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HomeMy WebLinkAboutOpening of Bids - Gemini at Colfax Exterior Renovations – Proj No. 119-103 - Ziolkowski Construction, Inc.CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK: Project Name Gemini at Colfax Apts. — EXTERIOR RENOVATIONS Project No. 119-103 For Bids Due February 25, 2020 PART I (Must be completed for all bids. Please type or print) Date: Februa 25 2020 Bidder (Firm): Ziolkowski Construction Inc. Address: 4050 Ralph Jones Drive City/State/Zip: South Bend, IN 46628 Telephone Number: 574 ) 287-1811 .. _------- _. Agent of Bidder (if Applicable): Public nt to notices project ofven, the undersigned offers to furnish labor and/or material necessa—to complete t mm "- ... ryhe p p J Exterior renovations at the Gemini -Colfax A artment Buildin the City of South Bend, Indiana, in accordance with plans and specifications prepared by: South Bend Heritage Foundation, Inc. and dated Janua 17, 2020 for the sum of (enter the Total Bid as shown on the Proposal) No Bid A($ No Bid ) (Enter sum of Total Division A Base Bid plus positive value (Numerical) Alternates_ shown on Pro( osal' Three Hundred Seventy Two Thousand Nine Hundred B($$ 372,900.00 ) (Enter sum of Total Division B Base Bid plus positive value Alternates shorn on Proposal No Bid (Enter sum of Total Division C Base Bid plus positive value Alternates shown on Proposal No Bid (Enter sum of Total Division D Base Bid plus positive value Alternates shown on Proposal) No Bid ....... (Enter sum gid f Total Division E Base Bid)No _... Division E alternate #1 No Bid No R, Pision E alternate #2 Division E alternate #3 No Bid Division E alternate #4 (Numerical) C($ No Bid ) (Numerical) o i (Numerical) E($ No Bid.... ) (Numerical) E1 No Bid (Numerical) g2g No Bid (Numerical) E3 o Bid. (Numerical) E4 o Bid.. (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addenda attached will be specifically referenced at the applicable page. Version 4/2/2019 Contractor's Bid for Public Works - 2 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Gemini at Colfax Apts. — EXTERIOR RENOVATIONS Project Number: 119-103 For Bids Due: February 25, 2020 Contractor Name: Ziolkowskl Con struction, Inc. BASE BID — Division A Item No. Description p Quantity Unit Unit Price Total Amount 1 Division A Roof remove and replacement. 1 LS No Bid 2 Division A: Deck repair 100 SF No Bid .._. 3 Clean-up allowance ._... . 1 ....... .......... _. $5,000.00 BASE BID TOTAL No Bid BASE BID — Division B Item Description p tion Quantity Unit Unit Price � Total Amount Division B: Masonry Parapet Rebuild 1 section 1 (see drawing page A2.4) — 1 LS 194,200 rebuild parapet including finials & pedestrian protections. Division B: Masonry Wall Repair section 2 2 (see drawing page A2.4) — repair indicated wall areas including at two 1 LS 173,100 removed fire stairs. 3 Division B: replace additional 5 SF 5 SF Chicago Common'wall veneer brick 565.00 Division B: grind and tuck point 1 SF of 4 wall veneer brick adjacent to base bid 1 SF 35.00 rebuilt masonr . 5 Clean-up allowance 1 $5,000.00 BASE BID TOTAL 372,900.00 BASE BID — Division C Item Description No. p Quantity Unit Unit Price Total Amount Division C Base Bid: replace 2 fire stairs 1 on west side of building. Including new 1 LS No Bid cone, piers. BASE BID TOTAL No Bid (cont. next page) Version 4/2/2019 Contractor's Bid for Public Works - 8 BID/PROPOSAL CITY OF SOUTH BEND Project Name: GeminiatColfax Apts. — EXTERIOR RENOVATIONS Project Number: 119-103 For Bids Due: February 25, 2020 Contractor Name: �m............. _...._....�_...�.... Ziolkowski Construction, Inc. BASE BID — Division D Item No.. Description Division D Base Bid: New water ser vice 1 from Washington St. to south building foundation wall. Landscape repair. Quantity V Unit � Unit Price I Total Amount 1 BASE BID — Division E Item No. Description Quantity Division removal and replacement visio a 1 Specified window 1 LS No Bid BASE BID TOTAL No Bid Unit Unit Price Total Amount LS No Bid BASE BID TOTAL No Bid ALTERNATE ITEMS — Division E E1 Division E: deduct one column of (3) stacked type C window replacements 1 LS No Bid 2 Division E: deduct one column of (2) 1 LS stacked e D window replacements No Bid 3 Division E: deduct one column of (3) stacked e E window replacements 1 LS No Bid —s Division E: deduct one column of (3) 4 stacked_type F window re lacements 1 LS No Bid Bidder (Firm): Ziolkowski Construction, Inc. Address: 4050 Ralph Jones Drive City/State/Zip: South Bend, IN 46628Telephone Number: (574 ) 287-1811 Add #1, 2, 3 have been acknowledged By^u 4 ,L'aL aerr as..w r �0'uiY Signature) .Sill , President S �i i to � 1p Me of Person Signing) Version 4/2/2019 Contractor's Bid for Public Works - 9 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, khgA#0W i19'" ) of4the units shall be shown on a separate attachment. MByi � (Sugnature) BIII Favors, Presider (Printed Name of Person Signing) SEAL ACCEPTANCE e', ! v� c ep$e "this day of 20 Subject ,f /[�6 J q6 n'6- conditions,. BOARD OF PUBLIC WORKS Gary A. Gilot, President Joseph R. Molnar, Member Elizabeth A. Maradik, Member Therese J. Dorau, Member ................ Jordan V. Gathers, Member Attest: Linda M. Martin, Clerk Version 4/2/2019 Contractor's Bid for Public Works - 3 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. See Attached 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 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.) As directed by the Arch itect/Construction Manager 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. If Subcontractors will be used we will submit this information 24 hours after notification. 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. If Subcontractors will be used we will submit this information 24 hours after notification. 4. Attach a listing of equipment you have available to use for the proposed project. Whatever is required to complete the project properly and on time. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. Yes SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 4/2/2019 Contractor's Bid for Public Works - 4 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 Ind iana ) SS: St Joseph COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. Version 01/29/2020 Contractor's Bid for Public Works - 5 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, firms, 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 will consider the Contractor's good faith efforts to obtain participation by those subcontractors 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. Contractors seeking the award of a City contract cannot be required to award a subcontract to airMWBE; however, they may not unlawfully discriminate against said MBE/WBE. A finding of noncompliance or a discriminatory practice shall prohibit that Contractor 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 to which the discriminatory practice or noncompliance pertains. 7. The undersigned Contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder may result in forfeiture of contractual payments. Version 01/29/2020 Contractor's Bid for Public Works - 6 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 25th day ofFebruaru 20 20 Subscribed and sworn to before me this 25th My Commission Expires March 6, 2025 County of Residence Ziolkowski Construction, Inc. Contractor/Bidder (Firm) Signature of Contractor/Bidder or Its Agent Bill Favors, President Printed Name and Title day of February 20 20 ._._--_ __ Notary 1) r1 " '°fining Elkhart E N D VINING Seal lic — State of Indianahart County on Expires Mar 6, 2025 Version 01/29/2020 Contractor's Bid for Public Works - 7 Do Conforms with The American Institute of Architects AIA Document 310 CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place of business) Ziolkowski Construction, Inc. Liberty Mutual Insurance Company 4050 Ralph Jones Drive 175 Berkeley Street South Bend, IN 46628 Boston, MA 02116 State of Inc: Massachusetts OWNER: (Name, legal status and address) City of South Bend, Board of Public Works 1316 County -City Building; 227 W. Jefferson Boulevard South Bend, IN 46601 BOND AMOUNT: Five Percent of Amount Bid (5%) PROJECT: (Name, location or address, and Project number, if any) GEMINI AT COLFAX EXTERIOR RENOVATIONS - Project #119-103 This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (l) enters into a contract with the Owner in accordance with the terms ot'suc'h bid, and gives suet, bond or bonds as may be specified in the, bidding or Contract Documents, with a surety admitted in the jurisdiction of the 'Project and otherwise acceptable to the Owner, for the faithful perforirrance of ,such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount, for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation sham'lI be null and void, otherwise to remain in full force and effect, The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate 'beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is than this bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 25th day of February 1 2020 Ziolkowski Construction, Inc. itraess) yLu rind a (Seal) (Title) Bill Favors, President „ (Sxll� Liberty Mutual Insura, to C�art� (Seal) it a John K.J hnson m (Tl Adrienne C. Stevenson, Attorney in Fact State of Georqia County of Fulton On - 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 tote to be Attorney -in -Fact of Liberty MutualInstirance Company the corporation described in and that executed the within and foregoing insh-uj—nent—,a­nd —kn­ow­nto"me to e —he —ithhrm. , person who executed (lie said instrument in behalf of the said corporation, and lie duly acknowledged to me that such corporation executed the same, IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official sea], the day and year stated in this certificate above. My Commission Expires August 23, 2021 Mania Concepcion Notary Public 0 0,0 10' 'Cam 4ur. 00 t 4 "'n This Power of Attorney limits the acts of those named herein, and they have no authority to '' `ert bind the Company except in the manner and to the extent herein stated. Liberty Mutual Insurance Company SURETY The Chia Casualty Insurance Company Certificate No: 8201331 West American Insurance Company POWER OF ATTORNEY ?KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty InsuranGe Company Is a corporation duty organized under the faws of this State of New Hampshire, that Liberty Mutual Insurance Company is a corporatton duly organized under the laws of The Slate of Massachusells, and West American lnsurance Compalry is a corporation duly, organized under the laws of the State of Indiana (herein colleclivefy called the'Companies'), pursuant to and by authority herein set forth does hereby name, constitute and appoint, Attnenne C Steyaar�mon .._.._ all of the r,;ity elf, Atlanta InMate of Geor w one: roamed, its True and lawftll attnrney-imore n fact„ with full power gnat authority herebayronferred� To sign, execute and acknowledge he above •referena ed surety bond, INy if be IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this Sloth day of Me 1 g. Liberty Mutual Insurance Company The Ohio Casualty Insurance Umpany IKSU"? I � INS0 West American insurance Company 1912� 0 19, 0 S 1991 0By: r r, 7 * * 41 f David M, Carey, Assistant Secretary STATE OF PENNSYLVANIA ss 6 COUNTY OF MONTGOMERY On this 3fdthro clay ofdt5, before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance Company, The aco Ohio Casualty Company, and WestAmerican Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrumentforthe purposes therein contained co by signing on behalf of the corporations by himself as a duly authorized officer. N � IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written.. 0 F f, COMMONWEALTH Notarial seal NNSYLVANI Ter nTwra.sa la Notary Montgomery C 7J4 -� UpperMenonTwp Montgomery County By W _. .......1 1p y Commission Expires March 28 202 0 �Meru kMr, t anin, ivrnwa Association or Notaries Teresa Pastella, Notary Public L — ai 0 This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual o Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: c co ARTICLE IV — OFFICERS: Section 12. Power of Attorney,. 0 va U) Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety oany and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such D instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. >' ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings. CU U > Any officer of the Company authorized forthat purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, 0 ;= shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, Z D bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorny es- infact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances acid ocher surety obligallons,. Authorization -- By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing Capon a cenhfled copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company wdth the sanree force, and effect as Though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, of Liberty Mutual Insurance Company, The Ohio Casualty Insurance Company, and West American Insurance Company do hereby certify that this power of attorney executed by said Companies is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 25th day of February 2020 X1 INS ar wJ,( INS& trxSU� 1912 0 0 1919 , 1991 tala��'�� � ^�' P^�rat,�ea� 2r By. aw. 6�z'1 M �i Renee C. Llewellyn, Assistant Secretary rn N m c c m c 0 U W 4) coo Q� 0,10 `mom of d M 0 n .� oa) v� >.0 o d 'Ct CO N CO 00 U h � Marsh MSurety POA LMIC OCIC WAIC Multi Cc 042019 r.+ z Q J a O a z 0 N 7 J C) Z Q ? Q whJ oa mRrz xo.w0 � wmQ yZ�J W LL o co) >- W O c� LLI y 3 m z LU 2 G z Q O _z 9 N z O O z LU it lz O 2 W X C) W O N M 6 E w z C O U 7 co C O U u) r C,O N N 6 l'0 Y O C O p �wa a O6 m W m r o m c 'o E E o ¢U c`o 6 0 U N a co �o a �a N y c n 3 O T w O a) o aa) U O N U 4% co Q U s U f6 Q c O La c ar oC U � m � EZ 'C a W m to fA N a a ca N E m Z O N O N L N N a) LL C v a 0 N LL m ya Y E 7 U) a) N m N N z c a` N th -f 1 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN „kq" 1 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: 119-103 Date: February 25, 2020 Project Name: Gemini at ColfaxONS ax A ts. -EXTERIOR RENOVATIONS .....__ Bidder: Ziolkowski Construction, Inc. Contact Person: Ryan U_eck ..._ _ Telephone: ITIT 574-287-1811 Address: 4050 Ralph Jones Drive City: South Bend State: Indiana zip: 46628 Email. rueck@zbuild.com 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 one for 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- i trade certified) found at: htt //www.in oy/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. __............ ...._._.....w _ ....... _..__................ 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 certified list of X Indiana Minority and Women Business Enterprises, found on their website htt ,//www in govAdoa), __ ............_ .......... ........... I affirm that I have made good faith efforts to select portions of the contract work to be X performed by MWBEs, including, where appropriate, breaking out contract work items into economically feasible units to facilitate MWBE participation. X 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. 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 Immperformed an and all necessary_ ste s to provide written p y p p notices in a manne11 r reasonably calculated to inform MWBEs of subcontracting opportunities and allowed sufficient time for MWBEs to participate effectively. I affirm that I followed up on initial solicitations with interested MWBEs. .._..-.......... _...__ .......... ............ I affirm that I negotiated with interested MWBEs in good faith, including providing such MWBEs with adequate information about the plans, specifications and other requirements of the subcontract. .............. _ ........ .. ........ 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. Version 01/29/2020 Contractor's Bid for Public Works - 11 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLANS ^ °"' � z�',; `r) FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS I affirm that l have made good faith efforts to assist interested MWIBEs in obtaining necessary equipment, supplies, materials, or related, assistances or services, where appropriate. Il 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 re quires our initials next to all of th ._........ q y e above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 01/29/2020 Contractor's Bid for Public Works - 12 k ,r 01 4 Sq Adf.,� CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN, + FORM MWBE-2.1 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: 119-103 MWBE Participation Goal 7.87% Project Name: Gemini at Colfax Apts. - EXTERIOR RENOVATIONS Bidder: Ziolkowski Construction, Inc. BY Bill Favors, President February _ ........................._ _w 25, 202 . .............-.�. (Signature) (Title) (Date) MWBE Firm None for This Trade Owner or Contact at MWBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MWBE FIRM: MWBE Firm Owner or Contact at MWBE Firm Email: Telephone:. Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT. RESULTS OF CONTACT WITH THE MWBE FIRM; Version 01/29/2020 Contractor's Bid for Public Works - 13 1316 COUNTY-CgTy BUILDING PHONE 574/ 235-9251 227 W. TEEEExsow BOULEVARD FAX 574/ 235-9171 SOUTH BFND, INDIANA 46601-1830 TL3I; 574/ 235-5567 CITY OF SOUTH BEND JAMES MUEL,L ER, MAYOR PUBLICBOARD OF WORKS Date: February 2020 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Numb -. ...... � Number: 1 Project Name: Gemini at Colfax Exterior Renovations Project No.: 119,103 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 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 bid package upon submittal. MUST" also be included with your THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The bid opening is being p ostponed from February l lah, 2020, until February 25111, 2020. Revised bid documents will be supplied the week of February l 0'1'. Enclosed is a revised. Notice to Bidders. The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Authorized Signature: Date: '�� ( '�-) 1Q0 1316 COON Y-CI-r Y BUILDING � � PHONE 227 W. JEFFERsoN BouLEVARCa r FAX SOUTH BEND, INDIANA 46601-1830 �� "`�"� ° "I` D CITY OF SOUTH BEND JAMES MUELLER, MAYOR Date: February 13, 2020 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 2 Project Name: Gemini at Colfax Exterior Renovations Project No.: 119-103 574/235-9251 574/235-9171 574/ 235-5567 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: '� ) /8 �&C) 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: Revised bid documents are attached herein. These two PDF files replace the original Plans and. Specifications. Changes to documents leave been highlighted to note differences frond tl1e on final. The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: I , C) tkDzk"�' ('�' K)ZDU Authorized Signature: '2 Q'6 dzkb a cl'�' Date: ), 1316 COUNTY -CITY BUILDING � � � PHONE 574/ 235-9251 227w.7F,FPER9C3AIE$C3ULEVAItD �„ FAx 574(235-9171 Sown' BEND, INDIANA46601-1830 tj ""���� � 'TDD 574/ 235-5567 CITY OF SOUTH BEND JAMES MUELLER, MAYOR Date: -February 20, 2020 To: All Planholders From Lind _......_......... a M. Martin, Clerk, Board of Public Works _._................. ........ Subject Addendum Number: 3 Project Name: Gemini at Colfax — Exterior Renovations Project No.: 119-103 ACKNOWLEDGEMENT ENT OF RECEIPT OF ADDENDUM Date Received: 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: Please see attached pa es. The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: `� 4 Authorized Signature: IR Date: 00a 0 /,a C) -Q C) 0 SECTION I EXPERIENCE QUESTIONNAIRE I . What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount oWrk Glass of �. Date Name and Address of Owner.� $27,366,910 General 05/2016 Purdue University North Central 321,355,975 General 06/2015 Armed Forces Reserve Center $9,020,000 General 10/2016 South Bend Airport- New Arrivals TE $15,964,580 General 12/2016 Renaissance District - Phase I 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 $6,528,402 General 6/2018 UND Walsh Hall Selective Renovations $5,139,150 General 8/2018' La orte T-Tigh School - Perfarnj Arts $13,208,000 General, 8/2019 ,aporte Intermediate on the Kesling Cam $3,472,000 General 8/2018 PHM Schools - Football Stadium Improi 3. Have you ever failed to complete any work awarded to you? No If so, where and why? 4, List references from private firms for which you have performed work. University of Notre Dame, Tony Polotto, LEED, AP, 200 Facilities Bldg., Notre Dame, IN 46556 574-631-4200 City of Mishawaka, Ken Prince, 600 East Third Street, Mishawaka, IN 574-258-1625 Fetters Construction Inc., Steven A. Fetters, 5417 County Rd 427, Auburn, Indiana 46706 260-927-8516 Memorial Hospital & Health System, Larry Lies, 615 N Michigan St., South Bend, IN 46601 574-647-1000 !ci Inc. General Construction & Design/ Build INi turnng intro IN &mW� iil N r-ire 1g" - a g i �, February 25, 2020 City of South Bend Board of Public Works Reference: Gemini at Colfax Exterior Renovations Reference: Drug Testing of Employees of Public Works Contractors This letter is to certify our ability to comply with the required drug testing of our employees as required by IC 4-13-18 for your project. The collective bargaining agreement that covers our employees for this type of project in this area does not contain a provision for random drug testing of employees. However, it is our policy as a contractor to comply with any owner -required or state -mandated drug testing provisions on projects where we perform work. The Ziolkowski Construction, Inc Health and Safety Manual has a section which highlights this policy, a copy of which is available for your review. Ziolkowski Construction, Inc does drug test our employees through collective bargaining agreements that meet the requirements of IC 4- 13-18-5. This is for employees working in other areas that utilize programs administered by the Indiana Union Construction Substance Abuse Trust (IUCSAT) and the Building Construction Resource Center, Inc. (BCRC). If awarded this contract Ziolkowski Construction, Inc will utilize a drug testing program which complies with IC 4-13-18-6 Employee Drug Testing Program Requirements. If you have any questions, please contact me for clarification. Sincerely, ZIOLKOWSKI CONSTRUCTION, INC. Keldsen Director Construction, Inc 574-246-4204 x. 368 jkeldsen@zbuild.com 9N.B Jph .lobes Drive - SouthITBend, IN. 4662 -3_� I 234-0! 5I, Committed to professionalism and excellence for the benefit of our clients, employees, and shareholders " " r �A� yrvcnpxyy�f J4 �iplmra;,y Company iD. Number-., 486671 THE E-VERIFY PROGRAM FOR EMPLOYMENT VERIFICATION MEMORANDUM OF UNDERSTANDING PURPOSE AND AUTHORITY This Memorandum of Understanding (MOU) sets forth the points of agreement between the Department of Homeland Security (DHS) and 2�'iblkaws1d onstrue fiun I`ne., (Employer) regarding the Employer's participation in the Employment Eligibility Verification Program (E- Verify). This MOU explains certain features of the E-Verify program and enumerates specific responsibilities of DHS, the Social Security Administration (SSA), and the Employer..- E-Verify is a program that electronically confirms an employee's eligibility to work in the United States after completion of the Employment Eligibility Verification Form (Form 1-9). For covered government contractors, E-Verify is used to verify the employment eligibility of all newly hired employees and all existing employees assigned to Federal contracts or to verify the. entire 'ti orkforde if the contractor so chooses. Authority for the E-Verify program is found in Title NV Subtitle A, of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IiI IRA), Pub. L. 184-208, 118 Stat, 3809, as. amended (8 U,S.C: § 1324a note). Authority for use of the -Verify program by Federal contractors and subcontractors covered by the terms of Subpart 22.18, "'Employment l ligilaillty Verification", of the Federal Acquisition: Regulation (FAIL) (hereinafter referred to in this MOUas a "Federal cont(actor with the FAR E-Verfy clause') to ved the employment eligibilily of bertain employees w6rleinrd on Federal contracts is also found in Subpart 22.18 and in Executive Order 12989, as amended ARTICLE If FUNCTIONS TO BE PERFORMED X RESPONSIBILITIES OF SSA 1. SSA agrees to provide the. Employer with available iinformation that allows the Employer to confirm the accuracy of Social Security Numbers provided byall employees verified under this MOU and the employment authorization of U.S. citizens, 2. SSA agrees to provide to the Employer appropriate assistance with operational problems that may arise during the Employer's participation in the E-Versify program, SSA agreeis to provide the Employer with names, titles, addresses; and telephone nurnbers of SSA representatives to be contacted during the E-Verify process. 3. SSA agrees to safeguard the information provided by the Etriployer through the E Verify program procedures, and to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security Numbers and for evaluation of the E-Verify program or such other persons or entities who may be authorized by SSA as governed Page 1 of 13 1 E-Verify MOU for Emproger 1 Revision Date 09/01109 www. dhs.gov/E Verify r. Y E-Veri fy........J., Gompany ID Number; 486671 To be accepted as a participant in E-Verify,you should only sign the Employer's- Section of the signature page. If you have any questions, contact E-Verify at 888-46 - ; 18. Employer Ziot[r ivski. C xi tiizebdU, "e. Bill Favors Name Please Type or Print title Electronically Signed 01/10/2012 Signature Date Department of Homeland Security — Verification Division SCIS. Verificatliou D aian Name (Please Type or Print) fide Electronically Signed 01/10/2012 Ignature Date Information Required for the E-Verify Program - Information relating to v oar Company: Coni phyMe: rolkowski Construction,, Inc. q mpany Facility Address:. 060 RAiph Jones Dr. South Bend, IN 46628 Company Altemaie Address: CoUnN or Parish. STJOSEPH Employer Identif[catlon Number'. 514459..92 Page 12 of 13 1 E-Verify MOU for Employer I Revision Date 09/01/09 www dlis.gov/E Verify Company ID Number: 486671 -Marth American Industry Classification Systems Code: 236 . ......... . . ..... . .. Administrator' Number of Employees: 100to499 Number of Sites Vefified for. Are you verifying for more than I site? If yes, please pr ovide the number of sites verified for in each State, INDL&NA 1, site(s) Infdrination relating to the. Ptogram Administrato*r(s) for your Company on policy qu'eitions- or operational problems: Name_ James Keldsen Tclaphone Number: (574) 287 - 1811 ext 368 Fa-kNumber: (a 4) 344 - 5533 E-mail Address:. jkeldse-o@zl,)uild.com . . . . .............. Page 13 of 131 E-Verify MOU for Employer I Revision Date OB/G! 109 VLrww.dhs.goV/E-Verify E-Verify - Employer Wizard - Company Information Page I of I E-Verify Emplayment,E1191bility Verification Cltck any for help Welcome user to Lusl [,*�In James Keldsen 00101101106, 12!34FM-06120J2016 Log Out Home Company Information My Cases New. base Codipany Name-. Z'rolkowsk! Construction, Inc. spiv Case. Search cases Company 10 Number. 486671 My Profile Doing Business As (1)13A) Edit Profile Name: Change Password DUNS Number-. Change Security Questions MY company Physical Location: Edit Company Profile. Address 1: 4050 Ralph Jones Dr. Add New Uber Address 2: ViLwEndsting Usera C*.- SDUth Bend Close Company Account -State. IN My Reports Zip Code: 46t323 View Reports County: STJOSEPH My Resources View Essential Resources Additional Information; Take Tutorial Employer Identification Number, 351445992 View User Manual Total Number of Employees: 100 to 499 'Share Ideas Parent Organization: Contact Us Administrator. Organization Designation: Employer Cqtegory:. None of these categories apply Mailing Address: Address 1: Address 2: City: Zip Code: NAILS Code: 236 - CONSTRUCTION OF BUILDINGS Total Kiring Sites: Total Points of Contact: I L View IWO U.S. Department of Homeland Security- wyeqadhs.gov U.S. Cilizenship and hinicirailDri Services- mm.uscis. V go [Tl.w=l Edit ] 1: View / Edit Enable PermanerriToollips Aecessibiilfy Downloa1\111.wam 11.:.. — ----- —1 i1N r% PIN n -1 1- CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Gemini at Colfax Apartments — EXTERIOR RENOVATIONS Project No. 119-103 For Bids Due February 25, 2020 Contractor Name: Ziolkowski Construction, 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 315' for the upcoming calendar year, or within twelve (12) months of obtaining pre - qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal of the designation, effective January 1 of the following year, or immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 5/16/2019 General Conditions - 6 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder and all subcontractors on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the information provided by the contractor. Version 5/16/2019 General Conditions - 7 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: (i) X 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) 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 Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. (iii) X 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) 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. Version 5/16/2019 General Conditions - 8 II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) _ By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) _ By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at any time and shall be furnished upon request. (iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (b) Attachments: (i) _ Indiana Secretary of State's on-line records (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) List identifying all former business names. (iii) Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. (iv) Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (vi) 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) Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. (viii) Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. Version 5/16/2019 General Conditions - 9 (ix) Written statement of any federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years. (i) List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within three (3) years prior to the date on which the bid is due. Date: February 25, 2020 (Sign Here) Bill Favors, President (Print Name Here) Ziolkowski Construction, Inc, (Name of Company) 4050 Ralph Jones Drive (Address of Company) South Bend (City) Indiana (State) 574-287-1811 (Telephone Number) Version 5/16/2019 General Conditions - 10 ZIOLKOWSKI constrtion, inc. General Construction & Design/Build Nl� ,� 18-Wil ll� tren $' Il do ns� ,ml s lir-c 1 74 February 25, 2020 City of South Bend Board of Public Works Subject: Operations Letter Dear Sirs: Ziolkowski Construction, Inc. has been in business since 1974 and operated during that period of time under that name only. Ziolkowski Construction has not violated any federal, state or local laws, including violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA) laws, federal Davis -Bacon Act laws, within the past five years. Ziolkowski Construction, Inc. is proud to employ the industry's top skilled craftsmen. We have a core group of union craftsmen working on our projects and supplement that group with trained skilled workers from the local union halls. We currently have sufficient workers to perform the work that we are bidding for the above project. All individuals performing work for Ziolkowski Construction, Inc. will be properly classified as employees under the federal Fair Labor Standards Act and in line with all Indiana State and local ordinances. Ziolkowski Construction, Inc. had no federal, state or local tax liens or tax delinquencies in any of the preceding three tax years. Respectfully, ZIOLKOWSKI CONSTRUCTION, INC. Bill Favors President & CFO IN 46628 Phone,(74)287-1811 Fags 67 �0161 ommAted to professionalism and excellence for the benefit of our clients, employees, and shareholders. 1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOUTH BEND. 1NDIANA 46601-1830 CITY OF SO U'1°11 B1dND PETE Bun'1611x; , MAYOR BOARD OF PUBLIC WORKS September 17, 2019 Bill Favors Ziolkowski Construction, Inc. 4050 Ralph Jones Drive South Bend, IN 46628 RE: Pre -Qualification Verification Dear Mr. Favors: PHONE 574/235-9251 FAx 574/ 235-9171 This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you are required to re -submit a complete application for continuation of pre -qualification status prior to December 31 for the upcoming calendar year. A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, Tq a_� Linda M. Martin, Clerk GARY A. GILOT GENEVIEVE E. MILLER ELIZABETH A. MARADIK LAURA L. O'SULLIVAN THERESE J. DORAU Adrienne C. Stevenson Vice President Marsh USA Inc. 540 West Madison Street Chicago, IL 60661-3630 adrienne.c.stevenson@marsh.com +1 312 627 6772 www.marsh.com February 25, 2020 City of South Bend Public Works Re: Ziolkowski Construction, Inc. Project: To Whom It May Concern: Liberty Mutual Insurance Company (Liberty) is the surety for Ziolkowski Construction, Inc. and Marsh USA, Inc. is their surety agent. Liberty Mutual Insurance Company is listed on the Department of Treasury's Listing of Certified Companies, Sincerely, Liberty Mutual Insurance Company Adrienne C. Stevenson Attorney -in -Fact LEADERSt P, KNOWLEDGE, SOi.UT04S-- ORLD' V IE. MARSH &MCLENNAN COMPANIES STATE OF ILLINOIS COUNTY OF COOK l _ C.R. Hernandez a Notary Public in and for said County, do hereby certify that Adrienne C. Stevenson as Attorney -in -Fact, who is personally known to me to be the sane person whose name is subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that they signed, sealed, and delivered said instrument for andon behalf of LIBERTY MUTUAL INSURANCE COMPANY for the uses and purposed therein set forth. Given under m� hand and notarial seal at my office in the City of C �aica o in said County, this 22 n day of Au ust j.1, 2fhlg otary C R HERNANDEZ Official Seal Notary Public • Stale of Illinois My Commission Expires Jun R, 2020 m , . THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power o'f Ats;orney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Certificate No 8055500 Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS That The Ohio Casually Insurance Company is a corporation duly organized under the laws of the Stale of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the Stale of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the Slate of Indiana (herein collectively called the 'Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, lrrmaal Jc .....,�._�...._.m .. John dohn�,�rt� Adrienne C. Stevenson�Trrnly mGarcia Hernandez :jHot . �._........m.-......_w.mm_.._.-_.........�.� all of the city of CHICAGO , stale of IL each Individually if there be more than one named, its true and lawful attorney -in -fact to make, execute, seal, acknowledge and deliver, for and on Its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surely obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 5th day of Aprilm _ .- 2018 yr✓.' ✓ +"ir i ✓ ,,r$a � it �, ""+ 991 rr r STATE OF PENNSYLVANIA ss COUNTY OF MONTGOMERY The Ohio Casualty Insurance Company Liberty Mutual Insurance Company West A,nit'rirrarl Insurance Company David M. CareyAssislant Secretary On this Sth day of April m. - 2018 , before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto subscribed roy name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written M Pt� .Oi5%i'w1 olresa Pasle!IaONo a N Puhllcrl. Upper sm..�._.�.N_..P County lrar��sa Pastelfa, Notary Public My Commission Expires March 28 2D21 tJbP ���1:✓�r MembnLV ainu�tr�iiue,r Assoe�. lion atl lVcp .av�, ...... This Power of Attorney Is made and executed f m istiarij C 1 and by authority of the following By-laws and Authorizations of The Ohio Casually Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: ARTICLE IV -OFFICERS - Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII - Execution of Contracts - SECTION 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in - fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations, Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. r� IN TESTIMONY WHEREOF I have hereunto set my hand and affixed the seals of said Companies this22nd day of ,M,M0, - ,Uaj,, 20 18 p r y �r�r°�� yi1�", � � �w7 - �,�� "r.n i'�• a 1912 1991 9y, Renee C i. ku S.... .Secrete u 19 aro y Secretary 15C 0 W iv c N C �o u UJ E, O O13 G1 C 3� OE aM "y O r O C T3 >� `~ N EC'4 w co 00 V T- o 83 of 250 LMS11,J2873- 022017 State of Indiana Office of the Secretary of State Certificate of Amendment of I, CONNIE LAWSON, Secretary of State, hereby certify that Articles of Amendment of the above Domestic For -Profit Corporation have been presented to me at my office, accompanied by the fees prescribed by law and that the documentation presented conforms to law as prescribed by the provisions of the Indiana Code. NOW, THEREFORE, with this document I certify that said transaction will become effective Thursday, September 13, 2018. In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, September 13, 2018 CONNIE LAWSON SECRETARY OF STATE 197812-318 / 8026586 To ensure the certificate's validity, go to https://bsd.sos.in.gov/PublicBusinessSearch Aya�a roved and Filed T97'812-31818026686 Filing Dale: 0911312018 Effective :0911312018 11:00 CONNIE LAWSON Indiana Sec-reetary of State ARTICLES OF AMENDMENT TO THE ARTICLES OF INCORPORATION OF Zo�� SEP ! ! PH 3� 23 LK ZIOOWSKI CONSTRUCTIONt INC. " The undersigned officer of Ziolkowski Construction, Inc., an Indiana corporation (the "Corporation'), pursuant to the provisions of the Indiana Business Corporation Law, as amended (the "Act"), desiring to give notice of corporate action amending the Corporation's existing Articles of Incorporation, certifies the following facts: 1. Name. The name of the Corporation is Ziolkowski Construction, Inc. 2, Date of Incorporation The date of incorporation of the Corporation is December 11, 1978. 3. Text of Amendments. (a) Article V of the Articles of Incorporation of the Corporation is hereby amended and restated in its entirety to read as follows: aggfio_jU. Number Qf Sbars, The total number of shares which the Corporation has authority to issue is 1,000 shares, consisting of 10 shares of Class A Voting Common Stock without par value ("Class A Voting Common Stock") and 990 shares of Class B Non -Voting Common Stock ("Class B Non -Voting Common Stock" and together with the Class A Voting Common Stock, "Common Stock"). Section 2. Terms of Common Stock. The Common Stock will have the following rights, restrictions, limitations and preferences: (a) V . i lets.. Only the holders of Class A Voting Common Stock will be entitled to vote on matters required to be submitted to a vote of the shareholders of the Corporation. Each share of Class A Voting Common Stock will entitle the record holder thereof to one (1) vote, The holders of the Class B Non -Voting Common Stock will not have any voting rights whatsoever, except as otherwise required by the Indiana Business Corporation Law. (b) jivi Dividends on the Common Stock may be declared and paid, but only when, as and if declared by the Board of Directors of the Corporation. Each share of Common Stock will share equally as to any dividends declared, (c) Other Terms of Common ck. Other than the voting rights described above, the Common Stock will be equal in every respect insofar as their relationship to the Corporation is concerned. In the event of any liquidatio .c o � �pt6 dissolution or winding up of the Corporation, either voluntary or i.nvolunt bV SEP Approved and Filed 197812-31818026586 Filing Date: 0911312018 Effective :0911312018 11:00 CONNIE LAWSON Indiana Secretary of State holders of Common Stock will be entitled to share, ratably according to the number of shares of Common Stock held by all holders, in all remaining assets of the Corporation available for distribution to its shareholders. (b) A new Section 2 of Article IX of the Articles of Incorporation of the Corporation is hereby added to read as follows: Section 2. Indemnification. The Corporation shall indemnify every person who is or was a director of the Corporation against all liability to the fullest extent permitted by Chapter 37 of the Act, provided that such person is determined in the manner specified by Chapter 37 of the Act to have met the standard of conduct specified in Chapter 37 of the Act. The Corporation shall, to the fullest extent permitted by Chapter 37 of the Act, pay for or reimburse the reasonable expenses incurred by every person who is or was a director of the Corporation who is a party to a proceeding in advance of final disposition of the proceeding, in the manner specified by Chapter 37 of the Act. ' The Corporation shall indemnify and advance expenses to every person who is or was an officer of the Corporation to the same extent as if such person were a director of the Corporation (all such persons who are or were directors or officers of the Corporation are hereinafter referred to as "Indemnitee"). The foregoing indemnification and advance of expenses for Indemnitees shall apply to service in the Indemnitee's official capacity with the Corporation, and to service at the Corporation's request, while also acting in an official capacity with the Corporation, as a director, officer, partner, trustee, employee, or agent of another foreign or domestic corporation, partnership, joint venture, trust, employee benefit plan, or other enterprise, whether for profit or not. All references in this paragraph to Chapter 37 of the Act shall be deemed to include any amendment or successor thereto. When a word or phrase used in this paragraph is defined in Chapter 37 of the Act, such word or phrase shall have the same meaning in this paragraph that it has in Chapter 37 of the Act. Nothing contained in this paragraph shall limit or preclude the exercise of any right relating to indemnification or advance of expenses to any Indemnitee or the ability of the Corporation to otherwise indemnify or advance expenses to any Indemnitee. The foregoing provisions shall be binding upon any successor to the Corporation so that each Indemnitee shall be in the same position with respect to any resulting, surviving, or succeeding entity as he or she would have been had the separate legal existence of the Corporation continued; provided, Mat unless expressly provided or agreed otherwise, this sentence shall be applicable only to Indemnitees acting in an official capacity or in another capacity set forth above prior to termination of the separate legal existence of the Corporation. The foregoing provisions shall be deemed to create a contract right for the benefit of every Indemnitee if (i) any act or omission complained of in a proceeding against the Indemnitee, (ii) any portion of a proceeding, or (iii) any determination or assessment of liability, occurs while the foregoing provisions are in effect. If any word, clause, or sentence of the foregoing provisions regarding indemnification or advancement of expenses shall be held invalid as contrary to law or public policy, it shall be severable and the provisions remaining shall not be otherwise affected. If any Court holds any word, clause, or sentence of this paragraph invalid, the Court is authorized and empowered to rewrite these tj Approved and Filed 197812-31818026586 F111n0 Date.. 0911312018 Effective M11312010 11:00 CONNIE LAWSON Indiana Secretary of State provisions to achieve their purpose to the extent possible. All references in this paragraph to any Indemnitee shall include the heirs, estate, executors, administrators and personal representatives of such person. 4. Action by Board f DirggLoj& The Board of Directors of the Corporation, pursuant to unanimous written consent resolutions dated effective as of August 2, 2018, approved these Articles of Amendment and directed that the Articles of Amendment be submitted to a vote of the shareholders of the Corporation. 5. Action by Shareholders,. As of August 2, 2018, these Articles of Amendment were approved by the unanimous written consent of the shareholders of the Corporation. 6. Corp fiance with al l .e uirement The manner of adoption of the Articles of Amendment to the Articles of Incorporation, and the vote by which they were adopted, constitute full legal compliance with the provisions of the Act, the Articles of Incorporation and the Code of By -Laws of the Corporation. IN WITNESS WHEREOF, the undersigned duly authorized officer of the Corporation executes these Articles of Amendment to the Articles of Incorporation and certifies to the truth of the facts herein stated this 2nd day of August, 2018. DMS 12763686vl 3 ZIOLKOWSKI CONSTRUCTION, INC. By: Bill Favors, President Business Name: ZIOLKOWSKI CONSTRUCTION, INC. Entity Type: Domestic For -Profit Corporation Creation Date: 12/11/1978 Principal Office Address: 4050 RALPH JONES DR, SOUTH BEND, IN, 46628, USA Jurisdiction of Formation: Indiana BUSINESS INFORMATION CONNIE LAWSON INDIANA SECRETARY OF STATE 09/11/2019 09:18 AM Business ID: 197812-318 Business Status: Active Inactive Date: Expiration Date: Perpetual Business Entity Report Due 12/31/2020 Date: Years Due: Title Name Address President Bill Favors 4050 Ralph Jones Dr., SOUTH BEND, IN, 46628, USA President Bill Favors 4050 RALPH JONES DR, South Bend, IN, 46628, USA Type: Individual Name: BILL FAVORS Address: 4050 RALPH JONES DR, SOUTH BEND, IN, 46628 -1000, USA r BUSINESS ID BUSINESS TYPE BUSINESS NAME ENTITY CREATION DATE JURISDICTION OF FORMATION PRINCIPAL OFFICE ADDRESS YEARS EFFECTIVE DATE EFFECTIVE TIME APPROVED AND FILED CONNIE LAWSON INDIANA SECRETARY OF STATE " 04/08/2019 11 08 AM 197812-318 Domestic For -Profit Corporation ZIOLKOWSKI CONSTRUCTION, INC. 12/11/1978 Indiana 4050 RALPH JONES DR, SOUTH BEND, IN, 46628, USA 2018/2019 04/08/2019 11:08 AM REGISTERED AGENT TYPE Individual NAME BILL FAVORS ADDRESS 4050 RALPH JONES DR, SOUTH BEND, IN, 46628 - 1000, USA TITLE President NAME Bill Favors ADDRESS 4050 Ralph Jones Dr., SOUTH BEND, IN, 46628, USA TITLE NAME ADDRESS President Bill Favors 4050 RALPH JONES DR, South Bend, IN, 46628, USA - Pa"a 1 of 7 - APPROVED AND FILED CONNIE LAWSON INDIANA SECRETARY OF STATE 04/08/2019 11:08 AM IN WITNESS WHEREOF, THE UNDERSIGNED HEREBY VERIFIES, SUBJECT TO THE PENALTIES OF PERJURY, THAT THE STATEMENTS CONTAINED HEREIN ARE TRUE, THIS DAY April 8, 2019. SIGNATURE Bill Favors TITLE President Business ID : 197812-318 Filing No.: 8238570 - P. ap 7 of') - INDIANA LABORERS' TRAINING TRUST FUND David A. Frye Secretary -Treasurer Jerry J Bolk Chris L. Guerrero Ricky Henson, Jr. Ramon Mendoza, Jr. Robert S. Wright P.O. Box 758 - Bedford, Indiana 47421 (812) 279-9751 August 20, 2018 To Whom It May Concern: Sean Coakley, Director John A Brown Chairman Kelly Abel Brad Dreibelbis Michael Ferrara Stan Meyer Jim Wiseman FAX: (812) 279-5545 This letter is to confirm that "Ziolkowski Construction, Inc." is a signatory contractor in good standing with the Indiana Laborers' Training Trust Fund. The above mentioned company is a participant in the Joint Apprenticeship and Training Committee through this Union and has been an active participant in good standing for each of the past five plus consecutive years, and is currently eligible to use our apprentices on a project. Further, our organization's program is approved by the U.S. Veterans Administration to participate in the GI educational benefits program. A copy of our approval letters are attached along with the collective bargaining agreement stating the ratios of Journey workers to Apprentices; which is one (1) Apprentice for every five (5) Journey workers and thereafter may not employ more that (1) Apprentice for every (3) Journey workers. Sincerely,��� Sean Coakley, Director SC:dc www. indianalaborerstraining. org H r;ww rw V rw, r• low war rar; r- 0 0 U Chi H U 4a O d ta U •ri 44 .,-i cc U) r—i u N Tj cd m A 44 Ln o ZIOLKOWSKI Construction, Inc. 4050 Ralph Jones Drive South Bend, IN 46628 Re: Proof of Compliance with 30 ILCS 500/30-22(6) Our File No. MI-00321 At the request of ZIOLKOWSKI Construction, Inc, I am providing you with evidence of the Company's compliance with the apprenticeship requirements in 30 ILCS 500/30- 22(6) of the Illinois Procurement Code. I am submitting this letter along with apprenticeship certificates (Nos.IL012020003 and IL008780173). As a signatory contractor with the International Union of Operating Engineers, Local 150, AFL-CIO, ZIOLKOWSKI Construction, Inc., is required by Collective Bargaining Agreement to participate in an applicable apprenticeship and training program approved by and registered with the United States Department of Labor's Bureau of Apprenticeship and Training. The attached certificates are evidence of compliance with the U.S. Department of Labor's apprenticeship requirements. Thank you for your cooperation in this matter. If you have any questions or concerns, please do not hesitate to contact me. Very truly yours, IUOE, Local 150, AFL-CIO District I dispatch office Caroline Lesniak Enclosures: Certificates Q) ig „ry O Nam„ N I 0 R 50 Ell N) p 11 5-El AM* Plasterers' & Cement Masons' Apprentice Coordinator of Local Union #692 Phone 317-508-1609 FIA- x 317-972-4907 Email hansen@plcmlocal692.org TO WHOM IT MAY CONCERN, AUGUST 23, 2018 THIS LETTER IS TO CERTIFY THAT ZIOLKOWSKI CONSTRUCTION INC.HAS BEEN A SIGNATORY UNION CONTRACTOR WITH THE PLASTERERS' AND CEMENT MASONS' JOINT APPRENTICESHIP TRAINING PROGRAM OF LOCAL 692, FOR AT LEAST THE LAST FIVE YEARS, AND IS IN GOOD STANDING. THEY HAVE A SIGNED CONTRACT WITH LOCAL 692 AND IS ELIGIBLE TO USE UNION PLASTERERS' APPRENTICES AND UNION CEMENT MASONS' APPRENTICES. THROUGH THIS CONTRACT AND OTHERS, THE FINANCIAL OBLIGATIONS OF TRAINING AND SAFETY ISSUES ARE MET. ALL OF THE APPRENTICES ARE REGISTERED WITH THE UNITED STATES DEPARTMENT OF LABOR, BUREAU OF APPRENTICESHIP AND TRAINING. SINCERELY, PAT HANSEN APPRENTICESHIP COORDINATOR FOR LOCAL 692 220 N. Fulton St. Indianapolis, IN 46202 U.S. Department of Labor 46 East Ohio St. — Room 511 Phone: 317/226-7001 Indianapolis, IN 46204 Fax: 317/226-7015 OFFICE OF APPRENTICESHIP Employment and Training Administration Date: Mr. Pat Hansen, Coordinator Plasterers & Cement Masons Local #692 JATC (mailing)220 N. Fulton Street, Indianapolis, IN 46202 (school) 9200 Louisiana Street— Merrillville, IN 46410 Re: EEO Compliance Review (and Quality Assessment) Dear Mr. Hansen: Our recent EEO Compliance Review (and Quality Assessment) of your registered apprenticeship program, Plasterers & Cement Masons Local #692 JATC was conducted on April 11, 2017 and October 5, 2016. This review covered the time period 08/15/2015 (date of your last review) through 10/04/2016. We are writing to inform you that our office found no apparent violations of the requirements governing registered apprenticeship programs as set forth in regulations at 29 CFR Part 29, "Labor Standards for the Registration of Apprenticeship Programs," and Part 30, "Equal Employment Opportunity in Apprenticeship and Training." Based on our review, it appears that your apprenticeship program is making good faith efforts to comply with the requirements of 29 CFR Parts 29 and 30. We note, however, that despite these efforts, there exists underutilization of women and minorities in your apprenticeship program and skilled workforce, including journeyworkers. Please be aware that Plasterers & Cement Masons Local 4692 JATC remains under an obligation, pursuant to the regulations at 29 CFR Part 30 to continue with its good faith efforts to increase participation of women in its Registered Apprenticeship program. We sincerely appreciate the cooperation and courtesies extended by you and your office to the Department of Labor while we conducted the compliance review. If you have any questions or concerns, please do not hesitate to call. I can be reached at (317) 226- 7003. �Jolin Delgado State Director cc: Kathleen Sokolowski, ATR U r d O co d T Lll w U LLJ W d ._1 LL O U) F- _U LL V) Q J U 11J cr- h b a a I I INDIANA/KENTUCKY/OHIO REGIONAL COUNCIL OF CARPENTERS JOINT APPRENTICESHIP AND TRAINING FUND' 1095 MARINERS DRIVE WARSAW, IN 46582 ADMINISTRATION OFFICE 711 Greenwood Springs Drive Greenwood, IN 46143 Phone:317-907-1112 Fax; 317-807-1115 Ashland Campus 574 Carpenters Way Grayson, KY 41143 Phone: 606-929-1378 Fax:502-996-8108 Indianapolis Campus August 20, 2018 711 Greenwood Springs Drive Greenwood, IN 46143 Phone:317-807-1116 Fax:317-807-1131 Ziolkowski Construction Co. Lafayette Campus 2953 South Cmavy Lane 4050 Ralph Jones Drive p Lafayette, IN 47905 South Bend, IN 46628 Phone; 765-447-5959 Fax: 765-447-7676 RE: City of South Bend Bid Louisville Campus 1245DurrettLane To Whom It May Concern - Louisville, KY 40213 Phone: 502-366-8668 Fax: 502-366-8678 This letter is in response to verification needed by Ziolkowski Construction for work to be performed for the City of South Bend/Howard Park project. Ziolkowski regularly Merrillville Campus 1565 East 701h Court employs a number of apprentices affiliated with our apprenticeship program and has Merdllville, IN 46410 done so for more than three years. We are registered with the United States Phone:2I9-947-3348 Department of labor, Bureau of Apprenticeship and Training and our registration Fax: 219-947-1889 number is 020 0537. Our program also participates in the Building Trades Associate Muncie Campus Degree Program with Ivy Tech Community College and has done so since 1996. 4121 East Centennial Avenue Muncie, iN47303 Phone; 765-288-9015 2B8-9 Ziolkowskl Construction Is a bona fide contractor in good standing with the g g Fax: 765-289-9298 Indiana/Kentucky/Ohio Regional Council of Carpenters Joint Apprenticeship and Newburgh Campus Training Fund and is eligible to employ apprentice carpenters in the future. I have 5400 covert Court enclosed copies of our certificates from the United States Department of Labor and Newburgh, IN4-1630 from the Indiana Department of Veterans Affairs for GI educational benefits. Phone;812-853-9312 Fax: 812-853-9316 If I can be of further assistance, please do not hesitate to give me a call. Terre Haute Campus 3099 South 6th Street Best regards, TI Tw Haute, IN 47802 Phone:812-466-7899 ^� n Fax: 812-466-9840 l It.0. I /. - kl Warsaw Campus 1095 Mariners Drive Dale Newlin Warsaw, IN46582 Area Coordinator Phone: 574-267-5264 IKORCC JATF Fax: 574-269-1464 Warsaw Campus 1-mqr— UA Fn �i I LE M Y�7w! 9 1 1 'MMY, W. 15 a W�IM1 pII �HIIIIIU � IIIIUI �IIIS 11111116 W pl Iluwm ITS 011111 "* �m Ilm�llui �o �'I�II�I�Iyymm�� �m a my Ilya m ulllll� Illlllllln Is , u�®yU�, " OlpmmW IVII'mW� �WmwlU �m fly ,II Imp U wAVW III IUWU II IIWm 111 m QIII�� U IaIIIIIINy� p �" IIIIIIII61ry �� �N I.. py�ll� Wmmv m ; IIUUm o IIWMq III IIIIIIIIUP IIIIII OIWV II n� Ulmm a ppUU�ry Ilnnlli JOI� LISTING 9 Company: Al ZIOLKOWSKI CONSTRUCTION, INC. Jobs Active Since: 0 1/0 1/2000 Thru Month Ending: 02/29/2020 Page: I Open Jobs Only 02/17/2020 02:08 prn Billed Under Job Number Type Job # Customer Name C..t..ct Number PM Job Description 16879 Q Ballard Elementary/Berrien AB Niles Community Schools 17234 Q 33286 New Prairie SchooYLaporte**** C/O #3 TM Performance Svcs/Selective Demo BP 2.6 17283 Q LaPorte Comm School Corp/Lap** SCHMIDT PROJE TB Kesling Intermediate School 17351 Q Penn -Harris -Madison*********** 217073.00 BB Football Stadium Improvements 17398 Q City of S.B. Board of Pub. Wks JC Fire Station #9 17434 Q 24617 Eddy Street Commons - Phase It JW Building Concrete 17474 Q Concord Comm. Schools JC Concord High School 2018 Additions & Renovations 17476 TM Cost Tracking (Garage Work) BE Cost Tracking (Garage Work) 17506 Q Flahery & Collins - Stonewater JW Concrete Building & Site 17527 Q Performance Services/VAV AB Saint Joe County/VAV Replacement 17547 Q Ironworks********************* JW Slabs & Sitework 17696 Q PorterCnty Annex- BC-1 Gen Trades JC Porter County North Annex- General Trades 17703 Q ND-Jenkins/Area Way Access 1915338-001 AB 17727 Q ND-Nieuwland/ Spectrometer Bse AB 17787 Q CitySB-InstNewTrenchDrain 247394 JW 17788 NTE DC COOK- Mise T&M Work 1592424 REL 14 BH 17802 Q Elkhart High School * * * * * * * * * * TB 17823 Q STJRMC- Dermatology Reno OCS5510 JW 17840 TM ND-Maint/2019 Carpenter Shop LIND Carpentry S AB 17846 Q LAKEVILLE FIRE STATION***** AV LAKEVILLE FIRE STATION 17848 Q City of SB-WWTP Admin********* 118-087 JC SB WWTP ADMIN MASONRY 17850 Q ND-Hesburgh/ Garbanzo AB 17852 Q UND - Corby Hall Carpentry 0610 CARPENTE BB 17872 Q ND -Eck/ Stairwell Railings 1933479-001 AB 17873 Q ND-Rolfs/ Stairwell Railings 1933275-001 AB 17877 Q ND-LaForume/Vestibule Doors 1933270-001 AB 17898 TM Internal Tracking Simons Panel ZCI Tracking On JW 17902 Q St.JocAirport- TSAInteriorReno BH 17904 TM StJoeMedCntr-Respite/InterReno BH 17911 Q Zentis- Raise Header 45932753 AB 17935 Q ND -Siegfried/ 2019 Renovations AB 17952 TM ND -Stepan/ 446C Countertop 1936418-001 AB 17959 TM ND-Nieuwland/ 184 Ceiling 1941314-001 AB 17960 Q Concord -Performing Arts Reno ic 17971 Q DeCook-VisitorsCenterHandrails 1592424 REL 10 BH 17976 TM NewPrairie HS- Press Box Addtn BH 17977 Q ND-DeBartolo/AuditorumFIrPaint 1942388-001 AB 17992 TM JasonWafts- House JW 18008 Q Memorial Hosp SkywayParkingLot P1902M002 TM 18021 Q ND -Malloy/ Attic Access 1948550-001 AB 18025 TM ND -Jordan/ 202 Renovation 1948541-005 AB 18033 Q SisHolyCross-Guest House 41038293 BH 18034 NTE ND -Walsh/ Tackbrds & Trim P1943832 AB 18048 Q Clay International Phase 11 AV 18051 Q Zentis- Smaller Dock Door 4597004 AB 18056 Q Mishawaka Beer Garden PLT- 19-005 JC Ironworks Phase 11 Beer Garden 18058 Q Concord Perfon-ning Arts Pkg 2 2018-100.PAC-10 JC Performing Arts Center Renovations - Bid Package 2 18059 NTE FederalMogul-DesignBuildPropsl 2KO0334156 BH 18062 TM ND -Keough/ Bike Racks & Pavers 1953318-001 AB I JOB LISTING 'Company: Al ZIOLKOWSKI CONSTRUCTION, INC. Jobs Active Since: 01/01/2000 Thru Month Ending: 02/29/2020 Open Jobs Only Billed Under Job Number Type Job # Customer Name Contract Number PM Job Description 18070 Q GEMarshall-ND/FireStationBench AB 18077 Q ND-Decio/ 4th Floor Reno AB 18080 Q ND-Badin-Zahm/ Handrails AB 18082 Q ND -Facilities/ ConcreteConsult P1949051 AB 18085 TM ND-NDBJ Concrete Repairs 1952986-001 AB 18088 Q ND -DeBartolo/ 3rdFlrBarrierRem 1955825-002 AB 18103 Q ND -Morris Inn/ Rohr's Reno AB 19105 TM ND -Mendoza/ Suite 101/102 AB 18106 TM ND -Mendoza/ Team Rooms AB 18107 TM ND -Stayer/ Misc Reno AB 18114 TM ND-Nieuwland/Observatry Raiing 2003236-001 AB 18116 TM ND -Suite/ Dock Doors 1839904-002 AB 18117 Q UND Sports Field Specialites BB 18121 Q Zentis- Shipping Office 45953034 AB 18123 TM ND -McCourtney/ 153 Cabinet 2004072-001 AB 18128 TM ConcordPerformingArt-WaterLeak TM 18141 TM ND -Stepan/ 387 Cabinet 2005431-001 AB 18144 Q LoganCenter- SACA Classroom AB 18146 Q ND- Robinson Community Center AV 18152 Q ND-HesLibrary/ Dock Fence P1952420 AB 18153 Q UND - Dillon Hall - 2019 0719.106 TB 18162 Q Zentis- Breakroom Repairs 45957352 AB 18172 Q ONB - Niles / Waterproofing 19041 AB 18173 Q ND-JACC/ C108 Reno AB 18182 Q StJoeCo- Central Garage Reno AV 18187 Q ND-PasEast/ New Door 2011115-001 AB 18189 Q ND -Morris Inn/ B70 Door AB 18190 TM ND-ParkingLot/ Pay StationPost AB 18194 TM ND- CCE/ Gate Repair 2012039-001 AB 18196 Q ND-Basilica/New Window 2013864-002 AB 18200 TM Midland- Office Rebuild AB 18202 TM Deluxe/ND-Crowley 101A Ceiling 59167 AB 18203 TM Pepper -Jenkins/ Glass Muntins BB 18204 TM ND-CatalogCnt/ Stairway Raiing 2004661-001 AB 18205 TM ND-CatalogCntr/ Dock Railings 2004660-001 AB 18206 TM ND -Corbett/ Safety Access 2015352-001 AB 18209 TM ND -Cushing/ 130 Renovation 2011626-001 AB 18211 TM ND -Stepan/ 270 Accessories 2015615-001 AB 18213 Q Beacon Aquatics / Concrete Rep 10544-1460 JW 18215 Q ND -Jordan/ 319 Reno AB 18221 Q ND -Grace/ Guardrail 2016153-001 AB 18222 Q ND-LaFortune/Ceiling Replacemt 2014721-002 AB 18225 Q ND -Siegfried/ Wardrobe Closets 1953190-003 AB 18226 Q DcCook- Fab Shop Door Replace 1592424 REL 15 BH 18227 Q DcCook- MOF Door Replacement 1592424 REL 15 BH 18228 Q DcCook- Training Cntr Door Rep 1592424 REL 15 BH 18231 Q Ideal-ND/Walsh-AV Cooling Unit 10769-145 AB 18234 Q AM General- Drywell Sealing 4300002163 AB 18235 Q AM General- Concrete Repair 4300002164 AB Film Platform Concrete Foundation Page: 2 02/17/2020 02:08 pm 'Company: Al ZIOLKOWSKI CONSTRUCTION, INC. Jobs Active Since: 01/01/2000 Thru Month Ending: 02/29/2020 Page: 3 Open Jobs Only 02/17/2020 02:08 pm Billed Under Job Number Type Job # Customer Name Contract Number PM Job Description 18238 Q ND -Security/ Office 214/219 2016969-002 AB 18240 TM ND -Galvin/ 033 Fume Hood 2018640-001 AB 18244 Q DCCook- OCC/ Add Window 1592424 REL 16 BH 18245 Q AmericanLegion- Front Handrail AV 18246 TM -CatalogCnrt/ Roof Protean AB 18248 Q -FisherGrad/ Replace Doors 2019254-001 AB 18251 TM -Galvin/ 105 B-C-D Reno 2016633-003 AB 18252 TM ND -Tunnel/ Concrete Lids AB 18253 TM ND-DeBartolo/Scaffolding 2019692-001 AB 18254 TM -Nieuwland/ 083 Stairs 2019633-001 AB 18256 TM -Galvin/ 266 Reno 2016938-002 AB 18258 TM ND-CedarHouse/ New Door 2019898-001 AB 18259 TM ND -Fitzpatrick/ 150 Renovation 1942451-003 AB 18261 TM SHC- Smoke Seals 41038999 BH 18262 Q Bremen Public Schools - Reno AV Elementary & Middle School Renovation 18265 TM SHC- Courtyard Door Repair B 18266 TM PerformanceSvc-Water Damage AV Chandler Elementary 18269 Q -Mason/ Concrete Trench 2020517-001 AB 18271 TM GEMarshall-ND/ Sidewalks AB Grace & Flanner Halls 18272 TM -NDH/ Dock Railing Repair 2020235-001 AB 18273 Q ND -Fitzpatrick/ B04 Reno 2021330-001 AB 18274 TM ND-COBA/204 Window 2024321-001 AB 18275 TM -EngNorth/ 210 Cabinets 2022659-001 AD 18280 Q -LaCrosse Field Film Tower P1964173 BB Install 8 pipe bollards 18284 TM ND -Galvin/ Shipping & Receivng 1942469-002 AB 18286 TM ND -Galvin/ 182a & 186A Misc 2023441-001 AB 18287 TM -Lyons/ Concrete Repair 2023502-001 AB 18289 Q -DeBartolo- 329 Reno 2025288-003 AB 18290 TM ND -Stinson/ 315 Window Leak 2023070-002 AB 18292 Q ND- Legends/ Roof Ladder AB 18293 TM ND -Fitz/ 257C Hang Items 2024829-001 AB 18294 TM -Fitz/ 150 Rmv Whiteboard 2024848-001 AB 18295 TM ND-Misc/ Sculpture Moves AB 18296 Q -Nieuwland/ FN Tank AB 18297 Q Foundation Fuel Canopy JW 18298 TM 1011-Meijer/Lafayette- Ceiling AB 18299 TM ND -Raclin/ 206 Repairs 2025417-001 AB 18300 TM ND-Nieuwland/ 3rd Commom Space 2004810-015 AB 18301 TM ND-Nieuwland/ 2nd Common Space 2004810-016 AB 18302 NTE IstSource-McKinley/Facade BH Improvement 18303 TM ND -Band/ Access Panels 1944633-027 AB 18304 TM ND-BreenPhillips/ VPP Items 2026006-008 AB 18305 TM ND -Galvin/ 214 Hood 2025831-002 AB 18306 TM ND-Nieuwland/ 187 Ceiling 2025444-003 AB 18307 TM ND-Misc/ Statue Relocation AB 18308 TM ND-PracField/ Misc Concrete AB 18309 TM ND -Galvin/ 115B MB 2026464-001 AB 18310 Q ND-Snite/ Coat Room 1942487-001 AB 18311 TM -Galvin/007G Shelving 2025697-001 AB Company: Al ZIOLKOWSKI CONSTRUCTION, INC. Jobs Active Since: 01/01/2000 Thru Month Ending: 02/29/2020 Open Jobs Only Billed Under Job Number Type Job # Customer Name Contract Number PM Job Description 18312 TM ND-Galvin/0101) Ceiling Repair 2026447-003 AB 18313 TM ND -Jordan/ 208 Repairs 2026970-001 AB 18314 TM ND-Stepan/274/275AirflowUpgrd 1926379-064 AB 18315 TM Zimmerman/ Steel Technologies 673 AV 18316 TM Gilcor/ATT- Broken Window N47131010000051 AB 18317 NTE DC Cook- Chemical Shed 1592424 REL 12 BH 18318 TM ND-Niculand/ Penthouse Cleanup 2004810-027 AB 18319 Q IndEarth-LEEF/ St. Pat's Park JC Notre Dame 18320 TM ND- 2020 Carpenter Shop UND Carpentry S AB 18321 Q ND -Fitz/ 182A Lab Reno 2026105-002 AB 18322 Q ND -Fitz/ A67B Lab Reno 2026104-002 AB 18323 TM ND -Crowley/ 101-IOIA Kitchen 2028206-002 AB 18324 TM ND -Galvin/ 329 Reno 2027090-003 AB 18325 TM ND-Flanner/ Stairwell Repair AB 18326 TM Hagerman -Roberts Hall Concrete JW 18327 TM ND -McCourtney/ Sprinkler Systm 2028281-001 AB 18328 TM ND -Cushing/ 224B Window 2028267-002 AB 18329 TM I stSource-Valpo/ Lobby Paint AB 18330 TM ND-Art&Culture/ Door Repair 2029096-001 AB 18331 TM ND -Fitz/ Computer Cluster 2026466-002 AB 18332 TM ND -Cushing/ 225B Corkboard 2028741-001 AB 18333 TM ND -Fitz/ 178 Paint & Carpet 2028405-001 AB 18334 Q ND -Stepan/ Equipment Pads, P1968767 AB 18335 TM ND -McCourtney/ Chemical Hood 2029981-001 AB 18336 Q NDFCU-Added Chair Railing TM 18337 Q FederalMogul/ConcretePitlnfill JW 18338 TM ND-ParkingLots/ Bumpers AB 18339 TM ND -Stepan/ Fume Hood 2030321-001 AB 18340 Q QualitorAuto/ New Door 14145 AB 18341 TM ND -Raclin/ VPP Safety 2011241-002 AB 18342 TM ND -Stepan/ 273 Reno 1942248-021 AB 18344 TM 1011 -Meijer/ Ceiling Repair MEJR025401219 AB 18345 TM ND-Nicuwland/ MaterialRelocate 2004810-028 AB 18346 TM ND -Galvin/ Greenhouse Glass 2030814-001 AB 18347 TM ND -Cushing/ Suite 118 Reno AB 18348 TM KW-ND/Basilica Work AB 18349 TM ND -Corbett/ Bollard 2031503-001 AB 18350 TM ND -Jordan/ 105 Bench 2031387-001 AB 18351 TM ND -Jordan/ 319 Pictures 2031389-001 AB 18352 TM ND-Maint/ Step Repairs 2031402-001 AB 18353 TM ND -Jordan/ 202 Shelves 2031327-001 AB 18354 NTE ND-FisherGrad/ Concrete Steps 1954307-002 AB 18355 TM ND- Jordan/ 303 FE 2031278-001 AB 18356 TM AEP-Elkhart/ Shelving AB 18357 TM ND -Fitz/ B 14 Bench Top 2031356-001 AB 18358 TM ND -McCourtney/ 257 Cabinet 20131875-001 AB 18359 TM ND-Reyiners/ Concrete Leak 2031871-002 AB 18360 TM ND -Galvin/ 129 Shelving 2015269-002 AB 18361 Q Honeywell- Concrete Ramp A000507328 AB Page: 4 02/17/2020 02:08 Inn Company: Al ZIOLKOWSKI CONSTRUCTION, INC. Jobs Active Since: 01/01/2000 Thru Month Ending: 02/29/2020 Open Jobs Only Billed Under Job Number Type Job # customer Name Contract Number PM Job Description 18362 Q StJudeSchool- 14 New Doors AB 18363 Q IstSource-Plymouth/ Ceiling AB 18364 Q ND -Security/ Storage Cabinets AB 18365 Q VU Phi Kappa Psi - Concrete JW 18366 TM Toefco Eng- Fire Restoration 0075380 JW 18367 Q PolygonCO- TrenchDrain-Concret AV 18368 TM I stSourcc/St,Joc- Design Work BH 18369 TM ND -Harper/ A223 Wbiteboard 2032712-001 AB 18370 TM AMG- SBOW Window Replacemnt BLANKET AB 18371 TM ND -McCourtney/ 205B WI3 2032291-001 AB 18372 TM ND -Jordan/ Bike Eyelets 2032335-001 AB 18373 TM ND -Jordan/ 236 Markerboard 2032111-001 AB 18374 TM ND -Stepan/ Elevator 1948920-007 AB 18375 TM ND-CCE/ Floor Repair 2031858-001 AB 18376 TM ND -Galvin/ VPP Safety 2011243-005 AB 18377 TM ND-Rolfs/ Water Leak 2032303-001 AB 18378 TM ND-CCE/ Bulkhead Repair 1943746-004 AB 18379 TM ND-Nieuwland/4thFIrCeilng-Tops 2004810-033 AB 18380 TM ND-Nicuwland/3rdFIrrops-Ceilng 2004810-031 AB 18381 TM ND-Nieuwland/2ndFIrTop-Ceiling 2004810-032 AB 18392 TM ND -Stepan/ 271 Reno 1942248-027 AB 18383 TM 1011 -Meijer/ Canopy Repair MEJR012201878 AB 18384 Q I stSource-MapleLn/ Drywall Rep AB 18385 Q ND -Kenmore/ Equipment Pad P1971989 AB 18386 TM ND -Galvin/ 219 Leak 2033125-002 AB 18387 TM ND -Galvin/ Misc Insp Repairs 2032917-001 AB 18388 NTE DcCook-Barrier Painting 1592424 REL 17 BH 18389 TM CityMishawka-Battlell- Repairs ic 18390 TM ND -Galvin/ 313 Shelving 2016632-005 AB 18391 Q Hagerman-GoshenHealth/ Tower JW 18392 TM I stSource/Middlebury/ATMInfill AB 18393 TM ND-Galvin/Aquatic Tank 2033015-001 AB 18394 TM ND-Corbett/Computer Floor 2033797-001 AB 18395 TM ND -Galvin/ Incubator 2033651-001 AB 18396 TM ND -Raclin/ Fume Hood 2033236-001 AB 18397 Q ND -Security/ Rifle Storage 2034007-001 AB 18398 NTE SHC-CntrBidg/StructuralAnalys 41039693 BH 18399 NTE DcCook- TCF Remodel 1592424 REL 18 BH 18400 TM ND -Jordan/ Door 100 Repairs 2034321-001 AB 18401 TM ND -Jordan/ 319 Sign Removal 2034311-001 AB 18402 TM ND -Stayer/ Window Kits 2032890-001 AB 18403 Q 55831 Hokanson-ONB/SidewalkRepair AB 18404 TM ND -Galvin/ Main Office Ceiling 2034941-001 AB 18405 TM ND-Nieuwland/ 103 WI3 2034937-001 AB 18406 TM I stSource-Elkhart/Move Equip. AB 18407 TM ND-Reyniers/ Remake Tops 1936454-016 AB 18408 TM ND -Galvin/ 205A Door 2033165-003 AB 18409 TM ND-Nieuwland/ 4th Flr Demo 2004810-038 AB 18410 TM ND-NieuwIand/ 083 Final Work 2019633-002 AB Page: 5 02/17/2020 02:08 pm Company: Al ZIOLKOWSKI CONSTRUCTION, INC. Jobs Active Since: 0 1/0 1/2000 Thru Month Ending: 02/29/2020 Open Jobs Only Page: 6 02/17/2020 02:08 pm Billed Under Job Number Type Job # Customer Name Contract Number PM Job Description 18411 TM ND -Jordan/ 233 Cabinet Door 2035303-001 AB 18412 TM ND-Sorin/ Investigative Work AB 18413 TM 1011 -Meijer/ Floor Repair MEJR012901314 AB 18414 TM 101 I -Meijer/ Partition Repair MEJR021601991 AB 18415 Q ND-BreenPhillips/ Gaurdrail 2026006-010 AB 18416 TM ND -Grace/ Misc Work AB 18417 TM ND-COBA/ Corridor Ceilings AB 18418 TM ND-EngNorth/ 203 Incubator 2035445-001 AB 18419 TM ND -Cushing/ Remove Scaffold 2036100-001 AB 18420 TM IstSource-Auburn/ Misc Work AB 18421 TM ND-Flanner/ Bench Repair AB 18422 TM ND -McKenna/ Sidewalk AB 18423 TM ND -Stinson/ Wall Brackets 2036264-001 AB 18424 TM ND -Galvin/ 329 Shelving 2036399-003 AB 18425 TM ND -Galvin/ Dumpster 2036601-001 AB 18426 Q ND -Bookstore/ BB Pole Replactna 2036699-002 AB 18427 Q 101 I -Meijer/ Portage -Wall Demo MEJR012001699 AB 18428 NTE SHC- Guest House - Code Review 41039788 BH 18429 TM ND -Jordan/ 319D Photo 2036747-001 AB 18430 Q SHC-Library/ Door Replacement 41039801 BH 18431 Q DcCook- Paint BKE's 1592424 REL 19 BH 18432 Q SHC- Courtyard Door Replacemnt 41039822 BH 18433 TM ND-LandscapeSrv/ Bldg Repairs AB 18434 Q ND-InnovPark/ Industry Lab AB 18435 Q ND -Bond/ Access Hole 1944633-030 AB 18436 NTE ND -Alumni/ ADA Ramp 2037092-001 AB 19437 TM ND -Stinson/ 217 Housekeeping 2036968-001 AB 18439 TM ND -Fitzpatrick/ 182A Photos 2036737-001 AB 18439 TM ND-Reyniers/ 105 Flood 2036967-002 AB 18440 TM ND -Library/ Post Removal AB 18442 Q ND-JACC/ C1 12A Renovation 2037661-002 AB 18443 TM ND -Galvin/ 465 BSC 2037686-002 AB 18444 TM ND-JACC/ Dry Dive Equipment 2037683-001 AB 24424 Q Pettit Park Elem/Howard 17-04 SS 24449 Q Sycamore Elementary-Addn/Howe 21707/04200 SS 24485 Q St. Stanislaus Church/Laporte D2 24507 Q Glen Acres Elementary/Tipp**** SS 24521 Q Cumberland Elem/Tipp 112 SS 24551 Q 17293 LaPorte Comm SchooVLaporte*** CS 24572 TM Pepper/ND-Presbytery Masonry TE 24602 Q Hamilton Heights/Elern & MS D2 24605 Q Indiana State Prison BD 24608 Q Indiana Toll Road - Powers TE 24617 Q Buckingham/New Retail Bldg.*** D2 24620 Q 24605 Indiana State Prison CS 24624 Q Plymouth Comm. School Corp. TE 24632 Q 24617 Foundry - Eddy Street PH 11 CK 24637 Q 17475 Clay Intermediate/Rest Room D2 24638 Q 17474 Concord High School/Lab 2018 D2 Masonry MacDougall Pierce North Gable Lafayette School Corp Kesling Middle School ND -Presbytery Masonry Patchwork 2 Additions Masonry Repair Indiana Toll Road Administration Building New Retail Building A, B, C & D Masonry Repairs on the Storeroom New Lincoln Middle School Clean Masonry, Caulk New Rest Room Lab Addition 2018 JOB LISTING Company: Al ZIOLKOWSKI CONSTRUCTION, INC. Jobs Active Since: 01/01/2000 Thru Month Ending: 02/29/2020 Open Jobs Only Page: 7 02/17/2020 02:08 pm Billed Under Job Number Type Job # Customer Name Contract Number PM Job Description 24646 Q Steinberger Construction, Inc. 170006-13 SS Agricor Bin Room Building, Masonry 24654 Q 24638 Concord High School CK Clean Masonry 24655 Q 17474 Concord High School CK 24660 Q 24624 Lincoln Jr. High School CK Clean/Caulk Masonry 24663 Q Bowman Const. Co 2018-064 SS Sycamore Phase II Masonry 24692 Q PorterCnty-MasonyAdditions 217181 CS 24697 Q 24692 PorterCnty-Washing & Caulking CK 24700 Q 17668 Erskine Clubhouse -Masonry Rest BD 24701 Kokomo HS-New Baseball Stadium D2 24707 TM IndStatePrison- Roof Repair BD 24711 Q 24608 Pwer&Sons- Ind Tol1Rd-Washing BD 24717 Q 17802 BlkHighSchool- Music Addition TE 24721 Q Kokomo Central MS - 2019 Reno D2 Kokomo Central MS- 2019 Reno 24731 TM 17547 Mill at Ironworks************* CK 24732 NTE St. Francs Convent BD 24736 Q 17846 Lakeville Fire Mason********** CS Lakeville Emergency Services Masonry 24738 Q Warsaw W.W.T.P*************** 25239-005 D2 24739 Q Pioneer Memorial Church 18113-321 CK 24741 Q 17848 SBWWTP- Masonry Restoration*** BD 24747 Q Caulking Stone Patch P19052M000 BD 24753 Q KankakeeMiddle-2019 Flashing CS 24757 Q 24736 LakevilleFire-Masonry Clean*** CK CLEAN & CAULK 24760 Q IIJ-Kokomo-Student Cnter******* 19-07-002 D2 NEW STUDENT ACTIVITY CENTER 24766 Q 17935 ND -Siegfried/ 2019 Hall Reno TE 24768 Q Tipton County Jail 2019-010 SS 24772 Q St. Mathews Cathedral BD 24775 Q Porter Co N Annex Bid Pkg # 2 190087 CS 24776 TM -GUG/ Clean Stain South Door 1943635-001 CK 24779 Q Delphi Watermain ************* 1419029 SS 24787 Q Honeywell-NewCharlOFumaceFrbk 50.466529 RU 24794 Q MorrisPerformingArts-Caulking 119-050 CK 24802 Q 18056 Mish-Ironworks-Beer Garden PLT-19-005 TE 24803 Q GoshenTheater Reno Phase 1 180249-ziolk BD 04-020 Masonry 24806 Q 19048 SBCSC-Clay Int'l - Phase II RU 24812 Q St.Mary-HolyCross/TuckpntBmnt BD 24913 Q 18058 ConcordHS-Performing Arts CS 24816 Q StMonicaSch- Tuckpoint Masonry BD 24818 Q 19070 GEMarshall-ND/FS Bench Pavers RU 24824 Q 24813 ConcordS- Performing Arts BD Clean Masonry and Caulking 24827 Q Steinberger/Masonry 190044-07 SS Anderson Harnmermill Clymens 24828 Q Subaru Part/Body Shop Exp 18-0432 SS 24831 Q 18077 ND-Decio/ 4th Flr Reno TE 24833 Q Rensselaer Hosp - Flashing 702674 CK 10411 second floor and 100 ft third floor 24840 Q 17852 ND-Corby/Acoustical Sealant BD 24842 Q 18121 Zentis- Shipping Office 45999953034 CS 24844 Q St. Boniface Chruch BD 24845 TM Skillman -Niles Schools TE Northside & Southside Schools 24849 Q First Farmer Bank BD 24850 Q 18146 -Robinson Community Center D2 Company: Al ZIOLKOWSKI CONSTRUCTION, INC. Jobs Active Since: 0 1 /0 1 /2000 Thru Month Ending: 02/29/2020 Open Jobs Only Billed Under Job Number Type Job # Customer Name Contract Number PM Job Description 24851 Q 18162 Zentis- Breakroorn Repairs CS 24853 Q Tecton-Tipp County CommisioDs 4B MASONRY SS 24854 Q 18153 UND-Dillon HaIV Renovations CS 24855 TM UND- Dillon/ Extra -Tracking Extra Tracking CS 24856 Q RLTurner-KokomoHS/ Bleachers D2 24857 Q 18172 ONB-Niles/ Flashing Repair RU 24859 Q City of South Bend- Masonry BD 24861 Q RLTurner-Pettit Park- Piers SS Pettit Park- Soccer Field Piers 24862 Q RLrumer-SycamorElem/ Masonry SC-19-15-003 SS 24864 Q 19182 StJoeCommisioner-Garage Reno TE Central Garage Reno 24865 Q 24857 ONB-Niles/Clean&Waterprooting CK 24867 Q St. Francis Hospital - Door 61468 CK 24869 Q GoshenHS- Masonry Sealants 2019-9 BD 24872 Q Cass County YMCA SS Remodel Masonry 24874 Q 18103 ND-Morrislnn-Rohrs/Masonry TE 24875 Q TrinityChurch/ Masonry Repair BD 24877 Q 24602 HamiltonHeights-Limestone CK Clean & Caulk 24880 Q 24854 ND-Dillion/ CleanMasonry&Caulk CK 24882 Q St.Marys-Shrine/ MasonryRepair 41038843 BD 24883 Q 24882 StMarys-Shrme/ RepBaseStone 41038843 RU 24884 Q Three0aksCntyBId- Masonry 19004734-00 BD Three Oaks, MI - County Building 24885 Q 24850 ND-RobinsonCenter/Clean&Caulk BD 24886 Q AbundantLifeChurch-EntryRepair SS 24887 Q Hansons Compressor Room 19-0285 SS Compressor Room 24890 TM ND -Stepan/ Infill ElevatorDoor 1948920-002 RU 24891 Q 18262 BremenSchool/Office Add&Reno CS 24892 TM GEMarshal/ Tunnel Infill Ph Il RU 24894 TM Midland -ND/ NewScuppersParpet RU Family & Children Center 24899 Q United Scrap Metal 70747 SS United Scrap Metal 24900 Q Heartland Church 1808-15 SS Heartland Church 24901 Q LGC Global- Acroport Masonry 19NISGRIS0I-01 SS Grissom Acropoirt Masonry 24902 Q CitySB/ WWTP-Masonry Rep***** 1520009 CS 24903 TM ND-RavinaPark/ Install Plaque 2020809-001 RU 24904 Q Steinberger/Derno & Lintel Inst 190383-02 SS Caterpillar 24905 Q Hayes-SolidarityFedCreditUnion SS 24906 Q LaPortcHS- Caulk Capstones CK 24908 Q JosamCo-Patch/PrvdNewDockDoor 61625 TE 24909 Q 24891 BremenElem/Clean & Caulk Mason BD 24910 TM ND-Rockne/ CutOutDrFrame 1954453-008 RU 24911 Q AMGeneral-Damaged Brick Area 4300002603 RU 24912 NTE 18200 Midland- Masonry Infills RU 24913 Q StMary-OLaughlin/GlazeTileBIck P0027452 CK 24915 Q 24874 ND-Rohrs/ Restoration BD 24916 Q Skillman-MortonBld/MasonryRep BD 24917 Q Hebron V,/WTF Modifications **** 1520010 D2 24919 TM ND-Reyniers/ Caulk Concrete CK 24920 Q Steinberger-BHJ/ Masonry 18-0524 SS 24922 Q StMary-HolyCross/Rep Steps P0027485 CK 24923 TM ND-Nieuwland/ 2nd Flr Tops 2004810-032 RU Page: 8 02/17/2020 02:08 pin Company: AI ZIOLKOWSKI CONSTRUCTION, INC. Jobs Active Since: 01/01/2000 Thru Month Ending: 02/29/2020 Open Jobs Only Billed Under Job Number Type Job # customer Name Contract Number PM Job Description 24924 Q MillerDavis-HesLib / Infills RU Room 221 & 222 24925 TM 18182 CentralGarage- Fire Stopping CK 24926 Q Delphi WWTP- Phase 11 SS 24927 TM ND-Nieuw1and/3rd Flr Tops 2004810-031 RU 24928 TM ND-NicuwIand/4th Fir Tops 2004810-038 RU 24929 TM 18433 ND-LandscapeServ/Damaged Wall RU 24930 Q LakelandHosp- Masonry Repair BD 33286 Q New Prairie SchooVLaporte**** M Performance Services 33378 TM ND-Maint/ 2019 Flooring Shop UND Flooring Sh RC 33381 Q 17802 ElkhartHS- Flooring RC 33384 Q 17846 PPR- TOWN OF LAKEVILLE***** RC LAKEVILLE FIRE STATION 33393 Q 17935 ND-Siegfried/Flooring RC 33394 Q 17848 WWTP-Admin Bld-Flooring******* 118-087 RC 33406 Q ND -Debartolo/ Carpet Replacemt 1942390-001 RC 33409 TM 18106 ND -Mendoza/ Team Rm Carpet RC 33410 TM 18107 ND -Stayer/ Carpet RC 33420 Q ND -Dry Dive/ Carpet RC 33424 Q BremenElementary/ Flooring BPS-19-173-102 RC 33428 Q 18225 ND -Siegfried/ Wardrobe Closet RC 33429 Q 18215 ND -Jordan/ 319 Carpet RC 33432 Q CleanRms-MerrilU Vinyl Floo 58315 RC 33433 Q AM General- Carpet Replacment 4300002218 RC 33435 Q ND -Galvin/ VCT 2nd & 3rd Floor 2002608-002 RC 33436 TM 33435 ND -Hank/ VCT 2002608-002 RC 33437 Q 18103 ND -Morris/ Rohr's Reno RC 33438 TM Gibson-Hessert/ Carpet RC 33439 Q ND-GUG/ Isban Carpet 2028299-002 RC 33440 NTE 18033 SisterHolyCross- Guest House RC 33441 TM 18331 ND -Fitz/ Computer Cluster 2026466-002 RC 33443 Q 18146 ND -Robinson Center RC 33444 TM UND- 2020 Flooring Shop UND Flooring S RC 33445 TM 18347 ND -Cushing/ Suite 118 Reno RC 33446 TM ND-Mamt/ Relocate Carpet RC 33447 Q TriVallcyGlass- Office Carpet RC 33448 Q 18262 Bremen-ES/MS- Office Reno RC 33449 TM 18416 ND -Grace/ Elevator Carpet RC 33450 Q 55842 ND-Haggar/ Carpet B 15 2036613-001 RC 33451 Q Berrie SA- BlossomlandCenter RC 33452 Q 18434 ND-InnvoPark/ Industry Lab RC 55297 Q 33286 New Prairie Schools -Painting" JG 55353 Q 24605 Indiana State Prison/Mich City JG Various Painting 55356 Q New Lincoln JHS JG 55413 Q Robert Henry (Sieman's) JG 55415 Q 17474 Concord High School JG Additions & Renovations 55443 TM ND-McCourtncy/DA Dodd JG Water Damage (Robert Henry) 55460 Q Logan Center/Autism Center JG 55484 TM Peppers-NDPres-WoodStaining JG 55512 Q 24608 IndTollRd- Admin- Paint Concr JG 55527 Q 17811 ND-Don/Flaherty- Bathrm Mod JG Page: 9 02/17/2020 02:08 pm Company: Al ZIOLKOWSKI CONSTRUCTION, INC. Jobs Active Since: 01/01/2000 Thru Month Ending: 02/29/2020 Page: 10 Open Jobs Only 02/17/2020 02:09 pin Billed Under Job Number Type Job # Customer Name Contract Number PM Job Description 55536 TM ND-MainL/ 2019 Paint Shop UND Paint Shop JG 55539 Q Brinks- Office Painting 358768 JG 55544 Q 17850 ND- Hesburgh- Garbanzo JG 55545 Q 17823 SJRMC- Dermotology Reno JG 55546 Q 17802 EL ART HS- Taping & Painting 17802-09 JG 55552 Q 17846 PPR- TOWN OF LAKEVILLE***** JG FIRE STATION- TAPING AND PAINTING 55553 Q St.Marys-Lourdes-ElevWtrDamage 41037332" JG 55556 TM ND-CedarGroveChap/Maintenance 1934771-001 JG 55560 TM Kite-EddySY Access Panel 2 JG 55569 Q 17935 ND -Siegfried/ Taping & Pamtng JG 55579 Q SJRMC- Paint Exam Rooms JG 55581 Q 17977 ND-DeBartolo/Auditorium Floors JG 55586 Q 17848 City of SB- WWTP Admin******** JG SB WWTP ADMIN BUILDING 55605 TM ND -Jordan/ 202 Reno 1948541-007 JG 55615 Q 18034 ND -Walsh/ Trim Painting JG 55624 TM ND -Fitz) RM 365 Patch & Paint 1952774-001 JG 55626 Q 18048 SBCSC-Clay InVI - Phas 11 18048-07 JG 55629 TM DaDodd-NP-Kesling/Unit Tchups JG 55630 TM Deluxe- ChandlerElem/PaintDuct JG 55632 Q 18058 CoDeordHS-Performing Arts JG 55633 NTE StMary-LeMans/Dorm Touchup P0027151 JG 55637 TM Esco-ND/ Paint Camera Parts 18616 JG 55646 Q 18077 ND-Decio/4thFloor Reno JG 55658 Q 18033 SisHolyCross/ Guest House JG 55662 Q 18080 ND-Zahm-Badin/ Handrails JG 55666 TM 18116 ND-Snite/ Exterior Doors 1839904-002 JG 55667 TM 18107 ND -Stayer/ Misc Reno JG 55668 TM 18106 ND -Mendoza/ Paint Team Rooms JG 55678 Q St.Mary-LeMans/SFoyerCeilingRp JG 55691 Q StMary-LeMan/Exterior Vents P0027267 JG 55692 TM ND -Fitzpatrick/ 257C5 Paint 2007082-001 JG 55693 TM ND -Cushing/ 106C Touchups 2007281-001 JG 55694 TM 17852 ND -Corby Hall/ Refinish Doors JG 55697 Q 18056 Mishawka-Beer Garden Painting JG 55699 TM ND-Nieuwland/ 372 Paint &Patch 2004810-006 JG 55704 Q 18146 ND -Robinson Community Center 18146-04 JG 55706 Q 18173 ND-JACC/ C108 Reno JG 55710 TM ND-Nieuwland/ Hallway Tchups 2004810-009 JG 55719 TM ND-RilyArts/ 3rd Flr Studios 1942486-001 JG 55720 TM 18200 MidlandEng- Office Rebuild JG 55723 Q 18182 StJoeCounty- Central Garage JG 55724 TM ND -Facilities/ Transformers 1952137-002 JG 55727 NTE SC-Lakeside/1st Floor Suites 41038841 JG 55731 Q 18225 ND -Siegfried/ Wardrobe Closets JG 55737 TM ND-GUG/ Coach Kelly's Office JG 55740 Q 18215 ND -Jordan/ 319 Reno JG 55741 TM ND-Nieuwland/ Penthouse Floor 2004810-011 JG 55747 TM StMary-Library/ Refinish Table JG 55752 TM 18258 ND-CedarHouse/ New Door 2019898-001 JG Company: Al ZIOLKOWSKI CONSTRUCTION, INC. Jobs Active Since: 01/01/2000 Thru Month Ending: 02/29/2020 Open Jobs Only Billed Under Job Number Type Job # customer Name Contract Number PH Job Description 55756 TM 18265 SHC-Refinsh Courtyard Door JG 55758 TM PerfonnancSve- Water Damage JG Chandler Elementary 55759 Q 18260 TomWaIz- Facade Renovation JG 55761 TM ND-Haggar/ 118 Patch & Paint 2019850-003 JG 55763 Q 18273 ND -Fitzpatrick/ B04 Reno JG 55765 TM Martell- Misc Office Work JG 55767 Q Weigand/GoshenSchool-Painting 19026-09300S JG 55768 TM ND -Galvin/ Shipping & Recievng 1942469-003 JG 55769 TM ND -Fitz/ P&P Rm 257 W 2023290-001 JG 55770 TM ND -Fitz/ Rm 148 Door 2023105-001 JG 55771 Q 18103 ND-Rohrs/ Taping & Painting JG 55773 TM 18290 ND -Stinson/ 315 Window Leak 2023070-002 JG 55774 Q 18289 ND -DeBartolo/ 329 Reno JG 55776 TM ND -Riley/ Handrails 2024351-001 JG 55777 TM ND -Grace/ Vestibule Steel 1926979-012 JG 55780 TM ND-Nieuwland/3rd FIr Reno 2004810-017 JG 55781 TM ND-NieuwIand/ 2nd Flr Reno 2004810-018 JG 55782 TM 18293 ND -Fitzpatrick/ P&P 257C 2024829-001 JG 55783 TM 18294 ND -Fitzpatrick/ P&P 150 N 2024848-001 JG 55785 Q LarsonDanielson- Eck Handrails 37592-004 JG Baseball Dugout 55786 Q 18280 ND -Lacrosse/ Pipe Bollars 18280-02 JG 55787 TM ND -Galvin/ 007G P&P Walls 2025697-003 JG 55788 TM ND -Jordan/ 209 Wall Patch 2026970-002 JG 55790 TM AEP- SB/ Fleet Garge Exh Cover JG 55791 TM ND -Galvin/ Paint RM 329 2027090-002 JG 55792 TM ND -Crowley/ 10 1 A Kitchen -Pass 2028206-003 JG 55793 Q 18321 ND -Fitz/ 182A Lab Reno 2026105-002 JG 55794 Q 18322 ND -Fitz/ A67B Lab Reno 2026104-002 JG 55795 TM AEP-BentonHrb/ Dock Lines JG 55796 TM AEP-Buchanan/ Dock Lines JG 55797 Q INSERV- Royal Center/Sandblast JG 55798 TM ND -Galvin/ Lowbood Basement 2002608-008 JG 55799 TM StMarys-Library/ Shelves JG 55800 TM ND- PAINT SHOP 2020 UND Paint Shop JG 55801 TM 18333 ND -Fitz/ 178 Paint 2028405-001 JG 55802 TM 18331 ND -Fitz/ Computer Cluster 2026466-002 JG 55803 Q StMarys-LeMan/Chapel Staining JG 55904 TM StMarys-Moreau/ 234 & 338 P&P JG 55805 TM StMarys-Library/Basemnt 24hrCn JG 55806 TM ND -Stepan/ 273 Reno 1942248-022 JG 55807 Q StMarys-Library/ Upper Office P0027447 JG 55808 TM StMary-LeMans/AlmnacPaint&Stai JG 55809 TM 18347 ND -Cushing/ Suite 118 Reno JG 55810 Q StMary- StudCntr/ Cafe Panels JG 55811 Q StMarys-Packaging Rm Wall JG HOLY CROSS 55812 TM 18153 ND -Dillon/ Caulking JG 55813 TM StMarys-Library/ FountainPatch JG 55814 TM StMarys-HolyCross/ Garbage RM JG 55815 TM StMarys-Library/TrumperRmPaint JG Page: 11 02/17/2020 02:09 pm Company: Al ZIOLKOWSKI CONSTRUCTION, INC. Jobs Active Since: 01/01/2000 Thru Month Ending: 02/29/2020 Page: 12 Open Jobs Only 02/17/2020 02:09 pm Billed Under Job Number Type Job # Customer Name Contract Number PM Job Description 55816 TM StMarys-Library/CeilingTileRep JG 55817 TM ND-Reyniers/ Lwr RR P&P 2031871-003 JG 55918 TM ND -Galvin/ Paint Rm 129 2015269-003 JG 55819 TM Brite-IstSoureetExtCanopyLight JG 55820 TM Gilbane-Purdue/ Taping J08222.000-0020 JG 55821 TM 18248 ND- FisherGrad/ Paint Doors JG 55822 Q LarsonDaniel-ND/DugoutHandrail JG 55823 TM ND-Rcyniers/RR Ceiling Repair 2031871-003 JG 55824 TM St.Mary-LeMans/CeilingWtrDamge JG 55825 Q Weigand-SJRMC-PharTnacyReno 19-078 JG 55826 Q ND-CCE/ Floor Striping 2032591-001 JG 55827 Q ND-CCE/PaintBrkrm-LockerRoom. 2032559-001 JG 55828 TM ND-Hagger/ P&P Ceiling RM 116 2029048-005 JG 55830 Q Hokanson-ONB/ Int Crack Repair JG 55831 Q Hokanson-ONB/Sidewalk Repair JG 55832 Q ND-Cemetary-Paint Fencing P1974792 JG 55833 TM ND-CCE/ Bulkhead Repair 1943746-004 JG 55834 TM ND -Jordan/ 319 Sign Removal 2034311-002 JG 55835 TM ND-Robrs/Table Mockups 1839836-014 JG 55836 Q 18415 ND-BreenPh/ Paint Guardrail 2026006-010 JG 55837 Q ND-LaCorsse/Paint Pipe Bollard JG 55838 TM ND -Galvin/ 182 Hang Wing 1936454-017 JG 55839 TM ND -Galvin/ 329 Conversion 2036399-002 JG 55840 TM ND-Fitz/Paint 156B 2036127-002 JG 55841 TM ND-Niuewland/ 4th Flr Reno 2004810-040 JG 55842 Q ND-Haggar/ Paint B-15 2036613-001 JG 55843 Q 18262 BremenElcm- Painting 18262-12 JG 55844 TM ND -Jordan/ 136 Sign Patching 2036840-001 JG 55845 Q EJWhite-Blast & Paint Radiator JG 55846 TM ND -Stinson/ P&P 321B 2036745-001 JG 55847 TM ND -Cushing/ P&P 201 2037494-001 JG 55848 TM ND -Cushing/ P&P Wall 200 2037491-001 JG 55849 Q 18442 ND-JACC/ C112A Reno 2037661-002 JG 55850 Q 18434 ND-InnvPark/ Industry Lab Reno JG BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 2/18/2020 Name Zach Hurst Department DPW BPW Date 2/25/2020 Phone Extension 3057 mmnnonmm mmm 'Review and A rival R� oir�� Prior:. to Submittal'to Board Diversity Compliance ® Officer Name and Inclusion Officer BPW Attorney� Attorney Name Clara McDanie y is and Aladean DeRose Dept. Attorney Purchasing [� Attorney Name N1 LJ Professional Services Agreement H Contract EJ Open Market Contract ❑ Amendment/Addendum Bid Opening Bid Award ❑ Quote OpeningQuote Award ❑ Proposal Opening C/O & PCA No. Chg. Order, No. Traffic Control ❑ Other: .. _ .. W� Rectuired Informati Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description ons L j Proposal Special Purchase, QPA Req. to Advertise ❑ Title Sheei ❑ Reject Bids/Quotes PCA E] Resolution F� Ease./Encroach w s If .. __ __................... �❑ ❑ Yes, Approved by Purchasing No MBE Completed E-Verify Form Attached ❑❑ Nos WBE Gemini at Colfax — Exterior Renovations 119-103 w ....._................ RWDA TIF, WWDA TIF 324-1050-460-42.02; 422-1050-460-42.02 Divisible bid 12ackage containing 5 divisions: roof re air masonry repairs. window repit eernent fire stair replacement, and water main installation. Amount of H Increase $ Decrease ($ Previous Amount $ ......... ...................... Increase Current Percent of Change: Decrease New Amount $ _ Increase Total Percent of Change: Decrease Time Extension Amount:. New Completion Date: