HomeMy WebLinkAboutOpening of Bids - East Bank Trail Storm Repairs Proj No 118-306 - Walsh & KellyCITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name EAST BANK TRAIL STORM REPAIRS
Project No. 118-306
For Bids Due November ...._
ber 12, 2019
PART I
(Must be completed for all bids. Please type or print)
Date: 11 /12/19 Bidder (Firm): Walsh & Kelly, Inc
. ..._ ........
Address: 24358 SR 23
................ _........ _
City/State/Zip; South Bend, IN 46614 Telephone Number (574) 288-4811
Agent of Bidder (if Applicable):
....... .............
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
East Bank Trail Storm RepairsProject No 118-306
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
Lawson -Fisher Associates. P.C.
and dated October 1.4, 2019 for the sum of (enter the Total Bid as shown on the Proposal)
One hundred ninety two thousand dollars and zero cents s 192 000.00
(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 ned4 tyre cosh, f u its must be the same as that
shown in the original contract if accepted by the City o end., id is to be awarded on a unit
basis, the itemization of the units shall be shown on
, sepate a ent.
By
The above , ., accepted
« « ,r
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
Laura L. O'Sullivan, Member
Version 4/2/2019
(Signature)
"._.w lFil.+"..1iP
(Printed Name of Person Signing)
i ACCEPTANCE
�._........a. day of _IT 20
............._. .... w.._
Genevieve E. Miller, Member
...-........... ._ .......
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
Contractor's Bid for Public Works - 2
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
These statements to be submitted under oath by each bidder with and as part of his/her/its bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1. Attach information regarding projects your organization has completed for the period of one
(1) year prior to the date of the current bid.
2. Attach a listing of public works projects currently in process of construction by your
organization.
3. Attach information regarding any failure to complete any work awarded to you and the
location thereof.
4. Attach references from private firms for which you have performed work.
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Attach an explanation of your plan or layout for performing proposed work. (Examples could
include a narrative of when you could begin work, complete the project, number of workers,
etc. and any other information which you believe would enable the City of South Bend to
consider your bid.)
2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside
your own firm who have performed part of the work) that you have used on public works
projects during the past five (5) years along with a brief description of the work done by each
subcontractor.
3. If you intend to sublet any portion of the work, attach the name and address of each
subcontractor, equipment to be used by the subcontractor, and whether you will require a
bond. However, if you are unable to currently provide a listing, please understand a listing
must be provided prior to contract approval. Until the completion of the proposed project, you
are under a continuing obligation to immediately notify the City of South Bend in the event that
you subsequently determine that you will use a subcontractor on the proposed project.
4. Attach a listing of equipment you have available to use for the proposed project.
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
BID/PROPOSAL
CITY OF SOUTH BEND
PROJECT NAME: East Bank Trail Storm Repairs
PROJECT NO. 118-306
FOR BIDS DUE. November 12, 2019
Item No.
Description
Quantity
Unit
Unit Price
Total Amount
1
Mobilization and Demobilization
1
LS
8,800.00
$8,800.00
2
Construction Engineering
1
LS
3,400.00
$3,400.00
3
Material Approval and Testing
1
LS
1,800.00
$1,800.00
4
Temporary Erosion Control
1
LS
1,500.00
$1,500.00
5
Maintenance of Traffic
1
LS
4,553.85
$4,553.85
6
Clearing of Right of Way
1
LS
19,640.00
$19,640.00
7
Excavation, Common
252
CY
149.00
$37,548.00
8
B Borrow
150
CY
99.00
$14,850.00
9
Subgrade Treatment, Type III
1200
SY
22.00
$26,400.00
10
Compacted Aggregate, No. 53 Base
126
CY
157.00
$19,782.00
11
Compacted Aggregate, No. 53
110
Ton
88.00
$9,680.00
12
HMA Intermediate, Type B
135
Ton
101.00
$13,635.00
13
HMA Surface, Type B
85
Ton
203.00
$17,255.00
14
PCCP, 4 in, Header
20
SY
385.00
$7,700.00
15
Timber Railing
175
LFT
101.00
$17,675.00
17
Mulched Seeding, U
81
SY
3.04
$246.24
18
Sodding, Nursery
203
SY
14.22
$2,886.66
19
Water for Sodding
12
kGal
5.00
$60.00
20
Permanent Turf Reinforcement Mat
81
SY
14.25
$1,154.25
21
Road Closure Sign Assembly
3
EA
225.00
$675.00
22
Detour Route Marker Assembly
7
EA
89.00
$623.00
23 Construction Sign, A 4 EA
94.00 $376.00
24 Barricade, Type III -A 120 LIFT
13.00 $1,560.00
Bid Total
$211,800.00
4
Bidder(Firm):
Address:
City/State/Zip
Telephone Number:
Fax Number:
BID/PROPOSAL
CITY OF SOUTH BEND
PROJECT NAME: East Bank Trail Storm Repairs
PROJECT NO. 118-306
FOR BIDS DUE: November 12, 2019
Walsh & Kelly, Inc.
24358 SR 23
South Bend,IN 46614
574-288-4811
574-289-7174
By"'" ...
f ('Signature)
Dustin P. Hilary, VP of South Bend Area
(Printed Name of Person Signing)
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, fines, 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
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
may result in forfeiture of contractual payments.
Version 4/2/2019 Contractor's Bid for Public Works - 5
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 12th day of Nov. , 2019
of Conlractor/Bid ler or Its Agent
Austin wHilar, VP of South Bend Area
Printed Name and Title
Subscribed and sworn to before me this 12th day of November 20 19
My Commission Expires 615122 ..... .............. J
Notary PiO Alisha . rueger
County of Residence St. Joseph
--- .wwwww
Version 4/2/2019
ALISHA KRUEGER
�
Notary Public. State of Indiana
p SEAL' "
St. Joseph County
My Commission Expires
June 05„ 2022
�PN�' eW„ry,^ '�MWNMM'Y�mi'-NtM 7'A�7N�i ,m�AT^PoYlpi. �"rlN�m�N"dl aNP�
Contractor's Bid for Public Works - 6
..„� Surety 0 +908.903.3485
202B Halls Mill Road, PO Box 1650 F + 908.903.3656
Whitehouse Station,19 08889-1650
Federal Insurance Company
AU Document A31OTM - 2010 Bid Bond
Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable.
CONTRACTOR
Mme~ le al status and address):
lst Kelly, Inc.
24358 State Road 23
South Bend, IN 46614
OWNER
(Name, legal status and address) -
City of South Bend, Indiana
County -City Building Room 1316
227 West Jefferson Blvd.
South Bend, Indiana, 46601
BOND AMOUNT
SURETY
(Name, legal status and principal place of business):
Federal Insurance Company
202B Halls Mill Rd., PO Box 1650
Whitehouse Station, Iq 08889-1650
In the amount of not less than five percent (5%) of the base bid plus any alternates.
PROJECT
(Name, location or address, and Project number, if any)
East Bank Trail Storm Repairs
Project No. 118-306
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.
6y language in this document conforms to the language used in
Punted in cooperation with the American Institute ofArchitects (AM) Chubb. The
ALI Document A310 rev-2010.
Form 15.02-0575-FM (Rev. 3/17)
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 here
from 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 and not as a common law
bond.
Signed and sealed this 12th
(Wittte s A :i h 1rueg
(Witness) ath'ryn R. Postma
day of November, 2019.
Walsh &
T)USan Hilary
VP of South raid Area
(Title)
(Cororateeal)
Federal Insurance Company
.
Y4�
(Attorney -in -Fact) Lisa M. Becker * p ' s d
(Corporare'cial)
Printed in cooperation with theAmerican Institute of Architects (ALA) by Chubb. The language in this document conforms to the language used in
AM DocumentA310'"1-2010.
Form 15.02-0575-FED (Aev. 3/17)
Power of Attorney
Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company
Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC
INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Lisa M. Becker, Tia A. Boice, Terry R. Hurst, Brian T. Morton,
David M. Oliger, Kathryn R. Postma, Tina N. Senefeld and Eric M. Wahlstrom of Indianapolis, Indiana- -----------------------------------------------------
each as their true and lawful Attorney -in -Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed in the course of business, and any
instruments amending or altering the same, and consents to the modification or alteration of any instrument referred to in said bonds or obligations.
In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these
presents and affixed their corporate seals on this 6" day of March, 2019.
I tiv-11 NI Chloros. A,-4S:In I S&vrcl:ll}'
STATE OF NEW JERSEY
County of Hunterdon
A--)�'t,� g,'-.
�Ic�rhwt \I Ilan�y.1`irclht:Wdxyn
On this 611 day of March, 2019, before me, a Notary Public of New Jersey, personally came Dawn M. Chloros, to me known to be Assistant Secretary of FEDERAL INSURANCE
COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Dawn M.
Chloros, being by me duly sworn, did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC
INDEMNITY COMPANY and (mows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by
authority of said Companies; and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority; and that she is acquainted with Stephen M.
Haney, and knows him to be Vice President of said Companies; and that the signature of Stephen M. Haney, subscribed to said Power of Attorney is in the genuine handwriting of
Stephen M. Haney, and was thereto subscribed by authority of said Companies and in deponent's presence.
Notarial Seal ROSE C .
+�+ur NOTARY PIIBl1C OF
NEWNEW JFASkY
�vm�wW, SIVU400...�.2vt'!
�xx:ll}• PLIMC
CERTIFICATION
Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY on August 30, 2016:
"RESOLVED, that the following authorizations relate to the execution, for and on behalf of the Company, of bonds, undertaldngs, recogulzances, contracts and other written commitments ofthe Company
entered Into in the ordinary course of business (each a "Written Commitment"):
(1) Each of the Chairman, the President and the Vice Presidents of the Company Is hereby authorized to execute any Written Commitment for and on behalf ofthe Company, under the
seal of the Company or otherwise.
(2) Each duly appointed attomey-in-fact of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company, under the seal ofthe Company or
otherwise, to the extent that such action is authorized by the grant of powers provided for in such person's written appointment as such attorney -in -fact.
(3) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized, for and on behalf of the Company, to appoint In writing any person the attorney -
in -fact of the Company with full power and authority to execute, for and on behalf of the Company, under the seal of the Company or otherwise, such Written Commitments ofthe
Company as may be specified in such written appointment, which specification may be by general type or class of Written Commitments or by specification of one or more particular
Written Commitments.
(4) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized, for and on behalf ofthe Company, to delegate in writing to any other officer ofthe
Company the amhortty to execute, for and on behalf of the Company, under the Company's seal or otherwise, such Written Commitments ofthe Company as are specified In such
written delegation, which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments.
(5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution, and the seal ofthe Company, maybe affixed by
facsimile on such Written Commitment or written appointment or delegation.
FURTHER RESOLVED, that the foregoing Resolution shall not be deemed to be an exclusive statement of the powers and authority of officers, employees and other persons to act for and on behalf of
the Company, and such Resolution shall not limit or otherwise affect the exercise of any such power or authority otherwise validly granted or vested."
I, Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companies") do hereby
certify that,
" I ,
(i r the foregoing Resolutions adopted by the Board of Directors ofthe Companies are true, correct and in full force and effect,
01 the foregoing Power of Attorney is true, correcm and In full force and effect
Given under my hand and seals ofsaid Companies at Whitehouse Station, M, this 12th day of November, 2019.
"wwwm lkNAl 11. t:hh N'x >;, :1,\gtitalll k�l'lNal}�
c� '�6N"'V"I(E EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT:
Tel9.+tbotio(908)903-3493 PlrxtSIM�SM-3135E egnalhsurwnvdHYchnlrlsse�erm
FED- VIG-PI (rev, 08-18)
Sol ;1"o�FBF.ND.1tWDIANA466011830
CITY OFSOUTH BEND PETE i' MAYOR
BOARD iWORKS
September 25, 2019
Dustin Hilary
Walsh & Kelly, Inc.
24358 SR 23
South Bend, IN 46614
RE: Pre -Qualification Verification
Dear Mr. Hilary:
Praa NI: 574/ 235.-9251
f ,, x. 574( 235-9 E 71
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.
If you have any further questions regarding this matter, please call this office at (574) 235-9251.
Sincerely,
_ 4"Ju ..
Linda M. Martin, Clary
CrARY A ��ra,o' �R&:Pd NIP'Nir E. MILLIER EUZA�iETH A. d`�Pi,&t.4D11K. Lf4llRF4 L O SULLIVAN DiFRESE 1. D(.)IPA&;
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name EAST BANK TRAIL STORM REPAIRS
Project No. 118-306
For Bids Due November 12, 2019
.. ..... ................... .__ _
Contractor Name: Walsh & Kelly, Inc.
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 periud. 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) Acknowledgements:
(i) X 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) X 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) 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
proprietors or partnerships).
(ii) X 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) X 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) X 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
II. 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
(ix) 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.
0) 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.
Walsh & Kelly, Inc.
(Name of Company)
24358 SR 23
(Address of Company)
South Bend
(City)
Indiana
(State)
574-288-4811
(Telephone Number)
Version 5/16/2019 General Conditions - 10
irl
esponsille Bidding practices and Submission
Requirements uirements for Pre -Qualified Bidder Checklist
(l) Attachments
(i) Attached
(ii) Staffing Capabilities: Walsh & Kelly, Inc. is signatory with the following unions
which supply our workforce — Laborers International Union, Teamsters, Operating
Engineers and Cement Masons.
(iii) See Forms 96 and 96a
(iv) All individuals who will perform worn on the public works project on behalf of
Walsh & Kelly, Inc. will be properly classified under applicable state and federal
laws and local ordinances.
6
By: Dated: November 12 2019
Lynn J. BA V
VP of South Bend Operations
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name EAST BANK TRAIL STORM REPAIRS
µWW1W18-306uu .............................
Project No.
For Bids Due November 12, 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 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: Walsh & Kelly, Inc., Date: 11111 /1
By Authorized
Signature:
Print Name &
Version 4/2/2019 Contractor's Bid for Public Works - 1
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CITY OF SOUTH BEND oarrwa
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY ,
DEVELOPMENT PROGRAM
vsr +I,;w is
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:
Project Name:
Bidder:
Contact Person:
Address:
City:
118-306
EAST BANK TRAIL STORM REPAIRS
Walsh & Keller, Inc
Edward.4pow......................................._...............................
24358 mSIR._23...........
South Bend State: Indiana
Date: 11 /12/19
Telephone: 574-288-4811
zip: 46614
Email: epilipmowwalshkmellrmmcom
To determine whether a bidder has demonstrated good faith efforts to reach the MBE/WBE utilization goals set
forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or
commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*:
EVIDENCE OF GOOD FAITH EFFORTS
...................................
MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business
Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women
Owned Business as found on their webs ite (http://www.in.gov/idoa).
ACTION (ADVERTISEICONiTACT): In order WWfor Wyour bid to be deemed responsive, the City of South
Berpd, quires that all perspective bidders compfete no less than 2 of the following:
1. Attend all pre -bid meetings scheduled by the City to inform MBE/WBEs of contracting and
subcontracting opportunities.
Advertise in general circulation and/or trade association publications concerning subcontracting
opportunities, and allow MBE/WBEs reasonable time to respond,
Perform any and all necessary steps to provide written notice in, a manner reasonably calculated
to inform MBEIWBEs 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 MBE/WBE firms,
**Bidder must circle or otherwise notate which of the two (2) required actions were performed.
................... .................. ............ ...__.... .. ................._
OOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE/WBEs,
including providing such MBE/WBE's with adequate information about the plans, specifications and other
requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business
reasons based on a thorough investigation of their capabilities.
.............................................................
SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by
MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down
contracts into smaller units to facilitate MBE/WBE participation)
CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has
id on the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3, A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MBE/WBE was unqualified to perform the job.
................................_..........
*Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version 4/2/2019 Contractor's Bid for Public Works - 10
iw ra
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAMq
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 MBEANBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify
whether any listed minority or woman business meets the qualifications of a Minority or Women's owned
business.
PAGE 1 OF 1
Project Number: 118-306
...; =
Project Nam : °B
Bidder, -
By:
nettwre)
MBE/WBE Participation Goal
TRAIL STORM REPAIRS
VP of South Bend Area 11 /1.
(Title) (Date)
Firm State Barricadina. Inc.
Owner or Contact at MBE/WBE Firm Jim Michalski
...... . .................._..............
Telephone: 574-287-2078wwwwwww„ Fax: .574-287-1744 Email: STATEBARRICADE1 aol.corn
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Traffic Control Devices
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
If Walsh & Kelly, Inc. is awarded the prcect, Walswhww&wKelly, Inc. will enter into a
subcontract with State Barricadin ITcnITITITITITITITITITITITITITITIT
MBE/WBE Firm Slusser's Green Thumb. Inc.
..................................................................................................
Owner or Contact at MBE/WBE Firm John Williamson
_. _.... ......... . _. _..... _.. �.....
Telephone: 574-722-3102 Fax: 574-722-3102 Email: 'es slussers.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
_hod/Seed
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
If Walsh & Kelly, Inc. is awarded the Project, Walsh & Kelly, Inc. will enter into a
subcontract agreement with Slusser's Green Thumb, Inc.
Version 4/2/2019 Contractor's Bid for Public Works - 11
Part of State Form52414 (R2 / 2-13) Form 96 (Revised 2013)
BID OF
Walsh & Kelly, Inc.
(Contractor)
(Address)
South Bend IN 46614
FOR
PUBLIC WORKS PROJECTS
OF
East Bank firalll Stormy Repairs
Project No. 118-306
Filed November 12th 2019
Action taken
State Form 52414 (R / 9-10)
Prescribed b State Board of Accounts Form N2. 26 Remised 2 13
CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96
PART 1
(To be completed for all bids. Please type or print)
1. Governmental Unit (Owner):
2. County:
3. Bidder (Firm):
Address:
City/State:
4. Telephone Number:
5. Agent of Bidder (If applicable):
Date (month, day, year): November 12 2019
City of South Bend I_tidiana
St. Joseph
Walsh & Kellv, Inc.
24358 SR 23
South Bend IN 46614
(574)288 481I__
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 (Governmental Unit) in accordance with plans and
specifications re aredb l awson-Fisher
1 w" p p y Ier associates P.C. and dated October 102019 for the sum
of One hgn.dred ninety t'W1ro tllottsand dollars and zero cents s. 192.,000.00.
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. I hereby certify I and all subcontractors employed by me
for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in
forfeiture of contractual payments.
ACCEPTANCE
The above bid is accepted this day of . ..... ....... .w subject to the following conditions.
Contracting Authority Members:
PART II
(For projects of $150,000 or more — IC 36-1-12-4)
Governmental Unit: City of South Bend, Indiana
Bidder (Firm): Walsh & Kelly, Inc.
Date(month, day, year)
These statements to be submitted under oath by each bidder with and as part of his bid. Attach additional pages
for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1.
What public works projects has your organization completed for the period of one (1) year prior to the date of
the current bid?
Contract Amount
Class of Work
When Completed
Name and Address of Owner I
$12,926,200
Reconstruction
October 2017
INDOT
$
5,970,162
Reconstruction
May 2017
Town of Merrillville
L $
5,521,779
Resurface
December 2017
City of Mishawaka
$
2,646,574
Reconstruction
Se tmber 2017
St. Joseph Cty Hwy Dept.
3.
What public works projects are now in process of construction by your organization?
Contract Amount
Class of Work
When to be Completed
Name and Address of Owner
$10,695,118
Reconstruction
November 2018
Walsh Construction
$ 8,146,239
Resurface
May 2018
INDOT
$ 4,073,719
Reconstruction ... ._....�.........
July 2018
Cit of East Chicago, IN
$ 2,662,813
Reconstruction
October 2018
INDOT
4. Have you ever failed to complete any work awarded to you? No If so, where and why?
3
5. List references from private firms for which you have performed work.
Gatlin PlPlumbin r & lleatinLy. Inc. 1111 E. Main„ SIG.riffitlil 1.N Ms. + lara G 11311V ____......�_
(:1oug11 fuc 2200 E� 88"' Dr.,Merrillville I 46ll..Q „ ^lr, lea mond Goer h
I)ver Construction. Ga. 171.6 Sheffield Avenue D er IN Janet Furman
Grimmer Construction Co. Inc. 2619 Main Street Highland, IN Mr. Gregg Grimmer _..
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could
begin work, completed the project, number of workers, etc. and any other information which you believe would
enable the governmental unit consider your bid.)
As required by owner
2. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have
performed part of the work) that you have used on public works projects during the past five (5) years along with a
brief description of the work done by each subcontractor.
See Attached List
3. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be
used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a
listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed
project, you are under a continuing obligation to immediately notify the governmental unit in the event that you
subsequently determine that you will use a subcontractor on the proposed project.
Will supply upon award of contract
4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors
may also be required to be listed by the governmental unit.
QUANTITY
ITEM
DESCRIPTION,
CONDITION
YEARS
PRESENT LOCATION
SIZE, CAPACITY,
OF
ETC.
SERVICE
5
Asphalt Plants
Various
Good
Griffith, South Bend,
Valparaiso, Lowell, LaPorte
__......_.�._.
_....
19
Asphalt Pavers
......_.
Various
Good
Griffith, South Bend
Sli form Conc. Paver
Various
Good
Griffith, South Bend
3
Road Widener
Various
Good
Griffith, South Bend
.�......................
5
Motor Graders
_
CAT/J.D.
Good
Griffith, South Bend
54
Rollers
Various
Good
Griffith, South Bend _.
.... .........
30
Rubber Tire Loaders
...
Various
Good
Griffith, South Bend
15
Excavators
Various
Good
Griffith, South Bend
9
Bulldozers
.........
Various
Good
Griffith, South Bend
6
.........
LowBoy Tractors
Various
Good
Griffith, South Bend
8
Flatbed Dumps
Various
Good
Griffith, South Bend
48m..
1 3
/z and / ton Pickups
_.
Various
w
Good
Griffith, South Bend
65
.
1 Ton Crew Trucks
Various
Good
Griffith, South Bend
3
Cold Planers
Wirtgen 1900
Good
Griffith, South Bend
DC
3
Tri-Axle Dumn
Mack
Good
South Bend
5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing
your proposal? Otherwise, please explain the rationale used which would corroborate the prices listed.
Yes, we received quotes from potential subcontractors and suppliers
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
4
Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required
by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding
the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's
capability for completing the project if awarded.
SECTION IV CONTRACTOR'S NON -COLLUSION AFFIDAVIT
The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any other member,
representative, or agent of the firm, company, corporation or partnership represented by him, entered into any
combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to
prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference
to any other bid and without any agreement, understanding or combination with any other person in reference to such
bidding.
He further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate,
fee, gift, commission or thing of value on account of such sale
SECTION V OATH AND AFFIRMATION
I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION
CONTAINED IN THE FOREGOING BID FOR PRBLIC WORKS ARE TRUE AND CORRECT.
Dated at South Bend this 12'a' day of
of Organization)
(Title of Person Signing)
ACKNOWLEDGEMENT
STATE OF Indiana
) ss
COUNTY OF St.
Before me, a Notary Public, personally appeared the above -named Dustin Hilary and
swore that the statements contained in the foregoing document are true and correct.
Subscribed and sworn to before me this 12th day of Novembert2019
My Commission Expires; June 5 2022
Al a Krmae er, Notam°y Public
w KRU[GI
aaa„ AI_1SHA
^' Notuiry P,iblic• Stale of 4ndiana
s, laSaoPh�o�vntY
County of Residence: St. Joseph Z SEAL;
My rory1rnNSS
a urx�'3" Juneo52022 P.«
,a1v """ � a m�b
Form 96 Section II, #2
Subcontractors Used on Public Works Contracts DILlur n
SUBCONTRACTORS
COMPANY ADDRESS CITY/STATE/ZIP
SEWER
B&DSewer
Deboer Egolf
Delta III
Dyer Construction
Gatlin Plumbing & Heating
Gough, Inc.
Grimmer Construction
Hasse Construction
HRP Construction
Rex Construction
Wirtz & Yates, Inc.
Woodruff & Sons
MILLING
C.E. Hughes Milling, Inc.
Javelina Construction, Inc.
Mid America Milling Co.
McCrite Milling
Specialties Company
ELECTRICAL INSTALLATION
Hawk Enterprises
Midwestern Electric
S/T Bancroft Electric
Sweney Electric Company
Trans Tech Electric
SIGN INSTALLATION
Hawk Enterprises
Midwestern Electric
RoadSafe Traffic Systems
State Barricading, Inc.
Traffic Control Specialists, Inc.
PAVEMENT MARKINGS
The Airmarking Company
Blackout Sealcoating
RoadSafe Traffic Systems
State Barricading, Inc.
Traffic Control Specialists, Inc.
Traffic Management Company
TRAFFIC CONTROL
RoadSafe Traffic Systems
Traffic Control Specialists, Inc.
Traffic Manaaement Comoanv
LANDSCAPE
Great American Landscape
Hubinger Landscape
S9usser's Green Thumb, Inc.
T & J Landscape Service
531 Winston Ct
5772 Melton Road
2063 W 1250 S
1716 Sheffield Avenue
1111 E. Main Street
2200 E. 88th Drive
2619 Main Street
10 Lincoln Avenue
5777 Cleveland Rd.
700 Schiller Avenue
P.O. Box 41
P.O. Box 450
the Past 5 Years
Schererville, IN 46375
Portage, IN 46368
Hanna, IN 46340
Dyer, IN 46311
Griffith, IN 46319
Merrillville, IN 46410
Highland, IN 46322
Calumet City, IL 60409
South Bend, IN 46624
Schererville, IN 46375
Kentland, IN 47951
Michigan City, IN 46361
PHONE FAX
(219) 322-2300
(219) 763-9700
(219) 797-4004
(219) 865-2961
(219) 924-6972
(219) 756-2200
(219) 924-1623
(219 )932-1611
(574)271-7800
(219) 322-8090
(219) 474-6542
(219) 872-8605
(219) 865-0065
(219) 763-9703
(219) 797-3008
(219) 865-2963
(219) 924-1401
(219) 756-2202
(219) 924-0328
(219) 932-6829
(574) 271-0524
(219)322-0031
(219) 8795339
3113 Holmans Lane
Jeffersonville, IN 47130
(812) 725-8665
(812) 725-8672
13476 Britton Park Rd.
Fishers, IN 46038
(317) 841-8364
(317) 841-0075
6200 W. Hwy 62, Ste 400
Jeffersonville, IN 47130
(812) 282-2751
(812) 283-9846
209 Quality Ave. Ste 9
New Albany, IN 47150
(812) 941-0252
(812) 941-0852
9350 E. 30th St.
Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
1850 E. North St
1620 E. Chicago Ave
25020 State Road 2
9111 Louisiana St.
4601 Cleveland Road
1850 E. North St
1620 E. Chicago Ave
3122 Olympia Dr
24963 U.S. Highway 20
1810 W Pacific Avenue
P.O. Box 526
7440 W. 87th Place
3122 Olympia Dr
24963 U.S. Highway 20
1810 W Pacific Avenue
3542 Hicihwav Avenue
3122 Olympia Dr
1810 W Pacific Avenue
3542 Hiahwav Avenue
P.O. Box 235
210 E. 113th Avenue
125 Montgomery Street
8253 Wicker Avenue
Crown Point, IN 46307
East Chicago, IN 46312
South Bend, IN 46619
Merrillville, IN 46410
South Bend, IN 46619
Crown Point, IN 46307
East Chicago, IN 46312
Lafayette, IN 47909
South Bend, IN 46628
Knox, IN 46534
Rochester, IN 46975
Bridgview, IL 60455
Lafayette, IN 47909
South Bend, IN 46628
Knox, IN 46534
Highland, IN 46322
Lafayette, IN 47909
Knox, IN 46534
Highland, IN 46322
Dyer, IN 46311
Crown Point, IN 46307
Logansport, IN 46947
St. John, IN 46373
(219) 662-8090
(219) 397-4444
(574) 287-6490
(219) 769-6007
(574) 272-9673
(219) 662-8090
(219) 397-4444
(317) 780-1825
(574) 287-2078
(574)772-7001
(219) 662-8093
(219) 397-8888
(219) 769-0565
(574) 271-0144
(219) 662-8093
(219) 397-8888
74) 772-7002
(574) 223-5817 (574) 223-7959
(219) 864-2300 (708) 430-6910
(317) 780-1825
(574) 287-2078
(574) 772-7001 (574) 772-7002
(291) 746-2433
(317) 780-1825
(574)772-7001 (574)772-7002
(219) 746-2433
(219)322-7033 (219)322-4419
(219) 662-9911 (219) 662-6206
(574) 722-3102 (574) 722-1628
(219) 374-9900 (219) 374-9950
6
GUARDRAIL/FENCING
Acorn Fence
2041 164th Street
Hammond, IN 46320
(219) 844-8400
(219) 844-8441
C Tech Corporation
5300 W. 100 North
Boggstown, IN 46110
(317) 835-2745
(317) 835-2781
James H. Drew Company
8701 Zionsville Rd.
Indianapolis, IN 46268
(317) 876-3739
(317) 876-3829
Security Industries
1000 Georgiana St,
Hobart, IN 46342
(219) 942-9447
(219) 942-9448
Specialties Company
9350 E. 30th St.
Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
TRUCKING/HAULING
C. Lee Construction Services
1011 S. Lake St
Gary, IN 46403
(219) 888-9554
(219) 888-9564
Condon Trucking, LLC
18245 Amberley Ln
South Bend, IN 46637
(574) 360-4326
(574) 271-8984
Fanio Services
28015 SR 23
North Liberty, IN 46554
(574) 233-3236
Gilmer Trucking
20390 New Road
South Bend, IN 46614
(574) 229-3233
Material Transfer Inc.
7811 West 101st Ave.
Crown Point, IN 46307
(219) 865-9575
Morris Motor Service, Inc.
10525 W US Hwy 30 Bld
Wanatah, IN 46390
(219) 733-9430
7
P & C Trucking
4410 Ross Road
Gary, IN 46408
(219) 972-0193
Superior Construction Co., Inc.
1455 Louis Sullivan Dr
Portage, IN 46368
(219) 787-0850
V & R Trucking, Inc.
1845 Elmer St.
South Bend, IN 46628
(574) 329-2102
SRPM'S
K & S Markers, Inc.
2189 N 600 W
Thorntown, IN 46071
(765) 482-6184
(765) 482-6284
UNDERSEAL
Rieth-Riley Construction Co.,
2454 West CR 450 North
LaPorte, IN 46350
(219) 362-6178
Inc.
TREE REMOVAL
Dave's Tree Service
1555 Park West Circle
Munster, IN 46321
(219) 922-9829
(219) 922-9843
Homer Tree Service
14000 S. Archer Ave
Lockport, IL 60441
(815) 838-0320
Timber Masters LLC
P.O. Box 245
Dyer, IN 46311
(219) 864-8733
(219) 322-9391
LIME STABILIZATION
Mt. Carmel Sand & Gravel
1611 College Dr.
Mt. Carmel, IL 62863
(618) 262-5118
(618) 263-4084
Rock Solid Stabilization
5104 Mann Drive
Ringwood, IL 60072
(815) 653-2585
(815) 653-2583
Specialties Company
9350 E. 30th St.
Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
PIPE LINING
Indiana Reline, Inc.
312 E. Main Street
Sulphur Springs, IN
(765) 766-5040
(765) 533-5831
SAW CUTTING
Diamond Coring Co., Inc,
Quality Saw & Seal, Inc.
SEAL COATING/STRIPING
Site Services, Inc.
Blackout Sealcoating
UNDERDRAIN
3D Company, Inc.
11800 S Ewing Ave
7600 W. 79th Street
10117 Kennedy Ave
7440 W. 87th Place
3200 East CR 350 North
47388
Chicago, IL 60617
Bridgeview, IL 60455
Highland, IN 46322
Bridgview, IL 60455
Muncie, IN 47303
978-5000
767-9300
(219) 924-9944
(219) 864-2300 (708) 430-6910
(765) 288-3326 (765) 288-3344
7
General Form No. 96-a
Prescribed by the State Board of
Accounts of Indiana. Revised 1949.
�r d • 0
Prescribed by
THE STATE BOARD OF ACCOUNTS OF INDIANA
For use in investigating and determining the qualifications of bidders on public
construction when the aggregate cost of any such work or improvement will be Five Thousand
Dollars or more.
These statements to be submitted under oath by each bidder with and as a part of his bid, as provided
by Chapter 306, page 1248, Acts of 1947
Submitted to City of South Bend, Indiana
By Walsh & Kelly, Inc.
Address 24358 SR 23 South Bend IN 46614
Date submitted November 12 2019
Filed
XE, BOYCE C0 , MUNCIE, IND,
{A Corporation
I
Sec. 2 of an Act entitled "AN ACT concerning the awarding of contracts for the performance of public work and
authorizing the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contractors who
submit bids for the performance of such work, providing for plans and specifications, providing for bids repealing certain laws
and declaring an emergency." (Approved March 13, 1947.)
Sec. 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or more, for
the purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which of the bidders
submitting bids for the performance of any such public work is, in the judgment of such board, commission, trustee, officer or
agent, the lowest and/or best bidder and to exercise intelligently the discretion hereby conferred on such board, commission,
trustee, officer or agent each bidder shall be required to submit under oath with and as a part of his bid a statement of his
experience, his proposed plan for performing such work and the equipment which he has available for the performance of such
work and a financial statement. The statements hereby required shall be submitted on forms which shall be prescribed by the state
board of accounts. The forms so prescribed shall be designated, respectively, as the experience questionnaire, the plan and
equipment questionnaire and the contractor's financial statement, and shall be based, so far as applicable, on the standard
questionnaires and financial statement for bidders as approved and recommended by the joint conference on construction
practices, for use in investigating the qualifications of bidders on public construction work, and the forms so prescribed are
hereby prescribed as the forms which shall hereafter be used by all such boards, commissions, trustees, officers and agents in
obtaining the information which is required in the administration of this act. If the information submitted by any bidder on the
forms herein prescribed is found, on examination, to be unsatisfactory, the bid submitted by such bidder shall not be considered.
(Burns Statutes 1933, Sec. 53-109) Sec. 2, Chapter 306, Acts of 1947.
M Coll 111Do 3100DI:a
The following forms of questionnaires and financial statement are prescribed by the State Board of
Accounts in conformity with the statute set out on the preceding page.
These forms, properly filled out and attested, must accompany each bid of five thousand dollars or
more on any public work.
The forms are designed to cover all contracts for all kinds of work and the bidder is required to
answer such questions as are pertinent to the work upon which he is bidding. The purpose of the
questionnaire and financial statement, as set forth in the law, is to enable the awarding body to determine
the qualifications of the bidder to carry out successfully the contract if the same is awarded to him.
The bidder will find it to his advantage to answer fully all questions coming within the range of the
work upon which he is bidding. Particular attention should be given the "Financial Statement" and the
details relative to the assets and liabilities set out. This form is made in extensive detail so that the bidder
may explain his assets and liabilities in proper sequence and in a uniform manner.
T. M. HINDMAN,
State Examiner
3
Submitted by Walsh & Kelly, Inc. { x A Corporation
Principal Office at _ 1700 East Main Street, Griffith. IN 46319__,
To City of South Bend, Indiana
EXPERIENCE QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers
to interrogatories hereinafter made.
1. How many years has your organization been in business as a general contractor under your present
business name? 52 Years _
2. How many years' experience in asphalt paying construction work has your organization had: (a)
As a general contractor 71 years (b) As a sub -contractor 71 Years
3. What projects has your organization completed?
ontract Amount
12,926,200
Class of Work
Reconstruction
When Completed
October 2017
Name and Address of Owner
INDOT
$ 5,970,162
Reconstruction
klay 2017
Town of Merrillville, IN
m $ 5,521,799
Resurface
December 2017
City of Mishawaka, IN
$ 2,646,574
Reconstruction
September 2017
St. Joseph County Hwy
Department
3-A. What projects has your organization now in process of construction?
............................................................................... .-.....................................................
CONTRACT AMT. CLASS OF WORK WHEN TO BE COMPLETED NAME AND ADDRESS OF OWNER
$ 10,695,118
Reconstruction
November 2018
Walsh Construction
$ 8,146,239
Resurface
Ma2018 _
INDOT.T
..................................................................... ... ... ...........
$ 4,073,719
Reconstruction _ _
July 2018
City of East Chicago, IN
$ 2,662,813
Reconstruction
I October 2018
INDOT
4. Have you ever failed to complete any work awarded to you? No If so, where and why?
5. Has any officer or partner of your organization ever been an officer or partner of some other
organization that failed to complete a construction contract? No If so, state name of individual,
other organization and reason therefore
................
6. Has any officer or partner of your organization ever failed to complete a construction contract
handled in his own name? No If so, state name of individual, name of owner and reason therefor
7. In what other lines of business are you financially interested? None
8.. For what corporation or individuals have you performed work, and to whom do you refer?
BP Amoco, Whiting, Indiana
Tong & Blank Construction 1623 Greenwood Ave. 1fighiM-City.,IN 46360 ... . .............
Grimmer Construction Co.. Inc. 2619 Main..Stregt,_Hjghland. IN 46322
. . . .................. ............. —
University of Notre Dame, South Bend, Indiana
Gou h, Inc., 1151 E. Summit, Crown Point, IN 46307 ..................... . . . . ....... . . ...............
9. For what cities have you performed work and to whom do you refer?
Town of Griffith
Director of Public Works
Griffith, IN
Town of Schererville
Town Manage ............ . ......
Schererville IN
City of Hammond
Cit Engineer
Hammond, IN
City of South Bend
City Engineer ..................................
South Bend, IN
Town of St. Join)
Town Manager
StJohn, IN
10. For what counties have you performed work and to whom do you refer?
Lake County Highwqy SLiperintendent Crown Point, IN ......................
11orter County jj-ij,,1iway Superintendent Valparaiso, IN
St. Joseph County Highway Superintendent South Bend, IN
Elkhart Counter
LaPorte County Highway Superintendent LaPorte, IN
11. For what State bureaus or departments have you performed work and to whom do you refer?
Indiana Department of Transportation (NDOT) LaPorte District LaPorte IN
Department of Natural Resources IndianVolis, IN
. . . .. . ..................................................... . ............ . ........................... . ... ...
12. Have you ever performed any work for the U.S. Government Yes
If so, when and to whom do you refer? . . ..................................
U.S. Army Cows of Enizineers Chicago. IL
Indiana National Guard, Dqpt. of Administration Indiangpolis, IN
Federal Highway Administration . . ......................Sterling, .VA
13, What is the construction experience of the Principal individual of your orgyanization?
INDIVIDUAL'S NAME
PRESENT POSITION OR
YEARS OF
MAGNITUDE AND
IN WHAT CAPACITY
OFFICE
CONSTUCTION
TYPE OF WORK
EXPEREINCE
Kevin J. Kelly
President
33
All T pSs_
General Manager
Jeffrey L. Swan
Executive Vice President
34
All Types
Supt. Engineering
David J. Misirly
Vice President
33
Bituminous
Engineer
Paving
Greg A. Hoffman
..................... . . . . . . ................
Vice President
31
Bituminous
Engineer
Paving
John C. Wall
Vice President
41
All te�_.
EnRineer
John M. Peisker
Vice President
33
.
All tnes
. ........... .............
General Manager
J. Michael
Secretary/Treasurer
46
Administration
General Manager
Schaum
Jamie L. Tancos
Controller
14
Administration
General Manager
Bauer
South Bend 0
23
All types
Engineer
_.Ly�m. ... . .......... .
Dustin P. Hilary
....... ....
South Bend Area Mgr.
18
All t)Tes
Engineer
Mark E.
Engineer
28
All types
. .......
Engineer
Krachenfels
Keith A. Gardina j
Engineer
23
All tvpes
En ineer
Nikolas G. Relias
LKnRineer
16
Bituminous
Engineer
Paving
PLAN AND EQUIPMENT QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers
to interrogatories hereinafter made.
1. In what manner have you inspected this proposed work? Explain in detail.
Plans .Specifications and Site Inspections
W_
2. Explain your plan or layout for performing the proposed work
As directed by owner/engineer
The work, if awarded to you, will have the personal supervision of whom?
Kevin J. Kelly,Jeffrey1.... Swan :David J. Misirl Gregor° A. IloffmamiDustin P. I-lilgK �y !)
Bauer
4. *Do you intend to do the hauling on the proposed work with your own forces? Yes
If so, give amount and type of equipment to be used As needed
5. *If you intend to sublet the hauling or perform it through an agent, state amount of sub -contract or
agent's contract, and if known, the name and address of sub -contractor or agent, amount and type of
his equipment and financial responsibility
Items 4,5,6 and 7 may not be applicable in all building contracts; if not, omit.
6. *Do you intend to do the grading on the proposed work with your own forces?
If so, give type of equipment to be used
7. *If you intend to sublet the grading or perform it through an agent, state amount of sub -contract or
agent's contract, and, if known, the name and address of sub -contractor or agent, amount and type of
his equipment and financial responsibility
8. Do you intend to sublet any other portions of the work? If so, state
amount of sub -contract, and, if known, the name and address of the sub -contractor, amount, and type
of this equipment and financial responsibility _ _,_ ,___,_,__ m___,_---_-
9. From which sub -contractors or agents do you expect to require a bond? None
10. What equipment
do you own that
is available for the
proposed work?
QUANTITY
ITEM
DESCRIPTION,
CONDITION
YEARS
PRESENT LOCATION
SIZE, CAPACITY,
OF
ETC.
SERVICE
5
Asphalt Plants
Various
Good
Griffith, South Bend,
Valparaiso, Lowell, LaPorte
19
Asphalt Pavers
Various
Good
Griffith, South
4
Sli form Conc. Paver
Various
Good
_Bend
Griffith South Bend
3
Road Widener
._._ ......
Various
Good
Griffith, South Bend
5
Motor Graders
CA
54
Rollers
---
Various
Good
- ........
Griffith, South Bend
......... _............ ....
30
Rubber Tire Loaders
Various
Good
Griffith, South Bend
15
Excavators
.u_ .....__. .....
Various
Good
Griffith, South Bend
9
........ ......... ........
Bulldozers
Various
Good
Griffith, South Bend
6
LowBoy Tractors
. ......................................................................................_.
Various
Good
Griffith, South Bend
8
Flatbed Dumps
Various_
Good
Griffith, South Bend
48
'/z and 3/ ton Picku s
Various
Good
Griffith, South Bend
65
1 Ton Crew Trucks
Various
Good
Griffith, South Bend
3
Cold Planers
Wirtgen 1900
Good
Griffith, South Bend
DC
3
Tri-Axle Dump
Mack
Good
South Bend
11. What equipment do you intend to purchase for use on the proposed work, should the contract be
awarded to you?
QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC. APPROXIMATE
COST
None
........
12. How and when will you pay for the equipment to be purchased?
13. Do you propose to rent any equipment for this work?No If so, state type, quantity and reasons for
14, Have you made contracts or received firm offers for all materials within prices used in preparing your
proposal?
Do not give names of dealers or manufacturers,...... _.......... _. _ ...........
Dated at South Bend this 120' day of btoveinber, 2019
Walsh & T'C
.................. ........ .._.._.._..__�m.
(Name of izati
1_3
Dusta�� Hi,lau 'P of oath Bend ,Area... _.
Title of Person Signing)
STATE OF hldiana
fSS,
COUNTY OF St Joseph ...
Dustin Hil4p being duly sworn deposes and says that he is VP of South Bend Area of the
above Walsh & Kelly, Inc.
(Name of Organization)
and that the answers to the questions in the foregoing questionnaires and all statements therein contained
are true and correct.
Subscribed and sworn to before me this _ 12th day of November 2019
2.
.___..�n �. .� �.
Alishara e per, Notary Public
My Commission expires June S, 2022
m,mw w� a -: drs arwa'uanaw
ALISHA
ER
g
No ry�Public, ht t9 county
dix,,�
3t..o p Y
My omitris5ion Expires
cur J U n r,, 05, 2022
y c,
wru,msmmp u�aiuuwtiw!�mn.wam�µ„a�amwm�a�'
WRITTEN CONSENT TO RESOLUTIONS
of the
BOARD OF DIRECTORS
of
WALSH & KELLY, INC.
The undersigned, being all of the Directors of WALSH & KELLY, INC., an Indiana Corporation,
hereby consent to the following actions to be taken by the Corporation without a meeting of the Board of
Directors under the applicable provisions of the Indiana Business Corporation Law, as amended:
RESOLVED that the following be, and hereby are, elected officers of the Corporation, to
hold the office until the next regular meeting of the Board of Directors and until their
successors are duly elected and have qualified:
Kevin J. Kelly, President and Chief Executive Officer
Jeffrey L. Swan, Executive Vice President
John P. Vercruysse, Executive Vice President
Jamie L. Tancos, Controller
John M. Peisker, Vice President of Asphalt Operations
David J. Misirly, Vice President.
Albert E.VanDenBergh, Vice President
Gregory A. Hoffman, Vice President
John C. Wall, Vice President
J. Michael Schaum, Secretary and Treasurer, CFO
David L. Franz, Vice President of Finance
Dustin P. Hilary, Vice President
Lynn J. Bauer, Vice President
Mark E. Krachenfels, Vice President
RESOLVED FURTHER that the actions of the Officers of the Corporation taken since the
last meeting of the Board of Directors be, and the same hereby are, fully ratified and
approved.
RESOLVED FURTHER that the following be, and they hereby are, authorized to execute
all contracts or similar documents on behalf of the Corporation:
Kevin J. Kelly, President and Chief Executive Officer
Jeffrey L. Swan, Executive Vice President
Jamie L. Tancos, Controller
John M. Peisker, Vice President of Asphalt Operations
David J. Misirly, Vice President
Gregory A. Hoffman, Vice President
Dustin P. Hilary, Vice President
Lynn J. Bauer, Vice President
John C. Wall, Vice President
J. Michael Schaum, Secretary and Treasurer, CFO
Mark E. Krachenfels, Vice President
RESOLVED FURTHER that this consent shall be in lieu of an annual meeting of the Board
of Directors of the Corporation and shall be filed in the minute book of the Corporation in
place of any such annual minutes.
<<SIGNATURES ON THE NEXT PAGE>>
EXECUTED this 2801 day of March, 2019,
Fred Fehsenfeld, Jr.
James C. Fehsenfeld
Albert E. VanDenBergh John P. Vercruysse
-1, i L
Kevin' . l elly
u.,,.,.,. ;'off
State of Indiana
Office of the Secretary of State
CERTIFICATE OF EXISTENCE
To Whom These Presents Come, Greeting;
I, CONNIE LAWSON, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of
the State of Indiana, the custodian of the corporate records and the proper official to execute this
certificate.
I further certify that records of this office disclose that
WALSH & KELLY INC
duly filed the requisite documents to commence business activities under the laws of the State of
Indiana on March 29, 1966, and was in existence or authorized to transact business in the State of
Indiana on October 10, 2019.
I further certify this Domestic For -Profit Corporation has filed its most recent report required by
Indiana law with the Secretary of State, or is not yet required to file such report, and that no notice of
withdrawal, dissolution, or expiration has been filed or taken place. All fees, taxes, interest, and
penalties owed to Indiana by the domestic or foreign entity and collected by the Secretary of State
have been paid.
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City
of Indianapolis, October 10, 2019
CONNIE LAWSON
SECRETARY OF STATE
194484-057 / 20191137885
All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate
Expires on November 09, 2019.
CERTIFICATE OF QUALIFICATION
to provide
CONSTRUCTION SERVICES
for
PUBLIC WORKS PROJECTS
to the
STATE OF INDIANA
This Certification Board, having duly considered application for qualification in terms of apparent experience and financial
resources; and under the applicable Indiana Code 4-13.64 and adopted rules of this Board, hereby issues a
Certificate of Qualification to provide construction services to the State of Indiana for Public Works Projects to:
WALSH & KELLY INC
1700 E MAIN ST
GRIFFITH IN 46319
Phone 219-924-5900
Fax 219-924-8768
Company Official
KEVIN KELLY
for the twenty-seven month period stated herein, unless revoked by this Board for cause,
and in the classifications of services stated below. This certificate supersedes any previous certificate.
1611.01 Concrete Construction of Roads & Curbing
1611.02 Asphalt Construction of Roads and Parking Lots
CERTIFICATION DATE 3/1412018
EXPIRATION DATE 6M412020
THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD,
402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS, INDIANA 46204,
ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION.
,
Tracy L. Cross, Executive ''3n retary
Certification Board
DAPW P02 Stale Form 3993R Rev. 07M
`GRIFFITH SOUTH BEND
Walsh & 1700 East Main Street 24358 SR 23
Griffith, Indiana 46319 www.walshkelly.com South Bend, Indiana 46614
Phone 219 924-5900 Phone (574) 288-4811
KellInc, Fax (219) 924-8768 Fax (574) 289-7174
EQUAL EMPLOYMENT OPPORTUNITY POLICY
I. It is the policy of this Company to assure that the applicants and those that are subsequently employed are
treated without discrimination without regard to: their race, religion, sex, gender identity, sexual orientation,
color, national origin, age, association with the Vietnam era or any other war, disability, genetic information,
citizenship status, military status, veteran status, ancestry, or any other status protected under applicable
laws. Such action shall include: employment, upgrading, demotion, or transfer; recruitment or recruitment
advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training,
including apprenticeship, pre -apprenticeship, and/or on the job training.
A. The Contractor will work with the State Highway Agency (SHA) and the Federal Government in carrying
out EEO obligations and in their review of his/her activities under the contract.
II. Director of Human Resources; Randall L. Walls, shall be designated as Walsh & Kelly, Inc.'s Equal
Employment Officer. He will be responsible for all activities associated with the implementation of all
policies affecting equal employment opportunity.
III. Walsh & Kelly, Inc. assures nondiscriminatory recruitment by taking appropriate steps such as:
A. Placing employment advertisements in newspapers which serve the largest number of minority and
female groups in the recruiting area.
B. Recruiting through schools and vocational colleges having substantial proportions of minority and
female students.
C. Maintaining systematic contacts with minority, female and human relations organizations leader's
referral of qualified minority applicants.
D. Encourage present employees to refer minority and female applicants.
E. Make it known to all recruitment sources that qualified minority and female members are being
sought whenever there is hiring.
IV. This policy is intended to comply with the Civil Rights Act of 1964, as amended, the Federal Highway Act
of 1968, the Executive Order 11246 and 11375, the Rehabilitation Act of 1973, as amended, the Disabled
Veterans and Vietnam Era Veterans Readjustment Act of 1974, as amended, the Indiana Civil Right Act,
and other Federal and State Laws and Regulations pertaining to Equality of Opportunity and Affirmative
Action Policies.
V. Forms for filing any complaints are available in the Griffith office located at 1700 E. Main Street,
Griffith, IN 46319 or the South Bend office located at 24358 S.R. 23, South Bend, IN 46614. In addition,
employees can call (574) 288-4811, Ext. 211 to report any workplace concerns under this policy.
WALSH & KELLY, INC.
John C. Wall
Vice President/EEO Officer
Revised: August 1, 2019
INDV A US, IN Apr1125, 2019
ice
WALSH & KELLY INC
GRIFFITK IN
4ua w w w:'w• :� ww r :,w w w • w: - �ww w. wr. w ww.:rx wnr
w aa« s r« • w w w' • w, w w
w � .. w+ w .�4. • yM : w":« w„ w~ » w w fmw � w: 1 w
w
w l A « AI • t « • oil w « w 41
$ M w w lw. 1 w M w q. ♦Isola tw 'Ww
Valid May 1, 2019 Thru April 30, 2020
AGGREGATE.,..,...„„„........................................................................................................................... $1lmm 1TED
A(B) CONCRETE PAVEMENT: I.QVIITED......................................................................................................... $25,000,000
B(A) ASPHALT PAVEMENT- WANDOT CERTIFIED HMA...........................................................................SUNLIA4IITBD
C(B) LIGHT GRADING........................................................................................................................................$UNLIMITED
E(E) SMALL STRUCTURES AND DRAINAGE ITEMS .....,.. ........ „»,.„ ................ $25,000,000
E(F) SURFACE MASONRY AND MISC CONCRETE...................................................................................... $50,000,000
E(G) TRAFFIC CONTROL: PAVEMENT MARKINGS...................................................................................... $25.000,000
E(M DEEP SEWER AND/OR EXCAVATION.................................................................................................... $25,000,000
E(Q) CONCRETE PAVEMENT REPAIRS.......................................................................................................... $25.000,000
E(R) ASPHALT PAVEMENT MILLING.............................................................................................................. $50.000,000
f Q ALIFIDATION ENGINEER
State J20608 (118 / 5-05)
PREQUALIFICATION WORKSHEET
PRINTED:
4122/2019
PQA APPROVED:
4/9I2019
ACCT : # 35-1120685 ALT ACCT: # 0449 NEW? SUPP?
NAME: WALSH & KELLY INC
APPROVED BY:
DATE:
4r1212019
December 31, 2018
CURRENT FIXED
EQUIPMENT
ASSETS REPORTED .. ,,
$42 .»....».
,594,782,00 S9„/45,33338.00
$28,570,400.00
VALID:
5/1/2019
LIABILITIES REPORTED
($16,642,474.00) ($16,987,24%0D)
EXPIRES:
4/30f2020
NET ASSETS REPORTED
$25 952, . .
308.00 ($7,241,91 1,00)
$28,570,400.00
DENIAL DATE:
DENIAL REASON:
09 OMIT NO DETAIL OR QUANTITY
($3,570,326.00) $0.00
$0.00
11 OMIT NO DETAIL,
($167,486.00) $0.00
$0.00
15 CASH SURRENDER VALUE
$1,253.591.00 ($1,253,591.00)
$0.00
16 OMIT INTANGIBLES
$0.00 ($1,152,280.00)
$0.00
22 DUE AFTER 24 MONTHS
$0.00 $13,690,291.00
$0.00
NET FDG;D ASSETS
$0
NET FIXED ASSETS EQUIPMENT
$p
COhal0NENT
RATING
...,
CURRENT
00
00
$2$8
NET ACCEPTABLE ASSETS
$23,468,087 $4,042,509
$28,570,400
RATING FACTORS
X 10 X 2
X 8
FiJ�:D
$8,085,018.00
085,018
EQUIPMENT
$228,563,200.00
RATING
$234,680,870 $8,085,018
$228,563,200
'
MA}dMMiJMy
......---
BALANCE
$47.,3200
X 1.5
$228,563,200
........ . .................
MAXIMUM EQUIPMENT
$352,021,305
so
STATEMENT TYPE:
AUDITED
8.00
EXPER REDUCTION
0y,
AGGREGATE
UNLIMITED
+
$234,680.870
.,,
+
$4,042,509
A�)
$25,000,000
$463,244,070
$4,042,509
B(A)
UNLIMITED
X 0.25
X 2
C(B)
UNIRv11TED
IVLMUNIUMFDIED
$115811,018w ADJ.FIXED
.^_.nA
m^SSOBS018^^
E(E)
$25,000,000
BALANCE SHEET ANALYSIS
.,M_..............
E(F)
$50,000,000
CURRENTASSETS:
$42594782 CURRENT RATIO:
2.559
E(CT)
$25,000,000
...._ ..,... ..........._.... ........_
INVENTORY.
.r.,._....... ............_, ..,..,...........
$3,570,326 QUICK RATIO:
..,,..._
2.345
ECG
$25,000,000
..m.m..
CURRENT LIABILITIES: r. _........
$16,64 ,474 . , ..., ... .. AL _..
2,474 WORKINGCAPITAL:
$25 ,308 ..
$25,952,3C8
E(Q)
$25,000,000
LONG TERM LIABILITIES:
$16,987,„249 DEBT/NET WORTH:
0,711
E(R)
$50,000,000
NET WORTH:
$47,280,797
TOTAL LIABILITIES:
$33,629,723
NOTES: