HomeMy WebLinkAboutOpening of Bids - Eagle Way Sewer Extension Proj No. 119-095 - Walsh & Kelly, Inc.CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name Eagle Way Sewer Extension
Project No. 119-095
For Bids Due March 10, 2020..........................
From time to time the South Bend Board of Public Works finds it necessary to reject a bid because
it does not comply with statutory requirements. In preparing your bid, please use the following
checklist in order to make sure that your bid is done in the proper manner.
Proper bid security included. The bidder has the option of providing either a Certified Check
X or Bid Bond.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
X executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
X Certification of use of United States Steel Products or Foundry Products.
Proof of MWBE Utilization Plan [MWBE-1.0]. If minimum participation goal is not met, also
provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MWBE Contacted Form
X [MWBE-2.1].
X Acknowledge Receipt of 1 & 2 Addendum(s) included with the bid.
X All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
X printed or typed underneath signature.
X This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.
Bidder: Walsh &
By Authorized Representa
Signature:
Print Name & Ti
n Hilary, VP of South Bend Area
Version 01/29/2020 Contractor's Bid for Public Works - 1
Date: 3/10/20
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CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Eagle Way Sewer Extension
Project No. 119-095
For Bids Due ...w.�� �....mm..._.............__.............
March 10, 2020
.........................w .............
PAR
T I
(Must be completed for all bids.
Date: 3/10/20 Bidder (Firm):
Address: 24358 SR 23
Please type or print)
Walsh..&wKelly,. Inc,IT__..............
City/State/Zip: South Bend, IN 46614 Telephone Number: wwwww74) 2$4_1........... ....w
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers ....r.---------
o ....w t . ...................�
g' g to furnish labor and/or material necessary to complete the
public works project of:
_ ............._City of South BendITIT-_Eagle Way SewerExtension
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
Abonmarche
and dated 2/17/20 for the sum of (enter the Total Bid as shown on the Proposal)
Three hundred four thousand one hundred thirty dollars and zero cents ($ 304,13000
._ ..... .....
____..
(Enter sum of Total Base Bid plus Alternates shown on Proposal) (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 addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are nee
shown in the or � Alt bract if accepted by the City bu
basis, the � nits shall be shown or, `separ
By
w Dustin HI
M
µ ACCEPTANCE
The a tte lh s ........... day of
Subject to their, conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
Jordan Gathers, Member
the st of a its must be the same as that
d, If id is to be awarded on a unit
(Signature)
lar, VP of South Bend Area
(Printed Name of Person Signing) .
Joseph R. Molnar, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
Version 01/29/2020 Contractor's Bid for Public Works - 2
20
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
These statements to be submitted under oath by each bidder with and as part of his/her/its bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1. Attach information regarding projects your organization has completed for the period of one
(1) year prior to the date of the current bid.
2. Attach a listing of public works projects currently in process of construction by your
organization.
3. Attach information regarding any failure to complete any work awarded to you and the
location thereof.
4. Attach references from private firms for which you have performed work.
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Attach an explanation of your plan or layout for performing proposed work. (Examples could
include a narrative of when you could begin work, complete the project, number of workers,
etc. and any other information which you believe would enable the City of South Bend to
consider your bid.)
2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside
your own firm who have performed part of the work) that you have used on public works
projects during the past five (5) years along with a brief description of the work done by each
subcontractor.
3. If you intend to sublet any portion of the work, attach the name and address of each
subcontractor, equipment to be used by the subcontractor, and whether you will require a
bond. However, if you are unable to currently provide a listing, please understand a listing
must be provided prior to contract approval. Until the completion of the proposed project, you
are under a continuing obligation to immediately notify the City of South Bend in the event that
you subsequently determine that you will use a subcontractor on the proposed project.
4. Attach a listing of equipment you have available to use for the proposed project
Have you entered into contracts or received offers for all materials which substantiate the
prices used in preparing your proposal? If not, attach an explanation for the rationale used
which would corroborate the prices listed.
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said
financial statement as required by statute shall thereby be rendered invalid. The financial
statement provided hereunder to the City of South Bend awarding the contract must be specific
enough in detail so that said City of South Bend can make a proper determination of the bidder's
capability for completing the project if awarded.
Version 01/29/2020 Contractor's Bid for Public Works - 3
When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION
REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-
DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL
PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF mm_Iwndwiawnawwwwwwww )
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.
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 - 4
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any
employee or contract with a person that the Contractor subsequently learns is an unauthorized alien.
Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's
newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's
documentation of enrollment and participation in the E-Verify Program is included and attached as part of
this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public contract to
certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain
any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien,
and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees
to maintain this certification throughout the term of the contract with the City of South Bend, and understands
that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision
no later than thirty (30) days after being notified by the City.
6. Persons, 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 arrMWBE;
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 - 5
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 10th day of March , 2020
Kell) J, c.
Contras ,tor/Bidder or Its Agent
,"Dustin Hila VP of South Bend Area
Printed Name and Title
Subscribed and sworn to before me this 10th day of .per I_ , 20 20
My Commission Expires 6/5/22 _
Notary Pu < Alisha rue per
County of Residence St. Joseph
ALISHA KRUEGER'
^�v�y N, Notary Public, State of 9nduana,
fi4p
St. Joseph County
`•
My Commission Expiros
June ob 2022
Version 01/29/2020 Contractor's Bid for Public Works - 6
BID/PROPOSAL
, 94!
CITY OF SOUTH BEND
PROJECT NAME:
Eagle Way Sewer Extension
W
PROJECT NO.
119-095
FOR BIDS DUE:
March 10, 2020���
CONTRACTOR NAME:
Walsh & Kelly,Inc.
BASE BID
Item
Description
Quantity
Unit
Unit Price
Total Amount
1
Maintenance of Traffic
1
LS
2,950.00
$2,950.00
2
Mobilization and Demobilization
1
LS
10,491.00
$10,491.00
3
Construction Engineering
1
LS
2,000.00
$2,000.00
4
Clearing of Right of Way
1
LS
2,200.00
$2,200.00
5
Temporary Erosion Control
1
LS
1,900.00
$1,900.00
6
Concrete Pavement, Remove
64
SYD
49.00
$3,136.00
7
Compacted Aggregate for Base, No. 53
25
TON
40.00
$1,000.00
8
PCCP, 12"
64
SYD
172.00
$11,008.00
9
Concrete Curb, 6"
16
LFT
172.00
$2,752.00
10
Standard Sanitary Sewer Manhole, 48 IN.
9
EA
4,100.00
$36,900.00
11
Sanitary Sewer Pipe, PVC SDR 26, Circular, 15 IN,
1,722
LFT
41.50
$71,463.00
12
Connection to Existing Sewer- Nimtz Parkway
1
LS
11,000.00
$11,000.00
13
Lonewolf Lift Station Abandonment
1
LS
35,000.00
$35,000.00
14
Abandon Existing 8" Eagle Way Sanitary Sewer
1
LS
4,500.00
$4,500.00
15
Line, Epoxy Paint, Solid Yellow, 4"
32
LFT
25.00
$800.00
16
1 Line, Epoxy Paint, Broken Yellow, 4"
20 1
LFT 1
25.00
$500.00
17
1 Common Excavation
3,600 1
CYD
12.50
$45,000.00
BASE BID TOTAL
$242,600.00
Item (Description
18
Quantity I Unit I Unit Price
2,100 1 CYD 29.30
ALTERNATE BID TOTAL
Bidder(Firm):rrr��so�e,,o
Address:
City/State/Zip
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Telephone Number:
= „� �ORpORgTF
Fax Number:
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Walsh & Kelly, Inc.
24358 SR 23
South Bend,IN 46614
574-2W4811
(Signature
Total Amount
$61,530.00
$61,530.00
Dustin P. Hilary, VP of South Bend Area
(Printed Name of Person Signing)
Addendum No. 2
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CITY OF SOUTH BEND .
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MWBE participation.
Project Number: 119-095 _wwwwwwwwaw Date: 3/1.0/20
Project Name: Eagle Wavy Sewer Extension
Bidder: Walsh & Kelly, IlC.
Contact Person: Edward Pilipow/JasonwwwMw nne Telephone: 574-288-4811
Address: 24358 SR 23
City: South Bend State: mm ........ zip: 014
Email: epllipow@walshkelly com _
To determine whether a bidder has demonstrated good faith efforts to reach theWW MWBE utilization goals set forth in
the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions,
REQUIRE ALL of the following Good Faith Efforts as listed in the table below*:
EVIDENCE OF GOOD FAITH EFFORTS _...
MWBE LIST(S). The bidder reviewed 1) the City of South Bend's Minority and Women Business
Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana
Department of Administration list of Minority and Women Owned Businesses (both certified and non -
certified) found at: tttt .f/uvww.in. ov/idoaf.
GOOD FAITH EFFORTS TO OBTAIN MWBE PARTICIPATION
The bidder shall initial each item below, as evidence of its good faith efforts to obtain MWBE
participation in the awarded contract.
I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan and the Indiana Department of Administration's certified list of
( Iny Business Enterprises, found on their website
.... Indiana Minority
.
and Women mmITITmmmmmµWWWWWWWWWW
.._..............
I affirm that I have made good faith efforts to select portions of the contract work to be
pe
rformed by MWBEs, including, where appropriate, breaking out contract work items into
economical) feasible units to facilitate MWBE participation.
I affirm that I have made good faith efforts to solicit through all reasonable and available
means the interest of al
l MWBEs in the scopesWof work of the contr
a
I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform
g g opportunities.
mmm ....._ MWBEs of contracting and subcontracting W_ ............... _....__w
I affirm that I advertised in general circulation and/or trade association publications
concerning subcontract opportunities and allowed MWBEs reasonable time to respond to
such advertisements.
.......................
I affirm that I performed any and all necessary steps to provide written notices in a manner
reasonably calculated to inform MWBEs of subcontracting opportunities and allowed
sufficient time for MWBEs to participate effectively.
`i I affirm that I followed up on initial solicitations with interested MWBEs.
_.... ...... ............a... _... ........ ......
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
v of the subcontract.
.......... ....._.....�.., ,..w ................. _..�......................
I affirm that I have made good faith efforts to assist interested MWBEs in obtaining
6 t 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 - 9
CITY OF SOUTH BEND}
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN M sG1
e
FORM MWBE-2.0,=
EVIDENCE OF GOOD FAITH EFFORTS
affirm that t have made good faith efforls to assist interested MWBEs in obtaining
y necessary equipment, SU plies, materials„ or related assistanices or services, where
appropriate.
I affirm that I did not reject any MWBEs as unqualified without sound business reasons
based on a thorough investigation of their capabilities.
CONTRACT RECORDS: The bidder has maintained the following records for each MWBE that has bid
on the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MWBE was unqualified to perform the job.
*Proper demonstration of Good' Faith Efforts requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version 01/29/2020 Contractor's Bid for Public Works - 10
CITY OF SOUTH BEND '
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN V
FORM MWBE-2.1 ".,,;TM..-
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.. 1 CtiF � �
Project Number: 119-095 MWBE Participation Goal m m1. o ry `E
1 P 1 2 .� YELL), 1 L
Project Name: Way ewer Extension
_ . ............... , 0 RA
Bidder: VVals
By. . W G n I-li ........ -. _. 3f10l2tti r"
_. .......... _/,
(Si a �e) lary (Title) VP of South Bend Area (Date)
..... AFQ ,Ilw
�;WEI`irm State Barricadmin ,Inc.
Owner or Contact at MWBE Firm James Michalski
Telephone Fax: Email:
574-287-2078 574-287-1744 : tatebarflcade1-aol.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Maintainina of
RESULTS OF CONTACT WITH THE MWBE FIRM:
If ellwlncw,wwwis awarded the pre-wewwill subcontract State Barricading Inc.
Walsh & K..... .............__
for the above work.
MWBE Firm B.U.0 Construction SARI
Owner or Contact at MWBE Firm Teresa Butler
Telephone: 765-412-3484 Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Material §up lmier for castings and PVCmmpipe
RESULTS OF CONTACT WITH THE MWBE FIRM:.
Email: uctionSUpply com
tc str ......
pp
e material prices from this supplier is higher than wother quotes we received
If Walsh & Kelly, Inc Is awarded the project, this material supplier wil not be subcontracted
for such.
Version 01/29/2020 Contractor's Bid for Public Works - 11
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name Eagle Way Sewer Extension
Project No. 119-095
For Bids Due March 10, 2020
Contractor Name: Walsh & Kelly. Inc.
The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works
projects by institution of comprehensive submission requirements in compliance with State law. Quality
workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet
certain minimum requirements to be responsive and responsible bidders.
THIS FORM MUST BE SUBMITTED WITH YOUR BID.
INSTRUCTIONS:
If you are a pre -qualified bidder, complete Section I only.
If you are not a pre -qualified bidder, complete Section II only.
Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be
considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre -
qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6-
63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance")
for a period of twelve (12) months.
Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre -
qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified
Bidders") by December 31'' 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 01/29/2020 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 01/29/2020 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.
(ii) X By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided 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 (i.e. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii) 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 01/29/2020 General Conditions - 8
PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements:
(i) _ By checking this box, I hereby acknowledge that I am not a pre -qualified bidder
with the City of South Bend.
(ii) _ By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided, and may also conduct random inquiries of my current and prior
customers. The City reserved the right to utilize all information provided in this
submission and all information obtained in inquiries or requests to determine if a
bidder is responsive and responsible. Additionally, I acknowledge that all
information provided to the City shall be regarded as public records.
(iii) _ By checking this box, I hereby acknowledge that copies of all Applicable
apprenticeship certificates or standards for training programs applicable to the
work performed on the project may be requested at any time and shall be furnished
upon request.
(iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub-
contractors, from whom I have accepted a bid and/or intend to hire to perform work
on the public work project, are properly licensed. Furthermore, I acknowledge my
understanding that it is my responsibility to ensure that all sub -contractors have
the necessary licenses to undertake the work called for in this bid. If a sub-
contractor loses their license at any point, it is the responsibility of that sub-
contractor to notify the City.
(b) Attachments:
(i) _
Indiana Secretary of State's on-line records (i.e. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii)
List identifying all former business names.
(iii)
Any determinations by a court or governmental agency any violations of federal
state, or local laws including, but not limited to, violations of contracting or antitrust
laws, tax or licensing laws, environmental laws, Occupational Safety and Health
Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5)
years.
(iv)
Statement about staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work I
am bidding on OR outlines how I intend to meet the staffing needs of the work.
(v)
Statement that individuals who will perform work on the public work project on my
behalf will be properly classified as an employee or as an independent contractor
under all applicable state and federal laws and local ordinances.
(vi)
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 01/29/2020 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.
Walsh & Kelly,Inc.
(Name of Company)
24358 SR 23
(Address of Company)
South Bend
(City)
Indiana..
(State)
574-288-4811
(Telephone Number)
Version 01/29/2020 General Conditions - 10
13116 CCyV1IV`IYk (., lY BUILDING
227W. EF 1-.RS()N BC)Ur..l:vARD
oii"I`i.i BC.,Nlrz.. lNI)(A!gA 466(d 1...1830
CITY OF SOUTH BEND PETE BuTTIGIEG, MAYOR
BOARD PUBLIC WORKS
September 25, 2019
Dustin Hilary
Walsh & Kelly, Inc.
24358 SR 23
South Bend, IN 46614
RE: Pre -Qualification Verification
Dear Mr. Hilary:
Noi,w 574/ 2.35_925 p
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,
Linda M. Martin, Clerk
GARA. Gp➢_O Q.'yF3N ' V1EV1F' 1 E. WILLER EL[ZA.113ETTi A, MARADIK L,4kii1 A.I...., O'SNJ1..V...1"' AN ll. noII AU
Responsible lidding Practices and Submission
Requirements rents for .Pre -Qualified bidder Checklist
(b) Attachments
(i) Attached
Staffing Capabilities: Walsh & Kelly, Inc. is signatory with the following unions
which supply our workforce — Laborers International Union, Teamsters, Operating
Engineers and Cement Masons.
(iii) See Attached
(iv) See Forms 96 and 96a
(v) All individuals who will perform worn on the public works project on behalf of
Walsh & Kelly, Inc. will be properly classified under applicable state and federal
laws and local ordinances.
of South Bend L Dated March 10 2020
�C ary, VP
State of Indiana
Office of the Secretary of State
CERTIFICATE OF EXISTENCE
To Whom These Presents Come, Greeting:
I, CONNIE LAWSON, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of
the State of Indiana, the custodian of the corporate records and the proper official to execute this
certificate.
I further certify that records of this office disclose that
WALSH & KELLY INC
duly filed the requisite documents to commence business activities under the laws of the State of
Indiana on March 29, 1966, and was in existence or authorized to transact business in the State of
Indiana on February 12, 2020.
I further certify this Domestic For -Profit Corporation has filed its most recent report required by
Indiana law with the Secretary of State, or is not yet required to file such report, and that no notice of
withdrawal, dissolution, or expiration has been filed or taken place. All fees, taxes, interest, and
penalties owed to Indiana by the domestic or foreign entity and collected by the Secretary of State
have been paid.
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City
of Indianapolis, February 12, 2020
r
CONNIE LAWSON
SECRETARY OF STATE
194484-057 / 20201308090
All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate
Expires on March 13, 2020.
FCCI Insurance Company
(NAIC #10178)
BUSINESS ADDRESS: 6300 University Parkway, Sarasota, FL 34240 - 8424.
PHONE: (800) 226-3224.
UNDERWRITING LIMITATION b/: $55,070,000.
SURETY LICENSES c,f/: AL, AZ, AR, CO, DC, FL, GA, IL, IN, IA, KS, KY, LA, MD, MI, MS, MO, NE,
NC, OH, OK, PA, SC, TN, TX, VA.
INC0-P " TED IN: Florida.
ederal Insurance Compa
(NA
BUSINESS ADDRESS: 202B Hall's Mill Road, Whitehouse Station, NJ 08889.
PHONE: (215) 640-1000.
UNDERWRITING LIMITATION b/: $461,364,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY,
LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA,
PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY.
INCORPORATED IN: Indiana.
FEDERATED MUTUAL INSURANCE COMPANY
(NAIC #13935)
BUSINESS ADDRESS: 121 EAST PARK SQUARE, OWATONNA, MN 55060„
PHONE: (507) 455-5200.
UNDERWRITING LIMITATION b/: $346,382,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME,
MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD,
TN, TX, UT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Minnesota..
Fidelity and Deposit Company of Maryland
...,- ..-----.0
Part of State Form52414 (R2 12-13) Form 96 (Revised 2013)
BID OF
Walsh & Kelly. Inc.
(Contractor)
(Address)
South Bend IN 46614
FOR
PUBLIC WORKS PROJECTS
OF
City of South Bend Indiana
Ea le Wav Sever Extension
Pro'ect No. 119-095
Filed March 10th, 20�2'0
Action taken
State Form 52414 (R 19-10)
Prescribed by State Board of Accounts Form NW'o, 96 Revised 2011
CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96
PART 1
(To be completed for all bids. Please type or print)
1. Governmental Unit (Owner):
2. County:
3. Bidder (Firm):
Address:
City/State:
4. Telephone Number:
5. Agent of Bidder (If applicable):
Date (month, day, year): March 10 2020
City ofSouth Bend, Indiana
St. Joseph
Walsh & Kelly, Inc. wwwww _�IT
24358 SR 23
South Bend IN 46614
574) 288-4811
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public
works project of City of South Bend Indiana — Board of Public Works and Safety (Govemnental Unit) in
accordance with plans and specifications prepared by Abonmarche and dated Febrtdat' 17"' 2020 for the sum of
See Attached $ See Attached.
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of
the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any
addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that shown
in the original contract if accepted by the Governmental Unit. If the bid is to be awarded on a unit basis, the itemization of
the units shall be shown on a separate attachment.
The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or
applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or
indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant
may be regarded as a material breach of the contract.
CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS
(If applicable)
I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation to
use steel products made in the United States. I.C. 5-16-8-2. I hereby certify I and all subcontractors employed by me for
this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in
forfeiture of contractual payments.
ACCEPTANCE
The above bid is accepted this „„w_ — day of subject to the following conditions:
Contracting Authority Members:
PART II
(For projects of $150,000 or more — IC 36-1-12-4)
Governmental Unit: City of South Bend, Indiana
Bidder (Firm): Walsh & Kelly, Inc.
Date(month, day, year)
These statements to be submitted under oath by each bidder with and as part of his bid. Attach additional pages
for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
What public works projects has your organization completed for the period of
one (1) year prior to the date of
the current bid?
_.
Contract Amount Class of Work When Completed
.......
Name and Address of Owner
$1..... 200
Reconstruction
October 2017 mmITITmmmITITmmmITmm
INDOT
$ 5,970,162
Reconstruction
May 2017
Town of Merrillville
$ 5,521,779
Resurface
__.._
December 2017
City of Misha
$ 2,646,574
Reconstruction
I September 2017
.
St. Jose h Cty Hwy Dept
3. What public works projects
are now in process of
construction by your organization?
._ -
Contract Amount Class of Work When to be Completed
Name and Address of Owner
$10,695,118
Reconstruction
November 2018
Walsh Construction
$ w8,146,239
Resurface
May 2018
INDOT
$ 4,073,719
Reconstruction
...._ WJuly 2018
�.
__City__of East Chicago, IN
$ 2,662,813
Reconstruction
October 2018
INDOT
4. Have you ever failed to complete any work awarded to you? No If so, where and why?
5. List references from private firms for which you have performed work.
Gatlin Plumbin & :1-1mifilgg�,Inc. 1111 E. Main St,�Griffith IN Ms. Clara wMre�frlty,,,,,,
Gou b., Inc. 2200 E. 88t" Dr, .Merrillville IN 46410 Mr. Rmgppnd Qp4 h
Dygr Construction Co., 1716 Sheffield Avenue, Dyer, IN Janet Furman
Grimmer Construction Co,,, 2619 Main Highland, IN Mr. �gGreITGrim�imel mmmmITITITITIT
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could
begin work, completed the project, number of workers, etc. and any other information which you believe would
enable the governmental unit consider your bid.)
As required by owner
2. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have
performed part of the work) that you have used on public works projects during the past five (5) years along with a
brief description of the work done by each subcontractor.
See Attached List
3. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be
used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a
listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed
project, you are under a continuing obligation to immediately notify the governmental unit in the event that you
subsequently determine that you will use a subcontractor on the proposed project.
Will supply upon award of contract
4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors
may also be required to be listed by the governmental unit.
QUANTITY
ITEM
DESCRIPTION,
CONDITION
YEARS
PRESENT LOCATION
SIZE, CAPACITY,
OF
ETC.
ITITITm
SERVICE
..._.........
5
............
Asphalt Plants
Various
Good
Griffith, South Bend,
Valparaiso, Lowell, LaPorte
19
Asphalt Pavers
Various
........�
Good _
Griffith, South Bend .........
4
Slipform Conc. Paver
......... ..w ..
Various
i Good
Griffith, South Bend
3
Road Widener
Various
Good
Griffith, South Bend
Motor Graders
CAT/J.D.
Good
Griffith, South Bend
54
Rollers
Various
Good
Griffith, South Bend
30
........ ..
Rubber Tire Loaders
Various
_W._. ..�
Good
_..........
Griffith, South Bend
15
Excavators
_......_
Various
Good
Griffith, South Bend
9
Bulldozers
Various
Good ...
Griffith South Bend
6
LowBoymTractors
..._ ..
Various
Good
Griffith, South Bend
8
Flatbed Dumps
Various
Good
Griffith, South Bend
48
'/2 and 3/ ton Pickups
Various
Good
Griffith, South Bend
65
1 Ton Crew Trucks
Various
Good
..-...._.�
Griffith, South Bend
.....-:_
_._ ......
3
Cold Planers
Wirtgen 1900
Good
Griffith, South Bend
DC
3
J-fr—i-Ax—le--DumpMack
Good
South Bend
5. Have you entered
into contracts or received
offers for all materials
which
substantiate
the prices used in preparing
your proposal?
Otherwise, please explain
the rationale used
which would
corroborate
the prices listed.
Yes, we received
quotes from potential
subcontractors
and suppliers
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required
by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding
the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's
capability for completing the project if awarded.
SECTION IV CONTRACTOR'S NON -COLLUSION AFFIDAVIT
The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any other member,
representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination,
collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person
from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and
without any agreement, understanding or combination with any other person in reference to such bidding.
He further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate,
fee, gift, commission or thing of value on account of such sale
SECTION V OATH AND AFFIRMATION
I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION
CONTAINED IN THE FOREGOING BID FOR PRBLIC WORKS ARE TRUE AND CORRECT.
Dated at South Bend. .............. . this_ 10th _..... day of
EMENT
STATE OF Indiana
ss
COUNTY OF St Joseph
VIA of South Bend
(Title of Person Signing)
Before me, a Notary Public, personally appeared the above -named Dustin Hilary and
swore that the statements contained in the foregoing document are true and correct.
Subscribed and sworn to before me this I Oth day of March,. 2020.
A fsha.. Krueger, Notaryrublic
My Commission Expires: June 5 2022 �� "'�'""� "��
KRUE.GFR
AUSHA
Notary Public. state of Indiana
County of Residence: St. Joseph Poll
St. Josoph County
My Commission Expires
��°
June05,2022
Form 96 Section II, #2
Subcontractors Used on Public Works Uontracts During the Past 5 Years
SUBCONTRACTORS
COMPANY ADDRESS CITY/STATE/ZIP PHONE FAX
SEWER
B&DSewer
Deboer Egolf
Delta III
Dyer Construction
Gatlin Plumbing & Heating
Gough, Inc.
Grimmer Construction
Hasse Construction
HRP Construction
Rex Construction
Wirtz & Yates, Inc.
Woodruff & Sons
MILLING
C.E. Hughes Milling, Inc.
Javelina Construction, Inc.
Mid America Milling Co.
McCrite Milling
Specialties Company
ELECTRICAL INSTALLATION
Hawk Enterprises
Midwestern Electric
S/T Bancroft Electric
Sweney Electric Company
Trans Tech Electric
SIGN INSTALLATION
Hawk Enterprises
Midwestern Electric
RoadSafe Traffic Systems
State Barricading, Inc.
Traffic Control Specialists, Inc.
PAVEMENT MARKINGS
,The Airmarking Company
,Blackout Sealcoating
RoadSafe Traffic Systems
State Barricading, Inc.
Traffic Control Specialists, Inc.
Traffic Management Company
TRAFFIC CONTROL
RoadSafe Traffic Systems
Traffic Control Specialists, Inc.
Traffic Management Comoanv
LANDSCAPE
Great American Landscape
Hubinger Landscape
Slusser's Green Thumb, Inc.
T & J Landscape Service
531 Winston Ct
5772 Melton Road
2063 W 1250 S
1716 Sheffield Avenue
1111 E. Main Street
2200 E. 88th Drive
2619 Main Street
10 Lincoln Avenue
5777 Cleveland Rd.
700 Schiller Avenue
P.O. Box 41
P.O. Box 450
Schererville, IN 46375
Portage, IN 46368
Hanna, IN 46340
Dyer, IN 46311
Griffith, IN 46319
Merrillville, IN 46410
Highland, IN 46322
Calumet City, IL 60409
South Bend, IN 46624
Schererville, IN 46375
Kentland, IN 47951
Michigan City, IN 46361
(219) 322-2300
(219) 763-9700
(219) 797-4004
(219) 865-2961
(219) 924-6972
(219) 756-2200
(219) 924-1623
(219 )932-1611
(574)271-7800
(219) 322-8090
(219) 474-6542
(219) 872-8605
(219) 865-0065
(219) 763-9703
(219) 797-3008
(219) 865-2963
(219) 924-1401
(219) 756-2202
(219) 924-0328
(219) 932-6829
(574) 271-0524
(219) 322-0031
19) 8795339
3113 Holmans Lane
Jeffersonville, IN 47130
(812) 725-8665
(812) 725-8672
13476 Britton Park Rd.
Fishers, IN 46038
(317) 841-8364
(317) 841-0075
6200 W. Hwy 62, Ste 400 Jeffersonville, IN 47130
(812) 282-2751
(812) 283-9846
209 Quality Ave. Ste 9
New Albany, IN 47150
(812) 941-0252
(812) 941-0852
9350 E. 30th St.
Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
1850 E. North St
1620 E. Chicago Ave
25020 State Road 2
9111 Louisiana St.
4601 Cleveland Road
1850 E. North St
1620 E. Chicago Ave
3122 Olympia Dr
24963 U.S. Highway 20
1810 W Pacific Avenue
P.O. Box 526
7440 W. 87th Place
3122 Olympia Dr
24963 U.S. Highway 20
1810 W Pacific Avenue
3542 Highway Avenue
3122 Olympia Dr
1810 W Pacific Avenue
3542 Highwav Avenue
P.O. Box 235
210 E. 113th Avenue
125 Montgomery Street
8253 Wicker Avenue
Crown Point, IN 46307
East Chicago, IN 46312
South Bend, IN 46619
Merrillville, IN 46410
South Bend. IN 46619
Crown Point, IN 46307
East Chicago, IN 46312
Lafayette, IN 47909
South Bend, IN 46628
Knox, IN 46534
Rochester, IN 46975
Bridgview, IL 60455
Lafayette, IN 47909
South Bend, IN 46628
Knox, IN 46534
Highland, IN 46322
Lafayette, IN 47909
Knox, IN 46534
Highland, IN 46322
Dyer, IN 46311
Crown Point, IN 46307
Logansport, IN 46947
St. John, IN 46373
(219) 662-8090
(219) 397-4444
(574)287-6490
(219) 769-6007
(574) 272-9673
(219) 662-8090
(219) 397-4444
(317) 780-1825
(574) 287-2078
(574)772-7001
(219) 662-8093
(219) 397-8888
(219) 769-0565
(574) 271-0144
(219) 662-8093
(219) 397-8888
574) 772-7002
(574)223-5817 (574)223-7959
(219) 864-2300 (708) 430-6910
(317) 780-1825
(574)287-2078
(574)772-7001 (574)772-7002
(291)746-2433
(317) 780-1825
(574)772-7001 (574)772-7002
(219) 746-2433
(219) 322-7033 (219) 322-4419
(219) 662-9911 (219) 662-6206
(574) 722-3102 (574) 722-1628
(219) 374-9900 (219) 374-9950
19
GUARDRAIL/FENCING
Acorn Fence
2041 164th Street
Hammond, IN 46320
(219) 844-8400
(219) 844-8441
C Tech Corporation
5300 W. 100 North
Boggstown, IN 46110
(317) 835-2745
(317) 835-2781
James H. Drew Company
8701 Zionsville Rd.
Indianapolis, IN 46268
(317) 876-3739
(317) 876-3829
Security Industries
1000 Georgiana St.
Hobart, IN 46342
(219) 942-9447
(219) 942-9448
Specialties Company
9350 E. 30th St.
Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
TRUCKING/HAULING
C. Lee Construction Services
1011 S. Lake St
Gary, IN 46403
(219) 888-9554
(219) 888-9564
Condon Trucking, LLC
18245 Amberley Ln
South Bend, IN 46637
(574) 360-4326
(574) 271-8984
Fanio Services
28015 SR 23
North Liberty, IN 46554
(574) 233-3236
Gilmer Trucking
20390 New Road
South Bend, IN 46614
(574) 229-3233
Material Transfer Inc.
7811 West 101st Ave.
Crown Point, IN 46307
(219) 865-9575
Morris Motor Service, Inc.
10525 W US Hwy 30 Bld
Wanatah, IN 46390
(219) 733-9430
7
P & C Trucking
4410 Ross Road
Gary, IN 46408
(219) 972-0193
Superior Construction Co., Inc,
1455 Louis Sullivan Dr
Portage, IN 46368
(219) 787-0850
V & R Trucking, Inc.
1845 Elmer St.
South Bend, IN 46628
(574) 329-2102
SRPM'S
K & S Markers, Inc.
2189 N 600 W
Thorntown, IN 46071
(765) 482-6184
(765) 482-6284
UNDERSEAL
Rieth-Riley Construction Co.,
2454 West CR 450 North
LaPorte, IN 46350
(219) 362-6178
Inc.
TREE REMOVAL
Dave's Tree Service
1555 Park West Circle
Munster, IN 46321
(219) 922-9829
(219) 922-9843
Homer Tree Service
14000 S. Archer Ave
Lockport, IL 60441
(815) 838-0320
Timber Masters LLC
P.O. Box 245
Dyer, IN 46311
(219) 864-8733
(219) 322-9391
LIME STABILIZATION
Mt. Carmel Sand & Gravel
1611 College Dr.
Mt. Carmel, IL 62863
(618) 262-5118
(618) 263-4084
Rock Solid Stabilization
5104 Mann Drive
Ringwood, IL 60072
(815) 653-2585
(815) 653-2583
Specialties Company
9350 E. 30th St.
Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
PIPE LINING
Indiana Reline, Inc.
312 E. Main Street
Sulphur Springs, IN
(765) 766-5040
(765) 533-5831
47388
SAW CUTTING
Diamond Coring Co., Inc.
11800 S Ewing Ave
Chicago, IL 60617
(773) 978-5000
Quality Saw & Seal, Inc.
7600 W. 79th Street
Bridgeview, IL 60455
(773) 767-9300
SEAL COATING/STRIPING
Site Services, Inc.
10117 Kennedy Ave
Highland, IN 46322
(219) 924-9944
Blackout Sealcoating
7440 W. 87th Place
Bridgview, IL 60455
(219) 864-2300
(708) 430-6910
UNDERDRAIN
3D Company, Inc.
3200 East CR 350 North
Muncie, IN 47303
(765) 288-3326
(765) 288-3344
General Form No. 96-a
Prescribed by the State Board of
Accounts of Indiana. Revised 1949.
Prescribed by
THE STATE BOARD OF ACCOUNTS OF INDIANA
For use in investigating and determining the qualifications of bidders on public
construction when the aggregate cost of any such work or improvement will be Five Thousand
Dollars or more.
These statements to be submitted under oath by each bidder with and as a part of his bid, as provided
by Chapter 306, page 1248, Acts of 1947
Submitted to City of South Bend Indiana
By Walsh & Kelly, Inc.
Address 24358 SR 23 South Bend IN 46614
Date submitted March 10, 2020
Filed
A„ E. LiC1YCE CO., MVTINCIE, H�%'1:................�..........................�.
tA Corporation
1
Sec. 2 of an Act entitled "AN ACT concerning the awarding of contracts for the performance of public work and authorizing
the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contractors who submit bids for the
performance of such work, providing for plans and specifications, providing for bids repealing certain laws and declaring an
emergency." (Approved March 13, 1947.)
Sec. 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or more, for the
purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which of the bidders submitting
bids for the performance of any such public work is, in thejudgment of such board, commission, trustee, officer or agent, the lowest
and/or best bidder and to exercise intelligently the discretion hereby conferred on such board, commission, trustee, officer or agent
each bidder shall be required to submit under oath with and as a part of his bid a statement of his experience, his proposed plan for
performing such work and the equipment which he has available for the performance of such work and a financial statement. The
statements hereby required shall be submitted on forms which shall be prescribed by the state board of accounts. The forms so
prescribed shall be designated, respectively, as the experience questionnaire, the plan and equipment questionnaire and the
contractor's financial statement, and shall be based, so far as applicable, on the standard questionnaires and financial statement for
bidders as approved and recommended by the joint conference on construction practices, for use in investigating the qualifications
of bidders on public construction work, and the forms so prescribed are hereby prescribed as the forms which shall hereafter be
used by all such boards, commissions, trustees, officers and agents in obtaining the information which is required in the
administration of this act. If the information submitted by any bidder on the forms herein prescribed is found, on examination, to
be unsatisfactory, the bid submitted by such bidder shall not be considered. (Burns Statutes 1933, Sec. 53-109) Sec. 2, Chapter 306,
Acts of 1947.
TO THE BIDDER —
The following forms of questionnaires and financial statement are prescribed by the State Board of
Accounts in conformity with the statute set out on the preceding page.
These forms, properly filled out and attested, must accompany each bid of five thousand dollars or
more on any public work.
The forms are designed to cover all contracts for all kinds of work and the bidder is required to answer
such questions as are pertinent to the work upon which he is bidding. The purpose of the questionnaire and
financial statement, as set forth in the law, is to enable the awarding body to determine the qualifications
of the bidder to carry out successfully the contract if the same is awarded to him.
The bidder will find it to his advantage to answer fully all questions coming within the range of the
work upon which he is bidding. Particular attention should be given the "Financial Statement" and the
details relative to the assets and liabilities set out. This form is made in extensive detail so that the bidder
may explain his assets and liabilities in proper sequence and in a uniform manner.
T. M. HINDMAN,
State Examiner
Submitted by WaISI,... Kg ly�.jr c __ µ{ x A Corporation
p..............................................................�treq,, 46319
Principal Office at 1700 East Main Street „w, Griffith,th, IN
To City of Soutti Bend, Indiana ._.. . ._......... _
EXPERIENCE QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers
to interrogatories hereinafter made,
1. How many years has your organization been in business as a general contractor under your present
business name? 52 Years
2. How many years experience in -asphalt ,paving construction work has your organization had: (a)
As a general contractor 71 ,years (b) As a sub -contractor 71 Years
3. What projects has your organization completed?
Contract Amount„ ... ��
$ 12,926,200
Class of Work �............
Reconstruction
When Completed
........... ..... _m
October 2017
Name and Address of Owner
. .._..�..... �.. _..,,---------------------
INDOT
$�5,w970,1W62
Reconstruction
May 2017
Town of Merrillville, IN
.................mm
$ 5,521,799
Resurface
December 2017
City of Mishawaka, IN
$ 2,646,574
Reconstruction
September 2017
St. Joseph County Hwy
.... .......... .............. ................... ..............................
....... ............. .........._..........._...................ITIT
DePart_mentIT....___
3-A. What projects has your organization now in process of construction?
CONTRACT AMT. RK CLASS OF ....... ... ... ....
WO
_.. ...........-
WHEN TO BE COMPLETED
_..... .._
NAME AND ADDRESS OF OWNER
$ 10,695,118mmITITITITITITITITITITITITITITITITITmmmmITITp
Reconstruction
November 2018
Walsh Construction
.......... ...
$ 8,146,239
Resurface w wwwww.........
May 2018
INDOT
$ 4, 073,719
Recosutionmmmmmmmmmmmmmmmmmm
July 20
City East Ch ico, IN
$ 2,662,813
. -.ntrc.._..
Reconstruction
mJu18
October 2018
mof
INDOT
4. Have you ever failed to complete any work awarded to you? No If so, where and why?
5. Has any officer or partner of your organization ever been an officer
organization that failed to complete a construction contract? No If so,
other organization and reason therefore
or partner of some other
state name of individual,
6. Has any officer or partner of your organization ever failed to complete a construction contract handled
in his own name? No If so, state name of individual, name of owner and reason therefor
7. In what other lines of business are you financially interested? None
8. For what corporation or individuals have you performed work, and to whom do you refer?_
BP Amoco, Whiting, In _ _
"I"onli & Blank Construction 1623 Greenwood Ave. Michigan City, IN 46360
Grimin.er Constriction Co. Inc. 2:619 :Main Street, Highland, IN 46322
University n..._ _._. .......�__..
y f Notre Dame: South Bend Indiana
Gough, Inc. 1151 E. Summit CrownwPoint IN 6307
._ - mm ... . ....... ... .. .
9. For what cities have you performed work and to whom do you refer?
Town of Griffith.
Director of Public Works
_. _.__._..._....
Griffith IN
Town of Schererville
Town Manager
Schererville IN
City.ofwHammond
City Engineer
Hammond. IN
(:jjy ofSout&i Ben(i:..._
......... ...... Qity°.1�ilg�,ai er
South Bend IN .. ................ .
Town of St..John
Town Manager
St. John IN
10. For what counties have you performed work and to whom do you refer?.. .............. __
lake C2Lt t ITIli'l rti _r IT u ip'iiiteeacient; Crown Point IN
Porter Colltity 1-ltgliway Superintendent Val ar�o, IN ................................._........ ____
St. Joseph County High:E Su erinten&!jj._ South Bend IN
Elkhart Count Hiahway Si1,ncrintendent Elkhart IN ITIT..ITITITIT ITITITITITITITIT
LaPorte County Highway Superintendent ITITIT LaPorte. IN
11. For what State bureaus or departments have you performed work and to whom do you refer?
Indiana Department of Transportation INDOT) I llorte District LaPorte IN
Department of Natural Resources Indianapolis. IN
12. Have you ever performed any work for the U.S. Government Yes
If so, when and to whom do you refer?_ _. ........................
U.S. A.rni ?!C(aip ,nim 11gineers Chicago, =o IL
................................. ...._.....................
Indiana National Girard Dept. of Administration Indiaripp lis,, IN
Federal Hi hway Administrationµµµµµµ .................. Sterling VA
13. What is the construction e�x i�.rii».i ce of the principal individual of your organization?
INDIVIDUAL'S NAME
PRESENT POSITION OR
YEARS OF
MAGNITUDE AND
IN WHAT CAPACITY
OFFICE
CONSTUCTION
TYPE OF WORK
EXPEREINCE
Kevin J. Kelly mmmm
President
33
All T e_
General Mana er
Jeffre L. Swan
Executive Vice President
34
All Types
Su t. En ineerin
David J. Misirly
Vice President
33
Bituminous
Engineer
Pavin
Greg A. Hoffman
Vice President
31
Bituminous
Engineer
Paving
John C Wall
Vice President
41
All tykes
Engineer
John M. Peisker
Vice President
33
All types
General Mana er
J. Michael
......_._...__
Secretary/Treasurer
.......
46
Administration
General Manager
Schaum
Jamie L. Tancos
........
Controller
14
Administration
General Manager
Lynn J. Bauer
South Bend O s ME
m
23
All types
EnLyineer
Dustin P. Hilary„
South Bend Area Mgr
18
All t es
Mark E.
Engineer
28
All types
_Engineer
Engineer
Krachenfels
Keith A. Gardina
....... ........ ...........
Engineer
23
All t ems_
. ....................
Engineer
Nikolas G. Relias
Engineer
16
Bituminous
En ineer
Pavm
PLAN AND EQUIPMENT QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers
to interrogatories hereinafter made.
1. In what manner have you inspected this proposed work? Explain in detail.
1'lj qs S )ecificatiops, and Site Inspections
2. Explain your plan or layout for performing the proposed work_IT_IT
As directed b owner/en ineer
3. The work, if awarded to you, will have the personal supervision of whom? ............. ww_..,,_,_www„wwwwww„wwwwww„www,
Kevin J.Kell yJclfpgy. 1,, w��,.Davr(iJ..Mi �y� Gregory A. Hofnai� Dustin P. Hilar and l n.tiJ ITIT..
Bauer
4. *Do you intend to do the hauling on the proposed work with your own forces? Yes
If so, give amount and type of equipment to be used As needed
5. *If you intend to sublet the hauling or perform it through an agent, state amount of sub -contract or
agent's contract, and if known, the name and address of sub -contractor or agent, amount and type of
his equipment and financial responsibility
Items 4,5,6 and 7 may not be applicable in all building contracts; if not, omit.
6. *Do you intend to do the grading on the proposed work with your own forces?
If so, give type of equipment to be used „mmmmmmmmm mmmmmmmmmmmmm
7. *If you intend to sublet the grading or perform it through an agent, state amount of sub -contract or
agent's contract, and, if known, the name and address of sub -contractor or agent, amount and type of
his equipment and financial responsibility..........., ,_,
S. Do you intend to sublet any other portions of the work? .If so, state
amount of sub -contract, and, if known, the name and address of the sub -contractor, amount, and type
of this equipment and financial responsibility .... m............... .m m .
9. From which sub -contractors or agents do you expect to require a bond? None
10. What equipment do you own that is available for the proposed work?
QUANTITY
ITEM
DESCRIPTION,
CONDITION
YEARS
PRESENT LOCATION
SIZE, CAPACITY,
OF
ETC.
SERVICE
5
Asphalt Plants
Various
Good
Griffith, South Bend,
Valparaiso, Lowell, LaPorte
19
j Asphalt Pavers _
Various
Good
Griffith, South Bend
1_Slipform_Conc. Paver
Various
Good
Griffith, South Bend
_IT _4
3
Road Widener
Various
Good
Griffith, South Bend
5
Motor Graders
CAT/J.D.
Good
Griffith, South Bend
....... _
54
............ .........
Rollers
Vario. ..__..._ ..
_ _... .
30
._...................._-....� ............_...�
15
.....................
Excavators
Various
Good
Griffith, South Bend
9
Bulldoze
.............................._
_.............
....................._
.... ....
6
.. �...
LowBoy Tractors
Various
Good
_.. __....._...._._........._.._.
Griffith, South Bend
8
Flatbum s
Various
Good
Griffith,
Griffith South Bend
48
.................ed...........D.
%z and 3/ ton Picku s
Various
Good
Griffith, South Bend
65
1 Ton Crew Trucks
Various
Good
Griffith, South Bend
3
........ ........
Cold Planers
Wirtg en 1900
Good
Griffith, South Bend
DC
3
Tri-Axle Dump
Mack
Good
South Bend
11. What equipment do you intend to purchase for use on the proposed work, should the contract be
awarded to you?
QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC. APPROXIMATE
COST
None
12. How and when will you pay for the equipment to be purchased? N/A
13. Do you propose to rent any equipment for this work?No If so, state type, quantity and reasons for
14. Have you made contracts or received firm offers for all materials within prices used in preparing your
proposal?
Do not give names of dealers or manufacturers......._ .. ...._.......
Dated at South Bend _ this, „ 101h _day of March, 2020.
,�.. Walsh & K
` „ate (Name of Or„gl f i z t "oil)
-�. _, II
... ._ w._.... ...
SEAL
"W. MPo .t 1 lal Vl" of"Sew h, Bend Area
� to of Person Signing)
STATE OF Indiana P # 1 I 1
f ss.
COUNTY OF.. St., Josephw
_.._._.�._, h Bend Area of the
Dustin Hilary being duly sworn deposes and says that he is VP of "S„out,.,.,.,.,.,.,,,____,,,,,,,,,,,,,,,,,_www_
above Walsh & Kell Inc.
(Name of Organization)
and that the answers to the questions in the foregoing questionnaires and all statements therein contained
are true and correct.
Subscribed and sworn to before me this 1001 day of ,, March, ,, �2 ,.,
Alisha Notary Public
cr, ry
My Commission expires June 5 2022
ALISHA KRUEGER
g Notary Public, State of India
�y� dL, '''�: st. Joseph County
E `• * :".;
My Commission Expires
June05...,2022
� .���,
Contractor's Financial Statement
Submitted by . Walsh & Kelm. Incwww_uuu {x A Corporation
With principal office at 1700 E. Main St, furi ffit i7 { 4f�31m _
To Citymof,S,outh Bend, Indiana
Condition at close of business December 31 201.7
....... .......- ..._._-
ASSETS
7. Interest accrued on loans, securities„ etc.
11 1' uipnrent, book value
12. Furniture and xwreµ;, book value
13. Other assets
LIABILITIES
E
CONTINGENT LIABILITIES
1----------
-I,jability on notes, receivable, discounted or sold
2. Uability on accounts receivable, pledged, assr, ncal or sold
3 Liability as bondsman
4 Liability as guarantor on contracts or on accounts of others
a, ..,.,., .... _.n.n.
5. Other contineent liabilities
Total
0
25,577,874
247,248
3817
_ ... ......
.-
Total assets 76,530,154
0
0.w.
0
..........
0
liabilities 0
C
DETAILS RELATIVE TO ASSETS
(a) on hand 15,187
Cash (b) deposited in banks named below 3,005,588
c elsewhere - (state where 0
._._. _._.....
NAME OF BANK LOCA"rNON DEPOSIT IN NAME OF v6i7 1
_._._. ...�..._.. .... _...
Centier Bank Mishawaka„ IN Walsh & Kelly, Inc. 3,005,588
(a) due within 90 days
2* Notes receivable (l)) due after 90 days
�. (c ) past due
RECEIVABLE FROM: NAME AND ADDRESS I FOR WHAT DATE OF MATURITY I HOW
Have any of the above been discounted or sold'? No If so, state amount, to whom and reason N/A
3 *
Accounts receivable from
completed contracts exclusive of claims not approved for payment
$ 21,,338,192
NAME AND ADDRESS OF OWNER
_..................__. ... __ .__..._................................
NATURE OF CONTRACT
_......................................... .
AMOUNT OF
AMOUNT
CONTRACT
R'# (,',ElVAt3L&?
City of CitpINIT(2 contractsaITIT�mm_mm
Asphalt Paving
5,168 509
1,941,758
BP 154wccat�tt tcts
Asphalt Paving
4,300,260
3,263,341
1„
wwww_ _ _, ..
INDOT_(7tnr�tc 1sITITIT...._.....
Asphalt Paving
19,210,817wwwlmwwwwwwww
wwwww 1M.1-32
�t!y oflurt<t a (2 contracts' g
Asphalt Paving
5,807,601
529,757
NiSourcem(3 ctantr�tcts)
Asphalt Paving02
808,102
80811
Other/Misc.Asphalt
.....
Paving
1 961 24
........ _ ...._._1
Have any of the above been assigned,
sold, or pledged? No
If so, state amount, to whom, and reason
Sums earned on uncompleted contracts, as shown by engineer's or architect's estimate:
4* (a) Amount receivable after deducting retainage_ _ —_5 11.025.423
(b) Retainage to date due upon completion of contract $ 1,674 746,
DESIGNATION OF CONTRACT AND
AMOUNT OF
AMOUNT
AMOUNT
AMOUNT
NAME AND ADDRESS OF OWNER
CONTRACT
EARNED
RECEIVED
RETAINAGE EXCLUSVIE OF
REATINAGE
WHEN DUE AMOUNT
Walsh Construction 1 contract
( )
10,695,118
4
ITITITITITIT_,161,074ITIT
1971444
ITITIT ,, „__IT
201 82,189,630
m
INDOT
15 085,085
14,357,610
12,135,510
2018 ---- 2,222,100
Ci!y of Mishawaka, IN 1 contract
2,253,902
2 162,263
1,423597
2018 106,147 632,519
City of South Bend, IN (3
6,417,098
5,899,320
5,146,899
2018 291,734 460,687
contracts)
_. .._.
........... .......................
._ ...........................................................
_.._._.................... ................................ .
Other/Misc
38,991,355
21.461.693
14.664,341
_ 2018 1,276,865 5,520,487
Totals
73,442,558
48,041,960
35,341,791
1,674,746 11,025,423
Have any of the above been sold, assigned, or pledged? No If, so, state amount, to whom and reason
*List separately each item amounting to 10 per cent or more of the total and combine the reminder..
10
DETAILS RELATIVE TO ASSETS C'olltllaueal'
5. Accounts receivable not from construction contracts $ 277.8 1
RECEIVABLE FROM: NAME AND ADDRES_�_.FOR WHAT WHEN DUE AMOUNT
Misc. l*.tIII�loyees/otlxer ..._.......�._—Advances/Other $ 277 821'.
What amount if any is past due
6 Deposits with bids or otherwise as guarantees
DFPOSiTED WITH NAME AKb ADI5NthSS FOR WHAT WHEN RECOVERABLE
Bid dcoosits Various
7 .. Interest accrued on loans, securities etc.
_..______ .............—
ON WHAT ACCRUED
None
BE PAID
Realestate (a) Used for business purposes,_,,_ ............................... .....................................................................................................
Book value (b) Not used for business purposes„
_._...........................................
DESCRIPTION OF PROPERTY IMPROVEMENTS
NATURE OF IMPROVEMENTS BOOK VALUE
1 Land
2 Buildings & Land
3
4
5
6
7
LOCATION HELD IN WHOSE NAME 1 ASSESSED VALUE
1
2
......... ... ..---.........
3
4
5
6
7
*List separately each item amounting to 10 per cent or more of the total and combine the reminder.
11
AMOUNT
$950
i17
C
TOTAL BOOK
VALUE
3,761,797
2,26'1,563
AMOUNT OF
ENCUMBRANCES
-present market
9 Stocks and Bonds: (b) Unlisted -present value Ue . ........... ............_ ............. ... _......... ........... . , . .. $ $...........0.
DESCRIPTION ISSUING COMPANY LAST INT. OR PAR PRESENT QUANTITY AMOUNT
DIV. PAID VALUE MARKET
VALUE
........ DATE ....
1 None
2
3
... .. ............ . .......... ... ....... .................. ........ _......... ... ..
4
5
6
7
WHO HAS POSSESSION IF ANY ARE N PLEDGED OR IN ESCROW, STATE FOR WHOM AN D REASON AMOU .,.._,�,..�..TPLEDGED
OR IN ESCROW
2
_..................
3
4I
5
6
7
.._ ._,_..._..... ._.._.._,
O Materials in stock and not included in Item 4, Assets:
(a) For use on uncompleted contracts (present value)__,_,_ L5 4
(b) Other materials (present value)
mDESCRIPTION OF MATERIAL QUANTITY _ PRESENTu VALUE
FOR UNCOMPLETED _OTHER
CONTRACTS MATERIALS
Fuel oil
A )gre ales
Plant Mix and other in
Recycled Materials
53,000
46,537
2,917,853
183,002
11 *
Equipment at book value
..
QUANT
DESCRIPTION AND CAPACITY OF
AGE OF ITEMS
..__,_,_,_,�._
PURCHASE
DEPRECIATION
BOOK VALUE
ITY
__....._.. ITEMS
PRICE
CHARGED OFF
.._.
_..... .__
Plant Equipment
Various
21,468 199
12 861,971 ...___
8,606,228
Construction Equipment
Various
27 454,652
15,139,213
12,315,439
Trucks & Trailers
Various
9,512,831
5,032,569
4,480,262
Shop, Lab & Radio Equipment
Various
586,535
410,590
175,945
Are there any liens against the above? No Is so, state total amount
If two or more items are lumped above, give the sum of their ages.
$ 0
12
DETAILS RELATIVE TO ASSETS Contlnueol m
12 Furniture and fixtures at book value ... ....... _ 471k48
�....._ ...._....... ..........................
_........ ...... ................._._.
1 Other assets $ 3.817.921
DESCRIPTION AMOUNT
Construction in prNress 413 216
Prepaid expenses & other a, t 16421.069
Costs & Taaruitis in Excess of 13ln S 762,636
1 TOTAL ASSETS www ww � � $ 76,530,154 m
DETAILS RELATIVE TO LIABILITIES
Payable:
1
Notes (a) To banks, regular 3 0 l( I100
(b) To banks, for certified checks...._..._ .. .... $ 0
(c) To others for equipment obligations $ 13.150.216,
..........
(d) To others exclusive of equipment obligations $ 0
. .. ..................
TO WHOM: NAME AND ADDRESS WHAT SECURITY WHEN DUE AMOUNT
UNT
Centier Bank 3,000,,000
1. ullan� �It Suppl. ers/1° inancin , Various 13 150,216
.................
a�... .�..
2 Accounts payable:
() Not past due ........... ................. $ ..828. 177
('b) Past due $ 01
TO WHOM: NAME AND
Various
Materials
Subcontractors
WHAT
DATEPAYABLE
4,319,921
3.508.256
Real estate encumbrances (See Item 8, Assets) ____ _ $ 0.00
4_........_.� Outer liabilities .._ .....--._. _ $ 7�44Z,2Q).
._...�............
DESCRIPTION AMOUNT
......_.... .....
Accrued Wages/Taxes 3.450,861
................................. ..._ .............. _ .. _ __....
Billings in excess of Costs and Estimated Earnings 1,127,626
Deferred Com ensation 1,123 470
Accrued ProperPK2pSjjy Taxes 817,411
Other Current Liabilities 922,841
5 Reserves_.. .............._.......�..... ........ - $ 0
._. _ ........_ ..._..........T...
INTEREST _ INSURANCE BLDG. & F1XT. PLANT DEPR. TAXES BAD DEBTS
$ _ $ .......... _....... .......
........�
6Capital stock paid up: (a) Common _r 10.000
(b) Preferred $ 0
7_j Surplus ............ _ �.__ . $ 45,099,552
TOTAL LIABILITIES $76,530,154
13
If a corporation answer this:
Amount for which incorporated _ ................ 211 QZ-Z................... _„„
Capital paid in cash, 1452
When incorporated
In What State
Names and titles of all persons having authority to execute and receipt estimate vouchers and to conduct
other business for the corporation, including its officers, the signatures of whom are legally binding.
Kevin J. Kelly, President ...__._ _.. John CwwwWall,VicewwPresident
Jeffery L. Swan, l:xe uat: e a V cemPresident Dustin -P ITHilary ogth Bend Area Manager
John M. Peisker Vice President �Lnn J Bauer, South Bend Operations_Manager
................. ............ .._
Gregory A. Hoffman Vice Presidentm „,,,ITITITm_ITITmmm J. Michael Schaum _Secretary/Treasurer, CFO_ W
David J. Misirly, Vice 1'residcnt Jamie L. Tancos, Controller
Do you have necessary "certificate of authority" to transact corporate business in this state, under the
terms of Chapter 215, Acts of l929, and acts amendatory thereto? _,ww Yesm-......
If a co -partnership answer this:
Date of organization
State whether co -partnership is general, limited or association
14
The name of the partnership firm under which the above partners are operating is
Give names and titles of all persons having authority to execute and receipt estimate vouchers and to conduct
other business for the partnership, the signatures of whom are legally binding.
The undersigned hereby declares that the foregoing is a true statement of the financi
or corporation herein first named, as of the date herein first given; that this statement is forlac'
whom it is submitted to award the submittor a contract; and that any depository, vendor oteotlt
to supply such party with any information necessary to verify this statement. ,
NOTE: A co -partnership must give firm name and signatures of all
partners. A corporation must give full corporate name, signature of official
and affix corporate seal.
Affidavit for Individual
STATE OF
ss:
COUNTY OF
than of the individual, co -partnership
xP i se of inducing the party to
i etero named is hereby authorized
wwwwww,,,..-.—being duly sworn, deposes and says that the
foregoing financial statement, taken from his books, is a true and accurate statement of his financial condition as of the date thereof and
that the answers to the foregoing interrogatories are true.
(Applicant must sign here)
Subscribed and sworn to before me this
day of 2
Notary Public
Affidavit for Co -Partnership
STATE OF.
COUNTYOF...�.�.�.�.�.�.��...�.�......._...................-----.�m..m...� { ss
..........�..�..............N_l�eitrg duly sworn, deposes and says that he is a
.... .. .........
member of the firm of that he is familiar with the books of the said
firm showing its financial condition; that the foregoing financial statement, taken from the books of the said finn , is a true and accurate
statement of the financial condition of the said firm as of the date thereof and that the answers to the foregoing interrogatories are true.
Subscribed and sworn to before me this
_day of 21
Notary Public
(Member of firm must sign here)
Affidavit for Corporation
STATE OF Indiana
COUNTY OF St. Jose h ss
Dustin Hilary being duly sworn, deposes and says that he is VP of South Bend Are of Walsh & Kelly. Inc„ _......,
the corporation described in and which executed the foregoing statement; that he is fan l'w i with t aooics of the said corporation showing
its financial condition; that the foregoing financial statement, taken from the books taf" a said a ration, is a jtate"iiitd accurate statement
of the financial condition of said corporation as of the date thereof and that the a V" �°s to 111 9 going t"t i-ogalorics are true.
Subscribed and sworn to before me this
)d°a° day of MFu'eh�d�:.
M
dfilaa r°rargr:r, NotaryPu
blic
st sign here) Dustin Hilary, VP of South Bend Area
15
I L.1 Illlf'. B Surety O + 908.903.3485
202B Halls Mill Road, PO Box 1650 F + 908.903.3656
Whitehouse Station, M 08889-1650
Federal Insurance Company
AU Document A31OTM - 2010 Bid Bond
Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable.
CONTRACTOR SURETY
(Name, legal status and address):
(Name, legal status and principal place of business):
Walsh & Kelly, Inc.
Federal Insurance Company
State Road 23
South
South Bend, IN 46614
� 202B Halls Mill Rd. PO Box 1650
OWNER
Whitehouse Station, NJ 08889-1650
(Name, legal status and address):
City of South Bend
227 W. Jefferson Boulevard
South Bend, IN 46601
BOND AMOUNT 5% Five Percent of Base Bid Plus Any Alternates
PROJECT
(Name, location or address, and Project number, if any)
Eagle Way Sewer Extension, Project No. 119-095
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the
Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and
severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor
within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and
Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such
bid, and gives such bond or bonds as may be specifled in the bidding or Contract Documents, with a surety admitted
in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract
and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the
difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount
for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this
obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of
an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver
of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for
an extension beyond sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall
be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.
....................................
Printed in cooperation with the American Institute of Architects (ALA) by Chubb. The language in this document conforms to the language used in
AIADocumentA310 r"f-2010.
Form 15-02-0575-FED (Rev. 3/17)
When this Bond has been furnishedto complywith a statutory or other legal requirement in the location ofthe Project,
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here
from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.
When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law
bond.
Signed and sealed this 10th
(Witness) Alisha Krueger, Adrninistr ve Assistant
(Witness) Kathryn R. Postma, Surety Account Representative
day of March, 2020
Walsh &
(Principal) ��� . „.......
O�'eC)RATF"
_
(Title) w
m*
..,.... .
t
�u
Federal Insurance Company
03 r: + ttrA
(Attorney -in -Fact) David M. OR
< orporateSeal)
Printed in cooperation with the American Institute ofArchitects (ALA) by Chubb. The language in this document conforms to the language used in
ALA Document A310 Tm-2010.
Form 15-02-0575-FED (Rev. 3/17)
CHUBS'
Power of Attorney
Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company
Westchester Fire Insurance Company I ACE American Insurance Company
Know All by These 'Presents,. that FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, PACIFIC INDEMNITY
COMPANY, a Wisconsin corporation, WES6TCHESTER, FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of the Commonwealth of
Pennsylvania, do each hereby constitute and appoint David M. Ciliger
Surety Bond Number. Bid Bond
Obligee: City of South Bend
each as their true and lawful Attorney-in•Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise, bonds and undertakings and other writings obligatory In the nature thereof (other than ball bonds) given or executed to the course of business, and any
instruments amending or altering the same; and consents to the modification, or alteration of any instrument referred to In saidbands or obligations.
In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANY
and ACE AMERICAN INSURANCE COMPANY
have
each executed and attested these presents and affixed their corporate seals on this le day of November, 2019.
OMh
y%m R
Dawn M. Chloros, Assistant Secretary Stephen M. Haney, Vice President
F
STATE OF NEW JERSEY
County of Hunterdon SS
On this In day of November, 2019, before me, a Notary Public of New Jersey, personally came Dawn M. Chloros and Stephen M. Haney, to me known to be Assistant Secretaa and
Vice President, respectiVely, of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANY
and ACE AMERICAN INSURANCE COMPANY, the companim which executed the foregoing Power of Attorney, and the said Dawn M. Chtorrrs and Stephen M. Haney, being by me duly
sworn, severally and each for herself and himself did depose and say that they are Assistant Secretary and Vice Presidents respnctiviil,y, of FEDERAL INSURANCE COMPANY,
VIGILANT INSURANCE COMPANY„ PACIFIC INDEMNITY COMPANY, WbSTCHESI'ER FIRE INSURANCE COMPANY arid. ACE AMERICAN INSURANCE COMPANY and know the
Corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies; and that their
signatures as such officers were duly affixed and subscribed by like authority,.
Notarial Seal MGYIFgD1ifNt
raa pubuc or N jefivili y
No. 23"MW
plfifl lu t7attMu Yessen leas Ady 16.2024 act
arg Poinr
CERTIFICATION
Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY, VIGIIa+INT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY on August 30, 2016;
WESTCHESTER FIRE INSURANCE COMPANY on December 11, 2006: and ACE AMERICANINSURANCE COMPANY on March 20, 2009:
`RESOLVED, that the following authorizations relate to the execution, for and on behalf of the Company, of bonds, undertaldngs, recognizances, contacts and other written commitments of the Company
enteredinto In the ordinarycouraeorbutiness (cut, a "W^ritta,n.Commltmenr):
(1) Each or the Chairman, the president and the Vice Presidents of the Company Is hereby authorized to execute any Written Commitment for and on bebalf of the Company, under the
seal of the Company or otherwtise.
(2) Each duly appointed attornayin•fact of'the Company is hereby auunitized to more to any Written Coru altmem for and on behalf of the Company, under the seal of the Company or otherwise,
to the extent that such action Is authorized by the grant of powers, provided low° in such peesonis wrI urn appototmoat as such attorney-In-faet
(3) Eaeb of the Chairman, the Prespdenn and the Vice Presidents or th6 Company Is bembyouthanaed„ for and on behalf of the Company, to appoint in writing any person the attotnay.1n,
fact of the Company with full' power and authority to execute, for and an behaU of the Company, ender the seal or the company or otherwise, suth'Written Commitments orthe
Cornpany as may be specified to such written appolntmons, which spetlfhanon may be by general type or class of Written Commitments or by spedf iattton of one or more particular
Written Onrnmitments,
(4) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized, for and on behalf of the Comparsy; to delegato In waiting to any other officer of the
Company the authority to execute, for and on behalf of the Company, under the Company's seal or otherwise, such Written Cont�mitments.. of the Camparry as are spedned in such
written delegation, which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments.
(5) Thesignature of any of evi,at othor person executing any Written Commitment or appointment or delegation pursuant to this Resolution, and the seal of the Company, may be affixed by
facsimllo on such Written. Commitment or wrinon appointment or deleganon.
FUR'rtiRR RES01 MR0„ that the foregoing Resolution shal not be deemed to be an exclusive statement of the powers and authority of offloars, employees and other persons to as for and on behalfofthe
Company, and such Resolution shock not limit orolhor iseaffect:theacercIseofanysuchpowerorauthorityotherwisevalidlygrantedorwestesf,"
I, Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE
COMPANY and ACE AMERICAN INSURANCE COMPANY (the 'Companies") do hereby certify that
(I) the foregoing Resolutions adopted by the Board of Directors of the Companies are true, correct and in full force and effect,
(it) the foregoing Power of Attorney is true, correct and in full force and effect.
Given under my hand and seals of said Companies at Whitehouse Station, NJ, this March 10, 2020.
t
- «NTtiEEVpitlNn""�1tiJ'bhp'SStNTt9V'1iit11�"fl'frfEA4S"i
"nett lAene 9d 9p3-
k�
m /VJa
+Combiaroti,"I�CDµV7W3�)*f Mr'iC-rPiiigO (rev. 11-t9)
ls.► >,. a ui �1
Dawn M. Chloros, Assistant Secretary
WRITTEN CONSENT TO RESOLUTIONS
of the
BOARD OF DIRECTORS
of
WALSH & KELLY, INC.
The undersigned, being all of the Directors of WALSH & KELLY, INC., an Indiana Corporation,
hereby consent to the following actions to be taken by the Corporation without a meeting of the Board of
Directors under the applicable provisions of the Indiana Business Corporation Law, as amended:
RESOLVED that the following be, and hereby are, elected officers of the Corporation, to
hold the office until the next regular meeting of the Board of Directors and until their
successors are duly elected and have qualified: ,
John M. Peisker, President
Jeffrey L. Swan, Executive Vice President
John P. Vercruysse, Executive Vice President
Jamie L. Tancos, Vice President of Finance, Secretary & Treasurer
Gregory A. Kelly, Vice President
Charles Potts Jr., Vice President
Albert E.VanDenBergh, Vice President
David L. Franz, Vice President
David J. Misirly, Vice President
Gregory A. Hoffman, Vice President
Dustin P. Hilary, Vice President
Lynn J. Bauer, Vice President
Mark E. Krachenfels, Vice President
RESOLVED FURTHER that the actions of the Officers of the Corporation taken since the
last meeting of the Board of Directors be, and the same hereby are, fully ratified and
approved.
RESOLVED FURTHER that the following be, and they hereby are, authorized to execute
all contracts or similar documents on behalf of the Corporation:
John M. Peisker, President
Jeffrey L. Swan, Executive Vice President
John P. Vercruysse, Executive Vice President
Jamie L. Tancos, Vice President of Finance, Secretary & Treasurer
Gregory A. Kelly, Vice President
Charles Potts Jr., Vice President
Albert E.VanDenBergh, Vice President
David L. Franz, Vice President
David J. Misirly, Vice President
Gregory A. Hoffman, Vice President
Dustin P. Hilary, Vice President
Lynn J. Bauer, Vice President
Mark E. Krachenfels, Vice President
RESOLVED FURTHER that this consent shall be in lieu of an annual meeting of the Board
of Directors of the Corporation and shall be filed in the minute book of the Corporation in
place of any such annual minutes.
<<SIGNATURES ON THE NEXT PAGE>>
EXECUTED this 15'h day of January, 2020.
Fred Feh e feld, Jr.
Albert E. VanDenBergh
Kevin J. Kelly
c --
James Fehsenfeld
4 �J
�,„'f �nn P, Vercniysse �
EXECUTED this 15th day of January, 2020.
Fred Fehsenfeld, Jr. James C. Fehsenfeld
Albert E. VanDenBergh John P. Vercruysse
Kevin J. Kelly
EXECUTED this 15'h day of January, 2020.
Fred Fehsenfeld, Jr.
James C. Fehsenfeld
Albert E. VanDenBergh John P. Vercruysse
ookM110j,
Kevin J. lely� E
CERTIFICATE OF QUALIFICATION
to provide
CONSTRUCTION SERVICES
for
PUBLIC WORKS PROJECTS
to the
STATE OF INDIANA
This Certification Board, having duly considered application for qualification in terms of apparent experience and financial
resources; and under the applicable Indiana Code 4-13.6-4 and adopted rules of this Board, hereby issues a
Certificate of Qualification to provide construction services to the State of Indiana for Public Works Projects to:
WALSH & KELLY INC
1700 E MAIN ST
GRIFFITH IN 46319
Phone 219-924-6900
Fax 219-924-8768
Company Official
KEVIN KELLY
for the twenty-seven month period stated herein, unless revoked by this Board for cause,
and in the classifications of services stated below. This certificate supercedes any previous certificate.
1611.01 Concrete Construction of Roads & Curbing
1611.02 Asphalt Construction of Roads and Parking Lots
CERTIFICATION DATE 3/14/2018
EXPIRATION DATE 6/14/2020
THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD,
402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS, INDIANA 46204,
ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION.
f
i
Q
Tracy L. Cross, Executive Soretary
Certification Board
DAPW P02 State Form 3963R Rev. 07/06
Walsh & GRIFFITH SOUTH BEND
1700 East Main Street 24358 SR 23
Griffith, Indiana 46319 WWW.waishkelly.comSouth Bend, Indiana 46614
Phone 219 924-5900 Phone
hne54 ( ) 1 7) 288-4611
04 ,,,. Fax (219) 924-8768 Fax (574) 289-7174
EQUAL EMPI,O "MEN'I` O'PI>OR"l"tJNI°I' POI,I(",')I
I. It is the policy of this Company to assure that the applicants and those that are subsequently employed are
treated without discrimination without regard to: their race, religion, sex, gender identity, sexual orientation,
color, national origin, age, association with the Vietnam era or any other war, disability, genetic information,
citizenship status, military status, veteran status, ancestry, or any other status protected under applicable laws.
Such action shall include: employment, upgrading, demotion, or transfer; recruitment or recruitment
advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training,
including apprenticeship, pre -apprenticeship, and/or on the job training.
A. The Contractor will work with the State Highway Agency (SHA) and the Federal Government in carrying
out EEO obligations and in their review of his/her activities under the contract.
II. Director of Human Resources; Randall L. Walls, shall be designated as Walsh & Kelly, Inc.'s Equal
Employment Officer. He will be responsible for all activities associated with the implementation of all
policies affecting equal employment opportunity.
III. Walsh & Kelly, Inc. assures nondiscriminatory recruitment by taking appropriate steps such as:
A. Placing employment advertisements in newspapers which serve the largest number of minority and
female groups in the recruiting area.
B. Recruiting through schools and vocational colleges having substantial proportions of minority and
female students.
C. Maintaining systematic contacts with minority, female and human relations organizations leader's
referral of qualified minority applicants.
D. Encourage present employees to refer minority and female applicants.
E. Make it known to all recruitment sources that qualified minority and female members are being
sought whenever there is hiring.
IV. This policy is intended to comply with the Civil Rights Act of 1964, as amended, the Federal Highway Act
of 1968, the Executive Order 11246 and 11375, the Rehabilitation Act of 1973, as amended, the Disabled
Veterans and Vietnam Era Veterans Readjustment Act of 1974, as amended, the Indiana Civil Right Act,
and other Federal and State Laws and Regulations pertaining to Equality of Opportunity and Affirmative
Action Policies.
V. Forms for filing any complaints are available in the Griffith office located at 1700 E. Main Street, Griffith,
IN 46319 or the South Bend office located at 24358 S.R. 23, South Bend, IN 46614. In addition, employees
can call (574) 288-4811, Ext. 211 to report any workplace concerns under this policy.
'►'Iw"A1. SH & KELLY, IN(,%
� �t ijol",
F
John C% Wall
.
��
Vice President/EEOOfficer*"., ,�
Revisal: August 1, 2019�
�
�
�ttt #$w�t
(anotifirtttr of qual"Irtrnfimt
ISSUED BY
Jubitt-un 39v*ftm*mm-d of Mrttxcsjtmiun
INDIANAPOLIS, IN April 25, 2019
TO
WALSH & KELLY INC GRIFFITH, IN
s - w - i � w ♦ w • ■ ■ ♦
■ r� a a w w ♦' ♦ w w w
a w a;;rig .. � ♦ ♦ a w ., a a.m w :„.� w♦ cw«
• w w ww ♦ *. ♦ a
w w ♦ r, t a w' a ♦ w a w a w.
+ w w ♦ r a w M♦ «, a w a
Valid May 1, 2019 Thru April 30, 2020
AGGREGATE.......................................................................................................................................
$UNLIMITED
A(B)
CONCRETE PAVEMENT: LIMITED .... ........ ...,..... ....,,,. .........
........... ,.„.......,... $25,000,000
B(A)
ASPHALT PAVEMENT: WANDOT CERTIRED HMA..........................................
........ ......................... SUNLIMITED
C(B)
LIGHT GRADING........................................................................................................................................$UNLIMITED
E(E)
SMALL STRUCTURES AND DRAINAGE ITEMS....................................................................................
$25,000,000
E(F)
SURFACE MASONRY AND MISC CONCRETE . .... ......... .........
........ ............... $50,000,000
E(G)
TRAFFIC CONTROL: PAVEMENT MARKINGS ... ......................... ..........................
,..,.,.,........................ $25.000,000
EQ0
DEEP SEWER AND/OR EXCAVATION ..................................... .........................._..........................
,..,...,... $25.000,000
E(Q)
CONCRETE PAVEMENT REPAIRS , _ .. .... ......... ...,..... .........
, .,... — .............. $25,000,000
E(R)
ASPHALT PAVEMENT MILLING....,___—, ....... — ................
......... $50,000,000
•
F" E ALIFICATION ENGINEER
Slate Fir 20508 (R3 J 5-05)
�MRS10NER
PREQUALIFICATION WORKSHEET
PRINTED:
4/22/2019
PQA APPROVED:
4/9/2019
ACCT-, # 35-1120685 ALT ACCT: # 0449 NEW? SUPP?
APPROVED BY:
NAME: WALSH & KELLY INC
=
114!�
DATE:
December 31, 2018
CURRENT FIXED
EQUIPMENT
......... REPORTED
ASSETS REPORTED
_,W............. ................
$42,594,782.00 $9,745,338.00
$28,570 ,400.00
VALID:
5/1/2019
LIABILITIES REPORTED
($16,642,474.00) ($16,987,249.00)
EXPIRES:
4/302C20
NET ASSETS REPORTED
$25,952,308.00 ($7,241,911.00)
$28,570,400. 00
DENIAL DATE:
- e .. e
DE AON:
09 OMIT NO DETAIL OR QUANTITY
($3,570,326.00) $0.00
$0.00
I I ONHT NO DETAIL
($167,486.00) $0.00
$0.00
15 CASH SURRENDER VALUE
$1,253,591.00 ($1,253,591.00)
$0,00
16 OMIT INTANGIBLES
$0.00 ($1,152,280.00)
$0.00
22 DUE AFTER 24 MONTHS
$0.00 $13,690,291_.00
$0.00
NET FIXED ASSETS
$0
NET FIXED ASSETS EQUIPMENT
$0
COMPONENT
RATING.. .._.,.._.,„.....
..µ...,
X
70.00
NET EP 13L ASSETS
$23,468 0877 $4,042,,509
0
$28.570,400
i7�
$8,085,018.00
RATING
1
X
......::......: ...........
,.. . ......__..,........r
EQUIPMENT
$228,563,200,00
RATINGCO1vioNENTS
$234,680,870 $8,085,018
$228,563,200
r..
.
MAXIMUM BALANCE
$471,329,48..
ao
X LS
$228,563,200
..... _, ::
_.......:m
MAXWUM EQUIPMENT
$352,021 . . ,305
$p
STATEMENT TYPE:
AUDITED
8.00
EXPER. REDUCTION
0%
$228,563,200
"' $1)
AGGREGATE
UNLIMITED
+
34, 80,87D
,—,
., .. , .
+ ......._..
9
... 4,042 50.
"
A(B)
$25,000,000
$463,244,070
$4,042,509
B(A)
UNLIMITED
X 2
... _.....
.......... . .....
C(B)
UNLIMITED
MrA7�vIUMFD{ED
$.1...........�25
5 811,018 ADJ. FIXED
$8,095 018
„
E(E)
$25,000,000
13ALANCE SHEET ANALYSIS
....
YCURRENT
E(F)
$50,000,000
CURRENT ASSETS:
$42,594,782..
RATIO:
2.559
E(G)
$25,000,000
INVENTORY.
$3,570,326 QUICK, RATIO:
2.345
n N CURRENT LIABII,TTIES:P
$16,642,474 WORKING CAPITAL ° ^ ^ 7
$25 952,308
E(Q)
$25,000,000
.... ..,.. LIABILITIES:
RM ERMLIAB _,..._ .w „_.....
TE
...._....,,....,.. ._....,.. ._.,„r.., _...,p.,
$16,987,249 DEBT/NET WORTH:
,....mm._
0.711
E(R)
$50,000,000
NET WORTH:
$47,290,797
TOTAL LIABILITIES:
$33,629,723
NOTES:
MAR-10-2020 08:39 123 15742897174 P.01
131E COUNTY -CITY BUILDING PHONE 5741215-9251
227 W, Ji''FrAsoN 13oijix.VARTI FAX 574/ 235 9171
Snim1 BrND, INDIANA 46601-1830 TDD 574/ 235-5567
C'1TY OF SOUTH 13END JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
Date: Match 5, 2020 C
To: All Bidders
From Linda M. Martin Clerk, Board of Publi
c Works
Subject Addendum Number: 2_— °f°F
r�.
Yrojcct Name: 'Eagle Way unitary extension
Proiect
Number: 119-095
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 3/5/20
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. A copy
MUST also be included with your bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Note:
The attached documents are hereby Add to the Specifications and Contract
Documents and become a partof herein.
11+
SAT/- "
Company: Walsh & Kel6'. c w'
Authorized Signature:
I , - 'P of South Bens
IDate: 3/5120
MAR-10-2020 08:39 123 15742897174 P.02
Apt
1316 COUNTY -CITY BUILDING
227 W. JETVI SON BOULLVARD
SOUTH BEND, INDIANA 46601-1930
PHONE 174/2-154251
PAX 574/ 235.9171
TDD 574/ 235-5567
CITY OF SOUTH BEND JAMES MI,11.4 ,LFK, MAYOR
BOARD OF PUBLIC WORKS
Date: February 27, 24120
,ro: All Bidders _
From Linda M Martin, Clerk, Board �
of Public Works,Subject .. ...._
uin umber: l
Project Nanic: Eagic Way Sanitary Extension
Project -._.,, ._...._.w
Number, 119-095
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 2/27/20
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. A copy
MU T also be included with your bid package upon submittal.
THIS ADDENDUM MAX AFFECT YOUR BID.
Note:
The attached documents are hereby Add to the Specifications and Contract
Documents and become a part of herein.
Company_ Walsh &
Authorized Signature:
Hilary, VP of South Bend Area
Date:
TOTAL P.02
eRAgw
1316 C OUNT Y-C ay BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1930
PHONE 574/235-9251
FAX 574/ 235-9171
T'DD 574/ 235-5567
CITY OF • BEND JAMES MUELLER, MAY1
BOARD OF PUBLIC
Date: March 5, 2020
To: All Bidders
From Linda M. Martin, Clerk, Board of Public Works
Subject Addendum Number 2
Project Name: Eagle Way Sanitary Extension mmn
Project �_.�... .......ww �...�.��..��..
Number: 119-095
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM.
Date Received: 3/5/20
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. A copy
MUST also be included with your bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Note:
The attached documents are hereby Add to the Specifications and Contract
Documents and become a part of herein.
__...Company:WrIsh.. &Kelp`o
tW�RA�r
..._......
�M
a
Authorized Signature: w Wm
pDffh j,9 ryi, VP of South Bend Afo*� .0111,
/20
Date: 3/5
1316 COUNTY-CrrY BuILDINc
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
PHONE 574/235-9251
FAX 574/235-9171
TDD 574/ 235-5567
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARDU LIC WORKS
Date: February 27, 2020
To: All Bidders
_................. . ................. .. .............
From Linda M. Martin, Clerk, Board of Public Works
..............................._._. ..................
Subject Addendum Number: 1
Project Name: Eagle Way Sanitary Extension
Project_._..._� _..... .��...... .......� ._..._�w m,.
Number: 119-095
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 2/27/20
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. A copy
MUST also be included with your bid package upon submittal.
T-I:IS ADDENDUM MAY AFFECT YOUR BID.
Note:
The attached documents are hereby Add to the Specifications and Contract
Documents and become a part of herein.
Company:
Authorized Signature:
n Hilary, VP of South Bend Area
Date: