HomeMy WebLinkAboutOpening of Quotes - Ziker Sample Street Bldg Restroom Remodel Project No 117-123A - Premier I ConstructionCITY OF SOUTH BEND, INDIANA U
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PROJECT NAME: Ziker Sample Street Building: Restroom Remodel
PROJECT NO. 117-123A
QUOTES DUE Janua F 9 2019 9.30 a.m. Local Time
(Must be completed for all quotes. Please type or print)
Date:
Address:
City/State/Zip:
Agent of Bidder (if Applicable): +'„
Pursuant to notices given, the unde signed offers to furnish labor and/or material necessary to complete the
public works project of:
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the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
The '01ty of South B nd Department of Public Works
and dated for the sum of (enter the Total Quote as shown on the Proposa
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(Entr Sum of Total Quote plus Alternates shown on Proposal)
(Numerical)
If alternative quotes 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 quote is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
By
ignsture)
(Ponte h .ion. , of Person Signing)
ACCEPTANCE
The above quote is accepted this day of
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
James A. Mueller, Member
Suzanna M. Fritzberg, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
20
Version 10/31/2017 Page - 7 Public Works Quote
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QUOTE/PROPOSAL
CITY OF SOUTH BEND
1865
PROJECT NAME Ziker Sample Street Building: Restroom Remodel
PROJECT NO. 117-123A
QUOTES DUE Janua 8 2019 9:30 a.m. Local Time
Item
No. Description
1 Remodel and installation of one
(1) new bathroom.
Firm:
Unit I Unit Price II Total Amount
1 LS I I$
Total Amount of Quote I $ `7 � 0t7
Address: goo
City/State/Zip: Telephone Number:
Fax Number:
By Axbvt�11,1�
n
tare
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(Printed Name of Person Signing)
Version 10/31/2017 Page - 11 Public Works Quote
When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT,
CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY
VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE
OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF )
)SS..
COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that:
1. Contractor has not, nor has any other member, representative, or agent of the firm,
company, corporation or partnership represented by him, entered into any combination, collusion
or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent
any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made
without reference to any other bid and without any agreement, understanding or combination with
any other person in reference to such bidding. Contractor further says that no person or persons,
firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift,
commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its
principals are presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from participation in this transaction by any Federal department or agency;
and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment
activities in Iran.
a. For purposes of this Certification, "Iran' means the government of Iran and any agency or
instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from
time -to -time.
b. As provided by Ind. Code § 5-22-16.5-5, 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
Version 10/31/2017 Page - 8 Public Works Quote
Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3.
Contractor's documentation of enrollment and participation in the E-Verify Program is included
and attached as part of this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public
contract to certify that the subcontractors do not knowingly employ or contract with an
unauthorized alien, nor retain any employee or contract with a person that the subcontractor
subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is
participating in the E-Verify Program. The Contractor agrees to maintain this certification
throughout the term of the contract with the City of South Bend, and understands that the City
may terminate the contract for default if the Contractor fails to cure a breach of this provision no
later than thirty (30) days after being notified by the City.
6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by
the City of South Bend through its agencies, boards, or commissions shall not discriminate against
any employee or applicant for employment in the performance of a City contract with respect to
hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly
related to employment because of race, sex, religion, color, national origin, ancestry, age, gender
expression, gender identity, sexual orientation or disability that does not affect that person's ability
to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or
any combination of the foregoing including, but not limited to, public works contracts awarded
under public bidding laws or other contracts in which public bids are not required by law, the City,
its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain
participation by those Contractors certified by the State of Indiana as a Minority Business
("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest,
responsible, responsive bidder.
In no event shall persons or entities seeking the award of a City contract be required to award a
subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said
WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board
shall prohibit that person or entity from being awarded a City contract for a period of one (1) year
from the date of such determination, and such determination may also be grounds for terminating
the contact for which the discriminatory practice or noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination commitment shall
be made a part of any contract which it may henceforth enter into with the City of South Bend,
Indiana or any of its agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for
employment in the performance of this contract with privileges of employment, or any matter
directly or indirectly related to employment, because of race, religion, color, sex, gender
expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of
this provision may be regarded as material breach of contract.
I, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-
8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel
products or foundry products made in the United States on this project if awarded. I understand I
Version 10/31/2017 Page - 9 Public Works Quote
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 17
M'ICHAEL JOHN SZYMANSKI,
Notary Public
A Resident of St. joseph County, IN
Commission No. 694722
My Commission Expires 12/29/2024
day of l� )%
1/xt m..'v
Con TilidZ4�Firm
Signature of Contr r/Iidder or Its Agent
W'
LS
Printed Name and Title
Subscribed and sworn to before me this _7 day of 20
tter
My Commission Expires 12 I' aZ` 2d2
Notary Public
County of Residence-"
Version 10/31/2017 Page - 10 Public Works Quote
City of South Bend
Department of Public Works
Division of Engineering
Bureau of Public Construction
227 West Jefferson RM# 1316
South Bend, Indiana 46601
December 27, 2018
Premier 1 Construction, Inc.
105 E. Jefferson, Suite 216
South Bend, Indiana 46601
RE: Request for Quotations
Ziker Sample Street Building Restroom Remodel
Project No. 117-123A
Dear Sir or Madam:
The City of South Bend solicits your quotation for the remodel of one space (Area 3) into use as a
bathroom along with associated electrical, plumbing, and other miscellaneous work at 251 E. Sample
St. in South Bend.
Attached are the quote plans and specifications. Please review them carefully prior to the submission
of your quote.
Your sealed quote is due to the City of South Bend Department of Public Works, 227 W. Jefferson
Blvd., Room 1316, South Bend, IN 46601 by 9:30 A.M., Local Time, Tuesday, January 8, 2019.
Any quotes received after this time will not be opened. All quotes received by this time will be opened
and read. An award will be made at the January 22, 2019 Board of Public Works meeting.
Upon award, all required documentation must be provided to the Clerk of the Board of Public Works
within seven days.
There will be no walk through for the above project, however you are encouraged to visit the
building and determine the job conditions. For site visit arrangements, contact David Ziker at (574)
386-0014.
If you have any questions or concerns, please contact me at (574) 235-9246 or by email at
cbrael"rya,)«,c
Best Regards,
Charlotte Brach
Project Engineer
Enc. Ziker Sample Street Building Restroom Remodel Plans and Specifications
c, File