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HomeMy WebLinkAboutOpening of Bids - WWTP Admin Building Masonry Improvements Project No 118-087 - Ziolkowski Construction IncCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name WWTP ADMINISTRATION BUILDING MASONRY IMPROVEMENTS Project No. 118-087 For Bids Due DECEMBER 11, 2018 PART (Must be completed for all bids. Please type or print) Date: December 11, 2018 Bidder (Firm): Ziolkowski Construction, Inc. Address: 4050 Ralph Jones Drive City/State/Zip: South Bend, IN 46628 Telephone Number: ( 574 ) 287-1811 Agent of Bidder (if Applicable): n/a Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public project Je of VWVTP Administration Buildin Mason Improvements the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Kil Architecture/Planning and dated Nov. 15.2018for the sum of (enter the Total Bid as shown on the Proposal) F" a un red Seventy Two Thousand Eial dreg Eighty4 72,880 (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. BY fr Bly Favors, President il (Printed Name of Person §f ning) 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 ACCEPTANCE day of Suzanna M. Fritzberg, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk 20 Version 7/20/2018 Contractor's Bid for Public Works - 2 BID/PROPOSALu��� CITY OF SOUTH BENDp' Project Name: WWTP ADMINISTRATION BUILDING MASONRY IMPROVEMENTS Project Number: 118-087 qna� For Bids Due: DECEMBER 11, 2018 MO Contractor Name: Ziolkowski Construction, Inc. BASE BID DIVISION A: ADMINISTRATIVE BUILDING #15 Item No., Description Quantity Unit Unit Price Total Amount 1 Exterior and Interior Renovations to 1 LS 332,270 332,270 Administrative Building#15 2 Provide an allowance of $16,000.00 for 1 LS $16,000.00 $16,000.00 a construction contin enc . Provide an allowance of $3.00 per 3 square foot, for material and installation 460 SF $3.00 $1,380.00 of 12"x12" vin I com osition the Provide an allowance of $30.00 per 4 square yard, for material and installation 440 SY $30.00 $13,200.00 for 24"x24" commercial rade car et tile. BASE BID DIVISION A: ADMINISTRATIVE BUILDING #15 TOTAL 362,850 DIVISION A: ADMINISTRATIVE BUILDING #15 ALTERNATE #A1 Item No. Description Quantity Unit Unit Price Total Amount Replace 100% of existing suspended acoustical ceiling tile in rooms listed on 1 Room Finish Schedule with new tile 1 LS 7,900 7,900 panels per Sheet A5.1. (Base Bid to include replacement of 25% of ceiling tile anels . DIVISION A: ADMINISTRATIVE BUILDING #15 ALTERNATE #A1 TOTAL 7,900 DIVISION A: ADMINISTRATIVE BUILDING #15 ALTERNATE #A2 Item __.......... __ ... .......... _ No.. Description Quantity Unit Unit Price Total Amount _.. Replace 100% of existing window blinds �__.... _. 1 with new vertical blinds as listed on 1 LS 9,500 9,500 Window Blind Schedule on Sheet A5.1 DIVISION A: ADMINISTRATIVE BUILDING #15 ALTERNATE #A2 TOTAL 9 DIVISION A: ADMINISTRATIVE BUILDING #15 ALTERNATE #A3 Item No. Description Quantity Unit Unit Price Total Amount Provide one coat primer and two coats paint in rooms listed on Room Finish 12,500 12,500 1 Schedule, at all remaining interior walls, 1 LS per Sheet A5.1 (Base bid to include interior side of exterior walls), m. DIVISION A: ADMINISTRATIVE BUILDING #15 ALTERNATE #A3 TOTAL 12,500 Version 7/20/2018 Contractor's Bid for Public Works - 7 BID/PROPOSAL rr� CITY OF SOUTH BEND 4V�� Project Name: WWTP ADMINISTRATION BUILDING MASONRY IMPROVEMENTS'�u MACE Project Number: 118-087 ........ For Bids Due: DECEMBER 11, 2018 Contractor Name: Ziolkowski Construction, Inc. DIVISION A: ADMINISTRATIVE BUILDING #15 ALTERNATE #A4 Item Descri tion No. p Quantity Unit Unit Price Total Amount Provide alternate price to include the 1 additional cost of cleaning all brick 1 LS 4,660 4,660 masonry. (Base bid to include cleaning of limestone mason onl DIVISION A: ADMINISTRATION BUILDING #15 ALTERNATE #A4 TOTAL 4,660 DIVISION A: ADMINISTRATIVE BUILDING #15 ALTERNATE #A5 Item Description No pon Quantity Unit Unit Price Total Amount Provide cost to install water repellant on 1 1 LS 3,500 3,500 brick and stone mason , all 4 elevations DIVISION A: ADMINISTRATIVE BUILDING #15 ALTERNATE #A5 TOTAL 3,500 BASE BID DIVISION B: CLARIFIER BUILDING #3 INo. tem Description Quantity Unit Unit Price Total Amount 1 Exterior and Interior Renovations to 1 LS 62,570 62,570 Clarifier Buildin #3 21 Provide an allowance of $4,0000.00 for 1 LS $4,000.00 $4,000.00 construction contin enc . DIVISION B: CLARIFIER BUILDING #3 BASE BID TOTAL 66,570 DIVISON B: CLARIFIER BUILDING #3 ALTERNATE #131 Item Descri tion No. p Quantity Unit Unit Price Total Amount Provide price to install .060 TPO 20 year 1 1 LS 5,400 5,400 warrant roof at buildin #3 DIVISION B: CLARIFIER BUILDING #3 ALTERNATE #131 TOTAL 5,400 UNIT PRICES Item Description DEDUCT/SF ADD/SF No. 1 Masonry Brick Tuck -pointing per SF 13.75 14.25 2 Soft Joint Repointing per LF 7.00 7.25 3 Masonry Brick Re-building/Replacement per SF 58.00 60.00 4 Brick and Limestone Cleaning per SF 0.70 0.75 Version 7/20/2018 Contractor's Bid for Public Works - 8 BID/PROPOSAL ,ca�rwrNtrr . CITY OF SOUTH BEND ' Project Name: WWTP ADMINISTRATION BUILDING MASONRY IMPROVEMENTS wew Project Number: 118-087 _._._._............. _ _ _ .-... ...... For Bids Due: DECEMBER 11, 2018 Contractor Name: Bidder (Firm): Ziolkowski Construction, Inc. Address: 4050 Ralph Jones Drive City/State/Zip: South Ben IIC"�<,[ 46628 Telephone Number: 574 287-1811 By. ... ...... (Signature) Bill Favors, President (Printed Name of Person Signing) Version 7/20/2018 Contractor's Bid for Public Works - 9 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 Indiana ) SS:St Joseph COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. Version 7/20/2018 Contractor's Bid for Public Works - 4 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint ventures awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said MBE/WBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry 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 Ww 11 th day of Dec. 2018 Subscribed and sworn to before me this 11 th My Commission Expires March 1, 2020 County of Residence Ziolkowski Construction, Inc. Contractor/Bidder (Firm) Si ature of Contractor/Bidder gn or Its Agent Bill Favors, President Printed Name and Title day of_December 20 18 Notary Public Shannon Reidenbach St Joseph SHANNON REIDENBACH Notary Public- Seal State of Indiana My Commission Expires Mar 1, 2020 Version 7/20/2018 Contractor's Bid for Public Works - 6 of A31 0"' - 20110 Conforms with The American Institute of Architects AIA Document 310 CONTRACTOR: (Name, legal status and address) Ziolkowski Construction, Inc. 4050 Ralph Jones Drive South Bend, IN 46628 OWNER: (Name, legal status and address) City of South Bend, Board of Public Works 227 West Jefferson Boulevard South Bend, IN 46601 SURETY: (Name, legal status and principal place of business) Liberty Mutual Insurance Company 175 Berkeley Street Boston, MA 02116 State of Inc: Massachusetts BOND AMOUNT: Five Percent of Amount Bid (5%) PROJECT: (Name, location or address, and Project number, if any) WWTP Administration Building Masonry Improvements, Project No. 118-087 This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in lull force and. effect. The Surety hereby waives any notice of an agreement between (lie Ownerand Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surely Shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 11th day of December 2018 (Witness) arnon ei e"� nGach ( ltne a) John g Johnson Ziolkowski Construction, Inc (P ineipal 4 (Seal) (Title) Bill Favors, President l ibert M al instrance Ccatr art (S a Y) (Seal) XM� (Title) Adrienne C. Stevenson, Attorney -in -Fact State of IL County of DuPage } ss: On December 11, 2018 , before me, a Notary Public in and for said County and State, residing therein, duly commissioned and sworn, personally appeared Adrienne C. Stevenson known to me to be Attorney -in -Fact of Liberty Mutual Insurance Company the corporation described in and that executed the within and foregoing instrument, and known to me to be the person who executed the said instrument in behalf of the said corporation, and he duly acknowledged to me that such corporation executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and year stated in this certificate above. My Commission Expires 6/8/2020 C.R rnandez NotaryPublic °���,��.wn I�%!!rr:�✓.�+"" +�k`1^mc::,�"i,P.�, aP � ".gym C R HERNANDEZ Official Seal Notary Public - State of Illinois My Commission Expires Jun R. 2020�� This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated, Not valid for mortgage„ note, loan, letter of credit, bank deposit, currency rate, interest rate or residual value guarantees. To confirm the validity of this Power of Attorney call 610,832.8240 between 940 am and 4:30 pm EST on any business day.. Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, of the city of Chicago state of Ilin is its true and hvgof attomey-in-fact, with full power and authority hereby conferred to sign, execute and acknowledge the followingsure bond: Principal Name: Ziolkowski ConstLyclion. Inc. Obligee Name: City of South Bend Board of Ptubllc VVVOrk;s Surety Bond Number: 001 IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 271h day of Februauv. 2t117. ww wrasgJ, t,�,'SY Irv.tdl , �,Lwka.3�i5g4 ���antirnrr& c����"�cwsxapar,� fir, �,Lu�wutorrv�,�C"� 1919 1912 1991, p xr STATE OF PENNSYLVANIA COUNTY OF MONTGOMERY The Ohio Casualty Insurance Company Liberty Mutual Insurance Company We merican Insurance Company By: David M Carey, Assistant Secretary The is 271hCasualty of Company,burl�`before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of , Liberty Mutual Insurance Company, andWest American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia. Pennsylvania, on the day and year first above written. i COMMONWEALTH OF P NNSYL.VANI.. A Notarial Seal Teresa Pastella, Notary Public B*T14r111-P11t1IUpper MarionTwp., Montgomery Countyy' My Commission Expires March 28,2d21la, Ot'ary Public 4 ember. Pennsylvania hs.sack�wwr of Nota�leafle .,.,. .s This Power of Attorney js made and executed pursuant to and by authority of the following By-laws and Authorizations of, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: ARTICLE IV - OFFICERS - Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subjlecl to such limitation as the Chairman or The President may prescribe shill appoint such allomeys-in-tact, as may be necessary to act in behalf of The Corporation to make„ execaule, seat acknowledge .and deliver as surety any and all undertakings, bonds, mcogniaances and ottker surely obligations. Such atterneys4-fact„ subyea;f to the limitations set forth in thert respective powers of atiomey, shall have full power to Mind the Corporation by Their signature and exactifion of any such Inslniments avid to attach thereto the seal of the Corporation When so executed, such instruments shalt be as binding as if signed by the president and attested to by the Secfetaly, Any power or aulhorsy granted to any repre rrtatfve or attorney - in -fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the Presldent or by the officer or officers grunting such power or authority, ARTICLE XIIf - Execution of Contracts -- SECTION - . Surety Bonds and ltnderialkings. Any officer of the Company authorized for than purpose to wrifing by the ch irmlan or the president„ and subject to such limitations as the chaimran or The president may presrribo, shall appoint such allomeys•I i-facl, as may be necessary to act In behalf of the Company to make„ execute, seat, acknowledge and deliver as surety any and all undertakings, bands, recognitzatic.,es and other surety obi&gallons, Such allow*ys-in-fact subject to The limitations set forth in their respective powers of attomq , shall have full power to bind the Company by their slgruaTure and exet,d'ion of any such instruments and to attach Iherelo the seas of the Company, When so execuuled such Instruments 9hglll be as Minding as if signed by the president and attested by the secretary. Certificate of Designation - The President of the Comparuy„ acting pursuant to the Bylaws of The. Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys- in -fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowlezu a and deliver as 'surety any and all undertakings, bonds, recognizances and other surety obl'nrgalions. Authorization - By unanimous consent of the Coniparvy"s Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appeamig upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the saurie low and effect as Though manually mixed. I, Renee C. Llewelityn, the undersigned, Assistant Secretary, of The Ohio Casualty Insurance Company Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify That the original power of attorney of which the foregoing is a full„ true and correct copy of (fie Power of Attorney execuleat by said Company, is in full force and eflecl arid has not bun revoked, IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 11 th day of w wnTSrvtp 'Ile rN.5,14 gSi4d'Str+��r �"oawrau�ra"'� ���^p��yuvvtura�srfa, ������uul�arfiya ��� r' r� 912 `" 1919 1991 3' ',',°•�Y&kkh'6^r;"c'„k l r�ii'i"rliRRa't~ . December 2018_,.._ By: Renee C Llewellyn, Assistant Secretary OU111,111 1r "w�' rinq P".w�4f 'uM Ni NR04. 1 CITY OF SOUTH BEND BOARD OF ' YO Date: December 4, 2018 PHONE, 574/235-9251 FAX 574/ 235-9171 TDD 574/ 235-5567 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Wastewater Treatment Plant Administration Building Masonry Imorovements Project Number: 118-087 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM' Date Received: This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUNI MAY AFFECT YOUR BIB. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Y� Com an I'v o w:s ki 0,,tpk3:4� Company: Authorized Signature: Date: I Version 4/2/2015 1316 COUNTY-Crry BUILDING 227 W. JEFFERSON BOULEVARD Sou'rui BEND, INDiANA 46601-1830 "()k) 141, 1865 PHONE 574/ 235-9251 FAX 574/ 235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAY BOARD OF PUBLIC WORKS I Date: December 5, 2018 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 2 Project Name: Wastewater Treatment Plant Administration Building Masonry Improvements Project Number: 118-087 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 4;3 ta 1 15 ) � 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. T H I IS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. P'D to's Company: W Q�u ............................................................. Authorized Signature: Date: Version 4/2/2015 1316 COUNTY-C[Ty 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, MAY BOARD OF PUBLIC WORKS I Date: December 71,2018 To: All Planholders From -f7in-daM. Martin, Clerk, Board of Public Works Subject Addendum Number: 3 Project Name: Wastewater Treatment Plant Administration Building Masonry Improvements Project Number: 118-087 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: -Z? o ko u-)s k� C4C) "_t Authorized Signature: Date: I D- I � Version 4/2/2015 1316 Cokmi"Y-CIIITY BUILDING 227 W. JCEFF"'rs ors 13oUt.r ARD Sot'rn�' BEND. IN DIA 46601-1830 C1'1."'YOF SOUTl1 BEND PETLBtd"1 F16,1E , MAYOR ,fib' OF PUBLIC' IT'S September 5, 2018 Mr. Bill Favors Ziolkowski Construction, Inc. 4050 Ralph Jones Drive South Bend, IN 46628 RE: Pre -Qualification Verification Dear Mr. Favors: PHo'nt 5741235-9251 FAx 574/ 235-9171 This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you are required to re -submit a complete application for continuation of pre -qualification status prior to December 31 for the upcoming calendar year. A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, �.m Linda M. Martin, Clerk ARY A. %9w"r DAVI D 1', Rizios EIAZABE'ni A. MAR c%DIK . AP ES A. Cv'11.1d.,LLER T111MR E J. D1`1RAU CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name WWTP ADMINISTRATION BUILDING MASONRY IMPROVEMENTS Project No. 118-087 For Bids Due DECEMBER 11, 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 X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X 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 X Form [MWBE-2.1 ]. . .................. X Acknowledge Receipt of 3 Addendum(s) included with the bide X All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either X 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: Ziolkowski Construction, Inc. Date: December 11, 2018 By Authorized Representative: Signature: _......... ....... Print Name & Title: Bill Favors, President 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. Please See Attached 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.) As directed by the Arch itect/Construction Manager 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. If Subcontractors will be used we will submit this information 24 hours after notification, 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. If Subcontractors will be used we will sunlit this information 24 hours after notification. 4. Attach a listing of equipment you have available to use for the proposed project. Whatever is required to complete the project properly and on time. 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 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 U) w W 0 w awg 0 w mw0 a a OZZ U W LL C G 0m0 �ww V0W z Q } H OC 0 z i N O = 'i, m Q- O (a`O a� M -L Ii1 O Lu C m ea C o C .; C O > Aa C C v .— v- •� d 00 N W d a w a3 m� ' 3 O` y O O �+ C) c 0 E ca N Q. a� m s am as > a° C. 7 w N! d� O 7 C. O N N � O O d � d da Ea.0 0s in N C H = 0 i3i E m z U a) O a co O 1 Go r r r0 V w m w m 2 O 00 00 N I - It 0 E Q m O 0 (Q a m m 0 coCL o st 2 ri o m N c a� o = O CL 7 E Q LLI 0 co rn �m U (a a ti 5 c -0.0 a `ot � am a a) a:3 O T oa) O L N Q 0 n 0 0 0 co Q Y (14 c N� do 7 � t m ? N 0 00) LO E? a` N CO CD m Z L O) L m (a r v` 0 L 06 '0^ T- vJ Z W 00 0 N r U (D Id iI N 0 w m z C d co U CITY OF SOUTH BEND"��"� MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAMel N `j 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 MBE/WBE 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: 118-087 -- Date: Dec. 11, 201_8 Project Name: WWTP ADMINISTRATION BUILDING MASONRY IMPROVEMENTS Bidder: Ziolkowski Construction,- Inc. ... .......... ........................_.._......................�_.. Contact Person: Gard/ PaSton _ Telephone: 574-287-1811 Address: 4050 Ralph Jones Driveww„_ City: South Bend State: Indiana zip: 46628 Email: gpaston@zbuild.com To determine whether a bidder has demonstrated good faith efforts 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 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 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. 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 MBE/WBE firms. **Bidder must circle or otherwise notate which of the t(2) required actions were performed. ._�....____-.-.-.-. �.... two ............. ..... X 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 PE' ase Se requirements of the subcontract and did not reject MBENVBEs as unqualified without sound business tt 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) 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 - 10 CITY OF SOUTH BEND""���� . MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITYi DEVELOPMENT PROGRAM ua, Saar '! FORM MWBE-2.1 r,- MBE/WBE CONTACTED ' This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBE/WBE 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. Project Number: Project Name: Bidder: By: 118-087 PAGE OF MBE/WBE Participation Goal WWTP ADMINISTRATION BUILDING MASONRY IMPROVEMENTS Ziolkowski Construction. Inc. ill Favors„ President December 11, 2018 ........ /(Signature) (Title) (Date) MBEM/BE Firm Owner or Contact at MBEM/BE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: MBE/WBE Firm Owner or Contact at MBE/WBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Email: Email: Version 7/20/2018 Contractor's Bid for Public Works - 11 n SECTION I EXPERIENCE QUESTIONNAIRE 1. What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount Class of Work Completion Date Name and Address of Owner $27,366,910 General 05/2016 Purdue University North Central $21,355,975 General 06/2015 Armed Forces Reserve Center $9,020,000 General 10/2016 South Bend Airport- New Arrivals Te $15,964,580 General 12/2016 Renaissance District - Phase I 2. What public works projects are now in process of construction by your organization? 3. Expected Contract Amount Class of Work Completion Name and Address of Owner Date $6,528,402 General 6/2018 UND Walsh Hall Selective Renovations $5,139,150 General 8/2018 La orte Hi School-Performm Arts C $13,208,000 General 8/2019 .aporte Intermediate on the Kesling Cam $3,472,000 r General 8/2018 PHM Schools - Football Stadium Improv Have you ever failed to complete any work awarded to you? No al nter is rnents If so, where and why? 4. List references from private firms for which you have performed work. University of Notre Dame, Tony Polotto, LEED, AP, 200 Facilities Bldg., Notre Dame, IN 46556 574-631-4200 City of Mishawaka, Ken Prince, 600 East Third Street, Mishawaka, IN 574-258-1625 Fetters Construction Inc., Steven A. Fetters, 5417 County Rd 427, Auburn, Indiana 46706 260-927-8516 Memorial Hospital & Health System, Larry Lies, 615 N Michigan St., South Bend, IN 46601 574-647-1000 South Bend TR,IBU"N"E The voice that connects us. This is the proof of your ad scheduled to run on the dates indicated below. Please proof read carefully if changes are needed, please contact us prior to deadline at (574) 235-6161 or email at legals@sbtinfo.com. Date: 12/03/18 Account #: 135334 Company Name: ZIOLKOWSKI CONSTRUCTION INC. Contact: Address: 4050 RALPH JONES DRIVE SOUTH BEND Telephone: (999) 287-1811 Fax: Ad ID: 587651 Start: 12/03/18 Stop: 12/05/18 Total Cost: $100.80 # of Lines: 20 Total Depth: 2.486 # of Inserts: Ad Class: Other Legals Phone # (812) 331-4281 Email: Ileahy@heraldt.com Publications: South Bend Tribune SB Online Seeking MBE/WBE Businesses: Actively seeking bids from cer- tified MBE/WBE businesses in several construction trades to participate in the construction of the WWTP Administration Building Masonry Improve- ments project located in South Bend, Indiana. Bid date is De- cember 11, 2018. Plans are available in our planroom web - site (www.zplanroom.com). If questions arise, please contact Shannon at ZIOLKOWSKI CONSTRUC- TION, INC. at 574-287-1811 ext. 271 or in person at 4050 Ralph Jones Drive, South Bend. Hsaxlp 3x 12:312:412:5 IYrIIGs�w". 111TAUO A ) This Memorandum of Understanding (MOU) sets forth the points of agreement between the Department of Homeland Security (DHS) and Ziolkowski ConstuLuction Ine (Employer) regarding the Employer's participation in the Employment Eligibility Verification Program (E- Verify). This MOU explains certain features of the E-Verify program and enumerates specific responsibilities of DHS, the Social Security Administration (SSA), and the Employer. E-Verify is a program that electronically confirms an employee's eligibility to work in the United States after completion of the Employment Eligibility Verification Form (Form 1-9). For covered government contractors, E-Verify is used to verify the employment eligibility of all newly hired employees and all existing employees assigned to Federal contracts or to verify the entire workforce if the contractor so chooses. Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C. § 1324a note). Authority for use of the E-Verify program by Federal contractors and subcontractors covered by the terms of Subpart 22.18, "Employment Eligibility Verification", of the Federal Acquisition Regulation (FAR) (hereinafter referred to in this MOU as a "Federal contractor with the FAR E-Verify clause") to verify the employment eligibility of certain employees working on Federal contracts is also found in Subpart 22.18 and in Executive Order 12989, as amended. ARTICLE II Film •Z` 0 1. SSA agrees to provide the Employer with available information that allows the Employer to confirm the accuracy of Social Security Numbers provided by all employees verified under this MOU and the employment authorization of U.S. citizens. 2. SSA agrees to provide to the Employer appropriate assistance with operational problems that may arise during the Employers participation in the E-Verify program. SSA agrees to provide the Employer with names, titles, addresses, and telephone numbers of SSA representatives to be contacted during the E-Verify process. 3. SSA agrees to safeguard the information provided by the Employer through the E-Verify program procedures, and to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security Numbers and for evaluation of the E-Verify program or such other persons or entities who may be authorized by SSA as governed Page 1 of 13 1 E-Verify MOU for Employer I Revision Date 09/01/09 tvww.dhs.gcv/E-Verifa 9 1-111T E,-Ver'1mfy-. Company ID Number: 486671 To be accepted as a participant in E-Verify, you should only sign the Employer's Section of the signature page. If you have any questions, contact E-Verify at 888-464-4218. .................... mplo�yer Ziolkowski Construction, Inc. Bill Favors Name (Please Type or Print) 'Title ElecLrojjica//X,!Sa 01/1012012 ... . ....... Signature (Date ........... . . ........ . . . . . . .......... . . . . . .. ............ . ................. Department of Homeland Security - Verification Division USCIS Verification Division Name (Please Type or Print) Title Electronically Signed 01/10/2012 Signature Date ------ .. ....... . —1 Information Required for the E-Verify Program Information relatincl to yo r Company: . ....... .. Cornp,a�ny Name:; Ziolkowski Construction, Inc. ... . . . . . ........ . ......... . .......... — Company Facility Address: 050 Ralph Jones Dr. . ........... . . ....... . . . . . . . ............... South Bend, IN 46628 . . ......... . . - Company Alternate Address: County or Parish: STJOSEPH .... ... .............. . ..... . . . . . . . . Employer Identification Number 1351445992 Page 12 of 13 1 E-Verify MOU for Employer I Revision Date 09/01/09 wvjw.dhs.gov/E-Verify Company ID Number:4 71 North American Industry Classification Systems Code: 236 Administrator: Number of Employees: '10© to 499 Number of Sites Verified for: 1 Are you verifying for ore than 1 site. p........vi 1 ... � If yes, cease provide the number o sites verified f®r in each State: ® INDIANA 1 site(s) Information relating to -the Program Administrator(s)for •ur Company on policy questions or operational problems: Name: James Keldsen Telephone Number: (574) 287 -1811 ext. 368 Fax Number: (574) 344 - 5533 E-mail Address: jkeldsengzbuild.com Page 13 of 13 1 E-Verify MOU for Employer I Revision Date 09/01/09 iwtw.dhs.gov/E­Verffy 4 E-Verify: Employer Wizard- Company Information Company Information Company Name Ziolkowski Construction, Inc. Company ID Number 486671 Doing Business As (DBA) Name DUNS Number Physical Location Address 1 4050 Ralph Jones Dr. Address 2 City South Bend state IN Zip Code r 46628 County STJOSEPH Malting Address Address 1 Address 2 City State Zip Code Additional Information Employer Identification Number 351445992 Total Number of Employees 100 to 499 Parent Organization Administrator Organ-aatlon Designation Employer Category None ofthese categories apply View I Edit NAILS Code 236 - CONSTRUCTION OF BUILDINGS View Edit Total Hiring Sites httpsJ/e-verify.uscis.gov/web/EmployerW izard.aspx - MENU CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name WWTP ADMINISTRATION BUILDING MASONRY IMPROVEMENTS Project No. 118-087 For Bids Due DECEMBER 11, 2018 Contractor Name: Ziolkowski Construction, 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 II only. Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") by December 31 st for the upcoming calendar year, or within twelve (12) months of obtaining pre - qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal of the designation, effective January 1 of the following year, or immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 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) Acknowledgements: (i) X 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) X 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) X Indiana Secretary of State's on-line records (i.e. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) X 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) X 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) X 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 II. 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 (i.e. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). 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: December 11 „ 2018 (Sigh Here) Bill Favors, President (Print Name Here) Ziolkowski Construction, Inc. (Name of Company) 4050 Ralph Jones Drive (Address of Company) South Bend (City) Indiana (State) 574-287-1811 (Telephone Number) Version 7/20/2018 General Conditions - 10 ZIOLKO SKI Construction, Inc. General Construction & Design/Build MBuilding Strong Relationsnips Since 1974 December 11, 2018 City of South Bend 1316 County City Building South Bend, IN 46601 Subject: Operations Letter WWTP Administration Building Masonry Improvements Dear Sirs: Ziolkowski Construction, Inc. has been in business since 1974 and operated during that period of time under that name only. Ziolkowski Construction has not violated any federal, state or local laws, including violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA) laws, federal Davis -Bacon Act laws, within the past five years. Ziolkowski Construction, Inc. is proud to employ the industry's top skilled craftsmen. We have a core group of union craftsmen working on our projects and supplement that group with trained skilled workers from the local union halls. We currently have sufficient workers to perform the work that we are bidding for the above project. All individuals performing work for Ziolkowski Construction, Inc. will be properly classified as employees under the federal Fair Labor Standards Act and in line with all Indiana State and local ordinances. Ziolkowski Construction, Inc. had no federal, state or local tax liens or tax delinquencies in any of the preceding three tax years. Respectfully, ZIOLKOWSKI CONSTRUCTION, INC. 4t�r_;_ .10, Iz Bill Favors President & CFO ........ ____ 4050 Ralph Ropes Dr.,rSouth Bend _IN. 46628 Phone 574) 287, 1811 Fax 574 „234-0151 Committed to professionalism and excellence for the benefit of our clients, employees, and shareholders. Adrienne C. Stevenson Vice President Marsh USA Inc. 540 West Madison Street Chicago, IL 60661-3630 adrienne.c.stevenson@marsh.com +1 312 627 6772 www.marsh.com December 11, 2018 City of South Bend Public Works Re: Ziolkowski Construction, Inc. Project: WWTP Administration Building Masonry Improvements To Whom It May Concern: Liberty Mutual Insurance Company (Liberty) is the surety for Ziolkowski Construction, Inc. and Marsh USA, Inc. is their surety agent. Liberty Mutual Insurance Company is listed on the Department of Treasury's Listing of Certified Companies, Sincerely, Liberty Mutual Insurance Company Adrienne C. Stevenson Attorney -in -Fact MARSH SH MCLENNAN LEADH'BSU UP, KNOWLEDGE, SOLUT104S.-.WOM.DW UO: E. COMIIPA141ES STATE OF ILLINOIS COUNTY OF COOK l ",R. Hernandez a Notary Public in and for said County, do hereby certify that Adrienne C. Stevenson as Attorney -in -"act, who is personally known to me to be the same person whose name is subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that they signed, sealed, and delivered said instrument for and on behalf of LIBERTY MUTUAL INSURANCE COMPANY for the uses and purposed therein set forth. Given under m� hand and notarial seal at my office in the City of Chicago in said County, this 22n day of August AD. 2018 otary C R HERNANDEZ Official Seal Notary Public • State of Illinois My Commission Expires Jun R, 2020 THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power ;,. YAttorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. ,. ^ . Certificate No 8055500 Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS That The Ohio Casually Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company Is a corporation duly organized under the laws of the Slate of Indiana (herein collectively called the 'Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, John K. Johnson; Adrienne C, Stevenson, Triniy Garcia* C A. Hernandez: Gabriel Jacquez all of the city of CHIOAGO _ state of IL each Individually if there be more than one named, its true and lawful attorney -in -fact to make, execute, seal, acknowledge and deliver, for and on Its behalf as surely and as its act and dead, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed p _ thereto this 51h day of.f!2019 .................. .1....._.................................., _.._.._.....w..... 1919 1912 1991 STATE OF PENNSYLVANIA ss COUNTY OF MONTGOMERY The Ohio Casualty Insurance Company Liberty Mutual Insurance Company WestAinfaflcan Insurance Company _r BY _..?j�r„�wr David M. Carey,Asp stsant Secretary.. ... _. .._._.... On this 5th day of April 2018 , before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance Company The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written C•C,1MMONVNEk°k H OF Fat NN'S•W1 VANIA Toreso 1 "F � v Notarial Seal Notary lZ44&, 1 Upper MeronTwp Monig meryiCounty ic By. Teresa Pastell������ Notary .... ����������������� a,�� � arePasl6laa, Nota Public My Commission ExpTres March 28, 2021 t� .. Marn6or. Pennsylvania Association aaR Mu6irios ^dq i'Yp ak ,q� This Power of Attorneyis made and executed alirsu ,j"ti� f •a�.. ri and by authority of the following By-laws and Authorizations of The Ohio Casually Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: ARTICLE IV— OFFICERS — Section Q. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such allameys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or atlomey-in-fact under the provisions of this article may be revoked at any lime by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII — Execution of Contracts — SECTION 5. Surely Bonds and Undertakings, Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shalt appoint such attomeys-in-fact• as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surely obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary, Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attomeys-in- fact as may be necessary to act on behalf of the Company to make, execute. seal, acknowledge and deliver as surely any and all undertakings, bonds, recognizances and other surety obligations, Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surely bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF I have hereunto set my hand and affixed the seals of said Companies this22nd day of,__ _ ___.._ _ ._ _.. _ , 20 18 0 aFVy ab 1917 to 199T BY �_. ... g, Renee C Lie rAsislant Secretary 10 O u 00 O� 3M CO E M N O t O O c d CM yo EN �M c OF Oo vT— O� H � e3 of 250 LMS„ 12873, 022017 STATE OF INDTAN A OFFICE OF THE SECRETARY OF STATE CERTMICA'T'E OF EXISTENCE To Whom These Presents Come, Creetiags: I, Cone Lawson, Secretary of State of ln&ana, do hereby certify that 1 am, by virtue of the lays of the State of Indiana, the custodian of the corporate records, and groper official to execute this certificate. I finther certify that records of this office disclose that ZIOTKOWSIU CONSTRUCITON, INC. duly filed th.e requisite documents to commence business activities under the laws of State of . i(Uc ana on December 11, 1978, andwas in existence or authodied to transact business in the State ofTndiana on December 02,, 2fi115. I further certify this For -Profit Domestic Corporation has filed its most recent report required by lndi ana law with the Secretary of State, or is not yet required to file such report, and that no notice of withdrawal, dissolution or expiration has been filed or taken place. mlmmr117 In Witness Whereof, I have hereunto set my hand and affixed the seal of the State of Indiana, at the city of Indianapolis, this Second Day of December, 2015. Connie Lawson., Secretary of State 197812-315 / 2015120203232 M Vd �d 0d oW y a �� 0 O U on O O U }: O O U P. N kn v� N O O U O �� O > O > O o O O g O U M a cNt i err, y �O U V O M Y m i.w y 00 L-i V�J kn U y '. M Y-i � N i.� rn N U M i-i m ° m p U N O N p U N N �' La O E p U y„i U N U L U 00 Q.. 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M ¢�4Q Off' o�-kn N c�N o M o r,, oakn U�gNI�oQkn to yr o kn kn 'n ' t— 00 00 kn kn 00 00 00 00 00 00 'i N O N O 00 O N N 00 C ----------------- O O O O _ N O O kn O n v i N N N oo N 00 00 O m Ln cn to kn DD � l0 669 � M �9 6R 64 6 69 i Gn 4- N �f%/�/i��% I O � � � � c��d ��r N � c� rn O U U • ~ 9 o �, 0 o o o W o off' �� w � ��� a W + � O 0 Ib cad c� w 0 O U 3 7 A- U o f O L., cdw O O O 0 N+ O O U UU aUiU o O C 0 O 0 O o cd U o o cdcz 0. 00. � 0 a a Z W O O —0 o mob an N " R V bZ A. w �00 P� V] O c� � � � O 0 y U m S, '+ 0 00 N A� y N � O Qn O i--i O N � p .. Qn O N P4 v O N INDIANA LABORERS' TRAINING TRUST FUND David A. Frye Secretary -Treasurer Jerry J. Bolk Chris L. Guerrero Ricky Henson, Jr. Ramon Mendoza, Jr. Robert S. Wright P.O. Bog 758 - Bedford, Indiana 47421 (812) 279-9751 August 20, 2018 To Whom It May Concern: Sean Coakley, Director John P. Brown Chairman Kelly Abel Brad Dreibelbis Michael Ferrara Stan Meyer Jim Wiseman FAX: (812) 279-5545 This letter is to confirm that "Ziolkowski Construction, Inc." is a signatory contractor in good standing with the Indiana Laborers' Training Trust Fund. The above mentioned company is a participant in the Joint Apprenticeship and Training Committee through this Union and has been an active participant in good standing for each of the past five plus consecutive years, and is currently eligible to use our apprentices on a project. Further, our organization's program is approved by the U.S. Veterans Administration to participate in the GI educational benefits program. A copy of our approval letters are attached along with the collective bargaining agreement stating the ratios of Journey workers to Apprentices; which is one (1) Apprentice for every five (5) Journey workers and thereafter may not employ more that (1) Apprentice for every (3) Journey workers. Sincerelyr � , Sean Coakley, Director SC:dc www.indianalaborerstraining.org Plasterers' & Cement Masons' Apprentice Coordinator of Local Union #692 Phone 317-508-1609 FAX 317-972-4907 Email hansen@plcmlocal692.org ® 1049-1 TO WHOM IT MAY CONCERN, AUGUST 23, 2018 THIS LETTER IS TO CERTIFYTHAT ZIOLKOWSKI CONSTRUCTION INC.HAS BEEN A SIGNATORY UNION CONTRACTOR WITH THE PLASTERERS' AND CEMENT MASONS' JOINT APPRENTICESHIP TRAINING PROGRAM OF LOCAL 692, FOR AT LEAST THE LAST FIVE YEARS, AND IS IN GOOD STANDING. THEY HAVE A SIGNED CONTRACT WITH LOCAL 692 AND IS ELIGIBLE TO USE UNION PLASTERERS' APPRENTICES AND UNION CEMENT MASONS' APPRENTICES. THROUGH THIS CONTRACT AND OTHERS, THE FINANCIAL OBLIGATIONS OF TRAINING AND SAFETY ISSUES ARE MET. ALL OF THE APPRENTICES ARE REGISTERED WITH THE UNITED STATES DEPARTMENT OF LABOR, BUREAU OF APPRENTICESHIP AND TRAINING. SINCERELY, PAT HANSEN APPRENTICESHIP COORDINATOR FOR LOCAL 692 220 N. Fulton St. Indianapolis, IN 46202 Apprenticeship & Training Program bac4apprenticeshiprrgmail.com 219-525-4443 August 20, 20I8 C/O Ziolkowski Construction, Inc. To Whom It May Concern, This is a letter of recommendation on behalf of Ziolkowski Construction, Inc. The BAC 4 IN/KY Apprenticeship & Training Program is a statewide program that was established in I994 and is recognized by the U. S. Department of Labor and is considered in good standing. Ziolkowski Construction, Inc. has been a "signatory union contractor" since 2000 and at the present time employ enrolled apprentices. Ziolkowski Construction, Inc. has continued to follow the guidelines set forth in Collective Bargaining Agreement with BAC Local #4 IN/KY meeting the required Journeyman/Apprentice ratio on their jobs. Should you have any further questions please feel free to contact the State office at (2I9) 525-4443. Sincerely, Roger Jones Managing Director BAC 4 IN/KY Apprenticeship & Training Program DIANAMENTUCKY101110 REGIONAL COUNCIL OF 11 CARPENTERSJOINT APPRENTICESHIP AND TRAINING FUND p 1095 MARINERS DRIVE ADMINISTRATION OFFICE 711 Greenwood Springs Drive Greenwood, IN 46143 Phone:317-807-1112 Fax: 3 t 7-907-1115 Ashland Campus 574 Carpenters Way Grayson, KY 41143 Phone: 606-929.1378 Fax:502-996-8108 Indianapolis Campus August 20, 2018 711 Greenwood Springs Drive Greenwood, IN 46143 Phone:317-807-1116 Fax:317-807-1131 Ziolkowski Construction Co. Lafayette Campus 4050 Ralph Jones Drive 2953 South Creasy Lane Lafayene, IN 47905 South Bend, IN 46628 Phone:765-447-5959 Fax: 765-447-7676 RE: City of South Bend Bid Louisville Campus 1245 Durrett Lane To Whom It May Concern, Louisville, KY 40213 Phone: 502-366-8668 Fax: 502-366-8678 This letter is in response to verification needed by Ziolkowski Construction for work to be performed for the City of South Bend/Howard Park project. Ziolkowski regularly Merrillville Campus 1565 East 70th Court employs a number of apprentices affiliated with our apprenticeship program and has Merrillville, IN 46410 done so for more than three years. We are registered with the United States Phone:219-947-3348 Department of Labor, Bureau of Apprenticeship and Training and our registration Fax: 219-947-1889 number is 020 0537. Our program also participates in the Building Trades Associate Muncie Campus Degree Program with Ivy Tech Community College and has done so since 1996. 4121 East Centennial Avenue Muncie, M47303 Phone; 765-268-9015 288-9 Ziolkowskl Construction Is a bona fide contractor in good standing with the li g Fax: 765-288-9298 Indiana/Kentucky/Ohio Regional Council of Carpenters Joint Apprenticeship and Training Fund and is eligible to employ apprentice carpenters in the future. I have Newburgh Campus 5400 Covert Court copies d cl noseco p ep' s of our certificates from the United States Department of Labor and Newburgh, IN 47630 from the Indiana Department of Veterans Affairs for GI educational benefits. Phone: 812-853-9312 Fax: 812-853-9316 If I can be of further assistance, please do not hesitate to give me a call. Terre Haute Campus 3099 South 6th Street Best regards, Terre Haute, IN 47802 Phone:812A66-7899 Fax: 812.466-9840 Warsaw Campus Dale Newlin 1095 Mariners Drive Warsaw, IN 46562 Area Coordinator Phone: 574-267-5264 I KORCC JATF Fax: 574-269-1464 Warsaw Campus rHur— Kll �p�9� PBS 4 w 14 00 wM August 23, 2018 ZIOLKOWSKI Construction, Inc. 4050 Ralph Jones Drive • Bend, IN 46628 Re: Proof of Compliance with 30 ILCS 500/30-22(6) Our File No. MI-00321 Dear Sir or Madam: At the request of ZIOLKOWSKI Construction, Inc, I am providing you with evidence of the Company's compliance with the apprenticeship requirements in 30 ILCS 500/30- 22(6) of the Illinois Procurement Code. I am submitting this letter along with apprenticeship certificates (Nos.IL012020003 and IL008780173). As a signatory contractor with the International Union of Operating Engineers, Local 150, AFL-CIO, ZIOLKOWSKI Construction, Inc., is required by Collective Bargaining Agreement to participate in an applicable apprenticeship and training program approved by and registered with the United States Department of Labor's Bureau of Apprenticeship and Training. The attached certificates are evidence of compliance with the U.S. Department of Labor's apprenticeship requirements. Thank you for your cooperation in this matter. If you have any questions or concerns, please do not hesitate to contact me. Very truly yours, IUOE, Local 150, AFL-CIO District I dispatch office Caroline Lesniak Enclosures: Certificates