Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Opening of Bids - Historic Leeper Park Improvements Project No 118-010A - Holladay Construction Group LLC
A CITY OF SOUTH BEND, INDIANA "" CONTRACTOR'S BID FOR PUBLIC WORK."' Project Name Historic Leeper Park Improvements — Bid Package 1 ........... .. ..w _...__.. .... _� Project No. 118-010A For ............ ....... ......... Bids Due April 18, 2018 .......... PART (Must be completed for all bids. Please type or print) ._ 0Bidder (Firm). Holladay Construction Group, LLC Date: 4/18/218 _....... _ Address: 227 S. Main Street Suite #200 City/State/Zip; South Bend, IN 46601 Telephone Number: 574 850-4564 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: Historic Leeper Park Improvements - Bid Package 1 - Project #118-010A the City of South Bend, Indiana, in accordance with plans and specifications prepared by: and dated March 12, 2019 Lochmueller Group, Inc. for the sum of (enter the Total Bid as shown on the Proposal) Enter sum 6 f It6tal Base Bid plus Alternates shown o ,x J p�� m........ .v...,. �� S . y _( k_ ( .,,,�..,,....,,..,.�.�.�..�.,AK ].b,.".. .....�.�..�..� L n Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. The above bid is accepted this Subject to the following conditions. BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member Laura L. O'Sullivan, Member BY..�.�..__ _......... (Signature) (Printed Name of Person Signing) ACCEPTANCE day of Suzanna M, Fritzberg, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk Version 1 /17/2019 Contractor's Bid for Public Works - 49 20 BID/PROPOSAL CIA!.�# ^F CITY OF SOUTH BEND,, p .. p ......... 9 Project Name: Historic Leeper Park Improvements - Bid Package 1 Project Number: 118-010A ..._. ..... ._. �....... For Bids Due: April 18, 2019 Contractor Name: Holladay Construction Group, LLC BASE BID ITEM _W __ ....... ......... DESCRIPTION QUANTITY UNIT UNIT ITEM _........_.._.... ... COST TOTAL 1 . INING 'MAINTATRAFFIC mm 1.00 ... LS ...., ENGINEERING 1.00 LS .� __.. ._ ..._�_ ...... _ � 3 _..._W_ MOBILIZATIONOAND DEMOBILIZATION _ 1.00 LS......_. 7 $�+, TREE, 10 I-N., REMOVE M 3 00 EACH f, L-lu 53 5 TREE, 18 IN., REMOVE 4.00 EACH 6 TREE, 30 IN., REMOVE 4.00 EACH �� I 7 TREE, 48 IN., REMOVE 3.00 EACH q B TREE, 60IN., REMOVE 1.00 EACH 3q ., 3qli,% 9 TREE PROTECTION 1.00 LS ilmn I%l 10 STRUCTURES AND OBSTRUCTIONS, REMOVE 1.00 LS 11 DISPOSAL OFBSOLIDS (BOTTOM OF POND, 137 00 CYS UNDISTRIBUTED) ... . (q' 1.3N 4.ai&o& 12 4924IN STORM SEWER, REMOVE 105.00 LFT 35lz 13 CURB, CONCRETE, REMOVE 34.00 LFT 3, 14 CURB AND GUTTER, REMOVE 230.00 LFT �5 15 CONCRETE STEPS, REMOVE 1.00 LS 16 ..... REMOVE, PLAYGROUND EQUIPMENT 1.00 _ LS 17 SIDEWALK CONCRETE, REMOVE _ 605.00 SYS 34o, 18 RETAINING WALL, REMOVE (AROUND POND) 742.00 LFT 19 FENCE, CHAIN. LINK, REMOVE 574.00 LFT 11 20 CURB, ASPHALT, REMOVE 574.00 LFT 21 CONCRETE, REMOVE (POND LINER) 183.00 CYS %V7 22 CONCRETE, REMOVE 1.00 CYS .... ...- 23 SALVAGE BRICK PAVERS 28.00 SYS '1 ... 24 AGE TRASH CANS �=DEWATERING, 2.00 EACH 25 SPECIAL 1.00 LS o ►5 26 EXCAVATION, COMMON _..... .. .... 1,985.00 CYS ....... � 5 0 27 BORROW 1,383.00 CYS COMPACTEDAGGREGATE #53, BASE 509.00 i CYS l �iri 29 MIL__. LING �..............m..... 93.00 ..... ._....... Version 1/17/2019 Contractor's Bid for Public Works - 54 6' BID/PROPOSAL 0 W I #, CITY OF SOUTH BEND a Project Name: Historic Leeper Park Improvements P P -Bid Package 9 1 N!h � ��, Project Number: 118-010A� LQ For Bids Due: April 18, 2019 a Hlldg Construction Group, LLC 30 ASPHALT SURFACE _ ......... 10.00 - - TON ....... "a ? 31 ASPHALT FOR TACK COAT 1.00 TON ( I ab 32 PCCP, 8 IN. (FOUNTAIN PLAZA) 338.00 SYS w [j,,, 33 SIDEWALK, CONCRETE, 4 IN 4,581.00 SYS 7 0 3 34 CURB RAMP, CONCRETE 79.00 SYS �G 35 DETECTABLE WARNING .......... 62.00 LFT yL- ql 4 4 36 CURB, CONCRETE, MODIFIED (ART NODES) _ 51.00 LFT — 37 CURB, CONCRETE, MODIFIED (HISTORIC STEPS) 39.00 LFT CI 38 CURB AND GUTTER, CONCRETE 311.00 LFT _ 39 CURB , CONCRETE 75.00 LFT 5q, 7 40 FLUSH CONCRETE BAND 179.00 LFT 41 CAST LIMESTONE BALL FINIAL 5.00 EACH ^ION Ir7 1. 42 CAST LIMESTONE URN .. 8.00 EACH Q 10 43 EROSION CONTROL BLANKET 32.00 SYS �� 44 �. MULCHED SEEDING U ................��...._....................... w�.��� 29 3 0 00 SYS .. 45 NURSERYSODDING 866.00 SYS V moo? 46 FOUNTAIN AND EQUIPMENT INSTALLATION 1.00 LS 47 FOUNTAIN START UP AND INSTRUCTION 1.00 LS 48 FOUNTAIN GRATE AND FRAME 1.00 EACH % EACH ) 10 50 BACKF OW PR VENTER COVER 1.00 LS 51 3 IN. FOUNTAIN DRAIN LINE 40.00 LFT 52 4-8 24 IN DUCTILE IRON PIPE WITH GRANULAR 97.00 LFT BACKFILL ( 6-% 53 _ RELOCATE EXISTING WATER SPIGOT .�....�........ ......._. 1.00 EACH ISq Q ��A 54 CAP POND OVERFLOW 1.00 EACH 55 PIPE ENCASEMENT 80.00 LFT ` 4 56 CASTING, ADJUST TO GRADE 7.00 EACH 57 . ....... MANHOLE, 48 IN DIAMETER 2.00 EACH . _.............. 3ql -10 , ...... 3/4 IN WATER LINE 180. LFT q � 59 3/4 IN WATER LINE TAP WITH CORP. STOP _ 1.0000 EACH�L 60 FOUNTAIN PLUMBING Version 1/17/2019 Contractor's Bid for Public Works - 55 BID/PROPOSAL;��� , CITY OF SOUTH BEND +; Project Name: Historic Leeper Park Improvements provements - Bid Package 1 2 Project Number: 118-010A For Bids Due: April 18, 2019 A ' Contractor ........ --..................... Name: Holladay Construction Grou PLLC a ....... 61 FOUNTAIN ELECTRICAL 1.00 _ LS ......... -EA am 2 62 LIGHT POLE 16.00 ' - _.. 63 LUMINAIRE 16.00 EA 64 _. SERVICE POINT CABINET 1.00 EA 65 SERVICE POINT CABINET FOUNDATION 1.00 EA 641 66 GROUND ROD WITH CONNECTOR 17.00 EA 0 D ......._ _ W ar .. 67 CONDUIT, PVC, 1 IN„ 2,500.00 LFT i 68 CONDUIT, PVC, 2 IN. 1,000.00 LFT 3mi 3 4ay 69 WIRE, THWN, NO. 2 COPPER, 3-1/C 500.00 _.....WW LFT qa n 70 WIRE, THWN, NO. 8 COPPER, 1-1/C 500.00 LFT ��d� 69 � .... 71 WIRE THWN, NO. 6 COPPER 12 1/C /C .._._m_.._.� 250.00 LFT 0 72 WIRE, THWN, NO. 10 COPPER, 3-1/C ....._._. 2,500.00 LFT wcl1_ 73 CABLE-DU ._ CT MARKER � �. 2,500.00 �-� LFT ........... 74 MUT PLC0 RESSION FITTING,"' WATERPROOFED 64.00E EA 75 CONNECTOR KIT, FUSED 32.00 EA 76 INSULATION LINK, WATERPROOFED 32.00 EA .................... q LIGHTING 3.00 EA 78 UNDATION SLAB FOUNTAIN FOUNDATION 1.00 LS 95'l ..7 ca 'Xi,a 79 CONCRETE STEPS (ALONG TENNIS COURT) AL _.. 102.00 LFT 80 HISTORIC CONCRL E STEPS, REBUILD 75.00 LFT 81 CHEEKWALL _ 90.00 LFT !7 . � Q q...1. v' / ' n% 82� INTERPRETIVE SIGN __...W 3.00 EACH 9I O 83 BENCH, BACKED ....... 4.00 W EACH Or3,� �- 0 84 BENCH, BACKLESS 8.00 EACH Q 85 CUSTOM BENCH 6.00 EACH 86 BIKE RACK 6.00 EACH II�� 87 ... TRASH CANS 3.00 EACH �1 88 ..... ..... .. SHADE TREE, 3 IN CAL. .......... 23.00 EACH ......... 0 '1 O 89 FLOWERING TREE, 1.5" CAL. -99.00 25.00 m EACH �,�� ('1 �137 7 -i 90 FLOWERING TREE, CLUMP EACH a , r-91::: CONIFEROUS EVERGREEN TREE (10-12FT.) ..................w 12.00 EACH 1 Version 1/17/2019 Contractor's Bid for Public Works - 56 BID/PROPOSAL ,r,a CITY OF SOUTH BEND 4�, Project Name: Historic Leeper Park Improvements - Bid Package 1'f; Project Number: .. . .........�.__...... 118-010A " For Bids Due: April 18, 2019 180 Contractor Name: Holladay Construction Group, LLC�� 92 DECIDUOUS SHRUB, 48" CONT. 6 00 EACH 23qIJ i1Y35.62 92 BROADLEAF EVERGREEN SHRUB, 1 GAL. 68.00 EACH 93 PERENNIAL 1 GAL .... _....... .. 1,504.00 EACH �� y A� 94 GROUND COVER, PLU.....G 2,000.00 EACH 95 PERENNIAL, TRANSPLANT 33.00 EACH A 96 SHRUB, TRANSPLANT 7.00 EACH 14, 3-7,& 97 SOIL AMENDMENT 75.00 CYS d HARDWOODED BARK MULCH 46.00 CYS CYS P/ 99 STEDELEDDGIN.G _m ____ _uu__uuW 840.00 n192.00 ..__ LFT `6 ... BRICK 100 mFOUNTAAN PRAZA BANDS mmm.m. LFT I 'va W.1144RiL 102 RAILING 40.00 LFTIWA, ,7 O 4-G3 ......................... ... UTILITY ITV OUTLETS ETS 104 FOUNTAIN CONTROLLER ENCLOSURE 1.00 LS 105 EROSION CONTROL 1.00 LS 106 ._ ___.... LINE, THERMOPLASTIC, SOLID, WHITE, 4 IN, __....... 1,180.00 LFT ...... �. ���........... 107 LINE, THERMOPLASTIC, SOLID, YELLOW, 4 IN, 1,320.00 .. . LFT 108 LINE, THERMOPLASTIC, SOLID, WHITE, 6 IN. ........ .... .... 368.00 LFT Q 109 TRANSVERSE MARKING, THERMOPLASTIC, STOP LINE, WHITE, 24 IN. 26.00 LFT 110 TRANSVERSE MARKING, THERMOPLASTIC, 294.00 LFT ��yy CROSSWALK LINE, WHITE, 24 IN. 111 GROOVING FOR PAVEMENT MARKINGS 2,528.00 LFT 3............�o, 112 LEEPER PARK ART FAIR 1 LS 113 FOUNTAIN CONTROL PANEL FRAME AND 1 LS TION �� 114 ROECEPT, CLE LOAD CENTER AND SUPPORT 1 LS d FRAME 4 140 3-0 BASE BID TOTAL".______________________ . Bidder (Firm): Holladay Construction Group, LLC Address: 227 S. Main Street Suite #200 City/State/Zip: South Bend, IN 46601 Telephone Number: ( 574 ) 850-4564 By (Signature) (Printed Name of Person Signing) Version 1/17/2019 Contractor's Bid for Public Works - 57 30 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-, St. Joseph 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 on list published by the Indiana Department of Administration. Version 1/17/2019 Contractor's Bid for Public Works - 51 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 MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I 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 - 52 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 18th day of April , 2019 Holladay Construction Group, LLC Contractor/Bidder (Firm) Signature of Contractor/Bidder or Its Agent Printed Aame and Title Subscribed and sworn to before me this - day of April 2019 My Commission Expires _� 4" otary Public County of Residence w LYDIA A. PISARSKI, * SEAL * Notary Public A Resident of Porter County, IN My Commission Expires 01/08/2020 Version 1/17/2019 Contractor's Bid for Public Works - 53 THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, THAT WE Holladay Construction Graup, LLC 227 South Main Street #200 South Bend IN 46601 as Principal, hereinafter called the Principal, and Berkley Insurance Company_ 475 Steamboat Road Greenwich CT 06830 a corporation duly organized under the laws of the State of DE as Surety, hereinafter called the Surety, are held and firmly bound unto City of South Bend, Indiana - Department of Public Works 227 West Jefferson Blvd, South Bend IN 46601 as Obligee, hereinafter called the Obligee, in the sum of live Percent of Amount Bid Dollars ($ 5% ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Historic Leeper Park Improvements Bid Package 1 Project No. 118-010A NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and materials furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee 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. Signed and sealed this 8th day of April 2019 Em Berkley Insurance Com (Surety) Josef i f RL�lo U frrf+et Indiaa.'License# Cf .................... ........ AIA DOCUMENT A310 0 BID BOND 0 AIA 0 FEBRUARY 1970 ED. 4 11W, alM RICAN INSTITUTE OF ARCHITECTS,1735 N.Y. AVE., N.W., WASHINGTON, D.C.2:DC106 THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, THAT WE Holladay Construction Group, LI_C 227 South Main Street fk200 South Bend IN 46601 as Principal, hereinafter called the Principal, and Berkley Insurance Company 475 Steamboat Road Greenwich,, CT 06830 a corporation duly organized under the laws of the State of DE as Surety, hereinafter called the Surety, are held and firmly bound unto City of South Bend, Indiana - Department of Public Works 227 West Jefferson Blvd, South Bend, IN 46601 as Obligee hereinafter called the Obligee, in the sum of Five Percent of Amount Bid Dollars ($ 5%, for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Historic Leeper Park Improvements Bid Packa e 1 Project No. 118-010A NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and materials furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee 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. Signed and sealed this 8th day of April 1 2019 G01 Insurance Com R-, jo (Title) AIA DOCUMENT A310 & BID BOND 0 AIA 0 FEBRUARY 1970 ED. ;yHF AMIZRICAN INSTITUTE OF ARCHITECTS,1735 N.Y. AVE., N.W., WASHINGTON, D.C. 2,06 ru W r,K ur A t t utulNr, Y BERKLEY INSURANCE COMPANY WILMINGTON, DELAWARE NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully. KNOW ALL MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Delaware, having its principal office in Greenwich, CT, has made, constituted , and appointed, and does by these presents make, constitute and appoint: John A Harney, Jacquelyn M. Norstrom; Josefina Rojo; Douglas M. Schmude; Dorothy J. Balks; Mary F. Doyle; or Pamela S. Higghibotham of Mesirow Insurance Services, Inc. of Chicago, IL its true and lawful Attomey-in-Fact, to sign its name as surety only as delineated below and to execute, seal, acknowledge and deliver any and all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that no t -)single obligation shall exceed Twenty Five Million and 00/100 U.S. Dollars (U.S.$25,000,000.00), to the same extent as if such -bonds had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their f own proper persons. ,This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the 'state of Delaware, Uwithout giving effect to the principles of conflicts of laws thereof, This Power of Attorney is granted pursuant to the following resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25, 2010: RESOLVED, that, with respect to the Surety business written by Berkley Surety, the Chairman of the Board, Chief Executive Officer, President or any Vice President of the Company, in conjunction with the Secretary or any Assistant Secretary are ' J hereby authorized to execute powers of attorney authorizing and qualifying the attomey-in-fact named therein to execute -- bonds, .undertakings,_recognizances, _or other suretyship obligations -on behalf of the Company,_and_to-affix.the-corporate -seal of the Company to powers of attorney executed pursuant hereto; and said officers may remove any such attorney -in -fact and revoke any power of attorney previously granted; and further RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances, or other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the manner and to the extent therein stated; and further RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney -in -fact named; and further RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligation of the Company; and such signature and seal when so used shall have the same force and effect as though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have ceased to be such at the time when such instruments shall be issued. - 1N WITNESS WHEREOFZ-doman has ca d these presents to be signed and attested by its appiopi•iitte officers and its corporate seal hereunto affiday of Attest: 13erkle Insurance Oomprwn It (Seal) By ...._.._BYIraJofl e . tier Executive Vice.President & Secretaryen o i esient WARNINGt THIS POWER INVALID IF NOT PRINTED ON BLUE `•`BERKLEY" SECURITY PAPER. STATE OF CONNECTICUT ) COUNTY OF.FAIRFIELD } Sworn to before me, a Notary Public in the State of Connecticut, this 2E6ay of ;1,y Ira S. Lederman and Jeffccy IVI. Rafter who Are sworn to me to be the Executive Vice. lire "dci t an�S��Cin ry s the Senior Vice President, 1•espeptively, of Berkley Insurance Compar(OA91A C. RUNDBAKEN r NOTARY PUBLIC L .r• t! MY COMMISSION EXPIRES Diary Public; State of Connecticut' APUIL 30, 2ti7 ClAt'.•'I"IVICATE E"I, the undersigned, Assistant Secretary of BERKLEY INSURANCE, COl' P'AmY, DO HEREBY CERTIFY that the foregoing is a true, correct and complete copy of the original Power of Attorney; that said Power of Attcrnsy has not been revoked or rescinded and that the authority of the Attomey-in-Fact set forth therein, who executed the bond or undertaking to winich •:his Power of Attorney is attached, is in full force and effect as of this date. � �' v^a Given under my hand and seal of the Company, this ... day of 1 (Seal) Vine it P. Forte State of Illinois County of Cook On this 8t' day of mil 2019, before me personally appeared Josefina Rojo , known to me to be the Attorney -in -fact of Berkley Insurance Companmmmm .. � the corporation that executed the within instrument, and acknowledged to me that � _M ......_..... � at such corporation executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, at my office in the aforesaid county, the day and year in this certificate first above written. (Notary Public) (Seal) OFFICIAL SEAL DOROTHY J mws "rrARY pUBM -STATE OF ILLINOIS 'OMMSSONEVIRES005122 Wase verify flv,,:,! of the instrument', 10 11'1Is P(',�'NV(2t ID Y: '-FclkFr'ee lVelphone; (800) 456-5486; or Elec&orkc NAW Y n, Any wrRILe,,,n inquh Igo, chks or downds to the Suuq on Me how! allached to ON PTiviersh(w1d be Trecod tc-�� 4, 12 M o i rr � Ke i, n b , � /w SURP 3101\1 Mordstowit NJ 07960 6,( e 1") L i o 1, 1: ;,f I Ly C fa "n ,, D E',, �D I "t � �'I E�, � I 0 ir [lease inchdde with aH carrumunWhons the bond number and the naw of khe prindpaWn L.)ond,, \A/here a AS is Wng asseqed, pKase set Rath genenWy the WN of the cdairn. n the case of a payment or peAnmance bon$ Oease So identHy the prQea UD V09iC,h B e A e y S u My i s a rn am b e r c (,,) vi-i a t i)/ o�f \A/ � Z, . B e r < l e y ( o r o i o r) I, lr t undervAtes surety buskwss on MAY of Berldey Innnonce Coaqvmy, Berldey Regional nsuw(,,,:e Cor'npa"ir'iy anr,,I Casu�,,,,flty nsur�,,irkce 1316 COUNTY-C€TY BUILDING i PHONE 574/ 235-9251 227 W. JEFFERSON BOULEVARD j ;;; FAX 574/ 235-9171 SOUTH BEND, INDIANA 46601-1830 TT)I3 574/ 235-5567 1865 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: March 28, 2019 To: All Bidders ....... _. ........................ From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Historic Leeper Park Improvements Project Number: 118-010A ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received 3/29/2019 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 added to the Specifications and Contract Documents and become a part of herein. Company: Holladay Construction Group, LLC „- Authorized Signature: Date: 3/29/2019 1316 COUNTY-CrrY Bun.D[NG PHONE 574/ 235-9251 227 W. JEFFERSON BOULEVARD � �i � � � ; FAX 574/ 235-9171 SOUTH BEND, INDIANA 46601-1830CDIi 574/ 235-5567 i yf f1 1865 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: March 29, 2019 To: All Bidders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 2 Project Name: Historic Leeper Park Improvements - Bid Package 1 Project Number: 118-OI OA ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 4//9/201 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:: Holladay Construction Group, LLC Authorized Signature: � Date-, 4/9/2019 Version 4/07/2015 118-010A Addendum #2 1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAX 574/235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: Aril 11, 2019 To: All Bidders From Linda M. Martin Clerk Board of Public Works ............... Subject Addendum Number: 3 Project Name: Historic Leeper Park Improvements - Bid Packa e 1 Project Number: 118-01 OA ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 4/15/2019 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 ;MIST 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: Holladay Construction Group, LLC ... .....__.... . Authorized Signature:: Date: 4/15/2019 Version 4/07/2015 118-010A Addendum #3 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK 1865 CHECKLIST FOR BIDDERS Project Name Historic Leeper Park Improvements — Bid Package 1 Project No. 118-010A For Bids Due April 18, 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 X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X Certification of use of United States Steel Products or Foundry Products. Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted X Form [MWBE-2.1]. X Acknowledge Receipt of 3 Addendum(s) included with the bid. X All required additional information is included with the bid. X Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. X This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Holladay Construction Group, LLC Date: 4/18/19 By Authorized Representative: Signature: .. Print Name & Title: Clayton Trueblood, Project Manager Version 1/17/2019 Contractor's Bid for Public Works - 48 10, 7 z 0) 3 m cn c m v m U) c Q 3 CD Q n A co YCI O N O (D Z m CL v 3 v ID cu po a m rD O n c' N mo W W m co m z 3. CD �o m � CD W o -0 o � 0 0 _ 0 U) 0 cn v 0 fD � CD CD a� c m o � o 0 r-cr _ fD CD CD CD Q. o w n3 a 0 m c0 � mD 0 0 3 c 0 0 CD co d 0 fD 0 0 E N w CD W a p Q m. CDCD z c 3 Q (D n x m Q of = o a y r 0 m c �p w O • 3 0 0 eD m 0 N i W a w n I-ML K W W �(D m 0 0 w :rt � O N N a m O C r U a a y y y O_ m l�D N N = m O C ma T. Q Qm = N rt � oa Ma CD �W S (p C w w CD rL �o o o, oc O rt w � 7 lD 0.0 a 9 � m y n 3 � mO N s� m c r*. O O " ic 3m �3 o Co M. m Od �n O.S. 3 w � O f/1 � 3 z O M D z v ic v W W oz0�T mX -0 jC CO n3 my0 �W 31Nc nm ,U)x .a 1 O�z z N m v m X cn CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY r- DEVELOPMENT PROGRAM FORM MWBE-2.0 n 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 MBEIWBE 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: 118-010A Date: 4118/19 Project Name: Historic Lee er Park Improvements — Bid Package 1 Bidder: Holladay Construction Group,LLC Contact Person: Clayton Trueblood Telephone: 219-448-0049 Address: 227 S. Main Street Suite #200 City South Bend State: IN .. _ zip: 46601 Email: ctrueblood@hcgllc.net To determine whether a bidder has demonstrated good faith efforts to reach the 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 ........... MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business CT Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (http://www.in.gov/idoa), ACTION (ADVERTISE/CONTACT): 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 subcontracting opportunities. CT 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, CT 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 CONTRACT(S): The bidder selected specific portions of the work to be performed by CT MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down contracts into smaller units to facilitate MBE/WBE participation) ... ....... ....... .... .... CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has CT bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 1 A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBENVBE was unqualified to perform the job. "Proper demonstration of 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 1/17/2019 Contractor's Bid for Public Works - 59 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM a FORM MWBE-2.1 MBEIWBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBEIWBE 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 1 OF 1 Project Number: 118-010A MBE/WBE Participation Goal Project Name: Historic Leeper Park Improvements - Bid Package 1 Bidder: Holladay Construction Group, LLC By: Project Mana er 4/19/19 (Signature) (Title) (Date) ------------ MBE/WBE Firm Fox Contractors Corporation Owner or Contact at MBE/WBE Firm Dallas Day Telephone: 317-769-6291 Fax, TYPE OF WORK SOLICITED FOR THIS PROJECT' Earthwork, excavation, site demo, 8 aggergate base RESULTS OF CONTACT WITH THE MBE/WBE FIRM: No MBE/WBE Firm D.A .Dodd Owner or Contact at MBE/WBE Firm Jason Demeyer Telephone: 219-778-4302 Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: Plumbing RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Declined to bid Email: dday@jgxcontractors.corn Email: 'asondeme er dadodd.com Version 1/17/2019 Contractor's Bid for Public Works - 60 s j o 3 - E K° m m o m 3 o io 00 o o o r c o' n f p — n ^ m 0 � m m m m m m m W m m m m m m m m o r o 3 o F m 3 3 m < 0'0 n o < w N 3 < N 3 3 ° � 3 o a N o °v < ol c� v 3 P.a, �' Gp q ffl CY G) fP Cb fir A Gd 'fin GPN ..VtR � P 17 WN tl^ 21 di ai 'y qy j. ftb liiry .w �A PW e 6'} SET m � � Li 0o au o0 ao m ao m 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 aW. ro io ro m m ry m rom W. ro. ro ro m m d d d d d d d d d d d a d d d - - - - - - - - - - - - - - - o 0 0 0 a 0 0 0 0 0 0 0 o 0 0' o O 0 O 0 0 0 0 0 0 o 0 0 O O 0 W W m W W W W W W W W W W W W w w w \ w ... \ \ \ w N N N N N N N N N N N N N N N N N N N N N N N N N N N N N O O O O O O O O O O O O O O O l0 lD lD l0 1p l0 l0 l0 l0 1p l0 lO 1p W O O m m Z Z Z Z Z Z Z Z — Z Z rp Z Z O O O O O 7 O O O O O O O fD N ID N N N 10 fD N Ain fD fC U a U U 9 0 a 9 i O V n C C W W 2 d N d ono ��„ �„� HOLLADAY CONSTRUCTION GROUP '9 Creating Solutions... Building Relationships www.hoBadayconstructiongroup.com Evidence of Apprenticeship & Training Programs Holladay Construction Group's superintendents are all union carpenters who have gone through the IKORCC apprenticeship program. Holladay's superintends and project managers have also had OSHA training and are OSHA certified. Additional documents or evidence can be provided upon request. Billing Address C,'entra/ Indiana Region Vorthern Indiana Region 227 S Main Street Suite 200 5715 Decatur Boulevard 6370 AmeriPlex Drive Suite 110 South Bend, IN 46601 Indianapolis, IN 46240 Portage, IN 46368 Phone; 574-217-4492 Phone: 317-548-4234 Phone: 219-764-8278 Tennessee Region 1508 Elm Hill Pike Suite 100 Nashville, TN 37210 Phone: 615-598-9823 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Historic Leeper Park Improvements — Bid Package 1 Project No. 118-010A For Bids Due April 9, 2019 extended to April 18, 2019 per Addendum #1 Contractor Name: Holladay Construction Group, LLC 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 31s' 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 7/20/201 B 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 -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. 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) 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) 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). List identifying all former business names. 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 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. (viii) Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. Version 7/20/2018 General Conditions - 10 (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: 1 (Sig Here) Clayton Trueblood, Project Manager (Print Name Here) Holladay Construction Group, LLC (Name of Company) 227 S. Main Street #200 (Address of Company) South Bend (City) Indiana (State) 219-448-0049 (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 (Additional Page Attached) 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 (Additional Page Attached) 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT (Financials Attached) 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 - 50 (b) Attachment (i) HOLLADAY CONSTRUCTION GROUP Business Name: LLC Entity Type: Domestic Limited Liability Company Creation Date: 02/02/2007 Principal Office Address: 227 S MAIN ST, STE 300, SOUTH BEND, IN, 46601, USA Jurisdiction of Fonnation: Indiana BUSINESS INFORMATION CONNIE LAWSON INDIANA SECRETARY OF STATE 04/17/2019 12:23 PM Business ID: 2007020200598 Business Status: Active Inactive Date: Expiration Date: Perpetual Business Entity Report Due 02/28/2021 Date: Years Due: Title Name Address Manager John T Phair 227 S. Main St., Suite 300, So Bend, IN, 46601, USA r Type: Individual Name: JOHN T PHAIR Address: 227 S MAIN ST, STE 300, SOUTH BEND, IN, 46601, USA PART II Section 1 — Experience Questionnaire i. Attach information regarding projects your organization has completed for the period of one year prior to the date of the current bid. PROJECT LOCATION COMPLETE COST Hooters Restaurant Portage, IN May 2018 $ 2,467,207.00 Centier Bank Elkhart, IN Nov 2018 $ 873,575.00 KRW Warehouse Elkhart, IN July 2018 $ 3,240,251.00 Woodspring Suites Hotel Carol Stream IL Feb 2019 $ 6,704,028.00 Promenade @ Founders Square Apts-Ph 1 Portage, IN Dec 2018 $ 27,000.00 Woodspring Suites Hotel Merrillville, IN March 2019 $ 6,392,336.00 ii. Attach a listing of public works projects currently in process of construction by your organization. N/A iii, Attach information regarding any failure to complete any work awarded to you and the location thereof. N/A iv. Attach References from private firms for which you have performed work. Kim Woofter Advanced Centers for Cancer Care 574-8 4-5400 Dan Plank VP Facilities Centier Bank 219-755-4674 lean So cak Superior Construction 219-746-7418 Jeff Goffeney TCU Bank 574-284-6488 Ken Pylipow VonTobel Corporation 219-850-1550 Section III Financial Statement —Attached 4.) Responsible Bidders Check -List a. Indiana Secretary of State's Business Entity Report — Attached b. List identifying all former business names. N/A c. Any determinations by court or governmental agency N/A d. Staffing Capabilities -Resumes attached 1. Scott Trueblood, Regional Vice President 2. Clayton Trueblood, Project Manager, Estimator 3. Scott DeMartinis, Project Manager 4. Erica Lawson, Project Coordinator 5. Shannon Hyduk, Vice President of Finance 6. Lance Malstaff, Superintendent e. Statement about individuals who will perform work on public work project on my behalf will be properly classified as an employee. Certified payroll will be provided upon request f. Evidence of participation in apprenticeship & training programs. See attached j. Similar projects Michiana Hemotology Oncology — Mishawaka, IN HCG collaborated with Holladay Properties and Michiana Hematology Oncology to develop, design and build this 50,000 SF state-of-the-art cancer treatment facility in Mishawaka, Indiana. A water fountain was installed as part of the extensive landscaping detail. SUSTAINABLE LED STREET LIGHTING AmeriPlex-Indianapolis - Purdue Research Park, World Connect Holladay Properties is proud to have completed one of Indianapolis' first private LED street lighting projects. Looking to install decorative fixtures at key intersections with comfortable and even light, the King Luminaire LED products were a perfect choice. Future cost savings in electricity and lamp replacement becomes a simple added value. The fixtures do not produce infrared or ultraviolet light and contain no hazardous materials, which fits with Holladay's low impact development strategies. THE PROMENADE AT FOUNDERS SQUARE Portage, Indiana The Promenade at Founders Square is a new $40 million mixed -use development, and one of the largest single investments in Holladay's 66-year history. The project offers 304 residential units and over 10,000 square feet of fully -leased ground floor commercial space with immediate access to Founders Square Park. Extensive landscaping and concrete sidewalks through -out. IMEMM Creating Solutions... Building Relationships HOLLADAY CONSTRUCTION GROUP I L,aSII I rslli'P , 00 R iiij II,J V-36';I f'rwiri 14�,I d'iIJ Scott Trueblood Regional Vice President Portage, Indiana HOLLADAY CONSTRUCTION GROUP Mr. Trueblood joined HCG in 2006. He has a Bachelor's of Science degree from Purdue University where he majored in Building Construction and Technology. Scott brings over 36 years of industry experience to his role with HCG. Scott began his career as a laborer at the age of 18. He spent the first seven years of his career after graduating learning the industry in the field, working his way up through the ranks to attain the position he has today. With the majority of his experience in the design/build side of the business, he has learned the importance of building a project's success by working closely with the customer, the design team, and the subcontractors from the very beginning of a project. Scott has experience in office, retail, industrial, food service, and healthcare and can offer his promise of "total customer satisfaction' through management of budget, quality, and schedule to a wide range of clientele. EDUCATION Purdue University Graduate YEARS OF EXPERIENCE 13 Years with Holladay Construction Group Over 36 Years in the Construction Industry RECENT PROJECT EXPERIENCE The Promenade at Founders Square Mixed Use Development - Portage, IN - New Construction WoodSpring Suites - Tinley Park, IL - New Construction Chrysler Dodge Jeep Ram - Michigan City, IN - New Construction Logistics Team - Portage, IN - Interior Renovation Centier Bank - Merrillville, IN - Renovation Centier Bank - Schererville, IN - Renovation Superior Construction Co. Build -to -Suit - Portage, IN - New Construction Affordable Suites Hotel - Portage, IN - New Construction Lear Corporation - Portage, IN - Interior Renovation Valparaiso Family Dentistry Build -to -Suit - Valparaiso, IN - New Construction Subway Restaurant - Portage, IN - New Construction Michiana Hematology & Oncology - Westville, IN - New Construction LifeWorks Medical Office Building - Michigan City, IN - New Construction Indj,'am tpohs 11I14I`)."140 u 4211 ' )8 LaiIwill�, hhl 1r) HOLLADAY CONSTRUCTION GROUP 7oolaciv fi�rdrote Clayton Trueblood Project Manager Portage, Indiana HOLLADAY CONSTRUCTION GROUP Mr. Trueblood joined Holladay Construction Group in 2016 and has over 10 years of construction industry experience both in the field and in the office. Clayton also brings several years' experience as a proven construction estimator. Since joining Holladay Construction Group, Clayton has helped create Purdue University Northwest YEARS OF EXPERIENCE 2 Years with Holladay Construction Group 11 Years in the Construction Industry RECENT PROJECT EXPERIENCE The Promenade at Founders Square - Portage, IN - New Construction WoodSpring Suites - Tinley Park, IL - New Construction Centier Bank Wealth & Management - Valparaiso, IN - 2nd Floor Renovation Von Tobels Schererville Facade Remodel - Schererville, IN - Renovation FSSA Renovation - Gary, IN - Renovation Dyer MOB; Cardio, OB/ GYN, & PEDs office build -outs - Dyer, IN - Tenant Improvements/ Renovations Country Inn & Suites - Portage, IN - Remodel McMahon Industries -Valparaiso, IN - Office Renovation 4_.e duu^a.l Of7 ,"v �'I1�' �;H"ern � aa�r�,-"''if ,hlc,r�po nI 1611i1"r :6 I'd�i� t `�'d�.ii1 ^'�ilfl Si1'� I i,.���ri�i�i ICJ �I+ un;1 '7f1 /1,111^'I1l112, lli i.�iY s 1�4J IN dIN 607 �a�li iv�il��:��I�� I ��afu�,7l) I o' l up- III 4u.3k�7��f �I,u�;h'�.rillr Ifd 37�'If�) Scott DeMartinis Project Manager South Bend, Indiana HOLLADAY CONSTRUCTION GROUP Mr. DeMartinis joined Holladay Construction Group in 2018 with 24 years of experience in the construction industry. EDUCATION �� Journeyman Carpenter Training and Certification / 1995 National Carpenters Superintendent Training, Las Vegas, NV / 2007 ��" OSHA 300 Certified Creating Solutions... Building Relationships CPR Certified HOLLADAY CONSTRUCTION GROUP Noy -ern lad!' ad 066cc /l ,1 mik /1 �l d 4 YEARS OF EXPERIENCE 1 Years with Holladay Construction Group Over 20 Years in the Construction Industry RECENT PROJECT EXPERIENCE: Double Tree Hotel - South Bend, IN - 2018 - $1,200,000.00 Renovation of guest rooms and corridors Centier Bank - Elkhart, IN - 2018 - $1,100.000 New Satellite Branch Franciscan Health - Crown Point, IN - 2013 - 2017 Completed various additions and renovation projects for an inpatient care facility. Totaling more than $12,000,000.00 Strack & Vantil Grocery - Various locations - 2006 - 2013 Completed total store renovations at several locations. (;eiatr. 1 Tri 'r.? _i Calf-c .Ct?nc.SS'i Erica Lawson Project Coordinator South Bend, Indiana HOLLADAY CONSTRUCTION GROUP Ms. Lawson joined Holladay Construction Group in February of 2016 as Project Coordinator for the South Bend office. Erica supports the Project Management Team and Controller by issuing owner and sub- contracts, coordinating change orders, entering invoices, and maintaining project submittals, closeouts, and licensing and insurance requirements. Erica is a strongly committed team player and has been building Emrelationships in the construction industry for over five years. She is skilled in procedures necessary to ensure projects stay on schedule and within budget and personally strives to exceed client expectations and satisfaction. Creating Solutions...Building Relationships �.... HOLLADA......................... Y EDUCATION CONSTRUCTION Bethel College - Organizational Management GROUP YEARS OF EXPERIENCE 1 Year with Holladay Construction Group 6 Years in the Construction Industry ',> h, brio '31i . 1 `:',udi 00 'olit,ir Isc,i(I III RECENT PROJECT EXPERIENCE KRW Warehouse - Elkhart, IN - New Construction Federal Mogul - South Bend, IN - Tenant Improvements Inn at Saint Mary's Hotel - South Bend, IN - Renovations Phase 2 Century Center CEO Suites/Serv. Court -South Bend, IN -Renovations The Pepsi / Ontario Building - South Bend, IN - New Construction Inn at Saint Mary's Hotel - South Bend, IN - Renovations Phase 1 St. Joseph Parish Gym & School - South Bend, IN - Addition Residence Inn - South Bend, IN - Remodel Teacher's Credit Union Bittersweet -Mishawaka, IN - Renovations Ziker Cleaners - Mishawaka, IN - Renovations C«°Isr A r? „ava 4 )Mc , u 5 lr 4,.''; 4 l 11� IIIefi d�la/ 11( "V,,tpa 01th:x� 1508 1!� �in Hill 1 11k . ,il1 f W !')s vffl ( 1 ic, m H 1 lmmmm� Creating Solutions... Building Relationships HOLLADAY CONSTRUCTION GROUP Shannon Hyduk Vice President of Finance South Bend, Indiana HOLLADAY CONSTRUCTION GROUP Mr. Hyduk began his career at Holladay Construction in June of 2005 as a Construction Accountant. In 2010, he was promoted to Controller, After graduating from Notre Dame, Shannon worked at the Sterling Group for 2 years as an accountant in the construction department. EDUCATION University of Notre Dame - Bachelor of Business Administration YEARS OF EXPERIENCE 14 Years with Holladay Construction Group 15 Years in the Construction Industry RESPONSIBILITIES Controls the entire Accounting portfolio for Holladay Construction Group. Responsible for applying accounting principles and procedures while compiling and analyzing financial information to prepare accurate and timely financial reports and statements and ensuring appropriate accounting control procedures. Provides continuous support of budget and forecast activities and analyzes and advises on business operations including revenue and expenditure trends, financial commitments and future revenues. Oversees and analyzes all accounts within company's general ledger, balance sheet, trial balance and income statement. Accountable for daily cash flow, in charge of preparation of monthly draw/invoices to respective owners for all current jobs, collects and records all cash receipts, organizes and sets up all new jobs, maintains accounts payable, reconciles monthly bank statements and completes annual review/ audit of Holladay Construction Group's financials. 9 `>>".i8 I ai I i {ill f kr, `,I I,I i. 100 rail l . I N1 2 10 Lance Malstaff Project Superintendent South Bend, Indiana HOLLADAY CONSTRUCTION GROUP Mr. Malstaff has been with Holladay Construction Group since 2006 and has over 36 years of construction industry experience. A South Bend native, Lance comes to us with extensive knowledge in building medical centers, multi -family housing, industrial, educational facilities and retail developments. Since joining Holladay Construction Group, Lance has worked with the construction team out of our South Bend Office. He incorporates a General Contracting side to what has been a Construction Management philosophy in the past. Lance is proficient in g Iuliona..BuildingRelalianships P p y P P ............._.........-� ���� � coordinating trades and meeting demanding schedules. reaten o HOLLADAY CONSTRUCTION EDUCATION GROUP Full Journeyman Carpenter - Local 413 OSHA 30 Hour Course Mishawaka High School Graduate YEARS OF EXPERIENCE 11 Years with Holladay Construction Group 36 Years in the Construction Industry RECENT PROJECT EXPERIENCE Federal Mogul - South Bend, IN - Tenant Improvements The Ontario Building - South Bend, IN - New Construction Chase Plastics Warehouse - South Bend, IN - New Construction Hubbell Raco Warehouse - South Bend, IN - New Addition National Terminal Apartments - Cleveland, OH - Renovations Brown Mackie College - South Bend, IN - New Construction ITT Technical Institute - Mishawaka, IN - Renovations Davenport College - Mishawaka, IN - Renovations Holy Cross College - South Bend, IN - New Construction Memorial Home Care - South Bend, IN - New Construction Michigan Hematology & Oncology - Mishawaka, IN -New Construction Lifework's Medical Office - Michigan City, IN - New Construction AM General - Mishawaka, IN - New Addition Heritage Square - Granger, IN - Retail Development Dylan Drive - South Bend, IN - Industrial Expansion ������:��° a'`.�� �����•�.�,(�rc�w'ma�rr� �.�P"�����^ ;"w�� �"a�ar�m-u�rrA,,'' �, � "'�:�,n "��°°ra�a��,�a°�� �"�;��n''�'���,�r, 'OO P" Dj� (�011 o'l„i'mi /\m iil'I,;x 1)11r Smi ) 10 P)0 8 i"'lin 1I1111111h,',iil, Vp) i1k.° >I`dI/7 i7cr 5/11) 1 1 I') 7(34 „r /ray 1 vwe ) I 1"j 0 2 .g $ - § e \ \kƒc c� 4�- / % \ 2 ksCL a= / u \) \ " a 5 ai c cu / � {/ k ) � R 0 0 w \ k / 2 (q \ u 2 0 c �- � 2 $ / / aj aj CU a / CL2c 2 ai cu 41 -0 \ § \ k \ £ g _ g f2k U ® t u / k / S > ) CU CU ± \ _ aj o -0 k CL cL a 0 § aj 3 u / �.E 2 § q_ § ( \ k 3 W 2 ? tA © a) CU 2 7 k 0 ƒ 0 7 06 § o k § A k \ � \ \ & .\ CL 0 4� Q) m $ \ & / 41 ' ®-0) 0 m M W / R c / \ k k .- ai M qtlD \ i o & > � § u $� 2 O C ƒ iR..., kQILI(i Ji gin, 1341d ilct 1.5.1.4 A. copy of the Design -Build Entity's written drug testing program dmat covers all employees of the Design -Build. Entity that will perform work on the Project and meets, or exceeds, the :min:im.urii..r(!quiremerits set forth in. Ic 4-13 48 5 or IC 4-13-18 6. Ifolladay C'onst.ruction mainlakis a written drug k,skn� prograrn that covers all cmiployees that will j.-)erforni 'work on the llroect. A copy of (lie DrUg & Alcohol l'olicy follows on Pages 9-10. '151.5 A. written statement of any federal, state or local tax liens or tax delinquencies owed. by die Design uild. Entity to any Federal, State or local. taxing body after June 1.6, 2011 until the present. 11oll'iday ("onkruction O'oup does not have any history ofany tax liens Or clelinqtwncies� 1.516 A written. statement that all. individuals who will perform work on. tMs project on behalf of the Design -Build Entity will be properly classified as either (i) an employee or (h) an. independent contractor, und.er all applicable federal, and state laws as well as local ordinances. i1ol.laclay ('onstrudion C,40UP Will ClaSS'fl_'V all in.(JividuAs who will perforin work on this pwiect as either (i) an e.inployee or (d) an indepehideW contractor, under A applicable federal, and state laws as welt as local ordinances. Holladay Construction Group, LLC I MOMM I New Prairie United School Corporation HOLLADAY Qualification Questionnaire for Design -Build Services CONs'nuic'nON 8 GROUP HOLLADAY CONSTRUCTION GROUP Creating Solutions... Building Relationships www.hoRadayconstructiongroup.net DRUG & ALCOHOL POLICY Holladay has a strong commitment to its customers .and to its employees by a safe working environment and promoting high standards of employee health. Drug and alcohol abuse affects productivity, safety, and undermines our ability to conduct business. All employees are required to know and comply with this expectation; and failure to do so will result in discipline up to and including termination. The Company prohibits: 1. Use, possession, distribution and sale of alcohol and/or illegal drugs while on the job, on any of its premises, or in performance of business. This applies to on -duty employees and to off -duty employees on its properties or performing any company business. This also applies to employees during their breaks and lunch hours. 2. Any employee found working with alcohol and/or drugs in his or her system. 3. The abuse of legal drugs, as well as illegal drugs. 4. Alcoholic beverages being brought onto or consumed upon Holladay' s properties or its premises. Drinking or being under the influence of alcohol is cause for termination. 5. An authorized representative of our company may, upon reasonable suspicion of substance abuse or any other unauthorized conduct, search employee lockers, tool boxes, duffel bags, backpacks, purses, and personal vehicles parked on Holladay' s property at any time. Drug & Alcohol Testing: 1. Testing after Personal Injury or Property Damage: In the event of a work -related accident resulting in personal injury or property damage, each employee involved in the incident may be required to submit to testing for controlled substance screen test. 9 South Bend, IN - Indianapolis, IN m, Portage, IN - Nashville, TN 2. "Reasonable Cause" Testing: Employees may be required to submit to a controlled substance screening test any time supervisors or management have a good reason to believe an employee is working with drugs and/or alcohol in his or her system. Example of "reasonable cause" include, but are not limited, to the following: a. Slurred or incoherent speech; b. Glassy -eyed stare; C. Disoriented behavior; d. Unstable gait; e. Lack of motor control; f. Noticeable poor work performance (e.g. frequent accidents, absenteeism, abuse of sick leave, etc.); g. Unexplained increase in absenteeism and/or tardiness; h. Involvement in accidents on company property that result in personal injury or property damage; and i. Extreme change of behavior. EMPLOYEES WHO TEST POSITIVE OR WHO REFUSE TO SUBMIT TO A CONTROLLED SUBSTANCE SCREENING TEST MAY BE TERMINATED IMMEDIATELY. If an employee tests positive, we will allow the employee to have a part of the sample re -tested at his or her own expense within ten (10) days after notification of the test results by Holladay. Any employee who tested positive for drugs or alcohol in Holladay's drug test may provide and explanation of the positive test and/or request a confirmatory test. Employee is responsible for bearing the cost of the confirmatory re -test. 10 b � Berkley Surety a Berkley Company April 16, 2019 Dept. of Public Works City of South Bend 227 West Jefferson Blvd. South Bend, Indiana 46601 Re: Holladay Construction Group, LLC - Statement of Surety Treasury Listing Certification For Historic Leeder Park Improvements — Bid Package 1: Project No. 118-010A To whom it may concern: This is to confirm and to certify that Berkley Insurance Company provides surety credit to Holladay Construction Group, LLC. Berkley Insurance Company is a listed as a Certified Company in the Current Department of Treasury's Circular 570 list of approved sureties, with an underwriting limitation of $ 453,117,000. In addition Berkley Insurance Company has an A.M. Best rating of "A+" (Superior) and a financial size of XV. Below is their current listing in the Department 570 Circular: Berkley Insurance Company (NAIC #32603) BUSINESS ADDRESS: 475 STEAMBOAT ROAD, GREENWICH, CT 06830. PHONE: (203) 542-3800. UNDERWRITING LIMITATION b/: $453,117,000. 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, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Delaware. The most current list of Treasury authorized companies is always available at the List of Certified Companies found at: https://www.fiscal.treasury.gov/surety-bonds/ If you have any questions, please don't hesitate to contact us Sincerely, ju-.� J, uelyn M. Norstrom Attorney in Fact 1250 E. DIEHL RD., SUITE 200 NAPERVILLE, IL 60563 T 630.210.0452 F 630.210.0375 W WW.BERKLEYSURETY.COM State of Illinois County of Cook On this 16th day of April 2019, before me personally appeared M. NorsjrQm known to me to be the Attorney -in -fact of Berkley Insurance Company , the corporation that executed the within instrument, and acknowledged to me that such corporation executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, at my office in the aforesaid county, the day and year in this certificate first above written. (Seal) OFFICIAL SEAL ROGER PARAwN STATE MV COMMISSION of �i �� Si O �. (Notary Public) No. BI-228d POWER OF ATTORNEY BERKLEY INSURANCE COMPANY WILMINGTON, DELAWARE NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully. KNOW ALL MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Delaware, having its principal office in Greenwich, CT, has made, constituted 2� and appointed, and does by these presents make, constitute and appoint: John P. Harney, Jacquelyn M. Norstrom; Joseflna Rojo; EDouglas M. Schmude; Dorothy J. BaUis, Mary F. Doyle; or Pamela S. Higginbotham of Mesirow Insurance Services, Inc. of ""Chicago, IL its true and lawful Attorney -in -Fact, to sign its name as surety only as delineated below and to execute, seal, acknowledge and deliver any and all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that no ,,single obligation shall exceed Twenty Five Million and 00/100 U.S. Dollars (U.S.$25,000,000.00), to the same extent as if such ca bonds had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own proper persons. 24 w °This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware, ' without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is anted pursuant to the following c' a.b g g P P Y! P g r„ r','' resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25, 2010: " " RESOLVED, that with respect to the Sure business written b Berkley Sure the Chairman of the Board Chief Executive � P Surety Y Y Surety, , Officer, President or any Vice President of the Company, in conjunction with the Secretary or any Assistant Secretary are hereby authorized to execute powers of attorney authorizing and qualifying the attomey-in-fact named therein to execute bonds, undertakings, reco izances or other suretyship obligations on behalf of the Company,and to affix the corporate seal g , >� h' P g B� of the Company to powers of attorney executed pursuant hereto; and said officers may remove any such attorney -in -fact and Z5, revoke any power of attorney previously granted; and further .w RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances, or other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the manner TJ and to the extent therein stated; and further �'; "' RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attomey-in-fact named; and r 'ra further 0 RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligation of the Company; and such signature and seal when so used shall have the same force and effect as iN m= though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have ceased to be such at the time when such instruments shall be issued. IN WITNESS WHEREOF, the Cornp tty has ca d these presents to be signed and attested by its appropriate officers and its cotporale seal hereunto affixed this day ofal a, a �w, Attest: Berkie Insurance Cornpan Nb %A e$ s (Seal) By By v ' Ira . Led an le a fier Executive Vice President & Secretary "e o i esident 3 ,0 ,C) E WARNING: THIS POWER INVALID 1F NOT PRINTED ON BLUE "BERKLEY" SECURITY PAPER. STATE OF wCONNECT'1CUT' ) ) "0 COUNTY OF FAIRFIELD ) ss: Sworn to before rite, a Notary Public in the State of Connecticut, this ay of y Ira S. Lederman „z and Jeffrey M. 11811cr who aro Sworn to rue to be the Executive Vice Pre "dci t and Sccrct/,/,-7 'Senior "ice President, ; respectively, of Berkley Insurance Compa RIAaC. RUND1'1AICEN NOTARY PUBLIC Mid" COMMISSION SION EXPIRES otary Public, State of Connecticut A;PIIt SiJ, t C� TIVI'+CATI 7 'El, the undersigned, Assistant Secretary of BERKLEY INSURANCE COMPANY, DO HEREBY CERTIFY that the foregoing is a tnie, correct g wand complete copy of the original Pourer of Attorney; that said Power of Attorney has not been revoked or rescinded and that the authority of the Attorney -in -Fact set forth therein, who executed the bond or undertaking to which this Power of Attorney is attached, is in full force and ewect as of this date. �- Given under my hand and seal of the Company, this 140ti day of (Seal) inc t P. Forte