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Home My WebLink AboutOpening of Bids - Two-Way Conversion of Colfax Ave. Phase II Proj No 115-053B - Indiana Earth, Inc.CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Two -Way Conversion of Colfax Avenue — Phase II Project No. 115-053B For Bids Due November 26, 2019 PART I (Must be completed for all bids. Date: I✓ ®I Bidder (Firm): Address: t L L City/State/Zip: Q Please type or print) 1 N.�. Telephone Number 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: ' i s ft & the City of South Bend, Indiana, in accordance with plans and specifications prepared by: 12 L Z .� he Prccrssb') and dated for the sum of enter the T al i �s sl 'wnont � A, Enter sum of Total B Alternat ( ase t3� lus es shown on Proposal) � (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachmen By �.... ign ur s. ®_ (Printed #rani of Perso Sigining) ACCEPTANCE The above bid is accepted this day of 20 Subject to the following conditions; BOARD OF PUBLIC WORKS Gary A. Gilot, President Jitin Kain, Member Elizabeth A. Maradik, 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 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Two -Way Conversion of Colfax Avenue — Phase II Project Number: 115-053B For Bids Due: November 26, 2019 Igo, Contractor Name: t lm�.,P- ')1+' P 1" c-, BASE BID Item No. Description Quantity Unit Unit Price Total Amount 1 CONSTRUCTION ENGINEERING 1 LSUM 2 MOBILIZATION AND 1 LSUM DEMOBILIZATION .. a 3 CLEARING RIGHT OF WAY 1 LSUM 4 PAVEMENT, REMOVE 300 SYS 5 CURB, CONCRETE, REMOVE 310 LFT 6 SIDEWALK, CONCRETE, REMOVE 160 SYS � � I 7 BORROW 50 CYS , ' , , ; 2 �5, .... 8 9 EXCAVATION, COMMON 708 CYS 9 TEMPORARY PERIMETER 1,000 LFT PROTECTION, SILT FENCE 10 TEMPORARY INLET PROTECTION 12 EA 11 NO. 2 STONE 26 TON 12 TEMPORARY GEOTEXTILE 80 SYS, 13 COMPACTED AGGREGATE, NO. 53, 163 TON'°��'`� BASE 14 COMPACTED AGGREGATE, NO.73, 22 TON ALLEY SURFACE 15 CONCRETE HEADER, 10 IN. 174 LFT,,- 16 INTEGRAL COLORED CONCRETE, 10 51 SYS IN. 17 RETROFITTED TIE BARS 248 EA-- r�;„ 18 PCCP FOR DRIVEWAYS, 6 IN, 85 SYS,,.:..-. '. 19 PCCP FOR PATCHING, 10 IN. 43 SYS p. 20 BRICK REPAIR 17 SYS Version 4/2/2019 Contractors Bid for Public Works - 7 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Two -Way Conversion of Colfax Avenue — Phase II Project Number: 116-053B For Bids Due: November 26, 2019 Contractor Name: BASE BID Item No. Description Quantity Unit Unit Price Total Amount 21 PAVERS, FURNISH AND INSTALL 189 SYS 22 CURB RAMP, CONCRETE 61 SYS 23 DETECTABLE WARNING SURFACES 8 1 EA � a� i�° g :M 24 SIDEWALK, CONCRETE, 4 IN. 802 SYSPLANTER 25 MASONRY ALL, CONCRETE AND 320 LFT z 26 CURB, CONCRETE 55 LFT 27 CURB, INTEGRAL, CONCRETE 311 LFT 28 SODDING, NURSERY 118 SYS 29 TOPSOIL 13 CYS 30 DECIDUOUS TREE, PAPERBARK� 4 EA MAPLE, 8' HT.b�u,ti„„ 31 DECIDUOUS TREE, IMPERIAL 6 HONEYLOCUST, 3" CAL. 32 DECIDUOUS TREE, ROYAL 14 EA RAINDROPS CRABAPPLE, 2.5" CAL. 33 DECIDUOUS TREE, AMERICAN HOPHORNBEAM, 2.5" CAL. 10 EA 34 DECIDUOUS TREE, IVORY SILK 5 EA JAPANESE LILAC, 2" CAL............. 35 DECIDUOUS SHRUB, DOUBLE 32 EA KNOCKOUT ROSE, 18-24" 36 EVERGREEN TREE, HOOPSI BLUE 19 EA SPRUCE, 7' HT. ... : 37 PERENNIAL, CREEPING LILY -TURF, 368 EA 3" PLUG 38 PERENNIAL, WALKER'S LOW 88 EA� CATMINT, #1 CO NT. ,rty„. 39 LANDSCAPE EDGING, 5" PLASTIC 208 40 MULCHED SEEDING 28,662 SFT I` U, oti 41 TREE TRIMMING, 8'-10' LIMB HT, EXISTING TREE 1 LSUM Version 4/2/2019 Contractor's Bid for Public Works - 8 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Two -Way Conversion of Colfax Avenue — Phase 11 Project Number: 115-053B For Bids Due: November 26, 2019 Contractor Name: &A INAV INi , C- Al li-, 11*4 C- BASE BID Item No. .... . ----- Description Quantity Unit Unit Price Total Amount 42 PLANTER DRAIN TILE, 4" WITH 272 LFT P . . . .. . . .... STONE STONE I AND FABRIC 43 EROSION CONTROL BLANKET, 911 SYS ERONET S75 .21 44 PLANTER SOIL MIX 120 CYS 4"' . . . . . . 45 SHREDDED HARDWOOD MULCH 18 CYS 46 ADJUST WATER VALVE TO GRADE 1 EA . . ...... . . . . ......... . ... — — --------------- - 47 PIPE, INDOT TYPE 2,12 IN. 82 LFT I4 48 STANDARD INLET, 24" I.D. W/ 1 EA CASTING 49 CASTING, ADJUST TO GRADE 6 EA ...... ...... - 50 MAINTAINING TRAFFIC 1 LSUM 51 TEMPORARY PAVEMENT MARKING, REMOVABLE, 5,200 LFT 4 IN. 52 CONSTRUCTION SIGN, A 12 EA 53 CONSTRUCTION SIGN, B 17 EA 54 CONSTRUCTION SIGN, C —I --rEA 55 BARRICADE, 111-13 12 LFT 56 SIGN, SHEET, SHEETING TYPE IV, 57 SIFT WITH LEGEND 0.080 IN. 57 SIGN POST, SQUARE, TYPE 2, 57 LFT ... . ... UNREINFORCED ANCHOR BASE ........ 58 CONDUIT, PVC, 2 IN. SCHEDULE 80 980 LFT 59 NO. 8 THWN, COPPER CONDUCTOR 1,432 LFT 60 NO. 10 THWN, COPPER CONDUCTOR 464 LFT . . .......... 61 NO. 12 THWN, COPPER CONDUCTOR 973 LFT 62 ..... . ....... LIGHT POLE ASSEMBLY AND 9 EA . . . ... . ........ —� LUMINAIRE, STERNBERG Version 4/2/2019 Contractor's Bid for Public Works - 9 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Two -Way Conversion of Colfax Avenue — Phase II Project Number: 115-053B For Bids Due: November 26, 2019 Contractor Name: BASE BID Item Description Quantity Unit Unit Price Total Amount 63 LIGHT POLE FOUNDATION 8 EA 64 NO. 4 COPPER, 1/C 2,125 LFT 65 MULTIPLE COMPRESSION FITTING, 16 EA NON -WATERPROOFED 66 CONNECTOR KIT, UNFUSED 8 EA ,rz„ 67 CONNECTOR KIT, FUSED 8 EA .". ,.., 8 MULTIPLE COMPRESSION FITTING, 16 EA WATERPROOFED 69 INSULATION LINK, WATERPROOFED 20 EA' > 70 INSULATION LINK, NOW 20 EA WATERPROOFED 71 HANDHOLE 5 EA 72 PAVEMENT MESSAGE MARKING, 6 EA tz MULTI -COMPONENT, BIKE SYMBOL 73 LINE, MULTI -COMPONENT, SOLID, 185 LFT WHITE, 4 IN. 74 LINE, MULTI -COMPONENT, SOLID, 100 LFT YELLOW, 4 IN. , TRANSVERSE MARKING, MULTI- 75 COMPONENT, CROSSWALK LINE, 6 355 LFT IN. 76 TRASH RECEPTACLE, ASSEMBLY,- 5°' / SURFACE MOUNT INSTALLATION r 77 BENCH, ASSEMBLY, SURFACE 6 EA ®� C �� MOUNT INSTALLATION e Cq,2yBASE BID TOTAL b Version 4/2/2019 Contractor's Bid for Public Works -10 BID/PROPOSALa�d °�",n CITY OF SOUTH BEND `"' % Project Name: Two -Way Conversion of Colfax Avenue — Phase II "A Project Number: 115-053B For Bids Due: November 26, 2019 Contractor Name:" ,- ALTERNATE #1 Item No. Descri tion p Quantity Unit Unit Price Total Amount 1 CONSTRUCTION ENGINEERING 1 LSUM 2 MOBILIZATION AND DEMOBILIZATION 1 LSUM 3 CLEARING RIGHT OF WAY 1 LSUM 4 PAVEMENT, REMOVE 21 SYS c, --- 5 CURB, CONCRETE, REMOVE 89 LFT C 0 2 p 6 SIDEWALK, CONCRETE, REMOVE 62 SYS - 7 EXCAVATION, COMMON 30 CYS Q5W, -� 8 TEMPORARY PERIMETER PROTECTION, SILT FENCE 60 LFT -- 9 TEMPORARY INLET PROTECTION 3 EA 10 COSE ACTED AGGREGATE, NO. 53, 7 TONBA P 11 RETROFITTED TIE BARS 30 EA m- 66 12 PCCP FOR PATCHING, 10 IN. 21 SYS 13 CURB RAMP, CONCRETE 36 SYS 14 DETECTABLE WARNING SURFACES 2 EA 15 1 SIDEWALK, CONCRETE, 4 IN, 11 SYS .. l �- 16 SIDEWALK, CONCRETE, 6IN. WITH CURB 9 SYS G+0-1— lI 17 CURB, INTEGRAL, CONCRETE 89 LFT o � 18 SODDING, NURSERY 41 SYS 19 TOPSOIL 6 CYS n �.. C> 20 CASTING, ADJUST TO GRADE 3 EA 21 MAINTAINING TRAFFIC 1 LSUM Version 4/2/2019 Contractor's Bid for Public Works - 11 BIDIPROPOSALuu:'os ar CITY OF SOUTH BEND Project Name: Two -Way Conversion of Colfax Avenue — Phase II Mwx ` Project Number: 115-053B ..�- .m For Bids Due: November 26, 2019 Contractor Name: IN ALTERNATE #1 Item Description Quantity Unit No. Unit Price Total Amount 22 CONSTRUCTION SIGN, A 4 EA a — 23 CONSTRUCTION SIGN, B 2 EA y 24 SIGN, SHEET, SHEETING TYPE IV, 7 SFT m e WITH LEGEND 0.080 IN. + P 25 SIGN POST, SQUARE, TYPE 2, 10 LFT .p ""'r UNREINFORCED ANCHOR BASE ALTERNATE #1 TOTAL �h "-s Bidder (Firm): 14 01A-N^-IT) Address: &t ff- City/State/Zip: Telephone Number:))�i By ignatt�re) (Printed Name of Person Signing) Version 4/2/2019 Contractor's Bid for Public Works - 12 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 _ ) SS: COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. Version 4/2/2019 Contractor's Bid for Public Works - 4 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder Version 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 �0"' day of Or-W , 2011 t � o��tra or�l3idde� Signature of C0 ntractoi:)'l3idder Its Agent a .m .................... �..... Printed Name and Title Subscribed and sworn to before me this 2-lay of 20 _9 My Commission Expires Notary Public County of Residence Version 4/2/2019 Contractor's Bid for Public Works - 6 04AIA oc ent A310 201 TM _ CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place Indiana Earth, Inc. of business) 10343 McKinley Highway North American Specialty Insurance Compa important le his document has al 650 Elm Streetconsequences. Consultation with g Osceola, IN 46561 Manchester, 03101 OWNER: an attorney is encouraged with (tJame, legal status and address) respect to its completion or City of South Bend modification. 227 West Jefferson Boulevard Any singular reference to South Bend, IN 46601 Contractor, Surety, Owner or BOND AMOUNT: ***FIVE PERCENT OF AMOUNT BID*** other party shall be considered plural where applicable. PROJECT: 127vame, location or address, and Project number, if any) arthwork - Colfax Ave Phase II 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 su ^h statutory or other legal requirement shall be deemed incorporated herein. When so furnished, thl intent is that l is Bond shall be construed as a statutory bond and n9t as a cape ion 1,^bofld. Signed m3 sealed this / 26th day of , (Title) North Insurance (771le - .,. homas O. Chambers. Attornev-in-Fact AIA Document A310r — 2010. Copyright 0 1963,1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This AIAO Init. Document Is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIAe Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. l Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copydght@aia.org. 051110 SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Overland Park, Kansas, and Washington International Insurance Company, a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Overland Park, Kansas, each does hereby make, constitute and appoint: THOMAS 0. CHAMBERS, TODD SCHAAP and KIMBERLY S. RASCH JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9's of May, 2012: "RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." !1'�tpdfiJP@YfJRy� IJwtarPy !� a By its Steven P. Anderson„%'olop Vlre President of W21Jdna9on In .urn 4.onapmy $�� &Seolor Vice President or North Amerlwn SppcJal'.ty lmJoroom Company . } By Michael A. Ifo, .W9ur mat riunt ¢al e3' os ann atoer l on al & senior Vice President orNonh American specialty Insurance Company IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 1 Ith day of April , 2018 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 1Ith day of April 2018 before me, a Notary Public personally appeared a even p._Ancicrstwll _, Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and MJchat i A. Ito , Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. =0111C111M9inx'z Kenny, Notary Public ._ I, 1rf'frev � . the duly elected A�sst tant Secretary oNorth American Specialty Insurance Company and Washington International Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 26th day of November 2019 Jeffrey ooldberg, Vise President & Assistant Secretary of Washington international Insumnre Company & North American Specialty Ins>tramce Company STATE OF WISCONSIN ) COUNTY OF Kenosha ) ON THIS 26th day of November It 2019 before me, a notary public, within and for said County and State, personally appeared Thomas O. Chambers to me personally known, who being duly sworn, upon oath did say that he is the Attorney -in -Fact of and for the North American Specialty Insurance Company , a corporation of New Hampshire , created, organized and existing under and by virtue of the laws of the State of New Hampshire ; that the corporate seal affixed to the foregoing within instrument is the seal of the said Company; that the seal was affixed and the said instrument was executed by authority of its Board of Directors; and the said Thomas O. Chambers did acknowledge that he/she executed the said instrument as the free act and deed of said Company, Kimberl c � t s11 Notary 1'ublic,Kenosha My Commission E:xpbr2 � ZV I1w°� OF `w� . 1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 U 11 . o I r• m 180 PHONE 574/235-9251 FAx 574/235-9171 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 1 Project Name: Two -Way Conversion of Colfax Avenue Project Number: 115-053B ACKNOWLEDGEMENT Off"' RECEIPT OF ADDENDUM Date Received: / I- 2-1Z:) ) 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. 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: Authorized Si Date: c Version 4/2/2015 1316 COUNTY -CITY BUILDING, 227 W.JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAx 574/235-9171 TDD 574/ 235-5567 CITY OF SouTH BEND PETE i" BOARD OF PUBLIC 1` Date: November 22, 2019 ............................... _..__ To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 2 ......... Project Name: Two -Way Conversion of Colfax Avenue Project Number: 115-053B ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: l %' ZS -1 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, ST,, 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: Authorized Si Date: Version 4/2/2015 ytik7" Ile: CITY OF SOUTH BEND, INDIANA ":"`"° , CONTRACTOR'S BID FOR PUBLIC WORK N 1861 CHECKLIST FOR BIDDERS Project Name Two -Way Conversion of Colfax Avenue — Phase II Project No. 115-053B For Bids Due November 26, 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 ; Addendum(s) included with the bid. I All required additional information is included with the bid. t/ 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: ate: t By Authorized ReprPcQnfnti%ia- Signature: Print Name & Title: Version 4/2/2019 Contractor's Bid for Public Works -1 PART II (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his/her/its bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 4/2/2019 Contractor's Bid for Public Works - 3 H N�N w ❑ w N w a� w in LU mwo cn IL 0Zz LI U) U G O W O v2> pw z Q H O z 9 C rl o CD of .CL 0 m `O a w' CO O C m � � la 0 C C 20 C V U) v •R O O �O cr 0 CL � d E N = •— IL .0 r� m� 0 3 O ` N 0 E. U c r E C 'C 41 t N a >, cC !0 r� m t 3 m> 7 ate+ U) =_ N m .N T O 0 aU)N SD O U) d 0 y.O.0 am U N :E C �= 0 N E m Z U aD 0 CL m m N O L1 old 0 E Q a m 0 I 0).a N O ate° 2a do V m 0 00 a E=E Q0 W co o� �m p m U l9 a N I m -0 v o €� °t m m (D d y �_ �:3 o o U CL O L) U ,S T c y � Wc �1 CL 0 16 CL l0 a! 1 V \n % V U CD A ! d W Q " E z `;� o r N E U) N N N E N Z c �1 co �z BID/PROPOSAL CITY OF SOUTH BENDf Project Name: Two -Way Conversion of Colfax Avenue— Phase II .....� MAO Project Number: 115-053B For Bids Due: November 26, 2019 �. ......... .._ Contractor Name:i/ �- 1 BASE BID Item No. Description Quantity Unit Unit Price Total Amount 42 PLANTER DRAIN TILE, 4" WITH 272 LFT ., STONE AND FABRIC 43 EROSION CONTROL BLANKET, 911 SYS ERONET S75 44 PLANTER SOIL MIX 120 CYS 45 SHREDDED HARDWOOD MULCH 18 CYS ` 46 ADJUST WATER VALVE TO GRADE 1 EA 47 PIPE, INDOT TYPE 2,12 IN., 82 LFT 4 STANDARD INLET, 24" I.D. W/ 1 EA CASTING 49 CASTING, ADJUST TO GRADE 6 EA 50 MAINTAINING TRAFFIC 1 LSUM 51 TEMPORARY PAVEMENT MARKING, 5,200 LFT REMOVABLE, 4 IN. 52 CONSTRUCTION SIGN, A 12 EA 53 CONSTRUCTION SIGN, B 17 EA 54 CONSTRUCTION SIGN, C 1 EA 55 BARRICADE, III-B 12 LFT 56 SIGN, SHEET, SHEETING TYPE IV, 57 SFT WITH LEGEND 0.080 IN. 57 SIGN POST, SQUARE, TYPE 2, 57 LFT r UNREINFORCED ANCHOR BASE U 58 CONDUIT, PVC, 2 IN. SCHEDULE 80 980 LFT 59 NO. 8 THWN, COPPER CONDUCTOR 1,432 LFT-" 60 NO. 10 THWN, COPPER CONDUCTOR 464 LFT 61 NO. 12 THWN, COPPER CONDUCTOR 973 LFT _... 62 LIGHT POLE ASSEMBLY AND 9....___ . _. EA LUMINAIRE, STERNBERG Version 4/2/2019 Contractor's Bid for Public Works - 9 twr s rw rr . CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS 'w 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: 115-053B Date: 11 --25—1 Project Name: Two -Way Conversion of Colfax Avenue — Phase II Bidder: I Contact Person: _ - .t Telephone: 2- t� Address: City: -C State: Zip: I �www Email: )% a. tG 0,� . h 4L'i To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE 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 S Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (hftp://www.in.gov/idoa). ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Bend requires that all perspective bidders complete no less than 2 of the following: 1. Attend all pre -bid meetings scheduled by the City to inform MBENVBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBENVBEs reasonable time to respond. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBENVBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 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. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBENVBEs, including providing such MBENVBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBENVBEs 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 MBENVBEs in order to increase the likelihood of meeting the MBENVBE goals (including breaking down contracts into smaller units to facilitate MBENVBE 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 MBENVBE was unqualified to perform the job. "Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 4/2/2019 Contractor's Bid for Public Works - 14 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.1 MBEIWBE CONTACTED IR65 This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE i OF Project Number: 115 053B MBE/WBE Participation Goal Project Name Biddl By: Two -Way Conversion of Colfax Avenue — Phase II L. MBE/WBE Firm t� .� �T" l,�y(-� u Owner or Contact at MBE/WBE Firm rm �- I Telephone: �w Y2- ---'' "72- Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: wr 1 MBE/WBE Firm 11 .--- Owner or Contact at MBE/WBE Firm Telephone: S7t71L ZFax: 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 - 15 INDIANA EARTH, INC. 10343 MCKMLEY HWY OSCEOLA, IN 46561 Section 1 Public Projects completed: 1) Northwood High School Phase B — Nappanee, IN $168,900 Spring 2018 2) Excavation & Utility CR 38 — City of Goshen, IN $2,491,277 Spring 2018 3) Utility— Nappanee WWTP, Nappanee, IN $519,020 Summer 2018 4) Northwood High School Athletic Center, Nappanee, IN $1,233,500 Fall 2018 5) Excavation and Utility — Penn High School $219,400 Summer 2018 6) Excavation and Utility —Concord High School $451,100 Summer 2019 7) Excavation and Utility — Warsaw High School $612,400 Summer 2019 8) Excavation and Utility —Central Park $70,700 Fall 2018 Public Works in Process: 1) Excavation and Utility — Laporte Intermediate School $1,531,400 Spring 2019 2) Excavation and Utility —Howard Park $1,923,700 Summer 2020 3) Excavation and Utility — 320 at the Cascade $189,000 Summer 2019 4) Excavation and Utility — Elkhart High School $189,700 Summer 2020 5) Excavation and Utility —Lakeville, IN Fire station $140,300 Fall 2019 6) Demo, Excavation and Utility — Performing Arts Center $364,100 Summer 2020 7) Excavation and Utility —SR 120, Howe, IN $300,000 Summer 2020 8) Prime Contractor —Western Ave, South Bend, IN $2,600,000 Fall 2019 9) Excavation and Utility —Goshen High School $170,000 Summer 2020 Completed all work awarded to our firm. References of Private Firms 1) Rieth Riley Construction 574-288-8321 2) Gibson Lewis LLC 574-259-8581 3) Larson Danielson 219-362-2127 4) Holladay Group 574-234-2073 5) Robert Henry Const. 574-232-2091 Section 2 Plan of proposed work 1) Remove asbestos 2) Demo house, slab and footings 3) Backfill basement if necessary 4) Clear lot of brush, tree's and topsoil 5) Place topsoil 6) Seed Subcontractors Utilized on Past Projects 1) Hydroseed — Osceola, IN, Hydro seeding 2) HydroTek — Nappanee, IN, Hydro seeding 3) Weaver Boos —South Bend, IN, Compaction Testing 4) Bob's Landscaping —Granger, IN, Sodding 5) New Frontiers Landscaping— IUSB West Parking Lot 6) JPR—South Bend, IN, Surveying 7) Rieth Riley —Goshen, IN, Paving 8) Martell Electric— IUSB West Parking Lot Subcontractors to Utilize on this Project — Possible subs listed, will determine prior to contract approval 1) Clean Air Environmental Service List of our Equipment Owned: 1) 29 Excavators 2) 6 Dozers 3) 7 Dump Trucks 4) 2 Semi Trucks with dump trailers 5) 6 Rollers 6) 6 Loaders 7) 6 Skidsteers 8) 2 Off Road Haul Trucks 9) 2 Man Lifts 10) 1 Vermer Vac Truck 11) Eagle Crusher We have received pricing for services and materials by potential subcontractors.