HomeMy WebLinkAboutOpening of Bids - 315 & 319 W Jefferson Exterior Renovations Project No 119-064 - C&S Masonry Restoration LLC04
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CITY OF SOUTH BEND, INDIANA ` a
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name 315 & 319 W. Jefferson Exterior Renovations
Project No. 119-064 ITm W,............ ... �
..........
_ ..._
For Bids Due Tuesday, August 1311, 9:30 a.m. (E.D.T.)
PART I
(Must be completed for all bids. Please type or print)
Date: 8/8/2019 Bidder (Firm): C&S Masonry Restoration LLc
Address: 3725 N. Found io .,.. .... _..
City/State/Zip: S. Bend LIV' _. Telephone Number: ( 574J208 8484�_ _ _.,....
Agent of Bidder (if Applicable) Steve Fields_,_
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the .
public works project of:
315 & 319 W. Jefferson Exterior Renovations
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
Cressy_ Commercial Real Estate
and dated 8/8/2019 for the sum of (enter the Total Bid as shown on the Proposal)
Division A: Barrel roof on 315 W. Jefferson (not the roof on 319 W. Jefferson).
(Enter sum of Total Base Bid plus Alternates shown on Proposal)
Division B: Exterior masonry repair and coating.
Forty Five Thousand Five Hundred Dollars
(Enter sum of Total Base Bid plus Alternates shown on Proposal)
Division C: Parking lot repair and replacement.
(Enter sum of Total Base Bid
Division D: Electrical work.
Alternates shown on Proposal)
(Enter sum of Total Base Bid plus Alternates shown on Proposal)
Alternate 1: Curb and Sidewalk Replacement
(Enter sum of Alternate 1 shown on Proposal)
Version 4/2/2019 Contractor's Bid for Public Works - 2
(...n..........................................
(Numerical)
45, 500.00
(Numerical)
.... —ALL.
(Numerical)
(Numerical)
(Numerical)
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 City of South Bend. If the bid is to be awarded on a unit
basis, the itemization of the units shall be shown on a separate attachment.
BY __,A '.... _.m _ _ ...
Steve Fields (ignalkwe)
- (Printed Name of Person Signing)
ACCEPTANCE
The above bid is accepted this day of
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
20
Genevieve E. Miller, Member
.fh-e—re �esJ..-.D�'-or _au� _....M_,e"tuber ".-b—, m............
Th
Laura L. O'Sullivan, Member Attest: Linda M. Martin, Clerk
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
These statements to be submitted under oath by each bidder with and as part of his/her/its bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1. Attach information regarding projects your organization has completed for the period of one
(1) year prior to the date of the current bid.
2. Attach a listing of public works projects currently in process of construction by your
organization.
3. Attach information regarding any failure to complete any work awarded to you and the
location thereof.
4. Attach references from private firms for which you have performed work.
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Attach an explanation of your plan or layout for performing proposed work. (Examples could
include a narrative of when you could begin work, complete the project, number of workers,
etc. and any other information which you believe would enable the City of South Bend to
consider your bid.)
Version 4/2/2019 Contractor's Bid for Public Works - 3
2. Attach a listing of 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.
3. If you intend to sublet any portion of the work, attach 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 City of South Bend in the event that
you subsequently determine that you will use a subcontractor on the proposed project.
4. Attach a listing of equipment you have available to use for the proposed project.
5. Have you entered into contracts or received offers for all materials which substantiate the
prices used in preparing your proposal's If not, attach an explanation for the rationale used
which would corroborate the prices listed..
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
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 City of South Bend awarding the contract must be specific
enough in detail so that said City of South Bend can make a proper determination of the bidder's
capability for completing the project if awarded.
Version 4/2/2019 Contractor's Bid for Public Works - 4
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_ )
) St. Joseph SS:
........... 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.
Version 4/2/2019 Contractor's Bid for Public Works - 5
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/sheJit shall enroll in and verify the work eligibility status of all of Contractor's
newly hired employees through the B-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's
documentation of enroilrnent and participation in tile E-Verily program is included and attached as part of'
this bid/quote; and
5. Contractor shall require his/heir/its subcontractors perforating work under this public contract to
certify that the subcontractors do Dot knowingly employ or contract with all unauthorized aliell, nor retain
se
ally employee or contract with a person that the subcontractor subquently learnsis all unauthorized alien,
and that tile subcontractor has enrolled in and is participating in the E-V'erify prograrn.,rhe 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, associafions, or joint venturers awarded a contract by the City
of South Bend through its agencies, boards, or, commissions shall not discriminate against ally employee or
applicant foremployment in (lie performance of City contract with respect to hire, tenure, terms, conditions,
or privileges of employment, or any matter directly or indirectly related to ernployment 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 ally
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 cormilissions may consider the Contractor's good faith c6orts 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 tile lowest, responsible, responsive bidder.
In no event shall persons or entities seeking the award or a City contract be required to award a subcontract
to an MBEYWI313; however, it may not unlawfully discriminate against said WBEJMBE, A rinding of a
discriminatory practice by the City's MBEMBF" U(ilivation Board shall prohibit that person or entity from
being awarded a City, contract for a period of" one (I ) year frorn the date of such determination, and such
determination may also be grounds for terminating the contract for which the discriminatory practice or
noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination corninitment shall be made
a part of ally contract which it may henceforth enter into with the City of South Bend, Indiana or any of its
agencies, boards or commissions.
(,',ontractor agrees not to discriminate against or intimidate any employee or applicant for en"PlOYMert in tile
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 niay be regarded as material breach of
contract.
i, the undersigned bidder or agent as contri101Or on a public works project, understand my statutory
obligations to tile use, ofsteel 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 tile United, States, oil this project if awarded. I understand I have an affirniative duty to
notify tile City in my bid that my proposal does not include the use of steel products or foundry products
made ill 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, tile United States, the City, through its director of public works, shall make a determination
if the price of United States made steel or RAIndry is unreasonable. I understand that violations hereunder
Version 4/2/2019 Contractor's Bid for Public Works - 6
BIDIPROPOSALtw.�r
CITY OF SOUTH BEND ?,;°
Project Name: 315 & 319 W. Jefferson Exterior Renovations f�
Project Number: 119-064 '
For Bids Due: Tuesday, August 13th, 9:30 a.m. (E.D.T.)
Contractor Name: C&S Masonry Restoration�
BASE BID: Division A: Barrel Roof on 315 W. Jefferson (not the roof on 319 W. Jefferson).
.......Description ..__
Item Quantity Unit Unit Price Total Amount
1 Barrel Roof Repairs
1 LSUM
BASE BID TOTAL N/A..
BASE
BID: Division B: Exterior Masonry Repair
and Coating.
Item
Description
Quantity
Unit
Unit Price
Total Amount
No.
�.
1
Masonry Repair and Coating
1
LSUM
45,500.00
45,500.00
2
Grinding
1
SFT
9.00
N/A
3
Tuckpointing
1
SFT
9.00
N/A
4
Brick Replacement
1
SFT
48.00
N/A
-
BASE
BID TOTAL
45,500.00
- of re air and
,BASE BID: Division C: Pait1, L._-.
Item Description
No. .. m
1 Parking Lot Repairs
2 1.5" Mill -and -Fill Unit Price
BASE BID: Division D: Electrical work.
tem Description
No.
1 Electrical Work
Quantity Unit Unit Price Total Amount
1 LSUM
1 _ SFT N/A
BASE BID TOTAL N/A
Quantity
1
ALTERNATE ITEM: Curb and Sidewalk Replacement
Item Description Quantity
No.
1 u Curb and Sidewalk Replacement V 1
Unit Unit Price Total Amount
LSUM
BASE BID TOTAL N/A
Unit Unit Price Total Amount
.._. ....�.
LSUM
ALTERNATE TOTAL N/A
Version 4/2/2019 Contractor's Bid for Public Works - 8
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 _ m 9th day of August2019
C&S Masonry/ -Restoration Lc_.___..
Contractor/Bidder (;Fltni)
Signature of Contractor/Bidder or Its Agent
Steve Fields / President_.. _..
Printed Name and Title
Subscribed and sworn to before me this L day of4, 2(I
My Commission Expires
Notary Public
County of Residence �........
MARSHA L. BROWN
Notary Public, state of Indiana
nunty of St Joseph
SEAL
Corn mission # 644174
COmFwNUdW60 Y'a. I aXPIr•ra■ JyUMO ",2022
Version 4/2/2019 Contractor's Bid for Public Works - 7
BIDIPROPOSALr'1w
CITY OF SOUTH BEND 0, t
Project Name: 315 & 319 W. Jefferson Exterior Renovations a3nzz
,�.� __......_. ....... .
.......
Project Number: 119-064.,`
For Bids Due: Tuesday, August 13'h, 9:30 a.m. (E.D.T.) "
Contractor Name: C&S Masonry Resto a -_.
ration L L c
Bidder (Firm): C&S Masonry Restoration LLc
Address: 3725 N. Foundation Ct. Suite F
City/State/Zip: S Read,..1Nv_46628....._. Telephone Number: _, 574208-8484..IT_._,_._.,._
By _ .,...
(Signature)
Steve Fields
(Printed Name of Person Signing)
Version 4/2/2019 Contractor's Bid for Public Works - 9
y�C"N4kl AdN .
CITY OF SOUTH BEND,
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY `50
DEVELOPMENT PROGRAMy;`
FORM MWBE-1.0
MBE/WBE PARTICIPATION
I"#rois Cora N rt+3fl farm should be Supplied vuith Bids that pertain to City of South Bernd Public Works Projects Gvolvinq MBEIMBE particiPatiOn.
It is the bidders sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's
owned business.
Project Number:
119.064 m Project Name:
" 316 & 319 W. Jefferson Exterior Renovations ......m.___�
....�..
Bidder:
�_..._ ...�
. Total Bid Amount: N/A
MBEMBE Goal:
Page of
.. ....�
Primary Contact Person
Name & Address of MBEM/BE (Na(Name/Telephone)
Scope of Work to be
(Attach scopels,�hO ule if you need additional additional space)
Percentage
E
MBE IM/B lar Amount of Component � Bid/Proposal,,,
by:
ve 12lCiS
Submitted
.�
me
i�.._ ......�
^alone„
Date
Print N
Version 4/2/2019
Contractor's Bid for Public Works - 10
MERCHANTS
NTS
BONDING COMPANYTM
MERCHANTS NATIONAL BONDING, INC. P.O. BOX 14498, DES MOINES, IOWA 50306-3498
Bid Bond PHONE: (800) 678-8171 FAX: (515) 243-3854
Bond Number: N/A
CONTRACTOR:
(Name, legal status and address)
C & S Masonry Restoration, LLC
3725 N, Foundation Court, Suite AB
South Bend, IN 46628
OWNER:
(Name, legal status and address)
City of South Bend, Indiana
Department of Public Works
227 W. Jefferson Blvd.
South Bend, IN 46601
BOND AMOUNT:
Five Percent (5%) of Accompanying Bid
PROJECT:
(Name, location or address, and Project number, if any)
315 & 319 W. Jefferson Exterior Renovations
Project No. 119-064
SURETY:
(Name, legal status and principal place
of business)
Merchants National Bonding, Inc.
A Cor soration
6700 stown Parkway, West Des Moines, IA 50266
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 the amount set forth above, for the payment of which the
Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and
severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor
within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and
Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such
bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted
in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract
and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the
difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount
for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this
obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of
an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of
notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for
an extension beyond sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall
be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and
provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so
furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond.
Signed and sealed this 13th day of August, 2019.
C & S Masonry Restoration, LLC
e
(1't u:ipatl' (Seal)
(11'itness) � 1. a a Q-�
(Title)
Merc°htant� National Bonding, Inc.
" 1,
' (veal)
", l �
(7 le') J. l�eVID Hughes, At arncy in l�a,
CON 0657 (2/15) Printed in cooperation with Americat'[ titute of Architects (AIA). i he aaguagc ir, this
document conforms exactly to the language used in AIA Document A310-Bid Bond-2010
M F RC _ s
_q!���
BONDING COMPANY.
POWER OF ATTORNEY
Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.,
both being corporations of the State of Iowa (herein collectively called the "Companies") do hereby make, constitute and appoint, individually,
Connie J Messer; Dawn M Pequignot; Elaine K Miller; Harold E Everett; J Kevin Hughes; Jada M Karst; Jessica K Callahan; Marie E Comparet;
Melinda Jagger; Thomas J VanDyck; Tom McGovern
their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings,
contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity
of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any
actions or proceedings allowed by law.
This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board
of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors
of Merchants National Bonding, Inc., on October 16, 2015.
"The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority
to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and
undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof."
"The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney
or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the
Company, and such signature and seal when so used shall have the same force and effect as though manually fixed."
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the
Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction
contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department
of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of
its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given
to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner -
Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 14th day of July 2017
�77
i✓ }
MERCHANTS BONDING COMPANY (MUTUAL)
«XC+�µ„""" , ;eta". b
MERCHANTS NATIONAL BONDING" INC'.
.Alt : 0 �-
, 00�3 "^ 1933 =
By
.,�........... ". ; r ►�
President
tl.
`"i
STATE OF IOWA*"'"*"""""*"""""«►
COUNTY OF DALLAS ss..
On this this 14th day of July 2017 before me appeared Larry
Taylor, to me personally known, who being by me duly sworn
did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the
seals affixed to the foregoing instrument are the Corporate Seals of the Companies;
and that the said instrument was signed and sealed in behalf
of the Companies by authority of their respective Boards of Directors.
ALICIA K. GRAM
o Commission Number 767430
My Commission Expires
)�
April 1, 2020
OL_�r� - C_,,��
Notary Public
(Expiration of notary's commission
does not invalidate this instrument)
I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC,, do hereby
certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full
force and effect and has not been amended or revoked.
In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 13th day of August 2019
""
1 .
" rn : ' 0
µ
003 j*
" 1933 Secretary
«
w
POA 0018 (3/17)
1316 Couwry-OTY BUILDING
l t"� PHONE 574/ 235-9251
��E
227 W. JEFFERSON BOULEVARD
�y FAX 574/235-9171
SOUTH BEND INDIANA 46601-1830
�V'"'" TDD 574/ 235 5567
CITY
OF SOUTH BEND PFTT BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
Date: 8/2/2019
To: All Planholders
From Linda M. Martin, Clerk, Board of Public Works
Subject Addendum Number 1
........ -
Project Name: 315 & 319 W. Jefferson Exterior Renovations_ .__ _ ....
Project No.: 119-064
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: Q / 2 / 2.-0 l
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum by
faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy MUST also be included with your
bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Notes: The included pages replace the bid documents in their entirety. This is a re -issuance of
updated specifications and diagrams.
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: C
Authorized Signature:
Date: 918120 V
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name 315 & 319 W. Jefferson Exterior Renovations
Project No. 119-064
For Bids Due Tuesday, August 131", 9:30 a.m. (E.D.T.)
Contractor Name: C&S Masonry Restoration LLc
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 316' 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.
Version 3/19/2019 General Conditions - 6
1316 COUNTY•-CIT'Y BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
PHONE 574/ 235-9251
FAX 574/ 23.5-9171
`1DD 574/23.5-5567
CITY OF SOUTH BEND PETE BUTTIGIEG, MAY
130ARD OF PUBLIC'
Date: 8/8/2019
To: All Planholders
From Linda M. Mart n Clerk, Board of Public Works
Subject Addendum Number: 2
Project Name: 315 & 319 W. Jefferson Exterior Renovations
mW
Project No.: 119-064
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received:
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum by
faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy MUST" also be included with your
bid package upon submittal.
T1=IIS ADDENDUM MAY AFFECT YOUR BID.
Notes: The included pages replace the same pages from Addendum 1.
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: S
Authorized Signature: `ems
omissions in the shop drawings or literature. Parts found not meeting the requirements of
these Specifications shall be removed, repaired or replaced at no cost to the OWNER.
4. Submittals shall include complete manufacturer's descriptive information and shop
drawings for all the parts furnished under this contract.
5. Upon completion of project, the Contractor will supply one (1) conformed set of all
submittals to the City of South Bend.
XIII. PROSECUTION AND PROGRESS
A. Prevailing Specifications: 2018, INDOT Standard Specifications Sec. 108
B. Additions: c�N qK �n
1. The project will have a completion date of Odo204-9, for Division A. Divisions B,
C, and D shall have completion dates of November 151", 2019. The contract time will start
when the Notice to Proceed is delivered and signed.
2. The City, Engineer, and Contractor will hold a pre -construction meeting following award of
the contract. The date of the Notice to Proceed will be agreed at that meeting.
3. Contractor shall provide a schedule to the Owner prior to beginning any work on the site.
XIV. CHANGE OF CONTRACT TIME
A. Prevailing Specifications: 2018, INDOT Standard Specifications Section 108
B. Additions:
The Contract Time may only be changed by Change Order. Any Claim for an extension in
the Contract Time shall be based on written notice delivered to the Department of Public
Works within seven (7) calendar days of the occurrence of the event giving rise to the claim.
Notice of the extent of the claim with supporting data shall be delivered within fourteen (14)
calendar days after such occurrence unless an official of the Public Works Department
allows an additional period of time to ascertain more accurate data. The Contract Time
will be extended in an amount equal to time lost to delays beyond the control of the
Contractor if a claim is made in accordance with this provision. Such delays shall include
acts of neglect by the Public Works employees, or to fires, flood, labor disputes, epidemics,
abnormal weather conditions, governmental procedures, or acts of God.
2. Unless otherwise provided, the Contract time is based upon normal weather conditions.
An extension is granted for weather conditions significantly more severe than normal if the
Contractor demonstrates to the satisfaction of the City that the delay in the progress of the
work was due to such weather. The basis to define normal weather with be the data
compiled by the United States Department of Commerce, National Oceanic and
Atmospheric Administration (NOAA).
3. No extension of time will be granted if the Contractor, by his/her/its own action or inaction,
including fault or negligence of Contractor's subcontractors, caused the delay, or for which
any remedies are provided under any other provision of this agreement.
4. The grant of an extension of time under this Section in no way constitutes a waiver by the
City of any rights or remedies existing under this contract at law or in equity.
Version 8/16/2018 Special Provisions - 5
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.
Version 3/19/2019 General Conditions - 7
PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
(i) x 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) X 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) X
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) X
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.
(iii) x
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
(iv) x
specifications or contract.
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) X
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.
Version 3/19/2019 General Conditions - 8
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.
(ii) _ 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, I 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).
List identifying all former business names.
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 I
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-.
(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.
Version 3/19/2019 General Conditions - 9
(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.
(i) 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: 8/8/2019
In V
(Sign Here)
Steve Fields
(Print Name Here)
C&
(Name of Company)
3725 N. Foundation -Qt-$mAe-F-
(Address of Company)
South Bend
(C ity)
Indiana
(State)
574-208-8484
(Telephone Number)
Version 3/19/2019 General Conditions - 10
6. Contractor is responsible for all required permits.
XXI. DESCRIPTION OF WORK
A. Prevailing Specifications: None
B. Additions:
1. Work to be performed shall include furnishing all labor, services, materials, insurance and
equipment to perform the improvement as outlined under four separate Divisions as
follows, including associated alternates:
2. Division A: Barrel roof on 315 W. Jefferson (not the roof on 319 W. Jefferson). The scope
of work includes:
a. Remove and dispose of all edge metal and flashings and grid.
b. Perform thermal scan and remove, dispose, and replace as needed any saturated
insulation and roofing.
c. Remove existing TPO membrane and felt underlayment. � 1T,III iii Basfe Wlllli9 III
d. Install new fan fold insulation. �. µ t" N�l.....11
e. Over the new insulation adhere .060 white Sika Sarnafil Sikaplan Pjyzmembrane (or
approved equal) with manufacturer's approved bonding adhesive.
f. Provide and install all necessary flashings on all roof penetrations required to meet
the manufacturer's specifications.
g. Remove and dispose of existing coping, term bar, and insert flashing. Provide and
install new shop fabricated 24-gauge metal coping cap as well as insert
counterFlashing at all rooftop curbs where necessary.
h. Provide a manufacturer's 20-year 60 MPH warranty upon completion of this work. All
work shall include dumpsters, restroom facilities, and permits.
i. Please note that voluntary alternates will be considered for all of Division A work.
3. Division B: Exterior Masonry Repair and Coating. The scope of work includes
a. chemical clean all masonry surfaces;
b. waterproof all masonry with Siloxane PD or equal;
c. remove and replace all window sealant with Dow 20 year silicone sealant or equal;
d. grind out skyward facing mortar joints in limestone coping and replace with Dow 20
year silicone sealant or equal;
e. clean and paint all steel lintels over window heads; and
f. provide cost for grinding, tuckpointing, and brick replacement on a square foot basis.
g. Cressy Commercial Real Estate shall be responsible for the removal of the awnings
Version 8/16/2018 Special Provisions - 9
CITY OF SOUTH BENDIR
,`a r,f
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY, �e,
DEVELOPMENT PROGRAM
FORMMWBE-2.0""'"
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBE/WBE participation. It is the bidder's sole
responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority
or Women's owned business as defined by the Indiana Department of Administration ("IDOA").
Project Number: 119 064 Date: — 8/8/2019
Project Name: 315 & 319 W. Jefferson Exterior Renovations _
Bidder: N/A
Contact Person: _ Telephone:
Address:
City: State: Zip: ,... _......._...
Email:
To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE utilization goals set
forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or
commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*:
EVIDENCE OF GOOD FAITH EFFORTS
MBEINBE LIST : The bide - the City
(S) bidder reviewed the City of South Bend's Minority and Women Business
N/A Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women
Owned Business as found on their website (http://www.in.gov/idoa).
ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South
Bend requires that all perspective bidders complete no less than 2 of the following:
1. Attend all pre -bid meetings scheduled by the City to inform MBENVBEs of contracting and
subcontracting opportunities.
2. Advertise in general circulation and/or trade association publications concerning subcontracting
opportunities, and allow MBE/WBEs reasonable time to respond.
N/A 3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated
to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to
participate effectively.
4. Utilize pre-existing services of available community organizations, small and/or disadvantaged
business assistance offices and other organizations that provided assistance in the recruitment
and placement of MBE/WBE firms. -
**Bidder must circle or otherwise notate which of the two (2) required actions were performed.
GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBENVBEs,
N/A including providing such MBENVBE'swith adequate information aboutthe plans, specifications and other
requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business
reasons based on a thorough investigation of their capabilities.
SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by
N/A MBENVBEs in order to increase the likelihood of meeting the MBENVBE goals (including breaking down
contracts into smaller units to facilitate MBENVBE participation) _
CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has
bid on the subcontracting opportunity:
rNA 1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MBENVBE was unqualified to perform the job.
"'Proper demonstration of Good Faith Effort requires your Initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version 4/2/2019 Contractor's Bid for Public Works - 11
CITY OF SOUTH BEND
ur�r
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY w
DEVELOPMENT PROGRAM i 4 WAIT 9 I
x
FORM MWBE-2.1
MBEfWBE CONTACTED
This completedrm foshould be supplied with Bids that pertain to city of South Bend to verify Public Works P'rotecfy
requiring contacted MBEIWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility
whether any listed minority or woman business meets the qualifications of a Minority or Women's owned
business. PAGE OF
Project Number: 119-064 MBE/WBE Participation Goal
Project Name: 316 & 319 W. Jefferson Exterior Renovations
Bidder: N/A
...�. �.�.,.._�. .._.._.. _.....�_ _ —(Signature) (Title) (Date)
MBE/WBE Firm N/A
Owner or Contact at MBENVBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT: N/A
RESULTS OF CONTACT WITH THE MBENVBE FIRM:
MBENVBE Firm N/A
Owner or Contact at MBENVBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBENVBE FIRM:
Version 4/2/2019 Contractor's Bid for Public Works - 12
Pre -qualification Attachments:
1. Indiana Secretary of State records
2. Statement about staffing (PLEASE SEE BELOW)
3. Union training programs
4. Drug Testing
5. Approved Surety Company
Staffing,
C&S masonry is a Union Company. We currently employ 16 masons, our work force changes
from year to year. We have the ability to hire from the Union hall or bring new faces in thru the
apprenticeship. C&S is confident we are more than capable to handle this project as well as
others.
Steve Fields
State of Indiana
Office of the Secretary of State
Certified Copies
To Whom These Presents Come, Greeting:
I, CONNIE LAWSON, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws
of the State of Indiana, the custodian of the corporate records and the proper official to execute
this certificate.
I further certify that this is a true and complete copy of this 4 page document consisting of the
following records filed in this office:
Certification Date
Business blame;
Business ICI:
October 10, 2018
C & S MASONRY RESTORATION, LLC
2015030900873
Transaction
Articles of Organization
Business Entity Report
Date Filed No. of pages
........ ..� �.... .
3/09/2015 2
017 2
....,,. ... ....... �.
Total No. of pages 4
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the
City of Indianapolis, October 10, 2018
CONNIE LAWSON
SECRETARY OF STATE
2015030900873/10609077
All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate
Expires on November 09, 2018.
Page 1 Of 5 CertificateID:10609077
State of Indiana
Office of the Secretary of State
CERTIFICATE OF ORGANIZATION
of
C & S MASONRY RLSTORATION, LLC
I, Connie Lawson, Secretary of State of Indiana, hereby certify that Articles of Organization of the
above Domestic Limited Liability Company (LLC) has been presented to me at my office,
accompanied by the fees prescribed by law and that the documentation presented conforms to law as
prescribed by the provisions of the Indiana Business Flexibility Act.
NOW, T EREFORE, with this document I certify that said transaction will become effective Monday,
March 09, 2015,
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City of
Indianapolis, March K 2015
CONNIE LAWSON,
SECRETARY OF STATE
m
20 15030000873r 20150 0)00873
ll"wp 2 Or S C.IlVrw.WI).D: (o7C09077
...- ..... .......... ... ....._ ....__�., .�....... _..........
C 0 I.D ..03/0917015 03.1 1 PM
APPROVED AND FILED
CONNIE LAWSON
INDIANA SECRETARY OF STATE
3/9/2015 3:12 PM
ARTICLES OF ORGANIZATION
Formed pursuant to the provisions of the Indiana Business Flexibility m....__
lexibility Act.
ARTICLE I - NAME AND PRINCIPAL OFFICE
C & S MASONRY RESTORATION, LLC
51795 WESTWOOD FOREST CT, SOUTH BEND, IN 46628
ARTICLE II - REGISTERED OFFICE AND AGENT
JAMES M. LEWIS
212 E. LASALLE AVENUE SUITE 100, SOUTH BEND, IN 46617
The Signator represents that the registered agent named in the application has consented to the
appointment of registered agent.
ARTICLE III — GENERAL INFORMATION
What is the latest date upon which the entity is to Perpetual
dissolve?:
Who will the entity be managed by?: Members
Effective Date: 3/9/2015
Electronic Signature: JAMES M. LEWIS
Page 1 of 1
Transaction Id TR15030900205
vwg oF> CnrPltimsloYUd®60M77
APPROVED AND FILED
CONNIE LAWSON
INDIANA SECRETARY OF STATE
03/20/2017 03:24 PM
BUSINESS ID 2015030900873
BUSINESS TYPE Domestic Limited Liability Company
BUSINESS NAME C & S MASONRY RESTORATION, LLC
PRINCIPAL OFFICE ADDRESS 3725 N. Foundation Court, Suite AB, South Bend, IN, 46628, USA
1� 101011
2017/2018
NAME JAMES M. LEWIS
ADDRESS 212 E. LASALLE AVENUE, SUITE 100, SOUTH BEND, IN, 46617, USA
Page 4 Of 5 CertificateID: 10609077
- Page 1 of 2 -
APPROVED AND FILED
CONNIE LAWSON
INDIANA SECRETARY OF STATE
03/20/2017 03:24 PM
TITLE President
NAME David Fields
ADDRESS 15025 E. Scarlet Sky #6, Fountain Hills, AZ, 85268, USA
TITLE
Secretary
NAME
Patti Fields
ADDRESS
15025 E. Scarlet Sky #6, Fountain Hills, AZ, 85268, USA
TITLE
Treasurer
NAME
Patti Fields
ADDRESS
15025 E. Scarlet Sky #6, Fountain Hills, AZ, 85268, USA
TITLE
Vice President
NAME
Steven Fields
ADDRESS
51795 Westwood Forest Court, South Bend, IN, 46628, USA
TITLE
Vice President
NAME
Gene Goble
ADDRESS
18695 W. 3B Road, Walkerton, IN, 46574, USA
IN WITNESS WHEREOF, THE UNDERSIGNED HEREBY VERIFIES, SUBJECT TO THE PENALTIES OF PERJURY, THAT THE
STATEMENTS CONTAINED HEREIN ARE TRUE, THIS DAY March 20,2017.
SIGNATURE /James M. Lewis/
TITLE Registered Agent
Business ID : 2015030900873
Filing No.: 7551084
Page 5 Of 5 CertificateID: 10609077
- Page 2 of 2 -
BAC 4 IN/KY
Apprenticeship & Training Program
wwwbac4trainipg,,com
bac4apprenticeship@gmaiI.com
219-525-4443
Roger Jones - Managing Director
October I0, 20I8
C/O C & S Masonry Restoration
3725 N Foundation Ct, Suite AB
South Bend, IN 46628
To Whom It May Concern,
This is a letter of recommendation on behalf of C & S Masonry Restoration.
The BAC 4 IN/KY Apprenticeship & Training Program is a statewide program that was
established in I994 and is recognized by the U. S. Department of Labor and is considered
in good standing.
C & S Masonry Restoration has been a "signatory union contractor" since 20I5 and
currently employ enrolled apprentices. C & S Masonry Restoration has continued to follow
the guidelines set forth in Collective Bargaining Agreement with BAC Local #4 IN/KY
meeting the required Journeyman/Apprentice ratio on their jobs.
Should you have any further questions please feel free to contact the State office at (2I9)
525-4443.
Sincerely,
I
Roger Jones
Managing Director
BAC 4 IN/KY Apprenticeship & Training Program
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October 10, 2018
C&S Masonry Restoration, LLC.
3725 N Foundation Ct., Ste. AB
South Bend, IN 46628
RE: Compliance Letter
To Whom It May Concern,
This is a letter to inform you that C&S Masonry Restoration, LLC. is a contractor member of the
Building & Construction Resource Center, Inc. drug testing program. They are a contributing
client and meet all of the industry standards set by the Business Roundtable of Northwest Indiana
and the Department of Transportation. BCRC uses a 10-panel extended drug screen result,
All of C&S Masonry Restoration, LLC.'s Employees are subject to the terms of the BCRC Drug
Testing Policy, which meets or exceeds the requirements of the Department of Transportation,
the Substance Abuse & Mental Health Services Association, and the Drug & Alcohol Testing
Industry Association.
Please direct any questions regarding this correspondence to me.
Kindest Regards,
Laticia Roach
Executive Director
BCRC Administrator, Inc.
219-764-1488
Prornot ng the "S afety arod W0 -B6. 'i of Ern l yees 'ki tl:U e Workpce
Building & Construction Resource Center, Inc. & Phone: (219) 764-9500 0 flax: (219) 764-9505
6050 Southport Road, Suite B * Portage, Indiana 46368 a www.bcrcnet.com s0 , , a.
I
DEPARTMENT OF THE TREASURY
f OF
00 • 1
/
Lawrence B. Taylor, President
Merchants National Bonding, Inc.
P.O. Box 14498
Des Moines, IA 50306 - 3498
Dear Lawrence B. Taylor:
Your Company's Certificate of Authority to qualify as an acceptable surety and/or reinsurer on Federal
bonds is hereby renewed and will remain in effect until June 30, 2019, unless revoked prior to that date.
On the basis of our review of the Company's Annual Financial Statement as of the close of the last
calendar year, the following underwriting limitation has been established, effective July 1, 2018, under the
renewed Certificate:
POLICYHOLDERS' SURPLUS at December 31, 2017 ............... $15,573,536
UNDERWRITING LIMITATION.................................................... $1,557,000
We are following the practice of making no deductions from policyholders' surplus reported where the
amount of adjustment (e.g., for unauthorized reinsurance, inadequate loss reserves, etc.) would have a
nominal effect on the surplus and where it has been determined that the Company is solvent per
Treasury's guidelines. This practice facilitates the review work and should not be interpreted as changing
or nullifying applicable Treasury requirements.
The list of approved sureties (Circular 570) is available on our website at
tltt s / ww f'i cal a ul +.rtoylt r c rm ire is rr t o3nd/c 70-z.htm. Please disseminate this information
to your associates, agents, reinsurers and even Government agencies whenever possible.
If you wish to comment on the underwriting limitation established, please contact Terry Nisewarner at
304-480-6961, immediately.
Sincerely,
Digitally signed by Melvin H.
Melvin H. Saunders Saunders
Date: 2018.07.12 11,59:57-04'00'
Melvin Saunders
Manager
Surety Bond Branch
SURETY BOND BRANCH — 6505 BELCREST RD — RM. 345
HYATTSVILLE, MD 20782 — FAX: (202) 874-9978
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