HomeMy WebLinkAboutOpening of Quotes -Cleveland South Well Field Bulk Fluoride Tank Replacement Proj No. 118-021B - HRP Construction, Inc.+t�►a
ro� r# rrt^h CITY OF SOUTH BEND INDIANA
CONTI ACTOR'"UOTE FOR PUBLIC ' QRK
PROJECT NAME: Cleveland South Well Field — Bulk Fluoride Tank Replacement
PROJECT NO. 118-021B
QUOTES DUE December 19, 2019 by 10:30 AM
(Must be completed for all quotes. Please type or print)
Date: 12/19/19 Firm: HRP CONSTRUCTION INC.
Address: 5777 Cleveland Road, P.O. Box 266
City/State/Zip: South Bend, IN 46624-0266 Telephone Number: ( 574 ) 271-7800
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:
Cleveland South Well Field - Bulk Fluoride Tank Replacement
the City of South Bend, Indiana. in accordance with plans and specifications prepared by:
DLZ Indiana. LLC
and dated December 6, 2019 for the sum of (enter the Total Quote as shown on the Proposal)
See Attached $ L
(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 the quote is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
By
(Signs )
Matthew D. Cain, President
(Printed Name of Person Signing)
The above quote is accepted this
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
Laura L. O'Sullivan, Member
ACCEPTANCE
day of
Genevieve E. Miller, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
20
Version 4/2/2019 Page - 30 Public Works Quote
Cleveland South Well Field — Bulk Fluoride Tank Replacement
When the prospective Contractor is unable to certify to any of the statements below, it shall allach an explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT,
CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY
VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE
OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF _Indiana )
SS:
St. Joseph COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that:
1.. Contractor has not, nor has any other member, representative, or agent of the firm,
company, corporation or partnership represented by him, entered into any combination, collusion
or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent
any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made
without reference to any other bid and without any agreement, understanding or combination with
any other person in reference to such bidding. Contractor further says that no person or persons,
firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift,
commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its
principals are presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from participation in this transaction by any Federal department or agency;
and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment
activities in Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any agency or
instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from
time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is
engaged in investment activities in Iran if either:
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
Version 4/212019 Page - 31 Public Works Quote
Cleveland South Well Field — Bulk Fluoride Tank Replacement
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-
Version 412/2019 Page - 32 Public Works Quote
Cleveland South Well Field — Bulk Fluoride Tank Replacement
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 1
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 j2 day of December, 2019
Subscribed and sworn to before me this 19th
My Commission Expires
Version 4/2/2019
03/06/24
County of Residence
HRP CONSTRUCTION N
LL:
-to lei
Signature of Contractor/Bidder or Its Agent
Matthew D. Cain, President
Printed Name and Title
day o f December......._/�._._ffro 201.9
N ary Public Cynthia L. Vanheste
St. Joseph
M
VS�HIA L. VANHESTEPublic, Slate of tndrarla. Joseph Countyssion Number 681273ommission Expiresarch 06, 2024
Page - 33 Public Works Quote
Cleveland South Well Field — Bulk Fluoride Tank Replacement
QUOTE/PROPOSAL
CITY OF SOUTH BEND
Cleveland South Well Field - Bulk Fluoride Tank
PROJECT NAME -Replacement
PROJECT NO. 118-021 B
QUOTES DUE December 19, 2019 by 10:30 AM
Base Quote
Item No. Description Quantity Unit
Removal of Existing Bulk
1 Fluoride Tank and Installation of 1 LS
New Bulk Fluoride Tank and
Chemical Transfer Pump
Alternate 1
Firm.. HRP CONSTRUCTION INC.
Address: 5777 Cleveland Road, P.O. Box 266
Unit Price U Total Amount
�, SaS o� S441-S.
Total Amount of Base Quote I, $
Total Amount of Alternate
Total Amount of Base Quote
Total Amount of Alternate
Base Quote + Alternate Total
City/State/Zip: South Bend, IN 46624-0266 Telephone Number: _ 574 271-7800
Fax Number: 574 271-0524
B
gnature)
Matthew D. Cain, President
_.......................................... _ (Printed Name of Person Signing)
Version 4/2/2019 Page - 34 Public Works Quote
Cleveland South Well Field - Bulk Fluoride Tank Replacement
a =E,(/MMJ/DDfYYYY)
AC"R" CERTIFICATE OF LIABILITY INSURANCE 0 272
019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT Danielle Hunt
NAME:
. .......... .
Gibson Insurance Agency, Inc PHONE (800) 814-2122 FAX
(AIC, No, Ext): (AJC, No): (800) 836-2122
130 S Main St, Ste 400 ADORn L�MAIL dhunt@gibsonins corn
. ... . .....
PC Box 11177 INSURER(S) AFFORDING COVERAGE NAIC #
South Bend IN 46601-0177 NSURERA.. i�risure Mut Ins Co 23396
. .......... . . .....................
INSURED INSURER B;
.........................
HRP Construction Inc INSURER C:
5777 Cleveland Rd INSURER D
. . . . . . .......... . .....................
PO Box 266 INSURER E;
South Bend IN 46624-0266 IN SURER F
COVERAGES CERTIFICATE NUMBER: 9-1-19/20 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT
WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR
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WM
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TYPE OF INSURANCE
POLICY NUMBER
(MM DDfyyyy)
IVYVY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
1,000.000
OCCUR CLAIMS -MADE
19
=9 =RrRTM,_
PREMISES (Ea occurrence)
1,000,000
X
XCU
MED EXP (Any one Person)
-
16,066
A
X
Contractual Liability
CPP20316441502
09/01/2019
09/01/2020
....... ...............
1.000,000
PERSONAL &ADV INJURY
$
GEN'LAGGREGATE LIMITAPPLIES PER:
Rt2EE��Aa�LR CATE
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$ 2.000,000
PRO,
POLICY19 JECT D LOC
PRODUCTS-COMP/OP AGO
$ 2,000,000
OTHER
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$ 1,000,000
(Ea accident)
X
ANY AUTO
BODILY INJURY (Per person)
$
A
OWNED
SCHEDULED
CA20316451502
09/01/2019
09/01/2020
BODILY INJURY (Per accident)
$
AUTOS ONLY
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09/01/2019
09/01/2020
E L EACH ACCIDENT
$ 1,000.000
OFFICER/MEMBER EXCLUDED?
IMandatory in NH)
E.L.DISEASE- EA EMPLOYEE
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
... . ............ . .
E L DISEASE - POLICY LIMIT
1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mom space is required)
City of South Bend Board of Public Works
227 West Jefferson, 13th Floor
South Bend
IN 46601
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
1316 COUNTY -CITY BUILDING
227 W.JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
.BOARD OF PUBLIC WORKS
December 16, 2019
Matt Cain
BRP Construction, Inc.
5777 Cleveland Road, P.O. Box 266
South Bend, IN 46624-0266
RE: Pre -Qualification Verification
Dear Mr. Cain:
PHONE 574/235-9251
FAx 574/235-9171
� I1I FNI�Q " i
a
DEC 19 2019
This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South
Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you
are required to re -submit a complete application for continuation of pre -qualification status prior to December 31
for the upcoming calendar year.
A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of
South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments.
If you have any further questions regarding this matter, please call this office at (574) 235-9251.
Sincerely,
Linda M. Martin, Clerk
GARY A. GILOT GENEVIEVE E. MILLER ELIZABETH A. MARADIK LAURA L. O'SULLIVAN THERESE J. DORAU
<': r
In
1316 Couivi,y-b ry BUILDIN(,; PHOW, 574! 235-92.51
227W.JETFE SON Boui.eV•,ARD ,V FAX 574/235-4171
SourHBEND. [ND1ANA466Q1...183Q o � "1`i3D 574123_5-5567
4965
CFI Y OFS<)UT1I BEND Pl=, n', PIiT1`I(iux,, MA YM
BOARD OF PUBLIC WORKS
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: / 1
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum by
faxing this sheet to the Board of Public Works at (574) - 235-9171
within 48 hours of receipt. A copy i'1.JST 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: Pk—io � ..o.✓�.r.._ � 1. _.m -- —
Authorized Signature:
Date: /�