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HomeMy WebLinkAboutOpening of Quotes - Three Twenty at the Cascade Site Pavement Proj No 119-087 - Walsh & KellyCITY OF SOUTH BEND, INDIANA � C N'TQUOTE, FOR PUBLIC WOR PROJECT NAME: Three Twenty at the Cascade — Site Pavement PROJECT NO. 119-087 QUOTES DUE Se tmber 24, 2019 (Must be completed for all quotes. Please type or print) Date: 9/24/19 ..--m- Firm: Walsh & Kelly, li�nc. ........................ Address: 24358 SR 23 City/State/Zip: South Bend INIT46614 _ Telephone Number: ( 574 ) 288-4811 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: .............. Three Tw,nty-@t-th.. - Site Pavement the City of South Bend, Indiana, in accordance with plans and specifications prepared by: The City of South Bend, Department of Public Works and dated 9/5/1 9 ] for the sum of (enter the Total Quote as shown on the Proposal) Two hundred twenty two thousand seven hundred twenty four dollars and zero cents ($ 222,724.00 (Enter Sum of Total Quote plus Alternates shown on Proposal) (Numerical) If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the in the original contract if accepted by the City of South Bend. if,th( itemization of the units shall be shown on a separate attachrr)enit,� By __..-M .... DutIM1 ACCEPTANCE The above quote is ac " pted this" day of Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member Laura L. O'Sullivan, Member lust be the same as that shown be awarded on a unit basis, the (Signature) Genevieve E. Miller, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk 20 Version 4/2/2019 Page - 10 Public Works Quote When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana ) ) SS: St. Joseph COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Version 4/2/2019 Page - 11 Public Works Quote Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint ventures awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16- 8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I Version 4/2/2019 Page - 12 Public Works Quote have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder may result in forfeiture of contractual payments. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 24th day of Sept. , 2019 V -P Subscribed and sworn to before me this 24th My Commission Expires 6/5/22 Printed Name and Title day of September , 20 19 Notary I ublic Alisha,, 6ueger County of Residence St. Joseph ALISHA KRUEGER a ° amr "ngro �. Notary Public. State of Indrara�r p st.Josephcounty My Commission Expires June05,2022 Version 4/2/2019 Page - 13 Public Works Quote QUOTE/PROPOSAL CITY OF SOUTH BEND IN65 yr0 PROJECT NAME Three Twenty at the Cascade — Site Pavement ..........19-087 QUOTES DUE September 24, 2019 BASE QUOTE Item No. �ITITIT ..................Description Quai 1 Site Concrete 1 2 Asphalt Pavement 1 ALTERNATE #1 ............ .......... Item. No. Description Quai Add 18" Standing Concrete Curb 3 at N. End of Parking Lot (see Plan 1 Sheet C101) ALTERNATE #2 ................ _. ............................. Item No. Description Quai Add 4" Concrete Patio Area at S. 4 Side of Building (see Plan Sheet 1 C101) ALTERNATE #3 — _._......._............. Item No. Description Quan Add 2" Asphalt Overlay at Existing 5 Pavement at NW Parking Area 1 (see Plan Sheet C102) Unit Unit Price Total Amount LSUM $ 119.578.OQ .__.�............................................. 56022.QQ..... .. LSUM $ _.................................................................................................................................._ Total Amount of Base Quote $ 175,600.00 Unit Unit Price Total Amount LSUM $ 6 435.00 Total Amount of Alternate #1 $ Unit Unit Price_ Total Amount LSUM $ 22 884.00 Total Amount of Alternate #2 $ 22 884.00 Unit Unit Price Total Amount LSUM $ 17, 805.00 Total Amount of Alternate #3 $ 17,805.00 Version 4/2/2019 Page - 14 Public Works Quote Firm: Mlsh a Kelly, Inc. _ Address: 24358 SR 23 City/State/Zip: jjout,h Bend. IN 4QQ14_ Telephone Number: _m „ 574mmm„ 288-4811 q. Fax Number: r'57 28V,174 N , By .� (Signature) „- (Dustin Hilar Vof South Bend I (Printed Name of Person Signing) v Version 4/2/2019 Page - 15 Public Works Quote GRIFFITH SOUTH BEND Walsh & 1700 East Main Street 24358 State Road 23 Griffith, Indiana 46319 South Bend, Indiana 46614 Kellync. Phone (219) 924-5900 Phone (574) 288-4811 04 Fax (219) 924-8768 Fax (574) 289-7174 www.waishkelly.com ATTACHMENT September 24, 2019 Three Twenty at the Cascade — Site Pavement Project No. 119-087 Quote based on the following quantities: Asphalt: New pavement 1,123 sq. yds. Overlay existing pavement 709 sq. yds. Concrete: C7 — 5 inch reinforced 345 sq. yds. C8 — 4 inch reinforced 714 sq. yds. C9 — 6 inch reinforced 19 sq. yds. C15 — Curb 6 inch by 18 inch 250 Ift. Street Approach -- 70 sq. yds. Curb Ramps — 10 sq. yds. ALTERNATE #1: Concrete Curb — 165 Ift. ALTERNATE #2: Concrete Patio — 202 sq. yds. ALTERNATE #3: Overlay existing pavement 985 sq. yds. Part of State Form52414 (R2 12-13) Form 96 (Revised 2013) BID OF Walsh & Kelly. Inc. (Contractor) 2435 SR 23 (Address) South Bend IN 46614 FOR PUBLIC WORKS PROJECTS OF Three Twenty at the Cascade — Site Pavement PLoject No. 1 - 6 Filed September 24th 201 Action State Form 52414 (R 19-10) Prescribed by State Board of Accounts Form No, 96 lRevised 201 , CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96 PART 1 (To be completed for all bids. Please type or print) 1. Governmental Unit (Owner): 2. County: 3. Bidder (Firm): Address: City/State: 4. Telephone Number: 5. Agent of Bidder (If applicable): Date (month, day, year): September 24 2019 City of South Bend Indiana St. Joseph _.............._ __ ........ ... Walsh & Kelly, Inc. 24358 SR 23 South Bend IN 46614 (574) 288-4811................................................. — Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of City of South fiend Indiana (Governmental Unit) in accordance with plans and specifications prepared by I' anzica Building Corporation and dated September "", 2019 for the sum of See Attached $ See Attached. The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the Governmental Unit. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant may be regarded as a material breach of the contract. CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS (If applicable) I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation to use steel products made in the United States. I.C. 5-16-8-2. 1 hereby certify I and all subcontractors employed by me for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in forfeiture of contractual payments. ACCEPTANCE The above bid is accepted this Contracting Authority Members: day of subject to the following conditions: PART II (For projects of $150,000 or more — IC 36-1-12-4) Governmental Unit: City of South Bend, Indiana Bidder (Firm): Walsh & Kelly, Inc. Date(month, day, year)- S ptornber 24, 2019 These statements to be submitted under oath by each bidder with and as part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1, What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount ....................... ._ Class of Work .. ...—......___.. ._ When Com leted Name and Address of Owner ..�........— $12,926,200 ........ ......... __.___........... _ _ Reconstruction �... ........_ ..._.. October 2017 INDOT $ 5,970,162 Reconstruction Ma 2017 Town of Merrillville ........ $ 5,521,779 Resurface December 2017 Cif of Mishawaka $ 2,646,574 Reconstruction September 2017 St. Jose -ph Cty Hwy Dept. 3. What public works projects are now in process of construction by your organization? Contract Amount Class of Work When to be Completed Name and Address of Owner $10,695,118 Reconstruction November 2018 Walsh Construction $ 8,146,239 "��...._.—....................._.. Resurface ._.....____.�....... __ __ ...._................ May 2018 INDOT $ 4,073,719 Reconstruction July 201w8 City of East Chicago, IN $ 2,662,813 W Reconstruction —� October 2018 INDOT 4. Have you ever failed to complete any work awarded to you? No If so, where and why? 5. List references from private firms for which you have performed work. Gatlin I'1 inib n A, I lgtiil ,..Inc I I I 1 F . fain St., Clriffith, IN �. _ la1a NILitl 1i Gough Inc. 2200 E. 88"' Dr.. Merrillville,. IN 46410 Mr. Ra ondGou h .... ._ Dyer Construction Co. 1716 Sheffield Avenue, D er IN Janet Furman .�.��..�...... ........ � Grimmer Construction Co..,Inc. 2619 Main Street Highland. IN Mr. G1pg.Q irnlner SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, completed the project, number of workers, etc. and any other information which you believe would enable the governmental unit consider your bid.) As required by owner 2. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. See Attached List 3. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the governmental unit in the event that you subsequently determine that you will use a subcontractor on the proposed project. Will supply upon award of contract 4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. QUANTITY ITEM DESCRIPTION, CONDITION YES AR PRE SENT LOCATION SIZE, CAPACITY, OF ETC. SERVICE 5 _................ Asphalt Plants ..____ ... ...... Various ............. Good Griffith, South Bend, Valparaiso, Lowell, LaPorte 19 s halt Pavers Various Good Griffith, South Bend 4 Sliform Conc. Paver p Various Good Griffith, South Bend .......... 3 _ Road .............. 5 . Motor Graders CAT/J.D, ......._ Good Griffith, South Bend 54 Rollers Various Good Griffith, South Bend 30 Rubber Tire Loaders Various Good Griffith, South Bend 15 Excavators Various Good ..__. .................. Griffith, South Bend 9 Bulldozers Various Good Griffith, South Bend 6 LowBoy Tractors Various Good _ Griffith, South Bend _ ................ 8 Flatbed Dum s _ Various Good Griffith, South Bend _... 48 '/2 and 3/ ton Pickups Various .......__ ..........__.......... Good _ Griffith, South Bend 65 1 Ton Crew Trucks Various Good Griffith, South Bend 3 Cold Planers Wirtgen 1900 Good Griffith, South Bend DC 3 Tri-Axle DumD Mack Good South Bend 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? Otherwise, please explain the rationale used which would corroborate the prices listed. Yes, we received quotes from potential subcontractors and suppliers SECTION III CONTRACTOR'S FINANCIAL STATEMENT 4 Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's capability for completing the project if awarded. SECTION IV CONTRACTOR'S NON -COLLUSION AFFIDAVIT The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. He further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale SECTION V OATH AND AFFIRMATION I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION CONTAINED IN THE FOREGOING BID FOR PRBLIC WORKS ARE TRUE AND CORRECT. Dated at South Bend this _ 24 day of Se et` 2019 ` 'wVals, K v. 1 k xne of Organization) I; Usti a Hilary, VP of South Bend Area (Title of Person Signing) ACKNOWLEDGEMENT STATE OF Indiana ) ss COUNTY OF St. Jose h Before me, a Notary Public, personally appeared the above -named Dustin Hilary and swore that the statements contained in the foregoing document are true and correct. day of September, 2019 Subscribed and sworn to before me this ............................................................. .__�" s11a WKt~tteer. Notary Pulyli My Commission Expires: June 5.2022 ALISHA KRUEGER aY r .Notary Public, State of Indiana'�� County of Residence: St. Jose h sc. Joseph county My Commission Expires r BP I� June05,2022 nR31 I � Form 96 Section II, #2 Subcontractors Used on Public Works Contracts SUBCONTRACTORS COMPANY SEWER B & D Sewer Deboer Egolf Delta III Dyer Construction Gatlin Plumbing & Heating Gough, Inc. Grimmer Construction Hasse Construction HRP Construction Rex Construction Wirtz & Yates, Inc. Woodruff & Sons ADDRESS 531 Winston Ct 5772 Melton Road 2063 W 1250 S 1716 Sheffield Avenue 1111 E. Main Street 2200 E. 88th Drive 2619 Main Street 10 Lincoln Avenue 5777 Cleveland Rd. 700 Schiller Avenue P.O. Box 41 P.O. Box 450 CITY/STATE/ZIP the Past 5 Years Schererville, IN 46375 Portage, IN 46368 Hanna, IN 46340 Dyer, IN 46311 Griffith, IN 46319 Merrillville, IN 46410 Highland, IN 46322 Calumet City, IL 60409 South Bend, IN 46624 Schererville, IN 46375 Kentland, IN 47951 Michigan City, IN 46361 PHONE (219)322-2300 (219) 763-9700 (219) 797-4004 (219) 865-2961 (219) 924-6972 (219)756-2200 (219) 924-1623 (219 )932-1611 (574)271-7800 (219) 322-8090 (219) 474-6542 (219)872-8605 FAX (219) 865-0065 (219) 763-9703 (219) 797-3008 (219) 865-2963 (219) 924-1401 (219) 756-2202 (219) 924-0328 (219) 932-6829 (574) 271-0524 (219) 322-0031 219)8795339 MILLING C.E. Hughes Milling, Inc. 3113 Holmans Lane Jeffersonville, IN 47130 (812) 725-8665 (812) 725-8672 Javelina Construction, Inc. 13476 Britton Park Rd. Fishers, IN 46038 (317) 841-8364 (317) 841-0075 Mid America Milling Co. 6200 W. Hwy 62, Ste 400 Jeffersonville, IN 47130 (812) 282-2751 (812) 283-9846 McCrite Milling 209 Quality Ave. Ste 9 New Albany, IN 47150 (812) 941-0252 (812) 941-0852 Specialties Company 9350 E. 30th St. Indianapolis, IN 46229 (317) 594-0291 (317) 594-0271 ELECTRICAL INSTALLATION Hawk Enterprises 1850 E. North St Crown Point, IN 46307 (219) 662-8090 (219) 662-8093 Midwestern Electric 1620 E. Chicago Ave East Chicago, IN 46312 (219) 397-4444 (219) 397-8888 S/T Bancroft Electric 25020 State Road 2 South Bend, IN 46619 (574) 287-6490 Sweney Electric Company 9111 Louisiana St. Merrillville, IN 46410 (219) 769-6007 (219) 769-0565 Trans Tech Electric 4601 Cleveland Road South Bend, IN 46619 (574) 272-9673 (574) 271-0144 SIGN INSTALLATION Hawk Enterprises 1850 E. North St Crown Point, IN 46307 (219) 662-8090 (219) 662-8093 Midwestern Electric 1620 E. Chicago Ave East Chicago, IN 46312 (219) 397-4444 (219) 397-8888 RoadSafe Traffic Systems 3122 Olympia Dr Lafayette, IN 47909 (317) 780-1825 State Barricading, Inc. 24963 U.S. Highway 20 South Bend, IN 46628 (574) 287-2078 Traffic Control Specialists, Inc. 1810 W Pacific Avenue Knox, IN 46534 (574) 772-7001 (574) 772-7002 PAVEMENT MARKINGS The Airmarking Company P.O. Box 526 Rochester, IN 46975 (574) 223-5817 (574) 223-7959 Blackout Sealcoating 7440 W. 87th Place Bridgview, IL 60455 (219) 864-2300 (708) 430-6910 RoadSafe Traffic Systems 3122 Olympia Dr Lafayette, IN 47909 (317) 780-1825 State Barricading, Inc. 24963 U.S. Highway 20 South Bend, IN 46628 (574) 287-2078 Traffic Control Specialists, Inc, 1810 W Pacific Avenue Knox, IN 46534 (574) 772-7001 (574) 772-7002 Traffic Management Company 3542 Highway Avenue Highland, IN 46322 (291) 746-2433 TRAFFIC CONTROL RoadSafe Traffic Systems 3122 Olympia Dr Lafayette, IN 47909 (317) 780-1825 Traffic Control Specialists, Inc. 1810 W Pacific Avenue Knox, IN 46534 (574) 772-7001 (574) 772-7002 Traffic Management Company 3542 Highway Avenue Highland„ IN 46322 (219) 746-2433 LANDSCAPE Great American Landscape P.O. Box 235 Dyer, IN 46311 (219) 322-7033 (219) 322-4419 Hubinger Landscape 210 E. 113th Avenue Crown Point, IN 46307 (219) 662-9911 (219) 662-6206 Slusser's Green Thumb, Inc. 125 Montgomery Street Logansport, IN 46947 (574) 722-3102 (574) 722-1628 T & J Landscape Service 8253 Wicker Avenue St. John, IN 46373 (219) 374-9900 (219) 374-9950 C7 GUARDRAIL/FENCING Acorn Fence C Tech Corporation James H. Drew Company Security Industries Specialties Company TRUCKING/HAULING C. Lee Construction Services Condon Trucking, LLC Fanio Services Gilmer Trucking Material Transfer Inc. Morris Motor Service, Inc. P & C Trucking Superior Construction Co., Inc. V & R Trucking, Inc. SRPM'S K & S Markers, Inc. UNDERSEAL Rieth-Riley Construction Co., Inc. TREE REMOVAL Dave's Tree Service Homer Tree Service Timber Masters LLC LIME STABILIZATION Mt. Carmel Sand & Gravel Rock Solid Stabilization Specialties Company PIPE LINING Indiana Reline, Inc. SAW CUTTING Diamond Coring Co., Inc. Quality Saw & Seal, Inc. SEAL COATING/STRIPING Site Services, Inc. Blackout Sealcoating UNDERDRAIN 3D Company, Inc. 2041 164th Street 5300 W. 100 North 8701 Zionsville Rd. 1000 Georgiana St 9350 E. 30th St. 1011 S. Lake St 18245 Amberley Ln 28015 SR 23 20390 New Road 7811 West 101 st Ave. 10525 W US Hwy 30 Bid 7 4410 Ross Road 1455 Louis Sullivan Dr 1845 Elmer St. Hammond, IN 46320 (219) 844-8400 Boggstown, IN 46110 (317) 835-2745 Indianapolis, IN 46268 (317) 876-3739 Hobart, IN 46342 (219) 942-9447 Indianapolis, IN 46229 (317) 594-0291 Gary, IN 46403 (219) 888-9554 South Bend, IN 46637 (574) 360-4326 North Liberty, IN 46554 (574) 233-3236 South Bend, IN 46614 (574) 229-3233 Crown Point, IN 46307 (219) 865-9575 Wanatah, IN 46390 (219) 733-9430 Gary, IN 46408 (219) 972-0193 Portage, IN 46368 (219) 787-0850 South Bend, IN 46628 (574) 329-2102 2189 N 600 W Thorntown, IN 46071 2454 West CR 450 North LaPorte, IN 46350 1555 Park West Circle 14000 S. Archer Ave P.O. Box 245 1611 College Dr. 5104 Mann Drive 9350 E. 30th St. 312 E. Main Street 11800 S Ewing Ave 7600 W. 79th Street 10117 Kennedy Ave 7440 W. 87th Place 3200 East CR 350 North Munster, IN 46321 Lockport, IL 60441 Dyer, IN 46311 Mt. Carmel, IL 62863 Ringwood, IL 60072 Indianapolis, IN 46229 Sulphur Springs, IN 47388 Chicago„ IL 60617 Bridgeview, IL 60455 Highland, IN 46322 Bridgview, IL 60455 Muncie, IN 47303 (219) 844-8441 (317) 835-2781 (317) 876-3829 (219) 942-9448 (317) 594-0271 (219) 888-9564 (574)271-8984 482-6184 (765) 482-6284 (219) 362-6178 (219) 922-9829 (815) 838-0320 (219) 864-8733 (618) 262-5118 (815) 653-2585 (317) 594-0291 (219) 922-9843 219) 322-9391 (618) 263-4084 (815) 653-2583 (317) 594-0271 (765) 766-5040 (765) 533-5831 (773) 978-5000 (773) 767-9300 (219) 924-9944 (219) 864-2300 (708) 430-6910 (765) 288-3326 (765) 288-3344 7 General Form No. 96-a Prescribed by the State Board of Accounts of Indiana. Revised 1949. Sitandard Questionnaires and inancial Statement • 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 _ City South Bend Indiana ._.........._. ._._._._...._._._. ._........._._._._._........ ....... ... BY... ._.................... Wa1shIT&ITKelly� Inc. .............. ..... �.�......_...._............... Address ........ 24358 SR 23 South Bend, IN 4014 .._.. Date submitted September 24 2019 Filed A,IE. nsOYCE CO., MUNM, IND. IA Corporation Sec. 2 of an Act entitled "AN ACT concerning the awarding of contracts for the performance of public work and authorizing the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contractors who submit bids for the performance of such work, providing for plans and specifications, providing for bids repealing certain laws and declaring an emergency." (Approved March 13, 1947.) Sec. 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or more, for the purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which of the bidders submitting bids for the performance of any such public work is, in the judgment of such board, commission, trustee, officer or agent, the lowest and/or best bidder and to exercise intelligently the discretion hereby conferred on such board, commission, trustee, officer or agent each bidder shall be required to submit under oath with and as a part of his bid a statement of his experience, his proposed plan for performing such work and the equipment which he has available for the performance of such work and a financial statement. The statements hereby required shall be submitted on forms which shall be prescribed by the state board of accounts. The forms so prescribed shall be designated, respectively, as the experience questionnaire, the plan and equipment questionnaire and the contractor's financial statement, and shall be based, so far as applicable, on the standard questionnaires and financial statement for bidders as approved and recommended by the joint conference on construction practices, for use in investigating the qualifications of bidders on public construction work, and the forms so prescribed are hereby prescribed as the forms which shall hereafter be used by all such boards, commissions, trustees, officers and agents in obtaining the information which is required in the administration of this act. If the information submitted by any bidder on the forms herein prescribed is found, on examination, to be unsatisfactory, the bid submitted by such bidder shall not be considered. (Burns Statutes 1933, Sec. 53-109) Sec. 2, Chapter 306, Acts of 1947. TO THE BIDDER — The following forms of questionnaires and financial statement are prescribed by the State Board of Accounts in conformity with the statute set out on the preceding page. These forms, properly filled out and attested, must accompany each bid of five thousand dollars or more on any public work. The forms are designed to cover all contracts for all kinds of work and the bidder is required to answer such questions as are pertinent to the work upon which he is bidding. The purpose of the questionnaire and financial statement, as set forth in the law, is to enable the awarding body to determine the qualifications of the bidder to carry out successfully the contract if the same is awarded to him. The bidder will find it to his advantage to answer fully all questions coming within the range of the work upon which he is bidding. Particular attention should be given the "Financial Statement" and the details relative to the assets and liabilities set out. This form is made in extensive detail so that the bidder may explain his assets and liabilities in proper sequence and in a uniform manner. T. M. HINDMAN, State Examiner 3 Submitted by ..........................Walsh & Kelly,, Inc. { x A Corporation Principal Office at _m 1700 East Main Street, Griffith, IN 46319 To City of South Bend Indiana EXPERIENCE QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 1. How many years has your organization been in business as a general contractor under your present business name? 52 Years �. ......................... ....... ..... ._. 2. How many years' experience in asphalt paying construction work has your organization had: (a) As a general contractor 71 years (b) As a sub -contractor 71 Years 3. What projects has your organization completed? _� Contract Amount Class of Work leted When Completed �........................... I? __.._._. Name and Address of Owner � ...___. ....11- __ $ 12,926,200 _ ----- Reconstruction - — October 2017 INDOT $ 5,970,162 Reconstruction 6�........_........ 2017 Mayw ...�. wwi ww ....... . ......... Town of Merrillville, IN �. ��.. $ 5,521,799 Resurface ............................ ._____ December 2017 _._........__ City of Mishawaka, IN $ 2,646,574 Reconstruction September 2017 St. Joseph County Hwy De artment 3-A. What projects has your organization now in process of construction? CONTRACT AMT. CLASS OF WORK WHEN TO BE COMPLETED NAME AND ADDRESS OF OWNER $ ................. _ ..... �.� 10,695,118 Reconstruction November 2018 ................ .. ........ ................._.�. Walsh Construction $ 8,146,239 Resurface ........ ........ ....... Ma 2018 _.._.....a' INDOT ...... $ 4,073,719 Reconstruction July 2018 City of East Chicago, IN $ 2,662,813 Reconstruction October 2018 INDOT Have you ever failed to complete any work awarded to you? No If so, where and why? 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 therefor 7. In what other lines of business are you financially interested? None �ITIT IT For what corporation or individuals have you performed work, and to whom do you refer?_ Bl' A,nioco )y iitjpjx,,, Indians _... .....__. ._........ ...._......... _.__....._.. Tonn & Blank Construction 1623 (jivviiwood Ave. Michigan City, IN 46360 Grimmer Construction Co., Inc. 2619 Main Street, Highland, IN 46322 University of Notre Dame,South Bend Indiana Gough, IncIT, 1151w E Summits Crown Point IN 46307 9. For what cities have you performed work and to whom do you refer? Town of Griffith __.._....... ............................ Director of Public Works_ITITIT .______ �.. ..... __. _IT Griffith IN Town of Schererville _ Town Manager Schererville, IN City of Hammond City Engineer Hammond IN _....... ___ .. City of South Bend City Engineer South Bend, IN Town of St. John Town Mana er St. John IN 10. For what counties have you performed work and to whom do you refer? Lake County Highway Superintendent, Crown Point, IN Porter County Hi Highway Superintendent Valparaiso, IN .........m._......._ ____W....... St,_Joseph County H�hwayuS erintendent South Bend IN Elkhart County ITHi hwa Superintendent Elkhart IN LaPorte Count ....................... Highwa,wSuerintendent LaPorte IN 11. For what State bureaus or departments have you performed work and to whom do you refer? Indiana Departrnent of Transportation (INI OT) LaPorte District LaPorte INmm Departmentof Natural Resources......._ Indiana olis IN 12. Have you ever performed any work for the U.S. Government Yes If so, when and to whom do you refer? U.S. Army Corps of Engineers Chicago IL ...................................................._ Indiana National Guard II )qm,, of Administration Tmfi Ella olis P'j ,Federal Highway Administration Sterling, VA mmm 13. What is the construction experience of the priticipal individual of your organization? INDIVIDUAL'S NAME PRESENT POSITION OR YEARS OF MAGNITUDE AND IN WHAT CAPACITY OFFICE CONSTUCTION TYPE OF WORK EXPEREINCE _______.............................. _____ __________ Kevin J. Kelly �uu_ President 33 ... All T es General Mana er Jeffrey L. Swan Executive Vice President 34 All Types ........... Su t. Engineering _........ David J. Misirly Vice President ....._ 33 Bituminous Engineer ................................................. _... .. Pavin Greg A. Hoffman Vice President 31 Bituminous Engineer ....._ .. . ........... ._ ._. .... Pavi ........ John C. Wall Vice President 41 All t es Engineer John M. Peisker —. .......... Vice President 33 All types ._.. ........ General Manager .__.... -. J. Michael Secretary/Treasurer 46 ... Administration General Manager Schaum Jamie L. Tancos Controller 14 Administration General Manager L im J. Bauer �...... South Bend O s Mir 23 All tomes ....... ........ .. En ineer Dustin P. Hilary South Bend Area M r, 18 All t es Engineermmmmmm Mark E. Engineer 28 All types Engineer Krachenfels Keith A. Gardina Engineer 23 1 All types Engineer _....... .......__ Nikolas G. Relias Engineer 16 Bituminous Engineer Pavm PLAN AND EQUIPMENT QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 1. In what manner have you inspected this proposed work? Explain in detail. Plans S ecifications and Site Ins ections ............................1..........�_.�.....................................1.........................................................................................._.......______..... .... ................ ....... ............... .................. ........................................................................................___.,.,..........___..........................s. 1? p 2. Explain your plan or layout for performing the proposed work,......m...... As directed bv owner/en ineer 3. The work, if awarded to you, will have the personal supervision of whom? Kevin J. .11y lle gi�p ".,�-.1) p111_Dusti,n P. ia��sil..C� Bauer 4. *Do you intend to do the hauling on the proposed work with your own forces? Yes If so, give amount and type of equipment to be used As needed �IT ITITITITITIT 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-... ............. . . ................................................ Items 4,5,6 and 7 may not be applicable in all building contracts; if not, omit. 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 . .... _........ . w _Wwwwwwwww 7. *If you intend to sublet the grading or perform it through an agent, state amount of sub -contract or agent's contract, and, if known, the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility ........ 8. Do you intend to sublet any other portions of the work?_..._,, ................ ....... mm ................... It, so, state amount of sub -contract, and, if known, the name and address of the sub -contractor, amount, and type of this equipment and financial responsibility From which sub -contractors or agents do you expect to require a bond? None 10. What equipment do you own that is available for the proposed work? QUANTITY ITEM DESCRIPTION, CONDITION YEARS PRESENT LOCATION SIZE, CAPACITY, OF ETC. SERVICE Asphalt Plants Various Good Griffith South Bend Vail araiso, Lowell, LaPorte 19 Asphalt Pavers Various Good Griffith, South Bend 4 Slipform Cone. Paver Various Good Griffith, South Bend n............................................... .- 3 .. . _ Road Widener Various Good _ ............... Griffith, South Bend 5 Motor Graders CAT/J.D. Good Griffith, South Bend ........................................ 54 .........._............................_.._..._..._........ ..... Rollers Various Good _..� �_. ................. Griffith, South Bend 30 Rubber Tire Loaders Various Good Griffith, South Bend _ _...�........... 15 mExcavatorsmmmmmmmmmm _Various � GoodIT.............. � Griffith, South Bend. ........ ................ 9 Bulldozers Various Good Griffith, South Bend 6 LowBoy Tractors Various Good �ITITITITmmmITITITIT Griffith, South Bend IT-mmITITITITITITITITITmm mIT mm 8 Flatbed Dumps Various Good Griffith, South Bend 48 %z and % ton Picku s Various Good Griffith, South Bend 65 1 Ton Crew Trucks Various Good Griffith, South Bend ......__._......._............-. 3 ._..._...... ..._. _._ Cold Planers Wirtgen 1900 Good _� _._._.........................._._ Griffith, South Bend DC 3 1 Tri-Axle Dump Mack Good South Bend 11. What equipment do you intend to purchase for use on the proposed work, should the contract be awarded to you? ... .... .... ..... ..... ... ......... _ _.. _ _............._. QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC. APPROXIMATE _._._............................................_ COST None 12. How and when will you pay for the equipment to be purchased? N/A 13. Do you propose to rent any equipment for this work?No If so, state type, quantity and reasons for 14. Have you made contracts or received firm offers for all materials within prices used in preparing your proposal? Do not give names of dealers or manufacturers Dated at .........................South I3eilid t],iis 241" p 9 - � a.h� ��J��. September, 2�1 � � . Walsh & ill rtc (Name of 0 at ation� " B.>. ustin I-lilarv. VP of South Bend Ar itle of Person Signing) STATE OF Indiana Iss. COUNTY OF St. Joseph Dustin HilqU being duly sworn deposes and says that he is VP of South Bend Area of the above Walsh &ITelly. Inc.ITITITITIT� (Name of Organization) and that the answers to the questions in the foregoing questionnaires and all statements therein contained are true and correct. Subscribed and sworn to before me this 24th day of Set ember 2019 Alisha Krue r Notary Public M Commission expires June...5. 202 ......wwwwµ �'��dp'' ���tary Public, KR � EtG Indiana 3' p _ .... AL15H " ic, state g st, Joseph County My Commission Expires YY •�' ", June 06, 2022 WRITTEN CONSENT TO RESOLUTIONS of the BOARD OF DIRECTORS of WALSH & KELLY, INC. The undersigned, being all of the Directors of WALSH & KELLY, INC., an Indiana Corporation, hereby consent to the following actions to be taken by the Corporation without a meeting of the Board of Directors under the applicable provisions of the Indiana Business Corporation Law, as amended: RESOLVED that the following be, and hereby are, elected officers of the Corporation, to hold the office until the next regular meeting of the Board of Directors and until their successors are duly elected and have qualified: Kevin J. Kelly, President and Chief Executive Officer Jeffrey L. Swan, Executive Vice President John P. Vercruysse, Executive Vice President Jamie L. Tancos, Controller John M. Peisker, Vice President of Asphalt Operations David J. Misirly, Vice President Albert E.VanDenBergh, Vice President Gregory A. Hoffman, Vice President John C. Wall, Vice President J. Michael Schaum, Secretary and Treasurer, CFO David L. Franz, Vice President of Finance Dustin P. Hilary, Vice President Lynn J. Bauer, Vice President Mark E. Krachenfels, Vice President RESOLVED FURTHER that the actions of the Officers of the Corporation taken since the last meeting of the Board of Directors be, and the same hereby are, fully ratified and approved. RESOLVED FURTHER that the following be, and they hereby are, authorized to execute all contracts or similar documents on behalf of the Corporation: Kevin J. Kelly, President and Chief Executive Officer Jeffrey L. Swan, Executive Vice President Jamie L. Tancos, Controller John M. Peisker, Vice President of Asphalt Operations David J. Misirly, Vice President Gregory A. Hoffman, Vice President Dustin P. Hilary, Vice President Lynn J. Bauer, Vice President John C. Wall, Vice President J. Michael Schaum, Secretary and Treasurer, CFO Mark E. Krachenfels, Vice President RESOLVED FURTHER that this consent shall be in lieu of an annual meeting of the Board of Directors of the Corporation and shall be filed in the minute book of the Corporation in place of any such annual minutes. <<SIGNATURES ON THE NEXT PAGE>> EXECUTED this 28"' day of March, 2019. Fr�ee�sete� , �jr F" VanDenBergh Kevin J. Kelly James SCAlf"eld ....... . . . .. t, P. Vercruysse EXECUTED this 28"' day of March, 2019, Fred Fehsenfeld, Jr. James C. Fehsenfeld Bert E. VanDenBergh John P. Vercruysse CERTIFICATE OF QUALIFICATION to provide CONSTRUCTION SERVICES for PUBLIC WORKS PROJECTS to the STATE OF INDIANA This Certification Board, having duly considered application for qualification in terms of apparent experience and financial resources; and under the applicable Indiana Code 4-13.6.4 and adopted rules of this Board, hereby issues a Certificate of Qualification to provide construction services to the State of Indiana for Public Works Projects to: WALSH & KELLY INC 1700 E MAIN ST GRIFFITH IN 46319 Phone 219-924-5900 Fax 219-924-8768 Company Official KEVIN KELLY for the twenty-seven month period stated herein, unless revoked by this Board for cause, and in the classifications ofservices stated below. This certificate supersedes any previous certificate. 1611.01 Concrete Construction of Roads & Curbing 1611.02 Asphalt Construction of Roads and Parking Lots CERTIFICATION DATE 3/14/2018 EXPIRATION DATE 6/14/2020 THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD, 402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS. INDIANA 46204, ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION. Tracy L. Cross, Executive 'Sr relary Certification Board DAPW P02 State Form 3983R Rev. 07MO State of Indiana Office of the Secretary of State CERTIFICATE OF EXISTENCE To Whom These Presents Come, Greeting.: I, CONNIE LAWSON, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of the State of Indiana, the custodian of the corporate records and the proper official to execute this certificate. I further certify that records of this office disclose that WALSH & KELLY INC duly filed the requisite documents to commence business activities under the laws of the State of Indiana on March 29, 1966, and was in existence or authorized to transact business in the State of Indiana on September 05, 2019. I further certify this Domestic For -Profit Corporation has filed its most recent report required by Indiana law with the Secretary of State, or is not yet required to file such report, and that no notice of withdrawal, dissolution, or expiration has been filed or taken place. All fees, taxes, interest, and penalties owed to Indiana by the domestic or foreign entity and collected by the Secretary of State have been paid. In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, September 05, 2019 CONNIE LAWSON SECRETARY OF STATE 194484-057 / 20191089739 All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate Expires on October 05, 2019. GRIFFITH SOUTH BEND Walsh & 1700 East Main Street 24358 SR 23 O)o Griffith, Indiana 46319 www.wakishkolly.com South Bend, Indiana 46614 Phone (219) 924-5900 Phone (574) 288-4811 ... Fax (219) 924-8768 Fax (574) 289-7174 EQUAL EMPLOYMENT OPPORTUNITY POLICY I. It is the policy of this Company to assure that the applicants and those that are subsequently employed are treated without discrimination without regard to: their race, religion, sex, gender identity, sexual orientation, color, national origin, age, association with the Vietnam era or any other war, disability, genetic information, citizenship status, military status, veteran status, ancestry, or any other status protected under applicable laws. Such action shall include: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, pre -apprenticeship, and/or on the job training. A. The Contractor will work with the State Highway Agency (SHA) and the Federal Government in carrying out EEO obligations and in their review of his/her activities under the contract. H. Director of Human Resources; Randall L. Walls, shall be designated as Walsh & Kelly, Inc.'s Equal Employment Officer. He will be responsible for all activities associated with the implementation of all policies affecting equal employment opportunity. M. Walsh & Kelly, Inc. assures nondiscriminatory recruitment by taking appropriate steps such as: A. Placing employment advertisements in newspapers which serve the largest number of minority and female groups in the recruiting area. B. Recruiting through schools and vocational colleges having substantial proportions of minority and female students. C. Maintaining systematic contacts with minority (MBE), female (WBE), disabled (DBE), Veteran (VBE) and human relations organizations leader's referral of qualified minority applicants. D. Encourage present employees to refer minority and female applicants. E. Make it known to all recruitment sources that qualified minority and female members are being sought whenever there is hiring. IV. This policy is intended to comply with the Civil Rights Act of 1964, as amended, the Federal Highway Act of 1968, the Executive Order 11246 and 11375, the Rehabilitation Act of 1973, as amended, the Disabled Veterans and Vietnam Era Veterans Readjustment Act of 1974, as amended, the Indiana Civil Right Act, and other Federal and State Laws and Regulations pertaining to Equality of Opportunity and Affirmative Action Policies. V. Forms for filing any complaints are available in the Griffith office located at 1700 E. Main Street, Griffith, IN 46319 or the South Bend office located at 24358 S.R. 23, South Bend, IN 46614. In addition, employees can call (574) 288-4811, Ext. 211 to report any workplace concerns under this policy. WA14SH & KELLY, INC. Jahn C. Wall Vice President/EEO Officer Revised: August 1, 2019 w INDUINAPOUS, IN April 25, 2019 0 WALSH & KELLY INC GRIFFITH, IN x, • w • . r � . - w r •rw „.• •�w *, i•:'ww A w• w :• ♦ ♦ w iw - :M r:.MMr: • wv:.r.w ��a� _�: r "w» 'w « • war as • w: w: • w • � • .�r: w 1w : � sc w � wy w •' q' • � r; � `a: w : :..-: dw;: a "w~: ,w w' • K w Y w w w u w • • w Valid May 1, 2019 Thru April 30, 2020 AGGREGATE....................................................................................................................................... $UNLIIv= A(B) CONCRETE PAVEMENT. I.Ibli=......................................................................................................... $25.000,000 B(A) ASPHALT PAVEMENT: W/INDOT CERTIFIED HMA............................................................................$UNIINIITED C(B) LIGHT GRADING.......................................................................................................................................$UN1,54TED E(E) SMALL STRUCTURES AND DRAINAGE ITEMS ............................................... .................................... $25.000,000 E(F) SURFACE MASONRY AND MISC CONCRETE .......„ ...... --- .......... ......... $50.000,000 E(0) TRAFFIC CONTROL: PAVEMENT MARKINGS ........ ........, .,. —........ $25.000,000 E(H) DEEP SEWER AND/OR EXCAVATION.................................................................................................... $25,000,000 E(Q) CONCRETE PAVEMENT REPAE2S.......................................................................................................... $25.000,000 E(R) ASPHALT PAVEMENT M JJ NG....................................................................._....................................... $50,000,000 • I ARX ALIFII ATION ENGINEER State Fr+ 20508 (R3 / 5-05) -, �ww " �wl' o�r u �w • iMER w. PREQUALIFICATION WORKSHEET ACCT: #35-1120685 ALT ACCT: # 0449 NEW? SUM NAME: WALSH & KEE I Y INC December 3l,2018 ASSETS REPORTED LIABILITIES REPORTED ($16,642,474.00) MET MSETS RETORMI.) $25,952,308.00 09 MllNO 3.31.1"FAII., 014. QUANTITY ($3,570,326,00) 11 NO DETAIL ($167,486.00) 15 VALUE $1.253,591.00 16 OM11"I'l9l,ANGIBILES $0.00 2.2 DITE, AF114R 24 MON17119 $0.00 NT."I'FIXED ASS W—J"PMKDASSE,T'S EQUIPMEIN'T NET ACCEPTABLE ASSETS RATING FACTORS ............ — ............ RATING COMPONENTS MAXMJM EQUIPMENT NOTES: $0 PRINTED: 4=019 PQAAPPROVED: 419t2019 APPROVED BY: t�� DATE: 4 CURRENT FIXED EQUIPMENT ........... ....................... $42,594,782.00 $9,745,338.00 $28,570,400.00 VALID: ($16,987,249.00) EXPIRES: DENZADATE: ($7,241,911.00) $28,570,400.00 L DENLALLREASON: $0.00 $0.00 $0.00 $0.00 ($1,253,591.00) $0.00 ($1,152,280.00) $0.00 $13.690,291.00 $0.00 $0 $23,468,087 $4,042,509 $28,570,400 x to x 2 x 8 $234,680,870 ITT $8,085,018Y44 f228,563,200 x 1.5 $229.563,200 $352.021.305 so 8.00 $228,563,200 $0 $234,690,870 + $4,042,509 $463,244,070 $4,042,509 X 0.25 X 2 5/It20I9 4/30=20 COMPONENT RATING CURRENT $234fi80,870.00 FDCED $8,085,018.00 EQUIPMENT ............ $228,563,200.00 MAXM4UM BALANCE $471.329,088.00 STATEMENT TYPE: AUDITED EXPER. REDUCTION 00/0 AGGREGATE UNLMTED A(B) $25,000,000 B(A) UNLlIvffMD C(B) LlNUIVMD E(E) $25,000,000 E(F) S50,000,000 E(G) $25,000.000 E(H) $25,000,000 E(Q) $25,000,000 E(R) $50,000,000 - ------