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Home My WebLink AboutOpening of Bids - Wastewater Treatment Plant Secondary and Disinfection Improvements – Proj No. 119-069 - Superior Construction Co., Inc.BID/PROPOSAL CITY OF SOUTH BEND Project Name: WWTP Secondary and Disinfection Improvements Project Number: For Bids Due: 119-069 Januaryy28February 11, 2020 Contractor Name: Superior Construction Co., Inc. BASE BID INo. tem Description Quantity Unit Unit Price Total Amount 1 General Construction -4- L� la Final Clarifier Nos. 1, 2 and 3 General Construction 1 LS 01) lb Final Clarifier Nos. 4 and 6 General Construction 1 LS 1c Chlorination/Dechlorination 1 LS General Construction 1130 Do ld Aeration Tank General 1 LS Construction G ) . `i 2 Spall Repair 400 SF lliql 3 Crack Repair 300 LF r 5- 4 Expansion Joint Repair 200 LF + / )2714 5 Slab Repair 200 SF 6 Railing Removal and Replacement 2400 LF 7 Protective Slurry 50,000 SF 1 8 Chlorination/Dechlorination Building Gratin 500 SF 11 BASE BID TOTAL' �) " ALTERNATIVE #1 Item No. Description Quantity Unit Unit Price Total Amount 9 Alternative 1 — Metal Effluent Launders 1 LS co z ALTERNATIVE #1 TOTAL ALTERNATIVE #2 Item No. Description Quantity Unit Unit Price Total Amount 10 Alternative 2 —Aeration Tank Work 1 LS [ " ALTERNATIVE #2 TOTAL 03029045.0000 0041 13-12 ALTERNATIVE #3 Item Description No . Quantity Unit Unit Price Total Amount 11 Alternative 3 — Clarifier Coating 50,000 SF ALTERNATIVE #3mTOTAL�1" ALTERNATIVE #4 Item Unit Description No. Quantity Unit Price Total Amount 12 Alternative 4 — Disinfection Panel 1 LS ALTERNATIVE #4 TOTAL Bidder (Firm): Superior Construction Co., Inc. Address: 1455 Louis Sullivan Drive City/State/Zip: Portage, IN 46368 Telephone Number: 219 787-0850 B (Slgr tare) Daniel J. Sopczak, President (Printed Name of Person Signing) 03029045.0000 0041 13-13 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 include 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 PUBLIC WORKS ARE TRUE AND CORRECT. Dated at Portage, Indiana this 11th day of February , 2020 Superior Construction Co., Inc. ,r 'e) _ (Name of organization) Daniel J. Sopczak, President (Title of Person Signing) ACKNOWLEDGEMENT STATE OF Indiana Porter )SS COUNTY OF ) Before me, a Notary Public, personally appeared the above -named Daniel J. Sopczak and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this My Commission Expires: July 16, 2020 County of Residence: Lake 11 day of February 2020 - Na t r Pub,L H ' - xw NOTARY SEAL Part of State Form 52414 (R2 / 2-13) / Form 96 (Revised 2013) BID OF - Superior Construction Co., Inc. (Contractor) 1455 Louis Sullivan Drive (Address) Portage, IN 46366 FOR PUBLIC WORKS PROJECTS OF City of South Bend, Indiana - Dept of Public Works WWTP Secondary and Disinfection Improvements Project No. 119-069 Filed February 11 2020 Action taken 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 disclose that SUPERIOR CONSTRUCTION CO INC duly filed the requisite documents to commence business activities under the laws of the State of Indiana on February 05, 1959, and was in existence or authorized to transact business in the State of Indiana on January 16, 2020. 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, January 16, 2020 6"Wr► CONNIE LAWSON SECRETARY OF STATE u4w= 194285-077 / 20201269748 All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate Expires on February 15, 2020. PENAL SUM FORM Any singular reference to Bidder, Surety, Owner or other party shall be considered plural where applicable, BIDDER (Name and Address): Superior Construction Co., Inc. 1455 Louis Sullivan Drive Portage, Indiana 46368 SURETY (Name, and Address of Principal Place of Business): Continental Casualty Company 151 N. Franklin Street Chicago, IL 60606 OWNER (Name and Address): City of South Bend, Indiana Department of Public Works County -City Building Room 1316 227 West Jefferson Street South Bend, IN 46601 BID Bid Due Date: February 11, 2020 Description (Project Name— Include Location): W WTP Secondary and Disinfection Improvements (31 13 Riverside Drive, South Bend, Indiana 46628) BOND Bond Number: 001 Date: February 11, 2020 Penal sum Five Percent of Amount Bid $ 5% of Amount Bid (Words) (Figures) Surety and Bidder, intending to be legally bound hereby, subject to the terms set forth below, do each cause this Bid Bond to be duly executed by an authorized officer, agent, or representative. BIDDER Superior Construction Co., Inc. Bidder's Name and Corporate Seal By:� Signal Jre Daniel J. So zak Print Name President Title (Seal) SURETY Continental Casualty Com an (Seal) Surety's Name and Corporate Seal By: ignature (Attach PoAr of Attorney) Adrienne C. Stevenson Print Name Attorney -in -Fact Title Attest: ) Attest: Signature Steven A. Michaels Signature Sharon Potts Secretary/ Treasurer �.�...Att�orneyLin-Fact Title Title EJCDC® C-430, Bid Bond (Penal Sum Form). Published 2013. Prepared by the Engineers Joint Contract Documents Committee. Page 00 4313-1 of 2 PENAL SUM FORM Note: Addresses are to be used for giving any required notice. Provide execution by any additional parties, such as joint venturers, if necessary, 1. Bidder and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors, and assigns to pay to Owner upon default of Bidder the penal sum set forth on the face of this Bond. Payment of the penal sum is the extent of Bidder's and Surety's liability. Recovery of such penal sum under the terms of this Bond shall be Owner's sole and exclusive remedy upon default of Bidder. 2. Default of Bidder shall occur upon the failure of Bidder to deliver within the time required by the Bidding Documents (or any extension thereof agreed to in writing by Owner) the executed Agreement required by the Bidding Documents and any performance and payment bonds required by the Bidding Documents. 3, This obligation shall be null and void if: 3.1 Owner accepts Bidder's Bid and Bidder delivers within the time required by the Bidding Documents (or any extension thereof agreed to in writing by Owner) the executed Agreement required by the Bidding Documents and any performance and payment bonds required by the Bidding Documents, or 3.2 All Bids are rejected by Owner, or 3.3 Owner fails to issue a Notice of Award to Bidder within the time specified in the Bidding Documents (or any extension thereof agreed to in writing by Bidder and, if applicable, consented to by Surety when required by Paragraph 5 hereof). 4. Payment under this Bond will be due and payable upon default of Bidder and within 30 calendar days after receipt by Bidder and Surety of written notice of default from Owner, which notice will be given with reasonable promptness, identifying this Bond and the Project and including a statement of the amount due. 5. Surety waives notice of any and all defenses based on or arising out of any time extension to issue Notice of Award agreed to in writing by Owner and Bidder, provided that the total time for issuing Notice of Award including extensions shall not in the aggregate exceed 120 days from the Bid due date without Surety's written consent. 6. No suit or action shall be commenced under this Bond prior to 30 calendar days after the notice of default required in Paragraph 4 above is received by Bidder and Surety and in no case later than one year after the Bid due date. 7. Any suit or action under this Bond shall be commenced only in a court of competent jurisdiction located in the state in which the Project is located. 8. Notices required hereunder shall be in writing and sent to Bidder and Surety at their respective addresses shown on the face of this Bond. Such notices may be sent by personal delivery, commercial courier, or by United States Registered or Certified Mail, return receipt requested, postage pre -paid, and shall be deemed to be effective upon receipt by the party concerned. 9. Surety shall cause to be attached to this Bond a current and effective Power of Attorney evidencing the authority of the officer, agent, or representative who executed this Bond on behalf of Surety to execute, seal, and deliver such Bond and bind the Surety thereby. 10. This Bond is intended to conform to all applicable statutory requirements. Any applicable requirement of any applicable statute that has been omitted from this Bond shall be deemed to be included herein as if set forth at length. If any provision of this Bond conflicts with any applicable statute, then the provision of said statute shall govern and the remainder of this Bond that is not in conflict therewith shall continue in full force and effect. 11. The term "Bid" as used herein includes a Bid, offer, or proposal as applicable. EJCDC® C-430, Bid Bond (Penal Sum Form). Published 2013. Prepared by the Engineers Joint Contract Documents Committee. Page 00 4313-2 of 2 State of Geor i l County of Fulton ? ss: On February 11. 2020 before me, a Notary Public in and for said County and State, residing therein, duly commissioned and sworn, personally appeared Adrienne C. Stevenson known to me to be Attorney -in -Fact of Continental Casualty Company the corporation described in and that executed the within and foregoing instrument, and known to me to be the person who executed the said instrument in behalf of the said corporation, and he duly acknowledged to me that such corporation executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and year stated in this certificate above. My Commission Expires August 23, 2021 Maria Concepcion Notary Public POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called "the CNA Companies"), are duly organized and existing insurance companies having their principal offices in the City of Chicago, and State of Illinois, and that they do by virtue of the signatures and seals herein affixed hereby make, constitute and appoint Adrienne C. Stevenson Individually of Atlanta I Georgia , their true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on their behalf bonds, undertakings and other obligatory instruments of similar nature — In Unlimited Amounts — Surety Bond Number: 001 Principal: Superior Construction Co., Inc. Obligee: City of South Bend - Department of Public Works and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duly adopted, as indicated, by the Boards of Directors of the insurance companies. In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this 3rd day of June, 2015, �dt,F� � gltSUt1,�� r pc pORPORATE °40 lea SEAL tuis'6t a" taa�a tt�� Continental Casualty Company National Fire Insurance Company of Hartford American Ca • Ity Company of lte ding Pennsylvania Paul T. Bruflat cc President State of South Dakota, County of Minnehaha, ss: On this 3rd day of Junc„ 200, before me .personally catnc Paul °I". Bruflat to me known, who, being by me duly sworn, did depose and say: that he resides in the City aaf Sioux Falls, State of South )Jakarta; that lie is a Vice )'resident of Continental C..ativalty Company, an Illinois insurance company, National Fire Insurance Company of tl'attlbrd, an Illinois insurance con'rpany, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company described in and which executed the above instrument; that he knows the seals of said insurance companies; that the seals affixed to the said instrument are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance companies. S. Ptt:rtAttT'tytttt#.t� SOUTH Dattuar My Commission Expires February 12, 2021 S. Eich Ut-4NMiry Public CERTIFICATE 1, D. Bull, Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company do hereby certify that the Power of Attorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance companies printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance companies this 11th day of February 1 2020 , s Olk ttt UR t w CORPORATE � ORPt t4t�-�� SEAL t0LY 6 q, 1097 kt Utl Forth F6853-4-2012 Continental Casualty Company National Fire Insurance Company of Hartford American Casualty Company of Reading, Pennsylvania D. Butt islant &ccretary CITY OF SOUTH BEND, INDIANA. CONTRACTOR'S BID FOR PUBLIC WORK 186 Project Name WWTP Secondary and Disinfection Improvements Project No. 119-069 For Bids Due January 28February 11, 2020 PART I (Must be completed for all bids. Please type or print) 1, 2020 Bidder (Firm): _&pgttigr. 0 t q � o_Inc.Date: a rua 1 ......�.�.�.�.�.�.�.�.�.�_�......................._........ Address: 1455 Louis Sullivan Drive City/State/Zip: Portage, IN 46368 Telephone Number: (mm 219..E ww:8-80 _mmmmmmmm m„m, ,,,,,,,,,,,,,,,,,,,,,,. Agent of Bidder (if Applicable): N/A Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: WWTP Secondary and Disinfection Improvements the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Arcadis U.S. Inc., 150 West Market Street, Suite 728, Indianapolis, IN 46204 and dated December 2019 for the sum of (enter the Total Bid as shown on the Proposal) A 70' (Enter sum of Total Bas4 Bid plus Alternatives shown on Numeric l) Proposal) f-i e 4—n A,�,, J '=',s►, j f $, , e — v 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 separ to attachment. By +. (Signature) Daniel J. Sopczak, President _. ........_. ._....... .............. (Printed Name of Person Signing) ACCEPTANCE The above bid is accepted this day of Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member ordan Gathers, Member 03029045.0000 0041 13-7 20 jitin Kan;Joseph R. Molnar, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk PART II (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his/her/its bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. 03029045.0000 0041 13-8 When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana ) ) SS; Porter 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. 03029045.0000 0041 13-9 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. 03029045.0000 0041 13-10 I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1).1 hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder 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 1 l th day of February 20 20 Superior Construction Co., Inc. Contractor/Bidder (Firm) AIAIZZ.� S'ignattt of Contractor/Bidder or Its Agent Daniel J. Sopczak President.__............vw__ Printed Name and Title Subscribed and sworn to before me this 1 lth day of ,February , 2' , 2,0 My Commission Expires July16, 2020 s sitar 1u , lic Amy Louise I lennin, i -'d County of Residence Lake �adU -1U HENivz i EA � a 5�o�"i"l v a p � Z ',�aausl"I'l mw. 03029045.0000 0041 13-11 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN wr FORM MWBE-1.0 MWBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MWBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the MWBE qualifications. Project Number: 119-069 Project Name: WWTP Secondary and Disinfection ImproVr3arrvent Bidder: Superior Construction Co., Inc. Total Bid Amount: MWBE Goal: Page of Name &Address of MWBE Primary Contact Person ame one ( p ) Scope of Wort( to be Performed flat s� a/schedule if ( p you need additional space) Dollar Amount of MWBE Component Percentage of Total /Pry nsal � y"gee �t Submitted by: Daniel J. Sopczak President __ ._._..._ _....... .......... r nary 1.�...2020 Print Name o na g l D 03029045.0000 0041 13-14 CITY - C'SOUTH GCWD gtMPS4TY-yMGOME,N 9k,9SS-"Y44 E-4)4V RyMyy"RW II CYCI PM D IIA CHIT DO/1/_`OA. AA M` ^- tlMMti. 0. "EARTWIPARON PA^R �tak�-rat,�t��4�rrsatr��d.�r-�u ptalie�wuwrMttt-�id�-t#at>prta��•�tti�tt�-t�C�t�o-cubt1•aa�k•�aJeaa•t��r�rwmtwly-P��ABtar�acit9�maa� t%•t•tN�k�d"�-t�-��tbl��tt�-�r�t�-awk��th�e�•a��•{ict��4�e�wi+r�fy�rra�a�r�-r�i�s �rs��t[ttiatwf.z�.fk�i��crrltlr-��rw�►"•�; 03029045.0000 0041 13-15 o.F.� t NIRMIRMA si Date 03029045.0000 0041 13-16 CITY OF SOUTH BEND" MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN. 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 MWBE participation. Project Number: 119 069 Date: February 11, 2020 Project Name: WWTP Secondary and Disinfection Improvements Bidder: Superior Construction Co.. Inc. Contact Person„ Daniel J. Sopczak, President Telephone: ( ) rest ent p 9 787-08„5„0 .................. Address: 1455 Louis Sullivan Drive City: Portage State: Indiana Zip: 46368 Email dsopczak(x suoeriorconstruction.corn To determine whether a bidder has demonstrated good faith efforts to reach the MWBE 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 MWBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found at: htt ://www.in. ov/idoa/. GOOD FAITH EFFORTS TO OBTAIN MWBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain MWBE participation in the awarded contract. I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan and the Indiana Department of Administration's 5 certified list of Indiana Minority and Women Business Enterprises, found on their website htt :11++ww.in. ov/idoa' . - _ ....... _ .................. I affirm that I have made good faith efforts to select portions of the contract work to be performed by MWBEs, including, where appropriate, breaking out contract work items into economically feasible units to facilitate MWBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available means the interest of all MWBEs in the scopes of work of the contract. I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform MWBEs of contracting and subcontracting opportunities. _................. .. _. W I affirm that I advertised in general circulation and/or trade association publications concerning subcontract opportunities and allowed MWBEs reasonable time to respond to such advertisements. I affirm that I performed any and all necessary steps to provide written notices in a manner reasonably calculated to inform MWBEs of subcontracting opportunities and allowed sufficient time for MWBEs to participate effectively. 1 affirm that I followed up on initial solicitations with interested MWBEs. I affirm that I negotiated with interested MWBEs in good faith, including providing 165 such MWBEs with adequate information about the plans, specifications and other requirements of the subcontract. 03029045.0000 0041 13-17 I affirm that I have made good faith efforts to assist interested MWBEs in obtaining bonding, lines of credit, or insurance as required by the City or the bidder, where appropriate. I affirm that I have made good faith efforts to assist interested MWBEs in obtaining necessary equipment, supplies, materials, or related assistances or services, where appropriate. I affirm that I did not reject any MWBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. CONTRACT RECORDS: The bidder has maintained the following records for each MWBE 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 MWBE was unqualified to perform the job. *Proper demonstration of Good Faith Efforts 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. 03029045.0000 0041 13-18 03029045.0000 0041 13-19 �7 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN` FORM MWBE-2.1 r MWBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact MWBEs. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the MWBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: 119-069 MWBE Participation Goal Project Name: WWTP Seconds and Disinfection Improvements Bidder: Superior Construction Co. Inc. By: Daniel J. So czak, President February 11, 2020 (Signature) (Title) (Date) MWBE Firm Circle City Rebar, LLC Owner or Contact at MWBE Firm Frank Davis Telephone: (317) 917-8566 Fax: (317) 917-8729 Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: Steel RESULTS OF CONTACT WITH THE MWBE FIRM: Declined to submit MWBE Firm Owner or Contact at MWBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MWBE FIRM: Email: 03029045.0000 0041 13-20 "I'lU TOO 41, CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN M a: FORM MWBE-2.1 r� MWBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact MWBEs. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the MWBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: 119-069 MWBE Participation Goal ProjectName: ��...WWTP Secondaryan............. Disinfection..........I9.!provements.�....._.m..m..m..m..m.......mw......................m_.....m.W... Bidder: Superior Construction Co. Inc. By: Daniel J. So czak, President February 11, 2020 ............._____.m_..........................._____._..........— - (Signature) (Title) (Date) MWBE Firm Owner or Contact at MWBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MWBE FIRM: MWBE Firm Owner or Contact at MWBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MWBE FIRM: 03029045.0000 0041 13-20 NOTICE OF BIDDING OPPORTUNITY DATE: MONDAY, JANUARY 13, 2020 PROJECT DESCRIPTION: WWTP SECONDARY AND DISINFECTION IMPROVEMENTS DISTRICT / COUNTY ST. JOSEPH COUNTY PROJECT OWNER: CITY OF SOUTH BEND FROM: SUPERIOR CONSTRUCTION CO., INC. 1455 LOUIS SULLIVAN DRIVE PORTAGE, INDIANA 46368 DEAR CONTRACTOR / VENDOR: SUPERIOR CONSTRUCTION CO., INC. IS PREPARING A BID: WHICH IS DUE ON TUESDAY, FEBRUARY 11, 2020 WE ARE SOLICITING PROPOSALS FROM ANY CERTIFIED MWBE FIRMS TO PARTICIPATE IN THE INSTALLATION, FURNISHING, DELIVERY, ENGINEERING AND ANY OTHER ROLE THAT MAY CONTRIBUTE A "COMMERCIALLY USEFUL FUNCTION" TOWARD THE COMPLETION OF THE ABOVE CITY OF SOUTH BEND WWTP PROJECT IN THE FOLLOWING AREAS OF WORK: ELECTRICAL PIPING PLUMBING STRUCTURAL FABRICATIONS DEMOLITION MISCELLANEOUS CONSTRUCTION MATERIALS ALL REASONABLE PROPOSALS WILL BE CONSIDERED IN THE PREPARATION OF OUR BID. IN ORDER FOR YOUR PROPOSAL TO BE CONSIDERED, WE NEED TO RECEIVE IT BEFORE 5:00 PM ON: 02/10/20 PLANS ARE ALSO AVAILABLE FOR VIEWING IN OUR OFFICE PLEASE CONTACT: ESTIMATING DEPARTMENT (219) 787-0850 IF YOU REQUIRE HELP PROCURING BIDDING DOCUMENTS, PLEASE RESPOND TO: MWESTIMATING(cDSUPERIORCONSTRUCTION.COM WITH YOUR INTENTIONS OF QUOTING ON CONTRACT, IF THERE IS A NEED TO FURTHER BREAK DOWN ITEMS INTO A MORE ECONOMICALLY FEASIBLE PORTION, PLEASE CONTACT US WITH THE INFORMATION BEFORE BIDS ARE DUE THANK YOU, SUPERIOR CONSTRUCTION CO., INC.: ESTIMATING DEPARTMENT CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name WWTP Secondary and Disinfection Improvements Project No. 119-069 For Bids Due danuary-28February 11, 2020 Contractor Name: Superior 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 315l 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. 03029045.0000 0041 13-1 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. 03029045.0000 0041 13-2 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: (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) Attachments: (i) _ Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). 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. 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. (iv) For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. 03029045.0000 0041 13-3 PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) X By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) X By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, 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) X 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) X 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) X Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) X List identifying all former business names. (iii) X 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) X 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) X 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) X For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. (vii) X 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) X 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. 03029045.0000 0041 13-4 (ix) X 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) X 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: February 11, 2020 // (Sign Her Daniel J. Sopczak (Print Name Here) Superior Construction Co., Inc. (Name of Company) 1455 Louis Sullivan Drive (Address of Company) Portage (City) Indiana (State) 219 787-0850 (Telephone Number) 03029045.0000 0041 13-5 T . CITY OF SOUTH BEND, INDIANA " CONTRACTOR'S BID FOR PUBLIC WORK> CHECKLIST FOR BIDDERS Project Name WWTP Secondary and Disinfection Improvements Project No. 119-069 For Bids Due january-28February 11, 2020 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. X Responsible Bidder's Checklist. 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 MBEMIBE 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 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: Superior Construction Co_ Inc. Date: February 11, 2020 By Authorized Represent tive: Signature:' Print Name & Title: Daniel J. 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CITY OF RD' ITH REND cr, ,DEAM4rQMMT41ROGP0A m m r FORM MIAIRE-21 EVIDENCE -OF GOOD -FAITH -EFFORTS ISO i&-4opWed...fe s9aFoold- suppMM wk"kt&4bat-- e a a Mk wu4a43ea"-u Mio-Wer-k2Foj"t Fequiring -�##etr�"wwd dr MerpMpr whethe"oy4iste -w k s4n. " t..- bu T MAR +�r-gar-e�eM•ep-�-M�r. M�"�i�l...'�+�Ia�pl�id►,�Cp1i'�srm'��M��M�L��►,�i� , . M� 03029045.0000 0041 13-21 ARTICLE 1 — BID RECIPIENT 1.01 This Bid is submitted to: City of South Bend Department of Public Works County -City Building Room 1316 227 West Jefferson Street South Bend, Indiana 46601 1.02 The undersigned Bidder proposes and agrees, if this Bid is accepted, to enter into a Contract with Owner, by executing the Agreement form included in the Bidding Documents, to perform all Work as specified or indicated in the Bidding Documents for the prices and within the times indicated in this Bid and in accordance with the other terms and conditions of the Bidding Documents. ARTICLE 2 — BIDDER'S ACKNOWLEDGEMENTS 2.01 Bidder accepts all of the terms and conditions of the Instructions to Bidders, including without limitation those dealing with the disposition of Bid security. This Bid will remain subject to acceptance for 60 days after the Bid opening, or for such longer period of time that Bidder may agree to in writing upon request of Owner but the Owner may, in its sole discretion, release any Bid and return the Bid security prior to that date. ARTICLE 3 — BIDDER'S REPRESENTATIONS 3.01 In submitting this Bid, Bidder represents that: A. Bidder has examined and carefully studied the Bidding Documents, and any data and reference items identified in the Bidding Documents, and hereby acknowledges receipt of the following Addenda. All Addenda shall be issued by the Clerk of the Board of Public Works Addendum No. I Addendum Date January 23, 2020 2 Janualy 31, 2020 3 February 7, 2020 4 February 10, 2020 03029045.0000 0041 13-22 B. Bidder has visited the Site, conducted a thorough, alert visual examination of the Site and adjacent areas, and become familiar with and satisfied itself as to the general, local, and Site conditions that may affect cost, progress, and performance of the Work. C. Bidder is familiar with and has satisfied itself as to all Laws and Regulations that may affect cost, progress, and performance of the Work. D. Bidder has carefully studied all: (1) reports of explorations and tests of subsurface conditions at or adjacent to the Site and all drawings of physical conditions relating to existing surface or subsurface structures at the Site that have been identified in the Supplementary Conditions, especially with respect to Technical Data in such reports and drawings, and (2) reports and drawings relating to Hazardous Environmental Conditions, if any, at or adjacent to the Site that have been identified in the Supplementary Conditions, especially with respect to Technical Data in such reports and drawings. E. Bidder has considered the information known to Bidder itself, information commonly known to contractors doing business in the locality of the Site; information and observations obtained from visits to the Site; the Bidding Documents; and any Site -related reports and drawings identified in the Bidding Documents, with respect to the effect of such information, observations, and documents on (1) the cost, progress, and performance of the Work; (2) the means, methods, techniques, sequences, and procedures of construction to be employed by Bidder; and (3) Bidder's safety precautions and programs. F. Bidder agrees, based on the information and observations referred to in the preceding paragraph, that no further examinations, investigations, explorations, tests, studies, or data are necessary for the determination of this Bid for performance of the Work at the price bid and within the times required, and in accordance with the other terms and conditions of the Bidding Documents. G. Bidder is aware of the general nature of work to be performed by Owner and others at the Site that relates to the Work as indicated in the Bidding Documents. H. Bidder has given Engineer written notice of all conflicts, errors, ambiguities, or discrepancies that Bidder has discovered in the Bidding Documents, and confirms that the written resolution thereof by Engineer is acceptable to Bidder. I. The Bidding Documents are generally sufficient to indicate and convey understanding of all terms and conditions for the performance and furnishing of the Work. J. The submission of this Bid constitutes an incontrovertible representation by Bidder that Bidder has complied with every requirement of this Article, and that without exception the Bid and all prices in the Bid are premised upon performing and furnishing the Work required by the Bidding Documents. 03029045.0000 0041 13-23 ARTICLE 4 — BIDDER'S CERTIFICATIONS 4.01 Bidder certifies that: A. This Bid is genuine and not made in the interest of or on behalf of any undisclosed individual or entity and is not submitted in conformity with any collusive agreement or rules of any group, association, organization, or corporation; B. Bidder has not directly or indirectly induced or solicited any other Bidder to submit a false or sham Bid; C. Bidder has not solicited or induced any individual or entity to refrain from bidding; and D. Bidder has not engaged in corrupt, fraudulent, collusive, or coercive practices in competing for the Contract. For the purposes of the Paragraph 4.01.1); 1. "corrupt practice" means the offering, giving, receiving, or soliciting of any thing of value likely to influence the action of a public official in the bidding process; 2. "fraudulent practice" means an intentional misrepresentation of facts made (a) to influence the bidding process to the detriment of Owner, (b) to establish bid prices at artificial non-competitive levels, or (c) to deprive Owner of the benefits of free and open competition; 3. "collusive practice" means a scheme or arrangement between two or more Bidders, with or without the knowledge of Owner, a purpose of which is to establish bid prices at artificial, non-competitive levels; and 4. "coercive practice" means harming or threatening to harm, directly or indirectly, persons or their property to influence their participation in the bidding process or affect the execution of the Contract. ARTICLE 5-1.ASIS OF BID 5.01 Bidder will complete the Work in accordance with the Contract Documents. 5.02 Bidder shall base the Lump Sum Bid item upon the specified and named (A) equipment/supplier items as listed in the following Base Bid Materials and Equipment Schedule. If an alternate (B) equipment is proposed, the desired (A) equipment/supplier must still be designated in the event that the alternate is not selected. 03029045.0000 0041 13-24 5.03 Declaration of Equipment Suppliers A. Proposed Deducts for Alternates to Base Bid Materials and Equipment The Bidder may propose equipment/supplier alternates to the following Base Bid Materials and Equipment Schedule by writing in an equal alternate, and by writing in the amount of deduct offered for the proposed equipment/supplier alternate. When an equipment/supplier alternate (B) is specified and named, the Bidder shall write in the amount of the deduct offered. Where no space is provided on the Schedule for a write-in alternate, no such alternate will be considered. Design of this project is based upon the (A) named equipment/supplier as listed in the Base Bid Materials and Equipment Schedule. Should a Bidder propose an equipment/supplier alternate or if an equipment/supplier alternate is specified and named, he shall include in his Bid any and all additional construction costs associated with the alternate and reimbursement to the Owner for any incurred engineering redesign costs associated with the alternate. The Bid shall also include any paid -up licenses necessary for the use of the equipment if required by the manufacturer. No equipment/supplier alternate will be considered unless a deduct is offered and, in the opinion of the Owner, it conforms to the requirements of the Contract Documents in all respects except for make, manufacturer, and minor details. Equipment/supplier alternates will generally be deemed "equal" provided that, in the opinion of the Owner, the alternate is the same or better than the named (A) equipment/supplier in function, performance, reliability, quality, and general configuration. Determination of equality in reference to the project requirements will be made by the Owner. Owner's allowance of an equipment/supplier alternate will constitute neither a waiver of the requirements of the Contract Documents nor agreement by the Owner that the alternate is equal to the named (A) equipment/supplier. The Owner may determine any proposed equipment/supplier alternate to be "not desired" as the Owner determines will best suit his sole best interests. Should a proposed alternate or write-in alternate be determined "not equal" or "not desired" by the Owner; then the Bidder must provide the named (A) equipment/supplier listed in the Base Bid Materials and Equipment Schedule. B. Submittal Rec uirLinents R)r Proposed(Write-In), l c ui pinent/Su p plieu° Alternates Bidder shall submit information with its Bid, as described below for the Owner's use in determining the equality or desirability of proposed unnamed (write-in) equipment/supplier alternates. Bidder's failure to comply with the following requirements will result in a determination by the Owner that the proposed alternate is "not desired". 03029045.0000 0041 13-25 For each proposed unnamed (write-in) equipment/supplier alternate, Bidder shall submit with its Bid one set of drawings, specifications, complete descriptive material, a detailed listing of proposed equipment, and other information, including, but not limited to, the following: 1. Dimensional and weight information on components and assemblies. 2. Catalog information. 3. Manufacturer's specifications, including materials descriptions and paint systems descriptions. 4. Complete listing of requested exceptions to the requirements of the Contract Documents. 5. Performance data. 6. Horsepower of all motors. 7. Utility requirements (water, electric power, air, etc.). 8. Address and phone number of nearest parts/repair service centers and nearest manufacturer's representative. 9. A listing of the three most recent installations where similar equipment by the manufacturer is currently in service, including contact names and telephone numbers for the Owner and installation Contractor. 10. Written description and drawings regarding all changes and modifications to the work necessary to adapt the equipment to the arrangements shown or function described in the Contract Documents. 11. Time of delivery. C. Base laid Materials and Equipment Schedule The Bidder affirms that the Lump Sum Bid above is based upon the Named Manufacturers/System Integrator below whose names are circled: Section Alternate Number Section Title Manufacturer Deduct 43 26 23 Stainless Steel Slide (A) Whipps, Inc. XXXXX Gates (A) RW Gate XXXXX (A) WACO Products, Inc. XXXXX (B) Alternate: $ 46 31 26 Chlorine Gas (A) Purafil, Inc. XXXXX Scrubbing Equipment (A) PureAir XXXXX (A) Severn Trent XXXXX (B) Alternate: $ 4631 11 Chlorine Gas Feed (A) Wallace & Tiernan XXXXX Equipment (B) Alternate: $ 4631 12 Sulfur Dioxide Gas (A) Wallace & Tiernan XXXXX Feed Equipment (B) Alternate: $ 46 43 23 Circular Clarifier (A) WesTech Engineering XXXXXmmmm Equipment (A) OVIVO, Inc. XXXXX ARTICLE 6 — TIME OF COMPLETION 03029045.0000 0041 13-26 6.01 Bidder agrees that the Work will be substantially complete and will be completed and ready for final payment in accordance with Paragraph 15.06 of the General Conditions on or before the dates or within the number of calendar days indicated in the Agreement. 6.02 Bidder accepts the provisions of the Agreement as to liquidated damages and special damages in the event of failure to complete the Work within the Contract Times. ARTICLE 7 — ATI"ACI IMENTS TO THIS BID 7.01 The following documents are attached to and made a condition of this Bid: A. Required Bid security. ARTICLE 8 — DEFINED TERMS 8.01 The terms used in this Bid with initial capital letters have the meanings stated in the Instructions to Bidders and the General Conditions and Supplementary Conditions. + + END OF BID FORM + + 03029045.0000 0041 13-27 THIS PAGE INTENTIONALLY LEFT BLANK 03029045.0000 0041 13-28 13:t';;i:fr-('.,vti,N I:u.v�, 5'41235-9251 _.r. VV . I.r . _BM11 FVARC, a 574123 i-9171 S.r:riiR,ND. limm 41601-1NI' 574/235-5507 Y� w. !h'fil w CITY OF Sou rl I Bi ND Pt':I'E BUT 1"rl(i11 G, MAYOR Date: JaMjary 23 �020 �. .......... ............ ...... ...... To: All Planholders from Linda M. Martin, Clerk, hoard of Public Works Subject ... ........_..... _ ®n... .. ............... Addendum Number: 1 Project Name. WWTP — Sec ondary and Disinfection Improvements Project No.: 119-069 ACKNOWLEDGEMENT OF RECTIP"T OF ADDENDUM Date Received: January 23, 2020 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 11 l jl ),ST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Superior ConstructionCo.,mInc. Authorized Signature: � ,. f)aI)iel j. Sop za k, President Date: January 23, 2020 ............. � . TRANSMISSION VERIFICATION REPORT TIME : 01/23/2020 12:18 NAME : SUPERIOR CONST FAX 2198854328 TEL 2198863728 SER.0 U62702K3J169221 DATE, TIME 01,E 23 12:17 FAX NO./NAME 157423 9171 DURATION 00: 00': 42 PAGE(S) 01 RESULT OK MODE STANDARD ECM 45O"'TH /P,w 1316 COUNTY -CITY BUILDING PHONE 227 W. JEFFERSON BOULEVARD �- � � FAX SOUTH BEND, INDIANA 46601-1830 �� TDD �1g65 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS Date: To: From Subject January 31, 2020 All Planholders Linda M. Martin, Clerk, Board of Public Works Addendum Number: 2 Project Name: WWTP — Secondary and Disinfection Improvements Project No.: 119-069 574/235-9251 574/235-9171 574/235-5567 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: February 3, 2020 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: Superior Construction Co. Inc. Authorized Signature: Daniel J, So pcak President Date: February 3.2020 TRANSMISSION VERIFICATION REPORT TIME : 02/03/2020 10:58 NAME : SUPERIOR CONST FAX : 2198854328 TEL : 2198863728 SER.0 : U62702KW169221 DATEJIME 02/03 10:58 FAX NO./NAME 15742359171 DURATION 00:00:25 PAGE(S) 01 RESULT OK MODE STANDARD ECM 1346Co! xrt .NNW' � e. u�aa... Ptiort 74/23�-951� 227 vti.JrFrErzsOkir,( H:VAr.A)7Z F;: 574/235-9171 SOU-1tIBLiND,IN [AyA466(11-I8_0 a^�x�r TDD 57,1/235-556 w 1465 Ci-ry OI' SOU-1'll Bl:vl:> .I A NAI:S V1I 1:1111-R. MAYOR 0ARI) :3ii �(;1t1_ fit.:' /wl. 5 Date: FeITbilia °y„ 7, 2020 To: All Planholders _ From Linda M. Martin, Clerk, Board of Public Works ... . . -------- Subject .Adde. ...._ ndum Number: 3 Project Name: WWTP — Secondary and Disinfection Improvements Project No.: 119-069 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: February 7. 2020 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: Supperior Construction Co.��.In.�.:._......................................_.........�_�....�.�.�.�.....��..._.... _. Authorized Signature: Date: Fcb1111 1024?( lteven A. Michaels, Secretary / Treasurer TRANSMISSION VERIFICATION REPORT TIME : 02/10/2020 08:18 NAME SUPERIOR CONST FAX : 2198854328 TEL 2198863728 SER.* : U62702KW169221 DATE,TIME 02/10 08:17' FAX NO./NAME 15742 59171 DURATION 00:00::30 PAGE(S) 01. RESULT OPT MODE STANDARD ECM O!" 7 € 3 die , 1 a.16 ('pcN I -CF1 Y BIA1,T)ING hEfONE: q?,.}% 23�_[)251 , NA _I ;FFEJS0 N BOCI.1: A RD C Eyx > 7 dt 23S-9171 Ser ori BFIN ). INDI a.NA-16601-IROW � °k"' � IDD '57411' 235_5567 x Ci ry or, Sot) 1,1I Bi NI) JAVII:,S IVIH :;1.LER. MAYOR . 0At l.1 Date: February 10 2020 To: All Planholders From Linda M. Martin, Cleric. Board of Puu��........._......w blic Works Subject Addendum Number: 4 Project Name: WWTP — Secondary and DisinfectionImprovements Project No.: 119-069 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: February 10, 2020 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: Superior ("'onsi uctmion C L): 111.. ............................... --- . Authorized Signature: _.. veg Michaels Secre1ary / Tr-,asurcI' Date: February 10.2020 TRANSMISSION VERIFICATION REPORT TIME 02l1012020 11:28 NAME SUPERIOR CONST FAX 2198854328 TEL 2198863728 SER.# U62702K3J169221 DATE DIME 02110 11:27 FAX NO./NAME 15742359171 DURATION 00:00:30 PAGE(S) 01 RESULT OK MODE STANDARD: ' ECM Authorizing By -Laws and Resolutions This Power of Attorney is made and executed pursuant to and by authority OfthC following resolution duly adopted by the Board of Directors of the Company at a meeting held on May 12, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective-" This Power of Attorney is signed by Paul T Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of Continental Casualty Company This power of Attorney is signed and scaled by facturnile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unarnmous wri(mi consent thited the 25"' day of April, 20112: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company. " III,, 'III I 111, 11,11ti This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective " This Power of Attorney is signed by Paul T Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of National Fire Insurance Company of Hartford This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25"' day of April, 2012: "Whereas, the bylaws of the Company or specific resolution or the Board of Directors has authorized various officers (the "Authorized Officers")to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature ofany Authorized Officer shall be valid and binding on the Company. " ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May 10, 1995: "RESOLVED That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective," This Power of Attorney is signed by Paul 1'. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of American Casualty Company of Reading, Pennsylvania This Power of Attorney is signed and scaled by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unaminsous written consent dated the 25"' day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute various policies, bonds, undertakings and other obligatory instruments of like nature, and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company, " CNA 801 Warrenville Road Suite 700 Lisle, Illinois 60532 January 21, 2020 City of South Bend 227 West Jefferson Boulevard South bend, Indiana 46601 Re: Superior Construction Co., Inc. Pre -Qualification To Whom It May Concern: Continental Casualty Company is the Surety for Superior Construction Co., Inc. and Marsh USA Inc. is their surety agent that currently has the privilege of providing bonds for Superior Construction Co., Inc. Superior Construction Co., Inc.'s financial strength and management capabilities have qualified them for bonding on any project, which they have chosen to undertake. As such, Continental Casualty Company highly recommends them for your favorable consideration on your project. Superior Construction Co., Inc. has been extended a bonding facility, which will support individual projects up to $500,000,000.00 and an aggregate work program in the $1,300,000,000.00 range. Surety bonds are issued through the Continental Casualty Company which is rated A XV by AM Best and is listed in the Federal Register. Continental Casualty Company holds Superior Construction Co., Inc. in the highest regard. We heartily endorse their organization and will provide the requisite bonding should the project be awarded to Superior Construction Co., Inc. This commitment is subject to acceptable contractual and underwriting terms and conditions. Sincerely, Continental Casualty Company Adrienne C. Stevenson Attorney -in -Fact STATE OF GEORGIA COUNTY OF FULTON 1 1' lar is Concc sewn a notary Public in and for said County, do hereby certify that. Adrienne C. S'levenson as Attorney -in -Fact, who is personally known to nae to be the same person whose mare is subscribed to the foregoing instrument, appeared before nit this clay in person, and acknowledged that they signed, sealed, and delivered said instrrrnient for and on behalf of CONTINENTAL CASUALTY COMPANY for the uses and purposed therein set forth. Given under my hand and notarial seal at my office in the City of Atlanta in said County, this 21 st day of January A.D. 2020 Notary Public POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called "the CNA Companies"), are duly organized and existing insurance companies having their principal offices in the City of Chicago, and State of Illinois, and that they do by virtue of the signatures and seals herein affixed hereby make, constitute and appoint Adrienne C. Stevenson , Individually of Atlanta, Georgia , their true and lawful Attorneys) -in -Fact with full power and authority hereby conferred to sign, seal and execute for and on their behalf bonds, undertakings and other obligatory instruments of similar nature — In Unlimited Amounts — and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duly adopted, as indicated, by the Boards of Directors of the insurance companies. In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this 3rd day of June, 2015. OAS 11�� .11 r�r Continental Casualty Company National Fire Insurance Company of Hartford cpgPORgr,p �vtlrtn� American Caally Company of lees liit),T Pennsylvania cY SEAL W41t� N, Paul T. Bruflat cc President State of South Dakota, County of Minnehaha, ss: On this 3rd day of June, 2015, before me personally came Paul T. Bruflat to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company described in and which executed the above instrument; that he knows the seals of said insurance companies; that the seals affixed to the said instrument are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance companies. S. ETCH httri"Anyt'uso t1UT14 DAKOTA My Commission Expires February 12, 2021 S. Eich l�iott i•y Public CERTIFICATE I, D. Bull, Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company do hereby certify that the Power of Attorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance companies printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance companies this 21st day of January , 2020 q d ht $00? rod eORPORATE iutr 11, SEAL Isoz Fonn F6853-4-2012 Continental Casualty Company National Fire Insurance Company of Hartford American Casualty Company of Reading, Pennsylvania 1 D. Bult sistnt ccretttry Authorizing By -Laws and Resolutions ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY: This Power ofAttorney is made and executed pursuant to and by authority ofthe following resolution duly adopted by the Board of Directors of the Company at a meeting held on May 12, 1995: "RESOLVED 'Ifmt any Sonor or Group Via Ptoidepit josiy audlorize an officer to sign spedfic docunicitu, agiccrnorns and instruments on behalf ilfthe provided that the "rune of such authorized officer and as dQscritAkin of floe dcletiments, agrecuivirls, or irmrttiacrits that such officer may sign will be provided in waiting by floe Senior or Group Vice ofthe ("ornpally prior to Stich execution beconling effective " This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf ol'Con tmental Casually Coniparty This Power ofAtionicy issigned and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unananous wriucri consent dated the 25h day of April, 2012: "Whewas, the byho,"i offlic Company or specific rcsolulion ofthe Board ofDirectors has authorized various officers (the "Authorized Officers")to execute vas oirs policies, borids, undertakings and other obligatoty instruments oflike nature; and Whelew" from time to time, the Mgrialure ofthe Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otberwfsc in an electronic fonnal (collectively, "Electronic Signatures"); Now therelbic be it resolved: that the EICCtrOP11C, Signature of any Authorized Officer Shall be valid and binding oil the Coniparly. - ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD: This Power of Attorney is rnade and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent daiiv(i May 10, 1995: RI That any Sonor 01 Group Vice President may authorize an officer in sign specific documents, agr"nicrits said instruments on bete dfofthe Company provided that the name of stich rtuthorived officer and a description ofthe doctrinenis, atrcearrcnts or iristrursrciats that st,lch officer may sign will be provided in carding by the Senior or Group Vice President to the Secretary ofthe Corripany Prior to such execution bmumingertective " This Power of Anoi ney is slgnvlf by Paul T_ Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of National Fire Insurance Company of Hartford, This Power ofAuilrocy is signed and sealed by facsiaiiie under and by the authority ofthe following Resolution adopted by the Board of Directors ofthe Company by unaninious written consent dated the 25"' day of April, 2012: "Whereas, the bylaws ofthe Company or specific resolution ofthe Board of Directors has authorized various officers (the "Authorized Officers")to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and WilcTca'S, 1100) GRIe to timc, the 1ugrlahtre ofthe Authorized Of[teers, in addition to being provided in original, hard copy format, may be provided via facsitnile or otherwise in an Oemorric Alri"1411 (coflectively, "Ficoftorac Signatures"); Now therelbse be it icsolved: that the Electronic Signature of any Authorized Officer shall he valid and binding on the Conipmiy ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIIA° This Power of Attorney is ninde and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors ofthe Company by unanimous written consent dated May 10, 1995: "Rd SOLVF'lX Ttud arly Si nior or Gioup Vice Piesidcol njay wrlhorize an officer to sign spc6fic documents, agreenienis and instruments on behalf ofthe Company provided flial the njunc ol'bunch aLrOwrized officer and a description of dricumenis, agreentents or instruments that 811,dl officer May Sit?ji will be provided it, writing by the Scoror or Group Vice President to the Secretary of the Company prior to stwh exceution becoming of 1'cctjve,1' This Power ofAiltonley is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf ol'Arnerican Casually Company of'Reading, Pennsylvania. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors ofthe Company by unanimous written consent dated the 25h day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors tros authorized various officers (the "Authorized Officers")to execute various policies, bonds, undertakings and other obligatory instruments of like nature', and Whereas, froin One to time, tile sign ature of the Authorized Officers, in addition to being provided in original, hard copy, lbinlat, may be provided via fisesirnile or otherwise in all electronic fonnal (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer Shall be vatid and binding on the Company " *� CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96 State Form 52414 (R2 / 2-13) / Form 96 (Revised 2013) Prescribed by State Board of Accounts PART (To be completed for all bids. Please type or print) Date (month, day, year): February 11, 2020 1. Governmental Unit (Owner): City of South Bend, Indiana - Department of Public Works 2. County : St. Joseph 3. Bidder (Firm): Superior Construction Co., Inc. Address: 1455 Louis Sullivan Drive City/State/ZlPcode: Portage, Indiana 46368 4. Telephone Number: (219) 787-0850 5. 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 WWTP Secondary and Disinfection Improvements (Governmental Unit) in accordance with plans and specifications prepared by Arcadis U.S., Inc. and dated December 2019 for the sum of "*Please See Attached Itemized Proposal" $ "*Please See Attached Itemized Proposal" 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). 1 hereby certify that 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 - Department of Public Works Bidder (Firm) Superior Construction Co., Inc.. Date (month, day, year): February 11, 2020 These statements to be submitted under oath by each bidder with and as a part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? ................... ............ . . . . . . Completion Contract Amount Class of Work Date Name and Address of Owner 9,039,054.00 New Bridge Construction May 2018 Town of Avon, IN, 6570 E US 36, Avon, IN 46123 8,620,,138.00 New Bridge Construction July 2018 INDOT, 100 N, Senate Ave., Indianapolis, IN 46204 672, 800.00 New Bridge Construction August 2018 Lake Counly Highway Dept, 22113 N Main St, Crown Point, IN 483117 4,154,973.00 Heavy Highway/Pre-,tSlabJ September 2018 IDOT,2300 S Dirksen Parkway, Springfield, IL 62764 2. What public works projects are now in process of construction by your organization? Expected Contract Amount Class of Work Completion Name and Address of Owner Date 4,741 ,400.00 Heavy Highway November 2019 INDOT, 100 N. Senate Ave., Indianapolis, IN 46204 7,487,644.00 Heavy Highway December 2019 GarytChi apoll na Nonulftir rort hvUmrity, 6001 CA,PW Rd, f ry, IN 46406 13,392,143.80 Heavy Highway June 2019 INDOT, 100 N, Senate Ave., Indianapolis, IN 46204 9,287,490.00 Heavy Highway May 2020 INDOT, 100 N. Senate Ave,, Indianapolis, IN 46204 3. Have you ever failed to complete any work awarded to you? No 4. List references from private firms for which you have performed work. BP Amoco Refinery, Whiting, Indiana U.S. Steel Corporation, Gary, Indiana ArcelorMittal Steel Company, Burns Harbor, Indiana SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE If so, where and why? 1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the governmental unit to consider your bid.) We plan to perform this contract using the most efficient and safe methods possible with skilled workmen and supervision. Careful planning will be done by our project management team to coordinate our resources to complete the project in the time frame. 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. Hawk Enterprises, Inc., 1850 E. North St., Crown Point, IN 46307 (Electric and Sign Work) James H. Drew Corporation, 8701 Zionsville Rd., Indianapolis, IN 46268 (Guardrail) Slusser's Green Thumb, Inc., P.O. Box 33, Logansport, IN 46947 (Landscaping) Traffic Control Specialists, Inc., 1810 W. Pacific Avenue, Knox, Indiana 46534 (Construction Signs) Walsh & Kelly, Inc., 1700 Main Street, Griffith, IN 46319 (Paving) 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. Subcontractors will be determined at a later date. 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. Superior Construction Co., Inc. owns a substantial fleet of well -maintained construction equipment and has good relations with the region's leading equipment rental companies to supplement our fleet, when necessary, for use on this project. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, please explain the rationale used which would corroborate the prices listed. Superior Construction Co., Inc. has received firm quotes from subcontractor and material suppliers required for this project. 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. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 12/31/2019 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 riqhts to the certificate holder in lieu of such endorsement(s). PRODUCER MARSH USA INC. 540 W. MADISON CHICAGO. IL 60661 Attn: Chicago.CertRequest@marsh.com I Fax: 212-948-0770 INSURED Superior Construction Co., Inc 1455 Louis Sullivan Drive Portage, IN 46368 AFFORDING COVERAGE INSURER A: N/A INSURER B : N/A INSURER C : Indian Harbor Insurance INSURER D : COVERAGES CERTIFICATE NUMBER: CHI-007275821-14 REVISION NUMBER: 7 N/A N/A 36940 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 CONTRACT OR 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� .�ADDL)SiYB6a'.. ..,.,.,., POLICY EFFI POLICYYEXP 1 TYPE OF INSURANCE LTR POLICY NUMBER pp,ryyXy. MWD nYYY LIMITS COMMERCIAL GENERAL LIABILITY 1 EACH OCCURRENCE $ CLAIMS -MADE IMS-MADE OCCUR PREM!SES,nas occurrence�j_ $ .. MED EXP (Any one person).... $ ....... ..... �... .,- ,,,, PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I lr PRO, POLICY JECI` LOC " _ PRODUCTS COMPIOPAGG ... ,$ Ol'HER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I $ accident) .... AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS � BODILY INJURY (Per accident) �$ HIRED NON -OWNED AUTOS ONLY ... DAMAGE b ....w ....,,.,,,, $ a AUTOS ONLY f.� (PRC)PERTY Par acr„�denl) "yy ,...,, I UMBRELLA LIAB J OCCUR EACH OCCURRENCE EXCESS LIAB ,� CLAIMS -MADE ....DED ,. .-� AGGREGATE .. ,.,.,., ...... S .... ....... ......, �. RETENTIONS $ WORKERS COMPENSATION PrECRa AND EMPLOYERS' LIABILITY YIN �_ UIfI:;,, ( EVEN ANYPROPRIETOR/PARTNER/EXECUTIVE "" E L, EACH ACCIDENT $ OFFICERIM EMBER EXCLUDED? NIA -- - - — -- ---- (Mandatory in NH) E.L., DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E L, DISEASE -POLICY LIMIT $ C Professional / Pollution Liab CE0742012006 01/01/2020 01/01/2021 Limit 10,000,000, I SIR 100.000 DESCRIPTION OF OPERATIONS/ LOCATIONS IVEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Proof of Insurance. %.CR 1 IrIVN1C nULUCR k ACWt+t.:tLLA I IUIV Superior Construction Co., Inc, 1455 Louis Sullivan Drive Portage, IN 46368 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 of Marsh USA Inc. Manashi Mukherjee �Lauoo►-� 9)1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Superior Construction - General Contractor 1455 Louis Sullivan Drive Portage, Indiana / 46368 CONSTRUCTION 219-787-0850 / (Fax) 219-763-9998 II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (b) Attachments: (ii) List identifying all former business names. • Superior Construction has no former business names. (iii) Superior Construction Co., Inc. received two OSHA citations in 2017, both of which were quickly resolved. They were a NON -SERIOUS citation: 29 CFR 1926.20(b)(2) : The employer's safety & health program did not provide for frequent and regular inspections of the jobsite and equipment by a competent person; and a SERIOUS citation: 29 CFR 1926.760(a)(I): Each employee engaged in a steel erection activity who is on a walking/working surface with an unprotected side or edge more than 15 feet (4.6 m) above a lower level was not protected from fall hazards by guardrail systems, safety net system, personal fall arrest systems, positioning device systems, or fall restraint systems. The mitigation plan for these included the following: 1) Competent Person training for all sites and documenting the competent person(s) on each site. 2) Fall protection training for all sites. 3) Additional resources and management placed on the site. 4) Additional onsite safety observations required by management. 5) Re -structure of new employee orientation. 6) Also, since this incident we have had a restructure with the HSE department, new HSE manual developed with new HSE operating procedures. (iv) Superior Construction Co., Inc. employs a diverse group of skilled workmen and supervisors. Superior focuses on preserving our workforce by supporting local apprenticeships, alignment with education, relationship building, investment in training, coordination with local union trade associations including Carpenters, Cement Masons, Laborers, Iron Workers, Millwrights, Operators, Pile Drivers, Tech Engineers, Teamsters, Northwest Indiana Contractors and AGC of Indiana. (v) Individuals who will perform work on the public work projects on Superior Construction Co., Inc.'s behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (vi) Superior Construction Co., Inc. is signatory with the following unions: Carpenters, Cement Masons, Laborers, Iron Workers, Millwrights, Operators, Pile Drivers, Tech Engineers, Teamsters. Each union Superior is signatory with is registered with the US Department of Labor. Being signatory with these unions enables Superior to participate in their apprenticeship and training programs. The combined on-the-job training and classroom work enables Superior to grow our own talent and teach our organization's best practices. CONSTRUCTION II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (b) Attachments: Superior Construction - General Contractor 1455 Louis Sullivan Drive Portage, Indiana / 46368 219-787-0850 / (Fax) 219-763-9998 (ii) List identifying all former business names. • Superior Construction has no former business names. (iii) Superior Construction Co., Inc. received two OSHA citations in 2017, both of which were quickly resolved. They were a NON -SERIOUS citation: 29 CFR 1926.201b)(2) : The employer's safety & health program did not provide for frequent and regular inspections of the jobsite and equipment by a competent person; and a SERIOUS citation: 29 CFR 1926.7601a}(I): Each employee engaged in a steel erection activity who is on a walking/working surface with an unprotected side or edge more than 15 feet (4.6 m) above a lower level was not protected from fall hazards by guardrail systems, safety net system, personal fall arrest systems, positioning device systems, or fall restraint systems. The mitigation plan for these included the following: 1) Competent Person training for all sites and documenting the competent person(s) on each site. 2) Fall protection training for all sites. 3) Additional resources and management placed on the site. 4) Additional onsite safety observations required by management. 5) Re -structure of new employee orientation. 6) Also, since this incident we have had a restructure with the HSE department, new HSE manual developed with new HSE operating procedures. (iv) Superior Construction Co., Inc. employs a diverse group of skilled workmen and supervisors. Superior focuses on preserving our workforce by supporting local apprenticeships, alignment with education, relationship building, investment in training, coordination with local union trade associations including Carpenters, Cement Masons, Laborers, Iron Workers, Millwrights, Operators, Pile Drivers, Tech Engineers, Teamsters, Northwest Indiana Contractors and AGC of Indiana. (v) Individuals who will perform work on the public work projects on Superior Construction Co., Inc.'s behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (vi) Superior Construction Co., Inc. is signatory with the following unions: Carpenters, Cement Masons, Laborers, Iron Workers, Millwrights, Operators, Pile Drivers, Tech Engineers, Teamsters. Each union Superior is signatory with is registered with the US Department of Labor. Being signatory with these unions enables Superior to participate in their apprenticeship and training programs. The combined on-the-job training and classroom work enables Superior to grow our own talent and teach our organization's best practices. ACTION BY THE BOARD OF DIRECTORS Or SUPERIOR CONSTRUCTION CO., INC. WITHOUT A MEETING BY UNANIMOUS CONSENT The undersigned, being the members of the Board of Directors of SUPERIOR CONSTRUCTION CO., INC., an Indiana corporation ("Corporation"), hereby authorize and consent in lieu of meeting to the adoption of the following resolutions: BE IT RESOLVED: That the Board of Directors hereby ratifies and approves the acts of the officers of the Corporation done and performed by them during the past Corporation year. BE IT FURTHER RESOLVED: That Daniel J. Sopczak is hereby elected President of the Corporation, Nicholas E. Largura is hereby elected Executive Vice President of the Corporation and Steven A. Michaels is hereby elected Secretary/Treasurer of the Corporation, each to hold office during the ensuing year pursuant to the Corporation's By -Laws and until their successors are elected or appointed. Dated: January 2nd, 2019 (.)'N. T' a F "S TICI— ATI : N '1 1E • BOILERMAKERS, - LOCAL #374 • BRICKLAYERS - LOCAL #4 • IN/KY/OH REGIONAL COUNCIL OF CARPENTERS & MILLWRIGHTS, • GLAZIERS - LOCAL #1165 • HEAT T & FROST INSULATORS - LOCALS #17 & #75 • ELECTRICIANS - LOCALS #531 & #697 • I�LEVATOR CONSTRUCTORS - LOCAL #2 • IRONWORERS - LOCAL #395 • LABORERS -LOCALS, #41, #819 & #645 • OPERATING ENGINEERS - LOCAL #150 • PAINTERS - LOCALS #460, #46% #1118, & #80 • PLASTERERS & CEMENT MASONS - LOCAL #692 • PILE DRIVERS - LOCAL #578 • PIPEFITT'ERS - LOCAL #597 • PLUMBERS - LOCAL #210 • ROOFERS -LOCALS, #23 & #26 • SHEETMETAL WORKERS - LOCALS #20 & #218 • SPRINKLER FITTERS #281 • TEAMSTERS - LOCAL #142 • TECHNICAL ENGINEERS - LOCAL #130 7hs Policy has been adopted by the NWIBRT NWI B R�T ._1 !" &—I-_!-- a— L— r%—..— ems..-- Building & Construction Resource Center, Inc. Phone: (219) 764-9500 ,o Fax: (219) 764-9505 Toll Free: (877) 988-5400 6050 Southport Rd., Ste. B Portage, IN 46368 www.BCRCNET.com Tish Roach Executive Director 'I�erspective S (800) 456-6327 www.perspectivesltd.com Your Employee Assistance Program (EAP) INDEX PACE Introduction . . . . . . . . . . . . . .. . . . 1 'ie Policy ..................... 2 Definitions ................... 4 Drug Testing .................. 20 Drug Gr(')up .................. 22 Alcohol Testing ................. 23 Payment for Testing .............. 24 Initial Testing (Pre -Employment) . ..... 26 Random Testing .......... ...... 26 Owner Requested On -site Random Testing. . 27 Probable Cause Testing . . . . . . . . . . . . . 28 Post-Accident/I nci dent Testing .. . .. . . . 29 Rapid "Pest Prohibited .. . .. .. . . . .. . 31 "Eniergency" Work Assignments . . . . . . . . 31 Card System . . . . . . . . . . . . . . . . . . 32 Status Confirmation . . . . . . . . . . . . . . 33 Reporting of Test Results . . . . .. . . . .. . 34 Insufficient Specimen . . . . . . .. . . . . . . 35 Diluted Specimen . . . . . . . . . . . . . . . . 35 Adulterated, Substituted, and/or Out -of -Temperature Range Specimen 35 INDEX Consequences for a Non -Negative (i.e., Positive) Test . . . . . . . . . . . . . . 36 Additional, Consequences for Multiple Non -Compliant Events .. . . . . .. .. . 38 Observed Return -to -Duty Testing .. .. .. . 39 Observed Follow-up Testing . . . . . . . . .. 39 Disputed Positive Results. . . . . . . . . - . . 39 Appeals and Protections/just Cause . .. .. . 40 Illinois — "Drug Free Workplace Act"- 30 ILCS 580 . . . .. . . . .. . . . .. . 41 Illinois — "Substance Abuse Prevention Programs Required" — 820 ILCS 265/15 . . . . . .. . 42 Letters of Notice for Random Testing .. .. , 44 Attachment A — General Trades . . .. . .. . 44 Attachment B — Non -Bargaining . . .. .. . 45 Attachment C — Pipe Fitters Local #597. 46 Attachment D — BCRC Authorization for Consent to Drug and Alcohol Analysis & Authorization 1'w Release of Results. . . . . 47 Attachment E — BCRC Applicant/Cardholder Drug Test Information & Instruction Sheet. . 48 Attachment F — BCRC On -site Substance Abuse Testing Addendum . . . . . . .. .. . 49 Tie Labor and Management representatives of the. Building and Construction. Industry for Northwest Indiana have formed an alliance to address the problems caused by drug and alcohol. abuse. Management and :labor together have created the Building and Construction Resource Center, Inc. (hereafter "BCRC"),, an independent not -for -profit corponation that offers a wide range of services to Employees in the unionized construction industry, which includes Employers, Labor Union organizations.. It is BCRC goal to assist Employers in establishing and maintaining workplaces that are free of the destructive effects caused when Employees use or abuse drugs and/"or alcohol. BCRC activities are not intended to interfere with normal practices of the Labor Unions or Management. BCRC recognizes its responsibility to communicate with and educate Employers and Employees in the unionized construction industry concerning this policy, as well as the harmf d effects of°`d ugs and alcohol in our society, and in the workplace. BCRC also recognizes the need to provide a program of assistance to those persons for whom drugs or alcohol may be causing problems.. Our Employee Assistance program (I,,AI) provides support, counseling, and resources for life issues that can take a toll on your emotional well-being or tyke time away from things you value the most, like work and family. Finally, while not. wishing to violate the rights or invade the privacy of any Employee, BCRC's drug testing program will seek to identify those Employees who are unable or unwilling to conform to BCRC's program. This program has been established in accordance with Drug and Alcohol Testing Industry Association (DATIA), Substance Abuse and Mental Health Services Administration (SAMHSA), and Federal Department of Transportation Guidelines for specimen collection, laboratory analysis and review, and standards of integrity and confidentiality. 1 "11191"s RM Persons, who use or abuse drugs and/or alcohol, on or off their jobs, are likely to be less productive, to be less reliable, to be more frequently absent, and to have other work -related problems that can cause increased costs, delays, accidents, and injuries. "Ibese Employees, can also, risk the health,, safety and well-being of other workers on the job. 'The unionized construction industry can control and reduce this problem through recognition of the problem, development of a comprehensive policy and program of education and information, promotion of an Employee Assistance Program (EAP), and implementation affair and respectfill drug testing that conforms to Drug and ,Alcohol "Testing Industry Association (DATIA), Substance Abuse and Mental Health Services Administration (SAAMSA), and Federal Department of Transportation Guidelines for specimen collection and analysis. All of this is to be done with the utmost confidentiality and respect for the individual. All Employers (as defined herein) herebyadopt the following policy: No Employee may use, possess, distribute, deliver, or be under the influence of a drug, or use or be under the influenceof alcohol, ,while performing any work for the Employer, In order to enhance substance abuse awareness among all Employers and Employees, educational seminars, and training programs will be offered. Tie educational seminars will be directed toward education in regards to the seriousness of the nationwide drug and alcohol abuse problem, and how the use of drugs and alcohol negatively impacts safety, productivity, and the competitive ability of the American workforce. Supervisors will be trained to identify Employees in potentially difficult situations, and to recognize signs of impairment, as well, as the Supervisors'responsibility to document, intervene and follow-up with the troubled individual. Tiese sessions will be offered as ongoing training programs. BCRC encourages all Employees troubled by their own or a family member's drug or alcohol abase to seek professional care and treatment. Early .recognition and treatment of alcohol and drug abuse provides the greatest opportunity for successful recovery. BCRC provides an Employee Assistance Program (EAP) for all Employees and their families who need professional guidance in ;assessing their substance abuse or alcohol; -related problem and choosing an appropriate course of treatment. Current Employees will be referred to an EAP representative as a result of non -negative (positive) drug or alcohol test, a non -compliant event, or upon an individual's own request. In either case, the content of the discussion with the EAP will be protected and confidential, to the extent allowed by law. A participant's use of and communications with the EAP are confidential and information regarding such confdentialmatters will not be released to BCRC or any of'its subscribing organizations or participants without written release from the participant in accordance with the law. Employees, who use the EAP as a consequence of a non -negative (positive) drug or alcohol test, or a non -compliant event, will,, be subject to the conditions established in the drug testing portion of this policy and as outlined by the EAP Counselor. Tie EAP staff has knowledge of the level and types of benefits available to BCRC Employees. Employees can access the services of the EAP through a hotline that is staffed twenty-four (24) hours a day, seven (7) days a week, throughout the entire year. Employees calling the EAP hotline are put in touch with a counselor who w conduct a professional assessment and who may meet with them to further assess the nature of the problem in order to provide a referral to the best and most appropriate level of care.lhe EAP is staffed by certified and Masters -level credentialed human services professionals who are sensitive to 3 the needs of the individual. Individuals who take the initiative to contact the EAP for assistance do so with the assurance that their calls will be treated respectfidly and confidentially Tic direct services provided by the EAP',,ue sponsored by BCRC. In compliance with Public Law 100-6,90 (Tie Drug -Free Workplace Act), which applies only to Employers who have federal grants or federal contracts of more than $100,000, an Employee who is convicted of a workplace drug or alcohol. violation and who is employed by a BCR,C affiliated Employer must report this information to his/her immediate supervisor no later than five (5) days after such conviction.7he Supervisor must report this information immediately to the Employer's Program Administrator. DEFINITIONS Add — end yink (i.e., Attachment F) may be approved by the Board of Directors on an as -needed basis. Adultery ed Specimen a specimen that has been altered, as evidenced by test results showing either substance that is not a normal constituent for that type of specimen or showing an, abnormal concentration of an endogenous substance. Air Blank means, in evidential breath testing devices (EBTs) using gas chromatography technology, a reading of the device's internal standard. In all other EBTs, a reading of ambient air containing no alcohol. Mcghol means, the intoxicating agent in beverage alcohol, ethyl alcohol, or other low molecular weight alcohols including methyl and isopropyl. alcohol. 0 Alcohol Concentration or content means the alcohol in a volume of breath expressed in terns of grams of alcohol per 210 liters of breath as indicated by an. evidential breath test under this policy (BrAC). Alcohol Confirniation "pest means a subsegUent test using an EBT, following a screening test with a result of 0.02 or greater, which provides quantitative data about the alcohol concentration.. • Alcohol Screening Device W ) a breath or saliva device, other than an. EBT, that is approved by the National. Highway Traffic Safety Adniirr stration (NHTSA) and appears on ODABC web page for "Approved Screening Devices to Measure Alcohol in Bodily Fluids" because it conforms to tl-e model. specifications from NHTSA. Alo—hol SmgninzTest means an analytic procedure to determine whether an employee may have a prohibited concentration of alcohol in a breath specimen. AhcoholTesting Site a place selected by the Employer where employees present themselves for the purpose of providing breath or saliva, for an alcohol test. AlcohW VNe means the drinking or swallowing of any beverage, liquid mixture or preparation (including any medication), containing alcohol. • Alice means a fractional part of a specimen used for testing. It is taken as a sample representing the whole specimen. A means a person, Independent Contractor, or Employer, or person working for an Independent Contractor, or Employer who applies to become an 0 Employee of a BCRC Contractor/ Employer participant, and includes a person who has received ajob offer made contingent on the person passing a drug test. •Archived Status ineans a person who has been inactive, deactivated or otherwise out of the random pool. • Authorized T t la means a drug and/or alcohol test performed in accordancewith the provisions of this Policy and at the request or direction) of BCRC. •BUR—C means Building and Construction Resource Center, Inc., which is a not -for -profit corporation fbrnied by labor and management representatives of the building and construction industry for Indiana & Illinois,, for the purpose of addressing problems of drugs and alcohol in the workplace. • 11CRUolicy means all of the policies, procedures, and other matters set forth in this document (i.e., the BCRC Drug& Alcohol Policy) and all amendments and addenda to this document. • Breath Aleghol Teclinici-sa (BAT) is a person who instructs and assists employees in the alcohol testing process and operates an Evidential Breath Testing device (EBT). Canceled "Test means a drug or alcohol test that has a problem identified that cannot be or has not been corrected. A canceled test is neither a positive nor a negative test. An Employer is not permitted to take adverse job action based on a canceled test. 101 Card llanWr is the individual designated by each Employer who has the authority to access data information that will conlirrn the status of Employees by electronic e-mail. I or Ck means that an Employee is "'cleared", available for work, and currently compliant with this Policy when used witli respect to the BCRC status of an Employee. Chain of Custody the procedure used to document the handling of the urine specimen from the time the employee gives the specimen to the collector until the specimen is destroyed. 'This procedure uses the 17ederal l .rutg"testing Custody and Control. Form (CCU`) as approved by the Office of Management and Budget. • Collection Container means a container into which the Employee urinates to provide the specimen for a drug test. Collee°� !gn Site means a place designated by BCR,C where individuals present themselves for the propose of providing a specimen to be analyzed for the presence of controlled substances, or for purposes of providing breath sample to be analyzed for alcohol concentration. Collector means a person who instructs and assists Employees at a collection site, who receives and mattes an initial inspection of the specimen provided by those employees, and who initiates and completes necessary forms. Company means an Employer/Contractor who is a member of BCRC. 7 —Confirination or confirmatory) Drug Testa second analytical procedure performed on a different aliquot Of the original specimen to identify and quantify the presence of a specific drug or drug metabolite. Confirination Lrconfirmatory)ValidityTest a second test performed on a different aliquot of the original urine specimen to further support a validity test result. Confirmed Drt Tests a confirmation test result received by an MRO from a laboratory. 0 ConfirmatoryTest a) For alcohol testing, a confirmatory test is a second test following a screening test with a result of 0.02 or greater, conducted 15-30 minutes later, that provides quantitative data of alcohol concentration. "11iis test is conducted on an EB,T b) For controlled substances testing, a confirmatory test is a second analytical procedure, on the same specimen to identify the quantitation and presence of a specific drug or metabolite. "Dais confirmatory test is independent of the initial test and uses a different technique and chemical principle from that of the screening test in order to ensure reliability and accuracy. (Gas chromatography/mass spectrometry (GUMS) is the only authorized confirmation method for cocaine, iriarijuana, synthetic opiates, opioids, amphetamines and phencyclidine). CQnIMCI-Or &rticivant means an Employer who is a contributing memb'er of BCRC. Contro&d SmkLanr& means marijuana (THQ, cocaine, synthetic opiates, opioids, pbencyclidine (I"C,P), amphetamines (including methampbetarnines), bwbiturates, benzodiazepine, propoxyphene, methadone, 6-acetymorphine and ecstasy. Designated Ern plover ftresent fi ve (DER) an Employee authorized by the Employer to take immediate action(s) to remove Employees from safety -sensitive duties, or cause Employees to be removed from these covered duties, and to make required decisions in the testing and evaluation processes. Ibe DER also receives test results and other communications for the Employer, consistent with the requirements of this policy. Service agents cannot act as DERs. Dilute Specimen means a specimen with creatinine and specific gravity values that are lower than expected for human urine. DOT these terms encompass all DOT agencies, including, but not limited to, the Federal, Aviation Administration (FAA), the Federal Railroad Administration (FRA), the Federal Motor Carrier Safety Administration (FMCSA), the Federal Transit Administration (FTA), the National 11,1911WIty r l"'J'affic Safety Administration (NHTSA), the Pipeline and Hazardous Materials Safety Administration (PHMSA), and the Office of the Secretary (OST). For purposes of this part, the United States Coast Guard (USCG) in the Department of Homeland Security is considered to be a DOT agency for drug testing purposes only since the USCG regulation does not incorporate Part 40 for its alcohol testing program. "these terms include any designee of a DOT agency. Drums mean the substances for which tests are required under this policy and include marijuana (Tl lC), cocaine, amphetamines (including methamphetamines), phencyclidine (PCP), opioids, synthetic opiates, barbiturates, benodiaepine:, propoxyphene, methadone, and ecstasy. Tyr ° . sl means a test conducted for controlled substances. Employee rneans an Employee of a Company, or of a Contractor/Employer participant, who is a member of BCRC. Emplae_q A si tar ce. Progam EAP C unsclor means a Masters -level professional with an education in psychology, social work, counseling, etc. with knowledge of and clinical experience in diagnosis and treatment of alcohol and controlled substance related disorders. Tie EA p will ..assess and male recorni- .endations concerning education, treatment, follow-up testing and aftercare. Ern l r means a Company, or a Contractor/Employer participant, who is a member of BCRC. Evidential Br t T stin. Devic EBT means a device approved by NHTSA for the evidential testing of breath at the .02 and .04 alcohol concentrations, placed on NHTSAs Conforming Products List (CPL) for "Evidential Breath Measurement Devices" and identified on the CPL as conforming with the model specifications available from NHTS..'s Traffic Safety Prograin. First Occu.rrence. Clause means if an Employee does not report for a random test, and it is the first time the Employee has failed to report, the `Third Party 10 Administrator ("17PA) may allow the Employee to take the test without reporting to the EAP for furtherreview. Employees may utilize this clause only one time. Qhsye�ry d E-dow-UvIestin may be required, based on an EAP evaluation for a non -negative or positive test result, missed random, incomplete test/walk outs as described in this policy. Follow-up testing will be administered by the TPA and must be observed. Gas Chim atography/Mass SpectromeM Confirmation CUIMS) is a state of the art drug testing technology, providing a ftnWr- rprint of the detected drug. HHS means the Department of Health and Hun', an Services or any designee of the Secretary,. Department of Health, and Human Services. 1--IHS:A pproved LabpLa-t-qix any U.S, laboratory certified by HHS under the National Laboratory Certification Programas ineefing the minimum standards of Subpart C of the HHS Mandatory Guidelines defines for Federal Workplace Drug Testing Programs; or, in the case of foreign laboratories, a laboratory approved for participation by DOT under this part. Inifial T kg (for druzs) means an immunoassay screen to eliminate negative urine specimens from further consideration. Initial Wift T gst means the first test used to determine if a specimen is adulterated, diluted, or substituted. Invalid the result reported by an HHS �i 11 certified. laboratoryin accordance witli the criteria established by HHS Mandatory Guidelines, when a. positive, negative, adulterated, or substituted result cannot be established for a specific drug or specimen validity test. Labgratory any U.S. laboratory certified by 111-1h under the National Laboratory Certification Program as meeting the minimum standards of Subpart C of the PlHS Mandatory Guidelines for federal Workplace .drug Testing Programs; s or, in the case of foreign laboratories, a laboratory approved for participation by DOT under this part. Licensed Medical Pr cti ion r means a person who is licensed, certified, and/or registered, in accordance with applicable Federal, State, Local, or Foreign laws and regulations, to prescribe controlled substances and other drugs. Medical review Officer ( RO) means a Licensed Physician, registered with the American Association. of Medical Review Officers (w-w-Nv.aarnro.com), responsible for receiving laboratory results generated by PCI C drug testing program who has knowledge of substance abuse disorders and who has appropriate medical training to interpret and evaluate an individual's confirmed positive test result together with his/her medical history and any other relevant biomedical information. NIA or Not AyaflaW,c means that an Employee is not available for work and is not currently compliant with this Policy when used with respect to the 1ClC status of an Employee. (NOTE: An Employee can be N/A for several reasons, which may or may not include failing a drug or alcohol test.). 12 New E A li an means a person who has not been previously tested by IICRC and includes a person referred for pyre -employment testing. l gr Nqt Qn File means that an Employee is not currently entered into the I CRC database as an Employee eligible for and subject to the IICRC Policy when used with respect to the BCRC status of an. Employee. (NOTE: An Employee can be l" OF for several reasons, which may include failure to provide documentation, that the Employee is eligible for and has agreed to be subject to the BC,RC Policy.) Non -Compliant Event means any of the following: (a) a Positive Test for alcohol or drags (which shall also include any Positive Tests that occur during any retesting), (b) an Insufficient Specimen if an appropriate medical professional determines that there is no legitimate medical reason for the Insufficient Specimen, (c) a Diluted Specimen if the Employee fails to provide a subsequent testing sample within the applicable time period specified in this Policy or a subsequent testing sample is also a Diluted Specimen, (d) an Adulterated Specimen, (e) a Substituted Specimen, (f) an Out -of - Temperature Specimen that is not promptly resolved by providing a compliant sample at the time that the specimen is obtained at the collection site, (g) any acts by an Employee that compromise the testing protocol (i.e., washes his/her hands, flushes the toilet, etc.) prior to being given direction from the collection professional, (h) a Refuse To Submit (to an alcohol or controlled substances test), (i) a failure to submit to Post-Accident/Incident Testing (which shall include a failure to test resulting from the Employee leaving the jobsite prior to such Post-Accident/Incident Testing), and 0) any other 13 act or omission by an Employee that BCRC determines, in BCRCs sole discretion, to constitute a substantial or willful non-compliance with the policies and/or procedures set forth in this Policy. Non -Negativ e a urine specimen that is reported as adulterated, substituted, positive (for drugs ) or drug metabolite(s), and/or invalid. Out -of -Temper, era re Specitnen means a specimen that is below gOOF or above 10�OOF at the time the specimen is obtained at the collection site. Owner means a large business or firm that hires a "Contractor Participant" to petform, work at their facility: Owner Reauested lobnSlite Randg-ru lesting means a Northwest Indiana Business Roundtable Owner, which has been approved by the Board of Directors, and may require a random drug test be done at their facility. Mie Employee will, test within one hour of notification of the random test. Jhe test may be perf6ri-ned at the Owner's,facility no more than mond-Ay provided there is an approved BCRC. Collection Site at the facility. PQajiygTest (ale qhQI) occurs when an Employee's confirmatory test result reads 0.02 BAC or higher. Positive Test (drugs) positive result. 'Ibe result repot-ted by an HHS-certified laboratory when a specimen contains a drug or drug metabolite equal to or greater than the cutoff concentrations. Post-A—c-cident/Incident Testing means drug and alcohol tests requested by an Employer following the occurrence of an accident and/or incident. 14 Probable Cause °T+ stin may be required when a. Supervisor observes and documents unusual behavior. Pr_oa m Addministrato weans the individual who :has administrative responsibilities for overseeing the drug and alcohol testing program for a:n. Employer.. '11te Program Administrator may serve as an Employer's DER. l'rca a means all .Employer -owned and/or .leased property, including but not limited to owned and/or leased buildings and other realestate, parking lots and vehicles located on parking lots, and. Employer -owned and/or leased vehicles, lockers, tools, equipment and desks. Randgm 5ele ti n weans a scientifically valid method for selection of Employees to be tested that result in an. equal probability that any Employee from a group of Employees subject to the selection mechanism will be selected, and does not give an Employer discretion to waive the selection of any Employee under the mechanism. Refuse To So bmi (toan alcohol or controlled. substances test) • Means that an Employee: 1. Fails(ed) to appear for any test (except a pre -employment test) within a reasonable time, as determined by the BCRC Policy, after being directed to do so by the BCRCPolicy; 2. Fails(ed) to remain at the testing site until the testing process is complete (a walk out); 15 3. Fails(ed) to provide a urine specimen for any drug test required by this BCRC Policy; 4. In the case of a directly observed or monitored collection in a drug test, fails to permit the observation or monitoring of the Employee's provision of a specimen; 5. ll'idls(ed) to provide a sufficient amount of urine when directed, and it has been determined, through a required medical evaluation, that there was no, acceptable medical, explanation for the failure; 6. Fails(ed) or declines to take a second test the Em ployer or collector has directed the Employee to take; 7. Fails(ed) to undergo a medical examination or evaluation, as directed by the MRO as part of the verification process, or as directed by the policy. In the case of a pre-employrnent drug test, the Employee is deemed to have refused to test on, this basis only if the pre -employment test is conducted following a contingent offer of employrnent; 8. Fails(ed) to cooperate with any part of the testing process (e.g., refuse to empty pockets when so directed by the collector, behaves in a confrontational way that disrupts the collection process, provides incorrect or inaccurate information to the collection site or on necessary forms, or fails to complete all documents); 9. Provides a second (2) specimen that is dilute. ffel Reinstatement Test is the test allowed by BCRC, which must be consistent with the Policy, to reactivate an Employee who has been "archived" for six (6) months or more. 10 R A "ct for testing the result reported by an IIHS-certified laboratory when no tests are perforined for a specimen because of a fatal flaw or a correctable flaw that is not corrected. Reporting Em lc ee is an Employee who reports a work related inJI'ury or illness that was caused by and/ or relates to the accident and/or incident for which the post-accident/incident drug or alcohol testing is requested by the Employer. Observed Return to Duty Test is required once an EAP evaluation has been completed and the counselor has set a date for the test, because of a non -negative (positive) test, missed random, walkout or refusal to submit as described in this policy, "Ibis test must be observed and taken within the time frame specified by the EAR if the return to duty test is not taken as directed by the EAI), the participant will be required, to return to the EAR SAMHSA means Substance Abuse and Metal Health Services Administration is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation. 541 Site means a URL beginning with "haps"which is a secure site for data transmission, 0 5crt �nin Test or initial a: ill In drug testing, a test to eliminate "negative" urine specimens from further analysis or to identify a specimen that requires additional testing for the presence of drugs. In alcohol, testing, an analytical procedure to determine whether an employee may have a prohibited concentration of alcohol in a breath specimen. • Screening"l.�" st-TsclijiicianiSTT) means a person who instructs and assists employees in the alcohol testing process and operates an Alcohol Screening Device (ASD). • Shipping Container means a container that is used for transporting and protecting urine specimen bottles and associated documents from the collection site to the laboratory. • Specimen means a sample of urine, used for analysis and/or diagnosis. For the purpose of this policy; specimen is defined as urine. •Specimen BqpLl means the bottle that, after being scaled and labeled according to the procedures in, this policy, is used to hold the urine specimen during transportation to the laboratory. •SOlk Specimgn means a part of the urine specimen that is sent to a first laboratory and retained unopened, and which is transported to a second laboratory in the event that the Employee requests that it be tested following a verified positive test of the primary specimen or a verified adulterated or substituted test result. iRe Substituted Sotchnen means a specimen with creatinine and specific gravity values that are so diminished that they are not consistent with human urine. • Testinz Levels means levels at or above when a specimen is determined to be positive, and below when a specimen is determined to be negative. 'Aird Par A, means an entity that &Administrator (TEJ provides or coordinates one or more drug, and/or alcohol testing services to Employers. A TPA typically provides or coordinates the provision of a number of such services and performs administrative tasks concerning the operation of drug and alcohol testing programs for, Employers. `This term includes, but is not limited to, groups of Employers who join together to administer, as a single entity, the drug and alcohol testing programs of its Employees (e.g., having a combined random testing pool). Un—audigrizedreNt means a drug and/or alcohol test that is: (a) not performed in accordance with the provisions of this Policy, and/or (b) not performed at the request (or direction) of BCRC. Such tests include retests initiated by an Employer and/or an Employee that are not performed at the request (or direction) of BCRC. Union means a Labor Organization that represents Employee(s) who are employed by a Company, or of a Contractor/Employer participant, who is a member of Building and Construction Resource Center, Inc. • Verified Test means a drug test result or validity testing result from a HHS-certified laboratory that has undergone review and final determination by the MRO. 19 DRUGIESTING BCRC will provide an identification card to each participant which will reflect the results of the Drug &Alcohol Screen'I"est from the laboratory and/or as verified by the Medical Review Officer (MRO). To, implement an appropriate and acceptable program, BCRC has adopted six (6) safeguards that reflect the standards established by the Drug and Alcohol Testing Industry Association (DATIA), U.S. Department of Health and Human Services (HHS) Substance Abuse and Mental Health Services Administration (SAA41-ISA) for testing mandated by the U.S. Department offransportation. Those safeguards are as follows: 1. 'llie, integrity of collected urineq)ecin'lens will be ensured by, utilization of one collection procedure at all sites. Samples will be collected in accordance with, federal. standards that provide for a continuous Custody and Control Form and which recognize privacy concerns regarding the individuals being tested. 2. Testing will be conducted only by accredited labs that have obtained and retain 1JF1S/SAMHSA certification. 3. All specimens that are positive in an initial, screen must then be confirmed by gas chromatography/mass spectrometry (GC/MS). 4. A Medical Review Officer (MRO) will review all non -negative (positive) drug tests in order to verify positive test results. The MRO is a physician with specialty training and expertise in substance abuse and drug testing. Mie MRO willreview lab -confirmed positive test results to ensure proper procedure, protocol, and reporting. The MRO will make two (2) documented attempts, within twenty-four (24) hours of receiving the confirmed positive test result, to interview the individual who has as confirmed positive 20 test result by telephone to investigate whether a legal prescription (or other legitimate medical reason) has caused the specimen to test positive. If the individual does not consult with the MRO and provide! the necessary information within forty-eight (48) hours of being contacted by the MR O (delays in responding caused by verifiable erner WM'icy or medical issues will be given consideration for exception) or he/she has no legal prescription, the MR O will take appropriate steps, to report a verified positive to the BCRC Program Administrator, who will then invalidate the Employee's certification card. AD, persons who have tested positive must have their return to work cleared by the EAP 5. All non -negative (positive) specimens will be retained frozen in a locked facifity at the testing laboratory for one (1) year Me retainecl specinlens will be available should the results of the initial test be disputed or should arbitration, or litigation arise out of the actions taken because of the test results. 21 DRUG GROUP ne BCRC drug -testing progrim, wifl test for the fallowing drugs at these levels: Drug Class Initial Test Level Confirmatory Test Level PHETAMINES 500 ng�ML Amphetamine 250 rig/mL Metliarnphetainine 250 ng/mL BARBITURATES 300 ng/mL Amobarbital 200 ng/mL But<albital 200 ng/mL Pentobarbital 200 ng/mL Phenobarbital 200 ng/mL Secobarbital 200 ng/mL BENZODIAZEPINES 300 ng/mL Mprazolam Metabolite 200 ng/mL Oxazepam 200 ng/mL COCAINE METABOLITES 150 ng/mL 100 ng/mL MARIJUANA METABOLITES 50 ng/mL 15 ng/mL METHADONE 300 ng/ml, 200ng/mL METHAQUALO E 300 rig/mL 200 ng/mL MDA-ANALOGUES 500 nghnL MDA 250 ng/mL M M:A 250 ng/mL OPIATES 2000 ng/mL Morphine 2000 ng/mL Codeine 2000 ng/mL OPIATES (SEMI -SYNTHETIC) 300 ng/mL Hydromorphone 100 ng/mL Hydrocodone 100 ng/mL b-ACETYLMORPHINE 10 ng/mL 10 ng/mL OXYCODONES 100 ng/mL Oxymorphone 100 ng/mL Oxycodone 100 ng/mL PHENCYCLIDINE 25 rig/mL 25 ng/mL PROPDXYPHENE 300 ng/mL 200 ng/mL 22 ALCOHOL TESTING 1. Alcohol tests (screening and confirmatory) will be performed on a device that appears on the National Highway Traffic Safety Administrations (NHTSA) Conforming Products List (CI'"Q and that meets the DOT'S testing requirements. 2. When a specific, time for an Employees test has been scheduled, and the Employee does not appear at the collection site at the scheduled time, the Breath Alcohol Technician (BAT) will contact the Designated Employer Representative (DER), who may determine that the Employee has refused to be tested. 3. For alcohol testing (screening and con rn ,atory), a breath sample will be collected and analyzed by a Breath Alcohol Technician (BAT) using an Evidential) Breath. "testing device (EBT). For the screening test, a breath. sample may be collected by the Screening "lest Technician (STT), using an Alcohol Screening Device (ASD). . If the result of the screening test indicates an alcohol concentration of0.02 or greater, a Breath Alcohol. Technician (BAT) will perform a confirmatory test, no less than fifteen (15) and no more than thirty (30) minutes after the completion of the screening test.. 5. If the confirmatory test is positive (0.02 and above, BrAC), the Breath Alcohol "Technician (BAT) shAl immediately notify the BCRC/Employer's DER. b. Results of additional tests arranged by an Employee, or requested by a medical practitioner, will not be considered. this includes testing of blood samples, hair samples, DNA, or any other testing methods or protocols. 23 • Costs related to an Authorized Test will be paid by BCRC, except for the following tests: a. D.O.T. pre -employment testing, b. D.O.T. Return to Duty Testing c. D.01,. Follow lip Testing d. Industrial cleaning pre-ernployment testing, e. Industrial cleaning re -instatement testing f Pre-screening testing of applicants for an, apprenticeship program g. 'The following testing for au New Employee/Applicant whose initial drug test is confirmed as a Positive "lest: (1) Any followup testing required by the EAP () Any return -to --duty testing () Any subsequent testing required by the EAP h. Any other types of testing that BCRC determines, in its sole discretion, should be paid in a different manner and/or by a person (or entity) other than BCRC. All costs related' to an Unauthorised Test and all costs for re -testing of disputed test results by an Employee will be paid. by the Employer or Employee who initiated such. test. Tl�e costs to be paid by the Employer or Employee for such tests will be determined by BCRC, in BCRCs sole discretion, and shall be subject to change. BCRC shall also have the right to terminate and/or restrict the Card Manager privileges, e-mail status confirmation system access, and any other access to information contained in any BCRC database for any Employer who fails to comply with this Agreement, the BCRC Policy, or any payment obligations to BCRC. If an Employee fails to pay for any testing costs and/or other costs for which the Employee is responsible under this BCRC Policy, 24 then the BCRC status of such Einployee shall be listed as "N/K unless and until the Employeefully pays all such costs for which the Employee is responsible tinder this BCRC Policy. Ilie policies for payment for the Employee's time f*oj- testhig are: L For new or current union, members or Employees seeking an initial test, the test is a condition of employment, and Employees in the BCRC Policy will not be paid for their time in providing a specimen for, the initial test. 2. All current Employees who are to test for any of the following reasons: late/1-nissed random, probable cause, post -accident, diluted re -test, return -to -duty, or follow-up testing, reinstatement test, or retest due to a flawed or rejected test, will not be paid fi)r their tine in providing a specimen for the test. 3. Employees will only be paid a stipend by BCRC for submitting to subsequent random testing: (a) required by the BCRC Policy (see attachments A thru D) (b) in response to notification (by email, *U.S. Mail or text message) from the BCRC Office (c) for which the Employee submits within seven (7) calendar days including the day BCRC gives notification for such random testing. It is understood thatall testing will occur on the Employee's time. The Employee must submit for such testing within seven (7) calendar days including the day BCRC gives notification for such random testing. NO EXCEPTIONS! 4. All checks issued for such stipends must be cashed within ninety (90) calendar days from the date of the check If an Employee does not cash a stipend check within ninety (90) calendar days from the date of the check, the Employee forfeits his/her right to such 25 stipend, and such stipend check shall be void and shall not be reissued under any circumstances or for any reason. 5. D.O.T. NonBargaining, Industrial Sector, Slag, and Pipe Fitter's Local, #597 Employees are exempt from the stipend reimbursement. INITIAL"TINPRE-MIIGNT Prospective Employees and current Employees of BCRC affiliated Employers and Unions will be, sulbject to the BCRC program., All persons who are eligible and who intend to obtain a, BCRC carol will be instructed to report to an approved BCRC collection site and to provide a urine specimen for initial (pre -employment) testing and a clear status before starting wort for any participating Employer. "lhe individual will be directed. by BCRC or by their Employer, to report to a BCRC approved collection site locationAhese selected collection sites will 11ave collection kits, Custody and Control Forms, and all other: necessary supplies. RANDOMTESTING After the in.dividual,s completion of the initial drug test (with a negative result), he/she will be placed in the Random Pool after which he/she will be notified via U.S. mail to report to an approved collection site for a random drug test. The individuals chosen for a random drug test willbe selected anonymously, from a computerized selection program. Fifty percent (50%) of the currently active BCRC individual cardholders will be selected annually for random testing. Then, on a monthly basis, one -twelfth (1/12) of"the selected Employees will be notified to submit to a random test in order to update their BCRC identification cards and status. A copy of the form letters 26 notifying individuals of their selection for this random test appears as an attachment , B, C & D at the back of this booklet.. Employees will be required to report to an approved collection site within seven (7) days from the date of the Notice for Random Testing letter in order to maintain their BCRC identification card and status. No Employee will be required to submit to a random test more than twice (2) in a twelve (12) month period. Unless chosen for an on -site random. Employees can be chosen for an on -site random every month. All Employees will be selected for random testing at least once (1) every two (2) years. f an Employee does not provide a sample at an approved. collection site within seven (7) calendar days of BCRC issuing the notification of a random selection, his/her status in the BCRC Substance Abuse Program will be deemed "Not Available." Employees who fail to report for a random test in the required time forfeit their stipend and should contact the BCRC office. If an Employee does not report for a random test, and it is the first (1) time the Employee has failed to report, the TPA may allow the Employee to take the test without reporting to the EAP for further review. Employees may choose to tape a "First Occurrence Clause" at this tirne. Employees may utilize this clause only one (1) time. However, once this "First Occurrence Clause" has been utilized, an Employee who fails to report for a random test at any time in the future will be required to contact the EAT for evaluation and to receive instructions on the required procedure(s) for removing the "Not Available" status from his/her card. . � . .... ` i An owner may request that an "On -site Random Selection" be done at their facility. An Owner's request must be approved by the BCRC Board of Directors and an addendum must be executed by both parties before the Owner is eligible to do such testing. Each Contractor or Owner will submit a list of Employees working 27 on -site that day or has access to the Owners' facility to the BCi C "Safe Site". 'The BCI C will then generate a random selection of the submitted pool and return the selections to tll:e appropriate party: "ll-u.i.s random may be done on a monthly basis. These On -Site Random Selections shall include only those Employees submitted. Any confirmed noji-negative positive test at these facilities will require an EAP evaluation prior to returning to work. Ille testing will be consistent with the Addendurn contained herein as Attachment III. PROBABLE CAUSE TESTING An Employee may be subject to Probable Cause Testing based on observed and documented unusual behavior. Circumstances sufficient to lead a reasonable person to suspect that an Employee: is under the influence of drugs or alcohol, or is in possession of; a controlled substance shall be determined by animmediate supervisor and should be confirmed by one other supervisor whenever possible. rllie immediate supervisor shall document, in writing, the incident and the probable cause basis for such testing. Jbe documentation shall specifically detail th.e behavior and conduct of the Employee, the location, date, time, of observation, conversations, witnesses (if" any), and should be signed by the supervisor who witnessed the incident. Such Employees may request that a Union representative be available or present prior to any action taken by an Employer, if any, at any stage of the policy and its administration. "Illere is no stipend. for these tests. By referring an Employee for Probable Cause Testing, the Employer represents to BCrC that the Employer has complied with these policies and procedures and any other policies and procedures required by law. BCRC has no obligation to determine or confirm that that Employer has complied with such policies and procedures. M An Employer may require an Employee to submit to Post-Accident/Incident Testing after the involvement in, or cause of an accidentlincwident, that causes injury to the Employee or another person 11e Employer may also require an Employee to submit to Post-Accidentllncident Testing when the Employee is involved in, or causes an accident and/or incident, which results in damage or destruction to property.. Post-Acciderat/Inciden:t'lesting must be both a Breath Alcohol, Test (BAT") and Urine Drug Screen ( .TICS),, and must be completed within two (; ) hours of the recorded accident/incident if a BCI C testing facility is located on the job site, or within. four (4) hours of the recorded accident/incident if an Employee is required to go off the jobsite to a BCRC. testing facil.ity. Any Employee suspected of unnecessarily delaying the testing process will be considered to have refused to submit to testing. if an Employee leaves the jobsite prior to submitting to Post.-Accident/Incident Testing requested by the Employer, then the Employee will be considered to have refused to submit to testing., provided, however, this provision shalll not apply if the Employee leaves the jobsite for the purpose of obtaining emergency medical treatment for the Employee or with the express authorization of the Employer, and the Employee submits to such Post-Accident/Incident Testing as soon as reasonably possible under the circumstances. In instances ofPst-Accident/IncidentTesting or Probable Cause ',resting, the Employee will be transported to the testing facility by the Employer. At the option of the Employer, the Employee may be suspended pending the test result. In the event a negative test result is reported, the Employee shall be compensated for all lost time at the appropriate rate within the Collective Bargaining Agreement, straight or premium pay. When an Employee is injured in an accident and/or incident, priority must be given to the Employee's medical treatment before 29 any consideration is given to collecting a specimen for drug and alcohol testing, Such Employees may request that a Union Representative be available or present prior to any action taken by an Employer, if any, at any stage of the policy and its administration. If an Employee is aggrieved by any action taken under this CR ' Drug and Alcohol Policy and his/her com- plaint plaint cannot be resolved, the complaint may, if the Employee or Union requests, be referred as grievance under the grievance and arbitration provisions of the Employee's collective bargaining agreement. In the event the matter is referred to arbitration, the arbitrator shah be bound substantively by the provision of this BCRC Drug and.Alcohol Policy:'"Ihere is tro stipend for these tests. 'Die following provisions apply to any Post-.,r cciderit/Incident Testing of a Reporting Employee, and shall limit and take precedence over any other provisions of this BCRC Policy relating to Lost-AccidentAncident Testing. An Employer shall not refer a Reporting Employee for Post-Accident/Incident Testing unless the Employer has a reasonable basis for believing that drug or alcohol use by the Deporting Employee could have contributed to the injury or illness. Re Eniployer shall consider the following factors in deterniining whether or not the Employer has a reasonable basis for believing that drug or alcohol use by the Reporting Employee could have contributed to the injury or illness: (1) Whether drug or alcohol use could have contributed to the injury or illness; () Whether the Employer is also requesting that other employees involved in the accident/incident be tested; (3) Whether the Employer has a heightened interest in determining if drug and/or alcohol. use could have contributed to the injury or illness due to the hazardousness of the work being performed when the injury or illness occurred; and (4) All other relevant factors. 30 By referring an Employee for Post-Accident/Incident Testing, the p y p Employer er represents to BCRC that the Employer has complied with these policies and procedures and any other policies and. procedures required by law. BCRC has no obligation to determine or confirm that that Employer has complied with such policies and procedures. U I HI IMMM11 A Rapid Test/Faint of Collection Test shall not be used for any drug and alcohol testing performed for the BCRC Policy. "EMERGE N �" WORK ASSIGNMENTS To accommodate Owners with emergency work, craft personnel who have not previously held a BCRC identification card, or taken an initial drug test, the following provisions will apply when. ;starting for emergency work assignments: 1. Upon arrival at a job location for sign-up, the Designated Employer Representative (Card Manager) shall request the Employee to present his/her BCRC identification card. 2. An individual who does not have a BCRC carol at the time of hire will be requested to secure a card and submit to an initial drug test within one (1) day, in order to comply with the BCRC ;policy. 3. An Employee without a BCRC identification card may work one (1) day. On the second (2nd) day, a Custody & Control Form, (as proof of having submitted to a drug test) or a BCRC card must be presented. 31 4. An Employee who has provided a specimen for tcsti rig must bring to the job site his/her copy of the Custody Control Form, given to him/her by the collection site, as proof that hey/she has submitted to an initial. test. 5. if the work, assignments are consecutive, the Employee: will be allowed to work for up to a maximum of four (4) days in order for the Employee to receive his BCRC identification card and have the Employers Card Manager verify the Employee's status. . If the Employee workassignment is terminated by his/her Employer before the Employee's status is verified within the allowable four (4) days for verification, and the individual is rehired, the Employee will have to provide the same Employer a BCRC identification card at the second (2.tid) rehiring sign up, and a clear status. Except in the event that the rehire is less than four (4) days from the initial hire date, the individual, Local and Non -Local, BCRC card holder shall accept and understand that should his/her drug test results be reported as positive, he/she will be subject to disciplinary action up to and including termination without obligation for further compensation by the BCRC affiliated Employer. Such termination shall also be subject to the individual's rights under his/her Collective Bargaining Agreement. Employees will be required to give their BCRC Identification Card Number to their Employes Card Manager in order for the Card, Manager to access the e-mail status conl rmation systern. Inquiries to the stags confi nation system will provide the date of the Employee's last test and one: (1) of the following, BCRC status indicators: 32 • NOF meaning "Not on . "ilea„ • N/A meaning "' of Available"' • CL meaning "Clear" Employees can also access their own status and update contact information through the membership portal under the "Member Utilities" tab on the www.bcrcnet.com hornepage. An Employer may verify the status ofall BCRC Employees who are current Employees of the Employer (or persons offered immediate employment by the Employer subject to BCRC employment eligibility veribcatiori.). 'This includes any firmer Employees who have been recalled for immediate re-employment by the Employer and any persons who were referred to the Employer by a participating Union for immediate employment, subject to BCRC employment eligibility verification. However, an Employer is not permitted to access any information from the BCRC database for any individual who is not a current Employee of the Employer (or a person offered immediate employment by the Employer subJJect to BCRC employment eligibility verification). Ilse Employer is required to obtain appropriate written consent from its Employees to access any information about such Employees from the BCRC database, and is required to comply with all provisions of this BCRC Policy regarding access to such information. Such access can be obtained by having their card status verified on their job site in order to determine if the Employee is available or not available under the BCRC program. The Employer may also use the e-mail procedures for verification. An Employer who accesses any information from the BCRC database concerning an individual who is not a current Employee of the Employer (or a person offered immediate employment by 33 the Employer subject to BCRC employment eligibility verification) violates the BCRC Policy and is subject to appropriate sanctions for such unauthorized use of the BCRC database. Such sanctions may include terminating,, or at least limiting, the access of such Employers to information in the BCRC database. When an Employee's status is Not Available (N/A), lie/she will be advised to contact the BCRC office to resohre the N/A status.'Ibe individual may be required to follow the protocol for 11 non -negative ('positive) test as prescribed in the BCRC policy., Tie Employer may verify the Employee's card after four (4) days to reconiirm the status and if the Employee'; status is still N/A' the Employer may terminate the Employee. Said Employee will be referred to the Employee Assistance Program for assessment and will be required to follow the recommendations of the EAP Counselor before being considered for further assignments. Tie status of Clear (CL) will be restored only with written approval of the EAP.1his procedure will protect the Employee's confidentiality and allow the Employer to audit the status of his/her Employees, which may be required by the owner to be submitted monthly., For all D.O.T testing, all test results shall be reported to the Employer and to, any other persons and/or entities required by applicable law and/or regulations. Fr all On -Site Random Testing performed pursuant to a BCRC Onsite Substance Abuse Testing Addendum or other testing agreements with owners, BCRC shall report test results in accordance with the provisions of such Addenda and/or Agreements. For all Post -Accident/ Incident Testing and all Probable Cause Testing, BCRC has the right to provide all test results to the Employer that requested such testing. 34 INSUFFICIENT SPECIMEN An Employee who provides an insufficient specimen of urine of breath when required to do so shall be referred to an appropriate medical professional for evaluation at the participant's expense. If the medical evaluation fails to reveal an acceptable medical explanation for the inability to provide a specimen, the donor shall be considered to have refused to test and shall be subject to the rules as outlined in this policy. If a legitimate medical reason is revealed, no action shall, be taken. MIFUNX�- An Employee providing a Dilute Specimen will be given the opportunity, to return to a collection site within fbay-eight (48) hours to provide a second (2nd) specimen, on his/her own time. 'This second specimen shall be given pursuant to observed collection protocol and procedures. E,niployees should ref -rain fi-oin excessive C011SUMption of fluids prior to the retest. No adverse action shall be taken against any Employee based on a first (1) Dilute Specimen, unless the Dilute Specimen is confirmed, to be as Positive Test or the Employee fails to provide the second (2nd) specimen in compliance with the forty-eight (48) hour time period and procedures set forth herein. A second (2nd) diluted specimen, without a valid medical reason, will be treated as a refusal to submit to testing and a Non -Compliant Event, regardless of the test results. ADULTERATED., SUBSTITUTE D AND/OR ' OUT -OF -TEMPERATURE RANGE SPECIMEN When a urine specimen is reported as adulterated, substituted, out of temperature (meaning the specimen is below 90OF or above 1000F) or the Employee compromises the testing protocol W (i.e., washes his/her hands, flushes the toilet, etc.) prior to being given direction from the collection professional, the Employee will be considered to have not cooperated with the testing process and the test will be considered a refusal to be tested. If the temperature is out of" range, the Employee will be offered the opportunity to take an additional observed test prior to leaving the site. A refusal to submit to the subsequent test will be considered non-compliance and the Employee will be made "N/Kand referred to tl�e EAP. In addition, the Employee who has reffised to be tested, or who uses or possesses a counterfeit drug card, shall be subject to Employer discipline up to and including discharge, subject to the Unions' collective bargaining agreements. CONSEQU E NCES FOR A NON -NEGATIVE (i.e., POSITIVE) TEST I . An Employee who tests non -negative (i.e., positive) for drugs shall be contacted directly by the Medical Review Officer (MRO). If the MRO verifies the results of the non -negative (positive) test, the MR0 will noti� the Employee that he or she is ineligible for work and he/she will be directed to contact the TPA.,le BCRC Will refer the Employee to the program's Employee Assistance Program (EAP) for consultation and review. If the MRO contacts the Employee and finds that there is a reason for the non -negative (positive) test (an authorized prescriptive medication) the MRO will downgrade the result to a negative, and the Employee's card will be marked "CU'. 2. In the case of a confirmed non -negative (i.e., positive) drug or alcohol test, the TPA will be notified that the Employee's status should be marked "N/N. Jlie "NIN" status will be effective at the moment that a confirmed non -negative (i.e.., positive) test is received. 36 3. Before returning to work, an Employee must: • (1) Complete an evaluation with the program's Employee Assistance Program provided by the BCRC EAP Provider 10, (2) Follow a treatment plan prescribed by the prograds EAP (3) Obtain written documentation from the prograrr;s EA.P verifying return -to -duty date. (4) Obtain a negative result on a Return to Duty Test.'Me specimen for all Return to Duty Tests shall be given pursuant to observed collection protocol and procedures. 4. A "N/K status will not be the sole basis for termination of employment. An Employee must contact the BCRC office to resolve an "MA' status. Only Employees who are in non-compliance with this BCRC Policy may be discharged. For the purposes of this provision, "non-compliance" shall mean one or more of the following: Failure to report to the program's Employee Assistance Program as directed, * Failure to follow and/or complete a EAP-prescribed treatment program, Failure to take an observed return -to -duty or an observed follow-up test, Failure to report for a random test request within seven (7) days, or 37 h"ailure to submit to a drug or, alcohol test when requested to do so by the EAR 5. A New Employee/Applicant: whose initial dreg or alcohol test is confirmed as a l)"ositive'Fest shall pay all costs for: Any follow-up testing :required by the EA..P Any return -to -duty testing Any subsequent testing required by the EAR :L ITI NA:L_CONSEQUENCES EOR MULTIPLE NON-COMPLi " ' EVENTS If any Employee has three () or more Non -Compliant Events within a twelve (1) consecutive month (rolling) period, the Employee shall not be permitted to take a Return -to -Duty uty'T"est until one (1) year after the most recent Non -Compliant Event within such twelve (12) consecutive month period and the Er nployee' 1 CI C Substance Abuse Card and status shall be N/A for the same tine period. In addition, such Employee must complete an EAP-prescribed treatment program before returning to wort. BCI C also performs on -site random testing pursuant to the BCI C Ornsite Substance Abuse Testing Addendum. 11e policies set forth in such Addendum (and/or other testing agreements with Owners) also impose additional consequences for Positive Tests and/or other Non -Compliant Events. Such additional consequences generally apply at the specific plants and locations covered by such Addenda (and/or nether testing, agreements with. owners) and are in addition to any additional consequences set forth in this BCPC Policy.. W OBSERVEM IZE"llURN-TO-DUTYTESTING The Return to Duty test is required for an Employee to be reinstated into the BCRC program following a positive test, missed random, walkout, or refusal to submit as described in this BCRC Policy. Tie participant must have a negative drug test before resuming performance of his/ber job duties.'fliis test may not be taken until. the Counselor has set a date for the test. The specimen for all Rewrn, to Duty Tests shall be given pursuant to observed collection protocol and procedures. I I'll IJIMI Follow-up testing for drugs and/or alcohol is a requirement in order for a returning Employee to stay in compliance with the BCRC Program. Iesting shall be determined by the Employee Assistance Counselor, and will be implemented and monitored by the TPA (BCRC) when the Employee returns to work. Follow-up tests must be taken within forty-eight (48) hours from the time when the TPA attempts to contact or contacts the Employee, or the Employee will be considered non -compliant, made "NIX, and returned to the EA.P for further evaluation. A New employee/.Applicant whose initial, drug or alcohol test is confirmed as a Positive Test shall pay all costs for such fiffloW-Up testing required by the EAP and any subsequent testing required by the EAR The specimen for all Follow -Up Testing shall be given pursuant to observed collection protocol and procedures. Fff WIMMUM An Employee who disputes non -negative (positive) results shall have the right to have his/her initial sample independently re -tested by a Department of Health and Human Services (HHS) certified laboratory of his/her choice, at his/her own expense only 39 when a money order, travelers check or cash is received by BCRC will testing begin, within ten (lll) working days of when he/she was notified of the test results. A portion of the initial sample (or split specimen) shall be forwarded, under a Custody and Control Form directly by BCRC's testing laboratory to the MIS laboratory selected by the Employee. Review of the drug test result must be performed by a qualified MRO who has been approved by BCRC. If the second lab report shows the presence of a controlled substance, the test result will be considered non -negative (positive). If the second lab report test indicates no presence of a controlled substance, then both tests will be considered negative. 'flic ii:,)l'.lowing section only applies when the Etiiployee tests dare to Post-,Accident/Incideot Testing or Probable Cause Testing: sting; If the test is neg�itive, the affiliated .Employer will reiinburse the Employee for compensation lost at the appropriate rate within the Collective Bargaining Agreement, straight or premium pay, during the period of his/her disciplinary suspension or termination and will reimburse the Employee for the cost of the re -test. An Employee, whose test results are verified nori-r egative (positive) by the MRO, will be referred to the, EA.P by the TPA (BCI .C).'re Employee is expected to attend will. appointments with the EAP Counselor, and to follow the Counselor's recommendations and requirements. A non -negative (positive) alcohol test conducted on a breath sample cannot be re -tested. All problem situations shall be resolved .in accordance with. current guidelines and standards established by the U.S. HHS/SAMHSA or U.S. Department of Transportation. Employees who are subject to this BCRC Policy continue to have access to the usual protections provided as a part of their ON Union membership and/or as members ofbargaining units covered by Collective Bargaining Agreements. Such Employees may request that a Union representative be available or present prior to any action taken by an Employer, if any, at any stage of the policy and its administration. If an .Employee is aggrieved by any action taken under this rCRC Drug and alcohol Policy and his/leer complaint cannot be resolved, the complaint may, if the Employee or Union requests, be referred as a grievance under the grievance and arbitration provisions of the Employee Collective Bargaining Agreement. In the event the matter is referred to arbitration, the arbitrator shall be bound substantively by the provisions of this BCRC Drug and Alcohol Policy.. ILLINOIS —"DRUG FREE WORKPLACE ,ACT" — 30 ILCS 580 When working on public projects in the State of Illinois, Employers must comply with the Illinois Drug Free Workplace .A:ct.'This Act requires Employers to certify that it provides a drug free workplace by complying with certain steps. First, the Employer must publish a statement to its Employees notifying them that as a condition of employment, drug possession, use, etc. is prohibited at work and specify the actions taken if this is violated. Second, Employers must provide each Employee worl ing in Illinois a copy of this published statement. T ird, Illinois requires Employers to provide a drug free awareness program to inform Employees about drug abuse, the Employer's drug free policy, the availability of drug assistance programs, and penalties for drug violations. If the Employer receives notice of an Employee's criminal drug conviction, the Employer roust notify the Illinois agency in the contract within ten (10) days. Finally, if an Employee violates the drug free policy, an Employer has thirty (30) days to take action against the Employee, up to and including termination or requires the Employee to satisfactorily participate in an approved drug abuse assistance program. 41 If the Employer fails to follow, the Drug Free Workplace Act provisions, the Illinois agency in the contract may suspend or terminate the contract. If the violation is serious, the Illinois agency may recommend debarment, which makes the Employer ineligible to be awarded any contract or grant by the State of Illinois for one to five (1-5) years. For further reference, the Drug Free Workplace Act may be found at 30 ILCS 580; http://www.ilga.gov/legislation/i.ics/acs3.asp?Ac- tID=5518r_Chapter1D=7. M, MORA rfm Employers who work on public works projects in Illinois must have a written substance abuse prevention, program that meets or exceeds the following requirements: (1) at least a 9 panel urine drug test plus a test for alcohol (NOTE: blood testing may only be used in post -accident tests); (2) a list of prohibited actions and conditions listed below; (3) Employees must submit to pre -hire, random, reasonable suspicion, and post -accident drug and alcohol testing before, the project begins, but not required for an Employee who has been participating in a random testing program during the 90 days preceding the date on which the Employee, commenced work on the project; and (4) a procedure for notifying the Employee of any violations or reftisal to submit to a drug test. 'flie prohibited Employee actions include LISIng, POSSMU-Ig) distributing, delivering, or being under the influence of a drug or alcohol while performing Nvork on a public works project, Any Employee with a Blood Alcohol Content at or above 0.02 is considered to be under the influence. M 'Ns written program must be fled with the Illinois agency and. made publicly available. Any Employee who violates the drag policy, tests positive for drugs, or refuses to submit to a dreg test may not work on a public works protect until the Employee satisfies the following conditions: (I) the Employee has tested negative for presence of drugs and is not under the influence of alcohol; (2) the Employee has been approved to return to work in accordance with the Employer's written substance abuse prevention program; and. (3) the testing for drugs and alcohol was conducted in accordance with laboratory testing and chain Of Custody procedures as required by the US. Department of Health and Human Services. Upon meeting these conditions, an Employee may return to work if qualified work remains. 1-7-or further reference, the Substance Abuse Prevention Ilrograrn ,Requiremen.ts may be found at 82 ILCS 265/1 , 2 ILCS 265/I , and 820 ILLS 205/2 ; available at http://www.ilga.gov/ legislation/ilcs/ilcs3.asp Ac lD=2 a hapterlD=6 B3 Attachi tent A — General Trades: BCR L T"17ER HEAD ing Dear You have been selected by BCRC�s computer generated randorn selection to take a random drug test for BCRC. You must be tested no later than midnight (day) of (Month), 20 ,,4. Our computer program selects the names of BCRC cardholders for a random each nuonth, You can be selected up to twice in a twelve unonth period. In order to stay in compliance with BCRC and possess a clear (CL) BCRC earn status you will be required to report to an approved collection site within seven (7) days from the date on this "Notice of Randoun Testing" letter (the date on this letter is included in the severe da s). Please verify that the .BCRC card number in the upper right bauud c¢arncr of this notice matches your I CRC card number. If it does not match your BCRC card number, please notify our office immediately! This random test is to be taken on your own three at any of"the BCRC approved collection rites identified on the enclosed collection situ.. lust. You will be mailed a 0.00 stipend for the time necessary to secure random testin only if your test is taken within the allotted seven (7) days of this notice. NO RCEPTIC: NS! Failrure to take your test by the date outlined above will result in your BCRC card status being deerned'sNot Available" (N/A) and will require that you contact the. BCRC office f :ur instructions on the required procedure(s) for correcting the "N/, ""status, In the event you are taking prescriber] medication(s), DO NO'17 take there to the collection site. You will be contacted by our Media, Review Office (l RC), who will need your prescription information for the verification process. Please provide a legible and accurate telephone number on allforms at the collection site, Reunember, it is your responsibility to keep your contact information current with BCRC. You can do so through the "Members Utilities" secure portal on the BCRC website at www;bcrcnet.com or by culling the BCRC office at the numbers listed below. Q-tiestions, contact the BCRC office @ 219-764-9500 or toll free @ 877-988-5400 Thank you for your cooperation. Sincerely, Tish Roach Executive Director As a member of BCRC, you and your family have access to Perspectives, a fully independent, professJonal Employee Assistance Program (EAF). Perspectives twenty-four (24) laoaur, seven () days a week hotline number is (800) 456-6327. All calls to Perspectives are confidential, zi Attachment B Non -Bargaining: BCRC LETTER MEAD Wtff a 1Vot t* a r.Ra ndom Tefaun► Dear You have been .selected by BCRCs computer generated random selection to take a. random drug, test for BCRC. You must be tested no later than midnight (day) of (Month), 20 , Our computer program selects the nannes of BCRC cardholders for a random each Month. "1<✓"ou can be selected up to twice in a twelve month period. In order to stay in compliance with BCRC and possess a clear (CL) BCRC card status you will be required' to report to an approved collection site within seven (7) flays from the (late on this "Notice of Random Testing"letter (the date on this letter is included in the seven days). please verify that the BCRC card number in the upper right hand corner of this notice matches your BCRC card number. If it does not match your BCRC card number, please notify our office immediately! 'This random test is to be taken on your own tune at any ofthe BC.' RC anpproved. collection sites identified on the enclosed collection site list. failure to take your test b the dame outlined above will result in your BCRC card status being deemed °dlot ,vaJable"(NI ) and will require that you contact the BCRC office for instructions on the required procedure(s) for correctiu the `N/X status, In the event you are taking prescribed r nedication(s), D N T take thenxn to the collection site. You willhe contacted by our Medical review Office (MRC), who will need your prescription information for the verification process. please provide a legible and accurate telephone number on all forms at the collection site. Remember, it is your responsibility to keel), your contact innformation current with BCRC. You can do so through the "Members Utilities"secure portal on the BCRC website at wwwbcrcnet.comor by calling the BCRC office at the numbers listed below. Questions, contact the BCRC office @ 219-764-9500 or toll free @ 877-988-5400. 'Ihank you for your cooperation. Sincerely, Tish Roach Executive Director As a nnernber of BCRC, you and your family have access to perspectives, a fully independent, rofessional Employee Assistance Program (EAp). perspectives twenty-four (Y4) hour, seven (7) days a week hotline number is (800) 456-6327. All calls to perspectives are confidential. 45 Attachment C — Pipe Fitters — Local #597: BCRC LETTER HEAD Dear You have been selected by BCRC" s compu ter generated random selection to take a random drug test for BCRC. You must be tested no later than midnight (day) of (Month), 20 1. Our computer prograin selects the names of BCRC cardholders for a random each month. You can be selected up to twice in a twelve month period. In order to stay in compliance with BCRC and possess a clear (CL) BCRC card status you will be required to report to an approved collection site within seven (7) days 6om, the date on this "Notice of Random Testing" letter (the date on tills letter is included in the seven dys). Please verify that the BCRC card number in the tipper right ]land corner o this notice matches your BCRC card number, If it does not match your BCRC card number, please notify Our office immediately! 'I'his, random test can be taken on your own time/taken on your Eniployer/Contractor's time at any of the BCRC approved collection sites identified oil the enclosed collection site list. Failure to take your test by the (late outlined above will result in your BCRC card status being deemed "Not Available" (N/A) and will require that you contact the BCRC office fear instructions on the required, procedure(s) for correctin), the "N/N'status. In tl,-ie event you are taking prescribed medication, — DC> l f1take them to the collection site. You will be contacted by, our Medical Review Office (MRO), who will need. your prescription inforlilatiOn for the verification process, Please provide a legible and accurate, telephone number on all forms at the collection site. Remember, it is your responsibility to keeg)our contact information current c with BCRC. You can do so th:t embers Utdi ties" secure portal on the BCRC websi te at www.[)crcnet.cO'TTI or by calling the BCRC office at the numbers listed below, Questions, contact the BCRC office @ 219-764-9500 or toll free @ 877-988-5400. 'Than!( you for your cooperation. Sincerely, Tish Roach Executive Director As a member of"BCRC, you and your family have access to Perspectives, a fully independent, professional Employee Assistance program (EAP'). Perspectives twenty-filur (24) hour, seven (7) days a week hotline number is (800) 456-6327. All calls to Perspectives are confidential. M t:aclrrnent D RVjL1jDjMG-AN—VQ0 SUM CENTMERINC ALCOHOL 1, the undersigned, _.... , do hereby authorize the testing of my body fluids for employment reasons and understand and agree that the results of any such testan will he turned over to the Building and constructions Resource Center, Inc. and, Et}ter that the testing procedures will he limited to tests for prohibited and illegal drugs and controlled substances. l understand that the results of these tests may be used for em loyanent and discipli:naq reasons aat°ad hereby authorize the release of such information fron) the laboratory and MRO. l further certify that the urine specimen collected from me is arsine and not adulterated oraltered in any manner. l have been advised that matters affecting arse relative to the interpretation or application ofthe Drug Policy and subject exclusively to the grievance and arbitration procedure under nay collective bargaining agreement (if applicable). Witness Signature of Applicant/Employee Date Employee's Social Security Number Time Employee's Telephone Number Notary Public Employee's Address Commission Expires City Official Seal State &Zip Code (Must be notarized if NO ID) 47 Attachment E MARCH@ BCRC is exercising extreme care to ensure that strict quality control nicasures are followed in the collection, handling, and analysis ofyour specimen. You play an important role in this process and should be certain that you have provided an unadulterated specimen to the laboratory. Remember, you are certifying that the specimen which you provide is yours and is unadulterated. Any adulteration or switching of specimen is a breach of BCRC's rules and, if you are employed, may subjject you to discipline tip to and including termination by your, Employer. Foryour own protection and peace of mind, we ask t1tat you: • Provide a picture, identification to the collection site/technician at time of arrival; • Be escorted to a collection room and asked to provide an unadulterated specimen in the collection bottle provided, 'Die bottle should be faded to 45 ml; • Return the spccirnen bottle to the medical technician and witness, initial and date the integrity seals placed on your specimen; Verify the proper spelling ofyour name as recorded on the: log sheet-, • Verify that your social security number has been properly recorded; • Verify that the social security number placed on your specimen bottle is the same as that recorded on the log sheet and the Custody and Control Form. I HAVE READTHEABOVE AND HAVE HAD AN OPPORTUNITY TO ASK QUESTIONS REGARDING THIS PROCEDURE, BICK Applicant/Cardholder Signature Date Fly-*] wul_e� Attachment F RCRC Qn-sate $m g_tAbustT wgAdAtc r u Effective ective 0 1) BCRC will coverall outside Contractors, non -bargaining personnel, and/or safety personnel working at heavy industrial facilities, light industrial facilities, health care facilities, and/car any public or private entity in Northwest Indiana for the ��arurpose of'substance testing, tracking and administration under the terms of this ,cldenduln to the BCRC police. Testing will include random on -site testing, Post-Accident/Incident "besting„ Probable Cause "Testing and Follow-Up Testing when required.. ) BCRC will identi to the Ern )lo er's and/or Owner's Designated EmjaloTer Representative (Dl, )anyone that has a non -negative (positive) test resu t, ancludin walkouts or refusals to test„ at the facilities where this amendment is adapted. Sai9participant would be "blot Available" (WA.) for employment at that facility until the participant has contacted the EAP .for evaluation and to receive instructions on how to resolve their "l' /A" status. lfthe result of the aarticipant's Return to Duty test is negative and he/she is and continues to comply with all tlae follow rrlr testing protocol as outlined in the BCRC Policy the participant will, be allowed to return to work. BCRC will identify anyone that has two conf nned non -negative (positive) tests, to include walkouts or refusal to test, at this facility to the Employer's/Owner's DER. 3) The Employer/Owner will provide BCRC with a list or"nraol"ftoln which random selections will be drawn. ibis list will consist only of artici ants Msicaff on the Owner's site on the day the random selection is requeste BCRC wnotify the Emplo�ers/Owners Dl-'R or Card, Manager of the random testing selections, Upon notitacation the selected particirrant bras one hoar plus travel time to report to an a . proved I CRC testing facility Notification will be liven during the same shift for which the pool was submitted and a minimum, of two hours rior. to the end ofthe participants shift plus swipe time.Although h no stipend wi,' �e paid, the test will count as a randorn test in the normal BCRC Policy. ) Employers and Owners will he assigned a code number for access to the BCRC e-marl system for verification of availability cif"participants in their facility and internal auditing requirements. ) Ena lover Owncrs who require tests to be current within a specified time frame will ae obligated for the administration, ariap�lemcntation and Cast of these tests since these tests are not consistent with flee I3CR ' Policy. Example: Owner "N'requires that all Frnplo a ees have clnr screen within the last one hundred eightr days (180, Any Eaar,p payee that must test to be in compliance can do so provided it is not a violation of the applicable Collective Bargaining Agreement. "`l'his test will not be at the expense of RCRC. Gary Kebert, President BCRC Kevin Roach, Secretary BCRC Owner Representative Date Building & Construction Resource Center, Inc. Board of Directors MANA-GEMENT UNION Gary Kebert, President Mark McCloskey, Vice President NWI Contractors Association Cement Finishers' Local 406 Bill Walton Jr., Treasurer Nat'l Electrical Contractors Assoc. Rick Stovall, Finance Committee NWI Contractors Association Adam Vidimos, Finance Committee Northern In Sheet Metal Cont. Assoc Dewey Pearman CAF (At Large) Kelly Keough Plumbing & Piping Cont. Assoc. Bob Hoover Bricklayers Association Margie Hofmann NWI Contractors Association Tom Jarka NWI Contractors Association Larry Macuga NWI Contractors Association James Mitchell, Sr. Finishing Contractors Association Ted Vrehas NWI Contractors Association Pete Korellis Roofing Contractors Association Bill Hasse NWI Contractors Association Kurt Schmiegel NWI Contractors Association Kevin Roach, Secretary Laborers' Local 41 Mike Stavitzke, Finance Committee IN/KY/OH Regional Council of Carpenters' Jeff Hamilton, Finance Committee Sheet Metal Workers' Local 20 Randy Palmateer Building Trades Council (At Large) Sal Espino Plumbers' Local 210 Jeremy Rivas Bricklayers' Local 4 Ryan Reithel IBEW Local Union 697 Ronald Ware, Jr. Ironworkers' Local 395 John Sorensen Operating Engineers' Local 150 Shawn Solner Painters' Local 460 Ted Bilski Teamsters' Local 142 Joe Pozzi Roofers' Local 26 Dennis Hahney Pipe Fitters' Local 597 Brad Holzhauser Technical Engineers' Local 130 Striving to be Drug Free for a eats Industry Tish, Roach Executive Director