HomeMy WebLinkAboutOpening of Bids - Press Ganey Administration Building Site Improvements Proj No. 119-061 - Walsh and Kelly, Inc.CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name Press Ganey Administration Building Site Improvements
...... .... .... ...... -- ........---------------- --- ....,.....�...�
Project No. 119-061
------------ ----.....................................................................................
For Bids Due April 14, 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 MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not
met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted
X Form [MWBE-2.1].
X Acknowledge Receipt of 1, 2 & 3Addendum(s) included with the bid. g
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 a
40 comply with the specifications.
Bidder: Walsh & K
By Authorized Rep
Signature:
Print Name & Title:
Hiary, VP of South Bend Area
Version 4/2/2019 Contractor's Bid for Public Works - 1
Date: 4/14/20
l
f I � ,is „%,
Project No. 119-061
For Ids ue April 14, 200
—---- ---- .......... --
Contractor Named 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 i BE SUBMITTED WITH YOUR BID.
pre-qualifiedIf you are a
Section 11 acts as an application for pre -qualification. Submission of Section 11 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-
If you are not a pre -qualified bidder, complete Section 11 only.
for a period of twelve (12) months.
�r
I.
It is the sale responsibility of the potential bidder to comply with all submission requirements applicable to
the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid
opening.
Version 5/16/2019 General Conditions - 5
POST BID SUBMISSIONS:
Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding
Ordinance. The post -bid submission requirements are as follows:
1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses
the name, address, licensing status, and type of work for any subcontractor from whom the bidder
has accepted a bid and/or intends to hire on any part of the public work project, including
individuals performing work as independent contractors.
2. Each subcontractor, whose portion of the project is estimated to be at least One -Hundred Fifty
Thousand Dollars ($150,000.00), shall be required to adhere to the requirements of Section I of
the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the
subcontractor shall submit the required information (including the name, address, and type of
work) to the successful bidder prior to the commencement of work.
3. Failure of a subcontractor to submit the required information shall not disqualify the successful
bidder from performing work on the project and shall not constitute a contractual default and/or
breach by the successful bidder. However, the City may withhold all payment otherwise due for
work performed by a subcontractor, until the subcontractor submits the required information and
the City approves such information.
4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall
not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another
subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the
name, address, licensing status, and type of work of the substitute subcontractor.
5. The successful bidder and all subcontractors on a public works project are required to submit
certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis,
submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall
identify the job title and craft for each employee. Certified payrolls shall be submitted
electronically.
Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in
the automatic disqualification of the bid.
The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into
account all information in the submission requirements, determine whether a bidder is responsive and
responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to
utilize all information provided in the contractor's submission and any information obtained by the City
through its own independent verification of the information provided by the contractor.
Version 5/16/2019 General Conditions - 6
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 (ie. Business verification) dated
within sixty (60) days of the submission of said document showing that business
is in existence, current with the Indiana Secretary of State's Business Entity
Report, and eligible for a certificate of good standing. (Not applicable to
individuals, sole proprietors or partnerships).
(ii) X Statement on staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work.
It outlines how I intend to meet the staffing needs of the work.
(iii) X List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within the last three (3) years.
(iv) X For every project, submit evidence of participation in apprenticeship and training
programs, applicable to the work to be performed on the project, which are
approved by and registered with the United States Department of Labor's Office
of Apprenticeship, or its successor organization.
Version 5/16/2019 General Conditions - 7
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 (ie. Business verification) dated
within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii) _
List identifying all former business names.
(iii) _
Any determinations by a court or governmental agency any violations of federal
state, or local laws including, but not limited to, violations of contracting or
antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and
Health Act (OSHA), or federal Davis -Bacon and related Acts, within the
preceding five (5) years.
(iv)
Statement about staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work I
am bidding on OR outlines how I intend to meet the staffing needs of the work.
(v)
Statement that individuals who will perform work on the public work project on my
behalf will be properly classified as an employee or as an independent contractor
under all applicable state and federal laws and local ordinances.
(vi) _
For every project, submit evidence of participation in apprenticeship and training
programs, applicable to the work to be performed on the project, which are
approved by and registered with the United States Department of Labor's Office
of Apprenticeship, or its successor organization.
(vii) _
Copy of a written plan for employee drug testing that covers all of my employees
who will perform work on the public work project and meets or exceeds the
requirements set forth in IC 4-13-18-5 or IC 4-13-18-6.
(viii) _
Evidence that I am utilizing a surety company which is on the Bureau of Fiscal
Service "Department of Treasury's Listing of Approved Sureties" as required in
the bid specifications or contract.
Version 5/16/2019 General Conditions - 8
(ix) Written statement of any fedene|, state o, local tax liens or tax delinquencies
owed toany federal, state orlocal taxing body inthe preceding three years.
(i) ___ List of projects of similar size and scope of work performed in all anomo, including
the State of |ndianu, within three (3) years prior to the date on which the bid is
due.
(Name of Company)
Vemion511O/2V19 General Conditions '9
Responsible Bidding Practices and Submission
Requirements for Pre -Qualified Bidder Checklist
(b) Attachments
(i) Attached
(ii) 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.
By: _ Dated:, Avril 14 2020
Dustin Hilary, VP of South Bend Area
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Press Gainey Administration Building Site Improvements
-------- - ----------- ............................... - ..........
Project No. 119-061
For Bids Due April 14, 2020
R'21'91
(Must be completed for all bids. Please type or print)
Date: 4/14/20 Bidder (Firm): Was & Kelly . . . . . . . . ............................. . . ....... - - —lh ------------------ . .... .. ............
Address: 24358 SR 23
............................................................ . ....... - ------- ..... ................................................ - ---- ------- ..........
City/State/Zip: South -Bend, IN 46614 ------ Telephone Number: 11 c" 5i4 288-4811
— - -----------
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or materialnecessary to —complete .... the
public works project of:
Press Gainey Administration Building Siteh ve ents
.......................... . . . ........... . ..... _ mplo --------
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
Abonmarche Consultants, Inc.
and dated 3/17/2020 - - — for the sum of (enter the Total Bid as shown on the Proposal)
................................. Nine hundred fifty five thousand nine hundred fifty eight dollars and fifteen cents
11 --- ".- _"L$ 955,958.15
Enter sum of Total Base Bid plus Alternates shown on Proposal) (PVurr ieic�a I)
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.,,sp�rifically referenced at the applicable
page.
If additional units,,gffwtarj4l included in the cons
that shown in t o�oftlfglr t if accepted by
unit basis, the)WhawdMYs e. its shall be shc,
®
ORPORA/- 0S By
S E AL.J
The above bid is is PAR Ith ..... .....
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
Joseph R. Molnar, Member
a nodded P4, cost of units must be the same as
i Sootk Bend. If the bid is to be awarded on a
a sepAtraattachment.
(signature)
Dustin Hilary, VP of South and Area
. ................................. . .. . ................ . . . . . . . . . ........... . ................ . ..................
(Printed Name of Person Signing)
Jordan V. Gathers, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
Version 4/2/2019 Contractor's Bid for Public Works - 2
2020
PART If
(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.
5. Have you entered into contracts or received offers for all materials which substantiate the
prices used in preparing your proposal? If not, attach an explanation for the rationale used
which would corroborate the prices listed.
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said
financial statement as required by statute shall thereby be rendered invalid. The financial
statement provided hereunder to the City of South Bend awarding the contract must be specific
enough in detail so that said City of South Bend can make a proper determination of the
bidder's capability for completing the project if awarded.
Version 4/2/2019 Contractor's Bid for Public Works - 3
When the prospective Contractor is unable to cerfify to any of'thestatemeniv below, it shall attach an exlVanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON. -DEBARMENT AFFIDAVIT, CERTIFICATION
REIZD.ING.1l.NV.ESTM.E.NI'W.1'.IPH A , EMPLOYMENTELIGIBILITY VERIFICATION, NON. -
DISCRIMINATION COMMITMENT AND CERTIFICAIPION OF USE OF UNIlTED s,rA,rES sTEEL
PIM)DUCTS OR FOUNDRY PRODuCTS
(Must be completed for all quotes and bids., Please type or print)
STATE 0-11�' liriid�a1n11@_,_
) SS::
5tJP§QP COUNTY
The undersigned Contractor, being duly sworn upon his/pier/its oatli, affirms under the penalties of perju.ty
that:
I . Contractor has not, nor has any other member, represeniative, or agent of the firm, company,
corporation or partnership represented by him, entered into an.y combination, collusion or agreement with
,any person relative to the price to be bid by anyoneat such letting nor to prevent any person from bidding
nor to induce anyone to refrain frorn 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
1 Contractor certifies by submission of this proposal Chair 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 opt., Contractor, engaged in
investment activities in Iran,
a. For purposes ofthis Certification, "Iran" means the government of Iran and any agency
or instrurnentality of Iran, or as otherwise defined at Ind., Code § 5-22-16.5-5, as
amended From time -to -time.
b. As provided lby Ind. Code § 5-22-16.5-8, as amended from, time-to-thrie, a Contractor
is engaged. in investment activities hilrari, if either:
L Contractor, its successor or its affiliate, pnrorvides goods or services of twenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
iL Contractor, its successor or its affiliate, is a financial institution that extends
twenty rnillion 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 (pp) at the time the
financial institution extends credit, is a person identiried. on list published. lby
the Indiana Department of Administration.
Version 0,1129/2020 Contractor's Bid for Pubk 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 afrMWBE;
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 1,4thday of .,April..-__..., 2020
tj
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(A? RA
SEALI
IInIqI.I
of Contractor/Bidder or Its.A.gent
........................ [,N).U.S.fin 1---filary... V P-Qf Siouth 1:'-.3eind Amen —
Printed Name and Title
Subscribed and sworn to before me this 14th----... day of -,AP it 20 20
...... . . ........... -----------------
My Commission Expires 6/5/22
Notary 1160 Alis Krueger
County of Residence St. Joseoh
..... ................. . . ...... . . . .................... . . .... .
rl
AL,94A KIIIJEGER,
Pudic, ia of In d
Wvy
st, Joseph County
M Commission
j U 1) 05 2 022
a- " rk"',
M"
Version 01/29/2020 Contractor's Bid for Public Works - 6
Contractor's Bid for Public Work - City of South Bend Project No. April 14, 2020
Project No.119-061
W UT )�
w
BID/PROPOSAL
CITY OF SOUTH BEND �
Project Name: Press Ganey Buildin Site�rovements
Project Number: 119-061 Addendum No. 003
For Bids Due: Aril 14, 2020
Contractor Name: Walsh & Kelly, Inc.
Base Bid
.:....Item No.
Description
Quantity
Unit
Unit Price
Total Amount
1.
Construction Engineering
1
LS
$ 1,250.00
$ 1,250.00
2.
Mobilization/Demobilization
1
LS
$ 20,000.00
$ 20,000.00
3.
Concrete Pavement, Remove
40
SYD
$ 30.00
$ 1,200.00
4.
Concrete Curb and Gutter, Remove
90
LFT
$ 22.00
$ 1,980.00
5.
Brick Paver, Remove
65
SYD
$ 30.00
$ 1,950.00
6.
Fine Grading
1
LS
$ 37,000.00
$ 37,000.00
7.
Compacted Aggregate Base, No. 53
5,990
TON
$ 11.75
$ 70,382.50
8.
HMA Surface, 9.5 mm, Type B
1,480
TON
$ 87.00
$ 128,760.00
9.
HMA Intermediate, 19.0 mm
2,020
TON
$ 62.00
$ 125,240.00
16.
Concrete Curb and Gutter
1,250
LFT
$ 17.65
$ 22,062.50
11.
Standard Concrete Curb
4,620
LFT
$ 21.00
$ 97,020.00
12.
Concrete Flush Curb
116
LFT
$ 21.00
$ 2,436.00
13.
PCCP, 6"
110
SYD
$ 75.00
$ 8,250.00
14.
Concrete Sidewalk, 4"
1,325
SYD
$ 55.00
$ 72,875.00
15.
!Concrete Curb Ramp
130
SYD
$ 55.00
$ 7,150.00
16.
Detectable Warning Surface
45
SYD
$ 105.00
$ 4,725.00
17.
Seeding and Topsoil
6,800
SYD
$ 5.85
$ 39,780.00
18.
Landscaping
1
$ 156,500.00
$ 156,500.00
19.
Storm Sewer, PVC, 6"
100
!LEFT
$ 56.00
$ 5,600.00
20.
Lighting
1 --E
LS
$ 64,560.00
$ 64,560.00
Total Amount of Base Bid
BASE
BID TOTAL
$ 868,721.00
Deduct Alternate A: Landscaping
Item No.
Description
Quantity
Unit
Unit Price
Total Amount
Al.
Landscaping
1
LS
$
(18,320.00)
$
(18,320.00)
ALTERNATE A TOTAL
$
(18,320.00)
Add Alternate 13: Irrigation
Item No.
Description
Quantity
Unit
Unit Price
Total Amount
B1.
Irrigation
1
LS
$
65,630M
$
65,630.00
ALTERNATE E TOTAL
$
65,630.00
Add Alternate
O
Itemo.
Description
QuantityUnit
Unit Price
Total Amount
Cl.
_..
Bollards
--------------
4
EA
$
545.00
$
2,180.00
C2.
Parking Bumpers
g
EA
$
69.00
$
621.00
D3.
Bike Rack
1
EA
$
1,586.00
$
1,586.00
C4.
Durnpster Enclosure
1
LS
$
10,000.00
$
10,000.00
C5.
Flag Pole and Foundation, 1 Flag
3
EA
$
6,675.00
$
20,025.00
C.
Sheet Sign
5.25
SFT
$
20.00
$
1,005.00
C7.
Sign Post, Type 2
100
LFT
$
1.5.00
$
1,500.00
ALTERNATE D TOTAL
$
36,917.00
Add Alternate D
Item No.
Description
Quantity
Unit
Unit Price
Total Amount
D1.
Line, Paint, Solid, White, 4"
7,700
LFT
$
0.26
$
2,002.00
D1
Line, Paint, Solid, Yellow, 4"
2,370
LFT
$
0.26
$
616.20
D3.
Line, Paint, Solid, Blue, 4"
670
LFT$
0.26 I $
17/4.20
D4.
Pavement Message Mrkng, Paint, ADA SFm-bol
9
EA
$
13.50
$
121.50
65.
Stop Bar, Paint, Solid, White, 24"
55
LFT
$
1.75
96.25
ALTERNATED
TOTAL
$
3,010.15
Total Amount of Base Bid
$
868,721.00
Total Amount of Deduct Alternate A
$
(18,320.00)
Total Amount of Add Alternate B
$
65,630.00
Total Amount of Add Alternate C
$
36,917.00
Total Amount of Add Alternate D
$
3,010.15
zzmz=
City/State/Zip
By:
Walsh & Kelly, Inc. Address: 24358 SIR 23
South Bend VIN-48614 m Telephone: 574-288-4811
(Signature)
ustin Hilary, VP of South Bend Area
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CITY OF SOUTH BEND g'. U 114
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MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY 2V
DEVELOPMENT PROGRAM
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 4 Faith Efforts to obtain MBEIWBE participation. It is the bidder's soVe
responsibility to verify whether any listed minority or woman business meets -the qualifications of a Minority
or Women's owned business as de -fined by -the Indiana Department of Administration (9130A").
Project Number: 119-061 Date: 4/14/20
............. . . ..... . .... ...................... ............................ . . . ...... . . . . . . .
Project Name: Press Ganey Administration Building Site Improvements
11111111 ................ ... ...........
Bidder: Walsh,& Kelly, Inc. ..... .... ........................................... - - ---------- ............ . ...
Contact Person: D.Ustin I filary Telephone: 574-288-4811
................... . . ...... — ------------
Address: 24358 SR 23
................ . . - - — -------- . ........................ . . 1-1111.1111111 ....................... . . ......... . . . ........................... . . . . . .. .... .. -- ---- ........... . . .... I'll . ............. . . .
City: South lBend State: Indiana Zip: 46614
___ .... . ........... . ................. . .. . . . . ....... ...... . ................. . ...... . . ...... . . ............ . .
Email: u dsfint@waIshkeI1y,!qqM .....
... . ...... — --------- ................ ............
To determine whether a bidder has demonstrated good faith efforts to reach the MBE BE utilization goals set
forth in 'the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or
commissions, REQUIRE ALI of the -following Good Faith Efforts as listed in the table below*:
...... . . ....... . .................. ... ...... ................. . . . . . . . . . . . . . ............................ . . . ........ . . . . . . . . ............................. .. . . . ..... . . . ........ . . ...... . . .................... . . .......... . . . . ...................... .
EVIDENCE Of:: GOOD FAITH EFFORTS
. ..... . ....... . ..... ----------- . . ..... . . ................ _ . . ............ .......................... — — -----
OMBENVBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business
X Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women
Owned Business as found on their website (hftp://wvvw.in.gov/idoa).
........ . . . .................. . . . . . . ..... ...... . ..............
- - ---- ......... .........
ACTION (ADVERTISE/CONTACT)., In order for your bid to be deemed responsive, the City of South
Bend requires -that all perspective bidders complete no less than 2 of the following:
1. Attend all pre -bid meetings scheduled by the City to inform MBE1WBEs of contracting and
subcontracting opportunities.
2. Advertise in general circulation and/or trade association publications concerning subcontracting
opportunities, and allow MBE/WBEs reasonable time to respond.
X 3, Perform any and all necessary steps to provide written notice in a manner reasonably calculated
to inform MBEMBEs of subcontracting opportunities and allowed sufficient time for them to
participate effectively.
4. Utilize pre-existing services of available community organizations, small and/or disadvantaged
business assistance offices and other organizations that provided assistance in the recruitment
and placement of MBOWBE firms.
"Bidder must circle or otherwise notate which of the two (2) required actions were. performed.
...... --------- . ........... . __..................... . . . ................. — - — ----------- - ___ "", __ . . . ...... ...... . . 1111111",_ - . . . .......... . . - --------- - ---
GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE Es,
including providing such IVIBE/WBE's with adequate information about the plans, specifications and other
X requirements ofthe subcontract and did not reject MBE/WBEs as unqualified without sound business
reasons based on a thorough investigation of their capabilities.
............... .................. ...... ........... . . . . ................. . . . . . ... . .....
SMALL CONTRACT(S): The bidder selected specific portions of the work to be per -formed by
X MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down
contracts into smaller units to facilitate MBE BE participation)
. . . . . ................................. -- — ------- . . . . . . . . . .................... ........................... . . ... . . ..................... . . ................. . ..... - — --------
CONTRACT RECORDS: The bidder has maintained the following records for each MBE BE -that has
bid on the subcontracting opportunity:
1. Name, address, and telephone number;
X 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 MBE BE was unqualified to perform the job.
.. .... .......... . ............. .......... I I ... . ....... 111111 . . . . . . . .. . ......... .............................. -1 .............. . . . ........... . . ..............
*Proper demonstration of Good Faith Effort 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 412/2019 Contractor's Bid for Public Works - 9
4IW�z
CITY OF SOUTH BEND 4"
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
Pc
FORM E_2®1 A
MBEIWBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bond Public Works Projects
requiring contacted BE BE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify
whether any listed minority or woman business meets the qualifications of a Minority or Women's owned
business.
PAGE 1 OF_1_
Project Number: '1119-pp1 MBE/WBE Participation Goal 1.2%
............................... . . .....
Project Name:
Bidder-.
By:
ture)
W&Xelly —In(
Firm C. Lee Construction Services, Inc.
or Contact at MBE BE Firm Chip Lee
Telephone: 219-888-9554 Fax: 219-888-9564 Email.-
- 1111111111_ I .. ........... . .. .. ............. . . . . .
TYPE OF WORK SOLICITED FOR THIS PROJECT
Trucki
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
. . . ........... ..... . . ................. ...... — -----
a 4/14/20..%%, yELL�
(b a i
_U
... ...... . . . . .... . ................................ . . . . . . ................
%
............ ...... . Z
— ---- - - ---
chip@cleecsi,com
.......... .. . .. ...... . ..................... . . . . . ...
- - - - -------- ',
IND.
. ................ . . . . . . It0111A,1114%,
If Walsh & Kelly is awarded the contract, we will use C. Lee Construction Services, Inc. for the trucking.
Walsh . . — - — awarded � . . . contract, . -1 ......... — --------- 1_____.......... Construction . . . ..... — --- - ---
MBE/WBE Firm Slusser's Green Thumb Inc.
------ - ... . .. ...... ....... . . .......... . . . . . . . ..........
Owner or Contact at MBE/WBE Firm Carolyn Slusser
. ........... .
Telephone: 574-722-3102 Fax: 574-722-3102 Email: css rs.com
............... . . . . . . ........ . ...... — --------- @1�1_usse .... . ................. . . . . ............
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
They were not the lowest quote we received for landscaping.
. . . . . . . .......... - - - ............... - - - . .... . . — ------------- _ 111111 .... .. .. . ........... . . . . . ............................ . . . . . . . ......... ... ... ... ..... . .......... ------
Version 4/2/2019 Contractor's Bid for Public Works - 10
C H 1_,.i B B ' surety 0+ 908.903.3485
202B Halls Mill Road, PO Box 1650 F + 908.903.3656
Whitehouse Station, M 08889-1650
Federal Insurance Company
AIA Document A31OTm - 2010 Bid Bond
Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable.
(Name, legal status and address).
(Name, legal status and principal place of business):
WalshKelly, Inc.
Federal Insurance Company
24355 State Road 23
202B Halls Mill Rd., PO Box1650
South Bend, IN 46614
OWNpit
V11titchouse Station, PU 08889-1650
(Name, legal status and address).
City of South Bend, Indiana, Board of Public Works
227 W. Jefferson Boulevard
South Send, IN 4601
BOND AMOUNT 5% Five Percent of the Base
Sid Plus any Alternates
Press Ganey Administration Building Site Improvements, Project No. 119-0 1
�a
b-
I
i[
("
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall
e deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.
Printed in cooperation with theAmerican institute of Architects ) by Chubb. The language in this document conforms to the language used in
A1A DocurnentA310Tm-2010.
Form 15-02=0575-FED (Rev. 3117)
When this Bond has been furnished to comply with 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 14th
(Witness) Alisha Krueger, Administrativ6Assistant
(Witness) Anna C. Oliger, Administrative Assistant
day of
Walsh
(Title)
April, 2020
Federal Insurance Company
M
(Attorney -in -Fact) David M. Oliger
11#011, 1
L
RX
Vorporate Sea&'
P"JVO
C1_1
WAN
Z
,WqerporareSea
17�
Printed in cooperation with theAmerican Institute of Architects (ALA) by Chubb. The language In this document conforms to the language used in
ALA DocumentA310 m-2010.
Form 15-02-0575TED (tev. 3/17)
CHUSSO
Power Of Attorney
COMPANY, a Wisconsin corporatioDt WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of the Commonwealth of
Pennsylvania, do each hereby constitute and appoint David M. 011ger
Surety Bond Number: Bid Bored
ObUgee. C4 of South Bead, Indiana, Board of Public Works
Dawn M. Chloros, Assistant Secretary
STATE OF NEW JERSEY
County of Ilunterdon SS.
Stephen M. Haney, Vice President
r
Ore this Id day of November, 2019, before me, a Notary Public of New Jersey, personally came Down M. Chloros and Stephen M. Haney, tome (mown to be Assistant Secretary and
Vice President, respectively, of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANY
and ACE AMIERICAN INSURANCE COMPANY, the companies which executed the foregoing Power ofAttorney, and the said Dawn M. Chloros 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 President, respectively, of FEDERAL INSURANCE COMPANY,
VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANY and 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 Comp Les. and that their
signatures as such officers were duly affixed and subscribed by Bite authority.
Notarial Seal
I J.ACEILAAR
DµQTAO,
" (IFN JOPAW
PUDL�
TVs
zsleoos'is,
CERTIFICA77ON
Resolutions adopted by the Boards of Directors of FEDERAL, INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INIDEMNITY COMPANY on August 30, 20161
WESTCHESTER FIRE INSURANCE COMPANY on December 1.1., 2006; and ACE AMERICAN INSURANCE COMPANY on March 20, 2009:
'RESOLVED, that the following authorizations relate to the execution, for and an behalf of the Company, of bonds, undertakings, recognizance% contracts and other written commitments of the Company
entered into In the ordinary course of business (each a ritten Commitment');
(1) Each of the Chairman, the President and the Vice Presidents of the Company is hereby autharized to execute any Written Commitment for and on behalf of the Company, under the
seal of the Company or otherwise.
(2) Each duly appointed attorney -in -fact ofthe Company is hereby authorized to execute any Written Commitment for and on behalf of the Company, under the seal of the Company or otheredge,
to the moat that such action is authorized by the grant of powers provided for In such person's written appointment as such a ey-m-fact.
(3) Each of the Chairman, the President and the dice Presidents of the Company Is hereby mohorl&P4 for and on behalf of the Company, to appoint in writing any person the atto oy-m-
fact of the Company with full power and authority to execute, for and on behalf of the Company, under the seal of the Company or otherwise, such Written Commitments of the
Company as may be specified In such written appointment which specification may be by general type or class of 'Written Commitments or by specification of one or more particular
Written Commitments.
(4) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized, for and on behalf afthe Company, to delegate in voting 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 Commitments of the Company as are specified in such
written delegation, which spechi on may be by general type or class of Written Commitments or by specificationofoneormore particular Written Commitments.
(5) The signature of any offleer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution, and the seal of the Company, may be affixed by
facsimile on such Written Commitment or written appointment or delegation.
FURTHER RESOLVED, that the foregoing Resolution shall not be deemed to be an exclusive statement of the powers and authority of officers, employees and other persons to act for and on behalf aftho
Company, and such Resolution shalt not limit or otherwise affect the exercise of any such power or authority otherwise validly granted or vested.®
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,
(11) the foregoing Power of Attorney Is true, correct and in frill force and effect.
Given under my hand and seals of said Companies atWhitehouse Station, NJ, than: pfll 14, 2020.
( 00A*," 0�0
Dawn M. Chloros, Assistant Secretary
} �e "
ia�t�I�a�tl:f=iaufrrr �:�an��•y �r�r�, ��.�+trll<�.r
Combined: FED-VIG-PI- €C C (rev, 11-19)
Part of State Form52414 (R212-13) Form 96 (Revised 2013)
BID OF
Walsh & Kelp, Inc.
(Contractor)
(Address)
South Bend IN 46614
FOR
PUBLIC WORKS PROJECTS
OF
Citv of South Bend. Indiana
Press Ganev, Administration Building Site Im rovements
Project No. 119-061
Filed Aril 14th 2020
Action taken
State Form 52414 (R / 9-10)
Prescribed a State Board of Accounts Form No. 9! Reylsed 2013Y
CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96
PART 1
(To be completed for all bids. Please type or print)
Date (month, day, year): April...1.,4.. 2020,,, ....�.,._.....
1. Governmental Unit (Owner): City of South Bend. Indiana
2. County: St. Joseph...- ........
3. Bidder (Firm):
Address:
City/State:
4. Telephone Number:
5. Agent of Bidder (If applicable):
Walsh & Kelly. Inc. _............. _ .....
24358 SR 23 ....................................
South Bend IN .46614..___
(574) 288-48..1.1_...---- ...------------------------------- ..-------__ . -
to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public
works project of, Ci _of..South Bend,. Indiana - Board, of„Public Works and Safel:y� (Governmental Unit) in
p p prepared y Consulstants, LLC and dated „March 17tn
accordance with plans and specifications re ared b AbOnmarChe.eeee........w.
2020 for the sum of See Attached S 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 ... day of subject to the following conditions:
Contracting Authority Members:
PART II
(For projects of $150,000 or more — IC 36-1-12-4)
Governmental Unit: City of South Bend, Indiana
.. .. ...............................................................---
Bidder (Firm): Walsh & Kelly, Inc.
Date(month, day, year): 4 '2 20
These statements to be submitted under oath by each bidder with and as part of his bid. Attach additional pages
for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
4. Have you ever failed to complete any work awarded to you? No If so, where and why?
5. List references from private firms for which you have performed work.
Gatlm Plumbm ,,& Heatmg,, Inc. I I..I I E. Main St .Griffith, IN Ms. Clara MuA,Mphy
Gough, Inc 2200E 8$'` Dr ,,,,Merrillville, IN 46410 Mr._.Ray �II,_ond Gough ._._.....
Dyer Construction Co ,.,m1716 Sheffield Avenue_ Dyer. _ IN Janet Furman___ ________
Grimmer_ Construction Co Inc 2619. Mai ,Street, Highland IN Mr. Greg Grimmer ___11 ________
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
a.....a.a.a.a.a.a.a.a.a.a.a....a.a.a.a.......... ,.
PRESENT LOCATION
SIZE, CAPACITY,
OF
.
®,,,,,,,
ETC. -
SERVICE
-
........ ......... ......-- ................ ..................... -- -
5
Asphalt Plants
Various
Good
Griffith, South Bend,
Valparaiso, Lowell, LaPorte
19
s
Asphalt Pavers ..........
Various
.................................
Good
--------------------------
Griffith South Bend
Griffith,
_
4
-
Slipform Cone. Paver
Various
-
__
--.....-------... _...._..... _ ..
d Widener
Various ........
Goo ,..
rI rt out
:.. h Bend
5
Motor Graders
CAT/J.D. .._..........
Good
---------
Griffith, South Bend
........ ...._... ......... ......... ..------
_
54
Rollers....
......
Various
....................... ..
Good ...._.,_
__--------- ------
Griffith, South Bend ---------
__--- 30
Rubber Tire Loaders......
_............ _ -----
ous
Various
--------
Good
.........
......................................................................�..�..................................
Griffith, South Bend
15
Excavators
Various
Good
Griffith, South Bend
9M
Bulldozers
Various
Good
--
Griffith,. ffithSouth Bend
-- ---
-- 6
LowBo' Tractors .....
Various
. Var..
Good
Griffith, South Bend
8
- —
Flatbed Dum ,�s
Various
Good ....
Griffith, South Bend
48
i d 1 ickup�s
/2 and /4 ton P..
Various .
Good
.... ....._.....
-----
Griffith, South Bend
--------
65
1 Ton Crew Trucks
Various
Good
�.a.... �.a.a...............
Griffith, South Bend
_------------
3
Cold Planers
Wirtgen 1900
Good
Griffith, South Bend
DC
3
TrI Axle Dum
Mack
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
4
Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial staternent as required
by stabiste. shall thereby be rendered. invalid. The financial statement provided herewider to the governing body awarding
the contract must be specific criougji in detail so that said governing body can inake a proper deterirnination of the bidder"s
capability for completing the project if awarded.
S.F'.CTION IV COWRACTOWS NON CO.L.J.,USION AFFIDAV171'
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 (.)r 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 frorn 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..
lie further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate,
fee, gift, con-unission or thing of value on account of such sale
SECTION V O.A.111 AN]..) AFFIRMATION
I HEREBY AFFIRM UNDER'n IE PENALTIES FOR PERAJRY THAT THE FAC'I'S ANDINFORMATION
CONTAINED INTI 1E FOREGOING BID 1�10R PRBLIC WORKSARE TRUE AND CORRECT.
Dated at South Bend, ------------ ... .................. this — 14 th day of
KQ4
CoRPORA 0 Z�
to
o K
STATE OF Indiana
ss
COUNTY OF St. Joseph . .....
1 ........... . . ........... ...
(Name of Organization)
Dustin Hikuy, VP of South Bend Area
(Title of Person Signing)
Before me, a Notary Public, personally appeared the above -named Dustin Hila,ry and
swore that the statements contained in the foregoing document are true and correct.
Subscribed and sworn to before me this ------- - ------ - 10 , day of
My Commission Expires: _______June 5, 2022 . . . ............
County of Residence: St. Jo
.. . . ........... . . .... . ...... . . ........................... . . . .
A lisha Krueger, Notal.--mIolublic
AUSH KBUEGER
Indiana,
Notary Public, State of
St. joseph County
my Gomratssion FxPill
June 2022
Form 96 Section II, #2
Subcontractors Used on Public Works Contracts Durini
__.�_ _ ................................................
SUBCONTRACTORS
COMPANY ADDRESS CITY/STATE/ZIP
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 INSTALL
ATION
ON
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 Companv
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
the Past 5 Years
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 Citv. IN 46361
PHONE I FAX
(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 Highwav Avenue
3122 Olympia Dr
1810 W Pacific Avenue
3542 Highway 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
6
GUARDRAIL/FENCING
Acorn Fend ..... �.._-......
C Tech Corporation)
Jarnaa H. Draw Company
Security Industries
Specialties Company
TI-RUCKING/HAULING
�. Leo ...............
.. Construction Services
Condon Trucking, LLC
I=anio Services
Gilmer Trucking
Material Transfer Inc.
Morris Motor Service, Inc.
P & C Trucking
Superior Construction Co., Inc.
V & R Trucking, Inc.
......................... . SItV::>Mas
S Markers, Inc.
U N D E R S EALmmmm __.__....._._..
Ruth -Riley Construction Co.
Inc.
............... ._______....
TREE REMOVAL
5avTWi"Traa Sarvica
Homer Tree Service
Timber Masters LLC
LIME STABILIZATION
Mt. Carmel Sand & Gravel
Rock Solid Stabilization
Specialties Company
PII:'I:::: LIMNS ............
Indiana Reline, —Inc.-
SAWCUTTING
VOiamond Coring Co., Inc.
-www ,,,,,,.�.�........_�..-AAA......
Quality Saw & Seal, Inc.
SEAL COATING/ STRIVING"
Site Services Inc _........_.............
Blackout Sealcoatin
UNDVfU)RAIN
3I3 Company, Inc.
2041 14th Street
5300 W. 100 North
8701 Zionsville Rd.
1000 Georg iana St.
9350 E. 30th St.
I Iarnrnond, IN 46320
Boggstown, IN 46110
Indianapolis, IN 46268
Hobart, IN 46342
Indianapolis„ IN 46229
Gary, IN 46403
South Vend, IN 46637
North Liberty, IN 4554
South Bend, IN 46614
Crown Point, IN 46307
Wanatah, IN 46390
Gary, IN 4640E
Portage, IN 4636E
South Send, IN 4662E
2189 N 600 W Thorntown, IN 46071
2454 West CR 450 North Lal orta, ICJ -46550
1555 Dark West Circle
14000 S. Archer Ave
R.O. Box 245
312 E. Main Street
11800 S Ewing Ave
7600 W 79th Street
10117 Kennedy Ave
7440 W. 87th PIaca
3200 East CR 350 North
Munster, IN 46321
Lockport., IL 60441
Dyer, IN 46311
Mt. Carmel, IL 62863
Ringwood, IL 60072
IndianaooliS. IN 46229
Sulphur Springs, IN
4738E
Chicago, IL 60617
Bridgeview, ImLmmm-6 4m55
Highland, IN 46322
Bridgview, IL 60455
Muncie, IN 47303
(765) 766-5040 (765) 533-5831
(219) 924-944
(219) 864-2300 (708) 430-6910
(765) 288-326 (765) 288-3344
W
Geneirall I.Torm No. 96 a
Pre-seTibed by the State Board of
Aircountj of Indtana. Revised 1949.
Standard, Questionnaires and
Financial Statement for Bidders
Prescribed by
THE STATE BOARD OF ACCOUNTS OF INDL4,NA
For use in investigating and determining the qualiflications 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 124 8,.Acts of 1947
Submitted to,, .. ... ....... Q-10 of-S9,41h Bend,,,, Indiana I ............. ................. ..
By - — --------- — ----- Walsh-&Xelly., .......... - -------------------
{A Corporation
Address 24358 SR 23. South Bend. IN 46614
. . . . ........... . . . - . .... . - — ------------------------ - , ... .......
Date submitted 'A,prit_141, 210129
Filed
----- ----------------------------------- ------------- - ---------- -.1.1 ..... ...... 1.1-1-1- --------------------------------------------- - --- - - ---- -
A.E. BOYCE CO., MUNCIE, IND.
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 the judgment 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 ----------- Walsh & Ke1hy',-Inc ------------- _—_..............._{ x A Corporation
Principal Office at________________1..700._East_Main..-Street.._Griffth. IN..-4-63-1-9.....
ToCity of._South BendLL.Indian..a..... ........................... __
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 ro, 71 Years,,,,,..
,,
3.
What projects has your organization completed?
Contract Amount
--
-- ..
Class of Work
When Completed m.m.m
Name and Address of Owner
$
12,926,200
Reconstruction
October 2017
INDOT
$
5,970,162
Reconstruction
May 2017
- ._._.
Town of Merrillville, IN
._ ..-
$
5,521,799
Resurface -
December 2017
— ...._
City of Mishawaka IN
..... ..... _..... _ -
$
2,646,574
Reconstruction
September 2017
St. Joseph County Hwy
.......,...
_........ ....................... ---
------- - ------ .
... Department —
3-A. What projects has
your organization now in process of construction?
CONTRACT _ AMT.
CLASS OF WORK
WHEN TO BE COMPLETED
NAME AND ADDRESS OF OWNER
$
5 118
18,6914
Reconstruction
November 2018
Walsh Construction
6,239
1 Resurface
--� ... _. ...
May 2018
INDOT
$
4,073,719
Reconstruction
July. 2018
City o EasteChica�o, IN
$
2,662 813
Reconstruction
� m . m
October 2018
�INDOf
T .'l - ----
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 or partner of some other
organization that failed to complete a construction contract? No If so, state name of individual,
other organization and reason therefore
6. Has any officer or partner of your organization ever failed to complete a construction contract handled
in his own name? ,.,,,,.,,N.o_If so, state name of individual, name of owner and reason therefor
7. In what other lines of business are you financially interested?
4
9. For what cities have you performed work. and to whom do you refer?
'rowD of Griffith ....... .
. .......................... Director of Public Works
Griffith, fN
own off
---"rownMnage-------------------
.Sch.e....-rery.l...l....e.[.-..N....I...N ". . .......
... ...............---SIch.ere...rv......i...l...l..e.........
City of 4munion............. -
-CivyEn ineer
Harm nd,,
a��Lof South Bend
Q. Fftineer
South Bend. IN
-- "I . .....................................
............................................................ . .................. . . . .. . . . . ....... .............
. .
10. For What counties have you performed work and to whorn do you refer?
Lake Cog
Hi w@[,y . ........................... ..... . ........... . . .
9h 5pperintendent
Crown Poi W
. . ......... . ..... . ............. . ......... . . . . . . ........ - - -------------
Porter County . ........... .
Iwa H - Y
. . . . . . . ...................... � I —Su ")rintendent --- - -----
- ---- ...........
St. Jos ph CounLy ......................
lighmik .' perinLendenC
R- 5
South Bend. N
,:I ............
ElIchart Coun . . .. . . . . . . . . .
. ................ _jjighway Su1jedntendent
I . . ............. ..............................................................................................
Elkh� IN
LaPorte Count v
................
Highway
. .. ....... ...
LaPorte, IN . . ...........
I L For what State bureaus or departments have you performed work and to whorn do you refer? . ....
Indiana Deli ujt, k ,CDau Asp LaPorte District LaPorte IN
.. ........... . . . . . . . . . . ...... . . . . . . . ....... . . ........... — ------- — -- - ----- - - — --- - - - ------------
Department of Natural Resources Indian Rglis..[N
................ . . . . . . . . . ........... . . . . . . ..... . .... . .................................... . . . . . - . .......... ............................. . . ..................... . . . . .....................
12. Have you ever performed any work for the U.S. Government Yes .......... . . . . . . ............ . --------
Ifso, wfi[en and to whom do you refer? . . . ................. . . ..... . . ........... . . . . ............................... . . . . . . . . . ........... ... ............
I.J.S. ArMy_Qorjjs )f IV -
a o. IL
-9-1-11 1-"'I I ----------------------
In National Guard, Dept. of Administration Indiana rxojis. IN
. ..... ......... . . . . -1 . .................................... . . ....... . . ............................ . .... . . . . . . . . . . ...................... . - _ . . ....
F,ederal tiig,,wa.y.A.,driiinistra.n,-ion Sterling, VA
13. What is the construction e�peri ence of the princi�,,)al individual ofyour orgyanization?
INDIVIDUAL'S NAME
PRESENT POSITION OR
YEARS OF
MAGNITUDE AND
IN WHAT CCITY
OFFICE
CONSTUCTION
TYPE OF WORK
. .....
........ . . . . .... ..... ----------
--- EXPERENCE
---I--T--
Kev"i.....................b.
......
Pesi t......
...... d......... ...
3
AU'-- , ----
----r--y
neral. ,anagrn�K,
e
JqfpM,L. Swan
_
Executive Vice President ...
34
........ . ............... .. ....
A l"l
. -11"I'll" 11".XPs . . ..... ....
Su[C ngj eering
David J. Misirly
Vice President
33
Bituminous
Engineer
Greg A. Hoffman
................ .................
1 Vice President
31
Bihnninous
Engineer
. ................... . . . . . . .............. . . . . . . . . . . . . . . . . .......
........ . . ............... . . . . ........................ . . .. .
.Pav*
....... . . . . ...........................
.. ................................................ . . ............... - - ------------- --
John C. Wall
Vice President .. ..... ----- -------- .
41
-
All t�jjes
John M., Peisker
Vice President
33
All ... ..
General Mankag
.... .. ' - ' '
J. Michael
Secretary./Treasurer
46
Administration
General.lWanager
Schaurn
Jamie L. 'Firncos
..........
Controller
. .............. 14
Adm inistration
.... . . . . ......... 1.1-11-11 . .. .......... --l-1-1
General Man
................ ...............
Lvnn J. Bauer
SoutftBmL. M
All p
EngIlneer
stin P.
Ae-n(71. Are,a Mg r
18
. . . .......... .......
All types
. ...........
En
Mark E.
Engineer
28
All types
Engineer
Krachenfbis
[.ngi..n... --r..............------------------------------------------
----2----3------- -1--A11111111
1'-\'"-N's ........
... ........ . .......... -
"-Enginer
G.
NK...i...t....h............A........................
-
m -..
Bihirious
Ent,ncerikolas
__ _._
....., Pavmg
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.
Plan$, Saecificatons ,and Site Inspections
2. Explain your plan or layout for performing the proposed work
As directed b. Lowner/engineer
3. The work, if awarded to you, will have the personal supervision of whom?
Kevin J. KelK, Jeffrev L....Swan. David J. Misirl„v,.,, ,Gre o,�, ; A,Hoffman,,Dustin P. HA" w; and Lynn J.
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 neededwpwa,,,,,,,,,,,,,,,,,, ._.
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 _
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
8. 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,
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
�aa......��.___
Asphalt Pavers
Various
Good
.....
Griffith, South Bend
4
Slform Conc. Paver
Various
Good
Griffith, South Bend
3
Road Widener
Various
Good
Griffith, South Bend
- —
5
-.
Motor Graders
-
CAT/J.D. ®,
--- _
Good ®,
----- —
,...em
a ... ... _,._....... _ ..._
Griffith South Bend
5..
Rollers.......,
n..
ious
Var.
Good
Griffith, South Bend
30
Rubber Tire Loaders
Various
Good
...... .....--- ---. .......
Griffith, South Bend
15
Excavators
Various
Good
Griffith, South Bend
9
.Bulldozers ........... .........�.Vanou
z .
Various ...�.
.............
......... ..........�...
Griffith, South Bend
....__...... ..
6
LowBoy Tractors
Various
-- ...
Good ---
---
Griffith, South Bend
8
Flatbed Dumj-)s __
Various
Good
Griffith, South Bend
_._..._.m_m._48 %and 3/4 ton Plcku �s
,, r_. a 1 .
Various
�.......M.i...0 �
Good
a................a..a.a.a.a....a...
a. �.a.�...............
Griffith,Grlffith South Ben .
65
1 Ton Crew Trucks
Various
Good
Griffith, South Bend
3
®, .m
Cold Planers
Wirtgen 1900
Good
Griffith, South Bend
DC
3
TrI Axle Dumb
Mack
Good
South Bend
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_____,_____
th Y 1 2020 Dated at ., m,. South Bend 14 da of A )ril
Walsh
&
agy ® ()?,A P � � (Name of gls'ellation),,
Aw
By
�� m., .istin_Hilar
®� rVP of S
STATE OF Indiana
itle of Person Signing)
{ ss.
COUNTY OF St. Joseph__
Dustin.Hiladr„„_.,._ being duly sworn deposes and says that he is VP of,South °Bend wArea ° , of the
above Walsh & Keh, Inc.mmmmm___,,,
(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 _ 14" day of A aril, 2020,
rz
Alisha�ieger,Notary Public
My Commission expires June 5,, 2022
,HA KRUEGER
8 ;atary PUbhC, State of fniiana
n' St. Joseph CoUntY
My Commission Fxporea
r,iN. ,> June 05, 2022
. i nr x•or+szuw w ro:m:u,r.. wmmu'�mursmvw
�,,.,u r
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.
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 March 16, 2020.
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, March 16, 2020
0DNNIE I... WSt.`N
SEtimi31°."iARY OF STATE
AH certificates should be vpflidated Mere~ I�t3l;°a of/1�;���.��y� ir�,�;ewv/ ds8ur4����hrr�tsis�ate
Expires on ,prH 1.5, 2020.
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:
II
WALSH & KELLY INC I
1700 I : MAllN s"r
GR1111: lC" I'T"P IIN 4631
Phone 219w 24-5900
I" ax. 219-924,,8768
Company OfficW
ICI; VIIIP1 II II!!!;;l,,.11-y
fair the tvaPeoalyseven month peflod stated her n, unless invoked b'I" Hiis Board for cause,
and inthe clas,sifloatiorus of services states] below. This rertificate superaedes any previous cerfiflcate.
1611.01 Coincrote Comtstrtuctiio n of I"loads 8 Curbft
1611X2 AsplhaUt Constirtictiiomn of Roads and Ifwarlkling I,,.ots
CERTIFICATION DATE 3/1412018
EXPIRATION DATE 6N4/2020
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.
Tracy L. Cross, Executive Sf>etretary
Certification Board
DAPW PQ2 State Form 3983R Rev. 07106
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"' day of January, 2020.
Fred
Albert E. VanDenBergh
Kevin J. Kelly
... .... ..... . . . .... ... ...
. J .. a .. m .. e .. s . �9re I I I d
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ysse
EXECUTED this 15'h day of January, 2020.
Fred Fehsenfeld, Jr. James C. Fehsenfeld
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IN
Albert E. VanDenBergh John P. Vercruysse
Kevin J. Kelly
EXECUTED this 15'' day of January, 2020.
Fred Fehsenfeld, Jr.
James C. Fehsenfeld
Albert E. VanDenBergh John P. Vercnrysse
Kevin J Kell"
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Equal Employment Opportunity/AffirmativeAction lipStatement
It is the policy of Walsh & Kelly to afford equal opportunity for employment to all indilviduals regardless
of race, color, religion, sex, sexual orientation, gender identity, national origin, age,'disability, housing
status, or veterans' status. The corporation is committed to this policy by our status as a federallly
assisted government contractor. We are fair more stroirnly bound to -the policy by the fact that
adherence- to the principles involved is the only acceptable American way of life.
Therefore, it is the policy of this corporation to assure that applicants are employed, and that employees
are: treated during employment without regard to race, color, religion, sear, sexual orientation, gender
identity, national origin, age, disability, housing status, or veterans` status, .Such action shall indlude:
employment, upgrading, dennotion, or transfer; recruuitinment or recruitment advertising; layoff or
termination; rues of pay or other forirns of compensation; and selection for traWin , including
apprenticeship, pare -apprenticeship, and/or on -the -gob training,
The successful achievement of a nondiscriminatory employment program requires a maximum of
cooperation between management and employees. In fulfilling its' part in this cooperative effort,
management is obliged to (lead the way by establishing and implementing affirmative procedures and
practices which will ensure our obJective, namely equitable employment opportunity for all. (Mlinority
and fernMe employees are encouraged to participate in all company activities and refer applicants„)
Our company will talke affirmative action to ensure that we will
(1) recruit, hire and promote all job class iifications without regard to race, color, religion, sex,
sexual orientation, gender identity, national origin, age, ancestry, disability, veterains status or housing
status;
G D base decisions on employment so as to further the (principle of equal employment
opportunity;
() ensure that promotion decisions are in accord with principles of equal emmployment
opportunity by imposing only valid requirements for proinnotional opportunities;
() ensure that all personnel actions such as compensation, benefits, transfers, layoffs, return
from layoffs, company sponsored training, education, tuition assistance, social and recreation programs
will be administered without regard -to race, Collor, religion, seer, sexual orientation, gender identify,
national origin, age, disability veterans status or housing status.
I have designated Amy Wright, VP, HR and "ralent Development, as the Equal Opportunity Officer to
direct the establishment of and to rnonitoir the Implementation of personnel procedures to wide our
affirmative action program, This official is charged with designing and implementing audit and reporting
systems that will (keep mainagement Informed on a regular basis of the status of equal employment
opportunity and affirmative action. She can be reached at Q, t b6 6- 9 y.
Employees will be made (mown of our commitment to equal employment through -the following means:
0 hosting of equal opportunity notice on bulletin boards
EOE WF/Vets/Disabled
GRIFFITH
END
Walsh
" wtw t�o� F I I �
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60)v n. tax 019' 924, 8768 Fax 0714) 289..71 uM
Including our equal opportunity statement in our Handbook which is disseminated to all
employees
Annual supervisory training
Potential employees will be made aware of our policy through the following means:
• By including the words "Equal Opportunity Employer" or EOE in all advertisements and notices
for job openings
Sending notices to union affiliations
Posting of equal opportunity notice on all company and job site bulletin boards
Except when precluded by valid bargaining agreements, we will conduct systematic and direct recruitment
through public and private referral sources likely to yield qualified female and minority group applicants.
This recruitment will be conducted by direct and personal contacts with female and minority organizations
in the project area.
All union organizations with which we come into contact, including Laborers, Carpenters Operators, and
Teamsters, will be made aware of, and provided copies of our plan. They will be informed of our desire
for them to implement our program and will be specifically asked to refer females and minority group
employees for employment.
It is our policy that wages, working conditions and employee benefits will be determined and administered
on a non-discriminatory basis. We will conduct periodic reviews of wage rates, employee benefits, and
promotional capabilities to assure they are administered in a non-discriminatory manner.
Supervision has been made to understand that their work performance is being evaluated based on
their equal employment opportunity efforts and results, as well as other criteria. it shall be a
responsibility of the supervision to take actions to prevent harassment of employees placed through
affirmative action efforts.
We shall comply with the Civic 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 Vietnam Era
Veterans Readjustment Assistance Act of 1974, as amended, the Indiana Civil Rights Act and other
applicable Federal and State Laws and regulations pertaining to equality of Opportunities and
Affirmative Action policies. We have developed an Affirmative Action Program for Veterans and
Individuals with Disabilities.
Ihn Peisker, President, Walsh &
Date..,.
ME WF/Vets/Disabled
(HUFFIT114 SOUTI-1 BEND
Walsh & V11100 111IsMagn Street 24358!SR 23
WMN."Walslikelly.cum Swah Rend, indiarm 466t,14
gllhone f219)!:024-5900 Phone (57Q �!S& 18 11
Kellyll.c. 11F�ax Fax (571101 2,99-7174
DME: April 13, 2020
Ta. All Employees
RE: EEO Officer Appointment
Amy Wright, VP, HR and Talent Development, has been appointed Equal Employment
Opportunity Officer for Walsh & Kelly. It is her responsibility -to coordinate, advise and assist
management and supervisors in their responsibilities of assuring all applicants and ernployees'
equal opportunities in all aspects of their employment., She will review complaints that allege
discrimination because of race, relligion, color, sex, sexual orientation, gender Identity, age,
national origin, disability, housing status or veteran status.
Employees of Walsh & Kelly are to submit any issues or concerns to Amy. We are committed to
comply with the provisions of the Civil Rights Act of 1.964 and 1991, plus all Executive Orders
issued relating to Equal Employment.
Arny's contact information is listed below,
Heritage Construction and IMaterials
R.O. lBox 421459
ffid4napofis, IN 46242
1 He S ton0p,,
(31-7)616 4907(o)
(317)474 2559 (m)
otiMptij
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.... .... .. .........
ioKrT'Oeisker, President
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INDIANAPOLIS, IN April25, 2019
TO
WALSH & KELLY INC GRIFFITH, IN
who has filed with the Department a Contractor's Statement of Experience and Financial Condition as
required under Indiana Code 8-23-10, is hereby qualified to bid at any Department of Transportation
letting in Classes of Work and within the amount and other limitation of each classification as listed
below, for such period as the uncompleted work on hand from all sources does not exceed the Aggregate
amount. Classification references by name or symbol are in accordance with the definitions in the
Contractor's Statement of Experience and Financial Condition. This certificate supersedes any certificate
previously issued, but is subject to revision or revocation according to the law, if and when changes
in the financial condition of the contracting firm or other facts justify such revision or revocation.
Valid May 1, 2019 Th ru April 30, 2020
AGGREGATE....................................................................................................................................... $UNLIMITED
A(B) CONCRETE PAVEMENT: LIMITED......................................................................................................... $25,000,000
B(A) ASPHALT PAVEMENT: WANDOT CERTIFIED HMA...........................................................................$UNLIMITED
C(B) LIGHT GRADING.......................................................................................................................................$UNLIMITED
E(E) SMALL STRUCTURES AND DRAINAGE ITEMS.................................................................................... $25.000,000
-(F) SURFACE MASONRY AND MISC CONCRETE...................................................................................... $50,000,000
E(G) TRAFFIC CONTROL: PAVEMENT MARKINGS...................................................................................... $25,000,000
E(H) DEEP SEWER AND/OR EXCAVATION.................................................................................................... $25,000,000
E(Q) CONCRETE PAVEMENT REPAIRS.......................................................................................................... $25,000,000
E(R) ASPHALT PAVEMENT NULLING..........................................................:................................................... $50,000,000
PREQUALIFICATION ENGINEER
State F0 20508 (R3 / 5-05)
"MISSIONLRWWW
13 1 fiCoui�u,(,-Cir%, BLULLOJO F, � v o'E 5"TV 1�35-95 �
227 NY', JEFHERSON B0U1A,'V,A R I 1, 5 74,1' 23 5,9, � 7 �
SOUTH IRU�411), TNE)h�i NA, 1060 � , H1,30 FIDD 574/ 235 5567
01"i'' OFSOUTH BEND �,OAES MAYON�
130AIM OF PUBLJ� I C W(H4,KS
Date: April 9, 2020
ACKNOWIXDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 4/9/20
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.
- ------ ------------- - . . ................. . . . . . . . . . . . . ........ ... ... .......................... . . . . .......................................................................................... . .
KEL
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Company: Walsh & Kelly In
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............
Authorized Signature:
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lilary�fsouthI§ d��
t.r, VP
Date: 419/20 111111111,10%%
11 i�" I
On, Pmx,�E 57zU2 �5 92fl
22'71V Jm`IFRRSUBciu�mN REA F'�x 574/235-9M
RIACK
.N0JNDLAJqA4(16(H HS30 TDID 574/ 235-5507
Cn"y op' Soui'II i &°,'M) J iMFS \41JELIA AZt, IVI A YiiM
BOARD 01F]"UBLIC W01IRKS
Date: _Ape it 6, 2020
..... . .. .. .. .. .. .. ......... To: All Planholders
.... . ................ - ------------- — ----- . ................. . . . ...................... . . . ........... ..
From Linda M. Martin, Clerk, Board of Public Works
------ . . . . . . . . . . . ............................................................................................................
. Subject Addendum Number: 2
Project Name: Press Ganey Administration Building Site Improvements
. . . . . . . . . . ............................... — - - ------ ---- . . . . ........... . ......... --- -,-" ................ .... ....
Project No.: 119-061
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 4/6/20
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
within 48 hours of receipt. A copy MUST also be included with your
bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Notes: Please see attached memo.
I
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: Walsh & Kelly, Inc.
Authorized Signature:
DotVW,Ffilary, VP of South Bend Area
Date:
➢ 3 16 Coojvry C n, Ru gnu rpc�,w
227 W. JI T°iE drSON BOULEVARD
a 51ARD
,frirr � aNDIANA466OW30
JIIIA1"w' E"fu M UIII :;;B,➢,fl-;R., VAA "m' 014
1:1 A�l:"h:D OF 11"IJB1:.91 ° WORKSs
Date: Aliril 3, 2020
11-1111111"..-------- __w ..-
To: All Planholders
...---- ...............-----........
From Linda M. Martin, Clerk, Board of Public Works
- - ..._._
Subject Addendum Number: 1
Project Name: Press Ganey Administration Building Site Improvements
Project No.: 119-061
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 4/3/20
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
within 48 hours of receipt. A copy MUST also be included with your
bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Notes: Please see attached memo.
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company:
Authorized Signature:
Date: 4/3/2o
`%1110111111/
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