HomeMy WebLinkAboutProposal Agreement - Geograph Industries Inc - Howard Park Signage and Wayfinding Agreement1316 COUNTY -CITY BUILDING
227 W.JEFFERSON BOULEVARD
SOUTH BEND. INDIANA 46601-1 830
CITY OF ! l PETE BUTTIGIEG, MAYOR
BOARD i
August 13, 2019
Mark Freudiger
Geograph Industries, Inc.
475 Industrial Drive
Harrison, OH 45030
RE: Proposal Agreement
Dear Mr. Freudiger:
PHONE 574/235-9251
FAx 574/235-9171
The Board of Public Works, at its meeting held on August 13, 2019, approved the above
referenced Howard Park signage and wayfinding final agreement in the amount of
$133,715.
Enclosed please find a copy of the agreement for your records.
If you have any further questions regarding this matter, please call this office at (574) 235-
9251.
Sincerely,
Linda M. Martin, Clerk
Enclosure
GARY A. GILOT GENEVIEVE E. MILLER ELIZABETH A. MARADIK LAURA L. O'SULLIVAN THERESE J. DORAU
AGREEMENT FOR GOODS AND SERVICES
This Agreement for goods and services (this "Agreement") is entered into on July 251h,
2019 (the "Effective Date"), by and between the City of South Bend, acting by and through its
Board of Public Works (the "City"), and GeoGraph Ind, Inc., an Ohio corporation, with its
Principal place of business located at 475 Industrial Dr., Harrison, OH 45030 (the "Provider")
(each a "Party" and collectively the "Parties").
For and in consideration of the mutual covenants and promises contained herein, the Parties
agree as follows:
1. Goo s and 'Services. The Provider will provide to the City the goods and services
("Goods and Services") set forth in the Provider's proposal attached hereto as Exhibit A (the
"Proposal"), and subject to Exhibit B (the "Contractor Affidavit"), incorporated herein by
reference and attachment. In the event of any conflict between the terms of this Agreement and
the terms of the Proposal, the terms of this Agreement will prevail.
2. Compensation. In exchange for the Goods and Services, and subject to the terms
and conditions of this Agreement, the City will pay the Provider the fee stated in the Proposal (the
"Contract Amount") in accordance with the project budget stated in the Proposal. The City will
pay the Contract Amount in installments upon invoicing by the Provider as set forth in the Proposal
(each a "Contract Installment").
3. If the City, in good faith believes a material default or breach of this agreement by
the provider exists, the City will give provider reasonable notice and opportunity to cure or resolve
the material default or breach of this agreement before the City withholds payment on a contract
installment, consistent with Exhibit "B". The sum of all Contract Installments will not exceed the
Contract Amount, and the Provider will not incur or seek reimbursement for any expenses (except
for taxes as referred to in Exhibit "B") in excess of the Contract Amount.
4. mml" rJ 1 fLpinat on. Unless earlier terminated in accordance with its terms, this
Agreement will commence on the Effective Date and end upon the Provider's satisfaction of all
its obligations hereunder and the City's final payment therefor. Notwithstanding the foregoing,
effective 5 business days upon delivery of a written termination notice to the Provider, the City
may terminate this Agreement, in whole or in part, for any reason, if the City determines that such
termination is in the best interest of the City. In addition, in accordance with Ind. Code 6-1.1-18-
4, payments are subject to annual appropriation by the City. If the City makes a written
determination that funds are not appropriated or are otherwise unavailable to support the
continuation of this Agreement, it shall be cancelled. A determination by the City that funds are
not appropriated or are otherwise unavailable to support the continuation of performance shall be
final and conclusive. The City will not be required to pay any Contract Installment or be otherwise
liable for any cost associated with the Provider's performance of any Services after the effective
date of termination. if the City terminates the contract, the City agrees to pay for goods and services
rendered up to the effective date of termination. The City will not be required to pay for goods
Im
and services rendered after the effective date of termination. Nothing in this Agreement precludes
the Provider, in the event of a breach by the City, to pursue any and all remedies available at law
or in equity.
5. LReiLicLoLs, for Brc4clL9f Contract. Failure to provide the Goods and Services in
accordance with this Agreement will be considered a material breach. In the event of such breach,
the City will give provider notice and reasonable opportunity to cure the breach before suspending
payments to the provider and pursuing any and all remedies available at law or in equity. The
Provider shall repay to the City any portion of the Contract Amount expended for matters not
within the scope of the Services.
6. Point of Contact. The City employee identified in Section 9 below will serve as the
City's principal point of contact for purposes of this Agreement.
7. Rel tionshi . The Provider shall at all times be an independent contractor for all
services performed and goods supplied rather than an employee of the City, and no act or omission
to act by the Provider shall in any way bind or obligate the City. This Agreement is strictly for the
benefit of the Parties and not for any third party or person. This Agreement was negotiated by the
Parties at arm's length and each of the parties hereto has reviewed the Agreement after the
opportunity to cors�alt v I independent legal counsal. Neither party shall maintain that the
language in the Agreement shall be construed against any signatory hereto. The City and the
Provider hereby renounce the existence of any form of agency relationship, joint venture, or
partnership between the Provider and the City and agree that nothing contained herein or in any
document executed in connection herewith shall be construed as creating any such relationship
between the City and the Provider.
8. lndamnifi -ton o1 City. The Provider hereby agrees to defend, indemnify, and
hold harmless the City, its officials, employees, and agents from any and all claims of any nature
which arise from the performance by the Provider under this Agreement and from all costs and
attorney fees in connection therewith, excepting for claims arising out of the negligence of the
City, its officials, directors, employees, and agents. The obligations of the Provider under this
section shall survive the termination of this Agreement.
9Assignment. The Provider shall not assign or subcontract the whole or any part of
this Agreement or its obligations hereunder without the prier written consent of the City.
10. Notices. Any notice required or permitted to be delivered hereunder shall be
deemed to be delivered, whether or not actually received, when deposited in the United States
Postal Service, postage prepaid, registered or certified mail, return receipt requested, addressed to
the City or the Provider, as the case may be, at the address set forth below.
Provider:
GieoGraph Ind., hie. City
4754 Industrial Drive City of South Bend
Harrison, OH 45030 Venues Parks & Arts Department
Attn: Mark Freudiger 1020 High Street
0
0
South Bend, 1N 46601 Attn: Patrick Sherman
11. 1= uaN } ortunit Non Iiscrirnir�atjti�t raf�N� The Provider shall comply
with all applicab�N laws and r egulatitns �n its Hiring and employment practices and policies for
any activity covered by this Agreement. The Provider shall comply with ail state, federal, and
municipal laws, reguNatiors and standards applicable to its activities pursuant to this Agreement
including, but not N;i�nited to, the requirements imposed by Ind. Code 22-9-1-10 (non-
discrimination), the provisions of Ind. Code 5-22-16.5 (disqualification for dealings with the
government of Iran), and the provisions of Ind. Code 22-5-1.7 (requiring E-Verify for new
employees and prohibiting employment of unauthorized aliens). Each of the foregoing provisions
is incorporated herein as if set forth in full, and the Provider certifies that it is in compliance with
each such provision and shall remain in compliance through the term of this Agreement.
12. N 'rN' g, Frce"_9_rkp a - The Provider hereby agrees to make a good faith effort to
provide and maintain a drug -free workplace. The Provider will give written notice to the City
within ten (10) days after receiving actual notice that the Provider or an employee of the Provider
within the State of Indiana has been convicted of a criminal drug violation occurring in the
workplace.
13, Entire AL7,rceinent; Amendment; A , licable Law. This Agreement sets forth the
entire agreement and understanding between the parties as to the subject matter hereof, and merges
and supersedes all prior discussions, agreements, and understanding of any and every nature
between them. This Agreement may be amended only by separate writing, signed by authorized
representatives of both the Provider and the City. This Agreement will be construed and
interpreted according to the laws of the State of Indiana, and any dispute arising out of this
Agreement or otherwise concerning the Provider's rendering of the Services wilt be resolved in
the courts located in St. Joseph County, Indiana, unless the Parties mutually agree to a different
method of dispute resolution.
14. Scverability. All provisions of this Agreement shall be considered as separate terms
and conditions, and in the event any one shall be held illegal, invalid or unenforceable, all the other
provisions hereof shall remain in full force and effect as if the illegal, invalid, or unenforceable
provision were not a part hereof, unless the provision held illegal, invalid or unenforceable is a
material provision of this Agreement, in which case the Provider and the City agree to amend this
Agreement with replacement provisions containing mutually acceptable terms and conditions.
15. Force Majeure. The Provider shall not be responsible for any failure or delay in the
performance of any obligation hereunder, if such failure or delay is due to a cause beyond the
Provider's reasonable control, including, but not limited to acts of God, flood, fire, volcano, war,
third -party suppliers, labor disputes or governmental acts.
[Signature page follows.]
rN WITNESS WHEREOF, the Parties hereto have caused this Agreement for Professional
Services to be effective as of the Effective Date stated above.
('PEO(')'fRA,PH INDUSTRIES, INC.
S i ga I ;, tot) ie�
Mark. A DLM(i unIEV P
printed name and title
4T VM cirr-strial DEJ V-P.-
street address
po box
Harrh1pn, (A-L_ 30
city, state, zip
513.202-9200 / 513.2019299
Telephone fax
4
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC W RIKS
Gary A, (ijiot, President
Genevieve Miller, Member
V,ai i r5 O'Su I G ivan, Member
E9
EXHIBIT A
Proposal
(See attached]
Contractor Affidavit
[See attached]
I'M
Exhibit A
Gr
475 IndLmWW Drive • Hurlcon. Ohio 45030
513.202.9200.513.202.9299 fex
tk d #Ramat • vnvw~Va ,bdcom
PAYMENT
Invoices will be submitted monthly - based on the completion % of schedule of
values - by the 25th of ea. Month
Review w/ client if as needed to be completed by the 10th of following month agreed
upon payment to be received by the 25th of month (30 days post the invoice month)
INSTALLATIONISCHEDUL
The GC is expected to remain on schedule based on the supplied and attached
production schedule,
0 The site is expected to be ready and receptive for deliverables in the contract.
• GC to notify Geograph of any significant delays in the schedule.
GC and Geograph to work together up front in generating an agreed upon installation
for the scope of work.
Any changes in scope requiring additional mobilizations may require price. For any
changes requiring price adjustments and/or additional charges, amounts will be
submitted for approval prior to any change/alteration being performed.
PERMITS
• Geograph shall register with the local government as a sign installer and obtain the
necessary permit with some help and direction from the City. If any approvals are
necessary beyond a standard sign permit, the city will pursue.
TAXES
This is a project with a municipality and as such is tax exempt. The City will supply
the appropriate tax certificate.
11 II .
Refer
Location
Description
Probable
Cost
ence #
Materiality
1.1.01
North Central
Street Sign Look:
Aluminum on 2"
$3,439.00
pole
1.2.01
North West by
Street Sign Look:
Aluminum on 2"
$3,439.00
bridge
pole
1.3.01
West side by
Street Sign Look:
Aluminum on 2"
$3,439.00
Lodge
pole
1.5.01
Blade sign on N/E
Skating Blade sign
Aluminum on 2"
$3,439.00
corner of
pole
Support Building
1.6.01
Riverwalk by
Street Sign Look: Riverwalk by
Aluminum on 2"
$3,439.00
pedestrian
pedestrian bridge
pole
bridge
1.7.01
Exterior
Blade sign
Aluminum
$936.00
Restroom
2.1.01
A100
Glass Decal: Hours, etc.
Vinyl
$356.00
2.1.02
A114
Glass Decal: Hours, etc.
Vinyl
$356.010
2-2tn-1
A114
Glass Decal: Logo above door and
vinyl
^356.00
hours, etc.
2.3.01
A124
Glass Decal: Please use other door
Vinyl
$356.00
2.3.02
A124
Glass Decal: Please use other door
Vinyl
$356.00
2.4.01
A103
Glass Decal: Staff Entrance Only
Vinyl
$356.00
2.4402
A102
Glass Deca!: Staff Entrance Only
Vinyl
$356.00
2.4.03
A106
Glass Decal: Staff Entrance Only
Vinyl
$356,00
2.4.041
A115
Glass Decal; Staff Entrance Only
Vinyl
$356.00
2.4.05
A122B
Glass Decal: Staff Entrance Only
Vinyl
$356.00
2.5.01
A100
Window Art/Logo
Vinyl
$2,241.00
2.5,02
A100
Window Art/Logo
Vinyl
$2,241.00
2.5.03
A108
Window Art/Logo
Vinyl
$2,241.00
2.5.04
A122
Window Art/Logo
Vinyl
$2,241.00
2.6.01
B100
Glass Decal: Staff Entrance
Vinyl
$356.00
Only/Safety info
2.6.02
B100
Glass Decal: Staff Entrance
Vinyl
$356.00
On info
2.6.03
B109
Glass Decal: Staff Entrance
Vinyl
$356.00
Only/Safety info
3.2.01
Bocce Ball Court
Bocce Ball Instructions: On Post
Aluminum on 2"
5561„pn
pole
3.3.01
Locker area
Locker instructions
Aluminum
$561.00
entrance
Exhibit A Cont.
3.4.01
North side of
Howard Park Parking Sign
Aluminum
$717.00
parking lot
M
3.4.02
West side of
Howard Park Parking Sign
Aluminum
$717.00
parking lot
3.4.03
Improve Zion
Zion Monument Sign update?
$717.00
Church
Monument sign?
3.5.01
Dumpster
Dumpster pick up time
Aluminum
$717.00
enclosure door
3.6.01
Zamboni door
Zamboni info/interest
Aluminum
$561.00
3.6.02
Zambont door
LEED Building Info
Aluminum
$561.00
3.7.01
LEED Signage
LEED Info
Acrylic
$450.00
3.7.02
LEED Signage
LEED Info
Acrylic
$450.00
3.7.03
LEED Signage
LEED Info
Acrylic
$450.00
3.7.04
LEED Signage
LEED Info
Acrylic
$450.00
3.7.05
LEED Signage
LEED Info
Acrylic
$450.00
3.9.01
TBD
Education about Howard History
Aluminum on 2"
$2,569.00
pole
3.9.02
TBD
Education about native
Aluminum on 2"
$2,569.00
species/stormwater retention?
pole
3.9.03
TBD
Education
Aluminum on 2"
$2,569.00
pole
3.9.04
TBD
Map of Playground
Aluminum on 2"
$2,S69.00
,Ole
4.1.01
By Skates
Hanging exterior digital display
Digital Display
$14,592.00
window. North
side of support
building
5.1.01
Northeast
"HOWARD PARK" per spec
Aluminum
$8,288.00
exterior of
support building
5.2.01
To left of 5.1.01
Howard park Logo per spec
Aluminum
$1,728.00
5.3.01
Southeast
Support Building Address
Aluminum
$1,150.00
exterior of
support building
facing St. Louis
5.4.01
Above Right
"SKATES"
Aluminum
$1,150.00
counter on North
side of support
building
5.4.02
Above Left
"SKATES"
$1,150.00
counter on North
side of support
building
5.5.01
Above left
"SERVICE"
Aluminum
$1,150.00
counter on West
side of support
building
5.5.02
Above Right
"SNACKS"
$1,150.00
counter on West
side of support
building
5.7.01
On bridge above
"HOWARD PARK" on bridge
Aluminum
$6,434.00
tunnel entrance
to playground
5.8.01
Northeast
Community Building Address
Aluminum
$1,150.00
exterior of
community
building facing
Jefferson
5.8.02
Northwest
Cafe Address
$1,150.00
corner of
community
building facing
Jefferson
6.1.01
A117 by A115
Interior Hanging and Blade:
Acrylic
$936.00
corridor
"Restrooins"
6.1.02
A117 opening on
Interior Hanging and Blade:
$936,00
wall by lockers
"Restrooms"
6.2.01
A115 by Eveni
Large Number Applique for event
vinyl/paint-0
$2,098.00
space 1
rooms
6.2.02
A115 by Event
Large Number Applique for event
Vinyl/paint?
$2,098.00
space 2
rooms
6.2.03
A115 by Event
Large Number Applique for event
Vinyl/paint?
$2,098.00
space 2
rooms
6.2.04
A115 by Event
Large Number Applique for event
Vinyl/paint?
$2,098.00
space 3
rooms
6.3.01
TBD
Donor/nrganizatinn Recognition
A!urninum
$940.00
sign
6.3.02
TBD
Donor/Organization Recognition
$910.00
sign
6.3.03
TBD
Donor/Organization Recognition
$940.00
sign
6.3.04
I'BD
Donor/Organization Recognition
$940.00
sign
6.3.05
TBU
Donor/Organization Recognition
$940.00
sign
6.4.01
TBD
Main Donor Recognition
$11,128.00
7.2.01
A102
Howard Manager
Acrylic
$131.00
7.2.02
A103
VPA Office Area
Acrylic
$131.00
7.2.03
A105
Cafe Office
Acrylic
$131.00
7.2.04
A106
Staff Breakroom
Acrylic
$131.00
7.2.05
A1v7
Offiie
Acrylic
5131.00
7.2.09
AIM
Conference Roor.:
Acrylic
$131.00
7.2.07
A109
Office
Acrylic
$131.00
7.2.08
A110
Executive Director Office
Acrylic
$131.00
7.2.09
A111
VPA Coordinator Office
Acrylic
$131.00
7.2.10
A112
Office
Acrylic
$131.00
7.2.11 A113
7.2.12 A118
7.2.13 A119
7.2.14 A120
7.2.15 A121
7.2.16 A122
7.2.17 A122B
7.2.18 A123
7.2.19 A124
7.2.20 A125
7.2.21 B109
7.2.22 B110
7.2.23
B106
7.2.24
B107
7.2.25
. B108
7.2.26
. B101
7.2.27
: B102
7.2.2R
R1.03
7.2.29
B 104
7.2.30
8105
9.1.0
kiosk
10.1.1
2 sign post 3' x 4'
Office
Women's Restroom
Family Restroom
Men's Restroom
Mechanical Room
Event Space 1
Service Hall
Event Spare 2
Event Space 3
Storage Room
Skate Shop
Concessions
Exterior Women's restroom
Exterior Family Restroom
Exterior Men's Restroom
Custodial
Ice Equipment
Mechanical Room]
Ice Resurfacer
Maintenance
kiosk writ
3x4 alum pnl w/ 2 post
Acrylic
Acrylic
Acrylic
Acrylic
Acrylic
Acrylic
Acrylic
Acrylic
Acrylic
Acrylic
Acrylic
Acrylic
Acrylic
Acrylic
Acrylic
Acrylic
Acrylic
Acrylic
Acrylic
Acrylic
Various
Aluminum/
total:
$131.00
$131.00
$131.00
$131.00
$131.00
$131.00
$131.00
$131.00
$131.00
$131.00
$131.00
$131.00
$131.00
$131.00
$131.00
$131.00
$131.00
$131.00
$131.00
$131.00
5` 13,$9 7 .00
$1,343.00
$133,715.00
MI,
Exhibit B
When the prospective Contractor is unable to cer16 to any of the statements below, it shaft attach an explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT,
CERTIFICATION REGARDING INVESTMENT WITH MAN, EMPLOYMENT ELIGIBILITY
VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE
OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS
(Must he completed for all quotes and bids. Please type or print)
W�VN�i�Mi�pI01010N�IIIIINIOM pM01m OIUIIU�WIpG4�WMpIM�i�INIp��'�y UVI01 �I10f��llll d
STATE OF .4'Nal.,b .......... )
COUNTSS:
�AMIVY�-t I' )
The undersigned Contractor, being duly swom 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
garincipals are presently debarred, suspended, proposed for debarment, declared ineligibic, or
voluntarily excluded from participation in this transaction by any Federal department or agency;
and
3. Contractor has not, nor has any successor to, r!or 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
tlrne-to-tirne.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is
engaged in investment activities in Iran if either:
i. Contractor, its suessor or its affiliate, provides goods or services of twenty million
dollars ($20,000,00'0) 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 (5)
days or more, if that person will (i) use the credit to provides goons and services in
Non -Collusion Non Zebannient Affidavit Non ]ran Form
e
+�
the energy sector In Iran; and (ii) at the time the financial institution extends credit, is
a person identified on list published by the Indiana Department of Administration.
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain
any employee or contract with a person that the Contractor subsequently learns is an
unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility
status of all of Contractor's newly hired employees through the E-Verify Program as defined by
I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify
Program is included and attached as part of this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public
contract to certify that the subcontractors do not knowingly employ or contract with an
unauthorized alien, nor retain any employee or contract with a person that the subcontractor
subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is
participating in the E-Verify Program. The Contractor agrees to maintain this certification
throughout the term of the contract with the City of South Bend, and understands that the City
may terminate the contract for default if the Contractor fails to cure a breach of this provision no
later than thirty (30) days after being notified by the City.
6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by
the City of South Bend through its agencies, boards, or commissions shall not discriminate
against any employee or applicant for employment in the performance of a City contract with
respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or
indirectly related to employment because of race, sex, religion, color, national origin, ancestry,
age, gender expression, gender identity, sexual orientation or disability that does not affect that
person's ability to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials,
or any combination of the foregoing including, but not limited to, public works contracts
awarded under public bidding laws or other contracts in which public bids are not required by
law, the City, its agencies, boards, or commissions may consider the Contractor's good faith
efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority
Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining
the lowest, responsible, responsive bidder,
In no event shall persons or entities seeking the award of a City contract be required to award a
subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said
WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board
shall prohibit that person or entity from being awarded a City contract for a period of one (1)
year from the date of such determination, and such determination may also be grounds for
terminating the contact for which the discriminatory practice or noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination commitment
shall be made a part of any contract which it may henceforth enter into with the City of South
Bend, Indiana or any of its agencies, boards or commissions.
Non -Collusion Nonzebmment Affidavit Non Iran Pons
M,
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. Brach 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). I hereby certify that I and all subcontractors employed by me for this project will
use steel products or foundry products made in the United States on this project if awarded. I
understand I have an affirmative duty to notify the City in my bid that my proposal does not
include the use of steel products or foundry products made in the United States. I understand it is
my sole obligation and responsibility to provide a justification to the City, subject to review and
approval, why the cost of United States made steel or foundry products is unreasonable. Prior to
award and upon submission of bid which does not use steel products or foundry products made
in the United States, the City, through its director of public works, shall make a determination if
the price of United States made steel or foundry is unreasonable. I understand that violations
hereunder may result in forfeiture of contractual payments.
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for
public works are true and correct.
ik
Dated this, dayof PW 2011
ContractorBidder (Firm) _..,w._..
8 ntract®r/Hidd or Its Agent
Printed Name and Title
3A
a
Subscribed and sworn to before me this..a day of 2„,w„_
y �' ...
M Commission Tres
Notary Public
County of Residence
Non-Calluaion NmrDeham=t Affidavit Non han Form
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date
Name
08/08/2019
Patrick Sherman
Department VPA: F&G
BPW Date 08/13/2019 Phone Extension 5601
NMMMPPPMMMMMMMMIMmmmwwwww�wm Hw�ml
i red Prior to Submittal to Boa
rd
........... .......... --
Legal Z Attorney Name Clara McDaniels
Controller z Controller review is required for all Contracts $5,000.00 or more and
greater than one year in length per the City Purchasing Policy
Purchasing z
Check the
L," Agreement
El Professional Services
0 Bid Opening
El Quote Opening
n Change Order No.
El Ease/Encroach.
E] Other:
Michael Schmidt
TqpLiqte Item Type - Requirec
. . . ........
E] Contract E
F] Resolution
:)r All Submissions
Proposal Addendum
El Bid Award El Req. to Advertise
El Quote Award
El C/O & PCA No. [J PCA
❑ Traffic Control
Reauired Information
El Title Sheet
Company or Vendor Name Geograph Industries Inc.
New Vendor El YesEl No H If Yes, Approved by Purchasing
MBEAA1BE Contractor F-1 MBEF-1 WBE
MBENVBE Contractor Requested F] NoF_1 Yes Name of Company
Project Name Howard Park E�ignage.and..Wp r�qi,ng yft . . ............... . .... ....
Project Number 1093-2019
Funding Source VPA Marketing and Regional Cities
Account No. 201-1110-452.39-89 and 201-1111-452.42-01
Amount 13 3,715.00
Terms of Contract Per sianaae schedule
Purpose/Description Signage and .Wa)dinding at Howard Park. Agreement with RFP
winner
N Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, i nation, Non -Debarment, E-Ye��.etc.)
..... . ..... .. .......
Required For Change Orders Only ............ __ ......
................
Amount of El
Decrease $ increase . ................ ... . ...... . .......
F