HomeMy WebLinkAboutOpening of Bids - 315 & 319 W Jefferson Exterior Renovations Project No 119-064 - Ziolkowski ConstructionCITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name 315 & 319 W. Jefferson Exterior Renovations
Project No. 119-064
For Bids Due Tuesday, Au th ..�...._..._....-...��......�..........ww�����.�....��.
_ .-es .y,._.... gust 13� 9:30 a.m. (E.D.T.)
PART
(Must be completed for all bids. Please type or print)
Date: Au ust 13, 2019 Bidder (Firm): Ziolkowski Construction„ Inc.
Address: 4050 Ralph Jones Drive
City/State/Zip: South Bend IN 46628 Telephone Number: (574 )287-1811
Agent of Bidder (if Applicable): n/a
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
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 June 26 2018 for the sum of (enter the Total Bid as shown on the Proposal)
Division BJhLrty Nine Thousand Five Hundred Seventy Four 39 574.00
Division A: Barrel roof on 315 W. Jefferson (not the roof on 319 W. Jefferson).
No Bid
(Enter sum of Total Base Bid plus Alternates shown on Proposal)
Division B: Exterior masonry repair and coating.
Thirty Nine Thousand Five Hundred Seventy Four
(Enter sum of Total Base Bid plus Alternates shown on Proposal)
Division C: Parking lot repair and replacement.
No Bid
(Enter sum of Total Base Bid plus Alternates shown on Proposal)
Division D: Electrical work.
No Bid
(Enter sum of Total Base Bid plus Alternates shown on Proposal)
Alternate 1: Curb and Sidewalk Replacement
No Bid
(Enter sum of Alternate 1 shown on Proposal)
No Bid _
(Numerical)
( 39,574.00 )
(Numerical)
No Bid
(Numerical)
$ No Bid
(Numerical)
��_...W o .Bid ...�....�....
(Numerical)
Version 4/2/2019 Contractor's Bid for Public Works - 2
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
(Signature)
Bill Favem, l'residen
(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 Genevieve E. Miller, Member
Elizabeth A. Maradik, Member Therese J. Dorau Member
Laura L. O'Sullivan, Member Attest: Linda M. Martin, Clerk
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
20
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.
See Attached 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.) As directed by the Arch itect/Construction Manager
Version 4/2/2019 Contractors 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.
If Subcontractors will be used we will submit this information 24 hours after notification.
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.
If Subcontractors will be used we will submit this information 24 hours after notification.
4. Attach a listing of equipment you have available to use for the proposed project.
Whatever is required to complete the project properly and on time.
5. Have you entered into contracts or received offers for all materials which substantiate the
prices used in preparing your proposal? If not, attach an explanation for the rationale used
which would corroborate the prices listed. Yes
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
BID/PROPOSAL
CITY OF SOUTH BEND
Project Name: 315 & 319 W. Jefferson Exterior Renovations
Project Number: 119-064
__..__ .. .......
For Bids Due: Tuesday, August 13th, 9:30 a.m. (E.D.T.)
..................... ................
_
Contractor Name:
BASE BID: Division A: Barrel Roof on 315 W. Jefferson (not the roof on 319 W. Jefferson).
Item.................. _
No. Description Quantity Unit Unit Price Total Amount
........................ .........
.�
..................
1 Barrel Roof Repairs 1 LSUM No Bid No Bid
BASE BID TOTAL NO Bid
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 39 574.00 39,574.00
...........
2 Grinding 1 SFT $6.40 N/A
3 Tuckpointing 1 SFT $9.60
N/A
4 Brick Replacement 1 SFT $46.00 N/A
BASE BID TOTAL 39 574.00
BASE BID: Division C: Parkin lot repair and re lacement.
Item Description Quantity Unit Unit Price Total Amount
No.
...... __ _............... ..
1 Parking Lot Repairs 1 LSUM NO Bid No Bid
........-
2 1.5" Mill -and -Fill Unit Price 1 SFT N/A
BASE BID TOTAL NO Bid
BASE BID: Division D: Electrical work.
......................................._. .........
Item Description Quantity Unit Unit Price Total Amount
No.
1 Electrical Work 1 LSUM No Bid
BASE BID TOTAL NO Bid
........ -
ALTERNATE ITEM: Curb and Sidewalk Replacement
Item Description _ Quantity Unit Unit Price Total Amount
No.
......... _......._._ .....................
1 Curb and Sidewalk Replacement 1 LSUM
__....._. ...... ......... NjD-Bi
ALTERNATE TOTAL No Bid
Version 4/2/2019 Contractor's Bid for Public Works - 8
BID/PROPOSAL
CITY OF SOUTH BEND'
Project Name: 315 & 319 W. Jefferson Exterior Renovations mm
_.
Project Number: 119-064
For Bids Due: Tuesday, August 13th, 9:30 a.m. (E.D.T.)
Contractor Name: Ziolkowski Construction„ Inc,
Bidder (Firm): Ziolkowski Construction„ Inc.
_.........._ ..........-
Address: 4050 Ralph Jones Drive
City/State/Zip: South Bend IN 48528Telephone Number: 574 287-1811
By .,
(Signature)
Bill Favors, President
(Printed Name of Person Signing)
Version 4/2/2019 Contractor's Bid for Public Works - 9
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 ... mI,ndiana )
St Joseph COUNTY ) SS:
............................
The 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:
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/she/it shall enroll in and verify the work eligibility status of all of Contractor's
newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's
documentation of enrollment and participation in the E-Verify Program is included and attached as part of
this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public contract to
certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain
any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien,
and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees
to maintain this certification throughout the term of the contract with the City of South Bend, and understands
that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision
no later than thirty (30) days after being notified by the City.
6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City
of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or
applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions,
or privileges of employment, or any matter directly or indirectly related to employment because of race, sex,
religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or
disability that does not affect that person's ability to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any
combination of the foregoing including, but not limited to, public works contracts awarded under public
bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards,
or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors
certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise
("WBE") as a factor in determining the lowest, responsible, responsive bidder.
In no event shall persons or entities seeking the award of a City contract be required to award a subcontract
to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a
discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from
being awarded a City contract for a period of one (1) year from the date of such determination, and such
determination may also be grounds for terminating the contact for which the discriminatory practice or
noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made
a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its
agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the
performance of this contract with privileges of employment, or any matter directly or indirectly related to
employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation,
handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of
contract.
1, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1).1 hereby
certify that I and all subcontractors employed by me for this project will use steel products or foundry
products made in the United States on this project if awarded. I understand I have an affirmative duty to
notify the City in my bid that my proposal does not include the use of steel products or foundry products
made in the United States. I understand it is my sole obligation and responsibility to provide a justification
to the City, subject to review and approval, why the cost of United States made steel or foundry products is
unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry
products made in the United States, the City, through its director of public works, shall make a determination
if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder
Version 4/2/2019 Contractor's Bid for Public Works - 6
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 13th —day of August 2019
^'N'%%%I It t ql/� A
�C N
q% 5A o
Subscribed and swornto before me this 13th
My Commission Expires .. „ 20, �20
Ziolkowski Construction, Inc.
Contractor/Bidder (Firm)
Signature of Contractor/Bidder
gn or Its Agent
Bill Favors, President
Printed Name and Title
day of August , 2019
artinon+eA
Notary Public en
County of Residence StO-5-e
ISHANNONENBACH
c- Seal
ianaMy es Mar 1, 2020
Version 4/2/2019 Contractor's Bid for Public Works - 7
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CITY OF SOUTH BEND ''"''
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM �
FORM MWBE-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: AUUSt 13-, 019
Project Name: 315 & 319 W. Jefferson Exterior Renovations
Bidder: ZiolkowskimmConstruction Inc.mm___
Contact Person: _........ Brad Dennis Telephone: 574-287-1811
Address: . ........ 4Q50_Ralph ,Jones Drive
City: South Bend State: Indiana zip: 46628
Email: bdennisO)zbuild.com
To determine whether a bidder has demonstrated good faith efforts to reach the MBE/WBE 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 -
�...WWW .......
MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business
X Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women
Owned Business as found on their website (hftp://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 MBE/WBEs 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.
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 MBE/WBEs,
including providing such MBE/WBE's with adequate information about the 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
MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down
contracts into smaller units to facilitate MBE/WBE participation)
.... ._ ..
CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has
bid on the subcontracting opportunity:
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 MBEM/BE 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
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAMy
y.� r,r
FORM MWBE-2.1`°4
MBEIWBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring contacted MBEIWBE to obtain Good Faith Efforts. 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.
PAGE OF
Project Number: 119-064 MBE/WBE Participation Goal
Project Name: 315 & 319 W. Jefferson Exterior Renovations
Bidder: Ziolkowski Construction, Inc
By:
Bill Favors, President August 13, 2019
(Signature) (Title) (Date)
MBEM/BE Firm
Owner or Contact at MBE/WBE Firm
Telephone:.
Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
MBE/WBE Firm
Owner or Contact at MBE/WBE Firm
Telephone;
Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
Email:
Email:
Version 4/2/2019 Contractor's Bid for Public Works - 12
Dowcu Sri nt A31 OTM- 2 1
Conforms with The American Institute of Architects AIA Document 310
CONTRACTOR:
(Name, legal status and address)
Ziolkowski Construction, Inc.
4050 Ralph Jones Drive
South Bend, IN 46628
OWNER:
(Name, legal status and address)
City of South Bend, Board of Public Works
1316 County -City Building
South Bend. IN 46601
Bond Number: n/a
SURETY:
(Name, legal status and principal place of business)
Liberty Mutual Insurance Company
175 Berkeley Street
Boston, MA 02116
State of Inc: Massachusetts
BOND AMOUNT: Five Percent of Amount Bid (5%)
PROJECT:
(Name, location or address, and Project number, if any)
315 & 319 W. Jefferson Exterior Renovations - Division B: Exterior Masonry Repair and Coating
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
77)
(witness) stiannon Rei en aCh
Ziolkowski Construction Inc..
(lrtl�e , .. t) (Seat)
(iltle)Bill Favors, President
fiberty Mutual Insurances C m an
( ret).� (Seal)
( *_6nda ipp Altorney_inTact
State of Utah
County of Salt Lake } ss:
On August 13, 2019 , before me, a Notary Public in and for said County and State, residing
therein, duly commissioned and sworn, personally appeared
Linda Lee Nipper
known to me to be Attorney -in -Fact of Liberty Mutual Insurance Company
the corporation described in and that executed the within and foregoing instrument, and known to me to be the person who executed
the said instrument in behalf of the said corporation, and he duly acknowledged to me that such corporation executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and year stated in this certificate above.
My Commission Expires 11 /18/2020
This Power of Attorney limits the acts of those named herein, and they have no authority to
s bind the Company except in the manner and to the extent herein stated.
' r ,r Liberty Mutual Insurance Company
Nhittuil The Ohio Casualty Insurance Company Certificate No: 8197868
West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That'rhe Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty
Mutual Insurance Company is a corporalfon duly organized under the laws of the Slate of Massachusetts, and West American Insurance Company is a corporallon duly organized under
the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint,
Lisa Hall, Linda Lee Nipper, Tina Davis, Lindsey Plattner
all of the city of Salt Lake City state of UT each individually if there be more than one named, its true and lawful attorney -in -fact to make
execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in
pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in
their own proper persons.
IJ leretu [Ills 31 st day of October 2018.
Nst [Iris nNsu Liberty Mutual Insurance Company The
. v 'WS. Q � Ohio Casualty lrtsurarprx Company
A�,0 1> c, West AmercannInasuranceCompaily
y„M ro
g 1912 1919 1991 '
9&1 ,wwsyPk aa�d S" ,mrp�ary
Y.
David M. Carey, Assistant Set retary
brace 0T t'tNNbY LVANIA
County of MONTGOMERY
NI WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
)n this 31 st day of October , 2018 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance
ompany, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the
Purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer,.
COMMONWEALTH OF PENNSYLVANIA
Y i e , ill ,rot Zmm
t u �nl IuIo d,tlv i' y B '
tl
y" 0, 2i r, II a P4 a ry Public
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G4 i 0', �'.x, , , ti. r., • P 1. i`u. Ip F�, r
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written.
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV — OFFICERS: Section 12. Power of Attorney.
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the
President may prescribe shall appoI such allorne,ys-in-fact, as may be necessary to act in behalf of the. Corporaton to make, execute, seal acknowledge and deliver as surety
any and all undertakings, bonds, recognizanoes and other surely obligations Such attorneys-in-facd subject to the linnliatlons set forth in their respective powers of attorney„ shad
have hill power to hirul the Cvlmralion by their signature and exectnldorl of any such Instruments and to attach thereto the seal of the Corporation, When so executed, such
Inslruurnernts shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under the
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE hill — Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Comparly authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may
prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all
undertakings, bonds, recognizances and other surety obllgalions. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have
full power to bind the Company by their signature and exe,Gnution of any such instruments and to attach thereto the seal of the Company. When so executed such
instruments shall be as binding as if signed by the president and attested by the secretary.
Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such
attorneys -in- fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds,
recognizances and other surety obligations.
Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant
secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding
upon the Company with the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 13th day of August 2019
INSO
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CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
;
CHECKLIST FOR BIDDERS
Project Name 315 & 319 W. Jefferson Exterior Renovations
Project No. 119-064
For Bids Due Tuesday, August 13t", 9:30 a.m. (E.D.T.)
From time to time the South Bend Board of Public Works finds it necessary to reject a bid because
it does not comply with statutory requirements. In preparing your bid, please use the following
checklist in order to make sure that your bid is done in the proper manner.
Proper bid security included. The bidder has the option of providing either a Certified Check
X or Bid Bond.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
X executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
X Certification of use of United States Steel Products or Foundry Products.
Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not
met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted
X Form [MWBE-2.1 ].
X Acknowledge Receipt of 1 &2 Addendum(s) included with the bid.
(T revised)
X All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
x printed or typed underneath signature.
X This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.
Bidder: Ziolkowski Construction, Inc. Date: August 13, 2019
By Authorized Representative:
Signature:
Print Name & Title: Bill Favors, President
Version 4/2/2019 Contractor's Bid for Public Works - 1
1Or, �
1316 COUNTY -CITY Bu[LDING }SHONE 574/ 235-9251
227 W. JEFFERSON Bow.EVARCt � ��ar� FAX 5741235-9171
sourx F3Etvra,lNc,IANa 46601-1830V,,
T£ic 574/ 235-5567
"
186
CITY OF SOUTH BEND PETE BLITT1GIEG, MAYOR
BOARDu LIC WORKS
Date: 8/2/2019
To: All Planholders
From Linda M.mMartin, Clerk, Board of Public Works
Subject Addendum Number: 1
Project Name: 315 & 319 W. Jefferson Exterior Renovations
Project No.: 119-064
ACKNOWLEDGEMENT OF RECEIPT OFADDENDUM
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 copyMUST also be included with your
bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BIII.
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:
1 ,
Authorized Signature:
Date:
1316 Cou N'ry-CrrY Bu1iu.)rrro PHONE, 57�(235 251
227 W. JEFFERSON Bo i,EVA:RD �r ' � � FAX 574! 235-9171
Sourru BEND, INDIANA 46601-1 3dJ � �>r"�~� ' 7CDD 574/ 235-5567
1865
CITY or S01JTv BFN D PE'rf,' B1JTTIG IEG, MAYOR
BOARDF PUBLIC WORKS
Date: 8/8/2019
---- .�. �.......... ...... �-..
To: All
Planholders
From Linda M. Martin Clerl. Board of Public Works
Subject Addendum Number: 2
— ................
- -
Project Name: 315 & 319 W. Jefferson Exterior Renovations
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 M LJST also be included with your
bid package upon submittal.
THIS 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: t L
Authorized Signature:
Date:
6
M
SECTION I EXPERIENCE QUESTIONNAIRE
'I What public works projects has your organization completed for the period of one (1) year prior to the
date of the current bid?
Completlon
Contract Amount
Class of Work
Date
Name and Address of Owner
$27,366,910
General
05/2016
Purdue University North Central
$21,355,975
General
06/2015
Armed Forces Reserve Center
$9,020,000
General
10/2016
South Bend Airport- New Arrivals Te { l
$15,964,580
General
12/2016
Renaissance District - Phase I
2. What public works projects are now in process of construction by your organization?
Y
Expected
Contract Amount
Class of Work
Completion
Name and Address of Owner
Date
$6,528,402
General
6/2018
UND Walsh Hall Selective Renovations
$5,139,150
General
8/2018'
Laporte I-ligh School - Perfornmin , Arts C
$13,208,000
General
8/2019
Laporte Intermediate on the Kesling Cam
$3,472,000
General
8/2018
PHM Schools - Football Stadium Improv
cter
Is
meats
3. Have you ever failed to complete any work awarded to you? No If so, where and why?
4. List references from private firms for which you have performed work.
University of Notre Dame, Tony Polotto, LEED, AP, 200 Facilities Bldg., Notre Dame, IN 46556 574-631-4200
City of Misbawaka,, Ken Prince, 600 East Third Street, Mishawaka, IN 574-258-1625
Fetters Construction Inc., Steven A. Fetters, 5417 County Rd 427, Auburn, Indiana 46706 260-927-8516
Memorial Hospital & Health System, Larry Lies, 615 N Michigan St., South Bend, IN 46601 574-647-1000
f � "' i71 �yrru �u yi m%1'l
1iu ff
r
0121W100111
This Memorandum of Understanding (MOU) sets forth the points of agreement between the
Department of Homeland Security (DHS) and Ziollwwski Construction, file. (Employer)
regarding the Employer's participation in the Employment Eligibility Verification Program (E-
Verify). This MOU explains certain features of the E-Verify program and enumerates specific
responsibilities of DHS, the Social Security Administration (SSA), and the Employer. E-Verify is
a program that electronically confirms an employee's eligibility to work in the United States after
completion of the Employment Eligibility Verification Form (Form 1-9). For covered government
contractors, E-Verify is used to verify the employment eligibility of all newly hired employees and
all existing employees assigned to Federal contracts or to verify the entire workforce if the
contractor so chooses.
Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration
Reform and Immigrant Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as
amended (8 U.S.C. § 1324a note). Authority for use of the E-Verify program by Federal
contractors and subcontractors covered by the terms of Subpart 22.18, "Employment Eligibility
Verification", of the Federal Acquisition Regulation (FAR) (hereinafter referred to in this MOU as
a "Federal contractor with the FAR E-Verify clause") to verify the employment eligibility of
certain employees working on Federal contracts is also found in Subpart 22.18 and in Executive
Order 12989, as amended.
1. SSA agrees to provide the Employer with available information that allows the Employer to
confirm the accuracy of Social Security Numbers provided by all employees verified under this
MOU and the employment authorization of U.S. citizens.
2. SSA agrees to provide to the Employer appropriate assistance with operational problems that
may arise during the Employer's participation in the E-Verify program. SSA agrees to provide
the Employer with names, titles, addresses, and telephone numbers of SSA representatives to
be contacted during the E-Verify process.
3. SSA agrees to safeguard the information provided by the Employer through the E-Verify
program procedures, and to limit access to such information, as is appropriate by law, to
individuals responsible for the verification of Social Security Numbers and for evaluation of the
E-Verify program or such other persons or entities who may be authorized by SSA as governed
Page 1 of 13 1 E-Verify MOU for Employer I Revision Date 09/01/09 w' .dhs.gov1E-Verfy
Company ID Number: 486671
To be accepted as a participant in E-Verify, you should only sign the Employer's Section
of the signature page. If you have any questions, contact E-"verify at 888-464-4218.
......................... ....... ....._ .... _... _..� ._..�......_ . � ...._ .._ ......
Employer Ziolkowski Construction, Inc.
Bill! Favors
Name (Please Type or Print) Title
lectronicailly Signed 10I110/2012
Signature Date
Department of Homeland Security — Verification Division
U CIS Verification Division
Name (Please Type or Print) Title
Electronically/ Sicined __......_._, 1/1012012
Signature Date
Information Required for the E-Verify Program
Information relating to Your Com an
Come Name: iolkowski Construction, Inc.
K)mmmm y! Address: 050 Ralph Jones Dr.
Com ananv Fcili
acilit . ............... .......
South Bend, IN 46628
Company Alternate
Address:
_.... County or Parish: STJOSEPH.................���.....�....��������._._...
Employer Identification
Number: 351445992
Page 12 of 13 1 E-Verify MOU for Employer I Revision Date 09/01/09 wvdw.dhs.gov/E-Veri'1y
T
g
. . . .. . .....
Company ID Number., 486671
. ............... . ....... . .......
North American Industry
Classification Systems
Code: 236
............ .......... .................. . . . ..................... . ..... . . .....................
Administrator:
Number of Em loyees: 100 to 499
........................ ... . ... .................
Number of Sites Verified
for:
........... . . .... .
Are you verifying for more than 1 site? If yes, please provide the number of Sites verified f®r
in each State:
MLANA I site(s)
........ . ............. . ......... . . .. ............ . . ...........
Anformation relating to the Program Administratw(s) for your Company on policy
questions or operational problems:
. . . ..........
Name: James Keldsen
Telephone Number: (574) 287-181.1 ext. 368 Fax Number: (574) 344 - 5533
E-mail Address: jkeWsen@)zbufld.com
Page 13 of 13 1 E-Verify MOU for Employer I Revision Date 09/01/09 vurvwv.dhs.gov/E-Veri1y
6/12/2017
E-Verify: Employer Wizard- Company Information
a�
lumina rilfy
Welcome
James Keldsen
Company Information
Company Name
Ziolkowski Construction, Inc.
Company ID Number
486671
Doing Business As (DBA) Name
DUNS Number
Physical Location
Address 1
4050 Ralph Jones Dr.
Address 2
City
South Bend
state
IN
Zip Code
46628
County
STJOSEPH
Mailing Address
Address 1
Address 2
City
state
Zip Code
Additional Information
Employer Identification Number
351445992
Total Number of Employees
100 to 499
Parent Organization
Administrator
Organization Designation
Employer Category
None of these categories apply
View / Edit
NAILS Code
236 - CONSTRUCTION OF BUILDINGS
View / Edit
Total Hiring Sites
htlpsJ/e-verify.uscis.gov/web/EmployerW izard.aspx
c MENU
CITY OF SOUTH BEND, INDI'ANA
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 13th, 9:30 a.m. (E.D.T.)
Contractor Name: Ziolkowski Construction. I
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 31st 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
PQST 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. See 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
specifications or contract.
(iv) X 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
II. 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).
(ii)
List identifying all former business names.
(iii)
Any determinations by a court or governmental agency any violations of federal
state, or local laws including, but not limited to, violations of contracting or antitrust
laws, tax or licensing laws, environmental laws, Occupational Safety and Health
Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5)
years.
(iv)
Statement about staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work 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 4-13-18-6.
(viii)
Evidence that I am utilizing a surety company which is on the Bureau of Fiscal
Service "Department of Treasury's Listing of Approved Sureties" as required in the
bid specifications or contract.
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: August 13.2,019
�CO
(Sign Here)
µa, Gj
ww••,w,.
w wwww
�
�G w
Bill Favors Presidents
(Print Name Here)
w ,.� C)
Ziolkowski Construction, Inc.
s �A
(Name of Company)
'��«w...w•`
4050 Ralph Jones Drive
(Address of Company)
(City)
(State)
South Bend
Indiana 46628
574-287-1811
(Telephone Number)
Preparer: Shannon Reidenbach, sreidenbach@zbuild.com
574-287-1811 ext 271
Version 3/19/2019 General Conditions - 10
1316 COUNTY -CITY BUILDNO
227 W. JEFTERSON BOULEVARD
Sourii Bata INDIANA 46601-1830
CITYOF Souni BEND NrfBu"FflG1EG,MAY0R
BOARD OF PUBLIC WORKS
September 5, 2018
Mr. Bill Favors
Ziolkowski Construction, Inc.
4050 Ralph Jones Drive
South Bend, IN 46628
RE: Pre -Qualification Verification
Dear Mr. Favors:
PHON' 574/235-9251
F&,x 574/235-9171
This letter ter serves as verification of Pre -Qualification status of your company for bidding with the City of South
Bend. 'This Pre -Qualification status is effective for twelve (12) months from the date of this letter. T11creafter you
are required lore-sub�iiiit �i cuaiP lete application for continuation of pre -qualification status prior to Deceniber 31
'6br ffietipconi,ing calendar year,
A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of
South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments.
If you have any further questions regarding this matter, please call this office at (574) 235-9251.
Sincerely,
4�
Linda M. Martin, Clerk
GARY A. GiLar DAVID P. I�ELOS ELIZAnr,'ni A. MAIMIK J'Akms A. MUELLER T] imiuri J. Domu
Shannon Reidenbach
From: Charlotte Brach <cbrach@south bendin.gov>
Sent: Tuesday, March 26, 2019 5:25 PM
To: Shannon Reidenbach
Cc: Kara Boyles
Subject: Responsible Bidder Application
Hello,
We have received your Responsible Bidder Documentation, and found that based on a previous submittal of
documentation, you are already pre -qualified through September 4, 2019. We will not need to review your
documentation again at this time. Please submit documentation again when your current pre -qualification expires.
Thank you,
Charlotte Brach
Project Engineer
(574) 235-9246
�z a01cry rw tic�cliir.g'
City of South Bend
227 W. Jefferson Blvd., Ste.1316
South Bend, IN 466oi
IMPORTANT NOTICE! This E-Mail transmission and any accompanying attachments may contain confidential information
intended only for the use of the individual or entity named above. Any dissemination, distribution, copying or action
taken in reliance on the contents of this E-Mail by anyone other than the intended recipient is strictly prohibited and is
not intended to, in anyway, waive privilege or confidentiality. If you have received this E-Mail in error please
immediately delete it and notify sender at the above E-Mail address. Please note that incoming a -mails are not routinely
screened for response deadlines, and as such, please notify the sender separately by fax of any message containing
deadlines. In addition, E-Mail information cannot be guaranteed to be secure or error -free as information could be
intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain virus. Therefore, the sender does not
accept liability for any errors or omissions in the contents of this message which arise as a consequence of E-Mail
transmission. If verification is required, please request a hard -copy version.
ZIOLKOWSKI
Construction, Inc.
< General Construction & DeslpniBulld
14 m �1 �mi�gMstorr��wg Ipell ait n h pn _197
August 13, 2018
City of South Bend
Board of Public Works
Subject: Operations Letter
Dear Sirs:
Ziolkowski Construction, Inc. has been in business since 1974 and operated during that
period of time under that name only.
Ziolkowski Construction has not violated any federal, state or local laws, including
violations of contracting or antitrust laws, tax or licensing laws, environmental laws,
Occupational Safety and Health Act (OSHA) laws, federal Davis -Bacon Act laws, within
the past five years.
Ziolkowski Construction, Inc. is proud to employ the industry's top skilled craftsmen.
We have a core group of union craftsmen working on our projects and supplement that
group with trained skilled workers from the local union halls. We currently have
sufficient workers to perform the work that we are bidding for the above project.
All individuals performing work for Ziolkowski Construction, Inc. will be properly
classified as employees under the federal Fair Labor Standards Act and in line with all
Indiana State and local ordinances.
Ziolkowski Construction, Inc. had no federal, state or local tax liens or tax delinquencies
in any of the preceding three tax years.
Respectfully,
ZIOLKOWSKI CONSTRUCTION, INC.
Bill Favors
President & CFO
. Q t atp0 .JqQ I r uth en .w,w.N. 4 6 �hor7e.I. 74i.. � 1 1,1. .:
Committed to professionalism and excellence for the benefit of our clients, employees, and shareholders.
Adrienne C. Stevenson
Vice President
Marsh USA Inc.
540 West Madison Street
Chicago, IL 60661-3630
adrienne.c.stevenson@marsh.com
+1 312 627 6772
www.marsh.com
August 13, 2019
City of South Bend Public Works
Re: Ziolkowski Construction, Inc.
To Whom It May Concern:
Liberty Mutual Insurance Company (Liberty) is the surety for Ziolkowski Construction, Inc.
and Marsh USA, Inc. is their surety agent.
Liberty Mutual Insurance Company is listed on the Department of Treasury's Listing of
Certified Companies,
Sincerely,
Liberty Mutual Insurance Company
Adrienne C. Stevenson
Attorney -in -Fact
n...EADERSUIW KNOWLEDGE, OLUTONS...9F ORLDNDE, MARS$W'V9CLENINAN
0MPAME
STATE OF ILLINOIS
COUNTY OF COOK
i C.R. Hernandez a Notary Public in and for said County, do hereby
certify that Adrienne C. Stevenson as Attorney -in -Fact, who is personally
known to me to be the same person whose name is subscribed to the foregoing instrument,
appeared before me this day in person, and acknowledged that they signed, sealed, and
delivered said instrument for and on behalf of
LIBERTY MUTUAL INSURANCE COMPANY
for the uses and,purposed therein set forth.
Given under mz hand and notarial seal at nay office in the City of Chica o in said County,
this 22° day of August AD. 2018
ac
C R HERNANDEZ
" Official Seal
ft
Notary Public - State of Illinois
My Commission Expires Jun A, 2020
THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND.
This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated.
Certificate No 8055500
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company West American Insurance Company
� � @ ' !:►
KNOWN ALL PERSONS BY THESE PRESENTS That The Ohio Casually Insurance Company Is a corporation duly organized under the laws of the Slate of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the Stale of Massachusetts, and West American Insurance Company Is a corporation duly
organized under the laws of the Stale of Indiana (herein collectively called the 'Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint,
John K_JohnsonwAdrienne C, Stevqjrtr TriniY Garcia C. R Hernandez; Gabriel Jacguez
all of the city of •,CHICAGO .._......< stale of IL each Individually if there be more than one named, its true and lawful attorney -in -fact to make, execute, seal, acknowledge
and deliver, for and on Its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall
be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seas of the Companies have been affixed
thereto this 5th day of „-.April,,,,,,,, _,_...... m. 2018
191J 1912 , 1991 ,.
:r
STATE OF PENNSYLVANIA ss
COUNTY OF MONTGOMERY
The Ohio Casualty Insurance Company
l,it ehy Mutual Insurance Company
West rriencarl Insurance Company
BY
David M. i,arey', � �.......... -�. m m_.m._._�..
`'"A �wstanf Secretary
On [his 5th day of April 2018 , before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance
Company, The Ohio Casualty Company, and West American Insurance Company, and That he, as such, being authorized so to do, execute the foregoing instrument for the purposes
therein contained by signing on behalf of the corporations by himself as a duly authorized officer,
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written
. _ �ee ...,. ,
r w 4 COMMONWEALTH OF P NNS vrar�TA
Notarial eal
al,.„,.g,
Teresa Pasieila, NotaryPublic BY
Upper MenonTwp Momgomery County Teresa Paslella, Notary Public
�ww
w �Msy Commission Expires March 28 2021
r
m,'114
Ry t ", ...InBnr. w "r ,�lu^,yWwtN +vi w1 „ ai4Miup i,Nr a�P hNFa9�Na�at
This Power of AttorneyIs made and executed pursuant to a
p n .lr� and by authority of the following Bylaws and Authorizations of The Ohio Casually Insurance Company, Liberty Mutual
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV —OFFICERS— Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject
to such limitation as the Chairman or the President may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act In behalf of the Corporation to make, execute, seal,
acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys-in-fact, subject to the limitations set forth in their respective
powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so
executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under
the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE XIII — Execution of Contracts — SECTION 5. Surety Bonds and Undertakings Any officer of the Company authorized for that purpose in writing by the chairman or the president,
and subject to such limitations as the chairman or the president may prescribe, shall appoint such attomeys-in•fact, as may be necessary to act in behalf of the Company to make, execute,
seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -tact subject to the limitations set forth In their
respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so
executed such instruments shall be as binding as if signed by the president and attested by the secretary,
Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in -
fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety
obligations.
Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Ahomey executed by said Companies, is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this22nd day of,_, _A,rUC � • ,� , 20 -18
1919 1917 1991 BY - —.. --..a•.. _— —.---------
Renee C I.1eirm ssWairg Secretary
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LMS_12873_022017
STATE OF INDIANA
OFFICE OF THE SECRETARY OF STA!n(,'
CERTIFICATE OF EXISTENCE
To Whom These Presents Come, Greetings:
1, 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 proper official to execute this certificate.
I further certify that records of this office disclose that
ZIOLKOWSICI CONSTRUCTION, INC.
duly fated the requisite documents to conimence business activities inid(,T, the laws of State of lc(hiana on December 11, 1978,
and was in existence or authorized to transact business in the State of Indiana on December 02, 2015.
I further certify this For -Profit Domestic Corporation has filed its most recent report required by IndWia law with the
Secretary of State, or is not yet required to file such report, and that no notice of withdrawal, dissolution or expiration has
been filed or taken place.
W1.
In Witness Whereiaf, I have hereunto set my hand
and affixed the seal of the State of Indiana, at the
city of Indianapolis, this Second Day of December, 2015.
Connie Lawson, Secretary of State
197812-318 / 2015120203232
Business Entity Report Filing
&D29 SeaM .1
Zlolkowski (Legal)
L:7ndt / Le'al Afame.w
ZXOLKOWSKI CONSTRUCTION, INC,
'Ed1wtit SS:
4050 RALPH JONES DR, SOUTH REND, IN 46628
General Entity Informatian:
Control Nurnber., 197812-318
Status-. Active
ELI 1Y-12-e- For -Profit Domestic Corporation
12111/1978
EA p
fr4t[tyioAlve Qatale:
gtLf—ar Atga?Cj;S- Por -
1170"s
&S—Amtky.
Date Name (Type)
12/11/1978 POWELL AND ASSOCIATES
(Assurned ST 30SEPH C�oun,ty)
0
ES 1111"I"I"',
If you encountei, techiilcal dlfflcuWE�s while uslngthe,,3e: servIces, ptl sci colitaec the TN.gov
V you are unable to flnd the Infonmation you need tItrough the i"esources pt-Wded on, this web slt(i, pi
cant -ad t Secam etary of State Connie Lawson's 13L,1siness Services DMsion at 317--232-6576.
1 —4-1 *1 z r I,-_- I— — — . a —
Indiana aecraviry of state
Filer Name
BILL FAVORS
Years Filed
2014/2015
Filer Title
PRESIDENT
Entity name and current principal office address
ZIOLKOWSKI CONSTRUCTION, INC.
4060 RALPH JONES DR
SOUTH BEND, IN 46628
Entity Creation Date
12111/1978 .
Entity Type
FOR -PROFIT DOMESTIC CORPORA FION
Domicile State
INDIANA
1012812OU 9:27;70 AM
. ........ . .... . . . ....... ""'--
- — — -------- - - - - Current -registered agent and registered address
BILL FAVORS
4050 RALPH JONES DR
SOUTH BEND, IN 466208-1000
Current principa&(s),and address es)
PRESIDENT
BILL FAVORS
4050 R-AL PH JONES DR,
SOUTH BEND; IN 46620'
VICE PRESIDENT
CHUCK LEWIS
4050 RALPH JOKES DR.
SOUTH BEND, IN 46628
BUSINESS INFORMATION
CONNIE LAWSON
INDIANA SECRETARY OF STATE
03/06/2018 01:33 PM
ut �
Business Name: ZIOLKOWSKI CONSTRUCTION, INC. Business ID: 197812-318
Entity Type: Domestic For -Profit Corporation Business Status: Active
Creation Date: 12/11/1978 Inactive Date:
Principal Office Address: 4050 RALPH JONES DR, SOUTH BEND, Expiration Date: Perpetual
46628, USA
Jurisdiction of Formation: Indiana Business Entity Report Due 12/31/2018
Date:
Years Due:
Prlaclp llatorm ttga,
Title Name Address
Vice President Chuck Lewis 4050 Ralph Jones Dr., South Bend, IN, 46628, USA
President Bill Favors 4050 Ralph Jones Dr., SOUTH BEND, IN, 46628, USA
President Bill Favors 4050 RALPH JONES DR, South Bend, IN, 46628, USA
Registered Agent, Inford'iatidrt ._ .__........
.
Type: Individual
Name: BILL FAVORS
. . .. . ...... ..... .............. . ......
NAB ,,AND ,M,tNC`PAL (W"C'E ADDRE',",
BUSINESS 11D 197812-318
BUSINESS TYPE Domestic For -Profit Corporation
BUSINESS NAME ZIOLKOWSKI CONSTRUCTION, INC.
PRINCIPAL OFFICE ADDRESS 4050 RALPH JONES DR, SOUTH BEND, IN, 46628, USA
WARS,
. . . .......... ..... . - . ............. ....
YEARS
2016/2017
INEGISTERED OFFICE ANO ADDIMSS
. . . ..... . ....
NAME BILL FAVORS
ADDIE, SS 4050 RALPH JONES DR, SOUTH BEND, IN, 46628 - 1000, USA
TITLE Vice President
NAME Chuck Lewis
ADDRESS 4050 Ralph Jones Dr., South Bend, IN, 46628, USA
TITLE
President
NAME
Bill Favors
ADDRESS
4050 Ralph Jones Dr., SOUTH BEND, IN, 46628, USA
TTILE
President
NAME
Bill Favors
ADDRESS
4050 RALPH JONES DR, South Bend, IN, 46628, USA
MKOUNI M11101:11111mull logjam w I alinvIl MINIMA Omn-M NWMA I
SIGNATURE Bill Favors
President
APPROVED AND F11LED
CONNIE LAWSON
12/27/2016 04:07 PM
Business ID - 197812-318
Filing No.: 7464509
- D— 7 -f') -
Form SSC-01
STATE OF INDIANA
OFFICE OF THE SECRETARY OF STATE
CERTIFICATE OF INCORPORATION
OF
ZIOLKOWSKI COMSTRUCTION, INC
11 Eowip J simcox Secretary of State of the State of Indiana, hen'by etzrf�fy that
Arlides of Meorporation of (lie aboveCorporation, -' t f ti heforpupreyeribed lq/ my office, pruparedwalsigrecta in
duel icatebythe ineorporator(s), and aeknowledged and verified by the same before aVotury Public. harcht'n
presented to me at my office acco?),panied k2ithefees irrescribedbylate; that 1havefoundsuch Article:, conferral to
law; that `hate endorsed myapproral upon the duplicate eopie:of such that all feeshavubeen pai'd(is
required byla2p; that one copy of such Articles has beers filed in my office, and that the remaininy ropy of sueh
Articles bearing the endorsewent of my approval and filingleas been relumed by me to the inrorporatoffs) orhi:�
(their) -rejuresentalives, all as prescribed by the provisionsof1he , VIDIAM ,GFKRAL, &ORPORATIMAG — - .
I � 1. - — . 1. � ...... .......... —_ .. ....... asamended.
NOW. THEREFORE, 1herebyisLmetosuch
that its corporate existence has begun.
lit Witness 111hereal, I haz -e heretatm, set myhand and offixed
Y
the seal of the Slate of Indiana, at the City of fndsarztolis,
this ........... Of
ry
December
—eqw 7
j—
........ ...............
Secretarv- of Siale
,
NOTE: "I`laaa ,form may now also be vaed for lncorpo7
Wing pursuant to the Medical Professional Corpora-
tlon Act, the enW Professional Corporation Act, and
the Professional Corporation Act of 1965, as well as
the General Corporation Act. If the corporation is to
be formedd porauant to the aothority of one of these
statutes of er than tlws General Corporation Act, so
hidjeate in than Preamble below by striking the refer,
ences to the three lnappro, riatestatutes, professional
Accounting C.orporallorrs are considered to he formed
puma nt to the authority of the Indiana* Caner'
Convrotib,n Act, but subject to the provisions of IC
N. 1 1 .fi, and appropriate statutory reference should
*made in the preamble or Art -isle 11 below.
ARTICLES O
Corporate Form No. 101 (Jan. 19771—page One
ARTICLES OF INCORPORATION
Larry A. Conrad, Secretary of State of Indiana
Use White paper— Size 81,r x II —For Inserts
Filing Requirements —Present 2 originally signed and
fully executed copies to Secretary ofStste, Room
155, State House, Indianapolis 46M
Recording Requirements ---Recording of Articles of
Incorporation in tht office of the Cyunty Recorder
is no longer required by the Indiana General
Corporalion Act.
APPFjOVED
1
_INCORPORATIONw ,
ZIOLxOWSKI CONSTRUCTION, INC`-�'-
...................................................., ........ ......... ...... ..,.... ,.... ..,.,,.,.. ............ «,v ..r-" .N s y : , rM•
The undersigned incorporator or incorporators, desiring to form a corporation (hereinafter referred io as the
"Corporation") pursuant to the provisions of the Indiana General Corporation Act (Medical Professional Corporatism Act/
Dental Professional Corporation Act/Professional Corporation Act of 1965), as amended (hereinafter referred to is the "Act"},
execute the following ArtWes of Incorporation.
ARTICLE I
Name
e warns of the Cotpo ration is. ZIOLKO`J1fSKI CONSTRUCTION, INC.The .......... ...........r,-..
ARTICLE 11
Purposes
The purposes for which the Corporation is formed are:
The transaction of all lawful business.
VArporate Form No. 101—Page Two
Prescribed by Larry A. Conrad, S"retuy of State
(Jan. 1977)
ARTICLE III
Period of Existence
The period during which lhte Corporation shall continue i ....... Rer.p e.tU_a.1._.,. ...........
ARTICLE IV
Resident Agent and Principal Office
Section I. Resident Agent. The nallic and adress of the Corporalioa'.-- Resident Agent (or Ner%icr.- of pmce�.
. ...... .......... ....... ------ 1.0.05 --- S...J,a.f.a_Y_ette ... S.t.r.ee.t. .'.. ........ ...........
(Numlnt end Slim or RLa'-fins)
South Bend Indiana
...... 11 ........ I ............... ___ ...... __A6624-,
(Clq) fbp CCJAC I
Section 2. Principal Office, The post office address of the principal office of the Corporation is.-.,
1005 S. Lafayette Street South Bend Indiana 46624
.......... ____ ....... . ......
r V4 51TOt or ftildirs) (city I ......cc-jo
-ARTICLE V
Authorized Shares
Sc,ction I. Number of Shares:
The total number of shares which the Corporation is to have authority to issue is_,I.....000
. __-
B. The number of authorized shares which the corporation designates as without par value is
Section 2. Terms of Shares (if any):
None
a
Corporate Form No. 101-11age Three
Prescribed by Larry A, Conrad, Secretary of Style
(tan. 1977)
ARTICLE VI
Re i
Pr e >l�7c.iiis ior To Doing Business
The. Corporation ,"ill not coniriierice bilsiness un6I considersitii�rt of the value of at least 51,C {f (urii thousand
dollars) liar been received for the issuance of shares.
ARTICLE 'III
.__.....i..__� �to r.(s
Seciian 1. Number of Directors:_The initial Board of Directors is composed oi_..._...2.......... member(s).
The number of directors maybe from ririle to tintE fixed by the By` -Laws of the Cogvration at any number.
Section 2. Nama� �
Names and Fos Office Addresses �f thc. Direct� � or(s): The name(s) and lost office address(es)
..............�. ��.__ e of the initial Board of Director(s) of the Corporation is (are):
Name Number and Street or Building
Ben Ziolkowski 1005 S. Lafayette Street
Roberta Ziolkowski t005 S. Lafayette Street
Section 3. Qualifications of Directors (if
None
City State Zip Code
South Bend Indiana 46624
South Bend Indiana 46624
Corporate Form No. 101—Page Four
Prescribed by Larry A. Conrad, Secretary of State
Jaen. 19771
ARTICLE VIXI
Ineorporator(s)
The namc(s) and frost office address(es) of the incorporator(s) of the Corporation is (arc):
Name Number and Street or Building City State :,i Code
_....�._�.. _._ � ..�
Ben 2tolkowski 1005 S. Lafayette Street South Bend Indiana 46624
ARTICLE IX
ovisi o _. u n of Business Prforei;tlatio...�_. _,.._._ ....
�
and Cond�.�ct of et of .._ Affairs y°irs of Cop!�r� � .
("Powers" of the Corporation, its directors or shareholders)
Section 1. All shares of this corporation issued prior to June 30, 1929, shall be
"Section 1244" stack, and shall be issued by the corporation pursuant to a certain plat)
adopted by it for the purpose of so qualifying. On or after June 30, 1979, the shares of
this corporation may be issued for such consideration and upon such terms as the Directors
may from time to time determine. -
. 0
Corporate Form No. 101—Page Five
Prescribed by Larry A. Conrad, Secretary of State
(Jan. 1977)
IN WITNESS WHEREOF, the undersigned, being all of the 'incorporator(s) designated in Article N1111,
executes) these Anti e of Incorporation and certify to the truth of the facts herein stated, this -.,_-__-
-7 0�
day of 78
,°. t ..,..�. ... ............
"w4"r�l..ttn Srar171ure)
Ben Ziolkowski
STATE OF INDIANA
ss.
COUNTY
.M,„..... ........ .,......• "iV�'nitct� 5l,tnattirt�'....„......
....... ................_ YPrtr,Yted Si�natutej...._..., _...., .., ., .
ePrrntrd St;nilutcl
I, the undersigned, a Notary Public duly commissioned to take acknawledgentcnis and administer oaths
Ben Zzalkowskt taming
in the State of Irldiarta, certify that---............. __... ............ ....... ......... ............. ............ ..._._..,,. a
............ .. rr.......,.,,»........._of the incorporator(s) referred to in Article Fill of the foregoing
Articles of Incorporation, personally appeared before me; acknowtedged the execution thereof, and swore ter thy:
truth of the: facts therein stated.
Witness my hand and Notarial Seal this-.— ............ 7.;f .......___ .._.day of ......... ....... 19_.78.1
.... .._ �, I y; "(,�r'_4' �................
Georgia A, Lindorf
-----.............................. . .
(Ninttd 5gnmurr)
residing in St. Joseph County, Indiana
My Commission Expires: Notary public
2-18--80
This instrument was b I�t.Go
, Blackmnci Attorney at La;1,
prepared Y». .....................:
....._......... ...�j, .....---.....
(Nam
126 S, Scott Street South Bend Indiana 46625
.. a ................ ....., .....................
`Numhrr ind Street or )Wldin r L ....,. ..,......... ...»........, .,....,._..... ...... .,..,,.
5 � (City f ($t1lC ) (Zip , ii\:L )
CERTIFICATE OF QUALIFICATION
to provide
CONSTRUCTION SERVICES
for
PUBLIC WORKS PROJECTS
to the
STATE OF INDIANA
This Certification Board, having duly considered application for qualification in temis of apparent experience and financial
resources; and under the applicable Indiana Code 4-13.6-4 and adopted rides of this Board, hereby issues a
Certificate of Qualification to provide constriction services to the State of Indiana for Public Works Projects to:
ZIOLKOWSKI CONSTRUCTION INC
4050 RALPH JONES DR
SOUTH BEND IN 46628
Phone 574-287-1811
Fax 574-234-0151
Company Official
BILL FAVORS
for the twenty-seven month period stated herein, unless revoked by this Board for cause,
and in the classifications of services stated below. This certificate supercedes any previous certificate.
1521.00 Apartment Buildings, Hotels and Motels
1541.01 Industrial Plants and Warehouses
1541.03 Additions, Alterations, Remodeling, and Repair
1542.00A Inst. Bldgs.(Hospitals, Schools, Prisons)>$10,000,000
1542.0013 Inst. Bidgs.(Hosp., Schl., Prsn.)>$1,000,000, <$10,000,000
1542.01 Institutional Bldgs (Hospitals, Schools, Prisons)
1642.02 Commercial Buildings (Offices, Stores, Restaurants)
1542.04 Additions, Alterations, Remodeling, and Repair
1721,01 Painting of Buildings & Other Structures
1741.01 Brick and Block Laying
1741.04 Stone work
1741.05, 1752.01, 1752.02, 7771.01 Bidder ID No. 0000045987
CERTIFICATION DATE 6/28/2017
EXPIRATION DATE 9/28/2019
THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD,
402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS, INDIANA 46204,
ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION.
44
Tracy L, Cross, Exectttitre Secretary _ ..
Certification Board
DAPW P02 Slate Form 3983R Rev. 07/06
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JOB LISTING
Company: Al ZIOLKOWSKI CONSTRUCTION, INC.
Jobs Active Since: 01/01/1990
Thru Month Ending: 08/31/2019 Page: I
Open Jobs Only 08/05/2019 11:09 am
Billed
Under
Job Number Type Job # Customer Name Contract Number PM Job Description
15950
TM
Deluxe Sheet Metal************
JC
Union Station -Labor
16561
Renaissance District Phase I**
JC
w/ Studebaker Building 84 LLC
16649
RD I/Studebaker/Eqp Cost Offset
BF
Equipment Cost Offset
16879
Q
Ballard Elementary/Berrien
AB
Niles Community Schools
17036
Q
LaPorte Comm School Corp******
TB
17143
Q
Renaissance District Two LLC**
JC
RD2-84 Facade Improvements
17152
Q
Memorial / Skyway Parking Lot
P1703IM003
TM
Memorial Hospital of South Bend
17175
NTE
Oliver Mansion -House Re -wire
AB
17214
Q
R District Two LLC************
JC
RD2-84 Facade Demo,Steel,Roof
17216
TM
USTC
JC
17217
TM
Lonewolf-Purdue Tenant Impr***
JC
17234
Q 33296
New Prairie School/Laporte****
C/O #3
TM
Performance Svcs/Selective Demo BP 2.6
17248
TM
RD2/Studebaker/ZCI Eqp Offset
BF
17283
Q
LaPorte Comm School Corp[Lap**
SCHMIDT PROM
TB
Kesling Intermediate School
17351
Q
Penn -Harris -Madison***********
217073.00
BB
Football Stadium Improvements
17363
Q
D.A.Dodd, Inc./Mish Pool NVAC
EC18-003E02
JW
Mishawaka Pool HVAC
17398
Q
City of S.B. Board of Pub. Wks
JC
Fire Station #9
17410
TM
Lonewolf Con. / Union St.
LWI843
JC
Union Station - Plywood
17428
TM
Lonewolf Const/Switch Gear
57182076
JC
Union Station Concrete - Switch Gear
17429
TM
Lonewolf Const/Transformers
57182077
JC
Union Station Concrete - Transformers
17431
Q
ND-Nieuwland/ADA Granite Lndg.
1840885-001
AB
ADA Granite Landing
17434
Q 24617
Eddy Street Commons - Phase 11
JW
Building Concrete
17448
TM
Bamber's / Flooring
AB
Flooring
17460
Q
City of Mishawaka/Central Park
TM
Band Shell
17474
Q
Concord Comm. Schools
TM
Concord High School 2019 Additions & Renovations
17475
Q
Clay Intermediate School******
401990
TM
Building Improvements & Modifications
17476
TM
Cost Tracking (Garage Work)
BF
Cost Tracking (Garage Work)
17506
Q
Flahery & Collins - Stonewater
JW
Concrete Building & Site
17514
Q
ND-Mendoza/2nd Floor Reno.
AB
17517
Q
ideal Consolidated, Inc.
BB
UND HHW Tunnel Additions
17527
Q
Performance Services/VAV
AB
Saint Joe County/VAV Replacement
17547
Q
Ironworks*********************
JW
Slabs & Sitework
17621
Q
DSM/Red Zone Project
AB
17641
TM
ND-Hessert/Vestibule
AB
17643
TM
H & G Services
JRH13635
J2
Concrete Transformer Pad
17666
TM
Sisters of the Holy Cross
41036709
BH
Loretto Convent
17668
Q
Erskine Clubhouse Renovation
TM
Erskine Clubhouse Renovation
17672
Q
Sisters of the Holy Cross
41036175
BH
Convent Window Replacement
17673
Q
Sisters of the Holy Cross
41036295
BH
Center Building Reroof/Paint
17696
Q
PorterCnty Annex-
BC-1 Gen Trades
JC
Porter County North Annex- General Trades
17703
Q
ND-Jenkins/Area Way Access
1915338-001
AB
17711
TM
LONEWOLF- LEA BUILDOUT
ic
17727
Q
ND-Nieuwland/ Spectrometer Bse
AB
17735
TM
ND-Nieuwland/ 288 Clean Room
1918641-006
AB
17743
TM
Martell- Office Buildout
AB
17766
Q
ND -Mendoza/ I st&3rd Flr Reno
AB
17780
Q
ND-DeBartolo/Barrier Removal
AB
17787
Q
CitySB-InstNewTrenchDrain
247394
JW
17788
NTE
DC COOK- Misc T&M Work
1592424 REL 7
BH
JOB LISTING
Company: Al ZIOLKOWSKI CONSTRUCTION, INC.
Jobs Active Since: 01/01/1990
Thra Month Ending: 08/31/2019 Page: 2
Open Jobs Only 08/05/2019 11:09 am
Billed
Under
Job Number
Type
Job # Customer Name
Contract Number
PM
Job Description
17802
Q
Elkhart High School
TB
17811
Q
Ideal-UND/ D&F Toliet Modicatn
ND01856
1313
17816
TM
ND -Fitzpatrick/ B24
AB
17823
Q
STJRMC- Dermatology Reno
OCS5510
JW
17840
TM
ND-Maint/2019 Carpenter Shop
AB
17846
Q
LAKEVILLE FIRE STATION*****
AV
LAKEVILLE FIRE STATION
17848
Q
City of SB-WWTP Admin*********
118-087
JC
SB WWTP ADMIN MASONRY
17849
Q
ND- SDH/ Pizza Pi
AB
17850
Q
ND-Hesburgh/ Garbanzo
AB
17851
Q
ND-Men'sDorm/ Site Concrete
AB
17852
Q
UND - Corby Hall Carpentry
0610 CARPENTE
1313
17864
TM
KeyBank-Indy/ Renovations
AB
17872
Q
ND -Eck/ Stairwell Railings
AB
17873
Q
ND-Rolfs/ Stairwell Railings
AB
17876
TM
St.JoeAirportAuth-SBN-WtrDamge
BH
17877
Q
ND-LaFortune/Vestibule Doors
1933270-001
AB
17880
Q
Chandler Elementary - Goshen
AV
CHANDLER ELEMENTARY SUMMER RENO
17882
Q
Honeywell- AO Char 10 Furnance
6400413844
AB
17888
TM
I stSource-BankN4rUCabRepair
AB
17897
Q
IstSource-Erskine/InStore Reno
AB
17898
TM
Internal Tracking Simons Panel
JW
17902
Q
St.JoeAirport- TSAInteriorReno
BH
17903
TM
St.JocAirport- BusTennWtrDamag
BH
17904
TM
StJoeMedCntr-Respite/InterReno
BH
17907
NTE
I stSource-Niles/ In Store Reno
AB
17911
Q
Zentis- Raise Header
45932753
AB
17912
TM
SisHolyCross-Draft&Est Convent
41037406
BH
17915
TM
ND -Stadium/ Door Hardware
1931188-004
AB
17925
TM
ND-COBA/ PediGrids At Entmces
1938020-001
AB
17930
TM
ND-Reyniers/ Renovation
1936455-003
AB
17931
NTE
StJoeAirportAuth-RRWingWalIExt
AV
17935
Q
ND -Siegfried/ 2019 Renovations
AB
17937
Q
Ideal- PwrPlant/ Equipment Pad
10691-119A
AB
17942
Q
ND -Walsh/ Breakroom Door
P1934113
AB
17943
TM
ND -Compton/ Glass Repair
1925241-003
AB
17949
TM
AEP-SB/ Column Repair
AB
17950
TM
ND-McCourteny/ Fencing
AB
17952
TM
ND -Stepan/ 446C Countertop
1936418-001
AB
17953
TM
ND -Galvin/ 182 Demo
1936455-005
AB
17954
Q
RoyalAdhesive- Doors
1032978
AB
17955
TM
ND -Athletics/ Camera Platforms
AB
17958
TM
SBAirportAuth- Admin Extra Wrk
131-1
EXTRA CORRIDOR WORK
17959
TM
ND-Nieuwland/184 Ceiling
1941314-001
AB
17960
Q
Concord -Performing Arts Reno
TM
17961
Q
DcCook- Fukushima Project
1592424 REL 9
1314
17965
Q
I stSource-McKinley/ Renovation
AB
17966
TM
Penn High School Weight Room
192598
1313
17968
TM
ND -Main/ Replace Attic Hatches
1942217-001
AB
17970
Q
DcCook-Nest Handrail
1592424 REL 10
BH
JOB LISTING
Company: Al ZIOLKOWSKI CONSTRUCTION, INC.
Jobs Active Since: 0 1 /0 1/1990
Thru Month Ending: 08/31/2019
Open Jobs Only
Billed
Under
Job Number
Type
Job # Customer Name
Contract Number
PM Job Description
17971
Q
DcCook-VisitorsCenterHandrails
1592424 REL 10
BH
17972
Q
DC Cook- 2nd Floor OBA Remodel
1592424 REL 11
BH
17976
TM
NewPrairie HS- Press Box Addtn
BH
17977
Q
ND-DeBartolo/AuditorumFIrPaint
1942388-001
A
17978
Q
ND-Badin/Shower Door
1943961-001
AB
17979
TM
ND-Stepan/274 Airflow Upgrades
1926379-008
AB
17980
TM
ND-Stepan/429 Airflow Upgrades
1926379-021
AB
17981
TM
ND-Stepan/430 Airflow Upgrades
1926379-027
AB
17982
TM
ND-Stepan/257 Airflow Upgrades
1926379-033
AB
17983
TM
ND-Stepan/156 Airflow Upgrades
1926379-039
AB
17984
TM
ND-Stepan/l 57 Airflow Upgrades
1926379-045
AB
17995
TM
ND-Stepan/358 Airflow Upgrades
1926379-013
AB
17989
Q
ND -Walsh Family /Video Wall
P1938328
AB
17990
Q
UND Bond Hall Graduate School
AB
17991
Q
RoyalAdhesive- Office Reno
AB
17992
TM
JasonWatts- House
JW
17996
Q
ND-WarrenGolf/KitchenReno
1945336-001
AB
17997
TM
AEP-Buchanan/Ceilings
AB
18000
TM
ND-EngNorth/ Lab 114 Reno
1945531-002
AB
18004
TM
ND-Duncan/Recycler
1938647-001
AB
18005
Q
ND-SDH/ New Door
1945746-001
AB
18008
Q
Memorial Hosp SkywayParkingLot
P1902M002
TM
18010
TM
Ideal-Stepan/Concrete Patch
AB
18013
Q
ND-EngNorth/ 210/211 Reno
1946670-002
AB
18014
NTE
ND-St.Eds/ Gas Grill
1948172-001
AB
18019
Q
RyanFP-ND-COBA/ Ceilings
35499
AB
18020
TM
ND -Stepan/ 367 Reno
1935890-014
AB
18021
Q
ND -Malloy/ Attic Access
1948550-001
AB
18022
Q
StMary's- 2019 Sidewalks
AB
18023
TM
ND -Stepan/ Tower Changes
1942248-010
AB
18024
TM
ND -Galvin/ 387-388 Greenhouse
1948580-003
AB
18025
TM
ND -Jordan/ 202 Renovation
1948541-005
AB
18026
Q
ND-Sitework/ 2019 Sidewalks
AB
18027
Q
DcCook-MainRdCarhBasinRepair
1592424 REL7 A
BH
18028
TM
ND-McCourtney/Concrete Seal
1949011-001
AB
18029
TM
Martell -Vanities
AB
18030
Q
ND-Morrislnn/ Fencing
1944892-003
AB
18032
Q
ND -Grace/ Sidewalks
P1941896
AB
18033
Q
SisHolyCross-Guest House Desgn
BH
18034
NTE
ND -Walsh/ Tackbrds & Trim
AB
18035
Q
ND -Mason/ Concrete Patch
1949758-001
AB
18036
Q
ND -Grace/ 1st Floor Lobby
1926979-002
AB
18037
Q
ND -Grace/ Stairwell
1926978-001
AB
18038
Q
ND-LaFortune/ Suite 200
1949672-001
AB
18039
TM
ND -Galvin/ Equip Ceiling
1949821-002
AB
18040
Q
ND-frishGreen/ Digital Display
P1942946
AB
18041
Q
DcCook- MUP Sidewalk
1592424 REL 12
BH
18042
TM
ND -Galvin/ 2nd FIr Ceilings
1846216-036
AB
18043
TM
AFP-Bentonlirb/Threshold Repair
AB
Page: 3
08/05/2019 11:09 am
Company: Al ZIOLKOWSKI CONSTRUCTION, INC.
Jobs Active Since: 0 1 /0 1 /1990
Thru Month Ending: 08/31/2019 Page: 4
Open Jobs Only 09/05/2019 11:09 am
Billed
Under
Job Number
Type
Job # Customer Name
Contract Number
Pm Job Description
18044
TM
CBRE-Keybank/Roof Leak
AB
18045
TM
ND -Galvin/ 084 Concrete
AB
18046
TM
ND-Facilites/ Bench
AB
18047
TM
ND-DuncanStadium/Bollards
1950772-001
AB
18048
Q
Clay International Phase 11
AV
18049
TM
ND-PowerPlant/ConcreteHaunch
AB
18050
Q
Zends-Maint Area Walls
45946173
AB
18051
Q
Zentis- Smaller Dock Door
4597004
AB
18052
Q
ND-Morrislnn/ Office Reno
1944892-004
AB
18053
TM
ND-Smte/ Temp Wall Demo
1950767-001
AB
18054
Q
ND -Psychology/ Door Hardware
1951572-001
AB
18055
TM
ND -Cushing/ 103 B Reno
1951597-001
AB
18056
Q
Ironworks Beer Garden*********
PLT-19-005
JC Ironworks Phase 11 Beer Garden
18057
Q
ND -Fitzpatrick/ A60-A61
1951700-001
AB
18058
Q
Concord Performing Arts Pkg 2
2018-100.PAC-10
TM Performing Arts Center Renovations - Bid Package 2
19059
NTE
Federa]Mogul-DesignBuildPropsl
2K00334156
BH
18060
TM
I stSource-Granger/Move Door
AB
18061
Q
I stSource-Argos/ New Door
AB
18062
TM
ND -Keough/ Bike Racks & Pavers
1953318-001
AB
18063
TM
ND-PostOffice/ Concrete Repair
1950799-001
AB
18064
TM
ND-FoodSrv/ Rmv Bollards
1953047-001
AB
18065
TM
ND-Morrissey/Concrete Repairs
AB
18066
TM
St.JoeCnty-Crtrooml 896Lockset
AB
18067
TM
ND -Galvin/ I 0OWorkstation
1953209-001
AB
18068
Q
1011 -JLL-Meijer/ Bollard
AB
18069
Q
ND -Grotto/ Bench
AB
18070
Q
GEMarshall-ND/FireStationBench
AB
18071
Q
DcCook- IMPO Painting
1592424 REL 10
BH
18072
Q
StMarys-McCandles Reno
P0027142
AB
18073
Q
ND-WSOA/ New Bench
AB
18074
Q
ND -Stadium/ Roof Guardrails
P1946578
AB
18075
TM
ND- Stepan/ 357/359 Lab
1949081-005
AB
18076
TM
ND-EngNorth/ 112 Foam Padding
1954584-001
AB
18077
Q
ND-Decio/ 4th Floor Reno
AB
18078
Q
ND-Nieuwland/ Rm 228 Flooring
1918641-017
AB
18079
TM
ND -Burke/ Drain Repair
1951600-001
AB
18080
Q
ND-Badin-Zahm/ Handrails
AB
18081
Q
BridgemanSchool-CatchBasinRep
5002000003
BH
18082
Q
ND -Facilities/ ConcreteConsult
P1949051
AB
18083
Q
101 I-Keybank/Indy- ATM Infill
AB
18084
TM
ND -Stadium/ Anchor Point
AB
18085
TM
ND-NDI-I/ Concrete Repairs
1952986-001
AB
18086
TM
ND -Galvin/ Water Leak
1955493-001
AB
18087
TM
ND-Cavanaugh/Trash Can
1952744-001
AB
18088
Q
ND -DeBartolo/ 3rdFIrBarrierRem
1955825-002
AB
18090
NTE
KW-ND-SDH/ Fire Alarm
50-467638
AB
18091
Q
DcCook- Wall Insulation
1592424 REL. 7
BH
18092
TM
ND-OldCollege/InvstigativeWork
AB
18093
TM
ND-Nieuwland/ShelViDg
1955638-001
AB
JOB LISTING
Company: Al ZIOLKOWSKI CONSTRUCTION, INC.
Jobs Active Since: 01/01/1990
Thru Month Ending: 08/31/2019
Open Jobs Only
Billed
Under
Job Number Type Job # Customer Name
Contract Number PM Job Description
18094
TM
ND -Quinn/ Ceiling Rework
1949107-003
AB
18095
Q
33405 ND-Arlotta/Concrete/Plumbing
AB
18096
TM
ND-Galvin/389-390 Greenhouse
1948580-008
AB
18097
TM
ND-Duncan/Recycler
1956269-001
AB
18098
TM
ND -Galvin/ Ceiling Rework
2002272-002
AB
18099
Q
ND-GUG/ Auditorium Walls
2002292-001
AB
18100
Q
ND -Fischer/ Stair Repairs
1954307-001
AB
18101
TM
ND-ayesHealey/Acres Doors 230
2002475-001
AB
18102
Q
DcCook- Speed Bump Removal
1592424 REL 14
BH
18104
Q
Traffic&SafetyControlsSystems
52792
B
18105
TM
ND -Mendoza/ Suite 101/102
AB
18106
TM
ND -Mendoza/ Team Rooms
AB
18107
TM
ND -Stayer/ Misc Reno
AB
18108
TM
ND-PwrPInt/ Misc Concrete
AB
18109
TM
ND -Fitz/ 270 's
2003032-001
AB
18110
TM
ND -Galvin/ Rohr Reno
1936455-029
AB
18111
TM
ND- Grace/ Window Repair
2003116-001
AB
18112
TM
-Galvin/ 518-519
2002821-001
AB
18113
Q
ND-Facilites/ Transpo Sidewalk
AB
19114
TM
ND-Nieuwland/Observatry Raiing
2003236-001
AB
18115
Q
1stSource-McKinley/ExtRepair
AB
18116
TM
-Snite/ Dock Doors
1839904-002
AB
18117
Q
UND Sports Field Specialites
BB
18118
Q
StMary-LeMans/CondenserPads
AB
18119
TM
ND -Fitz/ Ceiling Tile RM 355C
2003249-001
AB
18120
Q
MechConcepts-Porter-EqupPads
2151
JC
18121
Q
Zentis- Shipping Office
45953034
AB
18122
TMND-Jordan/
319-319A Cabinet
2003955-002
AB
18123
TM
ND -McCourtney/ 153 Cabinet
2004072-001
AB
18124
TM
ND -Galvin/ 186A Cabinet
1936455-030
AB
18125
TM
ND -Cushing/ 112 Bench
2004407-001
AB
18126
TM
-Hammes/ 119A Sheetrock
2004599-002
AB
18127
Q
Ideal -ND/ Ceiling Work
ND2035
BB
18128
TM
ConcordPerformingArt-WaterLeak
TM
18129
Q
ND -SDI/ Bike Loops
AB
18130
TM
Ideal -ND -Crowley/ Access Panel
10746
AB
18131
Q
Stafford -Bethel/ CeilingRemval
AB
18132
Q
Zentis- Concrete Repairs
45954000
AB
18133
Q
Martins -Goshen/ ConcreteRepair
AB
18134
TM
SisolyCross-Ceiling Repair
BH
18135
TM
-Corby/ Tunnel Repairs
AB
18136
Q
-FCU-Gutter & Downspouts
TM
18137
Q
ConcordSchools- Office Reno
066088
TM
18138
TM
IstSource-Niles/ Patch & Paint
AB
18139
TM
ND-WSOA/ Patch & Paint
AB
18140
TM
BUSF ISIG-ND/ WSOA Markb
AB
18141
TM
ND -Stepan/ 387 Cabinet
2005431-001
AB
18142
TM
ND-Nieuwland/ 4th Floor Wall
2004810-003
AB
18143
TM
ND-Nieuwland/ 4thFlrStairwell
2004810-004
AB
Pop-up Barrier Removal
Film Platform Concrete Foundation
Andre House- Living Room
Page: 5
08/05/2019 11:09 am
JOB LISTING
Company: Al ZIOLKOWSKI CONSTRUCTION, INC.
Jobs Active Since: 01/01/1990
Thru Month Ending: 08/31/2019
Open Jobs Only
Page: 6
08/05/2019 11:09 am
Billed
Under
Job Number
Type
Job #
Customer Name
Contract Number
PM
Job Description
18144
Q
LoganCenter- SACA Classroom
AB
24143
Q
Kokomo Honda Toyota/Howard
02-103
SS
Ricop LLC
24394
Q
Kokomo H.S.-Columns/Howard
21710-04200.4
SS
Patterson Horth Const
24400
Q
Handley Elementary/Laporte""
56365/H-2
CS
Larson Danielson
24424
Q
Pettit Park Elem/Howard
17-04
SS
Masonry
24440
TM
Outback Steak House/Howard
SS
Stone/Southern Wildlife Consulting
24449
Q
Sycamore Elementary-Addn/Howe
21707/04200
SS
MacDougall Pierce
24452
Q
Encompass Credit Union/Tipton
1712-017
SS
24456
Q
ND-Hesburgh Lib/Technology Row
CS
Miller Davis Company
24501
TM
17143
RD2/Renaissance Dist 2******
CS
Studebaker Bldg Masonry
24507
Q
Glen Acres Elementary/Tipp****
SS
24521
Q
Cumberland Elem/Tipp
#2
SS
Lafayette School Corp
24532
Q
Silver Birch Care Facility
C281-1000
CS
Arco -Murray
24551
Q
17283
LaPorte Comm School/Laporte***
CS
Kesling Middle School
24557
Q
St. Elizabeth Health Care/Carr
116116
SS
Bulley & Anderson
24562
Q
24551
LaPorte Comm Schools/Laporte"
BD
Kesling - Clean Masonry/Caulk
24566
Q
Norfolk Southem-Yard Tower/Ek
CS
MKS/Michael Kinder - Yard Tower Renovation
24568
Q
JBM-Lewis Cass School
SS
Lewis Cass School Additions & Remodel Masonry
24572
TM
Pepper/ND-Presbytery Masonry
TE
ND -Presbytery Masonry Patchwork
24599
Q
17398
City of S.B. Board of Pub. Wks
TE
New Fire Station #9 - South Bend
24602
Q
Hamilton Heights/Elern & MS
D2
2 Additions
24605
Q
Indiana State Prison
BD
Masonry Repair
24606
Q
17431
ND-Nieuwland/ADA Granite Lndg.
CS
ADA Granite Landing
24608
Q
Indiana Toll Road - Powers
TE
Indiana Toll Road Administration Building
24617
Q
Buckingham/New Retail Bldg.***
D2
New Retail Building A, B, C & D
24620
Q
24605
Indiana State Prison
CS
Masonry Repairs on the Storeroom
24624
Q
Plymouth Comm. School Corp.
TE
New Lincoln Middle School
24632
Q
24617
Foundry - Eddy Street PH 11
CK
Clean Masonry, Caulk
24637
Q
17475
Clay Intermediate/Rest Room
D2
New Rest Room
24638
Q
17474
Concord High School/Lab 2018
D2
Lab Addition 2018
24640
Q
24599
Fire Station #9
CK
Clean Masonry/Caulk
24642
Q
Church of Loretto/St. Mary's
41035582
BD
Tuckpoint
24646
Q
Steinberger Construction, Inc.
170006-13
SS
Agricor Bin Room Building, Masonry
24651
Q
17460
City of Mishawaka*************
PLT-18-002
TE
Central Park - New Band Shell
24654
Q
24638
Concord High School
CK
Clean Masonry
24655
Q
17474
Concord High School
CK
24660
Q
24624
Lincoln Jr. High School
CK
Clean/Caulk Masonry
24663
Q
Bowman Const. Co
2018-064
SS
Sycamore Phase 11 Masonry
24667
Q
Patterson Horth, Inc,
21819
SS
Miami Court Garage Masonry
24673
Q
Stemberger Construction, Inc.
180272-12
SS
Subaru WTP #3 Masonry
24675
Q
BenchmarkMech-CassCntyJail-Phl
18-2012-1
SS
24676
RD2/Studebaker/Equip Offset
BF
Offset for equipment expense charged to job
24689
TM
17641
ND-Hessert/Vestibule
CS
24692
Q
PorterCnty-MasonyAdditions
217181
CS
24697
Q
24692
PorterCnty-Washing & Caulking
CK
24699
Q
17668
ErskineClubHouse-Door Repair
D2
24700
Q
17668
Erskine Clubhouse -Masonry Rest
BD
24701
Kokomo HS-New Baseball Stadium
D2
24711
Q
24608
Pwer&Sons- Ind TollRd-Washing
BD
JOB LISTING
Company: Al ZIOLKOWSKI CONSTRUCTION, INC.
Jobs Active Since: 01/01/1990
Thru Month Ending: 08/31/2019
Open Jobs Only
Billed
Under
Job Number Type Job # Customer Name
Page: 7
08/05/2019 11:10am
Contract Number PM Job Description
24717
Q
17802
ElkHighSchool- Music Addition
TE
24721
Q
Kokomo Central MS - 2019 Reno
D2
24723
Q
LaSalle Elementary
629901
CK
24727
Q
Most Precious Blood School
BD
24728
Q
MishawakaHS- Masonry Repair
BD
24729
Q
BeigerSchool- Flashing Repair
BD
24731
TM
17547
Mill at Ironworks*************
CK
24732
NTE
St. Franics Convent
BD
24733
Q
Study Elementary - Masonry
CK
24736
Q
17846
Town of Lakeville*************
CS
24737
Q
17849
ND-SDH/ Pizza Pi- Masonry
RU
24738
Q
Warsaw W.W.T.P***************
D2
24739
Q
Pioneer Memorial Church
18113-321
CK
24740
Q
17850
ND-Hesburgh/ Washing Concrete
CK
24741
Q
17848
SBWWTP- Masonry Restoration"*
BD
24743
Q
24733
Study Elem School/Wndw Infill
RU
24744
Q
TonnB]ank-RensslrHosp/Cut Rglt
702049
BD
24745
Q
BerrCnty-BaptistChurch/Masonry
BD
24746
Q
24745
BerrinCnt-BaptistChreh-RepBrck
CS
24747
Q
MemorialHosp-CaulkingStonePtch
BD
24749
Q
17851
ND-MensResidence/ Brick Pavers
RU
24750
TM
17816
ND -Fitz- LactationRM-Masonry
CS
24752
Q
Shook-KokomoMunStadiumRcno
119006.003
SS
24753
Q
KankakceMiddle-2019 Flashing
CS
24754
Q
17850
ND-Garbanzo/ EnlargeHVACOpenn
CS
24755
Q
24753
KankakeeMiddle- Masonry Repair
BD
24756
Q
24606
ND-Nieuwland/Clean&CaulkGranit
BD
24757
Q
24736
LakevilleFire-Masonry Clean***
CK
24760
Q
rU-Kokomo-Student Cnter*******
19-07-002
D2
24764
NTE
DaDodd-LintelsforDuctPentratns
EC17-5I4E0458
CS
24765
Q
Culver Elementary
CK
24766
Q
17935
ND -Siegfried/ 2019 Hall Reno
TE
24768
Q
Tipton County Jail
2019-010
SS
24770
Q
l.U.ElkhartCenter-Masonry Rep
BD
24772
Q
St.MattsCathedral-Masonry Rep
BD
24775
Q
Porter Co N Annex Bid Pkg # 2
190087
CS
24776
TM
ND-GUG/ Clean Stain South Door
1943635-001
CK
24779
Q
Delphi Watermain
1419029
SS
24780
Q
Rochester Metals RR Remodel
180442-02
SS
24783
Q
Prairie Vista Elementary
192009
CK
24785
Q
StMary-Madaleva/ScreenWaIlRepr
P0027017
RU
24786
Q
24785
StMary-Madaleva/CleanScreenWI
BD
24787
Q
Honeywell-NewCharlOFumaceFrbk
50.466529
RU
24790
Q
FederlMogul-DrssRm/BulkMeltRep
2K00333856
RU
24791
Q
LakelandHosp-BrickReplacement
C22512
CK
24792
NTE
18014
ND-St.Eds/ Gas Grill
1949172-001
RU
24794
Q
MonisPerformingArts-Caulking
CK
24795
Q
White Castle Lebonon
70548
SS
24797
Q
SusanHintz- Masory Repair
BD
Kokomo Central MS- 2019 Reno
Lakeville Emergency Services Masonry
Masonry Window Infill
Rensselaer Hospital - Cut Reglet
CLEAN & CAULK
NEW STUDENT ACTIVITY CENTER
Rochester Metals- Restroorn Remodel
gel i-May M
Company: Al ZIOLKOWSKI CONSTRUCTION, INC.
Jobs Active Since: 01/01/1990
Thru Month Ending: 08/31/2019
Open Jobs Only
Billed
Under
Job Number
Type
Job #
Customer Name
Contract Number
PM
Job Description
24798
Q
LIBERT TOWER***************
19001-06
RU
EnvirGlass-LibTwr/BaseReplacmt
24800
Q
ScottFordRes- Paver Repair
BD
24801
Q
MidlndEng-NPrairie/Roof Flash
RU
ROOF FLASHING REPAIR
24802
Q
18056
Mish-Ironworks-Beer Garden****
PLT- 19-005
TE
24803
Q
Goshenfbeater-Clean/RepLimestn
BD
24806
Q
18048
SBCSC-Clay InVI - Phase If
RU
24807
Q
Howard Community Hospital
Ss
24808
Q
St.Marys-O'Laughlin Auditorium
P0027108
RU
Limestone Pavera
24809
Q
Grandlnd-IPCWtr/ Grind & Point
70647
SS
IPC Water Treatment
24810
Q
24808
St.Mary-O'Laughlin/ Caulking
CK
24812
Q
St.Mary-HolyCross/TuckpntBmnt
BD
24813
Q
18058
ConcordHS-Performing Arts
CS
24814
Q
St.Mary-LeMans/CleanSealConcrt
P0027136
CK
24816
Q
StMonicaSch- Tuckpoint Masonry
BD
24817
Q
18069
ND -Grotto/ Bench Pavers
RU
24818
Q
18070
GEMarshall-ND/FS Bench Pavers
RU
24819
Q
UND South GEO Thermal Plant
10732
RU
24820
Q
18073
ND-WSOA/ Bench Pavers
RU
24821
TM
24606
ND-Nieuwland/ ResetStODC&GrOUt
CK
Tracking Number/Reset Stone & Grout
24822
Q
St Mary Repair Masonry Pier
RU
24823
TM
ND-Reyniers/RepMotarBlwCapstne
1955580-001
RU
24824
Q
24813
ConcordHS- Performing Arts
BD
Clean Masonry and Caulking
24825
TM
PennHS- Extra Work
TE
24826
Q
Small Parts - Grind & Point
12963
SS
24827
Q
Stemberger/Masonry
190044-07
SS
Anderson Hammermill Clymens
24828
Q
Steinberger-Subaru/ServiceReno
180432-09
SS
24829
Q
18072
StMarys-McCandless/ Reno
P0027142
CS
24830
Q
ND-Joyce/Replace Pavers
1955433-001
RU
24831
Q
18077
ND-Decio/ 4th Flr Reno
TE
24832
Q
55649
StMary-HolyCross/PatchLimestne
CK
24833
Q
Rensselaer Hosp - Flashing
702674
CK
104ft second floor and 100 ft third floor
24834
TM
ND -Carole/ Brick Paver Repair
2002382-001
RU
24835
Q
18072
StMarys-LeMans/ Hall Reno
CS
24836
Q
SisHolyCross- Statue Repair
BD
24837
Q
18083
1011 -Keybank. ATM Infill
Ss
24838
TM
ND-Galvin/Caulk Shelf Angle
2002317-001
CK
24839
TM
ND-Hesburgh/RmveGrout&Recaulk
2003018-001
CK
24840
Q
17852
ND-Corby/Acoustical Sealant
BD
24841
Q
KankakeeHS- Tuckpont Pool Wall
1907221HS
CK
24842
Q
18121
Zentis- Shipping Office
45999953034
CS
24843
Q
PHM-ElsieRogers/Masomy Repair
BD
24844
Q
StBonifaceChruch-MasonryRepair
BD
24845
TM
Skillman -Niles Schools
TE
Northside & Southside Schools
24846
TM
ND -Stinson/ Damaged Pavers
2006771-001
RU
33286
Q
New Prairie School/Laporte****
M
Performance Services
33345
Q
17398
SB Fire Station #9
M
Flooring
33354
TM
AM General
M
Rubber Floor Repairs
33355
Q
ND -Morrissey
M
Flooring
33363
Q
17668
Erskine Clubhouse -Flooring
M
Page: 8
08/05/2019 11: 10 am
JOB LISTING
Company: Al ZIOLKOWSKI CONSTRUCTION, INC.
Jobs Active Since: 0 1 /0 1/1990
Thru Month Ending: 08/31/2019 Page: 9
Open Jobs Only 08/05/2019 11:10am
Billed
Under
Job Number Type Job # Customer Name Contract Number PM Job Description
33372
TM
17666
St.Marys-Loretto-Flooring
M
33376
TM
17816
ND- B24/ Flooring
M
33377
TM
17743
Martell- Carpet
M
33378
TM
ND-Maint/ 2019 Flooring Shop
M
33380
Q
17823
SJRMC-Dennatolgy/ Flooring
M
33381
Q
17802
ElkhartHS- Flooring
M
33382
Q
17849
ND-SDH/ Pizza Pi- Flooring
M
33384
Q
17946
PPR- TOWN OF LAKEVMLE*****
M
LAKEVILLE FIRE STATION
33387
TM
17876
StJoeCntyAirport- Water Damage
M
33389
TM
17903
SBAirportAuth-BusTemml-Carpet
M
33390
Q
17990
ND-Bond/Carpet Grad Student
M
33391
TM
17990
ND -Bond/ Carpet- T&M Extras
M
33393
Q
17935
ND-Siegfried/Flooring
M
33394
Q
17848
WWTP-AdminBld-Flooring*******
118-087
M
33397
Q
55611
Hokason-OldNatBank/ Flooring
M
33398
Q
18038
ND- LaFortone/ Suite 200 Reno
M
33399
TM
19029
MartellElectric- Carpet
M
33400
Q
18052
ND -Morris/ B70 Carpet
M
33401
TM
55631
ND -Fitzpatrick/ 275A Carpet
M
33402
Q
18037
ND -Grace/ Stairwell Flooring
M
33403
Q
18036
ND -Grace/ 1st Floor Lobby
M
33404
Q
AMG-2019 Shutdown Carpet
4300001739
M
33405
Q
ND-Arlotto/RubberFloorReplmnt
M
33406
Q
ND -Debartolo/ Carpet Replacerut
1942390-001
M
33407
TM
ND-RolPs/ Carpet Repairs
1845962-012
M
33408
TM
18105
ND-Mendoza/101-102 Carpet
M
33409
TM
18106
ND -Mendoza/ Team Rm Carpet
M
33410
TM
18107
ND -Stayer/ Carpet
M
33411
TM
Gibson-Pasquerilla-Flooring
M
33412
TM
Gibson-ND-Hessert/Flooring
M
33413
TM
Gibson-ND-Pangbom/Flooring
M
33414
TM
Gibson-ND-O'Shag/ Flooring
M
33415
TM
Gibson-ND-Decio/ Flooring
M
33416
Q
18144
LoganCntr- SACA Classroom
M
33417
TM
GibsonLewis-ROTC/ Rm 112
M
55108
Q
Ballard Elementary/Berrien
214173-05
MH
Paint /Niles Comm Schools
55232
Q
Royal Adhesives -Factory Paint
JG
55240
Q
Wayne St. Garage
JG
Ram Construction
55297
Q
33286
New Prairie Schools -Painting"
JG
55340
Q
Gilbane Construction/Siernan's
JG
Painting
55353
Q
24605
Indiana State Prison/Mich City
JG
Various Painting
55356
Q
New Lincoln JHS
JG
55377
Q
17460
Central Park/Band Shell
MH
Band Shell
55381
Q
UND Bronson Hall Roof
MH
ND BrowDson Hall Roof
55413
Q
Robert Henry (Sieman's)
JG
55415
Q
17474
Concord High School
JG
Additions & Renovations
55425
TM
17175
Martell/Copsholm/House Wire
JG
55438
Q
17398
City of SB/Fire Station #9
JG
55443
TM
ND-McCourtney/DA Dodd
JG
Water Damage (Robert Henry)
JOB LISTING
Company: Al ZIOLKOWSKI CONSTRUCTION, INC.
Jobs Active Since: 01/01/1990
Thru Month Ending: 08/31/2019
Open Jobs Only
Billed
Under
Job Number Type Job # customer Name Contract Number PM Job Description
55460
Q
Logan Center/Autism Center
JG
55476
Q
17668
ErskineClub-Painting & Taping
JG
55480
Q
17527
PerfServofStfoe-VAV Replacernnt
JG
55484
TM
Peppers-NDPres-WoodStaining
JG
55501
TM
17743
Martell- Office Buildout
JG
55512
Q
24608
IndTollRd- Admin- Paint Concr
JG
55521
Q
17780
ND -DeBartolo- Barrier Removal
JG
55523
Q
AM General- Chipp/ Off Paintng
JG
55527
Q
17811
ND-Don/Flaherty- Bathrm Mod
JG
55528
TM
17816
ND -Fitzpatrick/ Room B24
JG
55530
Q
DeluxeShectMetal-Paint Hoods
JG
55536
TM
ND-Maint/ 2019 Paint Shop
JG
55539
Q
Brinks- Office Painting
358768
JG
55543
Q
17849
ND- SDI/ Pizza Pi
JG
55544
Q
17850
ND- Hesburgh- Garbanzo
JG
55545
Q
17823
SJRMC- Dermotology Reno
JG
55546
Q
17802
EL HS- Taping & Painting
17802-09
JG
55552
Q
17846
PPR- TOWN OF LAKEVILLE*****
JG
55553
Q
St.Marys-Lourdes-ElevWtrDamage
41037332"
JG
55554
TM
17876
StJocAirport-SBN-Water Damage
JG
55556
TM
ND-CedarGroveChap/Maintenance
1934771-001
JG
55560
TM
Kite-EddySt/ Access Panel 2
JG
55562
NTE
Ideal- ND/ Men'sDormVFCUCaulk
10571-146
JG
55563
Q
St.JoeCnty- Big Red Barn
159127 159128
JG
55564
TM
17903
SBAirportAuth- Bus Terminal
JG
55569
Q
17935
ND -Siegfried/ Taping & Paintng
JG
55571
TM
17958
SBAirportAuth-Corridor Paintng
JG
55572
TM
17931
SBAirportAuth-Tannack Bathroom
JG
55576
TM
ND -Stepan/ Reno 262-264
1942248-005
JG
55577
Q
17965
1 stSource-McKinley/ Renovation
JG
55579
Q
SJRMC- Paint Exam Rooms
JG
55580
Q
Winbco-ND Fuel Storage Tanks
190487
JG
55581
Q
17977
ND-DeBartolo/Auditorium Floors
JG
55582
Q
17990
ND-Bond/Renovation
JG
55583
TM
Precision-ND/AthFId-NewWindows
JG
55585
Q
Lazzaro- Men's Donn Doors
JG
55586
Q
17848
City of SB- WWTP Admin********
JG
55587
TM
17892
ND-Bkstore/BskballCourtStripng
JG
55589
Q
17996
ND-WarrenGolf/Kitchen Reno
JG
55590
Q
H&G-Siemens/Doors & VinylWall
PONJH20997
JG
55591
TM
18000
ND-EngNorth/ Lab 114 Paint
JG
55592
TM
18020
ND-Stepan/Rm 367 Reno
JG
55594
TM
ND-Nieuwland/083 Reno
1936455-011
JG
55595
TM
ND -Galvin/ 182 Paint
JG
55596
TM
ND -Annex/ ROHR Reno
1936455-012
JG
55597
Q
HeritageFoundtn- 917 Hill St.
JG
55599
TM
A-EP-Lathrop/ Pipe Ballards
JG
55600
TM
AEP-Lathrop/ Store Stripping
JG
55601
TM
A-EP-Buchanan/Rooftop Sandbltng
JG
SB WWTP ADMIN BUILDING
Page: 10
08/05/2019 11:10am
JOB LISTING
Company: Al ZIOLKOWSKI CONSTRUCTION, INC.
Jobs Active Since: 01/01/1990
Thru Month Ending: 08/31/2019
Open Jobs Only
Billed
Under
Job Number Type Job # Customer Name
Contract Number PM Job Description
55602
Q
18011
ND-O'Shag/253 B Reno
1944278-001
JG
55603
Q
18013
ND-EngNorth/210/211 Reno
1946670-002
JG
55604
TM
18015
1stSource-Niles/Patch&Paint
JG
55605
TM
18025
ND-Jordan/202 Reno
1948541-005
JG
55606
Q
St.Pat'sPark- Seal Pavilion
JG
55607
TM
ND-Reyniers/CeramicCarpetFloor
1936455-011
JG
55608
TM
ND-Cushing/106WindwWterDamge
JG
55611
Q
Hokanson-01dNatBank/LVT Floor
JG
55612
Q
18038
ND-LaFortune/Suite 200 Reno
JG
55613
Q
18037
ND -Grace/ Stairwell Painting
JG
55614
Q
18036
ND -Grace/ MainLobby/RR Reno
JG
55615
Q
18034
ND -Walsh/ Trim Painting
JG
55617
TM
18029
Martell- Office Reno
JG
55618
TM
ND -Galvin/ 2nd Floor Hank Wing
1846216-037
JG
55620
Q
24790
FedMogul-Dross/MeltingStation
JG
55621
Q
18052
ND-Morrislnn/ B70 Office Reno
JG
55622
TM
18055
ND -Cushing/ 103 Reno
JG
55623
TM
17997
AEP-Buchanan/MiscWallTchups
JG
55624
TM
ND -Fitz/ RM 365 Patch & Paint
JG
55625
TM
KW-ND-SDH/ Painting
50-467635
JG
55626
Q
18048
SBCSC-Clay Int'l - Phas II
18048-07
JG
55627
Q
18057
ND -Fitz/ A60/A61 Painting
JG
55628
TM
ND-Nieuwland/ 298 Reno
1918641-008
JG
55629
TM
DaDodd-NP-Kesling/Unit Tchups
JG
55630
TM
Deluxe- ChandlerElem/PaintDuct
JG
55631
TM
ND -Fitzpatrick/ 275A Paint
1953524-001
JG
55632
Q
18058
ConcordIS-Perfomung Arts
JG
55633
NTE
StMary-LeMans/Dorm Touchup
P0027151
JG
55634
Q
StMarys-HolyCross/BsemntKitchn
P0027150
JG
55635
Q
StMary-HolyCross/Stairwll&Wood
P0027152 & P002
JG
55636
Q
17351
PennHS-PartitionSteelPlates
JG
55637
TM
Esco-ND/ Paint Camera Parts
18616
JG
55638
Q
BIW-NDGrotto/Plaque Stands
JG
55639
TM
ND -Stepan 357-359 Renovation
1949081
JG
55641
TM
PrecisionWood-MenDrm-ExtTrim
JG
55642
TM
StMarys-HolyCross/Dorm Tchup
JG
55643
TM
StMarys-Regina/ Dorm Tchup
JG
55644
Q
StMMarys-Library/PresConfincRm
P0027183
JG
55645
Q
P-WaltDisney/CorridorPaintng
2019-0015
JG
55646
Q
18077
ND-Decio/4diFloor Reno
GS
55647
Q
StMarys-Library/OfficePainting
P0027184
JG
55648
Q
StMarys-Library/LongWallpprRmv
P0027185
JG
55649
Q
StMarys-HolyCross/CanopyRemovl
P0027198
JG
55650
Q
ND-Haggar/ Window Kit
1956334-002
AB
55651
Q
ND-Haggar/Cabinet&ShelfRemoval
1956334-004
JG
55652
Q
ND-Haggar/Patch&DoorStaining
1956334-003
JG
55653
Q
StMarys-LeMans/2 Extetr Doors
P0027191
JG
55654
TM
ND-Biolchini/ Misc Paint
1956260-001
JG
55655
TM
ND -Galvin/ Paint RM 244
2002272-004
JG
ND Men's Dorm- Exterior Trim
Office painting and wallpaper removal
Library painting and wallpaper removal
Page: 11
08/05/2019 11:10 am
Company: Al ZIOLKOWSYi CONSTRUCTION, INC.
Jobs Active Since: 0 1 /0 1 /1990
Thru Month Ending: 08/31/2019
Open Jobs Only
Job Number Type
55656 TM
55657 Q
55658 Q
55659 Q
55660 Q
55661 TM
55662 Q
55663 TM
55664 Q
55665 Q
55666 TM
55667 TM
55668 TM
55669 TM
55670 TM
55671 Q
55672 TM
55673 TM
55674 TM
55675 TM
55676 TM
55677 TM
55678 Q
55679 Q
55680 Q
55681 TM
55682 Q
55683 Q
55684 TM
Billed
Under
Job #
18100
18033
18080
18109
18116
18107
18106
18105
18072
17880
Customer Name
Contract Number
PM Job Description
ND -Hayes /RM 230 Wall
2002475-002
JG
ND-FischerGrad/ Stair Repairs
JG
SisHolyCross/ Guest House
JG
Copsholm- Mise Ext Painting
JG
Lazaffo-Bondl-fall/ Ramp Door
JG
Weigand-StMary/AngelaTchup
JG
ND-Zahm-Badin/ Handrails
JG
ND -Fitz/ P&P Room 270
2003032-001
JG
ND-Haggar/ B021 Suite Painting
JG
St.Marys/LeMans-Ceiling Repair
P0027221
JG Stapleton Lounge
ND-Snite/ Exterior Doors
1839904-002
JG
ND -Stayer/ Mise Reno
JG
ND -Mendoza/ Paint Team Rooms
JG
ND -Mendoza/ Suite 10 1 - 102 Reno
JG
ND-Haggar/ B020 Patch & Paint
JG
StMarys-McCandles-LeMans- Reno
JG
AEP-Bentonffbr/ Ext Doors
JG
AEP-Bucbanan/ Ext Doors
JG
ND -Fitz/ Rm 275C Patch & Paint
JG
StMarys-StudCntr/BascOfficePnt
JG Basment Office Tape & Paint
ND -Hammes/ 119ATape&Paint
JG
ND -Grace Lot/BlackOutLines
JG
St.Mary-LeMans/SFoyerCeilingRp
JG
StMary-LeMan/GrandLobbyCeiling
JG
Chandler/ Patch&PaintRockWall
JG
ND-Nieuwland/StairwayEfisRep
2004810-004
JG
StMarys-MainHrWoodStain
P0027207
JG
StMarys-Dining&CyberCafe
JG
AEP-BentonHai-bor/ Dock Lines
JG
Page: 12
08/05/2019 11:11 am
BC 4 IN/K,Y
Apprenticeship & Training P�rogram,
WMV.bac4Lrain
j4g.coni
P ?gill ai I.Coll"i
219-525-4443
Roger Jones -JV4nikgihg Dirrwor
August 20, 2018
C/O Ziolkowski Construction, Inc.
To Whom It May Concern,
This is a letter of recommendation on behalf of Ziolkowski Construction, Inc. The
BAC 4 IN/KY Apprenticeship & Training Program is a statewide program that was
established in 1994 and is recognized by the U. S. Department of Labor and is
considered in good standing-
Ziolkowski Construction, Inc. has been a "signatory union contractor" since 2000 '
and at the present time employ enrolled apprentices. Ziolkowski Construction, Inc.
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
(219) 525-4443.
Sincerely,
Roger Jones
Managing Director
BAC 4 IN/KY Apprenticeship & Training Program
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LEA
lu
LNDJANA L,,4,,.BORP,J?,S'l".'I?.AIIVI,'AjTRBUST FUND
ql? -
David A. Fyye
Seeretaq-Treasilrer
.Terry J Bolk '
Chris L. Guerrero
Ricky Henson, Jr.
Ra7non Mendoza Jr.
Robert S. Pright
P.O. Box 758 - Bedford', Indiana 47421
(812) 279-9751
August 20, 2018
To Whom It May Concern:
John A Brown
Chairman
Kelly Abel
Brad Dreibelbis
Michael Ferrara
Stan Meyer
Sm Wisenian
FAX: (812) 279-5545
This letter is to confirm that "Ziolkowski Construction, Inc." is a siLmatory contractor in good
standing with the Indiana Laborexs' Training Trust Fund.
The above mentioned company is a participant in the Joint Apprenticeship and Training
Committee through this Union and has been an active participant in good standing for each of the
past five plus consecutive years, and is currently eligible to use our 'apprentices on a project.
Further, our organization"s program is approved by the U.S. Veterans Administration to
participate in the GI educational benefits program, A copy of our approval letters are attached
along with the -collective bargaining agreement stating the ratios of Journey workers to
Apprentices; which is one (1) Apprentice for every five (5) Journey workers and thereafter may
not employ more that (1) Apprentice for every (3) Journey workers.
Sincerely,
L
Sean Coakley,
Director
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STATE OF INDIANA
DEPARTMENT OF VETERANS AFFAIRS
STATE APPR%9 NO AGENCY
402 WEST WASHINGTON STRI50'
Room W-469
INDIANAPOLIS, INDIANA 46204-2738
October 25_, 2015
cmtIpAg ffidal;
Mfchael R, Pence, Goverflor
ambles rid. '6jr'G"—w'n—, 51'r—ec't—or
ThehidlanaMate Apptoving
, Agency would like to Worm you -that the Depa-iltrient o et
Office hus xelomted, -f V eTxLv
For enrolhuent certifloations scut by mail, adchoss to the Educatian Division as fiollows;
Depmwent Of Vatuans Affairs
9700 Page Avenue
Suite 101 —Edueatlow
St, Louis, MO 63132-1502
Fax mmibor for cerafjoptions -
314-2534140
Feel ftw to 00jitact the ludiana State A,,proving, Ageney with any qiae5tjoii,,q,
Tara Eggen
-Program Coordinator
State App;yvjjag Agmey
hidlana DepaAmelit of 'V(,ster&nS Affairs
402 We-sl,', W'4811ingtov, 8tted RIVI W469
IndhMix))IS INA6204
317234-6062
TeggezJ@dvaJn..go-v
M
10
Michael R. Pence, Governor
I I Ii IF, wi—m - —B FO Wra, —0 11 f, TMI I -0"r," — - - - ' " — - I - — —
Renae Sullivan
Indiana, Liborers Training Trust Fund — Apprent,
PO BOX,758
Pedford, W 47421-0758
I appreciated the professionalism, colixtesy alld
assistance you (-md your staff extended UY Me, your Program Director with the Tndiana Stato APproving Agency,
"Tiris leftr will discuss, tl.-ie ptnwpose of a coniplimice survey, what during a. survey alM my Bndings,
MI-3 U-2 ]r—) I I Lb In q -�' P.- �Ok - Isiu- r Me I a
(1) TO ensuee that,Departmet).t of Vetexam Mllairs (I)VA) payments to veterans and eligible dependents
enrolled in the training programs are based Capon proper and correct ej-gojftncnt iti-forination
fbim-ished by the school
(2) Assist s611,001 officials trod staderm in undors11
,, ,imIdi, g tljf" rOq'ui)Orrj0,nts of the law in order to Pre vent
deficdonoies or violatiolls t1jji Could dcvelal.a Enuuse, ofmigunderstandings or Inisinterpi-etations of
the law.
; lvqLlRevien'-P(UjLig Ajft
'11c information and data reviewIM during thostit,vey includes, but is not limited to,, Cufficultun
requiremepts, print Gr(xil't ewituation s, � vrftten agreellICIAlts betWet"JI Illf" stu(jellt t11'1(1 t1le 'fa(�jutv coples oftbe
%)PROlioll aIxI eDrollf"Jont certi-fioations, a copies of tile gj,,css 1�.opoj-t& ),be, w " age sc�jjcs mc, wo,,rk
Pro
processes arc also rovievver). Advel1i3h)9 1-11aterials are teyiewod to ensure Ro erroneou&, misleading, or
deccptivo informal on,, is cot):voyed to: Clio students,
What MIWe
A— -LOnd In Q!q I
One, discxepanGy, ox reporti
foflows:' Mg error, was found in tine records reviewed for this swvey, The discrepancy is as
There were Zero discrepancies fbiand in the -records reviewed during the compjzancL- sul �,ey'
Lt_'�pu Need AsLsjstancc
This conoludez M,- preditninary, fmdirtgs Of 01rr CoInpliwoo SIIJVOYIf yQu �aced.,niy ooj@assista�
Rce t),j, ji�jve.
questions refpirding this survey, please contnt me, diroctly, by, einaff, at 16loodg�)(1-va it, , g) . if y0j., cal1 jj
I a qy -, ot
email me, you can leave a voico maU message at (317)232-3916, The
Your ap'preaificeship continues to provide Vetems and their dependents are apprf'-date'd.
Kimberly
Program Director
PhOW (317)232-3910, 7oll.Free(800)400420 -Fax: (317) 232-7721
Webafte Address'� vmAn-goviveleran
INDIANA/KENTUCKY/OHIO REGIONAL COUNCIL OF CARPENTERS
JOINT APPRENTICESHIP AND TRAINING FUND
1095 MARINERS DRIVE
WARSAW, IN 46582 go
ADMINISTRATION OFFICE
711 Greenwood Springs Drive
Crreenwoad,IN 46143
Phone:317-807-1112
Fax: 317-807-1115
Ashland Campus
574 Carpenters Way
Grayson, KY 41143
Phone: 606-929-1378
Fax. 502-996-8108
Indianapolis Campus
August 20, 2018
711 Greeawood Springs Drive
Greenwood,IN 46143
Phone:317-807-1116
Fax:317-907-1131
Construction Co.
LafaZiolkowski
2953 South Creasy Lonette campus
953 S
4050 Ralph Jones Drive
Lafayette,IN 47905
south Bend, IN 46628
Phone: 765-447-5959
Fax: 765-447-7676
RE: City of South Bend Bid
Louisville Campus
1245 Durrett Lane
To Whom It May Concern:
Louisville, KY 40213
Phone: 502-366-9668
Fax: 502-366-8678
This letter is in response to verification needed by Ziolkowski Construction for work to
Merrillville55s
be performed for the City of South Bend/Howard Park project. Ziolkowski regularly
Campus
1565 East 70th Court
employs a number of apprentices apprenticeship program
pp entices affiliated with our a renticeshi ro ram and has
Merrillville, IN 46410
done so for more than three years. We are registered with the United States
Phone:219-947-3348
Fax:
Department of Labor, Bureau of Apprenticeship and Training and our registration
219-947-1899
number is 020 0537. Our program also participates in the Building Trades Associate
Muncie Campus
Degree Program with Ivy Tech Community College and has done so since 1996.
4121 East Centennial Avenue
MunGl47303
Phone: 6N298-9
Phone; 765-288-90]5
Ziolkowskl Construction Is a bona fide contractor in good standing with the
Fax: 765-288-0298
Indiana/Kentucky/Ohio Regional Council of Carpenters Joint Apprenticeship and
Newburgh Campus
Training Fund and is eligible to employ apprentice carpenters in the future. I have
5400 Covert Court
enclosed co p
pies of our certificates from the United States Department of Labor and
Newburgh, IN47630
from the Indiana Department of Veterans Affairs for GI educational benefits
Phone: 912-853-9312
-
Fax: 812-853-9316
If I can be of further assistance, please do not hesitate to give me a call.
Terre Haute Campus
3099 South 6th Street
Best regards,
Terre Haute, IN 47802
Phone: 812A66-7899
Fax:912-466-9840
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Warsaw Campus
1095 Mariners Drive
Dale Newlin
Warsaw, IN46582
Area Coordinator
Phone: 574-267-5264
I K®RCC JATF
Fax: 574-269-1464
Warsaw Campus
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August 23, 2018
ZIOLKOWSKI Construction, Inc.
4050 Ralph Jones Drive
South Bend, IN 46628
Re. Proof of Compliance with 30 ILCS 5 00/3 ) 0-22(6)
Our File No. MI-00321
Dear Sir or Madam:
At the request of ZIOLKOWSKI Construction, Inc, I am providing you with evidence of
the Company's compliance with the apprenticeship requirements in 30 ILCS 5 00/3 0-
22(6) of the Illinois Procurement Code. I am submitting this letter along with
apprenticeship certificates (Nos,IL012020003 and IL008780173).
As a signatory contractor with the International Union of Operating Engineers, Local
150, AFL-CIO, ZIOLKOWSKI Construction, Inc., is required by Collective Bargaining
Agreement to participate in an applicable apprenticeship and training program approved
by and registered with the United States Department of Labor's Bureau of Apprenticeship
and Training. The attached certificates are evidence of compliance with the U.S.
Depaitinent of Labor's apprenticeship requirements.
Thank you for your cooperation in this matter. If you have any questions or concerns,
please do not hesitate to contact me.
Very truly yours,
IUOE, Local 150, AFL-CIO
District I dispatch office
Caroline Lesniak
Enclosures: Certificates
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Plasterers' & Cement enMasons'
Apprentice Coordinator
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Localnion -#692
Phone 317-508-1609
FAX 317-972-4907
Email hansen@plcmloca1692.org
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TO WHOM IT MAY CONCERN,
AUG UST 23, 2018
THIS LETTER IS TO CERTIFY THAT ZIOLKOWSKI CONSTRUCTION INC.HAS BEEN A SIGNATORY UNION
CONTRACTOR WITH THE PLASTERERS' AND CEMENT MASONS' JOINT APPRENTICESHIP TRAINING
PROGRAM OF LOCAL 692, FOR AT LEAST THE LAST FIVE YEARS, AND IS IN GOOD STANDING.
THEY HAVE A SIGNED CONTRACT WITH LOCAL 692 AND IS ELIGIBLE TO USE UNION PLASTERERS,
APPRENTICES AND UNION CEMENT MASONS' APPRENTICES. THROUGH THIS CONTRACT AND OTHERS,
THE FINANCIAL OBLIGATIONS OF TRAINING AND -SAFETY ISSUES ARE MET.
ALL OF THE APPRENTICES ARE REGISTERED WITH THE UNITED STATES DEPARTMENT OF LABOR, BUREAU
OF APPRENTICESHIP AND TRAINING.
SINCERELY,
PAT HANSEN
APPRENTICESHIP COORDINATOR FOR LOCAL 692
220 N. Fulton St.
Indianapolis, IN 46202
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U.S. Department of Labor
46 East Ohio St. — Room 511 Phone: 317/226-7001
Indianapolis, 1N 46204 Fax: 317/226-7015
OFFICE OF APPRENTICESHIP
Employment and Training Administration
Date: ki't . .
Mr. Pat Hansen, Coordinator
Plasterers & Cement Masons Local #692 JATC
(mailing)220 N. Fulton Street, Indianapolis, IN 46202
(school) 9200 Louisiana Street —Merrillville, IN 46410
Re: EEO Compliance Review (and Quality Assessment)
Dear Mr. Hansen:
Our recent EEO Compliance Review (and Quality Assessment) of your registered
apprenticeship program, Plasterers & Cement Masons Local 4692 JATC was conducted on
April 11, 2017 and October 5, 2016. This review covered the time period 08/15/2015
(date of your last review) through 10/04/2016. We are writing to inform you that our
office found no apparent violations of the requirements governing registered
apprenticeship programs as set forth in regulations at 29 CFR Part 29, "Labor Standards
for the Registration of Apprenticeship Programs," and Part 30, "Equal Employment
Opportunity in Apprenticeship and Training."
Based on our review, it appears that your apprenticeship program is making good faith
efforts to comply with the requirements of 29 CFR Parts 29 and 30. We note, however,
that despite these efforts, there exists underutilization of women and minorities in your
apprenticeship program and skilled workforce, including journeyworkers. Please be
aware that Plasterers & Cement Masons Local #692 JATC remains under an obligation,
pursuant to the regulations at 29 CFR Part 30 to continue with its good faith efforts to
increase participation of women in its Registered Apprenticeship program.
We sincerely appreciate the cooperation and courtesies extended by you and your office
to the Department of Labor while we conducted the compliance review. If you have
any questions or concerns, please do not hesitate to call. I can be reached at (317) 226-
7003,
hcol;61y, il
„., John Delgado`
State Director .
cc: Kathleen Sokolowski, ATR
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