HomeMy WebLinkAboutOpening of Qualifications - RFQ - Qualified Contractors for Lead Hazard Reduction Demonstration Grant - Legacy Property Management LLCWhen 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)
STA-rE OF .5rl4- n«t
) SS:
JZSep� 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
Non -Collusion Non -Debarment Affidavit Non Iran Form
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.
Non -Collusion Non -Debarment Affidavit Non Iran Form
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 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 +� day of 20�
r
Coa rac raid ur (Firm)
Si alter of Contractor/Bidder or Its Agent
f, rr �'LC
U l aaJ�t
Pri ted Name and Title
Subscribed and sworn to before me this : , day of20 6
2
My Commission Expires � J �_.
Notary Pu c
Jaqueline Martinez
St Joseph Coun County of Residence
. M Cornmission �l
�eptembor 13, 02
Non -Collusion Non -Debarment Affidavit Non Iran Form
Indiana State Department of Health
Tyantwon Redding
Lead Project Supervisor License # IND001 686
Effective: 04/29/2019
Birth Date: 03/12/1982
Height: 5;11
Weight: 200
Expiration: 04/29/2022
Gender: M
Eye Color: brown
Hair Color: black
C,TOJk-,,ir,!,Yf lviMAJ TrAiWvv4 -�§;
Lead Ren ovator
cort. No.: R-1-6865-19-113150
Training DaW: 31812019 - 31012019
Exam Dabs: 3M2010 Language: English
Cgruflu"on Expires: 31&7024
1g,,,�1Tx�OL_EMdpQnMg �dftaqamentlnftte-InG
5610 Crawfordsville Rd, Sle1500
Indianapolis. IR 46224-37B7
(317) 2484848
Issued to: Tyantwon Redding
418 Lismonte Terrace
South Bond, IN 46616
12
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
REQUEST FOR QUALIFICATIONS
Sealed Applications shall be received no later than 9:30 a.m., EST, on May 14, 2019, in the office of the
Board of Public Works, 13th Floor, County City Building, Room 1316, South Mend, Indiana, for:
QUALIFIED CONTRACTORS FOR LEAD HAZARD REDUCTION DEMONSTRATION
GRANT
SUMMARY:
The Board of Public Works of the City of South Bend ("City"), on behalf of the Department of
Community Investment and the Indiana Housing & Community Development Authority ("IHCDA") is
soliciting applications from qualified vendors to serve as preferred vendors for its Lead Hazard Reduction
Demonstration Program.
Project description:
The City is authorized under Resolution No. 4755-18 of Common Council of the City of South Bend to
offer this Lead Hazard Reduction Program to control or eliminate lead hazards in properties owned or
leased by low-income households. It is the purpose of this request to establish a list of qualified vendors
who will perform lead hazard reduction work at the rates established herein.
The Board will open the applications at n, liS lit M�:r in the Boardof Public Works
Meeting, Ste. 1308, County -City Building, 227 W. Jefferson Blvd., Sormth Bend, Indiana
46601. Representatives of the City will review the applications and notify vendors if they have been
accepted into the program pursuant to the terms below.
Applications must meet the minimum specifications as provided herein. There is no scoring matrix
as all vendors whose applications meet the minimum specifications and who meet and accept the
following conditions will be accepted into the program.
Qualified Applicants must meet and accept the following conditions:
Requirements:
--�- • A copy of the State of Indiana Abatement Contractor License must be included.
• Copies of all individuals valid state licenses for lead abatement workers & supervisors.
• One-year warranty on work
• Company safety manual must be followed.
��• Must be an EPA approved Renovation, Repair and Painting certified firm.
• Must follow South Bend City Standards including materials
• Bills must be delivered to Suite 1400S, County -City Building 227 W. Jefferson Blvd. 46601 by the 5th of
the following month after work performed under the program
• Proof of Commercial 1eneral Liability Insurance per- Person in the amount of $50,000; and.
• Proof of Commniercial (aencral Liability Insurance per Occurrence in the amount of $1,000,000; and
• Proof of specialized liability insurance for lead hazard reduction work.
• Worker's Compensation Insurance.
No contract award may be made to parties listed on the government -wide exclusions in the
System for Award Management (SAM) or Federal Awardee Performance and Integrity
Information System (FAPIIS)
• Copies of any contractor licenses (plumbing, electrical, etc.).
• A list of any sub -contractors that would be used.
BOARD OF PUBLIC WORKS
Linda M. Martin, Clerk
Publish two (2) times: April 12, 2019
October 11, 2019