HomeMy WebLinkAboutOpening of Bids - Ewing Ave & Fellows St Intersection Traffic Signal Proj No 118-097 - Pemberton DavisCITY 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): Pemberton Davis Electric Inc.
Address: 916 E. McKinley Ay .
City/State/Zip: Mishawaka, IN 46545 Telephone Number: ( 574 277-7001
Agent of Bidder (if Applicable): Tanner Leibovitz
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
Ewing and Fellows Traffic Signal
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
Abonmarche '
and dated October 201:9..__ f r.:th_e_ sum of (.enter t_he_Total_Bid as shown on the Proposal)
_One hundred-rif Frvi"ne~To-uus nd l l 6tidred si fy-five'and 56/100 109,655.50
(; ) (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 add"effdums 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 separate attachment.
By
(Signature)
John A. Ferro
(Printed Name or 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
ACCEPTANCE
day of 20
Suzanna M. Fritzberg, Member
Therese J. Dorau, Member
Laura L. O'Sullivan, Member Attest: Linda M. Martin, Clerk
Version 1/17/2019 Contractor's Bid for Public Works - 2
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name
Project No.
For Bids Due
Ewing Avenue and Fellows Street Intersection Traffic Signal
118-097
November 12, 2019
PART I
(Must be completed for all bids. Please type or print)
Date: Bidder (Firm): Eemberton Davis Electric. Inc.
Address: 916 E. McKinley Ave.
City/State/Zip: Mishawaka IN 46545 Telephone Number: (574 ) 277-7001
Agent of Bidder (if Applicable):. Tanner Lelboyitz
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
-,Ewing and Fellows Traffic Signal
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
Abonmarche
and dated October 2049..... forth2_9Um of (enterthe_Total_Bid as shown on -the Proposal)
One huIindrddj nIinety-r7(ne tHousanId sixhundrei si t'y-flve.and 50 100......_..� 199,655.50
(: ) (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 separate attachment.
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
By
(Signature)
John A. Ferro
(Printed Name of Person Signing)
ACCEPTANCE
day of 20
Suzanna M. Fritzberg, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
Version 1/17/2019 Contractor's Bid for Public Works -2
BID/PROPOSAL
CITY OF SOUTH BEND
so ST �
Project Name: Ewing Avenue and Fellows Street Traffic Signal '' a
Project Number: 118-097
For Bids Due: September 10, 2019
yes
Contractor Name: Pemberton Davis Electric Inc.
BASE BID
Item
No.
Description
Quanti
Unit
Unit Price
Total Amount-
1 .
Construction Engineering
1
LS
1,000.00
1,000.00
2.
Mobilization/Demobilization
1
LS
8,500.00
8,500.00
3„
Clearing Right of Way
1
LS
150.00
150.00
4.
'Concrete Curb, Remove
245
LFT
16.50
4,042.50
5.
Concrete Sidewalk, Remove
150
SYD
25.00
3,750.00
6.
Signal Pole and Foundation, Remove
4
EACH
720.00
2,880.00
7,
Handhole, Remove
1
EACH
250.00
250.00
8..-
Traffic Signal- EGui ment;-Remove-anc-Salvage . --
'LS-
�,500.0�
........ 1,500.00--
'l
9.
Common Excavation
1
LS
12,000.00
12,000.00
10.
Temporary Erosion and Sediment Control
1
LS
500.00
500.00
11 �
Compacted Aggregate for Base, No. 53
35
TON
110.00
3,850.00
12.
HMA Surface, 9.5 mm, Type B
7
TON
720.00
5,040.00
13.
HMA Base, 25.0 mm, Type B
35
TON
160.00
5,600.00
14.
Concrete Curb
220
LFT
60.00
13,200.00
15.
Concrete Sidewalk, 4"
65
SYD
140.00
9,100.00
16,
Concrete Curb Ramp
55
SYD
140.00
7,700.00
17.
Detectable Warning Surface
14
SYD
125.00
1,750.00
18.
Sodding
190
SYD
15.00
2,850.00
19.
Service Point, TESCO Cabinet
di
EACH
8,000.00
8,000.00
20.-
TS-2 Controller Cabinet and P1 Foundation
1
EACH
21,000.00
21,000.00
21.
Thermal Detection System
1
EACH
3,200.00
3,200.00
22.
Thermal Detection Camera
2
EACH
9,200.00
18,400.00
23,
Signal Cantilever, Foundation
4
EACH
1,850.00
7,400.00
24.
Pedestrian Push Button Pole and Foundation
5
EACH
550.00
2,750.00
25,
Traffic Signal Head, 3 Section, 12" Red, Amber,
8
EACH
820.00
6,560.00
Green
Version 1/17/2019 Contractors Bid For Public Works-7
BID/PROPOSAL
CITY OF SOUTH BEND
26.
Signal Cantilever Structure, Single Arm, Install
4
EACH
750.00
3,000.00
27.
Painting Traffic Signals
4
EACH
1,850.00
7,400.00
28,
Pedestrian Signal Pole
5
EACH
1,000.00
5,000.00
29.
Handhole, Traffic
4
EACH
950.00
3,800.00
30,
Pedestrian Push Button Assembly, APS
8
EACH
1,100.00
8,800.00
31.
Pedestrian Signal Head
8
EACH
750.00
6,000.00
32.
Conduit, PVC Schedule 80, 3"
315
LFT
15.00
4,725.00
33.
Conduit, PVC Schedule 80, 2"
65
LFT
12.00.
780.00
34.
Signal Cable, 3c/8 GA
55
LFT
3.20
176.00
35,
Signal Cable, 5c/14 GA
1'1740
LFT
2.20
3,828.00
36.
Signal Cable, 3c/14 GA
1,180
LFT
2.10
2,478.00
37.
Signal Cable, Coax
310
LFT
2.00
620.00
38.
Install Existing Street Identification Sign
2
EACH
125.00
250.00
39.
Line, Solid, White, Thermoplastic, 6"
370
LFT
2.00
740.00
40.
Line, Solid, Yellow, Thermoplastic, 4"
45
LFT
1.00
45.00
41 ._
Transvfs.e N Ine T'hrrpp _tlt?p,."it.. MSt�i .,8
- - P a
..8:0
LFT ..�
. �::: 9.20:.'
.. _ m���. 736.00
4Z
Line, Remove
450
LFT
70
315.00
BASE BID TOTAL 199,665.50
Bidder (Firm):
Pemberton Davis Electric, Inc.
Address: 916 E. McKinley Ave.
City/State/Zip: Mishawaka„ IN 46545 Telephone Number: (574) 277-7001
By
John A. Ferro
(Printed Name of Person Submitting)
Version 1/17/2019 Contractor's Bid For Public Works-8
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
Attach an explanation of your plan or layout for performing proposed work. (Examples could
include a narrative of when you could begin work, complete the project, number of workers,
etc. and any other information which you believe would enable the City of South Bend to
consider your bid.)
2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside
your own firm who have performed part of the work) that you have used on public works
projects during the past five (5) years along with a brief description of the work done by each
subcontractor.
If you intend to sublet any portion of the work, attach the name and address of each
subcontractor, equipment to be used by the subcontractor, and whether you will require a
bond. However, if you are unable to currently provide a listing, please understand a listing
must be provided prior to contract approval. Until the completion of the proposed project, you
are under a continuing obligation to immediately notify the City of South Bend in the event that
you subsequently determine that you will use a subcontractor on the proposed project.
4. Attach a listing of equipment you have available to use for the proposed project.
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
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 ��tA )
SS:
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 2!!�..................... _, day of 4)W`, 20A
6," Coa�actorlLdder(Firm)
of rntracto"r'/B
idder or Its Agent
Subscribed and sworn to before me this f 2"6l
My Commission Expires _ 21212r�
County of Residence
Printed Name and Title
day of A«It ._, 20Iq
Notary Public
KL�LLY M HAIN1D,AR5,,H
ryea,r�".
Ne�Prom� �"tr6rPer SiCatc, arf P��Gborana
ST )d as �;'B I'I G"CY t➢I"'YTy^
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'�'��'4ll PM�Mtlw �9y
471YY1 7P 1F:el C.1 r9 �..hFBlftl. y;
rl)bruary 02q
2020
Version 1/17/2019 Contractor's Bid for Public Works - 6
S.-AIADocument A31011 - 201
CONTRACTOR:
(Name, legal status and address)
Pemberton -Davis Electric, Inc.
916 E. McKinley Ave
Mishawaka, IN 46546
SURETY:
(Name, legal status and principal place
of business)
Great American Insurance Company
301 E. 4th Street
Cincinnati, CH 45202
OWNER:
(Name, legal status and address) City of south Bend
BOND AMOUNT: Five Percent of the Amount Bid
($ 5% of Bid
PROJECT:
(Name, location or address, and Project number, if any)
Ewing Avenue and Fellows St. 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, 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 thil- 12th day of venaber 2019
PR*raa at.cara D"t 5 F tr Inc
rte
Seal
�,•"' ( 1'arldd.'a'uGb7sa*, Cai3y rMh'�Tl
w, Great (Seal)
. (Mere
Amer rasu
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(�
(� le) aaauCtteLong ���:,�
ltorraay,.ta..F,ac1
Init. AIA Document A310 "4 ., 2010, Copyright 103, 1970 emd 2010 by The Arnoricaru inasinuto of Archilects. All rights reserved. 4V'ANNINGa This AlAa
Document Is protected by t ,e. Copyrighl. Law and InteroslNoraal Treaties, unauthorized raprodurction or distribution of this AtAa Docuraaent, or
any pariton of IL may result In severe civil and criminal penalties, and until be prosecuted to lho maximum extent possible trader the tow,
1 PuTchasons are Pe nrdtted to reproduce teen (10) copies of this documamt whew comPtsled l"o report copyright violations of AIA Cohbact DocaunwrJits, e.a Vi
The Ameno"sn loslalul..o of Architacts" Ingal caaatnsotycopy6ghlatm.org. 'wa a'l
GREAT AMERICAN INSURANCE COMPANY®
Administrative Office: 301 E 4TH STREET a CINCINNATI, OHIO 45202 0 513-369-5000 • FAX 513-723-2740
The number of persons authorized by
this power of attorney is not more than ELEVEN
POWER OF ATTORNEY
No.0 21074
KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY, a corporation organized and existing under
and by virtue of the laws of the State of Ohio, does hereby nominate, constitute and appoint the person or persons named below, each individually if more than
one is named, its true and lawful attomey-in-fact, for it and in its name, place and stead to execute on behalf of the said Company, as surety, any and all bonds,
undertakings and contracts of suretyship, or other written obligations in the nature thereof; provided that the liability of the said Company on any such bond,
undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below.
DEBORAH NEICHTER
JILL KEMP
BARBARA DUNCAN
MARK A. GUIDRY
SANDRA L. FUSINETTI
LYNNETTE LONG
Name
SHERYON QUINN
THERESA PICKERRELL
AMY MEREDITH
MARGIE M. LOWRY
LEIGH MCCARTHY
Address
ALL OF
LOUISVILLE, KENTUCKY
Limit of Power
ALL
$100,000,000
This Power of Attorney revokes all previous powers issued on behalf of the attomey(s)-in-fact named above.
IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate
officers and its corporate seal hereunto affixed this 21 ST day of JANUARY 1 2019
Attest (mRENI„AMERICAN INSU ANCE COMPANY
�F P ,r
Assistant Secretary Divisional Senior Vice President
STATE OF OHIO, COUNTY OF HAMILTON - ss: MARK VICARIO (877-977-2405)
On this 21 ST day of JANUARY 2019 , before me personally appeared MARK V ICARIO, tome known,
being duly sworn, deposes and says that he resides in Cincinnati, Ohio, that he is a Divisional Senior Vice President of the Bond Division of Great American
Insurance Company, the Company described in and which executed the above instrument; that lie knows the seal of the said Company; that the seal affixed to the
said instrument is such corporate seal; that it was so affixed by authority of his office under the By -Laws of said Company, and that lie signed his name thereto
by like authority.
gl= A.
4�i W*=
This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company
by unanimous written consent dated June 9, 2008.
RESOLVED: That the Divisional President, the several Divisional Senior rice Presidents, Divisional Vice Presidents and Divisonal Assistant Vice
Presidents, or any one of them, be and hereby is authorized, from time to time, to appoint one or more Attorneys -in -Fact to execute on behalf of the Company,
as surety, any and all bonds, undertakings and contracts of suretyship, or other written obligations in the nature thereof- to prescribe their respective duties and
the respective limits of their authority; and to revoke any such appointment at any time.
RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the
Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond, undertaking, contract of suretyship,
or other written obligation in the nature thereof, such signature and seal when so used being hereby adopted by the Company as the original signature of such
officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed.
CERTIFICATION
I s l I!!" P IEN C. BFRAHA, Assi start Secretary (if Great Aaaaerican I nsurance Company, do hereby cer(ily that the foregoing Power ofAttorney and
the Reso4utions of tlic Board of Directors of June 9, 2008liaave not bom revoked and are now on foil force; and effect.
Signed and scaled this � � day of
1110 k
jo
%
�u ww wiW
Assistant Secretary
S1029AG (07/1 B)
Page 1 of 2
QUOTE No.:
01/1119
RE:
11uS City of South Bend - Ewing and Fellows
Traffic Signal
Project No. 118-097
TO:
916 East Mckinley Avenue
Mishawaka, Indiana 46544
Phone: (574) 277-7001
Fax: (574) 204-2565 DATE:
November 12th 2019
ITEM QTY UNIT DESCRIPTION UNIT TOTAL COST
NO. COST
1 1 LS Construction Engineering 1,000.00 1,000.00
2 1 LS Mobilization/Demobilization 8,500.00 8,500.00
3 1 LS Clearing of Right of way 150.00 150.00
4 245 LFT Concrete Curb, Remove 16.50 4,042.50
5 150 SYD Concrete Sidewalk, Remove 25.00 3,750.00
6 4 Each Signal Pole and Foundation, Remove 720.00 2,880,00
7 1 Each Handhole Remove 250.00 250.00
8 1 LS Traffic Signal Equipment, Remove and Salvage 1,500.00 1,500.00
9 1 LS Common Excavation 12,000.00 12,000.00
10 1 LS Temporary Erosion and Sediment Control 500.00 500.00
11 35 Ton Compacted Aggregate for Base, No. 53 110.00 3,850.00
12 7 Ton HMA Surface, 9.5mm, Type B 720.00 5,040.00
13 35 Ton HMA Surface, 25.00 mm, Type B 160.00 5,600,00
14 220 LFT Concrete Curb 60.00 13,200.00
15 65 SYD Concrete Sidewalk, 4" 140.00 9,100.00
16 55 SYD Concrete Curb Ramp 140.00 7,700.00
17 14 SYD Detectable Warning Surface 125.00 1,750.00
18 190 SYD Sodding 15.00 2,850.00
19 1 Each Service Point, Tesco Cabinet 8,000.00 8,000.00
20 1 Each TS-2 Controller Cabinet and P1 Foundation 21,000.00 21,000.00
21 1 Each Thermal Detection System 3,200.00 3,200.00
22 2 Each Thermal Detection Camera 9,200.00 18,400.00
23 4 Each Signal Cantilever, Foundation 1,850.00 7,400.00
Page 2 of 2
QUOTE No.:
01/1119
RE:
,� r_-mB+" S
City of South Bend - Ewing
and Fellows
Traffic Signal
Project No. 118-097
TO:
916 East Mckinley Avenue
Mishawaka, Indiana 46544
Phone: (574) 277-7001
Fax: (574) 204-2565
DATE:
November 12th 2019
ITEM
NO.
QTY
UNIT
DESCRIPTION
UNIT TOTAL COST
COST
24
5
Each
Pedestrian Push Button Pole and Foundation
550.00
2,750.00
25
8
Each
(Traffic Signal Head, 3 Section, 12" Red, Amber, Green
820.00
6,560.00
26
4
Each
Signal Cantilever Structure, Single Arm, Install
750.00
3,000.00
27
4
Each
Painting Traffic Signals
1,850.00
7,400.00
28
5
Each
Pedestrian Signal Pole
1,000.00
5,000.00
29
4
Each
Handhole, Traffic
950.00
3,800.00
30
8
Each
Pedestrian Push Button Assembly, APS
1,100.00
8,800.00
31
8
Each
Pedestrian Signal Head
750.00
6,000.00
32
315
LFt
Conduit, PVC Schedule 80, 3"
15.00
4,725.00
33
65
LFT
Conduit, PVC Schedule 80, 2"
12.00
780.00
34
55
LFT
Signal Cable, 3C/8Ga
3.20
176.00
35
1740
LFt
Signal Cable, 5C/14Ga
2.20
3,828.00
36
1180
LFT
Signal Cable, 3C/14Ga
2.10
2,478.00
37
310
LFT
Signal Cable, Coax
2.00
620.00
38
2
Each
Install Existing Street Identification Sign
125.00
250.00
39
370
LFT
Line, Solid, White, Thermoplastic, 6"
2.00
740.00
40
45
LFT
Line, Solid, Yellow, Thermoplastic, 4"
1.00
45.00
41
80
LFT
Transverse Line, Thermoplastic, White, 24" Stop Bar
9.20
736.00
42
450
LFT
Line, Remove
0.70
315.00
TOTAL 199,665.50
TERMS .
NOTE: THE ABOVE ITEMS ARE QUOTED AS A COMPLETE
PACKAGE. NO ITEM MAY BE DELETED WITHOUT PRIOR
APPROVAL.
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: �,qd e
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 31s' 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
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM
The City of South Bend, Indiana has shown its commitment to addressing Minority Business ("MBE") and
Women's Business Enterprise ("WBE") participation in public contracting through the adoption of the City
of South Bend Ordinance No. 10081-11. Persons, partnerships, corporations, associations, or joint
ventures 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 or
disability that does not affect that person's ability to perform work.
Minority and Women's Businesses are described on the Indiana Department of Administration website:
http://www,in.gov/idoa/. 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. Documentation shall be
provided with the bid that states the MBE/WBE that will be contracted, the dollar amount of the work that
will be performed on the project and the percentage of the dollar amount as it relates to the total bid amount
by using Form MWBE-1.0, MBE/WBE Participation Form.
The City, its agencies, boards, or commissions requires the Contractor's good faith efforts to obtain
participation by those Contractors classified as a Minority Business ("MBE") or as a Women's Business
Enterprise ("WBE").
Failure to provide ALL the required evidence of good faith efforts with the bid will be grounds for
rejecting a bid as non -responsive.
The requirements that bidders shall supply as good faith efforts to have active participation from MBEs
and/or WBEs on this Project is written documentation evidencing the efforts by using Form MWBE-2.0,
Evidence of Good Faith Efforts and Form MWBE-2.1, MBE/WBE Contacted. Such documentation shall
include but is not limited to the following items:
a. A listing of all MBE/WBEs contacted including: (1) the name and address of the MBE/WBE; (2) the
date of contact; (3) the type of contact (i.e. phone call, written solicitation, etc.); (4) the nature or
type services or goods requested; and (5) the result of the contact.
b. Written evidence of outreach and copies of email exchanges inviting and receiving quotes or other
responses from MBE/WBE businesses or other documentations of efforts to encourage and
secure competitive quotes from MBE/WBE and local businesses to be included in the benefits of
building this Project.
c:- Written documentation of letters of introduction, invitations to forging majority/minority strategic
alliances for capacity building including but not limited to mentoring, extensions of assistance on
payroll, insurance, bonding, line of credit, technical skills or business skills.
All bidders are actively encouraged to reach out to the MBE/WBE businesses in St. Joseph County, Indiana
and other local Indiana counties to utilize a good faith effort to forge constructive and lasting business
partnerships.
Notwithstanding the foregoing, the award and performance of all City contracts shall comply with applicable
federal, state, and local laws.
Version 3/19/2019 General Conditions - 5
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.
\, Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
X executed,
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
Certification of use of United States Steel Products or Foundry Products.
Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not
met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted
Form [MWBE-2.1].
Acknowledge Receipt of _ Addendum(s) included with the bid.
All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
printed or typed underneath signature.
This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.. p
Bidder: �� ��` 1 ad V�ft� L Date:
By Authorized Representative
Signature:
Print Name & tle: H.✓ a ��2eo
Version 1/17/2019 Contractor's Bid for Public Works - 1
CITY 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
Date:
Address:
City/State/Zip:
PART I
(Must be completed for all bids. Please type or print)
Bidder (Firm):
Telephone Number:
Agent of Bidder (if Applicable):
Pursuant to notices undersigned
, g� iventhe rsi ned offers to furnish lab ��mmmmmmmmmmmmmmmm � g or and/or material necessary to complete the
the
public works project of:
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
and dated for the sum of (enter the Total Bid as shown on the Proposal)
( pt 900�� O ( a
,,. , f, { (f , , ,,, ; , t ,() (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 separate attachment.
By..._...... WWW_
(Signature)
(Printed Name of Person Signing)
ACCEPTANCE
The above bid is accepted this day of _ 20
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President Suzanna M. Fritzberg, Member
Elizabeth A. Maradik, Member Therese J. Dorau, Member
Laura L. O'Sullivan, Member Attest: Linda M. Martin, Clerk
Version 1/17/2019 Contractor's Bid for Public Works - 2
PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknow!iBy
meats.
(i) checking this box, I hereby acknowledge that I am a pre -qualified bidder with
(b) Attachment
(i)
the City of South Bend and that I have met the pre -qualification requirements within
the last twelve (12) months. A copy of my Pre -Qualification verification letter
is attached.
By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided by me, and may also conduct random inquiries of my current and prior
customers.
Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
Statement on staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work. It
outlines how I intend to meet the staffing needs of the work.
Evidence that I am utilizing a surety company which is on the United States
Department of Treasury's Listing of Approved Sureties as required in the bid
specifications or contract.
List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within the last three (3) years.
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
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
(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: H�✓ /lam Zv/9
&(SiHere)
(Print Name Here)
(Name of Company)
(Address of Company)
gam'
(City)
(State)
6-7�! Z 77 7�/
(Telephone Number)
Version 3/19/2019 General Conditions - 10
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.
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 maybe requested at anytime 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