HomeMy WebLinkAboutOpening of Bids - Main & Colfax Parking Structure Proj No 119-078R - T. George Podell & Co. -Bid security check submittedDate:
Address:
CITY OF SOUTH BEND, INDIANA
ONTRACTOR'S BID FOR PUBLIC W
Project Name M..�olfax Parking Structure Paint Removal
Poject No. 9-078R
For Bids Due
November I
19
PART I
(Must be completed for all bids. Please type or
Bidder (Firm):
C 0
rz
i,
IN65
City/State/Zip: 9.,Ak-6 ---
,,4A
k�Telephone Number:
Agent of Bidder (if Applicable):
Pursuant to notices iven. the
g
public works Project of: ed o furnish labor andio`rm-'a erial necessary to complete the
the City Of South Bend, Indiana, in accords with plans and specifications prepared by:
and dated
for the sum of (enter the Total Bid as shown on the Proposal)
(N L�W(e nca
The undersigned further agrees to furnish a bond or certified check with this bid for an amounts pecified 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 )attach �ent
By
ie of Person Igning)
The above bid is accepted this ACCEPTANCE
Subject to the following conditions: day of
BOARD OF PUBLIC WORKS
Gary A. 6iF6t,j5residen—t
Elizabeth A'. -—a--"-- a;ardik, Member
Laura L. -b`§6-hivan, Member
Genevieve ff.-Miller,—Me - rn r.. be _ r
Therese J. Dorau, Member
Attest: Linda'M — —
. Martin, die—rk
Version 4/2/2o1g Contractor's Bid for Public Works - 2
20
BID/PROPOSAL
CITY OF SOUTH BEND
Project Name: Parking Structure Paint Removal
Project Number: Main 9.... .._ _.._...__
For Bids Due: No
12 2019
Contractor Name: � �
__,...,...... ... �� .. C -
BASE BID
LIte Description
No.
1 Remove Ceiling Coating
Quantit
y Unit Unit Price Total Amount
1 LS
BASE BID TOTAL y
Bidder (Firm): @,, c�
n e-
._..
Address:
City/State/Zip
`..
y� -- Telephone l l l
�.....__.��.�..�, pone Number:
By
.....� Q... 19nare)._...t�..e
(Printed Name o�ersort Signing)
Version 4/2/2o19 Contractor's Bid for Public Works - 7
When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit
.ff az
CON RAC: TOICS NON-COI,I,LISION AND NON -DEBARMENT AFF1DA V11°, CERTIFIC'ATICDN
REGARDING INVP',S 1'M�ENT 'ITH IAN, EMP1.OVMENI FL,IIG,v VERIFICATION,
RIFIC TION, ION -
DISC IMIN.ATION COMM ITMEN'I ANID C E1�" 1FICA 1 rON OF 11L,
PRODUCTS OR FOUNDRY PrlODUC II OFU L�i'$SI"I"hD STATES STEEL
(Must be completed for all quotes and bids. Please type or print)
STATE OF 11
COUNTY SS:
Tile undersigned , Contractor, being duly sworn upon his/her/its oathaffirms under the penalties ofperjur
that: y
1. Contractor has not, nor lr,rs any other iarerrrbe representative or argent of' the 11rrn, company,
rxrrl rar<rtiora or frartareiship represented fly bill", entered into any col'llbin`tion,, c�:ollusicrrr or agreement will)
Y 1 l taro farevent an arson
any person relative to Ilre price to be lard by anycarac irr such letting taiir
Mn. irr aarrlrrcc arryorrc irr arcfrarrr b riar Iyrdrlatag arrd that this bid is made witlroout rcftrenae�to spry catlrcr brelrar11
without any agrcerrrent, understanding or coinhination with any other person in reference to such bidding.
C,"ontr rctor lauthcr ^gays Chart no person or persons, firms, or corporGitarwn has, have or will receive directly a��ar
indirectly, any rebate, fee„lib r crrnwurssion or° thing ofvalue oan �rlcc()Unt of such gale; rrn(f
pare2� Contractor certrllcs by submission of Ibis proposal that ncithe r�� Contractor nor any of its lariracilrrrfs
ipali l in Illrrieel srarlaerrde(l, proposed for debarrne�rrt, dccfa'ri°carf irrc�ligilrlc, or voluntarilyexcleacled ficrnr
pr�trticrpal'iorr in tlir`s taarrsrrction by any Federal dcpartrnerrt <°d agcrary; arrel
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in
investmentactivities in Iran.
a. I rrr ptii Doses Cal this Certification, `Iran,, paeans t:lie government of Iran and any agency
oi• ii1str-trtrtentmrlily of Iran, or as rather isc deflrred at Ind. Code § 5-22-16. -5„ as
datraended 1'ron'tinge-to-trine.
b. As provided by Ind. ode § . , 2-16.5-8, as ararended from time -to -time, a Contractor
is engagecl in investment activities in Iran if either:
i• Contractor-, its successor or its arI'fiiliaatc, provides goods or se�r,vi�ce�s twenty
or
million dollars ($20,000,000) or tno,re ila vailue in the energy sector of Iran:
twen
ii. Contractor, its successor or its affiliate, is a Iinancial institution that extends
IWen ty million dollars ($20,000,000) ot. more it) credit to anotherperson1<;rr
frarty-irvc (45) (lays or' more, rl thal pe.rse�in will ere
(il use tlrcredit to provides
goods and services ill tiae er°rergy sector in Iran; and (ii) at the Orne the
financial institution extends credit, is ar person identified on list pnblishcd by
the Indiana I cpar~ttncnt ol'Administratiora.
Version 4/2/2019 Contractor's Bid for Public Works - 4
1. ('orrlr-actoa does not knowingly
eraalaftayce or artatrr ict walla «a� ltersort thaat ithe Conrtractorosubse< ueTit6yaalcM�a°ln�a rs �raalia ra, nary ternary arty
C,raratractaar aw r°ca s firer lrcdslac,/i1 shall enroll in aatal wrer rfy flee wrra°', eligibility unit'aathor ized �ahc rl.
arewly hired eiralalcayecslaraeuh rite f Verily rrcras�aaa as ale("rrterl b l.(
status of all of Contractor's
dociratrcrat�atiraat of crart:allrateaat grad articala,rlrcara irr rlae II. Vcrrf l'rof,rtarra is irrelrrrled .rrar l�rrt�ta.�z�<.ontrlacto (of
this bid/aluotc; and as
5. Contractor shall require ltis/I�rcrMs Subcontractors performingwear➢c arrtdei` rites public aonta°.rct to
certify that the subctarrta actors d(,r atnt lertowuapy a aatltltay art contract with ar.0 unaartltcar"i�eal alien, attar retail)
any halal e Sti of contract with, as person rlatitt t�lie snbcontractcn° subsequently learns is all unauthorized aaliora,
araaf fleet flee stil contr�acfoa Maas enr(alled in and is participating iara� rile I__ Veral� l�r°o��rraraa. °'fife C"�tal.t"zrcrraa°
to raaaaiai airy rites certification tI'rragrees
.oaraliotrt: rile terau ofthe contra
ct will( rile City trf"rant la f'catd, aaacf ruacler°st�ancls
that tire, arty stay tcrattinate the contract for default irthc Contw'tha° lads y l'S a h Ben of"thus provision
a
racy latter than t.Iaiaty (30) al"ays after being notified fry rile (rty,
(r. Persons, lazirtncrshilas, cor}aorations arssociations tar crint war.*nturers awarded a contract by the City
of South IAcud thr0119I1 its agencies boards or corrtnrissious shall not discrintinale ar �arinst are
afaflicant Iorera ployrnent in thellerforntarrcc ofa f ity contraact: wwillt raslaect t(:) l�lirc, teaat,uc, terrrrs, conditions,
Y cntlal(rycc ttr�.
or lei orl, cs ,, national c ri oa-any entry, dircetly of irreuraeetly related rta erirfslcryitaeut ecauwc all"race„ o ,
rclrfuaiir, color, riatiatia�tl taa'a irr, ancestry,
gage„ gender OriI cirectlyrel gender icLloyit
disability that. aloes riot affect that per;,ctn's arlarlit�y to r�fexpbrm rlre w Faark identity, sexual orientation or
bidawarding contracts far- (lie fauachaase of work„ hrbor, services, supplies, c�a�iifitrenr„ raaat.cwiiaals, (,ra' any
oielrdintartuoar ol'the fivegoing iaatlaaalirtg hart not lrirrited to, lai�ablic works contracts a�rwarded aanc'er lsralallc
liia Iaws Or catltci cttnta,tc,rs it) which public beefs are not requiredby law, t'rc City, its rrgeiallud bta�ublic
or cttiaairaissriaras may coatsrt'er the (onrractor s good f«ritlt c l"f(rrrs 1tr arlttaaiaw laartaeil�aal rcrrt by those Contractors
certified Ia i Che t etc tad hatiiairra ,as a inor ity fftisirress ("MBE") or aas a W't`rrttert's f3aasri�tess Enterprise
°"�� 131r:"' ,,is �a leaf tree ail t'ctermining the h;awest, a'eslaaarasablc, responsive bicldea,
lea no evcnt shall persons or entities seeking the award of'aa City ccaritr ict lac aetluiraad l(a award as sarbaa(arrtract
10 cur 13.I /' HE- ltowevcr, ft ntay not unlawfully disaNr-iiarrnaatc Orgarnst e said Uired l :wa subc tr,,ic
discrrrttaitaatoay larf it
actice by the City'S Bf.?lNlfE Utilaration Board it period of (rrashall prohibit hat llersorr oa~ entity entity trr:ratt
being awarded aCity contract liar r, f" I) yea'rr` from rite date art" such alutcrrttiiratican, arty' such
cfeteantin<itiori may also be grounds RV terminating (Ile eontact �fiar which flue daserht��thratoi°y rarctit„e oa~
nonc,ortafaliance pertains.
The undersigned ecrntraat0r ,'agrecs that the firlhtwhag nondiscrimivartictrt cornnitraacut shall be naaatle
a part of away contract whaclt it array henceforth cater into with the City of �Soutlt Bent', laacliaaa�aa or any ta'f its
a f oracies, boards of, Commissions,
Contractor a,grccs not art discriminate rminarte against or intiutrdate ally Cartlaloyce� ctraltlr�Iieaartt fiat crarPloyi7acrtt ill rltu
faerf«�rm l('11t of this ccairtr«act wetly ltr ivala,ges (rf"cntfalaaynaent or any artalter directly or indirectly related to
carrlaltayntcrtt ltcaaau�sc trf ratcc, relitaarr color, sex,crtcicr crlaaussicarr, gertalc identity,
handicap, (rational origin car ancestry. Ilr°caatla taf"this l-rrovision rttay'ae regarded as ataaaicrialaltw�ach(ot'
e(iattr.tet,
I, the aaitticrsahrtc,(I bidder- oi" agenfl, as ccrrttr"actor late as faarl�lic works rojeCt„ rartticrstautd rta
tafrlgg�atattns to t�r� use of"steel laatatlticts or lKttandry products ittitcle irr t.hc Cfrtrt '1 States (l C'". 5-1 (r I ),1 laerclay
y statlartor-y
cc,rrrd"ar rltrrt l terra' call wtabc�taaatr�as„ttra�s� errtlaloyccl by rate tor this l�a`jcel will rrsc astcel products car• �liaariatlry
laa(adrrcts iuradc rya rite United States cart gltis laictlectl ifawvardecl I arrrt'crstaaacl l ltarwrc an "a rrraratiwe cleat t�rt
notify flee City ill my ball tlai��at fray far°�olaosaal does not include the rise of steel products or Ibundry products
uaade in tits f,iaaated AStrtes l understand it is rtay� sole obligation and reslaonsibilhy t�o larowr,i(�fe a la4 tllfic;aatri�rrt
rt) t'ac City, SarlaPri rca review Atn(l alalri~cawaal, why the coast of,``C/rtited States auade steel tar lbnndry laroducts is
rodu (rrarrbla•. Prior to award "tart' upon subaarission of laid which toes not use steel products oa. foundry
products m�ulc in flee I_Inilcd States, the (`aty, throrrglr its director of l)ubhc works, shall make a de�terntina[ion
it-tlte Price taf`frrmitcd Stites made steel or fbundry is unmasonable, f understand rinit vicrhat-ions hereunder
Version 4/2/2019 Contractor's Bid for Public Works - 5
may result in forfeiture of contractual payments.
l hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid
forpublic works are true and correct.
Dated this day of_V\rrJ ZpA-eL
trtattta of C t�tttrat totIiddet or It.
s Agent �
PrintedName and Title,
Subscribed and sworn to before me this 2) day of
�....::
My Commission Expires (J K r Public �,
COuntY of Residence ��-
dh 611A &]
CHRISTINE L JOHNSON
Notary Public
SEAL
State of Indiana
MY Commission Expires August 26, 2023
Version 4/2/2019 Contractor's Bid for Public Works - 6
CITY OF SOUTH BEND+a
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
FORM MWBE-1.0
MBE/WBE PARTICIPATION'
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE/MBE participation„,
It is the bidder's sole responsibility to verify whether any listed minority orwoman business meets the qualifications of a Minority or Women's
owned business.
Project Number: 119-078
Pro)ect�Name
kin Struucture Patt Renj
Main8 Crrmoar�_.ovql..
Bidder:
_
Total Bid t
_
MBE/VVBE Goal
�alv
Ww
Page
o
Name &Address of MBEIWBE
�_...
mary Contact
�Pr'e
(Name(felephone)on
ry
Scope of Performed
(Attach sc pe/schedule�if you bn need additional space)
Amount
MBE/WBE Comp nfent
odDollar e m
QnA,C-Q.
.
6ev
^^^X
Sar+a� lGS z .ems �Ass� ��
e
00
tPdofit
_
`1 �CvEe�
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c e um .j� cY c2 c'I c�`�
._._a
Submitted by: lt,
�d� ^ �����
t q
Print Name..
.. _
alit�iu�re
. Date _— ... _...
...,,
Version 4/2/2019 Contractor's Bid for Public Works - 8
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY A
DEVELOPMENT PROGRAM ,w
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 Pu11 blic
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").
9-07Date: ^ \
Project Number: 11 8R
� \,pl
Project Name: � Main r � Colfax Parkin Structure Paint _ � � Removal
Bidder: �.� �....._..,.�� .....� ..... .�..
� t
W�
Contact Person: Telephone: Address: P
31 +�
City: State: �+�
Zip .�J......w.
To determine whether a bidder demon .t y.lC� co demonstrated good fail efforts to . gal t
forth o in the City
t of South Bend UIRE ALL of the
Works Project Specifications, the City and itsB agencies, es utilization
or se
the following Good Faith Efforts as listed in the table below*:
EVIDENCE OF GOOD FAITH EFFORTS
Enterprise Diversity D y Minority and Women Business
MBE/WBE LISTS evelopThe lment Program, whicdder reviewed the h the ID � approved
OA a list of Minority and Women
h Bend'
tt
P.//www m gov/idoa).
Owned Business as found on their website (h
(ADVERTISE/CONTACT): P P In orderer your bid to be deemed responsive, the City of South
ACTION'_ outh
Bend requires that all perspective bidders complete no less than 2 of the followin
1. Attend all pre -bid meetings scheduled by the City to inform MBE/WBEs of contracting and
subcontracting opportunities.
2. Advertise in general circulation and/or trade association publications concerning subcontracting
opportunities, and allow MBE/WBEs reasonable time to respond.
3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated
to inform MBE./WBEs of subcontracting opportunities and allowed sufficient time for them to
participate effectively.
4. Utilize pre-existing services of available community organizations, small and/or disadvantaged
business assistance offices and other organizations that provided assistance in the recruitment
and placement of MBENVBE firms.
Bidder must circle or otherwise notate which of the two (2) required actions were performed.
including providing such MBE/WBE s with adequate information about the plans, specifications `
GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBElWBEs,
cations and other
requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business
reasons based on a thorough investigation of their capabilities.
m m.�__.� portions of ..,....�... . �_ ...�...�_.
SMALL CONTRACT(S): The bidder selected specific the work to be performed by
MBE/WBEs in order to increase the likelihood of meeting the MBEM/BE goals (including breaking down
contracts into smaller units facilitate MBE/WBE participation)
its to
bid on the subcontracting ' The bidder has maintained CONTRACT RECORD ��
aired the following records for
S� each MBE/WBE that has
rig opportunity:.
1, Name, address„ and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
con as unqualified to perform the job.
omissions shall tr ti considered t the d Faith Effort requires concluding ing that w.. ...
idered rounds f fires our initialsnextto all of
' f Goo or rejection of the bid b the Board of Public Works. The City the above boxes An
g � y of
South Bend reserves the right to request additional information.
Version 4/2/2019 Contractor's Bid for Public Works - 9
CITY OF SOUTH BEND'c
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
FORM MWBE-2.1
MBE/WBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works 1.1 Projects
requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify
whether any listed minority or woman business meets the qualifications of a Minority or Women's owned
business.
PAGE OF
MBEM/BE Participation Goal � olo
Project Number: 119 078R..... ,....... - .........._�... _......
Project Name: Ma
in & Colfax Parkin Structure Paint Removal
........ .....m..,...........
—._.,.�.....4
Bidder: � � ���:r t � � ..�®�, z_;� � � -�c ,
_._ .....s �.
By:
-w - �a
gr�atarr� :..Tit�e�'�
( ) (Date)
MBENVBE Firm
c7 r cam^
Owner or Contact at MBE/WBE F irm �' ��
TYPE OF -��.q..��.... �.( :
Telephone
kFax: mail
! � � �. . _ ��p Q l (. C, �
WORK SOLICITED FOR THIS PROJECT: _
L 4�
RESULTS OF CONTACT WITH THE MBENVBE FIRM:
MBE/WBE Firm
Owner or Contact at MBE/WBE Firm
Telephone:
Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
Email:
r
Version 4/2/2019 Contractor's Bid for Public Works - 10
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.
3. If you intend to sublet any portion of the work„ attach the name and address of each
subcontractor, equipment to be used by the subcontractor, and whether you will require a
bond. However, if You are unable to currently provide a listing, please understand a listing
must be provided prior to contract approval. Until the completion of the proposed project„ you
are under a continuing obligation to immediately notify the City of South Bend in the event that
you subsequently determine that you will use a subcontractor on the proposed project.
4. Attach a listing of equipment you have available to use for the proposed project.
5. Have you entered into contracts or received offers for all materials which substantiate the
prices used in preparing your proposal? If not, attach an explanation for the rationale used
which would corroborate the prices listed.
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said
financial statement as required by statute shall thereby be rendered invalid. The financial
statement provided hereunder to the City of South Mend awarding the contract must be specific
enough in detail so that said City of South Bend can make a proper determination of the bidder's
capability for completing the project if awarded.
Version 4/2/2019 Contractor's Bid for Public Works - 3
cnia'u.
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK'°`
CHECKLIST FOR BIDDERS
Project Name Main & Colfax Parking Structure Paint Removal
Project No. 119-078R
...........
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
_. 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
Z .
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.
Bidder: �- t[ ��� __: �. m�."
........ .w n .. Date:...... m ... �-¢ .-���
By Authorized Representative;
Signature---0��..,......".... .......
Print Name & Title: v.®►,l Gib
� f
Version 4/2/2019 Contractor's Bid for Public Works - 1
Western Surety Company
CONTINUATION CERTIFICATE
Western Surety Company hereby continues in force Bond No. 62275878 briefly
as Principal,
in the sum of $ FIVE THOUSAND AND N01100, Dollars, for the term beginning
2019 , and ending Nwem)20r 14 ,, 2020 , subject to all
the covenants and conditions of the original bond referred to above.
This continuation is issued upon the express condition that the liability of Western Surety Company
under said Bond and this and all continuations thereof shall not be cumulative and shall in no event exceed
the total sum above written.
Dated this day of NQXP.Mber , 2019
o-ar��sv WESTERN URETY COMPANY
M �x By
";- Paul T. Br at, Vice President
oc
w. r,
4P
THIS "Continuation Certificate" MUST BE FILED WITH THE ABOVE BOND.
Forth 90-A-8-2012
Western Siurety Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota,
and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado,
Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky,
Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New
Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania,
Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia,
Wisconsin, Wyoming, and the United States of America, does hereby make, constitute and appoint
Paul T. Bruflat of Sioux Falls
a
State of South Dakota , its regularly elected Vice President
as Attorney -in -Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for
and on its behalf as Surety and as its act and deed, the following bond:
RM I -INS! � I +I +7 iI4Tu`" + Il[ ! tl ', +l u� 1 w A411. FM ;
bond with bond number
for
as Principal in the penalty amount not to exceed: $ 5 . U00.00
Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety
Company duly adopted and now in force, to -wit:
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate
name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the
Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
Attorneys -in -Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate
seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The
signature of any such officer and the corporate seal may be printed by facsimile.
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
Vice President with the corporate seal affixed this 6th day of November 2019
ATTEST W E N S U R CO FAN Y
By
L. Nelson, Assistant Secretary Pau' Bruflat, Vice President
STATE OF SOUTH DAKOTA'
Ss
COUNTY OF MINNEHAHA
On this 6th day of November 2019 , before me, a Notary Public, personally appeared
Paul T. Bruflat and L. Nelson
who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as Vice President
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument
be the voluntary act and deed of said Corporation.
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SOUTH DAKOTA s U Notary Public
+ My Commission Expires June 23, 2021
To validate bond authenticity, go to .cn r xa > Owner/Obligee Services > Validate Bond
Coverage.
Form F1975-1-2016 0
Entity Type: Domestic For -Profit Corporation
Creation Date: 03/28/1983
Principal Office Address: 1400 S MAIN ST, SOUTH BEND, IN,
46613, USA
Jurisdiction of Formation: Indiana
Title Name Address
Business Status: Active
Inactive Date:
Expiration Date: Perpetual
Business Entity Report Due 03/31/2015
Date:
Years Due: 2015/2016, 2017/2018,
2019/2020
President GEORGE T PODELL 17470 SKYLINE DR, SOUTH BEND, IN, 46614, USA
Secretary Janet L. Podell 17470 Skyline Dr., SOUTH BEND, IN, 46614, USA
Type: Individual
Name: T. GEORGE PODELL
Address: 1400 S MAIN ST., SOUTH BEND, IN, 46613 - 0000, USA
hereby give my consent to authorize my employer known
as T. George Podell & Co., Inc. and the testing laboratory designated to conduct analytical and random
tests deemed necessary, on an ongoing basis, to determine the absence or the presence of Alcohol,
Amphetamines, Cocaine, Opiates (2000 ng/ml), PCP & THC in my body through the use of urine, hair,
blood, breath or any sample as specified by statute and regulation.
I give my consent to release the results of the test(s) and other medical information from the laboratory to
T. George Podell & Co., Inc. pursuant to statute or regulation with the condition that the results may not
be used in any criminal proceeding. If employee fails drug test, that employee will be subjected to the
items listed below.
After a first positive test, an employee must be:
• suspended from work for ninety (30) days;
• directed to a program of treatment or rehabilitation; and
• subject to unannounced drug testing for one (1) year, beginning the day the employee returns to
work.
After a second positive test, an employee must be:
• suspended from work for ninety (90) days;
• directed to a program of treatment or rehabilitation; and
• subject to unannounced drug testing for one (1) year, beginning the day the employee returns to
work,
After a third or subsequent positive test, an employee must be:
• suspended from work for one (1) year;
• directed to a program of treatment or rehabilitation; and
• subject to unannounced drug testing for one (1) year, beginning the day the employee returns to
work.
T. George Podell & Co., Inc. may request proof that I am taking a controlled substance as directed
pursuant to a lawful prescription issued in my name. If requested, I agree to provide such proof within 72
hours.
I have the right to request a re -test of the initial specimen at a licensed laboratory of my choice if and
when I have a positive test for drugs. All requests for a re -test of the sample must be made within ten
(10) working days of the receipt of the original positive test result. The results of the samples must be
forwarded to me by the appointing authority of the licensed laboratory.
I further understand that a positive test, refusal to authorize this form, refusal to take the test, or failure to
produce a specimen, may result in disciplinary action up to and including dismissal in accordance with
any local, State, or Federal statute, regulation, and policy.
Employee Signature
Date
Print
T. George Podell & Company, Inc.
23146 West Ireland Rd, South Bend IN, 46614 www.tgeorgepodell.com
Owner: Thomas George Podell
Capabilities: Sandblasting / Pressure Washing/ Waste Water
Recovery & Recycling
Co -Owner: Chris Podell
Capabilities: Sandblasting / Pressure Washing/ Waste Water
Recovery & Recycling
Employee: Brian Starr
Capabilities: Sandblasting / Pressure Washing/ Waste Water
Recovery & Recycling
Employee: Mike Hakes
Capabilities: Sandblasting / Pressure Washing/ Waste Water
Recovery & Recycling
Employee: David Spilski
Capabilities: Sandblasting / Pressure Washing/ Waste Water
Recovery & Recycling
Employee: Ron Simpson
Capabilities: Sandblasting / Pressure Washing/ Waste Water
Recovery & Recycling
Employee: Joe Johnson
Capabilities: Sandblasting / Pressure Washing/ Waste Water
Recovery & Recycling
PHONE (574)233-9111 "Since 1975" FAX (574) 233-3899
T. George Podell & Company, Inc.
23146 West Ireland Rd, South Bend IN. 46614 www.tgeorgepodell.com
Projects:
Project Name: Rig Mat Washer - Sterling
Year: 2016
Amount: $468,270.00
Project Name: Sandblasting — ]gown & Brown
Year: 2016
Amount: $13,720.00
Project Name: Sandblasting — :parson Danielson
Year: 2017
Amount: $8,320.00
Project Name: Sandblasting — Vt Response
Year: 2017
Amount: $6,600.00
Project Name: Sandblasting — Metalstamp
Year: 2019
Amount: $8,320.00
PHONE (574)233-9111 "Since 1975" FAX (574) 233-3899
CONTRACT DOCUMENTS AND SPECIFICATIONS
FOR
Main & Colfax Parking Structure Paint Removal
Project No. 119-078R
October 2019
Prepared for
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
Department of Public Works
Division of Engineering
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N0, 60016991
STATE OF
Roger T. Nawrot
Registered Professional Engineer
State of Indiana No. 60016991
FOR BIDS DUE: 9:30 a.m., November 12, 2019
City of South Bend, Indiana
Department of Public Works
Main & Colfax Parking Structure Paint Repairs
Project No. 119-078R
Notice to Bidders
General Conditions
Special Provisions
Appendix [or Other/Additional Sections]
City of South Bend Contractor's Bid for Public Work Form
Version 1/11/2017 Table of Contents
1 Page
10 Pages
9 Pages
72 Pages
10 Pages
NOTICE TO BIDDERS
Notice is hereby given that the City of South Bend, Indiana, Board of Public Works will receive sealed bids
at the Office of the Board of Public Works, County -City Building Room 1316, 227 West Jefferson Blvd,
South Bend, Indiana, 46601 until the hour of 9:30 a.m., Local Time, on November 12, 2019 for the following:
Main & Colfax Parking Structure Painting,Removal.
Project No. 119-078R
Work includes paint removal from the ceiling on the first four floors at the Main & Colfax Parking Structure
in South Bend, all more particularly described in plans and specifications prepared by Department of Public
Works, Division of Engineering, phone (574)235-9251.
The Contract Documents are on file and available for public inspection commencing on the first advertise
date during regular working hours at the Department of Public Works (1316 County -City Building, South
Bend, Indiana), and at MACIAF 3215-A Sugar Maple Court, South Bend, IN 46628. Additionally, the
Contract Documents will be available that same day for inspection or purchase at American Reprographics
Company ("ARC", located at 1303 Northside Blvd., South Bend, Indiana, 46615), http://www.e-arc.com,
(574) 287-2944, toll free at (800) 783-7231. There will be a non-refundable charge for reproduction as set
by ARC for every set of documents for all bidders.
Bids must be on the City of South Bend Contractor's Bid for Public Work Form, accompanied by a Certified
Check or Bid Bond in the amount of not less than five percent (5%) of the base bid plus any alternates, in
a sealed envelope noting the project name, number and your company's information on the front.
Each bidder or contractor (hereinafter the contractor) must comply with "City of South Bend EEO
Contracting Provision Diversity Utilization" included in the specifications as to each construction trade it
intends to use on this construction contract and all other construction work (both federal and non-federal)
in the St. Joseph County area during the performance of this contract or subcontract. The contractor
commits itself to the goals for minority manpower and all other requirements, terms and conditions of these
bid conditions by submitting a properly sealed bid. Woman and Minority -Owned Business Enterprises
(W/MBE) are encouraged to respond to this notification. 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
Bidder Ordinance no later than the date of the public bid opening. Please note: The City reserves the
right to request supplemental information provided by the bidder, and may also conduct random
inquiries of the bidder's current and previous customers regardless of pre -qualified status.
A Pre -Bid Conference will be held on October 30 2019 at 11:00 an, Local Time at the Office of the
Board of Public Works, County -City Building, 13th Floor Conference Room, 227 West Jefferson Blvd, South
Bend. Any questions about bidding conditions must be addressed to the Owner in writing no later than
November 7, 2019, end of day.
The Board reserves the right to reject any or all bids or to accept a full or partial award of the bid or bids
which, in its judgment, will be to the best interests of the City of South Bend. If the Board elects to award
the base bid plus an alternate(s), the Board will look at the totality of the cost when determining the
lowest, responsive and responsible bid.
BOARD OF PUBLIC WORKS
Linda M. Martin, Clerk
Publish two (2) times:
October 11, 2019
October 18, 2019
Notice to Bidders
CITY OF SOUTH BEND
STATEMENT OF POLICY
The Board of Public Works of the City of South Bend has adopted the following policy regarding
the receipt of sealed bids:
All sealed bids submitted to the Board of Public Works must be
received in the Board of Public Works Office, 1316 County -City
Building, South Bend, Indiana, no later than the advertised time on
the advertised date of the bid opening.
It shall be the responsibility of the bidder to see that his/her bid is
received prior to the deadline stipulated in the bid advertisement.
Bids submitted by mail and received after the advertised time
deadline will not be considered by the Board.
CITY OF SOUTH BEND
BOARD OF PUBLIC WORKS
Linda M. Martin, Clerk
NOTE: Incoming mail does not reach the Board of Public Works until after 9:30 a.m. Local
Time. If you are sending your bid via Federal Express or another overnight source, please
confirm that your package will arrive before the bid opening date and time.
Version 3/19/2019 General Conditions - 1
CITY OF SOUTH BEND
EQUAL EMPLOYMENT OPPORTUNITY CONTRACTING
PROVISIONS DIVERSITY UTILIZATION
It is the policy of the City of South Bend to provide equal employment and business opportunity
for all persons, partnerships, companies, and corporations in accordance with the rules, regulations
and guidelines of the applicable federal, state and local laws. This policy of equal employment and
business opportunity shall apply to every contractor or subcontractor bidding or holding a public
contract with the City of South Bend.
In furtherance of this policy, the following Equal Opportunity Clauses are hereby made a part
of every construction contract entered into by the City of South Bend and all subcontractors
entered into pursuant to any such contract and the bidder hereby certifies that it/he/she will abide
by these provisions.
The contractor will not discriminate against any applicant or employee because of
race, color, religion, sex, national origin, or handicap. The contractor will take
affirmative action to ensure that all applicants or employees are treated fairly and
equitably. Such action shall include but not be limited to the following: hiring, up-
grading, demotion or transfer, recruitment, advertising, lay-offs or termination, rates
of pay or other forms of compensation and selection for training including
apprenticeship programs.
The contractor shall agree to post in conspicuous places available to employees and
applicants, notices to be provided setting forth the provisions of the Non -Discrimination
Clause.
The contractor will, in all solicitations or advertisements for employees placed by or
on behalf of the contractor, state that all qualified applicants will receive
consideration for employment without regard to race, color, religion, sex, or national
origin.
The contractor will send to each labor union or representative of workers with
which it/ he/she has a bargaining agreement or other contract or understanding, a
notice to be provided, advising the labor union or worker's representatives of the
contractor's commitment under this section, and shall post copies of the notices
in conspicuous places available to applicants and employees.
The contractor will comply with all provisions of Executive Order 11246 (as amended
by 11375) and of the rules, regulations and relevant orders of the Department of Labor.
Subpart B --Contractors' Agreements
Sec. 202. Except in contracts exempted in accordance with Section 204 of this Order, all Government
contracting agencies shall include in every Government contract hereinafter entered into the following
provisions:
"During the performance of this contract, the contractor agrees as follows:"
"(1) The contractor will not discriminate against any employee or applicant for
employment because of race, color, religion, sex, or national origin. The contractor
will take affirmative action to ensure that applicants are employed, and that
employees are treated equally during employment, without regard to their race,
color, religion, sex or national origin. Such action will include, but not be limited to
the following: employment, upgrading, demotion, or transfer; recruitment or
Version 3/19/2019 General Conditions - 2
recruitment advertising; layoff or termination; rates of pay or other forms of
compensation; and selection for training, including apprenticeship. The contractor
agrees to post in conspicuous places, available to employees and applicants for
employment, notices to be provided by the contracting officer setting forth the
provisions of this nondiscrimination clause."
"(2) The contractor will, in all solicitations or advertisements for employees placed by
or on behalf of the contractor, state that all qualified applicants will receive
consideration for employment without regard to race, color, religion, sex or national
origin."
"(3) The contractor will send to each labor union or representative of workers with
which it/ he/she has a collective bargaining agreement or other contract of
understanding, a notice, to be provided by the agency contracting officer, advising
the labor union or workers' representative of the contractor's commitments under
Section 202 of Executive Order No. 11246 of September 24, 1965, and shall post
copies of the notice in conspicuous places available to employees and applicants for
employment."
"(4) The contractor will comply with all provisions of Executive Order No. 11246 of
September 24, 1965, and of the rules and regulations, and relevant orders of the
Secretary of Labor."
"(5) The contractor will furnish all information and reports required by Executive Order
No. 11246 of September 24, 1965, and by the rules, regulations, and orders of
the Secretary of Labor, or pursuant thereto, and will permit access to his books,
records, and accounts by the contracting agency and the Secretary of Labor for
purposes of investigation to ascertain compliance with such rules, regulations, and
orders."
"(6) In the event of the contractor's noncompliance with the nondiscrimination
clauses of this contract or with any of such rules, regulations, or orders, in this
contract may be cancelled, terminated or suspended in whole or in part and the
contractor may be declared ineligible for further Government contracts in accordance
with procedures authorized in Executive Order No. 11246 of September 24, 1965, and
such other sanctions may be imposed and remedies invoked* as provided in
Executive Order No 11246 of September 24, 1965, or by rule, regulations, or order of
the Secretary of Labor, or as otherwise provided by law."
"(7) The contractor will include the portion of the sentence immediately preceding
paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract
or purchase order unless exempted by rules, regulations, or orders of the Secretary
of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24,
1965, so that such provisions will be binding upon each subcontractor or vendor.
The contractor will take such action with respect to any subcontract or purchase
order as the administering agency may direct as a means of enforcing such
provisions including sanctions for noncompliance: Provided, however, that in the
event a contractor becomes involved in, or is threatened with, litigation with a
subcontractor or vendor as a result of such direction by the administering agency
the contractor may request the United States to enter into such litigation to protect
the interests of the United States."
The applicant further agrees that it will be bound by the above equal opportunity
clause with respect to its own employment practices when it participates in federally
assisted construction work: Provided, that if the applicant so participating is a State
or local government, the above equal opportunity clause is not applicable to any
agency, instrumentality or subdivision of such government which does not participate
Version 3/19/2019 General Conditions - 3
in work on or under the contract.
The applicant agrees that it will assist and cooperate actively with the administering
agency and the Secretary of Labor in obtaining the compliance of contractors and
subcontractors with the equal opportunity clause and the rules, regulations, and
relevant orders of the Secretary of Labor, that it will furnish the administering
agency and the Secretary of Labor such information as they may require for the
supervision of such compliance, and that it will otherwise assist the administering
agency in the discharge of the agency's primary responsibility for securing compliance.
The applicant further agrees that it will refrain from entering into any contract or
contract modification subject to Executive Order 11246 of September 24, 1965, with
a contractor debarred from, or who has not demonstrated eligibility for, Government
contracts and federally assisted construction contracts pursuant to the Executive
Order and will carry out such sanctions and penalties for violation of the equal
opportunity clause as may be imposed upon contractors and subcontractors by the
administering agency or the Secretary of Labor pursuant to Part II, Subpart D of the
Executive Order. In addition, the applicant agrees that if it fails or refuses to comply
with these undertakings, the administering agency may take any or all of the following
actions: Cancel, terminate, or suspend in whole or in part this grant (contract, loan,
insurance, guarantee); refrain from extending any further assistance to the applicant
under the program with respect to which the failure or refund occurred until satisfactory
assurance of future compliance has been received from such applicant; and refer the
case to the Department of Justice for appropriate legal proceedings.
* Corrected to read "invoked". In the original text the word "involved" was printed in error.
Version 3/19/2019 General Conditions - 4
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:
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, MBEM/BE 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
RESPONSIBLE BIDDER CHECKLIST
Project Name Main & Colfax Parking Structure Paint Removal
Project No. 119-078R
For Bids Due November 12, 2019
Contractor Name:
C C-
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
II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements:
°�By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of
South Bend.
(ii) V"By checking this box, I hereby acknowledge that the City reserves the right to request
supplemental information, additional verification of any information provided, and may also conduct
random inquiries of my current and prior customers. The City reserved the right to utilize all information
provided in this submission and all information obtained in inquiries or requests to determine if a bidder
is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall
be regarded as public records.
(iii) I�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) a By checking this box, I hereby acknowledge and ensure that I and all subcontractors, 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
subcontractor loses their license at any point, it is the responsibility of that subcontractor to notify the
City.
NOTE: All T. George Podell & Co., Inc employees are trained in-house.
(b) Attachments:
(i) ZIndiana 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, sale proprietors or partnerships).
(ii) �st identifying all former business names. - Company name has always been T. George Podell &
Co., %ny
(iii) 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, with
in the preceding five (5) years. — Never have had any violations.
(iv) 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
intendto eet the staffing needs of the work.
7
(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) ZFor 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. - All T.
George Po I & Co., Inc employees are trained in-house.
(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) �idence 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.
(ix)NJ± 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) ZList 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:
(Sign Here)
(Print Name Here) Thomas George Podell
(Name of Company) T. George Podell & Co.
(Address of Company) 23146 Ireland Rd
(City) South Bend
(State) Indiana