HomeMy WebLinkAboutOpening of Bids - Liberty Tower Exterior Renovations Project No 118-086R - Environmental Glass, Inc.CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC "FORK
P dK4e5
Project Name Liberty Tower Exterior Renovations
Project No. 118-086R
For Bids Due January 9 22 201 PART I
Date: mm..m Bidder (Firm): or print)
g ed for all bids
_�.1. (MustmI/be.co let . Please type
Address: d 5 RA k "A J A/
Aite�nt of Bidder if Applicable):_ . �° � � .. p Number
T le hone
Pursuant to notices given, the offers s to furnish lab � or and/or material necessary to complete the
...�°�.�_.__.--....._....°�..-._...m.._.,_�-..,..�.....-
public works project of.
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:�°-�
and dated
w/ a for the sum of (enter the Total Bid as shown on the Proposal)°
Division A: Upper Level Roof Work
( �— al Base Bid lus Alternates shown o p..ww )°._.
Enter sum of Tot ����°�-
P n Pro osal (Numerical)
Division B: Exterior Concrete Masonry Repair
(Enter sum of Total Base Bid plus Alternat wn on Proposal) �.. °°°���((Numerical)
Division C: S � L- &—F 0/Jr k r.
00
(Enter sum of Mtai Base Bid plus Alternates shown on Proposal) ( al
P ) NumericaN)
Division D: Sidewalk and Curb Replacement Work on Washington Street
(Enter sum of Total Base Bi...
d 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
Version 7/20/2018 Contractor's Bid for Public Works - 2
shown in the original contract if accepted by the Cit of South Bend. If the bid is to be awarded on a unit
basis, the itemization of the units shall be shown on �,parateachment.
w..
By
aiasre
(Printed la3me 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, Membe r
James A. Mueller, Member
Suzanna M. Fritzberg, Member
..................—
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
i' •
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
" on of • plan or
include a narrative of when! you could begin work, complete the project, number of workers,
M other informationyou believe would enable the City of • to
consider•
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
Version 7/20/201 S Contractor's Bid for Public Works - 3
bond, However, if you are unable to currently provide a lusting, please understand a listing
must be provided prior to contract approval, lentil the completion of the proposed project, you
are under a continuing obligation to immediately notify the City of South Bend in the event that.
you subsequently determine that you will use a subcontractor on the proposed project.
4. Attach a listing of equipment you have available to use for the proposed project.
5. Have you entered into contracts or received offers for all materials which substantiate the
prices used in preparing your proposal? If not, attach an explanation for the rationale used
which would corroborate the prices listed.
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said
financial statement as required by statute shall thereby be rendered invalid. The financial
statement provided hereunder to the City of South Bend awarding the contract must be specific
enough in detail so that said City of South Bend can make a proper determination of the bidder's
capability for completing the project if awarded.
Version 7/20/2018 Contractor's Bid for Public Works - 4
Project Name:
Project Number:
For Bids Due:
Contractor Name:
BID/PROPOSAL
CITY OF SOUTH BEND
Liberty Tower Exterior Renovations
11 -086R
January 22, 2019
BASE BID:DIVISION A: UPPER LEVEL ROOF WORK
Item Descri tion
No. P Quantity Unit
Total Amount
1 New MembraneSum
_.....� .....Lump
. . .... Roof.....
20 Year TPO .�.. _..... ,1.... ,.,.... ..�_...... ... .... ............ _.... ... _ ....
DIVISION A: BASE BID TOTAL --��
BASE
��.........
BID DIVISION B: EXTERIOR CONCRETE MASONRY
REPAIR AND COATING
Item
No.
[Description.....
y
Quantity
_
Unit
_
Total Amount
Amount
1
Exterior Concrete Ma-
sonryRepair and
-- _
Lump
....
Coatin 1
.._ �..._ __ ...ee....�.� w...�._..�..- ._
Sum
2
Tuck -pointing 400
_.
SF
3
_
' Soft Joint Backer Rod and Sealant 1
_ �
T
4
Cut Control Join350 �
.._.m.�
LFT
DIVISION
B: BASE BID TOTAL"""""
Version 7/20/2018 Contractor's Bid for Public Works - 8
BID/PROPOSAL
CITY OF SOUTH BEND
Project Name: Liberty Tower Exterior Renovations:
Project Number. 118-0 86R
.mFor Bids Due: January 22 2019
Contractor Name:
DIVISION D: SIDEWALK AND
.BASE CURB REPLACEMENT WORK ON WASHINGTON ST
NIO
155
LFT
11
NO. 6 Wire _155
LFT
12
Conduit, PVC, 21N, Schedule 80._._�.._�
— .. ...
.. 15._0
�_
�..�.. .�..
LFT
__......._�,�...
..����.��
Al
13
......
� Construction Engineering
...
.___
1
...�..._._.
LS.._�.
. e..-._ -
�
14
Mobili�...�...���
zation/Demo n
_.
1
LS
5....._
15
�ilizati�
.��... _..... _
Mai
MaintainingTraffic MOT
._ ... w .......
1
LS
.....
16
ConcreteOverlay_
SYS
17
__
Repair of s P alled/delaminated concrete
on bottom of Main St Entrance slab
15
SF
w
18
HMA Base, Type
� _ T._T
9
TON
19
._�.�
HMA�Base
e B
_
11
TON
20
.....
, ,HMA Patching, Tp a B, Undistributed ---_
9 Type
_ _ _ d
.........�... �. w_e� . � .
_. .._.... _......_.
.._.��..,.....
.__..� .-....
TON
_..._...-._
....�,� �..�
. � ��.
21
PCCP For Approach, 6,.
.
..Curb
....�_191�
92
SYS
22
an d Gutter, Con crete
�,�. m.�....
LFT
..�..........�._�...
......��_..__..�
23
Line, Thermoplastic,..
Solid White 4in
214
LFT �
24
Thermoplastic, Solid Y
Line Thermop ,
_ ellow, 4in
�
LFT
25
_._.26w�..
Turn Arrow, T�
T White
� _ P
�
1
EACH
Light Standard Type.Astic
2
EACH
m
27
TreeG
Grate
EACH
28
amental Tree 2
3
�.
EACH
atio��������-��
Additional Common Excavation,
� .w..... .m�..._ _
CYS
30
.� � ... �....�.—..a._...
Utility Allowance
nce
.�...�..
.....
.
$5,000
31
Allowance for Sidewalk Conditions
.�.
EACH
.�� _�_....m .��.
DIVISION D: BASE BID TOTAL
Bidder (Firm): J �: _.._1' � 6,9
Version 7/20/2018 Contractor's Bid for Public Works - 9
BID/PROPOSAL a x�
CITY OF SOUTH BEND
�.
Project
,..,, Exterior ova�.
Name: LibertyRenovations
Tower E
Project Number: 118-086R
For Bids Due: January 22, 2019
Contractor Name: u r _u) -.�.� ..
Address: -..� _ ....:/�
...,.
City/State/Zip: Telephone Number: �. ) „� ' o,
By
(Signature)
(Printed Name of Person Signing)
Version 7/20/2018 Contractor's Bid for Public Works -10
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
AM IJ 6 COUNTY SS:
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 froni 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 front
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 ofthis Certification, "Iran" nicans the government of Iran and any agency
Oar instrurrientality of" Iran,or as otherwise defined at Ind. Code § 5-22-16.5-5, as
amended fromtime-to-time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor
is engaged in investment activities in Iran if either:
Contractor, its successor or its affiliate, provides goods or services of twenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
ii. Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more, in credit to anothes, 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 (fl) at the tints; the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Adniinistration.
Version 7/20/2018 Contractor's Bid for Public Works - 5
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 align, 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 Bell(] through its agencies, boards, or commissions shall not discriminate against any employee or
applicant for employment in tlae 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, ntaterials, or any
combination of the; foregoing ineluding, 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/W11FI; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a
discriminatory practice by the C':ity's MB.E/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
detennination 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
perforanance of this contract with privileges of employment„ or any matter directly or indirectly related to
employment because of race, religion, color, sex, gender expression, gender identity, sexual orientation,
handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of
contract.
1, the undersigned bidder or agent as contractor oil a public works project, understand my statutory
obligations to Mae use orsteel products or foundry products made in the tinted States (1.C. 5-1 Cr-8-'1).1 hereby
certify that I and all subcontractors employed by me for this, project will use steel products or foundry
products maple in the United States on this project if awarded. I understand I: have all affirmative duty to
notify the City in nay bid that nay proposal doesnot include the use of steel products or foundry products
made in the United States. f understand it is my ;scale obligation and responsibility to provide a justiffCrtiort
to the City, subject to review and approval, why the cost of United States made steel or foundry products is
unreasonable. Prior to award and upon submission of bid which does not use steel products or fOundry
products made in the United States, the City, through its director of'public works, shall make a determination
if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder
Version 7/20/2018 Contractor's Bid for Public Works - 6
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 71 '+° day of"..,_, e iT.w
ry .M ate '
Contract °/udder (Firm)
Sign gent
Signature of Contractor/Bidder ......_�m_..........._-�..�..idder or Its A ....��....��......_
Printed Name and Title
�A
Subscribed and sworn to before me this day lu w y o1 . 20
My Commission Expires--_
N tea Pa is
County of Residence, ,
JENNIFER M DUPUIE
NOTARY Public
WAYNE COUNTY, STATE OF MICHIGAN
My COMMISSION EXPIRES 01-26-202I
Version 7/20/201 S Contractor's Bid for Public Works - 7
AIA Diocument A31 0 TM -2010
m�f
CONTRACTOR: SURETY:
(Name, legal status and address) (Name, legal status and principal place
Environmental Glass Inc of business)
12675 Marlin Drive International Fidelity Insurance Company
Redford, MI 48239 3720 Queen Ct SW, Suite 7
OWNER: Cedar Rapids, IA 52404
(Name, legal status and address)
City of South Bend, Indiana, Board of Public Works
227 West Jefferson Blvd.
South Bend, IN 46601
BOND AMOUNT: Five Percent of Accompanying Bid ---------------- (5%)
PROJECT:
(Name, location or address, and Project number, if any)
Liberty Tower Exterior Renovations Project No,
Vestibule Entrance
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,
118-086R Division C: Main Floor Storefront and
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 atccepl.able 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 anti void, otherwise to remain in full force and effect. The Surety hereby waives any notice of
an agreement between the Owner, and Contractm to extend the time in which the Owner may accept the bid. Waiver of
notice by (lie Surety shall not apply to any e xlension 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,
ably provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and
Provisions eol7forming to such statutory or other legal requirement shallbe deemed incorporated herein. When so
fnt 11ished, the intent is that this Bond shall be, Construed as a statutory luffld and not as a common law bond.
Signed and sealed this 22nd day of January,
w
(Witness)
2019
Environrnentaftass Inc
a
(Principal). ....... ... ---
(Seal)
(Title)�_...�_ _...........
Inter ati a ' ell ° nsuran a ComPa- Dy ____
(Watt .tl (Seal)
It
_.: .....
(Title)Jph L Budde, Attorney -in -Fact
...................
Init. AIA Document A310TM — 2010. Copyright 01963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This Ale
Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA" Document, or
any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This
document was created on 01/27/2012 07:23:12 under the terms of AIA Documents-on-DemandTM order no. 2008397483 , and is not for
resale. This document is licensed by The American Institute of Architects for one-time use only, and may not be reproduced prior to its completion, ositio
POWER OF ATTORNEY Bond#
INTERNATIONAL FIDELITY INSURANCE COMPANY
ALLEGHENY CASUALTY COMPANY
One Newark Center, 201h Floor, Newark, New Jersey 07102-5207 PHONE: (973) 624-7200
KNOW ALL MEN BY THESE PRESENTS: That INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing under the
laws of the State of New Jersey, and ALLEGHENY CASUALTY COMPANY a corporation organized and existing under the laws of the State of New
Jersey, having their principal office in the City of Newark, New Jersey, do hereby constitute and appoint
T.L. YOUNG, T.J. GRIFFIN, TERENCE J. GRIFFIN, JOHN L. BUDDE, SUSAN L. SMALL, PATRICK E. WILLIAMS,
STEVEN K. BRANDON, WILLIAM A. PIRRET
Farmington Hills, MI
their true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of
indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract
or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said INTERNATIONAL FIDELITY
INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly
executed and acknowledged by their regularly elected officers at their principal offices.
This Power of Attorney is executed, and may be revoked, pursuant to and by authority of the By -Laws of INTERNATIONAL FIDELITY INSURANCE
COMPANY and ALLEGHENY CASUALTY COMPANY and is granted under and by authortty of the following resolution adopted by the Board of
Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 20th day of July, 20110 and by the Board of
Directors of ALLEGHENY CASUALTY COMPANY at a meeting duly held on the 10th day of July, 2015
"RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Vice President, or Secretary of the Corporation shall have the
power to appoint, and to revoke the appointments of, Attorneys -in -Fact or agents with power and authority as defined or limited in their respective powers
of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings, recognizances, contracts of
indemnity and other written obligations in the nature thereof or related thereto; and (2) any such Officers of the Corporation may appoint and revoke the
appointments of point -control custodians„ agents for acceptance of process, and Attorneys -in -fact with authority to execute waivers and consents on
behalf of the Corporation and (3) the signature of any such Officerof the Corporation and the Corporation's seal may be affixed by facsimile to any, power
of attorney or certification given for the execution of any bond„ undertaking, recognizance, contract of indemnity or other written obligation in the nature
thereof or related thereto, such signature and seals when so used whelher heretofore or hereafter, being hereby adopted by the Corporation as the
original signature of such officer and the original seal of the Corporation, to be valid and binding upon the Corporation with the same force and effect as
though manually affixed."
IN WITNESS WHEREOF, INTERNATIONAL FIDELITY INSURANCE COMPANY and
ALLEGHENY CASUALTY COMPANY have each executed and attested these presents
on this 31st day of December, 2017
STATE OF NEW JERSEY t r NSIJA(),$1C1,
County of Essex O
1936
George R. ,fames
Executive Vice President (International Fidelity Insurance Company) and
Vice President (Allegheny Casualty Company) 1'je
On this 31 st day of December, 2017 , before me came the individual who executed the preceding instrument, to me personally known, and,
being by me duly sworn, said he is the therein described and authorized officer of INTERNATIONAL FIDELITY INSURANCE COMPANY and
of ALLEGHENY CASUALTY COMPANY; that the seals affixed to said instrument are the Corporate Seals of said Companies; that the said Corporate
Seals and his signature were duly affixed by order of the Boards of Directors of said Companies.
IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, at the City of Newark,
» ..... �� ��New Jersey the day and year first above written.
.�� p µGRO, y � 41 Cathy
thyCruz scioNotary Public of New Jersey
0 Y p April 16, 2019
� CERTIFICATION
I, the undersigned officer of INTERNATIONAL FIDELITY' INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY do hereby certify that
have compared the foregoing copy of the Power of Attorney and affidavit,. and the copy of the Sections of the By -Laws of said Companies as set forth in
said Power of Attorney, with the originals on file in the home of said companies and that the same are correct transcripts thereof, and of the whole ofthe
said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect'.
IN TESTIMONY WHEREOF, I have hereunto set my hand on this day, 1 /22/2019
A00039
Maria H. Branco, Assistant Secretary
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK 1865
CHECKLIST FOR BIDDERS
Project Name Liberty Tower Exterior Renovations
Project No. 118-086R
For Bids Due'_January 22, 2019- ------
From time to time the South Bend Board of Public Works finds it necessary to reject a bid because
it does not comply with statutory requirements. In preparing your bid, please use the following
checklist in order to make sure that your bid is done in the proper manner.
Proper bid security included. The bidder has the option of providing either a Certified Check
or Bid Bond.
id prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
_w executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification„ Non -Discrimination Commitment,. and
Certification of use of United States Steel Products err Foundry Products.
Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not
met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBEMBE Contacted
Form [MWBE-2.1].
All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
printed or typed underneath signature.
__%Z 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:
By Authorized Representative:
Signature:
Print Name & Title:
Version 7/20/2018 Contractor's Bid for Public Works - 1
Date: _ �% ./. �_._ l ..m._�...� ..
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR. PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name Liberty Tower Exterior Renovations
Project No. 118-086R
For Bids Due January 22, 2019
Contractor Name: '
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 3151 for the upcoming calendar year, or within twelve (1 ) 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
DOSS BID SUBMISSI N&
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 s-uccessful 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-weekiy 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 lire -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.
(ii) _ By checking, this box„ I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided by me, and may also conduct random inquiries of my current and prior
customers.
(b) Attachments:
(i) _ Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
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.
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) IT List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within the last three (3) years.
Version 7/20/2018 General Conditions - 8
II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements:
(i) By checking this box, I hereby acknowledge that I am not a pre -qualified bidder
with the City of South Bend.
(ii) By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided, and may also conduct random inquiries of my current and prior
customers. The City reserved the right to utilize all information provided in this
submission and all information obtained in inquiries or requests to determine if a
bidder is responsive and responsible. Additionally, I acknowledge that all
information provided to the City shall be regarded as public records.
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
"fupon request.
G�) 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 protect, 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 thiis 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)AZ Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
List identifying all former business names. —AJIA = XJ0 0
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. -- N14 "" AJO
(iv) Statement about staffing capabilities, including labor sources. This statement
vindicates and ensures I have sufficient employees on staff to complete the work I
am bidding on OR outlines how I intend to meet the staffing needs of the work.
(v)"' Statement that individuals who will perform work on the public work project on my
behalf will be properly classified as an employee or as an independent contractor
under all applicable state and federal laws and local ordinances,.
(vi) Evidence of participation in apprenticeship and training programs, applicable to the
work to be performed on the project, which are approved by and registered with
the United States Department of Labor's Office of Apprenticeship, or its successor
organization.
(vii) Copy of a written plan for employee drug testing that covers all of my employees
ho will perform work on the public work project and meets or exceeds the
quirements set forth in IC 4-13-18-5 or IC 4-13-18-6.
(viii) Evidence that I am utilizing a surety company which is on the Bureau of Fiscal
Service "Department of Treasury's Listing of Approved Sureties" as required in the
bid specifications or contract.
Version 7/20/2018 General Conditions - 9
(ix) Written Statement of any federal„ state or local tax liens or tax delinquencies owed
to any federal, state or local taxing body in the preceding three years. ,.r
(i) Lust of projects of similar size and scope of worn performed in all areas, including
the State of Indiana, within three () years prior to the date on which the bid is due.
Date:
(Sign Her
(Print Name Here)
(Name of Company)
�...: )
(Address of Company)
(State)
�._...
�..__...,.....�.0 .__��_.� ..�..�.._
(fe ephone Number)
Version 7/20/2018 General Conditions - 10
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CITY OF SOUTH BEND w ire% 11#
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
� llk rvM i'
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS , M611 -
This completed form should be Included as part of the Bids documents related to City of South Bend Public
Works projects requiring Good Faith Efforts to obtain MBE/WBE Participation„ It is the bidder's sole
responsibility to verify whether any listed minority or woman (business meets thequalifications of a Minority
or Women's owned business as defined by the Indiana Department of Administration (NDOA'" )„
_.. h��
Project Number: "1'IS-SR'
Date 6R
Project Name: Liberty Tower Exterior Renovations _
Bidder: P_'_A&L
_.
Contact Person: _ _Y-4 /U ... $,��w� ...� ...� .... Telephone
Address:
......
City: ..._ State:zip:....
To determine whether a bidder has demonstrated good f®m
b
g faith efforts to reach the MBEIWBE utilization goals set
forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or
commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below'
— ..
EVIDENCE OF GOOD FAITH EFFORTS
(ALL 1 MBE/WBE LIST(S) The bidder reviewed the City of South Send's Minority and Women Business )
Enterprise Diversity Development Program, which uses the IDOA approved lust of Minority and Women
�. ... .., ... _� s._.as four ... ebith wse (hftp,'//www.�n,gov/idoa),
l Owned Business as found on their � ed responsive, -���h
ACT
Bend requires
alleivebIn s complete noour less sid s than 2 obe ft a following: the City of South
Bend re u�res that all perspective bidders co
pre —bid meetings scheduled by the City to inform MBE/WBEs of contracting and
subcontracting opportunities„
2. Advertise in general circulation and/or trade association publications concerning subcontracting
opportunities, and allow MBE/WBEs reasonable time to respond.
3• Perform any and all necessary steps to provide written notice in a manner reasonably calculated
to inform MBEI'WBEs of subcontracting opportunities and allowed sufficient time for them to
participate effectively.
4. Utilize pre-existing services of available community organizations, small and/or disadvantaged
business assistance offices and other organizations that provided assistance in the recruitment
�* MBE/WBE firms.
Bidder must placement
or otherwise of the two (2) required actions were performed.
including providing such MBE NS: The bidder
information good faith s,
GOOD FAITH NEGOTIATIONS: g n g with interested MBE/WBEs,
/WBE's with adequateation about the plans, specifications and other
requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business
Masons based on a�thorou I"i_bidder their specific of �.._._.. performed ginvestigation ...p _
SMALL CONTRACT(S): Thep port the work to be erformed by
BE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down
` contracts into smaller units to facilitate MBENVBE participation)
CONTRACT RECORDS„ The bidder has maintained the following records for each MBE/WBE that has
bid on the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
1 A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that he MBE/WBE was unqualified to perform the job.
t
s. Any
omissions hall be
considered
roper demonstration��f q y y
South
res
P es the right r ht to request tiwres f the bid b the Board of Publs next to all of the b'�c Worksove . The City
rounds for rejection o ty of
formation.
Version 7/20/2018 Contractor's Bid for Public Works - 12
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY10,
DEVELOPMENT PROGRAM
[ MB MH'b
FORM MWBE-2.1 _ w
MBE/WBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify
whether any listed minority or woman business meets the qualifications of a Minority or Women's owned
business.
Project Number: 118-086R
Project Name: Liberty Tower Exterior Renovations
Bidder:
By:
PAGE OF
MBE/WBE Participation Goal
(Signature) (Title) (Date)
MBEIWBE Firm
Owner or Contact at MBE/WBE Firm
Telephone: Fax: .._, _ ��........_....-. Email:
TYPE OF WORK SOLICIT O � CT:
SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBENVBE FIRM:
MBE/WBE Firm
Owner or Contact at MBE/WBE Firm
Telephone: Fax. .....�._�............_.�.��.��..,�.....�. Em,.���..
ail:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
Version 7/20/2018 Contractor's Bid for Public Works - 13
APPROVED AND FILED
CONNIE LAWSON
INDIANA SECRETARY OF STATE
04/20/2018 11:52 AM
BUSINESS ID
BUSINESS TYPE
BUSINESS NAME
ENTITY CREATION DATE
JURISDICTION OF FORMATION
PRINCIPAL OFFICE ADDRESS
201606141145707
Foreign For -Profit Corporation
ENVIRONMENTAL GLASS INC.
06/14/2016
Michigan
12675 Marlin Dr., Redford, MI, 48239, USA
YEARS 2018/2019
EFFECTIVE DATE 04/20/2018
EFFECTIVE TIME 11:52 AM
REGISTERED AGENT TYPE Business Commercial Registered Agent
NAME NORTHWEST REGISTERED AGENT LLC
ADDRESS 117 Broadway, STE 100, Chesterton. IN, 46304, USA
TITLE President
NAME
ADDRESS
Donald Vainer
12675 Marlin Dr.. Redford, MI, 48239. USA
-Pagel of2-
Rm)T APPROVED AND FILED
CONNIE LAWSON
INDIANA SECRETARY OF STATE
04/20/2018 11:52 AM
IN WITNESS WHEREOF, THE UNDERSIGNED HEREBY VERIFIES, SUBJECT TO THE PENALTIES OF PERJURY, THAT THE
STATEMENTS CONTAINED HEREIN ARE TRUE, THIS DAY April 20, 2018.
SIGNATURE Donald Vainer
TITLE President
Business ID : 201606141145707
Filing No.: 7891343
- Page 2 of 2 -
' L 114
lL L,'?U71_ ..
State of Indiana
Office of the Secretary of State
Certificate of Authority
of
ENVIRONMENTAL GLASS INC.
I, CONNIE LAWSON, Secretary of State, hereby certify that an Application for Certificate of Authority of
the above Foreign For -Profit Corporation has been presented to me at my office, accompanied by the
fees prescribed by law and that the documentation presented conforms to law as prescribed by the
provisions of the Indiana Business Corporation Law.
NOW, THEREFORE, with this document I certify that said transaction will become effective Tuesday,
June 14, 2016.
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City
of Indianapolis, June 14, 2016
CONNIE LAWSON
SECRETARY OF STATE
201606141145707 / 7334274
To ensure the certificate's validity, go to https://bsd.sos.in.gov/PublicBusinessSearch
Business Entity Report - BizMail - Msg https:%/bizmail.brightbiz.com/sitemail/reademaii.php?id=20702&fol,,..
From: noreply@sosin,gov �'It !9� Sent: Fri 04/20/18 11:52 AM
To: egi@evglass.com, Egi@evglass,com Priority: Normal
Subject: Business Entity Report
Congratulations! Your Business Entity Report have/has been approved and filed by the Indiana Secretary of State. For your records, a PDF copy of your filing documents is attached to this
email.. You must have Adobe Acrobat Reader to open this file CJn S,f9ifflt tU dolePr7load A,dobe.Ambat,
As a reminder, after a business entity has formed or been granted authority to do business in the Slate of Indiana, it has an ongoing responsibility to file regular business entity reports with the
Indiana Secrelary of State These reports must be filed every two years. The filings are due during the anniversary month of the organization's formation.
You
Stagof Indiana
may file your business entity reports online at fv[9g /. y,, d�LPLIA19Qy Filing your business entity reports in a timely manner will ensure that your business remains in good standing with the
�3
If you maintain a current email with my office, a reminder to file your bhrstness a ntily repoit and other business related correspondence will be emailed to you. You may maintain
your email address by creating an account through Indiana's Business One Stop puole8 ar, pk6 Jd . rwiN ,C isyy
If you have questions or need assistance, please contact our office at (317) 232 — 6576 or visit our website at hfto;//www so5,IN.00v
Connie Lawson
Indiana Secretary of State
�Ul
1 of 2
4/20/2018, 12:03 PM
Account, Information
l_..
Payment Type: INBiz Application
SOS Payment A9694D6C3545 $31.00
Payment Details
Amount: $31.00
Processing Fee: $1.00*
Total Amount: $32.00
Card Number:
Expiration Date:.
Jennifer D
12675 Marlin Drive Redford MI 48239 US
7342611930
egi@evglass.com
Terms and Conditions
This secure service is offered by Value Payment Systems in agreement with your payment entity. All
payments are processed immediately, and the payment date and time are equal to the time you complete
this transaction and receive a confirmation number. If your payment is unable to be processed, your
payment liability will remain outstanding and you will be subject to any applicable penalties or interest.
These obligations remain your sole responsibility. Value Payment Systems cannot issue refunds once your
payment is processed and you receive a confirmation number.
Please make sure you enter and review all information carefully for accuracy prior to completing your
transaction. By selecting the Accept Terms button on this page you are agreeing to these Terms and
Conditions.
* A nonrefundable processing fee will apply.
FiTACN/?�`ttil
IN BIZ
Payment Confirmation Number: 1951882955
Receipt Date: 04/20/2018
Jennifer D
12675 Marlin Drive
Redford, MI, 48239
The following are the details of your transaction(s) submitted:
Transactions details:
........ eated e
Name Transaction Description Filing Agency Crated Date
r.
ENVIRONMENTAL Secretary of the
GLASS INC. 04/20/2018
ITXWWWW�ITmmmmuW � Business Entity Report ...m State
Total Amount
Processing Fee
Grand Total .............w�,.�
Payment Type
Amount
$31.00
$31.00
$1.00
$32.00
Credit Card
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ENVIRONMENrAL V)
GLASSv INC.
12675 Marlin Drive ; Redford, MI. 48239 - Voice: 734.261.1930 x Fax: 734.261.5590
Date: 1 / 18/2019
To: City of South Bend, IN
Re: Statement on staffing capabilities for the Liberty Tower Project
Dear Representative
Environmental Glass, Inc. is a commercial glass and glazing company that has been in business for more than ten years.
We have completed numerous large projects throughout the Midwest United States. We have consistently preformed 9-10
million dollars in glass and glazing revenue per year for the last few years. We have various employees and loyal
subcontractors that meet the labor requirements of our projects. We take a full, comprehensive look at every project in our
scheduling system before submitting every bid. This is done to make certain we are never stretched too thin. This also
allows us to successfully complete each project and every milestone scheduling date required.
Environmental Glass, Inc. looks forward to working again on the Liberty Tower Project, originally called The Tower at
Washington Square. Environmental Glass preformed the window replacement on the balance of liberty Tower
approximately 18 months ago directly under contract with Washington Square Development. The owner referred us to the
current architect and reached out to ensure we submitted a proposal for the balance of the project.
Any questions regarding this matter, please feel free to contact us at (734) 261-1930. Thank you!
Respectfully,
Matthew D. Tabar
Environmental Glass, Inc. - Estimator
T C Af �M)7`
12675 Marlin Drive Redford, Mi. 48239 Voice: 734.261.1930 Fax., 734.261.5590
Date: 1/18/2019
To: City of South Bend, IN
Re: Classification of employee or independent contractor for the Liberty Tower Project
Dear Representative:
Environmental Glass, Inc. will properly classify and identify all EGI employees and any potential independent contractors
for the Liberty Tower Project.
Any questions regarding this matter, please feel free to contact us at (734) 261-1930. Thank you!
Respectfully,
Matthew D. Tabar
Environmental Glass, Inc. - Estimator
?77- /9 C�W T S
Environmental Glass, Inc. 741Pk,-O�f
Mission Statement:
Our mission at Environmental Glass is to provide excellent and loyal service
to our clientele. We operate with wholesome integrity and superior character,
striving to perform due diligence in every aspect of our projects. We pursue
success through passionate commitment and safety in our work. Our practices
ensure that our customers' goals are reached in a productive and safe manner. We
achieve our goals by dedicating human and financial resources to innovation and
improvement in every aspect of our field. We take pride in our reputation as
leaders in our field, along with our ethical conduct, technical knowledge, and
reliability.
mvirgnmental Glass, Inc.
Hazard Communication Program
Program Administrator for E.G.I. Ryan Snabes
PURPOSE
-The purpose of Environmental Glass Inc. Developing and implementing a hazard
communication program for our work place is to ensure the safety of all of our employees
and to be in compliance with OSHA and MIOSHA's Hazard communication Standard for
the construction industry.
-This program will be administered to all of E.G.I.'s employees and will always be
available on all jobsites and at the corporate office.
-This program includes the following communication of potential hazards:
• Background info on the health hazards of chemicals.
• Background info on the physical hazards of chemicals
• Container labeling
• Safety Data Sheets
• Employee training
We use this program to train and advise our employees and indicate the appropriate
protective measures to ensure the safety of our employees. This advising pertains to any
chemical which is known to be present in the workplace that our employees may be
exposed to under any foreseeable conditions.
Background information on the health hazards of chemicals and physical
Hazards of chemicals.
- Background information of all applicable chemicals will be provided to the
Project Forman on the site. They will also be available at the warehouse. Container
Labeling
It is the responsibility of the chemical manufacturer or distributer to ensure that
each and every container of hazardous chemicals is properly labeled tagged or marked.
The label should include the following.
• Name or identity of the chemical.
• Appropriate hazards and warnings
• Name and address of the chemical manufacturer or responsible party
It is our policy at EGI that no label, tag or marking be removed from any container
by any circumstances.
If a chemical needs to be transferred for its original container, the new container
will be properly labeled.
- The only exception to this is if the chemical is being transferred to a temporary
container for immediate use of the employee that performs the Transfer.
If a container is received or has become unmarked than this container will
not be used or dispensed until it is properly marked to ensure the correct use of its
containing.
Safety data sheets - SDS
• EGI will have the appropriate SDS for each and every hazardous chemical used by
any EGI employee.
• These SDS Sheets will help to identify the health and physical hazards of the
chemicals that our employees are working with. They all have several different sections
that all have specific information.
• All of our foremen will maintain an SDS packet. The foremen will notify
• All other employees of the contents within this packet and will make all information
available at all times.
• The foreman will also notify the employees of any updates to the SDS packet, this is
done to ensure that all employees have been updated on the potential health hazards.
• Employees will be advised on how to access SDS sheets upon their initial training. They
will be updated during regular toolbox talks.
Safety data sheet sections
• Section 1 - manufacturer information
This section lists the names, addresses and emergency telephone numbers of the
manufacturer, distributor, or company that prepared it, as well as the date it was prepared.
The identity of the chemical and the chemical family will be listed.
• Section 2- hazardous ingredients
This section lists the hazardous ingredients in a mixture and the common names of
individual chemicals. It also provides property exposure and threshold limit values of the
ingredients.
• Section 3- chemical data
This section provides information on the specific properties of the chemical plus a physical
description of the material.
• Section 4 - Physical hazard data
This section alerts individuals to any specific physical hazards associated with the product.
It further describes special firefighting techniques and any unusual fire hazards associated
with the product.
• Section 5- spill or leak procedures
This section describes steps to be taken in case of the material is released or spilled.
• Section 6 - Exposure control information
This section outlines how exposure to chemicals can be controlled by the use of personal
protective equipment. It includes the appropriate engineering controls and effective work
practices.
• Section 7 - Special precautions
This section explained special precautions that should be taken during storage and handling
of the chemical.
Employee training
It is Environmental Glass's policy that the project foreman will provide employees the
information and training on hazardous chemicals in their work area at the time of their
initial assignment. The foreman will update this information as needed
• Employees are to be informed about the following.
1) The requirements of 29 CFR 1910.1200
2) Any operations in their work area where chemicals are present.
3) The location and availability of the "up to date" hazard communication program
including the required lists of hazardous chemicals and safety data sheets.
• Training
1) Methods and observations that may be used to detect the presence of release of a
hazardous chemical in the work area
2) The physical and health hazards of the chemicals in the work area.
3) The measures that employees can take to protect themselves from these hazards. This is
to include specific procedures to protect employees, such as appropriate work practices,
emergency procedures and personal protective equipment to be used.
4) The details of the hazard communication program that we have developed
• Before starting work each new employee will be given information on the
following.
1) Chemicals and hazards in their workplace.
2) How to lesson or prevent exposure to these chemicals.
3) What we do to lesson exposure.
4) Procedures to follow if exposure occurs.
General EGI construction safety rules
Policy
Each employer is responsible to use the means of prevention that he or she
has been trained in. employees shall be trained in, and follow all provisions and
safety laws to prevent accidents or injuries.
Fall R 2acti n
• Traluln
(1) EGI shall provide a training program for each employee who might be
exposed to fall hazards. The program shall enable each employee to
recognize the hazards of falling and shall train each employee in the
procedures to be followed in order to minimize these hazards.
2) EGI shall assure that each employee has been trained, as necessary, by a
competent person qualified in the following areas:
• The nature of fall hazards in the work area;
• The correct procedures for erecting, maintaining, disassembling, and
inspecting the fall protection systems to be used;
• The use and operation of guardrail systems, personal fall arrest systems,
safety net systems, warning line systems, safety monitoring systems,
controlled access zones, and other protection to be used;
The role of each employee in the safety monitoring system when this system
is used;
• The correct procedures for the handling and storage of equipment and
materials
• The role of employees in fall protection plans;
Unprotected sides and edges. Each employee on a walking/working
surface (horizontal and vertical surface) with an unprotected side or edge
which is 6 feet or more above a lower level shall be protected from falling
by the use of guardrail systems, safety net systems, or personal fall arrest
systems.
Leading Edges. (i) Each employee who is constructing a leading edge 6
feet (1.8 m) or more above lower levels shall be protected from falling by
guardrail systems, safety net systems, or personal fall arrest systems.
Exception: When the employer can demonstrate that it is infeasible or
creates a greater hazard to use these systems, the employer shall develop and
implement a fall protection plan.
(ii) Each employee on a walking/working surface 6 feet or more above a
lower level where leading edges are under construction, but who is not
engaged in the leading edge work, shall be protected from falling by a
guardrail system, safety net system, or personal fall arrest system. If a
guardrail system is chosen to provide the fall protection, and a controlled
access zone has already been established for leading edge work, the control
line may be used in lieu of a guardrail along the edge that parallels the
leading edge.
Hoist areas. Each employee in a hoist area shall be protected from falling 6
feet (1.8 m) or more to lower levels by guardrail systems or personal fall
arrest systems. If guardrail systems, [or chain, gate, or guardrail] or portions
thereof, are removed to facilitate the hoisting operation (e.g., during landing
of materials), and an employee must lean through the access opening or out
over the edge of the access opening (to receive or guide equipment and
materials, for example), that employee shall be protected from fall hazards
by a personal fall arrest system.
Holes." (i) Each employee on walking/working surfaces shall be protected
from falling through holes (including skylights) more than 6 feet (1.8 m)
above lower levels, by personal fall arrest systems, covers, or guardrail
systems erected around such holes.
(d) Each employce on a walking/working surface shall be protected from
tripping in or stepping into or through holes (including skylights) by covers.
(iii) Each employee on a walking/working surface shall be protected from
objects falling through holes (including skylights).by covers.
"Ramps, runways, and other walkways." Each employee on ramps,
runways, and other walkways shall be protected from falling 6 feet (1.8 m)
or more to lower levels by guardrail systems.
"Dangerous equipment." (i) Each employee less than 6 feet (1.8 m) above
dangerous equipment shall be protected from falling into or onto the
dangerous equipment by guardrail systems or by equipment guards.
(ii) Each employee 6 feet (1.8 m) or more above dangerous equipment shall
be protected from fall hazards by guardrail systems, personal fall arrest
systems, or safety net systems.
• Wall openings. Each employee working on, at, 6 feet or above, or near wall
openings (including those with chutes attached) where the outside bottom
edge of the wall opening is 6 feet (1.8 m) or more above lower levels and the
inside bottom edge of the wall opening is less than 39 inches (1.0 m) above
the walking/working surface, shall be protected from falling by the use of a
guardrail system, a safety net system, or a personal fall arrest system.
"Walking/working surfaces not otherwise addressed." Except as
provided in 1926.500(a)(2) or in 1926.501 (b)(1) through (b)(14), each
employee on a walking/working surface 6 feet (1.8 m) or more above lower
levels shall be protected from falling by a guardrail system, safety net
system, or personal fall arrest system.
Personal Protective E ui mmen.t
• Environmental glass, Inc. employees shall wear clothing and footwear which
is safe for the jobsite
• Safety boots are required at all times with no exception
• Hard hats, glasses and gloves are available on all job sites and should be
worn in order to protect employees from accidents
• Metal hard hats are prohibited
• Bracelets, dangling jewelry, loose clothing, and neckties present a potential
hazard and are prohibited.
• Long hair is prohibited on the job sight unless it is up and properly secured
and unable cause a hazard.
• Safety harnesses must be used in accordance with working on elevated areas
when necessary. Refer to scaffold and ladder section
• If hazard cannot be controlled by means of engineering then we require all
employees to use their training to acquire the proper means of PPE
Electrical Hazards
9 On most sites the potential hazard of electricity applies
• The improper use of power is one of the most common hazards.
• Wet environments and improper grounding greatly increase the potential for
electrocution.
• Prior to beginning a project the site shall be inspected and any wiring fault
shall be noted and recorded.
• These faults can be detected be means of testers. Any issue shall be either
fixed or put out of service prior to commencing work.
• When possible circuits that will not be used should be locked out
• Ground Fault Circuit Connectors shall be uses no matter what.
• An equipment grounding program will be used on all sites. This will require
inspection of all tools, cords and electrical devices with written
documentation.
• All power tools shall be inspected regularly for damage, proper grounding,
and integrity of the installation.
• Nonmetallic tools should be used for scrapping to prevent possible electrical
shock
• Workers will be furnished with insulated rubber boots and gloves when
working around energized wiring or equipment.
• Try to avoid leaving wires and cords on the ground where they could cause a
potential trip hazard or become wet and be a potential hazard.
• Elevate temporary wiring when possible and keep it away from potential
damage.
• Ensure electrical outlets are sealed tightly and use wooden or fiberglass
ladders
• Determine operating voltages of equipment and lines before working on or
near energized parts to determine safe and compatibility with the equipment
to be used.
• Extension cords must be of three- conductor type and must be connected to
the ground fault circuit interrupter.
• Portable electrical hand tools should be equipped with a three conductor
cord in other word the will be grounded tools.
• Circuits to be de energized should be clearly identified and isolated from all
energy sources.
• A designated employee will provide notification that all switches and
disconnections that could supply energy have been de energized, locked out
and tagged out.
• Ground fault circuit interrupters.
All 120-volt, single phase 15 and 20 ampere receptacle outlets
used for construction operations, which are not a part of the
permanent wiring of the building or structure and which are in use by
an employee, shall have approved ground fault circuit interrupters for
personnel protection. A receptacle on a 2-wire, single phase portable
or vehicle mounted generator rated at not more than 5 kilowatt, where
the circuit conductors of the generator are insulated from the generator
frame and all other grounded surfaces, need not be protected with
ground fault interrupters.
,adders and Scaffolds
Training
EGI shall provide a training program for each employee who uses a ladder. The
program shall enable each employee to recognize hazards related to the ladder and
shall train each employee in the procedures to be followed to minimize these
hazards.
We shall ensure that each employee has been trained by a competent
person in all of the following areas, as applicable:
(a) The nature of fall hazards in the work area.
(b) The correct procedures for erecting, maintaining, and
disassembling the fall protection systems to be used.
(c) The proper construction, use, and placement of, and care in
handling, ladders.
(d) The maximum intended load -carrying capacities of ladders
that are used.
(e) The rules contained in this part.
Retraining shall be provided for each employee as necessary so that
the employee maintains the understanding and knowledge acquired
through compliance with these rules.
• Defective ladders must be tagged immediately, repaired or discarded
• Be sure that safety feet are in good condition. Missing safety feet will cut
polyethylene floor covering and make the ladder unsafe.
• Keep rungs free of build up, dirt grease, oil, paint
• Extension ladders shall be used with a 1 to 4 ratio
• No metal ladders are permitted
• Extension and straight ladders shall be equipped with ladder feet.
• Ladders shall be inspected for defects prior to each use
• Ladders should be stored on a flat surface in order to prevent it from
becoming bowed or warped.
When going up and down the ladder be sure to always have
three points of contact.
Face the ladder and grip the side rails
Do not over reach when on a ladder, keep between the side
rails.
Always tie off when applicable
- When using ladders in front of a door way or passage way the
opening should be barricaded
- Ladders must have a solid footing. Do not place on boxes or
unstable footings
- Do not use ladders as platforms of scaffolding planks
- Use all ladders with their engineered design do not alter a
ladder or use stepladders as straight ladders.
Do not stand on the top two steps of a ladder
�am'
The training shall enable an employee to recognize the hazards associated
with the type of scaffold being used and to understand the procedures to
control or minimize the hazards. The training shall include the following
areas as applicable: d.
- The proper use of the scaffold, and the proper handling of materials on
the scaffold.
- The maximum intended load and the load -carrying capacities of the
scaffolds used.
- Any other pertinent requirements.
• WE shall have each employee who is involved in erecting, disassembling,
moving, operating, repairing, maintaining, or inspecting a scaffold trained by
a competent person to recognize any hazards associated with the work in
question. The training shall include the following topics, as applicable:
- The nature of scaffold hazards.
The correct procedures for erecting, disassembling, moving,
operating, repairing, inspecting, and maintaining the type of scaffold
being used.
The design criteria, maximum intended load -carrying capacity, and
intended use of the scaffold.
Any other pertinent requirements.
If WE have reason to believe that an employee lacks the skill or
understanding needed to safely perform work that involves the erection, use,
or dismantling of scaffolds, then the employer shall retrain the employee so
that the requisite proficiency is regained. Retraining is required in all of the
following situations:
- Where changes at the worksite present a hazard about which an
employee has not been previously trained.
- Where changes in the types of scaffolds, fall protection, falling object
protection, or other equipment present a hazard about which an
employee has not been previously trained.
- Where inadequacies in an affected employee's work involving
scaffolds indicate that the employee has not retained the requisite
proficiency for the work involved.
• When free standing mobile scaffolding is used the height should not exceed
four times the minimum base dimension
• Wheels should turn freely and locks in good working condition
Guardrails should be installed on scaffolding
• Flanking should not exceed a 6 inch overhang over supports and should be
properly secured.
* Toe boards should be implemented
a All components should be inclusive to ensure the correct use of the scaffold.
The following is a pre task check list for scaffolding
Project Forman:
Forman's Pre Task Checklist ---Scaffolds
Date;
Project: Crew Size:
Below are the minimum requirements for scaffolds. Use this check list to assure that the
scaffolding is safe and the necessary procedures are taken to have an accident free work day.
YES
NO
N/A
1.) Does the scaffold have a standard guard rail system with toe guards?
2.) Is the scaffold system capable of supporting, without fault, 4 times its
Anticipated load?
3'.) Is the scaffolding plum and level?
4.) Are scaffolds supported by base plates, sills or other adequate
foundation?
5.) Are working levels fully planked and decked?
6.) Is planking overlapped and secured from movement?
7.) Do planks extend over the supports at least 6 inches and no more than
a foot?
8.) Is the planking supported or braced and secured?
9.) Has a ladder or safe access been provided?
10.) If height applies is scaffolding secured to the structure or wall?
11.) Are sections securely connected to each other and braces?
12.) Is a guard rail properly in place on all exposed sides
13.) Are all employees properly trained
14.) Is scaffold tagged appropriately GREEN for good
Elevated ""fork Platforms
These rules apply to all erected work platforms.
- Structures shall be inspected each day by the user
Defects must be corrected before using
Each part of the platform shall have the capability of supporting at
least 4 times its intended load.
Footings must be sound and rigid. Concrete blocks bricks barrels or
similar items should not be used as footings
Guardrails, mid -rails and toe boards shall be installed on all open
sides of platforms
- All planking shall be scaffold grade
- All planking shall be overlapped and secured
- Employees shall not work on slippery elevated platforms
- Ladders or safe means of access or egress shall be provided
- All scaffolding three sections or higher shall be tied off to a solid
support
- All bracing, coupling or stacking pins and vertical locking pins should
be supply and used in accordance with the manufacturer
- Rolling scaffolds shall have wheels lock and choked when in use and
shall have proper outriggers installed
- No scaffold shall be moved until all equipment is removed and it has
no people on it
The following is a pre task check list for elevated work areas
l?nviro am oI901g-Lh
Forman's Daily Job Hazard Analysis Checklist
Project Forman, Date„
Project:. Crew Size;
Perform walk down of the site and identify tasks and the tools or equipment involved in
each task. Identify hazards that could be associated with these tasks and procure controls to
prevent these hazards. During your walk down, fill in the chart below with the appropriate.
"l"ak �" is utl h ,ards �a ed tr
i
Communicate these tasks, tools, potential hazards, and procured controls to entire crew before
commencing work. Reiterate as necessary to ensure that potential hazards are avoided.
Environmental Glass Inc.
Environmental Issues
No matter where you are, there are always environmental issues that we have to be aware
of. It is important to not only to recognize these issues, but to put in place proper procedures of
handling them. This is done in order to ensure the safety of our employees. Some of the
environmental issues that could affect the employees of this company are, but not limited to the
following.
Severe storms-
➢ j : wi d - serious hazard that a trained employee should be aware of.
➢ Jr - not as common but could do a lot of damage and cause bodily harm or death.
➢ Fires- depending on time of year, the dry season has potential to spread fires easily.
➢ Li"W - can come in a flash and be very dangerous.
➢ ,F din •- could damage product or tools and can be a hazard when combined with a tool.
➢ E thouakes-, not common but proper procedure should be taken when it does.
➢ u "cm high wind and debris hazard.
Animals-
➢ Dmgjbkoc could carry viruses or cause infection or allergic reaction.
➢ n elites- could be poisonous depending on area.
D Dee sins- could require hospitalization, or serious injury.
➢ o itq - dogs are powerful animals that can be territorial and attack.
➢ gabid animals-, could cause death or hospitalization. Raccoons, cxt.
➢ &qy plhar bites or hAM 1hat can W a am am agimal,.
Plants-
➢ E is : i - dangerous when allergic
➢ Po' - dangerous when allergic
➢ Aller "c rqactjons to cegain PLaqts
➢ Nettle- can swell up and be very itchy
➢ Kamamrdgus fallingob"ec a such u trse r c or de
LuMeg
sLuickjLand
> Unstable grou-i d or soil
➢ Water
En3Li roam n 1 It .
Drug and Alcohol use policy
We take pride in ensuring that our employees are safe and accident free. Construction
can be a dangerous place when the use of drugs or alcohol takes place. This policy prohibits any
employee behavior involving drugs or alcohol when at work. If this zero tolerance policy is not
followed and the problem is not immediately resolved then there are grounds for dismissal from
the company.
• No employee shall be under the influence of any UN prescribed drug.
• No alcohol consumption whatsoever is aloud during work.
• If under the influence of a prescribed drug then it shall be determined if the drug affects
the employees ability to do his or her j ob properly and in a safe, hazard free manner.
• An annual drug test will be administered by the company to ensure zero tolerance is
being practices.
• If employee fails to pass the drug test than an oral meeting will be held and depending on
the severity of the situation, if the issue cannot be resolved via this meeting a leave of
absence to resolve the problem will be given to tolerable levels.
We will provide training for our employees to educate them on the policy and the
repercussions of not following it. We will train our supervisors on what to do if the situation
does occur. We will administer an employee assistance program to help employees overcome
their addiction. We will also screen for drug use with an annual drug test.
Envr nretaiaI Glass Inc.
Discipline policies and procedures
Safety and health on the job site and in the office is very important. Here at E.G.I. we
operate with a goal or no damage to people, product and property. All of our employees,
including all levels of management, are held accountable for obeying site safety and health rules.
All jobs and tasks must be performed in a safe manner. To ensure heath, safety and quality, we
practice equal discipline for all employees. This is important to ensure hazard prevention and
control. The following five step disciplinary policy will be applied, depending on the issue, to
everyone by the appropriate level of supervisor:
a oral warning;
a written reprimand;
three days away from work;
Formal meeting discussing possible dismissal.
a Dismissal
An example of why an employee would have to be disciplined would be any 'unsafe'
behavior, such as not following regulation in a hazardous situation. It is also important that an
adequate crew is allotted to meat time and production quotas in order to ensure a safe project.
Proper training will also be implemented to reduce the need for discipline actions. All
employees have certain responsibilities regarding health and safety which if not exercised
adequately will result in disciplinary action.
DATE:
SUBJECT OF TALK:
PRESENTER:
TOOLBOX SAFETY TALK
ATTENDANCE SHEET
TIME:
IN ATTENDANCE
Fax: 734.261.5590
We believe that hard work and perseverance are required for the prevention of injuries and
illnesses, with the crew leader being the key to a successful result.
A. Eqsg:> To assist in the detection and elimination of unsafe conditions and work
procedures.
The following guidelines will be followed:
a. These meetings are held at the beginning of each job and at least weekly
thereafter, according to the various circumstances involved or when
necessary to clear working procedures. No set pattern will suit all cases.
It is important that the crew leader talk daily on injury prevention and
immediately upon witnessing an unsafe act.
b. The attendance and subjects discussed will be documented and
maintained on file for one year.
C. Copies of the minutes will be made available to the employees by
posting or other means.
(certain employees, as may be designated by their supervisors, will assist)
1. Conduct in-house safety inspections with supervisor concerned.
2. Investigate incidents to uncover trends.
Review incident reports to determine means or elimination.
4. Accept and evaluate employee suggestions.
Review job procedures and recommend improvements (Job Safety Analysis
Form is available in the Appendix)
Monitor the safety program effectiveness.
Promote and publicize safety.
8. When the injured person's immediately family is known, the owner or
supervisor should properly notify family members, preferable in person,
or have an appropriate person do so.
B. Documentation
1. Minor injuries— requiring doctor or outpatient care: After the emergency
actions following an injury, an investigation of the incident will be
conducted by the immediate supervisor and any witness to determine the
causes. The findings must be documented on our investigation form.
2. Major injuries — fatality or multiple hospitalizations: Top management
must see that the Department of Labor and Industries is notified as soon
as possible, but at least within 8 hours of the incident. Call or contact in
person the nearest office of the Department or call the OSHA toll free
central number (1-800-321-6742). Top management will then assist the
Department in the investigation.
3. The findings must be documented on our incident investigation report
form and recorded on the OSHA 300 log, if applicable. (Sample incident
investigation report form included in this document.)
Training will cover:
➢ Medical emergency reporting
➢ Specific assigned duties.
➢ Medical facilities
➢ How to handle the problem calmly and in a productive manner.
Accident at jobsite.
If an accident at the job site occurs the trained employees will act as
needed to protect the fellow injured employee. If medical assistance is
needed then the CM will have job site medical emergency plans on hand.
The CM will head up responsibility to coordinate the Emergency Response.
• Procedure for Injury or Illness on the Job
A. Owner or lead person immediately takes charge
1. Supervise and administer first aid as you wish (Good Samaritan Law
applies).
2. Arrange for transportation (ambulance, helicopter, company vehicle,
etc.), depending on the seriousness of the injury. Protect the injured
person from further injury.
3. Notify owner or top management, if not already present.
4. Do not move anything unless necessary, pending investigation of the
incident.
5. Accompany or take injured person(s) to doctor, hospital, home etc.
(depending on the extent of injuries).
6. Take injured person to family doctor, if available.
7. Remain with the injured person until relieved by other authorized persons
(manager, EMT, doctor, etc.).
needed our company will assist in insuring that the employee is taken care of
via employee assistance program.
➢ securing the area(s)
➢ ensuring the physical safety of workers/others in the area
➢ assessing/resolving the situation
➢ providing incident debriefing to victims, witnesses, and other affected
individuals
➢ Ensuring no work area is left short-staffed.
• Medical emergency.
The quicker and more efficiently emergencies are reported, the greater
the chance for saving lives and property. The following is the procedure for
reporting an emergency in this company. This procedure will be posted on
the employee bulletin board.
In an instance of a medical emergency our company heath center will
be available from our office location. If emergency occurs on the job site
the Construction Manager should be notified immediately. If necessary the
on hand emergency facility will be available to all employees.
We will train and designate a sufficient number of employees to assist
in the safe and orderly process of handling a medical emergency. These
employees will be trained and re-trained as needed.
Environmental Glass, Inc
Emergency Response Plan
PURPOSE
The goals of this emergency response plan are to protect the lives and health
of our employees, and protect and minimize damage to company property in the
event of an emergency.
PRIORITIES
• To contact local emergency service organizations
• To assemble the company's Emergency Response Team (ERT)
To plan for violence in the workplace and to prevent accidents caused by
violence.
e To train employees on medical emergencies
• To react to accidents at the job site
CA-41M VMI�
We at E.G.I. will train all employees on the procedures contained in this plan.
New employees will be trained upon hiring, and re-trained any time the employees
responsibilities under the plan change or whenever the plan changes.
Violence in workplace.
Serious violence incidents should be reported properly. If an
employee of Environmental Glass can't resolve his or her violent issues after
oral warning they are to be sent home for the day and may not return to the
place of work till they can control with their violence. If counseling is
- b. An adequate rescue procedure.
C. Someone to be readily available who has been trained in cardio-
pulmonary resuscitation (CPR).
3. Equipment for confined space entry:
a. A combination combustible gas/oxygen meter which samples for
combustible vapors and oxygen deficiency simultaneously is
suggested. However, individual meters to sample for combustible
atmospheres and oxygen deficiency may also be used.
b. Supplied -air breathing apparatus, such as a self-contained
respirator with full face piece operated in pressure demand mode
(SCBA), or Type-C supplied -air respirator with full face piece
operated in pressure demand mode with an emergency backup
SCBA or escape bottle operated in a pressure demand mode, must
be in atmospheres immediately dangerous to life.
C. A supplied -air Type-C respirator, in either continuous flow or
pressure demand mode, may be used in areas which are not
immediately hazardous to life and from which the wearer can
readily escape.
d. Harness and Lifelines: Harness should be capable of retrieving an
inert body in an upright position. A parachute -type harness, with a
single lifting ring attached to the upper back, or with duel lifting
rings attached to the shoulder strap is recommended for work in
open areas. Where egress through narrow openings is necessary,
wristlets with attached lifting rings may be required instead of a
body harness. Sufficient lifelines of at least one-half inch manila
must be provided to insure constant connection between the worker
In the confined space and the attendant outside.
e. Ventilation: A portable blower with a minimum capacity of 600 cfm
a 1/5 inches static pressure should be used to supply air and
ventilate the enclosed space prior to and during the occupancy. If
the space is large enough, additional air volume may be required.
4. Maintenance of Equipment - a specifically trained person must:
a. Maintain and issue all required self-contained and/or supplied -air
breathing apparatus.
b. Maintain and insure calibration of all combustible gas/oxygen
meters which must be readily available as required.
ENVIRONMENTAL GLASS, INC.
CONFINED. SPACE PRE ','
It is very important that asbestos/lead removal contractors establish safe
procedures for entering and/or working in confined spaces which may be
hazardous to employees.
Confined space means any space having a limited entrance or exit which is
subject to the accumulation of toxic or flammable containments or the
development of an oxygen deficient atmosphere.
Confined spaces include, but are not limited to: storage tanks, bins, boilers,
ventilation or exhaust ducts, sewers, underground utility vaults, tunnels and crawl
spaces.
Recommended confined space entry procedures:
a. Before any employee is allowed to enter a tank or other confined
space, supervisory authorization must be obtained.
b. Appropriate tests of the atmosphere must be made by authorized
personnel from outside the confined space to determine if
established air contaminant limits are exceeded or if the oxygen
concentration is less than 19.5 percent by volume. Tests must be
made with the appropriate monitoring equipment. The person
authorized to monitor the atmosphere must be trained in the proper
use, calibration, and care of the monitoring instruments and must
remain at the site until all monitoring is completed.
C. If the tests indicate that the atmosphere is unsafe, the confined
space must be ventilated until the hazardous atmosphere is
removed, prior to employee entry.
d. If after ventilating the space. tests indicate a non -respirable
atmosphere (less than 19.5 percent oxygen) or levels of toxic
contaminants hazardous to health, no person will be allowed to
enter unless equipped with an approved air -line respirator or a self-
contained breathing apparatus, safety harness, and lifeline and has
been property trained in the use of that equipment.
e. The employee entering the space must wear protective clothing.
2. Before a confined space is entered, provisions must have been made for:
a. Constant communication and/or observation with an employee in
the immediate area who is not in the confined space.
- If illness from inhalation occurs, remove yourself at once to fresh air
and then call for assistance. Insure that proper PPE is implemented.
- A medical injury report must be reported for all injuries.
Working with Hegyy a ui Ment -aerial lifts
Heavy equipment has Meany potential hazards. It is EGI's responsibility
that we train all employees about the correct use of aerial lifts and any other
machinery used or around at the job sight.
Heavy machinery contributes too many injuries at the job sight, we are strict
on following OSHA procedures when working around heavy machinery.
In order to prevent stuck by and crushed by accidents and any other hazards
related to machinery we implement the following.
- Always barricade around equipment to prevent struck by hazards.
- Arial lifts shall be tested and in compliance
- Lifts shall not be field modified
- All lifts shall have emergency controls at ground level
- Rotating or swinging parts shall always be guarded. All equipment
shall be inspected and maintained
- All employees will be adequately trained to prevent accidents such as
struck by or crushed by incidents.
w MW Guy �= ±=
Fire
- The floor of a work area can be slippery and precaution should be
taken
Disposable booties are slick and are prohibited
- The floor should be free of debris
Employees shall keep work site clean and practice proper housekeeping,
keeping areas free of rubbish, coiled cords or any other trip hazard.
- Fire reporting;; in case of fire, call the local fire department, report the
incident as needed
- Fire extinguishers shall always be available on site
- Do not block entrances or exits in case of fire egress shall be available
- Employees will be instructed an trained in alternative exits if the
situation requires this type of egress
- Signs should always be posted to notify employees of egress
- A pre project survey will be conducted during wich potential ignition
sources, fire hazards and combustible materials and exit locations are
identified
- Sheathing shall be kept away from heat sources for it is very
combustible
Accidents
- In case of a medical emergency, telephone the local emergency
number. Report your name, the location, and the emergency. Have
the report confirmed.
Report any and all accidents to your supervisor. An investigation
shall be made of any injury requiring medical treatment or having
serious potential, all fires, hazardous conditions, or property damage.
In the event of exposure to corrosive chemicals wash the affected
area.
Project Forman:
Environmental alass Inc.
Forman's Pre Task Checklist ---Elevated Areas
Date:
Crew Size:
Below is check list to be completed before working in an elevated area. Use this check list to
assure that employees are safe and the necessary procedures are taken to have an accident free
work day.
................................. ..........
1.) Is each employee who might be exposed to fall hazards trained with
regard to proper PPE and the potential hazards of falls?
YES
NO
N/A
2.) Are employees provided with proper fall protection whenever they are
exposed to hazardous falls
3.) Is personal fall protection inspected before each use to determine that it
is in safe working condition?
4.) Is Permanente means of egress provided for elevated work areas?
5.) Are materials on the elevated surface placed in a manner to prevent
from trip hazards and from knocking them to the lower level?
6.) Are guard rails in place as required?
7.) does the elevated surface contain no trip hazards?
Envir g al Gl
Worker's Daily Job Hazard Analysis Checklist
Workers Name: Date:
Project: Crew Size:
During daily chalk talk with your project Forman record the tasks, tools or equipment
needed for each task along with the potential hazards and- procured controls for these hazards in
the proper column below. If any other hazard or safety concerns arise, relay these concerns to
your Forman during the caulk talk or if problem arises during the work day.
Task Tool tential h arils Procu controls
General Materials Handling S fe
General material storage safety:
• Make sure that all materials stored in tiers are stacked, racked, blocked,
interlocked, or otherwise secured to prevent sliding, falling, or collapse.
• Post conspicuously the maximum safe load limits of floors within buildings
and structures, in pounds per square foot, in all storage areas, except for
floor or slab on grade. Do not exceed the maximum safe loads.
• Keep aisles and passageways clear to provide for the free and safe
movement of material handling equipment or employees. Keep these areas
in good repair.
• Do not store materials on scaffolds or runways in excess of supplies needed
for immediate operations.
• Use ramps, blocking, or grading when a difference in road or working levels
exists to ensure the safe movement of vehicles between the two levels.
• Do not place materials stored inside buildings under construction within 6
feet of any hoistway or inside floor openings, or within 10 feet of an exterior
wall which does not extend above the top of the material stored.
(i) Anchor and brace temporary floors used in steel erection, concrete
forms, and shoring and other "in -process equipment" that are to be left
overnight or for longer periods of time to prevent their displacement
in any direction. While in "interim storage," this equipment is subject
to the provisions in WAC 296-155-325(2)(i) (see previous bullet
point: Do not place materials stored inside buildings under
construction within 6 feet of any hoistway or inside floor openings, or
within 10 feet of an exterior wall which does not extend above the top
of the material stored.)
When working on stored materials in silos, hoppers, tanks, and similar
storage areas, use personal fall arrest equipment meeting the requirements of
Chapter 296-155 Part C-1.
Segregate non -compatible materials in storage.
Stack bagged materials by stepping back the layers and cross -keying the
bags at least every ten bags high.
(i) Carefully handle cement and lime delivered in paper bags to prevent
the bags from bursting.
(ii) Do not pile cement and lime bags more than ten bags high except
when stored in bins or enclosures built for the purpose of storage.
(iii) When bags are removed from the pile, keep the length of the pile at an
even height and maintain the necessary step backs every five. bags.
(iv) When handling cement and lime bags, wear eye protection preventing
any contact with the substance (such as goggles or other sealed eye
protection) and wear long sleeve shirts with close fitting collar and
cuffs.
(v) Do not wear clothing that has become hard and stiff with cement.
(vi) Make sure to report any susceptibility of skin to cement and lime
burns.
(vii) Make sure that a hand cream or Vaseline and eyewash is provided and
kept ready for use to prevent bums.
(viii) Store lime in a dry place to prevent a premature slacking action that
may cause fire.
• Do not stack bricks more than 7 feet high. When a loose brick stack reaches
a height of 4 feet, taper it back 2 inches for every foot of height above the 4-
foot level.
(i) Never stack bricks, for storage purposes, on scaffolds or runways.
(ii) Always stack blocks; do not throw in a loose pile.
• When stacking masonry blocks higher than 6 feet, taper back the stack one-
half block per tier above the 6-foot level.
(i) When stacking inside a building, distribute the piles to prevent
overloading the floor.
(ii) Do not drop or throw blocks from an elevation or deliver blocks
through chutes.
• Do not stack lumber more than 20 feet high; if handling lumber manually,
do not stack more than 16 feet high.
(i) Remove all nails from used lumber before stacking.
(ii) Stack lumber on level and solidly supported sills, and such that the
stack is stable and self-supporting.
(iii) Stack stored lumber on timber sills to keep it off the ground. Sills
must be placed level on solid supports.
(iv) Place cross strips in the stacks when they are stacked more than 4 feet
high.
If not racked, stack and block structural steel, poles, pipe, bar stock, and
other cylindrical materials as to prevent spreading or tilting.
(i) Wear heavy gloves when handling reinforcing steel.
(ii) When bending reinforcing steel on the job, use a strong bench set up
on even dry ground or a floor to work on.
(iii) Carefully pile structural steel to prevent danger of members rolling off
or the pile toppling over.
(iv) Keep structural steel in low piles, giving consideration to the sequence
of use of its members.
(v) Stack corrugated and flat iron in flat piles, with the piles not more
than 4 feet high; place spacing strips between each bundle.
Frequently inspect stock piles of sand, gravel, and crushed stone to prevent
their becoming unsafe by continued adding to or withdrawing from the
stock.
(i) Do not remove frozen material in a manner that would produce an
overhang.
General Rigging Equipment Safety:
Inspect rigging equipment for material handling prior to use on each shift
and as necessary during its use to ensure that it is safe. Remove defective
rigging equipment from service.
• Never load rigging equipment in excess of its recommended safe working
load.
• Remove rigging equipment when not in use from the immediate work area
so as not to present a hazard to employees.
• Mark special rigging accessories (i.e., spreader bars, grabs, hooks, clamps,
etc.) or other lifting accessories with the rated capacity. Proof test all
components to 125% of the rated load prior to the first use. Maintain
permanent records on the job site for all special rigging accessories.
Disposal of waste materials:
• Whenever materials are dropped more than 20 feet to any point lying outside
the exterior walls of the building, use an enclosed chute of wood or
equivalent material.
When debris is dropped without the use of chutes, make sure that the area
onto which the material is dropped is completely enclosed with barricades at
least 42 inches high and 20 feet back from the projected edge of the opening
above. Post at each level warning signs of the hazard of falling materials.
Do not remove debris in this lower area until debris handling ceases above.
• Remove all scrap lumber, waste material, and rubbish from the immediate
work area as the work progresses.
Make sure to comply with local fire regulations if disposing of waste
material or debris by burning.
Keep all solvent waste, oily rags, and flammable liquids in fire-resistant
covered containers until removed from the work site.
Environmental Glass Ing,
Fire protection and prevention program
Table of Contents
I. Objective
II. Background
III. Assignment of Responsibility
IV. Plan Implementation
A. Good Housekeeping
B. Maintenance
V. Types of Hazards
A.
Electrical Hazards
B.
Portable Heaters
C.
Office Fire Hazards
D.
Cutting, Welding, and Open Flame Work
E.
Flammable and Combustible Materials
F.
Smoking
VI. Training
VII. Program Review
VIII. Attachments
A. Fire Risk Survey
B. General Fire Prevention Checklist
C. Exits Checklist
D. Flammable and Combustible Material Checklist
Bnvironmental_Glass
Fire Prevention Plan
I. OBJECTIVE
The purpose of this Fire Prevention Plan is to eliminate the causes of fire, prevent loss of life and
property by fire, and to comply with the Occupational Safety and Health Administration's
(OSHA) standard on fire prevention, 29 CFR 1910.39. It provides employees with information
and guidelines that will assist them in recognizing, reporting, and controlling fire hazards.
II. BACKGROUND
EGI is committed to minimizing the threat of fire to employees, visitors, and property. This Fire
Prevention Plan serves to reduce the risk of fires at the job site in the following ways:
A. identifies materials that are potential fire hazards and their proper handling and storage
procedures;
B. distinguishes potential ignition sources and the proper control procedures of those
materials;
C. describes fire protection equipment and/or systems used to control fire hazards;
D. identifies persons responsible for maintaining the equipment and systems -installed to
prevent or control ignition of fires;
E. identifies persons responsible for the control and accumulation of flammable or
combustible material;
F. describes good housekeeping procedures necessary to insure the control of accumulated
flammable and combustible waste material and residues to avoid a fire emergency; and
G. provides training to employees with regard to fire hazards to which they may be exposed.
M. ASSIGNMENT OF RESPONSIBILITY
Fire safety is everyone's responsibility. All employees should know how to prevent and respond
to fires, and are responsible for adhering to company policy regarding fire emergencies.
A. Management
Management determines the EGI fire prevention and protection policies. Management
will provide adequate controls to provide a safe workplace, and will provide adequate
resources and training to its employees to encourage fire prevention and the safest
possible response in the event of a fire emergency.
B. Plan Administrator
Ryan Snabes shall manage the Fire Prevention Plan for EGI and shall maintain all records
pertaining to the plan.
Supervisors
Supervisors are responsible for ensuring that employees receive appropriate fire safety
training, and for notifying when changes in operation increase the risk of fire.
Supervisors are also responsible for enforcing fire prevention and protection policies.
C. Employees
All employees shall:
Complete all required training before working without supervision.
Conduct operations safely to limit the risk of fire.
Report potential fire hazards to their supervisors.
Follow fire emergency procedures.
IV. PLAN IMPLEMENTATION
A. Good Housekeeping
To limit the risk of fires, employees shall take the following precautions:
1. Minimize the storage of combustible materials.
2. Make sure that doors, hallways, stairs, and other exit routes are kept free of
obstructions.
3. Dispose of combustible waste in covered, airtight, metal containers.
4. Use and store flammable materials in well -ventilated areas away from ignition
sources.
5. Use only nonflammable cleaning products.
6. Keep incompatible (i.e., chemically reactive) substances away from each
other.
7. Perform "hot work" (i.e., welding or working with an open flame or other
ignition sources) in controlled and well -ventilated areas.
8. Keep equipment in good working order (i.e., inspect electrical wiring and
appliances regularly and keep motors and machine tools free of dust and grease.
9. Ensure that heating units are safeguarded.
10. Report all gas leaks immediately Foreman shall ensure that all gas leaks are
repaired immediately upon notification.
11. Repair and clears up flammable liquid leaks immediately.
12. Keep work areas free of dust, lint, sawdust, scraps, and similar material.
13. Do not rely on extension cords if wiring improvements are needed, and take
care not to overload circuits with multiple pieces of equipment.
14. Ensure that required hot work permits are obtained.
15. Turn off electrical equipment when not in use.
B. Maintenance
Foreman will ensure that equipment is maintained according to manufacturers'
specifications. EGI will also comply with requirements of the National Fire Protection
Association (NFPA) codes for specific equipment. Only properly trained individuals shall
perform maintenance work.
The following equipment is subject to the maintenance, inspection, and testing
procedures:
1. equipment installed to detect fuel leaks, control heating, and control
pressurized systems;
2. portable fire extinguishers, automatic sprinkler systems, and fixed
extinguishing systems;
3. detection systems for smoke, heat, or flame;
4. fire alarm systems; and
5. emergency backup systems and the equipment they support.
V. TYPES OF HAZARDS
The following sections address the major workplace fire hazards at EGI facilities and the
procedures for controlling the hazards.
A. Electrical Fire Hazards
Electrical system failures and the misuse of electrical equipment are leading causes of
workplace fires. Fires can result from loose ground connections, wiring with frayed
insulation, or overloaded fuses, circuits, motors, or outlets.
To prevent electrical fires, employees shall:
1. Make sure that worn wires are replac6d.
2. Use only appropriately rated fuses.
3. Never use extension cords as substitutes for wiring improvements.
4. Use only approved extension cords [i.e., those with the Underwriters
Laboratory (UL) or Factory Mutual (FM) label].
5. Check wiring in hazardous locations where the risk of fire is especially high.
6. Check electrical equipment to ensure that it is either properly grounded or
double insulated.
7. Ensure adequate spacing while performing maintenance.
B. Portable Heaters
All portable heaters shall be approved. Portable electric heaters shall have tip -over
protection that automatically shuts off the unit when it is tipped over. There shall be
adequate clearance between the heater and combustible furnishings or other materials at
all times.
C. Office Fire Hazards
Fire risks are not limited to EGI's industrial facilities. Fires in offices have become more
likely because of the increased use of electrical equipment, such as computers and fax
machines. To prevent office fires, employees shall:
1. Avoid overloading circuits with office equipment.
2. Turn off nonessential electrical equipment at the end of each workday.
3. Keep storage areas clear of rubbish.
4. Ensure that extension cords are not placed under carpets.
5. Ensure that trash and paper set aside for recycling is not allowed to
accumulate.
D. Cutting, Welding, and Open Flame Work
Responsible Person(s) will ensure the following:
1. All necessary hot work permits have been obtained prior to work beginning.
2. Cutting and welding are done by authorized personnel in designated cutting
and welding areas whenever possible.
3. Adequate ventilation is provided.
4. Torches, regulators, pressure -reducing valves, and manifolds are UL listed or
FM approved.
5. Oxygen -fuel gas systems are equipped with listed and/or approved backflow
valves and pressure -relief devices.
6. Cutters, welders, and helpers are wearing eye protection and protective
clothing as appropriate.
7. Cutting or welding is prohibited in sprinklered areas while sprinkler protection
is out of service.
8. Cutting or welding is prohibited in areas where explosive atmospheres of
gases, vapors, or dusts could develop from residues or accumulations in confined
spaces.
9. Cutting or welding is prohibited on metal walls, ceilings, or roofs built of
combustible sandwich -type panel construction or having combustible covering.
10. Confined spaces such as tanks are tested to ensure that the atmosphere is not
over ten percent of the lower flammable limit before cutting or welding in or on
the tank.
11. Small tanks, piping, or containers that cannot be entered are cleaned, purged,
and tested before cutting or welding on them begins.
12. Fire watch has been established
E. Flammable and Combustible Materials
Responsible Person shall regularly evaluate the presence of combustible materials at EGI
Certain types of substances can ignite at relatively low temperatures or pose a risk of
catastrophic explosion if ignited. Such substances obviously require special care and
handling.
1. Class A combustibles.
These include common combustible materials (wood, paper, cloth, rubber, and
plastics) that can act as fuel and are found in non -specialized areas such as
offices.
To handle Class A combustibles safely:
a. Dispose of waste daily.
b. Keep trash in metal -lined receptacles with tight -fitting covers (metal
wastebaskets that are emptied every day do not need to be covered).
c. Keep work areas clean and free of fuel paths that could allow a fire to
spread.
d. Keep combustibles away from accidental ignition sources, such as hot
plates, soldering irons, or other heat- or spark -producing devices.
e. Store paper stock in metal cabinets.
f. Store rags in metal bins with self -closing lids.
g. Do not order excessive amounts of combustibles.
h. Make frequent inspections to anticipate fires before they start.
Water, multi -purpose dry chemical (ABC), and halon 1211 are approved fire
extinguishing agents for Class A combustibles.
2. Class B combustibles.
These include flammable and combustible liquids (oils, greases, tars, oil -based
paints, and lacquers), flammable gases, and flammable aerosols.
To handle Class B combustibles safely:
a. Use only approved pumps, taking suction from the top, to dispense
liquids from tanks, drums, barrels, or similar containers (or use approved
self -closing valves or faucets).
b. Do not dispense Class B flammable liquids into containers unless the
nozzle and container are electrically interconnected by contact or by a
bonding wire. Either the tank or container must be grounded.
c. Store, handle, and use Class B combustibles only in approved
locations where vapors are prevented from reaching ignition sources such
as heating or electric equipment, open flames, or mechanical or electric
sparks.
d. Do not use a flammable liquid as a cleaning agent inside a building
(the only exception is in a closed machine approved for cleaning with
flammable liquids).
e. Do not use, handle, or store Class B combustibles near exits, stairs, or
any other areas normally used as exits.
f. Do not weld, cut, grind, or use unsafe electrical appliances or
equipment near Class B combustibles.
g. Do not generate heat, allow an open flame, or smoke near Class B
combustibles.
h. Know the location of and how to use the nearest portable fire
extinguisher rated for Class B fire.
Water should not be used to extinguish Class B fires caused by flammable liquids.
Water can cause the burning liquid to spread, making the fire worse. To
extinguish a fire caused by flammable liquids, exclude the air around the burning
liquid. The following fire -extinguishing agents are approved for Class B
combustibles: carbon dioxide, multi -purpose dry chemical (ABC), halon 1301,
and halon 1211. (NOTE: Halon has been determined to be an ozone -depleting
substance and is no longer being manufactured. Existing systems using halon can
be kept in place.)
F. Smoking
Smoking is prohibited in all EGI buildings. Certain outdoor areas may
also be designated as no smoking areas. The areas in which smoking is prohibited
outdoors are identified by NO SMOKING signs.
VI. TRADUNG
Responsible Person shall present basic fire prevention training to all employees upon
employment, and shall maintain documentation of the training, which includes:
A. review of 29 CFR 1910.38, including how it can be accessed;
B. this Fire Prevention Plan, including how it can be accessed;
C. good housekeeping practices;
D. proper response and notification in the event of a fire;
E. instruction on the use of portable fire extinguishers (as determined by company
policy in the Emergency Action Plan); and
F. recognition of potential fire hazards.
Supervisors shall train employees about the fire hazards associated with the specific
materials and processes to which they are exposed, and will maintain documentation of
the training. Employees will receive this training:
A. at their initial assignment;
B. annually; and
C. when changes in work processes necessitate additional training.
VIL PROGRAM REVIEW
Ryan Snabes shall review this Fire Prevention Plan at least annually for necessary changes.
AIA Docum�ent A31 0 TM —2010
CONTRACTOR: SURETY:
(Name, legal status and address) (Name, legal status and principal place
Environmental Glass Inc of business)
12675 Marlin Drive International Fidelity Insurance Company
Redford, MI 48239 3720 Queen Ct SW, Suite 7
OWNER: Cedar Rapids, IA 52404
(Name, legal status and address)
City of South Bend, Indiana, Board of Public Works
227 West Jefferson Blvd.
South Bend, IN 46601
BOND AMOUNT: Five Percent of Accompanying Bid ---------------- (5%)
PROJECT:
(Naane, lircalion or address, and ProJect member, if any)
Liberty Tower Exterior Renovations Project No.
Vestibule Entrance
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.
118-086R Division C: Main Floor Storefront and
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 brand or bottds as tn;ay be specified in the bidding or C"oraarcict 1: OCUlner'aas, Willi a surety radaa iuc(I
In the jurisdiction ofdie proJect and otherwise aeccptaable t,ra il,le OWner, Im the faitlltul perforralaaaace of' such Conl.racl
and for the prompt payment o laabor and material' I!"arrraished ill tile prosecution thercof", awa' ('2) p%awys to the L" Oder the
difference, not to exceed the amount of this Bond, between the aaraar,lurn specified ira said bid and stash larger antot11'111
for which the Owner may in good faith contract with another l,aany to perf'Ol.rtt the wr w k covered by said bid, then INS
obligation shall be null and void, otherwise to remain in full force and c,1f'ect.']`Ire SkIrety hereby waives any notice of
an agreement between the Owner and Contractor to extend the, t"Tre ill which Ilse Ow,vlaea. tfaaay eaCcept the bid Waiver of
notice by the Surety shall not apply to any extension exceeding, sixty (0);) days In the aggregate beyond lbe tinge for
acceptance of bids specified in the bid documents, and the Owitc r and Col1tr,.kctvir shall oht awn the Saucgy';s e(wraseal�at ft�ar-
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 ldarnd has been furnished to comply will) to :st,attattrr'y gar garlic r legal readuira naent ill the laacaalion of the 11n.'Ject,
Wary provision ill this ldond carnllrcrting with said siaturary OF lcgaad realarrrerrtent shall be deemed deleted heredrom and
provisions coral"arming to such Statutory or other led�,ral reytrireaaaerat shall N.�e tlecraaecl incorporated hc;.a�ekr'r. 4rwlaera sr.w
furnished, the intent is Hull this Bond shall be construeal as a sla�tndcaay borad and not asp',I coanataarla law boned.
Signed and sealed this 22nd day ofJanuary, 2019
(Witness)
,• .
Wetness
Environmental Glass Inc
(Principal) (Seal)
(Title)
fSuret
(Title
L Budde, Attorney -in -Fact
(Seal)
Init. ^"' "V°umenc Na i u "- — zuiu. Copyright CcJ 1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: this AIA3
Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA'° Document, or
any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This
/ document was created on 01/27/2012 07:23:12 under the terms of AIA Documents -on -Demand TM order no. 2008397483 , and is not for
resale. This document is licensed by The American Institute of Architects for one-time use only, and may not be reproduced prior to its completion. 06111D
POWER OF ATTORNEY Bond #
INTERNATIONAL FIDELITY INSURANCE COMPANY
ALLEGHENY CASUALTY COMPANY
One Newark Center, 201h Floor, Newark, New Jersey 07102-5207 PHONE: (973) 624-7200
KNOW ALL MEN BY THESE PRESENTSThat INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing under the
laws of the State of New Jersey, and ALLEGHENY CASUALTY COMPANY a corporation organized and existing under the laws of the State of New
Jersey, having their principal office in the City of Newark, New Jersey, do hereby constitute and appoint
T.L. YOUNG, T.J. GRIFFIN, TERENCE J. GRIFFIN, JOHN L. BUDDE, SUSAN L. SMALL, PATRICK E. WILLIAMS,
STEVEN K. BRANDON, WILLIAM A. PIRRET
Farmington Hills, MI
their true arid lawful aftorney(s)-in-fact to axectite, seal and deliver for and or) its behalf as surety, any and all bonds arid undertakings, contracts of
indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute,, rule, regulation, contract
or otherwise, and the execution of such instrument(s) in pursuance of these presents, shell be as binding upon the said INTERNATIONAL FIDELITY
INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY, as fully and amply, to all intents arid purposes, as if the same had been duly
executed and acknowledged by their regularly elected officers at their principal offices,
This Power of Attorney is executed, and may be revoked, pursuant to and by, authority of the By -Laws of INTERNATIONAL FIDELITY INSURANCE
COMPANY and ALLEGHENY CASUALTY COMPANY and is granted under and by authority Of tile following resolution adopted by time Board of
Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 200h day of July', 2010 and by the Board of
Directors of ALLEGHENY CASUALTY COMPANY at a meeting duly held one the 10th day of July,2015
"RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Vice President, or Secretary of The Corporation shall have the
power to appoint, and to revoke the appointments of, Attorneys -in -Fact or agents with power and authority as defined or limited in their respective powers
of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings, recognizances, contracts of
inder-rinity and other written Obligations in the nature thereof or related thereto, and (2) any such Officers of the Corporation may appoint and revoke the
app6rilments of joint-controt custodians, agents for, acceptance Of process, and Attorneys -in -fact with authority to execute waivers arid consents on
behalf of the Corporahoiy arid (3), the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power
of attorney or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written obligation in the nature
thereof or related thereto, such signalure and seals when so used whether heretofore or hereafter, being hereby adopted by the Corporation as the
original signature of such officer and the original seal of the Corporation, to be valid and binding upon the Corporation with the sarne force and effect as
though manually affixed,"
IN WITNESS WHEREOF, INTERNATIONAL FIDELITY INSURANCE COMPANY and
ALLEGHENY CASUALTY COMPANY have each executed and attested these presents
on this 31 st day of Der -ember, 2017
11 y
ell STATE OF NEW JERSEY cNSUA4),
e to County of Essex 0
0
SEAL fa
1904
S a 1936
George R. James
Executive Vice President (International Fidelity Insurance Company) and
Vice President (Allegheny Casualty Company) pytrJEftO
On this 31st day of December, 2017 , before me care the individual who executed the preceding instrument, to me personally known, and,
being by me duly sworn, said he is the therein described and authorized officer of INTERNATIONAL FIDELITY INSURANCE COMPANY and
of ALLEGHENY CASUALTY COMPANY; that the seals affixed to said instrument are the Corporate Seals of said Companies; that the said Corporate
Seals and his signature were duly affixed by order of the Boards of Directors of said Companies.
NIS( $10, 8"wygA Orooj,
Y C� IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, at the City of Newark,
New Jersey the day and year first above written.
pep N 0 1 A A Y
%
;A
Cathy Cruz a Notary PUbfiC of New Je—rsey—
OP N E* My Commission Expires April 16, 2019
)I$,, ... OW00,111A CERTIFICATION
1, the undersigned officer Of INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY do hereby, certify that I
have Compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Sections of the By -Laws of said Companies as set forth in
said Power of Attorney, with the originals on, file in the home of said companies, arid that the same are correct transcripts thereof, and of the whole of the
said originals, and that the said Power of Attorney has not been revoked and is now in, full force and effect,
IN TESTIMONY WHEREOF, I have hereunto set my hand on this day, 1/22/2019
A00039
Maria H. Branco, Assistant Secretary
1/18/2019 Surety Bonds - List of Certified Companies
International Fidelity Insurance Company
(NAI C #115922)
BUSINESS ADDRESS: One Newark Center, Newark, NJ 07102 - 5207,
PHONE: (973) 624-7200.
UNDERWRITING LIMITATION b/: $7,161,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, O. PA, PR, RI, SC, SID,
TN, TX, UT, VT, VA, VI, WA, WV, WI, WY.
WWI 111:1
hftps://fiscal.treasury.gov/surety-bonds/list-certified-companies.html#i 1/1
ITT -111Ci i/ j
ENVIRONMENTAL
12675 Marlin Drive Redford, MI. 48239 -; Voice: 734.261.1930 Fax: 734.261.5590
Environmental Glass, Inc. - Contracted Projects
Project Name Scope of work
Washington Square/Liberty Tower
North Ridgeville
Lakewood Center North
Respectfully,
Matthew D. Tabar
Environmental Glass, Inc. - Estimator
Removal and replacement of the glass and glazing systems at
Liberty Tower Hotel and floors 2-25. This project involved new
aluminum window systems, aluminum curtain wall, storefront,
and entrances installed throughout the building.
Demolition and renovation took place on this project. This
project had new, aluminum storefront and doors installed
throughout the ground level.
Demolition and renovation took place on this project. This
project had new, aluminum storefront and doors installed
throughout the ground level.
ATTACH M 8s?UT
Michael Scaparotti, President
Scaparotti Construction Group `ICON;
P 440.753.5209
C 440.724.7579
Sheree Kirkland; Project Manager
sheree.kirkland cr,bartonmalow.com
Barton Malow Company 1 26500
American Drive, Southfield, MI 48034
248 436-5222 Direct 248 866-1162
Cell ; 248 436-5223
Doug Underwood
Project Director
McCarthy & Smith Inc
24317 Indoplex Circle
Farmington Hills, MICHIGAN , 48335
Phone: (248) 427-8400
Carlos Moreno —Sr. Project Manager
Colasanti Construction Services
407 E. Fort St., Detroit, Mi. 48226
Office Phone: (586) 598-9700
Office Fax: (586) 598-9661
Mobile: (313) 400-6808
email: cmoreno@colasantigroup.com
Michael S. Zatroch, Senior Project Manager
BRAUN CONSTRUCTION GROUP
39395 W. 12 Mile Road, Suite 100
Farmington Hills, Mi 48331
248-848-0567 phone
248-848-1039 fax
586-703-1031 mobile
mzatroch@brauncg.com
wwvv.bra,�ntcg.corr,
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12675 Marlin Drive Redford, Mi. 48239 � Voice: 734.261.1930 f, Fax. 734.261.5590
Date: 1/18/2019
To: City of South Bend, IN
Re: Sections I — III (Part II) for the Liberty Tower Project
Section I
1. 2017 completed projects: A) C.H.U.H School District — new construction
B) Historic Blue Bell Lofts — historic window replacement
C) 45 W. Grand River — historic window replacement
D) Clark Lofts — historic window replacement
E) Simpson Hall — window replacement
F) Washington Tower — window replacement
2. N/A
3. N/A
4. References — attached
Section II
Proposed work plan: The initial step in the demolition package would be to identify all wall, window, and door
locations to be removed. Once the demolition is complete, the next step will be the layout of all new wall,
window, and door locations to be installed. This step would be working directly with the masons to install the
new brick and we would then install the wall frames accordingly. Next step would be to install all window and
door frames and conclude with glass and hardware. The time frame for section C is at 2-3 months.
N/A
N/A
Equipment — 2 scissor lifts.
Material quotes — Yes, we have received priced quotes to prepare our proposal.
Section III
1. Bidder's financial statement — it is attached.
Any questions regarding this matter, please feel free to contact us at (734) 261-1930. Thank you!
Respectfully,
Matthew D. Tabar
Environmental Glass, Inc. - Estimator