HomeMy WebLinkAboutOpening of Bids - Main & Jefferson Earthwork Project No 119-022 - Beaty Construction Inc� turrr'��
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CITY OF SOUTH BEND, INDIANA �� r
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Main & Jefferson Earthwork
Project No. 119-022
For Bids Due March 26, 2019
PART I
(Must be completed for all bids. Please type or print)
Date: March 26, 2019 Bidder (Firm): Bea construction Inc.
Address: 5292 W. 100 N.
City/State/Zip: Boggstown, IN 46110 Telephone Number: 317 835-2254
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
Main & Jefferson Earthwork
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
Abonmarche Consultants, Inc.
and dated 03/26/19 for the sum of (enter the Total Bid as shown on the Proposal)
Two Hundred Seventy-five Thousand Sixty-five Dollars 27 a SS„gp
(Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical)
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in
the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance
with the notice, Any addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that
shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit
basis, the itemization of the units shall be sho n on a separ attachment.
By r`
Daniel S. Beaty,President
(Printed Name of Person Signing)
ACCEPTANCE
The above bid is accepted this day of
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gllot, President
2019
Suzanna M. Fritzberg, Member
Elizabeth A. Maradik, Member Therese J. Dorau, Member
Laura L. O'Sullivan, Member _Attest: Linda M. Martin, Clerk
Version 1/17/2019 Contractor's Bid for Public Works - 2
BID/PROPOSAL ���k
CITY OF SOUTH BEND
Project Name: Main & Jefferson Earthworks " d, �v.
Project Number: 119-022
e I" w
For Bids Due: March 26, 2019 axes
Contractor Name: Beatyr Construction, Inc.��.
BASE BID
Item
Descrlption.. ........����.��..�,.�._. Quantity Unit Unit Price Total Amount
No.
Soldier Pile & Lagging Earthwork
1 1 LSUM $260,065 $260,065
Retention System - — -- - ._._ _.................... _......_ _..
2 Obstructions Allowance 1 _ LSUM $151000
a_._ .—
BASE BID TOTAL $275,065.00
Hourly Rate Breakdown for Encountering Obstructions
Labor Category
Hourly Rate _
EquipmentType
Hourly Rate
Superintendent
$76.00/hour
100 Ton Crane
$111.35/hour
Operator -Crane
74.35/hour _.........,m..__....._..�
PC 200 Excavator
$ 45.5 0/hour
,
Operator
$72.60/hour
Vibrato Hammer _
148.50/hour
Carpenter
$67.35/hour -.._..
JCB Load -all
28.25/hour
Laborer
$50.40/hour
Manlift
$ 25.25/hour
Welder
$ 18.00/hour
Bidder (Firm): Beaty Construction Inc.
Address:
City/State/Zip; Bgg,gtvvr�f�, 4 m Telephone Number: 397 835-2254
g e
Y
(Signature)
Daniel S. Beaty, President
(Printed Name of Person Signing)
Version 1/17/2019 Contractor's Bid for Public Works - 7
When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION
REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-
DiSCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL
PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF Indiana )
)SS -
Shelby COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that:
1. Contractor has not, nor has any other member, representative, or agent of the firm, company,
corporation or partnership represented by him, entered into any combination, collusion or agreement with
any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding
nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and
without any agreement, understanding or combination with any other person in reference to such bidding.
Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or
indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals
are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any Federal department or agency; and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in
investment activities in Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any agency
or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as
amended from time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor
is engaged in investment activities in Iran if either:
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 or1 list published by
the Indiana Department of Administration.
Version 1/17/2019 Contractor's Bid for Public Works - 4
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 ofthe contract with the City of South Bend, and understands
that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision
no later than thirty (30) days after being notified by the City.
6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City
of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or
applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions,
or privileges of employment, or any matter directly or indirectly related to employment because of race, sex,
religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or
disability that does not affect that person's ability to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any
combination of the foregoing including, but not limited to, public works contracts awarded under public
bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards,
or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors
certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise
("WBE") as a factor in determining the lowest, responsible, responsive bidder.
In no event shall persons or entities seeking the award of a City contract be required to award a subcontract
to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a
discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from
being awarded a City contract for a period of one (1) year from the date of such determination, and such
determination may also be grounds for terminating the contact for which the discriminatory practice or
noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made
a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its
agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the
performance of this contract with privileges of employment, or any matter directly or indirectly related to
employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation,
handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of
contract.
I, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1).1 hereby
certify that I and all subcontractors employed by me for this project will use steel products or foundry
products made in the United States on this project if awarded. 1 understand 1 have an affirmative duty to
notify the City in my bid that my proposal does not include the use of steel products or foundry products
made in the United States. I understand it is my sole obligation and responsibility to provide a justification
to the City, subject to review and approval, why the cost of United States made steel or foundry products is
unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry
products made in the United States, the City, through its director of public works, shall make a determination
if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder
Version 1/17/2019 Contractor's Bid for Public Works - 5
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 26th day of March , 2019
Subscribed and sworn to before me this 26th
My Commission Expires January 27, 2023 —
Beaty Construction, Inc.
1I Contractor/B1 ( (Firm) irm e d I
Sig ire of —Contractor/Bidder or Its Agent
Daniel S. Beaty, President
Printed Name and Title
of _March —12019
Notary Public Shannon E. Fogle
County of Residence Shel
Version 1/17/2019 Contractor's Bid for Public Works - 6
BID BOND TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
Hartford, Connecticut 06183
CONTRACTOR:
SURETY:
(Name, legal status and address)
(Name, legal status and principal place of business)
`Beaty Construction, Inc.
Travelers Casualty &,Surety Company of America
5292 W 100 North
280 East 961h Street Suite 300`
Boggstown, IN 46110
Indianapolis,'IN 46240
OWNER:
(Name, legal status and address)
City of South Bend Board of Public Works
227 W Jefferson Blvd
South Bend, IN 46601;
BOND AMOUNT: $Five Percent of Bid Amount
PROJECT:
(Name, location or address, and Project number, if any)
Main & Jefferson Earthwork Project No. 119-022
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and
Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein.
The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid
documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters
into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in
the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the
Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the
prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount
specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the
work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety
hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may
accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate
beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's
consent for an extension beyond sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed
to be Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any
provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions
conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is
that this Bond shall be construed as a statutory bond and not as a common law bond.
The Company executing this bond vouches that this document conforms to American Institute of Architects Document A310, 2010
Edition 1
Signed and sealed this 26 day of March, 2019
(Witness L,e , agent
y
r
(Witnes) Leah Ougent
Meaty ConstrLwilon, Inc,
1'l'"r irmr; it rl,) (Seal)
. rr
(Title) iel S Beaty, Presi ent
Travelers Casualty & Surety Corti are ,of Americar
(Surety) (Seal)
(Title)- Lorna M Adams, Attorney In Fact
The Company executing this bond vouches that this document conforms to American Institute of Architects Document A310, 2010
Edition
Travelers Casualty and Surety Company of America
Travelers Casualty and Surety Company
ITRAVELERSJ St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St.
Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the
"Companies"), and that the Companies do hereby make, constitute and appoint Lorna M. Adams of Zionsville,lndiana their true and
lawful Attorney -in -Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings
obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of
contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 3rd day of February,
2017.
o$Wv((W�)N
WAT44
State of Connecticut.
By
City of Hartford ss. Robert L. Raney, Sef0br Vice President
On this the 3rd day of February, 2017, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of
Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, and
that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations
by himself as a duly authorized officer,
In Witness Whereof, I hereunto set my hand and official seal.i
My Commission expires the 30th day of June, 2021 al'WeOJU�R• �+
" Tetreault, Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and
Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, which resolutions are now in
full force and effect, reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any
Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and
Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with
the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a
bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke
the power given him or her; and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation
is in writing and a copy thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional
undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior
Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant
Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by
one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more
Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice
President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power
of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only
of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing
such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile
signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety
Company, and St. Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of the Power of
Attorney executed by said Companies, which remains in full force and effect.
Dated this 26 day of March , 2019
9FA
er
Al Kevin E. Hughes, Assi tant Secretary
To verify the authenticity of this Power ofAttorney, please call us at 1-800-421--388A
Please refer to the above -named Attorney -in -Fact and the details of the bond to which the power is attached.
h110Nh 5741/235-9251
FAX 574/ 235-9171
`lT D 5741235-5567
1310 COUN1Y-('oitIIUI _DIN(' C;rry ot, Sou'ri-1 131?:CAD hC�"1°L t1`!"l"1C1L?C;, MAYM
s€xnni 131M), INNANn40601• 1830 BOARD m PUB[AC WORKS
Date: March 22, 2019
To: All Bidders
From Linda M. Martin, Clerk, Board of Public Works
Subject Addendum Number: 1
Project Name: Main & Jefferson_ Earthwork
Proj ect
Number: 119-022
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: March 22,.2019
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 Add to the Specifications and Contract
Documents and become a part of herein.
Company:
Beaty Construction, Inc.
Authorized Signature:
Date: March 22. 2019
CITY OF SOUTH BEND INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS`°`''"'
Project Name Main & Jefferson Earthwork
Project No. 119-022
For Bids Due March 26, 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.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
executed.
/ Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
Certification of use of United States Steel Products or Foundry Products.
Proof of MBENVBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not
met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted
Form [MWBE-2.1].
"/ Acknowledge Receipt of I Addendum(s) included with the bid.
All required additional information is included with the bid.
/ Proposal statements and other affidavits all signed by the proper party with name either
printed or typed underneath signature.
This checklist submitted with the Bid..
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.
Bidder: Beaty Construction, Inc. Date: March 26, 2019
By Authorized Represen 7iVVL'�
Signature: 4�"3e-�
Print Name & Title: Darns. Beaty, President
Version 1/17/2019 Contractor's Bid for Public Works - 1
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name Main & Jefferson Earthwork
Project No. 119-022
For Bids Due March 26, 2019
Contractor Name: Beaty Construction, Inc.
The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works
projects by institution of comprehensive submission requirements in compliance with State law. Quality
workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet
certain minimum requirements to be responsive and responsible bidders.
THIS FORM MUST BE SUBMITTED WITH YOUR BID,
INSTRUCTIONS:.
If you are a pre -qualified bidder, complete Section I only.
If you are not a pre -qualified bidder, complete Section II only.
Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be
considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre -
qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6-
63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance")
for a period of twelve (12) months,
Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre -
qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified
Bidders") by December 3151 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 - 7
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 - 8
PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
(i) _ By checking this box, I hereby acknowledge that I am a pre -qualified bidder with
the City of South Bend and that I have met the pre -qualification requirements within
the last twelve (12) months. A copy of my Pre -Qualification verification letter
is attached.
By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided by me, and may also conduct random inquiries of my current and prior
customers.
(b) Attachments:
(i} _ Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
Statement on staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work. It
outlines how I intend to meet the staffing needs of the work.
(iii) Evidence that I am utilizing a surety company which is on the United States
Department of Treasury's Listing of Approved Sureties as required in the bid
specifications or contract.
(iv) List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within the last three (3) years.
Version 7/20/201 a General Conditions - 9
PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements:
(.) �j 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.
(iii) _�L 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 anytime 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) Attachments:
(i)
Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii) N/A
List identifying all former business names.
N/A
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)
(iv)
years.
Statement about staffing capabilities, including Gabor sources.. This statement
indicates and ensures I have sufficient employees on staff 'to complete the work I
am bidding on OR ou.utlines how I intend to meet the staffingneeds of the work.
(v) _�L
Statement that individuals who will perform work on the public work project on my
behalf will be property classified as an employee or as an independent contractor
under all applicable state and federal laws and local ordinances.
(vi) I/
Evidence of participation in apprenticeship and training programs, applicable to the
worn 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) N/
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.) N/
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 - 10
(ix) N/A 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) _V_ 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: March 26, 2019
'41w, 11� I - - ---
(Sign H 4,rA
Daniei a. Beat , President
(Print Name Here)
Beaty Construction, Inc.
(Name of Company)
5292 W. 100 N.
(Address of Company)
Boggstown
(City)
IN
(State)
317-835-2254
(Telephone Number)
Version 7/20/2018 General Conditions - 11
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
These statements to be submitted under oath by each bidder with and as part of his/her/its bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1. Attach information regarding projects your organization has completed for the period of one
(1) year prior to the date of the current bid. SEE FORM 102
2. Attach a listing of public works projects currently in process of construction by your
organization. SEE FORM 102
3. Attach information regarding any failure to complete any work awarded to you and the
location thereof. N/A
4. Attach references from private firms for which you have performed work. SEE ATTACHED
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1, Attach an explanation of your plan or layout for performing proposed work. (Examples could
include a narrative of when you could begin work, complete the project, number of workers,
etc. and any other information which you believe would enable the City of South Bend to
consider your bid.) NORMAL CONTRACTOR'S PROCEDURES
2. Attach a listing of the names and addresses of all subcontractors (Le. persons or firms outside
your own firm who have performed part of the work) that you have used on public works
projects during the past five (5) years along with a brief description of the work done by each
subcontractor. SEE ATTACHED
3. If you intend to sublet any portion of the work, attach the name and address of each
subcontractor, equipment to be used by the subcontractor, and whether you will require a
bond. However, if you are unable to currently provide a listing, please understand a listing
must be provided prior to contract approval. Until the completion of the proposed project, you
are under a continuing obligation to immediately notify the City of South Bend in the event that
you subsequently determine that you will use a subcontractor on the proposed project. N/A
4. Attach a listing of equipment you have available to use for the proposed project. ANY NECESSARY TO PERFORM
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. YES
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said
financial statement as required by statute shall thereby be rendered invalid. The financial
statement provided hereunder to the 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 1/17/2019 Contractor's Bid for Public Works - 3
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Form #102
Approved 12/88
Standard Questionnaires and
Financial Statement for Bidders
City of Indianapolis
Marion County, Indiana
Form #102
For use in investigating the qualifications of bidders on public works contracts when the aggregate cost of such contract will be a
hundred thousand dollars ($100,000) or more. This form may be used for any other contract when the ordering department requests it.
These statements are to be submitted under oath by each bidder with and as a part of the bid.
NOTE: THIS FORM BECOMES PART OF THE BID FILE, AND PURSUANT TO INDIANA'S PUBLIC RECORDS LAW (IND.
CODE SS5-14-3-1-5-14-3-10), WILL BE AVAILABLE FOR PUBLIC INSPECTION AND COPYING DURING CENTRAL PURCHASING'S
REGULAR BUSINESS HOURS WHEN THE TOTAL CONTRACT PRICE EXCEEDS $100,000.
Submitted to: City of Indianapolis, Central Purchasing
Company Name: Beaty Construction, Inc.
Address: 5292 W. 100 N.
Boggstown, IN 46110
Representative: Daniel S. Beaty, President
Telephone Number: 317-835-2254
Date Submitted: March 26, 2019
TO THE BIDDER:
These forms, required by the City of Indianapolis and Marion County, Indiana, have been prescribed by
the State Board of Accounts.
They properly filled out and attested, must accompany each bid of a hundred thousand dollars ($100,000),
or more, If the ordering department requests it, they may be required for bids of lesser amounts as well.
The forms are designed to cover all public work Contracts/all other applicable situations and the bidder is
required to answer such questions as are pertinent to the work being bid/R.F.Q. The purpose of the questionnaire
is to enable the awarding body to determine the qualifications of the bidder to carry out successfully the contract
if the same is awarded to the bidder.
The bidder will find it to his advantage to answer fully all questions coming within the range of the work
being bid. Particular attention should be given to the "Financial Statement" and the details relative to the assets
and liabilities set out. This form is made in extensive detail so that the bidder may explain his assets and
liabilities in proper sequence and in a uniform manner. NOTE; FAILURE TO FILL OUT THESE FORMS
COMPLETELY MAY BE GROUNDS FOR DECLARING THE ENTIRE BID NON -RESPONSIVE.
Submitted by Beaty Construction, Inc. ..N
._..... �_..._. �. .a�......�.. ._....�..� P4 `rartrrwrwwzicrwro
EJr A Ct)-14w(wrshtp
El An ladividuat
Principal Office at_5292 W. 100 N., Both stztiwrt,�, IN 46110
To .City_of South Bend Board of Public Works
EXPERIENCE QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories
hereinafter made.
1. How many years has your organization been in business as a general contractor under your present business name? 53
2. How many years' experience in Nyway Cortstrt� I �m ITIT_.............- construction work has your
organization had:
(a) Asa general contractor b4
3. What projects has your organization completed?
CONTRACT AMOUNT CLASS OF WORK
SEE ATTACHED SC'' EDULE
(b) as a sub -contractor
WHEN COMPLETED II NAME AND ADDRESS OF OWNER
3A What projects has your organization now in process of construction?
CONTRACT AMOUNT I CLASS OF WORK WHEN TO BE COMPLETED NAME AND ADDRESS OF OWN
SEE ATTACHED SCHEDULE
4. Have you ever failed to complete any work awarded to you? NO
If so, where and why?
S. Has any offer or partner of your organization ever been an officer or partner of some other organization that failed to complete a
construction contracts ........ ...... — If so, state name of individual, other organization and reason therefor.
6. Has any officer or partner of your organization ever failed to complete a construction contract handled in his own name? NO
If so, state name of individual, name of owner and therefor.
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7. In what other lines of business are you financially interested? None
8. For what corporation or individuals have you performed work, and to whom do you refer?
Knauf Insulation - Shelbyville, IN - Josh Notting, 317-398-4434; josh. noltin us.knaufinsulation.com
Shelby Materials- Shelbyville, IN Mr. Greg Hebbe, 317-398-4485; greghebbe@shelb rtiaterials.com
Magnetation, LLC - Mr. Josh Krashaar, 218-259-0861; josh.kraushaar@magnetation.com
Indiana America Water - Greenwood, IN - Ms. Jacquelyne Sanders, 317-807-2462; jacquelyne.sanders@amwater.com
Cummins, Inc. - Mr. Joe Birt, 812-377-5295; _. -�����-���� joe.r.birt@cummins.com��-
For what cities have you performed work and to whom do you refer? _....__„ .
City of Indianapolis - Mr, Long Nqu ren; long. nguen@indy.gov
City of Franklin - Ms. Joanna Myers, 317-736-3631; jmyers@franklin.in.gov
of Greenfield - Mr. Mike Fruth, 317-477-4310, ext. 4; mfruth@greenfieldin.org
Cit off Shelbyville - Mr. Brad Fix, 317-392-5131; befix a�ci�ofshelbyvillein.com
10. For what countries have you performed work and to whom do you refer? Miscellaneous Counties
_ Wane Count - Richmond IN - Mr. Andrew Wortkoetter• andrew wa neco.us
Delaware County - Muncie, IN - Ms. Angie Moyer; amoyer@co.delaware.in.us
11. For what State bureaus or departments have you performed work and to whom do you refer?
Indiana De t. of Trans ortation Gr enfield District, Roland Fegan; rfegan(a�indot.in.govwww
SEE ATTACHED INDOT PREQUALIFICATION
Ohio Dept. of Transportation
SEE ATTACHED ODOT PREQUALIFICATION
12. Have you ever performed any work for the U.S. Government?
If so, when and to whom do you refer?
U.S. Army Corp of Engineers - Mr. Stephen C. Thibaudeau; step hen .c thibaudeau@usace.army:_Til
13. What is the construction experience of the principal individual of your organization?
YEARS OF
INDIVIDUAL'S NAME PRESENT POSITION CONSTRUCTION MAGNITUDE AND IN WHAT CAPACITY
OR OFFICE EXPERIENCE TYPE OF WORK
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Company Profile
BEATY CONSTRUCTION INC Edit Company Profile
Address Phone Fax
5292 W 100 NORTH 317-835-2254 317-835-9434
BOGGSTOVM, Indiana 46110
BEATY CONSTRUCTION INC
Pre -Qualification Application
Application Name Certification Date Expiration Date Prequalification Amount Status
APP-02553 611/2018 5/3112019 $228,630,1170„00 Approved
BEATY CONSTRUCTION INC
Work Type Applications
Create Work Type Application
WORK TYPE
I/ NUMBER OF PROJECTS
v STATUS
1. Clearing and Grubbing
0
Approved
2, Building Removal
0
Approved
4, Roadway Excavation and Embankment Construction
0
Approved
6. Incidental Grading
0
Approved
0, Temporary Soil Erosion & Sediment Control
0
Approved
9, Aggregate Bases
0
Approved
12 Rigid Paving
0
Approved
17 Rigid Pavement Replacement
0
Approved
19, Structure Removal
0
Approved
20, Lovell Bridge
0
Approved
21. Level 2 Bridge
0
Approved
22. Level 3 Bridge
0
Approved
23. Reinforcing Steel
0
Approved
24 Structural Steel Erection
0
Approved
25. Stud Welding
D
Approved
27 Expansion & Contraction Joints, Joint Sealers, Bearing Devices
0
Approved
28, Caissons/Drilled Shafts
0
Approved
29- Structure Repairs
0
Approved
31, Structural Steel Repairs
0
Approved
33 Tieback hisfiallatton
0
Approved
34 Earth Retail1ng SirUCtUres
0
Approved
35 Drainage (culvert, miscj
0
Approved
36 Guardrail/Attenuators
0
Approved
38. Miscellaneous Concrete
0
Approved
39, Maintenance of Traffic
0
Approved
R
40,. Waterproofing
46,Landscaping
58„ Piling
Approved
Approved
Approved
EMPLOYEE EXPERIENCE
Present Yrs
Name Position Exp. Type of Work Capacity
Beaty, Leon
Board Chair
61
1,2,3,4,5,6,7,8,9,10,11
Board Chair
Daniel, Beaty
President
35
1,2,3,4,5,6,7,8,9,10,11
CEO, Engineer
Fogle, Shannon
Admin. Assistant
22
Admin/Sec't
Admin.
Accounting
Morgan, Robert
Controller
31
Accounting
Financial/EEO Officer
Brady, Joanne
Asst. Controller
11
Accounting
Ass. Controlelr
Adkins, Donna
Accounts Payable
45
Accounting
Accounts Payable
Lee, Angela
Payroll
11
Accounting
Payroll, Job Cost
Bridge Division
Meiser, Max
Vice President
Jared, Crabb
Safety Officer
Fenimore, Bruce
Sr. Engineer/Est.
Donville, Jeffrey
Engineer/Est.
Meyer, Jeff
Engineer/Est.
Sweet, Dan
Engineer/Est.
Coburn, Eric
Vice President
Hellmich, Craig
Project Manager
Nick, Lange
Project Manager
Gluys, Tyler
Project Manager
Worsham, John
Project Manager
Davis, Brandon
Contract Manager
Heltsley, Jordan
Engineer
Beckwith, Kevin
Superintendent
Bennett, Mark
Superintendent
Coffey, Jason
Superintendent
Coffey, Randy
Superintendent
Coffey, Todd
Superintendent
Glidden, Mark
Superintendent
Haus, Derek
Superintendent
Jannings, Billy
Superintendent
Piersall, Chris
Superintendent
Weiss David
Superintendent
39
19
32
24
34
39
15
18
13
6
44
24
11
33
38
27
44
36
47
17
20
29
17
1, 2, 7, 8,11,12,13
1, 2, 3,4, 5, 6, 7, 8, 9,10,11
1, 2, 7, 8,10,11
1,2,10,11
1, 2, 3, 7, 8, 9,10,11
1, 2, 3, 7,8, 9,10,11
1,2,7,9
1, 2, 7, 9,10,11
1,2,3
1,2,3
2,3,7,8,9,10,11,12
11 2, 3, 8, 9.10,11,12,13
1, 2,10,11
1, 2, 7, 8,10,11
1, 2, 3, 8,10,11,13
1, 2, 7, 9,10,11
1,7,9,10,12
1, 2, 7, 9,10,11
1, 2, 7,9,10,11
1,2,7,9,10,11
1, 2, 7,9,10,11
1,2,8,9
1, 2, 7, 9,10,11
Engineer
Safety
Sr. Engineer/Est.
Engineer/Estimator
Engineer/Estimator
Engineer/Estimator
Project Manager
Project Manager
Project Manager
Project Manager
Project Manager
Contract Manager
Engineer
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
Page 1 of 2
EMPLOYEE EXPERIENCE
Present Yrs
Name Position Exp. Type of Work Capacity
Delucio, Rodney
Foreman
25
1,2,7,8
Foreman
Runyon, Mark
Foreman
34
1,2,7,8,10,11
Foreman
Sefton, Joe
Foreman
40
1,2,7,8,9,10.11
Foreman
Spillman, Harold
Foreman
26
1,2,7,8
Foreman
(1) Major Bridge
(2) Bridge Repair
(3) Highway Maintenance
(4) Guardrail
(5) Signs
(6) Electrical
(7) Dirt
(8) Concrete & Concrete Rehabilitation
(9) Site & Sewere Work
(10) Earth Retention, Under Pinning & Tiebacks
(11) Auger Cast Piles & Steel Piles
(12) Asphalt Pavement
(13) Pneumatically Placed Mortar
Page 2 of 2
PLAN AND EQUIPMENT QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to
interrogatories hereinafter made.
1. In what manner have you inspected this proposed work? Explain in detail,
Visited iobsite
2. Explain your plan or layout for performing the proposed work ures,__
3. The work, if awarded to you, will have the personal supervision of whom? fen Beef Eric Coburn
4. Do you intend to do the hauling on the proposed wank with your own forces?, _ ,,,,,,,,,,,_,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,_ „
If so, give amount and type of equipment used
* 5. If you intend to sublet the hauling or perform it through an agent, state amount of sub -contract or agent's contract, and if known,
the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility N/A
* Items 4, 5, 6, and 7 may not be applicable in all building contracts; if not, omit.
-4-
* 6. Do you intend to do the grading on the proposed work with your own forces? Yes
If so, give type of equipment to be used All necessary tp Complete work
* 7. If you intend to sublet the grading or perform it through an agent, state amount of subcontract or agent's contract, and if known, the
name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility.
8. Do you intend to sublet any other portions of the work? YQS
If so, state amount of sub -contract, and if known, the name and address of the sub -contractor, whether subcontract is a minority
and/or women's business enterprise, amount, and type of his equipment and financial responsibility.
Not known at time of bid
9. From which sub -contractors or agents do you expect to require a bond? _N_Q1IQ,_
10. what equipment do you own that is available for the proposed work?
-g-
11. What e Ldimient doyouintend for use
_ QUANTITY ITEM
NONE
12. How and when will you pay for the equipment to be purchased?
13. Do you propose to rent any equipment for this work? . N
shoidd the contract be awarded to ypj?_
CAPACITY, ETC. APPROXIMATE E COST
if so, state type, quantity and reasons for renting.
14. Have you made contracts or received firm offers for all materials within prices used in preparing your proposal? .Do not give names
of dealers or manufacturers
15. List all pennits, licenses, or registrations, which you have and are required by law to maintain in order to bid on this work. Please
include the type of the permit, license, or registration; the name of the issuing entity; the number of the licenses, permit, or
registration; and the expiration date, _Gen. fa.�G_QiI C . f -y
_QLjndjwmpDjja - De Qf_M@trgpm9lit m0 v „
Leon Beaty C0530002 Max Meiser C0530006
an Bed C0530007
Dated at Boggstown, Indiana this 26th day of m March 20 19
.I -- t —Construction, nc. .�,.,�.......By
"~ (, nc f �arnxat�oot)
STATE OF Indiana Dingµ B� C Iv President
..... _.
COUNTY OF Shelby (Title of Person Signing)
Daniel . Beatyw r Being duly sworn, deposes and says that he is
of the above ..
President of the above Beaty_CoMtru,.gtian,ITITlnc.ITITmmm_
(Name of Organization)
and that the answers to the questions in the foregoing questicnnp'y Sy nd� all statements therein contained are true and correct,
Subscribed and sworn to before me this 26 ^, , �y ty 44 arch 2d 1
w
My Commission expires _ JAaUaj)� •" " "'" 9e _
*` ;4LnnLo66n E. IFo Notary Public
10
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ACCOUNTS RECEIVABLE FROM COMPLETED CONTRACTS
DECEMBER 31, 2018
BEATY
CONTRACT
AMOUNT
JOB#
DUE FROM
TYPE OF WORK
AMOUNT
DUE
01627
SR 67 HUNTSVILLE R-30148
BRDIGE
978,975
1,689
01632
TILLOTSON AVE B-36335-A
BRIDGE
3,136,603
1,611
01687
DUPONT ROAD R-34815-A
BRIDGE
1,620,417
1,500
01696
MITTHOEFFER RD BM-28-001
BRIGE
467,876
23,650
01709
IAA WEST PERIMETER ROAD
BRIDGE
419,574
53,444
03580
101 MAIN SHORING-RIGDON
SHORING
637,549
63,755
03604
HERITAGE TRAIL
TRAIL
2,163,399
36,491
03613
CITYWAY PHASE II ACIP
AUGER CAST
231,600
23,160
03667
IU LIBRARY CAISSONS
CAISSONS
277,091
27,203
03670
HYATT PLACE HOTEL SHORING
SHORING
1,163,855
116,386
03680
CRAFTMARK UNDERPINNING
UNDERPINNING
22,100
2,210
03681
CITYSIDE APTS. SHORING
SHORING
496,240
52,700
03695
WABASH LANDING ACIP
AUGER CAST
315,724
31,572
03698
JEFFERSON HS SHORING
SHORING
50,000
5,000
03732
KNAUF FIRE LINE
FIRE LINE
4,270
4,270
09BRI
T & M BRIDGE
BRIDGE
762,528
13,500
P18105
BLAIREX CANOPY DUNLAP
FABRICATION
24,564
24,564
P18116
IN BRIDGE RAILS
FABRICATION
82,163
82,163
PXXXX
VARIOUS FABRICATION
FABRICATION
49,526
49,526
XXXX
VARIOUS
MISCELLANEOUS
37,819
37,819
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DETAILS RELATIVE TO ASSETS (continued)
5* Accounts receivable not from construction contracts
RECEIVABLE: NAME AND ekl)DRESS FOR WHAT 1
What amount, if any, is past due
6 1 Deposits with bids or otherwise as guarantees
DEPOSITED WITH: NAME AND ADDRESS I FOR WHAT
7 Interest accrued on loans, securities, etc.
ON WHAT ACCRUED
BE P
8* Real estate (a) Used for business purposes ,
Book value b' Not used for business ur ao,Ses
IMPROVEMENTS
DESCRIPTION OF PROPERTY NATURE Or IMPROVEMENTS I BOOK VALUE
LOCATION I HELD IN WHOSE NAME I ASSESSED VALUE
W, JQQ h ^stol n IN 4�11Q_j Beaty Construction Inc. 771.700
z.
3
_. _......_ �._ . ....... _ ......
5.
7.
° List separately each item amounting to 10 percent or more of the total and combine the remainder
-10-
AMOUNT
$ -0-
-0,_
AMOUNT
$ -0-
AMOUNT
$ 4:771,700
TOTAL BOOK
VALUE
4,7 11.700
AMOUNT OF
M)MBERAW
DETAILS RELATIVE TO ASSETS (continued)
9 Stocks and bonds (a) Listed - - present market value _ .._._... ...... __... -_ $ 863,527
Unlisted - - present value
LAST TNT, PRESENT
DESCRIPTION ISSUING COMPANY OR y-EwP. PAR MARKET QUAN- AMOUNT
DATE % VALUE VALUE TITY
WHO HAS POSSESSION N IF ANY ARE PLEDGED OR IN ESCROW, STATE FOR WHOM AND REASON
10 Materials in stock and not included in Item 4, Assets:
(a) For use on uncompleted contracts (present value)
(b Other materials (L)resent value
QUANTITY
DESCRIPTION OF MATERIAL
11 Equipment at book value
QUAN- DESCRIPTION AND CAPACITY OF ITEMS
TITY
FOR UNCOM-
PLETED
CONTRACTS
AMOUNT
PLEDGED OR IN
$ 330,071
OTHER
MATERIALS
$ i Q 518.664
AGE OF ITEMS PURCHASE PRICE I DEPRECIATION
CHARGED OFF BOOK VALUE
Are there any liens against the above? NO ll'so, state total amount
* Irtwo or more items are lumped above, give the sum of their ages.
-11-
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MATERIALS IN STOCK
PRESENT
DESCRIPTION OF MATERIAL VALUE
GUARDRAIL
GUARDRAIL HARDWARE
BRIDGE INVENTORY 330,071
330,071
Beaty Construction, Inc.
Equipment Listing
December 31, 2018
Purchase
Depreciation
Book
Description
Price
Charged Off
Value
Cranes
3,901,054
1,861,756
2,039,298
Excavators
6,267,330
3,900,635
2,366,696
Dozers/Graders
1,140,258
730,907
409,351
Backhoes/Loaders
658,640
476,557
182,083
Lifts
1,403,731
804,889
598,842
Air Compressors
71,501
58,117
13,384
Auger Equipment
1,194,255
864,841
329,414
Rollers
443,313
305,270
138,043
Finish Machines
628,930
270,925
358,005
Hammeres/Drills/Pumps
3,533,404
2,127,984
1,405,420
Fabrication Equipment
288,997
200,669
88,328
Miscellaneous Equipment
1,479,680
753,001
726,679
Trucks Trailers
3,786,001
1,922,879
1,863,122
24,797,094
14,278,430
10,518,664
DETAILS RELATIVE TO ASSETS (continued)
12 Furniture and fixtures at book value
13 Other Assets
DESCRIPTION
Cost & Earninias in excess of bilfinas
I TOTAL ASSETS $
DETAILS RELATIVE TO LIABILITIES
I Notes payable (a) To banks, regular___ ......... . .................
(b) To banks for certified checks
(c) To others for equipment obligations_,,---,
�dTo others exclusive of equipment obligations
TO WHOM: NAME AND ADDRESS WHAT SECURITY WHEN
.. ..............
PNC Bank . ....... —.AcCQUr1t$,.R- eceivable.— —Q.3/=
........ . .
Brandeis Mac inery Pr,,Agn Pyrnx/.qtr%r
2 Accounts payable (a) Not past due
(b) Past Due
TO WHOM: NAME AND ADDRESS
3lReal estate encumbrances (see Itent 8, Assets)_
4 � Other
DESCRIPTION
FOR WHAT
5 1 Reserves... ...... .
INTEREST INSURANCE BLDGS. & FIXT PLANT DEPR. TAXES BAD DEB
--.i$ . ............ $
6 Capital stock paid up (a) Common . . . ......
(b) Preferred
7
-12-
DATEPAY
$ 3M.9-T--
$ 407„014
AMOUNT
11
$ -150 ,000
294,,334
$ 1.830.051
-7-
$
$ �4 606�44�
AMOUNT
$ 151 3_1 5 . ...... ..... .
$ 22,737,357
Hage 1 of 2
Beaty Construction, Inc.
Accounts Payable by Vendor
December 31, 2018
Vendor#/Name
Vendor 1055 / CERES SOLUTIONS
Vendor 1159 / CMT HIGHWAY LLC
Vendor 1312 / CONSTRUCTION ENG SOLUTIONS LLC
Vendor 1332 / CORPORATE LODGING CONSULTANTS
Vendor 136 / ADVANCE READY MIX
Vendor 1394 / D-A LUBRICANT CO INC
Vendor 1397 / D2 LAND & WATER RESOURCE INC
Vendor 1423 / DAYTON SUPERIOR CORP
Vendor 1510 / JAMES H. DREW CORP
Vendor 1553 / EARTH IMAGES INC.
Vendor 1657 / EXPRESS SERVICES INC
Vendor 1982 / GREENBAUM ASSOCIATES, INC
Vendor 204 / ALL STAR PAVING
Vendor2081 / HAWKINS BAILEY WAREHOUSE INC.
Vendor 2168 / HOPE HARDWOODS INC
Vendor 2225 / HYDRAULIC COMPONENTS SP LLC
Vendor 255 / AMERICAN STRUCTUREPOINT
Vendor 2550 / IRVING MATERIALS INC
Vendor 2562 / OPERATORS LOCAL 103
Vendor 2563 / OPERATORS LOCAL 841
Vendor 2570 / MID CENTRAL OPERATING ENGINEER
Vendor2580 / 181 HEALTH & WELFARE
Vendor 2610 / 181-CENTRAL PENSION
Vendor 2661 / JOBSITE SUPPLY INC.
Vendor 2726 / KEELER WEBB ASSOCIATES
Vendor 2727 / KATZ SAPPER & MILLER
Vendor 2756 / KINGDOM STEEL
Vendor 2779 / LAURA KOPETSKY
Vendor 2810 / H & H INDIANA LABORERS
Vendor 2811 / H & H INDIANA LABORERS
Vendor 2869 / L & L BULK TRANSPORT
Vendor 2945 / LITTLE -TON SAND & SUPPLY
Vendor 3000 / MAC ALLISTER MACH CO
Vendor 3030 / MARTIN MARIETTA CORP
Vendor 3115 / BRIDGESTONE HOSEPOWER LLC
Vendor 3153 / MIDWEST DIVERSIFIED TECH
Vendor 3214 / MILL SUPPLIES INC.
Vendor 3433 / PNC BANK
Vendor 3625 / QUINN TRANSPORT INC
Vendor 3735 / REINFORCED EARTH CO
Vendor 3880 / RUNNEBOHM CONTRUCTION
Vendor 4080 / SHELBY GRAVEL INC
Vendor 4121 / SHELBYVILLE NAPA
Vendor 4169 / SITECH OF INDIANA LLC
Vendor 4237 / SRM
Vendor 4310 / SUGAR STEEL CORPORATION
When
For What Due Amount
FUEL
SUPPLIES
ENGINEERING
HOTEL
MATERIAL
FUEL
SUBCONTRACTOR
FORMS
SUBCONTRACTOR
SUBCONTRACTOR
LEASED LABOR
ENGINEERING
SUBCONTRACTOR
EQUIP PARTS
MATERIAL
EQUIP PARTS
ENGINEERING
MATERIAL
UNION FRINGES
UNION FRINGES
UNION FRINGES
UNION FRINGES
UNION FRINGES
LASED OFFICES
ENGINEERING
ACCOUNTING SVCS
MATERIAL
TRUCKING
UNION FRINGES
UNION FRINGES
TRUCKING
MATERIAL
EQUIP PARTS
MATERIAL
EQUIP PARTS
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
01/2019
SUPPLIES
01/2019
SUPPLIES
01/2019
REQUIPMENT REPAIRS 01/2019
TRUCKING
01/2019
MATERIAL
01/2019
BLDG CONSTRUCTION
01/2019
MATERIAL
01/2019
EQUIP PARTS
01/2019
EQUIP PARTS
01/2019
DETAILING
01/2019
MATERIAL
01/2019
7,407
4,297
5,910
4,780
25,416
4,374
12,410
10,520
9,110
8,054
4,372
4,486
5,622
3,912
9,600
7,577
4,033
18,310
3,649
3,320
70,219
5,793
4,430
3,806
3,256
5,500
6,905
230,280
43,063
3,704
9,297
16,802
10,944
130,572
12,458
3,003
4,760
55,850
166,728
216,813
183,302
24,585
15,865
6,161
13,479
9,281
Page 2of2
Beaty Construction, Inc.
Accounts Payable by Vendor
December 31, 2018
Vendor#/Name
For What
When
Due
Amount
Vendor 4347 / TEI ROCK DRILLS INC
EQUIP PARTS
01/2019
3,704
Vendor 4515 / TPC MECHANICAL CONTRACTORS LLC
SUPPLIES
01/2019
3,000
Vendor4650 / WILLIAMS SCOTSMAN
SUPPLIES
01/2019
3,184
Vendor 4697 / UNIFIED GROUP SERVICES INC
HEALTH BENEFITS
01/2019
40,963
Vendor4726 / UNIVERSAL PREMIUM
FUEL
01/2019
15,353
Vendor 4808 / VALMONT COATINGS
GALVANIZING
01/2019
7,916
Vendor4821 / VERIZON WIRELESS
CELL PHONES
01/2019
3,730
Vendor 4882 / WASTE MANAGEMENT INC
DUMP FEES
01/2019
27,584
Vendor 50 / A & T CONCRETE SUPPLY INC.
MATERIAL
01/2019
17,760
Vendor740 / BRANDEIS MACHINERY
EQUIP PARTS
01/2019
15,046
Vendor747 / BRIDGESMITH INC
SUBCONTRACTOR
01/2019
5,928
Vendor 761 / BROWN'S OIL SERVICE
FUEL
01/2019
7,072
Vendor 900 / C & C SUPPLY LLC
SUPPLIES
01/2019
8,190
Vendor 906 / CARTER -WATERS LLC
SUPPLIES
01/2019
6,072
Vendor 910 / C-TECH CORPORATION
MATERIAL
01/2019
20,381
Vendor 911 / COMMERCIAL METALS COMPANY
MATERIAL
01/2019
12,272
Vendor 926 / CGS SERVICES INC NB
DUMP FEES
01/2019
3,242
Vendor 930 / JOHN T CAMDEN CONSTRUCTION CO
SUBCONTRACTOR
01/2019
17,230
Vendor 947 / INDIANA & KENTUCKY CARPENTERS
UNION FRINGES
01/2019
92,739
MISC PURCHASES UNDEER $3,000
VARIOUS
01/2019
104,670
1,830,051
OTHER LIABILITIES
DESCRIPTION
Billings in excess of costs and estimated
earnings onn uncompleted contracts
Accrued payroll and payroll taxes
Accrued pension and profit sharing expense
AMOUNT
3,440,257
435,038
167,149
Other accrued expenses 564,001
4,606,445
If a corporation answer this:
Amount for which incorporated
Capital paid in cash
When incorporated
In what state
$_ 151,315
S 151.315
Names and titles of all persons having authority to execute and receipt estimate vouchers and to conduct other business for the
corporation, including its officers, the signatures of whom are legally binding.
Daniel S.
Eric Coburn„ Vice President
Do you have necessary "certificate of existence" (or certificate of authorization for a foreign corporation) to transact corporate business
in this state, under the terms of Public Law 149, Acts of 1986, and acts amendatory thereto?
If a co -partnership answer this:
Date of organization
State whether co -partnership is general, limited or association
Give the names, addresses and proportional interests of all parties:
Name Address Share
The name of the partnership firm under which the above partners are operating is
Give names and titles of all having authority to execute and receipt estimate vouchers and to conduct other business for the partnership,
the signatures of whom are legally binding.
-13-
The undersigned hereby declares that the foregoing is a true statement of the financial condition of the individual, co -partnership, or corporation herein first named, as of
the date herein first given; that this statement is for the express purpose of inducing the party to whom it is submitted to award the submitter a contract; and that any
depository, vendor or other agency herein named is hereby authorized to supply such party with any information necessary to verify this statement.
�ottf cta�on, Inc.
NOTE: A co -partnership must give firm name and signatures of all partners. A
corporation must give full corporate name, signature of official and affix corporate seal.
Affidavit for Individual
STATE OF _ mm •_... m
COUNTY OF .... -. .�.___-_.._.M _. } SS:
being duly sworn, deposes and says that
the foregoing financial statement, taken from his books, is a true and accurate statement of his financ
ial condition as of the date thereof and that the
answers to the foregoing interrogatories are true.
Subscribed and sworn to before me this
(Applicant must sign here)
dayof ___ ..___ -�-.......... wa .�....m._-_�_......- 20
Not= Public
Affidavit for Co -Partnership
STATE OF
COUNTY OF ( SS.-
...... .......... __ --------- being duly sworn, deposes and says that
lie is a member of the firm of w_; that he is familiar with the
books of the said firm showing its financial condition; that the foregoing financial statement, taken from the books of said firm, is a true and accurate
statement of the financial condition of the said firm as of the date thereof and that the answer to the foregoing interrogatories are true.
Subscribed and sworn to before me this
day of ...... _� ._.-1— 20_
Notary Public
Affidavit for Corporation
STATE OF _IaLf na
COUNTY OF Shelby . _ SS:
VW
(Member of firm must sign here)
being duly sworn, deposes and says that he is
ent
ction,
desscribeddi and which executed the foregoing statement; that he is familiar with mmbooks ofthe said
In0 corporation
g g � _ the the books of the said corporation showing its financial condition; that
the foregoing financial statement, taken from the books of the said corporation, is a trite and accurate statement of the financial condition of said
corporation as of the date thereof and that the answers to the foregoing interrogatories are true.
Subscribed and sworn to before me this
E)14 1 S BeaWfficer must sign h m)
) _ _. day of Mafc�n...... ............. 20 jj� a l
Shannon E. Fogleatiry Public
' PUo-"
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CITY OF SOUTH BEND�'�
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITYr
DEVELOPMENT PROGRAM
r
FORM MWBE-2.0"7
' x
EVIDENCE OF GOOD FAITH EFFORTS�A'sp '
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 MBENVBE participation. Itis 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: 119-022 Date: March 26, 2019
Project Name: Main & Jefferson Earthwork
Bidder: Beaty Construction, Inc.
Contact Person: Bruce Fenimore Telephone: :317-835-2254
Address: 5292 W. 100 N.m._._
City: @929stown State: IN--- Zip: 46110
Email. h -� 1/r.,
LI/ ,le e� ) arfi ;
forth in the City of South Bend Public Works Project Specifications, the City and its
To determine whether a bidder has demonstrated good faith efforts to reach the MBEIWBE utilization goals set
y agencies, boards, or
commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*:
EVIDENCE OF GOOD FAITH EFFORTS
MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business
Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women
Owned Business as found on their, website (hftp://wWw.in,govlidoa).
ACTION (ADVERTISE/CONTACT): in order for your bid to be deemed responsive„ the City of South
Bend requires that sit perspective bidders complete no less than 2 of the following:
Cn Attend all 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 MBEIWSEs reasonable time to respond.
LJ Perform any and all necessary steps to provide written notice in a manner reasonably calculated
to inform MBENVBEs of subcontracting opportunities and allowed sufficient time for them to
participate effectively,
4. Utilize pre-existing services of available community organizations, small and/or disadvantaged
business assistance offices and other organizations that provided assistance in the recruitment
and placement of MBENVBE firms.
"Bidder must circle or otherwise notate which of the two (2) required actions were performed.
GOOD D FAITH providing hMBBE
NEGOTIATIONS: The bidder negotiated in good faith with interested MBENVBEs,
's with adequate information about the plans, specifications and other
requirements of the subcontract and did not reject MBENVBEs as unqualified without sound business
reasons based on a thorough investigation of their capabilities.
SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by
MBENVBEs in order to increase the likelihood of meeting the MBENVBE goals (including breaking down
contracts into smaller units to facilitate MBENVBE participation)
CONTRACT RECORDS: The bidder has maintained the following records for each MBENVBE that has
bid on the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MBENVBE was unqualified to perform the job.
_. .
"'Proper demonstration of GoodFaith Effort requires your Initials next to all of the abo—ve 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 1/17/2019 Contractor's Bid for Public Works - 9
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring contacted MBEtWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify
whether any listed minority or woman business meets the qualifications of a Minority or Women's owned
business.
PAGE 2 OF 2
Project Number: 119-022 MBE/WBE Participation Goal
Project Name: Main & Jefferson Earthwork
Bidder: Bely Construction„ inc.
By: President M�
(Title)
MBE/WBE Firm
Owner or Contact at MBENVBE Firm
Telephone; Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBEM/BE FIRM:
Email:
MBENVBE Firm
Owner or Contact at MBENVBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
DEPARTMENT OF PUBLIC WORKS
CITY OF SOUTH BEND, INDIANA
Version 1/17/2019 Contractor's Bid for Public Works - 10
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Bruce Fenimore
From: Bruce Fenimore
Sent: Wednesday, March 20, 2019 1:13 PM
To: 'teresa@bucconstructionsupplyinc.com'
Subject: Pricing Request
Teresa,
I'm bidding on a job early next week with M/WBE requirements and would appreciate pricing on the following:
• Main &Jefferson Project —South Bend, IN
o HP 12 x 74's: 50 each @ 32.5 Ift/each
o Delivery: May of 2019
The project is a temporary earth retention project in downtown South Bend, IN.
Need pricing by Friday of this week if possible.
Let me know if you have any questions or comments.
Thanks!
Sincerely,
4w eP e� ,rIze& �
Project Engineer/Senior Estimator
Beaty Construction, Inc.
PH: 317-835-2254
FX: 317-835-2913
MB: 765-561-0521
Bruce
1
Bruce Fenimore
From:
Bruce Fenimore
Sent:
Wednesday, March 20, 2019 1:10 PM
To:
'Frank Davis'
Subject:
Pricing Request
Frank,
I'm bidding on a job early next week with M/WBE requirements and would appreciate pricing on the following:
Main &Jefferson Project —South Bend, IN
o HP 12 x 74's: 50 each @ 32.5 Ift/each
o Delivery: May of 2019
The project is a temporary earth retention project in downtown South Bend, IN.
I have contacted several different steel suppliers already: Skyline Steel, Triad Metals and LB Foster for pricing as
well. They should know about the project and our requirements.
Need pricing by Friday of this week if possible.
Let me know if you have any questions or comments.
Thanks!
Bruce
1
Bruce Fenimore
From: Bruce Fenimore
Sent: Wednesday, March 20, 2019 1:11 PM
To: 'Karen Montgomery'
Subject: Pricing Request
Karen,
I'm bidding on a job early next week with M/WBE requirements and would appreciate pricing on the following:
• Main &Jefferson Project —South Bend, IN
o HP 12 x 74's: 50 each @ 32.5 Ift/each
o Delivery: May of 2019
The project is a temporary earth retention project in downtown South Bend, IN.
I have contacted several different steel suppliers already: Skyline Steel, Triad Metals and LB Foster for pricing as
well. They should know about the project and our requirements.
Need pricing by Friday of this week if possible.
Let me know if you have any questions or comments.
Thanks!
Bruce
t
Bruce Fenimore
From: Bruce Fenimore
Sent: Wednesday, March 20, 2019 1:13 PM
To: jrobbins@munstersteel.com'
Subject: Pricing Request
Jeanne,
I'm bidding on a job early next week with M/WBE requirements and would appreciate pricing on the following:
• Main & Jefferson Project —South Bend, IN
o HP 12 x 74's: 50 each @ 32.5 Ift/each
o Delivery: May of 2019
The project is a temporary earth retention project in downtown South Bend, IN.
Need pricing by Friday of this week if possible.
Let me know if you have any questions or comments.
Thanks!
Sincerely,
Project Engineer/Senior Estimator
Beaty Construction, Inc.
PH: 317-835-2254
FX: 317-835-2913
MB: 765-561-0521
Bruce
1
Bruce Fenimore
From: Bruce Fenimore
Sent: Wednesday, March 20, 2019 1:15 PM
To: johnt@thomdist.com'
Subject: Pricing Request
John,
I'm bidding on a job early next week with M/WBE requirements and would appreciate pricing on the following:
Main &Jefferson Project —South Bend, IN
o HP 12 x 74's: 50 each @ 32.5 Ift/each
o Delivery: May of 2019
The project is a temporary earth retention project in downtown South Bend, IN.
Need pricing by Friday of this week if possible.
Let me know if you have any questions or comments.
Thanks!
Sincerely,
Project Engineer/Senior Estimator
Beaty Construction, Inc.
PH: 317-835-2254
FX: 317-835-2913
MB: 765-561-0521
Bruce
1
State of Indiana
Office of the Secretary of State
C�L�;i>rlyL�l_�hlil;� 1��x►Lyq
To Whom These Presents Come, Greeting:
I, CONNIE LAWSON, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of
the State of Indiana, the custodian of the corporate records and the proper official to execute this
certificate.
I further certify that records of this office disclose that
BEATY CONSTRUCTION, INC.
duly filed the requisite documents to commence business activities under the laws of the State of
Indiana on November 30, 1966, and was in existence or authorized to transact business in the State of
Indiana on March 21, 2019.
I further certify this Domestic For -Profit Corporation has filed its most recent report required by
Indiana law with the Secretary of State, or is not yet required to file such report, and that no notice of
withdrawal, dissolution, or expiration has been filed or taken place. All fees, taxes, interest, and
penalties owed to Indiana by the domestic or foreign entity and collected by the Secretary of State
have been paid.
Aw*rA
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City
of Indianapolis, March 21, 2019
10, , I
C�Iie\�i���iP
SECRETARY OF STATE
194507-010 / 2019922189
All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate
Expires on April 20, 2019.
DRUG AND SUBSTANCE ABUSE PROGRAM
BEATY CONSTRUCTION, INC.
January 1, 2019
A. STATEMENT OF NEED:
Beaty Construction, Inc. 's Drug & Substance Abuse Program
demonstrates Beaty's commitment to the safety and health of
our employees by communicating that the use of alcohol and
other drugs will not be tolerated in our workplace.
B. POSITION STATEMENT:
Beaty Construction, Incorporated requires all employees to
report for work in a condition that allows them to perform
their duties in a safe and efficient manner. Employees will
not be permitted to work under the influence of alcohol or
with prohibited drugs in their systems thereby affecting job
performance. This program will include all new hires, and
existing employees who are currently working for Beaty
Construction, Inc. Employees will be subject to a drug test
at least once each year. Random testing including a minimum
of 2% of employees per month will be conducted periodically.
Violation of any provision of the Drug & Substance Abuse
Program will be considered just cause for termination. In
addition, refusal to adhere to any part of the company policy
may be considered an act of insubordination and will lead to
termination of employment.
Drug & Substance Abuse is defined in the Controlled Substance
Act (21 U.S.C.812) and the Code of Federal Regulations
(21 C.F.R.1308.15) and prescription controlled substance
which have not been prescribed by a licensed physician or
dentist for specific treatment purposes for the employee.
Abuse of prescription or over-the-counter drugs will also be
treated as a substance abuse problem under this policy.
This policy and related procedures may be modified by the
Company at any time in order to comply with any applicable
federal, state, or local laws or to better serve the needs of
the business.
Information generated in connection with this policy is
inherently sensitive and will be treated with the utmost
"AN EQUAL OPPORTUNITY EMPLOYER"
confidentiality.
C. COMPANY'S RESPONSIBILITY
Beaty Construction, Inc. considers healthy, productive
employees to be the most valuable asset of the Company.
Providing a safe, secure environment for these employees is a
serious responsibility. We are, therefore, committed to
eliminating the threat to health and safety posed by the use
of drugs and alcohol abuse, as stated in the Drug Workplace
Act. Beaty Construction, Inc. will use a NIDA certified
Laboratory and a 10-panel US DOT approved test. In the event
that a 10-panel test is not available, a 5-panel will be
used.
D. EMPLOYEE'S RESPONSIBILITY
1. An employee shall not report for work under the
influence of alcohol, legal drugs used unlawfully,
illegal drugs, or other illegal substances. Being in a
condition unfit for work, because of the effects of
alcohol or the illegal use of drugs or other substances
while on the jobsite is cause for termination.
2. Employees who are taking medically -prescribed
prescription drugs which may have an impact on their
ability to work must report that fact to their
supervisor. The supervisor would then be in a position
to determine whether the employee may continue working
while under the effects of the medically -prescribed
prescription drug, or whether the employee poses a
sufficient risk of harm that the employee should be
sent home until the employee is no longer under the
influence of the medication.
3. "Probable cause" for testing of an employee for the
presence of drugs or alcohol in the employee's system
will be found: if an employee is involved in a life -
threatening safety violation; if the employee is
involved in an OSHA recordable or lost -time incident;
or if the employer has received information from fellow
employees or other sources which gives the employer
reason to suspect that the employee may have ingested
or otherwise be under the influence of alcohol or drugs
or other substances. Employees will be tested for
alcohol or drugs only under "probable cause"
situations.
"AN EQUAL OPPORTUNITY EMPLOYER"
4. If an employee's behavior is erratic, incoherent, or
disoriented, or if the employee does not appear to have
control over his/her motor functions, the employee will
be removed from the jobsite or office and be tested as
a "probable cause" situation.
5. The Company will pay for one (1) urine drug screen per
request, any additional urine drug testing required due
to an unacceptable first specimen will be the
responsibility of the employee.
6. If an employee tests over .04 for alcohol, he/she has
violated company policy. Employees who violate this
policy will subject themselves to termination of
employment.
7. Employees who test "positive" will be removed from the
project or office.
8. If an employee tests "positive", it is the
responsibility of the employee to seek rehabilitation.
The Company will provide the names and addresses of
public or private agencies who may assist
contractors/employees that test positive on a drug or
alcohol test. The Company does not assume any
responsibility for payment of fees beyond the initial
testing and random sampling.
9. Employees currently working for Beaty Construction,
Inc. who refuse to be tested will be terminated.
10. All employees are subject to random substance abuse
testing.
11. Unlawful possession or sale of legal or illegal drugs
or other illegal substances or paraphernalia on company
premises or work sites shall result in termination from
employment without regard to "probable cause" of
unfitness for work or adverse affect upon work
performance.
12. Employees selected for testing for the presence of
drugs or alcohol in their systems under this policy
will be required to sign the attached Consent and
Authorization to Release Medical Information. An
employee's failure to do so will be considered
insubordination and will result in immediate
termination from employment.
"AN EQUAL OPPORTUNITY EMPLOYER"
March 21, 2019
City of South Bend Board of Public Works
227 W Jefferson Blvd.
South Bend, IN 46601
To Whom It May Concern:
Travelers Casualty and Surety Company of America is on the United States Department of Treasury Listing
of Approved Sureties, listed as such:
(NAIC #31194)
Business Address: One Tower Square, Hartford, CT 06183
Phone: (860) 277-0111. Underwriting Limitation b/: $201,664,000,
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, OR, PA, PR,
Rl, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY
Should you have any questions please do not hesitate to call me at 317-733-6100.
Sincerely,
Lorna M Adams, Attorney In Fact
262 S Ford Rd, Suite 300
Zionsville, IN 46077
317.733.6100
317.733.6110 Fax
HBGins.com
k, f
1612/1�� 1 RUCTION BEATY CONSTRUCTION, N, INC
5292 West 100 North * Boggstown, Indiana 46110 r Phone (317) 835-2254 • Fax (317) 835-2913
March 22, 2019
RE: Statement of Staffing Capabilities
Attached is a list of current employee experience. Beaty Construction is also signatory to the Laborer's,
Carpenter's and Operator's unions.
An Equal Opportunity Employer
EMPLOYEE EXPERIENCE
Present Yrs
Name Position Exp. Type of Work Capacity
Beaty, Leon Board Chair 61 1,2,3,4,5,6,7,8,9,10,11 Board Chair
Daniel, Beaty President 35 1,2,3,4,5,6,7,8,9,10,11 CEO, Engineer
Fogle, Shannon Admin. Assistant 22 Admin/Sec't Admin.
Accounting
Morgan, Robert
Controller
31 Accounting
Financial/EEO Officer
Brady, Joanne
Asst. Controller
11 Accounting
Ass. Controlelr
Adkins, Donna
Accounts Payable
45 Accounting
Accounts Payable
Lee, Angela
Payroll
11 Accounting
Payroll, Job Cost
Bridge Division
Meiser, Max
Jared, Crabb
Fenimore, Bruce
Donville, Jeffrey
Meyer, Jeff
Sweet, Dan
Coburn, Eric
Hellmich, Craig
Nick, Lange
Gluys, Tyler
Worsham, John
Davis, Brandon
Heltsley, Jordan
Beckwith, Kevin
Bennett, Mark
Coffey, Jason
Coffey, Randy
Coffey, Todd
Glidden, Mark
Haus, Derek
Jannings, Billy
Piersall, Chris
Weiss David
Vice President
Safety Officer
Sr. Engineer/Est.
Engineer/Est.
Engineer/Est.
Engineer/Est.
Vice President
Project Manager
Project Manager
Project Manager
Project Manager
Contract Manager
Engineer
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
39
1, 2, 7, 8,11,12,13
19
1, 2, 3, 4, 5, 6, 7, 8,9,10,11
32
1, 2, 7, 8,10,11
24
1, 2,10,11
34
1,2,3,7,8,9,10,11
39
1,2,3,7,8,9,10,11
15
1, 2, 7, 9
18
1, 2, 7, 9,10,11
13
1, 2, 3
6
1,2,3
44
213, 7, 8, 9,10,11,12
24
1, 2, 3, 8, 9.10,11,12,13
11
1, 2,10,11
33
1, 2, 7, 8,10,11
38
1, 2, 3, 8,10,11,13
27
1, 2, 7, 9,10,11
44
1, 7,9,10,12
36
1, 2, 7, 9,10,11
47
1, 2, 7, 9,10,11
17
1,2,7,9,10,11
20
1, 2, 7,9,10,11
29
1, 2, 8, 9
17
1, 2, 7, 9,10,11
Engineer
Safety
Sr. Engineer/Est,
Engineer/Estimator
Engineer/Estimator
Engineer/Estimator
Project Manager
Project Manager
Project Manager
Project Manager
Project Manager
Contract Manager
Engineer
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
Superintendent
Page 1 of 2
EMPLOYEE EXPERIENCE
Present Yrs
Name Position Exp. Type of Work Capacity
Delucio, Rodney
Foreman
25
1,2,7,8
Foreman
Runyon, Mark
Foreman
34
1,2,7,8,10,11
Foreman
Sefton, Joe
Foreman
40
1,2,7,8,9,10.11
Foreman
Spillman, Harold
Foreman
26
1,2,7,8
Foreman
(1) Major Bridge
(2) Bridge Repair
(3) Highway Maintenance
(4) Guardrail
(5) Signs
(6) Electrical
(7) Dirt
(8) Concrete & Concrete Rehabilitation
(9) Site & Sewere Work
(10) Earth Retention, Under Pinning & Tiebacks
(11) Auger Cast Piles & Steel Piles
(12) Asphalt Pavement
(13) Pneumatically Placed Mortar
Page 2 of 2
10
BE - IOBEATY CONSTRUCTION, INC
ESTABLISHED 1965
5292 West 100 North * Boggstown, Indiana 46110 • Phone (317) 835-2254 a Fax (317) 835-2913
March 22, 2019
RE: Statement of Employee Classification
All individua> to be employed by Beaty Construction. There will be no independent contractors nor will
there be any subcontracted employees.
An Equal Opportunity Employer
f
ERUCTIONi EAR Y CONSTRUCTION, RUC"T`IC N, INC
5292 West 100 North * Boggstown, Indiana 46110 • Phone (317) 835-2254 • Fax (317) 835-2913
March 22, 2019
RE: Evidence of Participation in Apprenticeship and Training Programs
Every effort is made by Beaty Construction to first secure a minority or female when making a request
through the Union.
Beaty is also a part of the OJT Partnership Agreement.
An Equal Opportunity Employer
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