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HomeMy WebLinkAboutOpening of Quotes - Fire Stations 10 & 2 Parking Lot Repairs Proj No 119-099 - Walsh & Kellyora°rar, CITY OF SOUTH BEND, INDIANA CONTI ACTOI 'QUOTE FOR PUBLIC WORK PROJECT NAME: Fire Stations w10w& 2 Parkina Lot Repairs ...................... . PROJECT NO. 119-099 QUOTES DUE November 26 2019, 9:30am, Local Time ��....... a �........ (Must be completed for all quotes. Please type or print) Date: 11/26/19 Firm: Walsh &,Kelly, Inc, Address: 24358 SR 23 City/State/Zip: South Bend, IN 46614 Telephone Number: ( 574 ) 288-4811 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: Fire Stations 10 & 2 Parkina Lot Repairs the City of South Bend, Indiana, in accordance with plans and specifications prepared by: The City of South Bend, Department of Public Works and dated November 2019 L_ for the sum of (enter the Total Quote as shown on the Proposal) Ninety two thousandIT sevend hundred dollars and zero cents A$ q 7QQ—ITITITITITITITITITITIT (Enter Sum of Total Quote plus Alternates shown on Proposal) (Numerical) If alternative quotes 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 quote is to be awarded on a unit basis, the itemization of the units shall be shown on a separate atfachim ILLY °" w ,.4'° o � B (Signature) f Si nature (Printed Name of Person Signing) V. ACCEPTANCE i N C\a" The above quote is9dupw, is day of 20 Subject to the following conditions:. BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member Laura L. O'Sullivan, Member Genevieve E. Miller, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk Version 4/2/2019 Page - 11 Public Works Quote QUOTE/PROPOSAL CITY OF SOUTH BEND PROJECT NAME: Fire Stations 10 & 2 Parking Lot Repairs PROJECT NO: 119-099 QUOTES DUE: November 26 2019 9:30 am Local Time BASE QUOTE Item No. Description Quantity Unit Unit Price Total Amount 1 MOBILIZATION AND DEMOBILIZATION 1 LS 5,684.00 $5,684.00 2 EROSION CONTROL 1 LS 350.00 $350.00 3 MILLING, 1.5" 1078 SY 8.50 $9,163.00 4 HMA SURFACE, 9.5 mm-TYPE B 90 TON 180.00 $16,200.00 5 COMMON EXCAVATION 102 CY 45.00 $4,590.00 6 COMPACTED AGGREGATE, NO. 53 96 TON 41.00 $3,936.00 7 HMA FOR PATCHING 97 TON 91.00 $8,827.00 8 PCCP, 9" 11 SY 550.00 $6,050.00 9 LINE, PAINT, SOLID, WHITE, 4 IN 600 LF 1.00 $600.00 Total Amount of Base Quote $55,400.00 ALTERNATE NO. 1 Item No. Description Quantity Unit Unit Price Total Amount 1 MOBILIZATION AND DEMOBILIZATION 1 LS 4,854.00 $4,854.00 2 EROSION CONTROL 1 LS 350.00 $350.00 3 CRACK SEALING 1 LS 2,560.00 $2,560.00 4 COMMON EXCAVATION 73 CY 64.00 $4,672.00 5 COMPACTED AGGREGATE, NO. 53 69 TON 58.00 $4,002.00 6 HMA FOR PATCHING 72 TON 190.00 $13,680.00 7 REGRADING 105 SY 35.00 $3,675.00 8 TOPSOIL AND SODDING 105 SY 33.40 $3,507.00 Total Amount of Alternate No. 1 $37,300.00 TOTAL BASE BID + ALTERNATE #1 Bidder(Firm): Address: City/State/Zip Telephone Number: Fax Number: By $92,700.00 Walsh & Kelly, Inc. 24358 SR 23 South Bend,IN 46614 Dustin P. Hilary, VP of South Bend Area (Printed Name of Person Signing) 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 mmmmIndiana_ ) SS: t ..ih............ 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. 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 Version 4/2/2019 Page - 12 Public Works Quote 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 Version 4/2/2019 Page - 13 Public Works Quote 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 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 26th day of Nov. , 2019 ��tllllll���� p0ORAT wsM M 400 Inc. of Contractor/Bidder or Its Agent Dustin-Hlary,...VP_of S. u.tta_.B d Area Printed Name and Title Subscribed and sworn to before me this 26th day of.. ---- November „ 2019 My Commission Expires 6/5/22 mm Notary )lic Alish Krueger County of Residence St. Joseph AL4SHA KRUEGER Notary public. State of grualrs��� '5� r St. Joseph County Expires My Commission June O512022 2 t.Pa�rti�aw Version 4/2/2019 Page - 14 Public Works Quote Part of State Form52414 (R2 12-13) Form 96 (Revised 2013) BID OF Walsh & Kelly, Inc. (Contractor) (Address) South Bend IN 46614 FOR PUBLIC WORKS PROJECTS OF City of South Bend, Indiana Proiect No. 0w• Filed November 26th 2019 Action take State Form 52414 (R 19-10) Prescribed by State Board of Accounts Fo,m No, Revl d 201 ' CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96 PART 1 (To be completed for all bids. Please type or print) 1. Governmental Unit (Owner): 2. County: 3. Bidder (Firm): Address: City/State: 4. Telephone Number: 5. Agent of Bidder (If applicable): Date (month, day, year): November 26 2019 City of South Bend Indiana. St. Joseph Walsh & Kelly,-! 24358 SR 23 South Bend IN 46614 (574) 288-4811 Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of City of South Bend Indiana (Governmental Unit) in accordance with plans and specifications prepared by City of South Bend Division of Engineering' and dated November 2019 for the sum of See Attached $ See Alla6hed . 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 Governmental Unit. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant may be regarded as a material breach of the contract. CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS (If applicable) I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation to use steel products made in the United States. I.C. 5-16-8-2. I hereby certify I and all subcontractors employed by me for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in forfeiture of contractual payments. 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, Indiana Bidder (Firm): Walsh & Kelly, Inc. Date(month, day, )rcar), These statements to be submitted under oath by each bidder with and as 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? ___ ......� Contract Amount Class of Work When Completed Name and Address of Owner $12,926,200 Reconstruction October 2017 INDOT $ 5,970,162 Reconstruction May 2017 Town of Merrillville $ 5,521,779 -_.ww.. m.....wwww WWWW..WW_ j Resurface December 2017 _www Cityof Mishawaka $ 2,646,574 Reconstruction September 2017 St. Joseph Cty Hwy Dept. 3. What public works projects are now in process of construction by your organization? .......................................- ..................... Contract Amount Class of Work When to be Com feted ......... Name and Address of Owner $10,695,118 Reconstruction November 2018 Walsh Construction $ 8,146,239 Resurface May 2018 INDOT $ 4,073,719 Reconstruction July 2018 City of East Chicago, IN $ 2,662,813 Reconstruction October 2018 INDOT Have you ever failed to complete any work awarded to you? No If so, where and why? 5. List references from private firms for which you have performed work. Gatlin Plumbin && I�I,atil�tlnc, 11.11 I.1111tt apt Gl°`ta 1Ii Ms. Clara Mug Alt _ ..... Gough, Inc. 2200 E. 88'h Dr. Merrillville, IN .46410 Mr. Raymond Gough _... Dyer Construction Co. 1716 Sheffield Avenue Dyer IN Janet,Furman __ ... Grimmer Construction Co, Inc. 2619 Main Street Highland, IN Mr. Gre:2 Grit ine.r,,,_,_, SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, completed the project, number of workers, etc. and any other information which you believe would enable the governmental unit consider your bid.) As required by owner 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. See Attached List 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. Will supply upon award of contract 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. QUANTITY ITEM DESCRIPTION, CONDITION YEARS PRESENT LOCATION SIZE, CAPACITY, OF ETC. SERVICE _. . 5 ...... Asphalt Plants _. ...... Various .� Good Griffith, South Bend, Valparaiso, Lowell, LaPorte 19 Asphalt Pavers Various Good Griffith, South Bend 4 Sli form Cone. Paver Various Good Griffith, South Bend 3 Road Widener Various Good Griffith, South Bend 5 Motor Graders CAT/J.D. Good Griffith, South Bend 54 Rollers Various Good Griffith, South Bend 30 Rubber Tire Loaders Various Good Griffith, South Bend 15 Excavators Various Good Griffith, South Bend 9 Bulldozers Various Good Griffith, South Bend 6 LowBoy Tractors Various Good _ Griffith, South Bend 8 Flatbed Dum s Various Good Griffith, South Bend 48 '/z and % ton Picku s Various Good Griffith, South Bend 65 1 Ton Crew Trucks Various Good Griffith, South Bend ....... 3 Cold Planers Wirtgen 1900 Good Griffith, South Bend DC 3 1 Tri-Axle Dumn Mack Good South Bend 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? Otherwise, please explain the rationale used which would corroborate the prices listed. Yes, we received quotes from potential subcontractors and suppliers SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's capability for completing the project if awarded. SECTION IV CONTRACTOR'S NON -COLLUSION AFFIDAVIT The undersigned bidder or agent, being duly sworn on oath, says that he 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. He 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 SECTION V OATH AND AFFIRMATION I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION CONTAINED IN THE FOREGOING BID FOR PRBLIC WORKS ARE TRUE AND CORRECT. Dated atm. _ South Bend this 26" day of November. 2019 .. � ustin Hil °EAL . � D.. � CK.NOWLEDGEMENT 011114 % STATE OF -Indiana 1 ss COUNTY OF St. Joseph of Organization) .ary, VP of South Bei (Title of Person Signing) Before me, a Notary Public, personally appeared the above -named Dustin Hilary and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 26th day of November, 2019 . ............ Af isha Krueger, Notary Ptl i'ic My Commission Expires: June 5 2022 A L 4 S H A K R U E G E R ,y6ry,51ptld1CY,�P Notery Public. State of prmJh was County of Residence: St. Joseph St. Joseph County R,'aA; " * C �°11°+ My Commission Expires June05,2022 '"l1KddMd%M4'"r, Form 96 Section II, #2 Subcontractors Used on Public Works Contracts During the Past 5 Years SUBCONTRACTOR: COMPANY SEWER B&DSewer Deboer Egolf Delta III Dyer Construction Gatlin Plumbing & Heating Gough, Inc. Grimmer Construction Hasse Construction HRP Construction Rex Construction Wirtz & Yates, Inc Woodruff & Sons MILLING C.E. Hughes Milling, Inc. Javelina Construction, Inc. Mid America Milling Co. McCrite Milling Specialties Company ELECTRICAL INSTALLATION Hawk Enterprises Midwestern Electric S/T Bancroft Electric Sweney Electric Company Trans Tech Electric SIGN INSTALLATION Hawk Enterprises Midwestern Electric RoadSafe Traffic Systems State Barricading, Inc. Traffic Control Specialists, Inc. PAVEMENT MARKINGS The Airmarking Company Blackout Sealcoating RoadSafe Traffic Systems State Barricading, Inc. Traffic Control Specialists, Inc. Traffic Management Company TRAFFIC CONTROL RoadSafe Traffic Systems Traffic Control Specialists, Inc. Traffic Manaaement Comoanv LANDSCAPE Great American Landscape Hubinger Landscape Slusser's Green Thumb, Inc. T & J Landscape Service ADDRESS 531 Winston Ct 5772 Melton Road 2063 W 1250 S 1716 Sheffield Avenue 1111 E. Main Street 2200 E. 88th Drive 2619 Main Street 10 Lincoln Avenue 5777 Cleveland Rd. 700 Schiller Avenue P.O. Box 41 P.O. Box 450 CITY/STATE/ZIP Schererville, IN 46375 Portage, IN 46368 Hanna, IN 46340 Dyer, IN 46311 Griffith, IN 46319 Merrillville, IN 46410 Highland, IN 46322 Calumet City, IL 60409 South Bend, IN 46624 Schererville, IN 46375 Kentland, IN 47951 Michigan City, IN 46361 PHONE (219) 322-2300 (219) 763-9700 (219) 797-4004 (219) 865-2961 (219) 924-6972 (219) 756-2200 (219) 924-1623 (219 )932-1611 (574)271-7800 (219) 322-8090 (219) 474-6542 (219) 872-8605 FAX (219) 865-0065 (219) 763-9703 (219)797-3008 (219) 865-2963 (219) 924-1401 (219)756-2202 (219) 924-0328 (219) 932-6829 (574) 271-0524 (219) 322-0031 19) 8795339 3113 Holmans Lane Jeffersonville, IN 47130 (812) 725-8665 (812) 725-8672 13476 Britton Park Rd. Fishers, IN 46038 (317) 841-8364 (317) 841-0075 6200 W. Hwy 62, Ste 400 Jeffersonville, IN 47130 (812) 282-2751 (812) 283-9846 209 Quality Ave. Ste 9 New Albany, IN 47150 (812) 941-0252 (812) 941-0852 9350 E. 30th St. Indianapolis, IN 46229 , (317) 594-0291 (317) 594-0271 1850 E. North St 1620 E. Chicago Ave 25020 State Road 2 9111 Louisiana St. 4601 Cleveland Road 1850 E. North St 1620 E. Chicago Ave 3122 Olympia Dr 24963 U.S. Highway 20 1810 W Pacific Avenue P.O. Box 526 7440 W. 87th Place 3122 Olympia Dr 24963 U.S. Highway 20 1810 W Pacific Avenue 3542 Highway Avenue 3122 Olympia Dr 1810 W Pacific Avenue 3542 Highway Avenue P.O. Box 235 210 E. 113th Avenue 125 Montgomery Street 8253 Wicker Avenue Crown Point, IN 46307 East Chicagq, IN 46312 South Bend, IN 46619 Merrillville, IN 46410 : . South Bend, IN 46619 Crown Point, IN 46307 East Chicago, IN 46312 Lafayette, IN 47909 South Bend, IN 46628 Knox, IN 46534 Rochester, IN 46975 Bridgview, IL 60455 Lafayette, IN 47909 South Bend, IN 46628 Knox, IN 46534 Hiohland. IN 46322 (219) 662-8090 (219) 397-4444 (574)287-6490 (219) 769-6007 (574) 272-9673 (219) 662-8090 (219) 397-4444 (317) 780-1825 (574) 287-2078 (574) 772-7001 (574) 223-5817 (219) 864-2300 (317) 780-1825 (574) 287-2078 (574)772-7001 (91) 746-2433 (219) 662-8093 (219) 397-8888 (219) 769-0565 (574) 271-0144 (219) 662-8093 (219) 397-8888 574)772-7002 (574) 223-7959 (708) 430-6910 (574)772-7002 Lafayette, IN 47909 (317) 780-1825 Knox, IN 46534 (574) 772-7001 (574) 772-7002 Highland, IN 46322 (219) 746-2433 Dyer, IN 46311 (219) 322-7033 (219) 322-4419 Crown Point, IN 46307 (219) 662-9911 (219) 662-6206 Logansport, IN 46947 (574) 722-3102 (574) 722-1628 St. John, IN 46373 (219) 374-9900 (219) 374-9950 GUARDRAIL/FENCING Acorn Fence 2041 164th Street Hammond, IN 46320 (219) 844-8400 (219) 844-8441 C Tech Corporation 5300 W. 100 North Boggstown, IN 46110 (317) 835-2745 (317) 835-2781 James H. Drew Company 8701 Zionsville Rd. Indianapolis, IN 46268 (317) 876-3739 (317) 876-3829 Security Industries 1000 Georgiana St. Hobart, IN 46342 (219) 942-9447 (219) 942-9448 Specialties Company 9350 E. 30th St. Indianapolis, IN 46229 (317) 594-0291 (317) 594-0271 TRUCKING/HAULING C. Lee Construction Services 1011 S. Lake St Gary, IN 46403 (219) 888-9554 (219) 888-9564 Condon Trucking, LLC 18245 Amberley Ln South Bend, IN 46637 (574) 360-4326 (574) 271-8984 Fanio Services 28015 SR 23 North Liberty, IN 46554 (574) 233-3236 Gilmer Trucking 20390 New Road South Bend, IN 46614 (574) 229-3233 Material Transfer Inc. 7811 West 101 st Ave. Crown Point, IN 46307 (219) 865-9575 Morris Motor Service, Inc. 10525 W US Hwy 30 Bld Wanatah, IN 46390 (219) 733-9430 7 P & C Trucking 4410 Ross Road Gary, IN 46408 (219) 972-0193 Superior Construction Co., Inc. 1455 Louis Sullivan Dr Portage, IN 46368 (219) 787-0850 V & R Trucking, Inc. 1845 Elmer St. South Bend, IN 46628 (574) 329-2102 SRPM'S K & S Markers, Inc. 2189 N 600 W Thorntown, IN 46071 (765) 482-6184 (765) 482-6284 UNDERSEAL Rieth-Riley Construction Co., 2454 West CR 450 North LaPorte, IN 46350 (219) 362-6178 Inc. TREE REMOVAL Dave's Tree Service 1555 Park West Circle Munster, IN 46321 (219) 922-9829 (219) 922-9843 Homer Tree Service 14000 S. Archer Ave Lockport, IL 60441 (815) 838-0320 Timber Masters LLC P.O. Box 245 Dyer, IN 46311 (219) 864-8733 (219) 322-9391 LIME STABILIZATION Mt. Carmel Sand & Gravel 1611 College Dr. Mt. Carmel, IL 62863 (618) 262-5118 (618) 263-4084 Rock Solid Stabilization 5104 Mann Drive Ringwood, IL 60072 (815) 653-2585 (815) 653-2583 Specialties Company 9350 E. 30th St. Indianapolis, IN 46229 (317) 594-0291 (317) 594-0271 PIPE LINING Indiana Reline, Inc. 312 E. Main Street Sulphur Springs, IN (765) 766-5040 (765) 533-5831 SAW CUTTING Diamond Coring Co., Inc. Quality Saw & Seal, Inc.,. SEAL COATING/STRIPING Site Services, Inc. Blackout Sealcoating UNDERDRAIN 3D Company, Inc. 11800 S Ewing Ave 7600 W. 79th Street 10117 Kennedy Ave 7440 W. 87th Place 3200 East CR 350 North 47388 Chicago, IL 60617 Bridgeview, IL 60455 773) 978-5000 773) 767-9300 Highland, IN 46322 (219) 924-9944 Bridgview, IL 60455 (219) 864-2300 (708) 430-6910 Muncie, IN 47303 (765) 288-3326 (765) 288-3344 7 General Form No, +fit;; -a Pwr:aawribW by IPwe State Board of Accotwots of M'Minim Revised 1949. Standard Questionnaires and StatementFinancial ! Prescribed by THE STATE BOARD OF ACCOUNTS OF INDIANA For use in investigating and determining the qualifications of bidders on public construction when the aggregate cost of any such work or improvement will be Five Thousand Dollars or more. These statements to be submitted under oath by each bidder with and as a part of his bid, as provided by Chapter 306, page 1248, Acts of 1947 Submitted to City of South Bend, Indiana By Walsh & Kelly, Inc. Address 24358 SR 23 South Becid IN 46614 Date submitted November 26. 2019 Filed .A E, Iif.)YCE CO, It UNCIE, INN. fA Corporation 0 Sec. 2 of an Act entitled "AN ACT concerning the awarding of contracts for the performance of public work and authorizing the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contractors who submit bids for the performance of such work, providing for plans and specifications, providing for bids repealing certain laws and declaring an emergency." (Approved March 13, 1947.) Sec. 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or more, for the purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which of the bidders submitting bids for the performance of any such public work is, in the judgment of such board, commission, trustee, officer or agent, the lowest and/or best bidder and to exercise intelligently the discretion hereby conferred on such board, commission, trustee, officer or agent each bidder shall be required to submit under oath with and as a part of his bid a statement of his experience, his proposed plan for performing such work and the equipment which he has available for the performance of such work and a financial statement. The statements hereby required shall be submitted on forms which shall be prescribed by the state board of accounts. The forms so prescribed shall be designated, respectively, as the experience questionnaire, the plan and equipment questionnaire and the contractor's financial statement, and shall be based, so far as applicable, on the standard questionnaires and financial statement for bidders as approved and recommended by the joint conference on construction practices, for use in investigating the qualifications of bidders on public construction work, and the forms so prescribed are hereby prescribed as the forms which shall hereafter be used by all such boards, commissions, trustees, officers and agents in obtaining the information which is required in the administration of this act. If the information submitted by any bidder on the forms herein prescribed is found, on examination, to be unsatisfactory, the bid submitted by such bidder shall not be considered. (Burns Statutes 1933, Sec. 53-109) Sec. 2, Chapter 306, Acts of 1947. 2 TO THE BIDDER — The following forms of questionnaires and financial statement are prescribed by the State Board of Accounts in conformity with the statute set out on the preceding page. These forms, properly filled out and attested, must accompany each bid of five thousand dollars or more on any public work. The forms are designed to cover all contracts for all kinds of work and the bidder is required to answer such questions as are pertinent to the work upon which he is bidding. The purpose of the questionnaire and financial statement, as set forth in the law, is to enable the awarding body to determine the qualifications of the bidder to carry out successfully the contract if the same is awarded to him. The bidder will find it to his advantage to answer fully all questions coming within the range of the work upon which he is bidding. Particular attention should be given the "Financial Statement" and the details relative to the assets and liabilities set out. This form is made in extensive detail so that the bidder may explain his assets and liabilities in proper sequence and in a uniform manner. T. M. HINDMAN, State Examiner 3 Submitted by Walsh & Kelly Inc._ITITIT_ITIT_ITITITITITITITIT____ITITITITITIT__ITIT_ITITITIT_ITIT_IT_ { x A Corporation Principal Office at 1700 East Main Street IN ____..._._m_..........WWW_a.._____. Street Griffith, �IT 469 To City of South Betid, Indiana EXPERIENCE QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 1. How many years has your organization been in business as a general contractor under your present business name? 52 Years 2. How many years' experience in asphalt paving_ construction work has your organization had: (a) As a general contractor 71 years (b) As a sub -contractor 71 Years 3. What projects has your organization completed? Contract Amount Class of Work When Com leted - -- Name and Address of Owner $ 12,926,200 Reconstruction October 2017 INDOT _..................... $ 5,970,162 ..._..... _ Reconstruction May 2017 _ _.�..........___..._..._. Town of Merrillville, IN ..................................... $ 5,521,799 Resurface December 2017 Cityof Mishawaka, IN $ 2,646,574 Reconstruction September 2017 St. Joseph County Hwy Department 3-A. What projects has your organization now in process of construction? CONTRACT AMT. CLASS OF WORK WHEN TO BE COMPLETED NAME AND ADDRESS OF OWNER $ �. 10,695,118 Reconstruction November 2018 . ................... Walsh Construction mmmmmmmmm $ 8,146,239 Resurface May 2018 _ INDOT $ 4,073,719 Reconstruction Jul 2018 City of East Chicago, IN $ 2,662,813 Reconstruction October 2018 INDOT 4. Have you ever failed to complete any work awarded to you? No If so, where and why? 5. Has any officer or partner of your organization ever been an officer or partner of some other organization that failed to complete a construction contract? No If so, state name of individual, other organization and reason therefore 6. Has any officer or partner of your organization ever failed to complete a construction contract handled in his own name? No If so, state name of individual, name of owner and reason therefor 7. In what other lines of business are you financially interested? None 8. • For what corporation or individuals have you performed work, and to whom do you refer?_ BP Ainoco,,Whitin w Indiana Tonn & Blank Construction 1623 Greenwood Ave,, ichi an City. IN 46360 Grimmer Construction Cojnc. 2619 Main Street Highland, IN 46322 University of Notre Dame South Bend Indiana Gough, Inc.,_1151 E. Summit, Crown. Pomt IN 46307...... 9. For what cities have you performed work and to whom do you refer? Town of Griffith Director of Rubl:ic Works Griffith IN Town of Schererville IT —......__"T"o n Malilaave Sc,hererville IN C.of Ram mond Cmmit EIl pincer Hammond IN ..,�..__. City of South Bend _. City._Englneer............._ South Bend IN Town of St. John Town Malia ger St. John IN 10. For what counties have you performed work and to whom do you refer? Lake County H �hv�r 3L&perintendent. Crown Point IN Porter Counter ,,, Highway Superititendent Valparaiso IN St. Joseph County Highway Superintendent South Bend, IN Elkhart C0!gL11tt Ill liwa v Suverintendelit E'tkhaft :III ^i LaPorte County Highway Superintendent LaPorte IN 11. For what State bureaus or departments have you performed work and to whom do you refer? Indiana Department of IL n portatianiINDQTI LaPorte District LaPorte IN De artment of Natural Resources Indianapolis, IN m 12. Have you ever performed any work for the U.S. Government Yes If so, when and to whom do you refer?„ U.S. Army Corps of Engineers Chicoa IL Indiana National Guard Dept. of Administration. Indianapolis, IN..... Federalifighway Administration. Sterling, VA 13. What is the construction experience of the rinci °ial individual of your orgaiiiratioii? INDIVIDUAL'S NAME PRESENT POSITION OR YEARS OF MAGNITUDE AND IN WHAT CAPACITY OFFICE CONSTUCTION TYPE OF WORK EXPEREINCE Kevin J. Kell President 33 All T es .._............... General Mana er Jeffrey L. Swan Executive Vice President 34 All T es Sint. En ineerin David J. Misirly Vice President 33 Bituminous ....... Engineer Paving Greg A. Hoffman Vice President 31 Bituminous Engineer Paving John C. Wall Vice President 41 All t es Engineer John M. Peisker .......... __......_._ ...____.. Vice President __....... 33 All t es General Mana er ......�......_.... J. Michael Secretary/Treasurer 46 Administration _.._ ...__WWW General Manager Schaum ..._................ ....... Jamie L. Tancos Controller 14 Administration General Manager Lynn J. Bauer South Bend O s Mgr. . ......... ....... 23 All types nineer Dustin P. Hila South Bend Area M r. 1 rEn-g' Mark E. Engineer . ...._.___ 28 WWW_ W All types Engineer Krachenfels Keith A. Gardina En ineer 23 Al_ lit es Engineer Nikolas G. Relias Engineer 16 Bituminous Enmeer I............ .. . .......... . ........... . ........ . ...... . .............. = PLAN AND EQUIPMENT QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 1. In what manner have you inspected this proposed work? Explain in detail. Plans, Specifications, and Site InVgctiog§, 2. Explain your plan or layout for performing the proposed work ... ........... . . . .................................................................. As directed bv owner/engineer . . . ............... 3. The work, if awarded to you, will have the personal supervision of whom? KeN4ii J. Ke1lY,.Lefl_)n.L... David J. Misirly, Lire nor A. Hoffinall, Dtistin P, Hit and Ly!j!LL 4. *Do you intend to do the hauling on the proposed work with your own forces? Yes If so, give amount and type of equipment to be used As needed . ...... 5. *If you intend to sublet the hauling or perform it through an agent, state amount of sub -contract or agent's contract, and if known, the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility Items 4,5,6 and 7 may not be applicable in all building contracts; if not, omit. 6. • *Do you intend to do the grading on the proposed work with your own forces? If so, give type of equipment to be used 7. *If you intend to sublet the grading or perform it through an agent, state amount of sub -contract or agent's contract, and, if known, the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility___ 8. Do you intend to sublet any other portions of the work? If so, state amount of sub -contract, and, if known, the name and address of the sub -contractor, amount, and type of this equipment and financial responsibility 9. From which sub -contractors or agents do you expect to require a bond? None 10. What equipment do you own that is available for the proposed work? QUANTITY ....... �..._-_._._.__._._._. ____._._._____......._ ITEM DESCRIPTION, CONDITION YEARS ......... PRESENT LOCATION SIZE, CAPACITY, OF ETC. SERVICE 5 �........ ......... Asphalt Plants Various Good Griffith, South Bend, Valparaiso, Lowell, LaPorte 19 Asphalt Pavers Various Good Griffith, South Bend 4 Sli form Conc. Paver Various Good Griffith, South Bend 3 Road Widener Various Good Griffith, South Bend ........ _ ......... 5 -,. Motor Graders CAT/J.D. Good Griffith, South Bend 54 Rollers Various Good Griffith, South Bend __._..__........ 30 ........ Rubber Tire Loaders Various Good __ ...._ _......._' ........ Griffith South Bend 15 Excavators Various Good Griffith, South Bend 9 Bulldozers Various .. Good ........... Griffith, South Bend 6 LowBoy Tractors Various Good Griffith, South Bend 8 Flatbed Dumps Various Good Griffith, South Bend 48 % and 3/ on Pickups Various Good Griffith, South Bend 65 1 Ton Crew Trucks Various Good Griffith, South Bend 3 Cold Planers Wirtgen 1900 Good Griffith, South Bend DC 3 Tri-Axle Dump Mack Good South Bend 11. What equipment do you intend to purchase for use on the proposed work, should the contract be awarded to you? uu .._._._........_ ._.. . .� _....__.. _..................... QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC. APPROXIMATE ............................. �..................................... I .........._ COST None _...__........ ........ 12. How and when will you pay for the equipment to be purchased? „N/A 13. Do you propose to rent any equipment for this work?No If so, state type, quantity and reasons for 14. Have you made contracts or received firm offers for all materials within prices used in preparing your proposal? Do not give names of dealers or manufacturers Dated at _wwwwwwwww_South Bend this 26"' day of November.,, 201 ��111111111/� �&"KEgeC( al ft & l l4tc _. .w (Na e o O �� .,atl OPORAT s is y s'�,. �% SEAL* N eil�le �astln Hi oL ogth Bend Area ............. f Person Signing) STATE OF Indiana 001 l �11111111 { SS. COUNTY OF St. Jose h Dustin HilaKy being duly sworn deposes and says that he is VP of South Bend Area of the above Walsh &Kelly ,Inc (Name of Organization) and that the answers to the questions in the foregoing questionnaires and all statements therein contained are true and correct. Subscribed and sworn to before me this 26th day of .__November, 2019 "AlishaKru Notary Public My Commission expires June 5 2022 A L l S H A K R U E G E R No Public. State of Indun'a o St. Joseps Count'd $ 'SEAL*:` w My commission Expires i June 0, 2022 ���RPtll gpS'�tl'M� WRITTEN CONSENT TO RESOLUTIONS of the BOARD OF DIRECTORS of WALSH & KELLY, INC. The undersigned, being all of the Directors of WALSH & KELLY, INC., an Indiana Corporation, hereby consent to the following actions to be taken by the Corporation without a meeting of the Board of Directors under the applicable provisions of the Indiana Business Corporation Law, as amended: RESOLVED that the following be, and hereby are, elected officers of the Corporation, to hold the office until the next regular meeting of the Board of Directors and until their successors are duly elected and have qualified: Kevin J. Kelly, President and Chief Executive Officer Jeffrey L. Swan, Executive Vice President John P. Vercruysse, Executive Vice President Jamie L. Tancos, Controller John M. Peisker, Vice President of Asphalt Operations David J. Misirly, Vice President Albert E.VanDenBergh, Vice President Gregory A. Hoffman, Vice President John C. Wall, Vice President J. Michael Schaum, Secretary and Treasurer, CFO David L. Franz, Vice President of Finance Dustin P. Hilary, Vice President Lynn J. Bauer, Vice President Mark E. Krachenfels, Vice President RESOLVED FURTHER that the actions of the Officers of the Corporation taken since the last meeting of the Board of Directors be, and the same hereby are, fully ratified and approved. RESOLVED FURTHER that the following be, and they hereby are, authorized to execute all contracts or similar documents on behalf of the Corporation: Kevin J. Kelly, President and Chief Executive Officer Jeffrey L. Swan, Executive Vice President Jamie L. Tancos, Controller John M. Peisker, Vice President of Asphalt Operations David J. Misirly, Vice President Gregory A. Hoffman, Vice President Dustin P. Hilary, Vice President Lynn J. Bauer, Vice President John C. Wall, Vice President J. Michael Schaum, Secretary and Treasurer, CFO Mark E. Krachenfels, Vice President RESOLVED FURTHER that this consent shall be in lieu of an annual meeting of the Board of Directors of the Corporation and shall be filed in the minute book of the Corporation in place of any such annual minutes. <<SIGNATURES ON THE NEXT PAGE>> EXECUTED this 28`' day of March, 2019. Fred Fehsenfeld, Jr. James C. Fehsenfeld Albert E. VanDenBergh John P. Vercmuy se ryYtl �M� Kelly % RA Te / D h State of Indiana Office of the Secretary of State CERTIFICATE OF EXISTENCE To Whom These Presents Come, Greeting: I, CONNIE LAWSON, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of the State of Indiana, the custodian of the corporate records and the proper official to execute this certificate. I further certify that records of this office disdose that WALSH & KELLY INC duly filed the requisite documents to commence business activities under the laws of the State of Indiana on March 29, 1966, and was in existence or authorized to transact business in the State of Indiana on November 15, 2019. I further certify this Domestic For -Profit Corporation has filed its most recent report required by Indiana law with the Secretary of State, or is not yet required to file such report, and that no notice of withdrawal, dissolution, or expiration has been filed or taken place. All fees, taxes, interest, and penalties owed to Indiana by the domestic or foreign entity and collected by the Secretary of State have been paid. In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, November 15, 2019 CONNIE LAWSON SECRETARY OF STATE 194484-057 / 20191186176 All certificates should be validated here: https:Hbsd.sos.in.gov/ValidateCertificate Expires on December 15, 2019. CERTIFICATE OF QUALIFICATION to provide CONSTRUCTION SERVICES for PUBLIC WORKS PROJECTS to th0 STATE OF INDIANA This Certification Board, having duly considered application for qualification in terms of apparent experience and financial resources; and under the applicable Indiana Code 4-13.6-4 and adopted rules of this Board, hereby issues a Certificate of Qualification to provide construction services to the State of Indiana for Public Works Projects to: WALSH & KELLY INC 1700 E MAIN ST GRIFFITH IN 46319 Phone 219-924-5900 Fax 219-924-8768 Company Official KEVIN KELLY for the twenty-seven month period stated herein, unless revoked by this Board for cause, and in the classifications of services stated below. This certificate supersedes any previous certificate. 1611.01 Concrete Construction of Roads & Curbing 1611.02 Asphalt Construction of Roads and Parking Lots CERTIFICATION DATE 3/14/2018 EXPIRATION DATE SM412020 THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD, 402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS, INDIANA 46204, ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION. Tracy L. Cross, Executive `s A— Mtary Certification Board DAPW PQ2 State Form 3983R Rev. 07106 GRIFFITH SOUTH BEND 1700 East Main Street 24358 SR 23 04 Griffith, Indiana 46319 www.walshkelly.com South Bend, Indiana 46614 Phone (219) 924-5900 Phone (574) 288-4811 Inc. Fax (219) 924-8768 Fax (574) 289-7174 EQUAL EMPLOYMENT OPPORTUNITY POLICY I. It is the policy of this Company to assure that the applicants and those that are subsequently employed are treated without discrimination without regard to: their race, religion, sex, gender identity, sexual orientation, color, national origin, age, association with the Vietnam era or any other war, disability, genetic information, citizenship status, military status, veteran status, ancestry, or any other status protected under applicable laws. Such action shall include: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, pre -apprenticeship, and/or on the job training. A. The Contractor will work with the State Highway Agency (SHA) and the Federal Government in carrying out EEO obligations and in their review of his/her activities under the contract. H. Director of Human Resources; Randall L. Walls, shall be designated as Walsh & Kelly, Inc.'s Equal Employment Officer. He will be responsible for all activities associated with the implementation of all policies affecting equal employment opportunity. HI. Walsh & Kelly, Inc. assures nondiscriminatory recruitment by taking appropriate steps such as: A. Placing employment advertisements in newspapers which serve the largest number of minority and female groups in the recruiting area. B. Recruiting through schools and vocational colleges having substantial proportions of minority and female students. C. Maintaining systematic contacts with minority, female and human relations organizations leader's referral of qualified minority applicants. D. Encourage present employees to refer minority and female applicants. E. Make it known to all recruitment sources that qualified minority and female members are being sought whenever there is hiring. IV.. This policy is intended to comply with the Civil Rights Act of 1964, as amended, the Federal Highway Act of 1968, the Executive Order 11246 and 11375, the Rehabilitation Act of 1973, as amended, the Disabled Veterans and Vietnam Era Veterans Readjustment Act of 1974, as amended, the Indiana Civil Right Act, and other Federal and State Laws and Regulations pertaining to Equality of Opportunity and Affirmative Action Policies. V. Forms for filing any complaints are available in the Griffith office located at 1700 E. Main Street, Griffith, IN 46319 or the South Bend office located at 24358 S.R. 23, South Bend, IN 46614. In addition, employees can call (574) 288-4811, Ext. 211 to report any workplace concerns under this policy. WALSH & KELLY, INC. 111111I11IN�� X o C0V,?0 TF a �0 �° SEAL John C. Wall Vice President/EEO Officer 00, /NDV "O 77llllllt111�� Revised: August 1, 2019 i INDIANAPOUS, IN APdJ 25, 2019 ice WALSH & KELLY INC GRITI IN �'. ,. i r�.i"tl i. • mow" i M' ► M, R. M II M' i M M K i i i • i� i ::i�. !: i i N». ii ihi i »i i • i i,i, M•:" ii: i i� "MUi; M ♦1..4Y i i,..4 #1410N III M M i Valid May 1, 2019 Thru April 30, 2020 AGGREGATE....................................................................................................................................... $UIdI.IIvIIT® A(B) CONCRETE PAVEMENT: LIMITED .......................... . $25.000,000 .............................................................................. B(A) ASPHALT PAVEMENT- W/INDOT CERTH ED HMA...................................... ...................................... UNLI IITED C(B) LIGHT GRADING.......................................................................................................................................SUNLIMITED E(E) SMALL STRUCTURES AND DRAINAGE TTEMS.................................................................................... $25,000,000 W SURFACE MASONRY AND MISC CONCRETE...................................................................................... $50.000,000 E(G) TRAFFIC CONTROL: PAVEMENT MARKINGS...................................................................................... $25,000,000 E(M DEEP SEWER AND/OR EXCAVATION.................................................................................................... $25,000,000 E(Q) CONCRETE PAVEMENT REPAIRS.......................................................................................................... $25.000,000 EM ASPHALT PAVEMENT MILLING ........ ...................... ....... .... --- ... ...... :.......... _....................................... $50,000,000 • PREQUALIFICAl ION ENGINEER State F 20608 (R3 f 5-05) PREQUAIIFICATIO WORKSHEET ACCT : 4 35-1120685 ALT ACCT: # 0449 NEW? SUPP? NAME: WALSH & KELLY INC December 31, 2018 CURRENT FIXED EQUIPMENT ..................... _.. ASSETS REPORTED $42,594,782.00 .n $9,745,338.00 $28,570,400.00 LIABILITIES REPORTED ($16,642,474,00) ($16,987,249,00) NET ASSETS REPORTED $25,952,308.00 ($7,241 ,9I1.00) $28,570,400.00 09 OMIT NO DETAIL OR QUANTITY ($3,570,326.00) $0.00 $0,00 11 OMIT NO DETAIL ($167,486.00) $0.00 $0.00 15 CASH SURRENDER VALUE $1,253,591.00 ($1,253,591.00) $0.00 16 OMIT INTANGIBLES $0.00 ($1,152,280.00) $0.00 22 DUE AFTER 24 MONTHS $0.00 $13,690,291.00 so.au NET FIXED ASSETS $0 NET FIXED ASSETS EQUIPMENT $0 NET ACCEPTABLE ASSETS $23,468,087 $4,042,509 $28,570.400 RATING FACTORS X 1.0 X 2 X 8 RATING COMPONENTS $234,680,870 $8,085,018 $228,563,200 X 1.5 $228,563,200 MAXIMUM EQUIPMENT $352,021,305 $0 9,00 $228,563,200 0 + $234,680,870 + $4,042,509 $463,244,070 $4,042,509 X 0.25 X 2 MAXIMUM FIXED $V5,811,018 ADJ. FIXED $8, 085,018 BALANCE SHEET ANALYSIS $42,594,782 CURRENT RATIO: 2.559 $3,570,326 QUICK RATIO: 2.345 $16,642,474 WORKING CAPITAL: $25,952,3C8 $16,987,249 DEBT/NET WORTH: 0,711 $47,280,797� $33,629,723 NOTES: PRINTED: QV2019 PQA APPROVED: 4/9/2019 APPROVED BY: " DATE: 4f22/2019 VALID: 5/1/2019 EXPIRES: 4/30/200 DENIAL DATE: DENIAL REASON: COMPONENT' RATING CURRENT $234,680,870.00 I = $8,085,018.00 EQUIPMENT $228,563,200.00 MAXIMUM BALANCE 5471,329,088.00 STATENIENT TYPE: AUDITED EXPER. REDUCTION 0yo AGGREGATE UNLIMITED A(B) $25,000,000 B(A) UNLIMITED C(B) UNLIMITED E(E) $25,000,000 E(F) $50,000,000 E(G) $25,000,000 ECG $25,000,000 E(Q) $25,000,000 E(R) $50,000,000