.1% Project Name: 118-063 Bidder: Selge Construction Co., Inc. // - 12/11/18 L -- _ Robert Kuhns eqt_g�29ineer (Signatur (Title) (Date) MBEANBE Firm SlussL-x's Green Thumb Owner or Contact at MBE/WBE Firm john Telephone: 574-722-3102 Fax: 574-722-2993 Email: JES@slussers.com . . .......... . TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBEANBE FIRW nl---- ---- ed MBE/WBE Firm State— arricacUnq,-1ac-- Owner or Contact at MBE/WBE Firm johr, Michalski Telepho'!',N-287-2078 Fax: -U4--2B3--1-7.4A- Email: StatebarricadelQaol.corn TYPE OF WORK SOLICITED FOR THIS PROJECT: . .... ,,,,,TTTr ffig Control...... . ..... . . . . ..................... . . ........ RESULTS OF CONTACT WITH THE MBE/WBE FIRW Quote Accepted Version 7/20/2018 Contractor's Bid for Public Works - 14 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.11 MBEfWBE CONTACTED Version 7/20/2018 Contractor's Bid for Public Works - 15 ;& 0 K ()l -V -N > �� 00 5' 0) -0 -0 CD U) CD 0) 0 0 0 CD -0 M 5' �2. 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Y 0 FQ) 0 -0 CD 51) 0 --j C.0 0 'o' 9. -n -3 qL 3 (D ,�M 0 cn > cn OD (D (D 2 - 3 Cl) co c: 4�j -r, 90) L Z) 3 �14 a 00 0 -4 C: "t -69 co 'Ll Z) (D CID > 3 -4 W 0 C cn CD - '7 6 Z' 2L C) a- (D r v C.7 6�ak cWn I P CD at, - . 6 0 0 3 1, fl,' '<\D:l �� (o 0 E< CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Small Drainage Design and Repair Project No. 118-063 For Bids Due December 11, 2018 before 9:30 AM Local Time Contractor Name: Selge Construction Co., Inc. 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,11 only. Section 11 acts as an application for pre -qualification. Submission of Section 11 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 sl for the upcoming calendar year, or within twelve (12) months of obtaining pre - qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal of the designation, effective January 1 of the following year, or immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 7/20/2018 General Conditions - 6 POST BID.SUBMISSION§: Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1 . All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the' subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder and all subcontractors on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the information provided by the contractor. Version 7/20/2018 General Conditions - 7 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: W y 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: W x 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 X 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. Y Evidence that I am utilizing a surety company which is on the United States Department of Treasury's Listing of Approved Sureties as required in the bid specifications or contract. (iv) List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. Version 7/20/2018 General Conditions - 8 PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) — By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) — By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. (iii) By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at 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) Attachments: W 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 �ntity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). List identifying all former business names. Any deten-ninations 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. M 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 7/20/2018 General Conditions - 9 (ix) Written statement of any federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years. (i) List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within three (3) years prior to the date on which the bid is due. Date: December 11, 2018 P (Sign Here) Robert Kuhns, P�Oject Engineer (Print Name Here) Selge Construction Co., Inc. (Name of Company) 2833 S. 11th Street (Address of Company) Niles (City) Michigan 49120 (State) 269-684-0842 (Telephone Number) Version 7/20/2018 General Conditions - 10 State of Indiana Office of the Secretary of State Certified Copies To Whom These Presents Come, Greeting: 1, CONNIE LAWSON, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of the State of Indiana, the custodian of the corporate records and the proper official to execute this certificate. I further certify that this is a true and complete copy of this 1 page document consisting of the following records filed in this office: Certification Date: Business Name: Business ID: Transaction Miscellaneous November 26, 2018 SELGE CONSTRUCTION CO INC 197203-307 Date Filed No . of pages 07/24/2018 1 Total No. of pages 1 In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, November 26, 2018 CONNIE LAWSON SECRETARY OF STATE 197203-307 / 10676817 All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate Expires on December 26, 2018. Page I Of 2 CertificatelD: 10676817 Approved and Filed 197203-30717971578 Filing Date; 0712412018 Effective V1231201 8 11:00 CONNIE LAWSON Indiana Secretary ofState A- S'U. CO. INC. 2833 S. 11"'Street Niles, Michigan 49120 P: 269.684.0842 F: 269.684.0846 www.selp&conLtrug�ilpn.com July 17, 2018 Office of the Indiana Secretary of State 302 W. Washington Street, Room E108 Indianapolis, IN 46204 To Whom It May Concern, SELGE CONSTRUCTION CO INC. and Its employees will comply with Ind. Code chapter 8-1-26. Thank you I Sincerely, Leonard dv�lngston Safety and Resources Manager a! t W! ��' S ft OF STATE JUL 19 1018 dxto-v %-.0 141111*WN Page 2 Of 2 CertificateID: 10676817 Selge Construction Staffing Capabilities and Employee Statement At ScIge Construction we are proud to be part of the Christian Labor Association (CLA) Local Union 10. Being part of the CLA provides in organized workforce that has gone through rigorous training and provides premium pay and benefits to everyone on staff. Our team is comprised of 75 individuals (15 office members and 60 field personnel). The team is made up of male, female, and minority members. ne average employee at Selge Construction has been with the company for 14 years. Each person on your project will be properly classified as an employee under all applicable state and federal laws and local ordinances. There will not be any temporary laborers on this project. Selge has never defaulted on a contract and we do not bid any work that we cannot complete. Based on our current schedule and capabilities, we will utilize 100% Selge employees and equipment for your project. We do not foresee any issues being able to complete the project within the designated schedule. Let there be no doubt that Selge Construction has sufficient employees and resources to complete the work we are bidding. 0 DEPARTMENT OF THE TREASURY BUREAU OF THE FISCAL SERVICE WASHINGTON, DC 20227 Lawrence B. Taylor, President Merchants Bonding Company (Mutual) P.O. Box 14498 Des Moines, IA 50306 - 3498 Dear Lawrence B. Taylor: Your Company's Certificate of Authority to qualify as an acceptable surety and/or reinsurer on Federal bonds is hereby renewed and will remain in effect until June 30, 2019, unless revoked prior to that date. On the basis of our review of the Company's Annual Financial Statement as of the close of the last calendar year, the following underwriting limitation has been established, effective July 1, 2018, under the renewed Certificate: POLICYHOLDERS'SURPLUS at December 31, 2017 ............. $121,193,842 DEDUCTIONS (See Attached) .................................................... V- &k6 .0 51 ADJUSTED POLICYHOLDERS'SURPLUS ............................. $112,1272787 UNDERWRITING LIMITATION ............................................... $11,213,000 We are following the practice of making no deductions from policyholders' surplus reported where the amount of adjustment (e.g., for unauthorized reinsurance, inadequate loss reserves, etc.) would have a nominal effect on the surplus and where it has been determined that the Company is solvent per Treasury's guidelines. This practice facilitates the review work and should not be interpreted as changing or nullifying applicable Treasury requirements. The list of approved sureties (Circular 570) is available on our website at btjps://www,fiscal.treasurv,govtfsLQgrt,.V-rsfl�gre!yBnd/c5lO a-z.htm. Please disseminate this information to your associates, agents, reinsurers and even Government agencies whenever possible. If you have any questions regarding the above information, please contact Bobbi Sue Liston at 304-480- 7098, immediately. Enclosure Sincerely, Digita lly signed by Melvin H. Melvin H. Saunders,�Iaunders ,( /' 107ae: 2018,06,14 08:22:45 -04'00' Melvin Saunders Manager Surety Bond Branch SURETY BOND BRANCH — 650S BELCREST RD — RM. 345 HYATTSVILLE. MD 20782 — FAX: (202) 874-9978 INTERNET ADDRESS ENCLOSURE Common Stocks I'l INFO: Merchants Bonding Group, Inc. owns 100% Merchants 19,066.05 National Bonding, Inc., a T-listed subsidiary ............................................ TotalDeductions ........................................................................................ $9,066,055 WThe common stock of insurance subsidiaries certified by the Treasury, if held by other certified companies, will be considered a non -admitted asset when determining the parent company's Treasury underwriting limitation. This valuation method is effective for certifications dated after December 31, 1988, and will be applied to new subsidiary relationships created by reorganization or by changes iri the organization structure of the group due to new acquisitions or combinations. (See Instruction III of Treasury's Annual Letter dated December 31, 2017.) SELGE CONSTRUCTION CO., INC. COMPLETED PROJECT DESCRIPTIONS Description: Mishawaka Bodine Valve #2 Replacement — Owner: Indiana Department of Natural Resources. Remove asphalt surface, install 10 each 4" gate valves with boxes & 4" SCH 80 PVC riser pipes, Install 10" SCH 80 PVC between tanks #5 & #6 on east & west ponds, excavate & replace yard hydrant, backfill full depth trench, restore surface areas with 6" concrete pavement. $115,135 Year Completed: 2017 Description: New Buffalo Lighthouse Creek Drain #298 — Owner: Berrien County Drain Commission. Open channel cleano'ut/channel clearing and shaping, plain & heavy slope & scour protection, boulder revetment, ledge Stone access Stairs, 12" ductile water main, 10" sanitary sewer main replacement, 16' RCP box culvert & wingwall/headwall. $1,273,288 Year Completed: 2017 Description: South Bend Western Avenue Corridor Improvements — Owner: City of South Bend Board of Public Works. Construction of a streetscape project including earthwork, pavement milling, concrete overlay, concrete pavement, asphalt pavement, permeable pavers, concrete curb, and sidewalks, landscaping, storm sewer, lighting, and pavement markings and other appurtenant work. $2,860,242 Year Completed: 2017 Description: Elkhart CR26 Biopad Force Main — Owner: City of Elkhart Board of Public Works. Install approximately 974 feet of 4" HDPE Force Main and restoration along County road 26. $62,785 Year Completed: 2017 Description: Mishawaka Linden Area LTCP Division A Phase II — Owner: City of Mishawaka Board of Public Works. Repair damaged section of sanitary sewer, CIPP lining in Brykit Ave, install storm sewer, manhole rehabilitation and sanitary laterals. $981,453 Year Completed: 2017 Description: Niles 2017 Water main Replacement Sassafras Ln Section A — Owner: City of Niles. Installation of a PC 3 50 DI/C900 PVC water main, multiple. connections to existing water mains, reconnection of existing water services, install valves & hydrants, relocate existing storm and sanitary sewers, disinfection and pressure testing of water main, landscape and pavement restoration. $319,218 Year Completed: 2017 Description: Cassopolis Wastewater Collection System Improvements — Owner: Village of Cassopolis. Lift Station #3, Spencer St Lift Station, Second St Lift Station, Sherman Ln Lift Station, Depot St Lift Station, Reed St. Lift Station, Rowland St Lift Station Rehabilitations and Grinder Station Rehabilitation. In Place Generator for Lift Station #3 and Reed St Lift Station. Remove and replace fencing and gates. Replace all control panels, outdoor lighting. 60 linear feet of 8" sanitary sewer and manholes, 165 linear feet of 2" forcemain'. 230 square yards concrete pavement & sidewalk replacement. $1,316,160 Year Completed: 2017 Description: Elkhart ADA RR Depot Parking Lot Improvements — Owner: City of Elkhart. Creating section of the parking areas around the RR Depot to be accessible and ADA compliant by installing (1) curb ramp and 125 square yards of stamped concrete and 20 feet of retaining wall. $23,865 Year Completed: 2017 Description: Warsaw Osborn Stormwater Pump Station — Owner: City of Warsaw Board of Public Works/Safety. Perform upgrades to pump station per engineer's specifications. $197,240 Year Completed: 2017 Description: Lansing MSU/Spartan PV 1/ Inovateus Solar Array Project — Owner: Spartan PV 1. Develop an approximately 13.8 MW-DC electric power generating facility using solar photovoltaic modules on five (5) parking lots located on the campus. $8,434,889 Year Completed: 2017 Description: Mishawaka Bodine Fish Hatchery — Owner: Indiana Department of Natural Resources. Installation of a small valve and inlet piping replacement on rearing ponds west 1, 2, 7 and 8 and east 2 and 7 ponds. $115,135 Year Completed: 2016 Description: Middlebury 2016 WTP Backwash Pump Station — Owner: Town of Middlebury. Installation of new backwash holding tank influent lift station, various modifications to the existing backwash holding tank effluent pump station; installation of a new control panel to service both the existing backwash effluent pump station and new backwash influent lift station. $363,165 Year Completed: 2017 1 Description: New Carlisle Development Area I Sanitary and Water Improvements — Owner: St. Joseph County Board of Commissioners. Installation of approximately 14,000 linear feet of 16" and 12" water main extension and 12,000 linear feet Sanitary Sewer Extensions, 15"-30" along Walnut Rd., Smilax Rd., and US 20. Install new Water Main & Sanitary Sewer includes: approximately 1, 100 feet of trenchless installation under railroad crossing and US 20, Roadway reconstruction, construction of a water pressure reducing valve vault, installation of approximately 20,000 linear feet fiber optic conduit and hand -holds, and other work. $4,655,327 Year Completed: 2017 Descri'p tion: Village of Paw Paw 2016 SRF Lift Station & Force Main Contract #3 — Owner: Village of Paw Paw, Michigan. Rehabilitation and replacement of 4 Sanitary Lift Stations located within the Village of Paw Paw including installation of new grinder/debris auger, building improvements, and force main directional boring. $1,652,481 Year Completed: 2017 Description: North Webster Lakeland RSD Wastewater Collection "B" — Owner: Lakeland Regional Sewer District. Installed 988 each grinder pump stations, 390 each grinder pump flood protection kits, 74 each extended grinder pump stations 2 feet with rail, 25 each traffic rated grinder pump station covers, 988 each control/alarm panel installed, 69,980 linear feet force main, 29,300 linear feet service line, 90 linear feet casing pipe, 50 linear feet gravity sewer, 72 each flushing connection, 21 each air release valve & structure, 990 each curb stop assembly, 69 each isolation valves. $6,163,664.31 Year Completed: 2016 Description: Mishawaka Brick & Fir Road Water Main Improvements — Owner: City of Mishawaka. (7) trees removed, removed curb gutter and structures, temporary erosion and sediment control, 4 cubic yards river rocks, 1,050 cubic yards common excavation, 1,186 ton #53 compacted aggregate, 210 ton HMA type b for patching, 19 square yards for approaches, 3,606 square yards milling asphalt, 1,361 ton HMA type b, 6 ton asphalt for tack coat, 265 linear feet combined concrete for curb & gutter, 585 square yards PCCP approaches, 27 square yards concrete sidewalk, 11,850 square yards hydromulch, 8,238 linear feet ductile iron pipe, 27 each ductile iron tee, 15 each 45/90 degree ductile iron 12 each ductile iron MJ plug, 39 each gate valve with valve box, 86 linear feet water service piping, 16 fire hydrant assembly, 132 linear feet pipe, landscaping, $1,490,854.00 Year Completed: 2016 Description: Syracuse Turkey Creek RSD Buttermilk Force Main Improvements No. 2 — Owner: Turkey Creek Regional Sewer District. Cleanout (13) manholes, 15,540 linear feet of force main, 1,5 00 linear feet directional drill force main, (28) plug valves installed, 1,300 cubic yards special backfill, 2,200 square yards aggregate base for pavement, 200 cubic yards #53 aggregate base, 570 ton bituminous materials, 180 square yards concrete drive, Buttermilk, Marineland, Willow Grove pump station improvements, 25,000 square yards seed & mulch area. $1,218.351.00 Year Completed: 2016 Description: Goshen Wastewater Lift Station Controls Upgrade Ph I — Owner: City of Goshen. Brookside lift station, Showalter lift station, Clinton lift station, Berkey lift station, Carter lift station, Kercher lift station, Starcraft lift station, Parmley lift station, Maplecrest lift station, and CR 28 lift station control panel improvements. $641,406.00 Year Completed: 2016 Description: South Bend Noble Americas Ethanol Plant — Owner: Noble Americas. Clearing and obstruction removal, relocate 6" fire protection water line, 18" WWR cross under 48" RCP. 8" water main crossover, 13, 800 cubic yards corrunon excavation for detention basin, 100 cubic yards structure backfill, 320 tons HMA Type b surface, 420 ton HMA iyp-e b intermediate, f680 ton HMA type b base, bypass pumping for storm sewer improvements, cast in place concrete diversion structure, detention basin liner, 3005 linear feet of storm sewer piping, 14 manhole structures, pump station modifications, mulched seeding & topsoil. $1,818,027.95 Year Completed: 2016 Description: Dowagiac Pokagon Band of Indians Rodgers Lake Wastewater Treatment Lagoon — Owner: Pokagon Band of Indians. Removal of debris, Erosion control, 300 cubic yards of earthwork, install (2) recirculation tanks & equipment, install (1) lift station & meter pit, install influent tank & equipment, install (5) treatment pods, install 430 linear feet of 3" force main, 350 linear feet 4" force main, directional drill 1, 150 linear feet 1.5" water main, 150 cubic yards clean pond #3, 420 tons pea gravel in pond #3, restoration. $510,690.00 Year Completed: 2016 Description: Goshen Colonial Manor ADA — Owner: City of Goshen. 60 ton #53 compacted aggregate for base, 80 square yards concrete curb ramp, 120 square yards 4" concrete sidewalk, 50 linear feet roll curb & gutter, 100 square yards erosion control blanket, 200 square yards mulched seeding. $64,000.00 Year Completed: 2016 Description: South Bend UPV Noble Americas Ethanol Plant — Owner: Noble Americas. (1) Sanitary manhole, 125 linear feet 15" sanitary sewer, (1) 15" end section, 320 linear feet 10" underdrain, 3000 cubic yards common excavation, (1) manhole repair, pond liner. $161,100.00 Year Completed: 2016 Description: South Bend Noble Americas Ethanol Plant Sanitary Sewer Improvements — Owner: Noble Americas. Clearing and obstruction removal, septic tank removal, temp erosion & sediment control, 50 cubic yards structural backfill, #53 compacted aggregate for base, #73 compacted aggregate for surface, asphalt for pavement restoration, concrete pavement patching, 519 linear feet HDPE DRI I service laterals, 1,133 linear feet HDPE DRI I I V4force main, 1,589 linear feet HDPE DR1 12" force main, (6) grinder pump stations, (10) vacuum excavation for utility $365,881.00 Year Completed: Description: South Bend & Mishawaka Meijer Store Snow Plowing — Owner: DJ Landscaping, Inc. Provide snow removal to (2) South Bend Meijer stores and (1) Mishawaka store. $80,000.00 Year Completed: 2016 Description: LaGrange Dometic III North Area Improvements — Owner: Dornetic. 216 square feet pavement with sealing, 960 square feet pavement. $96,694.00 Year Completed: 2016 Description: Niles 2016 Sewer Improvements — Owner: City of Niles. 15" sewer repair, 8" sewer repair, remove (7) 12" cross connection pipes, 12" flowable cross connection, replace manhole cover. $92,815.00 Year Completed: 2016 Description: Niles Township Manhole Repairs — Owner: Niles Township. Casting adjustments on 93 various manholes throughout the township. $62,590.00 Year Completed: 2016 Description: South Bend INfl7ek IN/Kote Sanitary Sewer Improvements — Owner: City of South Bend. Install 12" thick concrete base slab for storage tank & feed pumps, provide and install HD cross - linked polyethylene chemical storage tanks, install dual bellows type chemical metering pumps, suction pipes, discharge PVC piping to lift station wet well, install fill station & piping, provide 115 VAC electric service to each pump with 20 amp breaker within lift station, 8 hours training to staff. $167,850.00 Year Completed: 2016 Description: Elkhart Downtown Parking ADA Improvements — Owner: City of Elkhart. 28 square yards ADA curb ramp, 25 square yards ADA sidewalk, 7 square yards 9" concrete, 40 linear feet concrete curb and gutter. $14,435.00 Year Completed: 2016 Description: Elkhart Indiana Flight Center Apron Upgrades — Owner: Elkhart Municipal Airport. 539 cubic yards common excavation, 465 tons #53 recycled concrete, 1382 square yards 8" concrete pavement, restored area. $143,730.00 Year Completed: 2016 Description: Middlebury East Warren St. Sidewalk Improvements — Owner: Town of Middlebury. Clear area to be improved, 20 ton HMA for pavement patching, 2,010 square yards 4" sidewalk, 60 linear feet concrete curb & gutter, 134 square yards concrete ramps, 1,850 square yards mulched seeding on topsoil, site grading, accent lighting. $299,880.29 Year Completed: 2016 Description: South Bend St. Paul's Senior Center Parking Lot Improvements — Owner: Trinity Continuing Care Center. Slope reconstruction with 1200 square feet of erosion protection system with 160 cubic yards of structural backfill, 50 square yards of sod, 112 linear feet 15" ADS HP storm sewer, 195 linear feet 18" ADS HP storm sewer, (4) storm manholes, riprap on geotextile at pipe discharge, 90 linear feet of 6" concrete curb. $166,333.00 Year Completed., 2016 Description: Mishawaka Bodine Fish Hatchery — Owner: Bodine State Fish Hatchery. Remove existing asphalt surface, excavate pits for valve insertion and water main taps, install (2) 12" gate valves, install (6) 4" gate valves with box, install 40 ton 6" #53 aggregate base, restore surface areas with 100 square yards 6" concrete pavement. S 100,970.00 Year Completed: 2016 Description: Precision Wall Systems Storm Sewer & Lot Upgrades. Owner: Precision Wall Systems. 825 linear feet of storm sewer, 6 each 30" catch basins, remove 40 linear feet of retaining wall, remove 3 5 0 square yards of pavement, 1,000 cubic yards of retention pond, 3 5 0 square yards concrete drive 6", 160 linear feet concrete curb, 80 linear feet concrete retaining wall, 1890 square yards grading for HAC and concrete areas, 1,540 square yards HAC pavement. $137,694.74 Year Completed: 2015 Description: South Bend Edison Rd LS Access Road Construction. Owner: City of South Bend Board of Public Works. 174 square yards aggregate #53 6" base depth, 175 square yards geosynthetic fabric, 175 square yards B borrow 12" depth, adjust casting to grade. $15,659.25 Year Completed: 2015 Description: South Bend Geyer Ditch LS Access Road Construction. Owner: City of South Bend Board of Public Works. Adjust casting to grade, concrete collar, 4,700 square yards compacted aggregate #53 at 6", 4,700 square yards Geosynthetic fabric. $72,410.00 Year Completed: 2015 Description: Cassopolis Lift Station #1 Renovation. Owner: Village of Cassopolis. Lift station #1 rehabilitation, restoration, masonry and concrete structure rem, charnfer removal, concrete surfacing 2", standby generator LS #1. $131,550.00 Year Completed: 2015 Description: Goshen 321 South 3rd Street Parking Lot. Owner: City of Goshen. Remove 270 square yards full depth concrete, remove 18 square yards concrete sidewalk, remove existing storm sewer structure, I IS ton #53 recycled concrete base, 40 linear feet 4" concrete sidewalk, 315 square yards 6" concrete, landscape restoration. $53,525.53 Year Completed: 2015 Description: Warsaw Central Park Storm Sewer Cleaning project. Owner City of Warsaw. Install & remove inflatable plug, clean & video 36" diameter storm sewer, install manhole over existing storm sewer. $42,050.00 Year Completed: 2015 Description: South Bend 2015 Curb/Sidewalk Construction Div. B. Owner: City of South Bend Board of Public Works, IN. Remove 3,000 linear feet curb & 395 square yard sidewalk, 3,000 linear feet new curb & 395 square yards new sidewalk, remove & replace 11 trees, grade/sod 998 square yards. $257,718 Year Completed: 2015 Description: Mishawaka Front St Roundabout Reconstruction. Owner: City of Mishawaka Board of Public Works, IN. 826 square yards QC/QA PCCP, 581 linear feet concrete curb, 14 square yards topsoil. S105,701.04 Year Completed: 2015 Description: LaGrange Dometic Corp Site Improvements Ph II. Owner: Dometic Corporation LaGrange, IN. 3,739 square feet asphalt repairs, 4,029 square feet asphalt, 3,281 #53 gravel, 38,425 square feet concrete pavement. $29,218 Year Completed: 2015 Description: South Bend Chase Plastics Facility. Owner: City of South Bend Board of Public Works, IN. 2,043 linear feet of sanitary sewer, 200 cubic yards "B" borrow, 621 linear feet of storm sewer, 75 ton #53 compact aggregate, 188 square yards concrete sidewalk and approaches. $118,817.40 Year Completed: 2015 Description: Mishawaka 2015 CDBG ADA Infrastructure Improvements. Owner: City of Mishawaka, IN Clearning right of way, 3,240 square yards concrete sidewalk, ramp approaches, 2,000 linear feet concrete curb, 1,253 cubic yards excavation, borrow, topsoil, 88 ton HMA patching, 100 ton #53 compacted aggregate. Description: MDOT #123212A Cass County Gumwood Rd to Stateline. Owner: Michigan Department of Transportation / Cass County, MI. 40 feet Culv, CIA 12", 240 ton aggregate for shared path, 1,23 1 square yards concrete for shared path, 1, 100 feet grading, 1,500 square yards slope restoration. $74,889.41 Year Completed: 2015 Description: Goshen Theatre Sewer Repair. Owner: City of Goshen, IN. Clearing of right of way, 20 linear feet sanitary sewer pipe, 620 ton "B" borrow, 350 cubic yards soil stockpile, 175 square yards polyethylene sheeting, 30 linear feet concrete curb, 28 ton #53 compacted aggregate, 20 ton HMA base/surface, 17 ton #73 compacted aggregate, landscape. $30,339.21 Year Completed: 2015 Description: South Bend Demolition of Abandoned & Vacant Houses Division A. Owner: City of South Bend, IN. Demolition of 21 houses/garages/sheds/fences, including proper disposal of all asbestos materials. $396,064.00 Year Completed: 2015 Description: New Buffalo US 12 Booster Station Reconstruction. Owner: New Buffalo Twp, MI. Pumping, chlorine equipment, meter valves and piping, building structure, electrical, control system, entry drive & site work, (2) 4' dia leaching basin, spare chlorination equipment, HMA drive & parking $470,682.00 Year Completed: 2015 Description: Elkhart 2014 ADA Curb & Sidewalk Replacement program. Owner: City of Elkhart Engineering Department, IN. 2917 square yards concrete sidewalk & driveway improvements. $150,048.51 Year Completed: 2015 Description: Buchanan Bertrand Twp Foundation Dr. Owner: Saratore Co., Inc. Excavation, CIP Basin 32,000 cubic yards, excavation CIP building pad topsoil strip for embankment areas 5,500 cubic yards, Excavation, CIP, building pad drive & parking 2,000 cubic yards, excavation CIP road 2,540 cubic yards, berm & swale 625 linear feet, 2,837 ton #22A gravel base, 735 ton #23A compact aggregate, 2 10 ton #23A gravel for approaches, 4,570 linear feet sewer pipe, 3,650 linear feet concrete curb, gutter, and driveway; 2,082 linear feet water main, 2,865 cubic yards topsoil and subgrade treatment. $695,238.00 Year Completed: 2015 Description: Middlebury Water Treatment Plant Upgrades. Owner: Town of Middlebury, IN. 72 linear feet of 8" ductile iron pipe, Valve & flow meter relocation, 8", 12" butterfly valves $112,681.00 Year Completed: 2015 Description: Lagrange Dometic Corp Improvements Ph I. Owner: Dometic, Corp, Lagrange, IN. Remove 4,3 25 square yards of asphalt, remove 1,03 5 square yards of concrete, 3 00 . ton of #53 aggregate base, 225 ton asphalt patching, 3,428 square yards 8" PCCP, 3,715 square yards 10" PCCP. $29,218.70 Year Completed: 2015 Description: Mishawaka Ave Improvements Phase I. Owner: City of Mishawaka, IN, Board of Public Works. Clearing right of way, 6,239 ton hot mix asphalt, 5,266 linear feet concrete curb & gutter, 4,608 square yards concrete sidewalk, 3,273 linear feet storm sewer pipe, 780 linear feet water main pipe, 7,483 linear feet CIPP sanitary sewer pipe, 710 linear feet 8" SDR 35 sanitary sewer. $4,128,388.84 Year Completed 2015 Description: Winona Main Wastewater Pumping Station Replacement. Owner: Town of Winona, IN. Clearing right of way, 17 linear feet of 8" D.I. force main, 10 1 linear feet 18" PVC sanitary sewer, 900 GPM Triplex lift station, 210 cubic yards structural backfill. $546,689.00 Year Completed: 2015 Description Cassopolis Peavine St. Lift Station Improvement., Owner Village of Cassopolis, Cassopolis, MI. Renovation of the Peavine Street lift Station, 12" extension for 72" wet well, plugging leaks, Chamfer removal, new floor in wet well. $45,815.00 Year Completed: 2015 Description: INDOT R36481A Twin Branch/Vistula Dr. Sidewalk Improvements. Owner IN Dept of Transportation,, Mishawaka, IN. Sidewalk improvements along Vistula Rd and Elder Street at the Twin Branch Elementary School. $285,393.12 Year Completed: 2015 Description: INDOT R33572A, Gumwood Ph II Added Travel Lanes, Bike, and Pedestrian Facilities. Owner IN Dept of Transportation., Mishawaka, IN. Added travel lanes, bike, and pedestrian facilities on Gurnwood Rd from Brick Rd to Michigan State Line. Concrete curb, driveways, and sidewalk/bike paths, retention pond basin, storm sewer, I round about at Gurnwood & Adams Rds, streetscapes and landscaping. $4,463,899.63 Year Completed: 2015 Description: INDOT R3029 ' 1A, Gumwood Ph I Added Travel Lanes. Owner IN Dept of Transportation., Mishawaka IN. Added travel lanes from Mishawaka Corp limits to Candy Lane, Completed clearing of right of way, 39,203 cubic yards. 31,996 square yards of subgrade treatment, 1,686 ton of compacted aggregate no. 73, 27,572 ton QC/QA HMA, 260 square yards PCCP, 10,153 square yards concrete sidewalk, 15,207 linear feet concrete curb & gutter, 726 square yards - PCCP, 25,391 linear feet of sanitary/water main pipe, retention pond basin, water main, I round- about at Gurnwood & Brick Rds, streetscapes and landscaping $3,819,947.67 Year Completed: 2015 Description: INDOT R34218A, 12t' St. Added Travel Lanes. Owner IN Dept of Transportation, Mishawaka, IN. Added travel lanes on 12'h St from Capital Avenue to Blackberry Road. Completed clearing of right away, 23,366 cubic yards, 4,001 tons of compacted aggregate no. 53, 4,389 square yards of concrete sidewalk, 197 square yards of concrete curb ramp, 11,115 linear feet of concrete curb & gutter, 1,174 square yards of PCCP for approaches, 16,938 linear feet of storm pipe $3,707,799.63 Year Completed: 2015 Description: Fort Wayne Leo Cedarville I'D" RSD. Owner Leo Cedarville Regional Sewer District, Fort Wayne, IN. Replacement of the existing pump station with new wet wells, valve vaults, pumps, piping and control panels. $360,,427.69 Year Completed: 2015 Description: Howard Township Lift Station Upgrade Project. Owner: Howard Township, Niles, MI. Installed 6 Lift Stations, 10 Arborvitae and various appurtances. $130,415.00 Year Completed: 2014. Description: Jefferson Boulevard Streetscape / Main to Eddy Streets. Owner: City of South Bend, Indiana Department of Public Works. Construction of streetscape project, including approximately 5500 SY of asphalt, 2300 LF concrete curb, 2650 SY concrete sidewalk, 470 SY pervious pavers,, Storm sewer structures and 2250 LF storm sewer. Install and replace light pole assemblies, trees and various plants and signage. $1,603,688.00. Year Completed: 2014. PART 11 — SECTION I — EXPERIENCE QUESTIONNAIRE 2. Attach a listing of public works projects currently in process of construction by your organization. . ............... . . ..... Contract Amount Class of Work Expected Name and Address of Owner Completion Date k 1EA101rA Fall 2018 Ci!y of Elkhart (56 Winter 2018 Citv of Elkhart (58 8 Citv of South Bend (590 Fall 201 WIN . ............... $650.468 Water Main ..... Sp* 2019 ...... "n ...... . ........ Indiana -American Water (604) $158,500 Lift Station Svrin2 2019 LaGrange CRUD (607) ____$9,�A41.000 WW/Force Main Fall 2019 ..-.—.—..Steuben — Lakes RSD (6 10) $ . 1,836.231 WW Collection System Fall 2019 - LaPot-te County RSC (611) SECTION 11 - PLAN AND EQUIPMENT QUESTIONNAIRE 2. JSUBCONTRAcTORS LIST WORK PERFORMED: Bailey Aggregates Aggregate Trucking 12609 Indianapolis Rd Yoder, IN 46798-9733 Brusky Construction Aggregate Trucking 70569 Elizabeth St Niles, MI 49120 V & R Trucking Aggregate Trucking 1845 Elmer St South Bend, IN46628 Niblock Excavating, Inc. Asphalt Construction PO Box 211 Bristol, IN 46507 Rieth-Riley Construction Co., Inc. Asphalt Construction PO Box 477 Goshen, IN 46527-0477 Walsh & Kelly, Inc. Asphalt Construction 1700 E. Main St. Griffith, IN 46319-2999 Michigan Paving & Materials Co. Asphalt Construction 2300 Gendenning Kalamazoo, MI 49003 Baker Corporation ByPass Pump Rental 2205 E. Lincoln Hwy Chicago, IL 60411 Concrete Sawing & Coring, LLC Concrete Coring Cutting PO Box 907 Niles, MI 49120 Abonmarche Consultants, LLC. Construction Engineering 750 Lincolnway East South Bend, IN 46601 SUBCONTRACTOR LIST WORK PERFORMED Acorn Landscaping, LLC Landscape/Restoration 24930 Kern Rd. South Bend, IN 46614-9787 Fuerbringer Landscaping & Design, Inc. Landscape/Restoration 25530 Brick Road South Bend, IN 46628 Slussers Green Thumb, Inc. Landscape/Restoration PO Box 33 Logansport, IN 46947-0033 Turf Services Landscape/Restoration 57780 Sink Road Dowagiac, MI 49047 Ferguson Waterworks # 1934 Lift Station Installation 1077 Oliver Plow Ct South Bend, IN 46601 Best Sweeping Specialists, Inc. Road Sweeping/Dust Control 632 S. Sixth Street Goshen IN 46526 A-1 Striping Service, Inc. Road Striping 56825 Spirea Rd. New Carlisle, IN 46552 The Airmarking Co., Inc. Road Striping 1544 North State Road 25 Rochester, IN 46975 Michiana Contracting, Inc. Traffic Signal Work PO Box 929 Plymouth, IN 46563 Rathco Traffic Control 6742 Lovers Lane Portage, MI 49002 Give 'Em A Brake Traffic Control 2610 Sanford Ave Grandville, MI 49418 3 "Attachment 4. List references of private firms for which you have performed work. Environmental Restoration 1668 Fabrick Drive St. Louis, MO 63026 Siemens Medical Solutions Diagnostics Mr. Tom Lienczewski 3400 Middlebury Street Elkhart, IN 46516 South Bend Orthopedics Elm Road Medical Campus 53880 Carmichael Drive South Bend, IN 46635 Brandywine Community Schools John H. Jarpe, Ed. D., Superintendent 1830 S. Third Street Niles, MI 49120 Gateway Development Mr. Dan Brekke 56199 Parkway Ave., Suite I Elkhart, IN 46516 Palisades Park Country Club 79336 Ravine Way Covert, MI 49043 Jimmerson Shores Cooperative 4508 Denali Cove Ft. Wayne, IN 46845 Remington Park Subdivision Wagner Land Development 3325 Middlebury Elkhart, IN 46516 Augustine Lakes Subdivision c/o Miller Builders PO Box 229 Granger, IN 41530 Geocel Holding Corporation PO Box 398 Elkhart, IN 46516 AM General Rolland Miller 13200 McKinley Highway Mishawaka, IN 46545 Noble Americas South Bend Ethanol 3201 W. Calvert Street South Bend, IN 46613 Dometic Corporation Glenn Kimmerly 509 S. Poplar Street LaGrange, IN 46761 Notre Dame Federal Credit Union Bob Green PO Box 7818 Notre Dame, IN 46556 Arbor Lakes Apartments Edward Rose Development 6100 Newport Rd Kalamazoo, ml 49003 Chicago Trail Farms Robert L. Runkle 27551 US 12 Edwarclsburg, MI 49112 Flaherty & Collins Art Smith One Indiana Square, Suite 3000 Indianapolis, IN 46204 Aeroplex FM Stone Real Estate 421 S. Second St. Elkhart, IN 46516 ENGINEERING REFERENCES Selge Construction Rich Zielinski 317-547-5580 American Structurepoint 7260 Shadeland Station, Suite 100 Indianapolis, IN 46256 Jeremy Roschyk 574-288-4580 Donahue & Associates 100 N. Michigan, Ste 510 South Bend, IN 46601 Andy Lemberis 574-236-4400 DLZ Indiana, LLC 2211 East Jefferson Blvd. South Bend, IN 46615 Paul Hummel 574-234-3167 Lawson Fisher Associates, P.C. 525 West Washington Avenue South Bend, IN 46601 John Olsen 269-428-4424 Merritt Engineering, Inc. 4568 Red Arrow Highway Stevensville, MI 49127 Rick Keller 574-272-3525 Keller Engineering, Inc. 54365 30th Street South Bend, IN 46635 Kenneth Jones 574-293-7762 Jones, Petrie, Rafinski, Inc. 200 Nibco Parkway Dr Elkhart, IN 46516 Matt Davis 269-927-0100 Wightman and Associates, Inc, 2303 Pipestone Road Benton Harbor, Ml 49022 Jason Durr 574-282-8001 Christopher B. Burke Engineering, LLC 220 West Colfax Avenue, Suite 500 South Bend, IN 46601 John Linn 574-232-8700 Abonmarche Consultants of IN, Inc. 750 Lincolnway East South Bend, IN 46601 David Harvey Fleis & Vanderbrink Engineering, Inc. 2960 Lucerne Drive, S.E. Grand Rapids, MI 49546 Selge Construction Co., Inc. SECTION 11 - PLAN AND EQUIPMENT QUESTIONNAIRE 4. What equipment do you have available to use for the proposed project? QUANTITY DESCRIPTION AND CAPACITY OF ITEMS YEAR 1 CATERPILLAR HYD. EXCAVATOR MODEL 325L 1994 1 CATERPILLAR HYD EXCAVATOR MODEL 330L 3CY 1994 1 KOEHRING 6644 HYD. EXCAVATOR 3 1/2 YD, 1988 1 KOEHRING 866 HYD. BACK HOE 4 YD, 1979 2 KOEHRING 505 HYD. BACK HOE 2 1/2 YD� 1969&70 1 BANTAM TRUCK CRANE 1 JOHN DEERE 455G CRAWLER LOADER 1989 3 RUBBER TIRE LOADERS 2 1/2 TO 5 YD. MACHINES 1 JOHN DEERE 544 RUBBER TIRE LOADERS 1990 1 JOHN DEERE 624G LOADER 3 1/2 YD, 1994 1 JOHN DEERE 570A ROAD GRADER 1980 1 INTERNATIONAL T.D. DOZER 1972 1 CATERPILLAR D5C DOZER 1992 1 CATERPILLAR D4C DOZER SERIES 3 1979 1 FORD F800 UTILITY TRAILER WITH HI RANGER 1985 1 MACK CL713 DUMP TRUCK 1996 1 MACK CL713 TRACTOR 1997 1 FERGUSON TANDEM DRUM VIBRATOR ROLLER 1979 1 FORD TRACTOR MODEL LN 8000 1993 1 MACK RD68 TRACTOR 1996 1 FORD F800 DUMP TRUCK 1998 1 MACK DUMP TRUCK MODEL GU813 2015 PAGE 3 - SECTION 11, PLAN AND EQUIPMENT QUESTIONNAIRE QUANTITY DESCRIPTION AND CAPACITY OF ITEMS YEAR 1 NPK 8XA HYDRAULIC HAMMER 1998 1 EX750 - HITACHI EXCAVATOR 1998 1 FELCO VIBRATORY COMPACTOR BUCKET 1998 1 JCB 411 TOOL CARRIER, WITH FORKS 1998 1 DITCH WITCH JET TRAC MODEL 920L W/ MUD MIXER, SUBSI 1999 1 ROSCO RB48 SWEEPER, WITH SNOW PLOW 1999 1 STERLING L8513 DUMP TRUCK 1999 1 920L DITCH WITCH DIRECTION BORE SYSTEM 1999 1 FREIGHTLINER FL80 DUMP TRUCK 2000 1 FREIGHTLINER FL1 12 DUMP TRUCK 2000 1 PMD 800 VAC-TRON VACUUM 2000 1 VERMEER T-555 TRACK TRENCHER 2000 1 DITCH WITCH JT7020 BORING UNIT 2000 1 MCS-325 PORTABLE BENTONITE MIXING & RECYCLING SYS- 2000 1 VOLVO L70D WHEEL LOADER 2000 1 CATERPILLAR 930 WHEEL LOADER 2000 1 KOMATSU WA250-3 WHEEL LOADER 2001 1 KOMATSU WA120-3 WHEEL LOADER 2001 1 EASI-POUR COMPACT 880 SLIPFORM TRIMMER/PAVER 2001 INCLUDES FORMS AND CONCRETE TOOLS 1 KOMATSU PC128US -2 006487 EXCAVATOR 2001 1 KOMATSU PC228US LC-3 020533 EXCAVATOR 2001 1 BLAW-KNOX RW 195 ROAD WIDNER 1970 1 CHAMPION 730A VHP MOTOR GRADER 1999 1 BOBCAT SKID STEER LOADER, MODEL 773K 2001 1 TREMIX COMPACTOR MODEL MV80 2001 PAGE 5 - SECTION 11, PLAN AND EQUIPMENT QUESTIONNAIRE QUANTITY DESCRIPTION AND CAPACITY OF ITEMS YEAR 2 DITCH WITCH VAC SYSTEM WfTRAILER 2006 1 ROADTEC RX700-4 MILLING MACHINE 2006 1 IHI IC30-2 CRAWLER CARRIER 2006 1 JOHN DEERE 450D EXCAVATOR 2006 1 INTERNATIONAL 4900 6 X 6 WATER TRUCK 1998 1 CATERPILLAR 328D EXCAVATOR 2007 1 CATERPILLAR 321CLCR EXCAVATOR 2007 1 CATERPILLAR 314 CLCR EXCAVATOR 2007 1 YANMAR V1075 EXCAVATOR 2008 1 MR MANHOLE CUTTER EXTRACTOR & AUGER 2008 1 INGERSOLL RAND VIBRATORY COMPACTOR SD100D 2008 1 12" - 36" BUTT FUSION MACHINE 2009 1 VERMEER D100 X 120 NAVIGATOR W. ATTACHMENTS 2009 1 CATERPILLAR CH 85E TRACTOR 2010 2 ROME SCRAPER PANS 2010 1 KOMATSU PC49OLC-10 EXCAVATOR 2012 1 KOMATSU PC39OLC-10 EXCAVATOR 2012 1 JOHN DEERE 700K DOZER 2012 1 JOHN DEERE 650K DOZER 2012 3 JOHN DEERE 544K LOADERS 2012 2 MOVAX-SP60 HAMMERS 2013 1 ISCO FUSION MACHINE 2014 2 JOHN DEERE 245 LC EXCAVATOR 2014 1 JOHN DEERE 544K 4WD LOADER 2014 3 1. What public works projects has your organization completed for the period of five (5) years prior to the date of the current bid? CONTRACT WHEN NAME AND ADDRESS AMOUNT CLASS OF WORK COMPLETED . . ................. . . .. OF OWNER $1,490,854,00 WATER MAIN 2016 CITY OF MISHAWAKA / 600 E 3RD ST., MISHAWAKA, IN 46545 - 574-258-1618 $257,71800 CURB & SIDEWALK RENOVATIONS 2016 CITY OF SOUTH BEND / 227 W. JEFFERSON BLVD, SOUTH BEND, IN 46601 -574-235-9216 $257,718.00 SEWER CLEANOUT 2016 CITY OF WARSAW / PO BOX 817, WARSAW, IN 46581 - 574-372-9545+ $1,218,351,00 FORCE MAIN IMPROVEMENTS 2016 SYRACUSE TURKEY CREEK RSD FORCE MAIN $611,106.00 WASTEWATER LIFT STATION 2016 CITY OF GOSHEN, 220 S. MAIN ST., GOSHEN, IN $53,525.00 PARKING LOT IMPROVEMENTS 2016 CITY OF GOSHEN, 220 S. MAIN ST., GOSHEN, IN $1,818,027.95 STORM SEWER SYSTEM IMPROVEMENTS 2016 SOUTH BEND NOBLE AMERICAS ETHANOL PLANT $131,55000 LIFT STATION RENOVATION 2016 VILLAGE OF CASSOPOLIS 1 117 S, BROADWAY, CASSOPOLIS. MI 49031 $510,690,00 WASTEWATER TREATMENT LAGOON 2016 DOWAGIAC POKAGON BAND RODGERS LAKE $64,000,00 ADA RAMP INSTALLATION 2016 CITY OF GOSHEN, 220 S MAIN ST., GOSHEN, IN $72,410.00 ACCESS ROADWAY IMPROVEMENTS 2016 CITY OF SOUTH BEND 227 W. JEFFERSON BLVD., SOUTH BEND. IN 46601 -574-235-9216 $15,660.00 ACCESS ROADWAY IMPROVEMENTS 2016 CITY OF SOUTH BEND 227 W JEFFERSON BLVD, SOUTH BEND, IN 46601 -574-235-9216 $161,100,00 SANITARY SEWER POND REPAIR 2016 SOUTH BEND NOBLE AMERICAS ETHANOL PLANT - UPV $137,695.00 STORM SEWER IMPROVEMENTS 2016 SOUTH BEND PRECISION WALL SYSTEMS STORM SEWER & LOT $365,881.00 SANITARY SEWER IMPROVEMENTS 2016 SOUTH BEND ETHANOL SANITARY SEWER $80,000.00 SNOW PLOWING 2016 SOUTH BEND / MISHAWAKA MEIJER STORE SNOW PLOWING $96.694.00 NORTH AREA SITE IMPROVEMENTS 2016 LAGRANGE DOMETIC III $92,81500 SEWER IMPROVEMENTS 2016 NILES 2016 SEWER IMPROVEMENTS $62.590.00 MANHOLE REPAIRS 2016 NILES TWP MANHOLE REPAIRS, BELL ROAD, NILES MI 49120 $167,850,00 SANITARY SEWER IMPROVEMENTS 2016 SOUTH BEND I/N TEK I/N KOTE SANITARY SEWER $14,435.00 ADA PARKING LOT IMPROVEMENTS 2016 CITY OF SOUTH BEND / 227 W, JEFFERSON BLVD., SOUTH BEND, IN 46601 -574-235-9216 $143,73000 CONCRETE APRON EXPANSION 2016 ELKHART INDIANA FLIGHT CENTER $299,880.29 SIDEWALK PROJECT 2016 TOWN OF MIDDLEBURY / 418N MAIN, MIDDLEBURY, IN /574-825-1499 $166,333.00 LOT DRAINAGE/EROSION PROTECTION 2016 SOUTH BEND ST. PAUL'S ASSISTED LIVING CENTER PARKING LOT $100,970.00 WATER VALVE REPLACEMENT 2016 MISHAWAKA BODINE STATE PARK FISH HATCHERY $55,000.00 PARKING LOT IMPROVEMENTS 2017 CITY OF SOUTH BEND / 227 W. JEFFERSON BLVD,, SOUTH BEND, IN 46601 -574-235-9216 $2,071.944,00 WASTEWATER COLLECTION SYSTEM 2017 TOWN OF NORTH WEBSTER, PO BOX 95, NO. WEBSTER, IN 46555 $635.773,00 ROAD AND SIDEWALK 2017 CITY OF STURGIS, 130 N. NOTTAWA ST,, STURGIS, MI 49091 $362,165.00 WTP BACKWASH PUMP STATION 2017 TOWN OF MIDDLEBURY, 418 N. MAIN ST., MIDDLEBURY, IN 46540 $126,000.00 SEWER AND PARKING LOT REPAIR 2017 SOUTH BEND CLINIC, 211 N, EDDY ST., SOUTH BEND, IN $1.652,481.00 LIFT STATION & FORCEMAIN 2017 VILLAGE OF PAW PAW, 111 E MICHIGAN, PAW PAW, MI 49079 $4,655,327.00 SANITARY & WATER IMPROVEMENTS 2017 TOWN OF NEW CARLISLE/ PO BOX 6, NEW CARLISLE, IN 46552 / 574-654-3733 $981.453.00 LINDEN LTCP PHASE 11 2017 CITY OF MISHAWAKA / 600 E 3RD ST., MISHAWAKA, IN 46545 - 574-258-1618 $62,785.00 FORCEMAiN 2017 CITY OF ELKHART / 229 S, 2ND ST-, ELKHART, IN 46516 574-294-5471 $8,434,889 00 SOLAR POWER INSTALLATION 2017 SPARVAN PVVINOVATEUS SOLAR / MICHIGAN STATE UNIVERSITY $197.24000 OSBORNE STORM WATER PUMP STATION 2017 CITY OF WARSAW / PO BOX 817, WARSAW, IN 46581 - 574-372-9545+ $2,860,242 00 WESTERN AVE STREET/SIDEWALK 2017 CITY OF SOUTH BEND / 227 W. JEFFERSON BLVD., SOUTH BEND, IN 46601 -574-235-9216 $23,865.00 ADA RR PARKING LOT AND WALKS 2017 CITY OF ELKHART / 229 S. 2ND ST., ELKHART, IN 46516 574-294-5471 $1,316,160.00 WW COLLECTION SYSTEM 2017 VILLAGE OF CASSOPOLIS / 117 S BROADWAY, CASSOPOLIS, MI 49031 $1,273,288,00 DRAIN / CREEK 2017 NEW BUFFALO TWP/ 17655 CLAY ST.. NEW BUFFALO. MI 49117