HomeMy WebLinkAboutOpening of Quotes - South Bend Police Department Boiler Replacement - Herrman & Goetz, Inc.QUOTE NAME
FOR QUOTES DUE
CITE' OF SOUTH BEND INDIANA
SELLER'S QUOTE FOR SALE OR LEASE OF MATERIALS'
AND NON -COLLUSION AND NON DEBARMENT AFFIDAVIT AND
NON-DISCRIMINATION COMMITMENT FOR SELLERS
South Bend Police Department 701 W. Sample St. - Boiler Purchase (Mecha
March 10, 2020, 9:30 am local time
Date: March 10, 2020 Firm: Herrman & Goetz
Address: 225 S. Lafayette Blvd.
City/State/Zip: South Bend, IN 46 601Telephone Number: 574) 282-2596
Agent of Firm (if Applicable): _.19.1A. w...._wwwwww........ .............. _ ..._______..
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 Tnda a,
SS:
S t -.._,Los..eh 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.
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a. For purposes of this Certification, "Iran" means the government of Iran and any
agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5,
as amended from time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor
is engaged in investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
ii. Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more in credit to another person for
forty-five (45) days or more, if that person will (i) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration.
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor
retain any employee or contract with a person that the Contractor subsequently learns is
an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work
eligibility status of all of Contractor's newly hired employees through the E-Verify
Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and
participation in the E-Verify Program is included and attached as part of this bid/quote;
and
5. Contractor shall require his/her/its subcontractors performing work under this
public contract to certify that the subcontractors do not knowingly employ or contract
with an unauthorized alien, nor retain any employee or contract with a person that the
subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has
enrolled in and is participating in the E-Verify Program. The Contractor agrees to
maintain this certification throughout the term of the contract with the City of South
Bend, and understands that the City may terminate the contract for default if the
Contractor fails to cure a breach of this provision no later than thirty (30) days after being
notified by the City.
6. Persons, partnerships, corporations, associations, or joint venturers awarded a
contract by the City of South Bend through its agencies, boards, or commissions shall not
discriminate against any employee or applicant for employment in the performance of a
City contract with respect to hire, tenure, terms, conditions, or privileges of employment,
or any matter directly or indirectly related to employment because of race, sex, religion,
color, national origin, ancestry, age, gender expression, gender identity, sexual
orientation or disability that does not affect that person's ability to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment,
materials, or any combination of the foregoing including, but not limited to, public works
contracts awarded under public bidding laws or other contracts in which public bids are
not required by law, the City, its agencies, boards, or commissions may consider the
Contractor's good faith efforts to obtain participation by those Contractors certified by
the State of Indiana as a Minority Business ("MBE") or as a Women's Business
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Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive
bidder.
In no event shall persons or entities seeking the award of a City contract be required to
award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate
against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE
Utilization Board shall prohibit that person or entity from being awarded a City contract
for a period of one (1) year from the date of such determination, and such determination
may also be grounds for terminating the contact for which the discriminatory practice or
noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination
commitment shall be made a part of any contract which it may henceforth enter into with
the City of South Bend, Indiana or any of its agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for
employment in the performance of this contract with privileges of employment, or any
matter directly or indirectly related to employment, because of race, religion, color, sex,
gender expression, gender identity, sexual orientation, handicap, national origin or
ancestry. Breach of this provision may be regarded as material breach of contract.
I, the undersigned bidder or agent as contractor on a public works project, understand my
statutory obligations to the use of steel products or foundry products made in the United
States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for
this project will use steel products or foundry products made in the United States on this
project if awarded. I understand I have an affirmative duty to notify the City in my bid
that my proposal does not include the use of steel products or foundry products made in
the United States. I understand it is my sole obligation and responsibility to provide a
justification to the City, subject to review and approval, why the cost of United States
made steel or foundry products is unreasonable. Prior to award and upon submission of
bid which does not use steel products or foundry products made in the United States, the
City, through its director of public works, shall make a determination if the price of
United States made steel or foundry is unreasonable. I understand that violations
hereunder may result in forfeiture of contractual payments.
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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 _mmmmITIT 10th day of March 20 20
Herrman & ._Goe,tz . Inc ..........
._. .
Contractor/Bidder (Firm)
I Attire of ontractoIT I idder or Its Agent
Larry Cripe, Power -of -Attorney
Printed Name and Title
Subscribed and sworn to before me this 10th day of _March ......._... 20__Zo_
My Commission Expires ?/13/2022
644�� Notary Public Catherine J. Gruber
County of Residence mm- St. Jose
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(To be completed only by Contractors/Bidders claiming to be a "local Indiana business" pursuant to I.C. 36-1-12-22)
INDIANA LOCAL BUSINESS PREFERENCE CLAIM
A "local Indiana business refers town o " y f the following:
(1) A business whose principal place of business is located in an affected county.
(2) A business that pays a majority of its payroll (in dollar volume) to residents of affected counties.
(3) A business that employs residents of affected counties as a majority of its employees.
(4) A business that makes significant capital investments in the affected counties as defined in rules adopted by the
political subdivision.
(5) A business that has a substantial positive economic impact on the affected counties as defined by criteria in rules
adopted by the political subdivision.
An "affected county" refers to St. Joseph County, Indiana, or the following counties located adjacent to St. Joseph
County: Elkhart County, Marshall County, Starke County and LaPorte County
There are the following price preferences for supplies purchased from a local Indiana business:
• 5% fora purchase expected by the purchasing agency to be less than $50,000
• 3 % for a purchase expected by the purchasing agency to beat least $50, 000 but less than $100, 000.
• 1 % for a porch m_e amm cte by the,ptlrchasir rl to beat least $100, 000.
Pursuant to I.C. 36-1-12-22, Herrman & G etz Inc __ claims a local Indiana business
preference for Project So. Bend Pglic D (Project # Mech _ Rm _ ) located within the City of
South Bend, St. Joseph County, Indiana.
❑ The location of the principal place of business is d, IN
IX St. Joseph County, Indiana
❑ The following county located adjacent to St. Joseph County, Indiana:
❑ The majority of the business's payroll for the 12 months prior to the date of this Bid is to residents of St.
Joseph County, Indiana or the adjacent county noted above.
❑ The majority of the business's employees for the 12 months prior to the date of this Bid are residents of
St. Joseph County, Indiana, or the adjacent county noted above.
If the business is deemed to be the apparent lowest, responsible, responsive bidder, then it shall provide
supporting documentation for the 12 month period prior to the date of the Bid of (i) the total payroll
amount paid to all employees of the business, and (ii) the total payroll amount paid to employees who are
residents of St. Joseph County and the adjacent county noted above.
WHEN SUPPLYING SUPPORTING PAYROLL RECORDS,
BIDDER SHALL REDACT ALL SOCIAL SECURITY NUMBERS.
Dated this loth day of March , 20_.g0
Contracto Bi"r (Firm)
ign ure of ntract adder r-tts-Agent
1W w, Atterfte - ....... ._
Prin e ame a "fi e
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SPECIFICATIONS
CITY OF SOUTH BEND
South Bend Police Department, 701 W. Sample St. —Boiler Purchase
QUOTE NAME _(Mechanical IoomLwwwwITIT - ........._
FOR QUOTES DUE March 10, 2020, 9:30 am local time
Pursuant to notices given, the undersigned offers Quote(s) to the City of South Bend in accordance with
the following attachment(s) which specify the class or item number or description, quantity, unit, unit price.
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QUOTE/PROPOSAL
CITY OF SOUTH BEND
South Bend Police Department, 701 W. Sample St -Boiler Purchase
QUOTE NAME Mechanical Ioonww mmmIT
FOR QUOTES DUE March 10, 2020, 9:30 local time
Item No.
Est.
Qty
Item
Unit Price
Total
Aerco Boiler BMK 2000, or
equivalent or equal to,
1
1
including labor, material,
$ 5s,2oo.00
$58,200.00
installation, all electrical,
gas piping, venting, water
connections, and start up.
$
$
$
$
$ 58,200.00
Quoter (Firm): Herrman & Goetz, Inc.
Address: 225 S. Lafayette Blvd.
City/State/Zip: IN 46601
SouthBend,
Telephone Number: (574) 282-2596 Fax Number:—(57/w) 9-645 mmmmmITITITITITIT
B Herrman & Goetz Inc
y .__................. __.
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m
r"
(Signat
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Jordan V. Gathers, Member
Joseph R. Molnar, Member
(Printed Name)
Power -of -Attorney
(Title)
Elizabeth M. Maradik, Member
Therese J. Dorau, Member
ATTEST: Linda M. Martin, Clerk
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POWER OF ATTORNEY
I, Thomas J. Herrman, President and Resident Agent of an Indiana Corporation in
good standing known as Herrman & Goetz, Inc., do hereby nominate and appoint Larry
Cripe, an employee of said Corporation, who resides at 67950 Yankee Lane, Edwardsburg,
Michigan to act as attorney -in -fact to do the following acts for me in my name, as President
and Resident Agent.
1. To possess the full powers to execute and enter into all business related
contracts on behalf of the Corporation, as any other authorized agent of said Corporation
would have the ability to sign/execute, including myself.
2. The powers granted by this document shall begin on July 1, 2019and
conclude/expire on June 30, 2020 or to such other extended time as shall be made by
written faxed extension executed by me to this authorization.
3. The powers extended by this document may be filed for record in any public
office as just circumstances might dictate and the original and all executed duplicates shall
have equal force, validity and effect.
I declare, as President and Resident Agent of Herrman & Goetz, Inc. that any lawful
act or thing done under the powers granted by this Power of Attorney, shall be binding on
the Corporation.
IN WITNESS WHEREOF, I, Thomas J. Herrman, President and Resident Agent of
Herrman & Goetz, Inc. have signed this instrument on this the 21st day of June, 2019.
Thomas J. Herrman
President and Resident Agent
Herrman & Goetz, Inc.
Subscribed and sworn to before me, a Notary Public, residing in St. Joseph County,
State of Indiana, this the 21 st day of June, 2019
Catherine J. Gru dr
Notary Public
Residing in St. Joseph County, State of IN
My Commission Expires -- 7/13/2022