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HomeMy WebLinkAboutOpening of Bids - Small Drainage Design & Repair - Sampson Street and Overlook Court Proj No 118-063A - Selge Contruction Co., Inc.CITY OF SOUTH BEND, INDIANA" CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Small Drainage Design & Repair— Sampson Street and Overlook Court Project No. 118-063A For Bids Due December 10, 2019 before 9:30 AM Local Time From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X 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 X Form [MWBE-2.1]. X Acknowledge Receipt of 1 Addendum(s) included with the bid. X All required additional information is included with the bid, Proposal statements and other affidavits all signed by the proper party with name either X printed or typed underneath signature. X This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Sel e Construction Co., Inc. Datel2 10 "19 By Authorized Representative; Signature: Print Name & Title: Robert Ku] s,..... Prpject Enc.ineer Versiion 7/20/2018 Contractor's Bid for Public Works - 1 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Small Drainage Design & Repair— Sampson Street and Overlook Court Project No. 118-063A For Bids Due December 10, 2019 before 9:30 AM Local Time PART (Must be completed for all bids. Please type or print) Date: 12/10,/19 Bidder (Firm): Selcre Construction Co., Inc. Address: 2833 S. 11th Strebt City/State/Zip: N;1 Ps, MT 49120 Telephone Number: �9 mm) 68A_jDS4 — 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: Small Drains e Desi&wRe it —Sam son Streetwwand Overlook Court the City of South Bend, Indiana, in accordance with plans and specifications prepared by: and dated December 2019 for the sum of (enter the Total Bid as shown on the Proposal) Two Hundred Eighty Two Thousand Five Hundred Sixty Three 282,563.90 (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical) Dollars & Ninety CentZe The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. By, (Signature) _............. Robert Kuhns Pro'ect Engineer (Printed Name of Person Signing) The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member Genevieve E. Miller, Member ACCEPTANCE day of Laura O'Sullivan, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk 20 Version 7/20/2018 Contractor's Bid for Public Works - 2 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 Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. See Attached 2. Attach a listing of public works projects currently in process of construction by your organization. See attached 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. We have never failed to complete a project. 4. Attach references from private firms for which you have performed work. See attached. 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.) Work will be completed in an orderly manner, according to specifications and as best suits the Owner and its Engineer. 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. See attached. 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. All subcontractors have their own euipment.. 4. Attach a listing of equipment you have available to use for the proposed protect. See attached. 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. Yes SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financials sTattrntn Is rhandatory. 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 7/20/2018 Contractor's Bid for Public Works - 3 When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF MICHIGAN ) SS:. BERRIEN COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or 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 7/20/2018 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 7/20/2018 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 ............. day ofppr -60-19 Selge Construction Co., Inc. ContractorBidder (Firm) I . Signature of Contractor/Bidder or Its Agent Printed Name and Title Subscribed and sworn to before me this 10th day of Decernber 201 m My Commission Expires 07 25(2020 py4---'- Notary Public County of Residence Berrien _ ...... {{'1{1�'P 1111111'I ft`�� Version 7/20/2018 Contractor's Bid for Public Works - 6 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Small Drainage Design & Repair — Sampson St. & Overlook Ct. Project Number: 118-063A For Bids Due: December 10, 2019 before 9:30 AM Local Time Contractor Name: Selge Construction Co., Inc. DIVISION A, Sampson Street Item Description Quantity Unit Unit Price Amount 1 Construction Engineering 1 LS 2 Inspection Hole, Deeper Than 3 FT 3 EA , 3 Maintenance of Traffic 1 LS 4 Mobilization and Demobilization 1 LS , 5 Clearing and Grubbing 460 SYS 6 Excavation, Common _ 52 ......__ CYS 7 Fence, Chain -Link, Reset 40 LFT 8 4" Concrete 6 SYS ` tols Intermediate, 2.5 inches 55 T 10 .�.._�_._ .. HMA, Base, 4 inches ..._ _ 87 _....... T wr .. 11 6" Compacted Aggr., #53, Base 66 CYS 12 Combination Curb& Gutter, Type A 12 LFT 13 Sid, Manhole, Solid -Grate 2 EA r 14 Type B. Manhole, 5' Dia, Solid 1 EA Grate c 15 15 e", RCP Pip, 657 LFT , 16 ..... ._._.�..�_ Safety Metal End Section, 16" Dia. 1 EA ��� 17 Riprap, Revetment 55 T 18 Geotextile for Riprap _....-__��� 28 SYS ._S.� 19... Sodding 436 j 20 Plant, Deciduous, Tree, Single 2 EA 1 Stem 2.5IN p135 21 Utility Allowance 1 LS $12,000.00 $12,000.00 SAMPSON STREET DIVISION A TOTA ? Version 7/20/2018 Contractor's Bid for Public Works - 7 Project Name: Project Number: For Bids Due: Contractor Name: BID/PROPOSAL CITY OF SOUTH BEND Small Drainage Design & Repair — Sampson St. & Overlook Ct. 118-063A December 10, 2019 before 9:30 AM Local Time Selge Construction Co., Inc DIVISION A, Sampson Street ALTERNATE 1 (GRADING/DRAINAGE IMPROVEMENTS IN DETENTION BASIN AREA) Item No. Description Quantity Unit Unit Price Total Amount 22 ...23 Clearing and Grubbing 990 SYS 177- (0 60, 9,PX Excavation, Common 531 CYS 4ACI .0c qr153 24 Topsoil 980 SYS 25 Mulched Seeding,Mixture D 980 SYS , DIVISION A ALTERNATE 1 DIVISION A + ALT. 1 ALTERNATE #1 TOTAL! 54a TOTAL: $94K, d al , 1 TOTAL: TOTAL: g, NOTE: CONTRACTORS ARE REQUIRED TO BID ON ALL PORTIONS OF BID DIVISION A, INCLUDING BASE BID AND ALTERNATES. UNIT PRICES SHALL BE PROVIDED FOR ALL ITEMS IN DIVISION A AND ALTERNATES. Bidder (Firm); Selge Construction Co., Inc. Address: 2833 S. 11th Street- City/State/Zip: Nei Leg A_gj120_ Telephone Number; _J26a..)_ tiA�t_ff8 B (Signature) Robert Kuhns, Project Engineer (Printed Name of Person Signing) Version 7/20/2018 Contractor's Bid for Public Works - 8 N�N `W W N 2 w W Z c Q mw0 �a x v� a u.i �wf-OZZ m� W a Om0 0m LL Vow m �m � z Q 0 _z ci fo 0 c r E C ao m 0 a z, m L C in � w O C c O O = > m V = d � a Y +) L Q� E L) to U) .O N 7 � d .y a� C •Q m A rL.. 0 0 O L O O Go E ca N d = a >, ++ c M m �L. U)C m L r 3 d > Q o U! � C O 0 °- L y U! � O W d � N da as U) Elm d a U) a+ c �= 0 Ol M �O 0 co �I 0 e- 0 (6 r 0 0 w tm a m O N O O ";:v 0 E Q m F0- 6 V 8 N co m m mw o m . c o 0 a� 0.1 oho a m a o O a 3 E QEw O `m o co� N W Om N rL co VJ m C •p O cc c �c m� a o a� N C a � $ O ri T O N 0 0 oN U u n U o 4HV N 44 N �-I Ei O E2 i 00 a 0 0 r O u n N c( U a) 00 2�E CN E ?� U 00 H � W . cr w a N � H � •rUl r � a �U-) ra LE � �/] W U] O N 4J 8 N M cl Y 4J d� v 0 00 CITY OF SOUTH BEND����r�� MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY e6a;4 DEVELOPMENT PROGRAM t, FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend 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: �.18-06.3A.........._...................._................__............... Date: 12/ 10/ 19 Project Name: -Small Drainage Design & Repair - Sampson Street and Overlook Court Bidder: Selge Constsruction IT Co., Inc. Contact Person: Robert Kuhns, Project Engineer Telephone: 574-292-8943 Address: 2833 S. 11 th Street City: Niles State: MI Zip: 49120 Email:S�g 3GS?CCGt.mmm..... To determine whether a bidder has demonstrated good faith efforts to reach the MBE/WBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: EVIDENCE OF GOOD FAITH EFFORTS ......... MBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business V Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (http://www.in.gov/idoa). ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Bend requires that all perspective bidders complete no less than 2 of the following: Attend all pre -bid meetings scheduled by the City to inform MBE/WBEs of contracting and subcontracting opportunities. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBE/WBEs reasonable time to respond. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBE B /VV Es of subcontracting opportunities and allowed sufficient time for them to participate effectively. 4. Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBE/WBE firms. **Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE/WBEs, including providing such MBE/WBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by L MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down contracts into smaller units to facilitate MBE/WBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE/WBE was unqualified to perform the job. *Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 7/20/2018 Contractor's Bid for Public Works - 10 ran CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM, r J: FORM MWBE-2.1 MBEIWBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE 1 OF 1 Project Number: 118-063A MBEANBE Participation Goal Project Name: Small Drainage Design & Repair Sampson Street and Overlook Court Bidder: Selge Construction Co., Inc. By, .._._ I______- --Robert Kuhn ,_krof t_ sae 12A I-191- (Signature) (Title) (Date) MBE/WBE Firm Slusser Green Thumb Owner or Contact at MBE/WBE Firm John Willizviison _..._.._ r. ....... . Telephone: 574µ-722. 3102 Fax: 574 722-2993 Email: dvaslussers.com _.- .1-...... _ .......... TYPE OF WORK SOLICITED FOR THIS PROJECT: mm. Landsca in RESULTS OF CONTACT WITH THE MBE/WBE FIRM: - . _... uo ed r too high MBEM/BE Firm State Barricading, INc. Owner or Contact at MBE/WBE Firm John Michalski p 574-287-2078 574-287-1744 statebarri ..__.... .. _. Telephone: Fax: Email: ' cade1 @aol.com TYPE OF WORK SOLICITED FOR THIS PROJECT: _....� ... Traffic Control RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Quote Accepted Version 7/20/2018 Contractor's Bid for Public Works - 11 MERCHANTS BONDING COMPANY.M MERCHANTS BONDING COMPANY (MUTUAL) P.O. BOX 14498, DES MOINES, IOWA 50306-3498 Bid Bond PHONE: (800) 678-8171 FAX: (515) 243-3854 CONTRACTOR: (Name, legal status and address) Selge Construction Co., Inc. 2833 S. I Ith Street Niles, MI 49120 OWNER: (Name, legal status and address) City of South Bend, Indiana, Board of Public Works County -City Building Room 1316 227 West Jefferson Blvd. South Bend, Indiana 46601 BOND AMOUNT: Five Percent (5%) of Accompanying Bid PROJECT: (Name, location or address, and Project number, if any) Small Drainage Design & Repair - Sampson Street and Overlook Court Project No. 118-063A Bond Number: SURETY: (Name, legal status and principal place of business) Merchants Bonding Company (Mutual) A Cor oration 6700 Vestown Parkway, West Des Moines, IA 50266 This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. South Bend, IN The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this IOth day of December, 2019. Selge Construction Co., Inc. (Principal) (Seal) q_03L� (1,vilnerss) Robert Kuhns, Proi ect Enciineer (Title) Merchants Bondin � Com an Mutual ✓ 6 ) (Surety) (Seai) ... �✓ Law ILA (Title) Elaine F . Miller, Attorney -in -Pact CON 0657 (2/15) Printed in cooperation with American Institute of Architects (AIA). The language in .his document conforms exactly to the language used in AIA Document A310-Bid Bond-2010 RC HANj""S BONDING COMPANY.. POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Connie J Messer; Dawn M Pequignot; Elaine K Miller; Harold E Everett; Jada M Karst; Laura L Diver; Marie E Comparet; Melinda Jagger; Thomas J VanDyck; Tom McGovern their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 18th day of October 2019 � MERCHANTS BONDING COMPANY (MUTUAL) Ew. + ""tY � .MERCHANT NATIONAL SONDING, INC. -0— � :ate. » . o _2003 By M « 1933 . jyr"""" 7P3sPi+fF"lrlt STATE OF IOWA ��`*'....:,+s+' * •' + a a" COUNTY OF DALLAS ss. On this this 18th day of October 2019 before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. !ap 4 ALICIA K. GRAM t asp Commission Number 767430 My Commission Expires AP6i,1, 2020 Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 10th day of December 2019 ,gar * 1 Secretary 0� : d ,•. POA 0018 (3/17) 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD Sourii BEND, INDIANA 46601-1830 k�;All W . 1f�5 PHONE 574/235-9251 FAX 574/235-9171 "I'DD 574/ 235-5567 CITY OF SOUTH BEND PE'rE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: December 6, 2019 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works ......... Subject Addendum Number: 1 Project Name: Small Drainage Design and Repair Project Number: 118-063A ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 12/06/19 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. 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: Selge Construction Co. Inc. Authorized Signature: Date: 12/06/19 Version 4/2/2015 1 316 COUNTY-C] fY BUILDING 227 W. JEFFERSON BOULEVARD SOU'13I WND. INDIANA4C601-1830 CITY OF SOUTFI BENI) PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS September 25, 2019 Mr. Robert Kuhns Selge Construction Co., Inc, 2833 S. 11 " St. Niles, MI49120 RE: Pre -Qualification Verification Dear Mr. Kuhns: PIIONr 574/235-9251 FAX 574/235--9171 This letter serves as verification of Prc-Qualification status of your company for bidding with the City of South Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you are required to re -submit a complete application for continuation of pre -qualification status prior to .December 31 for the upcoming calendar year. A copy of this Verification I.,etter must be included with every bid exceeding $150,000 submitted to the City of South Bend Board of Public Works, along with your :Pre -Qualified Bidder Checklist and attachments. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, Linda M. Martin, Clerk GARY A. GILOT GENEVIEVE E. MILLER ELIZ.ABETH A. MARADIK LAURA L. O'SULLIVAN I­HERESEJ. DORAU CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Small Drainage Design & Repair — Sampson Street and Overlook Court Project No. 118-063A For Bids Due December 10, 2019 before 9:30 AM Local Time Contractor Name: Selge Construction Co., Inc. The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements in compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. INSTRUCTIONS: If you are a pre -qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section II only. Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") by December 31 sc for the upcoming calendar year, or within twelve (12) months of obtaining pre - qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal of the designation, effective January 1 of the following year, or immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 7/20/2018 General Conditions - 6 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder and all subcontractors on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the information provided by the contractor. Version 7/20/2018 General Conditions - 7 I. PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowle gements: (i) By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the. City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter is attached. By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (b) Attach nen ; (i) Indiana Secretary of State's on-line records (i.e. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. (iii) Evidence that I am utilizing a surety company which is on the United States Department of Treasury's Listing of Approved Sureties as required in the bid specifications or contract. (iv) List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. Version 7/20/2018 General Conditions - 8 II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) _ By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) _ By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. (iii) _ By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at any time and shall be furnished upon request. (iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (b) Attachments: (i) _ Indiana Secretary of State's on-line records (i.e. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) List identifying all former business names. (iii) Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. (iv) Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (vi) - Evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. (vii) Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. (viii) Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. Version 7/20/2018 General Conditions - 9 (ix) Written statement of any federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years. (i) - List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within three (3) years prior to the date on which the bid is due. Date: 12110 19 I (Sign Here) Robert Kuhns, Project Engineer (Print Name Here) Sel e Construction Co., Inc. (Name of Company) 283.3 S. 11 th , (Address of Company) Niles (City) (State) _ 269-684-0842 (Telephone Number) Version 7/20/2018 General Conditions - 10 State of • Office f �z Secretary of State 1 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 this is a true and complete copy of this 1 page document consisting of the following records filed in this office: Certification Date: December 09, 2019 Business Name: SELGE CONSTRUCTION CO INC Business ID: 197203-307 Transaction Date Filed No. of pages Business Entity Report 10/10/1972 1 Total No of pages a es 2 In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, December 09, 2019 CONNIE LAWSON SECRETARY OF STATE 197203-307 / 12365972 All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate Expires on January 08, 2020. Page 1 Of 2 CertificateID:12365972 12/06/2019 FRI 12:18 FAX 269 684 0846 Selge Construction U001/001 1316 OOUN'rY-C rrY BUII.DINCI 227 W. Jw VtiR=N nU:JUVAM) SOUTH BLIND, INDIANA 46601-1830 PHONE 574/235-9251 FAX 574/ 235.9171 7'DD 574/ 235-5567 CrrY OF SOUTH I3TrND PE;I'1? BU'1"i'i(iil:(,i, MAYOIt BOARD OF PUBLIC WORKS Date: December 6201' To: All Planholders From Linda M. Martin Clerk Board of Public Works Subject Addendum Number; I Project Name: Small Drainage Design and Repair Project Number: 110-063A ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 12106/19 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. 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 Signature: Date: 12/06/19 Version 4/2/2015 Construction Co. Inc.