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Home My WebLink AboutOpening of Bids - Ewing Ave & Fellows St Intersection Traffic Signal Proj No 118-097 - Michiana Contractingodr,u 41 CITY OF SOUTH BEND, INDIANAf 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: 11/12/19 Bidder (Firm): _ Michiana Contracting Inc Address: 7843 Lilac Rd, PO Box 929 City/State/Zip: Plymouth, IN 46563 Telephone Number:u574 936-8613 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 Consultants, Ir "., 750 Lincoln Way East, South Bend, IN 46601 and dated 09/30/19 for the sum of (enter the Total Bid as shown on the Proposal) Two Hundred Thirty One Thousand Three Hundred Seventy Three Dollars $ 231,373.00 (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 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 separat attac ant, I/ By QSi nature) Scott Kirkpatrick, P sident (Printed Name of Person Signing) 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 Project Name: Ewing Avenue and Fellow Street Traffic Signal Project Number: 118-097 For Bids Due November 12, 2019 Contractor Name: MICHIANA CONTRACTING Item No. Description Quantity Unit Unit Price Total Amount 1 Construction Engineering 1 LS $ 2,500.00 $ 2,500.00 2 Mobilization/Demobilization 1 LS $15,000.00 $ 15,000.00 3 Clearing Right of Way 1 LS $ 4,000.00 $ 4,000.00 4 Concrete Curb, Remove 245 LIFT $ 16.00 $ 3,920.00 5 Concrete Sidewalk, Remove 150 SYD $ 25.00 $ 3,750.00 6 Signal Pole and Foundation, Remove 4 EACH $ 750.00 $ 3,000.00 7 Handhole, Remove 1 EACH $ 150.00 $ 150.00 8 Traffic Signal Equipment, Remove and Salvage 1 LS $ 4,000.00 $ 4,000.00 9 Common Excavation 1 LS $ 3,000.00 $ 3,000.00 10 ' Temporary Erosion and Sediment Control 1 LS $ 1,000.00 $ 1,000.00 11 Compacted Aggregate for Base, No. 53 35 TON $ 70.00 $ 2,450.00 12 HMA Surface, 9.5mm, Type B 7 TON $ 400.00 $ 2,800.00 13 HMA Base, 25.0 mm, Type B 35 TON $ 250.00 $ 8,750.00 14 Concrete Curb 220 LFT $ 38.00 $ 8,360.00 15 Concrete Sidewalk, 4" 65 SYD $ 60.00 $ 3,900.00 16 Concrete Curb Ramp 55 SYD $ 190.00 $ 10,450.00 17 Detectable Warning Surface 14 SYD $ 175.00 $ 2,450.00 18 Sodding 190 SYD $ 50.00 $ 9,500.00 19 Service Point, TESCO Cabinet 1 EACH $11,000.00 $ 11,000.00 20 TS-2 Controller Cabinet and P1 Foundation 1 EACH $ 25,750.00 $ 25,750.00 21 Thermal Detection System 1 EACH $ 3,400.00 $ 3,400.00 22 Thermal Detection Camera 2 EACH $12,000.00 $ 24,000.00 23 Signal Cantilever, Foundation 4 EACH $ 3,000.00 $ 12,000.00 24 Pedestrian Push Button Pole and Foundation 5 EACH $ 1,200.00 $ 6,000.00 Traffic Signal Head, 3 Section, 12" Red, Amber, 25 Green 8 EACH $ 900.00 $ 7,200.00 BID/PROPOSAL CITY OF SOUTH BEND 26 Signal Cantilever Structure, Single Arm, Install 4 EACH $ 1,000.00 $ 4,000.00 27 Painting Traffic Signals 4 EACH $ 1,500.00 $ 6,000.00 28 Pedestrian Signal Pole 5 EACH $ 1,100.00 $ 5,500.00 29 Handhole, Traffic 4 EACH $ 1,315.00 $ 5,260.00 30 Pedestrian Push Button Assembly, APS 8 EACH $ 1,130.00 $ 9,040.00 31 Pedestrian Signal Head 8 EACH $ 825.00 $ 6,600.00 32 Conduit, PVC Schedule 80, 3" 315 LFT $ 23.00 $ 7,245.00 33 Conduit, PVC Schedule 80, 2" 65 LFT $ 14.00 $ 910.00 34 Signal Cable, 3c/8GA 55 LFT $ 3.00 $ 165.00 35 Signal Cable, 5c/14GA 1740 LFT $ 2.00 $ 3,480.00 36 Signal Cable, 3c/14GA 1180 LFT $ 1.60 $ 1,888.00 37 Signal Cable, Coax 310 LFT $ 2.00 $ 620.00 38 Install Existing Street Identification Sign 2 EACH $ 150.00 $ 300.00 39 Line, Solid, White, Thermoplastic, 6" 370 LFT $ 2.00 $ 740.00 40 Line, Solid, Yellow, Thermoplastic, 4" 45 LFT $ 1.00 $ 45.00 ransverse Ine, I hermoplastic, White, , Mop 41 Bar 80 LFT $ 10.00 $ 800.00 42 Line, Remove 450 LFT $ 1.00 $ 450.00 BASE BID TOTAL $ 231,373.00 Bidder (Firm): MICHIANA CONTRACTING Address: 7843 Lilac Road City/State/Zip: Plymouth IN 46563 Telephone Number (574)936-8613 Scott Kirkpatrick (Signature) (Printed Name of Person Submitting) 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: MARSHALL 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 oiNovember 2019 Michiana Contracting Inc ContractorJl idde (I I Il"nn) I Z I I S nature of Contrau r/'bidder or Its Agent Scott Kirkpatrick, President Printed Name and Title 12th y November 19 Subscribed and sworn to before me this day of __ 20� M Commission Expires aiA Y p Notary Public County of Residence Marshall w_w Version 1/17/2019 Contractor's Bid for Public Works - 6 CONTRACTOR: (Name, legal status and address) Michiana Contracting, Inc. P. O. Box 929 Plymouth, IN 46563 OWNER: (Name, legal status and address) City of South Bend Board of Public Works NWEZrAtlitl SURETY: (Name, legal status and principal place of business) The Cincinnati Insurance Company Cincinnati, OH County -City Building Room 1316, 227 West Jefferson Blvd South Bend, IN 46601 BOND AMOUNT: Five Percent of the Total Bid ( 5% of Total Bid PROJECT: (Name, location or address, and Project number, if any) Ewing Avenue and Fellows Street, Traffic Signal; Project No. 118-097 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. 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, administratgrs, 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. Si,g anand sealed this 11th day of November 2019 Michiana Contracting, Inc. _ _ . ......,,, .. LPN"inc' 1) (Seal) (Witness) Title Scott irk atrick, President The C°irl4tlasrssti insurance Company p Sure" r ... ...... ....... u tvkl Witness . .... .... -:.. �r (Seal) (Ti ) Nlcc)re L. Bicknell, torrley in ^'act CAi.U'"I�lf" rg: dorr should sit,Ira tern a:tm�lginalll AIIIA Coustract III'aa::rcurnen�t, on � l k, �r t:IlhmPur��r trust. appears in III''y�fl, D('l.� Art oidgirtasl ai suuin�lts �thr��a�l: r.11lsar•rges wiiill Trot, Ilre ollbscur°rm& Copyright..O 1. -- ----- ____ Init. AIA Document A310TM — 2010963, 1970µand 2010 by The American Institute of Architects. All rights reserved. Artr�uNIIIIYYGf a Ift AIIIAs Document its protected by US,, CopyaUght. L, aw and IlnternatUonall furPatres, t.tna uthoirlized uraelfaie d uction our dostr1111h udoum of this AIIIA IIl.tocuuurn nt„ or aumy II"roir Uori of it, innay irem ullt in srunua.io°rn, 601 and cr°Uaar Mall Ipr nalllt:liaus, and wiH be Ilmiirosecuuted to the mamsliiumuuumm anst&M NuosstillWe aundeir tlhe IIIaw. t Purchasers are permitted to reproduce ten (10) copies of this document when completed To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright@aia.org. 061110 THE CINCINNATI INSURANCE COMPANY Fairfield, Ohio POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That THE CINCINNATI INSURANCE COMPANY, a corporation organized under the laws of the State of Ohio, and having its principal office in the City of Fairfield, Ohio, does hereby constitute and appoint Mark E. Wobbe; Barbara E. Pearson; Nicole L. Bicknell; Jennifer L. Kasznia; William J. Cemey, III; Wesley L. Mantooth; Jordan M. Scheiber; Sandra L. Junk; Theresa M. Bums; Megan E. Riesenberg and/or Cheryl E. Alkire of South Bend, Indiana its true and lawful Attomy(s)-in-Fact to sign, execute, seal and deliver on its behalf as Surety, and as its act and deed, any and all bonds, policies, undertakings, or other like instruments, as follows: Any such obligations in the United States, up to Thirty Five Million and No/100 Dollars ($35,000,000.00). This appointment is made under and by authority of the following resolution passed by the Board of Directors of said Company at a meeting held in the principal office of the Company, a quorum being present and voting, on the 6" day of December, 1958, which resolution is still in effect: "RESOLVED, that the President or any Vice President be hereby authorized, and empowered to appoint Attorneys -in - Fact of the Company to execute any and all bonds, policies, undertakings, or other like instruments on behalf of the Corporation, and may authorize any officer or any such Attomey-in-Fact to affix the corporate seal; and may with or without cause modify or revoke any such appointment or authority. Any such writings so executed by such Attorneys -in - Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company at a meeting duly called and held on the 71, day of December, 1973. "RESOLVED, that the signature of the President or a Vice President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Secretary or Assistant Secretary and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power of certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified by certificate so executed and sealed shall, with respect to any bond or undertaking to which it is attached, continue to be valid and binding on the Company." IN WITNESS WHEREOF, THE CINCINNATI INSURANCE COMPANY has caused these presents to be sealed with its corporate seal, duly attested by its Vice President this 811 day of March, 2017. THE CINCINNATI INSURANCE COMPANY dT 00RPORATE * SEAL A -- ON _. Vice President STATE OF OHIO ) ss: COUNTY OF BUTLER ) On this 811 day of March, 2017, before me came the above -named Vice President of THE CINCINNATI INSURANCE COMPANY, to me personally known to be the officer described herein, and acknowledged that the seal affixed to the preceding instrument is the corporate seal of said Company and the corporate seat and the signature of the officer were duly affixed and subscribed to said instrument by the authority and direction of said corporation. ler MARK J. H LLER, Attorney at Law " AiA NOTARY PUBLIC - STATE OF OHIO A M commission has no expiration Cj Y P of date. Section 147.03 O.R.C. I, the undersigned Secretary or Assistant Secretary of THE CINCINNATI INSURANCE COMPANY, hereby certify that the above is a true and correct copy of the Original Power of Attorney issued by said Company, and do hereby further certify that the said Power of Attorney is still in full force and effect. GIVEN under my hand and seal of saidCompany at Fairfield, Ohio, this day of y y ta r$" CORPORATE WWW SEAL „ Onto BN-1005 (3/17) Secretary 1316 COUNTY -CITY BUILDING 227 W.JEFFERsoN BOULEVARD SOUTH BEND. INDIANA 4660 1-1830 to � 1865 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS December 28, 2018 Mr. Scott Kirkpatrick Michiana Contracting, Inc. 7843 Lilac Rd., PO Box 929 Plymouth, IN 46563 RE: Pre -Qualification Verification Dear Mr. Kirkpatrick: 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 RECEIVED a ' 2019 GARY A. GILOT DAVID P. RELOS ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU 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. 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 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 k Form [MWBE-2.1]. 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 K printed or typed underneath signature. >< This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Michiana Contracting Inc By Authorized Represent ' e Signature: Print Name & Title: Scott Kirkpatrick, President Version 1/17/2019 Contractor's Bid for Public Works - 1 Date: 11/12/19 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. Attached. 2. Attach a listing of public works projects currently in process of construction by your organization. Attached. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. Attached. 4. Attach references from private firms for which you have performed work. Attached. 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.) Attached. 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. Attached. 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. Listing will be provided upon request prior to contract approval. 4. Attach a listing of equipment you have available to use for the proposed project. Attached. 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. Yes. 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 PART II (For projects of $150,000 or more —1C 36-1-12-4) Governmental Unit: City of South Bend, Indiana, Department of Public Works ( iaa µContracting Inc_ mm Bidder (Firm) Michn , w. Date (month, day, year): These statements to be submitted under oath by each bidder with and as a part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount $2,868,350.00 $2,163,700.00 $ 588,974.00 218,567,00 Class of Work Electrical/General Electrical/General Electrical Highway Date Name and Address of Owner 2018 Wa-Nee Comm Sch-Additions/ieri 2018 y-111 Plymouth City Hall-Additions/Reno 2018 Crawfordsville Airport -Taxiway Ligl 2018 INDOTT-39767A-Sign Visibility Iml 2. What public works projects are now In process of construction by your organization? Expected Contract Amount Class of Work Completion Name and Address of Owner Date $1,1 1,750.00 Electrical/General 2019 ,Fulton Co Airport Corp Han ar�Off $ '490,000.00 Electrical/General 2019 Cit of South Bend-VPA Remodel $1,720,950.00 Electrical/General 2020 � �_.,,. /G , ra ...__... _ ...... , .. Town of Culver -Beach Lodge Reno _a .. ....� ..._ .._ . _. $ 559 308.00 Electrical 2020 Culver Tool & Engineering -New Bid! 3. Have you ever failed to complete any work awarded to you? No If so, where and why? 4. 2. List references from private firms for which you have performed work. HRP Construction PO Box 266 South Bend, IN 46624 RBC Precision Product 225 Industrial Drive Bremen, IN 46506 White Flyer 317 Kleckner Knox, IN 46534 Masonite Corporation 101 Industrial Park Dr Walkerton, IN 46574 Mr. Paul Fallon Mr. Don Peoppel Mr. Tim Gutner Mr. John Felix Ancilla Domini 9601 Union Road Donaldson, IN 46513 Ms. Susan Black SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the governmental unit to consider your bid.) If awarded this contract, we will start work when we receive contract and notice to proceed, we have sufficient employees on staff to complete the work, and will work to keep pace with all involved for a timely completion on or before the specified completion date.. 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. Please see attachment. MICHIANA CONTRACTING, INC FORM 96, SECTION II, QUESTION 2, SUBCONTRACTOR LISTING A.HATTERSLEY & SONS INC PO BOX 5366 A+ PLUMBING, HEATING, COOLING 9595 TYLER ROAD A-1 DOOR SPECIALITIES INC PO BOX 202 A-1 STRIPING SERVICE INC 56825 SPIREA ROAD ABELL ELEVATOR INTERNATIONAL 1256 LOGAN STREET ABSOLUTE CONSTRUCTION & DESIGN 3535 W SHORE DRIVE ACCULEVEL ACCURATE STRIPING INC AFFORDABLE AWNING & CANVAS AIRMARKING CO, INC ALL CITY ELECTRIC, INC. ALLIED CONSTRUCTION SERVICE ALLIED WINDOW INC AMERICAN EAGLE TREE SERVICE ARNT ASPHALT SEALING INC 9495N WALDRON RD PO BOX 35 2545 UNION ROAD PO BOX 526 2747 FREEMAN STREET 2293 BUNCHBERRY CT 11111 CANAL ROAD 455 S.R. 261 1240 SOUTH CRYSTAL AVENUE ARTISIAN INDUSTRIAL METALS INC 6600 ARTISAN WAY ARTIZAN FLOORING 14493 LINCOLN HWY, STE D ATLANTIC CONSTRUCTION COMPANY 4226 ALLMOND AVENUE BEER & SLABAUGH, INC. BERTSCH-FRANK & ASSOCIATES BLANKENBEKER & SONS LAND SURV. BLUE PRINCE INC BROUWER'S CARPET & FURNITURE BURNS CORPORATION C & S DRYWALL INC C&E EXCAVATING CENTRAL PAVING INC CERTIFIED FLOOR COVERING INC 23965 US 6 EAST 4630 W JEFFERSON BLVD #6 618 E COURT AVENUE 317 E MARION 333 E CENTER ST. EXT. PO BOX 136 50783 COBUS RIDGE LANE 53767 COUNTY ROAD 9 PO BOX 357 5150 W 84TH ST CERULEAN PAINTING, INC. 4000 WEST 106TH ST, SUITE 125-418 CLASSIC TURF 437 SHERMAN HILL RD CLEAN AIR CORPORATION PO BOX 3053 CLEAN AIR ENVIRONMENTAL SERVICE PO BOX 314 CLINTON KORFHAGE LANDSCAPING 1823 HEATON ROAD COMFORT CARPETS, INC. 3120 N. HOME ST CONCRETE CONTRACTING SOLUTIONS 754 S FRONT STREET COUNTERTOP SHOPPE INC 505 W JEFFERSON ST CRANE INDUSTRAIL SERVICE CO IN 11035 ANDERSON ROAD CULVER ROOFING, INC CUSTOM AWNING CUSTOM FENCING, INC. CUSTOM MILLWORK & DISPLAY INC D.A. DODD LLC DEMUYT MASONRY INC DESCO FLOOR SYSTEMS 4050 WEST4TH AVENUE 1251 THIRD STREET 28445 450W 2102 W WASHINGTON STE 1 14 E. MICHIGAN, PO BOX 430 3107 E NORTHPORT ROAD 1851 E BROADWAY FORT WAYNE, IN 46895 BREMEN, IN 46506 NEW HAVEN, IN 46774 NEW CARLISLE, IN 46552 LOUISVILLE, KY 40204 BREMEN, IN 46506 ROSSVILLE, IN 46065 YORKTOWN, IN 47396 WALKERTON, IN 46574 ROCHESTER, IN 46975 FORT WAYNE, IN 46802 LAFAYETTE,IN 47905 CINCINNAIT, OH 45241 BOONVILLE, IN 47601 BENTON HARBOR, MI 49022 LOUISVILLE, KY 40228 PLYMOUTH, IN 46563 LOUISVILLE, KY 40209 NAPPANEE, IN 46550 FORT WAYNE, IN 46804 JEFFERSONVILLE, IN 47130 MISHAWAKA, IN 46545 WARSAW, IN 46582 HAGERSTOWN, IN 47346 GRANGER, IN 46530 ELKHART, IN 46514 LOGANSPORT, IN 46947 INDIANAPOLIS, IN 46268 CARMEL, IN 46032 WOODBURY, CT 06798 SOUTH BEND, IN 46619 NORTH LIBERTY, IN 46554 LOUISVILLE, KY 40216-2827 MISHAWAKA, IN 46545 COLUMBUS, OH 43206 PLYMOUTH, IN 46563 GRANGER, IN 46530 GARY, IN 46406 OSCEOLA, IN 46561 WARSAW, IN 46580 SOUTH BEND, IN 46628 ROLLING PRAIRIE, IN 46371 ROME CITY, IN 46784 FORTVILLE, IN 46040 1 MICHIANA CONTRACTING, INC FORM 96, SECTION II, QUESTION 2, SUBCONTRACTOR LISTING DON MARK FENCE CONTRACTOR 6325 QUEEN ROAD PLYMOUTH, IN 46563 DTH CONTRACTORS LLC 1112 CLAY ST MISHAWAKA, IN 46545 DYNAMIC AUDIO SOLUTIONS 2308 CORAL BAY COURT FORT WAYNE, IN 46814 E & B PAVING 310 BLACKETOR DRIVE ROCHESTER, IN 46975 ECLIPSE MASONRY 600 N 653 E KOKOMO, IN 46901 EDWARD J. WHITE INC 1011 S MICHIGAN ST SOUTH BEND, IN 46601 ESHELMAN EXCAVATING 5999 E US HWY 6 KENDALLVILLE, IN 46755 EXTREME CLEAN 54855 HOLLYWOOD BLVD SOUTH BEND, IN 46628 FINAL TOUCH PAINTING 2014 BLUE SPRUCE CIRCLE WARSAW, IN 46580 FIRE BARRIERS LLC PO BOX 455 COLUMBIA CITY, IN 46725 FORSEY CONSTRUCTION INC 2018 IRONWOOD CIRCLE SOUTH BEND, IN 46635 FORT WAYNE REINFORCING INC 4483 COUNTY ROAD 19 AUBURN, IN 46706 FOWLER FINISHES, LLC 2035 W 700 N ROCHESTER, IN 46975 FUERBRINGER LANDSCAPE DESIGN 22539 BRICK ROAD SOUTH BEND, IN 46628 GARCIA CONCRETE CONST., INC 2316 SOUTHYARD COURT FORT WAYNE, IN 46818 GAUNT & SON ASPHALT, INC 5511 WEST OLD 24 WABASH, IN 46992 GRIFFEN PLUMBING & HEATING 2310 TOLEDO ROAD ELKHART, IN 46516 GYPSUM FLOOR SYSTEMS INC 63700 CR 31 GOSHEN, IN 46528 HASKINS UNDERGROUND INC 8111 9B ROAD PLYMOUTH, IN 46563 HENSLEY & SON INC. 9206 15TH ROAD ARGOS, IN 46501 HINSHAW ROOFING & SHEET METAL PO BOX 626 FRANKFORT, IN 46041-0636 HIS CONSTRUCTORS INC 5140 E 65TH STREET STE B INDIANAPOLIS, IN 46220-4817 HOOSIERLAND EXCAVATING 18941 NEW ROAD SOUTH BEND, IN 46614 HRP CONSTRUCTION PO BOX 266 SOUTH BEND, IN 46624-0266 HYDRO - TEK SEEDING, INC. 26428 COUNTY ROAD 52 NAPPANEE, IN 46550 INDIANA EARTH, INC. 10343 MCKINLEY HIGHWAY OSCEOLA, IN 46561 INDIANA SIGN & BARRICADE INC 5240 E 25TH STREET INDIANPAPOLIS, IN 46218 INDIANA TRAFFIC SERVICES INC 3867 NORTH COMMERCIAL PARKWAY GREENFIELD, IN 46140 INTERIOR FINISHES INC 3601 W. MCGILL ST SOUTH BEND, IN 46628 J & R SEAMLESS GUTTERS 16160 LINCOLN HIGHWAY PLYMOUTH, IN 46563 J.A. REKE & SONS PO BOX 298 EATON, OH 45320 JBT AEROTECH, JETWAY SYSTEMS 1805 WEST 2550 SOUTH OGDEN, UT 84401 JEFFREY COOPER PAINTING INC. 18322 COUNTY ROAD 18 GOSHEN, IN 46528 K & S ENGINEERS, INC 9715 KENNEDY AVENUE HIGHLAND, IN 46322 L.L. GEANS CONSTRUCTION CO 1905 ELDER ROAD MISHAWAKA, IN 46545 LANGFELDT EXCAVATING LLC 11126 LINCOLN HWY E PLYMOUTH, IN 46563 LAPORTE CONSTRUCTION CO., INC PO BOX 577 LAPORTE, IN 46352 LEE COMPANY, INC 27 S 12TH ST TERRE HAUTE, IN 47807-3901 LEISURE POOL & SPA SUPPLY 1405 N INDIANA AVE SYRACUSE, IN 46567 LEMASTER STEEL ERECTORS 53518 COUNTY ROAD 9 ELKHART, IN 46514 LOOKIN' GOOD CONSTRUCTION INC PO BOX 260 NEW CARLISLE, IN 46552 MARCE'S DRYWALL 632 S LAKE ST WARSAW, IN 46582 MARSHALL COUNTY GLASS CO., INC 7501 N. MICHIGAN ST PLYMOUTH, IN 46563 MARSHALL ROOFING & SIDING 1727 HIGH ST LOGANSPORT, IN 46947 MCGRATH REFRIGERATION INC 2520 S US HWY 35 KNOX, IN 46534 2 MICHIANA CONTRACTING, INC FORM 96, SECTION II, QUESTION 2, SUBCONTRACTOR LISTING MCMILLAN INTERIORS MICHIANA CONTRACTING MIKE'S TREE SERVICE INC MILLWOOD ROOFING & CONST. INC MOORE'S CONCRETE INC MORRIS & SONS ROOFING INC NATIONAL CONSTRUCTION RENTALS NIBLOCK EXCAVATING NORTH CENTRAL MECHANICAL INC OVERHEAD DOOR P & S CONCRETE, LLC PEYTON'S BARRICADE & SIGN CO PHEND AND BROWN PRATT'S FLOOR INC PRECISION PAINTING & DECOR PREMIER COMMUNICATION PREMIUM CONCRETE SERVICES PRICE NURSERIES PROJECT DESIGN & PIPING INC QUALITY PLUMBING & HEATING R. YODER CONSTRUCTION RACQUET SPORTS INC. RAINY DAYS GUTTERING RAY NOLAN ROOFING COMPANY INC RIATA RESTORATION LLC RIETH RILEY CONSTRUCTION CO. ROADSAFE EVANSVILLE ROADSAFE HOLDING ROSEMA CONSTRUCTION INC ROSS MASONERY, INC ROYAL CUSTOM PAINTNG LLC SANTAROSSA MOSAIC & TILE CO SCHEURICH INC SCHNDLER ELEVATOR CORPORATION SHAMBAUGH & SONS LP SHIRLEY ANN CLEANS SIMON CEILINGS & FRAMING SKYLINE ROOFING & SHEET METAL SLUSSER'S GREEN THUMB SMITH ERECTORS INC SOLID PLATFORMS INC PO BOX 133 PO BOX 929 4891 SOUTH 300 WEST 1176W800N PO BOX 509 208 E QUAD ST PO BOX 4503 PO BOX 211 1721 N CEDAR ST STE 1 58745 EXECUTIVE DRIVE 10995 3B ROAD PO BOX 1294 367 E 1250N, PO BOX 150 PO BOX 827 19201 PIERCE ROAD 902 INCENTIVE DRIVE 712 RICHMOND ST 7880 KING ROAD 3615 TRANSPORTATION DRIVE 120 E MCKINLEY ST, PO BOX 428 PO BOX 69 5850 COMSTOCK PARK 2921 5TH ROAD 4606 ILLINOIS AVENUE 56740 CR 35 PO BOX 477 3122 OLYMPIA DRIVE 3519 HARDING ST PO BOX 8949 ATWOOD, IN 46502 PLYMOUTH, IN 46563 HUNTINGTON, IN 46750 MILFORD, IN 46542 LAKEVILLE, IN 46536 BOURBON, IN 46504 PACOIMA, CA 91333-4503 BRISTOL, IN 46507 MISHAWAKA, IN 46545 MISHAWAKA, IN 46544 PLYMOUTH, IN 46563 JEFFERSONVILLE, IN 47130 MILFORD, IN 46542 PLYMOUTH, IN 46563 LAKEVILLE, IN 46536 FORT WAYNE, IN 46825 ELKHART, IN 46516 PLYMOUTH, IN 46563 FORT WAYNE, IN 46818 BUNKER HILL, IN 46914 NAPPANEE, IN 46550 COMSTOCK PARK, MI 49321 BREMEN, IN 46506 LOUISVILLE, KY 40213 MIDDLEBUR, IN 46540 GOSHEN, IN 46526 LAFAYETTE,IN 47909 INDIANAPOLIS, IN 46217 FORT WAYNE, IN 46898 20750 ROOSEVELT ROAD SOUTH BEND, IN 46614 1851 E SOUTHWAY BLVD, PO BOX 500 KOKOMO, IN 46902 2707 ROOSEVELT AVE, PO BOX 18190 INDIANAPOLIS, IN 46218 1008 N 6TH STREET MONTICELLO, IN 47960-0 PO BOX 70433 CHICAGO, IL 60673-0433 7614 OPPORTUNITY DRIVE FORT WAYNE, IN 46825 PO BOX 73 KNOX, IN 46534 28830 NEW ROAD NORTH LIBERTY, IN 46554 3060 W. MINNESOTA ST INDIANAPOLIS, IN 46241 125 MONTGOMERY ST, PO BOX 33 PO BOX 168 6610 MELTON ROAD SPECIALTIES COMPANY LLC 9350 E 30TH ST STAR FLOORING CORPORATION 1515 STAR SCHOOL ROAD STEVE'S CARPET SERVICE INC 11011 S MICHIGAN ROAD STONECREEK INTERIOR SYSTEMS 7603 GREEN MEADOWS DRIVE LOGANSPORT, IN 46947 MARKLE, IN 46770 PORTAGE, IN 46368 INDIANAPOLIS, IN 46229-1075 HASTINGS, MI 49058 PLYMOUTH, IN 45452 LEWIS CENTER, OH 43035 3 MICHIANA CONTRACTING, INC FORM 96, SECTION II, QUESTION 2, SUBCONTRACTOR LISTING SUPERIOR FIRE & WATER FULL RES SUPERIOR INSULATION CO TEMPLE & TEMPLE EXCAVATING THE ART MOSAIC & TILE COMPANY THE DRYWALL DOCTOR INC THE GIRL'S THING THOMAS EXCAVATING & WELDING THYSSENKRUPP ELEVATOR TR CONCRETE CONSTRUCTION, INC TRAFFIC CONTROL SPECIALISTS IN TRIANGLE WINDOW FASHIONS, INC. TRUITT CONSTRUCTION INC VANADCO SIGNS VIDA PLUMBING & HEATING INC W.G. BRUDNEY CONST., LLC WATER WORKS LLC WAYNE ASPHALT & CONSTRUCTION WENDT CRANE & RIGGING WOLF COMMERCIAL ROOFING, INC PO BOX 200 2500 LEAF DRIVE 1367 SOUTH STATE ROAD 60 PO BOX 569 PO BOX 778 17845 MAIN ST, PO BOX 97 17643 16th Road 2726 E KEMPER ROAD 11133 SHADYLAND DR 1810 W. PACIFIC AVE. 2625-A BUCHANAN AVE SW 13793 ERDMAN RD 10625 ST RD 10 52007 Plantion Drive PO BOX 189 PO BOX 42 6600 ARDMORE AVE PO BOX 666 1319 N IOWA ST ZIOLKOWSKI CONSTRUCTION 4050 RALPH JONES DRIVE LAKEVILLE, IN 46536 FERDINAND, IN 45732 SALEM, IN 47167 SOUTH BEND, IN 46624-0569 GRANGER, IN 46530 TYNER, IN 46572 Culver, IN 46511 SHARONVILLE, OH 45241 PLYMOUTH, IN 46563 KNOX, IN 46534 WYOMING, MI 49548 BEAR LAKE, MI 49614 ARGOS, IN 46501 Granger, IN 46530 STROH, IN 46789 MONTICELLO, IN 47960 FORT WAYNE, IN 46809 WABASH, IN 46992 SOUTH BEND, IN 46628 SOUTH BEND, IN 46628 4 Michiana Contracting Inc - Equipment List Michiana Contracting Inc - Equipment List ZEQ-1007 2500HD 2007 PICK UP ZEQ-2707 2007 FREIGHTLINER DUMP TRUCK ZEQ-1018 2018 CHEVY 1500 ZEQ-2913 2013 14' DUMP TRAILER ZEQ-1100 2000 GMC 7500 W/CRANE ZEQ-3007 2007 DT-256 BELSHE TRAILER ZEQ-1199 1999 CAT 416C BACKHOE ZEQ-3097 97 VERMEER LM42 PLOW/TRENCHE ZEQ-1414 2014 CHEVY PICKUP TRUCK 1500 ZEQ-3103 2003 FL70 FREIGHTLINER LTECH TA40 ZEQ-1419 2019 CHEVY 2500 HD ZEQ-3115 2015 BELSHE FB30-2EP TRAILER ZEQ-1481 GREENLEE POST DRIVER ZEQ-315 2015 CHEVY SILERADO ZEQ-1482 HUSQVARNA ELECTRIC SAW 14" ZEQ-3207 2007 DT-256 BELSHE TRAILER ZEQ-1486 1986 SULLAIR 185 DPQ AIR COMP ZEQ-3308 2008 DUMP TRAILER ZEQ-1499 REDI HAUL TRAILER ZEQ-3313 2013 1/2 TON CHEVY PICKUP TRUC ZEQ-1507 2007 CHEVY PICKUP ZEQ-3406 2006 GMC BUCKET TRUCK ZEQ-1519 2019 CHEVY 2500 HD ZEQ-3497 1997 BLESHE TRAILER ZEQ-1556 POST DRIVE ZEQ-3506 2006 CHEVROLET C5500 ZEQ-1569 8' LADDER - SMALL TOOLS ZEQ-3598 1998 BLACKHAWK GASPIPE TRAIL ZEQ-1604 2004 CHEVROLET 2500 HD ZEQ-3705 2005 CHEVROLET SILVERADO 1500 ZEQ-1607 BELSHE TRAILER ZEQ-3715 2015 MSI 12' DUMP TRAILER ZEQ-1619 2019 CHEVY 1500 ZEQ-3888 1988 586E CASE FORKLIFT ZEQ-1704 2004 CHEVROLET 2500 HD ZEQ-3897 1997 I/R RT706G FORKLIFT ZEQ-1810 #1810 BUCKET TRUCK ZEQ-3907 2007 GMC C5550 ZEQ-1910 #1910 BUCKET TRUCK ZEQ-3993 1993 CHILTON POLE TRAILER ZEQ-1998 WIRE REEL TRAILER ZEQ-4006 2006 60KW PORTABLE GENERATOR ZEQ-2010 #2010 BUCKET TRUCK ZEQ-4014 BOBCAT T630 2014 ZEQ-2105 2005 CHEVY 2500 ZEQ-4080 GENERATOR ZEQ-2108 REEL TRAILER ZEQ-4111 2011 CHEVY CRUZE ZEQ-2109 2009 INT'L 4300 DURASTAR TRUCK ZEQ-4112 2012 CATERPILLAR 262C LOADER ZEQ-214 2014 CHEVY SILVERADO 1500 4X4 ZEQ-415 2015 CHEVY SILVERADO 2500 HD ZEQ-2208 REEL TRAILER ZEQ-4205 2005 304 CR CAT MINI ZEQ-2213 2013 CHEVY P/U TRUCK 3/4 TON ZEQ-4298 1998 CHEVY CK 2500 ZEQ-2316 2016 BELSHE FLATBED TRAILER ZEQ-4304 2004 ATLAS COPCO XAS97 AIR COM ZEQ-2398 1998 IHC4700 ZEQ-4313 2013 ATLAS COPCO AIR COMPRESS ZEQ-2406 CHEVY 2006 PICK UP TRUCK ZEQ-4391 1991 SULLAIR A/C MODEL 125DPQ ZEQ-2416 2016 BELSHE FLATBED TRAILER ZEQ-4398 1998 DAWSON TRAILER ZEQ-2593 1993 BELSHE TRL T-16 ZEQ-4404 AIR COMPRESSOR ZEQ-2600 2000 PadFoot Compactor ZEQ-4504 2004 ATLAS COPCO A/COMPRESSO 1 Michiana Contracting Inc - Equipment List Michiana Contracting Inc - Equipment List ZEQ-4599 1999 ECLIPSE ARROWBOARD ZEQ-8788 1988 STAFFORD TRAILER ZEQ-4612 2012 BOBCAT 5750 SKID STEER LD ZEQ-8896 1996 BELSHE RB-2 TRAILER ZEQ-4711 2011 5630 BOBCAT ZEQ-9096 1990 CASE 360 TRENCHER ZEQ-5007 2007 CAT 305CCR MINI ZEQ-917 2017 2500HD CHEVY SILVERADO ZEQ-5112 2012 INTERNATIONAL TERRA STAR ZEQ-9209 2009 CHEVY SILVERADO 4X4 ZEQ-5203 2003 C-4500 GMC TRUCK ZEQ-9512 2012 CHEVY 4X4 PICKUP ZEQ-5406 2006 GMC 2500 P/U TRUCK ZEQ-9708 2008 CHEVY PICK UP ZEQ-5510 2010 CAT 305C MINI EXCAVATOR ZEQ-9808 2008 CHEVY PICK UP ZEQ-5805 2005 CAT 430D BACKHOE LOADER ZEQ-9908 2008 CHEVY PICKUP TRUCK ZEQ-5906 2006 CHEVY PICKUP ZEQ-AI1601 #5203 - BUCKET TRUCK ZEQ-6006 2006 F-55016' BOX TRUCK ZEQ-AI1602 #2109 - BUCKET TRUCK ZEQ-6105 TRENCHER ZEQ-A13506 BUCKET TRUCK #3506 ZEQ-616 2015 SILVERADO ZEQ-A17798 1998 TRAIL KING TRAILER ZEQ-6297 1997 FORD LT900 W/NATIONAL 562 ZEQ-A19608 #9608-2008 CHEVY PICKUP ZEQ-6299 VERMEER 5750 TRENCHER ZEQ-LEXUS 2013 LEXUS ZEQ-6311 2011 Vermeer Quad Track Tracto ZEQ-M1030 MILLER WELDER ZEQ-6498 1998 VOLVO 11 YARD VACUUM TRK ZEQ-M1038 TARGET CONCRETE SAW ZEQ-6500 1999 RING O'MATIC JET VAC ZEQ-M1040 KAWASKI MULE ZEQ-6706 2006 CHEVY 2500 PICKUP ZEQ-M1067 WALK BEHIND CONCRETE SAW ZEQ-6809 2009 TAR BUGGY/STEPP ZEQ-M1073 BACKHOE HAMMER ZEQ-716 2016 CHEVY COLORADO ZEQ-M1106 STRAW BLOWER ZEQ-7198 1998 INTERNATIONAL 4700 MIX TR ZEQ-M1193 GENIE 5-40 ZEQ-7208 2008 VERMEER BORE MACHINE ZEQ-M1236 2000 GENI GS 1930 SC LIFT ZEQ-7398 1998 CUSTOM TRAILER ZEQ-M1237 CAT FORK LIKFT ZEQ-7508 2008 SUPERLINE 6 TON TRAILER ZEQ-M1265 ARROWBOARD ZEQ-7607 2007 BORING MACHINE VEEMEER ZEQ-M1278 CONCRETE MIXER ZEQ-7704 2004 INTERNATIONAL 4400 TRUCK ZEQ-M1456 TARGET PRO 35 WALK BEHIND SAW ZEQ-7798 1998 TRAIL KING TRAILER ZEQ-M2000 SPOOL TRAILER ZEQ-8098 1998 COLEMAN GENERATOR ZEQ-M2001 SPOOL TRAILER -CUSTOM BUILT ZEQ-817 2017-2500HD CHEVY SILVERADO ZEQ-M89 BOB CAT AUGER ATTACHMENT ZEQ-8199 MICHAEL/TRAILER MODEL 1203M ZEQ-M921 VERMEER MIX UNIT ZEQ-8295 1995 BELSHE RB-2 TRAILER ZEQ-MC1006 BACKHOE FORKS N Michiana Contracting Inc - Equipment List ZEQ-8401 2001 INTERNATIONAL CRAME ZEQ-8603 2003 CHEVY 2500 HD ZEQ-8703 2003 CHEVY 250OHD ZEQ-MC1258 2007 PORTABLE LIGHT TOWER ZEQ-MC1259 2007 PORTABLE LIGHT TOWER ZEQ-3716 MSI DUMP TRAILER ZEQ-MC1265 2009 ALLMAND ARROWBOARD ZEQ-MC1266 2009 ALLMAND ARROWBOARD ZEQ-MC1267 2009 ALLMAND ARROWBOARD ZEQ-MC1268 2009 ALLMAND ARROWBOARD ZEQ-MC1279 2004 MX 125 MUD MIXING SYSTEM ZEQ-MC1361 BOBCAT BROOM ZEQ-MC1408 SMALL CONCRETE BUCKET ZEQ-MC1412 JLG 26' SCISSOR LIFT ZEQ-MC1413 JLG 20' SCISSOR LIFT ZEQ-M1415 JLG SCISSOR LIFT ZEQ-MC1440 12' SNOW PUSHER ZEQ-MC1447 30C AUGER ATTACHMENT BOBCAT ZEQ-MC1448 FFC PREPARATOR SOIL PREPARER ZEQ-MC1449 NEW HOLLAND 716BSNOW BLOWR ZEQ-MC1450 SULLAIR CIPPING HAMMER FBCH-3 ZEQ-MC1451 DEVIL BISS AIR ELEC GENERATOR ZEQ-MC1452 MUSTANG 3" PUMP ZEQ-MC1453 PLATE COMPACTOR ZEQ-MC1457 BOSCH TABLE SAW/WTS 3000STAN ZEQ-MC1501 SPECTRA PRO MARK 220 (GPS) ZEQ-MC619 10' LEVELER ZEQ-MC832 PRESSURE WASHER ZEQ-MC849 RAKE ZEQ-MC9096 1996 16' REEL TRAILER/OKLAHOMA ZEQ-MC921 7198 MIX UNIT Michiana Contracting Inc - Equipment List ZEQ-MC1066 BOBCAT CONCRETE HAMMER ZEQ-MC1232 AUGER-ATTM ZEQ-MC1244 DRILL HAMMER ZEQ-T1 WELLS CARGO JOB SITE TRAILER ZEQ-T12 1998 WELLS CARGO TR 1082202 ZEQ-T13 1999 WELLS CARGO TR 1085113 ZEQ-T14 1999 WELLS CARGO TR 1085111 ZEQ-T16 2007 WELLS CARGO TRAILER ZEQ-T17 2008 WELLS CARGO TRAILER ZEQ-T18 2008 WELLS CARGO TRAILER ZEQ-T19 2015 CARGO MATE TRAILER ZEQ-T20 7X16 CARGO MATE 3 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. il„w1 be ,prwn reuest ovided orlor to contract approval. stin wi 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. complete this project, A detailed listing is available upon request. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, please explain the rationale used which would corroborate the prices listed. Yes. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's capability for completing the project if awarded. November 1.2, 2019 City of South Bend, Indiana, Department of Public Works Ewing Avenue and Fellows Street Intersection Traffic Signal Project No. 118-097 SECTION III CONTRACTOR'S FINANCIAL STATEMENT Mailing Address I? 0. Box 929 Plymouth, IN 46563 The financial responsibility of Michiana Contracting, Inc is approximately the same as reported by our Public Accountant at December 31, 2018. There have not been any changes that materially or adversely affect our financial condition. SECTION III OATH AND AFFIRMATION I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE TRUE AND CORRECT. Plymouth, Indiana 12th November 2019 Dated at this ... ..... day of. Michiana Contracting Inc of Organization) By Scott Kirkpatrick, President (Title of Person Signing) ACKNOWLEDGEMENT Indiana STATE OF ) Marshall )ss COUNTY OF Scott Kirkpatrick Before me, a Notary Public, personally appeared the above -named �m and swore that the statements contained in the foregoing document are true and correct. 12th November 2019 Subscribed and sworn to me this day of GENERAL CONSTRUCTION EQUIPMENT RENTAL min mmITITIT PLUMBING & HEATING -...- Notary Public ELECTRICAL My Commission Expires: HIGHWAVAIRPORT County of Residence: Marshall it An Eq-1Opportunily Employer ICIIIA A CONTRACTING, INC. Shipping Address: 7843 Lilac Road • Plymouth, IN 46563 Tel: (574) 936-8613 • Fax (574) 936-6201 • website: www.michianacontracting.com CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-1.0 MBEIWBE PARTICIPATION i ms comptereo corm snoufo oe supplteo wian was anax pertasn to ally Or zioutri tsenaa Pura is vitorss vrolects involving rdbt:imut: 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. Project Number: 118-097 Project Name: Ewing Avenue and Fellows Street Intersection Traffic Signal Bidder: Michiana Contract!M, Inc Total Bid Amount: 231,373.00 MBENVBE Goal: 0% Page 1 of 1 Name &Address of MBENVBE Primary Contact Person Scope of Work to be Performed Dollar Amount of Percentage of Total (Namerrelephone) (Attach scope/schedule if you need additional space) MBE/WBE Component Bid/Proposal Premium Concrete Services Rob Becker Concrete services 55,830.00 24.1% 712 Richmond Street Elkhart, IN 46516 //AA,"--� Submitted by: Scott Kirkpatrick, President 11/12/19 Print Name Signature Date Version 1/17/2019 Contractors Bid for Public Works - 9 CITY OF SOUTH BEND? MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM'° -° g: 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: 118-097 Date: 11/12/19 Project Name: Ewing Avenue and Fellows Street Intersection Traffic Signal Bidder: Michiana Contracting Inc Contact Person: Scott Kirkpatrick, President Telephone: 574-936-8613 Address; 7843 Lilac Rd, PO Box 929 City: Plymouth State: Indiana Zip: 46563 Email: skirkpatrick@michianacontracting.com 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 MBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business SK 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. SK 2• Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBE/WBEs reasonable time to respond. 3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBENVBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 4. Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBE/WBE 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 SK requirements of the subcontract and did not reject MBENVBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. WCONTRACT(S): The bidder selected specific portions of the work to be performed...-,_ .................................. SMALL .. by SK MBENVBEs in order to increase the likelihood of meeting the MBENVBE 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 bid on the subcontracting opportunity: SK 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBENVBE was unqualified to perform the job. *Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 1/17/2019 Contractor's Bid for Public Works - 10 v �r CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY A DEVELOPMENT PROGRAM is FORM MWBE-2.1°`��°" MBENVBE CONTACTED' This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBEIWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE 1 OF 1 Project Number: 118-097 MBENVBE Participation Goal 0% Project Name: Ewina Avenue and Fellows Street Intersection Traffic Signal Bidder: ylicNana Contracting Inc By: ( Scott Kirkpatrick, President 11/12/19 (Title) (Date) MBE/WBE Firm Premium Concrete Services Owner or Contact at MBENVBE Firm Rob Becker Telephone: 574-264-0196 Fax: 574-612-3709 TYPE OF WORK SOLICITED FOR THIS PROJECT: Concrete services RESULTS OF CONTACT WITH THE MBENVBE FIRM: Email: rbecker@premiumconcreteonline.com Received and accepted quote from Premium Concrete Services MBENVBE Firm Owner or Contact at MBENVBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBENVBE FIRM: Email: Version 1/17/2019 Contractor's Bid for Public Works - 11 CERTIFICATE OF QUALIFICATION to provide CONSTRUCTION SERVICES for PUBLIC WORKS PROJECTS to the STATE OF INDIANA This Certification Board, having duly considered application for qualification in terms of apparent experience and financial resources; and under the applicable Indiana Code 4-13.6-4 and adopted rules of this Board, hereby issues a Certificate of Qualification to provide construction services to the State of Indiana for Public Works Projects to: MICHIANA CONTRACTING INC 7843 LILAC RD PO BOX 929 PLYMOUTH IN 46563 Phone 574-936-8613 Fax 574-936-6201 Company Official SCOTT WALLSMITH 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 supercedes any previous certificate. 1542.00E Inst. Bldgs.(Hosp., Schl., Pmn.)>$1,000,000, <$10,000,000 1642.01 Institutional Bldgs (Hospitals, Schools, Prisons) 1642.02 Commercial Buildings (Offices, Stores, Restaurants) 1542.04 Additions, Alterations, Remodeling, and Repair 1731.01 Electrical Work in excess of $150,000.00 CERTIFICATION DATE 1/10/2018 EXPIRATION DATE 4/10/2020 THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD, 402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS, INDIANA 46204, ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION. G4- - - ------ Tracy L. Cross, Exec ' e Secretary Certification Board DAPW PQ2 State Forth 3903R Rev 07/06 ISSUED BY jnhimtt 39-ely w= i� INDIANAPOLIS, IN June 4, 2019 TO MICHIANA CONTRACTING INC PLYMOUTH, IN who has filed with the Department a Contractor's Statement of Experience and Financial Condition as required under Indiana Code 8-23-10, is hereby qualified to bid at any Department of Transportation letting in Classes of Work and within the amount and other limitation of each classification as listed below, for such period as the uncompleted work on hand from all sources does not exceed the Aggregate amount. Classification references by name or symbol are in accordance with the definitions in the Contractor's Statement of Experience and Financial Condition. This certificate supersedes any certificate previously issued, but is subject to revision or revocation according to the law, if and when changes in the financial condition of the contracting firm or other facts justify such revision or revocation. Valid May 1, 2019 Thru April 30, 2020 AGGREGATE........................................................................................................................................... $24,570,000 0048 TRAFFIC CONTROL:ADVANCED MGT SYSTEMS................................................................................ $24,570,000 0112 TRENCHLESS PIPE INSTALLATION — _............ ............. .......... $1,000,000 0165 TRAFFIC CONTROL: HIGHWAY LIGHTING...„....................................................................................... $24,570,000 0188 FORCE MAINS AND LIFT STATIONS...................................................................................................... $1,000,000 0377 TRAFFIC CONTROL:SIGNAL MAINTENANCE a .......... ........ ,....... --- $24,570,000 0380 TREE TRIMMING AND REMOVAL.......................................................................................................... $1,000,000 0400 WATER AND WASTEWATER TREATMENT SYSTEMS_....................................................................... $24,570,000 0450 TELECOMMUNICATIONS INSTALLATION & CONNECT...............„„.....,......,.,,,...............,...,,,,............,.. $24,570,000 E(A) TRAFFIC CONTROL: SIGNAL INSTALLATION ..... ................................ ....... ....................... —................ $24,570,000 E(D) TRAFFIC CONTROL: SIGN INSTALLATION ...... ..,...,,a $24,570,000 E(E) SMALL STRUCTURES AND DRAINAGE ITEMS..................................................................................... $1,000,000 w ` 0 PREQUALIFICATION ENGINEER State Form 20508 (R3 / 5.05) IWAII&N, M�� 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: Michiana Contracting 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 st 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 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 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 x specifications or contract. (iv) _ List of projects of similar size and scope of work performed in all areas, including x 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 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. 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. 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 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: 11 /12/19 L�) 1 (sign Here) Scott Kirkpatrick, President (Print Name Here) Michiana Contracting Inc (Name of Company) 7843 Lilac Rd, PO Box 929 (Address of Company) Plymouth (City) Indiana (State) 574-936-8613 (Telephone Number) Version 3/19/2019 General Conditions - 10 Business Name: MICHIANA CONTRACTING, INC. Entity Type: Domestic For -Profit Corporation Creation Date: 09/25/1985 Principal Office Address: 7843 LILAC RD, PO BOX 929, PLYMOUTH, IN, 46563, USA Jurisdiction of Formation: Indiana Title Name Treasurer Lisa L Botto CEO Scott Wallsmith Vice President Todd Wallsmith President Scott Kirkpatrick Vice President RANDY LONGANECKER Type: Individual Name: Scott D. Wallsmith BUSINESS INFORMATION CONNIE LAWSON INDIANA SECRETARY OF STATE 11/11/2019 09:26 AM Business ID: 198509-725 Business Status: Active Inactive Date: Expiration Date: Perpetual Business Entity Report Due 09/30/2021 Date: Years Due: Address 7843 Lilac Road PO Box 929, Plymouth, IN, 46563, USA 7843 Lilac Rd., PO Box 929, PLYMOUTH, IN, 46563, USA 7843 LILAC ROAD, P.O. BOX 929, PLYMOUTH, IN, 46563, USA 7843 LILAC ROAD PO BOX 929, Plymouth, IN, 46563, USA 7843 LILAC ROAD PO BOX 929, Plymouth, IN, 46563, USA Address: 811 Willis Park, North Webster, IN, 46555, USA ATTACHMENT TO Bid for: City of South Bend, Indiana, Department of Public Works Ewing Avenue and Fellows Street Intersection Traffic Signal Project No. 118-097 Bid Date/Time: November 12th, 2019 @ 9:30am (Local Time) 1. Bidder Permanent Place of Business: Michiana Contracting Inc is an Indiana Corporation incorporated Sept 25, 1985 with physical address of: 7843 Lilac Road Plymouth, IN 46563 Phone: 574-936-8613 Fax: 574-936-6201 and mailing address of: PO Box 929 Plymouth, IN 46563 2. Michiana Contracting Inc Listing of Equipment — see attached listing 3. Work Experience of similar nature — see attached listing of "General & Electrical' projects completed within the last 5 years. 4. Qualifications: Indiana Department of Public Works — Certificate of Qualification • Indiana Department of Transportation — Certificate of Qualification 5. Proposed plan for performing the project: We have reviewed in detail all pertinent plans, specifications and addendums relating to this project and will start work upon Award of Contract and Notice to Proceed. We will work to keep pace with all involved for a timely completion on or before the specified completion date. 6. Completion date for project: As stated in contract 7. Date on which work can commence: As soon as we receive Award to Contractor, lei www.Gibsonlns.com 1(800)814-2122 F (800) 836-2122 L01 South Bend, IN Plymouth, IN Indlanapolls, IN Fort Wayne, IN Elkhart, IN Kalamazoo, MI October 7, 2019 RE: Michiana Contracting, Inc. To Whom It May Concern: In compliance with the United States Department of Treasury's Listing of Certified Companies, this letter will serve to confirm that at this time the surety company, The Cincinnati Insurance Company, is listed with the United States Department of Treasury's Listing of Approved Sureties according to Department Circular 570. This letter is not to be construed as an ggrepMpW to provide surety f Qran naart)cular rp oject but is offered as an indication of our past experience and confidence in this firm. Any specific request for bonds will be underwritten on its own merits. We trust that this information meets your satisfaction. If there are further questions, please do not hesitate to contact me. Sincerely, E CINCINNATI I URANCE COMPANY U Nice a Bicknell Se " r l.ient Manager Surety abi knel I @gib oWns.c m (574) 245-3592 THE CINCINNATI INSURANCE COMPANY Fairfield, Ohio POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That THE CINCINNATI INSURANCE COMPANY, a corporation organized under the laws of the State of Ohio, and having its principal office in the City of Fairfield, Ohio, does hereby constitute and appoint Mark E. Wobbe; Barbara E. Pearson; Nicole L. Bicknell; Jennifer L. Kasznia; William J. Cemey, III; Wesley L. Mantooth; Jordan M. Scheiber; Sandra L. Junk; Theresa M. Bums; Megan E. Riesenberg and/or Cheryl E. Alkire of South Bend, Indiana its true and lawful Attomey(s)-in-Fact to sign, execute, seal and deliver on its behalf as Surety, and as its act and deed, any and all bonds, policies, undertakings, or other like instruments, as follows: Any such obligations in the United States, up to Thirty Five Million and No/100 Dollars ($35,000,000.00). This appointment is made under and by authority of the following resolution passed by the Board of Directors of said Company at a meeting held in the principal office of the Company, a quorum being present and voting, on the 61h day of December, 1958, which resolution is still in effect: "RESOLVED, that the President or any Vice President be hereby authorized, and empowered to appoint Attomeys-in- Fact of the Company to execute any and all bonds, policies, undertakings, or other like instruments on behalf of the Corporation, and may authorize any officer or any such Attorney -in -Fact to affix the corporate seal; and may with or without cause modify or revoke any such appointment or authority. Any such writings so executed by such Attomeys-in- Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company at a meeting duly called and held on the 7" day of December, 1973. "RESOLVED, that the signature of the President or a Vice President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Secretary or Assistant Secretary and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power of certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified by certificate so executed and sealed shall, with respect to any bond or undertaking to which it is attached, continue to be valid and binding on the Company." IN WITNESS WHEREOF, THE CINCINNATI INSURANCE COMPANY has caused these presents to be sealed with its corporate seal, duly attested by its Vice President this 8"1 day of March, 2017. THE CINCINNATI INSURANCE COMPANY ear SEAL A� Vice President STATE OF OHIO ) ss: COUNTY OF BUTLER ) On this 811 day of March, 2017, before me came the above -named Vice President of THE CINCINNATI INSURANCE COMPANY, to me personally known to be the officer described herein, and acknowledged that the seal affixed to the preceding instrument is the corporate seal of said Company and the corporate seal and the signature of the officer were duly affixed and subscribed to said instrument by the authority and -direction of said corporation. MARK J. H LLER, Attorney at Law NOTARY PUBLIC - STATE OF OHIO My commission hoe no expiration of date. Section 147.03 O.R.C. I, the undersigned Secretary or Assistant Secretary of THE CINCINNATI INSURANCE COMPANY, hereby certify that the above is a true and correct copy of the Original Power of Attorney issued by said Company, and do hereby further certify that the said Power of Attorney is still in full force and effect. GIVEN under my hand and seal of . aid Company at Fairfield, Ohio. this R- day of0 A I w� dT casvca�arr (� SEAL Onto BN-1005 (3/17) Secretary MICHIANA CONTRACTING - EXPERIENCE DATE CONTRACT # CLASS DESCRIPTION CONTRACT $ 5/29/2012 C153 G PLYMOUTH COMM SCHOOL OF INQUIRY $ 989,190.00 7/19/2012 C154 G/E ALICK HOME MEDICAL - NEW BLDG $ 997,343.00 7/26/2012 C155 G/E FORT WAYNE AIRPORT - GATE ELECTRIFICATION $ 912,000.00 9/18/2012 C157 G/E IVY TECH -ADMINISTRATION BLDG RENO $ 81,400.00 9/27/2012 C156 G/E E & B PAVING - OVERHEAD DOOR $ 35,430.00 1/16/2013 C158 G/E CASTON SCHOOL CORP - FACILITY ADDITION/REND $ 1,103,040.00 4/24/2013 C159 G/E/H CITY OF PLYMOUTH - RIVER PARK SQUARE $ 1,642,167.19 5/2/2013 C160 G/E PLYMOUTH COMM SCHOOL - RIVERSIDE $ 62,290.00 7/23/2013 C161 G/E WANEE COMM SCHOOL CORP - 2013/2014 RENO $ 882,600.00 2/3/2014 C162 G MARION AIRPORT - HANGAR REHAB $ 111,275.00 4/29/2014 C163 G CARROLL CONSOLIDATED SCHOOLS - HEALTH/FITNESS CTR $ 1,305,560.00 5/15/2014 C164 G WINONA LAKE - LIMITLESS PARK $ 1,032,000.00 9/22/2014 C165 G/E CHURCH OF THE BRETHREN - ELEVATOR $ 112,500.00 12/1/2014 C166 G/E WANEE COMM SCHOOL CORP - KITCHEN RENO $ 223,000.00 3/6/2015 C167 G/E PERU PUBLIC LIBRARY - CHILDREN'S AREA RENO $ 1,199,900.00 4/28/2015 C168 G/E CULVER PARK DEPART - HANDRAILS $ 69,500.00 5/1/2015 C169 G/E CITY OF PLYMOUTH - LEDYARD WATER TREATMENT PLANT $ 253,380.00 6/25/2015 C170 G TOWN OF CULVER - WASTE WATER TREATMENT IMPROVE $ 1,119,200.82 9/23/2015 C171 G CASTON SCHOOL CORP - BUS GARAGE $ 62,820.00 10/28/2015 C172 G/E POLYGON CORP - BREAKROOM/CUST SVC RENO $ 367,000.00 10/30/2015 C173 G MASONITE CORP - PLANT RESTROOM RENO $ 32,105.00 12/4/2015 C174 G/E CASTON SCHOOL CORP - BAND/CHORAL & WEIGHT/FITNESS RENC $ 214,550.00 12/4/2015 C175 G AMI INDUSTRIES - RESTROOM #2 RENO $ 32,900.00 12/9/2015 C176 G/E WANEE COMM SCHOOL - 2016 FACILITY IMPROVE $ 1,138,565.00 12/30/2015 C177 G LAKELAND MIDDLE SCHOOL - OFFICE RENO $ 126,820.00 2/8/2016 C178 G/E PLYMOUTH PARK DEPT - POOL $ 83,877.00 5/20/2016 C179 G/E PLYMOUTH PARK DEPT-TENNIS COURTS $ 1,628,500.00 10/17/2016 C180 G/E LAVILLE JR/SR SCHOOLS - SCIENCE DEPT LAB RENO $ 191,870.00 1/23/2017 C181 G INDIANAPOLIS METRO AIRPORT - HANGAR REHAB $ 427,600.00 3/14/2017 C182 G/E WANEE COMM SCHOOL - 2017 HIGHSCHOOL ADDITION/REND $ 2,868,350.00 8/30/2017 C183 G/E CITY OF PLYMOUTH - CITY HALL ADDITION/REND $ 2,163,700.00 10/25/2017 C184 G MASONITE CORP - WALKERTON DOCKS $ 98,388.00 1/11/2018 C1354 G/E CASTON SCHOOL CORP - ELECTRICAL GEAR REPLACE $ 169,215.00 5/3/2018 C185 G INDIANA DUNES STATE PARK - ANNEX REMODEL $ 157,882.00 6/5/2018 C186 G/E FULTON COUNTY AIRPORT - CORPORATE HANGAR & OFFICE $ 1,183,750.00 10/4/2018 C187 G CITY OF PLYMOUTH - NIXON FIELD MASONRY REPAIR $ 45,935.00 10/30/2018 C188 G REES THEATRE - DEMOLITION $ 39,850.00 1/1/2019 C189 G/E CITY OF SOUTH BEND - VPA REMODEL $ 490,000.00 5/14/2019 C190 G/E TOWN OF CULVER - BEACH LODGE RENOVATION $ 1,720,950.00 7/1/2019 C1385 E CULVER TOOL & ENGINEERING - NEW BLDG ELECTRICAL $ 559,308.00 Indtana/Kentucky ChapWr Memorandum of Understanding /19 ise accept this as verification that Michiana Contracting, . is a member in good standing of Associated Builders & itractors of Indiana/Kentucky, Inc since 1991. 's Program is certified by the Federal Department of Labor, :e of Apprenticeship and Training and by the National ler for Constructions Education and Research (NCCER). AB of Indiana uses the NCCER curriculum. Michiana Contract- ing currently has 13 (thirteen) students enrolled in the appren- ticeship training program Fell free to call me with any questions regarding our apprenticeship program. rds, nne Apprenticeship Coordinator 2701 Industrial Dr. Ste. 190—Elkhart, Indiana 46516— 574-218-0340 brianne@abcindianakentucky.org Asodated NUMM mW cowb.om.., Mo. hu iena/Kentucky Chapter Training Program Agreement Between ABC of Indiana/Kentucky and Michiana Contracting, Inc. August 2oig &fignals Since Michiana Contracting, Inc. is located in Plymouth, IN farfrom any ABC training center, Michiana Contracting will implement an in-house Construction Craft Laborer apprenticeship training program underthe sponsorship of ABC Indiana/Kentucky. Atraining partnership between Associated Builders and Contractors of Indiana/Kentucky (ABC) and Michiana Contracting is of greatvalue to both organizations by combining efforts to improve the construction industry through professionally trained craft professionals. This written agreement clarifies the agreement between ABC and Michiana Contracting to provide an in-house apprenticeship training program located at Michiana Contracting, Inc., 7843 Lilac Road, P.O. Box 929, Plymouth, Indiana 46563. ASIMUDSM This Training Program Agreement between ABC and Michiana Contracting is effective beginning August zoig and will be reevaluated in August zozo. Resoon§j�ljjtlggs Both organizations understand the necessity of submitting paperwork in a timely manner and commit to meeting established submission timelines. Mmignp`n "N assure all rules and regulations are followed per ABC, NCCER, and the U.S. Department of Labor (DOL) guidelines. o provide classroom and lab space, equipment, and training materials that adequately support implementation and continuation of the CCL apprenticeship training program; pay salaries for in-house program instructor(s); ensure apprentices will attend class for no less than 244 hours per level of study as required by the DOL. o Update flashpoint (database)on a monthly basis: o Students: Enter OJL hours per ABC policy; o Education Contact: Approve or Deny OJL hours P9.1 a Atthe start of the academic year, the training company will submit to ABC a stating date, enrollment forms for each student accompanied by a drivers license and proof of high school graduation, a DOL form, and an NCCER Registration and Release Form • At the conclusion of the academic year, the Education Contactwill submit to ABC, all sign in sheets, performance profiles and written tests along with a completed Form 200. a NCCER certify instructors teaching classes for Michiana Contracting in-house apprenticeship program; a order all craft textbooks; a provide orientation materials, DOL information, NCCER credentials, and invoices, verify attendance in Flashpoint, send to students and education contacts final grade reports, wage letters; a ensure reports are completed and submitted as required by ABC, NCCER, and the DOL; a provide support to education contacts, instructors, and students as needed; and a audit the training site annually to verify that all program guidelines, regulations, and instructional practices are being met. Costs for the ABC Training Program to be held by Michiana Contracting are listed below. Core/Level 1— Cost per Student a New Student Application Fee $ 100.00 a Annual Tuition $ 500.00 a Textbooks $ 200.00 (Instructor Textbooks - s1o%opy as needed) $ 800.00 Level 2 — Cost per Student a Annual Tuition $ 500.00 a NCCER Textbooks $ 150.00 (Instructor Textbooks - slop/copy as needed) $ 650.00 P►ogram costs for each student are quoted as of Januarys, zos9 and may be subject to change. Ing at . Where program guidelines, regulations, and/ortraining conditions are not sufficiently met by students, instructors, and/or the training facility, ABC of Indiana/Kentucky will drop all s u with the Department of Labor and immediately terminate the training program. If the ABC Apprenticeship Coordinator is required to complete any unfished responsibilities of the training company in order to comply with IDOL and/or NCCER quidelines, an additional fee of s2oo per student will be added to this agreement. Failure to pay the additional administrative fee will result in a termination of the training agreement. As additional students are added to a class, it is the responsibility of the training memberto ensure ABC is notified and supplied with the appropriate information as listed above. pg. 2 u Company RewtivSignature: Date; P9.3 wl# Ifs' q "M1Mw' tn "L. N Associated guilders end centrecte.a. Me Indiana/Kentucky Chaoter Associated Builders Zt Contractors of lndianafe,ntuicky 5001 N Shadeland Avenue Indianapolis, IN 46226 317-596-4-950 Xprentices attend school for 4 years. Classes are held one night per week for 4 hours with 3 hours of online study. All programs are ap- proved by the U.S. Department of Labor, Office of Apprenticeship. Basic Safety Intro to Construction Math Intro to Hand Totals & Power Tools Intro to Construction Drawings Basic Rigging Alternating Current Motors: Theory and Application Electric Lighting Conduit Bending Pull & ,function Boxes Basic Communications I Conductor Installations Basic Employability Cable Tray Skills Load Calculations Load Calcula- Branch & Feeder tions—Feeders & Circuits Services Conductor Selection Health Care & Calculations Facilities Practical Applica, Standby and tions & Lighting Emergency Systems Hazardous Locations Basic Electronic Theory Overcurrent Fire Alarm Protection Systems Distribution Specialty Equipment Transformers Transformers Advanced Controls Intro to Materials Conductor Terminations Commercial Handling I and Splices I Electrical Services Orientation to the Grounding & Bonding Motor Calculations Electrical Trade Electrical Safety Circuit Breakers and Voice, Data & Video Boxes Intro to Electrical Control Systems & Fun- Motor Controls Circuits damental Concepts Electrical Theory Intro to the National Electrical Code Device Boxes Hand Bending Raceways & Fittings Conductors & Cables Basic Electrical Con- struction Drawings Residential Electrical Services Electrical Test Equipment HVAC Controls Heat Tracing and Freeze Protection Motor Operation and Maintenance Medium -Voltage Terminations/ Splices Special Locations Introductory Skills for Crew Leaders M NA Associated MuMOre sad Contractors. bw Indiana/Kentucky Chapter Associated Builders & Contractors of fndianalKentucky 5001 N Shadeland Avenue Indianapolis, IN 46226 317-596-4950 Apprentices attend school for 4 years. Classes are held one night per week for 4 hours with 3 hours of online study. All programs are approved by the U.S. Department of Labor, Office of Apprenticeship. Basic Safety Intro to Construction Math Intro to Hand Tools & Power Tools Commercial Drawings Roofing Applications Thermal & Moisture Protection Rigging Equipment Rigging Practices Properties of Con- crete Site Layout 1: Dis- tance Measurement & Leveling Site Layout II: Angu- lar Measurement Advanced Roof® Systems Intro to Construction Exterior Finishing Reinforcing Concrete Advanced Wall Drawings Systems Basic Rigging Cold -Formed Steel Handling & Placing Advanced Stair Framing Concrete Systems Basic Communica- Drywall Installation Trenching & Exca- Introduction to Light tions vating Equipment Basic Employability Drywall Finishing Foundations & Slab- Welding Skills On -Grade Intro to Materials Doors and Door Vertical Framework Commercial Finish Handling Hardware Work Orientation to the Suspended Ceilings Horizontal Frame- Site Preparation Trade work Building Materials, Window, Door, Floor Tilt -Up Wall Panels Introductory Skills for Fasteners & Adhe- & Ceiling Trim the Crew Leader: sives Orientation to the Job Hand & Power Tools Cabinet Installation Leadership Skills & Fabeication Introduction to Con- struction Drawings, Specs & Layout Floor Systems Wall Systems Ceiling Joist & Roof Framing Basic Stair Layout Introduction to Build- ing Envelope Systems nc y Safety Project Control (d c fC .L U N O x O m CL 'O ca O w U fU J M 00 ti I M O Lf) CD It co c cc c L 7 O I'll w O LL VLJ r U W O a U) U_ J m a. U f0 C 2) U) U_ (`0 H O U N cn 3 O LL C m a) c Q rn c W N IL