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Home My WebLink AboutOpening of Bids - Century Center Parking Lot Entry Gate Improvements Proj No 118-035A - Larson Danielson Construction - 1CITY OF SOUTH BEND, INDIANA Y m CONTRACTOR'S BID FOR PUBLIC WORK Project Name Century Center Parking Lot Entry Gateway Improvements Project No. 118-035A For Bids Due September 24, 2019 PART I (Must be completed for all bids. Please type or print) Date: 9/24/19 Bidder (Firm): Larson Danielson Const . Co . , Inc Address: 302 Tyler Street Cit /state/zi aPorte, IN 46350 y p L Telephone Number: _ (219 ) 3 62 —212 7 Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: Century Center Parking Lot Entry Gateway Improvements the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Jones Petrie Rafinski rsand dated $ 2 9 19 forth e sum of (enter the Total Bid as shown on the Proposal) ALk der sum of Totdq l Base Bid pN Alt' r des sho d, on Prop N ($ r ca �) ( ) , The undersigned further agrees to furnish a bond or ertified` heck with this bid for an amount specified in >rd, 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 uniLs all be shown on a separate attac ent. LARSONI DANIELS �,�. ON By X Timothy F . Si nature) SF CO, INC. y La�s�on, President s n � CONSTRUCTION The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. GNlot, President Elizabeth A. Maradik, Member ACCEPTANCE day of (Printed Name of Person Signing) Genevieve E. Miller, Member Therese J. Dorau, Member Laura L. O'Sullivan, Member Attest: Linda M. Martin, Clerk 20 Version 4/2/2019 Contractor's Bid for Public Works - 2 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Century Center Parking Lot Entry Gateway Improvements Project Number: For Bids Due: 118-035A September 24, 2019 ' 4.44.t VkM1p;'7@ e Contractor Name: Larson Danielson Construction Company, nc. Item No. Description Quantity Unit Unit Price Total Amount 1 Construction Engineering 1 LS \ '� ; $ . 2 Mobilization & Demobilization 1 LS 3 Excavation, Common 222 CYS 4 Pavement, Remove 12 SYS 5 Curb, Concrete, Remove 150 LFT�� , 6 Attendant Booth, Remove 1 LS 9A- 7 Protective Bollard, Remove 5 EA 8 Sign, Relocate 1 EA R SLA") 9 Temporary Inlet Protection 3 EA;, 10 Compacted Aggregate, No. 53 110 TON 3 `, 11 Curb, Concrete 420 LFT 12 Concrete, Reinforced, 6 IN 468 SYS" .. k S�'(, s �� 13 Single Swing Barrier Gate 4 LS r' 14 Misc. Electrical 1 LS 3 .: '" -2-?--0 15 Electrical Handhole 5 EA 16 Wire, No. 4 130 LFT S-, 6 a 17 Conduit, PVC, Schedule 80, 2 IN 108 LFT ?.Q, Jaa. 18 Conduit, PVC, Schedule 80, 3 IN 26 LFT: 19 Conduit, PVC, Schedule 80, 4 IN 42 LFT' 20 Thermoplastic, Crosswalk, Sold Wh te6IN 102 LFT 21 LinN, Thermoplastic, Solid, White, 46 LFT f. 22 Line, Epoxy, Solid, White, 6 IN 96 LFT 23 Parking Lot attendant Booth 1 EA 4 y. 24 Protective Bollards 4 EA 25 Hardwood Mulch, 3 IN Depth 14 CYS 26 Irrigation Allowance 1 ALLOW $400 27 Irrigation Sleeve, PVC, 4 IN 45 LFT BASE QUOTE TOTAL $ Version 4/2/2019 Contractor's Bid for Public Works - 7 BID/PROPOSAL. CITY OF SOUTH BEND w Project Name: Century Center Parkin Lot Ent Gateway Improvements w 1 rY 9 Entry Y p ,JProject Number: 118-035A For Bids Due: September 24, 2019 Contractor Name: Larson Danielson Construction -Company, Inc . ALTERNATE A - TRAFFIC SIGNAL HEAD REPLACEMENT Item Description No. Quantity Unit Unit Price Total Amount 1 Traffic Signal Head Replacement 1 LS $ L�— ALTERNATE A TOTAL I $o,� ALTERNATE B - INTERSECTION SIGNAL MANHOLE CASTING, ADJUST TO GRADE Item Description No. Quantity Unit Unit Price Total Amount Intersection Signal Manhole Casting, 1 Adjust to Grade 1 LS Q (� - $ ALTERNATE B TOTAL $ 5 -� Bidder (Firm): Larson Danielson Construction Company, Inc. Address: 302 Tyler Street City/State/Zip: LaPorte, IN Telephone Number: 219 3 6 2 — 212 7 46350 By x ;n= (Signature) Timothy F. Larson, President (Printed Name of Person Signing) � LARSON DANIELSON SEAL CONSTRUCTION CO, INC. Version 4/2/2019 Contractor's Bid for Public Works - 8 When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana ) LaPorte ) SS: COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. Version 4/2/2019 Contractor's Bid for Public Works - 4 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. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I 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 - 5 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 2 4 t h dayof SepteTper, 2019 Larson Danielson Const. Cc., Inc. Contractor/Bidder (Firm LARSON DANIELSON X > CONSTRUCTION CO,, INC. Signature of Contractor1XW4WX 1 Timothy F . Larson, President Subscribed and sworn to before me this 2 4 t h My Commission Expires 9/8/23 County of Residence Printed Name and Title day of September20 2019 Notary Public Michele C . Dzielinski LaPorte MICHELE CECELIA DZIELINSKI a��r��l Ewa LaPodeCounty My Commission Expires C ,�� SoI��pJv�t7�C B, 2023 w Version 4/2/2019 Contractor's Bid for Public Works - 6 OHIO FARMERS INSURANCE COMPANY Westfield Group®1 Park Circle, P O Box 5001, Westfield Center, Ohio 44251-5001 Conforms to Document A310TM - 2010 Bid Bond CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place of business) Larson -Danielson Construction Co., Inc OHIO FARMERS INSURANCE COMPANY 302 Tyler Street 1 Park Circle, PO Box 5001 La Porte, IN 46350 Westfield Center, OH 44251-5001 OWNER: (Name, legal status and address) City of South Bend, Board of Public Works 227 West Jefferson Blvd. South Bend, IN 46601 BOND AMOUNT: Five Percent (5%) of the attached bid PROJECT: (Name, location or address, and Project number, if any) Century Center Parking Lot Gateway Improvements (REBID) 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 le a "I �w - I Qgnn� ��,hII e Proj ct„ any provision in this Bond conflicting with said statutory or legal requirement shall be dee d' detete �auf ' mrabons con rming to such statutory or other legal requirement shall be deemed incorporated herein. trYpiwat'h�i Bond shall be construed as a statutory bond and not as a common law bond. „11 Y Signed and sealed this 24th day of September 2019 Terry A. Larson, retary-Treasurer(wrness) era_ ....._... . go�senur (4�Ir�9r��ssj._. Larson -Danielson Construction Co., Inc (Principal) (Seal) B: Timothy F. Larson, President .(Title) OHIO FARMERS INSURANCE COMPANY (Srrret � B Christine A. Allen Attorney -In -Fact 'Title) Printed with permission from The American Institute of Architects (AIA) and the Surety & Fidelity Association of America (SFAA) by Westfield Group®. Westfield Group vouches that the language in the document conforms exactly to the language used in AIA Document A31 OW 2010. BD5084 OFWWN (10/2010) THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING THIS SAME POWER # AND ISSUED PRIOR TO 02/28/19, FOR ANY PERSON OR PERSONS NAMED BELOW, General POWER NO. 1304762 01 Power Westfield Insurance Co. of Attorney Westfield National Insurance Co. CERTIFIED COPY Ohio Farmers Insurance Co. Westfield Center, Ohio Know All Men b These Presents, I'liat WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURAN6E COMPANY, corporations, hereinafter referred to individually as a "Company" and coilectively as "Companies," duly organized and existing under the laws of the State of Ohio, arid having its principal office in Westfield Center, Medina County, Ohio, do by these �resents make, constitute and ap oint ONALD L. ROSENBAUM, MELZA M, YATES, CHRISTINE A, ALLEN, CATHERINE E. MYERS, BETHANI MORRIS, KATHY D. HENRICH, JENNIFER S. SALAT, CASSANDRA LEMLEY, DEBORAH E. BELL, JOINTLY OR SEVERALLY of LA PORTE and State of IN its true and lawful Attorney (s) - in- Fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of suretyship- . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE Z;UARANTCE OR BANK DEPOSITORY BONDS. and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed bi� the President, sea led, with the corporate seat of Me applicable Company ands (Jul attested by its Secretary, hereb ratifying and iat the said Attorney(s)-in-Fact may do in the promises, Said appomtrn6nt is m2le undier and b authorit of the CO resolution ad0ted, by the Beard of Directors of each of the WESTFIELD INSURANCE COMPANY, wESTFIELD NATI&AL IN8RANCE COMPAIY and OHIO FARMERS INSURANCE COMPANY: "Be It Resolved, that the President, any Senior Executive, any Secretary or any Fidelity & Surety Operations Executive or other Executive shelf be and is here, vested with full power and authority to appoint any one or more suitable persons as Attorney(s) -in- Fact to represent and act for allic 7the Company subject to the foRowjnq provisionsti The Attorney -in -Fact, may be given full Power ant: authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements of incle"'mnity and other conditional or obligatory undertakings and any and all notices and documents canceling or le Attorney 'T Company I'l" sp�,giy, -1 of n1hn' the -in-Fact shall be as binding upon the a "Be it Further Resolved, that the si� mature 11 do y such designate Jur �omipan� - g a of '1y ac_ IL power of altorne or any certificate relating therto by f, simile, and e 'on,pa C y with respL �ct to r S d )inding upon the n held on February 8, 2000), 9 In Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed try their National Surety Leader and Senior Executive arid their corporate seals to be hereto affixed this 28Ih day of FEBRUARY A 0�, 2019 Corporate ...... - IJAA WESTFIELD INSURANCE COMPANY Seals WESTFIELD NATIONAL INSURANCE COMPANY Affixed OHI FARMERS INSURANCE COMPANY M SEAL Z 'oz 1IB48 F : le ?. State of Ohio By. P. Baus, National Surety Leader and County of Medina ss,; Senior Executive On this 28th day of FEBRUARY A.D., 2019 , before me personally came Dennis P, Batas to me known, who, being by me duly sworn, did depose and say, that he resides in Wooster, Ohio; that he is National SuretyLeader arid Senior Executive of WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS NSURANCE COMPANY, the companies described in and which executed the above instrument; that he knows the seals of said Companies; that the seals affixed to said instrument are such corporate seals; that they were so affixed by order of the Boards of Directors of viid Companies; and that he signed his name thereto by like order. Notarial Seal \A L Affixed State of Ohio 0 County of Medina ss,. David A. Kotnik, Attorney at Law, Notary Public My Commission Does Not Expire (Sec.. 147.03 Ohio Revised Code) 1, Frank A, Carrino, Secretary of WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and 01-110 FARMERS INSURANCE COMPANY, do hereby certify thal the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Corrmanies, which is still in full force and effec( and furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are iri full force and effect. In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 24th day of Septernbg---6u�-Q;-,%2019 "0 , N,Nxl�f A 4, �" ... 'o j%", V� % SEAL SEAL"' .0- Secrdary Frank A, Carrino, Secretary BPOAC2 (combined) (06-02) H a W w to w �W O G W Z Q Q mW0 ra xv)a Wc) W I m H �� O�w �Q Oma 0:W O Om V LU 2 ; LL LU W m ow � C z a H O z 9 w 00 3 0 LO w m ME 0 0 w Zm w m 2 +' 0 ci Q � m C CU O E U cu Z a) 41 o W O U ri O L m .11 O r,, OD rd � Q r0^ VJ � a 7 Z U i- N � � m 0 a) N d U H a) m m o Cl U EL ao� m —� o = 0 a Ey E EU Q w �m 0°m a) U a N C -O O ll of m a� aa) 0 0 0 S, 0 a) O ) C) N U a O U N d cfJ L U \ U a7 0 IL o L U a m d c a) o U a) M m EZ IL w w m O N Q a) E a) Z a) m 0 m U Z Z coco C, 11l Q u Z Of o co j z jr w ark • µ.r, 17 v7 Y >O IL 0 m 0 U cu O U Ol N al GU CITY OF SOUTH BENDu MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY �o 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: 11 B-035A Date: 9 / 2 4 / 19 Project Name: Century Center Parking Lot Ent Glateway Improvements Bidder: Larson Danielson Construction Company, Inc. Contact Person: Timothy F . Larson, PresidentTelephone: 219-362-2127 Address: 302 Tyler Street City: Email: LaPorte State: Indiana Zip: 46350 tfl@ldconstruction.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 MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (http://www.in.gov/idoa). ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Bend requires that all perspective bidders complete no less than 2 of the following: 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. 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. 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 MBEMBE 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 MBEANBEs, 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 MBE/WBE 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 - 10 IRLARSON 302 Tyler Street - LaPorte, Indiana 46350 Construction nvxi % b7c. (219) 362-2127 - Fax (219) 362-2848 GII!ALFTY CONS1"9t1. MON SIME 1908 PROJECT: South Bend, City of -Century Center Parking Lot Gateway Improvements (REBID) BID DATE: 9/24/ 19 CERTIFICATION REQUIREMENT: 7% MBE 5% WBE 9/ 16/ 19-Invitations to Bid sent via GradeBeam (see attached Call Sheet) 9/ 16/ 19-Posted on Plan Rooms: Bid Clerk, Bid Tool, Builder's Exchange, CMD Group, DataBid, F.W. Dodge, Indiana Planroom, isgft, MACIAF & Reed Business 9/ 18/ 19-Reminder to Bid sent via GradeBeam e-mail 9/23/ 19-Reminder that Bids are Due sent via GradeBeam e-mail www.ldconstruction.com Equal Opportunity Employer 9 Call' Sheet Package: South Bend, City of -Century Center Parking Lot Gateway Improvements (REBID) Total Records: 28 Status: Not Sent ,No Response ,Will Bid ,Will Not Bid ,Bidded ,UnDecided FO3000.1 - Concrete Suppliers Organization Attention Work Mobile Fax Email Status Certification - Name Phone Phone Agency- Number- ExpirationDate Carter Dru Previs (574) (574) (574) dprevis@carter-waters.com No Waters 231- 876- 231- Response 9000 6780 9188 Carter Joe Fields (574) (574) (574) jfields@carter-waters.com No Waters 231- 340- 231- Response 9000 0192 9100 ext. 4130 Kuert Tim Miller (574) (574) (574) tim@kuert.com No Union- Agency Concrete 232- 971- 232- Response Not Provided-- 9911 6024 9977 Ozinga, Cecil (574) (574) (574) cecilspencer@ozinga.com No Union- Agency Central Spencer 533- 536- 534- Response Not Provided -- Region 0415 3496 4528 ext. 2133 Ozinga, Scott (574) (574) (574) scott.underwood@aggregate- No Union- Agency Central Underwood 299- 536- 534- us.com Response Not Provided -- Region 4351 9371 4528 032000 - Concrete Reinforcing Organization Attention Work Mobile Fax Email Status Certification - Name Phone Phone Agency- Number- ExpirationDate Carter Waters Dru Previs (574) (574) (574) dprevis@carter- No 231-9000 876-6780 231- waters.com Response 9188 Carter Waters Joe Fields (574) (574) (574) jfields@carter- No 231-9000 340-0192 231- waters.com Response ext.4130 9100 260000 - Electrical ... Organization Attention Work Mobile ...... . __ _.._ _ Fax Email Status ........ Certification - Name Phone Phone Agency- Number- ExpirationDate Brite Steve (574) (574) (574) szornig@briteelectric.net No Union- Agency Electric, Inc. Zornig 272- 220- 272- Response Not Provided-- 2615 7702 2616 Elite Brian (574) (574) (574) bwrobleski@fourway.net No Electrical Wrobleski 968- 334- 855- Response LLC 0227 0259 3592 H & G Bill Suter (800) (219) (574) bsuter@HGServices.com Will Not Services - 528- 898- 283- Bid South Bend 1696 1851 4900 Herman & Bill Suter (574) (574) bsuter@HGServices.com No Goetz, Inc. 282- 282- Response 2596 2645 Koontz- Corey (574) (574) cnoland@kwservices.com Will Not Wagner Noland 280- 287- Bid Construction 2573 6613 Services, LLC Koontz- Jason (574) (574) (574) jcioch@kwservices.com Will Not Wagner Cioch 232- 261- 288- Bid Construction 2051 3550 8510 Services, LLC Martell Electric, Anjie (574) (574) estimating@martellelectric.com Will Bid DOT -MI - State LLC Reeves 271- 271- of Michigan- 5000 5400 -,Union- Agency Not Provided-- McMann Steve (574) (574) terrimcmann@mcmannelectric.com No WBE-IN - State Electric, Inc. McMann 674- 674- Response of Indiana- 5748 5739 -,Union- Agency Not Provided -- Pemberton- Mike Taff (574) (574) mtaff@pembertondavis.com Will Bid Davis 277- 204- Electric 7001 2565 Schwartz Mark (574) (574) markc@schwartzelect.com Will Not Union- Agency Electric Carter 862- 862- Bid Not Provided-- 4221 3915 Schwartz Jon (574) (574) jhubanks@schwartzelect.com Will Not Union- Agency Electric Hubanks 862- 862- Bid Not Provided-- 4221 3915 Shaum Elec Deb (574) (574) deb@shaumelectric.com No Union- Agency CO Inc Bradley 264- 262- Response Not Provided-- 4189 5186 .. 310000 - Earthwork Organization Attention Work Mobile Fax Email Status Certification - Name Phone Phone Agency- Number- ExpirationDate G.E. Marshall, Eric Cannon (219) (219) ericc@gemarshall.com No Union- Agency Inc. 462- 462- Response Not Provided-- 3415 3964 G.E. Marshall, Doug (219) (219) doug.malackowski@gemarshall.com No Union- Agency Inc. Malackowski 462- 462- Response Not Provided-- 3415 3964 G.E. Marshall, Eric Cannon (219) (219) eric.cannon@gemarshall.com No Union- Agency Inc. 462- 462- Response Not Provided-- 3415 3964 G.E. Marshall, Roy Darnell (219) (219) royd@gemarshall.com No Union- Agency Inc. 462- 462- Response Not Provided-- 3415 3964 Indiana Jimmy (574) (574) jkabelearth10@yahoo.com Will Bid Union- Agency Earth, Inc. Kabel 674- 674- Not Provided-- 6488 6480 Ritschard Don (574) (574) (574) ritl204@datacruz.com Will Bid WBE-IN - State Brothers, Ritschard Jr. 288- 360- 288- of Indiana- InC. 4777 5201 5438 -,DBE-IN - State of Indiana- -,Union- Agency Not Provided- -,EDGE- Agency Not Provided-- .............�__ 323100 Fences And Gates Organization Attention Work Mobile Fax Email Status Certification - Name Phone Phone Agency- Number- ExpirationDate Mike's Fencing Mike (574) (574) info@mikesfencing.com No Union- Agency Estimating 862- 862- Response Not Provided-- 2006 1227 Milestone Chris (574) (574) (574) chris@milestonefence.com No Union- Agency Fence Loftus 259- 532- 287- Response Not Provided -- Company 3101 1477 0504 ext. 110 Northwest Damon (219) (219) (219) damcolby@aol.com Will Not Union- Agency Indiana Colby 464- 405- 465- Bid Not Provided -- Fence- Lynn 4207 9430 1747 Pin.. Include [seen-Denl.han Con.trucdon ComP.ny, Ina ...et.pting quot.. on th. tollowMg pr.j..t(.): PROJECT: South Bend, Clty ol-Ca ury Center Puking Lot G.t.w.y improvement. (REIBD) BID � DATE: 9/24/19 Y '.±yJlt. Project. can be viewed end/or dewnloed.d .t ygy,C,aj,l Alftoo_ggT,,;„gpo Publh:lobo, quet.e to b. rm.11ed Le@vaa�tivStSl27aacUs'OIa.MSrdllChor r...d to 219-962-2tr48 Thank you, MOW. C, MhAl-ki E.11—W a -10.0 Lausonu--OauwMson Cwntyucdoot Co, Mc, r>z�«.atuas'zata� eI.3x: 2114.xz-2�0 R8k® 29.ittc: 219 35-6047 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM, ^64N X FORM MWBE-2.1 MBE/WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBE/WBE 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 1 OF 1 Project Number: 118-035A MBE/WBE Participation Goal % MBE/ 5% W E Project Name: Century Center Parking Lot Entry Gateway Improvements Bidder: Larson Danielson Construction Company, Inc. By: Timothy F . Larson, President 9/24/19 (Signature) (Title) (Date) MBE/WBE Firm �, � � LARSON DANIELSON Owner or Contact at MBE/ ONSTRUCTION CO,, INC, Telephoner mail; TYPE OF WORK SOLICITED FOR THIS PROJECT: See attached Good Faith Effort & GradeBeam Call Sheet RESULTS OF CONTACT WITH THE MBE/WBE FIRM: MBE/WBE Firm Owner or Contact at MBE/WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: 1:7�c1�1�� • • ►:�iC�r�i�/:::r:a�l T�1�i�lY��f:7�: Version 4/2/2019 Contractor's Bid for Public Works - 11 RSO DANIELSON ,fistruef on Compaq)?, Inc. QUALITY CONSTRUCTION SINCE 1908 302 Tyler Street • LaPorte, Indiana 46350 (219) 362-2127 • Fax (219) 362-2848 EQUAL EMPLOYMENT OPPORTUNITY AFFIRMATIVE ACTION PLAN To further the provisions of equal employment opportunity to all persons without regard to their race, color, religion, sex, or national origin, and to promote the full realization of equal employment opportunity through a positive continuing program it is the policy of Larson Danielson Construction Co., Inc. to assure that applicants are employed and that employees are treated during employment without regard to their race, color, religion, sex, or national origin. Such action shall include: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising, lay-off or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, pre - apprenticeship, and/or on-the-job training. »w dw, • #w Timothy F. Larson will personally oversee the program and will appoint Terry A. Larson as the Equal Employment Opportunity Officer (hereinafter referred to as the EEO Officer) to carry out the program. The EEO Officer is hereby given full authority to carry out the program and is given the responsibility to: (1) Develop policy statements and internal and external communication procedures. (2) Assist line management in collecting and analyzing employment data, identify problem areas, set goals and timetables and develop programs to achieve goals. Such programs shall include specific remedies to eliminate any discriminatory practices discovered in the employment system. (3) Design, implement and monitor internal audit and report systems to measure program effectiveness and to determine where progress has been made and where further action is needed and, if necessary, to assure that such action is taken. (4) Report, at least quarterly, to Larson Danielson Construction Co., Inc. on progress of each unit in relation to company goals. (5) Serve as liaison between company, government regulatory agencies, minority and women's organizations, and other community groups. (6) Assure that current legal information affecting affirmative action is disseminated to responsible officials. www.ldconstruction.com Equal Opportunity Employer A. All members of the Company's staff who are authorized to hire, supervise, promote, and discharge employees, or who recommend such action, will be made fully cognizant of, and will implement, the company's equal employment opportunity policy and contractual responsibilities. To insure that the above agreement will be met, the following actions will be taken as a minimum: (1) Periodic meetings of supervisory and personnel office employees will be conducted not less than every six months, at which time the Company's equal employment opportunity policy and its implementation will be reviewed and explained. The meetings will be conducted by the EEO Officer or other knowledgeable Company official. (2) All new supervisory or personnel office employees will be given a thorough indoctrination by the EEO Officer or other knowledgeable Company official covering all major aspects of the Company's equal employment opportunity obligations within thirty days following their reporting for duty with the Company. (3) The EEO Officer or appropriate Company Official will advise all employees through supervisory personnel engaged in the direct recruitment of employees relative to the methods followed by the Company in locating and hiring minority and female employees. (4) Larson -Danielson Construction Co., Inc. will maintain a working environment free of harassment, intimidation, and coercion at all sites and in all facilities at which Larson Danielson Construction Co., Inc. employees are assigned to work. The Company shall specifically insure that all foremen, superintendents, and other onsite supervisory personnel are aware of and carry out Larson Danielson Construction Co., Inc. obligation to maintain such a working environment, with specific attention to minorities or women working at such sites or in such facilities. B. In order to make the Company's equal employment opportunity policy known to all employees, prospective employees, and potential sources of employees, i.e., schools, employment agencies, labor unions, college placement officers, etc., the Company will take the following action: (1) Notices and posters setting forth the Company's equal employment opportunity policy will be placed in areas readily accessible to employees, applicants for employment and potential employees. (2) The Company's equal employment opportunity policy and the procedures to implement such policy will be brought to the attention of employees by means of meetings, employees' handbooks, or other appropriate means. (3) The company will send each labor union or representative of workers with which it has a collective bargaining agreement or other contract or understanding, a notice advising the labor union or worker's representative of its commitments under Executive Order 11246. 4. Utilization of Minorities and Females The Company will make good faith effort in meeting the designated goals as set forth by the Office of Federal Contract Compliance Programs, as it relates to utilizing minorities and females in the various crafts on all construction jobs during which time this contractor has a direct federal or federally assigned construction contract. 5. Recruitment A. When advertising for employees, the Company will include in all advertisements for employees the notations: "An Equal Opportunity Employer." The Company will insert all such advertisement in newspapers or other publications, having a large circulation among minority and female groups in the area from which the Company's workforce would normally be derived. B. The Company will conduct systematic and direct recruitment through public and private employee referral sources likely to yield qualified minority group applicants, including, but not limited to, state employment agencies, schools, colleges, and minority group organizations. To meet these requirements, the Company will, through the EEO Officer, identify sources of potential minority and female group employees and establish with such identified sources procedures whereby applicants may be referred to the Company for employment consideration. C. The Company will encourage its present employees to refer minority and female group applicants for employment by posting appropriate notices or bulletins in areas accessible to all such employees. In addition, information and procedures with regard to referring minority and female group applicants will be discussed with employees. 6. Personnel Actions A. Wages, working conditions, and employee benefits shall be established and administered, and personnel action of every type, including hiring, upgrading, promotion, transfer, demotion, layoff, and termination will be taken without regard to race, color, religion, sex, or national origin. The following procedures will be followed: (1) Periodic inspections of project sites will be conducted to ensure that working conditions and employee facilities do not allow discriminatory treatment of project site personnel. (2) The spread of wages paid within each classification will be periodically evaluated to determine any evidence if discriminatory wage practices. (3) The Company will periodically review selected personnel actions in depth to determine whether there is evidence of discrimination. Where evidence is found, the Company will promptly take corrective action. If the review indicated that the discrimination may extend beyond the actions reviewed, such corrective action shall include all affected persons. (4) The Company will investigate all complaints of alleged discrimination made to it in connection with its obligations under its contracts and will attempt to resolve such complaints, and will take appropriate corrective action. If the investigation indicates that the discrimination may affect persons other than the complainant, such corrective action shall include such other persons. Upon completion of each investigation, the Company will inform every complainant of all of his avenues of appeal. 7. Training and Promotion A. The Company will assist in locating, qualifying and increasing the skills of minority and female employees and applicants for employment. B. Consistent with its manpower requirements and as permissible under Federal and State regulations, the Company will make full use of training programs, i.e., pre -apprenticeship, apprenticeship, and/or on-the-job training programs for the geographical area of contract performance. C. The Company will advise employees and applicants for employment of available training programs and entrance requirements for each to the extent that this Company is aware of such training programs and entrance requirements. D. The Company will periodically review the training and promotion potential of minority and female group employees and will encourage eligible employees to apply for such training and promotion. Minority and female groups are referred to as "protected groups". 8. Unions The Company will use its best efforts to obtain the cooperation of the unions with which it has contracted relations to increase "protected group" opportunities within the unions and to effect referrals by such union of "protected group" employees. Actions by the Company, either directly or through its association acting as his agent, will include the procedures set forth below: (1) Use its best effort to develop, in cooperation with the unions, joint training programs aimed toward qualifying more protected group members for membership in the unions and increasing the skills of protected group employees so that they may have the opportunity to qualify for higher paying employment. (2) Use its best efforts to encourage the incorporation of an equal employment opportunity clause into all union agreements to the end that such unions will be contractually bound to refer applicants without regard to their race, color, religion, sex, or national origin. A. When required by contract the Company will use its best efforts to utilize minority group subcontractors, suppliers, and vendors. The Company, however, reserves the right to determine if the firm is a bona fide Minority Business Enterprise. B. The Company will use its best effort to assure subcontractor compliance with their equal employment opportunity obligations. 10. Records and Reports A. The Company will keep such record as are necessary to determine compliance with its equal employment opportunity obligations. The records kept by the company will be designed to indicate: (1) The number of minority and non -minority and female group member employees in each work classification. (2) The progress and efforts being made in cooperation with unions to increase protected group employment opportunities. (3) The progress and efforts being made in locating, hiring, training, qualifying, and upgrading group employees. (4) The progress and efforts being made in securing the services of minority group subcontractors. B. All such records will be retained for a period of three years following completion of the contract work and shall be available at reasonable times and places for inspection by authorized representatives of the State and Federal governments. The Company reserves the right to require these representatives to show proper credentials. C. The Company will submit all reports required by Executive Order 11246 and appropriate State and Federal agencies, and will permit access to its books, records, and accounts by the appropriate governmental agencies, and the Secretary of labor for purposes of investigation to ascertain compliance with the rules, regulations, and orders of the Secretary of Labor promulgated pursuant to Executive Order 11246. 11. Other Work The Company agrees that it will be bound by the equal opportunity clause required by Executive Order 11246 with respect to its own employment practices when it participates in non-federal construction work during which time it also has direct federal or federally assigned contract. 12. ,assistance in Compliance The Company agrees it will assist and cooperate actively with the appropriate governmental agencies and the Secretary of Labor in obtaining the compliance of 13 14. 15 contractors and subcontractors with the equal opportunity clause and the rules, regulations, and relevant orders of the Secretary of Labor and will furnish such information as they may require for the supervision of such compliance. 'Non-segregated'Facilities All employee facilities provided by us shall be non -segregated. These include but are not limited to such items as rest areas, parking lots, drinking fountains, and all other such common facilities. Toilet and necessary changing facilities will be such that privacy is offered to both males and females. The Company shall not discriminate against any employee or applicant for employment because of a physical or mental handicap in regard to any position for which the employee or applicant for employment is qualified. We agree to take affirmative action to employ, advance in employment, and otherwise treat qualified handicapped individuals without discrimination based on their physical or mental handicap in regard to any position for which the employee or applicant for employment is qualified. We agree to take affirmative action to employ, advance in employment, and otherwise treat qualified handicapped individuals without discrimination based upon their physical or mental handicap in all employment practices. Disabled Veterans and Veterans of the Vietnam Era The Company shall not discriminate against any employee or applicant for employment because he or she is a disabled veteran or veteran of the Vietnam Era in regard to any position for which the employee or applicant is qualified. We shall take affirmative action to employ, advance and otherwise treat qualified disabled veterans and veterans of the Vietnam era without discrimination based upon their disability or veteran's status in all employment practices. It is understood that an agency may review our employment practices as well as any subcontractors' we have employed during the performance of the contract. If the goals set forth in the affirmative action program are being met, we and our subcontractors will be presumed to be in compliance with the requirements of Executive Order 11246 and 11375, as amended, unless it comes to the agency's attention that we or our subcontractors are not providing equal employment opportunity. In the event of failure to meet the goals, we shall be given an opportunity to demonstrate that we have made every good faith effort to meet our commitment. For the purpose of this plan, the term minority means, Black, Hispanics, Asian, Pacific Islanders, American Indian, and Alaskan Natives. For the purpose of this plan, bona fide Minority Business Enterprises shall be those businesses, firms, or corporations which are at least fifty percent owned and operated by a minority person or persons. The purpose of our commitment to specific goals is to minority and/or female work force utilization is to meet our affirmative action obligations under the equal employment opportunity clause of the contract. This commitment is not intended and shall not be used to discriminate against any qualified applicant or employee. Whenever it comes to the Company's attention that the goals are being used in a discriminatory manner by the union, the Company shall report it to the agency's Contract Compliance Officer in order that appropriate sanction proceedings may be instituted. Nothing contained in this plan shall relieve us form compliance with the provisions of Executive Order 11246 and 11375, as amended, the Equal Opportunity Clause of each respective contract, and any and all provisions as they relate to the utilization of Minority Business Enterprises (MBE). 17. Refusal to Deal with Debarred. or Ineligible Contractor or Subcontractors The Company agrees that it will refrain from entering into any contract or contract modifications subject to Executive Order 11246 with a contractor or subcontractor debarred from or who has not demonstrated eligibility for direct federal or federally assisted construction contracts pursuant to the Executive Order. LARSON-DANIELSON CONSTRUCTION CO., INC. Timothy F. Larson President PART II (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his/her/its bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 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. 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 - 3 i 051 3 4. SECTION I EXPERIENCE QUESTIONNAIRE What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Completion Contract Amount Class of Work Date Name and Address of Owner 14,000,000.00 GC 2018 Valparaiso Comm. Schools-HS Renovation 2,014,000.00 GC 2018 Valparaiso Comm. Schools -Porter Co. Career Center 6,900,000.00 GC 2018 Porter Twp. Schools - HS West Renovation 5,000,000.00 GC:::± 2018 .,. hicago - Community Ctr, Site #1 & Site #2 City of East C_W What public works projects are now in process of construction by your organization? Expected Contract Amount Class of Work Completion Name and Address of Owner Date 18,820,000.00 GC 2019 City of South Bend - Howard Park Redevelopment 8,763,000.00 GC 2019 School City of Hobart - HS Natatorium 2,317,000.00 GC 2019 Tri-Co School Corp. - HS Pool Improv. 2,053,000.00 GC 2019 NICTD - Gary Compound Addition Have you ever failed to complete any work awarded to you? NO If so, where and why? List references from private firms for which you have performed work. Wal-Mart Stores, Inc. 2001 SE 10th St. Bentonville, AR 72712 University of Notre Dame IU Health LaPorte Hospital Task Force Tips The Boeing Company 200 Facilities Building P. O. Box 250 2351 Industrial Drive 100 N. Riverside Notre Dame, IN 46556 LaPorte, IN 46352 Valparaiso, IN 46383 Chicago, IL 60606 SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE Explain your plan or layout for performing proposed work (Examples could includes a narrative of when you could begin work, cornb)1ete the project, nurnber of workers, etc, and any other information which you believe would enable the governmental unit to consider your bid.) Larson -Danielson anticipates commencing project coordination upon receipt of a contract, Notice to Proceed g g p orders based on sequence of work or Letter of Intent. We will then begin awarding subcontracts and purchase .. generally p g the to be performed Work will be performed in common sequence of tasks as enerall accepted throughout ......ry.pertains �-project....._ �_ _.......T g _ skilled tradespeople, constru ction industry and as it to this Average crew sizes range from 5-6 although is subject to change based on schedule and the specific task(s) being performed. 2. Please .list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. Please see attached list of subcontractors we have worked with on public works projects in the last five (5) years. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the governmental unit in the event that you subsequently determine that you will use a subcontractor on the proposed project. Larson -Danielson does plan to utilize subcontractors. Subcontractor information will be provided as required in the relevant bidding documents. 4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. Larson -Danielson owns a wide variety of heavy equipment and mid to small sized equipment/tools, including but not limited to equipment for earthwork, masonry, concrete, carpentry, access equipment and transportation equipment. Specific lists of equipment will be provided as required by the relevant bidding documents, 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, please explain the rationale used which would corroborate the prices listed. YES 1.35 "SECTION II, ITEM 2 — BELOW IS A LIST OF SUBCONTRACTORS THAT WE HAVE USED ON PUBLIC WORKS PROJECTS DURING THE PAST FIVE (5) YEARS" Earthwork/Sitework Hubinger Landscaping D&M Excavating 11191 S. Broadway 9896 W. 300 N. Crown Point, IN 46307 Michigan City, IN 46360 Gypsum/Metal Studs/Acoustical G. E. Marshall Huggett-Betten 1351 Joliet Rd. 3470 Little Castle Rd. Valparaiso, IN 46384 Stevensville, MI 49127 Pavey Excavating Kleckner Interior Systems 2020 Ohio St. 1176 Damon Lane LaPorte, IN 46350 Chesterton, IN 46304 Asphalt.Pavina & Strininin Floorina Rieth-Riley Construction Midwest Tile & Interiors 7500 W. 5th Ave. 1805 N. Cedar Street Gary, IN 46406 Mishawaka, IN 46545 Walsh & Kelly Interior Finishes 1700 E. Main St. 1616 W. 3rd St. Griffith, IN 46319 Osceola, IN 46561 Fencing Master Tile Milestone Fence 1205 W. Lincoln Hwy, 13399 McKinley Hwy. Merrillville, IN 46410 Mishawaka, IN 46545 Paintin Northwest Indiana Fence Stan's Painting & Decorating 1758 W. Lincolnway 440 Sullivan St. Valparaiso, IN 46383 Hobart, IN 46342 Security Industries Prism Painting 1000 Georgiana St. 368 Kennedy Ave. Hobart, IN 46342 Schererville, IN 46375 Landscapina Elevators Fuerbringer Landscaping & Design Otis Elevator 22530 Brick Rd. 1010 E. Jefferson Blvd. South Bend, IN 46628 Mishawaka, IN 46545 T & J Landscape Service Concrete 12615 Wicker Ave. Hooks AV LLC Cedar Lake, IN 46303 1041 Sheffield Ave. Dyer, IN 46311 L:\Filing System\Office\FORMS\Estimating Assistant Forms\Bid Forms\96 96A\96 Subcontractor List Attachment 1_35.docx 2/12/18 1.35 Concrete Constructors Fire Protection 684 N. 600 E. Ryan Fire Protection Westville, IN 46391 9740 E. 148th St. Noblesville, IN 46060 C & S Concrete 7353 McConnell Rd, Kropp Fire Protection Lowell, IN 46356 59685 Market St. South Bend, IN 46614 Structural Steel Omega Structural Steel F. E. Moran Fire Protection 1640 Main Street 2165 Shermer Rd., Suite D Griffith, IN 46319 Northbrook, IL 60062 C & C Iron USA Fire Protection 6409 Hendricks St. 28427 Ballard Dr. Merrillville, IN 46410 Lake Forest, IL 60045 Munster Steel Co. Mechanical 9505 Calumet Ave. Circle R Mechanical Munster, IN 46321 6620 Shepherd Ave, Portage, IN 46368 Stevens Iron Works 6852 Mercedes Lane D. A. Dodd, Inc. DeMotte, IN 46310 14 E. Michigan Ave. Rolling Prairie, IN 46371 Roofin E. C. Babilla, Inc. St. Johns Plumbing 3974 Harrison St. P.0. Box 204 Gary, IN 46408 St. Johns, IN 46373 Korellis Roofing; Inc. Bloomfield Mechanical 1333 16911 St. 6636 Melton Rd. Hammond, IN 46324 Portage, IN 46368 Midland Engineering Electrical 52369 US 33 North Continental Electric Co., Inc. South Bend, IN 46637 9501 E. 5th Ave. Gary, IN 46403 storefront & Entrances & Glazing Trout Glass & Mirror EMCOR/Hyre Electric Co. 1579 S. Calumet Ave. 2655 Garfield Ave. Chesterton, IN 46304 Highland, IN 46322 J.W. Werntz Supply Circle R Electric 1002 Kerr St. 5740 Central Ave. South Bend, IN 46601 Portage, IN 46368 Lazzaro Co. 5880 Broadway Merrillville, IN 46410 L:\Filing System\Office\FORMS\Estimating Assistant Forms\Bid Forms\96 96A\96 Subcontractor List Attachment 1_35.docx 2/12/18 1.32 TGeneral Form No. 96-a. Prescribed by the State Board of Accounts of Indiana. Revised 1949. Standard Questionnaires and Financial Statement for Bidders Prescribed by THE STATE BOARD OF ACCOUNTS OF INDIANA For use in investigating and determining the qualifications of bidders on public construction when the aggregate cost of any such work or improvement will be Five Thousand Dollars or more. These statements to be submitted under oath by each bidder with and as a part of his bid, as provided by Chapter 306, page 1248, Acts of 1947. Submitted to Citv of South Bend -Board of Public Works By Larsen -Danielson Construction Co. Inc, _IT A Co -partnership An Individual Address 302 Tyler Street LaPorte, IN 46350 Date submitted September 24 , 2019 Filed L:\Filing System\Office\FORMS\Estimating Assistant Forms\Bid Forms\96 96A\96A Financial Statement Revised 19491_32.docx 2/14/18 Sec. 2 of an Act entitled "AN ACT concerning the awarding of contracts for the performance of public work and authorizing the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contractors who submit bids for the performance of such work, providing for plans and specifications, providing for bids repealing certain laws and declaring an emergency." (Approved March 13, 1947.) Sec. 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or more, for the purpose of enabling such board, commission„ trustee, officer or agent to ascertain and determine which of the bidders submitting bids for the performance of any such public work is, in the judgment of such board, commission, trustee, officer or agent, the lowest and/or best bidder and to exercise intelligently the discretion hereby conferred on such board, commission, trustee, officer or agent each bidder shall be required to submit under oath with and as a part of his bid a statement of his experience, his proposed plan for performing such work and the equipment which he has available for the performance of such work and a financial statement. The statements hereby required shall be submitted on forms which shall be prescribed by the stated board of accounts. The forms so prescribed shall be designated, respectively, as the experience questionnaire, the plan and equipment questionnaire and the contractor's financial statement, and shall be based, so far as applicable, on the standard questionnaires and financial statement for bidders as approved and recommended by the joint conference on construction practices, for use in investigating the qualifications of bidders on public construction work, and the forms so prescribed are hereby prescribed as the forms which shall hereafter be used by all such boards, commissions, trustees, officers and agents in obtaining the information which is required in the administration of this act. If the information submitted by any bidder on the forms herein prescribed is found, on examination, to be unsatisfactory, the bid submitted by such bidder shall not be considered. (Burns Statutes 1933, Sec. 53-109) Sec. 2, Chapter 306, Acts of 1947. 2 TO THE BIDDER --- The following forms of questionnaires and financial statement are prescribed by the State Board of Accounts in conformity with the statute set out on the preceding page. These forms, properly filled out and attested, must accompany each bid of five thousand dollars or more on any public work. The forms are designed to cover all contracts for all kinds of work and the bidder is required to answer such questions as are pertinent to the work upon which his is bidding. The purpose of the questionnaire and financial statement, as set forth in the law, is to enable the awarding body to determine the qualifications of the bidder to carry out successfully the contract if the same is awarded to him. The bidder will find it to his advantage to answer fully all questions coming within the range of the work upon which he is bidding. Particular attention should be given the "Financial Statement" and the details relative to the assets and liabilities set out. This form is made in extensive detail to that the bidder may explain his assets and liabilities in proper sequence and in a uniform manner. T. M. HINDMAN, State Examiner 3 Corporation Submitted by Larson -Danielson Construction Co., Inc. A Co -Partnership An Individual Principal Office at 302 Tyler Street LaPorte, IN 46350 To City of South Bend -Board of Public Works EXPERIENCE QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 1. How many years has your organization been in business as a general contractor under your present business name? 111 1 How many years experience in General construction work has your organization had: (a) As a general contractor 111 (b) As a sub -contractor 3. What projects has your organization completed? Contract Amt. Class of Work When Completed Name & Address of Owner $14,000,000 General Const 2018 Valparaiso Comm HS Revov. $2,014,000 Fm x m. IT General Const. 201m8 .... W..m 4 µSchool Valparaiso Comm. Schools — PorterxCo. - Career Center _._...._p $6,900,000 _..w ... n ._ General Const. 2018 .......... Porter Twp. Schools — HS West Renovation ............ .....LLw _. $5,000,000 _._.__ .. ,. __. _.. General Const. _.._.._..__ _ .._ _m.___ ._ ...._._. 2018 _..............................-... City of East Chicago — Community Ctr., Site # 1 & Site #2 3-A. What projects has your organization now in process of construction? Q 5. Contract Amt. Class of Work When to be Completed ...w Name & Address of Owner $18,820,t)00 General Const. 20i City of South Bend — Howard Park Redev. _—. _ ....... ......m_m $8,763,„000 General Const. ._..... 2019 ...._.... _.. a..r '--___._. _._m. School City of Hobart — HS Natatorium ... $; 17,000 General Const 2019 Tri Co School Corp.T._HS Pool lrnpµ ... $2,053,000 General Const. 2019 NICTD — ��lary Compound Addition ............ Have you ever failed to complete any work awarded to you? No If so, where and why? Has any officer or partner of your organization ever been an officer or partner of some other organization that failed to complete a construction contract? No If so, state name of individual, other organization and reason therefore. 6. Has any officer or partner of your organization ever failed to complete a construction contract handled in his own name? No If so, state name of individual, name of owner and reason therefore. 7. In what other lines of business are you financially interested? N/A 4 8. For what corporations or individuals have you performed work, and to whom do you refer? Wal-Mart Stores, Inc. Bentonville AID Univer. Of Notre Dame South Bend IN LaPorte Hospital LaPorte. IN Task Force Tips Valparaiso, IN The Boeing Company Chicago. 11, 9. For what cities have you performed work and to whom do you refer? Cily of Michigan City Board of Public Works City of La Porte City Plalaner City of Hammond Board of Park Commissioners Citv of Hobart Director of Develo naent City of South Bend Dept. of Public Works City of Mishawaka Dept. of En ineerin 10. For what counties have you performed work and to whom do you refer? La Porte County Board of Cornniissioners Lake Coun Board of Commissioners Porter Cogn1y Commissioners St. Jo�ePl fount Board of Commissioners Starke Counly Commissioners 11. _ For what State bureaus or departments have you performed work and to whom do you refer? Division of Public Works & SqfM Director State Arnior Board Commandant Indiana Dept. t, of Transportation Chief Engineer Indiana Port Commission John W. Hughes, P. E. Indiana Dept. of Administration Westville Correctional Center 12. Have you ever performed any work for the U. S. Government? 1987 — U. S. Coast Guard Michigan City.,.IN 2003 — State of Indiana Military National Guard ArsnoKy Remington, IN 2005 — State of Indiana. National Guard A-niory Ga IN 2008 — State of Indiana Militga Army Aviation GM, IN 13. What is the construction experience of the principal individuals of your organization? I ICLIL'LI WIN M10F4•\u I N Tintot1.la F. Larson Terry A. Larson Thomas A Walter Mark A. Danielson mm. , _..m.__.._ ..._ .,. David_J. Merkel Patrick Lockwood Ray Rehlander PRESENT POSITION OR OFFICE President V P/Design V-P/Field Operations V-P/Project Mgmt... Asst, VP/Sr. Project Mgr, Gen'l Sunermt. YEARS OF CONST. EXPERI -ENCE 42 37 MAGNITUDE & TYPE OF WORK General Const. IN WHAT CAPACITY? Engineer/Est./PM General Const. p Estimating/Project Mgr, 44 General Const Engmeer/Est /PM _.__.......... 36 ... ....... ........... General Const. ... _..-.------•.. Field Officer 24 General Const. Engineer/Est./PM 25 y General Const. Estimating/Project Mgr. 33 General Const. Carnenter_ PLAN AND EQUIPMENT QUESTIONNAIRE The Signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. In what manner have you inspected this proposed work? Explain in detail. parson- Danielson estimating staff have thoroughly reviewed and assessed the drawings and specifications provided for bidd d with subcontractors and, suppliers in evaluating the full scope of work for this oroiect. 2. Explain your plan or layout for performing the proposed work. Larson-Danielsoii anticipates comniencingy project coordination upon receipt of a Contract Notice to Proceed, or Letter of Intent, We will then bej.,,Ln.,51�« grc Litig subcontracts based on sequence of work to be performed in order to begin on -site construction as soon as possible. Work will be pper�fognedin common sequence of tasks as it relates to this pro ca that provides for the best qualily end product, 3. The work, if awarded to you, will have the personal supervision of whom? A Project Manager and. Su,) iptendem will be assigned to this project, following Lgij_ notification of the bid results. *4. Do you intend to do the hauling on the proposed work with your own forces? If so, give amount and type of equipment to be used. If hauling is needed, this is to be determined follonjqgpotification of bid results unless stated otherwise in supplemental bid documents *5. If you intend to sublet the hauling or perform it through an agent, state amount of sub- contract or agent's contract, and if known, the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility: If hauling is needed, this is to be deterinined following notification of bid results unless stated otherwise in sLipplemental bid documents. Items 4, 5, 6 and 7 may not be applicable in all building contracts; if not, omit. 0 *6. Do you intend to do the grading on the proposed work with your own forces? If so, give type of equipment to be used. If radin is needed this is to be determined following notification of bid results unless stated otherwise in su lemental bid documents *7. If you intend to sublet the grading or perform it through an agent, state amount of sub- contract or agent's contract, and, if know, the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility. If grading is needed this is to be determine(] followin a notification of bid results unless stated otherwise in sunnlemental bid documents. Do you intend to sublet any other portions of the work? If so, state amount of sub -contract, and, if known, the name and address of the sub- contractor, amount, and type of his equipment and financial responsibility. Larson -Danielson does intend on subletting a portion of the work for this project. Additional information will be provided as required. 9. From which sub -contractors or agents do you expect to require a bond? Bonding will be required on sub -contractors or agents at Larson-Danielson's discretion. 10. What equipment do you own that is available for the proposed work? If e' ui meat list is required at bid time for this project lease refer to supplemental lemental bid documents. 11. What equipment do you intend to purchase for use on the proposed work, should the contract be awarded to you? We do not intend to purchase a e ui ment for this project. 12. How and when will you pay for the equipment to be purchased? Not Applicable 13. Do you propose to rent any equipment for this work? This will be determined followit - „notification of bid r-estrlts, Additional information will be provided as required. 14. Have you made contracts or received firm offers for all materials within prices used in preparing your proposal? Do not give names of dealers or manufacturers. Yes Dated at LaPorte IN this 24th day of September , 2019 .......,, Larson -Danielson Constrttctroti Co. free. „„�.� (Ntaromne of C�rg��rr°ei�rari��r�) By. __.._.. BY.. le i A. fdarsot-Secreta�r Timothy F. Larson, President (Name & Title of Person Signing) (Name & Title of Person Signira�) _ STATE OF INDI,NA _. CARBON DANIELSON _._ � . SS: S. CONSTRUCTION CO., INC] COUNTY OF LA PORTE^^ a99w Timothy F. Larson being duly sworn, deposes and says that he is President of the above Larson -Danielson Const. Co. Inc. and that the answers to the questions in the foregoing questionnaires and all statements therein contained are true and correct. Subscribed and sworn to before me this 24th of Se tember , 2019.� County of Residence LaPorte My Commission Expires September 8, 202: Michele C. Dzielirski, otary Public w+ MICHELE CECELIA DZIELINSKI La Porte County 8 Uy ` �.' My Commission Expires Sfq)lembor8, 2023