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HomeMy WebLinkAboutOpening of Quotes - Lafayette Bldg Pipe Replacement Project No 119-042 - Niezgodski Plumbing Inc.QUOTE/PROPOSAL CITY OF SOUTH BEND PROJECT NAME Lafayette Building Pipe Replacement PROJECT NO. 119-042 QUOTES DUE April 23, 2019, 9:30am, Local Time Item No. Descri tion Quantity Unit Unit Price Total Amount 1 Lead Paint Abatement 1 LS 11 I�®.a $ III 13�+00 2 Pipe, 6", SOR-35 PVC 170 LF �� �3 0, c $ 5� uZ 3 Fernco Boot 4 EA �, p 0.0 $ d Total Amount of Quote I $ -3-7, 1 P,7 O-a Firm, Me o 456 Aurnkiqq, T , Address: 2 3 All City/State/Zip: ,O VI , / 6#Telephone Number: 7 Fax Number: 97.54, r By (ftited Name of Person Signin� Version 4/2/2019 Page - 11 Public Works Quote • • * .., , .gin ..� : „ �. 0 PROJECT NAME: Lafa et�te Building Drain Replacement PROJECT NO. 119-042A QUOTES DUE Aril 23, 2019, 9:30am, Local Time (Must be completed for all quotes. Please type or print) Date: _h ) Firm: c. . Address: o� City/State/Zip: � � , ? Telephone Number: 51y c9 - Ant of idder PurB'len, the undersigned offers to furn1W labora suantto notices given, nd/or material necessarY to complete then public works project of: the City of South Bend, Indiana, M accordance with plans and specifications prepared by: The City of South Bend, Department of Public Works and dated ! for the sum of (enter the Total Quote as shown on the Proposal) t Enter Sum of Total Quote shown e Proposal) m �27. o mm uen cn Ac ideal (p ) Numerical) If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the quote is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. The above quote 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 �p By t .._ � me at Person . Printed Nall nature) ( on signing) ACCEPTANCE day of 20 Genevieve E. Miller, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk Version 4/2/2019 Page - 7 Public Works Quote When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF SS: o-! 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: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Version 4/2/2019 Page - 8 Public Works Quote Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16- 8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I Version 4/2/2019 Page - 9 Public Works Quote have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder may result in forfeiture of contractual payments. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this A 2 A!� day of >/�, 20 Contractor/ er (Firm) Signature of Contractor/Bidic�Its If Printed Name and Title Subscribed and sworn to before me this ad nd, day of „ 20 I My Commission Expires '5 _'ao- `915 Public County of Residence AS V A MACKFNN4 s h ?iavSeal Y �"ubfic ,— �atr7�t crtl Pc7 darg "�� �'[lsoph f.oudr1S'�rd a:rcr�twassrc rt e �trq P �i'^)YJ0,2Gin Version 4/2/2019 Page - 10 Public Works Quote NIEZPLU-01 —.._..........,._------ .. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 08/161201' 8 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. .....................................�._...... .... _... IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Dan Berry Insurance Agency Inc. 54101 Ironwood Road South Bend, IN 46637 255-6222 254-2630 INs RER A :West BendITmMutUal Insurance Co IT�IT_� 15350 ,....._ INSURED INSURER B IiS1CPt �11Sll�r'1IIC %OA 1�Bn ..................IT. ITIT. ._; 27626 Nleigodski.Plumbing,Inc. INSURERc: .._ ............ PO. Box 3096 INSURER D . __._.. South.Bend, IN 46619� INSURER. E '... INSURER F : COVERAGES CERTIFICATE NUMBER: . ................. REVISION NUMBER* THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR AMMMIYYM AlRmlopficnn . ........ ..� A X COMMERCIAL'GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ...� CLAIMS -MADE [:] ��AMA� OCCUR A495062 08/21/2018 0812l/2019 D $ 300,0001 MED, P.4?...(nr�M one Persnn $ OO.. 5, 1,000,0 PERSONAL 8 ADV I � 00 _. m... �............. ...... --- --- N URY S -..-r-r-� GEN —XI T AGGREGATE LIMIT APPLIES PER. GENERALAGGREGATE $ 2,000,000 JECT LOC PRODUCTS COMP/OP AGG _ A-- 2,000,000 OTHER_......�..... .��. .... _....... .... ._ � OO A AUTOMOBILE LIABILITY COMIINEO'R7viGL. LNMIT (R-ami rd} 1,000,0 X ANY AUTO A495062 08/21/2018 08/21 /2019 BODILY IN lURY/PerpersonJ_ _$ IT _mm m mm OWNED SCHEDULED URY PeraccWent $ AUTOS ONLY AUTOS BODILY INJ { _ AURED ( q . _ ......� TOS ONLY A41ONY P/�NnOaP7kISJAMAGE $ __ _.M.�-. _ ...._...._............__ ..$......_...... ...................... A X UMBRELLA LIAB X OCCUR EACH O�,C,URRI? N E_ $ 2,000,000 EXCESS LIAB CLAIMS -MADE A495062 08/21/2018 08/21/2019 AGGREGATE $ 2,000,0001 .......... D RETENTION $ $ B WORKERS COMPENSATION X PER OTH- MPLOYERS' LIABILITY STA_TUIIE . E AND E 08/21/2019 500,000 ANY PROPRIETORIPARTNER/EXECUTIVE ❑ E L EACH ACCIDENT FBIER/M M E EXCLUDED NIA -' ..'— Yilan5atory.n �itij Y / N WC0190699-01 08121/2018 I E ,L DISEASE -Eo,, En�I�Lp1-� 500,000 IF es, describe under 500,000 ....._-'.. D m;,,_ RJa BON OF OPERATIONS below .. ,,. ,_, .�,ITIT. ,,,,,, E,L. DISEASE - POLICY LIMIT - —.1- L I L.--- DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached If more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Department of Public Works THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p ACCORDANCE WITH THE POLICY PROVISIONS. 1046 W. Sample St. South Bend, IN 46619 ... -- -� AUTHORIZED REPRESENTATIVE �... ........�.....,, ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks ofACORD 4/23/2019 1000 RC & 5000 RC Flyer I Fernco - US , iN rmr /��J iy & 5000 RC Serles Couplings a The Ultimate Repair Couplings 1000 RC vtw;es 00RC S iri*s 301 series stainless steel worm gear clamps 54M K Series 316 series stainless steel nut & bolt clamps ol(c� uPo Engineered for resistance to heavy earth loads and shear forces, while providing improved pipe alignment. Gasket • Manufactured to meet the material requirements of: CSA B602 • mechanical couplings for drain, waste, vent pipe and sewer pipe ASTM D 5926 - Standard Specification for Poly Vinyl Chloride (PVC) Gaskets for Drain, waste, and Vent (DWV), Server, Sanitary, and Storm Plumbing Systems ASTM C 1173 • Standard Specification for Flexible Transition Couplings for Underground Piping Systems • Hardness,5hore'A•,Ins L-+5_...-..._- -.. 65 • Tensile Strength, Min. psi ...... ,....,_,.,,.....1000 • Elongation at Rupture, Min, %. • Tear Strength, Min .............................. .,,,,.,J50lb/In. • Brittleness Temperature._._._.._.._.........•40`F Worm Guar Claimps .1000 Series Clamp Housing- 301 Stainless Steel Clamp Band • 301 Stainless Steel Clamp Screw- 305 Stainless Steel Installation torque 60 indbs w, ErmurGuvnnaromaansrwt Crrrrornilrrrrint �• Product Tags: Strong Back Coupling (/product-tags/strong-back-coupling) Nut & Bolt Clamps - 5000 Series Clamp Band - 316 Stainless Steel • 6'and larger couplings Incorporate two nut and bolt take-up points per band • Installation torque 60 in-lbs NEW 000 AC Series American Iron and Steel (AIS) compliant Shear ivt • .012' Thkk, 300 Series Stainless Steel • Width manufactured according to coupling width (1.50,2,13,or4") • Length manufactured according to coupling diameter • Clamps spat welded In place Coupling Manufactured toconform to the performance requirements oL• - ASTM C 1173 - standard specification for flexible transition couplings for underground piping systems https://www.fernco.com/downloads/1000-rc-5000-rc-series 2/4 4/23/2019 1000 RC & 5000 RC Flyer I Fernco - US About Fernco 0 News (/news) u Contact Us (/contact -us) t Human Resources (/human -resources) Fernco Locations (/customer-service/locations) 0 Fernco Employee Webmail (http://mail.fernco.com/) Terms and Conditions (/customer-service/terms-and-conditions) Q Privacy & Security (/customer-service/privacy-policy) Resources jj O.D. Calculator (/od-calculator) X Dimensional Drawings (/technical/dimensional-drawings/1001-series) Acid Resist Chart (/technical/materials/acid-resist-chart) i Codes / Standards (/technical/codes-standards) SDS Sheets (/sds) Rep Services M Rep Locator (/rep -locator) Rep/Customer Account (/user?current=node/46579) a Order Tracking(http:Horder.fernco.com/instancel EnvN1 Login/html/login.html) https://www.fernco.com/downloads/1000-rc-5000-rc-series 314 4/23/2019 1000 RC & 5000 RC Flyer I Fernco - US How -To -Center Videos (/videos) Installation Instructions (/installation -instructions) ? FAQ (/how-to-center/faq) Q Fernco Android & iOS App Vapp) https://www.femco.com/downloads/1000-rc-5000-rc-series 4/4 jrt'' r T 1 9�"I'ti PilltidlV UNIH 3 iE V' i 4, & F679 t Diamond gravity sewer pipe 4 inches through 48 inches shall be made of compounds conforming to material requirements of ASTM D3034 and ASTM F679 in accordance with ASTM D1784. Diamond PVC Sewer Pipe meets all the dimensional, chemical, and physical requirements as outlined in ASTM D3034 and ASTM F679. The pipe sizes 4 inches through 48 inches are made with an integral bell "water-tight"joint that meets the requirements of ASTM D3212 and that utilizes a Rieber gasket system for sealing that meets the requirements of ASTM F477. Each male end shall be beveled to facilitate joining and referencing marked for proper insertion depth. Diamond furnished lubricant is to be used in thejoining process. Pipe Materials: Pipe shall be made of PVC plastic having a minimum cell classification of 12454 or 12364 as defined in Specification D 1784. Property ASTM Minimum Test Specific Gravity D792 1.40 Tensile Strength, psi D638 7,000 Tensile Modulus, psi D638 400,000 IZOD Impact Strength, D256 .65ft., lb./in. Pipe Modulus SDR E = 400,000 E = 500,000 41 28 35 35 46 57 26 115 144 SHORT FORM Specification for Diamond PVC Solid -Wall Sewer Pipe SDR 26 or SDR 35 or PS 46 or PS 115 All PVC Solid -Wall Sewer Pipe shall be made of compounds conforming to ASTM D1784 manufactured in accordance with the material requirements of ASTM D3034 or ASTM F679. All PVC Sewer Pipe must meet dimensional, chemical, and physical requirements as outlined in ASTM D3034 orASTM F679. Joints shall meet the requirements of ASTM D3212 and shall be formed using Rieber Technology. PVC Sewer Pipe shall be installed according to the requirements of ASTM D2321, Uni-BelI's Uni-Pub 6 and the manufacturer's recommendations. a„,. v DIAMOND i PLASTICS° oo, ,� .a C n k P 0 9 A I I O N Corporate Headquarters • 1212 Johnstown Road • P.O. Box 1608 • Grand Island, NE 68802-1608 Reiber Joint Illustration Sw,,'O 21 is su�:,ffp�ed hr�� Mfoo,t aii,,W 22,R)ot ��ayhrig Prices are subject to a firm policy of "Price in effect at time of shipment on regular purchases" DIAMOND ! V C 0 R P 0 R A PLASTICS® 1111114M, Corporate Headquarters - 1212 Johnstown Road - P.O. Box 1608 - Grand Island, NE 68802-1608