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HomeMy WebLinkAboutOpening of Bids - VPA Restroom Remodeling Project No 118-043R - Brown & Brown General Contractorsw I A 14 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK <� Project Name VPA Restroom Remodeling Project No. 118-043R For Bids Due December 20, 2018 PART (Must be completed for all bids. Please type or print) Date: Dec. 20, 2018 Bidder (Firm): Brow 1 & Brown Oeri,�(gj Contractors . Inc. Address: 124 S. Elkhart St., PO Box 487 City/State/Zip: Wakarusa ...IN Telephone Number: 574 ) 862-2171 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: VPA Restroom Remodeling, Project #118-043R the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Epoch Architecture + Planning and dated Nov. 13, 2018 for the sum of (enter the Total Bid as shown on the Proposal) Six hundred seven!y three thousand six! and 00/100 g 673,060.00 (Eater 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 sep to atac nt. By (s4 aature) Eric Brown President (Printed Name of Person Signing) ACCEPTANCE The above bid is accepted this �...� day of Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member Suzanna M. Fritzberg, Member Therese J. Dorau, Member James A. Mueller Member Attest Linda M. Martin, Clerk BIDIPROPOSAL�,,�.,,- CITY OF SOUTH BEND, ProjectName: VPA Restroom Remodeling MACA Project Number: 118-043R . For Bids Due: December 20, 2018 .� Contrac tors, Brown & Brown General Cott Contractor Name: ._, Inc. ........ ... .... BASE BID Item No. Description Quantity Unit Total Amount 1 BOEHM PARK ADA RESTROOM REMODELING W/O EXPANSION 1 LS $ 68,816.00 2 BOLAND PARK ADA RESTROOM REMODELING 1 LS $42,881 .00 3 KELLER PARK ADA RESTROOM REMODELING 1 LS $14,644.00 4 KENNEDY PARK ADA RESTROOM REMODELING 1 LS $ 72,348.00 5 LEEPER PARK ADA RESTROOM REMODELING 1 LS $ 34,532.00 6 POTAWATOMI PARK ADA RESTROOM REMODELING 1 LS $ 26,576.00 7 PHIL ST. CLAIR PARK ADA RESTROOM REMODELING 1 LS $ 31 ,726.00 8 RUM VILLAGE PARK ADA RESTROOM REMODELING 1 LS $ 58,606.00 TOTAL BASE BID I $350,129.0( ALTERNATE NO. 1 Item Description No. P Quantity Unit Total Amount 1 RUM VILLAGE PARK —FIXTURE UPGRADE 1 LS $13,447.00 TOTAL ALTERNATE NO. 1 I $13,447.00 ALTERNATE NO. 2 Item No. Description Quantity Unit Total Amount 1 SOUTHEAST NEIGHBORHOOD PARK ADA RESTROOM 1 LS s78,087.00 REMODELING TOTAL ALTERNATE NO. 2 $ 78, 087.00 BID/PROPOSAL CITY OF SOUTH BEND Protect Name: VPA Restroom Remodeling Project Number: 118-043R For Bids Due: December 20, 2018 Contractor Name: Brown & Brown General Contractors,mITIT � Inc. ALTERNATE NO.3 Item Description No. 1 PINHOOK PARK ADA RESTROOM REMODELING ALTERNATE NO.4 Item Description No. Quantity Unit ITotal Amount 1 LS $ 44,188.01 TOTAL ALTERNATE NO.3 $ 44,188.01 Quantity J Unit 1I Total Amount 1 VETERAN'S MEMORIAL PARK ADA RESTROOM REMODELING 1 LS $ 120,000. O TOTAL ALTERNATE NO.4 $120, 000.01 ALTERNATE NO. 5 Item Description No. Quantity Unit Total Amount 1 BOEHM PARK WOMEN's RESTROOM EXPANSION 1 LS $ 67,209.0' TOTAL ALTERNATE NO. S $67,209.0( TOTAL AMOUNT BASE BID + ALTERNATE 1, 2, 3,4 & 5 673, 060. IO Bidder (Firm): Brown & Brown General Contractors Inc. Address: 124 S. Elkhart St. PO Bo)c 487 City/State/Zip: W rusa, (ICI 48573 Telephone Number: 574 88 - 171 By (Signature) Eric Brown, President (Printed Name of Person Signing) 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: Elkhart 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. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint ventures awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A 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 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 19th _. day of Dec. , 20 18 Subscribed and sworn to before me this 19th My Commission Expires 3/1 /2019 Brown & Brown General Contractors, Inc. Contra tor/14id'der (Fit - Signature caAontract4r Bidder or is Agent Eric Brown„ President Printed Name and Title day of Dec. , 20 18 r Notary Publ„ County of Residence St. Joseph !Qp,, I Bradley,Allen Romine Notary Public SEAL %Joseph County, State of Indiana My Commission Expires March 01, 2019 Commission Number: 624649 Bid Bond CONTRACTOR: (Name, legal status and address) Brown & Brown General Contractors, Inc. P. O. Box 487 Wakarusa, IN 46573-0487 OWNER: (Name, legal status and address) City of South Bend Board of Public Works SURETY: (Name, legal status and principal place of business) Philadelphia Indemnity Insurance Company Bala Cynwyd, PA County -City Building Room 1316, 227 West Jefferson Blvd South Bend, IN 46601 BOND AMOUNT: Five Percent of the Total Bid ( 5% of Total Bid PROJECT: (Name, location or address, and Project number, if any) VPA Restroom Remodeling; Project No. I I8-043R This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. December 2018 Brown Browcto..rs Inc ------ --._ �. ,_..___ __ ,-.. Principal (Seal) T. tle) e. Philadelphia Indemnity Insurance Company Sure (Title) J tlrfer L. Kani „ Attornn 0, Fact w g in amrmgm all AUTA Contract Illt4'wr w inirmein't,, on whir' this text appears fin IV'IJII'III;iC't. An �widgiunual assul�r"�.s that wwVltanala'.w!w w'tIt not be ollbscu n at u, .t You stnioivalUat sli t'w°aat., w TM — opyright ©1963 1970 and 2010 by The Amencan Institute of y U S Caw ry if III t III aw and lintaumn°atllonalY Treaatles. U nauttl o Ardurti in. All rights then of thils M"wt�tlU°41 eD of trolls Awor AW Init. AIA Document A310 y .,.'. „v twy tt m°IV�warat ww.�fwm°oatuuiottourm awiu wtli,,wtu"Vtbawtta;'ummi awt'tPomilrr 7atat�' Iltwwawii.Monrua.mrotu awm° Y.touwwsnma�urn�t, iCro,� uiYautaan.tawut b aauny UraumNon of it urn ay uresuit In seveire cMi and crIfirillliunaall penaatties, and Will Itaaw Uiwmw„wwwawa.iiUted to the uinauxIi nm nn extent pawasffite under, tl'he Nw, 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. 061110 416 PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS: That PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoint Barbaro Pearson Jordan Scheiber «Jennifer Iv' as ula Mark Wobbc Mogn KlesellDgM NIcole Bicknell Sandra, junk Theresa Mims. W s e toot V4iiiiana Certae I1I said C of Cs hsoaa In. ura ce Agency, Inc. its true and lawful Attomey-in-fact with full authority to execute on its behalf bonds, undertakings, recognizances and other contracts of indemnity and writings obligatory in the nature thereof, issued in the course of its business and to bind the Company thereby, in an amount not to exceed 100, 9040,ti (, i . This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 14"a" of'November. 2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company: (1) Appoint Attomey(s) in Fact and authorize the Attomey(s) in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto; and (2) to remove, at any time, any such Attorney -in -Fact and revoke the authority given. And, be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile, and any such Power of Attomey so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 27T1' DAY OF OCTOBER, 2017. (Seal) Robert D. O'Leary Jr., President & CEO Philadelphia Indemnity Insurance Company On this 27' day of October, 2017, before me came the individual who executed the preceding instrument, to me personally known, and being by me duly swom said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY; that the seal affixed to said instrument is the Corporate seal of said Company; that the said Corporate Seal and his signature were duly affixed. ua�, axsr " a aaawan sr,HL "�"" r 4`4 Notary Public: ymw.lM.l r Oxr "a�1. ry a�YCp�nmMMamC �14 "m'uy4 T5,iKI aP w w residing at: (Notary Seal) My commission expires: BalaBala Cnwd,,,,PA Se ta�ember 25 2021 I, Edward Sayago, Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do hereby certify that the foregoing resolution of the Board of Directors and the Power of Attorney issued pursuant thereto on the 27 s day of October, 2017 are true and correct and are still in full force and effect. I do further certify that Robert D. O'Leary Jr., who executed the Power of Attomey as President, was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY. In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this 47I, day of __w .... ....... 20 42'"< Edward Sayago, Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY 1.316 CoUNrY-CI Y 13uil,DING PHONE 574/ 235-9251 227 W. JEFIFERSON BOULEVARD ma's Fif x 574/ 235-9171 Soi.rnvi BIEND, INDIANA 4660 1830 � � 'rDD 574/ 235-5567 Ile CITY OF SOUTH BEND PETE BuTnGIEG, MAYOR BOARD OF PUBLIC WORKS Date: December 13, 2018 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: VPA Restroom Remodeling Project No.: 118-043R ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: December 13, 2018 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: Brown & Brown General Contractors, Inc. Authorized Signature: Date: December 13, 2018 1316 CM I'Y-CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND. 1NDIANA 46601-1830 CITY OF * BEND PETE BUTTIGIEG, MAYOR BOARD OF P i September 5, 2018 Mr. Eric Brown Brown & Brown General Contractors, Inc. 124 S. Elkhart St., PO Box 487 Wakarusa, IN 46573 RE: Pre -Qualification Verification Dear Mr. Brown: PHONE 574/235-9251 FAx 574/ 235-9171 This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you are required to re -submit a complete application for continuation of pre -qualification status prior to December 31 for the upcoming calendar year. A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, Linda M. Martin, Clerk GARN' . Cins.1"1" DAV101), R1'''I. 's 9JZAi'm1 "r1N A, lVIA1 AI)1K AmLs A.Maa9.,'n D@uikr.sL-'' I. 1 o1'W) ii CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name VPA Restroom Remodeling Project No. 118-043R For Bids Due December 20, 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 or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -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 1 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 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: Brown & Brown General Contractors Inc. Date: Dec. 20, 2018 By Authorized Representative: I - Signature: Print Name & Title: Eric Brown, President 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. ACCEPTANCE The above bid is accepted this day of , subject to the following conditions: Contracting Authority Members-, PART II (For projects of $150,000 or more — /C 36-1-12-4) Governmental Unit: City of South Bend, IN, Board of Public Works Bidder (Firm) Brown & Brown General Contractors, Inc. Date (month, day, year): December 20, 2018 These statements to be submitted under oath by each bidder with and as a part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Completion Contract Amount Class of Work Date Name and Address of Owner 3,481,450.00 renovation 2017 Indiana University, Bloomington, IN 226,429.00 renov/addition 2018 Elkhart Comm Schools, Elkhart, IN 1,141,066.00 new 2018 Walkerton Lincoln Twp Library, Walkerton, IN 6,109,490.00 new 2018 WaNee Comm Schools, Nappanee, IN What public works projects are now in process of construction by your organization? Expected Contract Amount Class of Work Completion Name and Address of Owner Date 1,213,300.00 renovation 2019 Concord Comm Schools, Elkhart, IN 2,985,000.00 new 2019 Elkhart Comm Schools, Elkhart, IN 7,550,000.00 new 2019 Elkhart Co Bd of Comm, Goshen, IN 359,400.00 renovation 2018 Mishawaka Penn Harris Pub Lib, Mishawaka IN 3. Have you ever failed to complete any work awarded to you? no If so, where and why? 4. List references from private firms for which you have performed work. Dick Belcher, First Federal Savings Bank, Rochester, IN John Metzger, Culver Duck Farm, Middlebury, IN Jeff Ewing, 2nd AP Company L.P., Woburn, MA Samantha Hale, Holladay Properties, South Bend, IN Patti Toering, Matthews LLC, Notre Dame, IN SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE Explain 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 governmental unit to consider your bid.) All work to be completed in a professional, workmanlike manner according to applicable plans, specifications and addendum. 2. Please list 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. Art Mosaic & Tile, South Bend, IN - specialized floor finishes Interior Finishes, South Bend, IN - floor finishes Edward J. White, South Bend, IN - mechanical DeMuyt Masonry, Rome City, IN - masonry Martell Electric, South Bend, IN - electrical 3. If you intend to sublet any portion of the work, state 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 governmental unit in the event that you subsequently determine that you will use a subcontractor on the proposed project. Names and addresses of subcontractors to be furnished as specifications require. Equipment to be used by them is unknown to us. Bonds from subcontractors to be determined 4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. Trucks, skid loaders; anything else we do not have will be rented. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, please explain 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 governing body awarding the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's capability for completing the project if awarded. CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY' DEVELOPMENT PROGRAM" FORM MWBE-1.0 MBENVBE PARTICIPATION 4m This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects Involving MBE/MBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. Project Number: 118-043R Project Name: VPA Restroom Remodeling Bidder: Brown & Brown General Contractors, Inc -Total Bid Amount: $673 , O60.00 MBENVBE Goal: Page 1 of 1 Name & Address of MBEM/BE Primary Contact Person (Name/relephone) Scope of Work to be Performed (Attach scope/schedule If you need additional space) Dollar Amount of MBE/WBE Component Percentage of Total Bid/Pro anal Ritschard Bros Don Ritschard Earthwork South Bend, IN 574-288-4777 Sue -Win Inc. . ............................ Sue Wincel toilet accessories Indianapolis, IN 317-791-4000 McMann Electric Terri McMann electrical Osceola, IN 574-674-5748 Submitted by: Eric Brown Print Name &?t Dec. 19 2018 Signature IDate CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY ' DEVELOPMENT PROGRAM M , FORM MWBE-2.0 p 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: 118-043R Date: Dec. 20, 2018 Project Name: VPA Restroom Remodeling Bidder: Brown & Brown General Contractors, Inc. Contact Person: Eric Brown Telephone: 574-862-2171 Address: 124 S. Elkhart St., PO Box 487 City: Wakarusa State: IN Zip:46573 Email: eric@bb9c.us To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below": EVIDENCE OF GOOD FAITH EFFORTS MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (hfp://www.in.gov/idoa). ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Bend requires that all perspective bidders complete no less than 2 of the following: 1. Attend all pre -bid meetings scheduled by the City to inform MBENVBEs of contracting and 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 MBENVBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 4. Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBENVBE firms. "Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBENVBEs, including providing such MBENVBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by MBENVBEs in order to increase the likelihood of meeting the MBENVBE goals (including breaking down contracts into smaller units to facilitate MBENVBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBENVBE 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 MBENVBE 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. " tl1V10 CITY OF SOUTH BEND w' MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY ' DEVELOPMENT PROGRAM 7N2 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. Project Number: 118-043R PAGE 1 OF 2 MBE/WBE Participation Goal Project Name: VPA Restroom Remodeling Bidder: Brown & Brown General Contractors, Inc. By: President Dec. 19, 2018 (Signature) (Title) (Date) MBEM/BE Firm Ritschard Bros. Owner or Contact at MBE/WBE Firm Don Ritschard Telephone:574-288-4777 Fax: 574-288-5438 TYPE OF WORK SOLICITED FOR THIS PROJECT: earthwork RESULTS OF CONTACT WITH THE MBE/WBE FIRM: MBEM/BE Firm Sue -Win Inc. Email: ritl204@datacruz.com Owner or Contact at MBE/WBE Firm Sue Wincel Telephone: 317-791-4000 Fax: 317-791-4025 Email: suewininc@att.net TYPE OF WORK SOLICITED FOR THIS PROJECT: toilet accessories RESULTS OF CONTACT WITH THE MBE/WBE FIRM: CITY OF SOUTH BEND" 1)1;�`".roA MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM, FORM MWBE-2.1 MBE/WBE CONTACTED vio This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBEfWBE 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 2 OF 2 Project Number: 118-043R MBE/WBE Participation Goal Project Name: VPA Restroom Remodeling Bidder: Brown & Brown General Contractors, Inc. By: President Dec. 19, 2018 (Signature) (Title) (Date) MBE/WBE Firm McMann Electric Owner or Contact at MBE/WBE Firm Terri McMann Telephone: 574-674-5748 Fax: 574-674-5739 TYPE OF WORK SOLICITED FOR THIS PROJECT: electrical RESULTS OF CONTACT WITH THE MBE/WBE FIRM: MBE/WBE Firm Email: terrimcmann@mcmannelectric.com Owner or Contact at MBE/WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: