HomeMy WebLinkAboutOpening of Quotes - Fire Station Parking Lot Improvements Project No 119-059 - Walsh & Kelly IncPROJECT NAME:
PROJECT NUMBER:
QUOTES DUE:
BASE QUOTE
QUOTE/PROPOSAL
CITY OF SOUTH BEND �
Fire Station Parking Lot Improvements
119-059
,July 23, 2019, 9:30am, Local Time
Item No.
Description
Quantity
Unit
Unit Price
Total Amount
1
MOBILIZATION AND DEMOBILIZATION
1
LS
8,050.00
$8,050.00
2
EROSION CONTROL
1
LS
250.00
$250.00
3
MILLING, 1.5"
487
SY
36.00
$17,532.00
4
HMA SURFACE, 9.5 mm, TYPE B
41
TON
409.00
$16,769.00
5
TACK COAT
1
TON
1.00
$1.00
6
COMMON EXCAVATION
383
CY
31.00
$11,873.00
7
BORROW
117
CY
47.00
$5,499.00
8
COMPACTED AGGREGATE, NO. 53
336
TON
40.00
$13,440.00
9
HOT MIX ASPHALT FOR PATCHING
530
SY
151.00
$80,030.00
10
ADJUST CASTING TO GRADE
1
EA
1,850.00
$1,850.00
11
CASTING, FURNISH, INSTALL AND ADJUST TO GRADE
1
EA
2,950.00
$2,950.00
12 LINE, PAINT, SOLID, WHITE, 4 IN 322 LF 5.00
$1,610.00
Total Amount of Base Quote
$159,854.00
ALTERNATE NO. 1
Item No. Description
1 MILLING, 1.5"
2 HMA SURFACE, 9.5 mm, TYPE B
3 TACK COAT
Bidder(Firm):
Address:
City/State/Zip
Telephone Number:
Fax Number.
r
4111
By:
Quantity Unit Unit Price
798 SY 18.60
66 TON 259.00
1 TON 1.00
Total Amount of Alternate No. 1
Walsh & Kelly, Inc.
24358 SR 23
574-288-4811
0/Y-4u.7-/ 1 1 Y
Total Amount
$14,842.80
$17,094.00
$1.00
$31,937.80
('Saf"nature)
VP of South Bend Area
CITY OF SOUTH BEND, INDIANA
ONT m QUOTE FOR PUBLIC WORK
PROJECT NAME: Fire Station Parking Lot Improvements
PROJECT NO. 119-059
QUOTES DUE July 23. 2019. 9:30am. Local Time
(Must be completed for all quotes. Please type or print)
Date: 7/23/19
Address: 24358 SR 23
Firm: Walsh & Keliv. Inc.
City/State/Zip: South Bend IN 46614 Telephone Number: 574 288-4811
MACK
Agent of Bidder (if Applicable):
......... ... ._...__.
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
Fire Station Parkinq Lot Improvements
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
The City of South Bendy Department of Public Works
and dated July 2019 ............... for the sum of (enter the Total Quote as shown on the Proposal)
One hundred ninety one thousand seven hundred ninety one dollars and eighty cents �($ 191,791 80 )�
(Enter Sum of Total Quote plus Alternates 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 o its must be the same as that shown
in the original contract if accepted by the City of South Bend. If th of s t awarded on a unit basis, the
itemization of the units shad be shown on a separate attachment,
s N R
o By,°
(Signature)
Dustin Hila VP of South Bend Area
m (Printed Name of Person Signing)
�P yft
ACCEPTANCE
The above gLrote is accepted this day of
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
Laura L. O'Sullivan, Member
Genevieve E. Miller, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
20
Version 4/2/2019 Page - 11 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
alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of
Version 4/2/2019 Page - 12 Public Works Quote
Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3.
Contractor's documentation of enrollment and participation in the E-Verify Program is included
and attached as part of this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public
contract to certify that the subcontractors do not knowingly employ or contract with an
unauthorized alien, nor retain any employee or contract with a person that the subcontractor
subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is
participating in the E-Verify Program. The Contractor agrees to maintain this certification
throughout the term of the contract with the City of South Bend, and understands that the City
may terminate the contract for default if the Contractor fails to cure a breach of this provision no
later than thirty (30) days after being notified by the City.
6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by
the City of South Bend through its agencies, boards, or commissions shall not discriminate against
any employee or applicant for employment in the performance of a City contract with respect to
hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly
related to employment because of race, sex, religion, color, national origin, ancestry, age, gender
expression, gender identity, sexual orientation or disability that does not affect that person's ability
to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or
any combination of the foregoing including, but not limited to, public works contracts awarded
under public bidding laws or other contracts in which public bids are not required by law, the City,
its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain
participation by those Contractors certified by the State of Indiana as a Minority Business
("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest,
responsible, responsive bidder.
In no event shall persons or entities seeking the award of a City contract be required to award a
subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said
WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board
shall prohibit that person or entity from being awarded a City contract for a period of one (1) year
from the date of such determination, and such determination may also be grounds for terminating
the contact for which the discriminatory practice or noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination commitment shall
be made a part of any contract which it may henceforth enter into with the City of South Bend,
Indiana or any of its agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for
employment in the performance of this contract with privileges of employment, or any matter
directly or indirectly related to employment, because of race, religion, color, sex, gender
expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of
this provision may be regarded as material breach of contract.
I, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-
8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel
products or foundry products made in the United States on this project if awarded. I understand I
Version 4/2/2019 Page - 13 Public Works Quote
have an affirmative duty to notify the City in my bid that my proposal does not include the use of
steel products or foundry products made in the United States. I understand it is my sole obligation
and responsibility to provide a justification to the City, subject to review and approval, why the
cost of United States made steel or foundry products is unreasonable. Prior to award and upon
submission of bid which does not use steel products or foundry products made in the United States,
the City, through its director of public works, shall make a determination if the price of United
States made steel or foundry is unreasonable. I understand that violations hereunder may result in
forfeiture of contractual payments.
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public
works are true and correct.
Dated this 23rd day of JUIy , 2019
of Contractor/Bidder or Its Agent
Dustin Hilary_, VP of South Bend Area
Printed Name and Title
Subscribed and sworn to before me this 23rd day of,_ Jul
My Commission Expires 6/5/22 V—J
Notary PAc Alish ' rueer
County of Residence St. Joseph
611 YI F^�
ALISH7KRUEGE-R
.i
"'m
Notary Pubof indiaarntyL-ALpSe.
JMy
Com�xpi;os
June 05� 2022
Version 4/2/2019 Page - 14 Public Works Quote
Part of State Form52414 (R2 12-13) Form 96 (Revised 2013)
1_-3_I_A
Walsh & Kelly, Inc.
(Contractor)
(Address)
South Bend IN 46614
FOR
PUBLIC WORKS PROJECTS
OF
City of South Bend, Indiana
Fire Station Parking Lot Improvements
Prolect No. 119-05,9
Filed July 23rd 2019
Action
State Form 52414 (R / 9-10)
Prescribed b State Board of Accounts Form b!96 Rev1s rl 201
CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96
PART 1
(To be completed for all bids. Please type or print)
1. Governmental Unit (Owner):
2. County:
3. Bidder (Firm):
Address:
City/State:
4. Telephone Number:
5. Agent of Bidder (If applicable):
Date (month, day, year): July 23, 2019
City of South Bend Indiana
St. Joseph
Walsh & Kelly, Inc.
24358 SR 23
South Bend IN 46614
574) 288-4811
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of City of South Bend Indiana (Governmental Unit) in accordance with plans and
specifications prepared by City of South Bend — Dept. Of pubic Works and dated Jul- for the sum
of One hundred ninety one thousand seven hundred ninety one dollars and ei htvT cents
$ 191,791.80.
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of
the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any
addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that
shown in the original contract if accepted by the Governmental Unit. If the bid is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or
applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or
indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant
may be regarded as a material breach of the contract.
CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS
(If applicable)
I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation
to use steel products made in the United States. I.C. 5-16-8-2. I hereby certify I and all subcontractors employed by me
for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in
forfeiture of contractual payments.
ACCEPTANCE
The above bid is accepted this day of ... ............................_. __________________,,..._____, subject to the following conditions:
Contracting Authority Members:
PART II
(For projects of $150,000 or more — IC 36-1-12-4)
Governmental Unit: City of South Bend, Indiana
Bidder (Firm): Walsh & Kelly, Inc.
Date(month, day, year):. J' ly 23 201
These statements to be submitted under oath by each bidder with and as part of his bid. Attach additional pages
for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
What public works projects has your organization completed for the period of one (1) year prior to the date of
the current bid?
Contract Amount
i Class of Work
When Completed
Name and Address of Owner
$12,926,200
Reconstruction
October 2017
INDOT
$ 5,970,162
Reconstruction _
May 2017
Town of Merrillville
$ 5,521,779
Resurface
December 2017
City of Mishawaka
$ 2,646,574
Reconstruction
September 2017
St. Jose h Cty Hwy Dept.
3. What public works projects are now in process of construction by your organization?
Contract Amount
Class of Work
When to be Completed
Name and Address of Owner
$10_,695,118
Reconstruction
November 2018
Walsh Construction
$ 8,146,239
Resurface
May 2018
INDOT
$ 4,073,719 _
_
Reconstruction
July 2018
Cityof East Chicago, IN
$ 2,662,813
Reconstruction
October 2018
INDOT
Have you ever failed to complete any work awarded to you? _No. If so, where and why?
5. List references from private firms for which you have performed work.
Gatlin Plumbing & Heating,Inc. 1111 E. Main St. Griffith _IN Ms. Clara Mur h
Gough, Inc. 2200 E. 88t' Dr., Merrillville IN 46410 Mr. Ra and Gou
__
Dyer Construction Co. 1716 Sheffield Avenue Der IN Janet Furman
Grimmer Construction CoInc. 2619 Main Street Hi hland , IN Mr. Greg Grimmer
SECTION it PLAN AND EQUIPMENT QUESTIONNAIRE
1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could
begin work, completed the project, number of workers, etc. and any other information which you believe would
enable the governmental unit consider your bid.)
As required by owner
2. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have
performed part of the work) that you have used on public works projects during the past five (5) years along with a
brief description of the work done by each subcontractor.
See Attached List
3. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be
used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a
listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed
project, you are under a continuing obligation to immediately notify the governmental unit in the event that you
subsequently determine that you will use a subcontractor on the proposed project.
Will supply upon award of contract
4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors
may also be required to be listed by the governmental unit.
QUANTITY
ITEM
DESCRIPTION,
CONDITION
YEARS
PRESENT LOCATION
SIZE, CAPACITY,
OF
ETC.
SERVICE
5
Asphalt Plants
Various
Good
Griffith, South Bend,
Valparaiso, Lowell, LaPorte
19
As halt Pavers
Various
Good
Griffith, South Bend
4
Sli form Conc. Paver
Various
Good
Griffith, South Bend
3
Road Widener
Various
Good
Griffith, South Bend
5
Motor Graders
CAT/J.D.
Good
J Griffith, South Bend
54
Rollers
I Various
Good
Griffith, South Bend
30
Rubber Tire Loaders
1 Various
Good
Griffith, South Bend
15
Excavators
Various ��.
Good
Griffith, South Bend
9
Bulldozers
Various
Good
Griffith, South Bend
6
LowBoy Tractors
Various
Good
Griffith, South Bend
8
Flatbed�Dyin
Various
Good
Griffith, South Bend
48
%z and 3/ ton Pickups
Various
Good
Griffith, South Bend
65
1 Ton Crew Trucks
Various
Good
Griffith, South Bend
3
Cold Planers
Wirtgen 1900
Good
Griffith, South Bend
DC
3
Tri-Axle Dump
Mack
Good
South Bend
5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing
your proposal? Otherwise, please explain the rationale used which would corroborate the prices listed.
Yes, we received quotes from potential subcontractors and suppliers
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
4
Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required
by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding
the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's
capability for completing the project if awarded.
SECTION IV CONTRACTOR'S NON -COLLUSION AFFIDAVIT
The undersigned bidder or agent, being duly sworn on oath, says that he 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.
He 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
SECTION V OATH AND AFFIRMATION
I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION
CONTAINED IN THE FOREGOING BID FOR PRBLIC WORKS ARE TRUE AND CORRECT.
Dated at South Bend this 23rd day of Jul 0ey
19
W & eM
Ile
ante of Organization)
s n
B
171, �' lusti�u Hilary, VP of South Bend Area
(Title of Person Signing)
ACKNOWLEDGEMENT
STATE OF Indiana
) ss
COUNTY OF St. Joseph
Before me, a Notary Public, personally appeared the above -named. Dustin Hilaly and
swore that the statements contained in the foregoing document are true and correct.
Subscribed and sworn to before me this 23rd day of July, 2019.
Alisha Krueger, Notary Publi
My Commission Expires: June 5 2022
ALISHA KRUEGER
v
County of Residence: St. Joseph P
:�Notaryst,iolicepvtcountttfnd�r ^A
my commission Expires
Acne 0�j, 2022
°"gyp aiugi+yw""" „d'
Form 96 Section II, #2
Subcontractors Used on Public Works Contracts D
SUBCONTRACTORS
COMPANY
SEWER
B & D Sewer
Deboer Egolf
Delta I I I
Dyer Construction
Gatlin Plumbing & Heating
Gough, Inc.
Grimmer Construction
Hasse Construction
HRP Construction
Rex Construction
Wirtz & Yates, Inc.
Woodruff & Sons
MILLING
C.E. Hughes Milling, Inc.
Javelina Construction, Inc.
Mid America Milling Co.
McCrite Milling
Specialties Company
ELECTRICAL INSTALLATION
Hawk Enterprises
Midwestern Electric
S/T Bancroft Electric
Sweney Electric Company
Trans Tech Electric
SIGN INSTALLATION
Hawk Enterprises
Midwestern Electric
RoadSafe Traffic Systems
State Barricading, Inc.
Traffic Control Specialists, Inc.
PAVEMENT MARKINGS
The Airmarking Company
l3larkout Sealcoating
RoadSafe Traffic Systems
State Barricading, Inc.
Traffic Control Specialists, Inc.
Traffic Management Company
TRAFFIC CONTROL
RoadSafe Traffic Systems
Traffic Control Specialists, Inc.
Traffic Management Company
LANDSCAPE
Great American Landscape
Hubinger Landscape
Slusser"s Green Thumb, Inc
T & J Landscape Service
ADDRESS
531 Winston Ct
5772 Melton Road
2063 W 1250 S
1716 Sheffield Avenue
1111 E. Main Street
2200 E. 88th Drive
2619 Main Street
10 Lincoln Avenue
5777 Cleveland Rd.
700 Schiller Avenue
P.O. Box 41
P.O. Box 450
CITY/STATE/ZIP
the Past 5 Years
Schererville, IN 46375
Portage, IN 46368
Hanna, IN 46340
Dyer, IN 46311
Griffith, IN 46319
Merrillville, IN 46410
Highland, IN 46322
Calumet City, IL 60409
South Bend, IN 46624
Schererville, IN 46375
Kentland, IN 47951
Michigan City, IN 46361
(219) 322-2300
(219) 763-9700
(219) 797-4004
(219) 865-2961
(219) 924-6972
(219) 756-2200
(219) 924-1623
(219 )932-1611
(574)271-7800
(219) 322-8090
(219) 474-6542
(219) 872-8605
(219) 865-0065
(219) 763-9703
(219) 797-3008
(219) 865-2963
(219) 924-1401
(219) 756-2202
(219) 924-0328
(219) 932-6829
(574)271-0524
(219) 322-0031
19) 8795339
3113 Holmans Lane
Jeffersonville, IN 47130
(812) 725-8665
(812) 725-8672
13476 Britton Park Rd.
Fishers, IN 46038
(317) 841-8364
(317) 841-0075
6200 W. Hwy 62, Ste 400 Jeffersonville, IN 47130
(812) 282-2751
(812) 283-9846
209 Quality Ave. Ste 9
New Albany, IN 47150
(812) 941-0252
(812) 941-0852
9350 E. 30th St.
Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
1850 E. North St
1620 E. Chicago Ave
25020 State Road 2
9111 Louisiana St.
4601 Cleveland Road
1850 E. North St
1620 E. Chicago Ave
3122 Olympia Dr
24963 U.S. Highway 20
1810 W Pacific Avenue
P.O. Box 526
7440 W. 87th Place
3122 Olympia Dr
24963 U.S. Highway 20
1810 W Pacific Avenue
3542 Hiahwav Avenue
3122 Olympia Dr
1810 W Pacific Avenue
3542 Hiahwav Avenue
P.O. Box 235
210 E. 113th Avenue
125 Montgomery Street
8253 Wicker Avenue
Crown Point, IN 46307
East Chicago, IN 46312
South Bend, IN 46619
Merrillville, IN 46410
South Bend, IN 46619
Crown Point, IN 46307
East Chicago, IN 46312
Lafayette, IN 47909
South Bend, IN 46628
Knox, IN 46534
Rochester, IN 46975
Bridgview, IL 60455
Lafayette, IN 47909
South Bend, IN 46628
Knox, IN 46534
Highland, IN 46322
Lafayette, IN 47909
Knox, IN 46534
Highland, IN 46322
Dyer, IN 46311
Crown Point, IN 46307
Logansport, IN 46947
St. John, IN 46373
(219) 662-8090
(219) 397-4444
(574) 287-6490
(219) 769-6007
(574) 272-9673
(219) 662-8090
(219) 397-4444
(317) 780-1825
(574) 287-2078
(574)772-7001
(219) 662-8093
(219) 397-8888
(219) 769-0565
(574) 271-0144
(219) 662-8093
(219) 397-8888
574)772-7002
(574) 223-5817 (1574) 223-7959
(219) 864-2300 (708) 430-6910
(317) 780-1825
(574) 287-2078
(574) 772-7001 (574) 772-7002
(291) 746-2433
(317) 780-1825
(574)772-7001 (574)772-7002
(219) 746-2433
(219) 322-7033 (219) 322-4419
(219) 662-9911 (219) 662-6206
(574) 722-3102 (574) 722-1628
(219) 374-9900 (219) 374-9950
6
GUARDRAIL/FENCING
Acorn Fence
2041 164th Street
Hammond, IN 46320
(219) 844-8400
(219) 844-8441
C Tech Corporation
5300 W. 100 North
Boggstown, IN 46110
(317) 835-2745
(317) 835-2781
James H. Drew Company
8701 Zionsville Rd.
Indianapolis, IN 46268
(317) 876-3739
(317) 876-3829
Security Industries
1000 Georgiana St.
Hobart, IN 46342
(219) 942-9447
(219) 942-9448
Specialties Company
9350 E. 30th St.
Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
TRUCKING/HAULING
C. Lee Construction Services
1011 S. Lake St
Gary, IN 46403
(219) 888-9554
(219) 888-9564
Cordon Trucking, LLC
18245 Amberley Ln
South Bend, IN 46637
(574) 360-4326
(574) 271-8984
Fanio Services
28015 SR 23
North Liberty, IN 46554
(574) 233-3236
Gilmer Trucking
20390 New Road
South Bend, IN 46614
(574) 229-3233
Material Transfer Inc.
7811 West 101st Ave.
Crown Point, IN 46307
(219) 865-9575
Morris Motor Service, Inc.
10525 W US Hwy 30 Bld
Wanatah, IN 46390
(219) 733-9430
7
P & C Trucking
4410 Ross Road
Gary, IN 46408
(219) 972-0193
Superior Construction Co., Inc,
1455 Louis Sullivan Dr
Portage, IN 46368
(219) 787-0850
V & R Trucking, Inc.
1845 Elmer St.
South Bend, IN 46628
(574) 329-2102
SRPM'S
K & S Markers, Inc.
2189 N 600 W
Thorntown, IN 46071
(765) 482-6184
(765) 482-6284
I UNDERSEAL
Rieth-Riley Construction Co.,
2454 West CR 450 North
LaPorte, IN 46350
(219) 362-6178
Inc.
TREE REMOVAL
Dave's Tree Service
1555 Park West Circle
Munster, IN 46321
(219) 922-9829
(219) 922-9843
Homer Tree Service
14000 S. Archer Ave
Lockport, IL 60441
(815) 838-0320
'Timber Masters LLC
P.O. Box 245
Dyer, IN 46311
(219) 864-8733
(219) 322-9391
LIME STABILIZATION
Mt. Carmel Sand & Gravel
1611 College Dr.
Mt. Carmel, IL 62863
(618) 262-5118
(618) 263-4084
Rock Solid Stabilization
5104 Mann Drive
Ringwood, IL 60072
(815) 653-2585
(815) 653-2583
Specialties Company
9350 E. 30th St.
Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
PIPE LINING
Indiana Reline, Inc.
312 E. Main Street
Sulphur Springs, IN
(765) 766-5040
(765) 533-5831
47388
SAW CUTTING
Diamond Coring Co., Inc.
11800 S Ewing Ave
Chicago, IL 60617
(773) 978-5000
Quality Saw & Seal, Inc.
7600 W. 79th Street
Bridgeview, IL 60455
(773) 767-9300
SEAL COATING/STRIPING
Site Services, Inc.
10117 Kennedy Ave
Highland, IN 46322
(219) 924-9944
Blackout Sealcoating
7440 W. 87th Place
Bridgview, IL 60455
(219) 864-2300
(708) 430-6910
UNDERDRAIN
3D Company, Inc.
3200 East CR 350 North
Muncie, IN 47303
(765) 288-3326
(765) 288-3344
General Form No. 96-a
Prescribed by the State Board of
Accounts of Indiana. Revised 1949.
Prescribed by
THE STATE BOARD OF ACCOUNTS OF INDIANA
For use in investigating and determining the qualifications of bidders on public
construction when the aggregate cost of any such work or improvement will be Five Thousand
Dollars or more.
These statements to be submitted under oath by each bidder with and as a part of his bid, as provided
by Chapter 306, page 1248, Acts of 1947
Submitted to City of South Bend Indiana
By Walsh & Kell Inc.
Address 24358 SR 23 South Bend IN 46614
Date submitted _ July 23 2019
Filed
A.E. BOYCE CO., MJI'4CIE, IND... .
fA Corporation
Sec. 2 of an Act entitled AN ACT concerning the awarding of contracts for the performance of public work and
authorizing the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contractors who
submit bids for the performance of such work, providing for plans and specifications, providing for bids repealing certain laws
and declaring an emergency." (Approved March 13, 1947.)
Sec. 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or more, for
the purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which of the bidders
submitting bids for the performance of any such public work is, in the judgment of such board, commission, trustee, officer or
agent, the lowest and/or best bidder and to exercise intelligently the discretion hereby conferred on such board, commission,
trustee, officer or agent each bidder shall be required to submit under oath with and as a part of his bid a statement of his
experience, his proposed plan for performing such work and the equipment which he has available for the performance of such
work and a financial statement. The statements hereby required shall be submitted on forms which shall be prescribed by the state
board of accounts. The forms so prescribed shall be designated, respectively, as the experience questionnaire, the plan and
equipment questionnaire and the contractor's financial statement, and shall be based, so far as applicable, on the standard
questionnaires and financial statement for bidders as approved and recommended by the joint conference on construction
practices, for use in investigating the qualifications of bidders on public construction work, and the forms so prescribed are
hereby prescribed as the forms which shall hereafter be used by all such boards, commissions, trustees, officers and agents in
obtaining the information which is required in the administration of this act. If the information submitted by any bidder on the
forms herein prescribed is found, on examination, to be unsatisfactory, the bid submitted by such bidder shall not be considered.
(Burns Statutes 1933, Sec. 53-109) Sec. 2, Chapter 306, Acts of 1947.
TO THE BIDDER —
The following forms of questionnaires and financial statement are prescribed by the State Board of
Accounts in conformity with the statute set out on the preceding page.
These forms, properly filled out and attested, must accompany each bid of five thousand dollars or
more on any public work.
The forms are designed to cover all contracts for all kinds of work and the bidder is required to
answer such questions as are pertinent to the work upon which he is bidding. The purpose of the
questionnaire and financial statement, as set forth in the law, is to enable the awarding body to determine
the qualifications of the bidder to carry out successfully the contract if the same is awarded to him.
The bidder will find it to his advantage to answer fully all questions coming within the range of the
work upon which he is bidding. Particular attention should be given the "Financial Statement" and the
details relative to the assets and liabilities set out. This form is made in extensive detail so that the bidder
may explain his assets and liabilities in proper sequence and in a uniform manner.
T. M. HINDMAN,
State Examiner
3
Submitted by Walsh & Kelly, Inc. { x A Corporation
Principal Office at 1700 East Main Street., Gri f,th IN 46319
To City of South Bend Indiana
EXPERIENCE QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers
to interrogatories hereinafter made.
1.
How many years has your organization been in business as a general contractor under your present
business name?
52 Years
2.
How many years'
experience in as halt paving
construction work has your organization had: (a)
As a general contractor 71 ,years (b) As a sub -contractor 71 Years
3.
What projects has
your organization completed?
Contract Amount
WWWWWWW._WWW-_-__-_
Class of Work
When Com leted
-
Name and Address of Owner
$ 12,926,200
Reconstruction
October 2017
INDOT
$
5,9701162
Reconstruction
.......
May 2017
Town of Merrillville, IN
$
5,521,799
Resurface
December 2017
City of Mishawaka, IN
$
2,646,574
Reconstruction
September 2017
St. Joseph County Hwy
De artment
3-A. What projects has your organization now in process of construction?
CONTRACT AMT.
CLASS OF WORK
WHEN TO BE COMPLETED
NAME AND ADDRESS OF OWNER
$
10,695,118
Reconstruction
November 2018
Walsh Construction
$
8,146,239
Resurface
May 2018
INDOT
$
4,073,719
Reconstruction
_Iyjy 2018
City of East Chicago, IN
$
2,662,813
Reconstruction
October 2018
INDOT
4. Have you ever failed to complete any work awarded to you? No If so, where and why?
5. Has any officer or partner of your organization ever been an officer or partner of some other
organization that failed to complete a construction contract? No If so, state name of individual,
other organization and reason therefore
Has any officer or partner of your organization ever failed to complete a construction contract
handled in his own name? No If so, state name of individual, name of owner and reason therefor
7. In what other lines of business are you financially interested?
4
X For what corporation or individuals have you performed work, and to whom do you refer?_
BP Amoco Whitin Indiana.
Torn & Blank Construction 1623 Greenwood Ave, Michigan City,IN 46360
Grimmer Construction Co. Inc. 2619 Main Street Highland, IN 46322
University of Notre Dame, South. Bend, Indiana
GoII li lnc. 1151 E. SuniLnit, Crown Point 1N 46307
9. For what cities have you performed work and to whom do you refer?
Town of Griffith Director of Public Works Griffith IN
Town of Schererville Town Mana er Schererville IN
City of Hammond. CityEnginger Hammond IN
City of South Bend City Engineer South Bend IN
Town of St. John Town Morn Eger St. John, IN
10. For what counties have you performed work and to whom do you refer?
Lake County
HiLyhwqy
Superintendent
Crown-Point,IN ...
Porter County
HighwayHighwqy
Su erintendent
Valparaiso, IN
St. JOSMi Mount .
....... Hi diwa Superintendent intendent
South Bend,
Elkhart Coqnty
Hidway
SII perintendent
ElkhartIN
LaPorte Countv
HiLyhwav
SL ierintendent
LaPorte IN
11. For what State bureaus or departments have you performed work and to whom do you refer?
Indiana. Department of Transportation INDOT LaPorte District LaPorte IN
Department of Natural Resources Indiana olis IN
12. Have you ever performed any work for the U.S. Government Yes
If so, when and to whom do you refer?
U.S. Army Corps of Engineers Chicago, IL
Indiana National Guard DM. t. of Administration Indianapolis, IN
Federal Highway Administration Sterlin. VA
13. What is the construction
experience of the
inci al individual
of ouiµ organization?
INDIVIDUAVS NAME
PRESENT POSITION OR
YEARSOF
MAGNITUDE AND
IN WHAT CAPACITY
OFFICE
CONSTUCTION
TYPE OF WORK
EXPEREINCE
Kevin J. Kelly
President
33
All T es
General Mana er
Jeffrey L. Swan
Executive Vice President
34
All Types__
Su t. En ineerin
David J. Misirly
Vice President
33
Bituminous
Engineer
Paving.
Greg A. Hoffman
Vice President
31
Bituminous
Engineer
Pavin
John C. Wall
Vice President
41
All types
Engineer
John M. Peisker
Vice President
33
All t es
General Manager
__-
J. Michael
Secretary/Treasurer
46
Administration
General Manager
Schaum
Jamie L. Tancos
Controller
14
Administration
General Mana er
Bauer
South Bend O s ME,
23
All tomes
Engineer
_IynnJ.
Dustin P. Hila
South Bend Area Mgr,
18
_
All types
....
Engineer
Mark E.
Engineer
28
All types
Engineer
Krachenfels
Keith A. Gardina
Engineer
23
li All types
Engineer
Nikolas G. Relias
Engineer
16
Bituminous
Engineer
Pavin
PLAN AND EQUIPMENT QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers
to interrogatories hereinafter made.
1. In what manner have you inspected this proposed work? Explain in detail.
Plans, Specificationsand Site Inspections
2. Explain your plan or layout for performing the proposed work
As directed by owner/engineer
3. The work, if awarded to you, will have the personal supervision of whom?
Sevin J. Kel.ly, , effre _ 1 v tl .I v d 1. 1Vlisirl ire, or A. llofl'inan Dustin P. Hilaa. and L i T..
Bauer
4. *Do you intend to do the hauling on the proposed work with your own forces? Yes
If so, give amount and type of equipment to be used As needed
5. *If you intend to sublet the hauling or perform it through an agent, state amount of sub -contract or
agent's contract, and if known, the name and address of sub -contractor or agent, amount and type of
his equipment and financial responsibilifiy
Items 4,5,6 and 7 may not be applicable in all building contracts; if not, omit.
R
*Do you intend to do the grading on the proposed work with your own forces?
If so, give type of equipment to be used
7. *If you intend to sublet the grading or perform it through an agent, state amount of sub -contract or
agent's contract, and, if known, the name and address of sub -contractor or agent, amount and type of
his equipment and financial responsibility
8. Do you intend to sublet any other portions of the work? _--- If so, state
amount of sub -contract, and, if known, the name and address of the sub -contractor, amount, and type
of this equipment and financial responsibility
9. From which sub -contractors or agents do you expect to require a bond? None
10. What equipment do you own that is available for the proposed work?
QUANTITY
ITEM
DESCRIPTION,
CONDITION
YEARS
_ PRESENT LOCATION
SIZE, CAPACITY,
OF
ETC.
SERVICE
5
Asphalt Plants
Various
Good
Griffith, South Bend,
Valparaiso, Lowell, LaPorte
19
Asphalt Pavers
Various
Good
Griffith, South Bend
4
Sli form Conc. Paver
Various
Good
Griffith, South Bend
3
Road Widener
Various
Good
Griffith, South Bend
5
Motor Graders
CAT/J.D.
Good
Griffith, South Bend
54
Rollers
......._.... �__
Various
Good
Griffith, South Bend
30
.......�
Rubber Tire Loaders
__._.a_._..._.._ .
Various
.... ..... ._
Good
....... _ ........
Griffith, South Bend
15
Excavators
Various
Good
Griffith' South Bend
._.- _..... _... 9
Bulldozers
........ - __
Various
_ . W ..
.. Good
Griffith, South Bend
6
LowBoy Tractors
Various
Good
Griffith, South Bend
8
Flatbed Dum s
Various
Good
-.__.._..-............
Griffith, South Bend
48
1/z and 3/ ton Picku s
Various
Good
Griffith, South Bend
65
1 Ton Crew Trucks
Various
Good
Griffith, South Bend
3
Cold Planers
Wirtgen 1900
Good
Griffith, South Bend
DC
3
...
Tri-Axle Dum
_�.........
Mack
Mack
Good
—Goo
South Bend
11. What equipment do you intend to purchase for use on the proposed work, should the contract be
awarded to you?
QUANTITY
ITEM
DESCRIPTION, SIZE, CAPACITY, ETC.
None
APPROXIMATE
COST
12. How and when will you pay for the equipment to be purchased? N/A
13. Do you propose to rent any equipment for this work?No If so, state type, quantity and reasons for
reritin ,
14. Have you made contracts or received firm offers for all materials within prices used in preparing your
proposal?
Do not give names of dealers or manufacturers
Dated at South Bend this 23rd day of _ Juiv. 201'
�0 Walsh & 1'11c
(Name of f ,,a Kati;
m
I'll 61
. By
y „
kxstirl Hilary VP of South Berid Area
�, (''� " �e of Person Signing)
STATE OF Indianar`r;r ° a
S.
COUNTY OF St Joseph
Dustin 1-1i nary _ � being duly sworn deposes and says that he is VP of South Bend Area of the
above Walsh & Kelly,Inc.
(Name of Organization)
and that the answers to the questions in the foregoing questionnaires and all statements therein contained
are true and correct.
Subscribed and sworn to before me this 23rd cosy of Jul 2019
s
Alisha KS:er, Notary Public
My Commission expires June 5 2022
ALISHA KRUEGER
t Y•:.� Not Public, State of bnd'an'
8 St, Joseph County
G
� My Commission f:.xp'sres
une 05, 2022
,t , rtiRa