HomeMy WebLinkAboutOpening of Bids - Morris Theater Plaster Repair Proj No 118-094R - Gibson-Lewis, LLC.CITY OF SOUTH BEND, INDIANA PEACE
CONTRACTOR'S BID FOR PUBLIC WORK
1865`'
Project Name Morris Theater Plaster Repair
Project No. 118-094R
For Bids Due Tuesday, November 26, 2019 at 9:30 AM local time
PART
(Must be completed for all bids. Please type or print)
Date: 11/26/19 Bidder (Firm): Gibson -Lewis, LLC
Address: 1001 W. 1 Ith Street
City/State/Zip: Mishawaka, IN 46544 Telephone Number: 574 259-8581
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
Morris Theater Plaster
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
American Structurepoint, Inc.
and dated 10/30/19 for the sum of (enter the Total Bid as shown on the Proposal)
rv,.-k, (Enter '� 9 � K*>w- oItA�T $$33fF 2.�y." �
s m of Total Base Bid shown on Proposai) (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 arate attachment.
By
(Signature)
Robert A. Lingenfelter, President
(Printed Name of Person Signing)
ACCEPTANCE
The above bid is accepted this day of
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
Genevieve E. Miller, Member
Therese J. Dorau, Member
Laura L. O'Sullivan, Member Attest: Linda M. Martin, Clerk
Version 4/2/2019 Contractor's Bid for Public Works - 2
20
Project Name:
Project Number:
For Bids Due:
Contractor Name:
BID/PROPOSAL
CITY OF SOUTH BEND
Morris Theater Plaster Repair
118-094R
Tuesday, November 26, 2019 at 9:30 AM local time
Gibson -Lewis, LLC
BASE
BID
Item
No.
Description
Quantity
Unit
Total Amount
1
Restoration Work of the Plaster Frieze at the
1
Lump Sum
{ a4
Perimeter of Four Domes
�
2
Demo and Additional Repairs Allowance
1
Allowance
$10,000
3
Misc Plaster Work and Painting Allowance
1
Allowance
$5,000
BASE BID TOTAL
UNIT
PRICING
Item
No.
Description.__._.................................................................�
... ........ ...._W.....�
Unit
Unit Price
1
Plaster Repair (Removal and replacement of damaged
lin ft
uO b;cA _Eva
sections to be determined during condition assessment)
AL &_*P4eJ
2
Anchor Installation
per anchor
App
3
Painting Repair
per anchor
No
Bidder (Firm):, Gibson -Lewis, LLC
Address: 1001 W. 11th Street
City/State/Zip: Mishawaka, IN 46544 Telephone Number: 574 259-8581
By
(Signature)
Robert A. Lingenfelter, President
(Printed Name of Person Signing)
Version 4/2/2019 Contractor's Bid for Public Works - 7
d ye
0, r W ti44ry {{I ICI
f il...
1316 COUNTY BUILDING °5, - �= PHONE 574/235-9251
227 W. JEFFERSON BOULEVARD - FAx 574/ 235-9171
SOUTH BEND, INDIANA 46601-1830 1865 TDD 574/ 235-5567
CITY OF SOUTH BEND PETS BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
Date: November 19, 2019
To: All Planholders
From Linda M. Martin Clerk, Board of Public Works
Subject Addendum Number: l
Project Name: Morris Theater Plaster Repair
Project Number: 118-094R
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 11/19/19
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy MUST '" also be included with your
bid package upon submittal.
T:HIS ADDENDUM MAY AFFECT YOUR BID.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: Gibson -Lewis, LLC
Authorized Si
Date: 11/19/19
Version 4/2/2015
I r
'a"N` A K
1316 COUNTY —CITY BUILDING`
PHONE 574/ 235-9251
227 W. JEFFERSON BOULEVARD
" FAX 574/ 235-9171
SOUTH BEND, INDIANA 46601-1830 � i8t�6
�J'�P°TDD 574/ 235-5567
CITY OF SOUTH BEND PETE
BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
Date: November 20, 2019
To: All Planholders
From Linda M. Martin, Clerk, Board of Public Works
Subject Addendum Number: 2
Project Name: Morris Theater PlasterRepair
Project Number: 118-094R
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM.
Date Received: 11/20/19
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy M iST also be included with your
bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: Gibson -Lewis, LLC
Authorized Signature:
Robert A. Lingenfelter, President
Date: 11 /20/ 19
Version 4/2/2015
Conforms with The American Institute of Architects AIA Document 310
CONTRACTOR:
(Name, legal status and address)
Gibson -Lewis, LLC
1001 West 11th Street
Mishawaka, IN 46544
OWNER:
(Name, legal status and address)
City of South Bend, Indiana - Board of Public Works
227 W. Jefferson Blvd.
South Bend, IN 46601
Bond Number: 03992-CNA-19-096
SURETY:
(Name, legal status and principal place of business)
The Continental Insurance Company
151 N Franklin Street
Chicago, IL 60606
State of Inc: Pennsylvania
BOND AMOUNT: Five Percent of Amount Bid (5%)
PROJECT:
(Name, location or address, and Project number, if any)
Morris Theater Plaster Repair - Project No. 118-094R
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.
"i net] and sealed this 13th day of November 2019
Gibson -Le i- C
(grin l (Seal)
( . 'tress) Juli Hodowaniec
(Title) 13c beat A., tmingenfelter, President
4 �'. ^. °.. � * 'may ) ( (Seal)
( ) Lisa Pettineo*a Witness
R. Scott, Attorney -in -Fact
ACKNOWLEDGMENT OF SURETY
STATE OF MICHIGAN )
COUNTY OF OAKLAND )
On this play cl)s'" 1D1 , before me personally cane
l,tlrecia R�Scott who, being by me duly sworn, did depose and say that she is an Attorney -in -
Fact of
and knows the corporate seal thereof, that the seal affixed to said
is such
corporate seal, and was thereto affixed by authority of the Power of Attorney of said Company,
of which a Certified Copy is hereto attached, and that she signed said instrument as an Attorney -
in -Fact of said Company by like authority.
Acknowledged and Sworn to before me
on the date above written
My Commission Expires
Kathy DelGreco
Notary Public, Oakland County, Michigan
My Commission Expires: September 3, 2020
.... .__ —. _ ...._. _... . ....
Crd�Cl�r t '�lr��
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
Know All Men By These Presents, That "fhe Continental Insurance Company, a Pennsylvania insurance company, is a duly organized and existing
insurance company having its principal office in the City of Chicago, and State of Illinois, and that it does by virtue of the signature and seal herein
affixed hereby make, constitute and appoint
Latrecia R. Scott , Individually
of Southfield, Michigan , its true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign, seal
and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature
— In Unlimited Amounts —
Surety Bond Number: 03992-CNA-19-096
Principal: Gibson -Lewis, LLC
Obligee: City of South Bend, Indiana - Board of Public Works
and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the insurance company and all
the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duly
adopted, as indicated, by the Board of Directors of the insurance company.
In Witness Whereof, The Continental Insurance Company has caused these presents to be signed by its Vice President and its corporate sea] to be
hereto affixed on this 3rd day Ofune, 2015.
...,....
��Xs
h„Ilttr� The Continental Insurance Company
NAM
M� �"� •d�i.M+r* PauXT. ntllat ice President
State of South Dakota, County of Minnehaha, ss:
On this 3rd day of June, 2015, before me personally came Paul T. Bruflat to me known, who, being by me duly swom, did depose and say, that he
resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of The Continental Insurance Company, a Pennsylvania insurance
company, described in and which executed the above instrument; that he knows the seal of said insurance company; that the seal affixed to the said
instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said insurance company and that he
signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance company.
. ICH
NOTARY Puol.t +
My Commission Expires February 12, 2021 S. Eich � � _ Notalc-----_.,
I r
ry Public
CERTIFICATE
I, D. Bult, Assistant Secretary of The Continental Insurance Company, a Pennsylvania insurance company, do hereby certify that the Power of
Attorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance company
printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance
company this 13th day of November 2019
The Continental Insurance Company
t
Assistttttteet°ctltry
Form F6850-4-20Y2 D. Bult
Authorizing By -Laws and Resolutions
ADOPTED BY THE BOARD OF DIRECTORS OF THE CONTINENTAL INSURANCE COMPANY:
This Power ofAttorney is made and executed pursuant to and by authority of the following By -Law duty adopted by the Board of Directors of
the Company at a meeting held on May 10, 1995.
"RESOLVED: That any Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf
of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such
officer may sign will be provided in writing by the Group Vice President to the Secretary of the Company prior to such execution
becoming effective.
This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to tale above resolution to execution power of
attorneys on behalf of The Continental Insurance Company.
This Power ol'Attorney k, signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of
the Company by uouuoimous wrilten consent dated the 25Ih day o&'April, 2012.
"Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized
Officers") to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and
Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be
provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures'), Now therefore be it resolved: that the
Electronic Signature of any Authorized Officer shall be valid and binding on the Company."
Bidder: Gibson -Lewis, LLC
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 Bend awarding the contract must be specific
enough in detail so that said City of South Bend can make a proper determination of the bidder's
capability for completing the project if awarded.
Version 4/2/2019 Contractor's Bid for Public Works - 3
Bidder: Gibson -Lewis, LLC
ACCEPTANCE
The above bid is accepted this day of , subject to the
following conditions:
Contracting Authority Members:
PART II
(For projects of $150, 000 or more — IC 36-1-12-4)
Governmental Unit: City of South Bend, IN
Bidder (Firm) Gibson -Lewis, LLC
Date (month, day, year): November 26, 2019
These statements to be submitted under oath by each bidder with and as a part of his bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
What public works projects has your organization completed for the period of one (1) year prior to the
date of the current bid?
Comp letion
.....-
Contract Amount
Class of Work Date
Name and Address of Owner
3,921,000.00
2018
Charles Black Center -South Bend, IN
3,366,000.00
2018
Firestation #4 - South Bend, IN
2,627,000.00
2018
ND McCourtney - Notre Dame, IN
1,229,000.00
1 2018
City Parking Garage - South Bend, IN
2. What public works projects are now in process of construction by your organization?
Expected
Contract Amount
Class of Work
Completion
Name and Address of Owner
_
Date
1,949,000.00
........... 2020
Purdue Bioscience - West Lafayette, IN
3,737,000.00
2020
Lake Michigan College - St. Joseph, MI
10,281,000.00
2020
1 Lincoln JHS, Plymouth, IN _
4,261,000.00
2020
Columbla City HS -Columbia Ciiy, IN
Bidder: Gibson -Lewis, LLC
Have you ever failed to complete any work awarded to you?
No
4. List references from private firms for which you have performed work.
If so, where and why?
University of Notre Dame --Notre Dame, Indiana
Memorial Hospital of South Bend -.South Bend, Indiana
St. Joseph Regional Medical Center - South Bend, Indiana
1st Source Bank
- South Bend, Indiana
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
Explain your plan or layout for performing proposed work. (Examples could include a narrative of when
YOU could begin work, complete the project, number of workers, etc. and any other information which you
believe would enable the governmental unit to consider your bid.)
Apply adequate personnel to complete the work
2. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm
who have performed part of the work) that you have used on public works projects during the past five (5)
years along with a brief description of the work done by each subcontractor.
Please see attached listing
y
RV SUTTON, INC.
160 W RAIL ROAD UNIT 1
CHESTERTON, IN 46304
WALSH & KELLY
24358 STATE ROAD 23
SOUTH BEND, IN 46614
ZIOLKOWSKI CONSTRUCTION
1005 S LAFAYETTE STREET
SOUTH BEND, IN 46001
STEVENS IRON WORKS, INC
P.O. BOX 730
DEMOTTE, IN 46310
EC SABILLA
3974 HARRISON STREET
GARY, IN 46409
WERNTZ SUPPLY
1002 KERR STREET
SOUTH BEND, IN 46601
OVERHEAD DOOR COMPANY
P.O. BOX907
MISHAWAKA, IN 46546
MASTER TILE
1205 WEST LINCOLN HIGHWAY
MERRILLVILLE, IN 46410
KROPP FIRE PROTECTION
59685 MARKET STREET
SOUTH BEND, IN 46614
DA DODD, INC
P.O. BOX 430
ROLLING PRAIRIE, IN 48371
MARTELL ELECTRIC
4601 CLEVELAND ROAD
SOUTH BEND, IN 46628
EXCAVATING
RITSCHARD BROS., INC.
1204 W SAMPLE STREET
SOUTH BEND, IN 46619
PAVING
RIETH RILEY CONSTRUCTION
25200 STATE ROAD 23
SOUTH BEND, IN 46614
MASONRY
MCLAUGHLIN MASONRY
56110 TIMOTHY ROAD
NEW CARLISLE. IN 46562
STRUCTURAL STEEL
CRANE INDUSTRIAL SERVICES
11035 ANDERSON ROAD
GRANGER, IN 46530
ROOFING
DUDECK ROOFING & SHEET METAL
1634 SOUTH FRANKLIN STREET
SOUTH BEND, IN 46614
GLASS & GLAZING
PRECISION WALL
3801 S MAIN STREET
SOUTH BEND, IN 46614
OVERHEAD DOOR
INDUSTRIAL DOOR OF NORTHERN IN
3839 S. MAIN STREET
SOUTH BEND, IN 46614
FLOORING
INTERIOR FINISHES, INC.
1610 W THIRD STREET
OSCEOLA, IN 46561
FIRE PROTECTION
RYAN FIRE PROTECTION
9740 EAST 148TH STREET
NOBLESVILLE, IN 46060
PLUMBING & HVAC
EDWARD J WHITE
1011 S. MICHIGAN STREET
SOUTH BEND. IN 46601
ELECTRIG
MCMANN ELECTRIC, INC
1454 THIRD STREET
OSCEOLA, IN 46561
Bidder: Gibson -Lewis, ILC
3. If you intend to sublet any portion of the work, state the name and address of each subcontractor,
equipment to be used by the subcontractor, and whether you will require a bond. However, if you are
unable to currently provide a listing, please understand a listing must be provided prior to contract
approval. Until the completion of the proposed project, you are under a continuing obligation to
immediately notify the governmental unit in the event that you subsequently determine that you will use a
subcontractor on the proposed project.
Unresolved
4. What equipment do you have available to use for the proposed project? Any equipment to be used by
subcontractors may also be required to be listed by the governmental unit.
All necessary
5. Have you entered into contracts or received offers for all materials which substantiate the prices used in
preparing your proposal? If not, please explain the rationale used which would corroborate the prices
listed.
IkiC•'.
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial
statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to
the governing body awarding the contract must be specific enough In detail so that said governing body can make
a proper determination of the bidders capability for completing the project if awarded.
*Please see attached Financial Statement
When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION
REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-
DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL
PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF INDIANA )
) SS:
ST. JOSEPH COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that:
1. Contractor has not, nor has any other member, representative, or agent of the firm, company,
corporation or partnership represented by him, entered into any combination, collusion or agreement with
any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding
nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and
without any agreement, understanding or combination with any other person in reference to such bidding.
Contractor further says that no person or persons, 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:
Contractor, its successor or its affiliate, provides goods or services of twenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more in credit to another person for
forty-five (45) days or more, if that person will (i) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration.
Version 4/2/2019 Contractor's Bid for Public Works - 4
Bidder: Gibson -Lewis, LLC
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).1 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 4/2/2019 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 mww 26th day of November 20 19
Gibson -Lewis, LLC
Contractor/Bidder (Firm)
Signatur ftCoacto �/1.idder or Its Agent
Robert A. Lingenfelter, President
Printed Name and Title
Subscribed and sworn to before me this ,t2161yyof November 20 19
My Commission Expires
08/05/2023
Not try Public Juli Hodowaniec
County of Residence St. Joseph
Version 4/2/2019 Contractor's Bid for Public Works - 6
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CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY;
DEVELOPMENT PROGRAM
FORM MWBE-2.0`' x
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBE/WBE participation. It is the bidder's sole
responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority
or Women's owned business as defined by the Indiana Department of Administration ("IDOA").
Project Number: 118-094R Date: 11/26/19
Project Name: Morris Theater Plaster RePlr
Bidder: Gibson -Lewis, LLC
Contact Person: Robert A. Lingenfelter, President Telephone: 574-259-8581
Address: 1001 W. 11th Street
City: Mishawaka StateIN Zip: 46544
Email: rlinenfelterglwnceusawcom
To determine whether a bidder has demonstrated good faith efforts to reach the MBE/WBE utilization goals set
forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or
commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below":
EVIDENCE OF GOOD FAITH EFFORTS
MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business
Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women
Owned Business as found on their website (http://www.in.gov/idoa).
ACTION (ADVERTISE/CONTACT): In order for your bid to be Wdeemed responsive, the City of South
Bend requires that all perspective bidders complete no less than 2 of the following:
1. Attend all pre -bid meetings scheduled by the City to inform MBE/WBEs of contracting and
subcontracting opportunities.
2. Advertise in general circulation and/or trade association publications concerning subcontracting
opportunities, and allow MBE/WBEs reasonable time to respond.
3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated
to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to
participate effectively.
4. Utilize pre-existing services of available community organizations, small and/or disadvantaged
business assistance offices and other organizations that provided assistance in the recruitment
and placement of MBE/WBE firms.
-
"Bidder must circle or otherwise notate which of the two (2) required actions were performed.
GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE/WBEs,
including providing such MBE/WBE's with adequate information about the plans, specifications and other
requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business
reasons based on a thorough investigation of their capabilities.
SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by
MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking clown
contracts into smaller units to facilitate MBE/WBE participation)
CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has
bid on the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MBE/WBE was unqualified to perform the job.
"Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version 4/2/2019 Contractor's Bid for Public Works - 9
�SnV a"dP
CITY OF SOUTH BEND r "
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
r
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 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.
Project Number:
Project Name:
Bidder:
By:
(Signature
MBE/WBE Firm
PAGE OF
118-094R MBE/WBE Participation Goal
Morris Theater Plaster Repairs
Gibson -Lewis, LLC
President
Robert it' Ll`n eonlelter (Title)
Owner or Contact at MBE/WBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBEIWBE FIRM:
MBE/WBE Firm
Owner or Contact at MBE/WBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
Version 4/2/2019 Contractor's Bid for Public Works -10
11/26/19
(Date)
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name Morris Theater Plaster Repair
Project No. 118-094R
For Bids Due Tuesday, November 26, 2019 at 9:30 AM local time
From time to time the South Bend Board of Public Works finds it necessary to reject a bid because
it does not comply with statutory requirements. In preparing your bid, please use the following
checklist in order to make sure that your bid is done in the proper manner.
Proper bid security included. The bidder has the option of providing either a Certified Check
X or Bid Bond.
X Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
X with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
Certification of use of United States Steel Products or Foundry Products.
Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not
X met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted
Form [MWBE-2.1].
X Acknowledge Receipt of 1,2 Addendum(s) included with the bid.
X All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
X printed or typed underneath signature.
X This checklist submitted with the Bid.
....................
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.
Bidder: Gibson -Lewis, LLC
By Authorized
Signature:
Print Name & Title: Robert A. Lingenfelter, President
Date: 11/26/19
Version 4/2/2019 Contractor's Bid for Public Works - 1
� GIBSON—LEWIS,LLC CONTRACTORS
- � Ole" 1001 West 111h Street ♦ Mishawaka, IN 46544 ♦ P.O. Box 488 Mishawaka, IN 46546
(574) 259-8581 ` (574) 258-0932 FAX
Morris erfo mil.1g.Arts Plaster repair — Gibson Lewis
November 20, 2019
Part II Bid Form
1. At least three plasterers working up to 60 hours a week for two weeks. If there
is added work, we will need a time extension because we cannot get more
plasterers. Carpenters will stay ahead of plasterers with anchors. Painters will
lag plasterers by three days to allow plaster to cure. We figured painting the
whole face of the light cove on all four domes (about 12 inches tall) so that
you cannot see patchwork at anchor bolts. This is the only paint we have
figured. Paint will be Sherwin Williams "Superpaint" in all one color.
2. Our only subcontractor will be Seaway Scaffolding Company.
3. Seaway Scaffolding Company
4. No, these are materials we use regularly.
Clarifications:
1. We did not include any Lead abatement. Our workers will utilize respirators
when necessary.
2. We figured the owner would provide a temporary storage area within the
building for the seats.
3. We do not include cleaning anything outside of our work area or final clean.
4. We will need an owner provided laydown area for scaffolding and 6 parking
spaces for workers.
5. We will match plaster texture as closely as possible but cannot guarantee an
exact texture match.
6. We do not have scaffolding out wide enough to access all sleeve points -from
below. We assumed this work would take place solely in the attic. We have
included $2,400 for 12 of them.
7. We recognize the liquidated damages as the only damage provision.
8. We do not include any added cost that the owner might accrue from missing
an event.
Project Manager: Alan Loeffelholz
foIxal 9
Page 1 of 1
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name Morris Theater Plaster Repair
Project No. 118-094R
For Bids Due Tuesday, November 26, 2019 at 9:30AM local time
Contractor Name: Gibson -Lewis, LLC
The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works
projects by institution of comprehensive submission requirements in compliance with State law. Quality
workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet
certain minimum requirements to be responsive and responsible bidders.
THIS FORM MUST BE SUBMITTED WITH YOUR BID.
INSTRUCTIONS:
If you are a pre -qualified bidder, complete Section I only.
If you are not a pre -qualified bidder, complete Section II only.
Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be
considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre -
qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6-
63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance")
for a period of twelve (12) months.
Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre -
qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified
Bidders") by December 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
Bidder: Gibson -Lewis, LLC
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
Bidder: Gibson -Lewis, LLC
PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
(i) X By checking this box, I hereby acknowledge that I am a pre -qualified bidder with
the City of South Bend and that I have met the pre -qualification requirements within
the last twelve (12) months. A copy of my Pre -Qualification verification letter
is attached.
(ii) X By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided by me, and may also conduct random inquiries of my current and prior
customers.
(b) Attachments:
(i) X Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
X_. Statement on staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work. It
outlines how I intend to meet the staffing needs of the work.
X Evidence that I am utilizing a surety company which is on the United States
Department of Treasury's Listing of Approved Sureties as required in the bid
specifications or contract.
(iv) X List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within the last three (3) years.
(v) X For every project, submit evidence of participation in apprenticeship and training
programs, applicable to the work to be performed on the project, which are
approved by and registered with the United States Department of Labor's Office of
Apprenticeship, or its successor organization.
(ii) Gibson -Lewis, LLC will provide qualified leadership and tradesman from a pool of experienced employees to meet the
requirements of the project. Long standing relationship with various craftsman unions including carpenters, laborers,
cement masons, plasterers and painters.
Version 3/19/2019 General Conditions - 8
Bidder: Gibson -Lewis, LLC
II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements:
(i) _ By checking this box, I hereby acknowledge that I am not a pre -qualified bidder
with the City of South Bend.
(ii) _ By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided, and may also conduct random inquiries of my current and prior
customers. The City reserved the right to utilize all information provided in this
submission and all information obtained in inquiries or requests to determine if a
bidder is responsive and responsible. Additionally, I acknowledge that all
information provided to the City shall be regarded as public records.
(iii) _ By checking this box, I hereby acknowledge that copies of all Applicable
apprenticeship certificates or standards for training programs applicable to the
work performed on the project may be requested at 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
1316 COUNTY -CITY BUILDING PHONE 574/235-9251
227 W. JEFFERSON BOULEVARD �iGgci� pna� �a FAX 574/ 235-9171
SOUTH BEND.INDIANA46601-1930
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
October 17, 2019
Mr. Robert Lingenfelter
Gibson -Lewis, LLC
1001 W. I Ith Street
Mishawaka, IN 46544
RE: Pre -Qualification Verification
Dear Mr. Lingenfelter:
This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South
Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you
are required to re -submit a complete application for continuation of pre -qualification status prior to December 31
for the upcoming calendar year.
A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of
South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments.
If you have any further questions regarding this matter, please call this office at (574) 235-9251.
Sincerely„
Linda M. Martin, Clerk
GARY A. GILOT GENEVIEVE E. MILLER ELIZABETH A. MARAWK LALTA L. O'SULLIVAN THERESE J. DORAU
(ix) _ Written statement of any federal, state or local tax liens or tax delinquencies owed
to any federal, state or local taxing body in the preceding three years.
(i) List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within three (3) years prior to the date on which the bid is due.
Date: 11/26/19
%Y,
�.............
(Sign Here)
Robert A. Lingenfelter, President
(Print Name Here) _ ................_
Gibson -Lewis, LLC
(Name of Company)
1001 W. 11th Street
.......................... ........... ._.
(Address of Company)
Mishawaka
(City)
IN
__. ..................._........
(State)..
574-259-8581
(Telephone Number)
Version 3/19/2019 General Conditions - 10
Business Name: GIBSON-LEWIS, LLC
Entity Type: Domestic Limited Liability Company
Creation Date: 05/24/1995
Principal Office Address: USA W. IIth, MISHAWAKA, IN, 46544,
Jurisdiction of Formation: Indiana
BUSINESS INFORMATION
CONNIE LAWSON
INDIANA SECRETARY OF STATE
07/31/2019 11:24 AM
Business ID: 1995051381
Business Status: Active
Inactive Date:
Expiration Date: Perpetual
Business Entity Report Due 05/31/2021
Date:
Years Due:
is
Type: Business
Name: NATIONAL CONSTRUCTION ENTERPRISES INC.
Address: 1001 W. 1 Ith, Mishawaka, IN, 46544 - 0000, USA
One Towne Square, Suite 1075
Southfield, Ml 48076-3732
Subject: Gibson -Lewis, LLC
To Whom It May Concern:
We are providing this information at the request of our principal.
We have been providing surety bonds for Gibson -Lewis, LLC and its parent company,
National Construction Enterprises, Inc. since 1974. We have approved bonds for them
covering jobs up to $65,000,000 and potential work programs of $250,000,000.
We continue to be confident in Gibson -Lewis, LLC's ability to perform and we recommend
them for your favorable consideration.
This letter is not to be construed as an agreement to provide surety bonds for any particular
project, but is offered as an indication of our past experience and confidence in this firm.
Any specific request for bonds will be underwritten on its own merits.
The Continental Insurance Company
A.YhyLDelGreco,
st Rated A V
„ Attorney -in -Fact
ALA Document A305
ornirsctor's Ilr�si icst"on statement
1986 EDITION
This form is approved and recommended by the American Institute of Architects
(AIA) and The Associated General Contractors of America (AGC) for use in
evaluating the qualifications of contractors. No endorsement of the submitting
party or verification of the information is made by the AIA or AGC.
The Undersigned certifies under oath that the information provided herein is true and sufficiently complete so
as not to be misleading.
SUBMITTED TO: City of South Bend
227 west effi rson Blvd
ADDRESS:
.
South Bend, IN 46601
Corporation
SUBMITTED BY:
Partnership
Gibson -Lewis, LLC
NAME:
Individual
ADDRESS:
1001 W. 11th Street
Joint Venture
Mishawaka, IN 46544
Other
PRINCIPAL OFFICE:
Limited Liability Company
NAME OF PROJECT: Morris Theater Plaster Repair
TYPE OF WORK:
X General Construction HVAC
Plumbing Electrical
Other
(Please specify)
t 064, 1969, 01986 by The American Institute of Pird lrecls, 1735 New York Aw�tt sm, N.W. Wadlin rtoo,
Co w ri' rI ", tYiproalxattwt ct ark 4lte nnr tl ream or air ayI taautr ricyNrtrttrltiaap in tt�naw°aw°E s Baas wv t otlt Written lacrnrlission ol-
the AIA violates the copyright laws of the United States and will be subject to legal prosecution,
AIA DOCUMENT A305 - CONTRACTOR'S QUALIFICATION STATEMENT • 1986 EDITION • AlAra • 01986
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NF W YORK AVENUE, N.W. W ASHINGTON, D.C. 20006 A305-1986 1
Gibson -Lewis, LLC
1. ORGANIZATION
1.1 How many years has your organization been in business as a Contractor?
51 years
1.2 How many years has your organization been in business under its present business name?
24 years
1.2.1 Under what other former names has your organization operated?
Gibson -Lewis, Inc. was incorporated into LLC in 1995
1.3 If your organization is a corporation, answer the following:
1.3.1
Date of incorporation:
1.3.2
State of incorporation:
1.3.3
President's name:
1.3.4
Vice-president's name:
1.3.5 Secretary's name:
1.3.6 Treasurer's name:
1.4 If your organization is a partnership, answer the following:
1.4.1 Date of organization:
1.4.2 Type of partnership:
1.4.3 Name(s) of general partner(s):
1.5 If your organization is individually owned, answer the following:
1.5.1 Date of organization:
1.5.2 Name of owner:
AIA DOCUMENT A305 - CONTRACTOR'S QUALIPICA"I JUN S rA"N"Ir• 1986 I IN'[ ION - AIA® • V1+986 A305-1986 2
T1iE AMERICAN INSTITUTE OFARCHITrCTS, 1735 MEW YMW AV6`sN1M N.W.WAMuNgrON, D.C. 20006
Gibson -Lewis, LLC
1.6 If the form of your organization is other than those listed above, describe it and naine the principals;
Robert A. Lingenfelter - President
James E. Nagle - Vice President
Randall H. Rice - Secretary
2. LICENSING
2.1 List jurisdictions and trade catcgories In which your organization is legally qualified to do business,
and indicate registration or license numbers, if applicable:
Indiana and Michigan
2.2 List jurisdictions in which your organization's partnership or trade name is filed.
3. EXPERIENCE
3.1 List the categories of work that your organization normally perforrns with its own forces.
Metal Framing, Drywall, Drywall Finishing, Insulation, Plastering, Acoustical Ceilings,
Firestopping, Concrete, Carpentry, Painting, and Selective Demolition
3.2 Clainis and Suits. (11 tJtc answer to any of the qucstiotts below is yes, please attach details.)
3.2.1 Has your orgaanizaatiott ever tailed to enmplete any work awarded to it?
No
3,2,2 Are there any judgments, claims, arbitration proceedings or suits pending or outstanding
against your organization or it's officers?
No
3.2.3 Has your organization filed any law suits or requested arbitration with regard to
'" oral i'uc watt coal rue s wi rnf"'~"i Ilia 7nsf roe y sr ...��
Yes, Skanska - ND Morris Inn
AAA DOCUMENTA305 CON"IRA(:kIk"SIPJALIFI(,,AFtot45IA,itmM Nr-19a6u)rtION -AK0•0190
TIIF. AMn RICAN OF ARCIn W rS, 17351N1?W YORK AV(-R4W, N.W.'WASIIINCIroN. D.C. 200, A305-1986 3
Gibson -Lewis, LLC
3.3 Within the last five years, has any officer or principal of your organization ever been an officer or
Principal of another organization when it failed to complete a construction contract? (If the
answer is yes, please attach details.)
No
3.4 On a separate sheet, list major construction projects your organization has in progress, giving the
name of project, owner, architect, contract amount, percent complete and scheduled completion date.
Please see attached
3.4.1 State total worth of work in progress and under contract:
3.5 On a separate sheet, list the major projects your organization has completed in the past five years,
giving the name of project, owner, architect, contract amount, date of completion and percentage of the
cost of work performed with your own forces. Please see attached
3.5.1 State average annual amount of construction work performed in the past live years:
3.6 List the construction experience and present commitments of the key
individuals of your rrganization.
Please see attached
4. REFERENCES
4.1 Trade References:
Foundation Building Materials
5203 Division Avenue
Grand Rapids, MI 49548
Old Fort Building Supply
PO Box 2586
South Bend, IN 466
Big C Lumber Company
50860 Princess Way
Granger, IN 46530
4.2 Bank References:
Wheaton Bank & Trust
211 South Wheaton Avenue
Wheaton, IL 60187
Office: 630-456-7853
Fax: 630-690-7715
Phone: 616-534-4904
Fax: 616-724-2651
Phone: 574-289-5566
Fax: 574-289-5569
Phone: 574-277-4670
Fax: 574-271-3834
AIA DOCUMENT A305 a CONTRACTOR'S QUAL.IFICAFLON STATEMENT ® 1986 EDrrION o AIA ®01986
THE AMERIC:AN tNSTITUTtz of ARCHITECTS, 1735 New YORK AVENUE, N.W, WASHINGTON, D.C. 20006 A305.1986 4
Gibson -Lewis, LLC
4.3.1 Name of bonding company:
The Continental Insurance Company
CNA Plaza - Chicago, IL 60603
4.3.2 Name and address of agent:
Marsh USA, Inc. Kathy DelGreco
One Towne Square, STE 1100
Southfield, MI 48076
5. FINANCING
5.1 Financial Statement.
5.1.1 Attach a financial statement, preferably audited, including your organization's latest balance
sheet and income statement showing the following items:
Current Assets (e.g., cash, joint venture accounts, accounts receivable, notes
receivable, accrued income, deposits, materials, inventory and prepaid expenses);
Please see attached
Net Fixed Assets;
Other Assets;
Current Liabilities (e.g., accounts payable, notes payable, accrued expenses,
provision for income taxes, advances, accrued salaries and accrued payroll taxes);
Other Liabilities (e.g., capital, capital stock, authorized and outstanding shares par
values, earned surplus and retained earnings).
5.1.2 Name and address of firm preparing attached financial statement, and date thereof:
Crowe, Horwath, LLP - 330 E. Jefferson Blvd, South Bend, IN 46601
5.1.3 Is the attached financial statement for the identical organization named on page one?
Yes
5.1.4 If not, explain the relationship and financial responsibility of the organization whose financial
statement is provided (e.g., parent -subsidiary).
5.2 Will the organization whose financial statement is attached act as guarantor of the contract for
Construction ?
yes
AIA DOCUMENT A305 - CONTRACTOR'S QUALIFICATION STATEMENT - 1986 EDITION - AIA® - 01986
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W. WASHINGTON, D.C. 20006 A305-1986 5
BEY PERSONNEL
# of Years
Officer Title "x -Crime
Robert A. Lingenfelter President 29 Years
James E. Nagle Vice President 33 Years
Randall H. Rice Secretary 33 Years
Six Digit
Name of Private Individual or Firm,
Category
$ Amount
Year
Contact Person, Address, Phone No.
Number
Started/Completed
Data Realty
1542.02
$606,000
Completed 2013
South Bend, Indiana
Mt Carmel Missionary Baptist Church
1542.02
$190,000
Completed 2013
South Bend, Indiana
Habitat for Humanity Restore
1542.02
$362,000
Completed 2013
Mishawaka, Indiana
Martin's #10
1542.02
$421,000
Completed 2013
South Bend, Indiana
University Center Fagade
1642.02
$419,000
Completed 2013
South Bend, Indiana
Schererville Shops
1542.02
$1,255,000
Completed 2014
Schererville, Indiana
University Park Mall Renovations
1542.04
$719,000
Completed 2014
Mishawaka, Indiana
Meijer Store
1542.02
$261,000
Completed 2014
Middlebury, Indiana
Press Ganey Renovation
1542.04
$1,832,000
Completed 2015
South Bend, Indiana
St Vincent De Paul Store
1542.02
$166,000
Completed 2015
South Bend, Indiana
Martin's Store #27
1542.04
$275,000
Completed 2015
Goshen, Indiana
Honeywell Remodel
1542.04
$166,000
Completed 2015
South Bend, Indiana
Martin's #16
1542.02
$152,000
Completed 2016
Granger, Indiana
MOR/RYDE Office
1542.02
$221,000
Completed 2016
South Bend, Indiana
Six Digit
Name of Private Individual or Firm,
Category
$ Amount
Year
Contact Person, Address, Phone No.
Number
Started/Completed
Martin's Store #6
1542.02
$764,000
Completed 2016
Concord, Indiana
Schererville Shops Ph2
1542.02
$299,000
Completed 2016
Schererville, Indiana
Martin's Store Mayflower
1542.02
$686,000
Completed 2017
South Bend, Indiana
Interior Finishes Office
1542.02
$208,000
Completed 2017
South Bend, Indiana
Crossroads Church
1542.02
$176,000
Completed 2017
Plymouth, Indiana
Four Winds Casino
1542.02
$1,504,000
Completed 2018
South Bend, Indiana
Honeywell Plant #12
1542.02
$199,000
Completed 2018
South Bend, Indiana
Fresenius Vascular
1542.02
$2,535,000
Completed 2018
Mishawaka, Indiana
United Fereral Credit Union
1542.02
$555,000
Completed 2018
Stevensville, Michigan
United Fereral Credit Union
1542.02
$575,000
Completed 2018
Berrien Springs, Michigan
United Fereral Credit Union
1542.02
$207,000
Completed 2018
South Bend, Indiana
United Fereral Credit Union
1542.02
$199,000
Completed 2018
Mishawaka, Indiana
Embassy Suites
1542.02
$1,100,000
Completed 2018
South Bend, Indiana
First Source Bankmart
1542.02
$358,000
Completed 2018
South Bend, Indiana
Six Digit
Name of Private Individual or Firm,
Category
$ Amount Year
Contact Person, Address, Phone No.
Number
StartedlCompleted
Wellpet Roof Repair
1542.02
$468,000 Completed 2018
Mishawaka, Indiana
Old National Bank
1542.02
$206,000 In Progress
Grand Rapids, Michigan
Six Digit
Name of Government Entity
Category
$ Amount
Year
(Contact Person, Address, Phone No.)
Number
Started/Completed
Hansel Center Gen Trades
1542.01
$1,581,000
Completed 2013
South Bend, Indiana
Hansel Center Interiors
1542.01
$261,000
Completed 2013
South Bend, Indiana
Memorial Hospital Flooring Projects
1542.01
$298,000
Completed 2013
South Bend, Indiana
Notre Dame Sculpture Park
1542.01
$510,000
Completed 2013
Notre Dame, Indiana
Notre Dame Cushing/Fitzpatrick Halls
1542.01
$1,166,000
Completed 2013
Notre Dame, Indiana
Ivy Tech college
1542.01
$3,737,000
Completed 2013
South Bend, Indiana
Notre Dame Morris Inn
1542.01
$5,313,000
Completed 2013
Notre Dame, Indiana
Grissom AFB Hanger 200
1542.01
$184,000
Completed 2013
Peru, Indiana
Elkhart General Hosp-Outpatient
1542.01
$168,000
Completed 2013
Elkhart, Indiana
Hammond Career Ctr-Welding Shop
1542.01
$446,000
Completed 2013
Hammond, Indiana
Ivy TechCollege Renovation
1542.01
$676,000
Completed 2013
Michigan City, Indiana
St Joseph Medical Center Coffee Bar
1542.01
$312,000
Completed 2013
Mishawaka, Indiana
Plymouth HS/Lincoln JHS-Renov
1542.01
$735,000
Completed 2014
Plymouth, Indiana
IUSB Northside Hall
1542.01
$1,359,000
Completed 2014
South Bend, Indiana
Six Digit
Name of Government Entity
Category
$ Amount
Year
(Contact Person, Address, Phone No.)
Number
Started/Completed
Memorial Hospital Skyway
1542.01
$787,000
Completed 2013
South Bend, Indiana
St Joseph Reg Med Ctr-Cardiology
1542.01
$129,000
Completed 2013
Plymouth, Indiana
St Joseph Reg Med Ctr-HIE
1542.01
$140,000
Completed 2013
Plymouth, Indiana
Andrews Public Library
1542.01
$454,000
Completed 2014
Andrews, Indiana
Elkhart Schools Commissary
1542.01
$841,000
Completed 2014
Elkhart, Indiana
St Joseph Reg Med Ctr-MOB
1542.01
$344,000
Completed 2014
Plymouth, Indiana
Memorial Hospital Nuclear Medicine
1542.01
$206,000
Completed 2014
South Bend, Indiana
Peru JHS Locker Rooms
1542.01
$535,000
Completed 2014
Peru, Indiana
Notre Dame Lyons Hall Chapel
1542.01
$142,000
Completed 2014
Notre Dame, Indiana
Memorial Hospital Interventional
1542.01
$275,000
Completed 2014
South Bend, Indiana
IUSB Northside Hall Restrooms
1542.01
$246,000
Completed 2014
South Bend, Indiana
Memorial Hospital Summit Center
1542.01
$410,000
Completed 2014
South Bend, Indiana
Notre Dame Jordan Auditorium
1542.01
$265,000
Completed 2014
Notre Dame, Indiana
Elkhart Memorial HS Cafeteria
1542.01
$274,000
Completed 2014
Elkhart, Indiana
Century Center Elevator
1642.01
$158,000
Completed 2015
South Bend, Indiana
Six Digit
Name of Government Entity
Category
$ Amount
Year
(Contact Person, Address, Phone No.)
Number
Started/Completed
Whiting Community Center
1542.01
$1,401,000
Completed 2015
Whiting, Indiana
Demotte Elementary School
1542.01
$350,000
Completed 2015
Demotte, Indiana
St Joseph Reg Med Ctr-Chapin Clinic
1542.01
$962,000
Completed 2015
South Bend, Indiana
St Joseph County Courts
1542.01
$2,298,000
Completed 2016
South Bend, Indiana
Andrews -Dallas Township Public Library 1542.01
$454,000
Completed 2014
Andrews, Indiana
Memorial Hospital Cancer Care
1542.01
$162,000
Completed 2015
South Bend, Indiana
Memorial Hospital Hospitalists
1542.01
$347,000
Completed 2015
South Bend, Indiana
PSAP-911 Call Center
1542.01
$3,826,000
Completed 2015
Mishawaka, Indiana
Elkhart Schools Security Upgrade
1542.01
$6,314,000
Completed 2015
Elkhart, Indiana
Starke County Courthouse
1542.01
$197,000
Completed 2015
Knox„ Indiana
Memorial Hospital ER Triage
1542.01
$412,000
Completed 2015
South Bend, Indiana
Memorial Hospital 8E/8S Remodel
1542.01
$284,000
Completed 2015
South Bend, Indiana
LaPorte Courthouse 2nd Floor Remodel
1542.01
$169,000
Completed 2015
LaPorte, Indiana
Notre Dame Morris Inn Kitchen
1542.01
$330,000
Completed 2015
Notre Dame, Indiana
St Joseph Reg Med Ctr-Pediatrics
1542.01
$332,000
Completed 2015
Mishawaka, Indiana
New Prairie HS Restrooms
1542.01
$276,000
Completed 2016
New Carlisle, Indiana
Six Digit
Name of Government Entity
Category
$ Amount
Year
(Contact Person, Address, Phone No.)
Number
Started/Completed
IUSB University Center Restrroms
1542.01
$177,000
Completed 2015
South Bend, Indiana
South Bend Regional Airport -Anti Pass
1542.01
$266,000
Completed 2016
South Bend, Indiana
Notre Dame McCourtney Hall
1542.01
$3,740,000
Completed 2016
Notre Dame, Indiana
St Joseph Reg Med Ctr-Fetal Med
1542.01
$221,000
Completed 2016
Mishawaka, Indiana
Memorial Hospital Cafeteria Renov
1542.01
$633,000
Completed 2016
South Bend, Indiana
New Prairie HS Restrooms
1542.01
$251,000
Completed 2015
New Carlisle, Indiana
Memorial Hospital 8e/8s Remodel
1542.01
$311,000
Completed 2016
South Bend, Indiana
LaPorte Courthouse 2nd Floor
1542.01
$174,000
Completed 2016
LaPorte, Indiana
Three Creeks Elementary
1542.01
$511,000
Completed 2016
Lowell, Indiana
Penn HS Softball Fields
1542.01
$190,000
Completed 2016
Mishawaka, Indiana
Beacon Health Admin Office
1542.01
$827,000
Completed 2016
South Bend, Indiana
Notre Dame McKenna Restrooms
1542.01
$645,000
Completed 2016
Notre Dame, Indiana
Portage Police Station Renovation
1642.01
$2,566,000
Completed 2016
Portage, Indiana
Elkhart General Hosp-CMS
1542.01
$266,000
Completed 2016
Elkhart, Indiana
St Joseph Reg Med Ctr-Cardiac
1542.01
$408,000
Completed 2016
Mishawaka, Indiana
St Joseph Reg Med Ctr-Kelly Ctr
1542.01
$1,739,000
Completed 2016
Mishawaka, Indiana
Six Digit
Name of Government Entity
Category
$ Amount
Year
(Contact Person, Address, Phone No.)
Number
Started/Completed
Elkhart General Hosp-Gift Shop
1642.01
$222,000
Completed 2017
Elkhart, Indiana
South Bend Police Substation
1542.01
$1,584,000
Completed 2017
South Bend, Indiana
South Bend Parking Garage
1542.01
$1,229,000
Completed 2018
South Bend, Indiana
Memorial Hospital CV/ICU Remodel
1542.01
$189,000
Completed 2017
South Bend, Indiana
Notre Dame North Dining Hall
1542.01
$226,000
Completed 2017
Notre Dame, Indiana
South Bend Firestation #4
1542.01
$3,366,000
Completed 2018
South Bend, Indiana
Caston Education Center Kitchen
1542.01
$1,737,000
Completed 2017
Fulton, Indiana
Maconaquah Middle School
1542.01
$1,351,000
Completed 2017
Bunker Hill, Indiana
Elsie Rogers School Improvements
1542.01
$268,000
Completed 2017
Mishawaka, Indiana
Memorial Hospital Main Lobby
1542.01
$366,000
Completed 2017
South Bend, Indiana
Mishawaka Schools Vestibules
1542.01
$1,392,000
Completed 2017
Mishawaka, Indiana
Northwood HS Auditorium
1542.01
$748,000
Completed 2017
Nappanee, Indiana
Notre Dame Hesburgh Library Ph 4
1542.01
$1,393,000
In Progress
Notre Dame, Indiana
Mishawaka Schools Vestibule Alarms
1542.01
$265,000
Completed 2017
Mishawaka, Indiana
Columbia City High School
1542.01
$8,660,000
In Progress
Columbia City, Indiana
Six Digit
Name of Government Entity
Category
$ Amount
Year
(Contact Person, Address, Phone No.)
Number
Started/Completed
Memorial Hospital Cancer Pharmacy
1542.01
$287,000
Completed 2016
South Bend, Indiana
Beacon Health & Fitness
1542.01
$1,055,000
Completed 2016
South Bend, Indiana
Memorial Hospital ER Flooring
1542.01
$242,000
Completed 2017
South Bend, Indiana
Notre Dame McCourtney Labs
1542.01
$175,000
Completed 2017
Notre Dame, Indiana
Beacon Health Systems Energy
1542.01
$369,000
Completed 2017
South Bend, Indiana
Mi City Prison Support Services
1542.01
$3,186,000
Completed 2017
Michigan City, Indiana
Notre Dame Campus Crossroads
1542.01
$818,000
Completed 2017
Notre Dame, Indiana
Notre Dame Hesburgh Concourse
1542.01
$796,000
Completed 2017
Notre Dame, Indiana
Elkhart General Hosp-CMS 4th FI
1542.01
$319,000
Completed 2017
Elkhart, Indiana
LaPorte Library -Main Branch
1542.01
$1,734,000
Completed 2017
LaPorte, Indiana
VA Outpatient Clinic
1542.01
$4,815,000
Completed 2017
Mishawaka, Indiana
Memorial Hosp Ronald McDonald
1542.01
$2,061,000
Completed 2017
South Bend, Indiana
Rolling Prairie Public Library
1542.01
$1,813,000
Completed 2017
Rolling Prairie, Indiana
Coolspring Public Library
1542.01
$1,371,000
Completed 2017
Michigan City, Indiana
Memorial Hospital Cath Lab 3
1542.01
$323,000
Completed 2017
South Bend, Indiana
IUSB Northside Hall Remodel
1542.01
$362,000
Completed 2017
South Bend, Indiana
Six Digit
Name of Government Entity
Category
$ Amount
Year
(Contact Person, Address, Phone No.)
Number
StartedlCompleted
Mishawka Schools Vesibule Alarms
1542.01
$255,000
Completed 2018
Mishawaka, Indiana
Notre Dame Badin Hall
1542.01
$902,000
Completed 2018
Notre Dame, Indiana
Elkhart General Hosp-3NE
1542.01
$344,000
Completed 2018
Elkhart, Indiana
Notre Dame Blagg/O'Brien Labs
1542.01
$2,627,000
Completed 2018
Notre Dame, Indiana
Notre Dame Hesburgh Library
1542.01
$356,000
Completed 2018
Notre Dame, Indiana
Charles Black Center
1542.01
$3,922,000
Completed 2018
South Bend, Indiana
Mishawka Schools Elevator Upgrades
1542.01
$294,000
Completed 2018
Mishawaka, Indiana
Notre Dame Basilica
1542.01
$376,000
Completed 2018
Notre Dame, Indiana
LaPorte County Probation Office
1542.01
$194,000
Completed 2018
LaPorte, Indiana
Memorial Hosp LIN ACC
1542.01
$482,000
Completed 2018
South Bend, Indiana
Memorial Hosp PET CT
1542.01
$506,000
Completed 2018
South Bend, Indiana
Memorial Hosp CT SIM
1542.01
$343,000
Completed 2018
South Bend, Indiana
Notre Dame Charron Commons
1542.01
$293,000
Completed 2018
Notre Dame, Indiana
Beacon Health Systems
1542.01
$446,000
In Progress
South Bend, Indiana
Notre Dame Rolf Practice Facility
1542.01
$685,000
In Progress
Notre Dame, Indiana
Elkhart Aquatics
1542.01
$2,158,000
In Progress
Elkhart, Indiana
Six Digit
Name of Government Entity
Category
$ Amount
Year
(Contact Person, Address, Phone No.)
Number
Started/Completed
Dowagiac Union Schools
1542.01
$1,840,000
In Progress
Dowagiac, Michigan
Lincoln JHS
1542.01
$10,319,000
In Progress
Plymouth Indiana
Valparaiso HS Natatorium
1542.01
$549,000
In Progress
Valparaiso, Indiana
Brandywine HS Gymasium
1542.01
$1,806,000
In Progress
Niles, Michigan
Notre Dame Utilities DOC
1542.01
$675,000
In Progress
Notre Dame, Indiana
Lake Michigan College
1542.01
$3,755,000
In Progress
St Joseph, Michigan
Starke County Courthouse Elevator
1542.01
$289,000
In Progress
Knox, Indiana
Concord Schools Health & Fitness
1542.01
$3,906,000
In Progress
Dunlap, Indiana
Notre Dame Decio
1542.01
$685,000
In Progress
Notre Dame, Indiana
Purdue Bioscience Building
1542.01
$1,949,000
In Progress
West LaFayette, Indiana
Notre Dame Quarknet Relocation
1542.01
$568,000
In Progress
Notre Dame, Indiana
Notre Dame Maintenance Center
1542.01
$185,000
In Progress
Notre Dame, Indiana
Eddy St Parking Garage
1542.01
$358,000
In Progress
South Bend, Indiana
Notre Dame Corby Hall
1542.01
$2,869,000
In Progress
Notre Dame, Indiana
Memorial Hospital Casework
1542.01
$231,000
In Progress
South Bend, Indiana
INDIANA/KENTUCKY/OHIO REGIONAL COUNCIL OF CARPENTERS
JOINT APPRENTICESHIP AND TRAINING FUND
1565 EAST 70TH COURT
MERRILLVILLE, IN 46410
ADMINISTRATION OFFICE
711 Greenwood Springs Drive
Greenwood, IN 46143
Phone: 317-807-1112 November 13, 21
Fax:317-807-1115
Ashland Campus
574 Carpenters Way
Grayson, KY41143 Gibson Lewis, LLC
Phone:606-929-1378
Fax: 502-996-8108 1001 W. 111h Street
Merrillville Campus Mishawaka, IN 46544
1565 East 70th Court
Merrillville, 1N 46410
Phone: 219-947-3348 To Whom It May Concern:
Fax:219-947-1889
Indianapolis Campus
This letter is in response to verification needed by Gibson Lewis, LLC for work to
711 Greenwood Springs Drive
Greenwood, IN 46143
be performed on the Morris Theater Plaster Repair Project for the City of South
Phone:317-807-1116
Fax: 317-807-1131
Bend, Indiana. Gibson Lewis, LLC regularly employs a number of apprentices
affiliated with our apprenticeship program and has done so for more than four
Lafayette Campus
2953 South Creasy Lane
years. We are registered with the United States Department of Labor, Bureau of
Lafayette, IN 47905
Phone: 765-447-5959
Apprenticeship and Training and our registration number is 1205-0223. Our
Fax: 765-447-7676
program participates in the Building Trades Associate Degree Program with Ivy
Louisville Campus
Tech Community College and has done so since 1996.
1245 Durrett Lane
Louisville, KY 40213
PhoneFax:5:2-366-8-78
Fax:502-366-8678
Gibson LC is a bona fide contractor in good standing with the
Lewis,� ii g
Indiana/Kentucky/Ohio Regional Council of Carpenters Joint Apprenticeship and
Muncie Campus
4121 East Centennial Avenue
Training fund and is eligible to employ apprentice carpenters in the future. I have
Phon:Muncie, IN 47303
Phone: 765-288-9015
288-9
enclosed a co of our certificate from the United States Department of Labor.
copy p
Fax:765-288-9298
Newburgh Campus
If I can be of further assistance, please do not hesitate to give me a call.
5400 Covert Court
Newburgh, IN 47630
Phone:812-853-9312
Sincerely,
Fax:812-853-9316
Terre Haute Campus
1
3099 South 6th Street
Terre Haute, IN 47802
Phone: 8 12-466-7899
Fax: 812-466-9840
Dale Newlin
Warsaw Campus
Area Training Coordinator
1095 Mariners Drive
IKORCCJATF — Merrillville Lafayette & Warsaw Campuses
Warsaw, IN 46582
Phone: 574-267-5264
Fax: 574-269-1464
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INDIANA LABORERS' TRAINING TR UST FUND
David A. Frye
Secretary -Treasurer
Jerry J Bolk
Chris L. Guerrero
Ricky Henson, Jr.
Ramon Mendoza, Jr.
Robert S. Wright
P.O. Box 758 - Bedford, Indiana 47421
(812)279-9751
August 1, 2019
To Whom It May Concern:
Sean Coakley, Director
John P. Brown
Chairman
Kelly Abel
Brad Dreibelbis
Michael Ferrara
Stan Meyer
Jim Wiseman
FAX: (812) 279-5545
This letter is to confirm that "Gibson -Lewis, LLC " is a signatory contractor in good standing
with the Indiana Laborers' Training Trust Fund.
The above mentioned company is a participant in the Joint Apprenticeship and Training
Committee through this Union and has been an active participant in good standing for each of the
past five plus consecutive years, and is currently eligible to use our apprentices on a project.
Further, our organization's program is approved by the U.S. Veterans Administration to
participate in the GI educational benefits program. A copy of our approval letters are attached
along with the collective bargaining agreement stating the ratios of Journey workers to
Apprentices; which is one (1) Apprentice for every five (5) Journey workers and thereafter may
not employ more that (1) Apprentice for every (3) Journey workers.
Sincerely,
Sean Coakley,
Director
SC:dc
STATE OF INDIANA
DEPARTMENT OF VETERANS AFFAIRS
STATE APPROVING AGENCY
402 WEST WASHINGTON STREET ROOM W469
INDIANAPOLIS, INDIANA 46204-2738
Jeremy Brewer
Apprenticeship Coordinator.
Indiana Laborers Training'l",:ust Fund -Apprenticeship
439 Patton Hill Rd.
Bedford, IN 47421
Dear Jeremy Brewer,
Eric Holcomb, Govemor
James M. Brown, Director
January 9, 2019
This will acknowledge receipt of your updated Wage'Scale for the Construction Craft Laborer program
offered by Indiana .Laborers 1r)-aining Trust Fund -Apprenticeship. The State Approving Agency has reviewed
the document as listed below:
Wage Scale: Construction Craft Laborer
FACILITY CODE: 30004114
To the best of ny kno wlcdge lndiatia Labarors °].)raining I"I'Llst Fund -Apprenticeship does not utilize erroneous
or misleading ad e rti.seniczrt, either by actual statement, omission, or111timation. It is understood by Indiana
Laborers Training Trust Fund -Apprenticeship that they will maintain a complete record of all advertising
utilized by or on behalf of the Indiana Laborers Training Trust Fund -Apprenticeship in regards to their
training programs during the preceding 12 months. Indiana Laborers Training Trust Fund -Apprenticeship's
advertising will be available for review by any and all future supervisory visits by the SAA, or the U.S.
Department of Veteran Affairs.
Please Review the entire packet for content and accuracy. Approval is granted pursuant to the provisions of
Title 38, U.S. Code 3687, with an effective date of April 1, 2018.
If you have any questions, please feel free to give me a call at 317-232-3916 or email me at
tgriffin@dva.in.gov. Thank you for what you do for our Veterans, and have a great day!
Sincerely,
Taniqua Griffin
Program Director
State Approving Agency
Cc: VARO/ELR
19
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�,gpp�O�NG
A
k
STATE OF INDIAN
DEPARTMENT OF VETERANS AFFAIRS
STATE APPROVING AGENCY
402 WEST WASHINGTON STREET ROOM W-469
INDIANAPOLIS, INDIANA 46204-2738
Jeremy Brewer
Apprenticeship Coordinator
Indiana Laborers Training Trust Fund -Apprenticeship
439 Patton Hill Rd.
Bedford, IN 47421
Eric Holcomb, Governor
James M. Brown, Director
January 9, 2019
The Indiana State Approving Agency conducted a supervisory visit on 01 /8/2019 at Indiana
Laborers Training Trust Fund -Apprenticeship. The purpose of the visit was to provide training to
the Certifying Officials and review enrollment certifications, record retention and reporting
procedures.
The organization demonstrated proper record maintenance and record maintenance and reporting
procedures: During the visit, we discussed the importance of reporting hours on a monthly basis,
good record keeping techniques, and how to report a leave of absence or completion via VA Form
22-1999b. We also updated the Certifying Officials via VA Form 22-8794, work processes, and
wage scale.
If you need any assistance or have any questions regarding this technical visit please contact me
directly attgriffm@dva.in.gov or (317) 232-3916, Thank you for the courtesy extended during my
visit. The education and training opportunities that your organization continues to provide veterans
and their dependents are appreciated.
Sincerely,
�T-
Taniqua 'Griffin
Program Director
Phone (317)-234-6062 Toll Free (800)-400-4520 Fax (317)-234-9744
bA, E OF I ICI D I, MIA
DEPARTMENT OF VETERANS AFFAIRS
STATE APPROVING AGENCY
402 WEST WASHINGTON STREET ROOM W-469
INDIANAPOLIS, INDIANA 46204-2738
Jeremy Brewer
Apprenticeship Coordinator
Indiana Laborers Training Trust Fund -Apprenticeship
439 Patton Hill Rd.
Bedford, IN 47421
Dear Jeremy Brewer,
Eric Holcomb, Governor
James M. Brown, Director
January 9, 2019
This will acknowledge receipt of your revised Work Processes for the Construction Craft
Laborer program offered at Hoosier Energy, located in Bedford, Indiana, The State Approving
Agency has reviewed the document as listed below:
TRAINING PROGRAM LENGTH DOT CODE
Construction Craft Laborer
FACILITY CODE: 30004114
4,000-7900 hours 47-2061.00
To the best of my knowledge Indiana Laborers Training Trust Fund -Apprenticeship does not utilize
erroneous or misleading advertisement, either by actual statement, omission, or intimation. It is
understood by Indiana Laborers Training Trust Fund -Apprenticeship that they will maintain a
complete record of all advertising utilized by or on behalf of the company in regards to their training
programs during the preceding 12 months. The company's advertising will be available for review
by any and all future supervisory visits by the SAA, or the U.S. Department of Veteran Affairs.
This approval is made pursuant to and under the provisions of Title 38, U. S. Code 3687, with an
effective date of January 8, 2019.
If you have any questions, please contact me at 317-232-3916,
Sincerely,
Taniqua (griffin
Program Director
State Approving Agency
Cc:VARO/ELR
Phone (317)-234-6062 Toll Free (800)-400-4520 Fax (317)-234-8744
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SHAWN SOLNER
Business Manager
Secretary -Treasurer
INDIANA
PLU 047 — Indianapolis
PLU HBO — Lafayette
PLU #15e — Evansville
PLU #197—Terre Haute
PLU #4e0—NW Indiana
PLU #469 — Fort Wayne
PLU #669—Cheatedleld
PLU Oil 118 — Soulh Band
KENTUCKY
PLU #11 e — Loulsvllle
PLU N500— Paducah
TENNESSEE
PGLU #450 — Clarksville
INDIANA, ILLINOIS
KENTUCKY
GLU #1165
Evansville
Fort Wayne
Gary
Indianapolis
South Bend
Vincennes
P60 A_ k
Gibson -Lewis, LLC
1001 W. 1 I" Street
Mishawaka, IN 46544
To Whom It May Concern:
Gibson -Lewis, LLC. is a local signatory contractor with the International Union of
Painters and Allied Trades, District Council 91, Local I I IS, and is in good standing
through the date of this letter.
Si 1 vely,
Shawn Solver
Business Manager/Secretary Treasurer
IUPAT DC 91
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Plasterers' & Cement Masons'
Apprenticeship Coordinator Local Union #692
To Whom it May Concern:
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Phone: (219) 707-7767
Email: bkristoffCplcmlocal692.org
August 1, 2019
Gibson & Lewis, LLC. is a signatory contractor with Local 692 and participates in
the Plasterers & Cement Masons Apprenticeship Training Program. I may be
reached at (219) 707-7767 if additional information is needed.
Thank you,
Brian Kristoff
Apprentice Coordinator
Plasterers & Cement Masons
9200 Louisiana Street • Merrillville, Indiana 46410
WWW.PLCML0CAL692.0RG `w