HomeMy WebLinkAboutOpening of Quotes - Century Center Restroom Renovation Project No. 118-104CR - Ziolkowski Construction, Inc.� r
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PROJECT NAME: Century Center North Restroom Renovation
PROJECT NO. 118-104CR
QUOTES DUE April 28, 2020: 9:30 AM Local time.
(Must be completed for all quotes. Please type or print)
Date: April 28, 2020 Firm: Ziolkowski Construction, Inc.
Address: 4050 Ralph Jones Drive
City/State/Zip: South Bend, IN 46628 Telephone Number: ( 574 ) 287-1811
Agent of Bidder (if Applicable): N/A
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
Century Center North Restroom Renovation
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
American Structurepoint, Inc.
and dated December, 2019 for the sum of (enter the Total Quote as shown on the Proposal)
Eighty -Six Thousand Seven Hundred Dollars ($ 86,700.00 )
(Enter Sum of Total Quote plus Alternates shown on Proposal)
(Numerical)
If alternative quotes 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 City of South Bend. If the quote is to be awarded on a unit basis, the itemization of the units shall be
shown on a separate attachment.
By - ,
Bill Favors, PresidenT
(Printed Name of Person Signing)
The above quote is accepted this day of 20
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President Joseph R. Molnar, Member
Elizabeth A. Maradik, Member Therese J. Dorau, Member
Jordan V. Gathers, Member Attest: Linda M. Martin, Clerk
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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 Indiana )
St Joseph ) SS:
COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties ofperjury that:
l . 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 (1) use the credit to provides goods and services in the
energy sector in Iran; and (ii) at the time the financial institution extends credit, is a
person identified on list published by the Indiana Department of Administration.
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any
employee or contract with a person that the Contractor subsequently learns is an unauthorized alien.
Version 4/2/2019 Page - 12 Public Works Quote
Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of
Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3.
Contractor's documentation of enrollment and participation in the E-Verify Program is included and
attached as part of this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public contract
to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien,
nor retain any employee or contract with a person that the subcontractor subsequently learns is an
unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify
Program. The Contractor agrees to maintain this certification throughout the term of the contract
with the City of South Bend, and understands that the City may terminate the contract for default if
the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified
by the City.
6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the
City of South Bend through its agencies, boards, or commissions shall not discriminate against any
employee or applicant for employment in the performance of a City contract with respect to hire,
tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to
employment because of race, sex, religion, color, national origin, ancestry, age, gender expression,
gender identity, sexual orientation or disability that does not affect that person's ability to perform
the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or
any combination of the foregoing including, but not limited to, public works contracts awarded under
public bidding laws or other contracts in which public bids are not required by law, the City, its
agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain
participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE")
or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible,
responsive bidder.
In no event shall persons or entities seeking the award of a City contract be required to award a
subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE.
A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that
person or entity from being awarded a City contract for a period of one (1) year from the date of
such determination, and such determination may also be grounds for terminating the contact for
which the discriminatory practice or noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination commitment shall be
made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana
or any of its agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for
employment in the performance of this contract with privileges of employment, or any matter
directly or indirectly related to employment, because of race, religion, color, sex, gender expression,
gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision
may be regarded as material breach of contract.
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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.
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 28th day of April , 2020
Subscribed and sworn to before me this 28th
My Commission Expires
March 6, 2025
County of Residence
Ziolkowski Construction, Inc.
Contractor/Bidder (Firm)
Signature of Contractor/Bidder or Its Agent
Bill Favors, President
Printed Name and Title
day of April , 2020
Notary Public L tfiig -.
El r&i t
LYNN D VINING
Seal
Notary Public— State of Indiana
Elkhart County
My Commission Expires Mar 6, 2025
Version 4/2/2019 Page - 14 Public Works Quote
PROJECT NAME:
PROJECT NO.
QUOTES DUE
Base Quote
QUOTE/PROPOSAL
CITY OF SOUTH BEND
Century Center North Restroom Renovation
118-104CR
Aoril 28. 2020: 9:30 AM Local time.
Item No.
Description
Quantity
Unit
Unit Price
Total Amount
Work includes construction of
Selective Demolition and Renovation
Base Bid
to the Restroom spaces as indicated
1
LS
$ 59 800.00
$ 59,800.00
on drawings. Including but not
limited to spaces on the Second
Level.
Total Amount of Quote
$ 59,800.00
Alternate 1
Item No.
Description
Quantity
Unit
Unit Price
Total Amount
Add
Work includes construction of
Alternate
Selective Demolition and Renovation
1
LS
$ 12,500.00
$ 12,500.00
to the Family Restroom RR21 as
.No. 1
indicated on drawings.
Total Amount of Quote
$ 12,500.00
Alternate 2
Item No.
Description
Quantity
Unit
Unit Price
Total Amount
Add
Work includes construction of
Alternate.
Selective Demolition and Renovation
1
LS
$ 12 400.00
$ 12 400.00
to the Family Restroom RR25 as
No. 2
indicated on drawings.
Total Amount of Quote
$ 12,400.00
Alternate 3
Item No.
Description
Quantity
Unit
Unit Price
Total Amount
Add
Additional pricing to run wiring in the
Alternate.
wall and effectively eliminate the
1
LS
$ 2,000.00
$ 2,000.00
No. 3
surface mounted raceways.
Total Amount of Quote
$ 2,000.00
Version 4/2/2019 Page - 1 Public Works Quote
Firm:
Address:
Ziolkowslci Construction, Inc.
4050 Ralph Jones Drive
Total Amount of Base Quote
Total Amount of Alternate
Base Quote + Alternate 'Total
South Bend, IN 46628
City/State/Zip: Telephone Number: ( 574) 287-1811
Fax Number: ( 574 ) 234-0151
$ 59,800.00
By,._......-....
(Signature)
Bill Favors, President
(Printed Name of Person Signing)
Version 4/2/2019 Page - 2 Public Works Quote
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Version 4/2/2019 Page - 19 Public Works Quote
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1865
CITY OF SOUTH BFTqD Bi-ri"t'iGir.xi, MAYOR
13WARD OF 1""UBLIC WORKF)
Date: April 1, 2020
To: All Planholders
From Becca Plantz, Project Manager
Subject Addendum Number: 1
Project Name: Century Center North Restroom Renovation
Project No.: 118-104CR
Date Received:
574/ 235-(,,)25 1
5'74/ 235-9171
574/ 235-5507
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.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company:
�
Authorized Signature: 2
Date:
r 6 ("ouJ ,-[ s NY B HX)INr
FAN 5 "7 3r
P„rr.,;'e q B1.1iA.r, 1 NguM<v,b 466 01 74.-5567
m �
BOARD Pt)ltt_ 1IC WORKS
Date: April 24, 2020
To: All Planholders
From Becca Plantz, Project Manager
Subject Addendum Number: 2
Project Name: Century Center North Restroom Renovation
Project No.: 118-104CR
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received:
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum by
faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy MUST also be included with your
bid package u1; 1-;submittal.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: C)������m�,
Authorized Signature:
Date: °V'
%;1
ASA%
i' 31,11 K6 Ji
Company ID Number, 48667.1
THE E-VERIFY PROGRAM FOR EMPLOYMENT VERIFICATION
MEMORANDUM OF UNDERSTANDING
ARTICLE I
This Memorandum of Understanding (MOU) sets fbrth the points, of agreement between the
Department partmefit of Homeland Security (DHIons S) and Vdkowski Ctruethm,In c. (Employer)
regarding arding the Employees participation in the. Employment Eligibility Verification Pfoar-am (E-
Wrify).. This MOV explains certain, features of the E-Verify program and enumerates specific
responsibilities of DHS, the Social Security Administration (SSA), and the Employer.. E-Verify is
a program that electronically confirms an employee's eligibility to . work in the United States after
cornplbt.lon. of the Employment Eligibility Verification Form (Form 1-0). For covered government
contractors, E.-Verify is used to. verify the etnplpyrpent eligibil . ity of all newly hired employees and
all QXisting employees- Assigned to Federal contracts. or to verify the entire workforce if the
contractor sochooses,
Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration
Reform and Immigrant Responsibility Act of 1996 (11RIRA.), Pub. L. 104--208i 11 d-.8tat. 30
[]9, as.
amended (8 U.S.C: § 1324a note). Authority for use of the F-Vqrif a .y program by Federal
contractors and subcontractors covered by the terms of Subpart 22.18, Emp] ' oyment Eligibility
Verification', of the Federal Acquisition: Regulaticn-AR) (hereinafter referred 10 in this MOUas. (F
a 'Federal contractor with the FAR EN(atify blauW) to veelf .y the employment eligibility of
certain & mployeas working on Federal contracts is also fbund in Subpart 22-18 andinE'xeGutiV6
Order 12989, as amended,
ARTICLE 11
FINCTIONS TO BE PERFORMED.
A. RESPONSIBILITIES OF SSA
SSA agrees to provide the. Emp] - oyer With available information that allows the Employer to
confirm the accuracy of Social Security Numbers provided by all employe' es verifed'under this
MOU and the employment authorization of U.S: citizens.
1 SSA agrees to provide to the Employer appropriate assistance price with opQratidndl problems that
may arise during the- Employer's participation in the E-Verify program. SSA agrees to provide
the Employer With names,. titles;. addresses, and telephone numbers of SSA representatives to
be contacted during the E-Verify process.
3., SSA agrees to safeguard the information provided by the Employer through the - E-Verif y
program procedures, and to limit access to such informati
on, as. is appropriate py- law, to
individuals responsible
. for the verification of Social Security Numbers and for" evaluation of the
E-Verify program or- such other per§ons.or entities who may be authorized by SSA as governed
Page 1 of 13 1 E-Verify MOU for Emplo} er I Rdvisidii Dat6 09101109 vdww.dhs.gov1E-Var1fy
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Company tD Number, 486671
To be aGceptqd as a partidpant in E-Verily,,you should only sign the Employer's- Secti.on
of the signature page. If you have any questions, contact E-Verify at 8880-484-4218.
Ernpl6yer MIkOWS14 C(MAM-06 , ke.
Bill Favors
Name (Please Type or PffnQ
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"e.
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slgnature
Date
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Name (Please Type or Print)
Electronically Signed
we
D111GI2012
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[ate
Information Required for the E-V6jfy Program
Information relating to your aomoany:
Gonipphy N8me:
Ziolkdwsk! Construrflon, Md.
Company Fadrify Address:
4050 Rtilph Jones Dr.
South Bend., IN 4B628
Qpmpany Altp.m?tb
Addres8:
County or Parish:
$TjOSEPH
Eniployef IdWifiqation
Number..
514469,92
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WE,
Company ID Murnber'. 486671
.North American Industry
Classiffeatfon Systems-
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236
Administrator
Number of Employees:
100 to 469.
Kfumbpr of Sites Vefifi ed
for:
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in, each State,
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questions: or operational problems:
Namei James I(eldsen
Telephbne Number: (�74) 287 - 1811 ext. 368. pax Number: { 174) 344 - 5--533
E-mail Address, jke)[4sen @ uild.cow
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NAIGS Code: 238 - CONMUCTION'Of BUILDINGS
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LJ.6.DepartmantofHom---4an.dSecudtj-w,vi�dhg.g-)v U.S. Cifizen.sblp and Imml - �rafloa Services- ww-uscis-gov EnablePermanantTooRips Accessibility Dbwn1DadV'1q%varg
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Date:
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From
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Project No.:
PHONE 574/235-9251
FAx 574/ 235-9171
TDD 5741235-5567
CTT'Y OF SOUTH BEND PF.TF~ BUTTTGTBG, MAYOR
BOARD OF PUBLIC WORDS
April 1, 2020
All Planholders
Becca Plantz, Project Manager
Addendum Number: 1
Cents Center North Restraam Renovation
118-104CR
ACKNOWLEDGEMENT EMENT OF RECEIPT OF ADDENDUM
Date Received:
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum by
faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy MUST also be included with your
bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company:
Zko I k-nw
Authorized Signature:�`-
Date- 44 ~ — c)