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HomeMy WebLinkAboutOpening of Quotes - MPAC Joint Resealing Project No 119-050 - Ziolkowski Construction IncCITY OF SOUTH BEND INDIANA CONTRACTORS QUOTE FOR PUBLIC, PROJECT NAME: Morris Performin Arts Center Joint ResealingQu PROJECT NO. 119-050 QUOTES DUE Tuesday, May 14, 2019 at 9:30am Local Time (Must be completed for all quotes. Please type or print) Date: May 14, 2019 Firm: Ziolkowski Construction, Inc. Address: 4050 Ralph Jones Drive City/State/Zip; South Bend„ IN 46628 Telephone Number: � 574.)287-1811 Agent of Bidder (if Applicable): n/a _......... .................. Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: Morris Performing Arts Center Joint Resealing the City of South Bend, Indiana, in accordance with plans and specifications prepared by: The City of South Bend, Department of Public Works _...... . and dated n/a ] for the sum of (enter the Total Quote as shown on the Proposal) Enter Su rw of Total Quote uL).D.j'' ($ 13,726.00 ThirteenThou TDCD Nndre Twenty ix e shown on Proposal) (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. By :...::.....W BIII Favors, President) (Printed Name of Person Signing) 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 ACCEPTANCE day of 20 Genevieve E. Miller, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk Version 4/2/2019 Page - 1 Public Works Quote QUOTE/PROPOSAL � CITY OF SOUTH BEND f PROJECT NAME Morris Performing Arts Center Joint Resealing Quote PROJECT NO. 119-050 QUOTES DUE Tuesday, May 14, 2019 at 9:30am Local Time Item No. Description Quantity Unit Unit Price Total Amount 1 Cut out and Reseal horizontal 5 EA joints on West side of building. 1,350 6,750 2 Cut out and Reseal vertical joints 6 EA 1 162.67 6 976 on West side of building. , Total Amount of Quote f $ 13,726 Firm: Ziolkowski Construction, Inc. Address: 4050 Ralph Jones Drive City/State/Zip: South Bend, IN 46628 Telephone Number:574 287-1811 G Fax Number: 574 234-0151 t.t"ov Q By 1 ) :c (Signature) t �'SEAL Bill Favors, President (Printed Name of Person Signing) Version 4/2/2019 Page - 2 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 Indiana ) SS:. St Joseph COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: 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 Version 4/2/2019 Page - 3 Public Works Quote 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- Version 4/2/2019 Page - 4 Public Works Quote 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 14th day of May , 2019 Ziolkowski Construction,. Inc. t ontractorBidder (Firm) Signatitre of Contractor/Bidder or Its Agent Bill Favors, President Printed Name and Title Subscribed and sworn to before me this 14th day of May -, 2019 My Commission Expires March 1, 2020 County of Residence Notary Public Shannon Reidenbach St Joseph SHANNOIREIDENBACH Notaryc- SealStatediana My Commissiores Mar 1, 2020 Version 4/2/2019 Page - 5 Public Works Quote E,,-Ver1FV. Company ID Number: 486671 THE E-VERIFY PROGRAM FOR EMPLOYMENT VERIFICATION MEMORANDUM OF UNDERSTANDING ARTICLE I PURPOSE AND AUTHORITY This Memorandum of Understanding (MOU) sets forth the points of agreement between the Department of Homeland Security (DNS) and Ziolkowski Constraction Inc. (Employer) regarding the Employer's participation in the Employment Eligibility Verification Program (E- Verify). This MOU explains certain features of the E-Verify program and enumerates specific - responsibilities of DHS, the Social Security Administration (SSA), and the Employer. E-Verify is a program that electronically confirms an employee's eligibility to work in the United States after completion of the Employment Eligibility Verification Form (Form 1-9). For covered government contractors, E-Verify is used to verify the employment eligibility of all newly hired employees and all existing employees assigned to Federal contracts or to verify the entire workforce if the contractor so chooses. Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C. § 1324a note). Authority for use of the E-Verify program by Federal contractors and subcontractors covered by the terms of Subpart 22.18, "Employment Eligibility Verification", of the Federal Acquisition Regulation (FAR) (hereinafter referred to in this MOU as a "Federal contractor with the FAR E-Verify clause") to verify the employment eligibility of certain employees working on Federal contracts is also found in Subpart 22.18 and in Executive Order 12989, as amended. ARTICLE II FUNCTIONS TO BE PERFORMED A. RESPONSIBILITIES OF SSA 1. SSA agrees to provide the Employer with available information that allows the Employer to confirm the accuracy of Social Security Numbers provided by all employees verified under this MOU and the employment authorization of U.S. citizens. 2. SSA agrees to provide to the Employer appropriate assistance with operational problems that may arise during the Employees participation in the E-Verify program. SSA agrees to provide the Employer with names, titles, addresses, and telephone numbers of SSA representatives to be contacted during the E-Verify process. 3. SSA agrees to safeguard the information provided by the Employer through the E-Verify program procedures, and to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security Numbers and for evaluation of the E-Verify program or such other persons or entities who may be authorized by SSA as governed Page 1 of 131 E-Verify MOU for Employer I Revision Date 09/01/09 xvmv.dhs.gov1E4arify r=-Verify, � wnx Company ID Number: 486671 To be accepted as a participant in E-Verify, you should only sign the Employer's Section of the signature page. If you have any questions, contact E-Verify at 888-464-4218. Employer9 Ziolkowski Construction Inc- _.. . ,. Bill Favors W ............ Name (Please Type or Print) Title Efectronicall„y Signed 01/10/2012 Signature Date Department of Homeland Security - Verification Division CIS Verification Division Name (Please Type or Print) itle Electronicail Signed _ _ 1/10/2012 Signature Date ............ Information Required for the E-Verify Program Information relating to your Compan w Company Name�Ziolkowski Construction, Inc. Company Facility Address: 4050 Ralph Jones Dr. South Bend, IN 46628 Company Alternate Address: Count or Parish: ST JOSEPH Employer Identification Number: 351445992 Page 12 of 13 1 E-Verify NOU for Employer I Revision Date 09/01/09 uvvw.dhs.gov/E-Verify Company ID Number: 486671 North American Industry Classification Systems Code: 236 Administrator: Number of Employees: 100 to 499 Number of Sites Verified fo r: 1 Are you verifying for..�.� �.m.. .._�... . more than 1 site? If es lease provide the number of sites verified for in each State: ® INDIANA 1 site(s) relating to -the Program Administrator(s) for your Company on policy questions or operational problems: Name: James Keldsen Telephone Number: (574) 287 -1811 ext. 368 Fax Number: (574) 344 - 5533 E-mail Address: jkeldsengzbuild.com Page 13 of 13 1 E-Verify MOU for Employer I Revision Date 09/01/09 ri.P.dhs.gov/E-Verify 6/32J2017 E Verify: Employer Wizard- Company Information Welcome James Keldsen Company Information Company Name Ziolkowski Construction, Inc. Company ID Number 486671 Doing Business As (DBA) Name DUNS Number Physical Location Address 1 4050 Ralph Jones Dr. Address 2 city South Bend state IN Zip Code 46628 County ST JOSEPH Mailing Address Address 1 Address 2 City state zip Code Additional information Employerldentilication Number 351445992 Total Number of Employees 100 to 499 Parent Organization Administrator Organization Designation Employer Category None of these categories apply View /Edit NAILS Code 236 - CONSTRUCTION OF BUILDINGS View I Edit Total Hiring Sites htipsJ/iL-verify.uscis.gov/web/EmployerWizard.aspx - MENU