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Opening of Bids - Ductile Iron Pipes Valves and Hydrants Project No 119-037 - Ferguson Waterworks
BID/PROPOSAL CITY OF SOUTH BEND 18W BID NAME Ductile Iron Pipes, Valves, and Hydrants FOR BIDS DUE May 14, 2019, 9:30 a.m., Local Time_........................._........._....�......._. BASE BID Item ._.......... No. Description Quantit Unit Unit Price Total 1 4" X 18' Ductile Iron Pipe 100 ..... _ LF . $ 1535 vv 2 6" X 18' Ductile Iron Pipe 2,000 LF l �5' $ 36Q 3 8" X 18' Ductile Iron Pipe ............. ................................................. ._.......__......._.......__..�.......................... 2,000 ......................... ........_................._ LF 15, 75' ..................._....................................................... $ 31,500 4 10" X 18' Ductile Iron Pipe 2,000 LF 00, 35 ' $ ei 0,7 p0 5 12" X 18' Ductile Iron Pipe 2,000 LF a?� 55 ' $ 51 q 00 6 16" X 18' Ductile Iron Pipe 2,000 LF 37 , q5' $ B D 7 ..... .. 20" X 18' Ductile Iron Pipe ... 200 LF ........... i ,tl� a 0 $ ar 40 8 24" X 18' Ductile Iron Pipe ........... m............ �� 200 LF a 30 6, $ 9 30" X 18' Ductile Iron Pipe 100 LF 7 OS. 5v $ 10 4" Open Right, MJ valve °,,t;, e I k s 10 EA 1 a o $ 11 6" Open Right, MJ valve jvI,Vv► 50 EA 5-qj � $ 971b50 12 8" Open Right, MJ valve uj I Me- a u5s 50 EA $ 13 10" Open Right, MJ valve ji Me c�luyS 10 EA f78 ad $ Ia,7S0 14 12" Open Right, MJ valve W1 me-jodugs 40 EA %r'o �rb0 $ __........ _ 15 1 5.25" SB Fire Hydrant, 5 FT Lj M� a�a 50 EA 15-90,eo $ '7q o00 16 1 5.25" SB Fire Hydrant, 5.5 FT w �1e�a�a 30 EA ,(& 6o $ y % ' rqO 17 5.25" SB Fire Hydrant, 6 FT �k 5 50 EA f $ 5C) 18 5.25" SB Fire Hydrant, 6.5 FT �, �L6 la �, 30 EA �7v b 0 $ 19 5.25" SB Fire Hydrant, 7 FT tit 20 EA $ 3 ®c� y BASE BID TOTAL $ 075- *Mechanical Joint (MJ) Bidder Name: - Bidder (Firm): Address City/State/Zip: , fv 1A..j Co"i+ i Telephone Number: � 2�3 Z— �, Fax Number: "�� -� 1 v. .... By ( w nat u rre) BOARD OF PUBLIC WORKS Gary A. Gilot, President Genevieve E. Miller, Member (Printed Name) Oh Title) Elizabeth A. Maradik, Member Therese J. Dorau, Member Laura L. O'Sullivan, Member Attest: Linda M. Martin, Clerk E0011MUMMUS• -x re BID NAME Ductile Iron Pipes, Valves, and Hydrants FOR BIDS DUE May 14, 20192 9:30 a.m., Local Time Bidder Date: 1314, 76 Imo......._ (Firm): �® � Address: 10-11 ®1►uzc t'low C'_oL.r4- City/State/Zip: wort Telephone Number: Agent of Bidder (if Applicable): 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 y\o ) ) SS: u 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 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). 1 hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. 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 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 +h day of , 20Lej Contra or/Bidder (Firm) r �y Signature of Contractor/13idder or Its Agent Printed Name and Title IT M Subscribed and sworn to before me this 13. h day of , 20jq My Commission Expires 6 otary Public County of Residen 4 d JERRET LEE HARDMAN Notary Public — Seal St Joseph County — State of Indiana Commission Number 709134 My Commission Expires Jan 9. 2026 Document A31 O TM - 2010 Conforms with The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR, (Name, lakgarl.rlrrlrrw artcl adds ���� Ferguson Enterprises, LLC dba Ferguson Waterworks 1077 Oliver Plow Court South Bend, IN 46601 OWNER: (Nay►m, legal slates and addre ss) SURETY: (Moore, legal stalux enrol priucilur11rhi a: of Invinoxf) Westchester Fire Insurance Company 436 Walnut Street, P. ®. Box 1000 Philadelphia, PA 19106 Mailing Address for Notices 436 Walnut Street Philadelphia, Pennsylvania 19106 City of South Bend 1316 County -City Building, 227 West Jefferson Boulevard South Bend, IN 46601 BOND AMOUNT: 10% Ten Percent of Amount Bid PROJECT: (,Vaural~. Wamtlou or address. andilrojecl number, t(aarri% Ductile Iron Pipes, Valves and Hydrants This document has Important legal consequences, Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable, The Contractor and Surety are bound to the Owner in ilia aniount sot forth above, for ilia payment of which (he Contractor and Surety bind theaascKcs, their heirs, c%ccolors, adniioisiratots, successors and assigns, jarinlly and soverally, as providcd horcira. The conditions of this Bond Oro such that if the Owner accepts the bid of ilia Contractor w ilhin the lirnc specified in the bid doctinients, or within such time period as may to ngrced to by the Owner and Contractor, and the Contractor either (1) caters into a contract with the Owner in accordance wwith the teaaaas of such laid, and gives such bond or bonds as way be specilicd in the bidding or Contract Documents, with a surcty admitted in the jurisdiction orthe Project and otherwwisc acceptable to Ilic Owner, for the faillifid Nrformorice of such Contract and for the prompt payinenl o'flabor amend ruateriii furnished in ilia prosecution thereof-, or (2) paws to ilia Owwsier the dillbrcnc not to cxcecd the amount of Ibis Bond, belww cn the anaotaaat specificd in said bid and such larger amount forwwhicli the owner ntay in good faith contract with another piarly to perIonn (lmc work covvred by said hid, than this oblig aoit shall be null and void, wrtltenvise to remain in Bill rorcu and eI't`acl, The Surety hcrcby %V aitcs any aautice orzara aplmenicnl Iautwwern the Owaaer and Contractor to emend the lime in which the Owner mayaccept the bid, Wuiwcr ol'nulmcc by (hc Surely shall auaat apply Io any extension exceeding *Sixty (till) days in the aggregate boyond (lie Halle I ar ucreptance ul'bids tiTeuilicd in (he hid documoats, and the (ywvocr and Coolrarctor shall uhtuin ilia Surely s conscal liar unv c.�tcawion beyond sixty (60) days. If this Bond is issued in connection with a sabcontructoes bid to a Contractor, the terns Contractor in this Bond shall be doeined. I rrr� , , a Subcontractor and the terin Ow iter shall be deemed to be Contractor. s (� "► When this flood lsus been Iieroished to comply wwilh a sta(utory or anther legal requirement in the localion airtlre Posiect, ', �aai�li tAn, . 4 +#�"��� Ilk Dond co"Micliog wwitir maid w(aatamtarry^air legal requirw:nucnt shall bo dcearcd delotcd herelir on and provixiaanx a:raiali nil uqo r"40 I ' " stattilory or a)lhcr lcgal recquirenmeat shall be daeoied aaicurpinated hcreini. Whoa so liaraaished, the iotuot is that (liiw Do- I •« '� a.% a wnalutory° bond and not us a common law bond, Z Signed and scalcd this 14th day of T+,,+iay, 0% Ferguson Enterprises, LLC dba Ferguson WalerwolA ' � (Pr1t►clpalj (n`5aaarl ra,rre 1RGXt" ,0 (0711 .'ss) twp4Cwi r ,VS Sprat„ 4� S-0054/AS 8110 E: H U ' Power ofAttomey Westchester Fire insurance Company I A.CEAmerican Insurance Company Know All by These Presents, that WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations or the Commonwealth of Pennsylvania, do each hereby constitute and appoint Wendy Lee Wadlains each as their true and lawful Attomeyin-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed In the course of business, and any instruments amending oraltering the same, and consents to the modification or alteration of any Instrument referred to In said bonds or obligations. Surety Bond Number; Bid Bond Obligee: City of South Bend In Witness Whereof, W ESTCHESTER FiRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY have each executed and attested these presents and affixed their corporate seals day orSeptember, 2018. �o�n�this p 'M Dawn M. Chloros, Assistant Secretary Stephen M. Haney, Vice President o� ens � ww�ewaya„r � 1�; $ � azr.wnre � Setw e„ ^" e �e ■ i aM we e STATE OF NEW JERSEY County ofHunterdan SS. On this day of September, 201H, before me, a Notary Public of New Jersey, personally came Dawn M. Chloros, tome known to be Assistant Secretary of WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY, the companies which executed the foregoing Power of Attamey, and the said Dawn M. Chloros, being by me duly sworn, did depose and say that she is Assistant Secretary ofWE5TCHESTERFIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority ofsaid Companies; and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority; and that she Is acquainted with Stephen M. Haney, and knows him to be Vice President of said Companies, and that the signature of Stephen M. Haney, subscribed to said Power of Attorney Is in the genuine handwriting of Stephen M. Haney, and was thereto subscribed by authority of said Companies and In deponent's presence. Notarial Seal 40 • KATHERINE 4 ADE" lAfly NOTARY PUBLIC OF NEW JERSEY r. ,r • No,23111M A Com alsdon Expire¢.tu IB, 2010 ilEt1C N l'twatyPrahlwa CERTIFICATION Resolutions adopted by the Boards of Directors of WESTCHESTER FIRE INSURANCE COMPANY on December 11, 2006, ACE AMERICAN INSURANCE COMPANY on March 20.2009: 'RESOLVED, that the following authorizations relate to the execution, for and on behalf of the Company, of bonds, undertakings. recogniz aces, contracts and other written commitments of the Company entered into In the ordinarycourse orbuslness (earn a *Written Comm(tment'): (1) Each of the Chairman, the President and the Vice Presidents of the Company Is hereby authorized to execute any Written Commitment ror and on behalf of the Company, under the seal of the Company or otherwise. (2) Each dulyappolnudattorney-in-factofthe Company Ishereby authorized to execute any Written Commitment (brand an behalf *Uthe Company, under the seal ofthe Company or otherwise, to the extent that such action Is authorised bythe grant of powers provided for Insuch person's written appointmentas such attornoydn• fact (3) Each of the Chairman, the President and the Vice Presidents of ttroCainpanyishereby authorized, forandan behalf of the Company, to appoint In writing any person the attorney -In - fad of the Company with full mwwer and authoroy to execute, Aw and on bzhalf of the Company, under the seat of the Company or otherwise, such Written Commitments ofthe Company as maybe specified In such written appointment, which specification may be by general type or class of Written Commitments or by speci0cauon of one or more pardetila; Writtencorniaitments. (4) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized, for and anbehalfofthe Company, to delegate Inwriting toany other officer ofthe Company the aothorlty to execute, for and on behalf of the Company, under the Company's seal or otherwise, such Wrttten Commitments of the Company as are specified In such written delegation, which specification maybe by general typeor dassof Written Commitments or byspoclficatlonofone ormore particular Written Commiiment% (5) The signature of any officer or other person execudng any Written Commitment or appointment or delegation pursuant to this Resolution, and the seal of the Company, maybe affixed by facslmlle on such Written Commitment or writtan appointment or delegation, FURTHER RESOLVED, that the foregoing Resolution shall not be deemed to bean exclusive statement of the powers and Authority of officeM employees and other persons to actfier and on behill'ofthe Company, and such Resolution shall not limit or otherwise affect the exercise of Any such power or authority otherwise validly granted or vested.' [,Dawn M. Chloros, Assistant Secretary of WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN iNSURANCE COMPANY (the 'Companies") do hereby certify that (1) the foregoing Resolutions adopted by the Board of Directors of the Companies are true, correct and in full force and effect (11) the foregoing Power of Attorney is true, correct and In full force and effect. Given under my hand and seals of said Companies at Whitehouse Station, NJ, this May lA, 2019, wcatatr�4; r'4"�"au4,, r Dawn M. Chloros, Assistant Secretary ter thubb.catn _._ tTale hono : )8 wf03-3493 Pot 9gU+103.3656 a+mnGda.cONN"Ati.7'tdSA'r: . hi"fdiEfltir'6.tGTYOUWVNS�AIiOVEftIPS""f91F6AUTi0ENTfCTfIfnFTM1GSCU0N'ftORNOirIFk•11SOFANY OTHER ttA'1"'fFPPR.iu,tfaFT WFIG AAIC (rev. 08-04-18) SPECIFICATIONS CITY OF SOUTH BEND BID NAME Ductile Iron Pipes, Valves, and Hydrants FOR BIDS DUE May 14, 2019, 9:30 a.m., Local Time Pursuant to notices given, the undersigned offers bid(s) to the me" Of South Bed in accordance with the following attachment(s) which specify the class or item number or description, quantity, unit, unit price. PROJECT DESCRIPTION This project includes the furnishing of materials to be used by the Water Works Department for the City of South Bend for the year 2019 and the first part of the year 2020. All prices will remain in effect for one (1) calendar year from the date of award with extension of the same bid prices for another year if agreed by both parties. The quantities shown for each item are approximate quantities only. Actual quantities purchased may be greater or less than the quantities shown on the bid tab. The contract pursuant to these specifications shall be awarded to the lowest responsible and responsive vendor. II. PREVAILING SPECIFICATIONS AND DESIGN & CONSTRUCTION STANDARDS The City of South Bend's PREVAILING SPECIFICATIONS, most recent version, and DESIGN & CONSTRUCTION STANDARDS, most recent version, are to be used on this project. Each Bid provider is specifically instructed to become completely familiar with the most recent version of the PREVAILING SPECIFICATIONS and the DESIGN & CONSTRUCTION STANDARDS prior to submitting a Bid. Wherever the PREVAILING SPECIFICATIONS refer to "State Specifications," it shall mean the 2018 INDOT Standard Specifications for the letting effective after September 1, 2017. These SPECIAL PROVISIONS will list only "Additions" or "Deletions" to the PREVAILING SPECIFICATIONS and are to be used only in conjunction with the PREVAILING SPECIFICATIONS. In the event of conflict between the SPECIAL PROVISIONS and the PREVAILING SPECIFICATIONS, the SPECIAL PROVISIONS will govern. III. CONTROL OF WORK A. Prevailing Specifications/INDOT Standard Specifications Section: 105 B. Additions: 1. The complete responsibility for this project lies with the Director of Public Works of the City of South Bend, Indiana acting through his authorized representatives. IV. DEFAULT AND TERMINATION A. Prevailing Specifications/INDOT Standard Specifications Section: 108 B. Additions: The obligation to perform under the terms of this Agreement may be terminated by an official of the Department of Public Works, with approval from the Board of Public Works, with or without cause, upon fourteen (14) calendar days written notice to the Contractor. This Agreement may be terminated by Contractor upon fourteen (14) calendar days written notice to the Department of Public Works in the event of substantial failure of Public Works employees and agents to perform in accordance with the terms hereof. If an official of the Public Works Department terminates the Contract for any cause, it shall deduct from whatever is owed from the Contractor on the Contact or any other contract, any amount sufficient to compensate the City of South Bend for any damages suffered by it, including but not limited to, the cost difference in the materials between the primary and secondary bidder because of the Contractor's wrongdoing. V. RETAINAGE AND FINAL PAYMENT A. Prevailing Specification s/I N DOT Standard Specifications Section: 109 B. Additions: 1. Payments will be made every thirty (30) calendar days. 2. There will be NO Retainage. 3. Contractor shall invoice using the same nomenclature as specified in the bid proposal for all items. VI, CORRECTIVE ACTION/DAMAGES A. Prevailing Specifications: None B. Additions: 1. Failure to deliver concrete or asphalt materials within NINETY (90) minutes time of scheduled delivery will result in damages charged to the supplier in the amount of time plus expenses plus overhead charged. 2. The corrective action/damages are set forth as follows: a. The damages will be for all of the specific mix design/material delivered on the day the sample was taken. b. Damages are progressive for each specific mix design. The material costs for the day the sample was taken will be reduced by the following percentages First test failure — 10% reduction of actual material cost. ii. Second test failure — 20% reduction of actual material cost. iii. Third test failure — 30% reduction of actual material cost. iv. Fourth and all successive test failures — 50% of reduction of actual material cost. The City of South Bend reserves the right to accelerate the corrective action/damages procedure or to require the contractor, at his expense, to remove and replace the material in the event the failure in the material delivered may cause physical or property damage to the public. 4. The parties recognize that time is of the essence in regard to this Contract and that City will suffer financial loss if the equipment, supplies, services are not delivered within the times specified on the Contract. a. It is agreed between the parties hereto that if Contractor shall not deliver the equipment, supplies, services and/or other obligations by the date specified in the Contract, City shall use the bid bond or certified check of bidder as liquidated damages b. Should the Contractor fail to provide or perform the equipment, supplies, services and/or other obligations pursuant to the Contract, and should the City then elect to bid a new project that will replace the Contract, any bid for the project from Contractor will be considered only if Contractor can demonstrate the ability to deliver and perform the equipment, supplies, services and/or other obligations in a timely fashion. c. It is agreed between the parties hereto that if Contractor shall not deliver the equipment, supplies, services and/or other obligations by the time specified in the Contract, City shall award all or part of the material to the next lowest bidder. VII. DELIVERY A. Prevailing specifications/INDOT Standard Specification Section: None B. Additions: 1. Items shown in the specifications to be delivered shall be delivered to the South Bend Water Works Olive Street Station, 915 South Olive Street, or to other sites within the City of South Bend designated by the City's representative ordering the material. Delivery dates shall include weekends and holidays as designated by the representative ordering the material. 2. The bid proposal shall specify as per unit cost of delivery for all items specified for delivery. Vill. DUCTILE IRON PIPE & FITTINGS A. Prevailing Specifications/I N DOT Standard Specifications Section: ANSI 21.51, AWWA C151 B. Additions: 1. 18-foot lengths of ductile iron pipe shall conform to the requirements of the American National Standards Institute (ANSI) 21.51, or American Water Works Association (AWWA) C151, thickness Class 50 push -on joint pipe. 2. Ductile iron pipe and fittings shall have hot coal tar coating in accordance with American Standards Institute for Coal -Tar Dip Coating for Cast Iron Pipe and Fittings. 3. Ductile iron pipe and fittings shall be cement -lined, conforming to ANSI A21.4 or AWWA C104. 4. Rubber gasket joints shall conform to the requirements of ANSI A21.11 or AWWA C111 5. All domestic materials shall be shipped free on board destination, freight prepaid, in open flatbed trucks to the South Bend Water Works Olive Street Station, 915 South Olive Street ("F.O.B. Destination") or otherwise specified by the Owner within 5 miles of the city limits of South Bend, Indiana. Pipe shall be delivered within three working days of purchase order. 6. Invoices shall be submitted to the address shown on the purchase order. 7. Bid prices shall remain in effect for one (1) calendar year from the date of award with extension of the same bid prices for another year if agreed by both parties. Quantities of materials will be ordered as needed. IX. RESILIENT SEAT/GATE VALVES A. Prevailing Specification s/I N DOT Standard Specifications Section: AWWA C509 B. Additions: 1. Resilient seated gate valves shall be epoxy -coated, resilient wedge, open right, designed for 200 PSI working pressure and meeting the requirement of AWWA C509. 2. Valves shall be bronze non -rising stem, mechanical joint (MJ), 2" square operating nut for vertical installation with two O-ring stem seals, and rubber -coated or rubber -sealed gate. 3. Valves shall be manufactured by Clow Medallion or Mueller Super Centurion. 4. All valves shall be supplemented with stainless steel nuts, bolts, and additional valve accessories. Kits shall be provided with domestic wedge action retainer glands. 5. All domestic materials shall be shipped free on board destination, freight prepaid, in open flatbed trucks to the South Bend Water Works Olive Street Station, 915 South Olive Street ("F.O.B. Destination") or otherwise specified by the Owner within 5 miles of the city limits of South Bend, Indiana. Gate valves shall be delivered within three working days of purchase order. 6. Invoices shall be submitted to the address shown on the purchase order, 7. Bid prices shall remain in effect for one (1) calendar year from the date of award with extension of the same bid prices for another year if agreed by both parties. Quantities of materials will be ordered as needed. X. FIRE HYDRANTS A. Prevailing Specifications/INDOT Standard Specifications Section: AWWA C502 B. Additions: 1. Fire hydrants shall conform to the most recent version of AWWA C502; two, 2 '/2" nozzles with National Standard thread and one, 5" pumper nozzle with South Bend Fire Department special thread; chained nozzle caps; 1" square operating nut to open clockwise; 1" square nozzle caps nuts; 360 degree rotatable upper barrel of break -flange design; painted red, white, and blue; extension for a 6 foot trench depth; 6" inlet with gasket and wedge action retainer gland. The inlet connection (shoe) shall be oversized to fit old and new pipe, having an outer diameter range from 6.9" to 7.1". 2. The nominal 5" pumper nozzle shall have an I.D. of at least 4.75". 3. The main valve size shall be 5.25" in diameter; the main valve shall close with, and be held closed by, normal water pressures. The inside of the shoe and the lower plate valve shall be epoxy -coated where exposed to pressurized water. 4. Fire hydrants shall have varying bury depth lengths ranging from five (5) feet to seven (7) feet. Quantities of the lengths are specified in the bid unit price. 5. Fire hydrants to be manufactured by Clow Medallion or Mueller Super Centurion, 6. All fire hydrants shall be provided with stainless steel nuts, bolts, and fire hydrant accessories. Kits shall be provided with domestic wedge action retainer glands. 7. All domestic materials shall be shipped free on board destination, freight prepaid, in open flatbed trucks to the South Bend Water Works Olive Street Station, 915 South Olive Street ("F.O.B. Destination") or otherwise specified by the Owner within 5 miles of the city limits of South Bend, Indiana. Fire hydrants shall be delivered within three working days of purchase order. 8. Invoices shall be submitted to the address shown on the purchase order. 9. Bid prices shall remain in effect for one (1) calendar year from the date of award with extension of the same bid prices for another year if agreed by both parties. Quantities of materials will be ordered as needed. CONTRACT DOCUMENTS AND SPECIFICATIONS FOR Ductile Iron Pipes, Valves, and Hydrants Project No. 119-034 May 2019 Prepared for CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS Department of Public Works Division of Engineering �xrKaIrr����� No. PE11600737 " STATE yy,��O,�F oIppp Ellen Doudrick Registered Professional Engineer State of Indiana No. PE11600737 FOR BIDS DUE: 9:30 a.m., May 14, 2019 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Ductile Iron Pipes, Valves, and Hydrants Project No. 119-034 ........... For Bids Due May 14, 2019, 9:30 a.m., Local Time Contractor Name: _..�� The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements in compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. INSTRUCTIONS: If you are a pre -qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section II only. Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") by December 315t 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. 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. I. PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: (i) _ By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter is attached. (ii) _ By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (b) Attachments: (i) _ Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. Evidence that I am utilizing a surety company which is on the United States Department of Treasury's Listing of Approved Sureties as required in the bid specifications or contract. (iv) List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. (v) For every project, submit 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. 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, acknowledge my understanding that it is my responsibility to ensure that all sub- contractors have the necessary licenses to undertake the work called for in this bid. If a sub -contractor loses their license at any point, it is the responsibility of that sub -contractor to notify the City. (b) Attachments: (i) ✓ Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) List identifying all former business names. (iii) 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 1 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) For every project, submit 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. (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. W / 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: M OW � O (Sign Here) %_; A ! (Print Name Here) c s Name f Company) (Address of Company) (City) (State) 5 �1 k 28 �— (Telephone Number) FERGUSON ENTERPRISES, INC., A Business Name: CORPORATION OF VIRGINIA Entity Type: Foreign For -Profit Corporation Creation Date: 03/21/1984 Principal Office Address: 12500 Jefferson Ave., NEWPORT NEWS, VA, 23602, USA Jurisdiction of Formation: Virginia Original Formation Date: 01/01/1800 Title Name Director Mary Ann G. Lemere CFO William S. Brundage Secretary Mary Ann G. Lemere COO Alex B. Hutcherson President Kevin M. Murphy Assistant Secretary David N. Meeker ' Director Kevin M. Murphy Director Alex B. Hutcherson Director William S. Brundage Assistant Secretary John R. Blankinship Assistant Secretary Eric A. Gallo I I USINESS INFORMATION CONNIE LAWSON INDIANA SECRETARY OF STATE 05/06/2019 03:20 PM Business ID: 198403-760 Business Status: Active Inactive Date: Expiration Date: Perpetual Business Entity Report Due 03/31/2020 Date: Years Due: Address 12500 JEFFERSON AVENUE, NEWPORT NEWS, VA, 23602, USA 12500 Jefferson Ave., Newport News, VA, 23602, USA 12500 JEFFERSON AVENUE, NEWPORT NEWS, VA, 23602, USA 12500 JEFFERSON AVENUE, NEWPORT NEWS, VA, 23602, USA 12500 Jefferson Ave., Newport News, VA, 23602, USA 12500 JEFFERSON AVENUE, NEWPORT NEWS, VA, 23602, USA 12500 JEFFERSON AVENUE, NEWPORT NEWS, VA, 23602, USA 12500 JEFFERSON AVENUE, NEWPORT NEWS, VA, 23602, USA 12500 JEFFERSON AVENUE, NEWPORT NEWS, VA, 23602, USA 12500 Jefferson Ave., Newport News, VA, 23602, USA 12500 Jefferson Ave., Newport News, VA, 23602, USA Type: Business Commercial Registered Agent Name: CORPORATE CREATIONS NETWORK INC. Address: 1657 Commerce Drive #9B , South Bend, IN, 46628, USA Page I of I Alert to business entities regarding mailings from VIRGINIA COUNCIL FOIR CORPORATIONS or U.S. BUSINESS SERVICES is available from the Bulletin Archive the Clerk's Office website. 4 - - - ----------- ---------------- - - — --- --- ----- V Commonwealth of Wryinia State Corporation Commission �01 it 05/06/19 CISMO180 CORPO1A'11�; DATA INQUIRY 15:18: 12 CORP T. 022.884',-]..,- 11 STATUS: 46 CCANVkRTEI-) TPAT'U,; IDATTI: 0-3/31/19 — —.................................................................................................. -- — ----------------------------- ---- COP]' Fergusonn Enterprises, Inc. DZVMOF CERTIFICATK: 04/1')/1982 PERIOD 01DURATJON: 1-1VD1UTTRY CU)F00 S'PATE OF TNCORPOPATUDN: VA 1311!OC1N -INDICATORl S STIOCK Mh'kC;P'.R 1-4UD. 9 SURVIVOR IND: (001) STANDEAI IND: N CONVERTF:1D MONITOR INDICATOR - CHAR IFC,:k 20 00 MON NO. 1,4(1)1V S,J,)r/'Jqf,; MON-LITIOR DT1;', R/A NAME. (-�CORPORAI'1,-I CR1 /1'F-1[01.VS NF7'WORK ]::N(,. STIIIE1]11! 6802 PAIRACDN P[.A(71iil Jf /11- 0 AR R'FN MAI: l:.,: C' ]:: T y RICUMONDI STATF VA Z I P.- 231230- 0000 R/A STA'-UU`:x- 5 BE. AUTH IN VI - 04/04/17 WC' . 143 A1/-4 218 05 6301-, DATE - )3/26/18 COUNTY CURIUNT AR�'j 218 05 6 '3 0 ") DA.Tf.,�: 03/26/113 ASSRSSMI NT' LNDJ.CATOR'v 0 Y]:;AR FE ".3 IDENAY,TY I N]-T.'A�7ST TAX BALANC�; 19 L 6 () U () 160 a 00 1)1, C) o (Screeii 1d:/Corp_Data lnquhy) https://cisiweb.scc.virginia.gov/instant.aspx 5/6/2019 12500 Jefferson Ave Newport News, VA 23602 757-874-7795 www,ferguson,com To Whom it May Concern, Effective March 31, 2019, Ferguson Enterprises, Inc, became Ferguson Enterprises, LLC (Ferguson.). Asa result of the name change we would like to provide you with the most recent W-9 Form attached for your records. Please note for Internal Revenue Service purposes, Ferguson Enterprises, LLC Is a disregarded entity, and, therefore the W-9 must be in the name of Ferguson's parent company, Walseley Investments, Inc and show Wolseley Investments, Inc,'s Employer Identification Number (EIN), This is only for Internal Revenue Service purposes, Other than Ferguson's name change, ail other details including Ferguson's EIN of54-1211771 remain unchanged; Please see attached documentation exhibiting no change to Ferguson's EIN, Regards, Ferguson Enterprises, LL Damon L. DeSue US Director of Tax - Business Support F'orrn aces (nev. October 2a10) &lapaatmsnl otrha Twasory Iaharn,., n1venua 9nav100 on your Request for Taxpayer Identification Number and Certification Y Go to www.lrs,9ov1FormW9 for instructions and the latest information. rep tax return. Nance is re Bred on Itrfs Irna; do not loavo this Rine blank,. tl olsell v Investments, Inc atgarrrms antuty name, a ramerem troan atrove rises, LLC (FFIN. 54-1211771) Give Farm to the. requester. Do not send to the IRS,. 3 Check appropriate box for federal lax clasalAealton of the person whose name Is entered on line 1. Check only one of the 4 Exemptions (codes apply only to following.seven boxes, certain entities, not Individuals; sea Instructions on page 3); ElIndividual/sale proprietor or Q C Corporation Q S Corporation ElPartnership ❑ TrusVestale singla-member LLC Exempt payee code (if any) 5 Q Limped liability company, Enter the tax classiticallon (C=C corporation, Ss corporation, P-Partnership) ► Note; Check tiro nppiopilate box In the brae above for Iha WK a atasslficallon of the singly •mcrnbar ownar, Co nol chock Exemp1lon from FATCA reporling LLC If the LLC Is ciasaified as a singla•mornber ta,C that Is disregarded frorn Ikto owner unless Iho ownsr of the LLC It another LLC that is not disregarded fromihe ovinar (Air U.S. fodaral tax purposes. Cfharwise, a slrrgie-mamtaar 1.1.0 that node ( If any) E is disrogardad from the owner should chack the appfopdole box for the tax classification of Its own . or sutto no q sae 12SOGJefferson Avenue tl City, state, and ZIP code Newport News, VA 23602 II (Apples (a ac*Xmra ma41W,;ff u9ft Uo ado us) R q ester s n o me wind address (optlonar) Rion t ax S fit` licientitication I~,iuMpe i fI`t Enter your TIN In the appropriate box. The TIN provided moist match the name, given on line 1 to avoid backup withholding. For Individuals, this Is generally your social security member (SSN)K However, for a resident alleh, sole proprtetor, or, disregarded entity, see the Instructions for hart 1, later, For other entities, It Is your employer Identlficalion number ('EIN). If you do not have a number, see Holy to got a TIN, later. Note. If the account Is In more than one name, see the Instructions for line 1, Also see What Name and Number To Give the Requester for guidelines on whose number to enter. or ©'"M®M©®©®1E Under penalties of perjury, I certify that,, 1, The number shown on this form Is my correct taxpayer Identification number (or I am waiting for a number to be Issued to me); and 2,1 ant not subject to backup withholding because; (a) I am exempt from backup ve thholding, or (b) I have not been notified by the KOMI Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interestor dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3, 1 am a U.S. citizen or other U.S. person (defined below); and 4, The FATCA code(s) entered on this form Of any) indicating that I am exempt from FATCA reporting is correct, Certification instructions, You must cross out Item 2 above If you have been notified by Ilia. IRS Iliac you are currently subject to backup withholding because you have failed to report all Interest and dividends on your, tax return, For real estate transactions, Item 2 does not apply. For mortgage Interest paid, aoqulsilloo or abandonment of secured property, cancellallon of debt, contributions to an individual retirement arrangement (IRA), and generally, payments anther Haan interest and dlvidet0s'; Cru are not requred tg+j I gh the certification, but you must provide your correct TIN, See the Instructions for Part it, later. 8II9n signature of Here U.S. person► ff/'It-'-Z' AKI�' A711 General Instructions Section references are to the Internal Revenue Code unless otherwise noted, Future developments. For the latest Information about developments related to Form W-9 and Its Instructions, such as legislation enacted after they were published, go to www.Irs,gov1F6nnW9, Purpose of Form An Individual or entlty (Form W-9 requester) who Is required to file an Infoortaition return with the IRS must obtain your correct taxpayer ldenlitication number ('TIN) which may be your social security number (SSN), Individual taxpayer Identification number (iTIN), adoption laxpayer Idenllffcalton number (ATIN), or employer Identification number (EIN), to report an an Infonnatfon return ilia, amount paid teayear„ or other amount reportable on an information return, Examples of Information returns Include, but are not limited to, the following. • Form 1o99-1NT (Interest earned or paid) Data i• • Form 1099-DIV (dividends, Including those from stocks or mutual funds) • Form 1099-MISC (various types of Income, prizes, awards, or gross proceeds) • Form 1099.g (stock or mutual fund sales and certain other transactions by brokers) • Form 1009-S (proceeds from real estate transactions) • Form 1099-I< (motchant card and third party network transactions) • Foam 109t1(home mortgage Interest), 1098-E (student loan Interest), 1098-T (tuition) • Form 109E-C (canceled debt) • Form 1099-A (acqulsltlon or abandonment of secured property) Use Form W9 only if you are a Us, person (including a resident allen), to provide your correct TIN. ffyou do not return Form W-9 to the raqueotor With as TIN, you might be subject to bacleup withholding, Sea What is backup withholding, later. Cat, No.14231X Form W-9 (Rev.10.2018) Ferguson Enterprises, LLC utilizes the following DBA names: rnt1tv Name Current and Former dba Names Tam ID No, . ...... . . . Action Automatlon 54-2211741 ADL 54-1211771 Alaska Pipe& Supply 54-1211771 Andrews Ughtlob, & Hardware Gallery 4.1221771 The Ar-Jay Center 54-1211771 BAC AplAlance Center 54-1211771 Bath + Beyond 54-1211771 Blacknian Plumbing Sup pl Brack -McVey 54-1221771 Bruce -Rogers Lo�ry) 54-1211771 Cal -Stearn 54-2211771 CapItal Distributing 54-1211771 City Lights Design Showroom 54.12*12772 CFP 54-1211771 Cline Contract Sales 54-1222771 Custom Lighting &Hta r d w a r e 54-1211771 Davies Water 54.1211771 Dealernet 54121177i Duhig Stainless 54-1211771 Equaflus Waterworks, Meter& Automation Group 54-1211771 Factory Direct Appliance 54.1211771 Ferguson Bath & Kitchen Gallery 54-2211771 Ferguson Bath, Kitchen and Lighting Gallery 54-1211771 Fergusonxoni 54.1211771 Ferguson Direct 54-1211771 . . ........... ................ FeEgtfs)n FacUltiesSupply 54-1211771 Ferguson Fire & Fabrication International 154-1211771 Ferguson Heating & Cooling 154.2211771 Ferguson Hospitality Sales Ferguson HVAC -Air Cold '54-1211,772 Ferguson IIVAC - EastWest Air 54-1211771 Ferguson HVAC - Lyon Conklin 54-1211771 Ferguson Integrated Services 54-1211771 Ferguson Intematlanal 54-2211771 Ferguson Parts & Packaging 54-1211771 Ferwson Valve & Automation 54-1211771 Ferguson Waterworks 54-1211771 Ferguson Waterworks- Municipal Pipe 54.1212771 ferLuson Waterworks- Red Head 54-1211771 Ferguson Waterworks EPPCO 54-2211771 Ferguson Waterworks International 54-1211771 Galleria Bath & Kitchen Showplace 154-1211771 Grand Juriction Pipe 54.1211771 '*'I -Updated 03114JI9 Entity Name MMUM 701, Industrial Hub of the Carolinas 54-1211771 J & G Products 54-1211771 J.P. Daddario Company 54-1211771 Joseph G, Pollard co 54-1211771 Karl's Appliances 54-1211771 I(Itchen Art 54.1211771 Lift!ln Design Center 54-1211771 Lighting Unlimited 54-1211771 Lincoln Products 54-1211771 Linwood Pend 54.1211771 Loulslana UtillOes Supply Cotnpany 54-1211771 LUSCO 54-1211771 McFarland Supply 54-1211771 Michigan Meter 54.1211771 Mississippi Utility Supply Co. JM LISCO) 54-1211771 PL. Sourcing 54-1211771 Plumb Source 54-1211771 Plumbing Ncor 54-1211771 Pollardwater 54-1211771 Powell Pipe & Supply Co. 54-1211771 Professional's Bath Source 54-1211771 PV5ullIvan Supply 54-1211771 Ramapo Wholesalers 54-1211771 Renwes Sales 54-1211771 'Re_dlon & Johnson . ........ 54.1211771 Reese Kitchen, Bath & Llghting Gallery 54.1211771 Robertson Supply 54-1211771 S67 Supply C Co. 54-1211,771 SOS Sales 154.1211771 Tarpon Wholesale Supplies '54.1211771 The Numbing Source 154-1211771 ............ The Stock Market 54-1211771 TPW Kitchen & Bath 54-1211771 Wallwork 54-1211771' IT Waterworks Industries 54-1211771 Webb Distributors 54.1211771 Western Air Supply 54-1211771 Westfield Lighting 54-1211771 Wolseley Financial Services 54-1211771 Wolseley Industrial Group 54-1211771 WPCC Forwarding 54-1211771 Wright Plun)bIngSupply 54.1211,771 FEI # (Main branch number) FEI # (Main branch number) PO Box 100286 PC Box 802817 Allenia GA 0384-0266 Chica o, IL 60680n2817 OVERNIGHT - PKGS OVERNIGHT - PKGS Bank of America Lockbox Services Ferguson Enterprises Inc FEI # (Main branch number) Lockbox 802817 Lockbox # 100286 350 East Devon Avenue 6000 Feldwood Road Itasca IL6'0143 Collene Park, GA 30349 OVA - MUSE err - 411 DzaA F'NU - FHIL Y- U21065 FEI # (Main branch number) FEI # (Main branch number) PO Box 417592 PO Box 827066 Boston, MA 02241-7592 Philadel hla PA 19182-7066 OVERNIGHT. PKGS O erni ht. Address Bank of America Lockbox Services PNC Bank FEI # (Main branch number) LB# 417592 Lockbox 827066 MA5-527-02-07 Route 38 and East Gate Drive 2 Morrissey Blvd, Moorestown, NJ 08057 Dorchester, MA 02`125 a, yrw.- a wa0:0 ®V-*1 wr t o FEl # (Main branch number) f-MIL_,w FEI # (Main branch number) PO Box 847411 PC Box 644054 Dallas, TX 75284-7411 Pittsburgh, PA 15264-4064 OVERNIGHT - PKGS Overnight Address FEI # (Main branch number) P C Bank Lockbox # 8474,11 Lockbox 644054 1950 N. Stemmons FRWY F'irstside Center Ste„ 5010 500 First Avenue Dallas, T 75207 Pittsbur h„ PA 15219 FEN # (Main branch number) PO BOX 740827 Los Angeles, CA 90074-0827 OVERNIGHT - PKGS Bank of America Lockbox Services FEI # (Main branch number) Lockbox 740827 2706 Media Center Drive Los Angeles, CA 90065-1733 Document A31 OTM - 2010 Conforms vrtith The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR: (,'v'rrnie, legrrl.rkrrtrx rurd rrddi•evtiy Ferguson Enterprises, LLC dba Ferguson Waterworks 1077 Oliver Plow Court South Bend, IN 46601 OWNER: (Name,1gga/ slarus and adda•ess) SURETY: (Marne, rr"lex)t Westchester Fire Insurance Company 436 Walnut Street, P. O. Box 1000 Philadelphia, PA 19106 Mailing Address for Notices 436 Walnut Street Philadelphia, Pennsylvania 19106 City of South Bend 1316 County -City Building, 227 West Jefferson Boulevard South Bend, IN 46601 BOND AMOUNT: 10% Ten Percent of Amount Bid PROJECT: (Naine, )ocatlonoraddress mrdilrojecoutniber, lfail0 Ductile Iron Pipes, Valves and Hydrants This document has important legal consequences, Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable, The Contractor and Surety are bound to the Owner in tiro uniount sot forth above„ for the mynictit ofwiiich ttic eoaitractror aatd Sitrcty biiid tlra ritsctw°os« [[seer tra:irs, cxooiatars, ndminisirators, siicoossors and assi its joiaitly+arid sow'c-rally; as prow'idcd herein. Tho coirditioais of this Ilond are such [lint if the Owner accepts the bid of the Contractor within the linic specified ill the biddocunients, or, wwithin such tinte period as may W ararced to by ilia Owner and Contractor, and the Contractor either (1) enters into a contract v%ith the 01%vi er in accordance with the ternis of simb bid, andgives such bond or bonds as may be specified hi the bidding or Contract Docunicuts, with a surety admitted in the jurisdiction of tile liroject and otlicrwvise acceptable to the Owwater, for the fbilliful perforlun ice ofsoch Contract and for the prompt payment of labor and material furnished ill the prosecution thereof, or pays to tlio Owner the diticrence, not to exceed the Amount of thisBond, Wwcen the amount specifW in said bid and such lar cr amount for which the Owncr aiav iit good faith eontraot wvitli another porgy to lae 11mi�t the work covered by suid bid, Il[eii this obligation Nhull he cull and void otherwise taw reivaiin in full fierce acid ellco,'G"li ac Surcty hereby %vaivew ally notice gran agrcesncnl Ix tww`eeu Ific Owner and Contractor to extend tiie Banc in which the Owynar may aeceiml the bid, waivoroi,noticc by the'surcty shall not up ply+'tt) ally extension exceeding sixty (60) days in lire �a��r ,eta beyond the flow Iiir ucesetwkrarrasw ol'bids speeidcd in tlac bid dtacuments, and the Owwncr urrd Conlraclor shull oNuisi the ftiraii tMetision beyond sixiv (CIO) days. If this Bond is isstied in connection with a Sabconlraetoes bid to a Contractor, the term Contraetorin this Bond shall be dcome�d tj,§jrrdr�,� Subcontmetor and file term Owner shall be dccnied to be Contractor. �4itr, s When [lies 13ond hags been fianrishcd taw esiiiipty wvit'Ir a slratutarry° air rillwer lepgul rcriu`rrw riicrit in the locutinat of'the projuct„ �p.� r *irri t ltr� «ry?«wtq?� "!�,1 � this Bond cmillictiars atiilli:raid statutory or legal reyuir+eniuni ;shall be decilied dcictcd hcrermn[ and pro twain s cxrrai reipwr+Yl * ry atalntar ° or ai[tii r It: reapuiraauent shall be dcasn ed incorporated herein. Alien so fianwishud, the: intent is that this'graw4 as a siatutory° bond and not as u e�o pinion lawbaronet, - �i°�; � • t"- "' Signed and scaled this 14th day of May, 2019. Ferguson Enterprises, LLC dba Ferguson f+w,Patraaaorif (PltitrciPal) (M1 "ara r � rvvrvv+t (fl trlsa.*s:t1 MI;Y c.�e�,es 5ww„ d2til By, S-0054/AS 8/10 C i—' iU E3 E3e Power of Attorney Westchester Fire Insurance Company I ACEAmerican Insurance Company Know All by These Presents, that WESTCHESTER FIRE INSURANCE COMPANY andACE AMERICAN INSURANCE COMPANY corporations of the Commonwealth of Pennsylvanla, do each hereby constitute and appoint Wendy Lee Wadkins each as their true and lawful Attorney -In -Fact to execute under such designation In their names and to affix their corporate seals to and deliver for and on thelr behalf as surety thereon or otherwise, bonds and undertakings and other Writings obligatory In the nature thereof (other than bail bonds) given or executed In the course of business, and any Instruments amending oraltering the same, and consents to the modification or alteration of any instrument referred to In said bonds or obligations. Surety Bond Number: Bid Bond Obligee: City of South Bend In Witness Whereof, WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY have each executed and attested these presents and affixed their corporate seals o�n�this day orSeptember, r, mbper, 2018. � Dawn M. Chloros, Assistant Secretary Stephen M. Haney, Vice President axsr wear we aerst r+soa e STATE OF NEW JERSEY County ofHunterdon Ss. On this day or September, 201R, before me, a Notary Public of New Jersey, personally came Dawn M. Chloros, to me known to be Assistant Secretary of WESTCIIESTER FiR£ INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY, the companies which executed the foregoing Power of Attorney, and the said Dawn M. Chloros, being by me duly,sworn, did depose and say that she Is Assistank Secretary of`WIESTCH ESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney arc such corporate seals and were thereto affixed by authority of said Companies; and that she signed said Power of Attorney as Asslstant Secretary of said Companies by like authority; and that she Is acquainted with Stephen M. Haney, and knows him to be Vice President of said Companies, and that the signature of Stephen M. Haney, subscribed to said Power of Attorney Is In the genuine handwriting of Stephen M. Haney, and was thereto subscribed by authority of said Companies and In deponents presence. Notarial Seal KATHERINEJ.ADELAAR NOTARY PUBLIC OFNEW JREY No. 2316M Commiss1onE*n;Juy16,2019 twaryPubO(NP_i45jT8,`)7,�"2S 61 CERTIFICATION Resolutions adopted by the Boards of Directors of WESTCHESTER FIRE INSURANCE COMPANY on December 11, 200b ;ACE AMERICAN INSURANCE COMPANY on March 20, 2009; 'RESOLVED, that the following authorizations relate to the execution, for and on behalf of the Company, of bands, undertakings, recngnizances, contracts and other written commitments of the Company entered Into In the ordinarycourse orbusiness (each a'W[Itten Commitment"); (1) Each of the Chairman, the President and the Vice Presidents of the Company Is hereby authorized to execute any Written Commltment for and on behalf or the Company, underthe seal of the Company or otherwise. (2) Each dulyappolnted anoroeyln•fact oftht Company Is hereby author lied tutucctneanywriaten Commirowntror and onbehatlfofther„osnpany, under the seal of the Companyorotherwise, to me estent th atsuch action is authorized byth a grant ofpowors pcovlded far In sutlw person"s wvritie m appoinbuentas such attnrnay-ltwfaeL (3) Each of the Chairman, the President and the Vice Prt0dentw of the Company ishertbynut horlittijr+rand on behalf of the Cornpany.viappolot In writing myperson the attorney -in - fact of the Campany wwirh lull ,power and authority to eaatatte, for and an behalf of the Company, under the seal of the Company or otheurwBsr, such WrRten Co mrwhmonu of the Company as may be specified In such written appointrmem, which s;p"Ificauon maybe by general typo or elms or 'wonren cesomitmeots or by speci6cratfan of one or more pathetic^ Written Commitments. (4) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized, for and on behalf of the Company, to delerme In writhag to any other officer of the Company the authority to execute, for and on behalf of the Company, under the Company's seal or otherwise, such Written Commitmentsof the Company os'are specified In such written delegation,whichspecification may be by general type or class or Written Commitments or byspocifrratlonofoneormore particular Written Commitneots. IS) The 0im3ture ofany offfcerorother person excrudng any Written Commitment orappointmentor delegation pursuant to this Resolution, and the seal of the Company, may be affixed by facsimile on such Written Commitment or wz'itten appointment or de egatton. FURTHER RESOLVED, that the foregoing Resolution shall not be deemed to be an exclusive statement arthe powersaud authority afofficers, employees and other persons to act for and on behalfofthe Company, and such Resolution shall not ilmit or otherwise affect the exercise of any such power or authority otherwise validly granted er vested.' 1, Dawn M. Chloros, Assistant Secretary of WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY (the `Companies') do hereby certify that (1) the foregoing Resolutions adopted by the Board of Directors of the Companies are true, correct and in full force and effect; (11) the foregoing Power of Attorney is true, correct and In full force and effect Given under my hand and seals ofsald Companies at Whitehouse Station, NJ, this May 14, 2019. nsusu,� LTI. M.Ch a r� to c Dawnloros Assistant Secretary v_ fN TH6.E.WENT YOUro VERif"5^'•rliF A 9TIIE? & cT'fY 0P r)tts i)oND o'R NDTiry us OF ANY OTIIE R MATTEGt,... PLFASF CONTAa US: ATr "fate horta �MOaih3tNT•3^5'7�T I'�°ax 90a 901.3f,sE: o•rnalltsur,ety xfsulah�-tom WFIG AAIC (rev. 0a.01.18) 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND. INDIANA 46601-1830 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS April 25, 2017 Devin Nuner Ferguson Waterworks 1077 Oliver Plow Court South Bend, IN 46601 RE: Award Bid — Ductile Iron Pipe, Gate Valves, and Fire Hydrants Dear Mr. Nuner: PHONE 574/235-9251 FAx 574/235-9171 The Board of Public Works, at its meeting held on April 25, 2017, awarded the above referenced bid to you in unit prices not to exceed $553,784. A representative from the Water Works Department will contact you regarding the bid award. Please call this office with any questions regarding this matter at (574) 235-9251. Sincerely, Linda M. Martin, Clerk Enclosure c: Ed Herman, Water Works Roxanne Lawson, Water Works Kim Thompson, Environmental Services GARY A. GILOT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU 1316 COUNTY -CITY BUILDrNG 227 W.JEFFERSON BOULEVARD SOUTH BEND. INDIANA 46601-1830 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS February 27, 2018 Devin Nuner Ferguson Water Works 1077 Oliver Plow Court South Bend, IN 46601 RE: Extension of Bid Dear Mr. Nuner: PHONE 574/235-9251 Fax 574/ 235-9171 The Board of Public Works, at its meeting held on February 27, 2018, approved the above referenced bid extension to extend the 2017 Ductile Iron Pipe, Valves, and Fire Hydrant bid for one (1) year at the same unit prices. Enclosed please find a copy of the agreement for your records. If you have any further questions regarding this matter, please call this office at (574) 235- 9251. Sincerely, Linde M. MgtinT Cllpm� Enclosure c: Ed Herman, Water Works Roxanne Lawson, Water Works Kim Thompson, Utilities Darric Cole, Water Works GARY A. GILOT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DoRAu 1316 COUNTY —CITY BUILDING 227 W.JEFFERSON BOULEVARD SO[ 1TH BEND. INDIANA 46601-1 830 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS April 9, 2019 Devin Nuner Ferguson Waterworks 1077 Oliver Plow Court South Bend, IN 46635 PHONE 574/235-9251 FAx 574/ 235-9171 RE: Award Bid — 2019 Street and Sewer Department Materials — Project No. 119-008 Dear Nuner: The Board of Public Works, at its meeting held on April 9, 2019, awarded the above referenced bid to the following, in the amount of unit prices. Your award will be listed in bold print. a) Rieth Riley Construction Co., Inc.; Division A, C-1, C-3 b) Ozinga Ready Mix, Division B c) Klink Trucking, Inc.; C-2, C-4, C-6 d) Ferguson Waterworks; Division D, G-1, G-2, G-3 e) American Highway Products; Division E f) SealMaster Indianapolis; Division F g) Bit -Mat Products of Indiana, Inc.; Division I Bids for Line Items C-5, G-4, G-5, G-6, and G-7 were rejected and no bids were received for Divisions H and J. A representative from the Public Works Department will contact you regarding the bid award. Please call this office with any questions regarding this matter at (574) 235-9251, Sincerely, LintM, Martin, Clerk. Enclosure GARY A. GILOT GENEVIEVE E. MILLER ELIZABETH A. MARADIK LAURA L. O'SULLIVAN THERESE J. DORAU Timothy Neese Mayor "Me I 1 I , 229 S. Second St. Elkhart, IN 46516 NOTICE OF BID AWARD March 26, 2019 Ferguson Waterworks 1077 Oliver Plow Court South Bend, IN. 46601 RE: BID #19-01 Utility Materials You were awarded the above Bid #19-01 on February 19, 2019 by the Board of Public Works per the enclosed bid tab memo. After the Board of Works signs the Contracts, we will return an original to you for your file. Thank you. Sincerely, Bi0 D OF PUB1 WORKS LAI- Nancy Wils , dministrative Assistant Enc: Bid Tab Award Memo, Bid Bond, Contracts 574.294.5471 Fax: 574.522.6794 NOTICE TO BIDDERS Notice is hereby given that the City of South Bend, Indiana, will receive sealed bids at the Office of the Board of Public Works, Ste. 1316, County -City Building, 227 West Jefferson Blvd., South Bend, Indiana, until the hour of 9:30 a.m. Local Time, on May 14, 2019, for the following: Ductile Iron Pipes, Valves, and Hydrants Project No. 119-034 Specifications are available for download by visiting the City of South Bend's web page at www,sotithbendin. ov: X Click on "I'm Looking For' X Click on "Doing Business in South Bend" X Click on "City Contracts — Invitations to Bid" X Click on the "Required Link" to register your company. You must register to receive addenda and updates to the specific bid you are interested in. Failure to do so could render your bid non -responsive to the specifications. There is no charge for the specifications. The specifications are also available for review only during regular working hours in the Department of Public Works, Ste. 1316, County -City Building, 227 W. Jefferson Blvd., South Bend, Indiana 46601. Bids received after 9:30 a.m., Local Time, on May 14, 2019, will be returned unopened Bids must be on the City of South Bend Bid/Proposal form provided, which includes a Non -Debarment Affidavit, Non -Discrimination Commitment form, and a Non -Collusion Affidavit Form. Certified Check or Bid Bond in the amount of not less than 10% must be submitted with the bid. A refund of the bid security will be issued upon satisfaction of Bid Award. The Board reserves the right to reject any or all bids or to accept a full or partial award of the bid or bids which, in its judgment, will be to the best interests of the City of South Bend. If the Board elects to award the base bid plus an alternate(s), the Board will look at the totality of the cost when determining the lowest, most responsible bid. The Board may reject any bid that does not conform to these requirements as non -responsive. BOARD OF PUBLIC WORKS Linda M. Martin, Clerk Publish two times: April 19, 2019 April 26, 2019