HomeMy WebLinkAboutOpening of Bids - Washington Street Improvement Proj No. 118-105 - Walsh & Kelly, Inc.CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name Washington Street Improvements
Project No. 118-105
For Bids Due April 14, 2020
Contractor Name: Walsh & Kelly, Inc.
The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works
projects by institution of comprehensive submission requirements in compliance with State law. Quality
workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet
certain minimum requirements to be responsive and responsible bidders.
THIS FORM MUST BE SUBMITTED WITH YOUR BID.
INSTRUCTIONS:
If you are a pre -qualified bidder, complete Section I only.
If you are not a pre -qualified bidder, complete Section II only.
Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be
considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre -
qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6-
63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance")
for a period of twelve (12) months.
Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre -
qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified
Bidders") by December 31s' for the upcoming calendar year, or within twelve (12) months of obtaining pre -
qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of
the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application
for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal
of the designation, effective January 1 of the following year, or immediately following the twelve (12) months
of pre -qualified standing.
However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works
projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status
is re-established.
Please Note: The City reserves the right to request supplemental information from the bidder,
additional verification of any information provided by the bidder, and may also conduct random
inquiries of the bidder's current and previous customers regardless of pre -qualified standing.
It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to
the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid
opening.
Version 01/29/2020 General Conditions - 6
POST BID SUBMISSIONS:
Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding
Ordinance. The post -bid submission requirements are as follows:
1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the
name, address, licensing status, and type of work for any subcontractor from whom the bidder has
accepted a bid and/or intends to hire on any part of the public work project, including individuals
performing work as independent contractors.
2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty
thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the
Responsible Bidder Ordinance as though it were bidding directly to the City, except that the
subcontractor shall submit the required information (including the name, address, and type of work)
to the successful bidder prior to the commencement of work.
3. Failure of a subcontractor to submit the required information shall not disqualify the successful
bidder from performing work on the project and shall not constitute a contractual default and/or
breach by the successful bidder. However, the City may withhold all payment otherwise due for
work performed by a subcontractor, until the subcontractor submits the required information and
the City approves such information.
4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall
not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another
subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the
name, address, licensing status, and type of work of the substitute subcontractor.
5. The successful bidder and all subcontractors on a public works project are required to submit
certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis,
submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall
identify the job title and craft for each employee. Certified payrolls shall be submitted
electronically.
Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in
the automatic disqualification of the bid.
The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into
account all information in the submission requirements, determine whether a bidder is responsive and
responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to
utilize all information provided in the contractor's submission and any information obtained by the City
through its own independent verification of the information provided by the contractor.
Version 01/29/2020 General Conditions - 7
. ,,,, UAL I I D BIDDER CHECKLIST
(a) AcknoWedgermernts.
(i) By checking this Ibox, I Ihereby acknoWedge that II aunn a pre-guualliffiied bidder with
the City of South Fend and that II have met the pre-guaViificatiion requirements within
the (last twelve (12) months. A copy of irny Pre- uaalllficatlon verification letter
its attached.
(ii) By checking this Ibox, II Thereby acknowledge that the City reserves the right to
request suuplplermental information„ additiiornaU ved-ficat'ion of any 'in -formation
(provided by erne, and may aUso conduct randorn inquiries of my current and prior
customers.
(b) Attachrments:
(i) ...... Ilndiiana Secretary of state"s on -Vine records (ie4 Business veri-fication) dated within
siixty (0) days of the submission of said docuurment showing that business is in
existence, current with 'the Irndiiarna Secretary of tate"s Business Entity. Report,
and eligible for a Certificate of good standing. (Not appl'icablle to indiividuals, soVe
(proprietors or partnerships).
uu
..
Statement on staffing capalbififies, uiruc uu uirng a or sources.. uWs statement
indicates and ensures II have sufficient employees on staff to complete the work. It
ouutfiiunes (how II intend to meet the staffing needs of the work.,
(iiii) I1...iist of (projects of sirmillar size and scope of work performed Urn all9 areas, irncW�ng
the State of Indiiana, within the cast three (3) years.
(iv) For every prollect, submit evidence of particiilpatioun in aplprentiiceshilp and training
programs, applicable to the work to be performed on the project, awhiich are
approved by and registered with the United States Department of Lalbor"s Office of
Apprenticeshiilp„ or its successor organization.,
Version 01/29/2020 General Conditions - 8
II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements:
(i) By checking this box, I hereby acknowledge that I am not a pre -qualified bidder
with the City of South Bend.
(ii) By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided, and may also conduct random inquiries of my current and prior
customers. The City reserved the right to utilize all information provided in this
submission and all information obtained in inquiries or requests to determine if a
bidder is responsive and responsible. Additionally, I acknowledge that all
information provided to the City shall be regarded as public records.
(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 01/29/2020 General Conditions - 9
(ix) _ Written statement of any federal, state or local tax liens or tax delinquencies owed
to any federal, state or local taxing body in the preceding three years.
(i) _ List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within three (3) years prior to the date on which the bid is due.
Date: 4/1
`,Dustin Hilary
(Print Name Here)
Walsh & Kelly, Inc.
(Name of Company)
24358 SR 23
(Address of Company)
_...............__.....
South Bend
(City)
.....................
N ®9
Indiana
•••••®®
�� •
(State)
•�
®• AT••®
574-288-4811
i J)
�• ��
(Telephone Number)
•• ®•• ���
/Iloilo11110
Version 01/29/2020 General Conditions -10
Responsible Bidding Practices and Submission
Requirements for Pre -Qualified Bidder Checklist
(b) Attachments
(i) Attached
Staffing Capabilities: Walsh & Kelly, Inc. is signatory with the following unions
which supply our workforce — Laborers International Union, Teamsters, Operating
Engineers and Cement Masons.
(iii) See Attached
(iv) See Forms 96 and 96a
(v) All individuals who will perform worn on the public works project on behalf of
Walsh & Kelly, Inc. will be properly classified under applicable state and federal
laws and local ordinances.
Dated:__Aprij.14, 2020
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Washington Street Improvements
. . . . . . . . . . . . . . . . . . . . .............................................................
Project No. 118 -10 5
For Bids Due April 14, 2020
PART I
(Must be completed for all bids. Please type or print)
Date: 4/14/20 Bidder (Firm): Walsh& Kelly, Inc.
................. .
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
DLZ Indiana. I-I-C
and dated 3/16/20
for the sum of (enter the Total Bid as shown on the Proposal)
Three hundred sewatyseypri thousand nine hundred dollars and zero cents 377,900.00
................. hundred . . . . . . . . . . dollars . . ...... . . . . . . and ............................ . . . . ........
(Numerical)
(Enter sum 4'Total'6ase Bid shown on Proposal) (KI . ......
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 addendurns attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed,*i'ie cost � units must be the same qet
%
shown in the original contract if accepted by the City of $0"d a,"Ber 2e bid is to be awarded
basis, the itemization of the units shall be shown on a s6ppfate attaRK, ent.
C:j
�,?C)RATe
By -C)
.................................................... . . - — - -------- ...... (Signature)m.
The above bid is accepted this
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
Jordan V. Gathers, Member
ACCEPTANCE
-1,111, day of
(Printed Name of Person Signing)
Joseph R. Molnar, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
Version 01/2912020 Contractor's Bid for Public Works - 2
% ........
20
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
These statements to be submitted under oath by each bidder with and as part of his/her/its bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1. Attach information regarding projects your organization has completed for the period of one
(1) year prior to the date of the current bid.
2. Attach a listing of public works projects currently in process of construction by your
organization.
3. Attach information regarding any failure to complete any work awarded to you and the
location thereof.
4. Attach references from private firms for which you have performed work.
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Attach an explanation of your plan or layout for performing proposed work. (Examples could
include a narrative of when you could begin work, complete the project, number of workers,
etc. and any other information which you believe would enable the City of South Bend to
consider your bid.)
2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside
your own firm who have performed part of the work) that you have used on public works
projects during the past five (5) years along with a brief description of the work done by each
subcontractor.
3. If you intend to sublet any portion of the work, attach the name and address of each
subcontractor, equipment to be used by the subcontractor, and whether you will require a
bond. However, if you are unable to currently provide a listing, please understand a listing
must be provided prior to contract approval. Until the completion of the proposed project, you
are under a continuing obligation to immediately notify the City of South Bend in the event that
you subsequently determine that you will use a subcontractor on the proposed project.
4. Attach a listing of equipment you have available to use for the proposed project.
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 01/29/2020 Contractor's Bid for Public Works - 3
When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION
REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-
DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL
PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF __.Lndiana________ _ )
SS:
St Jos,alah COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that:
1. Contractor has not, nor has any other member, representative, or agent of the firm, company,
corporation or partnership represented by him, entered into any combination, collusion or agreement with
any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding
nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and
without any agreement, understanding or combination with any other person in reference to such bidding.
Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or
indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals
are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any Federal department or agency; and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in
investment activities in Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any agency
or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as
amended from time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor
is engaged in investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
ii. Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more in credit to another person for
forty-five (45) days or more, if that person will (i) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration.
Version 01/29/2020 Contractor's Bid for Public Works - 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 ar}MWBE;
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 _....__14th„ day of April , 20 20
& joIfy, Inc.
of Contractor/Bidder or Its Agent
Dustin HilarrI_VP of South Bend Area
Printed Narnc and Tide
Subscribed and sworn to before me this 14th day of _Aril
.. 2�N A ,
My Commission Expires 6/5/22 .... .....--- ...�
Notary Public Alisha eger
County of Residence St,. ,Jo.frh
µ:: ��wwww�t I s9'W� :. INIIWM;imiil"MIY� u�A'IX!w�5:'�iliS'r�ww W11 r ,V� f ;mmifhU'W' �xln" ','�'�^ma. .�.
ALISHA ICFtU G
Notary Public, State 0� r d a..
gSEAL
St. JosephCounw
My Commission cn�:Prrc
June05 2022
Version 01/29/2020 Contractor's Bid for Public Works - 6
Arridy
A'
PROJECT NO. 118-105
FOR BIOS DUE: April 14,2020
CONTRACTOR NAME: Walsh is
BASE BID
Item
ND--
Description
Quantity
Unit
Unit Price
Total Amount
1
CONSTRUCTION ENGINEERING
1
LSUM
2,800.00
$2,800.00
2
MOBILIZATION AND DEMOBILIZATION
1
LSUM
16,300.00
$16,300.00
3
CLEARING RIGHT OF WAY
1
LSUM
10,500.00
$10,500.00
4
PAVEMENT, REMOVE
169
SYS
15.00
$2,535. 11 00�
5
CURB, CONCRETE, REMOVE
639
LFT
9.00
$5,751.00
6
CURB AND GUTTER, REMOVE
600
LFT
9.00
$5,400.00
7
SIDEWALK, CONCRETE, REMOVE
694
SYS
12.00
$8,328.00
8
EXCAVATION, COMMON
425
CYS
49.00
$20,825.00
9
TEMPORARY PERIMETER PROTECTION, SILT
503
LFT
2.00
$1,006.00
FENCE
10
TEMPORARY INLET PROTECTION
14
EA
5.00
$910.00
11
COMPACTED AGGREGATE FOR BASE, NO.
194
........
TON
1 k
. . .....
8.75
$1,697.50
53
12
HMA PATCHING, TYPE B
36
TON
105.00
$3,780.00
13
HMA SURFACE, TYPE B
326
TON
99.00
$32,274.00
14
HMA INTERMEDIATE, TYPE B
41
TON
10&00
$4,428.00
15
HMA BASE, TYPE B
99
...............
TON
9100
$9,207.00
16
MILLING, 1 V2 IN.
3,487
SYS
3.40
$11,855.80
17
SAWCUT
LSUM
2,750.00
$2,750.00
18
SIDEWALK, CONCRETE, 4 IN.
614
SYS
68.00
$41,75100
19
CURB RAMP, CONCRETE
185
SYS
81.00
$14,985.00
20
DETECTABLE WARNING SURFACES
10
EA
225.00
$2,250.00
BID/PROPOSAL
CITY OF
SOUTH BEND
PROJECT NAME:
Washington
Street Improvements
Fz
PROJECT NO.
118-105
FOR BIDS DUE:
Aril 14, 2020
V rt
CONTRACTOR NAME:
Walsh $ Kell
, Inc.
BASE BID
Item
,Description
(quantity
Unit
Unit Price
Total Amount
No.
21
COMBINED CONCRETE CURB AND GUTTER
1,214
LFT
36.00
$43,704.00
22
6 IN. CEMENT CONCRETE PAVEMENT FOR
222
SYS
59.00
$13,098.00
DRIVES
23
TOPSOIL
113
CYS
60.00
$6,780.00
24
SODDING, NURSERY
1,015
SYS
4.45nn�N$4,516.751
25
PIPE, PVC, 12 IN.
193
LFT
50.00
$9,650.00
26
PIPE, DUCTILE IRON, 12 IN.
6
LFT
145.00
$870.00
28
CASTING, ADJUST TO GRADE
6
EA
850.00
$5,100.00
29
FURNISH, INSTALL AND ADJUST CASTING
4
EA
1,160.00
$4,640.00
TO GRADE
30
PIPE CONNECTION TO EXISTING
2
EA
1,350.00
$2,700.00
STRUCTURE
31
STANDARD CATCH BASIN
9
EA
3,400.00
$30,600.00
32
SIGN, SHEET, REMOVE
3
EA
88.00
$264.00.
33
SIGN POST, SQUARE TYPE 2,
37
LFT
23.00
$851.00
UNREINFORCED ANCHOR BASE
34
SIGN, SHEET, WITH LEGEND, 0.080 IN.
15
SFT
31.00
$465.00
35
SIGN, SHEET, WITH LEGEND, 0.100 IN.
8
SFT
36.00
$288.00
36
MAINTAINING TRAFFIC
1
LSUM
10,879.46
$10,879.46
37
TEMPORARY PAVEMENT MARKING,
8,951
LFT
0.92
$8,234.92
REMOVABLE, 4 IN.
38
TEMPORARY TRANSVERSE PAVEMENT
132
LFT
5.52
$728.64
MARKING, REMOVABLE, 24 IN.
39
CONSTRUCTION SIGN, A
34
EA
79.00
$2,686.00
40
CONSTRUCTION SIGN, B
19
EA
50.00
$950.00
BID/PROPOSAL
CITE( OF SOUTH BEND
i P h
PROJECT NAME: Washington Street Improvements
PROJECT NO. 118-105
FOR BIDS DUE: April 14, 2020'rr.`T:-"'`"
�1 .r _
CONTRACTOR NAME: Walsh & Kell ,Inc. �:..-
BASE BID
Item
Description
Quantity
Unit
Unit Price
Total Amount
No.
41
DETOUR ROUTE MARKER ASSEMBLY
32
EA
89.00
$2,848.00
42
ROAD CLOSURE SIGN ASSEMBLY
6
EA
115.00
$690.00
43
TYPE III-B BARRICADE
115
LFT
12.00
$1,380.00
44
GA NAL CABLE, CONTROL, COPPER, 3C/14
814
LFT
1.54
$1,253.56
45
GA NAL CABLE, CONTROL, COPPER, 5C/14
851
LFT
1.37
$1,165.87
46
CONDUIT, PVC, 2 IN. SCHEDULE 80
350
LFT
10.40
$3,640.00
47
CONDUIT, PVC, 3 IN. SCHEDULE 80
30
LFT
12.20
$366.00
48
PEDESTRIAN SIGNAL POLE
5
EA
799.00
$3,995.00
49
PEDESTAL POLE FOUNDATION
5
EA
580.00
$2,900.00
50
PEDESTRIAN COUNTDOWN LED WALK—
8
EA
803.00
$6,424.00I
DON'T WALK SIGNALS
51
HANDHOLE
3
EA
986.00
$2,958.00
52
LINE, REMOVE
1
LSUM
500.00
$500.00
53
LINE, THERMOPLASTIC, SOLID, WHITE, 4 IN.
118
LFT
1.05
$123.90
54
E, THERMOPLASTIC, SOLID, YELLOW, 4
1,335
LFT
0.89
$1,188.15
IN
55
THERMOPLASTIC, DOTTED, WHITE, 4
19
LFT
1.05
$19.95.
NNE,
56
STOP LINE, THERMOPLASTIC, WHITE, 24 IN.
96
LFT
5.45
$523.20
57
TRANSVERSE MARKING,
374
LFT
1.25
$467.50
THERMOPLASTIC, CROSSWALK LINE, 6 IN.
58 PAVEMENT MESSAGE MARKING, LANE 2 EA 80.00 $160.00
INDICATION ARROW
59 GROOVING FOR PAVEMENT MARKINGS 1,472 LFT 0.65 $956.80
Addenda's 1 - 3 TOTAL BID: $377,900.00
Bidder(Firm): Walsh & Kell , Inc.
Address: 24358 SR 23
City/State/Zip South Bend IN 46614
Telephone Number: ��`�a� 574-2 -4 11
YELty
�r � d�A i
Fax Number: % PC �
(0 � 574° -8174
R
�(Signature)
m m (Si g e)
°/ ustin P. Hilary, VP of South Bend Area
.......... (Printed Name of Person Signing)
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CITY �.n
MINORITY BUSINESS ENTERPRISE DIVERSITY'
DEVELOPMENT
a^a reams
'6 FORM
-® rf
EVIDENCE OF GOOD FAITH EFFORTS
This completed fo should be included as part of a Bids documents related to City of South Be11 nd public
Works projects requiring Good Faith Efforts to obtain MBEMBE participation® It is the bidder's sole
responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority
or o en°s owned business as defined by the Indiana Department of Administration (I-I-1).
Project NuNumber:1 Date: April 14, 20
20
Project Name:WashingtonStreetImprovements
I— .._ ..
Bidder: WalshKelly, Inc.
Contact Person: Dustin P. Hilary, VP of South rid... . opone...........574- ®4 11
City: South Bend State: IN zip. ___46614
Email: dhilary@waishkelly.com
To determine whethei a bidder has demonstrated good Faith efforts to #each the MBENVBE utilization goals set
forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or
commissions, REQUIRE ALL of the following Good Fab Efforts as listed in the table below*:
SMALL CONTRACT(S): The bidder selected specific portions of the work to be pe o ed
MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including b g do
racts into smaller units to facilitate MBENVBE participation)
n 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 MBEIWBE was unqualified to perform the job.
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.
CITY OF SOUTH BEND 0i '�;
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM �w
FORM MWSE-2.11
MBE/WBE
iiw +y:
Mg, BE Firm
:r
StateBarricading Inc.
Owner or Contact at MBE/WBE Firm MaryMichalski
Telephone: 574-287-2078 Fax: 574-287-1744 Email: statebarricadel@aol.comTYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
If Walsh & Kelly is awarded this project, above firm will be subcontracted to perform work.
MBEMBE Firm Hawk Enterprises, Inc.
Owner or Contact at MBEIWBE Firm Johanna A. Plank - - -
.......... ..
Telephone: 219-662-8090 Fax:219-662-8093 Email: greg@hawk-inc.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Signalization Improvements & Sheet Signs
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
Three(3) quotes were received for this work. Hawk's quote was approximately 18% higher than LOW BID
received.
Based on_analy is of the corn eta tive, lowest, rest o„nslve..and responsible bidder Hawks quote, was not used.
Version 4/2/2019 Contractor's Bid for Public Works -10
C H U 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.
CONTRACTOR
SURETY
(Name, legal status and address):
(Name, Iegal status and principal place of business):
Walsh & Kelly, Inc.
Federal Insurance Company
24358 State Road 23
202B Halls Mill Rd., PO Box 1650
South Bend, IN 46614
Whitehouse Station, rq 081389-1650
OWNER
(Name, legal status and address):
City of South Bend, Indiana, Board of Public Works
227 W. Jefferson Boulevard
South Bend, IN 46601
BOND AMOUNT 5% Five Percent of the Base
Bid Plus any Alternates
PROJECT
(Name, location or address, and project number, if any)
Washington Street Improvements, Project No. 118-105
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the
Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and
severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor
within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and
Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such
bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted
in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract
and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the
difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount
for which the Owner may in good faith contract with another parry to perform the work covered by said bid, then this
obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of
an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver
of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for
an extension beyond sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall
be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.
Printed in cooperation with the American Institute ofArchitects (ALA) by Chubb. The language in this document conforms to the language used in
ALA DocumentA310 Tm- 2010.
Form 15-02-0575-FED (Rev. 3/17)
'When this Bond has been fumishedto comply witha statutory or other legal requirern entin the locationof theProject,
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here
from and provisions conforniffig to such statutwy or other legal requirement shall be deemed hicioryporated herein.
When so ft-imished, 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, AdministrativaAssistant
(Witness) Anna C. Oliger, Administrative Assistant
day of April, 2020
Walsh & K01yPhic.
DusflTi Hitv Vice President
(Title)
Federal Insurance Company
(Attorney -in -Fact) David M.
(Corporate Seal)
Printed in cooperation with the American Institute of Architects (ALA) by Chubb. The language in this document conforms to the language used in
ALI DocumentA310 rm-2010.
Form 15-02-0575-FED (Rm 3/17)
Power of Attomey
gtpi
Know All by These Presents„ that FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY„ a New York corporation„ PACIFIC INDEMNITY
COMPANY, a Wisconsin corporation, WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of the Commonwealth of
Pennsylvania„ do each hereby constitute and appoint David M. filiger
SundyDond'iNumben Bid Bond
Obligee. City of South Bend, Indiana, Board of Public Works
each as thOr true and lawfut-Attornay-m-Fact to execute undersuch designation in their names and to aftc their corporate seals to and deliver for ay..,d on. their behalf as surety
Instruments amending or altering the same, and consents to the modification or alteration of any Instrument referred to in said bonds or obligations.
I,
IHIANCE COMPANY. PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANY
Dawn M. Chloros, Assistant Secretary
iftwq
04"i-li')
0 G!"221).
41
, � i. g^ era.
- -�&� �qj�
Stephen M. Haney, Vice President
On this is day of November, 2019, before me, a Notary Public of New Jersey, personally cause Dawn M. Chloros and Stephen M. Haney; tome known to be 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, the comp es which executed the foregoing Power of Attamey, 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, WESTCRESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and known the
corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies; and that their
signatures as such officers were duly affixed and subscribed by IIIee authority.
m
Notarial Seal CI)
Y1.I t J. N CIFN J11 ti1 1%
CERTIFICA71ON
Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY on August 30, 201fp
WESTCHESTER FIRE INSURANCE COMPANY on December 11, 2006t 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 writton commitments of the Company
entered Into In the ordinary course of busmoss (each aWrinam Co itmene):
(1) Each of the Chairman. the President and the vice Presidents of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company, under the
seal of the Company or otherwise.
(2) Each duly appointed attorney4st-fitct off the Company Is hereby authorized to execute any Written Commitment for and on behalf oftae Company, under the seal of the Company or otherwise,
to the extent that such action is authorized by the gross of powers provided for in such person°s wrfiten appointment as such attorney -in -fact.
(3) Each of the Chairman, the President and the Vice Presidents of the Company ishereby authorized, for and on behalf oftheCompany, toappoint Inwriting any person the a rneytn-
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 a or dass 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 N hereby authorized, for and an behalf of the Company, to delegate M writing 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 Wr Itten Commitments of the Company as are specified In such
written delegation, which specification may be by general type or class of Written Commitments or by specification ofone or more particular Written Commitments.
(S) The signature of any officer or other person euermung any Written Comrsotment or appointment or delegatton pursuant m this Resolution, and the seat of the Company, may be affixed by
facsimile on such Written Consolment or written appointment or delagedon.
FURTHER RESOLVED, that the foregoing Resolution snail not be deemed to be an exclusive statement of the powers and authority of officers, employees and other persons to act for and an behalf of the
Company, and such Resolution shalEnot limit orotherwise affectteeexercisestarrysuchpowerorauthorityotherwise vaHrfly grantedorvestat'
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'Company ) do hereby certify that
(I) the foregoing Resolutions adopted by the hoard of Directors of the Companies are true, correct and in frill force and effect,
(IC) the foregoing Power ofAttorney Is true, correct and in kU force and effect.
Given under my hand and seals of said Companies at Whitehouse Station, NJ, this April 14; 2020.
4.
am
a
VAR
_.. ..._........p
0
pa �" N ` �h'+,e ° Dawn M. Chloros, Assistant Secretary
s tip a�.
..n•
Combined: PED-AG-PI-4wHO-ANC:(rev.11-19) pea "";•f{�sA;@ " ;"•
F
M
Part of State Form52414 (R2 / 2-13) Form 96 (Revised 2013)
Walsh & Kelly, Inc.
(Contractor)
(Address)
South Bend. IN 46614
FOR
PUBLIC WORKS PROJECTS
OF
Citv of South Bend Indiana
Washinciton Street Improvements
Project No. 118-105
Filed Aril 14th, 2020
Action taken
State Form 52414 (R / 9-10)
Prescribed b SQoard�of Accounte Form No96Rvised 20131
CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96
PART 1
(To be completed for all bids. Please type or print)
1. Governmental Unit (Owner):
2. County:
3. Bidder (Firm):
Address:
City/State:
4. Telephone Number:
5. Agent of Bidder (If applicable):
Date (month, day, year): ,,,,,.... IAl r .l1,..4�,, 2020
0..1N of South Bend.,,m,lndana
St.. ........... Joseph
Wals...h-.&...Kelly,._Inc._..___________________._-----
243,5.8....SR 23 ....�..............�.�..,... ..........®
South Bend IN 46614
j574) 288-4811-----------
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public
works project of w Cif;° of South Bend. Indiana — Board of Public Works and Safely, (Governmental Unit) in
accordance with plans and specifications prepared by _DLZ.Indiana, LLC and dated March ,161h 2020„ for the
sum of See Attached $ See Attached.
The undersigned further agrees to fumish 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.
2
The above bid is accepted this
Contracting Authority Members:
day of
ACCEPTANCE
subject to the following conditions:
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 1020
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.
Gatlin Plumbing,&.Heating ...Inc. 11._l.l E. Mam St.,Griffith, IN„ Ms Clara MuN,l�h)--- _________ ----- ___
Gough, Inc. 220,0E 88th Dr.,,,Merrillville, IN 46.4.10 Mr. Raymond Gough
D yer Construction Co.. 1716 Sheffield Avenue, Der. IN _Janet Furman-
Grimmer Construction Co.. Inc 2619 Main Street,,,,Hightand, W,, Mr Greg Grimmer
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
I . 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
YEAR S
---____ ...
PRESENT LOCATION
SIZE, CAPACITY,
OF
ETC.
SERVICE
5
Asphalt Plants
Various
Good
Griffith, South Bend,
Valparaiso, Lowell, LaPorte
19
Asphalt Pavers
Various
Good
Griffith,South Bend
4
Slipform Conc. Paver
Various � _.....
Good
_ ......
-
outh Bend
........ Griffith,� ... �.
-- _
Road
Various
--
Good
Griffith, South Bend —
53
MotorWidener
Graders
CAT/J.D.
..............a
Good
..,....._.
Griffith, South Bend
.... ..... ......... .
......... 54
Rollers
Var'......a.a
sous
.....
Good _.....
- -
Griffith, South Bend
— — ..... — — ....
........ .....................
30
- _--
Rubber Tire Loaders
__
Various
_— — ......._.
Good
........�
L
Griffith, South Bend
_._.... _ _
15
_......... .._
Excavators
Various
Good
Griffith, South Bend
9
-
Bulldozers
Various
Good
�- - --
ffith, South Bend
Griffith,....
..... 6
LowBov Tractors
Various
Good mm m
Griffith, South Bend
8
Flatbed Dumps
Various
Good
.._
Griffith South Bend
_ ..._........._ ...
_
48
.. ... ...........................
3
/2 and /4 ton Picktis..
Various _,,...�
Good
_ —
Griffith S
......._ ... South Bend
65
1 Ton Crew Trucks
- ..._.... --
Various
--......
Good � _..
-
Griffith, South Bend
......... .........
.. -.
3
.... _ -----_
Cold Planers
Wirtgen 1900
Good
Griffith, South Bend
DC
3
Tri-Axle Dumb
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 staternent is, mandatory. Any bid. submitted without said fri-liancial statement as required
by statute shall thereby be rendered iii-iivalid. The financial staternent provided hereunder to the governing body awarding
the contract must be specific enough in detail so that. said governing body can make a proper determination of the bidder's
capability for completing 1he prqject if awarded,
SE(.,'r1oN IV CONTRACTOR'S NON COI.LUSION A14F1.13A.V1711'
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 partnersbip represented by him;, entered into any combination,
collusion or agreement with any person relative to the price to be bid by anyontat such letting nor to prevent any person
from biddiii'lig nor to induce anyone to refrain from bidding, and that this bid is made without refererice to any other bid and
witliout any agreement, understanding or combination with any other person in reference to such bidding.
Ile: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 valillie on account of such sale
SECTION V O.A.1"HAND AFFIR.M.A.'riON
I I IEREBYAFFIRM 1JNDER. THE PE1'4AI.3'IES FOR. PERJI..IR.Y THATTHE FACTS AND lNFORMA110N
CON'117AINED IN'IIIE FOREGOING BID FOR. PRBLICI WORKS ARE TRUE AND CORRECT.
Dated at, South Bend this
t%j I I I I I jjj0J*'0'f
.0S
?,A Te
Ar
I Kin%
I 4th day of
ACKNOWLEDGEMENT
STATE OF Indiana ............. ......... j
) ss
COUNTYOF St. Joseph . . . ......................................................................... .
ame of Organization)
(Title of Person Signing)
Before me, a Notary Public, personally appeared the above -named Dustin.Hilar and
swore that the statements contained in the foregoing document are true and correct.
Subscribed and sworn to before me this ------ - ---- ------ 14 th ............... . day of April, 2020.
. . . .. .. .. ..
Alisha Krueger, Notary �1i' iblic
s I -
My Commission Expires: June 5. 2022
I ALISHA KRUEGER
Notary PublicSWO 01 ind'art"
County of Residence: St. Joseph ,
St. Joseph County
Z.'SEAL"'
My Commission Expires
Juns QS 2022
Form 96 Section II, #2
Subcontractors Used on Public Works Contracts
SUBCONTRACTORS
COMPANY
SEWER
B & D Sewer
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
ELECTRICAL INSTALLATION
Hawk Enterprises
Midwestern Electric
S/T Bancroft Electric
Sweney Electric Company
Trans Tech Electric
SIGN INSTALLATION
ITITITITITITITITITITITIT Hawk Enterprises-ITITITmmITIT
Midwestern Electric
RoadSafe Traffic Systems
State Barricading, Inc.
Traffic Control Specialists, Inc.
..___.- ........................ _.
PAVEMENT MARKINGS
The Airmarking Company mmITITITITITITITITITITIT
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
ADDRESS
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
CITY/STATE/ZIP
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 City, IN 46361
PHONE f 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 Hiqhwav Avenue
3122 Olympia Dr
1810 W Pacific Avenue
3542 Hiqhwav 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'-ITIT-IT-
(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
GUARDRAIL/F ENCINCB
Acorn I:::ence
C `tech Corporation
James N. Drew Company
Security Industries
Specialties Company
TRUCKING/11AULINC
C. Lee Construction Services
Condon Trucking, LLC
I='anio Services
Gilmer Trucking
Material Transfer Inc.
Orris Motor Service, Inc.
SFWMIS
UNDERSEAL
Rieth-I:RIIey Construction Co.,
TREE REMOVAL
Homer Tree Service
Timber Masters LLC
LIME STABILIZATION
Rock Sofid Stabilization
Specialties Company
PIPE LINING
A CU INC
Diamond Coring Co., Inc.
Quality Saw & Seal„ Inc.
SEAL COATING/STRIPING
bite Services Irn __..
Blackout Sealcoating
UNDERD AIN
3D Company, Inc.
2041 164'th Street
5300 W. 't 00 North
6701 Zionsville Rd.
1000 Cecrgiana St.
930 E. 30th St.
1011 S. Lake St
18245 Arnberley Ln
28015 SR 23
20390 New Road
7311 Vest 101 st Ave.
10525 W US I Iwy 30 Bid
7
4410 Doss Road
1455 Louis Sullivan Cr
1645 Elmer St.
Hammond, IN 4 320
Boggs -town, IN 46110
Indianapolis, IN 46266
I Icbart, IN 442
Indianapolis, IN 46229
Cary, IN 46403
South Upend, IN 4637
North Liberty, IN 454
South Fend, IN 46614
Crown Point„ IN 46307
anatah, IN 46390
Cary, IN 46408
Portage, IN 46366
South Bend, IN 46623
ihorntown. IN 46071
2454 Nest CR 450 North LaPorte, IN 46350
1555 Park West Circle
14000 S. Archer Ave
P.O. Box 245
312 E. Fain Street
11600 S Ewing Ave
76.00....
U11. 79th Street
10117 Kennedy Ave
7440 W 87th Place
3200 East CR 350 North
Munster, IN 46321
Lockport, IL 60441
Dyer, IN 46311
Mt. Cannel, IL 62363
Ringwood, IL 60072
Indianapolis, IN 46229
Sulphur Springs, IN
47336
Chicago, IL 60617
Bridgeview,IL60455
Highland, IN 46322
Bridgview, IL 60455
Muncie, IN 47303
i
(765) 766-5040 (765) 533 561
M1
(219) 924-9944
(219) 64-200 (706) 40-6910
(765) 288-3326 (765) 288-3344
7
a,: e neraal lTorm No. °bT.'i..aq.
Pxescrub d by the State 1Board of
Accounts of Indiana. Revised 1.949.
Standard Questionnaires and
Financial Statement idders
Prescribed by
THE STATE BOARD OF ACCOUNTS OF INDIANA
For use in investigating and determining the qualifications of bidders on public
construction when the aggregate cost of any such work or improvement will be Five Thousand
Dollars or more.
These statements to be submitted under oath by each bidder with and as a part of his bid, as provided
by Chapter 306, page 1248, Acts of 1947
Submitted to City of South Bend, Indiana
By, ... Walsh & Ke11yInc. — —
Address _„_24358 SR 23 South Bend, IN 46614
Date submitted ........................................ —At ril 14w 2020---------.-.....--------------------------_--- __--- _
Filed
A.E. BOYCE CO., MUNCIE, IND.
{A Corporation
1
Sec. 2 of an Act entitled "AN ACT concerning the awarding of contracts for the performance of public work and authorizing
the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contractors who submit bids for the
performance of such work, providing for plans and specifications, providing for bids repealing certain laws and declaring an
emergency." (Approved March 13, 1947.)
Sec. 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or more, for the
purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which of the bidders submitting
bids for the performance of any such public work is, in 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.
2
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 fonns, 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 inade 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
Submittedby ... ...........Walsh«& pKell...,.�5,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, .. ............... .._ { x A Corporation
Principal Office at 170,0„East Main,,, Street.. Griffith, IN 46319,
To City of South Bend. Indiana
EXPERIENCE QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers
to interrogatories hereinafter made.
4. Have you ever failed to complete any work awarded to you? No If so, where and why?
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? No___...If so, state name of individual, name of owner and reason therefor
7. In what other lines of business are you financially interested? None,,-,.
4
9. For what cities have you performed work and to whom do you refer?
rown of Griff ith
. . ........................... . . . . . . . . . . . . . . ........... -
Director of Public Works
----------------- -.1�,�--l"..,---,..1.1.1.,.,.,.,-�-�,�,�
Grifirith. IN
. ...... - ___ ................. ............
Town of Schererville —
]own M
- - ------- .. . . . . . . ...............
Scherervillgj ....
. .. . ...............
0111.y offlarnmond
ineer
................................... . .
H ammond, IN
. .....................................
Cih, of Southl3end . ......
City Engineer
...... ...... - -------------------------------
South.Bend, IN
Tow n-o'"(51." lo'b"n- . . . ..................................... . .
--.Low n .Marna er
- — -------------
St. John, IN
10. IFor what counties have you performed work and to whoin do you refer?
IP,oar_ter-1Q11,1,1q, .........
HHiigSpefineldent
CrownPi ...... .......................
u-ntv1i.
v
ghwa
erintendent
Valparaiso,, IN
..... .. . ... . ........................................... . . . .. .
_.
$t,joseph........ C.oun.....!.....�
...jh llprin-tende.....
South ... ,N . . . .
.._._._.
Elkhart Qount............................ffig
1, 4y_5Weri,ntend. ent . .
.n.....t.....
-B, -e..n.....d..
ElkharIN ------- .. . ..... .. . .
I,aPorte Countv
- - - -------
Fli erintendent
............. . .............. ghwa_y Sup L
LaPorte, IN
11. For what State bureaus or departments have you performed work and to Whom do you refer?_ ......... .
Indiana . QU, g of TranspoiVion (INDOT) IaPorte District LaPorte IN
............... ................................ . . . . .............
Pp. is,, IN
12. Have you ever performed any work for tire U.S. Government Y.'es.l. "I'll'-, - . . .... .. . .... ............................................ . . -
Ifso, when and to whom do you . ...... ... . . . ........... ............ . . . . ..... . . ...............
U.S. Arm Corof AziChicag,,o11,
Y -1).5 ------------ t 0- . . . . . .......neers ............. . _ ........ , ....... ... ..................... . . ................................. — - — ---- ----- ------------------- -
Indiana National Guar(t, iDept. dip Administration Indianapoli IN
Federall-li & hwkyAdministration
1-11,1111, 1 — ----- - -- ---- —h apAAn------ ..... . ............................................. .
13. What is the construction,e�
erience of thepr
ncipal individual
ar ani.za
of I .
Lion?
INDIVIDUAL'S NAME
. ....... .
PRESENT POSITION OR
........ ..
- _X
MAGNITU . D . E AND
. .. ... ... . .......... . ............
IN WHAT CAPACITY
OFFICE
CONSTUCTION
TYPE OF WORK
EXPEREINCE
Kevin J. KelIN,
.............. .. .....
Prv�ident -- ---
33
--------- --- ----- - ------
Aflryp��s
--A—
General Mam�r
Reffre L Swan .
Executive Vice President
. ...... ... ................ . . .................... .............................
I
34
. ...... . . . . ..... .
All Th
- ypes .... . ..
. ............... .➢.....
Su)tn
__L__ &ine_eri
David. J. Misirly.
Vice President
33
Biturninous
Engineer
... .....................................
.......... . ..... . . . . ..... — --------------------------------- -----
------------------- - -
Pavipg" ...........
Greg A. 11offinan
VicePresident
31
Bitum inous
Engineer
. .. . . .. . . ........_ _. ___ -------
- --- --------
Pavin
John C.. Wall
Vice President
41
AllI?:S_p
AA ineer
John M. Peisker .
Vice President
........... . . ............ . . . . . . . ...... . ................. . . . .................. .. . . . . ......... . . . . . ......... .
33
.......................................................... . .
A I I y pes . ................ .
General M
. . . ..............................
J. Michael
Secretary/Treasurer
46
Administration
General.Manager
Schaum
Jamie L.Tancos
("onfroller ...................
14
-- ----------------
Administration
General Manager
. ..........
1.�nn J. Bauer
South Bend, Qp, M. y
23
Af" y
Dustin P.1 a, lil
Bend Area M2
..... . . . . . . ...... . .... - - -----------
......... 18
All I j:) ..... ..
Engineer
Mark E.
Engineer
28
All types
. .. .. ... . ....................................
Engineer
-..
Keith AGardina
Eindneer
23
All types
............ — - -- .......
n ineer
. .K.........r.....a.....c...h............e.............n................fi..............D..........i.........s ... .............................................
Niko I as G. Reflas
..............
En ineer
. ..... .
....
Ehitummous
_
En
........ ....... . . ........
av'
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.
Plans., Slj:�ecifi,cat,i,on,s., and, Site Inspections
2. Explain your plan or layout for performing the proposed work - ----------
As directed by owner/ene,ineer
I-- - directed . . . . . . . . . . . . . . . . . . ... . . . ......................................... . . ................................................................................ . . . . . . . . . . . . . . . . . . . . . ................ . . . . . . . . ................................................. . ....... .
3. The work, if awarded to you, will have the personal supervision of whom?,_______......__________________
KevinJ. Kelly, Jeffrev L. Swan, David J. Misirl Gm_,or' , A. Hoffinan, Dustin P. Hilarv, and Lynn J.
. .................... .............
Bauer
4. *Do you intend to do the hauling on the proposed work with your own forces? Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..........................................
If so, give amount and type of equipment to be used As needed
- -------- — - ---------- — --- - ---
5. *If you intend to sublet the hauling or perform it through an agent, state amount of sub -contract or
agent's contract, and if known, the name and address of sub -contractor or agent, amount and type of
his equipment and financial responsibility . . . ......... . ............................................................................................... ---------- ................
Items 4,5,6 and 7 may not be applicable in all building contracts; if not, omit.
6
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
L....,.
TEM
-
DESCRIPTION,
CONDITION
-------- - ._....... ._
YEARS
........................................ .
PRESENT LOCATION
SIZE, CAPACITY,
OF
ETC.
SERVICE
5
Asphalt Plants
Various
Good
Griffith, South Bend,
.�
.........
Valparaiso, Lowell, LaPorte
19
As :halt Pavers
I.
Various
Good
Griffith, South Bend
4
----- —
Sli form Conc Paver
1 ._..... ......_
Various
... -.-.-
Good
........ .....
.........
Griffith South Bend
__._...�.............................................................
3
Road Widener
. _ ....r.r.r......r.r.r.
Various
Good
GriffiSou
South Bend
5
Motor Graders
-- .... -
......... ................_
CAT/J.D.
- .. „_— _ .
Good
w ...
_Griffith,...
Griffith, South Bend
— --
— 54
Rollers
_— ______ .�..
Various
_........ ®®..
Good
Griffith, South Bend
���.,. �...............
30
Rubber Tire Loaders
Various
Good
Griffifl-r, South Bend
.....,Excavator....
.. .........
...... .........
s
........ ........ —
Various
Good
......m.r
...................... ... ....... .......
Griffith South Bend
......... 9
......... ..._....--------- ----.
Bulldozers
--
.................__ .._....._...
Various
................ ......
Good ...
.. .........
....
Griffith South Bend
— _...._
6
LowBoN Tractors
..�
Various
Good
Griffith, South Bend
8
Flatbed Dumps
.... .....
.... .........
Various
Good ----
___ ____
......... .
Griffith, South Bend
.....
48
% and % ton Pickups
Various
Good
Griffith, South Bend
65
.........
1 Ton Crew Trucks
.-. ... ..__.. __--..-
Various
........
Good
......... ........
Griffith, South Bend
3
Cold Planers
Wirtgen 1900
Good
Griffith, South Bend
DC
3
Tri-Axle Dump
— -
Mack m.....
Good JSouth
Bend
�.....__ �.., ... ,
12. How and when will you pay for the equipment to be purchased?
13. Do you propose to rent any equipment for this work?No If so, state type, quantity and reasons for
14. Have you made contracts or received firm offers for all materials within prices used in preparing your
proposal?
Do not give names of dealers or manufacturers
Dated at °„____ South. Bend„_, t is °°_ 14 'rrrr„ day of Al)ril 2020.
Walsh &1 Inc
Name of.rgauzation)....
t� RPORAT�r ®®
By /
kL
,�° e ust n Hilo; ry,, VP of Si
�IleW�! t®���� /(Title of Person Signing)
STATE OF Indiana
Iss.
COUNTY OF St. Joseph _-------
g y p y f.Sou n Area___ of the
Dustin Hila� °............_„ bein duly sworn deposes and says that he is VP o th Be,�,,�,,,,_ � „� „
Walsh & KOK,_Inc.
. above _...... W...................... .. „ „�
(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 1,4t�' _,_, day of _Ag)ril .2020.
Alisha Kru4,ier,Not a ry Public
My Commission expires June 5 2022 A L I S H A K R U E G E R
...... ---------
��.
%•rf` PJotary Public. State of Inciiana
_EAL; = St. Joseph County
g ', a °°•° my Commission Expires
.� , ,A, P
• • •
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.
I further certify this Domestic For -Profit Corporation has filed its most recent report required by
Indiana law with the Secretary of State, or is not yet required to file such report, and that no notice of
withdrawal, dissolution, or expiration has been filed or taken place. All fees, taxes, interest, and
penalties owed to Indiana by the domestic or foreign entity and collected by the Secretary of State
have been paid.
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City
of Indianapolis, Marr•h 16, 2020
All certificates should be validated here. IaEtp� //bsdos ir,i.gov/V,,,sliditeCc,?�-tifica6,�e
Expires on April 15,, 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:
WALSH & KELLY INC
1700 E MAIN ST
GRIFFITH IN 46319
Phone 219-924-5900
Fax 219-924-8768
Company Official
KEVIN KELLY
for the twenty-seven month period stated herein, unless revoked by this Board for cause,
and in the classifications of services stated below. This certificate supersedes any previous certificate.
1611.01 Concrete Construction of Roads & Curbing
1611.02 Asphalt Construction of Roads and Parking Lots
CERTIFICATION DATE 3/14/2018
EXPIRATION DATE 6H412020
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 Secretary
Certification Board
DAPW PQ2 Stale 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 Fehe �fld,�Jr.4
Albert E. VanDenBergh
Kevin J. Kelly
James 9F�ehsenfeld
J an P Vercruysse
EXECUTED this 15'h day of January, 2020.
Fred Febsenfeld, Jr. James C. Fehsenfeld
/
�
Albert E. VanDenBergh John P. Vercruysse
Kevin J. Kelly
EXECUTED this 15`h day of January, 2020.
Fred Fehsenfeld, Jr.
James C. Fehsenfeld
........ y
Albert E. VanDenBer John P.Vercru—sse
ysse
Kevin J. KellyAV
C�
wals :I, & GRIFFITH SOUT11 SEND
*)'w Kellyllin, Ii2X Q 19) 924 87W Fax (574) 289-7114
It is the policy of Walsh & (Kelly to afford equal opportunity for employment to all individuals regardless
of race, color, religion, sex, sexual orientation, gender identity, national origin, ages disabillt°y, housing
statues, or veterans' status. The corporation is committed to this policy by our statues as a federallly
assisted government contractor. We are fair more strorn ly bound -to the policy by the fact that
adherence -to the Iprinciples involved its the only acceptable American way of Ilp-fe.
Therefore, it is the policy of this corporation to assure that applicants are employed, and that employees
are treated du King employment without regard to race, color, religion, sex, sexual orientation, gender
identity, national origin, age, disability, housing statues, or veterans® status. Such action shall include:
employment, upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or
termination; rates of pay or other forms of compensation; and selection for training, including
apprenticeship, pare -apprenticeship, and/or on--the-Job training,
The successful achievement of a nondiscdimnatoiry employment (program requires a rnaximaum of
cooperation between maina ernent 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. (Minority
and ferrnalle employees are encouraged to participate in all company activities and irefer apphcants.)
Our company will take affirmative action to ensure that we will
(1) recruit, hire and promote all job classifications without regard to race, color, religion, sexy
sexual orientation, gender identity, national origin, age, ancestry, disability, veterans statues or housing
status;
(2) (base decisions on employment so as to furtherthe principle of equal employment
opportunity;
(, ) ensure that promotion decisions are in accord with principles of equal employment
opportunity by imposing only valid requirements for promotional olpportiunitles„
() 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, color, religion, sex, sexual orientation, gender identify,
national origin, age, disability veterans statues or housing statues.
I have designated Amy Wright, VP, HR and Talent Develloprmnent, as the Squall Opportunity Officer -to
direct the establishment of and to monitor the implementation of personnel procedures to guide our
affirmative action program, This official is charged wiith designing and implementing audit and reporting
systems that will (keep management informed on a regular basis of the statues of equal eirnplloyrnent
opportunity and affirmative action. She can Ibe reached at (317)616-4907.
(Employees will be made (known of our commitment to equal employment -through the following means:
Posting of equuall opportunity notice on bulletin (boards
ror iWIFIVets/uousaMed
Walsh &
m GRIFFITH a nCa iffith � t a!!!r m rn f � SMITH 23
Phone ("Irk(2M ' rp 14-5M mWnrione I 74)2,8" 49'n "II
O)P Kelly., F ax 12 � 9� 924 8768 Fil[1110 t574) 289-7174
lrncludIng our equal opportunity statement !In our F-lerndbook which its disseminated to aill
employees
Aunrnull supervisory training
Potential employees will be made aware of our pol"ucy thr ugh the following means:
0 By Including -the words "Equal OpportunityEmployer" or ME bun all advertisements and notices
for job openings
Sending notices to union affiliations
Posting of equal opportunity notice on all company crud ,fob 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 fermuale and minority norlty ro up applicants.
This recruitment will be conducted by direct and personal contacts with fermr le and irmnlrnoroty 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 couples of our plan. They will Ibe informed of our desire
for them to implement our program and will be specifically asked to refer fernalles and minority group
employees for employment.
It Is our policy that wages, working conditions and employee benefits will be determined and administered
our a non-discriminatory basis. We wllll conduct periodic reviews of wage e rates, employee beimefltsp and
promotional capabilities to assure they are administered nlstered in a rnoim-dlscrlmmlrnetory manner.
Supervision has been irmnede to understand that their work performance is being evaluated based on
their equal employment opportunity efforts and results, as well as other crlteda. It shall be a
responsibility of the supervlsio n 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 1 . 75, the Rehabilitation Act of 1.973, as amended, the Vletinam IFra
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
Iimdlvuduualswlth (Disabilities.
1
IPelsker, President, Walsh
0.LL�;��sr��
Q; AV
"®rmmmaa NI %':k
e
Date .�,m.....� e .e.
.�w
EOE M/F/Vets/Disabled
H BEND
GRIFFITH p4031�� °i:v w s'l° ' el y r � f
an II ��� il��: ���u ���:� ���:� �u:
Phone
Kellymwn a U l% !�) 5 w u�w��m ��"O
Phone
5124 SW* �� 5 ) zaa� w�lmrt�����
DATE: April 13, 2020
TO: 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 employees'
equal opportunities in all aspects of their employment. She will review complaints that allege
discrimination because of race, religion, 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 1964 and 1991, plus all Executive Orders
issued relating to Equal Employment.
Amy's contact information is listed below.
Heritage Construction and Materials
P.O. Box 421459
Indianapolis, IN 46242
�Lvm Ul"bb i:v Viri mxUVr7ie�
(317) 616-4907 (o)
(317) 474-2559 (m)
� IIIIIjjf
0 L ��
m .....�w
m aw
Jol,t "Peisker, President
r�ttw�drr�
INDIANAPOLIS, IN April25, 2019
TO
WALSH & KELLY INC GRIFF1TH, 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 Worts 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 Tbru April 30, 2020
AGGREGATE....................................................................................................................................... $UNLIMITED
A(B) CONCRETE PAVEMENT: LMTED......................................................................................................... $25,000,000
B(A) ASPHALT PAVEMENT: WANDOT CERTIFIED HMA...........................................................................$UNLHv=D
C(B) LIGHT GRADING........................................................................................................................................$UNLIlvIITED
E(E) SMALL STRUCTURES AND DRAINAGE ITEMS.................................................................................... $25,000,000
E(F) SURFACE MASONRY AND MISC CONCRETE...................................................................................... $50,000,000
E(G) TRAFFIC CONTROL: PAVEMENT MARKINGS ...................................................................................... $25,000,000
E(H) DEEP SEWER AND/OR EXCAVATION.................................................................................................... $25,000,000
E(Q) CONCRETE PAVEMENT REPAIRS.......................................................................................................... $25,000,000
E(R) ASPHALT PAVEMENT MILLING.......................................................... :................................................... $50,000,000
s
. . ................
P EQUALIFICATION ENGINEER
Skate Fv 20508 (R315-05)
M
PREQUALEFICATION WORKSHEET
ACCT ", # 35-1120685 ALT ACCT: # 0449 NEW? SUPP?
NAME: WALSH & KELLY rNC
December 31,2018
ASSETS REPORTED
LIABILITIES REPORTED
................
NET ASSETS REPORTED
09 OMIT NO DETAIL OR QUANTITY
11 Olvffr NO DETAIL
15 CASH SURRENDER VALUE
16 OMIT INTANGIBLES
22 DUE AFTER 24 MONTHS
NET FIXED ASSETS
NET FIXED ASSETS EQUIPMENT
NET ACCEPTABLE ASSETS
RATING FACTORS
RATING COMPONENTS
MAXIMUM EQUIPMENT
PRINTED:
Q22/2019
PQA APPROVED:
419/2019
APPROVED BY:
�4t=2019
DATE:
CURRENT FIXED EQUIPMENT
------ !W"� 9-4,,,7,8,2--.0,-0 ---------- $,9,,-7-4,-5-,-3-3- 8-0-0 -------- 7--0-,-4-0- -0-. -0-0 --------- VALID:
($16,642,474.00) ($16,987,249.00)
$25,952,308.00 ($7,241,911.00)
($3,570,326.00) $0.00
($167,486.00) $0.00
$1,253,591.00 ($1,253,591.00)
$0.00 ($1,152,280.00)
$0.00 $13,690,291.00
F"IRES:
$28,570,400.00 DENIAL DATE:
DENIAL REASON:
$0.00
$0.00
$0.00
$0.00
$0.00
$0
$0
$23,468,087 $4,042,509 $28,570,400
x To X 2 x 8
$234,690,870 $8,095,018 $228,563,200
---------------- X--I.5 --- --------- $228,563,200
$352,021,305 $0
8.00
$228,563,200
$ - 0
+ $234,680,870 +
---- --
$4,042,509
--------------------------
$463,244,070
$4,042,509
X 0.25 ---
-------------- --- "
--- --- X-2--
NLk)C9vffJM FIXED s 11 5,811,01 8 ADJ. FIXED
$8-,0-85,0-1-8--
--- - -------- -- ------------------- -------------
13ALANCE SHEET ANALYSIS
----------------------------------------
CURRENT ASSEPS: ----------------------
$42,594,782 CURRENT RATIO: -----------------
2.559
INVENTORY- ......................
$3,570,326 QUICK RATIO:
---------------------
2.345
CUILRENT LIABILITIES:
............. -----------------------------------------------
$16,642,474 WORKING CAPITAL:
-----------------------------------------------
$25,952,308
LONG TERM LIABILITIES:
------------------------------------------------------
$16,987,249 DEBT/NET WORTH:
......
0.711
NET WORTH:
-------------------------------------------------------------
$47A0,797
TOTAL LIABILITIES:
$33,629,723
NOTES
0
5/1/2019
4/30/2C20
COMPONENT
-------------------------
RATING
CURRENT
-------
34,680,870.00
FIM)
$8,085,018.00
--E--UIPNMNT --------------------
$22-8,5632200.00
MAXUALTM BALANCE
--------------
.............
$471,329,088.00
STATEMENT TYPE:
AUDITED
EXPER. REDUCTION
00/0
AGGREGATE
-----------------.: ---
UNLMTED
-- _: : -------------------------
A(B)
$25,000,000
B (A)
UNLIMITED
C(13)
UNLDAMD
E(F)
$25,000,000
E(F)
$50,000,000
E(G)
$25,00,000
E(H)
$25,000,000
E(Q)
$25,000,000
E(R)
$50,000,000
13 116 Cun,rN,-O'i Y Buu,mm,,,
227W
SOUTH BEND, ft,INANA4660 I WO
i7ll/ 235-925 q
�A X 574/ 215 9 7 11
I'DID 574/ 21 1 15-5567
CITYOF Som,H BEND JAMESMUELLER,MAYOR
BOARD OF PUBLK" WORKS
Date: A 12ril 10, 2020
To: All Planholders
From Linda M. Martin, Clerk, Board of Public Works
...........
Subject Addendum Number: 3
........... . . . . . . . . . . . . ........... . ............. .......... . . . . . ............. . . . .........
Pro . ject Name: Washington., Street Impr ements
b-M-L.- ---- .............. — - ... ............ ............. ...... . . . . ..............
Project No.: .118-105
This addendum is being forwarded to you for the above referenced project.
aim
within 48 hours of receipt. A copy
bid package upon submittal.
Notes:
0
MUST also be included with your
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company:
Authorized Signature:
ary,
Date: 4/10/20
Version 4/2/2015
% Y%,ELL), �,oe
4�
VORATF
/NDIN\ %%%
I 'H 6 (;O'UN YD '1 ir1'Bi.i I LD IN
Sovirl°Ili I113T dx° ,'hNm,,k,'4Dm 4660 k,B30
BO VII tll? J?1.J11 1C.A11". WORKS
1111ioi, u 5"C4/' 3 l 1)25 A
FAN 5'111/ 235 /Mn 'fl
Date: Atri16, 2020
— —
To: All Planholders
---------------- ............ ... ,w . _ _�...
. ....
,......
..
From Linda M. Martin, Clerk, Board of Public Works
......
Subject Addendum Number: 2 _
_
Project Name: Washington Street Improvements
Project No.: 118-105
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:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: Walsh &
Authorized Signature:
n Hilary, VP of South Bend Area
Date: 4/6/20
Version 4/2/2015
FAX, 574/235 9 p 7 p
3 IT7 OF w(A H 13[,ND 3i7V`w L"S h M07"7"7R
BOARD Ole IJ'BI.A.. ,. RR.
Date: March 31, 21-11 ---020
.........
To: All Planholders
From Linda M. Martin, Clerk, Board of Public Works
-- _. - ...............
Subject Addendum Number: 1
Project Name: Washington Street Improvements
Project No.: 118-105
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 3/31 /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:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: Walshc "„
& Kell In
.
Authorized Signature: n Hilary, J South Bend Area ®'gip
Date: 3/31 /20 V 0 RA T�
' d------_ . ..
_...................... -
SEALI
® -
re
Qi �®
Version 4/2/2015