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Opening of Bids - Three Twenty at the Cascade Site Utilities Project No 118-074D - Indiana Earth Inc
CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Project No. For Bids Due Three Twenty at the Cascade — Site Utilities 118-074 D November 21, 2018 PART I (Must be completed for all bids. Please type or print) Bidder Date: (Firm): Address: Li al e,k,;,, to J nl vt, G n ey 06.441 At__ Cit /State/Zi / "' Y p�� ��.c.� . � n �' _�� Telpho a Number: Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: the City of South Bend, Indiana, in accordance with plans and specifications prepared by: P/ ,w �" .16- , 11 V . $ and dated / for he sum of (enter the Total Bid as shown on the Proposal) (Enter sum of Tota Base "14.7 (Numerical) Axyj da The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South BerVe bid is to be awarded on a unit basis, the itemization of the units shall be shown oq a4 aAe ach t. By (Printed Name of Persor)(Signing) ACCEPTANCE The above bid is accepted this day of 20 Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Suzanna M. Fritzberg, Member Elizabeth A. Maradik, Member Therese J. Dorau, Member James A. Mueller, Member Attest: Linda M. Martin, Clerk Version 7/20/2018 Contractor's Bid for Public Works - 2 BID/PROPOSAL��� CITY OF SOUTH BEND�� Project Name: Three Twenty at the Cascade — Site Utilities Project Number: 118-074 D- For Bids Due: December 11, 2018 , Contractor Name: Item No. Description Quantity Unit Unit Price Total Amount 1 6" CL 50 DIP installed w/ all fittings and valves complete 265 LF $ 97 00 $ a S 7b5; oc7, 2 4" CL 51 DIP installed w/ all fittings and valves complete 15' LF $ $ �" 5 , 3r�.cb Fire hydrant assembly w/ valve, 3 lead, box and all fittings installed 1 Ea. $ $ completei%.o,� , �0 1" corporation stop and 5 LF 1" 4 Type K copper tube and all fittings 2 Ea. $ J $ ��Q complete 2" corporation stop and 8 LF 2" 5 Type K copper tube and all fittings 1 Ea. $ vc�C7.Uij $ &)o (� complete 6 Tap Fees 1 Ea. $ �, 71JU.Lz:; $ oi7vpU� Licensed Plumber test all fittings, 7 piping and valves per details and 1 Ea. $ r $ lj SB Bldg, Dept. re uirements 8 Maintenance of Traffic for Site Water Service work 1 Ea. $ 1000,U0 $ 000, co Item 131 on Plan C303: sawcut 9 and remove (13) SY+/- of 6" 4.5 Tons $ % 54. $ 7 0,2, 00 concrete pavement 10 Item B2 on Plan C303: a. Sawcut and remove (30) SY+/- of 6" concrete approach 10 Tons $ %U $ 700. ci d b. Replace (30) SY+/- of 6" concrete approach 5 CY o $ , d� $ 4,0 � . SY+/, of move and replace ( ) concrete sidewalk 90 SF Z $ V 8•U D $ d. Sawcut, remove and replace (30) LF of 24" wide concrete curb 30 LF $ 90, �� $ a ?aa & utter at Colfax Ave. e. Remove and replace brick pavers with aggregate base to 20 SF $ 3(p�+ $ ?, 3bQ. match existin 11 Item C on Plan C303: a. Sawcut and remove (16) SY+/- asphalt pavement at Colfax Ave. 8 Tons $ /L940. $(� (ya), Version 7/20/2018 Contractor's Bid for Public Works - 7 BID/PROPOSAL,�;�� CITY OF SOUTH BEND,r Project Name: Three Twenty at the Cascade — Site Utilities 54 Project Number: 118-074 D�'�' For Bids Due: December 11, 2018 Contractor Name: 4 b. Install (16) SY+/- temporary patch for asphalt pavement at Colfax Ave.: 1) 10" #53 RCP Base 9 Tons $ 2) 8" Grade "A" Concrete 4 CY $ $ %UO,OO c. Sawcut and remove (16) SY+/- of 8" temporary concrete patch at 7.2 Tons $ alp- $ .� 7ci�. Dp Colfax Ave. d. Replace temporary concrete patch at Colfax Ave. with full - depth asphaltpavement: base #53 A-C_ Aggregate Sub- 5 Tons $ UO $ 2) 8" Type-ll HMA Base 7 Tons $ $ 701. 0 3) 2.5" Type II HMA Leveling 2.5 Tons $ 141fu,,)j $ J(v, ,j, r4)1.5" Type II,HMA Surface 1.6 Tons $ �a USX%, ca $ 1 , dOD, 00 Item D1 on Plan C303:'sawcut 12 and remove (238) SY+/- asphalt 40 Tons $ 3d . $ Ste. OCC� avement at Gintz Dr. Item D2 on Plan C303: replace 13 (275) SY+/- asphalt pavement at Gintz Dr.: 1) 6" #53 RCP Base 90 Tons $ 85 a-) $ 714SD,b 2) 4" Grade "A" Concrete 30- CY $ I)ao 00 $ (0' "O DIVISION A TOTAL $ l 1/6. 00 Version 7/20/2018 Contractor's Bid for Public Works - 8 BID/PROPOSAL��.;, CITY OF SOUTH BEND"' ` Project Name: Three Twenty at the Cascade — Site Utilities' Project Number: 118-074 D �^ For Bids Due: December 11, 2018 rn 4 ,y. Contractor Name: Item No. Description Quanti Enit Unit Price Total Amount 1 8" PVC SDR 35 pipe w/ all fittings installed complete 182 LF $ Sb.�� $ �, `00, OD 2 6" PVC SDR pipe w/ all fittings installed complete 25 LF $ $ Sanitary manhole WW-1 and 3 casting per details installed 1 Ea. $ �� $ comma _ W 1,500-gallon grease interceptorw/ 4 riser and castings installed 1 Ea. complete 5 6" cleanouts per details 2 Ea. $ /00 6 4" cleanout per details 1 Ea. $ qap, $ 9c�, ca 7 Core and boot existing manhole 1 Ea. $ I )COC,, ®o $ 11 9 for Site Sanitary Final Sewer 1 Ea. $ r' a� O,Op $ /' 00 10 Maintenance of Traffic for Site Sanitary Sewer'lvork 1 Ea. $ �, $ 11 Item A on Plan C303: a. Sawcut and remove (177) SY+/- asphalt pavement at 30 Tons $ �� $ ��J'so, Uo —Stephenson Mills S. Parking area b. Replace (177) SY+/- asphalt pavement at Stephenson Mills S. Parkin area: 1) 6" #53 RCP Base 60 Tons $ gS oo $ J/co, a'C9 2) 2.5" Type II HMA Leveling 25 Tons do $ soo. aD 3) 1.5" Type II HMA Surface 15 Tons $ 5,5-jo z c. Sawcut, remove and replace LF 20 LF $ �851 d? $ (20) of concrete curb & gutter DIVISION B TOTAL $ �; % Cka - 00 1 Version 7/20/2018 Contractor's Bid for Public Works - 9 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Three Twenty at the Cascade — Site Utilities Project Number: 118-074 D For Bids Due: December 11, 2018 Contractor Name: DIVISION C — SITE STORM SEWER Item No. Description Quanti Unit Unit Price Total Amount 1 24" perforated HDPE pipe w/ all fittings installed 58 LF $ L f 7. oo $ Q /-7alG. 2 ..._...... 12" SDR-26 PVC pipe w/ all fittings installed complete ......_ 15 .......... LF _. $ /34),00 $ / I gSaiC, 3 12" HDPE-SL pipe w/ all fittings installed complete 32 LF ........ $�� ...___ $ C Cd.dD 4 w/ all fittings installed comp 10 LF $ %w0 $ 700.00 complete 5 6" PVC pipe w/ all fittings installed 37 LF $ tj .Up $ complete 6 Storm Water Structures per Plans: a. Drywell DW-1 installed per Schedule complete 1 Ea. q $ o)J%0.00 $ Ste. b. Drywell DW-2 installed per Schedule complete _...... ......._. 1 Ea. $ a��, c $ c. Drywell DW-3 installed per 1 _. Ea. $ $ Schedule complete d. Drywell DW-4 installed per Schedule complete 1 Ea. $ a, ?v�, $ a, eel, e. Drywell DW-5 installed per Schedule complete 1 Ea. $ G� �, $ 6� �O, f. Drywell DW-6 installed per Schedule complete 1 Ea. $ ,UCo, U0 $ a J 030, co g. Catch Basin CB-8 installed per Schedule complete 1 Ea. $ oZ �� .03 $ o� p� , Ob h. Catch Basin CB-10 installed Schedule 1 Ea $ a� �D®,� $ per complete j. Manhole MH-8A installed per 1 Ea. $ a, r $ Schedule complete 14' wide French drain system w/ 7 fabric and stone per details 1 Ea. $ 3(0 $ 3�i complete ,� 8 Maintenance of Traffic for Site Storm Sewer work 1 Ea. $ ,,ice, U3 $ 10 Sawcut and remove (20) SY+/- 9 asphalt pavement for Storm Sewer Catch Basin work at Gintz 20 Tons $ a 51. Elp $ Dr. Version"7/20/2018 Contractor's Bid for Public Works - 10 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Three Twenty at the Cascade — Site Utilities Project Number: 118-074 D For Bids Due: December 11, 2018 Contractor Name: -, Replace (20) SY+/- asphalt 10 pavement for Storm Sewer Catch Basin work at Gintz Dr.: a. 6" #53 RCP Base 15 Tons $ S-OD $ %AS•flo b. 2.5" Type II HMA Leveling 4 Tons $ D $ ri goo,or� c. 1.5" Type II HMA Surface 2 Tons $ 0'-5-0,00 $ DIVISION C TOTAL $ r Version 7/20/2018 Contractor's Bid for Public Works - 11 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Three Twenty at the Cascade - Site Utilities Project Number: 118-074 D For Bids Due: December 11, 2018 Contractor Name: "f- ;.tom THE CONTRACTOR IS REQUIRED TO BID ALL ITEMS FOR DIVISIONS A, B & C. DIVISION A TOTAL DIVISION B TOTAL DIVISION C TOTAL TOTAL FOR DIVISIONS A, B & C Bidder (Firm): zn " _ c+/ Address: `J 3� /) . ,, " m 2" Cit /State/Zi f y p. GR�/„ Z/1��,r.sr Telephone Number: By (SY�ue) le (Printed Name of Person Signing) Version 7/20/2018 Contractor's Bid for Public Works - 12 When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF T r ) 3 �l� e ) SS: COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. 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. 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. Version 7/20/2018 Contractor's Bid for Public Works - 4 Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint ventures awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. 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). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder may result in forfeiture of contractual payments. Version 7/20/2018 Contractor's Bid for Public Works - 5 I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this day of, 20l ?� "S IA w"aW' 1X Contrac . ignature o . Conts actor/ffi( r or Its Agent Printed Name and Title Subscribed and sworn to before me this day of mm ., , 20 My Commission Expires.w- otary Public County of Residence Version 7/20/2018 Contractor's Bid for Public Works - 6 1316 COON-€Y-Crry BLULD 227W. JEFFERsoN BOULEVARD C11uBEND, INDI o46601-1830 01J1 Pl z NIONF 5741235-9251 FAX 5741235-9171 TDD 574/235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD PUBLIC Date: November 6 2018 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Three Twenty at the Cascade — Site Utilities Project Number: 118-074 D Date Received: I 10 -- 4 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: % " /0 - / Version 4/2/2015 NIONF 5741235-9251 FAX 5741235-9171 TDD 574/235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD PUBLIC Date: November 6 2018 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Three Twenty at the Cascade — Site Utilities Project Number: 118-074 D Date Received: I 10 -- 4 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: % " /0 - / Version 4/2/2015 1316 Coo-CmCouwy-Cm BuI G rr n� W PHONE 574/235-9251 227 W. JLIFFERSON BOULEVARD FAX 574/ 235-9171 Sotnu BEND, INDIANA 46601-1830 � ��� � T DD 574/ 235m5567 CITYOFSOUTHBENDTF % F BOARD OF PUBLIC WORKS Date: November 16 2018 To: All Plan Holders From Linda M. Martin Clerk, Board of Public Works Subject Addendum Number: 2 Project Name: Three Twenty at the Cascade — Site Utilities Project Number: 118-074 D Date Received: 1 —to - !P 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 oferei11. Company: Authorized Signature: Date: `OL—/v _/ Version 4/2/2015 12 1316 COUNTY -CITY Ei EI€.a ING 227 W. JE FFERSON BOULIWARD Sc uni BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAX 574/ 235-9171 'IDD 574/ 235-5567 CITY OF SouSouTH BEND PETE BUMGIEG,MAYOR BOARD OF U BLIC Date: November 20.2018 ........................ o: All Plan Holders From Linda M. Martin Clerk Board of Public Works Subject Addendum Number: 3 Project Name: Three Twenty at the Cascade — Site Utilities Project Number: 118-074 D 111111q� III Date Received: This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: ---tn J4,. Authorized Signature: Date: Version 4/2/2015 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 BOARDOF PUBLIC WORKS Date: December 5, 2018 ........ To: All Plan Holders From Linda M. Martina Clerk, Board of Public Works Subject Addendum Number: 4 Project Name: Three Twenty at the Cascade - Site Utilities Project Number: 118-074 D ACI NOWLEDGE :ENT OF RECEIPT OF ADDENDUM Date Received: —`c� - 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 MUS°'I'" 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: /.--to— Version 4/2/2015 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 BARD OF PUBLIC WORKS Date: December 7, 2018 ........�. To: All Plan Holders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 5 Project Name: Three Twenty at the Cascade — Site Utilities Project Number: 118-074 D ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: Id- i w " 1 d> 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 MUSTalso 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 hSrin. Company: _�r n Authorized Signature: Date: at1 /',> U Version 4/2/2015 0 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 BENI) PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: December 7, 2018 To: All Plan Holders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 6 ....... .. Project Name: Three Twenty at the Cascade — Site Utilities Project Number: 118-074 D ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: d--(J— 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 hreil.. Company: Authorized Signature: Date: Version 4/2/2015 _/0111 NA 0101 li A oc e t A310T"" _ 2010 CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal slants and principal place Indiana Earth, Inc. of business) North American Specialty Insurance Compa 10343 McKinley Highway 650 Elm Street his document has important legal t Osceola, IN 46561 Manchester, 03101 consequences. Consultation with OWNER: an attorney is encouraged with (Aame, legal stants and address) respect to its completion or City of South Bend modification. 227 West Jefferson Boulevard Any singular reference to South Bend, IN 46601 Contractor, Surety, Owner or BOND AMOUNT: ***FIVE PERCENT OF AMOUNT BID*** other party shall be considered plural where applicable. PROJECT: ame, location oraar°Irhvss„ and Pro�'ec�t number, if any) hree Twenty at The Cascade - Utillty Installation The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to "=tply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflictin with said statutory or legal requirement shall be deemed deleted herefrom and provisions conA)r "i1g, to such stat oty or other legal requirement shall be deemed incorporated herein. When so furnished, the ent is that this ndl shall be construed as a statutory bond and not as a common law bond. Signed all sealed th" ° 7th day of November 201,8 Indiana t� , " m., l nd a�s (Seal) N/Ilk(O�rtteAmmerlcan S olq(lty Insurance Comaany ivv .. . rdne"sslJ — e.1 Thomas O. Chambers, Attorney in Fact AIA Document A3101 — 2010. Copyright® 1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This AIA, Init, Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright@aia.org. 051110 SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Overland Park, Kansas, and Washington International Insurance Company, a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Overland Park, Kansas, each does hereby make, constitute and appoint: _ THOMAS 0. CHAMBERS, TODD SCHAAP and KIMBERLY S. RASCH JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9 h of May, 2012: "RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attomey or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." S L 1Steven p'.Aiwlt4r#opw, Sarudar Vice Prerldrat of twmlelsugamu rxi rc¢aat9rgmaip lnauroacc Company car" ,tj'EALfi% 1t173 & Senior Vice President of Narth American Specially Insurance Company rfy r� w yr411P:j �iurtttr�u�"�`� Michael A. IBIo u" `Rw i� t"76r d"""'r�" i1r"ra� t�4 ag an n usnaf aaa olatnbmtar onnpgaay & Senior Vice President orNorth American Specialty Insurance Company IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 1 I th day of April 2018 . North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook SS: On this 1Ith day of April 2018 before me, a Notary Public personally appeared rave I P. -,Ande ;gl,,,ww, Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Pv�iclta0 A , lta, Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. ECtFFMAM1t StAi. ht. KERRY , Notary Putgio - Swc ratl minw My Comttnluioo blrire s 1=42dar M. Kenny, Notary Public I, J ffrev Qoldberg . the duly elected AMistantSe zeta North American Specialty Insurance Company and Washington International Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this27th day of November , 2018 Jeffrey Goldberg, Vice President & Assistmd Secretary of Washington International Insumnee Company & Nodh American Specially Insurance Company IV STATE OF WISCONSIN ) COUNTY OF Racine ) ON THIS 27th day of November � 2018 , before me, a notary public, within and for said County and State, personally appeared Thomas O. Chambers to me personally known, who being duly sworn, upon oath did say that he is the Attorney -in -Fact of and for the North American Special Insurance Company a corporation of New Hampshire created, organized and existing under and by virtue of the laws of the State of New Hampshire ; that the corporate seal affixed to the foregoing within instrument is the seal of the said Company; that the seal was affixed and the said instrument was executed by authority of its Board of Directors; and the said Thomas O. Chambers did acknowledge that he/she executed the said instrument as the free act and deed of said Company. au Jacicl Sheldon Notary Public, Racine County, Wisconsin My Commission Expires 4/13/2019 ",j" j t: 16 CouNTY-C.rry BUILDING 227 W. JE,F m-soN BOULEvARD Id BFND., INDIANA 46601-1830 CITY OFSOUTH BEND -PETE BUTrIGIEG, MAYOR BOARD OF Pubtic WORKS October 2, 2018 Mr. Keith Stevens Indiana Earth, Inc. 10343 McKinley Hwy. Osceola, IN 46561 RE: Pre -Qualification Verification Dear Mr. Stevens: This letter serves as verification Of Pre -Qualification status of your company for bidding with the City of South f Bend. This Pre -Qualification status is: effective for twelve (12) months rom the date of this letter. Thereafter you axe; required to re -submit a complete application for continuation of pre-quacation Status prior to December 3 1 for the upcoming calendar year. A copy Of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments. If you have any further questions regarding this matter, please call this office at (574) 23 5-925 1. Sincerely, Clz_� "*� . . .......... . . Linda M. Martin, Clerk GARY A. GILOT DAVID P. RELOS ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAu CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Three Twenty at the Cascade - Site Utilities Project No. 118-074 D For Bids Due November 21, 2018 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. / Proper bid security included. The bidder has the option of providing either a Certified Check V or Bid Bond. VX Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted Form [MWBE-2.1]. Acknowledge Receipt of "C Addendum(s) included with the bid. All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either -6Z- printed or typed underneath signature. This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Z ',1 0 a ,4 4 .01 7 el Date ��- /� •-/�' By Authorized Representative: Signature: ✓ //- Print Name & Title. Version 7/20/2018 Contractor's Bid for Public Works - 1 PART II (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his/her/its bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 7/20/2018 Contractor's Bid for Public Works - 3 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID F R PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Three Twenty at the Cascade — Site Utilities Project No. 118-074 D ................................................. For Bids Due November 21, 2018 Contractor Name: J'L b The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements in compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. INSTRUCTIONS: If you are a pre -qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section II only. Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") by December 31 s' for the upcoming calendar year, or within twelve (12) months of obtaining pre - qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal of the designation, effective January 1 of the following year, or immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 7/20/2018 General Conditions - 6 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder and all subcontractors on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the information provided by the contractor. Version 7/20/2018 General Conditions - 7 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowled,g ments: (i) By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter is attached. (ii) _ By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (b) Attachments: (i) Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. (iii) Evidence that I am utilizing a surety company which is on the United States Department of Treasury's Listing of Approved Sureties as required in the bid specifications or contract. (iv) List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. Version 7/20/2018 General Conditions - 8 PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) _ By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) _ By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. (iii) _ By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at 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: (i) _ Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). List identifying all former business names. (iii) Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. (iv) Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (vi) Evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. (vii) Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. (viii) — Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. Version 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: -- / (Sign Here) A, k- (Print Name Here) 't (Name of Company) (Address of Company) (City) -Tn (State) (Telephone Number) Version 7/20/2018 General Conditions - 10 4 Indiana Earth has the crew and staff to complete this project. Those that work on this project will be employees of Indiana Earth or of a hired subcontractor which are under all applicable state and federal laws and local ordinances. Apprentice programs are managed through operator and labor unions that we are signatory with. Drug testing is accomplished through the unions of operators, laborers and teamsters, for our employees. Indiana Earths surety company is approved. Projects similar to this one. o Indiana Department of Corrections o County Road 38 o Nappanee Waste Water Treatment Plant o St Marys College o' Northwood High School o Warsaw High School o Laporte Intermediate School o Concord High school o Penn High School o Portage, IN Police Station o Discount Tire of Warsaw o Pierston School o Bell Tire of South Bend o Bell Tire of Mishawaka o B and B manufacturing o Central Park in Mishawaka 10343 McKinley Hwy, a Osceola, IN 46561 e (574) 674-6488 o FAX (574) 674-6480 BUSINESS INFORMATION CONNIE LAWSON 1NDIANA sFrRFTARY OF" S'l wrii e Q9I2kO2 1 S 07:33 AM IN :. Business Name: INDIANA EARTII, INC. Business ID: 1990031137„ Entity Type: Domestic For -Profit Corporation Business Status: Active Creation Date: 03/22/1990 Inactive Date: Principal Office Address: 10343 M y HWy., OSCEOLA, IN, 46561- 9756, USA Expiration Date: Perpetual Jurisdiction of Formation: Indiana Business Entity RTDrt Due 03/31/2020 Date. Years Due: Title Name Address President MARK L OSLER 10343 McKinley Hwy., Osceola, IN, 46561, USA Type: Individual Name: MARK OSLER Address: 10343 MCKINLEY HWY., OSCEOLA, IN, 46561- 9756, USA INDIANA EARTH, INC. 10343 MCKINLEY HWY OSCEOLA, IN 46561 Section 1 Public Projects completed: 1) Excavation & Utility —St Marys College, South Bend, IN $900,000 Fall 2017 2) Northwood High School Phase B — Nappanee, IN $168,900 Fall 2017 3) Excavation & Utility CR 38 —City of Goshen, IN $2,491,277 Spring 2018 4) Utility— Nappanee WWTP, Nappanee, IN $519,020 Summer 2017 Public Works in Process: 1) Northwood (High .School Athletic Center, Nappanee, IN $1,233,500 Fall 2018 2) Excavation and Utility — Laporte Intermediate School $1,531,400 Fall 2017 3) Excavation and Utility — Concord High School $451,100 Summer 2018 4) Excavation and Utility — Warsaw High School $612,400 Summer 2018 5) Excavation and Utility — Penn High School $219,400 Summer 2018 Completed all work awarded to our firm. References of Private Firms 1) Rieth Riley Construction 574-288-8321 2) Gibson Lewis LLC 574-259-8581 3) Larson Danielson 219-362-2127 4) Holladay Group 574-234-2073 5) Robert Henry Const. 574-232-2091 Section 2 Plan of proposed work 1) Pre -construction meeting 2) Mobilization 3) Place traffic barricades 4) Remove pavements 5) Install underground utilities 6) Replace asphalt and concrete pavements Subcontractors Utilized on Past Projects 1) Rieth Riley —Goshen, IN, Paving Subcontractors to Utilize on this Project — Possible subs listed, will determine prior to contract approval 1) Hydro -seed List of our Equipment Owned: 1) 13 Excavators 2) 4 Dozers 3) 3 Dump Trucks 4) 2 Semi Trucks with dump trailers 5) 2 Rollers 6) 5 Loaders 7) 2 Skidsteers We have received pricing for services and materials by potential subcontractors. w w w U) 2 ag w mw0 a Ozz U�w 0m0 V2> Ow C z a H 0 z 9 z 0 oa w 0 Im H IL �w 0m LL O� w Cm L C M ° co %E Qo .2 a° m O W m 20 >° o >� .o V d a� E V y C d '(p 00 � O =3 O ` fn O 0 �. C a >, m L 3 m> .Q r fA d L 'N ao 0Q o L y o,°) mU) m y� c a-C L 0 L F- 0 q m 0 O W m m 2 2 d U IM Al V L E m z N -4+ a .� l m m o ~ Q a m o 0 0 C © (� V ¢W 0 0 °m U a7 a N a1 C � O a1 � a7 � a Q a� O 0 o d F1 L O L ti C) o J J o N � l V cu JJJ l Q N d o t a P ca a) M (� � �a) E CL o N z i \S V5 NX E 7 N E m z c IL co 0 N 0 N C O .O CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM'`' w FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS` This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain 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: Project Name: Bidder: 118-074 D Date: Three Twenty at the Cascade — Site Utilities Contact Person:C " I\ , �, Telephone:6 7 Address: L " d " r.. 4 ,— tM , City: "C.01.1 (I( State: Email: eat�v (,_ii� S 'k1Ve t— To determine whether a bidder has demonstrated good faith eWorts to reach the MBE/WBE 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 (http://www.in.gov/idoa). ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Be quires that all perspective bidders complete no less than 2 of the following: Attend all pre -bid meetings scheduled by the City to inform MBE/WBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBE/WBEs reasonable time to respond. 3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to ` participate effectively. 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 MBE/WBE 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, �j including providing such MBE/WBE's with adequate information about the plans, specifications and other l�— 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 MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down contracts into smaller units to facilitate MBE/WBE participation) f CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has bid on the subcontracting opportunity: lC. 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 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 - 12 CITY OF SOUTH BEND rywG.'1"dE MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY g, r DEVELOPMENT PROGRAMi�,, 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 OF Project Number: 118-074 D MBE/WBE Participation Goal Project Name: Three Twen!y at the Cascade — Site Utilities Bidder: P A (i+3natur (Title) (Date) MBE/WBE Firm Owner or Contact at MBE/WBE Firm �� t 5 I Telephone: _ Fax: Email: p Y d��/-. TYPE OF WORK SOLICITED FOR THIS PROJECT: e RESULTS OF CONTACT WITH THE MBE/WBE FIRM: MBE/WBE Firm ke „ j4,12 C e4L S Owner or Contact at MBE/WBE Firm Telephone: r?i/ a,�a _ gd-,j_ Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: 1v RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Version 7/20/2018 Contractor's Bid for Public Works - 13