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Home My WebLink AboutOpening of Bids - Liberty Tower Exterior Renovations Project No 118-086R - Mulder Waterproofing & Sealants Inc^ t z CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK `,1865 w , Project Name Liberty Tower Exterior Renovations Project No. 118-086R __.._..." For Bids Due January 22, 2019 �. ... _ _ ............... �_ PART I (Must be completed for all bids. Please type or print) Date: Bidder (Firm): Address: ��` �:� City/State/Zip: n� Telephone Number: 1� Agent of Bidder (if Applicable): _ Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to comp ...e public works project of: complete the the Cityof South Bend Indiana, accordance with plans and specifications prepared by: and dated 1 W Q I for th Yrn: of (enter the Total Bid as shown on the Proposal) Division A: Upper Level Roof Work Enter su ... s m._.._.-w�.._.....—._._....�_ ) ( m of Total Base Bid plus Alternates shown on Proposal) (Numerical) Division B: Exterior Concrete Masonry Repair (Enter sum of al Base Bid Alterrates shown on Pro ) u rical) Division C: 5ih Floor Parking Garage Ceiling Insulation and EFIS Finish (Enter sum of TotaBase Bid p lus At(;rnae shown -on Pr .o-`p)_._ .�mm (Numerical) Division D: Sidewalk and Curb Replacement Work on Washington Street ( um of Total Base Bid -plus -_-. �....... . Enter s� .....�.�...._.� p 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 City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be sho n on a separate attachment. B �nin �.(signature) �.1 I.. —.. .. a (PruntCd Horne of Person ,ic ACCEPTANCE The above bid is accepted this day of Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member 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) 20 These statements to be submitted under oath by each bidder with and as part of his/her/its bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the Pity of South Bend to consider your bid„) 2, Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performedpart of the work) that you have used on public works projects during the past five () years along with a brief description of the work done by each subcontractor, 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 7/20/2018 Contractor's Bid for Public Works - 3 bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 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 BID/PROPOSAL,,��ti CITY OF SOUTH BEND" Project Name: Liberty Tower Exterior Renovations, Project Number: 118-086R ................ ............ For Bids Due: January 22, 2019 µ aw Contractor Name: BASE ......__ BID: DIVISION A: UPPER LEVEL ROOF WORK Item No. _—......_ Description .... Quantity Unit Total Amount 1 New Membrane Roof — 20 Year TPO 1 Lump Sum % 2 Contingency Allowance for Unforseen 1 .._u Each __.......... Conditions _................ _.._.. $5,000 3 Contingency Allowance for North 1 Each Property. $5,000 DIVISION A: BASE BID TOTAL r) / N BASE BID: DIVISION B: EXTERIOR CONCRETE MASONRY REPAIR AND COATING Item Description Quantity Unit Total Amount No. 1 Exterior Concrete Masonry Repair and 1 Lump, Coatin _ Sum c3��J __..M.............. 2 Tuck -pointing 400 SF A 3 ._........ ..... ._.... . ....... .......... ......... _ 3 Soft Joint Backer Rod and Sealant 1500 LFT __........ ..... .—........... 4 Cut Control Joints 350 LFT .. ... . _........... _...._._ 5 Contingency Allowance for Unforseen 1 EACH Conditions $5,000 6 Contingency Allowance for North 1 EACH e Pro rt p_ y E $5,000 DIVISION B: BASE BID TOTAL BASE BID: DIVISION C: MAIN FLOOR STOREFRONT AND VESTIBULE ENTRANCE �............ ... .............. — .............M .._. m Item Description Quantity Unit Total Amount No. 1 Main floor storefront and vestibule 1 Lump entrance Sum h �ITITITITITm Conditions wwwww...... 2 Contingency Allowance for Unforseen 1 EACH _u _ ITITmmmmmmmµnnn . $5,000 DIVISION C: BASE BID TOTAL nj PS,. BASE BID: DIVISION D: SIDEWALK AND CURB REPLACEMENT WORK ON WASHINGTON ST ._....._ _ .. — _.._._ .... F'.N.o em Description Quantity Unit Total Amount . 1 Pavement, Remove 424 SYS in j _.._ ... _............ �.......__ 2 Curb, Concrete, Remove 155 LFT / Version 7/20/2018 Contractor's Bid for Public Works - 8 BIDIPROPOSAL CITY OF SOUTH BEND°., Project Name: Liberty 1 y Tower Exterior Renovations = �° Project Number: 118-086R For Bids Due: January 22, 2019 Contractor Name: .. _ ..� ...... .... BASE BID:DIVISION D: SIDEWALK AND CUR ... w _w B REPLACEMENT WORK WA WON SHINGTON _ mm N . mmmmmmITIT ST ....... 10 NO. 4 Wire 155 LFT ._� 11 NO. 6 Wire __M 155 ...... LFT ........... ... _ 12 Conduit PVC 21N, Schedule 80 150 LFT ........ 13 Construction Engineering 1 LS 14 Mobilization/Demobilization 1 LS ............... _... _ ...... _ �.... __.. 15 Maintaining Traffic (MOT) 1 LS ..... _.... _ .................. ... 16 Concrete Overlay 26 SYS _._ 17 Repair of spalled/delaminated concrete on bottom of Ma....St. Entrance slab 15 ............. SF !.„_ 18 HMA Base, Type B 9 TON 19 HMA Surface, Type B 11 TON ... --.. 21 PCCP For Approach 6 92 SYS 22 Curb and Gutter Concrete 191 LFT 23 Line, Thermoplastic Solid, White, 4in 200 LFT ._....... ._ ........_ ......- 24 Line, Thermoplastic, Solid, Yellow, 4in 34 LFT 25 Turn Arrow Thermoplastic, White 1 EACH ..... . _ ... __ -- / 26 Light Standard, Type A 2 EACH 27 Tree Grate .......� _.... ....... .. EACH _......... rl� 28 Ornamental Tree,2" Caliper 3 ._..... EACH ® w dd tional Common Excavation,�_..��.�. Additional Undistributed _...._ 10 ...... CYS . _............._._._ .... 30 Utility Allowance .--.. 1 ..... EACH _M.. 5,000 — 31 for Sidewalk Conditions Allowance.. m_. 1 EACH _...__..._w $5,000 DIVISION D: BASE BID TOTAL 0 / f-\ Version 7/20/2018 Contractor's Bid for Public Works - 9 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Liberty Tower Exterior Renovations Project Number: 118-086R For Bids Due: January 22 Contractor Name:�s�r��t Bidder (Firm): ( �r ............................_. Address: Y p = : `19c,Tele hone Number: _w. ............ Cit /State/Zi BY.:w _ ....._....._. ... _. (Signature) c5CSi q,h fy\,1 r1 (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) MATTHEW BAKER STATE OF iC. + ) NOTARY PUBLIC - STATE OF MICHIGAN COUNTY OF KALAMAZOO SS: My Commission Expires 03/05/2025 COUNTY ) Acting in the County of A zcx) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor fiirther says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. Version 7/20/2018 Contractor's Bid for Public Works - 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 alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MIKEAVIIE; laowevcr, it may not unlawl`aaily discriminate against said WBE/MBE. A finding of a discrinlinaatory practice by the (,`ivy's NIf31YW13E Utilization Board shall prohibit that person or entity from hawing awarded a City contract for as period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder Version 7/20/2018 Contractor's Bid for Public Works - 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 dayof`— ,201c� :Con�tractoFimi) � r/Bidder Signature of C"ontr`ictor/B'idder or Its Agent v/ze",- w)ae+ OtM®Y Printed Name and Title Subscribed and sworn to before me this day of :YkAugrl 20 17 g My Commission Expires 5&s Nota4V1, County of Residence r414A-q z °® MATTHEW BAKER NOTARY PUBLIC - STATE OF MICHIGAN COUNTY OF KALAMAZOO My Commission Expires 03/0512025 Acting in the County of WAkA411ad f9 b- Version 7/20/2018 Contractor's Bid for Public Works - 7 1316 CouNTY-CITY BUILDING PHONE 574/ 235-9251 227 W. JEFFERSON BOULEVARD s , i FAX 574/ 235-9171 SOUTH BEND, INDIANA 46601-1830 ta,"" �' ; -' TDD 574/ 235-5567 + P CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: January 2019 To: w18, ............... _ ...................... All Bidders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: LibertTower Exterior Renovations Project Number: 118-086R ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: - , , C3�, mmIT ITITITITITITIT This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Note: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Authorized Si; Date: i - 1 IR - " oc!umaent r 310TM 2010 Conforms with The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR: SURETY: (Name, legal status and ad*=) (Name, legal status and li incipal phice r f hm*w.w) Western Surety Company Mulder Waterproofing and Sealants, Inc. 151 N. Franklin Street This3420 Ravine Rd. Chicago IL 60606 legal documenthasimportant legal consequences. Consultation Kalamazoo MI 49006 Mailing Address for Notices with an attorney is encouraged with respect to Its completion or OWNER: modification. (Nance, legal status and adds uss) City of South Bend BOND AMOUNT: 5% Five Percent of Amount Bid Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. PROJECT: (Name. location or addmia mrdilroject number, (fang) Liberty Tower Renovations - Elastomeric Coating - Painting, Caulking, Masonry Re -Pointing Exterior of Hotel The Contractor and Sorcty arc bound to the Owner in tho amount set forth above,. for the payment of which the Contractor and Surety bind themsclves, their hoirs, oxocutors, adanh istrators, successors and assigns. jointly aaad severally, as provided herein, The conditions of this Bond are such that if tine Oavaer accepts the bid oftlac Contractor within the time specified in ilia 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 Sivas such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the 11toject al'ld othenviso acceptable to the Omtcr, for the faithtinl performance of such Contract and for the prompt payment of labor and material furnished in ilia prosecution thereof; or (2) pays to the Owner tine ditierence, 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 perlbrm ilia work covered by said bid, then this obligation shall be null and void, otherwise to remain in full (brca and elrecl. The Surely hereby wuives any notice of an agrccnicnt between [lie Owner and Contractor to extend (lie lime in which ilia Owner may accept die bid. Waiver ornntice by the Surely shall not apply to any extension exceeding sixty (60) days in the aggregate beyond lice lime for acceptance ol'bidx specified in the bid documents. and the Owner and. Contractor shall obtain the Surety s consent tier an extension beyond sixty (60) days. If this Bond is issued in connection nvith a subcontractors 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 Dond has been Inn nishod to comply with a statutory or other legal requirement in ilia location of the project any provision in this Dond conflicting with amid stulauory or legal requirement shall be deemed deleted herelrom and provisions coortmrming to such statutory or other legal requirement shall be deemed incorporated herein. When so rurnishrcd, (ho intent is that lhix Pond shall be construed as a statutory bond and not as a common law bond. Signed and scaled this 18th day of January, 2019. lll�lrtrars.�t (tl �ttrea'.r S-0054/AS 8t10 Mulder Watergroofing and Sealants, Inc. (lsr"rcip r) (Scii I) B, in c) Western Surety Company lSi►rety) (Sval) PW B" anice tickles , Attorney -in -Fact Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Lori A King -Clyde, Janice Stickles, Tamara J Mohr, Wenda L Coleman, Malissa J De Vormer, Kristie L Harris, Individually of Caledonia, Ml, its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 7th day of September, 2017. r�cr WESTERN SURETY COMPANY 00 w° 41iB!Eit, Vic President Slate of South Dakota 1 $s' County of Minnehaha J? On this 7th day of September, 2017, before me personally came Paul T, Bruflat, to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires J. - O I Juno 23, 2021 n roc 64� J. Mohr, Notary P'rtblic CERTIFICATE 1, L, Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hercinabove set forth is still in force, and further certi that the By -Law of the co ^ %� I have hereunto subscribed my name and affixed the seal of the said corporation this printed on day ofrse hereof is still in force. In testimony whereof 41 4�� 01 WESTERN SURETY COMPANY 4PP�r °r"►i�+w w 44LNon, Assistant Secretary Form Fazaoa-2otz Authorizing By -Law ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders of the Company. Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. f- w W _N a� owa z V mw0 0zz ULL.Nw 0m0 _H w W Vpw O 0 z Q NH I.I. 0 z_ J N E m z U m O n i w co O Irl aD fim C am co 2 ll 3 6 7 00 CITY OF SOUTH BENDtikar"" MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM' FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS, This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBE/WBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business as defined by the Indiana Department of Administration ("IDOA"). Project Number: 118-086R Date: Project Name: Libertv TowerExterior Renovations_.............._.....................�,.___..._��..._�...�� Bidder: ...s, Contact Person: Telephone Address: City: K Email: To determine whether a bidder � _ has demonstrated good faith e its to reach he MBE/WBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: ....... ......- ........ ..... ....................... _ EVIDENCE OF GOOD FAITH EFFORTS MBEfWBE nA Enterprise Diversity bidder e City of South Bend's Minority and Women Business Development Program, am, which uses the IDO (S)mmmm.. A approved list of Minority and Women Owned Business as found on their website (http://www.in.gov/idoa). ACTION (ADVERTISE/CON .. _ �.M ......— TACT): In order for your bid to be deemed responsive, the City of South Bend requires that all perspective bidders complete no less than 2 of the following: 1. Attend all pre -bid meetings scheduled by the City to inform MBE/WBEs of contracting and d1/ subcontracting opportunities. 1 , 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBE/WBEs reasonable time to respond. 3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 4. Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBE/WBE firms. *"Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE/WBEs, hI\ including providing such MBE/WBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL �! ONY ._.0 ............. __................. EBTRAT(S): The bidder selected specific portions of the work to be performed by n order to increase the likelihood of meeting the MBE/WBE goals (including breaking down contracts into smaller units to facilitate MBE/WBE participation) ...................... ........ _ ..__... _ _..w _ ... ..... CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE/WBE was unqualified to perform the job. Pro er demonstration of d ..'od �_....._. _ .t _r..... a _..__._....A—n ..... _..... _... * p Good Faith Effort requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 7/20/2018 Contractor's Bid for Public Works - 12 CITY OF SOUTH BEND,`'4"�" MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.1 MBE/WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted 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�.m ._..................... � Name: Libert Tower Exterior Renovations Bidder: PAGE OF MBE/WBE Participation Goal _mmmw� 0�. Y (� __......_..........._ ........ Title) (Date) MBE/WBE Firm Owner or Contact at MBE/WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: MBE/WBE Firm Owner or Contact at MBE/WBE Firm Telephone: Fax: - Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Version 7/20/2018 Contractor's Bid for Public Works - 13 1 > rrry City of South Bend Public Works o Engineering Division 4227 W. Jefferson, County City Building 1316 South Bend, IN 46601-1830 Phone: 574.235.9251 Email: dhanson@southbendin.gov TRAFFIC CONTROL AND OCCUR' C "'RE'QUEST *SUBMIT 5 WORKING DAYS MINIMUM PRIOR T PROJECT START DATE PLAN YOUR START DATE ACCORDINGLY TO VOID DELAYS CaM Iete 1 - 5 Incomplete Submittals C nnot Be Processed Parking Lane \Q Travel Lane 1:1 Full Road Closur Alley Sidewalk Closure 2 1:1 Excavation/Boring? K Ell Requires Excavation Form Construction? > Requires Curb Cut application or sidewalk permit Submission Date; . IT_._.. .........._.. Applicant/Com any: Name: Email Address: _....... Office Phone #:._.____............ ............... cell Contractor erforming Work: Office On -Site Contact: Phone #: �. _........_ ...._ Cell Project STREET ADDRESS (eg: 110 W. SmutRD.): Project Location (Block limits/Streets From To): Requested Start & End Dates: Requested Start & End Times: Reason for Closure: Affected Customers: �..,, .,. ... .... ... -_— ... -- Contractors are responsible for resol dng safety issues c . c ess concerns with affected customers ATTACH THE FOLLOWING ITEMS: 1. Traf c Control Plan 2. DetoursNan 3. Barricades, Signs, or Flashers Placement (Refer to MUTCD for Traffic Control Device Requirements) See rev�r e for Checklist Failure to use traffic control for traff restrictions or closures will result in%Jeo'�S work orders and/or delay in permitting.. THIS OCCUPANCY PERMIT REQUEST IS ON -TRANSFERABLE AND A SIGNATURE SUBTHE NAMED CONTRACTOR PERMITTEE 5 TO ALL APPLICABLE RULES, DUTIES AN OBLIGATIONS IMPOSED BY THE CITY OF SOUTH B D MUNICIPAL CODE AND TO ALL REGULATIONS IMPOSED BY THE SO H BEND BOARD OF PUBLIC WORKS. Applicant Signa ENGINEERING OFFI E USE ONLY. 0 Approved Approved as Noted � Revise Comments: City of South Bend/Engineering) Division Authorized Signature / Date Not Xpproved Date: Version 3.2 i5/2/20181 Addendum #1 Date: January 17, 2019 To: All Bidders and others to whom Plans & Specifications have been issued From: Kil Architecture/ Planning Gregory A. Kil, AIA, NCARB Architect RE: Liberty Tower Exterior Renovations, Project 118-086R For City of South Bend, Board of Public Works 227 W. Jefferson Blvd, Room 1316 South Bend, IN 46601 This addendum forms part of the Contract Documents and modifies the original Bidding Documents only as noted below. The remainder of the drawings and Specifications are to remain in their entirety. Acknowledge receipt of this addendum in the space provided on the Bid Form. This addendum consists of the following changes identified in bold: PR+ JJ E T MANUAL: A. Special Provisions, Art. XIII. Prosecution and Progress: 1. After subparagraph B.1.a, add a sub paragraph as follows: a. "BA.A.1) Division A Roof Work shall follow the completion of Division B Masonry Wall Repair." B. Special Provisions, Art XIV, Change of Contract Time: 1. After subparagraph B.4 add a subparagraph as follows: a. "B.5 The Department of Public Works will consider requests for extensions of contract time if reasonable justification is provided. C. Special Provisions, Art XX, Description of Work: 1. Subparagraph B.1, Division A: Base Bid: Upper Level Roof Work: a. Delete subparagraphs B.1.1 and B.1.2. D. Special Provisions, Art XXI, Contract Allowances: 1. Subparagraph B.5: Add the following subparaphs: a. B.5.a Division A Allowances: 1. Contingency for Unforseen Conditions: $5,000 2. Allowance for reimbursement to owner of property north of project to allow access to north wall: $5,000 b. B.5.b Division B Allowances: 1. Contingency for Unforseen Conditions: $5,000 K I L Addendum #1 ARCHITECTURE page 1 PLANNING www.kilarchitecture.com 1126 LINCOLNWAY EAST SOUTH BEND I N 46601 (574) 288,2654 VOICE 289. 2420 FA X 2. Allowance for reimbursement to owner of property north of project to allow access to north wall: $5,000 c. B.5.c Division C Allowances: 1. Contingency for Unforseen Conditions: $5,000 d. B.5.d Division D Allowances: 1. Utility Relocation Allowance: $5,000 2. Allowance for Sidewalk Conditions over Vault: $5,000 E. Special Provisions, Art XXXII, Hot Mix Asphalt Pavement: 1. Subparagraph B.5: Clarification: Omit polymer from the binder in the 70-22 HMA surface mix. F. Bid Form: 1. Replace Bid Form with attached "Bid Form-Rev.1" G. Section 01 5000, Temporary Facilities and Controls 1. After Article 1.10 add new article as follows: 1.11 Use of Elevator Contractor may use the existing service elevator at the south end of the east bank of elevators to transport material to upper levels. Materials must fit into cab without damaging cab, and must not exceed load limits for elevator. H. Specification Section 05 5000, Metal Fabrications: 1. Article 1.1, Section Includes: a. Omit Paragraph B, Rooftop Bridge with Steps in its entirety. 2. Part 2, Products: a. Omit Paragraph 2.1, Materials -Aluminum In Its entirety. b. Omit Paragraph 2.3 Fabricated Items in its entirety. I. Specification Section 07 5423 Thermoplastic-Polyolefin Roofing (TPO) 1. Article 1.8, Warranty a. Clarification: Existing warranties on roofs at 7t' floor, 27th floor and 281h floor are held by Slatile Roofing and Sheet Metal, Inc. for the first two years. 2. Article 2.2, Roofing System Description a. Paragraph B.2.b.: Change the number "32" to the number "20". 3. Article 2.4, Vapor Retarder Materials a. Paragraph 2.4.A: Clarification: The Manufacturer's self -adhering vapor barrier will be allowed if meeting the Manufacturer's requirements for the specified warranty. K I L ARCHITECTURE PLANNING www.kilarchitecture.com Addendum #1 page 2 1126 LINCOLNWAY EAST SOUTH BEND IN 46601 (574) 288.2654 VOICE 289, 2420 FAX DRAWINGS: A. Drawing A2.1, Roof Details a. Details 1 and 7: Change the thickness of all pre -finished aluminum copings and cleats to 0.050 inches. Add dimensions in accordance with attached drawing ADD-01. B. Drawing D2.1, Site Details: 1. Detail 1, Typical Sidewalk Section: a. Revise detail in accordance with attached drawing ADD-03. 2. Detail 2, Section @ Lobby Entrance: a. Revise detail in accordance with attached drawing ADD-04. 3. Detail 3, Driveway Paving Section: a. Revise detail in accordance with attached drawing ADD-03. 4. Detail 3, Light Pole Foundation: a. Change detail number to "Detail 4" and revise in accordance with attached drawing ADD-02 ! w ! 910malillivini ATTACHMENTS: Bid Form-Rev.1 Drawing ADD-01 dated January 16, 2019 Drawing ADD-02 dated January 16, 2019 Drawing ADD-03 dated January 16, 2019 Drawing ADD-04 dated January 16, 2019 K 1 L ARCHITECTURE PLANNING y w.kJ10frMLg rLrc+err Addendum #1 page 3 1126 LINCOLNWAY EAST SOUTH BEND IN 46601 (574) 288.2654 VOICE 289. 2420 FAX CITY OF SOUTH BEND STATEMENT OF POLICY The Board of Public Works of the City of South Bend has adopted the following policy regarding the receipt of sealed bids: All sealed bids submitted to the Board of Public Works must be received in the Board of Public Works Office, 1316 County -City Building, South Bend, Indiana, no later than the advertised time on the advertised date of the bid opening. It shall be the responsibility of the bidder to see that his/her bid is received prior to the deadline stipulated in the bid advertisement. Bids submitted by mail and received after the advertised time deadline will not be considered by the Board. CITY OF SOUTH BEND BOARD OF PUBLIC WORKS Linda M. Martin, Clerk NOTE: Incoming mail does not reach the Board of Public Works until after 9:30 a.m. Local Time. If you are sending your bid via Federal Express or another overnight source, please confirm that your package will arrive before the bid opening date and time. Version 7/20/2018 General Conditions - 1 CITY OF SOUTH BEND EQUAL EMPLOYMENT OPPORTUNITY CONTRACTING PROVISIONS DIVERSITY UTILIZATION It is the policy of the City of South Bend to provide equal employment and business opportunity for all persons, partnerships, companies, and corporations in accordance with the rules, regulations and guidelines of the applicable federal, state and local laws. This policy of equal employment and business opportunity shall apply to every contractor or subcontractor bidding or holding a public contract with the City of South Bend. In furtherance of this policy, the following Equal Opportunity Clauses are hereby made a part of every construction contract entered into by the City of South Bend and all subcontractors entered into pursuant to any such contract and the bidder hereby certifies that it/he/she will abide by these provisions. The contractor will not discriminate against any applicant or employee because of race, color, religion, sex, national origin, or handicap. The contractor will take affirmative action to ensure that all applicants or employees are treated fairly and equitably. Such action shall include but not be limited to the following: hiring, up- grading, demotion or transfer, recruitment, advertising, lay-offs or termination, rates of pay or other forms of compensation and selection for training including apprenticeship programs. The contractor shall agree to post in conspicuous places available to employees and applicants, notices to be provided setting forth the provisions of the Non -Discrimination Clause. The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. The contractor will send to each labor union or representative of workers with which it/ he/she has a bargaining agreement or other contract or understanding, a notice to be provided, advising the labor union or worker's representatives of the contractor's commitment under this section, and shall post copies of the notices in conspicuous places available to applicants and employees. The contractor will comply with all provisions of Executive Order 11246 (as amended by 11375) and of the rules, regulations and relevant orders of the Department of Labor. Subpart B --Contractors' Agreements Sec. 202. Except in contracts exempted in accordance with Section 204 of this Order, all Government contracting agencies shall include in every Government contract hereinafter entered into the following provisions: "During the performance of this contract, the contractor agrees as follows:" "(1) The contractor will not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated equally during employment, without regard to their race, color, religion, sex or national origin. Such action will include, but not be limited to the following: employment, upgrading, demotion, or transfer; recruitment or Version 7/20/2018 General Conditions - 2 recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause." "(2) The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex or national origin." "(3) The contractor will send to each labor union or representative of workers with which it/ he/she has a collective bargaining agreement or other contract of understanding, a notice, to be provided by the agency contracting officer, advising the labor union or workers' representative of the contractor's commitments under Section 202 of Executive Order No. 11246 of September 24, 1965, and shall post copies of the notice in conspicuous places available to employees and applicants for employment." "(4) The contractor will comply with all provisions of Executive Order No. 11246 of September 24, 1965, and of the rules and regulations, and relevant orders of the Secretary of Labor." "(5) The contractor will furnish all information and reports required by Executive Order No. 11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the contracting agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders." "(6) In the event of the contractor's noncompliance with the nondiscrimination clauses of this contract or with any of such rules, regulations, or orders, in this contract may be cancelled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further Government contracts in accordance with procedures authorized in Executive Order No. 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order No 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law." "(7) The contractor will include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontractor or vendor. The contractor will take such action with respect to any subcontract or purchase order as the administering agency may direct as a means of enforcing such provisions including sanctions for noncompliance: Provided, however, that in the event a contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency the contractor may request the United States to enter into such litigation to protect the interests of the United States." The applicant further agrees that it will be bound by the above equal opportunity clause with respect to its own employment practices when it participates in federally assisted construction work: Provided, that if the applicant so participating is a State or local government, the above equal opportunity clause is not applicable to any agency, instrumentality or subdivision of such government which does not participate Version 7/20/2018 General Conditions - 3 in work on or under the contract. The applicant agrees that it will assist and cooperate actively with the administering agency and the Secretary of Labor in obtaining the compliance of contractors and subcontractors with the equal opportunity clause and the rules, regulations, and relevant orders of the Secretary of Labor, that it will furnish the administering agency and the Secretary of Labor such information as they may require for the supervision of such compliance, and that it will otherwise assist the administering agency in the discharge of the agency's primary responsibility for securing compliance. The applicant further agrees that it will refrain from entering into any contract or contract modification subject to Executive Order 11246 of September 24, 1965, with a contractor debarred from, or who has not demonstrated eligibility for, Government contracts and federally assisted construction contracts pursuant to the Executive Order and will carry out such sanctions and penalties for violation of the equal opportunity clause as may be imposed upon contractors and subcontractors by the administering agency or the Secretary of Labor pursuant to Part II, Subpart D of the Executive Order. In addition, the applicant agrees that if it fails or refuses to comply with these undertakings, the administering agency may take any or all of the following actions: Cancel, terminate, or suspend in whole or in part this grant (contract, loan, insurance, guarantee); refrain from extending any further assistance to the applicant under the program with respect to which the failure or refund occurred until satisfactory assurance of future compliance has been received from such applicant; and refer the case to the Department of Justice for appropriate legal proceedings. Version 7/20/2018 General Conditions - 4 MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM The City of South Bend, Indiana has shown its commitment to addressing Minority Business ("MBE") and Women's Business Enterprise ("WBE") participation in public contracting through the adoption of the City of South Bend Ordinance No. 10081-11. Persons, partnerships, corporations, associations, or joint ventures awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age or disability that does not affect that person's ability to perform work. Minority and Women's Businesses are described on the Indiana Department of Administration website: http://www.in._qov/idoa/. 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. Documentation shall be provided with the bid that states the MBE/WBE that will be contracted, the dollar amount of the work that will be performed on the project and the percentage of the dollar amount as it relates to the total bid amount by using Form MWBE-1.0, MBE/WBE Participation Form. The City, its agencies, boards, or commissions requires the Contractor's good faith efforts to obtain participation by those Contractors classified as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE"). Failure to provide ALL the required evidence of good faith efforts with the bid will be grounds for rejecting a bid as non -responsive. The requirements that bidders shall supply as good faith efforts to have active participation from MBEs and/or WBEs on this Project is written documentation evidencing the efforts by using Form MWBE-2.0, Evidence of Good Faith Efforts and Form MWBE-2.1, MBE/WBE Contacted. Such documentation shall include but is not limited to the following items: a. A listing of all MBE/WBEs contacted including: (1) the name and address of the MBE/WBE; (2) the date of contact; (3) the type of contact (i.e. phone call, written solicitation, etc.); (4) the nature or type services or goods requested; and (5) the result of the contact. b. Written evidence of outreach and copies of email exchanges inviting and receiving quotes or other responses from MBE/WBE businesses or other documentations of efforts to encourage and secure competitive quotes from MBE/WBE and local businesses to be included in the benefits of building this Project. c. Written documentation of letters of introduction, invitations to forging majority/minority strategic alliances for capacity building including but not limited to mentoring, extensions of assistance on payroll, insurance, bonding, line of credit, technical skills or business skills. All bidders are actively encouraged to reach out to the MBE/WBE businesses in St. Joseph County, Indiana and other local Indiana counties to utilize a good faith effort to forge constructive and lasting business partnerships. Notwithstanding the foregoing, the award and performance of all City contracts shall comply with applicable federal, state, and local laws. Version 7/20/2018 General Conditions - 5 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 11 only. Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") by December 31 st for the upcoming calendar year, or within twelve (12) months of obtaining pre - qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre -qualified, contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in'automatic removal of the designation, effective January 1 of the following year, or immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 7/20/2018 General Conditions - 6 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder and all subcontractors on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the information provided by the contractor. Version 7/20/2018 General Conditions - 7 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: (i) 11/IA_ By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter is attached. By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (b) Attachments: (i) CI 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) y, ® 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 PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowleldd ments: (i) By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. 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 upon request. (iv) By checking this box, I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (b) Attach►n n (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 %n 1/!7 proprietors or partnerships). (ii) List identifying all former business names. (iii) A11A Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. (iv) � Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) _ Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor �I I under all applicable state and federal laws and local ordinances. (vi) Evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with / the United States Department of Labor's Office of Apprenticeship, or its successor organization. (vii) Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. (vii.) Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. Version 7/20/2018 General Conditions - 9 (ix) Written statement of any federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years. (i) �"" List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within three (3) years prior to the date on which the bid is due. Date: fi P ( 4gn I" -I re) C (Print, Name Here) 611r, 611A, (, yr` (Name of Company) 904At Rd (Address of Company) LNo (city) (State) (Telephone Number) Version 7/20/2018 General Conditions - 10 Staffing, Capabilities Mulder Waterproofing Employs aprox. 25 workers. We will be able to staff this job completely in house without the help of any staffing agencies. All individuals who work the public works project will be an employee of Mulder Waterproofing. Drug Testing policy is attached behind these statements. 3420 Ravine Rd. Kalamazoo, MI 49006 Phone: (269) 381-8100 Fax: (269) 381-2943 zmulder@mulderwaterproofing.com www.mulderwaterproofing.com Mulder Waterproofing & Sealants, Inc. MWS Employee Handbook 714 Drug Testing Date Approved: 3/24/2003 MWS is committed to providing a safe, efficient, and productive work environment for all employees. Using or being under the influence of drugs or alcohol on the job may pose serious safety and health risks. To help ensure a safe and healthful working environment, job applicants and employees may be asked to provide body substance samples (such as urine and/or blood) to determine the illicit or illegal use of drugs and alcohol. Refusal to submit to drug testing may result in disciplinary action, up to and including termination of employment. As noted in the Mulder Waterproofing Drug and Alcohol Policy, the following employees are subject to random and for cause drug testing: * All employees drawing a salary or wage from MWS * All MWS employees on personal, medical or family leave * All MWS employees on layoff status that are currently drawing unemployment benefits Copies of the drug testing policy will be provided to all employees. Employees will be asked to sign an acknowledgement form indicating that they have received a copy of the drug testing policy. Questions concerning this policy or its administration should be directed to the Personnel Manager. 54 Contractor's Bid For Public Work Part TT Section II I . Mulder Waterproofing would gladly start this project as soon as the weather permits. We would plan on having a 6 to 8 man crew to complete this project. We would be complete 60 to 90 days after starting date. We would plan on having 3 men per swing stage for a total of 2 swing stages. Also we would plan on 2 men doing parapet and ground work. One stage would be on the towers and one stage on the lower walls. 2. N/A 3. N/A 4. Mulder Waterproofing has 2 swing stages that will be used on this job along with the proper rigging equipment. We also have elastomeric pumps and pressure washers that will be used. 5. No. Mulder Waterproofing has contacted vendors for pricing on all materials. It depends when the job starts and the current market pricing. 3420 Ravine Rd. Kalamazoo, MI 49006 Phone: (269) 381-8100 Fax: (269) 381-2943 zmulder@mulderwaterproofing.com www.mulderwaterproofing.com Contractor's Bid For Public Work Part II Section I 1. See attached job list for the last year 2. N/A 3. N/A 4. References: Hazelhoff Builders: 269-276-0236 Earley and Associates: 269-383-1555 AVB Inc: 269-323-2022 Glas Associates: 269-353-7737 3420 Ravine Rd. Kalamazoo, MI 49006 Phone: (269) 381-8100 Fax: (269) 381-2943 zmulder@mulderwaterproofing.com www.mulderwaterproofing.com Jobs completed in the last year WHITMAN & ASSOC VAPOR BLAST BRIARWOOD FLEX UNIT 7590-A3 Schuitmaker WP DAVID BARTELS HOUSE NATIONAL FLAVORS EARLEY GAURDIAN GLASS FLEX PIT CONAGRA FLOOR REPAIR Ministry Bathroom North Point Polish AVB Flex SKYRISE PARKING RAMP FLEX WHIGHTMAN CEILING AND WALLS MI MILK LOAD OUT FLOOR BRONSON TUNNEL FLEX GLAS @ ASSOC GARAGE WP BUCKHAM FLEX BERGHUIS FLEX OMEGA BUILDING RESTORATION HICKORY CORNER FLOOR CJ Essenmacher Epo Midwest Fasteners Stahr Properties CSM BLDG 600 DRAIN CAULKING KNAPPEN MILLING FLEX 6330 Saybrook Dr Trillium Windows IBM Building Sidewalk St. Julian Fastop GEPHARDT INSURANCE ROOF LEAK Maxwell WP WYNDAM WAY FLEX SHORES VACATION RENTAL BLDG WATER TOWN CONDO'S SOUTH HAVEN SIDEWALK CAULKING CITY CENTER CHURCH TOWN FLEX Arcadia South Woodsmith Flex NHA Leaks Paramount Leak Canterbury Park 201 Ramsey WP� The River Church St. Julian Caulk BRIARGATE UNIT 352 BLDG 432 W Main Animal Hospital GENTRY FLEX WMU KOHRMAN HALL PHASE II AVB CAULK CENTRE STREET Con Agra Extras ANDREWS BEACHWOOD DECK COAT KENSINGTON COURT WP DR SCHURMUR GARAGE EPO RICK MAURER BARN WALL AND VAPOR BLAST Stull Epo D&O Harbor Dr Pinto Chimney Bronson BC Dome Abbott Chemical Perregrine 100 Marble Olivet Steps Caulk Marlbourogh Bldg Leak Lakeland Health 4th Floor General Mills Saw Cuts Pestoor EPO Repair Bronson BC Bldg C Greenspire 5B Consumers Concrete Lakeland Health COPS North Point Tank Gospel Mission Bronson John St SPCA Epoxy FI Repairs Wolf Deck Coating ConAgra Hallway Washington Square Flowserve Block MI MILK DRYER ROOM JOHN BYHOLT EPO BORGESS PIPP WALL REPAIR Fresenius GREAT CLIPS RESTORATION HEAT TREAT FLOOR JOINTS SEEYLE RAMP DECK COAT Casrsten Res HemenwayEpo KVD House Schultz Epo ANDREWS SEMINARY HALL CARLTON CENTER CAULK ANDREWS UNIV POWER WASHING LIMESTONE. MIKE BROADHURST BASEMENT CARBON FIBER Eastpoint Culvers PERRIGRINE SQUARE WATERPROOF BRICK ABAI WP LEVI GUY Vanburen County Jail Bangor Plastics Mcdonalds CFH McGlynn 3627 Woodcliff ,9ordan Epo ANDREWS MAPLE WOOD APT BENNIPAL ST JOE ROOF PATCHING MIDLINK PRECAST CONTROL JOINTS Kal County Showers Kal County Leak Firestone Block West Rock Plant 4 Arbor Credit Union DR STEPHEN PECK WOOD DECKS ABBOTT LANSING WINDOWS Mcglynn 106 Brighton Park Wilbur Epo Iverson Flex TWIN LAKES CHRUCH CAULK & WP OLD PENNESULA BLDG CAULK PEREGRINE TOWER PARKING DECK COAT PEREGRINE TOWER LOADING DOCK HERM SCHRADER CHIMNEY REPOINT ABBOTT LINE 3 & GOWNING ROOMS PEREGRINE TOWER BRICK REPAIR UNITED WAY SKYLITES BATTLE CREEK Peregrine 100 Holes Hoeksma Caulk CFH Mcdonalds Bridgeman BIGBEECOFFEE SIDEWALK CRACK SUSAN DELEUW EPO REPAIR BRANDA DEYOUNG POWERWASH DRIVE WAY & HOUSE MIKE AND GAY MCORMICK FLEX ConAgra Shutdown MUNSON HOSP ELEV PIT FLEX WMU SPIDLER HALL DECK COATING WMU PARKING DECK REPAIRS Seiler Driveway WHIRLPOOL EXP JTS WMU EWB WATERPROOFING Crookston Res CROSSROADS MALL EFIS REPAIR RON OOSTINDE DRIVEWAY CAULK DALE MAY DRIVEWAY CRACKS AND SEALER DALE MAY EPDXY FLOOR AVB Corner Shops Eldred Caulk Mall City Mechanical CHAPEL HILL UNITED METH CHURCH WP WATER TOWNE COURTYARD CAULK YMCA Caulk Farmer St Caulk Kalamazoo Waste Water Clarifier Pits AVB 650 Trade Center City of Portage Fountian Blasting City of Portage Fountian Caulking Stryker Caulk WATERTOWNE EFIS COATING WATER TOWNE BASEMENT PENETRATIONS FACTORY CONDO'S MASONRY FACTORY CONDO'S MASONRY KAL-SEC OFFICE CAULK KAL-SEC OFFICE VAPOR BLAST AMY VAIL FLOOR POLISH Larry Bell Fountain Jim VanTuinen Flex WILBUR HALL WP Clapp Pool Caulking McDonalds Indiana VDK Lucas Rd Epo Galilee Caulk Weiner House dunham sports caulk JBS KILL FLOOR Long Res Flex Mcglynn 207 Canterbury Park Schrock Epo� Davids Bridal Sidewalk BLESSED SACREMENT CHURCH RESTORATION KEISER BLDG COPING STONES WEST ROC ISLEWAY FLOOR PAPER ROLLER Lakeland Health Bee Caulk WMU KOHRMAN HALL WINDOW PERIMETER WATER FRONT CHIMNEY COATING REPAIR COSTA BUILDING SOUTH ELEV McGlynn 3747 Ceadar Ridge KCMS Caulk KVCC MUSEAUM SIDEWALK NORTH ELEV CITY OF KAL SKATE PARK CAULK Alpha Phi Exterior CONDENCE BROWN HEARING OLECH DOOR FRAMES STAN LEEP DECK PATCHES LYLE LAPINE DECK Butts Res HOLLAND HOME 2 CAULK FAIRFIELD INN CAULK 'UtiNer�dt Flex Broekhuizen Driveway Conagra Equipment Ivens Garage Epo WALSH HOUSE NEW SUMP PUMP COVENANTHOSP MACKINAW Westbrookrs Epo BRONSON PT TUNNEL WP Antoniotki Skylight West Main Pad Extra 533 Group Flex Kal Co Animal Shelter WATERTOWNE BRICK AND SILL REPAIR MU'NGER APARTMENTS FIRE SEALANT K&M SHOOTING PRODUCTS ROOF REPAIR LMC WINE CENTER LAPORTE FEDERAL CREDIT UNION Kai County Alcott Sealer Kai County Alcott Caulk C'iadella Chimney WEST ROC VAPOR BLAST COVENANT 800 ABC TOT BRUSSE CLUBHOUSE REMOVE GLUE Galilee Bus GALESBURG MIDDLE SCHOOL DOOR FRAMES WATERTOWNE CONDO'S SAFETY WALKWAY POKAGON HEALTH WP BROADHURST BASEMENT REPAIRS COMSTOCK HIGH SCH MAIN ENTRANCE DOLLAR GENERAL CAULK AT BUILDING PARKER VANOOSTEN EPDXY FLOO GARY SQUIRES SEWER PIPE FLEX LAKELAND HOSP 3 & 4 FLOOR MASONRY JBS PPA FLOOR KNOUSE FOODS BREAKROOM EPO Meyle Flex PNC Leak Bldg B Nagel Epo Hartford Township Hall Betz Flex Allenx Caulk HOWARDSVILLE GOSPEL CHAPEL EPO ANN WHITTEN HALL CAULK & TUCKPOINT MI MILK FLOOR CRACKS MARTZ BUILDERS TULLYMOORE MINGES CREEK MALL CAULK DRUG AND LAB TANK FARM #4 Galilee Church Bathrooms YOUNGS TUCKPOINTING BOB BROWN DRIVEWAY Eaton Epo Repairs Vette WP RUZZO EPO ken schieldel driveway DOWAGIAC HIGH SCHOOL FIRE DAM SPRAY DRUG AND LAB DIDPOSAL LOAD BAY DRUG AND LAB HERCULES TANK WH'IGHTMAN CAULK POINT WEST ROC EPO BACK SIDE ROLLER TWO DUCK CONCRETE SAW CUTS YMCA Zip ABOSLUTE EPO MARSHALL BEACHLER DECK COAT BENNIPALST JOE CAULK CANOPY SUSAN KISER HOUSE Trey Star Marble Schauer Water Test Flowserve Block continued Greenspire 5C GREYDANUS FLEX MI MILK GROUT, CAULK EPO REPAIRS Sunrise Apts Balmer Caulk Ray Flex REX WATKINSfire lane 9 PERRIGINE LOADING PHASE 2 DEPAUW HOUSE COATING AND EPDXY DEPUAW HOUSE DECK COAT NORTH POINT WATER TANK Winos Ect ERRIGRINE 100 WATERPROOFING 6875 HUNTERS RIDGE CONO FLEX KALAMAZOO COLLEGE CAULK CRACKS IN WALL COVENANT COOPER 700 8C 17A 15A 7A 14A 13A 6A KLINGMANS RESTORATION Trillium Rochester Hills Farmer St Flex Ozmun Flex Pathfinder Prep Galilee Gutters CFH South Bend SKYRISE COURTYARD DOORS MCCAMLEY POOL MMA Bells Tower Caulk Cleveland WP PERRIGRINE 100 WP VAULT HERM VISKER TJ MAXX MAUDE'S VAPOR BLAST CANCER CENTER LIMESTONE FACE OVERBEEK BARN FLOOR PIC AND COATING Midwest Glass Lasalle Elementary POST CEREAL BLDG 8 Flowserve Concrete WP SPCA Gazebo FIRESTONE BRICK REPAIR POCH HOUSE PRIVACY FENCE CAULK KNAPPEN MILLING CONCRETE REPAIR KLINGMAN GRAFFITI REMOVAL PRO COATING ROOF WYNDAM LEAKS IN FLASHINGS KAL AIRPORT TRENCH DRAINS Briargate Sills Briargate 432-350 Water test Bouman Flex Roberts Epo Bowers Epo WMU SPIDLER HALL DECK COATING Miller Flex Locey Pool 400 ROSE ST WP SCOTT SULLIVAN HOUSE Aldi Caulk CENTERPOINT CHURCH WP Kal Sec Horse Barn BATTLE CREEK DRIVEWAY DUCKWORTH CO-12 ELEV PITS WESTROCK BACK SIDE ROLLER.2.18 A&G Galesburg Middle School AVB Chow Hound Wolverine Culvers CORVETTE CENTRAL LEAK REPAIRS Arbor Therapy DEMING CRAWL SPACE DRAIN McGlynn Pence McGlynn 114 Bridgewood Locey Caulk Mi Milk Patch Office Depot Caulk MI MILK SEPORATOR ROOM FAST TOP Advia Credit Union Dixon Caulk PERRIGRI'N'E LOADING DOCK MEMBRANE 14144 VERONA ROAD SAW CUTS Herder Flex Aitken Caulk Watsons Eifs Krinock Res FRED STATLER COTTAGE CAULK AVB Office Caulk KNOUSE FOODS PEELER RM FLEX PARNEL SMITH WATERPROOF MENDON SCH SIDEWALK ZIP CAPS KAISER PIT VAPOR BLAST TERRACE PLAZA PRECAST LEAKS VERN KUIPERS HOUSE REPOINT CHIM AND CAULK Conagra November Patches COMMERCE PARK FLOOR REPAIR WEST ROCK PAPER DRY END FRESENIOUS MEDICAL LEAK CSM Fence Post BONSON LAB WATERPROOF Heathrow Ave Flex WMU Computer Center Simple Treaures Putman Flex Jacobs Caulk Wayland Training Center Caulk VDK Zimmer Res ITHICA SPY BEAN FLEX FULTON OFFICE CAULK PERRIGRINE MARBLE 100 CAULK OR FLEX WEST ELEV MI MILK MISC REPAIRS MHS Friendship Village Conagra Patch's Plainwell Window Caulk KALAMAZOO COLLEGE CAULK CRACKS IN WALL AVB 400 ROSE HANG PLASTIC WEST MI CANCER CJ IN MASONRY CHRIS BRADFORD FLEX BRONSON WALNUT ST RAMP LEAK WMU BC Atrium JBS FLOOR PATCHES MINISRTY W/ COMMUNITY BATHROOMS Living Well Church STEWERT SUTHERLAND EPO FIRST CONG CHRUCH CAULK JBS KILL FLOOR TRIPE AREA EPO MIKE CARL WP Bells Trench Drain Earley Peregrine 100 Camp Critter Kal Co Alcott Cracks Covenant Harrison