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Opening of Bids - 2019 Demolitions, Phase 2 Project No 117-079 - Green Demolition Contractors
CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK, Project Name 2019 Demolitions, Phase 2 ...... Project No. 119-079 ........ ......_ For Bids Due October 22, 2019 .........� PART (Must be completed for all bids. m e ty e or print) % Date: �' e Bidder (Firm): I P vA,i> ,.„ . r � . � ��µ4nn, � Address: City/State/Zip: 1 Telephone Number: i" f "-, 4 - Agent of Bidder (if Applicable): Pursuant to notices given, the u c complete g' undersigned offers to furnish labor and/or material necessary to complete the public works project of: the City of South Bend, Indiana, in accordance with plans and specifications prepared by: and dated for the sum of (enter the Total Bid as shown on the Proposal) .� �, .:�.�.�� .. � � �_ �, ;......�.:�!.�✓� .�,� ��,t ' � �y° �.�� � (t~lumerical � �)�� (Enter sum of Total Base Bid plus Alternates shown on Proposal) � c es The undersigned further agrees to furnish a bond or certified check with this bid for an amount sped 'n the notice of the letting. If alternative bids apply, the undersigned su' its a pry osal for each in rdance with the notice. Any addendums attached will be specifically ref ced at applicable p If additional units of material included in the cq tractWare n d the s of units rd be the same as that shown in the original contract if accepted the City o h Be the bid i o be awarded on a unit basis, the itemization of the units shall b shown o se rate a ment. The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member Laura L. O'Sullivan, Member day of Name bfPeftn Signing) Genevieve E. Miller, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk Version 4/2/2019 Contractor's Bid for Public Works - 2 c � BID/PROPOSAL �rU 1710 CITY OF SOUTH BEND o Project Name: 2019 Demolitions, Phase 2 Project Number: 119-079;.� For Bids Due: October 22, 2019 Ins ' Contractor Name: DIVISION A Item No. .. ......... Description ......... Asbestos Abatement LS Demolition LS Total Amount A-01 Demolition of 716 Patterson Dr, House, Garage and Fence ....._ $0.00 $ % -3i 00 b $ 15, DOD Demolition of 1121 Oak Park Ct. __...... _ - ........ A-02 House and Fence **Duct $ (�}� $ DCO $ Wrap A-03 Demolition of 2117 S St Joseph ...............St. $0.00 $ Z $ 21 House and Fence Demolition of 222 E Haney Ave. A-04 House, Shed and Fence **Window Glaze, Exterior Siding, _ $ � �'� � $ 16, d Dd $ 2_2,kS3 Floor Cover Duct Wrap A-05 Demolition of 1616 Warren St. House, Garage and Fence $0.00 $ iz,40C) . ..,-, $la*4ab Demolition of 1327 W Sample St. A-06 House and Garage $ %�i-S� -� $ �� DOD $41 'b Wrap_ A-07 .....**Duct Demolition of 606 Dundee St. House, Garage and Fence $' l , U Floor Tile A-08 Demolition of 114 N Illinois St. House, Garage and Fence $0.00 $ SDI) A-09 Demolition of 3805 W Jefferson Blvd $0.00 $ XDD $ U MD House, Shed and Fence A-10 Environmental Allowance _ - $10,000 DIVISION A TOTAL "DENOTES HOMES WITH ASBESTOS MATERIAL. VERIFY WITH INSPECTIONS & REPORTS FOR PROPER DISPOSAL. DIVISION B Item No .. ................. Description .... . Asbestos Abatement LS Demolition LS Total Amount Demolition of 130 N Olive St. B-01 House and Fence **Pipe $ $ �2,S-Qo $ Wrap, Duct Wrap agSo 1 Demolition of 1317 Linden Ave B-02 House, Garage and Fence **Duct $ l $ I3 $ ) < Wrap i , QZ&1 B-03 Demolition of 1121 Birner St. House Fence and **Duct Wrap,Duct Tape $ YID � $ )3 1 CM $'I 1 I JD tiP1 't' Demolition of 515 Allen St. B-04 House and 2 Garages $ 1 7 $ I �I $ **Duct Tape, Duct Wrap m � ( 3 Version 4/2/2019 Contractor's Bid for Public Works - 7 BID/PROPOSALz1.�� CITY OF SOUTH BEND�� Project Name: 2019 Demolitions, Phase 2 Project Number: 119-079, For Bids Due: October 22, 2019 Contractor Name: DIVISION B Demolition of 519 Scott St. B-05 House and Fence **Pipe Wrap Demolition of 718 Allen St. B-06 House and Fence **Cold Air Wrap, Duct Wrap, Duct B-07 Demolition of 723 Blaine Ave House, Garage and Fence __ B-08 Environmental Allowance 6-30 $ 1a,s� $ 1 s,13o $0.00 $ ) 31$ - - $10,000-,M.. DIVISION B TOTAL "DENOTES HOMES WITH ASBESTOS MATERIAL. VERIFY WITH INSPECTIONS & REPORTS FOR PROPER DISPOSAL. ASBESTOS ABATEMENT UNIT PRICING (required for all bids) Item No. Unit Pricing if Required Unit Add Per Unit Price I. Removal, Management, and Disposal of Linear Feet Duct Tape Material Conta..ininAsbestos g ............ .... II. Removal, Management, and Disposal of Square Feet $ 4 .._...._ __ Duct Wrap Material Containin Asbestos _ Removal, Management, and Disposal of ........... ....... Ill.. Floor Tile and Mastic Material Containing Square Feet $ Lt 3 s' Asbestos , IV. Removal, Management, and Disposal of Square Feet $ ' I Plaster Material Containin Asbestos `-tom Removal, Management, and Disposal of V. Corrugated Sheet Material Containing Square Feet $ Asbestos .. Removal, Management, and Disposal of ..-.__ _...... VI. Attic Insulation Material Containing Square Feet $ Asbestos VII. Removal, Management, and Disposal of Transite Siding Material Containing Square Feet $ Asbestos Bidder (Firm): Address: City/State/Zip: r" —AP LJ Version 4/2/2019 Contractor's Bid for Public Works - 8 BID/PROPOSAL�,°r� CITY OF SOUTH BEND Project Name: 2019 Demolitions, Phase 2 ; Project Number: 119-079�" For Bids Due: October 22„ 2019 Contractor Name: nature) (Printed a ( nted Name of Person Signing) Version 4/2/2019 Contractor's Bid for Public Works - 9 When the prospective Contractor is unable to certify' to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF SS: -WAhe 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 fin-ther 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 day of Printed Name and Title Subscribed and sworn to before me day of OCT— 20—Lj My Commission Expires (1. ... ........... . . . . . . . . Notary P 't County of Residence �'h,ELLY,AMM LMAG �,PJIY PLJO K, — OFRGAAL. SIEN Statie of in6ana, LaPoNle County C 'i�pires t er26,,2.0]2 Cora (a ctob L Version 4/2/2019 Contractor's Bid for Public Works - 6 0.1�301,1 Vw"I,-�AIA CONTRACTOR: (Name, legal status and address) Green Demolition Contractors, Inc. 4640 S. St Louis Ave Suite 100 Chicago, IL 60632 OWNER: (Name, legal status and address) City of South Bend, Indiana -Board of Public Works County -City Building Room 1316 227 West Jefferson Blvd South Bend, IN 46601 cy1 WE SURETY: (Name, legal status and principal place of business) The Ohio Casualty Insurance Company 175 Berkeley Street Boston, MA 02116 BOND AMOUNT: 5% not to exceed Seventeen Thousand Dollars This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. PROJECT: (1Vame, location or address, and Project number, ifan)) Demolition - Wreck & Remove - 2019 Demolitions, Phase 2 - Project No. 119-079 - Demolition of 16 homes. The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor. and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond t id not as a common law 9)oiid, Signet and sealed this ir7 day of (Witness) tl 'itness) (Seal) Kugh - President and Indemnity Company !-Title)David S. Parrilli - Attorney -In —Fact ttdl. 110l,,k shca,o.ald ''tg n an asdgiirtfl A� A tmonilh'nact. 4) aciiAr point w° aalurlhu 4i 111hi.a text a ppso rs, in ltiliD, tea[ w'it,griza ,ms^ res tht,,ut; aah,,,,ariges, ^mallll m°tot b* ar�ubrdari°ta.aic'atd, Copyright © 1963, 1970 and 2010 by The American Institute of '" „_ ... _ww Init. rights AIA Document A370 2010 C Architects. All n hts reserved. trtf;dt+� hhiat4:a i ra th�latt Document aat [r�a, t�aaeata a.Pe r& t�ayr 1 t .�a, CaaalBatrriptl �9, l..sa uar ;tart li"tt.a riisat iaur,°al l as ,atia. a�u. 4dir,uat trrt°aria u st i a paira,ark�aa;rrri�r aai rd[. troburaoui of 9l uira ASA op ,any pra Nan ert ir, may ta:aai0f, in seva as civil aancl crhrnY la l Iaroriaalties, ,,mil �A'd1 lx Iar asa cuted to the tnt t dirrrunn extent pa sita6r, under ttta %,aw, t purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copydght@aia,org 061110 This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. 1i Crty, Liberty Mutual Insurance Company Mutual.. The Ohio Casualty Insurance Company Certificate No: 8201920 - 285108 West American Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Brandie Cathl% Amy C, llaraner� David L. Gcnrungs, Qlccsl° �:c F, fwt„prllkrls, Jr , 8�}r�ta�u O'Neilf�� David S. Parrilli; H. Donald M'�trpet� a n; Susan M. frresisairu p�Ptilii 1 C, ticiincr" Robert Il %Vrdkarr �..._www. --- ............. m....... _.... all of the city of { 11Ivs ,ap state of l Minors each individually if there be more than one named, its true and lawful attorney -in -fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 16th day of August , 2019 . Liberty Mutual Insurance Company INSU,?. Y INS& 1Nsuq_1 The Ohio Casualty Insurance Company Qa+a al to o West American Insurance Company 1912 0r1919 1991 �' 0 * �` � ap e�es+eti � ��'�*��t, .�� � By. David M. Carey, qs.+� � wi3 •S D rP� ^aaal,�rw ,y * sistant Secretary State of PENNYLVANIA 5 County of MONTGOMERY ss a) On this 16th day of August , 2019 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o F Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes a) > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. _0 o .. 0 V) r O � � n � ay{�. ,,� "� COMMONWEALTH OF PENNSYLVAN,I,A p�tiSeal 0 (D W� y ti`o Ur ublic rI\h'cie n1wall Manly erlr y(ouuf By: •^ "� C= I n r v Y - q 1 r" f, 11�y f tirnrmg&iurr f xpu �;;, Ilq aeli /8 .YG.�i � ,d ... .... erase Pastella, Notary Public N +-' a ` A Mantheir, Ronnsyfvn w AssuciMion of N0VA6arP,� 0) a) This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual o .S Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: E 6 ARTICLE IV— OFFICERS: Section 12, Power of Attorney. o MAny officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the g >1 President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety M C any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such Zinstruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings, Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, _....... —1 shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in - fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid aud.,bii;ding tt ,on the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and ,Nest Ame ican Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. 7 z� IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this / day of O('7-e:73 s tNsts "11 tnr 1NSUi? M"NF�arNrC �a �rrrrrr 4y U� aa�sK '�ca riY ~� �' �✓a fi r� � �� ass 1912 0 1919 1991 1yV"r°%crra r`�bryaevvr1a °xraa By. pzy M, b'' Renee C....Llewelfyn, Assistant Secrelary rn rn a) c in c 0 H U) w 0 Cl) 0 c cc 0 M O <5O c Da) >o a) N N Cl) 00 019 LMS-12873 LMIC OCIC WAIC Multi Co 06201e 1316COUNTY-CITY BUILDING PHONE 574/235-9251 227 W. JF.FFERSON BOULEVARD �' FAx 574/ 235-9171 SOUTH BGND, INDIANA46601-1830865 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: October 18, 2019 To: All Planholders _W- From Linda M. Martin Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: 2019 Demolitions, Phase 2 Project Number: 119-079 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM. Date Received: This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the hoard of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifit Documents and become a part of herein. Company: Authorized Signature: Date: Version 4/2/2015 Contract PROJECT NAME: 2019 DEMOLITIONS, PHASE 2 ADDENDUM NO. 1 Date: October 18, 2019 To: All Plan Holders From: Linda M. Martin, Clerk of the Board of Public Works The following information is to be added/changed to the contract documents: specifications: Section XXXVI, Topsoil and Hydreseeding Mulched White Dutch Seeding: Revise: XXXVI.B.5 "Each site is to receive reseeding White Dutch seeding. The seeding shall be applied in a mixture of water and mulching material." Add: XXXVI.B.5.a "Application shall have a minimum of 95% coverage, with no bare areas greater than eighteen (18) inches in dimension. " Add: XXXVI.B.5.b "The Contractor is responsible for watering for thirty (30) calendar days after placement of the seed per the schedule set forth in the Prevailing Specifications. " A FULL AND COMPLETE COPY OF EACH CORRECTED PAGE IS ATTACHED TO THIS ADDENDUM. You must acknowledge receipt of this addendum by signing the first page, returning it via facsimile to (574) 235-9171, and a copy of the first page must be included with your bid. — This addendum consists of a total of 2 pages — Version 4/2/2019 INN PE11400362 _ aIA FE OF � a S, At CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORD 1865 4 CHECKLIST FOR BIDDERS Project Name 2019 Demolitions, Phase 2 Project No. 119-079 ..................................... For Bids Due October 22, 2019 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted Form [MWBE-2.1]. Acknowledge Receipt of _/__ Addendum(s) included with the bid. All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder; of the need to read and comply with the specifications. Bidder:. U " Date: L . By Authorized resent Signature. _. Print Na e I le: Version 4/2/2019 Contractor's Bid for Public Works -1 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name 2019 Demolitions, Phase 2 Project No. 119-079 For Bids Due Q tober 22, 2019 Contractor Name: The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements in compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. INSTRUCTIONS: If you are a pre -qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section II only. Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") by December 31 sc for the upcoming calendar year, or within twelve (12) months of obtaining pre - qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal of the designation, effective January 1 of the following year, or immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 5/16/2019 General Conditions - 6 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder and all subcontractors on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the information provided by the contractor. Version 5/16/2019 General Conditions - 7 PRE -QUALIFIED BIDDER CHECKLIST (a) Ack lodgements: By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter is attached. By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (b) Attachments: (i) _ Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) — Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. (iii) List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. (iv) For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. Version 5/16/2019 General Conditions - 8 PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) _ By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) _ By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. (iii) _ By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at any time and shall be furnished upon request. (iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (b) Attachments: (i) _ Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). List identifying all former business names. Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. (iv) Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (vi) For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. (vii) Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. (viii) Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. Version 5/16/2019 General Conditions - 9 Written statement of any federal, state or local tax liens or tax delinquencies owed Uoany federal, state orlocal taxing body inthe preceding three years. List of projects of similar size and scope of work performed in all areas, including prior to the date on which the bid is due. (Print Name Here) (Name of Company) (State) -? ? '3 / /? q� 9 L (Telephone Number) 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 11 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. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? 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 W G W ag w ow mW0 OC a Oiz y N W OmCL H_ W W V O W �0 0 Z rQ O z E z _O O ~ �a W V Mp �a W m LL O� W m 2 C m O C m E =o v3: M `O MC. W ` O W m 2 O 01 = 0 C .) O >>M c 0 W ;cr or IL N N O d N d C a u, m R o 0 3 o ` O O r+� Vc .O+ .E C 'o M ram) C. >� M cc r� U t M s r 3 3 G1 > a N = C O 7 Q. O W L N � O y d � d O .0 C E�� 0 L y W N C H = o 7 m 0 W CO Cp w CL m 2 11 a) f0 N p O Cl Oo ~a CD �F m c O o = 0 E 0 0 LU co O m _ Q V r (� N (� 6 U a7 a C 0 €. aCD a, (D_ a � Y 'a)� � rc— CL L) a) `J V V CL 0 O `J J L a7 Q J = mO .._.._.._.__.._ W ...... ......... . a� 0 C 9 0 cu �( o U �, 7 z � ( �� � Co Z a` ............................... IImo__ m ^�w O N < 4 co E, T a CD O cn N N 0 0 Y >0 U 7 0 00 0 U N _ 0 U WL CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY,' DEVELOPMENT PROGRAM )2 mj FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS` This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBE/WBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business as defined by the Indiana Department of Administration ("IDOA"). Project Number: 119-079 _ _ Date: b �a Project Name: 2019 Demolitions„ Phase 2 ro � Bidder: �' Contact Person: z k4t � , Telephone: Address: a, City:,��; ."�,,..y� State: Zip: Email: 1-421--i V) C , Lry"N To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: ........ ......... ........ EVIDENCE OF GOOD FAITH EFFORTS ._._ ...... MBEIWBE 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 Bad.�equires that all perspective bidders complete no less than 2 of the following: ( ,�„1. Attend all pre -bid meetings scheduled by the City to inform MBENVBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBENVBEs reasonable time to respond. 3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBENVBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 4. Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBENVBE firms. "Bidder must circle or otherwise notate which of the two (2) required actions were performed. ................................................................. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBENVBEs, including providing such MBENVBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBENVBEs 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 MBENVBEs in order to increase the likelihood of meeting the MBENVBE goals (including breaking down contracts into smaller units to facilitate MBENVBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has bid on the subcontracting opportunity: ` 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBENVBE was unqualified to perform the job. ........ ........ ......... ..................- *Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 4/2/2019 Contractor's Bid for Public Works - 11 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY" DEVELOPMENT PROGRAM 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 Cti Pro" "INtaber 119-079 MBE/WBE Participation Goal roject IVare:. �1 erool(ior�"I� (Sire) (Title) (Date) MBENVBE Firm "� ,42Lw �y-)�� Owner or Contact at MBENVBE Firm e-: a n -, Telephone: Q I ga,(�3p Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBENVBE FIRM: vv` MBENVBE Firm < Owner or Contact at MBENVBE Firm Email: A ` Telephone: ��74-.340'SL(-2DFax: ............. Email: lYy1 tr �1/Z TYPE OF WORK SOLICITED FOR THIS PROJECT;. RESULTS OF CONTACT WITH THE MBENVBE FIRM.. -TA� &e. , ( 1 Version 4/2/2019 Contractor's Bid for Public Works - 12 Laura Ha as From: Laura Hayes Sent: Friday, October 11, 2019 6:08 PM To: Sandra Smith Subject: 2019 Demolitions Phase 2 Sandy Green Demolition will be bidding the 2019 Demolitions Phase 2 Project for the City of South Bend wish once again to utilize your firm with the success of the project. Thank you, Laura Hayes Green Demolition Contractors 523 Northbrook Drive Michigan City, Indiana 46360 773-477-7160 direct 773-477-7149 fax Laura Hayes From: Laura Hayes Sent: Friday, October 11, 2019 6:07 PM To: Kim Johnson Subject: 2019 Demolitions Phase 2 Kim Green Demolition will be bidding the 2019 Demolitions Phase 2 Project for the City of South Bend wish once again to utilize your firm with the success of the project. Thank you, Laura Hayes Green Demolition Contractors 523 Northbrook Drive Michigan City, Indiana 46360 773-477-7160 direct 773-477-7149 fax CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96 i; State Form 52414 (R2 12-13) I Form 96 (Revised 2013) Prescribed by State Board of Accounts *w„a+eo�r„„.+ PART (To be completed for all bids. Please type or print) Date (month, day, year);: April 2019 1. Governmental Unit (Owner): City of South Bend Indiana 2. County St. Joseph 3. Bidder (Firm): Green Demolition Contractors Incorporated LLC Address: 523 Northbrook Drive City/State/ZlPcode: Michigan City, Indiana 46360 4. Telephone Number: 773-475-4045 5. 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 City of South Bend Indiana Department of Public Works No. 119-079 (Governmental Unit) in accordance with plans and specifications prepared by Department Public Works Division of Enineering & Department o Code Enforecement and dated for the sum of 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 that 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 day of subject to the following conditions: Contracting Authority Members: PART II (For projects of $150, 000 or more — lC 36-1-12-4) Governmental Unit: City of South Bend Department of Public Works Bidder (Firm) Green Demolition Contractors Incorporated LLC Date (month, day, year): October 22, 2019 These statements to be submitted under oath by each bidder with and as a part of his bid. Attach additional pages for each section as needed. 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? m......m...... m.....�...... .. �.......... ....�����mm....n ..�........,,...,, ..,,,----.............................�.�.� .�.�.� Completion Contract Amount Class of Work Date Name and Address of Owner See attached .............. 2. What public works projects are now in process of construction by your organization? Have you ever failed to complete any work awarded to you? No If so, where and why? 4. List references from private firms for which you have performed work. See attached SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE Explain 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 governmental unit to consider your bid.) See Attached 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 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. See Attached 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. See Attached 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. See Attached 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 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 include 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 PUBLIC WORKS AREAUE AND CORRECT. Dated at LaPorte Coqnty the 22 day of Octob9 Gree o r ors Inco ted LLC r (Name of ani, ation) rough, -President (Title of Person Signing) ACKNOWLEDGEMENT STATE OF Indiana LaPorte ) ss COUNTY OF m� Before me, a Notary Public, personally appeared the above -named Mlchae J. BrouCjh and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 22nd day of October 2019 Notary Public My Commission Expires: 10/2 i/2022. County of Residence: LaPorte 1(�,'3 1. i�h,a�t�R', t, --OFFICIALSEAL e m Ri ��i was LaPorte County Mn°s oG,n I x urn �� : October , 0 (fl 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 October 22, 2019 City of South Bend Indiana 227 West Jefferson Boulevard South Bend, Indiana Re: 2019 Demolitions Phase 2 South Bend, Indiana Green Demolition Contractors, Inc. is committed to exceeding the Goal from a Section 3 firm. Green Demolition Contractors, Inc. currently has a relationship with Kennedy Express Line South Bend, Indiana MBE, WBE, and Section 3 Certified. It is the intent of Green Demolition Contractors, Inc. to utilize Kennedy Express Line for disposition of debris and if applicable, recycle / reuse of any materials being deemed as such. Thank you, Michael Brough, President Green Demolition Contactors, Inc. I 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 Section II Plan and Equipment Questionnaire 1. Green Demolition Contractors Incorporated LLC will mobilize at the site and perform inspections. We will confirm utilities are disconnected, abatement is complete, and the structures are free of pedestrians. Then, we will demolish the structure. We will salvage and recycle materials to meet deconstruction qualifications if applicable and load out debris. Concrete and brick will be demolished and loaded out. We will backfill and compact site per specifications. This will be repeated at each property. After all properties are complete, we will perform seeding the seeding at each property. 2. Kennedy Express Lines 23300 S R 23 South Bend, IN 46601 Republic Services / Green Tech Transfer Services 2500 Green Tech Drive South Bend, Indiana 46613 3. Not Applicable 4. Two CAT 320 Excavators Two T-300 Skid Steers (1) One Mack Semi 65 yard Roll Off (1) One Mack 6 Wheeler 40 yard Roll Off (1) One Mack Semi Low Boy 5. Yes Hauling / Trucking y 0 N N V7 m E 0 04 M N N tn 0 LL a� m 0 r m d 0 (D M CD It ca c ca c U c (Q L U P� w O LL U— O c m L O U) 4-- O -2 ca O cm c 0 aD N N N IE August 21, 2019 Certification Board Public Works Division Indiana Government Center South .ter 402 W. Washington Street, Room W467 Indianapolis, Indiana 46204-2716 Re: Green Demolition Contractors Inc. Dear Certification Board, Public Works Division; In compliance with Indiana Senate Enrolled Act 508 — Public Works Prequalification of Contractors, this letter will serve to confirm that at this time the above captioned contractor qualified for Performance Bonds in excess of $150,000, subject to a single job limit of $2,000,000 and an aggregate limit of $4,000,000 for bonded work in progress. Please be aware that the execution of payment and performance bonds by Liberty is subject to the positive review of all standard underwriting considerations at the time of the request and satisfactory review of any contracts, terms, conditions, specifications, bond forms, and owner financing tendered to the principal and the surety at the time of award. Sincerely, David S. Parrilli Authorized Surety Agent Member of Liberty Mutual Group This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company Mutual The Ohio Casualty Insurance Company Certificate No: 8201920 - 285108 ••--•-•••---...,., m - West American Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Bl1 andic Catlin; Amy C. Homer; David L. Jennings; George F, Manikas, Jr.; Doug O'Neill; David S. ParriIli; H. Donald Peterson; Susan M. Preissing; Philip C. Reimer; Robert H. Walker all of the city of C"hicsgo state of Illinois each individually if there be more than one named, its true and lawful attorney -in -fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 16th day of August , 2019 . Liberty Mutual Insurance Company tNtsu'l, t t1f INS4, tNsu,p� The Ohio Casualty Insurance Company ca ° w� t `d e as r tx - West Anner can Insurance Company " 1912 1919 1991 0 ° rcttaus ae d v � r as b ;, 04, h ,r a alpJ « t By: David M. Carey, Assistant Secretary State of PENNSYLVANIA County of MONTGOMERY rn in a) c N i a) On this 16th day of August , 2019 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o i c7Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes, � i > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. cr w co E IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. o rr vfitUgcUeW �* " C{? M0,,NwEALr,H OF PENNSYLVAN,A d ,� "od.,� `,�„ Note Seal "'^, , Teresa Pastelle, Notary Public �; �,"�1 C Upper MadanTnrp.. Montgomery County By:. '^� 0 Co M Commission Expires March 28, 2029 E µrM y w Teresa Pastella, Notary Public0 to r01WArmi o (D 417 . . This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual i .S Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: 0 (D to ARTICLE IV - OFFICERS: Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the D s President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety > o s c any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall 12 N a) have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such '" C? cJ instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. o ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings. to — Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, w0- shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in - fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of allomey issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 21 St day of August , 2019 as n m ari taat a"ra CrV,p q �1GC, 1 1912 is 1919 0 1991 ettus c FAAp1l r Il'VrA9A*� �� By. Renee C. Llewellyn, Assistant Secrete N 7 r N y, ry LMS-12873 LMIC OCIC WAIC Multi Ca 062018 !- r 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax:773-477-7149 Incorporated in the State of Illinois in the Year 2007 Union Shop References with Contract Amounts First Metropolitan Builders 400 Fisher Munster, Indiana 46321 Mr. Jack Lieser 219-836-8282 Munster Business Complex Scope of Work: Wreck and Remove Eight Office Building Structures Complete City of South Bend Indiana 1316 County -City Bldg. Rm. 1316 South Bend, Indiana 46601 Mr. Toy Villa 574-235-5920 Demolition of 103 Abandoned Properties Phase V Scope of Work: Wreck and Remove Complete with Grading and Seeding of 103 Properties City of South Bend Indiana 1316 County -City Bldg. Rm. 1316 South Bend, Indiana 46601 Mr. Toy Villa 574-235-5920 Demolition of 11 Abandoned Properties Phase 9 Scope of Work: Wreck and Remove Complete with Grading and Seeding of I lProperties 2019 $ 400,000.00 2017 $ 1,609,090.00 2017 $ 196,857.00 City of South Bend Indiana 1316 County -City Bldg. Rm. 1316 South Bend, Indiana 46601 Mr. Toy Villa 574-235-5920 Polish National Alliance Building Wreck and Remove Building Complete Backfill and Seed Tonn & Blank Construction LLC 1623 Greenwood Ave. Michigan City, IN 46360 Joel Gonzales 219 877-8174 Uptown Artist Lofts 717 Franklin Michigan City, IN Scope of Work: 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 2016 $ 72,800.00 February 2016 $611,086.00 Interior Selective Finish / Abatement and Structural Removals of Multi Level Facility Amereco Engineering November 2015 54 Michigan Avenue Valparaiso, IN 46383 Mr. John Blosky $ 271,385.00 219.531.0531 701-705 Franklin Street Michigan City, IN 46360 Wreck and Remove Building Complete Rockford Construction July 2014 Grand Rapids, MI 49508 Brock Burgess 616-437-4226 LaPorte, In Meijer $787,000.00 Scope of Work: Complete 100% gut re -habilitation project with Bobcat machines of an existing Big Box facility consisting of ceilings, drywall partition walls, storefronts, facades, floorings, concrete removals, M.E.P. and portion of structure removals. "Recycling Today For A Greener Tomorrow" "" art i'r 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 Doherty Construction 163 N. Valley Hill Road Woodstock, Illinois 60098 Mr. Vern Anderson 815-334-8500 West Leyden High School Wreck Removal Portion of School Building Selective Interior Demolition Z3 Solutions 1350 E. Touhy Des Plaines, Illinois 60018 847-730-3945 Mr. Pete Zouras Lincoln Hall Middle School Additions and Renovations Phs 3 Selective Removals School Building Z3 Solutions 1350 E. Touhy Des Plaines, Illinois 60018 847-730-3945 Mr. Pete Zouras Lincoln Hall Middle School Additions and Renovations Phs 2 Selective Removals School Building Vision Construction & Consulting 1733 N. 33rd Stone Park, Illinois 60165 Mr. Pete Griffin 708-488-1926 J. Morton Sterling High School Administration Building Selective Structural Removal throughout School Building 2017-2018 $ 719,375.00 2018 $ 573,742.00 2017 $ 295,554.19 2018 $ 829,705.00 "Recycling i i 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 Vision Construction & Consulting 1733 N.33rd Stone Park, Illinois 60165 Mr. Pete Griffin 708-488-1926 J. Morton Sterling High School Freshman Academy School Building Selective Structural Removal throughout School Building Cook County Land Bank Authority 69 W. Washington Suite 2938 Chicago, IL 60602 Mr. Mustafaa Saleh 312-603-8015 Scope of Work: 2019 $ 786,000.00 $925,000.00 to date Open Ended Contract ongoing through the depletion of Grants/Funds Demolition of Abandoned / Vacant Homes throughout Chicago and Cook County. Brown & Momen, Inc. 823 E. Drexel Square Chicago, IL 60615 Mr. David Clark 312-788-0770 Marshall Field Garden Apartments Building 5 Chicago. IL Scope of Work: Interior selective removals of all finishes multi story level HUD Building November 2015 $744,000.00 "Recycling 1::: r A Greener"Tomorrow" 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 City of Chicago/Wight Co. 2500 North Frontage Road Darien, IL 60561 Dennis Podzimek 630-918-9428 City Hall Space Consolidation Scope of Work: Multiple Interior Floor Selective Removals of Finishes and Furnishings. Working in strict adherence with Municipal Building — Security Procedures IHC Companies 1500 Executive Dr. Elgin, IL 60123 Tom Carrano 847-841-7713 Niles North HS 2014Summer Renovation Skokie, 11 Scope of Work: Selective and gut removals of Locker Rooms - Kitchen Cafeteria- Entrances and other various areas Lee & Ryan Construction 1707 Melody Ln. Greenfield, IN 46140 Ryan Keane 317-467-6577 Edward Hines VA Hines, 11 Scope of Work: August 2014 $498,800.00 July 2015 $524,000.00 October 2014 $190,000.00 Main Hospital North Entrance removal of Front Structural Facade, floors and roof with all adjoining finishes. Barton Malow Company 150 N Upper Wacker Dr #1650 Chicago, IL 60606 Brian Courtney 312-281-0821 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 January 2015 Argonne National Laboratory $212,000.00 Argonne National Lab — Materials Engineering Building 370 Building 360 Expansion Scope of Work: Green Demolition performed wreck removals within Building 370 adjacent to an ongoing Phosphorous Experiment working in direct conjunction with electric, communications systems, sprinkler systems, natural gas and steam while performing lead and asbestos abatement. Green Demolition performed a Building Wreck within 10 feet of a Linear Accelerator without service interruptions to the electric, water, sewer, natural gas, steam and communications systems. 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 City of Huntington Indiana Re: Franklin Amphitheater Phase 1 Demolition Green Demolition Contractors is under contract to complete the following projects: Emergency Removal Capital Expenditure # 440-20-13166 Richmond State Hospital Powerhouse Stack Removal $ 453,050.00 Project to be completed November 2019 Respectfully submitted, Michael Brough, President Green Demolition Contractors, Inc. 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 MISSION STATEMENT Green Demolition Contractors Incorporated LLC is a fully licensed, bonded, and insured demolition company servicing the Midwest. Our management team possess over 50 years of field experience. We are a proud signatory contractor with the International Laborer's Union of North America and the International Union of Operating Engineers, as well as a member of the National Association Demolition Contractors. We are LEED experienced and a lead -safe certified firm. Green Demolition specializes in a variety of services including; • Selective Demolition • Total Building Demolition • Mechanical Demolition • Structural Demolition • Selective Excavation • Concrete Crushing • Scrap Recovery • Fire and Disaster Relief Work • Waste Hauling • 24-Hour Emergency Service We service Industrial, Retail, Manufacturing, Commercial, Schools, Hospitals, Public, Municipal and Government Sectors. Our mission is to provide every client with safe, innovative, cost-effective and environmentally sound solutions while promoting a standard of excellence with our trained Union Field personnel. Green Demolition Contractors Incorporated LLC strives to reuse and repurpose our demolition material by utilizing sustainable deconstruction practices minimizing waste and recycling all material possible in order to ensure a positive impact on the environment. "Recycling IFor A Greener 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 EMPLOYEE DRUG POLICY The past success and future growth of the Company are a direct result of our most important asset: Our people. Consequently, the Company is concerned about the use of alcohol, illegal drugs or controlled substances as it affects the workplace. Use of these substances, whether on or off the job, can adversely affect an employee's work performance, efficiency, safety and health, and may therefore seriously impair his or her value to the Company. In addition, the use or possession of these substances on the job constitutes a potential danger to the welfare and safety of other employees and exposes the Company to risks of property loss or damage, or injury to other persons. The Company has a vital interest in maintaining safe and efficient working conditions for its employees and ensuring that all the Company vehicles are properly maintained and operated in a safe manner. Furthermore, the use of prescription drugs and/or over-the-counter drugs may affect an employee's job performance and seriously impair the employee's value to the Company. Any employee who is using prescription and/or over-the-counter drugs that may impair the employee's ability to safely perform the job, or affect the safety or well-being of others, should not report for work during the time the employee is using the medication. You may be required to provide a doctor's note validating your need for time off due to the use of medication which interferes with your ability to safely perform your duties. The employee should use any accrued vacation or sick leave during this time period. If the employee does not have accrued leave, the employee should discuss their need for time off with their supervisor or Human Resources to determine if an accommodation may be made. Proper use of prescription drugs directly prescribed to the employee is exempt from these restrictions so long as the employee is complying with physician orders and does not create a safety hazard for the employee or his/her co-workers. Contact Green Demolition Contractors Human Resources when an employee has been prescribed drugs from a complying physician. The following rules and standards of conduct apply to all employees either on the Company property (owned or leased or off premises job site) or during the workday (including meals and rest periods). The following are strictly prohibited by the Company; however this section does not apply to the legal use of prescription drugs. 1. Possession or use of alcohol, or being under the influence of alcohol while on the job. 2. Driving a company vehicle while under the influence of alcohol or a controlled substance. 3. Distribution, sale or purchase of an illegal or controlled substance. 4. Possession or use of an illegal or controlled substance or being under the influence of an illegal or controlled substance while on the job. "Recycling 'Today For A Greener 41 ifird, 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 Violation of the above rules and standards of conduct will not be tolerated. The Company may also bring the matter to the attention of appropriate law enforcement authorities. Drug Testing Each employee, as a condition of employment, may be required to participate in pre- employment, reasonable suspicion, and follow-up testing upon selection or request of management. Any employee who refuses to submit to drug or alcohol testing requested by management will be subject to disciplinary action, up to and including immediate termination. Altered samples, substituted samples and negative dilutes constitute employee failure to cooperate with a management investigation in violation of The Company business conduct policy. Any employee submitting such a sample will be subject to disciplinary action, up to and including immediate termination. Drug or alcohol testing required or requested by the Company will be conducted at the Company expense. Testing for the presence of alcohol will be conducted by analysis of breath. Testing for the presence of the metabolites of drugs will be conducted by the analysis of urine. To ensure the accuracy and fairness of our testing program, all testing will be conducted according to DHHS/SAMHSA guidelines where applicable and will include a screening test; a confirmation test; the opportunity for a split sample; review by a Medical Review Officer, including the opportunity for employees who test positive to provide a legitimate medical explanation, such as a physician's prescription, for the positive result; and a documented chain of custody. 2, Testing Based on Reasonable Suspicion Employees may be referred by a supervisor to a company -approved physician or medical group for evaluation when a supervisor has reason to believe that the employee is intoxicated or using controlled substances or other illegal drugs during work hours or at a time which may affect job performance or safety. Evidence of such behavior may include, but is not limited to: slurred speech, uneven gait, mood swings, violent temper, or excessive absenteeism and/or tardiness. Employee Consent to Release Chemical Analysis When the Company requires an employee to submit body fluids for chemical analysis, the employee must sign an Employee Consent Form authorizing the results to be forwarded to Green Demolition Contractors HR Representative . An employee who refuses to submit body fluid samples upon request of the Company or who refuses to execute the Employee Consent Form has failed to cooperate with a management investigation in violation of the Company business conduct policy. Such conduct will subject the employee to disciplinary action, up to and including immediate termination of employment. 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 4, Confidentiality of Test Results Test results of the chemical analysis of body fluids for substance abuse will be kept confidential in the same manner that all other confidential personnel records and confidential medical records are kept. Upon written request, the employee will be furnished with a copy of his or her substance abuse test results. Analysis of Test Results Being under the influence of drugs or alcohol on the job or during work hours will be presumed by the Company to pose a serious safety and health risk. Additionally, any use of alcohol or drugs during non -work time which results in a positive test of the employee during work hours may result in a similar presumption that the use of the drugs or alcohol poses serious safety and health risks. 6. Positive Test The Company reserves the right to impose discipline, up to and including immediate termination of employment, upon any employee who tests positive. The Company reserves the right to require, as a condition of reinstatement and continued employment, completion of an approved rehabilitation program, at employee expense, which shall include but not be limited to: A period of inpatient care A return to work test, prior to reinstatement Follow-up testing Any employee testing positive during or subsequent to a rehabilitation program will be subject to immediate termination. Employee Signature Supervisor / Witness Signature Date Date 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 EEO STATEMENT It is the policy of Green Demolition Contractors Incorporated LLC to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic that is protected by Federal, State or Local Law. In addition, Green Demolition Contractors Incorporated will provide reasonable accommodations for qualified individuals with disabilities. Green Demolition Contractors Incorporated LLC goal is to increase representation of women, people of color, veterans and individuals with disabilities. Our programs and training are designed to apply to all applicable federal, state and local laws, ordinances and regulations and cover all human resource actions including employment, compensation, benefits, training, education, tuition aid, transfers, promotions and social/recreational programs. Green Demolition Contractors Incorporated LLC CEO and senior leadership along with Local Branches of International Operating Engineers Union and International Brotherhood of Laborer's Union regularly receive and review affirmative action reports and monitor progress, reinforce policies and hold the organization accountable to meet objectives. Michael Brough, President and Norman Bennett, Business Manager are responsible for leading Green Demolition Contractors Incorporated LLC affirmative action efforts and ensuring that the principle of equal employment opportunity is understood and followed. The Human Resource head, is responsible for local efforts. All members and management must be familiar with this policy, must fully support it and are responsible for applying these principals in good faith. All employees are responsible for conduct consistent to demonstrate respect for all co-workers. All statements are posted in the Corporate Office and in the HR Office and may be reviewed by applicants and employees on weekdays during normal working hours. Michael J. Brough President and Chief Executive Officer 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 Statement of Purpose This shall be known as the Green Demolition Contractors Incorporated LLC, Purchasing Policy. Its purpose is to ensure that Green Demolition Contractors Inc., purchases recycled and other environmentally preferable products whenever they meet cost and performance requirements. Definitions "Environmentally Preferable Products" means products that have a lesser impact on human health and the environment when compared with competing products. This comparison may consider raw materials acquisition, production, manufacturing, packaging, distribution, reuse, operation, maintenance, or disposal of the product. "Recycled Products" are products manufactured with waste material that has been recovered or diverted from solid waste. "Practicable" means sufficient in performance and available at a reasonable cost. "Cost" means the total expense of the product including the initial price, lifecycle costs, and disposal costs. "Price" means the initial expense to acquire the product. Statement of Policy Green Demolition Contractors Incorporated LLC, shall purchase recycled and other environmentally preferable products whenever practicable. Green Demolition Contractors Incorporated LLC, shall require contractors and consultants to use recycled and other environmentally preferable products whenever practicable. Statement of Procedure Green Demolition Contractors Incorporated LLC, shall be responsible for coordinating implementation of this policy as follows: 1. Assign appropriate personnel to fulfill the requirements of this policy. 2. Research opportunities for procurement of recycled and other environmentally preferable products and communicate these to purchasing decision makers for evaluation and purchase. 3. Collaborate with specifying agencies to prepare or revise bid documents and contract language where necessary to implement this chapter. 4. Collect data on purchases by Green Demolition Contractors Incorporated LLC, of recycled and other environmentally preferable products. 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 5. Prepare and submit an annual report to Green Demolition Contractors Incorporated LLC, by Jan 30th of each year, describing the progress of Green Demolition Contractors Incorporated LLC, in implementation of the policy, including the following elements: a. Quantities, costs, and types of recycled and other environmentally preferable products purchased; b. A summary of savings achieved through the purchase of recycled and other environmentally preferable products; c. A summary of program promotional efforts; d. Recommendations for changes in procurement policy. 6. Promote the use of recycled and other environmentally preferable products by publicizing its environmental purchasing policy and its implementation. 7. Educating staff about the policy and listening to staff comments and suggestions. Exemptions Nothing in this policy shall be construed as requiring the purchase of products that do not perform adequately or are not available at a reasonable cost. Implementation This policy shall be effective immediately from the date of signature. Dated the day of 2015 Signature 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 Project: Recycling Scope,, . Green Demolition will and is currently pursuing a recycling at Green Demolition is using it owns dumpsters to recycle all metals which may include any all of the following, desks, file cabinets, pipe, conduit, tee grid from the ceilings, and wiring. Green Demolition is also using it owns dumpsters to recycle all concrete, brick and block, etc that we will be removing and disposing of. a contracted waste hauler will also be segregating materials at a transfer site that were hauled from . Materials that will salvage for reuse are paper, cardboard, wood, plastics, metals, brick, block, and concrete. End of month reports will be generated showing percentages of recycled materials to waste disposed of in an approved land fill. A final report will be generated at the end of the project showing a combined report for the demolition debris at Respectfully, Green Demolition, Inc. Laura Hayes laura@greendemolitioninc.com 773-477-7160 direct 773-477-7149 fax "Recycling ToTomorrow" 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 Section II Plan and Equipment Questionnaire 1. Green Demolition Contractors Incorporated LLC will mobilize at the site and perform inspections. We will confirm utilities are disconnected, abatement is complete, and the structures are free of pedestrians. Then, we will demolish the structure. We will salvage and recycle materials to meet deconstruction qualifications if applicable and load out debris. Concrete and brick will be demolished and loaded out. We will backfill and compact site per specifications. This will be repeated at each property. After all properties are complete, we will perform seeding the seeding at each property. 2. Kennedy Express Lines 23300 S R 23 South Bend, IN 46601 Republic Services / Green Tech Transfer Services 2500 Green Tech Drive South Bend, Indiana 46613 3. Not Applicable 4. Two CAT 320 Excavators Two T-300 Skid Steers (1) One Mack Semi 65 yard Roll Off (1) One Mack 6 Wheeler 40 yard Roll Off (1) One Mack Semi Low Boy 5. Yes Hauling / Trucking 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 October 22, 2019 City of South Bend Indiana 227 West Jefferson Boulevard South Bend, Indiana Re: 2019 Demolitions Phase 2 South Bend, Indiana Green Demolition Contractors, Inc. is committed to exceeding the Goal from a Section 3 firm. Green Demolition Contractors, Inc. currently has a relationship with Kennedy Express Line South Bend, Indiana MBE, WBE, and Section 3 Certified. It is the intent of Green Demolition Contractors, Inc. to utilize Kennedy Express Line for disposition of debris and if applicable, recycle / reuse of any materials being deemed as such. Thank you, Michael Brough, President Green Demolition Contactors, Inc. 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 References Private Amereco Engineering 54 Michigan Avenue Valparaiso, Indiana 46383 Mr. Jack Heine / Mr. John Blosky 219-531-0531 CR Realty Advisors 325 West Huron Chicago, I160654 Mr. Josh Nadolna Cell: 847.721.7906 Office: 312.332.7100 Brown & Momen, Inc. 823 East Drexel Square Chicago, IL 60615 Mr. David Clark 312-788-0770 Sterling Renaissance Builders 430 East Illinois Rte 22 Lake Zurich, Illinois 60047 Mr. Bruce Sterling 847-307-4400 ext 223 Rockford Construction Grand Rapids, MI 49508 Brock Burgess 616-437-4226 LaPorte, In IHC Companies 1500 Executive Drive Elgin, I160123 847-841-7713 Mr. Thomas Carrano "Recycling T r A Gireevier Tomorrove. 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND. INDIANA 46601-1930 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR .BOARD OF PUBLIC WORKS December 12, 2918 Mr. Michael Brough Green Demolition Contractors 523 Northbrook Drive Michigan City, IN 46360 RE: Pre -Qualification Verification Dear Mr. Brough: PHONE 574/235-9251 FAx 574/ 235-9171 This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you are required to re -submit a complete application for continuation of pre -qualification status prior to December 31 for the upcoming calendar year. A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments. Sincerely, Linda M. Martin, Clerk GARY A. GILOT DAVID P. RELOS ELIZABETH A. MARADIIL JAMES A. MUELLER THE SE J. DORAU PRE -QUALIFIED BIDDER CHECKLIST (a) ckho+ ledgements: (i) "�L By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter is attached. (ii) By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (b) Attac. ments: (i) Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. (iii) _ List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. (iv) For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. Version 5/16/2019 General Conditions - 8 Laura Ha es From: Laura Hayes Sent: Friday, October 11, 2019 6:07 PM To: 'Kim Johnson' Subject: 2019 Demolitions Phase 2 Kim Green Demolition will be bidding the 2019 Demolitions Phase 2 Project for the City of South Bend wish once again to utilize your firm with the success of the project. Thank you, Laura Hayes Green Demolition Contractors 523 Northbrook Drive Michigan City, Indiana 46360 773-477-7160 direct 773-477-7149 fax Laura Ha s From: Laura Hayes Sent: Friday, October 11, 2019 6:08 PM To: 'Sandra Smith' Subject: 2019 Demolitions Phase 2 Sandy Green Demolition will be bidding the 2019 Demolitions Phase 2 Project for the City of South Bend wish once again to utilize your firm with the success of the project. Thank you, Laura Hayes Green Demolition Contractors 523 Northbrook Drive Michigan City, Indiana 46360 773-477-7160 direct 773-477-7149 fax GREEN DEMOLITION CONTRACTORS Business Name: INCORPORATED Entity Type: Domestic Limited Liability Company Creation Date: 06/11/2015 Principal Office Address: 523 NORTHBROOK DRIVE, MICHIGAN CITY, IN, 46360, USA Jurisdiction of Formation: Indiana BUSINESS INFORMATION CONNIE LAWSON INDIANA SECRETARY OF STATE 10/11/2019 07:10 PM Business ID: 2015061100177 Business Status: Active Inactive Date: Expiration Date: Perpetual Business Entity Report Due 06/30/2021 Date: Years Due: Title Name Address President Michael Brough 523 Northbrook Drive, Mich City, IN, 46360, USA Type: Individual Name: MICHAEL BROUGH Address: 523 NORTHBROOK DRIVE, MICHIGAN CITY, IN, 46360, USA d �o m Cft Cn O n co w ry 4 2 tti14/20i4 a3:21 FA -I ;LIUuUj. I_.:i Po a