HomeMy WebLinkAboutOpening of Bids - 2020 Curb & Sidewalk Construction Proj No. 120-001 - Ziolkowski Construction, Inc.WTI
CONTRACTOR'S BID FOR PUBLIC WORK
CITY OF SOUTH BEND" NNDUANACHECKLIST FOR BIDDERS
Project Name 2020 Curb and S,idewalk Construction
Project No. 120-001
For Bids Due May 12, 2020 at 9:30am, Local Time
From time totime the South Bend Board ofPublic Works finds itnecessary to rejectobid because
it does not comply with statutory requirements. In preparing your bid, please use the following
checklist inorder 10make sure that your bid |sdone inthe proper manner.
Proper bid security included. The bidder has the option ofproviding either oCertified Check
X or Bid Bond.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
X
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
Certification mfuse ofUnited States Steel Products orFoundry Products.
Proof of MVVBE Utilization Plan [K8VVBE-1.0]. If minimum participation goal is not met, also
provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MWBE Contacted Form
X
WA Acknowledge Receipt ofAddandum(s)included with the bid.
X All required additional information is included with the bid.
Proposal statements and other affidavits all signed bythe proper party with name either
]{ printed nrtyped underneath signature.
X This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, bdoes not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.
Ziolkowski Construction, Inc.
By Authorized
8' D@tUne:
Bill Pr�n[dcm1
Print Nama����e� �^"m� '
Vers|omO1/2S/2D2O Contractor's Bid for Public Works I
Date: May 12, 2020
Date:
Address'.
MEMO=
PART I
(Must be completed for all bids. Please type or print)
May 12, 2020 Bidder (Firm): Ziolkowski Construction, Inc.
4050 Ralph Jones Drive
Citylstate/zip: South Bend, IN 46628 Telephone Number: ( 574 ) 287-1811
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
2020 Curb and Sidewalk Construction.
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
Department of Public Works Division of Engineering
and dated 3/30/2020
for the sum of (enter the Total Bid as shown on the Proposal)
Four Hundred Fifty -Four Thousand Three Hundred Thirteen Dollars 454,313.00
(Enter sum of Total Bid shown on Proposal) (Numerical)
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in
the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in, accordance
with the notice. Any addendurns 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 bid is to be awarded on a unit
basis, the itemization of the units shall be shown on a separate attachment,
By
Bill Favors, President (Signature)
(Printed Name of Person Signing)
The above bid is accepted this
Subject to the following conditions:
1467.110AX031,201 -4
Gary A. Gilot, President
Elizabeth A. Maradik, Member
Jordan V. Gathers, Member
e 5 � �., I �Lm
ME
Joseph R. Molnar, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
Version 01129/2020 Contractor's Bid for Public Works - 2
K%
PART 11
(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
I . Attach information regarding projects your organization has completed for the period of one
(1) year prior to the date of the current bid. See, Attached
2. Attach a listing of public works projects currently in process of construction by your
organization. See [ached
3. Attach information regarding any failure to complete any work awarded to you and the
location thereof. N/A
4. Attach references from private firms for which you have performed work. See Amiched
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.) -As directed by the Architect / Construction Manager / Bid Doculnenl,s,
2. Attach a listing of the names and addresses of all subcontractors (Le. 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. - If'Subcontractors wfll bC Used "?(" �Nrffl submit this inforniation 24 hoi,jrs
after notil-ication.
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.
.1 fl'Subcontrnctors Nvill bC LUSed we will submit this infonnation, 24 hours after notificMicm.
4. Attach a listing of equipment you have available to use for the proposed project.
- We will use the appropri,ae equipaient re-q[Jired io corniflew ti"le PrU ' jeCir properlyowd on ffine.
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. .... . Yes
I
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 01/2,9/2020 Contractor's Bid for Public Works - 3
t! 8
ct
0 kc)
<5
cn
0 to
0
a,
>
0 m
0
cn -tt
L)
CN
0n
a,
a
C7ti
1
C)
cq
ko
m
00
00
�t
rn
DO
oo
Ln
4,
00
CN
cl,
00
oc
Ln
Gq
64
biA
UJI
C)
0
u
0
Ln
En
tn
1"4
(/3
0
4-4
Cd
UO
Q
0 0
Cy
Q
ya.,
0
0 0
uo
En
03
CIO
-4w
Cd
cd
4;,o C)
bm
15
W
0.4
ti
WNW,
a)
U
U
u
u
00
+
d)
u rq
00
00
a) 00
t 00
. .
rA
b,Q
....... .
-q
Lon
ca kn
W/k
00
CD
CD
rq
CA
cq
Ln
Lr�
00
Lr)
cq
00
kn
�'
C-
ce&
Go%
bl)
44
V)
0 .0
p- u
%Gill0
0
U
. .... . . .
. . . . . . . . . . . .
7�
44
L
t17A
IS
00
Construction, inc.
General CORStruetion & Design/Build
_r
S t r o % g' 0" f 'I' sV'�"Ip's'Since 1974
University of Notre Dame
200 Facilities Building
Notre Dame, IN 46556
Tony Polotto
LEER, AP
574-631-4200
City of Mishawaka Ken Prince 574-258-1625
600 East Third Street
Mishawaka. IN
Fetters Construction, Inc. Steven A. Fetters 260-927-8516
5417 County Road 427
Auburn, IN 46706
Memorial Hospital & Health System Larry Lies 574-647-1000
615 N. Michigan Street
South Bend, IN46601
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 )
) SS:
St. Joseph COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that:
1. Contractor has not, nor has any other member, representative, or agent of the firm, company,
corporation or partnership represented by him, entered into any combination, collusion or agreement with
any person relative to the price to be bid by anyone at such ]citing 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 Iater 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 ate-MWBE;
however, they may not unlawfully discriminate against said MBEIWBE. 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-I). 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 detennination
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 trace and correct,
Dated this 12th
day of May 2020
Subscribed and sworn to before the this
My Commission Expires January 28, 2023
Ziolkowski. Construction, Inc.
Contractor/Bidder (Finn)
Signature of Contractor/Bidder or Its Agent
Bill Favors, President
Printed Name and. Title
lath day of May ,, 20 2a
tary Pu is Jennifer Wiest
County of Residence St. J
1,e JE NIFER IVIES
aw.a:` Notary Public, State of Indiana
St. Joseph County
"••5��4
Commission # 663344
A
�i��N6tAN
My Commission Expires
"�+arra+� VI
January 26, 2023
Version 01129/2020 Contractor's Bid for Public Works - 6
x
.7
BID/PROPOSAL
CITY OF SOUTH BEND
Project Name: 2020 Curb and Sidewalk Construction
Project Number: 120-001
May 12, 2020 at 9,30arn Local Time -see J1sotdht)endh gj for
For Bids Due, electronic bid submission information
Contractor Name: Ziolkowski Construction, Inc.
11v4--9T*1qM
Item
No.
Description
Quantity
Unit
—S
Unit Price
Total Amount
1
CONCRETE SIDEWALK, REMOVE
350
Sy-
—S
$ 33.00
$11,550,00
2
CONCRETE SIDEWALK, 4-IN
350
gy-
T69.00
$24,150.00
3
CONCRETE CURB, REMOVE
630
LFT
$ 18-00
S 11,340.00
4
CONCRETE CURB, MODIFIED
630
LFT
$40.00
$25,200.00
—1,375.00
5
CONCRETE APPROACH, REMOVE
25
SYS
$ 55.60--T
6
PCCP FOR APPROACHES, 6-IN
25
SYS
$ 140-00
$3,500.00
7
TOPSOIL AND SEEDING
28
SYS
$76.00
$ 2,128.00
[WTAJ-.-ff 6-N, "I
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
1
CONCRETE SIDEWALK, REMOVE
200
SYS
$44.00
S 8,80Q.00
2
CONCRETE SIDEWALK, 4-IN
200
SYS
$69.00
$13,800.O0
3
CONCRETE CURB, REMOVE
320
LFT
$44.00
$ 14,080.00
4
1 CONCRETE CURB, MODIFIED
320
LFT
$40.00
$12,800.00
7
TOPSOIL AND SEEDING
180
SYS
$32.00
$5,760.00
11
TREE, REMOVE, 30 IN
1
EA
$1,810-00
$1,810.00
12
TREE, REMOVE, 48 IN
1
EA
$2,660,00
$2,660.00.
13
STUMP, REMOVE
2
EA
$483.00
$966.00
14
PLANT, DECIDUOUS TREE, SINGLE STEM, 2-
IN TO 2.5 IN
4 "--dy—S
EA
$460,00
$1,840.00
15
CURB RAMP, REMOVE
16
$88,00
$1,408,00
17
PAIRED PERPENDICULAR CURB RAMP
16
SYS
$235.00
$3,760.00
DIVISION A2 TOTAL $67,684.00
Item
No.
Description
Quantity
Unit
1
Unit Price
Total Amount
1
CONCRETE SIDEWALK, REMOVE
405
sys
$44.00
$17,820.00
2
CONCRETE SIDEWALK, 4-IN
405
SYS
$69.00
$27,945,00
3
CONCRETE CURB, REMOVE
2110
LFT
$44.00
$9,240.00
4
1 CONCRETE CURB, MODIFIED
210
LFT
$40.60
$8,400.00
5
CONCRETE APPROACH, REMOVE
13
SYS
9-11-10.00
$ 1,430.00
6
PCCP FOR APPROACHES, 6-IN.
13
SYS
$140.00
$ 1,820,00
7
TOPSOIL AND SEEDING
120
SYS
43.00
$ 5,160.00_
11
TREE, REMOVE, 30 IN
1
EA
$ 1,810.00
$ 1,810,00
13
STUMP, REMOVE
1
EA
$483.00
$483.00
15
CURB RAMP, REMOVE
56
SYS
8 0
$4,928.00
17
PAIRED PERPENDICULAR CURB RAMP
40
SYS
0
$9,400.0
DIVISION 131 TOTAL $88,436.00
Version O1/29/2020 Contractor's Bid for Public Works - 7
," are
BID/PROPOSAL �I
CITY OF SOUTH BEND`
Project Name., 2020 Curia and Sidewalk Construction
Project Number: 120-001
For Bids Cue; I .,m I�i�i�irllio 0.1 I t„irds for
May 12, 2020 at 9:30am Local Time � see Iif1 ��.w,�I���i�rmtilil, m
electronic bid submission infformation
Contractor Name: Ziolkowski Construction Inc.
p N.
No
Description
Quantity
Unit
Unit Price
�' Total Amount
1
CONCRETE SIDEWALK, REMOVE
70
SYS
$ 44.00
$ 3,080.00
2
CONCRETE SIDEWALK, 4-IN
70
SYS
$ 69.00
$ 4,830.00
3
CONCRETE CURB REMOVE
100
LFT
$ 44.00
$ 4 400.00
4
CONCRETE CURB, MODIFIED
100
LFT
$40.00
$ 4,000.00
5
CONCRETE APPROACH, REMOVE
30
SYS
$55.00
$ 1,650.00
6
PCCP FOR APPROACHES, 6-IN
30
SYS
$ 140.00
$ 4 200.00
7
TOPSOIL AND SEEDING
60
SyS7
$44.00
$ 2,640.00
10
TREE, REMOVE, 18 IN
1
EA
$ 1,260.00
$ 1,260.00
11
TREE, REMOVE, 30 IN
1
EA
$ 1,810.00
$ 1 810.00
14
PLANT, DECIDUOUS TREE, SINGLE STEM, 2-
IN TO 2.5 IN
2
EA
$ 402.00
$ 804,00
DIVISION B2 TOTAL $ 28,674.00
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
1 I
CONCRETE SIDEWALK, REMOVE
100
SYS
$ 44.00
$4,400.09-
2
CONCRETE SIDEWALK, 4-IN
100
SYS
$ 69.00
$6,900.00
3
CONCRETE CURB, REMOVE
140
LFT
$ 44.00
$6.160.00
4
CONCRETE CURB, MODIFIED
140
LFT
$ 40.00
$ S 600.00
7
TOPSOIL AND SEEDING
80
SYS
$ 39.00
$ 3,120.00
10
TREE, REMOVE, 18 IN
1
EA
$ 1,260.00
$ 1,260.00
11
TREE, REMOVE, 30 IN
3
EA
$ 1,810.00
$5,430.00
14
PLANT, DECIDUOUS TREE, SINGLE STEM, 2-
IN TO 2.5 IN
4
�EA
$ 489.aa
$ 1,956.015
CURB RAMP, REMOVE
16
YS
$ 110.00
$ 1,760.00
16
ONE-WAY PERPENDICULAR CURB RAMP
16
SYS
235.00
3,760.00
DIVISION B3 TOTAL $ 40,346.00
f:,
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
1
CONCRETE SIDEWALK, REMOVE
100
SYS
$ 44.00
$4,400.00
2
CONCRETE SIDEWALK, 4-IN
100
SYS
b9.00
$ 6 900.00
3
CONCRETE CURB, REMOVE
160
LFT
$44.00
$7,040.00
4
CONCRETE CURB, MODIFIED
160
LFT
$40.00
$ b 400.00
5
CONCRETE APPROACH, REMOVE
20
SYS
$ 55.00
$ 1,100.00
6
PCCP FOR APPROACHES, 6-IN
20
SYS
140.00
$ 2 800,00
7
TOPSOIL AND SEEDING
35
SYS
$ 98.00
$ 3,430.00
10
TREE, REMOVE, 18 IN
2
EA
$ 1,260.00
2,520.00
11
TREE REMOVE, 30 IN
1
EA
1 $ 1,810.00
$ 1 810.00
13
STUMP, REMOVE
1
EA
$ 483.00
$483.00
14
PLANT, DECIDUOUS TREE, SINGLE STEM, 2-
IN TO 2,5 IN
4
EA
$ 460.00
$ 1,840.00
15
CURB RAMP, REMOVE
16
SYS$88.00
$ 1,480.00
17
PAIRED PERPENDICULAR CURB RAMP
16
SYS
$ 3 760.00
DIVISION C1 TOTAL $ 43,891.00
Version 01129/2020 Contractor's Bid for Public Works - 8
/11
BID/PROPOSAL i ✓ .
CITY OF SOUTH BEND rv�
Project Name: 2020 Curti and Sidewalk Construction „
Project Number: 120-001
For Bids Due: May 12, 2020 at : 0am Local Time — see i�ttt) ma �/���:::tl�Tl�r ul„�I,inq tt 1bL s for
electronic bid submission information
Contractor Name: Ziolkowski Construction, Inc.
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
1
CONCRETE SIDEWALK, REMOVE
180
SYS
$44.00
$ 7 920.00
2
CONCRETE SIDEWALK, 4-IN
180
SYS
$ 69.00
12,420.00
3
CONCRETE CURB, REMOVE
225
LFT
$ 44.00
$ 9,900.00
4
1 CONCRETE CURS, MODIFIED
225
$ 40.00
$ 9,000.00
5
CONCRETE APPROACH, REMOVE
17
88.00
6
PCCP FOR APPROACHES, 6-1N
17
rEA
$ 140.00
$ 2 380.00
7
TOPSOIL AND SEEDING
125
$ 33.00
I 4,125.00
11
TREE, REMOVE, 30 IN
4
1,810.00
$ 7 240.00
13
STUMP, REMOVE
1
$483,00
$ 483.00
14
PLANT, DECIDUOUS TREE, SINGLE STEM, 2-
IN TO 2.5 IN
5
EA
437.0Q
$ 2,185.00
DIVISION E1 TOTAL $ 57,149.00
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
1
CONCRETE SIDEWALK, REMOVE..
150
SYS
$ 44.00
$ 6,600.00
2
CONCRETE SIDEWALK, 4-IN
150
SYS
$ 69.00
10,350.00
3
CONCRETE CURB, REMOVE
205
LFT
$44.00
$9,020.00
4
CONCRETE CURB, MODIFIED
205
LFT
$ 40.00
$ 8,200.00
5
CONCRETE APPROACH, REMOVE
14
SY'S
$ 88.00
$ 1,232.00
6
PCCP FOR APPROACHES, 6-1N
14
SYS
$ 140.00
7
TOPSOIL AND SEEDING
115
SYS
$ 35.00
$4,025.00
10
TREE, REMOVE, 18 IN
2
EA
$1,260,00
$ 2,520.00
12
TREE REMOVE 48 IN
1
EA
$ 2,660.00
$ 2,660.00
13
STUMP REMOVE
1
EA
$ 483.00
$ 483.00
14
PLANT, DECIDUOUS TREE, SINGLE STEM, 2-
IN TO 2.5 IN
4
EA
$ 460,dIJ
$ 1,840.00
Bidder (Firm):
Address:
City/State/Zip:
DIVISION E2 TOTAL $ 48,890.00
Ziollcowski Construction, Inc.
4050 Ralph Jones Drive
South Bend, IN 46628 Telephone Number: ( 574 ) 287-1.811
By�:°�.
(Signature)
Bill Favors, President
(Printed Name of Person Signing)
Version 01/29/2020 Contractor's Bid for Public Works - 9
4..
0
E
m
Z
CL
0
u
9
04
V-
I
I a I )
220
C 0 '0�'
2-0-
0 T3
EL
LLJ
m
CL
E
141)
E 0
Qrl�
CD
CL
cn
aj.CR
N
(L
-0 :3
,2 0
Cy
CL 0
iw
P-4
C)
0
LZ
0
E2 —
(D
0
0
C)
Co
E
kf)
0 C,
-0 ": a>
0
U)
to
+,
rA
06
7�
E
z
IN'
I
I
2
a),
a
1011
0
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN 14,
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBEIWBE participation. It is the bidder's sole
responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority
or Women's owned business as defined by the Indiana Department of Administration ("IDOA").
Project Number: 120-001 Date: May 12, 2020
Project Name: 2020 Curb and Sidewalk Construction
Bidder: Ziolkowski Construction, Inc,
Contact Person: -Adam Bradley Telephone: 574-607-5077
Address: 4050 Ralph Jones Drive
City: South Bend State: Indiana zip� 46628
Email: abradley@zbuild.com
To determine whether a bidder has demonstrated good faith efforts to reach the MBEANBE utilization goals set
forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or
commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*:
EVIDENCE OF GOOD FAITH EFFORTS
MBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business
X AB
Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women
Owned Business as found on their website (http://www.in.gov/idoa).
ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South
Bend requires that all perspective bidders complete no less than 2 of the following:
1. Attend all pre -bid meetings scheduled by the City to inform MBEANBEs of contracting and
subcontracting opportunities.
2. Advertise in general circulation and/or trade association publications concerning subcontracting
• AB
opportunities, and allow MBEANBEs reasonable time to respond.
3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated
to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to
participate effectively.
4. Utilize pre-existing services of available community organizations, small and/or disadvantaged
business assistance offices and other organizations that provided assistance in the recruitment
and placement of MBENVBE firms.
"Bidder must circle or otherwise notate which of the two (2) required actions were performed.
GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBENVBES,
• AB
including providing such MBEANBE's with adequate information about the plans, specifications and other
requirements of the subcontract and did not reject MBEA(VBEs as unqualified without sound business
reasons based on a thorough investigation of their capabilities.
SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by
• AB
MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down
contracts into smaller units to facilitate MBEiWBE participation)
CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has
bid on the subcontracting opportunity:
1, Name, address, and telephone number
• AB
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.
*Proper demonstration R Good Faith Effort requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version 01/29/2020 Contractor's Bid for Public Works - 11
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MWBE-2.1
MWBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring contacted MBEIWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify
whether any listed minority or woman business meets the qualifications of a Minority or Women's owned
business.
Project Number:
Project Name:
Bidder
By:
120-001
2020 Curb and Sidewalk Construction
PAGE OF
MWBE Participation Goal
Ziolkowski Construction, Inc.
Project Manager / Estimator May 12, 2020
(Signature) Adam IM01'ey (I itle) (mate)
MWBE Firm Ritschard Bros., Inc.
Owner or Contact at MWBE Firm Don Ritschard
Telephone: 574-288-4777 Fax: Email: BIT1204@datacruz.com
TYPE OF WORK SOLICITED FOR THIS PROJECT: Demolition / Site Prep
RESULTS OF CONTACT WITH THE MWBE FIRM: Provided a Bid
MWBE Firm LaPotte Construction
Owner or Contact at MWBE Firm Jake De Javennnnn
Telephoner 219-393-5555 Fax: Email: JDE1-IAVENc3LAPORTECONSTRUCTION.COM
TYPE OF WORK SOLICITED FOR THIS PROJECT: Demolition / Site Prep
RESULTS OF CONTACT WITH THE MWBE FIRM: �Jf,
Version 01129/2020 Contractor's Bid for Public Works - 12
t
t __ _ G4+k1�YLT;sppeeChF�maw cl
Company ID Number, 466671
THE VERIFY PROGRAM FOR EMPLOYMENT VERIFICATION
MEMORANI]UM OF UNDER -STANDING
ARTIOI.E.I
PURPOSE AND AUTHORITY
Th15 M.erfioraridum of Understanding (MQU) Sets f6rtb the peint!� of agreement biatWeen the
Department of Homeland SeG fl` f (DffS) and lkowski Constructim ... be.. (Employer)
re�arding the Etnplayr is partioipatlon rn the Employment Eligibility 'Verification Program (E-
Verify). This MOU explains certain, features of the E-Variiy pragf�m and. enumerates specific
responsibilities of UHS, the Social Security AdminWration (�SA)i and the Employer. E-Verify is
a programthat electronically confirms an employee's eligi City to work in the United Stag gAer
completion of the Employment Eflgibility VeAcation Form (Vorm 1-9). For covered government
contractors, E lerif' is used #averify the empleymenf eligibil.4 of all nev�ly aired employees and
all e�istfng employees asslgnod tit` Federal contracts, or to verify the entlre Workforce if the
oontraotor so chooses.
Authority for the l=-Veri y program- is found In Title IV, Subtitle A, of the ([legal Immigration
Reform and immigrant Responsibility Act of 1996 (IIRIRA), Pulp. L.1 04-208; 1 1d...8tat. 50Cl9, as..
amended (8 U,s.C: § 1324a note). Authority for use of the EVe* progrsm by �orieral
confraetora and 'subcontractars covered by the ierms of Subpert 22.18, "Employment 81gi�ility
Verificatipnv, of the Federal Acgcrisitirron: regulation, (FAR) (herelhaf#er referred'to in this MOU'as
a Tederal contiactpr with the FAR [= Verify clause") tp verity the employmeltt eligibift of
deffain dinployeas w6rking an Federal contracts is also Mund 1h Subpart 22,18 a6d In keeuitivb
Order'12989, as amended:
ARTICLE II
FUNCTIONS Td. BE PERFORMED
A, RESPONSIBILITIES OF SSA
1 SSA agrees firs provide the Employer with available ihformatron that allows the Employer to
confiim the accuracy of 8Qcfaf Security Numbers prov$ded by all employees verified. under this
MOU and the emp1bymeht authorization of U,S: citizens,
1 SSA agrees to provide to the Eroofoyer eippr`aprlats bsslstanee with operatidnal problems that
may arise during the- Employer's participatidn in'the E-Verify- program. SSA agrees to provide
the Employer inrith namesi titles,. addresses, and telephone nurttbers of SSA represent-69ves to
becontacted during the E-Verify process.
3,, $S,A agrees- to safeguard the Information providad by fbe Em-ployei through the .E1/.'edf
prpg.rarrr procedures, and to lin'lif access to such Ififa oration, as is apprclprlatQ y- law, to
hidivirlutals resAQnsible for ttte vetificatlon cat Social Security Kumbem arid for' evaluation of the
E_Verify program orsuch other persons or entities who may tie authorized by 9SA as governed
Page I of•93 I E Vedfy f DIJ for Employer I Rev1E9Db Dat6 ODIG1109 www.dhs.gov/E.Varify.
L-F.-Ver
cofiipamy W Number. 486671
0; b1ij-11,11
To be accepted as a porUdlpant in E-Veflfy,-you shduld only sign the Efilployar's, SectI.On
of the slghature page. if you have -any qu6stlana, cantad E-Vetify at 384 8-464-4218.
Eiii0lo;Sr MWOW04- COIF KWO-A, TOO.
B01 Fa*or--q
Name (pfeasarype or Prfnt7
Eldetronically Signed
riffe,
D111012012
Data
Department pf H911*12'M Secufty — WOW10ft DIVNIO"
uscis vorioeafloli DMAOA
MMM {pleass Type or print}
Electronitally Slea
itfe
'51patur4
I'Aftatilo'A Required foe the E-Vbdfy Program
wormiffliv relAtIng-t6y , r cnmoalfy-,
GcofiV Name-.
7-1olkowski Constym-fiDO, W.
Company Fqq!& Address-
4060 R*h .Jones Or.
I
Smith Bend, IN 46620
Company Aitem�;te
County of Parish:
U-JOSEPH
Eniplpyef lqontiffgaflon
Number
1364445992
Page 12 of 13 I'EVerIfy MOU for EMpTuyqr I RaWsIm D* 0101109
wW.dhgovlE-Vadfy
Compony 10 Number: 486671
.NoIth Arhedcnn IndustrY
AdmInIstrator'.
dumber of Evnployees:
100 LO 469.
Nknbor qf gitos Verified
Axe -you YOM' g fair me 6 than 1 WO Uyes, pj6ase prwido the number of sites verfiled for
. ym
[it each State;
MLANA I- sites)
Inf6ftation re.latIngto-th.e. Ptogram Admifilstrator(s) forydtfrCbmpany 6VI policy
queitiom or operational problems.,
James keldsen
TelophomNihbef. (§74).281 - -ISU W. 363, FagXtmber (514) 344 - 5-533
7-mail Ad kej.jsep@ w dvegs, I _Ai#Idxo
Page ia of la I ExVeirry -MOU for Emlytoy
er I Revlelori Dati-, 09101/05
P-Nerify - Employer Wizazd Company fnfbmation
Page I of 1
E-Verify.
E mptayment E11gii Hty Verification
011ck any for help
H°me Company Information
.���
J
1~
S4!elwme U.ei ID _ LBs%L-cgfn
dameslceldsen 12:34 PM - 08012016 Lag Out
My Czses
New. Casa Company Name: Zlolkowskl Qonsfrurlon, lnc,
Mgw Cases 1fI6W edit,
Search Cases
Company 117 Nermtrsr:
4$Ba71
M 1'rnftfa
13oing B€ksiness As (DSA)
Ldlt Pro0a
flame:
Change password
IaUNs Numi�er:
Changp Securlly gUBSiiane
M9 company
Physloal Location:
Mailing Address:
Ede Company Prcdo.
Address 1:
4050 Ralpb Jadds Dr.
Address 4:
Add New user
Address 2:
Address 2:
V1sw13c ang users
City:
So4ih Bend
City -
Close GwnpanyAecount
.Stag;
1N
9bf#
My ftapprtp
zip bads:
46623'
Zi¢ Cade.
VMew -Reports
Covinty:
ST JQSE=PH
l0y Resources
View Esseaal Resources
Additional Information:
Take-rut❑dal
Empioyerldep.Miicat on Number:s59445P92
Vtew User idanual
Total f4umber of 1zmplbyees:
100 fo499
`share ideas
Parent Organlzatlon-
Contact Us
Adrniniatrator:
orgariization Resignation:
Bm ployer Gafegory: None of #mesa categorles apply
NAiCS Coda: 236 - CONSTRUCTION 'of BUI LD1140a
TntalRiving $it9W 'i
Total Poin#s of Goritairt 1
lliavu MOU
VieuirJ'~dEti
piety i i;'dii:
�igW 11=d[t
kJ.6,DegafmankolHomlagd5ecurily-wvxLdtfsgov IJ.S.ClilzeppMpand lmrdyailonSeMces-mmwscg-a?V 0bW.nlaa4Vavytrs
144
�
Document
ru e/ A 3t / ,2 0
CONTRACTOR:
(Name, legal status and address)
Ziolkowski Construction, Inc.
4050 Ralph Jones Drive
South Bend, Indiana 46628
OWNER:
(Name, legal status and address)
City of South Bend, Board of Public Works
227 West Jefferson Boulevard
South Bend, Indiana 46601
BON® AMOUNT:
SURETY:
(Name, legal status and principal place
of business)
Liberty Mutual Insurance Company
175 Berkeley Street
Boston, MA 02116
Five Percent of Accompanying Bid (5% of Accompanying Bid)
PROJECT:
(Name, location or address, and Project number, if any)
2020 Curb and Sidewalk Construction
Project No. 120-001
This document has important legal
consequences. Consultation with
an attorney is encouraged with
respect to its completion or
modification.
Any singular reference to
Contractor, Surety, Owner or
other party shall be considered
plural where applicable.
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 party to perform the work covered by said bid, then this
obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of
an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of
notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for
an extension beyond sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall
be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and
provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so
furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond.
and sealed this 12th day of May, 2020
` iskiConstruction, Inc.
(Seal)
(Title)
Liberty Mutual Insurance Company
(Su µ�-,a_ Wm...__ (Seal)
Johnson w
( itle) Adrienne C. Stevenson, Attorney -In -Fact
11 Sharon Jean Potts , a Notary Public in and for said County, do hereby
certify that Adrienne C. Stevenson --------- as Attorney -in -Fact, who is personally
known to me to be the same person whose name is subscribed to the foregoing instrument,
appeared before me this day in person, and acknowledged that they signed, sealed, and
delivered said instrument for and on behalf of
for the uses and purposed therein set forth.
Given under my hand and notarial seal at my office in the City of Atlanta in said County,
this 12 th — day of May A.D. — 2020 .
/Iotary Public
Sharon
Sharon Jean Potts
NOTARY PUBUC
Fulton county, G-.:EORGIA
commission
r 0 1 'M
My commission Expires 02113M&M]
in
U a�
O cu
>
N �
02
6
0
CU
0)
M
Ea
-a U
M c
> a)
0
Z v
This Power of Attorney limits the acts of those named herein, and they have no authority to
mtl Lib
bind the Company except in the manner and to the extent herein stated. erty
Mutual. Liberty Mutual Insurance Company
—--SIAZET"Y The Ohio Casualty Insurance Company
West American Insurance Company
Certificate No: 8201331
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly
organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint,
Adrienne C. Stevenson all of the city of Atlanta .,state of Georgia each individually if there be more
than one named, its true and lawful attomey-in-fact, with full power and authority hereby conferred to sign, execute and acknowledge the above -referenced surety bond.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 30th day of M ya , 2019.
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
\Nsbp 01 INS& \wsuq West American Insurance Company
��}\ 4°aPok4 9'LC� GrJP°°aPo�T Apt ��P °°aPor a �2Cti
u� � Fo - � �'
1912 n ® 1919 1991 ryrr
y'
�� SSACHUS� .db ® NAMPS\� ,d$ -e OtA0 Ab
David M. Carey, Assistant Secretary
STATE OF PENNSYLVANIA ss
COUNTY OF MONTGOMERY
On this 30th day of Ma 2019, before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance Company, The
Ohio Casualty Company, and WestAmencan Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained
by signing on behalf of the corporations by himself as a duly authorized officer.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written.
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal����
Teresa Pastelle, Notary Public
s Upper MerionTwp., Montgomery County
My Commission Expires March 28, 2021 �y'
Teresa Pastella, Notary Public
Member, Pennsylvania Association of Notaries
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV— OFFICERS: Section 12. Power of Attorney.
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the
President may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys-in-fact, subject to the limitations set forth in their respective powers of attorney,
shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such
instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings,
bonds, recognizances and other surety obligations. Such attomeys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind
the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding
as if signed by the president and attested by the secretary.
Certificate of Designation —The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attomeys-
infact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other
surety obligations.
Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary
of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the
Company with the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, of Liberty Mutual Insurance Company, The Ohio Casualty Insurance Company, and West American Insurance Company
do hereby certify that this power of attorney executed by said Companies is in full force and effect and has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 12th day of May 2020
I Suf�q �01 INS&R \NSUpq
h� G°RPo/�,yr �iC� 4J'� G°0.Poq,4'% �Z CIP °°µP°17gr
1912 0 ®$1919w ® � 1991 n
� y
yqo 0:
MAMPS `,d� V A'bIA0 �b Renee C. Llewellyn, Assistant Secretary i
Marsh MSurety POA LMIC OCIC WAIC Multi Co_042019
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name 2020 Curb and Sidewalk Construction
Project No. 120-001
For Bids Due May 12, 2020 at 9:30am Local Time
Contractor Name: Ziolkowski Construction, Inc.
The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works
projects by institution of comprehensive submission requirements in compliance with State law. Quality
workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet
certain minimum requirements to be responsive and responsible bidders.
THIS FORM MUST BE SUBMITTED WITH YOUR BID.
INSTRUCTIONS:
If you are a pre -qualified bidder, complete Section I only.
If you are not a pre -qualified bidder, complete Section II only.
Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be
considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre -
qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6-
63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance")
for a period of twelve (12) months.
Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre -
qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified
Bidders") by December 31 st for the upcoming calendar year, or within twelve (12) months of obtaining pre -
qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of
the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application
for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal
of the designation, effective January 1 of the following year, or immediately following the twelve (12) months
of pre -qualified standing.
However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works
projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status
is re-established.
Please Note: The City reserves the right to request supplemental information from the bidder,
additional verification of any information provided by the bidder, and may also conduct random
inquiries of the bidder's current and previous customers regardless of pre -qualified standing.
It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to
the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid
opening.
Version 01/29/2020 General Conditions - 6
POST BID SUBMISSIONS:
Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding
Ordinance. The post -bid submission requirements are as follows:
1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the
name, address, licensing status, and type of work for any subcontractor from whom the bidder has
accepted a bid and/or intends to hire on any part of the public work project, including individuals
performing work as independent contractors.
2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty
thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the
Responsible Bidder Ordinance as though it were bidding directly to the City, except that the
subcontractor shall submit the required information (including the name, address, and type of work)
to the successful bidder prior to the commencement of work.
3. Failure of a subcontractor to submit the required information shall not disqualify the successful
bidder from performing work on the project and shall not constitute a contractual default and/or
breach by the successful bidder. However, the City may withhold all payment otherwise due for
work performed by a subcontractor, until the subcontractor submits the required information and
the City approves such information.
4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall
not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another
subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the
name, address, licensing status, and type of work of the substitute subcontractor.
5. The successful bidder and all subcontractors on a public works project are required to submit
certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis,
submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall
identify the job title and craft for each employee. Certified payrolls shall be submitted
electronically.
Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in
the automatic disqualification of the bid.
The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into
account all information in the submission requirements, determine whether a bidder is responsive and
responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to
utilize all information provided in the contractor's submission and any information obtained by the City
through its own independent verification of the information provided by the contractor.
Version 01/29/2020 General Conditions - 7
PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
(i) X By checking this box, I hereby acknowledge that I am a pre -qualified bidder with
the City of South Bend and that I have met the pre -qualification requirements within
the last twelve (12) months. A copy of my Pre -Qualification verification letter
is attached.
(ii) X By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided by me, and may also conduct random inquiries of my current and prior
customers.
(b) Attachments:
(i) X Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii) X Statement on staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work. It
outlines how I intend to meet the staffing needs of the work.
(iii) X List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within the last three (3) years.
(iv) X For every project, submit evidence of participation in apprenticeship and training
programs, applicable to the work to be performed on the project, which are
approved by and registered with the United States Department of Labor's Office of
Apprenticeship, or its successor organization.
Version 01/29/2020 General Conditions - 8
CERTIFICATE OF QUALIFICATION
to provide
CONSTRUCTION SERVICES
for
PUBLIC WORKS PROJECTS
to the
STATE OF INDIA.NA
This Certification Board, having duly considered application for qualification in terms of agparesrt experience a��d finnnciat
resources; acid under the applicable Indiana Code 4-13.6-4 and adopted rules of this Board, hereby issues a
Certificate of Qualification to provide comb -action services to the State of Indiana for Public Works Projects to:
4050 RALPH JONES DR
,SOUTH BEND IN 46628
Phone 574-287-1811
Fax 574-234-0151
Company Official
BILL FAVORS
for the hveDty-seven month period stated hereiu, unless revoked by this Hoard for cause,
and in the claasd€catious of services stated below. This certifioatc suporoedes any previous certificate,
1521.00 Apartment Buildings, hotels and Motels
1541,01 Industrial Plants and Warehouses
1541.03 Additions, Alterations, remodeling, and Repair
1542.00A Inst. Bldgs.(Hospitals, Schools, Prisons)>$10,000,000
1642.008 Inst. Bldgs.(Hosp., Schi., Prsn.)'$1,000,000, <$10,000,000
1542,01 Institutional Sldgs (Hospitals, Schools, Prisons)
1642.02 Commercial Buildings (Offices, Stores, Restaurants)
1542.04 Additions, Alterations, Remodeling, and Repair
1721.01 Painting of Buildings & Other Structures
1741.01 Brick and Black Laying
1741.04 Stowe work ,
1741.05,1762.01,1752.02,1771.01
CERTIFIGAT1ON DATE 1019/2019 EXPIRATION DATE 11912022
THIS CERTIFICATE ISSULD BY THE STATE OF 1IdDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD,
402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS, INDIANA 46204,
ALSO ACTS AS THP OFFICIAL NOTICE OF EXPIRATION.
Tracy L. Cross, !Wx c;utive Secretary
.. Certification Board
DAnW P02 State Form 3983R Rov. a7i06
STATE OF MGANA
OFFICE OF THE SECRETARY AROF STALTE
CERTIFICATE OF WVSTENCE
To Whflffi These Presc&fs Come, Greetings:
virtuLndiana, thecustodian of the coTorato r¢oords, and groper of cial to exccnte this ceriffluate.
I .Buxthar mrtify t$at rcroTds of this offldisDiose that
ZIOLKOWSM CON TRIWTIO , INC.
dxlu Mod the regtdsite documents to eo=ence business activities under the la- vg of etc of in", na on Dev,=ber 11, 1978,
ands -a in e tenoe or anthorazed wo transact business in the State of hidlana on Deomber 02, 2015,
I flirther cm4ify this For -Profit Domestic Coiporation has EF-d its rawt recent report recwired by hidiana Ian wn the
Secretary of State, or is no yet required io fie such repot and that no rtofice of withdrawal, &solwion or empiraton laa�
been filed or men place.
Ia Witness'Whereof, I havo harounto get n-y hid
and -sfxd the, seal of the State of indima, at the
city of Indianapolis, ibis Second Tray e�f December, 2015.
i
Cori tie Lamon, get retay of, tate
197812-318120151 0203232
.ter°
VV
construction, Inc.
General Construction & Design/Build
ASNN�iR� �W"4�fi ^r��Yk W" {N Ri',43Vo11 hiP°1974
May 12, 2020
Subject: Operations Letter
Dear Sirs:
Ziolkowski Construction, Inc. has been in business since 1974 and operated during that
period of time under that name only.
Ziolkowski Construction has not violated any federal, state or local laws, including
violations of contracting or antitrust laws, tax or licensing laws, environmental laws,
Occupational Safety and Health Act (OSHA) laws, federal Davis -Bacon Act laws, within
the past five years.
Ziolkowski Construction, Inc. is proud to employ the industry's top skilled craftsmen.
We have a core group of union craftsmen working on our projects and supplement that
group with trained skilled workers from the local union halls. We currently have
sufficient workers to perform the work that we are bidding for the above project.
All individuals performing work for Ziolkowski Construction, Inc. will be properly
classified as employees under the federal Fair Labor Standards Act and in line with all
Indiana State and local ordinances.
Ziolkowski Construction, Inc. had no federal, state or local tax liens or tax delinquencies
in any of the preceding three tax years.
Respectfully,
ZIOLKOWSKI CONSTRUCTION, INC.
-,,-0 I -1 JI
Bill Favors
President & CFO
4050 Ralph_Jones„Dr•, South Bend, IN 46628 Phone 574 287-1811 Fax 574 234-01„61
Committed to professionalism and excellence for the benefit of our clients, employees, and shareholders.
M * m
SJb
sus
U O
c> O
c> 4
4
c> 4
o
¢�'U�nOwN
0�1�n
o
f
0
0
0
o
N
o
0
Vl
r�
Vl
N
01
N
Vl
,N-i
Vl
69
69
69
69
69
69
69
U
tz
tz
�`
�`
O
tz
bb
cn
w
bn bp
ON
N
_'
m c
mu,
O
N
0' cs
N
ce
v
8
^'
cn
�C
Nov
O
V
i
r
M
Q
M
N
O•-�
l
'�
61
4� d
'�
a1
,� ,�
U d
U d
U l
U
61
U
j
61
61
61
61
61
61
a1
O
O
N
N
N
N
N
N
N
CIA
N
CIA
N
3�
M
00
O
00
't
d
M
\O
l
61
d'
N
V1
00
61
N
�
69
69
69
69
69
69
69
69
69
69
to
tc
O
O
cG s
O
O
U s
to
c`ni
wd
! cn
cr
— �
dd
" cni
cr
�
d
O
w¢a
aC
H
CA
QU
U
o
O
U
CO
�
Q
U
�
Q
O
}�
O
x
U
O
}�
O
O
O a.
O a
O
U
U
2:1O
U
.�
U
CG
4-
CMG
a
U
S7 O
O O
>
O O
O
O
O
O O
�
Q
O
O
U
O
a
a
x
a
c
�
o
0
0
cc
c� ccc
w
cc
4-0
cc
o
U
on
^c
man d
to
o ^c
In
cc
cc
cc `04
�
cc
4-0
cn
cn
U
°�,
A
BAC 4: IN/KY
r:
N,v w-w,,, I),, i c 4, trai nj fIg Com
bac4apprenticeship(�-r)giila,il.coiii
219-525-4443
Roger Jones - AfanagingDireefor
August 20, 2018
C/o Ziolkowski Construction, Inc.
To Whom It May Concern,
This is a letter of recommendation on behalf of Ziolkowski Construction, Inc. The
BAC 4 IN/KY Apprenticeship & Training Program is a statewide program that was
established in 1994 and is recogni-Zed by the U. S. Department of Labor and is
considered in good standing.
Ziolkowski Construction, Inc. has been a "signatory union contractor" since 2000
and at the present time employ enrolled apprentices. Ziolkowski Construction, Inc.
has continued to follow the guidelines set forth in Collective Bargaining Agreement
with BAC Local #4 IN/KY meeting the required journeyman/Apprentice ratio on
their. jobs.
Should you have any further questions please feel free to contact the State office at
(219) 52S-4443.
Sincerely,
Roger Jones
Managing Director
BAC 4 IN/KY Apprenticeship & Training Program
August 23, 2018
ZIOLKOWSKI Construction, Inc,
4050 Ralph Jones Drive
South Bend, IN 46628
Re: Proof of Compliance with 30 ILCS 500/30-22(6)
Our Idle No. MI-00321
Dear Sir or Madam:
At the request of ZIOLKOWSKI Construction, Inc, I am providing you with evidence of
the Con-rpany's compliance with the apprenticeship requirements in 30 ILCS 500/30-
22(6) of the Illinois Procurement Code. I am submitting this letter along with
apprenticeship certificates (Nos.ILO 12020003 and IL008780173).
As a signatory contractor with the International Union of Operating Engineers, Local
150, AFL-CIO, ZIOLKOWSKI Construction, Inc., is required by Collective Bargaining
Agreen-ent to participate in an applicable apprenticeship and training program approved
by and registered with the United States Department of Labor's Bureau of Apprenticeship
and 'Training. The attached certificates are evidence of compliance with the tJ.S.
Department of Labor's apprenticeship requirements.
Thank you for your cooperation in this matter. If you have any questions or concerns,
please do not hesitate to contact me.
Very truly yours,
IUOL, Local 150, AFL-CIO
District I dispatch office
Caroline Lesniak
Lnclosures: Certificates
t�.
wf-
loo
mil
r`1
toCD
,I
I
I
1
TNDIANA LABORERS' TRAINING TRUST FUND
David A. Frye
Secretary -Treasurer
Jerry J. Bolk
Chris L. Guerrero
Ricky .Henson, Jr.
Ramon Mendoza, Jr.
Robert S. Wright
P.O. Box 758 -Bedford, Indiana 47421
(812)279-9751
August 20, 2018
To Whom It May Concern:
Sear? Coakley, Director
John P. Brown
chairman
Kelly Abel
Brad Dreibelbis
Michael Ferrara
Stan Meyer
Jim Wiseman
FAX: (812) 279-5545
This letter is to confirm that "Ziolkowski Construction, Inc." is a signatory contractor in good
standing with the Indiana Laborers' Training Trust Fund.
The above mentioned company is a participant in the Joint Apprenticeship and Training
Committee through this Union and has been an active participant in good standing for each of the
past -five plus consecutive years, and is currently eligible to use our apprentices on a project.
Further, our organization's program is approved by the U.S. Veterans Administration to
participate in the GI educational benefits program. A copy of our approval letters are attached
along with the collective bargaining agreement stating the ratios of Journey workers to
Apprentices; which is one (1) Apprentice for every five (5) Journey workers and thereafter may
not employ more that (1) Apprentice for every (3) Journey workers.
Sincerely, _ {1
Sean Coakley,
Director
SC:dc
www. indianalabarerstraining. org
r Aypr
YIY �
TO WHOM IT MAY CONCERN,
Plasterers' & Cement Masons'
Apprentice Coordinator
of
Local Union #692
Phone 317-508-1609
FAX 317-972-4907
hrnai hansen@plcmtoca1692.org
m `' 1049-M
AUGUST 23, 2018
THIS LETTER IS TO CERTIFY THAT ZIOLKOWSKI CONSTRUCTION INC.HAS BEEN A SIGNATORY UNION
CONTRACTOR WITH THE PLASTERERS' AND CEMENT MASONS' JOINT APPRENTICESHIP TRAINING
PROGRAM OF LOCAL 692, FOR AT LEAST THE LAST FIVE YEARS, AND IS IN GOOD STANDING.
THEY HAVE A SIGNED CONTRACT WITH LOCAL 692 AND IS ELIGIBLE TO USE UNION PLASTERERS'
APPRENTICES AND UNION CEMENT MASONS' APPRENTICES. THROUGH THIS CONTRACT AND OTHERS,
THE FINANCIAL OBLIGATIONS OF TRAINING AND SAFETY ISSUES ARE MET.
ALL OF THE APPRENTICES ARE REGISTERED WITH THE UNITED STATES DEPARTMENT OF LABOR, BUREAU
OF APPRENTICESHIP AND TRAINING.
SINCERELY,
PAT HANSEN
APPRENTICESHIP COORDINATOR FOR LOCAL 692
220 N. Fulton St.
Indianapolis, IN 46202
i
U.S. Department of Labor
46 East Ohio St. — Room 511 Phone: 317/226-7001
Indianapolis, IN 46204 Fax: 317/226-7015
OFFICE OF APPRENTICESHIP
Employment and Training Administration
Date:-
r
Mr. Pat Hansen, Coordinator
Plasterers & Cement Masons Local #692 JATC
(mailing)220 N. Fulton Street, Indianapolis, IN 46202
(school) 9200 Louisiana Street -- Merrillville, IN 46410
Re: EEO Compliance Review (and Quality Assessment)
Dear Mr. Hansen:
Our recent EEO Compliance Review (and Quality Assessment) of your registered
apprenticeship program, Plasterers & Cement Masons Local 4692 JATC was conducted on
April 11, 2017 and October 5, 2016. This review covered the time period 08/15/2015
(date of your last review) through 10/04/2016. We are writing to inform you that our
office found no apparent violations of the requirements governing registered
apprenticeship programs as set forth in regulations at 29 CFR Part 29, "Labor Standards
for the Registration of Apprenticeship Programs," and Part 30, "Equal Employment
Opportunity in Apprenticeship and Training."
Based on our review, it appears that your apprenticeship program is snaking good faith
efforts to comply with the requirements of 29 CFR Parts 29 and 30. We note, however,
that despite these efforts, there exists underutilization of women and minorities in your
apprenticeship program and skilled workforce, including journeyworkers. Please be
aware that Plasterers & Cement Masons Local #692 JATC remains under an obligation,
pursuant to the regulations at 29 CFR Part 30 to continue with its good faith efforts to
increase participation of women in its Registered Apprenticeship program.
We sincerely appreciate the cooperation and courtesies extended by you and your office
to the Department of Labor while we conducted the compliance review. If you have
any questions or concerns, please do not hesitate to call. I can be reached at (317) 226-
7003.
lye-,
f John Delgado
State Director
cc: Kathleen Sokolowski, ATR
J
ui
LIJ
1�
LU
CD
4-4�
..►
cl-
-•
UJLLJ
C�
LLJ
C/)
W LL.
W ,.I
+ <c
<
C'i
u
ti
�LO
uj
d
U
ui
a
F--
o
�-
4y
Qi
a
U
�
CS
U
Q
U
ti
c
Y
I
Iz
0
INDIANAMENTUCKY/01110 REGIONAL COUNCIL OF CARPENTERS
JOINT APPRENTICESHIP AND TRAINING FU"
1095 MARINE4 RS DRIVE
WARSAW, IN 46582 a
ADMINISTRATION OFF ICE
711 Greenwood Springs Drive
Greenwoock IN 46143
Phone: 317-807-1112
Fax: 317-807-1115
Ashland Campus
574 Carpenters Way
Grayson, XY 41143
Phone: 606-929-1379
Fax: 502-996-8108
Indianapolis Carropus
August 20,2018
711 Greenwood Springs Drive
Greenwood, IN 46143
Phone; 317-901-1116
Fax: 317-807-1131
Ziolkowski Construction Co.
Lafayette Campus
4050 Ralph Jones Drive
2953 South Cressy Lmie
Lafayette, IN 47905
South Bend, IN 46628
Phone: 765-447-5959
Fax: 765-447-7676
RE: City of South Bend Bid
Louisville Campus
1245 Durrett Lane
To Whom It May Concern:
Louisville, KY40213
Phone; 502-366.8668
Fox: 502-366-8678
This letter is in response to verification needed by Ziolkowsk! Construction for work to
be performed for the City of South Hand/Howard Park project, Zlolkowski regularly
Merrillville Campus
1565 East 70th Court
employs a number of apprentices affiliated with our apprenticeship program and has
Merrillville, IN 46410
done so for more than three years. We are registered with the United States
Phone: 219-947-3348
Department of Labor, Bureau of Apprenticeship and Training and our registration
Fax: 219-947-1889
number is 020 0537. Our program also participates in the Building Trades Associate
Muncie Campus
Degree Program with Ivy Tech Community College and has done so since 1996.1
4121 East Centennial Avenue
munclu, IN 47303
Phone: 765-288-9015
Ziolkowski Construction Is a bona fide contractor in good standing with the
Fax: 765-288-9298
Indiana/Kentucky/Ohio Regional Council of Carpenters Joint Apprenticeship and
Training Fund and is eligible to employ apprentice carpenters in the future. I have
Newburgh Campus
5400 Covert Court
enclosed copies of our certificates from the United States Department of Labor and
Newburgh, IN 47630
from the Indiana Department of Veterans Affairs for GI educational benefits.
Phone: 812-853-9312
Fax: 812-853-9316
If I can be of further assistance, please do not hesitate to give me a call.
Torre haute Campus
1099 South 611t Street
Best regards,
Terre Haile, IN 47802
Phone: 812466-7899
Fax: $12-466-9840
kxL4—rA�a"
Warsaw Campus
Dale Newlin
1095 Mariners Drive
Warsaw, IN 46582
Area Coordinator
Phone:,574-267-5264
IKORCCJATF
Fax: 574-269-1464
Warsaw Campus
f Hur- ul
P-I
11
r)
rj
Em
m