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HomeMy WebLinkAboutOpening of Bids - Ewing Ave & Fellows St Intersection Traffic Signal Proj No 118-097 - Martell ElectricCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Ewing Avenue and Fellows Street Intersection Traffic Signal Project No. 118-097 For Bids Due November 12, 2019 ..._._...._...__ .......... PART I (Must be completed for all bids. Please type or print) Date: 11/12/2019 Bidder (Firm): Martell Electric, LLC Address: 4601 Cleveland Rd City/State/Zip: aouth Bend„ IN 46628 Telephone Number: (_574 )271-5000 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: Ewing Avenue and Fellows Street Intersection Traffic Signal Project No 118-097 the City of South Bend, Indiana, in accordance with plans and specifications prepared by. Abonmarche and dated June 2019 for the sum of (enter the Total Bid as shown on the Proposal) (Enter sum of Total Base Bid plus AlternatesWshown on Proposal) 00 14 60 One hundred nint -four thousand six hundred four dollars 50/1 W_ y (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 accepted by the City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a sep to attaUByJe ife Marte l- Presid€,rr - ._. ..... (Printed Name of PersonSigning) The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member Laura L. O'Sullivan, Member ACCEPTANCE day of Suzanna M. Fritzberg, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk Version 1/17/2019 Contractor's Bid for Public Works - 2 20 BID/PROPOSAL CITY OF SOUTH BEND rr ��y��Yrr'ir� Project Name: Ewing Avenue and Fellows Street Traffic Signal Project Number: 118-097 �'� r; For Bids Due: September 10, 2019 Contractor Name: Martell Electric, LLC BASE BID Item No. Description uanti Unit Unit Price Total Amount 1. Construction Engineering 1 LS 2,625 2,625 2. Mobilization/Demobilization 1 LS 6,423 6,423 3. Clearing Right of Way 1 LS 3,798 3,798 4. Concrete Curb, Remove 245 LFT 16.80 4,116 5. Concrete Sidewalk, Remove 150 SYD 26.25 3,937.50 6. Signal Pole and Foundation, Remove 4 EACH 792 3,168 7. Handhole, Remove 1 EACH 532 532 8. ITraffic Signal Equipment, Remove and Salvage 1 LS 849 849 9, Common Excavation 1 LS 3,150 3,150 10. Temporary Erosion and Sediment Control 1 LS 1,050 1,050 11, Compacted Aggregate for Base, No. 53 35 TON 73.50 2,572.50 12. HMA Surface, 9.5 mm, Type B 7 TON 420 2,940 13. HMA Base, 25.0 mm, Type B 35 TON 262.50 9,187.50 14. Concrete Curb 220 LFT 39.90 8,778 15. Concrete Sidewalk, 4" 65 SYD 63 4,095 16. Concrete Curb Ramp 55 SYD 199.50 10,972.50 17. Detectable Warning Surface 14 SYD 183.75 2,572.50 18, Sodding 190 SYD 27.41 5,207.90 19, Service Point, TESCO Cabinet di EACH '7,528 7,528� 20. TS-2 Controller Cabinet and P1 Foundation 1 EACH 2O,710 20,710 21. Thermal Detection System 1 EACH 3,271 3,271 22. Thermal Detection Camera 2 EACH 8,860 17,720 23, Signal Cantilever, Foundation 4 EACH 1,688 6,752 24. Pedestrian Push Button Pole and Foundation 5 EACH 509 2,545 25. Traffic Signal Head, 3 Section, 12" Red, Amber, 8 EACH Green 874 6,992 Version 1/17/2019 Contractor's Bid For Public Works-7 BID/PROPOSAL CITY OF SOUTH BEND 26. Signal Cantilever Structure, Single Arm, Install 4 EACH 1,307 5,228 27. Painting Traffic Signals 4 EACH 1,874 7,496 28, Pedestrian Signal Pole 5 EACH 941 4,705 29. Handhole, Traffic 4 EACH 918 3,672 30. Pedestrian Push Button Assembly, APS 8 EACH 1,028 8,224 31, Pedestrian Signal Head 8 EACH 789 6,312 32. Conduit, PVC Schedule 80, 3" 315 LFT 14.97 4,7155.55 33. Conduit, PVC Schedule 80, 2" 65 LFT 9.41 611.65 34. Signal Cable, 3c/8 GA 55 LFT 8.56 470.80 35. Signal Cable, 5c/14 GA 1,740 LFT 1.50 2,610 36. Signal Cable, 3c/14 GA 1,180 LFT 1.40 1,652 37. Signal Cable, Coax 310 LFT 2.90 899 38. Install Existing Street Identification Sign 2 EACH 221 442 39. Line, Solid, White, Thermoplastic, 6" 370 LFT 3.10 1,147 40. Line, Solid, Yellow, Thermoplastic, 4" 45 LFT 1.46 65.70 41. Transverse Line, Thermoplastic, White, 24", Stop Bar 80 LFT 13.63 1,090.40 42. Line, Remove 450 LFT 8.38 3,771 Bidder (Firm) Address: City/State/Zip: BASE BID TOTAL 194,604.50 Martell Electric, LLC 4601 Cleveland Rd South Bend, IN 46628 Telephone Number: ( 574 ) 271-5000 (Printed Name of Person Submitting) Version 1/17/2019 Contractor's Bid For Public Works-8 When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF INDIANA ) ) SS: ST10. S EPH COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. Version 1/17/2019 Contractor's Bid for Public Works - 4 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder Version 1 /17/2019 Contractor's Bid for Public Works - 5 may result in forfeiture of contractual payments. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 12TH day of November, 2019 Subscribed and sworn to before me this 12th My Commission Expires March 19, 2026 County of Residence Martell Electric, LLC Colt 'actorlliic ' er (i Si...tta1r ............� C, ntracto / Idder e'er Its Agent nnifer Martell- President Printed Name and Title .day of November 2019 Notary 1 thtlic. St. Joseph ry4[B INY �pXs� 17 -," ,-' v t 0 W Notary Pub i State of Indians «' 1 " Sr, Joseph oijnty Commission # 711599 '�"� My Commission expires dka"�+'` March 19, 026 11011 Version 1/17/2019 Contractor's Bid for Public Works - 6 Bid Bond CONTRACTOR: (Name, legal status and address) Martell Electric, LLC 4601 Cleveland Road South Bend, IN 46628 OWNER: (Name, legal status and address) City of South Bend, Indiana Board of Public Works 227 West Jefferson Blvd, Room 1316 South Bend, IN 46601 Bond No. SURETY: Western Surety Company: South Dakota Corporation (Name, legal status and principal place of business) 151 N. Franklin Street 17th Floor Chicago, IL 60606 BOND AMOUNT: Five percent (5%) of accompanying bid This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. PROJECT: (Name, location or address, and Project number, if any) Ewing Avenue and Fellows Street Traffic Signal Project No. 118-097 Ewing Avenue and Fellows Street, South Bend, IN 46613 The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this ... 12111 _ day of __ Novem l....� ._ tness) _,__ ... :.. ... _............---........ .......... (Witness) ber ......... 2Q..1, 9.....�.�.� Martell Electric, LLC (Seal)... n ter 'el V, Jr* ( Title ) Western urety Company _ (Seal) (Title) Laura L Diver, Attorney -in -Fact Printed in cooperation with the American Institute of Architects (AIA). The language in this document conforms to the language used in AIA Document A310 - Bid Bond - 2010 Edition. Western Surety Company Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Thomas J Mc Govern, Harold E Everett, Elaine K Miller, Jada M Karst, Thomas J Van Dyck, Melinda S Jagger, J Kevin Hughes, Connie J Messer, Tracie M Mc Bride, Laura L Diver, Individually of Fort Wayne, IN, its true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature Unlimited Amounts - and to bind it thereby as fully and to [fie same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 29th day of May, 2019. N»� WESTERN SURETY COMPANY pSEAV?r dul T. Bruflat, Vice President State of South Dakota ss County of Minnehaha On this 29th day of May, 2019, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires J. MOHR rmara June 23, 2021 amaa .................._.......................... ................... ....� J. Mohr, Notary Public CERTIFICATE I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the Hy -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this „ ,12t, ,,,,,,,,,,mmm,,,,,, day of „_N, _( _ _2019 . �0. WESTERN SURETY COMPANY L. Nelson, Assistant Secretary Form F4280-7-2012 Go to www.cnasuretcoom > Owner / Obligee Services > validate Bond Coverage, if you want to verify bond authenticity. 1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOUTH BEND. IN DIANA 46601-1830 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD PUBLIC WORKS December 6, 2018 Ms. Jennifer Martell Martell Electric, LLC 4601 Cleveland Rd. South Bend, IN 46628 RE: Pre -Qualification Verification Dear Ms. Martell: PHONE 574/235-9251 FAX 574/ 235-9171 This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you are required to re -submit a complete application for continuation of pre -qualification status prior to December 31 for the upcoming calendar year. A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, Linda M. Martin, Clerk DAVID P. RELOS ELIZABETH A. MARADIK CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Ewing Avenue and Fellows Street Intersection Traffic Signal Project No. 118-097 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. X Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond. X Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments X with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted Form [MWBE-2.1]. X- Acknowledge Receipt of 0 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: Martell Electric, LLC By Authorized Signature: Print Name & Version 1/17/2019 Contractor's Bid for Public Works - 1 Date: November 12, 2019 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 1/17/2019 Contractor's Bid for Public Works - 3 MARTELL ELECTRIC LLC 4601 CLEVELAND ROAD SOUTH BEND, IN 46628 PHONE: 574-271-5000 FAX: 574-271-5400 CONTRACTORS g ENQINEERS CONTRACTOR'S BID FOR PUBLIC WORK- FORM 96 PART II (Projects of $100,000 ore more- IC 36-1-12-4) Section I: Experience Questionnaire 1. Public Works Projects Martell Electric, LLC has completed for the period of one (1) year prior to the date of the current bid: ...Contract Classoff m..� CompletionM .... .... __ ._.....��._..__ �.�� .......�....... Amount Date Name & Address of Owner ..�.�..... ....._.. .. City of South Bend, County City Bldg. Rm 1316, 333,700 Electrical Q1 2019 227 W Jefferson, South Bend IN 46601 .... .......—.__„ 782 188 Electrical Q3 2019 INDOT, 100 N Senate Ave, Indianapolis, IN City of South Bend, County City Bldg Rm 1316, 11,348 Electrical Q4 2019 227 W Jefferson, South Bend, IN 46601 2. Public Works Projects Martell Electric, LLC currently in process of construction: Contract Class of Completion ���....� .__m............................... . . . . . . Amount Work Date Name & Address of Owner ............. ... ..�. �.Ft Wayne AIIeIn C"t Air ori',- _ .. �w.....r—g- y p 3801 W Ferguson Rd, Ft 1.140 371 Electrical Q4 - City of South Bend, County City Bldg Rm 1316 6,332,340 Electrical Q2 2020 227 W Jefferson, South Bend, IN 46601 3. Martell Electric, LLC has never failed to complete any work awarded to us. 4. References from private firms which Martell Electric, LLC has performed work:. a. Panzica Building Corporation, 416 E Monroe St., South Bend, IN 46601 b. Washington Square Development, 213 W Washington, South Bend, IN 46601 c. Indiana Toll Road Concession Company, 52551 Ash Rd, Granger, IN 46531 MARTELL dry;sa'aMcd'uF:r.'M'II'NiFiA'."fi"Yt'pfiYNp A1�k'Y4ir Section II: Plan & Equipment Questionnaire: 1. Explanation plan/layout for performing proposed work: Martell Electric, LLC intends to utilize our pre -construction services department and pre- fabrication division in the proposed schedule and execute accordingly. 2. Subcontractors that have been used; a. Core Bore, 110 Ullery Rd, Niles, MI 49120 — Directional Boring b. Schenk Lightning Rod, Inc, 53140 Poppy Rd, South Bend, IN 46628 — Lightning Protection c. Premium Concrete, 712 Richmond St, Elkhart, IN 46516 — Concrete d. Traffic Control Specialists, 1810 W Pacific Ave, Knox, IN 46534 — MOT 3. Intended sublet work: A listing of intended subcontractors will be provided prior to contract approval. 4. Equipment available for use: Martell Electric, LLC owns, maintains, and operates all necessary tools and equipment. This includes but is not limited to, Bucket Trucks, Scissor Lifts, Scaffold, Mini Excavator, Trenchers and Line Trucks. Anything not owned, will be rented. 5. Contracts or offers for all materials: Martell Electric, LLC has received quotations for material, but we have not entered into any contracts related to this project. Section III: Contractor's Financial Statement: Enclosed 2 } cn a `W W V) a Ir owQ 0 Q' W Z C Q m w 0 rm 2CAa wU_ �w�- R: yLL ?2 ma Oma. 00 Opp �2> �w W m 0 � 0 Z Q H R' 0 z d !A O r- ig o m O Q LLI LLI r2 C m O C � 20 O a+ C V -v= fA - v � O � a L =, L E u N d N C � d is m � O '3 O L CA O o U c o 'E C 'a m VA N a >, a+ C «s co � L N t 2 to L � 3 > a o a w = m :c 'tl! O 0a O cn a, fA L E d LO O N '~ fJl CD L w d ) .� vt y w C H= O �I 0 O 2w0_ o 0, 00 CO N m N (0 O � (D o o W CO a) O c a a. E U LLJ ¢ w m `asca m N Ul) 3 o 0 _O Cfl CD LL CA a w EC d Q a' 00 c � w �°- N E z U .o J J W a) co 2 N E z L N Q) I. m a o E� m o a) a) (U c 0 0 T >O a) L (u� U � �Q 0 t cc g c N N C 0_ o t U 0_ 0 m m E? d W m m cn a 06 a) E co z a) l CO CA 0 4 CO N 4 I- LO 0 C 0 U _U c0 F— CD O ti N ti ti ti LO c2 U a) j ^a) U� C NCO O O q `~ 2 0LO U U EZ CO 0 cam E U�Z EFo x O N��, atiW �00 C F—�Y R O N N 0 f6 M aten rra CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY, DEVELOPMENT PROGRAM 4 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 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: 118-097 Date: 11 /12/2019 Project Name: Ewing Avenue and Fellows Street Intersection Traffic Signal Bidder: Martell Electric, LLC Contact Person: Dan Connors Telephone: 574-271-5000 Address: 4601 Cleveland Rd City: South Bend State: Indiana Zip: 46628 Email: dconnors@martellelectric.com To determine whether a bidder has demonstrated good faith efforts to reach the MBEIWBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: EVIDENCE OF GOOD FAITH EFFORTS ................................. ..----- ---- MBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (http://www.in.gov/idoa). ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South 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 MBE/WBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBE/WBEs reasonable time to respond. 3, Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBEIWBE 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 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 MBEIWBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down contracts into smaller units to facilitate MBEM/BE participation) UNTRACT RECORDS:: The bidder has maintained the following records for each MBE/WBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE/WBE was unqualified to perform the job. *Proper demonstration of Good Falth 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 - 10 6V T Of CITY OF SOUTH BENDr MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY., DEVELOPMENT PROGRAM UiJV,` FORM MWBE-2.1 J; MBE/WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE 3 OF 3 Project Number: 118-097 MBE/WBE Participation Goal 28% Project Name: Ewinq Avenue and Fellows Street Intersection Traffic Signal Bidder: MArtell Electrjic,, l-C By: re MBE/WBE Firm Premium Concrete Owner or Contact at MBE/WBE Firm AA i Telephone: 574-264-0196 Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: concrete President (Title) RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Received quote for concrete MBE/WBE Firm Traffic Control Specialists M Owner or Contact at MBE/WBE Firm Telephone: 574-772-7001 Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Received quote for traffic control Em 11/12/2019 (Date) Version 1/17/2019 Contractor's Bid for Public Works - 11 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Ewing Avenue and Fellows Street Intersection Traffic Signal Project No. 118-097 For Bids Due November 12, 2019 Contractor Name: Martell Electric, LLC 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 31st 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 3/19/2019 General Conditions - 6 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder and all subcontractors on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the information provided by the contractor. Version 3/19/2019 General Conditions - 7 I. PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: (i) /V 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) V By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (b) Attachments: (i) Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) V 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) V 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. (iv) 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. (v) 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 3/19/2019 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). (ii) List identifying all former business names. (iii) 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 3/19/2019 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. (i) 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: November 12, 2019 (Sign Her Jennife')rtell (Print Name Here) Martell Electric, LLC (Name of Company) 4601 Cleveland Rd (Address of Company) South Bend (City) Indiana (State) (574) 271-5000 (Telephone Number) Version 3/19/2019 General Conditions - 10 MARTELL ELECTRIC 4601 CLEVELAND ROAD SOUTH BEND, IN 46628 PHONE: 574-271-5000 FAX: 574-271-5400 COfVT14ACTOFIB B EIVC31lVEEFiB November 12, 2019 Pre -Qualified Bidder Checklist Attachments: Attached is Martell Electric, LLC's Indiana Secretary of State's on-line 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. Martell Electric, LLC is signatory with IBEW Local 153. Martell has sufficient employees on staff to complete the work we are bidding. iii. Attached is a letter from ONI, Risk Partners as evidence that Martell Electric, LLC is 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 specification or contract. iv. 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: Project 7­­ . . . . ............... Name Owner Contract Amount g .. Traffic Si nal Modernization INDOT $943,460 Jefferson & Tw ckenham Citv of South Bend $197,157 Douglas Road City of Mishawaka $782,188 v, Attached is evidence of Martell Electric, LLC's 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. INNOVATIVE ELECTRICAL SOLU rvry roro www.martelielectric.com EQUAL OPPORTUNITY EMPLOYER Business Name: MARTELL ELECTRIC, LLC Entity Type: Domestic Limited Liability Company Creation Date: 12/17/2001 Principal Office Address: 4601 CLEVELAND RD, SOUTH BEND, IN, 46628, USA Jurisdiction of Formation: Indiana BUSINESS INFORMATION CONNIE LAWSON INDIANA SECRETARY OF STATE 08/02/2019 11:51 AM Business ID: 2001121800142 Business Status: Active Inactive Date: Expiration Date: Perpetual Business Entity Report Due 12/31/2019 Date: Years Due: Type: Individual Name: Jennifer Brown Address: 4601 Cleveland Rd., South Bend, IN, 46628, USA VONI RISK PARTNERS January 18, 2019 RE: Martell Electric, LLC 4601 Cleveland Road South Bend, IN 46628 To Whom It May Concern: We are providing this information at the request of our principal, Martell Electric, LLC. We have been providing surety bonds for Martell Electric, LLC, since 2015. We currently have a surety- ._ program in place for them covering projects up to $30,000,000 within potential aggregate'work programs of $60,000,000. CNA has an A.M. Best Rating of "A" "XIII" and Treasury Listing of $131,504,000. We continue to have confidence in Martell Electric LI.Cs ability to perform at the above stated bonding levels and recommend them for your favorable consideration. This letter is not to be construed as an agreement to provide surety bonds for any particular project, but is offered as an indication of past experience and confidence in this firm. Any specific request for bonds will be underwritten on its own merits. Should you have any further questions, please do not hesitate to contact us. �Sincerely, J. Kevin Hughes Attorney -in -Fact Western Surety Company (574) 314-9194 100 East Wayne Street Suite 130 South Bend, IN 46601 ONIRisk.com Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Thomas J Me Govern, Harold E Everett, Elaine K Miller, J Kevin Hughes, Thomas J Van Dyck, Jada M Karst, Melinda S Jagger, Trade M McBride, Connie J Messer, Laura L Diver, Individually of Fort Wayne, IN, its true and lawful Altornoy(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. ht Witness Whereof, WESTERN SURETY COMPANY has caused these presents la be signed by its Vice President and its corporate seal to be hereto affixed on this 9th day of August, 2018. uattwry WESTERN SURETY COMPANY '.drat T. Brutiat, Vice President State of South Dakota ss County of Minnehaha On this 9th day of August, 2018, before me personally came Paul T. Brutlat, to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission 3t expiresr'MzrLJWs.S4M8N�7ikkFiEakR June 20211c GaA � L Mohr, Notary Public CERTIFICATE I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereivabove set forth is still in force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this-.....a.....tb,,,,,,,,,,day of �Tn n it c`tx'-,r— � n7 1 C1c1 WESTERN SURETY COMPANY :n, L.N. .NAssistant Secretary Form F4280-7-2012 Go to wwwwwt cIna. re +.,, talaf > owner/ Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity, K NEC e M °tid�RTHER1" 1N�k�NR C INDI NA CKWER �� ¢ "� South Bend & Vicinity Electrical Joint Apprenticeship and Training Committee Martell Electric LLC 4601 Cleveland Rd. South Bend, IN 46628 November 26, 2018 To whom this may concern, This is to certify that Martell Electric LLC is signatory to the IBEW/NECA collective barging agreement and is in good standing. As they are able to employ apprentices indentured to the South Bend and Vicinity Electrical Joint Apprenticeship and Training Committee. The South Bend and Vicinity Electrical Joint Apprenticeship and Training program has been registered with the US Department of Labor Apprenticeship and training since January 10, 1946 as well as being approved with the US Veteran Administration. . Sincerely, Steve Egyed Coordinator 56365 Peppermint Road • South Bend • IN • 46619 Ph: (574) 233-1721 • Fx: (574) 233-1947 • www.jatcl53.com