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HomeMy WebLinkAboutOpening of Bids - VPA Restroom Remodeling Project No 118-043R - Michiana Contracting IncCITY 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 m............n_....W............................ PART (Must be completed for all bids. Please type or print) Date: December 20, 2018 Bidder (Firm): Michiana Contracting, Inc Address: 7843 Lilac Rd, PO Box 929 City/State/Zip: Plymouth, Indiana 4656 y p: PI m 3 Telephone Number: ( 574 ) 936-8613 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 No. 118-043R the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Epoch Architecture & Planning, 321 South Main Street, Suite 103, South Bend, IN 46601 and dated November 2018 for the sum of (enter the Total Bid as shown on the Proposal) Four Hundred Ninety Thousand Dollars ($ 490,000 00 (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 to h nt. By (Signature) Scott Kirkpatrick, 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 BID/PROPOSAL CITY OF SOUTH BEND Project Name: VPA Restroom Remodeling Project Number: 118-043R For Bids Due: December 20, 2018 Contractor Name: Michiana Contracting, Inc BASE BID Item Description Quantity Unit Total Amount No. 1 BOEHM PARK ADA RESTROOM REMODELING W/O EXPANSION 1 LS I $ 50,000.00 2 BOLAND PARK ADA RESTROOM REMODELING 1 LS $ 39,000.00 3 KELLER PARK ADA RESTROOM REMODELING 1 LS $ 18,000.00 4 KENNEDY PARK ADA RESTROOM REMODELING 1 LS $ 61,000.00 5 LEEPER PARK ADA RESTROOM REMODELING 1 LS $ 30,000.00 6 POTAWATOMI PARK ADA RESTROOM REMODELING 1 LS $ 21,000.00 7 PHIL ST. CLAIR PARK ADA RESTROOM REMODELING 1 LS $ 24,000.00 8 RUM VILLAGE PARK ADA RESTROOM REMODELING 1 LS $ 37,000.00 TOTAL BASE BID 1 $ 280,000.00 ALTERNATE NO. 1 Item No. Description Quantity Unit Total Amount 1 RUM VILLAGE PARK —FIXTURE UPGRADE 1 LS $ 32,000.00 TOTAL ALTERNATE NO. 1 $ 32,000.00 ALTERNATE NO. 2 Item Description Quantity Unit Total Amount No. 1 SOUTHEAST NEIGHBORHOOD PARK ADA RESTROOM 1 LS $ 27,000.00 REMODELING TOTAL ALTERNATE NO. 2 $ 27,000.00 BID/PROPOSAL CITY OF SOUTH BEND Project Name: VPA Restroom Remodeling Project Number: 118-043R For Bids Due: December 20, 2018 Contractor Name: Michiana Contracting, Inc ALTERNATE NO. 3 Item Description No. 1 1 PINHOOK PARK ADA RESTROOM REMODELING ALTERNATE NO.4 Quantity Unit Total Amount 1 LS $ 37,000.00 TOTAL ALTERNATE NO. 3 $ 37,000.00 Item Description Quantity Unit Total Amount 1 VETERAN'S MEMORIAL PARK ADA RESTROOM REMODELING 1 LS $ 53,000.00 TOTAL ALTERNATE NO.4 $ 53.000.00 ALTERNATE NO. 5 Item Description Quantity Unit Total Amount No. 1 BOEHM PARK WOMEN's RESTROOM EXPANSION 1 LS $ 61,000.00 TOTAL ALTERNATE NO. 5 $ 61,000.00 TOTAL AMOUNT BASE BID + ALTERNATE 1, 2, 3, 4 & 5 $ 490,000.00 Bidder (Firm): Michiana Contracting, Inc Address: 7843 Lilac Rd, PO Box 929 City/State/Zip: Plymouth, IN 46563 Telephone Number: ( 574 ) 936-8613 By (Signature) Scott Kirkpatrick, President (Printed Name of Person Signing) Mien 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: MARSHALL 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).1 hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. 1 understand 1 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 20th Subscribed and My Commission Expires day ofDecember2018 Michiana Contracting, Inc Contractor/Bidder (Fiat Signature of Contr ctor/Bidder or Its Agent Scott Kirkpatrick, President Printed Name and Title to lr f re me this 20tii lay of December m 20 Notary ;Ipuflic County of Residence PAMELA SINGLETON Seal Notary public - Slate of Indiana Starke County My Commission Expires Apr 2, 2025 a Init. Bid Bond CONTRACTOR: (Name, legal status and address) Michiana Contracting, Inc. P. O. Box 929 Plymouth, IN 46563 OWNER: (Name, legal status and address) City of South Bend Board of Public Works SURETY: (Name, legal status and principal place of business) The Cincinnati Insurance Company Cincinnati, OH 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. 118-043R 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. Si eli and sealed this 17th day of December 2018 ( ..._ -,.Michiana Contracting, Inc .................. .......... Witness) -("rittl (Seal) 'Stott 40ncin ck-;-President ......... ...................... (Title) The l Isurance Company .... .............. .......w. ............. . - aL (SuretXnde"It' (Seal) (Witness) _... (Title) la t�Aotr in Fact.-...... ------- ------- CA4.t"'t'Illttltt; You sllhwowAd �slgua air oidglllnal AIIIA Cm� angora ct III:'tm�ma;�otutirmeuunot:on IlVmlct allltlipearso in III"tayk;IlC'.tAunu our hru ld atsmmires than c1hainges wliillll not be a:tlh;ra ixred. Dooument A3101m - 010, Copyright 1083„ 1970 ands 2010 b The Amedcan Institute of Architeds. All rights reserveal...WAttff O --- _.. _�m atIPoinalll Ti eafll!es W� na�r�u�uilhorllted relp��m�oduwa�ttat�n or d1laatrIbgabon of'this NAswC . rnw AN a AlA Oo2.nmuma.irml. ifia, Iparmutectaad by Wti tm t"otaymilgllaW: It.aw and lvuteirtn� tncuurreeauat, or any Iport'tlon of lt, vwna,y resulllt liiivv severe cl Wlll and crlivnlina ll Itrvevaahlis m, and wHII be (prosecuted to the rinatallmmauaivmu extent Iyaoam llble a nder tlh e Ilaaw. 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, copydght@?aia.org. 061110 THE CINCINNATI INSURANCE COMPANY Fairfield, Ohio POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That THE CINCINNATI INSURANCE COMPANY, a corporation organized under the laws of the State of Ohio, and having its principal office in the City of Fairfield, Ohio, does hereby constitute and appoint Mark E. Wobbe; Barbara E. Pearson; Nicole L. Bicknell; Jennifer L. Kasznia; William J. Cerney, III; Wesley L. Mantooth; Jordan M. Scheiber; Sandra L. Junk; Theresa M. Burns; Megan E. Riesenberg and/or Cheryl E. Alkire of South Bend, Indiana its true and lawful Attorneys) -in -Fact to sign, execute, seal and deliver on its behalf as Surety, and as its act and deed, any and all bonds, policies, undertakings, or other like instruments, as follows: Any such obligations in the United States, up to Thirty Five Million and No/100 Dollars ($35,000,000.00). This appointment is made under and by authority of the following resolution passed by the Board of Directors of said Company at a meeting held in the principal office of the Company, a quorum being present and voting, on the 6", day of December, 1958, which resolution is still in effect: "RESOLVED, that the President or any Vice President be hereby authorized, and empowered to appoint Attorneys -in - Fact of the Company to execute any and all bonds, policies, undertakings, or other like instruments on behalf of the Corporation, and may authorize any officer or any such Attorney -in -Fact to affix the corporate seal; and may with or without cause modify or revoke any such appointment or authority. Any such writings so executed by such Attorneys -in - Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company at a meeting duly called and held on the 71" day of December, 1973. "RESOLVED, that the signature of the President or a Vice President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Secretary or Assistant Secretary and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power of certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified by certificate so executed and sealed shall, with respect to any bond or undertaking to which it is attached, continue to be valid and binding on the Company." IN WITNESS WHEREOF, THE CINCINNATI INSURANCE COMPANY has caused these presents to be sealed with its corporate seal, duly attested by its Vice President this 81 day of March, 2017. THE CINCINNATI INSURANCE COMPANY 4 dORPORATE � g SEAL Vice President STATE OF OHIO ) ss: COUNTY OF BUTLER ) On this 81' day of March, 2017. before me came the above -named Vice President of THE CINCINNATI INSURANCE COMPANY, to me personally known to be the officer described herein, and acknowledged that the seal affixed to the preceding instrument is the corporate seal of said Company and the corporate seal and the signature of the officer were duly affixed and subscribed to said instrument by the authority and direction of said corporation. e MARK J. H LLER, Attorney at Law NOTARY PUBLIC - STATE OF OHIO s r,� My commission has no expiration Of. date. Section 147.03 O.R.C. I, the undersigned Secretary or Assistant Secretary of THE CINCINNATI INSURANCE COMPANY, hereby certify that the above is a true and correct copy of the Original Power of Attorney issued by said Company, and do hereby further certify that the said Power of Attorney is still in full force and effect. GIVEN under niy hand and seal of said Company at Faitfwld, Ohio. this day of x CORPORRTE SEAL BN-1005 (3/17) Secretary 1316 COUNTY -CITY BUILDING � � ✓� PHONE 227 W..fErrExsoN BOULEVARD Fnx �,�r Souru BEND, INDi;wn46601-1830;7 TDD 1865 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: December 13, 2018 To: All Planholders ............. mmmmmmITITITITIT From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: VPA Restroom Remodeling Project No.: 118-043R 574/235-9251 574/ 235 9171 574/235-5567 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: Authorized Signature: Michiana Contracting, Inc Date: December 13, 2018 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. CITY OF SOUTH BEND abrae MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY %, DEVELOPMENT PROGRAM FORM MWBE-1.0 MBE/WBE PARTICIPATION " This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE/MBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. Project Number: 118-043R _....... Project Name: VPA Restroom Remodeling Bidder: Michiana COntrdCtln ,Inc _ Total Bid Amount: 490,000.00 MBENVBE Goal: 0% Page__I`of--I_ Primary Contact Person Scope of Work to be Performed Dollar Amount of Percentage Name Address of MBrANBE (Namefrelephone) (Attach scope/schedule if you need additional space) MBEIWBE Component of Total BIdIPro osai DA Dodd, LLC 574-968-0589 Plumbing $120,920.00 24.6% 2516 N. Home Street Douglas Bourne Mishawaka, IN 46545 Submitted by: Scott Kirkpatrick, _resident � December 20, 2018 . P _ _. _. . Print Name Signature Date CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96 t State Form 52414 (R2 / 2-13) / Form 96 (Revised 2013) Prescribed by State Board of Accounts PART I (To be completed for all bids. Please type or print) Date (month, day, year) 1. Governmental Unit (Owner); City of South Bend December 20, 2018 2. County. St. Joseph 3. Bidder (Firm): Michiana Contracting, Inc. Address: 7843 Lilac Road, PO Box 929 City/State/ZlPcode. Plymouth, Indiana 46563 4. Telephone Number: 574-936-8613 5. 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 No. 118-043R (Governmental Unit) in accordance with plans and specifications prepared by Epoch Architecture & Planning 321 South Main Street, Suite 103, South Bend, IN 46601 and dated November 2018 for the sum of Four Hundred Ninety Thousand Dollars $ 490,000.00 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 governmental unit. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. The contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant may be regarded as a material breach of the contract. CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS (if applicable) I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation to use steel products made in the United States (I.C. 5-16-8-2). 1 hereby certify that I and all subcontractors employed by me for this project will use U.S. steel products on this project if awarded. understand that violations hereunder may result in forfeiture of contractual payments. The above bid is accepted this following conditions: Contracting Authority Members: ACCEPTANCE day of PART II (For projects of $150,000 or more — /C 36-1-12-4) Governmental Unit: City of South Bend Bidder (Firm) Michiana Contracting, Inc. Date (month, day, year). December 20, 2018 subject to the 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. 2. 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? FContract Completion Amount Class of Work Date Name and Address of Owner 1,138,565.00 Electrical/General 2017 WaNee Comm School -Facility Improv 1,625,500.00 Electrical/General 2017 Plymouth Parks Dept -Tennis Courts 191,970.00 Electrical/General 2017 LaVille Schools -Science LabReno 427,600.00 General 2017 Indianapolis Metro Airport -Hangar Rehab 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 2,868,350.00 Electrical/General 2018 WaNee Comm School-Additions/Reno 2,163,700.00 Electrical/General 2018 Plymouth City Hall-Additions/Reno 1,183,750.00 Electrical/General 2019 Fulton Co Airport -Corp Hangar & Office 148,782.00 Electrical/General 2018 Ind Dunes State Park -Annex Remodel 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. HRP Construction, PO Box 266, South Bend, Indiana 46624 Mr. Paul Fallon RBC Precision Products, 225 Industrial Drive, Bremen, Indiana 46506 Mr. Don Peoppel White Flyer, 317 Kleckner, Knox, Indiana 46534 Mr. Tim Gutner Masonite Corporation, 101 Industrial Park Dr., Walkerton, Indiana 46574 Mr. John Felix Ancilla Domini, 9601 Union Rd., Donaldson, Indiana 46513 Ms. Susan Black 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.) If awarded this contract, we will start work when we receive the contract and notice to roceed and will work to keep pace with all involved for a timely completion, on or before the specified completion date. 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. See attachment. MICHIANA CONTRACTING, INC FORM 96 (2013), SECTION II, QUESTION 2, SUBCONTRACTOR LISTING A.HATTERSLEY & SONS INC PO BOX 5366 A+ PLUMBING, HEATING, COOLING 9595 TYLER ROAD A-1 DOOR SPECIALITIES INC PO BOX 202 A-1 STRIPING SERVICE INC 56825 SPIREA ROAD ABELL ELEVATOR INTERNATIONAL 1256 LOGAN STREET ABSOLUTE CONSTRUCTION & DESIGN 3535 W SHORE DRIVE ACCULEVEL ACCURATE STRIPING INC AFFORDABLE AWNING & CANVAS AIRMARKING CO, INC ALL CITY ELECTRIC, INC. ALLIED CONSTRUCTION SERVICE ALLIED WINDOW INC AMERICAN EAGLE TREE SERVICE 9495N WALDRON RD PO BOX 35 2545 UNION ROAD PO BOX 526 2747 FREEMAN STREET 2293 BUNCHBERRY CT 11111 CANAL ROAD 455 S.R. 261 ARNT ASPHALT SEALING INC 1240 SOUTH CRYSTAL AVENUE ARTISIAN INDUSTRIAL METALS INC 6600 ARTISAN WAY ARTIZAN FLOORING 14493 LINCOLN HWY, STE D ATLANTIC CONSTRUCTION COMPANY 4226 ALLMOND AVENUE BEER & SLABAUGH, INC. 23965 US 6 EAST BERTSCH-FRANK & ASSOCIATES 4630 W JEFFERSON BLVD #6 BLANKENBEKER & SONS LAND SURV. 618 E COURT AVENUE BLUE PRINCE INC BROUWER'S CARPET & FURNITURE BURNS CORPORATION C & S DRYWALL INC C&E EXCAVATING CENTRAL PAVING INC CERTIFIED FLOOR COVERING INC CERULEAN PAINTING, INC. CLASSIC TURF 317 E MARION 333 E CENTER ST. EXT. PO BOX 136 50783 COBUS RIDGE LANE 53767 COUNTY ROAD 9 PO BOX 357 5150 W 84TH ST 4000 WEST 106TH ST, SUITE 125-418 437 SHERMAN HILL RD CLEAN AIR CORPORATION PO BOX 3053 CLEAN AIR ENVIRONMENTAL SERVICE PO BOX 314 CLINTON KORFHAGE LANDSCAPING 1823 HEATON ROAD COMFORT CARPETS, INC. 3120 N. HOME ST CONCRETE CONTRACTING SOLUTIONS 754 S FRONT STREET COUNTERTOP SHOPPE INC 505 W JEFFERSON ST CRANE INDUSTRAIL SERVICE CO IN 11035 ANDERSON ROAD CULVER ROOFING, INC 4050 WEST 4TH AVENUE CUSTOM AWNING 1251 THIRD STREET CUSTOM FENCING, INC. 28445 450W CUSTOM MILLWORK & DISPLAY INC 2102 W WASHINGTON STE 1 D.A. DODD LLC 14 E. MICHIGAN, PO BOX 430 DEMUYT MASONRY INC 3107 E NORTHPORT ROAD DESCO FLOOR SYSTEMS 1851 E BROADWAY DON MARK FENCE CONTRACTOR 6325 QUEEN ROAD FORT WAYNE, IN 46895 BREMEN, IN 46506 NEW HAVEN, IN 46774 NEW CARLISLE, IN 46552 LOUISVILLE, KY 40204 BREMEN, IN 46506 ROSSVILLE, IN 46065 YORKTOWN, IN 47396 WALKERTON, IN 46574 ROCHESTER, IN 46975 FORT WAYNE, IN 46802 LAFAYETTE,IN 47905 CINCINNAIT, OH 45241 BOONVILLE, IN 47601 BENTON HARBOR, MI 49022 LOUISVILLE, KY 40228 PLYMOUTH, IN 46563 LOUISVILLE, KY 40209 NAPPANEE, IN 46550 FORT WAYNE, IN 46804 JEFFERSONVILLE, IN 47130 MISHAWAKA, IN 46545 WARSAW, IN 46582 HAGERSTOWN, IN 47346 GRANGER, IN 46530 ELKHART, IN 46514 LOGANSPORT, IN 46947 INDIANAPOLIS, IN 46268 CARMEL, IN 46032 WOODBURY, CT 06798 SOUTH BEND, IN 46619 NORTH LIBERTY, IN 46554 LOUISVILLE, KY 40216-2827 MISHAWAKA, IN 46545 COLUMBUS, OH 43206 PLYMOUTH, IN 46563 GRANGER, IN 46530 GARY, IN 46406 OSCEOLA, IN 46561 WARSAW, IN 46580 SOUTH BEND, IN 46628 ROLLING PRAIRIE, IN 46371 ROME CITY, IN 46784 FORTVILLE, IN 46040 PLYMOUTH, IN 46563 1 MICHIANA CONTRACTING, INC FORM 96 (2013), SECTION II, QUESTION 2, SUBCONTRACTOR LISTING DTH CONTRACTORS LLC DYNAMIC AUDIO SOLUTIONS E & B PAVING ECLIPSE MASONRY EDWARD J. WHITE INC ESHELMAN EXCAVATING EXTREME CLEAN FINAL TOUCH PAINTING FIRE BARRIERS LLC FORSEY CONSTRUCTION INC FORT WAYNE REINFORCING INC FOWLER FINISHES, LLC FUERBRINGER LANDSCAPE DESIGN GARCIA CONCRETE CONST., INC GAUNT & SON ASPHALT, INC GRIFFEN PLUMBING & HEATING GYPSUM FLOOR SYSTEMS INC HASKINS UNDERGROUND INC HENSLEY & SON INC. HINSHAW ROOFING & SHEET METAL HIS CONSTRUCTORS INC HOOSIERLAND EXCAVATING HRP CONSTRUCTION HYDRO - TEK SEEDING, INC. INDIANA EARTH, INC. INDIANA SIGN & BARRICADE INC INDIANA TRAFFIC SERVICES INC INTERIOR FINISHES INC J & R SEAMLESS GUTTERS J.A. REKE & SONS JBT AEROTECH, JETWAY SYSTEMS JEFFREY COOPER PAINTING INC. K & S ENGINEERS, INC L.L. GEANS CONSTRUCTION CO LANGFELDT EXCAVATING LLC LAPORTE CONSTRUCTION CO., INC 1112 CLAY ST MISHAWAKA, IN 46545 2308 CORAL BAY COURT FORT WAYNE, IN 46814 310 BLACKETOR DRIVE ROCHESTER, IN 46975 600 N 653 E KOKOMO, IN 46901 1011 S MICHIGAN ST SOUTH BEND, IN 46601 5999 E US HWY 6 KENDALLVILLE, IN 46755 54855 HOLLYWOOD BLVD SOUTH BEND, IN 46628 2014 BLUE SPRUCE CIRCLE WARSAW, IN 46580 PO BOX 455 COLUMBIA CITY, IN 46725 2018 IRONWOOD CIRCLE SOUTH BEND, IN 46635 4483 COUNTY ROAD 19 AUBURN, IN 46706 2035 W 700 N ROCHESTER, IN 46975 22539 BRICK ROAD SOUTH BEND, IN 46628 2316 SOUTHYARD COURT FORT WAYNE, IN 46818 5511 WEST OLD 24 WABASH, IN 46992 2310 TOLEDO ROAD ELKHART, IN 46516 63700 CR 31 GOSHEN, IN 46528 8111913 ROAD PLYMOUTH, IN 46563 9206 15TH ROAD ARGOS, IN 46501 PO BOX 626 FRANKFORT, IN 46041-0636 5140 E 65TH STREET STE B INDIANAPOLIS, IN 46220-4817 18941 NEW ROAD SOUTH BEND, IN 46614 PO BOX 266 SOUTH BEND, IN 46624-0266 26428 COUNTY ROAD 52 NAPPANEE, IN 46550 10343 MCKINLEY HIGHWAY OSCEOLA, IN 46561 5240 E 25TH STREET INDIANPAPOLIS, IN 46218 3867 NORTH COMMERCIAL PARKWAY GREENFIELD, IN 46140 3601 W. MCGILL ST SOUTH BEND, IN 46628 16160 LINCOLN HIGHWAY PLYMOUTH, IN 46563 PO BOX 298 1805 WEST 2550 SOUTH 18322 COUNTY ROAD 18 9715 KENNEDY AVENUE 1905 ELDER ROAD 11126 LINCOLN HWY E PO BOX 577 LEE COMPANY, INC 27 S 12TH ST LEISURE POOL & SPA SUPPLY 1405 N INDIANA AVE LEMASTER STEEL ERECTORS 53518 COUNTY ROAD 9 LOOKIN' GOOD CONSTRUCTION INC MARCE'S DRYWALL MARSHALL COUNTY GLASS CO., INC MARSHALL ROOFING & SIDING MCGRATH REFRIGERATION INC MCMILLAN INTERIORS PO BOX 260 632 S LAKE ST 7501 N. MICHIGAN ST 1727 HIGH ST 2520 S US HWY 35 PO BOX 133 EATON, OH 45320 OGDEN, UT 84401 GOSHEN, IN 46528 HIGHLAND, IN 46322 MISHAWAKA, IN 46545 PLYMOUTH, IN 46563 LAPORTE, IN 46352 TERRE HAUTE, IN 47807-3901 SYRACUSE, IN 46567 ELKHART, IN 46514 NEW CARLISLE, IN 46552 WARSAW, IN 46582 PLYMOUTH, IN 46563 LOGANSPORT, IN 46947 KNOX, IN 46534 ATWOOD, IN 46502 1A MICHIANA CONTRACTING, INC FORM 96 (2013), SECTION II, QUESTION 2, SUBCONTRACTOR LISTING MICHIANA CONTRACTING MIKE'S TREE SERVICE INC MILLWOOD ROOFING & CONST. INC MOORE'S CONCRETE INC MORRIS & SONS ROOFING INC NATIONAL CONSTRUCTION RENTALS NIBLOCK EXCAVATING NORTH CENTRAL MECHANICAL INC OVERHEAD DOOR P & S CONCRETE, LLC PEYTON'S BARRICADE & SIGN CO PHEND AND BROWN PRATT'S FLOOR INC PO BOX 929 4891 SOUTH 300 WEST 1176W800N PO BOX 509 208 E QUAD ST PO BOX 4503 PO BOX 211 1721 N CEDAR ST STE 1 58745 EXECUTIVE DRIVE 10995 3B ROAD PO BOX 1294 367 E 1250N, PO BOX 150 PO BOX 827 PRECISION PAINTING & DECOR 19201 PIERCE ROAD PREMIER COMMUNICATION 902 INCENTIVE DRIVE PREMIUM CONCRETE SERVICES 712 RICHMOND ST PRICE NURSERIES 7880 KING ROAD PROJECT DESIGN & PIPING INC 3615 TRANSPORTATION DRIVE QUALITY PLUMBING & HEATING 120 E MCKINLEY ST, PO BOX 428 R. YODER CONSTRUCTION PO BOX 69 RACQUET SPORTS INC. 5850 COMSTOCK PARK RAINY DAYS GUTTERING 2921 5TH ROAD RAY NOLAN ROOFING COMPANY INC 4606 ILLINOIS AVENUE RIATA RESTORATION LLC 56740 CR 35 RIETH RILEY CONSTRUCTION CO. PO BOX 477 ROADSAFE EVANSVILLE 3122 OLYMPIA DRIVE ROADSAFE HOLDING ROSEMA CONSTRUCTION INC ROSS MASONERY, INC ROYAL CUSTOM PAINTNG LLC SANTAROSSA MOSAIC & TILE CO SCHEURICH INC SCHNDLER ELEVATOR CORPORATION SHAMBAUGH & SONS LP SHIRLEY ANN CLEANS SIMON CEILINGS & FRAMING SKYLINE ROOFING & SHEET METAL SLUSSER'S GREEN THUMB SMITH ERECTORS INC SOLID PLATFORMS INC SPECIALTIES COMPANY LLC STAR FLOORING CORPORATION STEVE'S CARPET SERVICE INC STONECREEK INTERIOR SYSTEMS SUPERIOR FIRE & WATER FULL RES 3519 HARDING ST PO BOX 8949 20750 ROOSEVELT ROAD PLYMOUTH, IN 46563 HUNTINGTON, IN 46750 MILFORD, IN 46542 LAKEVILLE, IN 46536 BOURBON, IN 46504 PACOIMA, CA 91333-4503 BRISTOL, IN 46507 MISHAWAKA, IN 46545 MISHAWAKA, IN 46544 PLYMOUTH, IN 46563 JEFFERSONVILLE, IN 47130 MILFORD, IN 46542 PLYMOUTH, IN 46563 LAKEVILLE, IN 46536 FORT WAYNE, IN 46825 ELKHART, IN 46516 PLYMOUTH, IN 46563 FORT WAYNE, IN 46818 BUNKER HILL, IN 46914 NAPPANEE, IN 46550 COMSTOCK PARK, MI 49321 BREMEN, IN 46506 LOUISVILLE, KY 40213 MIDDLEBUR, IN 46540 GOSHEN, IN 46526 LAFAYETTE,IN 47909 INDIANAPOLIS, IN 46217 FORT WAYNE, IN 46898 SOUTH BEND, IN 46614 1851 E SOUTHWAY BLVD, PO BOX 500 KOKOMO, IN 46902 2707 ROOSEVELT AVE, PO BOX 18190 INDIANAPOLIS, IN 46218 1008 N 6TH STREET MONTICELLO, IN 47960-0 PO BOX 70433 CHICAGO, IL 60673-0433 7614 OPPORTUNITY DRIVE FORT WAYNE, IN 46825 PO BOX 73 KNOX, IN 46534 28830 NEW ROAD NORTH LIBERTY, IN 46554 3060 W. MINNESOTA ST INDIANAPOLIS, IN 46241 125 MONTGOMERY ST, PO BOX 33 LOGANSPORT, IN 46947 PO BOX 168 MARKLE, IN 46770 6610 MELTON ROAD PORTAGE, IN 46368 9350 E 30TH ST INDIANAPOLIS, IN 46229-1075 1515 STAR SCHOOL ROAD HASTINGS, MI 49058 11011 S MICHIGAN ROAD PLYMOUTH, IN 45452 7603 GREEN MEADOWS DRIVE LEWIS CENTER, OH 43035 PO BOX 200 LAKEVILLE, IN 46536 3 MICHIANA CONTRACTING, INC FORM 96 (2013), SECTION II, QUESTION 2, SUBCONTRACTOR LISTING SUPERIOR INSULATION CO TEMPLE & TEMPLE EXCAVATING THE ART MOSAIC & TILE COMPANY THE DRYWALL DOCTOR INC THE GIRL'S THING THOMAS EXCAVATING & WELDING THYSSENKRUPP ELEVATOR TR CONCRETE CONSTRUCTION, INC TRAFFIC CONTROL SPECIALISTS IN TRIANGLE WINDOW FASHIONS, INC. TRUITT CONSTRUCTION INC VANADCO SIGNS 2500 LEAF DRIVE 1367 SOUTH STATE ROAD 60 PO BOX 569 PO BOX 778 17845 MAIN ST, PO BOX 97 17643 16th Road 2726 E KEMPER ROAD 11133 SHADYLAND DR 1810 W. PACIFIC AVE. 2625-A BUCHANAN AVE SW 13793 ERDMAN RD 10625 ST RD 10 VIDA PLUMBING & HEATING INC 52007 Plantion Drive W.G. BRUDNEY CONST., LLC PO BOX 189 WATER WORKS LLC PO BOX 42 WAYNE ASPHALT & CONSTRUCTION 6600 ARDMORE AVE WENDT CRANE & RIGGING PO BOX 666 WOLF COMMERCIAL ROOFING, INC 1319 N IOWA ST ZIOLKOWSKI CONSTRUCTION 4050 RALPH JONES DRIVE FERDINAND, IN 45732 SALEM, IN 47167 SOUTH BEND, IN 46624-0569 GRANGER, IN 46530 TYNER, IN 46572 Culver, IN 46511 SHARONVILLE, OH 45241 PLYMOUTH, IN 46563 KNOX, IN 46534 WYOMING, MI 49548 BEAR LAKE, MI 49614 ARGOS, IN 46501 Granger, IN 46530 STRO H, IN 46789 MONTICELLO, IN 47960 FORT WAYNE, IN 46809 WABASH, IN 46992 SOUTH BEND, IN 46628 SOUTH BEND, IN 46628 4 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. Listing will be provided upon request prior to contract approval. 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. Michiana Contracting, Inc has a large fleet of heavy equipment and contractor tools sufficient to complete this project. A detailed listing is available upon request. 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. SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT The undersigned bidder or agent, being duly sworn on oath, says that he 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 include 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. He 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. SECTION V OATH AND AFFIRMATION I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE TRUE AND CORRECT. Dated at Plymouth, Indiana this 20th day of December 2018 Michiana Contracting, Inc. of By Scott Kirkpatrick, President (Title of Person Signing) ACKNOWLEDGEMENT STATE OF Indiana ) ss COUNTY OF Before me, a Notary Public, personally appeared the above -named Scott Kirkpatrick and swore that the statements contained in the foregoing document are true and correct,. Subscribed and sworn to before me this 20th My Commission Expires:��� County of Residence::.» December 2018 'AMLLA "'j 111404,E ON Nnlar�rU itilir [i.ain of lnA�an� ATTACHMENT TO Bid for: City of South Bend, Board of Public Works VAP Restroom Remodeling Bid Date/Time: December 20", 2018 @ 10:30am (local time) 1. Bidder Permanent Place of Business: Michiana Contracting Inc is an Indiana Corporation incorporated Sept 25, 1985 with physical address of: 7843 Lilac Road Plymouth, IN 46563 Phone: 574-936-8613 Fax: 574-936-6201 and mailing address of: PO Box 929 Plymouth, IN 46563 2. Michiana Contracting Inc Listing of Equipment — see attached listing 3. Work Experience of similar nature — see attached listing of "General & Electrical" projects completed within the last 5 years. 4. Qualifications: • Indiana Department of Public Works — Certificate of Qualification • Indiana Department of Transportation — Certificate of Qualification 5. Proposed plan for performing the project: We have reviewed in detail all pertinent plans, specifications and addendums relating to this project and will start work upon Award of Contract and Notice to Proceed. We will work to keep pace with all involved for a timely completion on or before the specified completion date. 6. Completion date for project: As stated in contract 7. Date on which work can commence: As soon as we receive Award to Contractor.. Michiana Contracting Inc - Equipment List ZEQ-1007 2500HD 2007 PICK UP ZEQ-1018 2018 CHEVY 1500 ZEQ-1100 2000 GMC 7500 W/CRANE ZEQ-1199 1999 CAT 416C BACKHOE ZEQ-1414 2014 CHEVY PICKUP TRUCK 1500 ZEQ-1481 GREENLEE POST DRIVER ZEQ-1482 HUSQVARNA ELECTRIC SAW 14" ZEQ-1486 1986 SULLAIR 185 DPQ AIR COMP ZEQ-1499 REDI HAUL TRAILER ZEQ-1507 2007 CHEVY PICKUP ZEQ-1556 POST DRIVE ZEQ-1569 8' LADDER - SMALL TOOLS ZEQ-1604 2004 CHEVROLET 2500 HD ZEQ-1607 BELSHE TRAILER ZEQ-1704 2004 CHEVROLET 2500 HD ZEQ-1810 #1810 BUCKET TRUCK ZEQ-1910 #1910 BUCKET TRUCK ZEQ-1998 WIRE REEL TRAILER ZEQ-2010 #2010 BUCKET TRUCK ZEQ-2105 2005 CHEVY 2500 ZEQ-2108 REEL TRAILER ZEQ-2109 2009 INT'L 4300 DURASTAR TRUCK ZEQ-214 2014 CHEVY SILVERADO 1500 4X4 ZEQ-2208 REEL TRAILER ZEQ-2213 2013 CHEVY P/U TRUCK 3/4 TON ZEQ-2316 2016 BELSHE FLATBED TRAILER ZEQ-2398 1998 1 HC4700 ZEQ-2406 CHEVY 2006 PICK UP TRUCK ZEQ-2416 2016 BELSHE FLATBED TRAILER ZEQ-2593 1993 BELSHE TRL T-16 ZEQ-2600 2000 Pad Foot Compactor ZEQ-2707 2007 FREIGHTLINER DUMP TRUCK ZEQ-2913 2013 14' DUMP TRAILER ZEQ-3007 2007 DT-256 BELSHE TRAILER ZEQ-3097 97 VERMEER LM42 PLOW/TRENCHE Michiana Contracting Inc - Equipment List ZEQ-3103 2003 FL70 FREIGHTLINER LTECH TA40 ZEQ-3115 2015 BELSHE FB30-2EP TRAILER ZEQ-315 2015 CHEVY SILERADO ZEQ-3207 2007 DT-256 BELSHE TRAILER ZEQ-3308 2008 DUMP TRAILER ZEQ-3313 2013 1/2 TON CHEVY PICKUP TRUC ZEQ-3406 2006 GMC BUCKET TRUCK ZEQ-3497 1997 BLESHE TRAILER ZEQ-3506 2006 CHEVROLET C5500 ZEQ-3598 1998 BLACKHAWK GASPIPE TRAIL ZEQ-3705 2005 CHEVROLET SILVERADO 1500 ZEQ-3715 2015 MSI 12' DUMP TRAILER ZEQ-3888 1988 586E CASE FORKLIFT ZEQ-3897 1997 I/R RT706G FORKLIFT ZEQ-3907 2007 GMC C5550 ZEQ-3993 1993 CHILTON POLE TRAILER ZEQ-4006 2006 60KW PORTABLE GENERATOR ZEQ-4014 BOBCAT T630 2014 ZEQ-4080 GENERATOR ZEQ-4111 2011 CHEVY CRUZE ZEQ-4112 2012 CATERPILLAR 262C LOADER ZEQ-415 2015 CHEVY SILVERADO 2500 HD ZEQ-4205 2005 304 CR CAT MINI ZEQ-4298 1998 CHEVY CK 2500 ZEQ-4304 2004 ATLAS COPCO XAS97 AIR COM ZEQ-4313 2013 ATLAS COPCO AIR COMPRESS ZEQ-4391 1991 SULLAIR A/C MODEL 125DPQ ZEQ-4398 1998 DAWSON TRAILER ZEQ-4404 AIR COMPRESSOR ZEQ-4504 2004 ATLAS COPCO A/COMPRESSO ZEQ-4599 1999 ECLIPSE ARROWBOARD ZEQ-4612 2012 BOBCAT 5750 SKID STEER LD ZEQ-4711 2011 S630 BOBCAT ZEQ-5007 2007 CAT 305CCR MINI ZEQ-5112 2012 INTERNATIONAL TERRA STAR 1 Michiana Contracting Inc - Equipment List ZEQ-5203 2003 C-4500 GMC TRUCK ZEQ-5406 2006 GMC 2500 P/U TRUCK ZEQ-5510 2010 CAT 305C MINI EXCAVATOR ZEQ-5805 2005 CAT 430D BACKHOE LOADER ZEQ-5906 2006 CHEVY PICKUP ZEQ-6006 2006 F-550 16' BOX TRUCK ZEQ-6105 TRENCHER ZEQ-616 2015 SILVERADO ZEQ-6297 1997 FORD LT900 W/NATIONAL 562 ZEQ-6299 VERMEER 5750 TRENCHER ZEQ-6311 2011 Vermeer Quad Track Tracto ZEQ-6498 1998 VOLVO 11 YARD VACUUM TRK ZEQ-6500 1999 RING O'MATIC JET VAC ZEQ-6706 2006 CHEVY 2500 PICKUP ZEQ-6809 2009 TAR BUGGY/STEPP ZEQ-716 2016 CHEVY COLORADO ZEQ-7198 1998 INTERNATIONAL 4700 MIX TR ZEQ-7208 2008 VERMEER BORE MACHINE ZEQ-7398 1998 CUSTOM TRAILER ZEQ-7508 2008 SUPERLINE 6 TON TRAILER ZEQ-7607 2007 BORING MACHINE VEEMEER ZEQ-7704 2004 INTERNATIONAL 4400 TRUCK ZEQ-7798 1998 TRAIL KING TRAILER ZEQ-8098 1998 COLEMAN GENERATOR ZEQ-817 2017-2500HD CHEVY SILVERADO ZEQ-8199 MICHAEL/TRAILER MODEL 1203M ZEQ-8295 1995 BELSHE RB-2 TRAILER ZEQ-8401 2001 INTERNATIONAL CRAME ZEQ-8603 2003 CHEVY 2500 HD ZEQ-8703 2003 CHEVY 2500HD ZEQ-8788 1988 STAFFORD TRAILER ZEQ-8896 1996 BELSHE RB-2 TRAILER ZEQ-9096 1990 CASE 360 TRENCHER ZEQ-917 2017 2500HD CHEVY SILVERADO Michiana Contracting Inc - Equipment List ZEQ-9209 2009 CHEVY SILVERADO 4X4 ZEQ-9512 2012 CHEVY 4X4 PICKUP ZEQ-9708 2008 CHEVY PICK UP ZEQ-9808 2008 CHEVY PICK UP ZEQ-9908 2008 CHEVY PICKUP TRUCK ZEQ-A11601 #5203 - BUCKET TRUCK ZEQ-A11602 #2109 - BUCKET TRUCK ZEQ-A13506 BUCKET TRUCK #3506 ZEQ-A17798 1998 TRAIL KING TRAILER ZEQ-A19608 #9608-2008 CHEVY PICKUP ZEQ-LEXUS 2013 LEXUS ZEQ-M1030 MILLER WELDER ZEQ-M1038 TARGET CONCRETE SAW ZEQ-M1040 KAWASKI MULE ZEQ-M1067 WALK BEHIND CONCRETE SAW ZEQ-M1073 BACKHOE HAMMER ZEQ-M1106 STRAW BLOWER ZEQ-M1193 GENIE 5-40 ZEQ-M1236 2000 GENI GS 1930 SC LIFT ZEQ-M1237 CAT FORK LIKFT ZEQ-M1265 ARROWBOARD ZEQ-M1278 CONCRETE MIXER ZEQ-M1456 TARGET PRO 35 WALK BEHIND SAW ZEQ-M2000 SPOOL TRAILER ZEQ-M2001 SPOOL TRAILER -CUSTOM BUILT ZEQ-M89 BOB CAT AUGER ATTACHMENT ZEQ-M921 VERMEER MIX UNIT ZEQ-MC1006 BACKHOE FORKS ZEQ-MC1066 BOBCAT CONCRETE HAMMER ZEQ-MC1232 AUGER-ATTM ZEQ-MC1244 DRILL HAMMER ZEQ-MC1258 2007 PORTABLE LIGHTTOWER ZEQ-MC1259 2007 PORTABLE LIGHT TOWER ZEQ-3716 MSI DUMP TRAILER Michiana Contracting Inc - Equipment List ZEQ-MC1265 2009 ALLMAND ARROWBOARD ZEQ-MC1266 2009 ALLMAND ARROWBOARD ZEQ-MC1267 2009 ALLMAND ARROWBOARD ZEQ-MC1268 2009 ALLMAND ARROWBOARD ZEQ-MC1279 2004 MX 125 MUD MIXING SYSTEM ZEQ-MC1361 BOBCAT BROOM ZEQ-MC1408 SMALL CONCRETE BUCKET ZEQ-MC1412 JLG 26' SCISSOR LIFT ZEQ-MC1413 JLG 20' SCISSOR LIFT ZEQ-M1415 JLG SCISSOR LIFT ZEQ-MC1440 12' SNOW PUSHER ZEQ-MC1447 30C AUGER ATTACHMENT BOBCAT ZEQ-MC1448 FFC PREPARATOR SOIL PREPARER ZEQ-MC1449 NEW HOLLAND 716BSNOW BLOWR ZEQ-MC1450 SULLAIR CIPPING HAMMER FBCH-3 ZEQ-MC1451 DEVIL BISS AIR ELEC GENERATOR ZEQ-MC1452 MUSTANG 3" PUMP ZEQ-MC1453 PLATE COMPACTOR ZEQ-MC1457 BOSCH TABLE SAW/WTS 3000STAN ZEQ-MC1501 SPECTRA PRO MARK 220 (GPS) ZEQ-MC619 10' LEVELER ZEQ-MC832 PRESSURE WASHER ZEQ-MC849 RAKE ZEQ-MC9096 1996 16' REEL TRAILER/OKLAHOMA ZEQ-MC921 7198 MIX UNIT Michiana Contracting Inc - Equipment List ZEQ-T1 WELLS CARGO JOB SITE TRAILER ZEQ-T12 1998 WELLS CARGO TR 1082202 ZEQ-T13 1999 WELLS CARGO TR 1085113 ZEQ-T14 1999 WELLS CARGO TR 1085111 ZEQ-T16 2007 WELLS CARGO TRAILER ZEQ-T17 2008 WELLS CARGO TRAILER ZEQ-T18 2008 WELLS CARGO TRAILER ZEQ-T19 2015 CARGO MATE TRAILER ZEQ-T20 7X16 CARGO MATE 7 MICHIANA CONTRACTING - EXPERIENCE DATE CONTRACT # CLASS DESCRIPTION CONTRACT $ 5/29/2012 C153 G PLYMOUTH COMM SCHOOL OF INQUIRY $ 989,190.00 7/19/2012 C154 G/E ALICK HOME MEDICAL - NEW BLDG $ 997,343.00 7/26/2012 C155 G/E FORT WAYNE AIRPORT - GATE ELECTRIFICATION $ 912,000.00 9/18/2012 C157 G/E IVY TECH -ADMINISTRATION BLDG RENO $ 81,400.00 9/27/2012 C156 G/E E & B PAVING - OVERHEAD DOOR $ 35,430.00 1/16/2013 C158 G/E CASTON SCHOOL CORP - FACILITY ADDITION/REND $ 1,103,040.00 4/24/2013 C159 G/E/H CITY OF PLYMOUTH - RIVER PARK SQUARE $ 1,642,167.19 5/2/2013 C160 G/E PLYMOUTH COMM SCHOOL - RIVERSIDE $ 62,290.00 7/23/2013 C161 G/E WANEE COMM SCHOOL CORP - 2013/2014 RENO $ 882,600.00 2/3/2014 C162 G MARION AIRPORT - HANGAR REHAB $ 111,275.00 4/29/2014 C163 G CARROLL CONSOLIDATED SCHOOLS - HEALTH/FITNESS CTR $ 1,305,560.00 5/15/2014 C164 G WINONA LAKE - LIMITLESS PARK $ 1,032,000.00 9/22/2014 C165 G/E CHURCH OF THE BRETHREN - ELEVATOR $ 112,500.00 12/1/2014 C166 G/E WANEE COMM SCHOOL CORP - KITCHEN RENO $ 223,000.00 3/6/2015 C167 G/E PERU PUBLIC LIBRARY - CHILDREN'S AREA RENO $ 1,199,900.00 4/28/2015 C168 G/E CULVER PARK DEPART - HANDRAILS $ 69,500.00 5/1/2015 C169 G/E CITY OF PLYMOUTH - LEDYARD WATER TREATMENT PLANT $ 253,380.00 6/25/2015 C170 G TOWN OF CULVER - WASTE WATER TREATMENT IMPROVE $ 1,119,200.82 9/23/2015 C171 G CASTON SCHOOL CORP - BUS GARAGE $ 62,820.00 10/28/2015 C172 G/E POLYGON CORP - BREAKROOM/CUST SVC RENO $ 367,000.00 10/30/2015 C173 G MASONITE CORP - PLANT RESTROOM RENO $ 32,105.00 12/4/2015 C174 G/E CASTON SCHOOL CORP - BAND/CHORAL & WEIGHT/FITNESS RENO $ 214,550.00 12/4/2015 C175 G AMI INDUSTRIES - RESTROOM #2 RENO $ 32,900.00 12/9/2015 C176 G/E WANEE COMM SCHOOL - 2016 FACILITY IMPROVE $ 1,138,565.00 12/30/2015 C177 G LAKELAND MIDDLE SCHOOL - OFFICE RENO $ 126,820.00 2/8/2016 C178 G/E PLYMOUTH PARK DEPT- POOL $ 83,877.00 5/20/2016 C179 G/E PLYMOUTH PARK DEPT -TENNIS COURTS $ 1,628,500.00 10/17/2016 C180 G/E LAVILLE JR/SR SCHOOLS - SCIENCE DEPT LAB RENO $ 191,870.00 1/23/2017 C181 G INDIANAPOLIS METRO AIRPORT- HANGAR REHAB $ 427,600.00 3/14/2017 C182 G/E WANEE COMM SCHOOL- 2017 HIGHSCHOOLADDITION/REND $ 2,868,350.00 8/30/2017 C183 G/E CITY OF PLYMOUTH - CITY HALL ADDITION/RENO $ 2,163,700.00 10/25/2017 C184 G MASONITE CORP - WALKERTON DOCKS $ 98,388.00 5/3/2018 C185 G INDIANA DUNES STATE PARK - ANNEX REMODEL $ 148,782.00 6/5/2018 C186 G/E FULTON COUNTY AIRPORT- CORPORATE HANGAR & OFFICE $ 1,183,750.00 10/4/2018 C187 G CITY OF PLYMOUTH - NIXON FIELD MASONRY REPAIR $ 45,935.00 10/30/2018 C188 G REES THEATRE - DEMOLITION $ 39,850.00 CERTIFICATE OF QUALIFICATION to provide CONSTRUCTION SERVICES for PUBLIC WORKS PROJECTS to the STATE OF INDIANA This Certification Board, having duly considered application for qualification in terms of apparent experience and financial resources; and under the applicable Indiana Code 4-13.6-4 and adopted rules of this Board, hereby issues a Certificate of Qualification to provide construction services to the State of Indiana for Public Works Projects to: MICHIANA CONTRACTING INC 7843 LILAC RD PO BOX 929 PLYMOUTH IN 46563 Phone 574-936-8613 Fax 574-936-6201 Company Official SCOTT WALLSMITH for the twenty-4ven month period stated herein, unless revokrd by this Board for cause, and in the 0assificalwas of services stated below. This cerfificMesupercedes any previous certificate. 1542.00113 Inst. Bldgs.(Hosp., Schl., Prsn.)>$1,000,000, <$10,000,000 1542.01 Institutional Bidgs (Hospitals, Schools, Prisons) 1642.02 Commercial Buildings (Offices, Stores, Restaurants) 1542.04 Additions, Alterations, Remodeling, and Repair 1731.01 Electrical Work in excess of$ 160,000.00 CERTIFICATION DATE 1/10/2018 EXPIRATION DATE 4110/2020 A, PU I L I C-IVOR-&S D I I IS ION CER'I -I FICATIoN BOAR I-), 402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS, INDIANA 46204, ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION. Tracy L, Cross, ExectMe Secretary Certification Board DAM PQ2 Stare Forrn 3983R Rev 07/06 ISSUED BY INDIANAPOLIS, IN August 7, 2018 K7 MICHIANA CONTRACTING INC PLYMOUTH, IN who has filed with the Department a Contractor's Statement of Experience and Financial Condition as required under Indiana Code 8-23-10, is hereby qualified to bid at any Department of Transportation letting in Classes of Work and within the amount and other limitation of each classification as lusted below, for such period as the uncompleted work on hand from all sources does not exceed the Aggregate amount. Classification references by name or symbol are in accordance with the definitions in the Contractor's Statement of Experience and Financial Condition. This certificate supersedes any certificate previously issued, but is subject to revision or revocation according to the law, if and when changes in the financial condition of the contracting firm or other facts justify such revision or revocation. Valid Duty 26,201 i3 Thru April 30, 2019 AGGR>~GA.TF, ......� _�..... .....,.� .�.,........ _.�. ...$'29,235,000 0048 TRAFFIC CONTROL:ADVANCED MGI' SYS"I'EMS .,_.._ $29,235,000 0112 TRENCHLESS PIPE INSTALI.A'IION „ _. $1,00(),000 0165 TRAFFIC CONTROL HIGHWe\Y I_,IGITTTNG .. _ _ _ $29,235,000 0188 FORCT MAINS AND LIF"I` STATIONS _ .. _�.. _ $1,000,000 0377 TRAFFIC CONTROL:SIGNAL MAINTENANCE'.....— _ _, $29,235,000 0380 TREE TRIMMING AND REMOVAL, _ __ _ _ _ _ _ $1,00()O00 0400 WNI'ER AND WASTEWATER TRE'.ATMENT SYS1'1TMS ., $29,235,000 0450 TELECOMMUNICATIONS INSTALLATION & CONNECT $1,000,000 E(A) TIU4FFIC CONTROL: SIGNAL INSTALLATION _ _ _ _ $29,23.5,000 E(D) TRAFFIC CONTROL: SIGN INSTALLATTON ..., _ _ . _ _ $29,2.35,000 E(E) SMALL STRUCTURES AND DRAINAGE ITEMS ...,... _. $1,000,000 R E QUALIFICATION ENGINEER COMMISSIONER Stale Form 20508 (R3 / 5-05) M O N N .j E 0 LL co LO N 0 LL m 0 r a N rn O m O IL ca O U (0 .J Cl) M CD LO (a IRT cu c ns c L 7 0 >+ W7 w O LL v) F- U W O Y O U_ J m CL LL O .O C a) m L O 05 0 U w M 0 00 0 z U a) .O c 0 aa)) 0 O cn N a) d F. b 01,��}li'r9€ J 1116 Cour'y-(:i'�yBUIMPING � �� h�-0�a�r 574/235-9251 227 W. Jr,d LsoN,, 1;1OLIVA,i ARD � - I•AN' 574/ 235-9171 5(W HI14web,INDIANA466W-1830 PIA" FIN") 574/235-5567 � x 1865 CITY OF Sotrn I BENT) PETE BUB TIGIEi, MAYOR BOARD OF PUBLIC WORKS VPA Restroom Remodeling 118-043R Addendum No. 1 Date: December 13, 2018 To: All Planholders From: Scott Kreeger, Project Manager You must acknowledge a receipt of this addendum by signing the first page and returning a copy with your bid. The following shall replace existing sections in the special provisions. Changes and/or additions are shown in read. The revisions herein shall not relieve the contractor of complying with any other requirements of the front end or Section 01 10 00 SUMMARY, 1.07, Paragraphs, B through E. XIII. PROSECUTION AND PROGRESS W w" ,ai ,.an indl%/ ,laJ;mfl „Iln. I4> l ,rl Ihl'�fit,'J io s,M r.l,.jirlb' ot dav"S' 1fhi')rr:, �.al al .�'jao, u4�� Ir,rr7;Allilll,al wtn ,lk Krratci-P^�,-,1 1s t "sll bo I ra 0 l V�'�ithIiia tiro^/'`lh10) �A'J,�IIril i,'dH A�Vca i°I sPaiV.cd shall Inol,��z°ti���°a,t l�a,'t��,�l, tutt'yF "Ij „rtlrl1,"lrlr rl,�/, a;'Vh', ,+ �;,tiwl r���urr;it�r,nw� tnay ���^;:(:,'sl I:Ie'y';: rI d Il'le tkni,' hill'aal' 4.07 WORK SEQUENCE il- Flrbr to Aprfl'hst, the arnount of iirnio- atan i'individWit site is not fimdtcd tioa sel number of days, Where wr)rlk mas sbarted at any pmlic;Oar silcr, any rernifln4ig work affi-m Aprfl 1st shaVll be cornpkAod ovithin fifty (50) a,arahe ndrair days succeeding, Afteir AprH lst, afl work started shaH nod extend beyond fifty (50) cMendair days at as P,'.iT'fl(.Lflar Me, Lawn s(tradiing operrations irnay occur beyond the firne Hirnft foir work at ann site, r. fo 1 � C �lh!i) j I' n 'c"I Ll Project: 118-043R VPA Restroom Remodeling December 10, 2018 10:00 a.m. (Local Time) Welcome and Introductions Sign -in Scott Kreeger, Project Engineer — City of South Bend Roger Nawrot, Assistant City Engineer — City of South Bend Patrick Sherman, Project Manager — Venues, Parks, and Arts John Martinez, Director of Facilities & Grounds — Venues, Parks and Arts Kevin McShane, Project Manager— EPOCH Architecture + Planning Direct all questions, in writing, during bidding: Scott Kreeger, skree ,f c—vsouthbendo.( v Questions due by 5:00 p.m. (Local Time) December 11, 2018 It. Project Overview Work to be performed shall include furnishing all labor, services, materials, insurance and equipment to renovate several park restroom facilities and sites, complete with sidewalk replacement, asphalt replacement, parking striping & signage, grading, backfilling, seeding, plumbing and electrical work, restroom accessories and finishes located in South Bend, Indiana, as specified in the specifications and in the exhibits and reference drawings. BASE BID - ADA Restroom Remodeling at the following locations: a. Boehm Park, 1600 Edison Road. b. Boland Park, 2800 Corpus Christi Drive c. Keller Park, 1858 Riverside Drive d. Kennedy Park, 2700 Westmore Street. e. Leeper Park, 907 Riverside Drive f. Potawatomi Park, 500 S. Greenlawn Avenue g. Phil St. Clair Park, 1300 S. Mayflower Road h. Rum Village Park, 2626 S. Gertrude Street ALTERNATE SITES - ADA Restroom Remodeling at the following locations: a. Rum Village Park b. Southeast Neighborhood Park, Wenger Street c. Pinhook Park, 2801 Riverside Drive e. Veteran's Memorial Park, 1621 Northside, Blvd. d. Boehm Park Ill. Critical Schedule The work at all sites shall be substantially complete by August 30, 2019. Limit work at each site from start until substantial completion to 50 calendar days. The contract time will start when the Notice to Proceed is delivered and signed. The following are dates for the earliest start and requested completion dates: 1. Potawatomi Park; Substantially complete by April 8, 2019. 2. Rum Village Park; Substantially complete by April 1, 2019. Liquidated Damages - $500 / calendar day — Special Provisions Section XVI.B.2 IV„ Bidding Overview A. Plans and Specifications The Contract Documents are on file and available for public inspection commencing on the first advertise date during regular working hours at the Department of Public Works (1316 County -City Building, South Bend, Indiana), and at MACIAF 3215-A Sugar Maple Court, South Bend, IN 46628. Additionally, the Contract Documents will be available that same day for inspection or purchase at American Reprographics Company ("ARC", located at 1303 Northside Blvd., South Bend, Indiana, 46615), http://www.e-arc.com, (574) 287-2944, toll free at (800) 783-7231. There will be a non-refundable charge for reproduction as set by ARC for every set of documents for all bidders. B. Bid Requirements Bids are due at the Office of the Board of Public Works, County -City Building Room 1316, 227 West Jefferson Blvd, South Bend, Indiana, 46601 until 10:30 a.m., Local Time, on December 20, 2018. A checklist for bidders is included in the Contractor's Bid for Public Works, sheet 1. The Responsible Bidder checklist is located in General Conditions, sheet 6, and will need to be completed in its entirety for the contractor to be eligible for award. All documents related to the Responsible Bidder checklist may be submit electronically. Acknowledgement of receipt of any Addendum to be included in bid submission. Bids must be on the City of South Bend Contractor's Bid for Public Work Form, accompanied by a Certified Check or Bid Bond in the amount of not less than five percent (5%) of the base bid plus any alternates, in a sealed envelope noting the project name, number and your company's information on the front. C. Award of Bid Upon award, the successful Bid provider shall supply the following bonds: • Payment Bond within seven (7) days of the Notification of Award for an amount equal to one hundred percent (100%) of the contract amount. • Performance Bond within seven (7) days of the Notification of Award for an amount equal to one hundred twenty-five percent (125%) of the contract amount. • Contractor Warranty One (1) year warranty after the completion date on the affidavit approved by the Board. Completion date to correspond to the date on which the last restroom is completed. MWBE Good Faith Effort Forms must be completed, signed, and handed in with the bid submission. These forms are shown in the bid proposal, Contractor's Bid for Public Works, sheets 9, 10, and 11. Payments for work completed during this project will be made every thirty (30) calendar days. Consistent with provisions of IC 36-1-12-14, the Board of Public Works shall retain a percentage of payments throughout the duration of the project. Materials and properties purchased under contract with the Owner that becomes a permanent part of the structure or facilities constructed are not subject to the Indiana Gross Retail Tax (Sales Tax). The exemption number will be furnished to the Contractor upon award. V. Comments by Department of Public Works Questions due by 5:00 p.m. Local Time on 12/11/18. All work in the City of South Bend Right of way shall use current City standards. All Contractors AND subcontractors must be pre -qualified for being a responsible bidder as of July 2018. The Contractor is responsible for completing the checklist and attaching all requested documents in the bid package. The Checklist can be found under General Conditions starting on page 6. VI. Contractor Questions Why is there a 50-calendar day limitation for projects prior to April 1s'? Please see Addendum No. 1 for clarification. CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name VPA Restroom Remodeling Project No. 118-043R For Bids Due December 20, 2018 Contractor Name: Michiana Contracting, 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 sk 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) _ By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter is attached. By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (b) Attachments: (i) _ Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) .... Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. (iii) Evidence that I am utilizing a surety company which is on the United States Department of Treasury's Listing of Approved Sureties as required in the bid specifications or contract. (iv) List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. Version 7/20/2018 General Conditions - 8 II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) X By checking this box, I hereby acknowledge that I am not a pre -qualified bidder X 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) X 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) X 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). (ii) X List identifying all former business names. (iii) __X— 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) X Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I X 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) X 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 X organization. (vfl) 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) X 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) X 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. 0) _X_ 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 20, 2018 (Sign Here) Scott Kirkpatrick, President (Print Name Here) Michiana Contracting, Inc (Name of Company) 7843 Lilac Rd, PO Box 929 (Address of Company) Plymouth (City) Indiana (State) 574-936-8613 (Telephone Number) Version 7/20/2018 General Conditions - 10 Attachment to Bid Pre -Qualification Checklist (for Bidders that are not Pre -qualified) Section II City of South Bend Board of Public Works VPA Restroom Remodeling Project No. 118-043R Bidder: Michiana Contracting, Inc.. 7843 Lilac Rd, PO Box 929 Plymouth, Indiana 46563 574-936-8613 Section II (b) (i) Indiana Secretary of State Business verification for Michiana Contracting Inc is attached (ii) Michiana Contracting, Inc has no former business names (iv) Michiana Contracting, Inc has no determinations by a court of 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) Michiana Contracting, Inc has sufficient employees on staff to complete the work we are bidding on, and also has the appropriate staffing capabilities, including labor sources to meet the staffing needs of the work, if needed. (v) All individuals who will perform work on the public work project on Michiana Contracting, Inc's 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 is attached. (vii) Copy of a written plan for employee drug testing is attached (viii) Evidence of utilizing a surety company listed on the Bureau of Fiscal Services certified Sureties is attached (ix) Michiana Contracting, Inc has no federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years (x) List of projects of similar size and scope is attached Date: December 20 2018 Signature: Print Name: Scott Kirk atrick President Company: Michiana Contracting, Inc. Address: 7843 Lilac Rd PO Box 929 PI mouth Indiana 46563 Phone: 574-936-8613 BUSINESS INFORMATION CONNIE LAWSON INDIANA SECRETARY OF STATE 12/19/2018 10:11 AM l3u�art"s Namc: MICHIANA CONTRACTING, INC. Business ID: 198509-725 hili4,yl'ypc� Domestic For -Profit Corporation Creation Dwe: 09125/1985 116n6pal office Addlc�'& 7843 LILAC RD, PO BOX 929, PLYMOUTH, IN, 46563, USA Jurisdiction of Formation: Indiana [Princl'pa' I" Infor sn'at lon Business Status: Active Inactive Date: Expiration Date: Perpetual Business Entity Report Due 09/30J2019 Date: . ......... . - ..... . ...... Title Name Address Twa'wrct Lisa L Botto 7843 Lilac Road PO Box 929, Plymouth, IN, 46563, USA Scott Wakniidi 7943 Lilac Rd., PO Box 929, PLYMOUTH, IN, 46563, USA Vice PnNidew Todd Wallsmilh 7943 LILAC ROAD, P.O. BOX 929, PLYMOUTH, IN, 46563, USA Ptcsidew Scott Kirkpatrick 7843 LILAC ROAD PO BOX 929, Plymouth, IN, 46563, USA Vices Presidolt RANDY LONGANLCKER 7843 LILAC ROAD PO BOX 929, PlYMOU111, IN, 46563, USA ......... .. . .... _711— d Agent Information . .... . .... . ........ ........... .. ......... Type: Individual Name: Scott D. Wallsmith Address: 811 Willis Park, North Webster, IN, 46555, USA Associated SUlyder5 and contracrtor9, Inc. Indiana/Kentucky Chapter Training Program Agreement Between ABC of Indiana/Kentucky and Michiana Contracting, Inc. June zoi8 Rationale Since Michiana Contracting, Inc. is located in Plymouth, IN far from any ABC training center, Michiana Contracting will implement an in-house Electrical apprenticeship training program under the sponsorship of ABC Indiana/Kentucky. Atraining partnership between Associated Builders and Contractors of Indiana/Kentucky (ABC) and Michiana Contracting is of great value to both organizations by combining efforts to improve the construction industry through professionally trained craft professionals. This written agreement clarifies the agreement between ABC and Michiana Contracting to provide an in-house apprenticeship training program located at Michiana Contracting, Inc., 7841 Lilac Road, P.O. Box 929, Plymouth, Indiana 46563, ftr- rl101111t This Training Program Agreement between ABC and Michiana Contracting is effective beginning August zoj_8 and will be reevaluated in August zoig. f?WrWQKkk m „} or°rsilai itie Both organizations understand the necessity of submitting paperwork in a timely manner and commit to meeting established submission timelines. Michia aa, .onttgj t ng,will. W provide classroom and lab space, equipment, and training materials that adequately support implementation and continuation of the electrical apprenticeship training program; ■ pay salaries for in-house program instructor(s); • ensure apprentices will attend class for no less than 144 hours per level of study as required by the DOL. • submit to the training site coordinator the following required program documents in the following manner: ;il,m enrollment forms, performance profile sheets, employer mandated work forms, i"lasl�pta-iA: log attendance weekly in Flashpoint, enter grades, OJT submission and approval MaH. at the end of the semester please submit NCCER module exams and Form zoo assure all rules and regulations are followed per ABC, hICCER, and the U.S. Department of Labor (DOL) guidelines, P9. I. ABC will: • NCCER certify instructors teaching classes for the Michiana Contracting in-house apprenticeship program; • order all craft textbooks; • provide orientation materials, verify attendance in Flashpoint, grade reports, wage letters, DOL information, NCCER credentials, and invoices; ensure reports are completed and submitted as required by ABC, NCCER, and the DOL; ■ provide support to instructors as needed; and audit the training site to verify that all program guidelines, regulations, and instructional practices are being met. 1m1-Hou',s `ro rp.LiI..(9gs Costs for the ABC Training Program to be held by Michiana Contracting are listed below, Core/Level I— Cost per Student ■ New Student Application Fee $ ioo.00 • Annual Tuition $ 500.00 • Textbooks $ 200.00 (Instructor Textbooks - $soo/copy as needed) $ 800.00 Level z — Cost per Student • Annual Tuition $ 500.00 • NCCER Textbooks $ x50.00 (Instructor Textbooks - $ioo/copy as needed) m wm $ 650,00 Program casts for each student are quoted as of Jonuary i, 207.5 and may be subject to change. lmp�q[iLcj_qt,Motice Where program guidelines, regulations, and/or training conditions are not sufficiently met by students, instructors, and/or the training facility, ABC of Indiana/Kentucky will drop all sLt.tdwith the Department of Labor and immediately terrninate the training program. As additional students are added to a class, it is the responsibility of the training member to ensure ABC is notified and supplied with the appropriate information as listed above. Si nature: Training Compa Signature: sentative ABC cif Indiana/Kentucky Repre e Signature: Date:...- "Y ,.. Date: � Revised 10/2/2006 Michiana Contracting Inc 702 DRUG AND ALCOHOL USE It is Michiana Contracting's desire to provide a drug -free, healthful and safe workplace. To promote this goal, employees are required to report to work in appropriate mental and physical condition to perform their jobs in a satisfactory manner. While on Michiana Contracting premises and while conducting business -related activities off Michiana Contracting premises, no employee may use, possess, distribute, sell or be under the influence of alcohol or illegal drugs. The legal use of prescribed drugs is permitted on the job only if it does no impair an employee's ability to perform the essential functions of the job effectively and in a safe manner that does not endanger other individuals in the workplace. (See additional information*) Violations of this policy may lead to disciplinary action, up to and including immediate termination of employment, and/or required participation in a substance abuse rehabilitation or treatment program. Such violations may also have legal consequences. (See additional information*) To inform employees about important provisions of this policy, Michiana Contracting has established a drug -free awareness program. The program provides information on the dangers and effects of substance abuse in the workplace, resources available to employees and consequences for violations of this policy Employees with questions or concerns about substance dependency or abuse are encouraged to use the resources of the Employee Assistance Program. They may also wish to discuss these matters with their supervisor, company officer, or Safety Director to receive assistance or referrals to appropriate resources in the community. Employees with drug or alcohol problems that have not resulted in, and are not the immediate subject of disciplinary action may request approval to take unpaid time off to participate in a rehabilitation or treatment program through Michiana Contracting's health insurance benefit coverage. Leave may be granted if the employee agrees to abstain from use of the problem substance; abides by all Michiana Contracting policies, rules, and prohibitions relating to conduct in the workplace, and if granting the leave will not cause Michiana Contracting any undue hardship. Under the Drug -Free Workplace Act, an employee who performs work for a government contract or grant must notify Michiana Contracting of criminal conviction for drug -related activity occurring in the workplace. The report must be made within five days of the conviction. Employees with questions on this policy or issues related to drug or alcohol use in the workplace should raise the concerns with their Supervisor or the Safety Director without fear of reprisal. (SEE MICHIANA CONTRACTING STATEMENT REGARDING DRUG AND ALCOHOL USE IN THE WORKPLACE for further information and compliance requirements) Revised 10/02/2006 MICHIANA CONTRACTING STATEMENT REGARDING DRUG AND ALCOHOL USE IN THE WORKPLACE Michiana Contracting Inc recognizes the dangers to health, safety, moral and general welfare to drug use in the workplace. It is therefore the policy of Michiana Contracting to maintain a drug free workplace, pursuant to the Drug Free Workplace Act of 1988 and Executive Order 90-5. Michiana Contracting Inc prohibits the use, possession, disposition, manufacture or distribution on its premises, facilities or workplaces of any of the following: alcoholic, beverages, intoxicants, and controlled substances, including illegal or unauthorized drugs (including marijuana) "look alike" (simulated drugs) and related drug paraphernalia. Michiana Contracting employees must not report for duty under the influence of any drug, alcoholic beverage, intoxicant or narcotic or other substances (including legally prescribed drugs and medicines) which will in any way adversely affect their working ability, alertness, coordination, response or adversely affect the safety of others on the job. Entry into or presence on company premises, facility or workplace by any person is conditioned upon the company's right to search the person, personal effects, vehicles (while located on company premises, facilities, or workplace), lockers and baggage of any employee or other entrant for any substances named in the paragraphs above. By entering into or being present on company premises, facility or workplace, any person is deemed to have consented to have such searches. Michiana Contracting also reserves the right at all times to have authorized personnel conduct periodic examinations of its employees and employees of its subcontractors and supplies for the purpose of determing if any such persons present on a company jobsite are using marijuana, illegal drugs or alcohol. The taking of blood, urine, or saliva samples for testing may also be required from any person on company premises or workplace who is suspected to be under the influence of drugs or alcohol, who is involved in a vehicle accident, or who is injured in the course of employment. Any person who refuses to submit to a search, screening or testing as described in this policy, or who uses, possesses, dispenses, distributes or manufactures any of the substances named in this first paragraph of this policy, or who is found under the influence of any such substances, is subject to disciplinary action including immediate discharge of an employee or removal and future prohibition from the premises, if not an employee of Michiana Contracting. Legally prescribed drugs may be permitted on Michiana Contracting premises or work locations, provided the drugs are contained in the original prescription container and are prescribed by an authorized medical practitioner for the current use of the person in possession. Any person in possession of valid prescription drug when on or entering Michiana Contracting Statement Regarding Drug and Alcohol Use in the Workplace Michiana Contracting Inc. premises or workplace locations may be required to complete a "prescription drug: form, and Michiana Contracting may, as it deems appropriate, determine if the drug produces hazardous effects. Michiana Contracting has the right in its discretion to report for the use, possession or distribution of any substance named in the first paragraph of this policy to law enforcement officials and to turn over to the custody of law enforcement officials any such substances or company property. Drug Testing Program In compliance with Indiana Code 4-13-18-6, Michiana Contracting's Drug Testing Program will include: 1. Each employee will be subject to a drug test at least one (1) time each year. 2. Employees will be tested randomly. At least two percent (2%) of Michiana Contracting's employees will be randomly selected each month for testing. 3. Testing will include and at least a five (5) drug panel that tests the following: • Amphetamines • Cocaine • Opiates (2000 ng/ml) • PCP • THC This program will impose progressive discipline on an employee who fails a drug test as follows: 1. After the first positive test, an employee must be: a) suspended from work for thirty (30) days; b) directed to a program of treatment or rehabilitation; and c) subject to unannounced drug testing for one (1) year, beginning the day the employee returns to work. 2. After the second positive test, an employee must be: a) Suspended from work for ninety days; b) Directed to a program of treatment or rehabilitation through Michiana Contracting's EAP program, and c) Subject to unannounced drug testing for one (1) year, beginning the day the employee returns to work. 3. After a third positive test, an employee must be: a) suspended from work for one (1) year; b) directed to a program of treatment or rehabilitation through Michiana Contracting's EAP program; and c) subject to unannounced drug testing for one (1) year beginning the day the employee returns to work. This program may require dismissal of the employee after any positive drug test or other discipline more severe than is described in this subdivision. OA Michiana Contracting Statement Regarding Drug and Alcohol Use in the Workplace NOTE.• Currently and until further notice, the Bowen Center, whose services, for the most part are covered under Michiana Contrachng's Group Insurance, will act as the company Employee Assistance Program (EAP). Refer to your company handbookfor further information regarding the Bowen Center. Any person required by the nature of his or her duties as an employee of Michiana Contracting to hold a Commercial Driver's License under Indiana Code 9-24-6, et seq., shall be subject during the course of his or her employment with Michiana Contracting to controlled substances testing, including as applicable reasonable cause testing, random testing (as referenced above) and post -accident testing as is required by law for such drivers and as a condition of his or her employment, shall cooperate in all such required testing. This is hereby notification that as a condition of continued employment the employee will (1) abide by the terms of the above statement and (2) notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five (5) days after such conviction. 3 List of Certified Companies CDfll[,2rPv iTine", �t;ps -/ r S U-y V/ jj cal,.,t eas r .,gp qtV,,-,bpqds/list-certified-companies.html#c MICHIANA CONTRACTING - EXPERIENCE DATE 5/29/2012 7/19/2012 7/26/2012 9/18/2012 9/27/2012 1/16/2013 4/24/2013 5/2/2013 7/23/2013 2/3/2014 4/29/2014 5/15/2014 9/22/2014 12/1/2014 3/6/2015 4/28/2015 5/1/2015 6/25/2015 9/23/2015 10/28/2015 10/30/2015 12/4/2015 12/4/2015 12/9/2015 12/30/2015 2/8/2016 5/20/2016 10/17/2016 1/23/2017 3/14/2017 8/30/2017 10/25/2017 5/3/2018 6/5/2018 10/4/2018 10/30/2018 CONTRACT # CLASS DESCRIPTION C153 G PLYMOUTH COMM SCHOOL OF INQUIRY $ C154 G/E ALICK HOME MEDICAL- NEW BLDG $ C155 G/E FORT WAYNE AIRPORT - GATE ELECTRIFICATION $ C157 G/E IVYTECH -ADMINISTRATION BLDG RENO $ C156 G/E E & B PAVING - OVERHEAD DOOR $ C158 G/E CASTON SCHOOL CORP - FACILITY ADDITION/REND $ C159 G/E/H CITY OF PLYMOUTH - RIVER PARK SQUARE $ C160 G/E PLYMOUTH COMM SCHOOL- RIVERSIDE $ C161 G/E WANEE COMM SCHOOL CORP - 2013/2014 RENO $ C162 G MARION AIRPORT - HANGAR REHAB $ C163 G CARROLL CONSOLIDATED SCHOOLS - HEALTH/FITNESS CTR $ C164 G WINONA LAKE - LIMITLESS PARK $ C165 G/E CHURCH OF THE BRETHREN - ELEVATOR $ C166 G/E WANEE COMM SCHOOL CORP - KITCHEN RENO $ C167 G/E PERU PUBLIC LIBRARY - CHILDREN'S AREA RENO $ C168 G/E CULVER PARK DEPART- HANDRAILS $ C169 G/E CITY OF PLYMOUTH - LEDYARD WATER TREATMENT PLANT $ C170 G TOWN OF CULVER - WASTE WATER TREATMENT IMPROVE $ C171 G CASTON SCHOOL CORP - BUS GARAGE $ C172 G/E POLYGON CORP - BREAKROOM/CUST SVC RENO $ C173 G MASONITE CORP - PLANT RESTROOM RENO $ C174 G/E CASTON SCHOOL CORP - BAND/CHORAL & WEIGHT/FITNESS RENO $ C175 G AMI INDUSTRIES - RESTROOM #2 RENO $ C176 G/E WANEE COMM SCHOOL- 2016 FACILITY IMPROVE $ C177 G LAKELAND MIDDLE SCHOOL - OFFICE RENO $ C178 G/E PLYMOUTH PARK DEPT - POOL $ C179 G/E PLYMOUTH PARK DEPT-TENNIS COURTS $ C180 G/E LAVILLE JR/SR SCHOOLS - SCIENCE DEPT LAB RENO $ C181 G INDIANAPOLIS METRO AIRPORT- HANGAR REHAB $ C182 G/E WANEE COMM SCHOOL - 2017 HIGHSCHOOL ADDITION/REND $ C183 G/E CITY OF PLYMOUTH - CITY HALL ADDITION/REND $ C184 G MASONITE CORP - WALKERTON DOCKS $ C185 G INDIANA DUNES STATE PARK - ANNEX REMODEL $ C186 G/E FULTON COUNTY AIRPORT - CORPORATE HANGAR & OFFICE $ C187 G CITY OF PLYMOUTH - NIXON FIELD MASONRY REPAIR $ C188 G REES THEATRE - DEMOLITION $ CONTRACT $ 989,190.00 997,343.00 912,000.00 81,400.00 35,430.00 1,103,040.00 1,642,167.19 62,290.00 882,600.00 111,275.00 1,305,560.00 1,032,000.00 112,500.00 223,000.00 1,199,900.00 69,500.00 253,380.00 1,119,200.82 62,820.00 367,000.00 32,105.00 214,550.00 32,900.00 1,138,565.00 126,820.00 83,877.00 1,628,500.00 191,870.00 427,600.00 2,868,350.00 2,163,700.00 98,388.00 148,782.00 1,183, 750.00 45,935.00 39,850.00 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 December20,2018 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. X Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond. X 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 X with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of MBEN1/BE 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 1 Addendum(s) included with the bid. X_ All required additional information is included with the bid. X Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. X This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Michiana Contracting, Inc Date: December 20, 2018 By Authorized Representative: Signature: Print Name & Title:..........o.ISl4�ik presiders _.-,.-, ... ..._.._ _ .......