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Home My WebLink AboutOpening of Bids - Historic Leeper Park Improvements Project 118-010B - Northern Indiana Construction Co Incr 4ry,�.➢ F'� &11 +11 CITY OF SOUTH BEND, INDIANAN' CONTRACTOR'S BID FOR PUBLIC WORK 1865 Project Name Historic Leeper Park Improvements — Bid Package 2 Project No. 118-010B For Bids Due October 22, 2019 PART (Must be completed for all bids. Please type or print) Date: 10 22 19 _ Bidder (Firm): Northern Indiana Con tructi2n Co,,,,, Inc. Address: P. O. Box 1333 City/State/Zip: Mishawaka. I1N.46546Telephone Number: 574 256-1811 Agent of Bidder (if Applicable): Pursuant to notices tiis oiven, the undersigned offers to furnish labor and/or material necessary to complete the public works project Historic Leeper Park Improvements — Bid Package 2 the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Lochmueller Grou Ea at d 9 20/19 osr tthhgsum of (enter the Total Bid as shown on the Proposal) igth hb Seven Hundred Eighty Dollars and Five Cents $ 843 780.05 (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical) 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 accepteqMnSigning) nd. If the bid is to be aw ded on a unit basis, the itemization of the units shall bt chr ent, Br si ski a dent ed Name of Person Signing) ACCEPTANCE The above bid is accepted this day of Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Genevieve E. Miller, Member Elizabeth A. Maradik, Member Therese J. Dorau, Member Laura L. O'Sullivan, Member Attest: Linda M. Martin, Clerk Version 1/17/2019 Contractor's Bid for Public Works - 40 20 BID/PROPOSAL a „h�� CITY OF SOUTH BEND Project Name: Historic Leeper Park Improvements - Bid Package 2 Project Number: 118-010B ......... �__...__..._.......... ._... ---------- For Bids Due: October 22, 2019 _..... _ �. . Contractor Name: Northern Indiana Construction Company Inc. BASE BID ITEM QUANTITY UNIT UNIT ITEM COST TOTAL 1 CONSTRUCTION ENGINEERING 1.00 LS 2 MOBILIZATION AND DEMOBILIZATION ........�.........�.... 1.00 �_ LS 22 242. 22 242.0 ..... 3 MAINTAINING TRAFFIC 1.00 LS g 445 . 8 445.0 4 SHRUB, REMOVE 11.00 EACH 40. 440.0 5 TREE, 8 IN., REMOVE 1.00 �.. EACH 75 ..._ 75.0 6 TREE, 10IN., REMOVE .........._W 1.00 ..._. EACH _...... 120. 120.0 THEmmmmE, 16IN., REMOVE 3.00 mm _........ _ EACH ._...._.- 2...... 210. _- .... 630.0 8 VE TREE, 28 IN., REMO._....._ _......_ 1.00 _..� _, EACH 900. ... 900.0 9 TREE PROTECTION 1.00 LS 1,000J 1,000.0( 10 CONCRETE STEPS, REMOVE 1.00 LS 300. 300.0 11 GUARDRAIL, REMOVE 52.00 LFT 5.60 291.26 12 12 IN. STORM SEWER, REMOVE 104.00 .00 LFT 50. 5 200.0 13 24 IN. STORM SEWER, REMOVE _................ 64.00 LFT 85 5,440.0 14 CATCH BASIN, REMOVE 4.00 EACH 950. 3,800.0( 15 CURB AND GUTTER, REMOVE ........ �... 312.00 LFT 12. 3 744.0 16 CURB, CONCRETE, REMOVE 274.00 ......_ LFT 1 3 2$8.0 17 SIDEWALK, CONCRETE REMOVE 230.00 SYS 15.90 3,657.0( ....... 18 CONCRETE APPROACH, REMOVE 55.00 SYS 26.95 1 482.2 19 FENCE, CHAIN LINK, REMOVE -� 83.00 LFT 11.00 913.0 2.. SALVAGE STEPS ....... ........ 100 _..._..a EACH 1 100 __. _mmmm,1„1.00.0 21 _._._ SALVAGE BENCH _ 1.00 X EACH 22 DEWATERING �._........... ...... 1.00 . LS 60, 000 . 60, 000.0 23 EXCAVATION, COMMON 150.00 CYS 85, ,750� .... 12,750.00 24 BORROW 50.00 CYS 50" 2 500.0 25 SUBGRADE TREATMENT, TYPE II 363.00 SYS 35. Ll2,705.0 26 COMPACTED AGGREGATE #53, BASE 88.00 CYS 125, 11 ,000.0 27 MILLING, ASPHALT, 1.5 IN. 32.00 SYS 28 ... FOR PATCHING 0.0HMA 17.00 TON 265. :4,5 5 0029 ASPHALT SURFACE 3.00 TON 925 5.0 Version 1/17/2019 Contractors Bid for Public Works - 45 BID/PROPOSAL ot, CITY OF SOUTH BEND Project Name: Historic Leeper Park Improvements - Bid Package 2 w Project Number: 118-0106 For Bids Due: October 22,W2019 _._. _.... �..... ru.A Contractor Name: Northern Indiana Construction Com Inc. 30 ... SIDEWALK, CONCRETE, 4 IN ....... 281.00 SYS 55. 9,455.00 31 CURB RAMP, CONCRETE 104.00 SYS 140. 14,560.0 32 DETECTABLE WARNING 132.00 LFT 45.50 6 006.00 33 PCCP, 8 IN. (TABLETOP TOP RIVERSIDE) ............ ...__.._............. 340.00 SYS 76.80 26,112.0 34 CENTER CURB, D, CONCRETE .. ............ _ .____......._.www .....- 34.00 . ..._. LFT '.._.... 185.25 _.. m._.n..... 6 298.5 35 CURB, CONCRETE 289.00 LFT ......._ 36 CURB AND GUTTER, CONCRETE 346.00 LFT 55.00 19, 030.0 37 CAST LIMESTONE RAILING ...... 120.00 LFT .. 495. 59, 400.0 38 MULCHED SEEDING U 100.00 SYS 15.90 111590.0o 39 NURSERY SODDING 204.00 SYS 23.65 4,824.E 40 GEOTEXTILES ........ ........__ 117.00 SYS 4.50 526.5 41 CLASS I RIPRAP _I 117.00 1 TON ........ 1.0- 42 12 IN STORM PIPE WITH GRANULAR BACKFILL 122.00 LFT 85. 10, 370.0 43 4 INCRO STORM PIPE WITH GRANULAR BACKFILL �........ �.......................�.... 64.00 LFT 185 11, 840.0 44 24 IN END SECTION 1.00 EACH .---- _.. m_.�..... u _ _..... _� ... 00 ........OQ.�: 45 CASTING, ADJUSTTO GRADE 3.00 EACH 460 1 380.0 46 INLET, M10 5.00 EACH 2 300 1,500.0' 47 MANHOLE, 48 IN DIAMETER 1.00 EACH 2,990 2,990.0) 48 RIVER OVERLOOK 1.00 LS 53 250. 53 250.0 49 PILE, CONCRETE, STEEL SHELL ENCASED, 0.312 IN, 14IN 332.00 LFT 70. 23,240.0 50 36 DIAMETER DRILLED SHAFT ...... 205.00 LFT 610.125, 050.0 51 RIVER OVERLOOK ELECTRICAL 1.00 LS... 52 6' BENCH, BACKED 4.00 EACH 53 ORNAMENTAL FENCE ._ . ._ . 83.00 LFT 148.80 12 350.4 54 SHADE TREE, 3 IN CAL. 3.00 EACH 660.00 _ 1,980.01) 55 SHRUB, 3 GAL. 21.00 EACH 1,512.01) 56 PERENNIAL, 1 GAL. 364.00 _. EACH 17.55 6 388.2 57 SOIL AMENDMENT 14.25 CYS _ 120. 1 , 710.0 58 SHREDDED HARDWORK BARK MULCH 15.00 CYS 95. 1 425.0 59 STEEL EDGING 91.00 LFT 14.50 1,319_.5 Version 1/17/2019 Contractor's Bid for Public Works - 46 BID/PROPOSALro CITY OF SOUTH BEND w' Project Name: Historic Leeper Park Improvements - Bid Package 2 Project Number: 118-010B For Bids Due: October 22, 2019 �Md Contractor Name: Northern Indiana Construction Company Inc. 60 EROSION CONTROL -..-..__........ _....... 1.00 LS g 975. 8 975.0 _ 0 61 PED CROSSING SIGNS - RRFB WITH _.... PUSHBUTTON 3.00 EACH 8, 837 26, 26,511.00 62 PANEL SIGN 4.00 EACH 775. ........ 3,100.0 63 LINE, THERMOPLASTIC, BROKEN, WHITE, 4 IN. 53.00 LFT 3, 159.0 64 LINE, THERMOPLASTIC, SOLID, YELLOW, 4 IN, 250.00 LFT 3. 750.0 65 LINE, THERMOPLASTIC, SOLID, WHITE, 6 IN. 295.00 LFT 5. 1,475.0( 66 TRANSVERSE MARKING, THERMOPLASTIC, STOP LINE, WHITE, 24 IN. ..... 14.00 LFT 18. 252.0 67 ......... TRANSVERSE MARKING, THERMOPLASTIC, CROSSWALK LINE, WHITE„ 24 IN. 205.00 LFT 18. 3,690.0( 68 TRANSVERSE MARKING, MULTI -COMPONENT, CROSSWALK LINE, WHITE, 24 IN. 322.00 LFT 13. 4,186.0 69 TRANSVERSE MARKING, MULTI -COMPONENT, SOLID, WHITE, 6 IN. 104.00 LFT 3. 312.0 70 PAVEMENT MESSAGE MARKING, MULTI- COMPONENT, LANE INDICATION ARROW . 200 _... EACH 95.. 190.0 71 GROOVING FOR PAVEMENT MARKINGS ........ 253.00 LFT 2.35 ......... 594.5 72 PAINT 1.00 LS 1 1 r500.0 73 BIKE RACK INSTALLATION 4.00 EACH 215, 860.0 74 -_.. MULCHED NATIVE SEED ....� .._.... ____ ..._ .... 0.50 ._ LBS,,, , 890. __ 3.................. . 1,945.0( 75 EROSION CONTROL BLANKET .. w- ..._ .... 53.00 SYS 8.75 463.7 76 ._ BOLLARD 2.00 EACH ........... 925.L1,850.0 ...... BASE BID TOTAL 813, 360.05 ALTERNATE 1 BID ITEM 1 INDIANA BOULDERS QUANTITY I UNIT I UN 117.00 1 TON ALTERNATE BID TOTAL Version 1/17/2019 Contractor's Bid for Public Works - 47 ITEM TOTAL 30,420.00 BIDIPROPOSAL .0,0 Clip CITY OF SOUTH BEND Project Name: Historic Leeper Park Improvements - Bid Package 2 Project Number: 118-010B For Bids Due: October 22, 2019 Contractor Name: Northern Indiana Construction Com Inc. Bidder (Firm): Northern Indiana Construction Company Inc. _ _ M.... ....._._ . _ ... _ ..... Address: P. O. Box 1333 ................ City/State/Zip: Mishawaka, IN. 46546 Telephone Number: L574) 256-1811 (Signature) David J. Gorski, President (Printed Name of Person Signing) Version 1/17/2019 Contractor's Bid for Public Works - 48 When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana ) ) SS: St. Joseph COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: 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 1 /17/2019 Contractor's Bid for Public Works - 42 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 1 /17/2019 Contractor's Bid for Public Works - 43 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 October day of 22 , 20 19 n Indiana Construction Co., Inc. /l idde.rrIl y, F)Vjn) N Signature of C71orski, tor/Bidder or Its ent David J. llPresident Printed Name and Title Subscribed and sworn to before me this 22nd da3f tOber 20 19 My Commission Expires April 16, 2025 Notary Public Danisha L. Mar ale County of Residence St. Joseph Version 1 /17/2019 Contractor's Bid for Public Works - 44 OHIO FARMERS INSURANCE COMPANY One Park Circle, P O Box 5001, Westfield Center, Ohio 44251-5001 KNOW ALL MEN BY THESE PRESENTS, that we NORTHERN INDIANA CONSTRUCTION CO.„ INC. as Principal, hereinafter called the Principal, and OHIO FARMERS INSURANCE COMPANY, Westfield Center, Ohio 44251, a corporation duly organized under the laws of the State of Ohio, as Surety, hereinafter called the Surety, are held and firmly bound unto BOARD OF PUBLIC WORKS CITY OF SOUTH BEND INDIANA Cogn!y-CiN Building Rom 1316 227 West Jefferson Street South Bend IN 46601 as Obligee, hereinafter called the Obligee, in the sum of FIVE PERCENT OF TOTAL AMOUNT BID Dollars ($ ------- for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Prglpct Ng, I I- -BtQrir, Bid Package #2; NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee 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. Signed and sealed this 22nd day of OCTOBER 2019 NO ERN DIA A STRUCTION CO. N , f?cip) eel avid J. Walor i, resident (Title) Ohio Farmers Ins race Company (Sur y) eel) cW S. Annette Mullet, Ntorney'in Fac (Title) Printed in cooperation with the American Institute of Architects (AIA) by the Ohio Farmers Insurance Company document conforms exactly to the language used in AIA Document A310, February 1970 edition. 1 The language in this BD5084 OF (11/97) General POWER NO. 1303532 04 Power Westfield Insurance Co. of Attorney Westfield National Insurance Co. CERTIFIED COPY Ohio Farmers Insurance Co. Westfield Center, Ohio Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a "Company" and collectively as "Companies," duly organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County, Ohio, do by these presents make, constitute and appoint S. ANNETTE MULLET, STEVEN M. GARRETT, JOINTLY OR SEVERALLY of CARMEL and State of IN its true and lawful Attorney (s)-in-Fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of suretyship----------------------------------- --- - - - - -- -- - - - - -- - - -- - - - LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE U1lATV=, OR BANK DEPOSITORY BONDS. and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney (s)-in-Fact may do in the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: "Be It Resolved, that the President, any Senior Executive, any Secretary or any Fidelity & Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney (s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: The Attorney -in -Fact. may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney -in -Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary." "Be it Further Resolved, that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signatures or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting held on February 8, 2000). In Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their National Surety Leader and Senior Executive and their corporate seals to be hereto affixed this 21st day of MARCH A.D., 2014 . WESTFIELD INSURANCE COMPANY Corporate q,URA Seals q,B w t «•»'% WESTFIELD NATIONAL INSURANCE COMPANY Affixed .sa. s y, .: OH11 FARMERS INSURANCE COMPANY t ��\ ~q.Y. SEAL r - .• .70 - �r By: State of Ohio "°>w"*""w`" "'""'"" Dennis P. Baus, National Surety Leader and County of Medina ss.: Senior Executive On this 21st day of MARCH A.D., 2014 , before me personally came Dennis P. Baus to me known, who, being by me duly sworn, did depose and say, that he resides in Wooster, Ohio; that he is National Surety Leader and Senior Executive of WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above instrument; that he knows the seals of said Companies; that the seals affixed to said instrument are such corporate seals; that they were so affixed by order of the Boards of Directors of said Companies; and that he signed his name thereto by like order. Notarialwwwwww+++wnw Seat K P \ A Affixed��%�+ State of Ohio County of Medina ss..' 0 F+ 2iwedl4�� David A. Kotnik, Attorney at Law, Notary Public My Commission Does Not Expire (Sec. 147.03 Ohio Revised Code) I, Frank A. Carrino, Secretary of WESTFIELD INSURANCE. COMPANY„ WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY„ do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies which is still in full force and: effects and furthermore„ the resolutions of the Boards of Directors,. set out in theP'ower of ,attorney arein full force and effect. In Witness Whereof, I have hereunto set my hand and affixed the seats of said Companies at Westfield Center, Ohio„ 22nd day of OCTOBER , 2019 A.D_ w,rgr YWnM Mwgwwgw Y �.wYn a rYy SEAL SEAL srcrQeQry laic. ".,.. ., pry`+° 8."*► � Frank A. Carrino, Secretary this BPOAC2 (combined) (06-02) i 6 4y4J14o x 4 ir.ry RURtAra r �.��.x >7 �/ r i5-925 Q ikdJdl, 574 227 5sFF[,nz �7 I[3a�Ur,u ,�', Rn 235..917I SO TFBEND INaDIANA.6600-1830 IDD 574,235_5567 1865 CITY OF SOUTH BEND PETS BUTTIGIEG, MAYOR Date: October 15, 2019 To: All Bidders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Historic Lamer Park Improvements - Bid Package 2 Project Number: 118-OI OB ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: October 16, 2019 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171. A copy MUS�"fS'1 also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Note: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company:!"a'r�:° Authorized Date: Version 4/07/2015 118-010B Addendum #1 1316 CouN'1 v-Cr ry BUTI T NG P1 Mu 574 235 925 Y. 227 W. Jtir r r:rasoh BouLEVAarJ I'AX 574 235.91'71 5ourir Bi,ND, INDIANA 46601-1830 'C-DD 574d 235 -5567 1865 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARDF PUBLIC WORKS Date: October 18, 2019 To: All Bidders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 2 Project Name: Historic Leeper Park Improvements - Bid Package 2 _. Project Number: 118-O I OB ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: October 18, 2019 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171. A copy MUST: also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Note: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Authorized Date: Version 4/07/2015 118-010B Addendum #2 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Historic Leeper Park Improvements — Bid Package 2 Project No. 118-010B 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 X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X Certification of use of United States Steel Products or Foundry Products. Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted X Form [MWBE-2.1 ]. X Acknowledge Receipt of 2 Addendum(s) included with the bid. X All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either X printed or typed underneath signature. X This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Northern Indiana. Construction Company Inc. Date: 10/22/19 By Authori Signature: Print Nam, Version 1/17/2019 Contractor's Bid for Public Works - 39 PART II (For projects of $100,000 or more — IC 36-1-12-4) See Attached 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. See Attached 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) See Attached 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 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. See Attached Version 1 /17/2019 Contractor's Bid for Public Works - 41 PART II Governmental Unit: Board of Public Works, City of South Bend, Indiana Bidder (Firm) Northern Indiana Construction Company Inc. 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 1. What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount Class of Work Completion Date Name and Address of Owner 557,606.86 Bridge Replacement January, 2015 INDOT - B-34332-A, LaPorte District 282,863.50 Bridge Replacement May, 2017 Starke County Bridge No. 78 Replacement 270,531.20 414,314.45 Bridge Replacement Bridge Replacement August, 2017 May, 2017 Starke County Bridge No. 50 Replacement Fulton County Bridge No. 503 Replacement 2. What public works projects are now in process of construction by your organization? Expected Contract Amount Class of Work Completion Name and Address of Owner Date 562,530.00 outlet Structure Replacement September, 2019 IDOA - DNR - 'Lake Tippecanoe 1,156,136.96 Replace Superstructure September, 2019 IN DOT - B-40916-A, Fort Wayne District 3. Have you ever failed to complete any work awarded to you? No If so, where and why? 4. List references from private firms for which you have performed work. Niblock Excavating, Inc., P. O. Box 211, Bristol, Indiana 46507 ----- . C & E Excavating, Inc., 53767 CR 9, Elkhart, Indiana 46514 Ritschard Brothers, Inc., 1204 W. Sample Street, South Bend, Indiana 46619 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.) Work will be performed within the alloted time with N.I.C. employees & equipment per plans and specifications. N.I.C. will start within ten (10) days of receipt of the notice to proceed and complete project after ninety (90) days. Z 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. List available upon request. 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. List will be provided on request. 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. Excavator, Dozer, Compactor, Crane, Pile Driving Equipment and other Miscellaneous Equipment. Equipment owned and operated by N.I.C. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, please explain the rationale used which would corroborate the prices listed. Quotes received from suppliers, no contracts at time of bid. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidders 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. See Attached CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY f DEVELOPMENT PROGRAM � FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS 186E 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 MBEIWBE 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: 118-010B _ Date: 10 22 19 Project Name: Historic Leeper Park Improvements — Bid Package 2 Bidder: Northern Indiana Construction Company Inc. Contact Person: David J. Walorski Telephone: 574-256-1811 Address: P. O. Box 1333 City: Mishawaka State: Indiana Zip: 46546 Email: davidwalorski@cs.com 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 MBENVBE 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 (hftp://www.in.gov/idoa). ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Bend requires that all perspective bidders complete no less than 2 of the following: 1. Attend all pre -bid meetings scheduled by the City to inform MBENVBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBE/WBEs reasonable time to respond. 3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform 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 MBENUBEs, 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 MBENVBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE/WBE was unqualified to perform the job. *Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 1 /17/2019 Contractor's Bid for Public Works - 49 , CITY OF SOUTH BEND 03, a�v MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM Oro,, FORM MWBE-2.11 MBEIWBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBEIWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE 2 OF 2 Project Number: -118-0I0B MBE/VVBE Participation Goal Project Name: Historic Leep,er Park Irp9rovernents — Bid Package 2 Bidder,; WNJ 14idiina ConiAction Comioanv Inc. October 22 201 (Title) (Date) 1�1 MBE/WBE Firm Hawk Enterprises, Inc. Owner or Contact at MBEANBE Firm Gary P. Neulieb Telephone: 219-662-8090 Fax: 219-662-8093 Email: gir :),Shawk-inc corn TYPE OF WORK SOLICITED FOR THIS PROJECT: Electrical Items. RESULTS OF CONTACT WITH THE MBE/WBE FIRM: MBE/WBEFirm —Prem J qM_qon te.5ervice c, Owner or Contact at MBE/WBE Firm Max Yeakey Telephone: 574-264-0196 Fax: 574-266-5392 Email: max@premiumconcreteonline.com . . .. . ........ TYPE OF WORK SOLICITED FOR THIS PROJECT: Concrete Items. . ............ — - - — - -------- — .... ... RESULTS OF CONTACT WITH THE MBEIWBE FIRM: Version 1/17/2019 Contractor's Bid for Public Works - 50 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.1 MBE/WBE CONTACTED Ins This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBE/ME to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE 1 OF 2 Project Number: 118-010B MBE/WBE Participation Goal Project Nano Historic Leeper Park I r�artoerte —Bid Package 2 Bidd) 6r er d o factionCompen Inc. "'........_ ?� q(..... October 22 (Title) (Date) MBEIWBE Firm State Barricading, Inc. Owner or Contact at MBENVBE Firm James Michalski Telephone: 574-287-2078 Fax: 574-287.1744 Email: statebarricadel aq!, TYPE OF WORK SOLICITED FOR THIS PROJECT: Maintenance of Traffic & Pavement Markings. - RESULTS OF CONTACT WITH THE MBENVBE FIRM: MBENVBE Firm Owner or Contact at MBEIWBE Firm ea J. Triska Telephone: 574-772-7001 Fax: 574 772 7002 Email: info tcs acjalistsa.net TYPE OF WORK SOLICITED FOR THIS PROJECT: Maintenance of Traffic & Pavement Markings. RESULTS OF CONTACT WITH THE MBENVBE FIRM: Version 1 /17/2019 Contractors Bid for Public Works - 50 0 O m (Y R W a 0 c v 0 0 N A m Z N 3 rn C Q m a O' !G a 0 ~�O (D n 0 cr CD N O CO � 0 - °1 am c p CD m m CO m x a 3 a J (D N a QO a `a D a w N 0 m co m m Cn �3 Z3 N N Oo N V m n O r o N N ID 0) o v m fD 0 3 m 1 Y 11 N fl U (p G 1 y m = CD o rN a C CD O =:i: O C C Q CD m v m CM � a 3 aID 0 0. of d co co O o 3 r 0 0 0 7 �. 7 a(�D N � � D) (D 3 m l m CD M 0 N 0 1 M D,1 O W Q7 a N Z o D Z O 3 ca m <3n mm I :Ep rZ< m� u a3 MCM i W �yC cam �Ocnx i O Z Z O ym mv z 3v m G m M Danisha Marable From: David Walorski <davidwalorski@cs.com> Sent: Friday, October 18, 2019 11:22 AM To: dmarable.nic@gmail.com Subject: FW: Leeper Park Improvements BP 2 David J. Walorski From: David Walorski [mailto:davidwalorski@cs.com] Sent: Wednesday, October 16, 2019 12:16 PM To: 'Barry J. Triska' Subject: FW: Leeper Park Improvements BP 2 Barry; I forwarded the plans and specs for Leeper Park improvements. The traffic control is a lump sum. I will need signage and equipment to close Riverside Drive, work on the inland on SR933, and streets surrounding the project. Also the thermoplastic markings. See the link below to download the plans. I would like your pricing on Monday 10/21. Thank you; David J, Walorski From: Robin Eaton Sent: Friday, October 11, 2019 1:18 PM To:iavac�vvio�pkoi9M5,co��!� Subject:LeeperPark Im provements BP 2 Hello, Robin Eaton r!j) has sent you files via ishipdocs. Danisha Marable From: David Walorski <davidwalorski@cs.com> Sent: Friday, October 18, 2019 11:22 AM To: dmarable.nic@gmail.com Subject: FW: Leeper Park Improvements - Phase 2 1. • From: David Walorski [Mt1HtQL dvv llorskw@ s corio] Sent: Thursday, October 17, 2019 9:53 AM To: 'Greg P. Neulieb' Subject: Leeper Park Improvements - Phase 2 Greg; I am checking with you to see if you are quoting the 3 rectangular rapid flashing beacons with push buttons. If you need plan and spec information please let me know. I would need your quote on Monday 10/21. Please let me know! Thank you; David J. Walorski Northern Indiana Construction Co., Inc. 55803 Dogwood Road P. O. Box 1333 Mishawaka, Indiana 46546 (574) 256-1811 Phone (574) 256-1879 Fax , ,; Virus -free. wwvv avast corn rMMI'l- 'I INDIANAPOLIS, IN February 12, 2019 We NORTHERN INDIANA CONSTRUCTION CO INC MISHAWAKA, IN who has filed with the Department a Contractor's Statement of Experience and Financial Condition as required under Indiana Code 8-23-10, is hereby qualified to bid at any Department of Transportation letting in Classes of Work and within the amount and other limitation of each classification as listed below, for such period as the uncompleted work on hand from all sources does not exceed the Aggregate amount. Classification references by name or symbol are in accordance with the definitions in the Contractor's Statement of Experience and Financial Condition. This certificate supersedes any certificate previously issued, but is subject to revision or revocation according to the law, i°f and when changes in the financial condition of the contracting firm or other facts justify such revision or revocation. Valid February 8, 2019 Thru January 31, 2020 AGGREGATE A(B) CONCRETE PAVEMENT: LIMITED .............................................. C(B) LIGHT GRADING............................................................................. D(A) HIGHWAY OR RAILROAD BRIDGE OVER WATER ..............-- D(B) HIGHWAY OR RAILROAD BRIDGE OVER HIGHWAY .............. D(C) HWY/RR BRIDGE REQ RR TRACK PROTECTION ..................... E(E) SMALL STRUCTURES AND DRAINAGE ITEMS,.— E(F) SURFACE MASONRY AND MISC CONCRETE ........................... E(Q) CONCRETE PAVEMENT REPAIRS ...................--....,--.......... , E(T) DEMOLITION.................................................................................. REQl~1'ALIF"ICATIONI ENGINEER State Fora .4508 (R3 / 5-05) COMMISSIONER CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Historic Leeper Park Improvements — Bid Package 2 Project No. 118-010B For Bids Due October 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. 10694-18 (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 315' 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 7/20/2018 General Conditions - 7 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 7/20/2018 General Conditions - 8 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: (i) _ 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) (ii) (iv) 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. Evidence that I am utilizing a surety company which is on the United States Department of Treasury's Listing of Approved Sureties as required in the bid specifications or contract. 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. Version 7/20/2018 General Conditions - 9 II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) X By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) X By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, 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) X 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) X 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) X Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole N1A proprietors or partnerships). (ii) List identifying all former business names. None (iii) NTA 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. None. (iv) X 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) X 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 X 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) X 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 7/20/2018 General Conditions - 10 (ix) NSA Written statement of any federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years. (i) X List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within three (3) years prior to the date on which the bid is due. Date: October 22, 2019 (' Ign Here) David J. Wca16ki, President (Print Name Here) Northern Indiana Construction Company Inc. (Name of Company) P. O. Box 1333; 55803 Dogwood Road (Address of Company) Mishawaka (City) Indiana (State) 574-256-1811 (Telephone Number) Version 7/20/2018 General Conditions - 11 Entity Type: Domestic For -Profit Corporation Business Status: Active Creation Date: 11/03/1986 Inactive Date: Principal Office Address: PO BOX 1333, NUSHAWAKA, IN, 46546 - Expiration Date: Perpetual 1333, USA Jurisdiction of Formation: Indiana Business Entity Report Due 11/30/2020 Date: Years Due: Title Name Address APPROVED AND FILED CONNIE LAWSON J INDIANA SECRETARY OF STATE 09/06/2018 10:32 AM BUSINESS ID 198611-033 BUSINESS TYPE Domestic For -Profit Corporation BUSINESS NAME NORTHERN INDIANA CONSTRUCTION COMPANY INC ENTITY CREATION DATE 11/03/1986 JURISDICTION OF FORMATION Indiana PRINCIPAL OFFICE ADDRESS PO BOX 1333, MISHAWAKA, IN, 46546 - 1333, USA YEARS 2018/2019 EFFECTIVE DATE 09/06/2018 EFFECTIVE TIME 10:27 AM REGISTERED AGENT TYPE Individual NAME David J. Walorski ADDRESS 55803 Dogwood Road, Mishawaka, IN, 46545, USA SERVICE OF PROCESS EMAIL davidwalorski@cs.com I acknowledge that the Service of Process email provided above is the email address at which electronic service of process may be accepted and is publicly viewable. -Page 1 of 2 - APPROVED AND FILED CONNIE LAWSON INDIANA SECRETARY OF STATE 09/06/2018 10:32 AM TITLE Secretary NAME Scott Fredrick ADDRESS 428 CHESTNUT FOREST COVE, FT. WAYNE, IN, 46814, USA TITLE President NAME WALORSKI.DAVID. J. ADDRESS 51566 BRIDGEWATER CT, SOUTH BEND, IN, 46637, USA THE SIGNATOR(S) REPRESENTS THAT THE REGISTERED AGENT NAMED IN THE APPLICATION HAS CONSENTED TO THE APPOINTMENT OF REGISTERED AGENT. IN WITNESS WHEREOF, THE UNDERSIGNED HEREBY VERIFIES, SUBJECT TO THE PENALTIES OF PERJURY, THAT THE STATEMENTS CONTAINED HEREIN ARE TRUE, THIS DAY September 6, 2018. SIGNATURE TITLE David J. Walorski President Business ID : 198611-033 Filing No.: 8018088 - Page 2of2- October 22, 2019 TO: Board of Public Works of the City of South Bend, Indiana RE: Northern Indiana Construction Company's Staffing Capabilities Since its incorporation on November 3, 1986, Northern Indiana Construction Company Inc. has always maintained accurate staffing to initiate, and complete, all the projects we bid and are awarded. As of the date of this letter, Northern Indiana Construction Company has an extensive list of employees who are adequately trained to complete the work and projects we bid. As a part of our Good Faith Efforts with the Indiana Department of Transportation, Northern Indiana Construction Company, solicits candidates for hire, several times every year, from numerous recruitment agencies, social organizations, local colleges & training facilities, and Workforce Development Services of Northern Indiana. "Very il�y, lzz� David J. Walor i President Northern Indiana Construction Company Inc. 55803 DOGWOOD RD. P.D. BOX 1333 MISHAWAKA, IN. 46546-1333 PH: 574.256-181 1 FAX: 574-256.1879 " An Equal Opportunity Employer" October 22, 2019 City of South Bend Board of Public Works County -City Building, Room 1316 227 West Jefferson Street South Bend, Indiana 46601 RE: Northern Indiana Construction Company Inc., Statement of Compliance regarding personnel who will perform work on any of our public works projects. Ladies/Gentlemen of the Board, Please accept this letter as a statement of compliance that all individuals who will perform work on any public works project that Northern Indiana Construction Company Inc. has been contracted to work on, will be properly classified as either an employee or as an independent contractor, under all applicable state and federal laws and local ordinances. Respectfully Submitted, Danisha L. Marable, EEO Officer Northern Indiana Construction Co., Inc. 55803 DOGWOOD RD. P.O. BOX 1333 MISHAWAKA, IN. 46546-1333 PH: 574-256-181 1 FAX: 574-256-1879 " An Equal Opportunity Employer" October 22, 2019 TO: Board of Public Works, City of South Bend, Indiana RE: Northern Indiana Construction Company Evidence of Participation in Apprenticeship and Training Programs At this time, Northern Indiana Construction Company does not have any new employees available to participate in any apprenticeship and/or training programs. Northern Indiana Construction is currently a member of the Associated Builder & Contractors of Indiana / Kentucky. Associated Builder & Contractors of Indiana / Kentucky provides formal apprenticeship and craft training programs that are registered with the United States Department of Labor Office of Apprenticeship. The previously stated program, meets all federal and state requirements for formal apprenticeship and prevailing wage work including employer sponsored classroom instruction, and on the job training. The classroom instructions are available in Elkhart Indiana and follow the National Center for Construction Education and Research (NCCER) curriculum, "Wheels of Learning." Northern Indiana Construction Company has trained all its current crane operators. Our crane operators have successfully passed all the required exams, and are certified by the National Commission for the Certification of Crane Operators (NCCCO). Ver in ly, d David J. Walor i President Northern Indiana Construction Company Inc. 55803 DOGWOOD RD. P.O. BOX 1333 MISHAWAKA, IN. 46546-1333 PH: 574-256-181 1 FAX: 574-256-1879 " An Equal Opportunity Employer" JULY 31, 2007 NORTHERN INDIANA CONSTRUCTION CO., INC. EMPLOYEE DRUG TESTING PLAN It is the policy of Northern Indiana Construction co., Inc. to maintain a drug -free workplace and to conduct testing as required by Indiana law (IC-4-13-18) to discourage use of prohibited substances by our employees. Our drug -testing program consists of the following steps: 1) All truck drivers who are subject to the drug and alcohol -testing requirements of 49CFR Parts 40 and 382 will continue to be tested subject to those requirements rather than according to this policy. 2) All field employees, both management and trade, who work on state public works contracts are subject to testing by random selection. All field employees will be subject to a drug test at least one (1) time each year. 3) The names of all field employees has been submitted to Beacon Occupational Health, 4630 Vistula Road, Mishawka, Indiana 46544 our drug -testing agency, they have entered the names into their database for random selection. The list of employees will be updated as needed to reflect the change in status of any employees as well as to add any new employees. 4) At least two percent (2%) of the subject employees will randomly be selected for testing each month. If two percent (2%) of the subject employees is less than one (1), at least one name will be randomly selected. 5) Within 72 hours of being selected or prior to the employee's next scheduled day of work, whichever is later, the employee selected for testing will be notified that he/she has been randomly selected. 6) Once an employee has been notified of his/her selection for testing, the employee will be directed to Beacon Occupational Health, 4630 Vistula Road, Mishawka, Indiana 46544, our current testing facility for Northern Indiana Construction Co., Inc. The employee will have 48 hours from the time of notification to provide a specimen at the designated facility. Proof that the specimen was collected, within the allotted time must be provided by the employee to Northern Indiana Construction Co., Inc. 7) Specimens will be tested for amphetamines, cocaine, opiates (2000ng/ml), PCP, and THC. 8) All drug tests will be conducted as follows: by a laboratory certified by the United States Department of Health and Human Services under the National Laboratory Certification Program. 9) All test results shall be: sent by the laboratory to the Medical Review Officer (MRO) designated by Northern Indiana Construction Co., Inc. 10) The concentration thresholds established by (under) 49 CFR Part 40.87, will determine whether a drug -test is positive or negative. 11) If the MRO notifies Northern Indiana Construction Co., Inc. that an employee has tested positive, the following disciplinary progression will be followed, unless Northern Indiana Construction Co., Inc. determines that it is in the company's best interest to terminate the employee: (A) After the first positive test, an employee must be: (i) Suspended from work for thirty (30) days; (ii) Directed to a program of treatment or rehabilitation; and (iii) Subject to unannounced drug testing for one (1) year, beginning the day the employee returns to work. (B) After the second positive test, an employee must be: (i) Suspended from work for ninety (90) days; (ii) Directed to a program of treatment or rehabilitation; and (iii) Subject to unannounced drug testing for one (1) year, beginning the day the employee returns to work. (C) After the third or subsequent positive test, an employee must be: (i) Suspended from work for one (1) year; (ii) Directed to a program of treatment or rehabilitation; and (iii) Subject to unannounced drug testing for one (1) year, beginning the day the employee returns to work. 12) All subcontracts for work to be performed on state public works contracts will include a provision requiring the subcontractor to have a drug testing plan (program) that complies with IC 4-13-18 and to provide information regarding implementation of its drug testing plan (program) upon request of the owner agency. Revised on 7/18/2019 DEPARTMENT OF THE TREASURY BUREAU OF THE FISCAL SERVICE WASHINGTON, DC 20227 Edward J. Largent III, President Westfield Insurance Company P. O. Box 5001 Westfield Center, OH 44251 - 5001 Dear Edward J. Largent III: Your Company's Certificate of Authority to qualify as an acceptable surety and/or reinsurer on Federal bonds is hereby renewed and will remain in effect until June 30, 2019, unless revoked prior to that date. On the basis of our review of the Company's Annual Financial Statement as of the close of the last calendar year, the following underwriting limitation has been established, effective July 1, 2018, under the renewed Certificate: POLICYHOLDERS' SURPLUS at December 31, 2017 ............... $1,278,433,052 UNDERWRITING LIMITATION ......................... ...... ............. ---- $127,843,000 We are following the practice of making no deductions from policyholders' surplus reported where the amount of adjustment (e.g., for unauthorized reinsurance, inadequate loss reserves, etc.) would have a nominal effect on the surplus and where it has been determined that the Company is solvent per Treasury's guidelines. This practice facilitates the review work and should not be interpreted as changing or nullifying applicable Treasury requirements. The list of approved sureties (Circular 570) is available on our website at gi-z,htm. Please disseminate this information to your associates, agents, reinsurers and even Government agencies whenever possible. If you wish to comment on the underwriting limitation established, please contact Terry Nisewarner at 304-480-6961, immediately. Enclosure Sincerely, Digitally signed by Melvin H. Melvin H. Saunders Saunders Date: 2018.07.17 14:49:45-04'00' Melvin Saunders Manager Surety Bond Branch SURETY BOND BRANCH — 6505 BELCREST RD — RM. 345 HYATTSVILLE, MD 20782 — FAX: (202) 874-9978 INTERNETADDRESS tw(I.J1attmm�'wtlq�r,u,1ry�w�t:��l,ra2m�i�fl�u�¢G��ardA�u�� hr�rr�n4.'1)al'm�'p.